scholarly journals The Impact of Systemic Factors on Iran-Gulf Arab Relations

2020 ◽  
Vol 8 (11) ◽  
Author(s):  
Shireen Hunter
Keyword(s):  
Systemic Factors ◽  
The Impact ◽  
Gulf Arab

scholarly journals Service-user efforts to maintain their wellbeing during and after successful withdrawal from antipsychotic medication

2021 ◽  
Vol 11 ◽  
pp. 204512532198913
Author(s):  
Miriam Larsen-Barr ◽  
Fred Seymour
Keyword(s):  
Antipsychotic Medication ◽  
Online Survey ◽  
Structured Interviews ◽  
Obsessive Compulsive ◽  
Convenience Sample ◽  
Internal Resources ◽  
Compulsive Disorder ◽  
What Works ◽  
Systemic Factors ◽  
The Impact

Background: It is well-known that attempting antipsychotic withdrawal can be a fraught process, with a high risk of relapse that often leads people to resume the medication. Nonetheless, there is a group of people who appear to be able to discontinue successfully. Relatively little is known about how people do this. Methods: A convenience sample of adults who had stopped taking antipsychotic medication for more than a year were recruited to participate in semi-structured interviews through an anonymous online survey that investigated antipsychotic medication experiences in New Zealand. Thematic analysis explored participant descriptions of their efforts to maintain their wellbeing during and after the withdrawal process. Results: Of the seven women who volunteered to participate, six reported bipolar disorder diagnoses and one reported diagnoses of obsessive compulsive disorder and depression. The women reported successfully discontinuing antipsychotics for 1.25–25 years; six followed a gradual withdrawal method and had support to prepare for and manage this. Participants defined wellbeing in terms of their ability to manage the impact of any difficulties faced rather than their ability to prevent them entirely, and saw this as something that evolved over time. They described managing the process and maintaining their wellbeing afterwards by ‘understanding myself and my needs’, ‘finding what works for me’ and ‘connecting with support’. Sub-themes expand on the way in which they did this. For example, ‘finding what works for me’ included using a tool-box of strategies to flexibly meet their needs, practicing acceptance, drawing on persistence and curiosity and creating positive life experiences. Conclusion: This is a small, qualitative study and results should be interpreted with caution. This sample shows it is possible for people who experience mania and psychosis to successfully discontinue antipsychotics and safely manage the impact of any symptoms that emerge as a result of the withdrawal process or other life stressors that arise afterwards. Findings suggest internal resources and systemic factors play a role in the outcomes observed among people who attempt to stop taking antipsychotics and a preoccupation with avoiding relapse may be counterproductive to these efforts. Professionals can play a valuable role in facilitating change.

scholarly journals “The Problem Is that We Hear a Bit of Everything…”: A Qualitative Systematic Review of Factors Associated with Alcohol Use, Reduction, and Abstinence in Pregnancy

2021 ◽  
Vol 18 (7) ◽  
pp. 3445
Author(s):  
Vivian Lyall ◽  
Lindsay Wolfson ◽  
Natasha Reid ◽  
Nancy Poole ◽  
Karen M. Moritz ◽  
...  
Keyword(s):  
Systematic Review ◽  
Alcohol Use ◽  
Individual Choice ◽  
Health And Wellness ◽  
Qualitative Systematic Review ◽  
Prenatal Alcohol Use ◽  
Systemic Factors ◽  
The Individual ◽  
The Impact ◽  
In Pregnancy

Understanding the factors that contribute to women’s alcohol use in pregnancy is critical to supporting women’s health and wellness and preventing Fetal Alcohol Spectrum Disorder. A systematic review of qualitative studies involving pregnant and recently postpartum women was undertaken to understand the barriers and facilitators that influence alcohol use in pregnancy (PROSPERO: CRD42018098831). Twenty-seven (n = 27) articles were identified through EMBASE, CINAHL, PsycINFO, PubMed and Web of Science. The included articles were thematically analyzed using NVivo12. The analysis was informed by Canada’s Action Framework for Building an Inclusive Health System to articulate the ways in which stigma and related barriers are enacted at the individual, interpersonal, institutional and population levels. Five themes impacting women’s alcohol use, abstention and reduction were identified: (1) social relationships and norms; (2) stigma; (3) trauma and other stressors; (4) alcohol information and messaging; and (5) access to trusted equitable care and essential resources. The impact of structural and systemic factors on prenatal alcohol use was largely absent in the included studies, instead focusing on individual choice. This silence risks perpetuating stigma and highlights the criticality of addressing intersecting structural and systemic factors in supporting maternal and fetal health.

The Security Problematic of the Third World

1991 ◽  
Vol 43 (2) ◽  
pp. 257-283 ◽  
Author(s):  
Mohammed Ayoob
Keyword(s):  
International Relations ◽  
Third World ◽  
Security Studies ◽  
Systemic Factors ◽  
Late Twentieth ◽  
The Subject ◽  
The Third World ◽  
The Impact ◽  
The Relationship ◽  
Late Twentieth Century

This article reviews some recently published volumes on the subject of Third World security and, in the light of the analyses presented in these books, attempts to discuss a series of major issues in the field of Third World security studies. These include (1) the applicability of the concept of security as traditionally defined in the Western literature on international relations to Third World contexts; (2) the domestic variables affecting the security of Third World states; (3) the impact of international systemic factors on Third World security; (4) the effect of late-twentieth-century weapons technology on the security of Third World states; and (5) the relationship between the security and developmental concerns of Third World states. The author concludes that while international and technological factors have important effects on the security of Third World states, the major variables determining the degree of security enjoyed by such states at both the intrastate and interstate levels are related to the twin processes of state making and nation building that are at work simultaneously within Third World polities.

The Perceptual Shock of Qatar Foreign Policy in 2017 Crisis: Systemic Factors, Regional Struggles Versus Domestic Variables

2020 ◽  
pp. 234779892097629
Author(s):  
Hazal Muslu El Berni
Keyword(s):  
Foreign Policy ◽  
United Arab Emirates ◽  
Political Elite ◽  
Decision Makers ◽  
Regional Security ◽  
Political Consequences ◽  
Regional Dynamics ◽  
State Apparatus ◽  
Systemic Factors ◽  
The Impact

The Qatar crisis of June 2017 commenced without a warning and restored overlooked regional security dynamics to the state, the political elite, and the Qatari society at large. Qatar was cautious about the diversions of its foreign policy from regional security perceptions of its neighbors, even before the crisis, despite its failure to predict imminent political consequences, emerging from some states within the Gulf Cooperation Council (GCC). In the aftermath of the crisis, critical narratives of the neighboring states on Qatar’s independent policies intimidated at the top leadership level and necessitates an analysis of the crisis, navigating through domestic settings facing systemic and regional pressures. This article aims to analyze the impact of the crisis on the perceptions of Qatari decision-makers, its society, and its tribes using the “perceptual shock” concept of neoclassical realism. It contends that despite the ongoing regional isolation of Qatar by the Saudi-led quartet, comprising Bahrain, the United Arab Emirates (UAE), and Egypt, Qatar’s state apparatus and its relations with the society continued to strengthen due to the complex relationship between the domestic variables and systemic factors, and their relation to regional dynamics.

scholarly journals Strengthening the Circle: An International Review of Government Domestic Violence Prevention Plans and Inclusion of Indigenous Peoples

2020 ◽  
pp. 107780121989784
Author(s):  
Sarah Fotheringham ◽  
Lana Wells ◽  
Sharon Goulet
Keyword(s):  
Domestic Violence ◽  
Indigenous Peoples ◽  
Indigenous Communities ◽  
Targeted Prevention ◽  
Negative Stereotypes ◽  
Indigenous Worldviews ◽  
Systemic Factors ◽  
Global North ◽  
Domestic Violence Prevention ◽  
The Impact

This study describes the level of government commitment in preventing domestic violence (DV) toward Indigenous women in countries of the Global North. Seventy-two government-endorsed DV prevention plans across 11 countries were analyzed. While more than half of the plans acknowledged Indigenous peoples, the main discourse reinforced a Western DV paradigm, reproduced negative stereotypes, and ignored systemic factors. Little consideration for intersectionality, the impact of colonization, or Indigenous worldviews was evident. Targeted prevention strategies were found but were disjointed and culturally inappropriate. Taken together, these findings suggest minimal government commitment and absence of cultural understanding regarding DV in Indigenous communities.

scholarly journals The Impact of Systemic Factors on Clinical Response to Ranibizumab for Diabetic Macular Edema

Ophthalmology ◽  
2016 ◽  
Vol 123 (7) ◽  
pp. 1581-1587 ◽  
Author(s):  
Rishi P. Singh ◽  
Karishma Habbu ◽  
Justis P. Ehlers ◽  
M. Cecilia Lansang ◽  
Lauren Hill ◽  
...  
Keyword(s):  
Macular Edema ◽  
Clinical Response ◽  
Diabetic Macular Edema ◽  
Systemic Factors ◽  
The Impact

Changing Historical Perspectives on the Nazi Dictatorship

2009 ◽  
Vol 17 (1) ◽  
pp. 73-80 ◽  
Author(s):  
Hans Mommsen
Keyword(s):  
Third Reich ◽  
Charismatic Leadership ◽  
Peace Treaty ◽  
Federal Republic Of Germany ◽  
Contemporary History ◽  
Historical Perspectives ◽  
Systemic Factors ◽  
The Third Reich ◽  
Post War ◽  
The Impact

This paper discusses the change of the leading paradigms in the field of contemporary history in the Federal Republic of Germany. While, during the early post-Second World War period, the study of the interwar period was dominated by the theory of totalitarian dictatorship and the discussion of the deficiencies of the Paris peace treaty system, thereby focusing on the charismatic leadership of Adolf Hitler, the post-war generation of German historians analysed the emerging political system of the Third Reich from a more systematic perspective, depicting behind the Hitlerian façade the antagonistic political structure that resulted in an accelerating cumulative radicalisation of the Nazi regime. This functionalist approach, however, has recently been attacked for indirectly exculpating the Nazi crimes by underlining the systemic factors leading to the accumulation of terror and violence and is about to be replaced by a rather moralist interpretation of Nazi politics, accentuating the function of the ‘Volksgemeinschaft’ and the impact of Hitler’s charismatic leadership.

Opioid Prescription Is Associated With Increased Survival in Older Adult Patients With Pancreatic Cancer in the United States: A Propensity Score Analysis

2022 ◽  
Author(s):  
Haley M. Zylberberg ◽  
Christopher Woodrell ◽  
Sheila D. Rustgi ◽  
Anne Aronson ◽  
Elizabeth Kessel ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Palliative Care ◽  
Propensity Score ◽  
Pain Treatment ◽  
Propensity Score Analysis ◽  
Multivariable Analysis ◽  
The United States ◽  
Opioid Prescription ◽  
Systemic Factors ◽  
The Impact

PURPOSE: Few studies have assessed the interaction between pain treatment and mortality in pancreatic cancer. The aim of this study was to investigate the association between receipt of opioid prescriptions and survival in adults with pancreatic cancer. METHODS: The SEER-Medicare linked database was used to identify patients diagnosed with late-stage pancreatic cancer between 2007 and 2015. Kaplan-Meier models were used to assess the association between opioid prescriptions in the year after cancer diagnosis and survival. Cox proportional hazard models were used to determine the association between opioid receipt and survival, adjusting for propensity score and other relevant confounders including cancer-directed therapies and palliative care referral. RESULTS: A total of 5,770 older adults with pancreatic cancer were identified; 1,678 (29.1%) were prescribed opioids for at least 60 days. Median survival was increased in those with opioid prescriptions (6.0 months) compared with those without (4.0 months, P < .0001). After adjustment for confounders, opioid prescriptions were still associated with improved survival (hazard ratio 0.80; 95% CI, 0.75 to 0.86). On multivariable analysis, opioid prescriptions were associated with older age, female sex, residing in nonmetro areas, and treatment with celiac plexus neurolysis, chemotherapy, and radiation. CONCLUSION: Receipt of opioid prescriptions is associated with longer survival in patients with pancreatic cancer. This may be due to the impact of cancer-related pain, although further studies are needed to better understand the interaction between pain management, cancer-directed therapies, and systemic factors, such as palliative care, availability of opioids, and clinical practice culture.

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