ABSTRACT
AIM: This study analyses discourses that migrant fathers in New Zealand draw on to explain their decision to have a child. BACKGROUND: Little is known about migrant men's reproductive decisions in the context of contemporary/active fatherhood. DESIGN: A discourse analytic research study. METHODS: Qualitative research was conducted in 2009 where Chinese and Indian migrant men took part in focus groups. RESULTS/FINDINGS: Fathers drew on two key discourses to understand how they became fathers. The first was fatherhood as a financial decision and the second was fatherhood as a natural process. These two discourses are not always congruent. CONCLUSION: Understanding the discourses that shape men's decisions to have a child, will enhance nurses' capacity to provide appropriate care and support for migrant families.
Subject(s)
Decision Making , Family Planning Services , Fathers , Reproduction , Transients and Migrants , Female , Humans , MaleABSTRACT
We have compared the Harris hip score with the Oxford hip score in a population of 358 patients (213 men and 145 women) aged between 19 to 74 years (median 55 years), after resurfacing arthroplasty of the hip (between September 1995 and October 2006) with a median follow-up of 6 years. The Oxford hip score was related to the age of the patient (Mann-Whitney test; p = 0.015), the hip lifetime (p = 0.030) and body mass index (p < 0.001). Correlation analysis indicated a good correlation between overall Harris and Oxford hip scores (Spearman's rank correlation = -0.70; p < 0.001). An analysis of correlations between individual items in the Oxford score and functional domains of the Harris score showed that the range of movement domain of the latter score was correlated with two items from the former score (-0.40 and -0.38; p < 0.001 and p < 0.001). Based on the correlation analysis, this study provides good evidence that the Oxford score can be substituted for the Harris score for long-term assessment of hip function, without significant loss of information.
Subject(s)
Arthroplasty, Replacement, Hip/rehabilitation , Hip Joint/surgery , Prosthesis Failure , Activities of Daily Living , Adult , Aged , Arthroplasty, Replacement, Hip/adverse effects , Female , Hip Joint/physiopathology , Hip Prosthesis , Humans , Male , Middle Aged , Patient Satisfaction/statistics & numerical data , Physician-Patient Relations , Quality of Life , Recovery of Function , Reoperation , Severity of Illness Index , Sickness Impact Profile , Surveys and Questionnaires , Treatment Outcome , Young AdultABSTRACT
Urinary tract infection (UTI) is the most common type of bacterial infection contracted by recipients of renal allografts in the post-transplantation period. Fungi and viruses can also cause UTIs, but infections caused by these organisms are less common than those caused by bacteria. Both the lower and upper urinary tract (encompassing grafted or native kidneys) can be affected. Factors that might contribute to the development of UTIs include excessive immunosuppression, and instrumentation of the urinary tract (e.g. urethral catheters and ureteric stents). Antimicrobials are the mainstays of treatment and should be accompanied by minimization of immunosuppression when possible. The use of long-term antimicrobial prophylaxis is controversial, however, as it might increase the likelihood of infective organisms becoming resistant to treatment. There are conflicting data on the associations of post-transplantation UTI with graft and patient survival.
