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71.
Population Research and Policy Review - The shrinking population in many European regions has led to a debate on the relation between the local provision of services of general interest and the...  相似文献   
72.
This research examined whether heightened neural activation to social cues confers adjustment advantages in supportive social contexts but adjustment disadvantages in stressful social contexts. Forty‐five adolescent girls were exposed to social exclusion during an fMRI scan and reported on parent–child relationship quality and depressive symptoms. Stressful parent–child relationships predicted subsequent depressive symptoms in girls with high and moderate but not low dorsal anterior cingulate cortex, subgenual anterior cingulate cortex, and anterior insula activation during exclusion. In the context of supportive parent–child relationships, however, neural activation to exclusion predicted particularly low levels of depressive symptoms. This support for a biological sensitivity to context model suggests the possibility of redirecting adolescent girls’ neural sensitivity to social cues toward more positive adaptation.  相似文献   
73.
This paper describes a qualitative study of individual client interviews (n?=?26) from four social service agencies to understand how clients experience trauma-informed care services and implementation challenges. We used the Fallot and Harris framework to explore client experiences of the five core concepts of trauma-informed care (safety, trustworthiness, choice, collaboration, and empowerment) using semi-structured interview questions with each client. The four agencies consisted of: refugees (n?=?4), substance abuse (n?=?8), older adults (n?=?12), and maternal/child health (n?=?2), and the agencies varied in size, service goals, and clientele. The results of the study suggest that clients’ experience of these concepts was shaped by the actions of other clients, and these experiences were either mitigated or hindered by actions of the agency employees. Agency policies either supported or enhanced their experiences as well. The results also suggest that it was challenging for agencies to provide for all of the trauma-informed care (TIC) concepts at the same time. We discuss the implications of these findings for social service delivery in a range of agency types. Future research should examine the effects of trauma-informed policies on client experiences of each TIC domain.  相似文献   
74.
Almost all recent works on teaching and learning ascribe to the social aspects a significant role. However, the question why learning is something social remains unanswered, if it is asked at all. For the most part, only the observation of social activities surrounding learning processes delivers the raw material for the concepts on which sociality is based, whereas the conncections between learning and the relationships between human beings remain unconsidered. The following paper therefore pursues the question, in how far sociality can be seen as a constituting factor for learning processes. On the basis of the socialisation theory of Alfred Lorenzer it will be shown that in the relation of the child to it’s primary object of relationship interaction forms related to this object are practised, although the psychological situation of the infant does not make a separation between subject and object. Lorenzer therefore speaks of individualism and socialisation as a single unit of function. For this reason the others, whether factual or virtual, dwell within every learning process, however individual or autodidactic. This knowledge is currently supported by neurobiological research which therefore is drawn upon for comparison. The meaning of the social environment is above all stressed by the research in the genetic-environment-interaction as well as the discovery of mirror neurons. The aim of this discussion is also to show that the demand for social learning is not a mode of pedagogical welfare, but rather a man-oriented structural feature and therefore takes a key position in the definition of pedagogical professionality.  相似文献   
75.
It is almost a decade since the last empirical study of Australian public relations appeared in the academic literature. This paper reports on a survey conducted immediately prior to the onset of the global financial crisis aimed at revealing the state of public relations in Australia. In particular, the study investigated levels of professionalisation in terms of such criteria as the strategic orientation of public relations, its position within organisational hierarchies, and the importance placed on ethics and professional development. The findings show Australian PR professionals to be highly educated, comparatively well paid and frequently in positions of influence with their CEOs. Paradoxically despite these strengths, the profession in Australia does not seem to have outgrown public relations’ pervasive identity crisis.  相似文献   
76.

Background

Midwives have a significant impact on the clinical outcome and the birthing experience of women. However, there has been a lack of research focusing specifically on clinical midwives’ learning and development of professional competence.

Aim

The objective of the study was to describe how midwives reflect on learning and the development of professional competence and confidence.

Methods

A qualitative study based on focus groups with midwives employed in maternity services.

Findings

Four categories describe the results: (1) Feelings of professional safety evolve over time; (2) Personal qualities affect professional development; (3) Methods for expanding knowledge and competence; and (4) Competence as developing and demanding. The meaning of competence is to feel safe and secure in their professional role. There was a link between the amount of hands-on intrapartum experience and increasing confidence that is, assisting many births made midwives feel confident. Internal rotation was disliked because the midwives felt they had less time to deepen their knowledge and develop competence in a particular field. The midwives felt they were not seen as individuals, and this system made them feel split between different assignments.

Discussion

External factors that contribute to the development of knowledge and competence include the ability to practise hands-on skills in an organisation that is supportive and non-threatening. Internal factors include confidence, self-efficacy, and a curiosity for learning.

Conclusions

Midwives working within an organisation should be supported to develop their professional role in order to become knowledgeable, competent and confident.  相似文献   
77.
Alcohol-related problems are especially common among opioid treatment program (OTP) patients, suggesting that educating OTP patients about alcohol and its harmful effects needs to be a priority in OTPs. Using data collected in interviews with a nationwide U.S. sample of OTP directors (N = 200) in 25 states, we identified factors that differentiate OTPs that provided this education to all OTP patients from those that did not. Findings indicate that these factors include (1) providing this education in a greater variety of ways, (2) having a larger percent of staff knowledgeable about alcohol-related issues, (3) having a director who views alcohol issues as a high priority, and (4) having a written OTP policy.  相似文献   
78.
The 20th biennial meeting of the International Society for Neurochemistry was recently held in Innsbruck, Austria. This meeting gave an overview of the latest findings in the field of molecular mechanisms and diagnosis of neurodegenerative diseases such as Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis, and prion disease. There was a focus on the molecular pathogenesis of protein misfolding in these disorders as well as on the association between oxidative metabolism and neurological diseases. RNA interference, metal chelators, and the use of metallopeptidases were discussed as possible therapeutic strategies.  相似文献   
79.
This paper is a microsociological study of a group of people who have undergone a threat experience. Within the combined theoretical frameworks of symbolic interactionism and phenomenology, the event is seen as a "reality shock" for its participants, involving cognitive crises in group and individual definitions of the situation. The after period is one in which procedures toward making the threat experience meaningful on both group and individual levels are instituted within group networks. These procedures on a group level involve the construction of a "real" event by the objectification of time and experience and through the emergence and attribution of post-hoc norms. Strategies toward the maintenance and continuity of identity include reconstruction of the threat situation, of other participants' behavior, of post-hoc norms, or of individual behavior, and the negotiation of identity on these various bases.  相似文献   
80.
In econometric applications, often several hypothesis tests are carried out at once. The problem then becomes how to decide which hypotheses to reject, accounting for the multitude of tests. This paper suggests a stepwise multiple testing procedure that asymptotically controls the familywise error rate. Compared to related single‐step methods, the procedure is more powerful and often will reject more false hypotheses. In addition, we advocate the use of studentization when feasible. Unlike some stepwise methods, the method implicitly captures the joint dependence structure of the test statistics, which results in increased ability to detect false hypotheses. The methodology is presented in the context of comparing several strategies to a common benchmark. However, our ideas can easily be extended to other contexts where multiple tests occur. Some simulation studies show the improvements of our methods over previous proposals. We also provide an application to a set of real data.  相似文献   
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