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61.
Child protection issues are reported in the media with uncomfortable regularity, highlighting that all paediatricians need to be competent in dealing with cases of child abuse. The named doctor in child protection was introduced to improve this, but implementation of the role has varied widely. This paper describes how the role of the named doctor in child protection has been put into practice in Nottingham City Hospital and discusses some of the challenges that can arise. The importance of training and audit in maintaining the quality of service for the trust is emphasized and developments for the future and important avenues for research are suggested. We have shown that with three designated sessions in a large district general hospital (without an accident and emergency department), the named doctor can combine with the named nurse to increase the awareness and effectiveness of child protection in all parts of the hospital. Copyright © 2003 John Wiley & Sons, Ltd. 相似文献
62.
Helen Rose Ebaugh Janet S. Chafetz Paula F. Pipes 《Nonprofit management & leadership》2007,18(2):175-191
Based on the first national survey of faith‐based social service coalitions in the United States, this article presents data on the degree to which these nonprofit organizations collaborate with other specific organizational types, as well as the range and intensity of these collaborations. In general, faith‐based coalitions tend to collaborate most frequently with other faith‐based agencies, a pattern especially characteristic of the more religiously expressive ones. However, collaboration with non‐faith‐based organizations is also quite common. Based on seven organizational characteristics, we are able to predict which faith‐based coalitions are most likely to collaborate with different types of organizations: coalitions that have more explicitly religious policies and practices with reference to clients and staffs are less likely to participate in intense collaborations with some types of secular organizations, and consistently less likely to do so with all types of governmental agencies. 相似文献
63.
Rachel Thomson Janet Holland Sheena McGrellis Robert Bell Sheila Henderson Sue Sharpe 《The Sociological review》2004,52(2):218-239
Traditionally adulthood and citizenship have been synonymous. Yet adulthood is changing. In this paper we explore how young people's evolving understandings of adulthood may contribute towards an understanding of citizenship within the broader context of increasingly extended and fragmented transitions. The paper draws on a unique qualitative longitudinal data set in which 100 young people, from contrasting social backgrounds in the United Kingdom, have been followed over a five‐year period using repeat biographical interviews. We present first the themes that emerged from a cross‐cut analysis of the first of three rounds of interviews distinguishing between relational and individualised understandings of adulthood. We then present a model we developed to capture the ways that young people sought out opportunities for competence and recognition in different fields of their lives. Finally a case study that follows a young woman through her three interviews illustrates how these themes can appear in an individual trajectory. We offer the model and case study as a way of exploring a more subjective approach to citizenship in which participation is not deferred to some distant future in which economic independence is achieved, but is understood as constantly constructed in the present. 相似文献
64.
65.
Nicole Jill‐Marie Blackman 《Pharmaceutical statistics》2004,3(2):99-108
Across a variety of clinical settings, repeated measurements on an individual, obtained under identical circumstances, often differ from one another. This implies the measurements lack perfect reproducibility. Topics related to reproducibility of clinical measurements are introduced in this paper. In this first of two parts, continuous outcomes are addressed. The intraclass correlation coefficient, ρ, has been the traditional coefficient of reproducibility for continuous outcomes. The importance of ρ regarding observations on an individual, and observations among populations, is outlined. Estimation and inferential procedures for ρ are reviewed and worked examples are provided. Copyright © 2004 John Wiley & Sons, Ltd. 相似文献
66.
Janet Holmes 《Journal of Sociolinguistics》1997,1(2):195-223
This paper explores the ways in which women and men use language to mark gender boundaries, and to convey femininity and masculinity in the construction of a gendered identity. The first section of the paper examines evidence that language serves as a gender identity marker not only in the particular phonological variants used more by women than by men, but also in the wider stylistic range evident in women's discourse in some communities. The gender distribution and social meanings associated with particular pragmatic particles and interactional devices provide another indication of the ways in which women and men construct and express femininity and masculinity in interaction. The final section analyses the construction of stereotypical gender identities through conversational interaction, firstly by means of a narrative and secondly through the carefully crafted dialogue of an advertisement. The paper demonstrates the complementary nature of macro-level quantitative studies and qualitative ethnographic analysis in gender research. 相似文献
67.
The debate about the veracity of incest memories uncovered in therapy is often impassioned and acrimonious. Recent statements by various professional organizations, advising that corroboration of recovered memories is the only method for determining their accuracy, have not decreased the intensity of this debate. This response to Madden and Parody's paper discusses the importance of corroboration of recovered memories of sexual abuse and details the clinical, scientific, and legal foundations for this approach. A point of confusion in Madden and Parody's paper and an important aspect of this response is the difference between clients who uncover completely new memories of childhood sexual abuse and clients who enter therapy with a history of sexual abuse. Those clients with new memories are the focus of this debate and the standard of care proposed in this paper. 相似文献
68.
Child protection practice still appears to view child maltreatment as an event largely isolated from other family violence and criminal activities. Research undertaken by the authors suggests that children who have been subjected to the more severe forms of abuse are likely to have come from families who engage in several forms of criminal activity, inside and outside the family, which is often severe in nature. The child who has been maltreated may also become a participant in these activities. The authors recommend that these factors should be investigated in families who have maltreated a child, as the presence or absence of several forms of concurrent violence and other criminal activity may provide an important clue about the welfare of the child. Copyright © 2004 John Wiley & Sons, Ltd. 相似文献
69.
When faced by a suddenly unresponsive social partner, young infants typically react by sobering and gazing away. This still‐face reaction has intrigued researchers for several decades. In this article, we present a history of the still‐face paradigm in which we locate early observations of the still‐face effect, describe the formalization of a procedure that reliably produces it, and discuss how this procedure has been used to investigate a broad range of questions about early social and emotional development. In addition, we reflect on the heuristic value of shared experimental paradigms. 相似文献
70.