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Reservation X: The Power of Place in Aboriginal Contemporary Art. Gerald McMaster. ed‐Seattle: University of Washington Press and Hull: Canadian Museum of Civilization, 1998.164 pp.

Intro -- Series Editorial Advisory Board -- Preface -- Acknowledgments -- About the Book -- Contents -- Contributors -- About the Editors -- List of Abbreviations and Acronyms -- List of Boxes -- Part I: Maternal Health, American Cultural Values, and the Social Determinants of Health -- Chapter 1: The Health of American Mothers in the Context of Cultural Values -- 1.1 The Current State of Maternal Health in the USA -- 1.2 Social and Environmental Conditions Affecting Maternal Health -- 1.2.1 The Social Determinants of Health -- 1.2.2 The Social Determinants of Maternal Health -- 1.3 Cultural Values and Maternal Health Outcomes -- 1.3.1 American Cultural Values -- 1.3.2 Personal Control -- 1.3.3 Individualism -- 1.3.4 Action-Orientation -- 1.3.5 Practicality -- 1.3.6 Self-Reliance -- 1.4 Summary -- References -- Chapter 2: Cultural Values as a Basis for Decision-Making -- 2.1 Maternal Health Outcomes: A Reflection of Decisions -- 2.2 Theoretical Foundations of Decision-Making -- 2.2.1 The Study of Decision-Making -- 2.2.2 Cultural Alternatives in Decision-Making -- 2.3 Cultural Models: Guide to Decision-Making -- 2.3.1 Norms and Values -- 2.3.2 Decisions and Cultural Values -- 2.4 American Cultural Values -- 2.4.1 Personal Control -- 2.4.2 Individualism -- 2.4.3 Action-Orientation -- 2.4.4 Practicality -- 2.4.5 Self-Reliance -- 2.5 Summary -- References -- Part II: The Lived Experience of American Mothers -- Chapter 3: Social Regard for Motherhood -- 3.1 Motherhood in the USA -- 3.2 Experiences Across Life -- 3.2.1 Life Course Theory -- 3.2.2 Context -- 3.2.3 Developmental Stage -- 3.2.4 Timing -- 3.2.5 Agency -- 3.2.6 Linked Lives -- 3.3 American Cultural Values Shaping Motherhood -- 3.4 Summary -- References -- Chapter 4: Fertility and Reproductive Health -- 4.1 Fertility and Reproductive Health in the USA.

Cover -- Title -- Copyright -- Contents -- Contributors -- Reviewers -- Foreword -- Preface -- References -- Share: The Maternal Health Crisis in America -- Chapter 1: Maternal Health in America -- Global Monitoring of Maternal Mortality -- Tracking Maternal Mortality in The United States -- Collecting Maternal Mortality Data -- The Causes of Maternal Mortality -- Peripartum Cardiomyopathy -- Noncardiovascular Diseases -- Infections and Sepsis -- Catastrophic Events -- The Medicalization of Childbirth -- Mental Health -- Tracking Maternal Morbidity in The United States -- SMM Coded by Disease-Specific Conditions -- Severe Maternal Mortality Coded by Specified Intervention -- SMM Coded by Organ-System Dysfunction Criteria -- Leading Causes of SMM -- Summary -- References -- Chapter 2: The Social Environment -- The Social Determinants of Maternal Health -- Poverty -- Inadequate Housing and Transportation -- Food Insecurity -- Exposure to Violence -- Restrictions on Family Well-Being -- Barriers to Healthcare -- Geography -- Childbearing in Rural America -- The Geography of Maternal Death -- Access to Maternal Healthcare in Rural America -- A Multicultural Nation -- Mothers and Providers in a Multicultural Society -- Selected Examples of Barriers Facing Mothers in a Multicultural Nation -- Race and Racism -- Maternal Mortality by Race/Ethnicity -- Severe Maternal Mortality by Race/Ethnicity -- Mental Health Conditions -- Adverse Life Experiences -- Intimate Partner Violence -- Incarceration -- Substance Use in Pregnancy -- Summary -- References -- Chapter 3: The Lived Experience of Childbearing -- The Lifelong Impact of Childbearing -- The Mantle of Motherhood -- Childbearing and Life Course Theory -- Four Mothers: Trajectory, Transition, Turning Point -- No Time to Lose -- Ghosts of the Past -- A New Beginning -- A Broken Heart.

Objectives Amid a political agenda for integrated, high-value care, the UK is implementing its Low Back and Radicular Pain Pathway. To align care with need, it is imperative to understand the patients' perspective. The purpose of this study was, therefore, to explore how people experience being managed for sciatica within an National Health Service (NHS) pathway. Design Qualitative interpretative study. Setting Musculoskeletal Service in an NHS, Primary Care Trust, UK. Participants The sample comprised 14 people aged ≥18 years with a clinical presentation of sciatica, who were currently under the care of a specialist physiotherapist (the specialist spinal triage practitioner), had undergone investigations (MRI) and received the results within the past 6 weeks. People were excluded if they had previously undergone spinal surgery or if the suspected cause of symptoms was cauda equina syndrome or sinister pathology. Participants were sampled purposively for variation in age and gender. Data were collected using individual semi-structured interviews (duration: 38–117 min; median: 82.6 min), which were audio-recorded and transcribed verbatim. Data were analysed thematically. Results A series of problems with the local pathway (insufficient transparency and information; clinician-led decisions; standardised management; restricted access to specialist care; and a lack of collaboration between services) made it difficult for patients to access the management they perceived necessary. Patients were therefore required to be independent and proactive or have agency. This was, however, difficult to achieve (due to the impact of sciatica and because patients lacked the necessary skills, funds and support) and together with the pathway issues, this negated patients' capability to manage sciatica. Conclusions This novel paper explores how patients experience the process of being managed within a sciatica pathway. While highlighting the need to align with recommended best practice, it shows the need to be more person-centred and to support and empower patient agency. Trial registration number ClinicalTrials.gov reference (UOS-2307-CR); Pre-results.

Background: This study explored how low-income women already distressed by reproductive challenges were affected during the initial lockdown conditions of the COVID-19 pandemic in Mumbai, India. Methods: Women with reproductive challenges and living in established slums participated in a longitudinal mixed-methods study comparing their mental health over time, at pre-COVID-19 and at one and four-months into India's COVID-19 lockdown. Results: Participants (n = 98) who presented with elevated mental health symptoms at baseline had significantly reduced symptoms during the initial lockdown. Improvements were associated with income, socioeconomic status, perceived stress, social support, coping strategies, and life satisfaction. Life satisfaction explained 37% of the variance in mental health change, which was qualitatively linked with greater family time (social support) and less worry about necessities, which were subsidized by the government. Conclusions: As the pandemic continues and government support wanes, original mental health issues are likely to resurface and possibly worsen, if unaddressed. Our research points to the health benefits experienced by the poor in India when basic needs are at least partially met with government assistance. Moreover, our findings point to the critical role of social support for women suffering reproductive challenges, who often grieve alone. Future interventions to serve these women should take this into account.

AbstractRehabiliation of individuals with concomitant schizophrenia and stimulant abuse, once deemed futile, now seems feasible and promising.