The impact of COVID-19 on access to canine integrative medical care in Michigan, USA, and Ontario and British Columbia, Canada.

OBJECTIVE: To determine the effects of the COVID-19 associated restrictions on the ability of owners in Michigan (MI), USA versus Ontario (ON) and British Columbia (BC), Canada, to obtain care for their chronically painful dogs. STUDY DESIGN: Cross-sectional survey. POPULATION: A total of 90 owners met the inclusion criteria for the study. METHODS: An anonymous electronic survey was distributed to owners at four veterinary integrative medicine (IM) clinics during July and August 2020. Two clinics in MI and one each in ON and BC were recruited. Owners were asked about availability of IM care preceding and during COVID-19 restrictions and their opinions of the impact of COVID-19 on their dog's health. The survey asked where owners sought care for their dogs, types of chronic conditions treated, therapeutic modalities used, and if owners had a medical background. Comparisons were made within and between groups. Thematic analysis, Fisher's exact test, chi-square analyses, McNemar's and Wilcoxon signed-rank tests for paired comparisons were performed (p < 0.05). RESULTS: During COVID-19 restrictions, access to IM care was better for dogs in ON and BC than in MI (p < 0.001). The negative effect of the pandemic restrictions to IM care on quality of life was perceived greater by owners in MI than those in ON and BC (p < 0.001). The owners' medical backgrounds had no effect on attempts to access care during this time (p = 0.76). CONCLUSIONS AND CLINICAL RELEVANCE: The results suggest that a widespread disease in humans had an adverse impact on animal welfare. Providers of veterinary care should use this experience to establish protocols to ensure continuity of care for chronically painful animals in the event of a similar situation in the future.

The "invention" of lesbian acts in Iran: interpretative moves, hidden assumptions, and emerging categories of sexuality.

This article describes and explains the current official status of lesbianism in Iran. Our central question is why the installation of an Islamic government in Iran resulted in extreme regulations of sexuality. The authors argue that rather than a clear adoption of "Islamic teaching on lesbianism," the current regime of sexuality was "invented" through a series of interpretative moves, adoption of hidden assumptions, and creation of sexual categories. This article is organized into two sections. The first sets the scene of official sexuality in Iran through a summary of (1) the sections of the Iranian Penal code dealing with same-sex acts and (2) government support for sexual reassignment surgeries. The second section traces the "invention" of a dominant post-revolutionary Iranian view of Islam and sexuality through identifying a number of specific interpretive moves this view builds on.

Regulation of sexuality in Indonesian discourse: normative gender, criminal law and shifting strategies of control.

This paper examines changes in the regulation of sexuality in Indonesia in the period since 1980 as seen through state, religious and lesbian and gay activist discourses on sexuality. Three different eras during that period of Indonesian history are compared. Under the New Order regime of Suharto, the Indonesian state sought to control sexuality through a deployment of gender. During the 1990s, state Islamic discourses of sexuality shifted in response to international pressures to support same-sex marriage and sexual rights. During the third period following the end of the Suharto regime in 1998, a conservative Islamic minority pushed for more restrictive laws in the State Penal Code, initiating intense public debate on the role of the state in questions of sexuality and morality. Over this time period, the dominant discourse on sexuality moved from strategically linking normative gender with heterosexuality and marriage to direct attempts to legislate heterosexual marriage by criminalizing a wide range of sexual practices.

Opiate addiction and the entanglements of imperialism and patriarchy in Manchukuo, 1932-45.

In the Japanese colonial state of Manchukuo, opiate addiction was condemned by officials and critics alike. But the state-sponsored creation of a monopoly, opium laws, and rehabilitation programs failed to reduce rates of addiction. Further, official media condemnation of opiate addiction melded with local Chinese-language literature to stigmatise addiction, casing a negative light over the state's failure to realise its own anti-opiate agenda. Chinese writers were thus transfixed in a complex colonial environment in which they applauded measures to reduce harm to the local population while levelling critiques of Japanese colonial rule. This paper demonstrates how the Chinese-language literature of Manchukuo did not simply parrot official politics. It also delegitimised Japanese rule through opiate narratives that are gendered, consistently negative, and more critical of the state than might be expected in a colonial literature.

Burning bridges: policy, practice, and the destruction of midwifery in rural Costa Rica.

The trend toward hospitalization of birth has a long history in Costa Rica and currently approximately 98% of births take place in the clinical setting. Impoverished rural areas, like the town of Buenos Aires, lag behind national trends and only recently has birth moved from the home to the hospital. Costa Rica's midwife certification program co-opted rural midwives as bridges to biomedicalization, responsible for both pushing women into the biomedical setting and filling the gaps left by a limited national health care system. Despite the eventual illegalization of key practices and of home birth itself, local use of midwives' services continues, albeit with local demands that have transformed midwives into bridges to biomedical care in ways unanticipated by and invisible to national programmers. Midwives provide key services like prenatal massage, treatment of pregnancy crises, and attending unforeseen home births and women unable to afford the modest costs of hospitalization. Yet, midwives report increasing dissatisfaction and the desire to stop providing services in their communities. Practices like prenatal massage are in demand, but are no longer embedded in a system of local exchange that is socially and economically meaningful. Midwives blame their clientele for their dissatisfaction, but directly link these changes to the notions of professionalism, compensation, and changing community values. Thus, the social relationship between midwives and their clients must also be understood as a destructive force burning midwifery as a bridge to safe birth. In this essay, I argue that the process of both remodeling and subsequently destroying midwifery practices begun in the formal health care sector at the national level continues at the local level through changing values and meanings associated with midwives' practices.

Politicas publicas con equidad de género para comunidades campesinas, indígenas y originarias de la región andina / Public policies with gender equity for communities which are rural, indigenous, and original of the Andean region

La comprensión y traducción de la visión de las demandas de las comunidades campesinas, indígenas y originarias, permiten afirmar que se está configurando una nueva estrategia de desarrollo con identidad y equidad de género que tiene, como actores claves del proceso, a hombres y mujeres campesinas, indígenas y originarias. El Mandato Constitucional que proclama a Bolivia como un país "Multiétnico y Pluricultural". Por lo tanto, el Gobierno aprueba la formulación de Politicas Públicas con Equidad de Género para Comunidades Campesinas, Indígenas y Originarias de la Región Andina, fruto de las demandas de las organizaciones matrices, y que sirve de base para que se apliquen de manera operacionalizada e instrumentalizada por el conjunto de reparticiones públicas en elámbito central, descentralizado y municipal, en el marco de una red de alianzas estratégicas con todas las instancias de la sociedad, tomando en cuenta el protagonismo de las mujeres campesinas, indígenas y originarias en los diferentes emprendimientos que promuevan el desarrollo con identidad.

Beyond the theoretical rhetoric: a proposal to study the consequences of drug legalization.

Drug legalization is a frequently-debated drug control policy alternative. It should come as little surprise, therefore, that the arguments in favor of both legalization and prohibition have resulted in a conceptual stalemate. While theoretical deliberations are unquestionably valuable, they seem to have propelled this particular issue to its limit. To date, no works have suggested any empirical studies that might test the framework and potential consequences of drug legalization. In the current study, the arguments surrounding the drug legalization debate are synthesized into a proposal for future research. Such a proposal illustrates that the core elements surrounding drug legalization are not only testable, but that the time may be right to consider such an empirical effort.