In this paper, a theoretical and applied understanding is brought to the study of acute myocardial infarction [AMI] care‐seeking behavior. The time between the onset of an AMI and the initiation of definitive medical care is presently the single most important factor impeding reduced mortality and improved morbidity from thrombolytic therapy. It is suggested that the acknowledged, yet relatively neglected, area of emotional response is a key element in understanding why individuals may delay seeking definitive health care services following the onset of AMI symptoms. Emotionally significant dimensions of the care‐seeking process and a model for intervention to reduce morbidity and mortality are presented.
Abstract The Middle East and North Africa (MENA) today is an epicenter for the theorization of absence. Scholars, in efforts to counter the politics that have erased and continue to erase humans and places from the region, frequently assert the microdynamics of resistance, resilience, and memory. The editors of the special section, "Following Absence," acknowledge the urgent need for narratives of overcoming destruction and for acts of care and repair. However, this introduction articulates a different intellectual labor—one that examines the ways absences linger and perdure across the MENA. Rather than restoring or recuperating modes of presence, the editors ask, in what ways might absence be told and accounted for? How might new plotlines widen the scope of what can be perceived as absence, its work in the world, and the forms of agency and injury it shapes? In dialogue with the environmental humanities, this thematic section approaches human lives in embodied proximities to the nonhuman. It also relinquishes the need for storytelling to begin from a moment when annihilating violence has ceased, as though erasure could be safely contained in the past. Repetitive and accumulating, recursive and anticipatory, absences inhabit the present and future. Acknowledging these branching, seeping plotlines, the editors urge against any unified theory of absence for, or from, the MENA. Absence is defined by negation, fragments, and residues. By refusing its systematization in scholarship, this introduction calls for modes of attention that refuse the logics of power and foreground instead the flourishing of ongoing life. It then previews the special section's themes and articles.
To assess the prevalence and correlates of perinatal depression, 200 HIV-positive pregnant/postpartum women receiving antiretroviral therapy (ART) were interviewed at eight government ART centers in four states across India. 52.5% (105) participants had depressive symptomology (Edinburgh Postnatal Depression Scale score>13) while 23% of the participants reported thoughts of self-harm; there was no difference between pregnant and post-partum participants. Poor illness perception was associated with depression (AOR: 1.09, 95%CI: 1.05, 1.14); there was no association between adherence and depression in this population.
To assess the prevalence and correlates of perinatal depression, 200 HIV-positive pregnant/post-partum women receiving antiretroviral therapy (ART) were interviewed at eight government ART centers in four states across India. 52.5% (105) participants had depressive symptomology (Edinburgh Postnatal Depression Scale score > 13) while 23% of the participants reported thoughts of self-harm; there was no difference between pregnant and postpartum participants. Poor illness perception was associated with depression (AOR, 1.09; 95%CI, 1.05, 1.14); there was no association between adherence and depression in this population.
The television systems of Sweden and the United States are different in very interesting ways, stemming from a combination of historical, economic, technical and cultural factors. This study investigated viewer behaviour in these two different systems, using variables constructed from television viewing diaries and questionnaire responses. Results showed five clusters of viewer behaviours for each country, with a general similarity in clusters between Sweden and the US. However, further analysis showed a surprising dissimilarity: while social class, gender and uses and gratifications all predicted viewer type in Sweden, none of these variables predicted viewer type in the US. The authors speculate that some of these differences may be structural, but others cultural.
We assessed the acceptability of nurse-delivered mobile phone-based counseling to support adherence to antiretroviral treatment (ART) and self-care behaviors among HIV-positive women in India. We conducted open-ended, in-depth interviews with 27 HIV-positive women and 19 key informants at a government ART center in Karnataka, India. Data were analyzed with interpretive techniques. About half of the HIV-positive women owned a mobile phone and many had access to mobile phones of their family members. Most women perceived phone-based counseling as a personalized care approach to get information on demand. Also, women felt that they could discuss mental health issues and ask sensitive information that they would hesitate to discuss face-to-face. Findings indicate that, when compared with text messaging, mobile phone-based counseling could be a more acceptable way to engage with women on ART, especially those with limited literacy. Future studies should focus on testing mobile phone-based information/counseling and adherence interventions that take the local context into account.
