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101.
Technology developments have transformed the business landscape by accelerating connectivity, transparency and unpredictability. We argue that the most dramatic consequence is not the possibilities created for companies but rather the challenges that emerge as a result of customer behaviour undergoing fundamental changes. Technology transformation has paved the way for empowered customers who are increasingly influencing businesses and markets, and the challenge for practitioners and researchers alike is to make sense of the role of these customers in such business environments. These developments have yielded a need to revise companies’ business models and to innovate new offerings. In scholarly research on marketing, this need has become evident and, beyond suggesting new concepts, completely new marketing management perspectives have been proposed, and each has its own core assumptions and focus. Broader views have emerged, and these stress the applicability of these perspectives not only to the top-level management of businesses but also to any non-commercial organisation.In this article, we reflect on the customer-dominant logic (CDL) of marketing, which stresses the customer's primary role in business. As such, CDL differs from approaches that focus on the provider's perspective. The CDL approach is an expression of the research ideals and goals that are based on the Nordic School of Service Management. We argue that CDL is well aligned with emerging challenges in most markets, both established and nascent, and that it is more managerially relevant than many other perspectives. This is also in line with the recent calls for a soul of relevance for European management research (Chia, 2014; Hernes, 2014).  相似文献   
102.

Background

Prevalence rates of Fear of Birth and postnatal depressive symptoms have not been explored in Chhattisgarh, India.

Objective

To validate Hindi Wijma Delivery Experience Questionnaire and to study the prevalence of Fear of Birth and depressive symptoms among postnatal women.

Methods

A cross-sectional survey at seventeen public health facilities in two districts of Chhattisgarh, India among postnatal women who gave birth vaginally or through C-section to a live neonate. Participants were recruited through consecutive sampling based on health facility records of daily births. Data were collected through one-to-one interviews using the Wijma Delivery Experience Questionnaire Version B and the Edinburgh Postnatal Depression Scale. Non-parametric associations and linear regression data analyses were performed.

Results

The Hindi Wijma Delivery Experience Questionnaire Version B had reliable psychometric properties. The prevalence of Fear of Birth and depressive symptoms among postnatal women were 13.1% and 17.1%, respectively, and their presence had a strong association (p < 0.001). Regression analyses revealed that, among women having vaginal births: coming for institutional births due to health professionals’ advice, giving birth in a district hospital and having postnatal depressive symptoms were associated with presence of FoB; while depressive symptoms were associated with having FoB, perineal suturing without pain relief, and giving birth to a low birth-weight neonate in a district hospital.

Conclusion

The prevalence of Fear of Birth and depressive symptoms is influenced by pain management during childbirth and care processes between women and providers. These care practices should be improved for better mental health outcomes among postnatal women.  相似文献   
103.
Prenatal depression (PD) and postpartum depression (PPD), experienced by up to one-quarter of pregnant women and new mothers, are associated with maternal impairment and disruptions to children’s behavior, development, and health. Women experiencing PD/PPD must cope with negative feelings and detrimental outcomes that stand in contrast with cultural conceptions of how (ideal) mothers feel and act (i.e., the discourse of intensive mothering), thus furthering stigma and negativity surrounding the PD/PPD experience. The present study, couched in relational dialectics theory, aims to explore how women, through naturally occurring online narratives, make sense of motherhood in light of both PD/PPD experiences and cultural expectations/understandings of mothers. Throughout the narrative corpus, the culturally dominant Discourse of (Self-)Sacrificing Blissful Moms (DSBM)—which expands on the discourse of intensive mothering—is de-centered, albeit never fully delegitimated, by the Discourse of Mothers as Whole People (DMWP). Rather than closing down the DSBM, the DMWP works to expand meanings of what “good” mothers can feel and do. This finding holds both cultural/theoretical and practical implications, as discussed by the authors.  相似文献   
104.
ABSTRACT

This article focuses on best practices for developing, adapting, and using assessments with transgender clients. The historical context of gender minorities in counseling is discussed, outlining the bias and stigma that has been attached to transgender identities. Due to this historical bias, most assessments use heteronormative language and were not developed for use with gender minorities. As such, we used the guidelines put forth by the American Counseling Association (ACA), the Council for Accreditation of Counseling and Related Educational Programs (CACREP), and the Association for Lesbian, Gay, Bisexual, and Transgender Issues in Counseling (ALGBTIC) to present a guide for developing and adapting assessments for the transgender population. Finally, the authors discuss the clinical application of using a trans-sensitive assessment process for counselor educators and clinicians.  相似文献   
105.
The dual risk model may be used to model the revenue process of a company with constant expense rate and occasional gains. In this paper, we consider a dual risk model with both inter-gain times and expense rates depending on the size of previous gain. Also, we assume the process is perturbed by a Brownian motion. Exact solutions for the Laplace transform and the first moment of the time to ruin with arbitrary gain-size distribution are obtained. Applications with numerical illustrations are provided to examine the impacts of the dependence structure and perturbation.  相似文献   
106.
Associations between unemployment, work, and disability have been researched in many studies. The findings are often based on cross-sectional data and single outcomes. The present study analysed multiple outcomes over a period of 15 years among long-term unemployed individuals. Based on all individuals aged 20–40 living in Sweden in 1995, prospective cohort analyses were conducted. Individual annual labour market proximity 1995–2010 was estimated and categorised into three mutually exclusive categories: “Jobless”, “Self-sufficient” (i.e. main income from work), or “Disabled”. Individuals in the category “Jobless” (n = 638,622) in 1995 constituted the study population. Using autoregressive multinomial logistic regression, transitions between the three states during 1997–2010 were analysed. Socio-economic factors, previous inpatient care, and national unemployment rates in different time periods were included in the regression models. Among those “Jobless” in 1995, 17 % were also “Jobless” in 2010, while 10 % were “Disabled” and 61 % “Self-sufficient”. The transitions were stable over time periods for transitions into “Self-sufficient” and “Disabled” but less so for “Jobless”. Previous state was the best predictor of subsequent state. “Jobless” individuals with previous morbidity had a higher transition probability into “Disabled” and a lower transition probability into “Self-sufficient”. The transition rates into “Self-sufficient” were higher in periods with lower unemployment levels. The study supports the interpretation that return to work was affected both by the individuals’ previous health status and by the national unemployment level. Transition from being “Jobless” into “Disability” may be influenced by previous ill health and by negative health effects of being “Jobless”.  相似文献   
107.
108.
This article describes and compares the successes and challenges experienced by three social work programs in the United States working to infuse geriatric competencies into foundation Master of Social Work (MSW) courses, including field education. Adhering to the Planned Change Model each project utilized a range of approaches and strategies that emerged in each setting’s unique organizational and community context. This article examines and analyzes three context-driven accounts of curricular infusion for gerontological social work and lessons learned in this effort to establish gerontology as part of the implicit curriculum in social work programs in universities diverse in mission, size, programming priorities, and student population. Given the experiences of these programs, following the Planned Change Model, maintaining the context as being central to the process, anticipating common challenges, and preparing to engage strategies to overcome challenges are offered as recommendations for successful infusion and sustainment of the efforts.  相似文献   
109.
This article draws on interviews with Swedish voluntarily childless women and men in order to discuss their understandings of living in a so-called “child-friendly” welfare society where social policies subsidize families with children. Previous research from Anglo-Saxon countries implies that the social, political and economical interests of the voluntarily childless are in conflict with the interests of parents and that state subsidies and policies in support of parents could be considered as discrimination of childless people. However, in contrast to this previous research, the interviewees did not object to the redistributive tax system that benefits parents or to the political ambition to build a “child-friendly” labour market where it is possible to reconcile work with parenthood. Instead they defended themselves against accusations for being “free-riders” who did not contribute to society by referring to the responsibility they took by paying high taxes. Notwithstanding, the informants criticized how some parents misused their benefits and cashed in on them, making the voluntarily childless feel exploited. The article also suggests that state subsidies can eliminate some motives for voluntary childlessness but not all of them. The results add nuances to previous research as they highlight the importance of further investigating the relations between parents and non-parents in a social and political context.  相似文献   
110.
文章以格鲁吉亚与欧盟、俄罗斯及国际金融组织的关系为视点,梳理并探讨了格鲁吉亚在后苏联时代(尤其是“玫瑰革命”以后)的经济发展状况。笔者在肯定该国经济进步的同时,对其未来发展走向与存在的问题进行了剖析。这项研究有益于研究者全面深入了解格鲁吉亚的经济现状与未来发展,并为“一带一路”倡议落地提供依据。   相似文献   
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