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251.
Although male partner cooperation is often essential for successful use of the female condom, only a few studies have directly assessed men's experiences of using the device. We examined barriers to and facilitators of female condom use via qualitative in-depth interviews with 38 young men (18 to 28 years) in South Africa whose partners, all university students, were enrolled in a female condom intervention trial. In all, 21 men used the female condom; the remaining 17 did not attempt use. The main facilitators to female condom use were convenience of use for men, curiosity to see how female condoms compared to male condoms, enhanced sexual sensation, and perceptions of better safety and comfort of the device compared to male condoms. The main barriers were men's limited familiarity with the device, insertion difficulties, and men's concerns about loss of control over sexual encounters. We recommend that human immunodeficiency virus (HIV) prevention and condom promotion programs around the world target men directly for education on female condoms and that they also work with couples jointly around issues of safer-sex communication and negotiation.  相似文献   
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Little is known about “hidden” kinship caregivers of children of a parent with a mental illness (COPMI). An exploratory study surveyed 56 COPMI caregiver members of a kinship center administered by a school of social work in a large public university. The COPMI sample was a subset of a larger kinship caregiver study. Nearly one in four caregivers was providing COPMI kinship care. The COPMI caregivers reported numerous child behavioral crises and decreased caregiver physical and emotional health since they began providing care. Practice, policy, and research require development to increase support for COPMI caregivers and their families.  相似文献   
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A growing body of literature posits that a population’s denial of the salience of racial discrimination acts as a mechanism of its perpetuation. Moreover, scholars locate a population’s propensity to deny racial discrimination in contemporary ideologies of racial mixing or ethnic fusion. Most quantitative studies of public opinion on these issues are limited to Latin America and the Spanish-speaking Caribbean. This study examines the case of Jamaica. We first (1) examine the extent of Jamaica’s contemporary racial inequality using national census data. We then (2) use nationally representative data from the AmericasBarometer social survey to determine the extent to which a recognition of racial discrimination characterizes Jamaican public opinion. Finally, we (3) explore the salience of an ideology of racial mixing in Jamaica and (4) test whether that ideology affects the likelihood that Jamaicans acknowledge contemporary racial discrimination. Our findings document dramatic social inequality by skin colour in Jamaica and suggest that a majority embrace an ideology that racial mixing is negatively associated with Jamaicans’ recognition of racial discrimination. We discuss our findings and their implications for understanding ideologies of racial mixing and racial inequality in the Americas.  相似文献   
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Abstract

This column covers sessions from the 2018 Charleston Library Conference, an informal annual gathering of librarians, publishers, electronic resource managers, consultants, and vendors of library materials in Charleston, South Carolina, in November. Topics include the impact of open access and open research, assisting faculty with locating and integrating these resources into their courses through partnerships and open applications, and managing gifts and donations with restricted resources.  相似文献   
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Despite the passage of OBRA’87 for nursing home reform, concerns about care in facilities continue. The Centers for Medicare and Medicaid developed new regulations and the Traditional Survey (TS) process for annual nursing home survey. The survey is conducted by state regional offices to determine facility compliance with federal regulations. Despite the regulations and new survey process, the TS inconsistently identified problems. A computerized process called the Quality Indicator Survey (QIS) was subsequently developed. This study was designed to compare results from TS and QIS on overall deficiencies, select quality indicators, high-severity deficiencies, and severity differences of seven quality indicators in New York State over a 6-year period from 2010 through 2015. Results of t-tests determined a significant difference in the overall mean number of deficiencies (p < .001), and on four indicators: choices (p < .001), nursing staff (p < .001), dental (p < .001), and dignity (p < .05). Facilities using the TS showed a higher mean number of harm level or higher deficiencies (< .001). Chi-square tests for severity levels showed significantly more higher severity deficiencies on two quality indicators: nutrition (p < 0.001) and hydration (p < 0.05). Thus, the QIS produced a greater mean number of deficiencies, while TS produced more higher severity deficiencies in New York State.  相似文献   
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Recognizing and managing the complexities of strategic change is a difficult endeavor for organizational leaders, and is one that is increasingly necessary for organizations that exist in uncertain and rapidly changing environments. Organizations, and the individuals within them, must develop expertise and tools to operate effectively in these conditions. Scenario building has gained attention as a methodology that enriches traditional strategic planning methods by helping organizational leaders recognize and better prepare for the critical uncertainties and complexities of forces driving future change. Scenario building is explored in this article to provide HRD professionals with a solid exposure to the art of scenario building. The process is defined and explained, its history briefly explored, and key benefits as a learning and decision-making tool as well as for the field of human resource development are discussed.  相似文献   
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