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41.
Cross-sectional research on internationally adopted children has indicated an association between early attachment disturbances and language deficits. Raaska et al. (2013 Raaska, H., Elovainio, M., Sinkkonen, J., Stolt, S., Jalonen, I., Matomäki, J., … Lapinleimu, H. (2013). Adopted children's language difficulties and their relation to symptoms of reactive attachment disorder: FinAdo study. Journal of Applied Developmental Psychology, 34(3), 152160.[Crossref], [Web of Science ®] [Google Scholar]) have speculated that this relationship is likely bidirectional. In an attempt to elucidate the causal relationship between these two risk factors, the attachment disturbances and language skills of 44 internationally adopted children were assessed in a cross-lagged structural equation model. Greater attachment disturbances at wave 1 predicted less gain in language by wave 2. In contrast, language at wave 1 was not predictive of attachment disturbances at wave 2. These results suggest that early attachment problems may present an important risk for later language development and should be an immediate and primary focus of post-adoptive intervention for families adopting internationally.  相似文献   
42.
As medical and surgical advances improve, more young adults with congenital heart disease (CHD) are attending college. This case study illustrates some of the issues that these young adults may face as they attend college and discusses the role that college health practitioners can play in easing that transition. Participants: A case of a male with CHD presenting to the college health clinic with a new onset headache. Methods: The authors discuss some of the unique challenges that college health practitioners may face when caring for students with CHD. In addition, they make recommendations on how best to care for these patients and how best to coordinate care with CHD students other care providers. Results: This student with a history of coarctation of the aorta presented with new onset headaches and was found to have high blood pressure. He was diagnosed with recurrent coarctation, underwent percutaneous treatment with stenting and quickly resumed classes. Conclusions: As more students with CHD enter college, college health providers will need to understand some of the health risks that CHD students face. In addition, understanding some of the optimal ways to coordinate care with CHD providers can ease the transition that CHD students face as they enter college.  相似文献   
43.
Communicating the rationale for allocating resources to manage policy priorities and their risks is challenging. Here, we demonstrate that environmental risks have diverse attributes and locales in their effects that may drive disproportionate responses among citizens. When 2,065 survey participants deployed summary information and their own understanding to assess 12 policy‐level environmental risks singularly, their assessment differed from a prior expert assessment. However, participants provided rankings similar to those of experts when these same 12 risks were considered as a group, allowing comparison between the different risks. Following this, when individuals were shown the prior expert assessment of this portfolio, they expressed a moderate level of confidence with the combined expert analysis. These are important findings for the comprehension of policy risks that may be subject to augmentation by climate change, their representation alongside other threats within national risk assessments, and interpretations of agency for public risk management by citizens and others.  相似文献   
44.
ABSTRACT

Adolescent pregnancy is often thought of as a social problem, one that can cause the adolescent mother hardship, including poverty, low-educational attainment, and housing instability. Although much research has been conducted about adolescent pregnancy in the developed world, less has considered adolescent pregnancy in the developing world. This qualitative study focuses on women who were impoverished in Costa Rica who had been pregnant in adolescence. The goal of the study was to gain a better understanding of the lived experiences of the mothers, as well as the kinds of support they received during and after the pregnancy. The research sample consisted of 22 female participants who were impoverished and had experienced an unintended pregnancy in adolescence. The key finding from this study was that parental support was the most important factor in mitigating adolescent experiences of stress and negative feelings about their choices related to the pregnancy. The study has implications for the understanding of the experiences of women who are vulnerable with respect to adolescent pregnancies in Latin America and for Latina migrants to the United States.  相似文献   
45.
This study examines the strategies and impact of six activist groups concerned about British broadcasting policies and programming. Particular emphasis is placed on strategic relationship building, which played a central role in groups’ interactions with target publics, and on the activists’ perspective. The study is contextualized within the political culture of the United Kingdom and a changing broadcasting landscape. The data suggested that building strategic relationships is one of the major ways in which pressure groups have an impact on their targets. When assessing effectiveness, respondents looked beyond tangible gains by activists to long-term relationships with targets, which were contingent on critical dimensions. These included trust, mutual respect, openness and access. Groups bolstered their credibility by engaging in research and structuring educational events such as conferences and symposia, in which they enhanced the scope and quality of debate about broadcasting policy. Public relations has a role in facilitating both citizen debate within the public sphere of civil society and the relationships that make such debate possible. These groups may be a model for activists in other societies.  相似文献   
46.
Institutional theory suggests that organizations pursue legitimacyby conforming to isomorphic pressures in their environment.We extend previous research on institutional theory by distinguishingbetween two definitions of conformity (compliance and convergence)and by taking a comprehensive view of the organizational characteristicsthat might be subject to isomorphic pressures. This frameworkis applied to change between 2001 and 2004 in the internal characteristicsof 101 public organizations in England. We find substantialevidence of compliance but more limited support for convergence.Furthermore, the impact of isomorphic pressures was strongeron organizational strategies and culture than on structuresand processes. Thus, the relevance of institutional theory tochange in the public sector depends on the definition of conformitythat is used and the organizational characteristics that areexamined.  相似文献   
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48.
Practitioners interview children in a range of settings to assess their wellbeing and to make decisions about their care. These interviews often have a significant memory component. Interviewing children about their past experiences, however, is a challenging task. It requires practitioners to be sensitive to children’s developmental capacities and vulnerabilities, to understand how to facilitate effective retrieval and reporting of information, and to set aside the usual dynamics and expectations of how adults and children communicate. Managing these challenges requires constant evaluation, self-reflection, and professional development. Fortunately, several decades of research into children’s memory and narrative development has provided a robust platform on which to base practice. Here, we provide a framework for devising a general approach to memory interviews with children that is both evidence-based and practical.  相似文献   
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We present findings from a nonexperimental evaluation of an employment program in which both partners in young, low-income, primarily African-American couples simultaneously participated. Mothers participating in the couples program had larger immediate gains in employment and earnings and decreases in TANF receipt following their exit from the program relative to mothers who received employment assistance as individuals. Fathers showed similar although weaker results. These immediate benefits appeared to be driven by higher rates of program completion among couples’ participants. Couples in which both partners completed the program experienced the largest quarterly earnings gains, and couples with greater earnings’ gains were more likely to still be together one year after the program ended. Mothers’ earnings gains eroded in the two years following program completion and many reported new pregnancies and problems with child care. We suggest directions for future programs and encourage future studies to consider the range of mechanisms associated with a couples focus, including potential motivational benefits and unintended consequences.
Carolyn J. Heinrich (Corresponding author)Email:
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