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91.

Background

The rates of breastfeeding worldwide are slowly improving since 1996. Europe is still trailing behind the global breastfeeding incidence and prevalence rates. Thus, breastfeeding promotion, protection, prolongation and support have become an important challenge as breastfeeding sharply decreases in the first six months of life.

Objectives

The aim of this project is to determine, assess and identify the real impact of breastfeeding support networks in Murcia (Spain).

Methods

After searching unsuccessfully for a validated questionnaire, a specific one was developed and validated for measuring the impact of formal and informal support networks through five dimensions: satisfaction, consultation, experience, problems and support. The questionnaire was provided to 500 mothers with experience in breastfeeding, who brought their children to baby paediatricians between 2 June and 27 November 2014. Upon completion of the survey and fieldwork, a detailed statistical analysis was conducted.

Results

The degree of satisfaction perceived by the users of the services of support breastfeeding networks is remarkable. In addition, mothers who clarified their doubts and discussed their problems with health professionals and/or breastfeeding support networks were more likely to breastfeed for a longer duration compared to those who did not (p = 0.005). Furthermore, mothers who sought support in breastfeeding are more likely to breastfeed for more than 6 months (p < 0.0005).

Conclusion

Based on this information, we conclude that breastfeeding support networks have a positive influence in the duration of a women’s decision to breastfeed.  相似文献   
92.

Background

There is no current validated clinical assessment tool to measure the attainment of midwifery student competence in the midwifery practice setting. The lack of a valid assessment tool has led to a proliferation of tools and inconsistency in assessment of, and feedback on student learning.

Objective

This research aimed to develop and validate a tool to assess competence of midwifery students in practice-based settings.

Design

A mixed-methods approach was used and the study implemented in two phases. Phase one involved the development of the AMSAT tool with qualitative feedback from midwifery academics, midwife assessors of students, and midwifery students. In phase two the newly developed AMSAT tool was piloted across a range of midwifery practice settings and ANOVA was used to compare scores across year levels, with feedback being obtained from assessors.

Findings

Analysis of 150 AMSAT forms indicate the AMSAT as: reliable (Cronbach alpha greater than 0.9); valid—data extraction loaded predominantly onto one factor; and sensitivity scores indicating level of proficiency increased across the three years. Feedback evaluation forms (n = 83) suggest acceptance of this tool for the purpose of both assessing and providing feedback on midwifery student’s practice performance and competence.

Conclusion

The AMSAT is a valid, reliable and acceptable midwifery assessment tool enables consistent assessment of midwifery student competence. This assists benchmarking across midwifery education programs.  相似文献   
93.
The way public policies are managed in Brazil has changed since the 1988 Federal Constitution. This study aimed to identify how changes in the structure of public expenditure composition at Brazilian federal states influenced local human development in these states. The states’ public expenditures were categorized according to their nature as spending indices whereas human development was measured through a human development index (HD). To verify the relationships between these variables, an accounting-social theoretical model was created and estimated through latent growth modeling (LGM). The LGM measurement period comprised five administration cycles of the Brazilian states (1988–2011). Variables were measured on data of the second year of state government term; their mean initial values and growth rates were recorded. Results show that, influenced by policies of centralized regulation promoted by the federal government, only the social spending growth rates had statistically significant effect on the human development growth rate, although not considered of great magnitude. Among mean initial values, the most significant was that of minimum spending (SIm), which denotes the direct impact of the Fiscal Accountability Law [Lei de Responsabilidade Fiscal, in Portuguese] on human development improvements. The mean initial value of economic spending also showed a positive and significant effect on HD growth rate.  相似文献   
94.
Single women of the Baby Boomer generation are often financially disadvantaged in the retirement planning process due to their lower accumulated savings compared to male retirees. This disadvantage impacts significant consumption decisions such as postretirement housing choices. This study uses the theory of planned behavior to examine how certainty in intentions influences preparing and planning for postretirement housing. A typology of single Baby Boomer women is developed based on their financial, demographic, and psychological circumstances. Each segment likely requires different informational strategies and financial services to foster proactive planning for retirement. Significant implications exist for social policy and the financial services sector.  相似文献   
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This article analyses European Union (EU) policy-making on the rights of third-country nationals (TCN) against the backdrop of theoretical literature on the transformation of citizenship. The aim is to evaluate why and to which extent EU policy expands citizenship rights to TCNs, thus redefining the criteria for membership in the European polity. The research emphasises the role of norms and frames in policy-making and is based on secondary sources, primary documents and semi-structured interviews. The analysis reveals how the combination of a principled conflict over citizenship and a strategic conflict over competence led to a legal framework characterised by ‘restrictive rights’ and ‘politics of categorisation’. ‘Restrictive rights’ means that membership rights are granted to TCN in principle, but subject to very restrictive conditions. ‘The politics of categorisation’ refers to the political construction of migrant categories that are subject to different rights-regimes. Both phenomena have the ambiguous effect of enabling the expansion of rights to non-citizens while at the same time creating new lines of division and mechanisms of exclusion.  相似文献   
98.
Urbanization has been considered as a major threat to biodiversity, making its ecology of increasing interest. Many urban ecology studies have been developed in a short time-scale, measuring real-time patterns. However, long-term studies are imperative to understand the responses of some species to the urbanization process. In this study, we aimed to assess the information provided by a recent one-year citywide bird survey when compared to a published ‘historical’ bird list of a neotropical city (Xalapa, Mexico) that compiles information of the past three decades, mainly from urban greenspaces. Specifically, we contrasted species richness values and assessed differences in species composition between both lists. We recorded 51 species in the one-year citywide survey, representing ~15 % of those reported in the historical list. Nonetheless, the upper-bound confidence interval of the citywide survey richness prediction represented ~66 %. Most of the species recorded in the one-year citywide survey are insectivores and granivores, a pattern that agrees with previous findings that underline the importance of insectivores as part of urban bird communities in the Neotropics. Although we used robust methods to compare our one-year citywide bird list and the historical list for the city of Xalapa, we acknowledge the limitations of comparing them. However, our results shed some light on the kind and type of information that one-year citywide surveys can provide and the importance of long-term studies for comprehending the processes involved in biodiversity changes within urban areas over time. Undoubtedly, establishing long-term citywide surveys sampling birds and other biodiversity groups will allow us to better understand the response of biodiversity to urbanization over time.  相似文献   
99.
Both passive and active social influences may affect adolescents' dangerous driving. In this study, we used an experimental paradigm to delineate these two influences with actual peers. Adolescents completed a simulated driving task, and we measured risk preferences of each member of the peer group. We used hierarchical linear modeling to partition variance in risky decisions. Adolescents experienced many more crashes when they had “passengers” present who reported a strong preference for risk taking and who actively provided decision‐making guidance. Although youth in the passive peer condition were also influenced by the riskiness of their peers, this relation was less strong relative to the active condition. We discuss the need for interventions focussing on active and passive peer influence.  相似文献   
100.
Research on trends in globalization, particularly its neoliberal variant, has exploded but sources linking these trends to gender equity are difficult to uncover. Discussed mainly in the context of development, gender issues tend to be marginalized from the larger globalization picture. With World Bank as a backdrop, this article disentangles development from the process to inspect the connection between neoliberal globalization (NLG) and gender equity. This is accomplished through three cost‐benefit analyses: an overall evaluation of NLG; how gender equity unfolds under NLG; and how it unfolds under NLG in China. Macroeconomic trends supplemented with examples documenting the plight of women under NLG policies, including garment industry workers in Bangladesh, suggest heightened gender peril ushered in with NLG. China's “state capitalism” modification of NLG, however, tends to mitigate negative consequences for women. A paradigm shift from hegemonic NLG to state capitalism models may offer successful global economic policies that are especially beneficial to women. I conclude with an epilogue reflecting on my original remarks in light of the horrific factory collapse that occurred in Bangladesh less than a month after this address.  相似文献   
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