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31.
Tehzeeb Zulfiqar Fiona E. Lithander Cathy Banwell Rosemary Young Lynelle Boisseau Martha Ingle Christopher J. Nolan 《Women and birth : journal of the Australian College of Midwives》2017,30(4):319-324
Background
Overseas-born-women from certain ethnicities are at high risk of type-2 diabetes and related metabolic disorders. This study explored the barriers and facilitators to long-term healthy lifestyle recommendations among Australian-born and overseas-born-women who attended health promotion sessions at a tertiary Australian Hospital for gestational diabetes 3–4 years previously.Method
Face-to-face semi-structured interviews were conducted. Data were analyzed to identify major themes and the differing experiences of both groups of women.Findings
Women in both groups faced many barriers to improve post-gestational-diabetes lifestyle. Women from both groups recalled healthy lifestyle recommendations for during pregnancy they received at the service, but had difficulty recalling the long-term lifestyle recommendations. Timing of the health information, non-reiteration of lifestyle recommendations, uncoordinated and fragmented health system support after childbirth were barriers faced by all women. Additional barriers for overseas-born women included the cultural competence of the health education material, their cultural preferences for food and physical activities and unsupportive family and partner. Both groups had excellent compliance with the first annual postnatal oral-glucose-tolerance-test. This was attributed to the personal motivation and health professional reminder. Women only reverted to the healthy lifestyles postnatally for weight loss.Conclusion
A better understanding of the barriers to healthy lifestyle by women in their everyday lives will assist in the development of culturally appropriate health promotion guidelines and strategies. Constant un-fragmented postnatal engagement by the specialised diabetes clinics and primary health care services is crucial to sustain the healthy lifestyle in the long-term for women with previous gestational-diabetes. 相似文献32.
Nolan TC 《Child welfare》2006,85(2):385-406
Providing stable housing for runaway and homeless youth is a major function of a transitional living program. This article introduces the focus of one program working with LGBTQ youth in New York City and discusses some issues to consider when working with this population. The article also presents data associated with young people's lives after discharge. In any discussion of outcomes, both reason for discharge and length of stay play important roles in whether or not an exit is safe. Regardless of these two elements, the places youth move to when leaving programs are crucial to their safety and well-being. The exit can be safe even when a young person is discharged early from a program. This article presents types of exits, as well as status of employment and school enrollment at exit. Some youth and staff-identified lessons gained in the program also are discussed in detail. Types of aftercare services sought by discharged youth are specified. This article also describes any differences in outcomes for youth with and without foster care experience. 相似文献
33.
Tourists travel to Arkansas' mountain regions to experience, appreciate, and consume multiple aspects of otherness, including sacred sites and pristine and authentic peoples and environments. A largely unexplored aspect of this consumption of authenticity is alternative medicine, provided to tourists and day travelers in search of physical and emotional restoration. Traditional forms of medicine are deeply rooted in women's social roles as community healers in the region and are perpetuated in part because of the lack of readily accessible forms of so-called modern medicine. Contemporary medical tourism in Arkansas has promoted access to folk health systems, preserving them by incorporating them into tourists' health care services, and also has attracted new and dynamic alternative medical practices while encouraging the transformation of existing forms of traditional medicine. Ultimately, the blend of alternative, folk, and conventional medicine in the Arkansas highlands is evidence of globalizing forces at work in a regional culture. It also serves to highlight a renewed appreciation for the historic continuity and the efficacy of traditional knowledge in the upper South. 相似文献
34.
Recently revised theoretical explanations of the internationalization process have been offered to specifically account for the propensity of Emerging Market Multinationals (EMNEs) to engage in accelerated internationalization. However, this literature stream has yet to consider how the fundamental institutional transitions occurring in emerging markets promote the individual and organizational level global mindset that helps account for this accelerated, proactive international expansion. Our dynamic multi-level conceptual framework examines the influences of both the home country institutions and intra-organizational mindsets on the development of EMNE outward FDI decision making. This framework contributes to extant literature by integrating conceptualizations of national culture with the informal and formal institutions offered by institutional theory, while examining how fundamental shifts in these influence the intra-organizational context. Furthermore, our conceptual framework adopts a multi-level perspective of global mindset as an antecedent of firm decision making and adds to the global mindset literature by arguing that institutional transition is a macro level antecedent of global mindset. 相似文献
35.
AbstractThe authors discuss the development of a related set of institutional repositories among several liberal arts college libraries. Contrary to the usual focus on faculty publications, the primary goal of these repositories is the promotion of student work, especially undergraduate theses. Discussion of issues concerning selection of materials and archival policies is included along with practical considerations of workflows and reflections on the advantages and disadvantages of the particular software platform (Digital Commons). Marketing the repository and the subsequent addition of other materials, including e-journals, are discussed in light of ambiguity about its purposes among campus faculty and students. 相似文献
36.
This article presents a model for developing case studies, or labs, for use in undergraduate mathematical statistics courses. The model proposed here is to design labs that are more in-depth than most examples in statistical texts by providing rich background material, investigations and analyses in the context of a scientific problem, and detailed theoretical development within the lab. An important goal of this approach is to encourage and develop statistical thinking. It is also advocated that the labs be made the centerpiece of the theoretical course. As a result, the curriculum, lectures, and assignments are significantly restructured. For example, the course work includes written assignments based on open-ended data analyses, and the lectures include group work and discussions of the case-studies. 相似文献
37.
This article is based on a comparison of the preservation philosophies in place at two historical Virginia homes: Thomas Jefferson's Monticello and James Madison's Montpelier. Interviews and analysis suggest that the curators at the former site are guided by an empirical historicism that is decidedly modernist, while their counterparts at the latter, influenced by contemporary trends in social science and philosophy, are more skeptical about the possibility of recovering and presenting an objectively verifiable past of a specific historical period. The divergence in preservation strategies at these historic homes suggests that, in our present cultural moment, there is much confusion over what constitutes history, over the legitimacy of privileging one person or period over another, and over the currency of scientific interpretations of "truth"in non-academic contexts. 相似文献
38.
Workplace violence is receiving increasing attention world-wide, and studies suggest that, for example, nurses and women may be more abused at work than psychiatrists and men. However, there is a lack of cross-cultural data on the topic. Further, relatively few studies have addressed the influence of environmental factors in the occurrence of violence and within a cross-cultural context. The present study compares among other things the nature of violence encountered by female/male staff (nurses and psychiatrists) in Sweden and England. Psychiatric personnel from England (301 nurses; 74 psychiatrists) and Sweden (745 nurses; 306 psychiatrists) were assessed cross-sectionally by means of a questionnaire covering various areas (e.g. nature of violence). The univariate analyses showed an association between being abused and male gender, young age, being British and a nurse, physical and psychological strain. The multivariate logistic regression confirmed that British nurses and male nurses were the main risk group for exposure to violence. Further, the multivariate analysis indicated that the odds of being abused increased with increasing age, physical strain and dissatisfaction with quality of care. Interventions thus need to be sensitive to gender differences, societal context, professional roles and interactions between them. Further, clinical supervision and team functioning, organizational and environmentally friendly settings may help to reduce violence in mental health care. 相似文献
39.
Nolan Miller Alexander F. Wagner Richard J. Zeckhauser 《Journal of Risk and Uncertainty》2013,46(3):265-297
A principal provides budgets to agents (e.g., divisions of a firm or the principal’s children) whose expenditures provide her benefits, either materially or because of altruism. Only agents know their potential to generate benefits. We prove that if the more “productive” agents are also more risk-tolerant (as holds in the sample of individuals we surveyed), the principal can screen agents and bolster target efficiency by offering a choice between a nonrandom budget and a two-outcome risky budget. When, at very low allocations, the ratio of the more risk-averse type’s marginal utility to that of the other type is unbounded above (e.g., as with CRRA), the first-best is approached.—A biblical opening enlivens the analysis. 相似文献
40.
Patrick D. Nolan 《Sociological Theory》2004,22(2):328-337
Gerhard Lenski's ecological‐evolutionary theory of human societies, originally presented and tested in Power and Privilege (1966) and Human Societies (1970), makes a number of general and specific predictions about the impact of subsistence technology on the fundamental features of societies, as well as identifying constraints that the techno‐economic heritage of currently industrializing societies continue to exercise on their development trajectories. This paper reviews the strategies adopted for presenting and for testing the theory, critically analyzes and extends some important results of its empirical tests, and explores issues confronting the future development and presentation of the theory. 相似文献