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41.
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ABSTRACT

The increasingly complex and rapidly changing global health and socioeconomic landscape requires fundamentally new ways of thinking, acting, and collaborating to solve growing systems challenges. Cross-sectoral collaborations between governments, businesses, international organizations, private investors, academia, and nonprofits are essential for lasting success in achieving the Sustainable Development Goals (SDGs), and securing a prosperous future for the health and well-being of all people (United Nations, n.d United Nations. (n.d.). SDGs: Sustainable development knowledge platform. Sustainable Development United Nations. Retrieved from https://sustainabledevelopment.un.org/ [Google Scholar].). Our aim is to use data science and innovative technologies to map diverse stakeholders and their initiatives around SDGs and specific health targets—with particular focus on SDG 3 (Good Health & Well Being) and SDG 17 (Partnerships for the Goals)—to accelerate cross-sector and multidisciplinary collaborations. Initially, the mapping tool focuses on Geneva, Switzerland as the world center of global health diplomacy with over 80 key stakeholders and influencers present. As we develop the next level pilot, we aim to build on users’ interests, with a potential focus on non-communicable diseases (NCDs) as one of the emerging and most pressing global health issues that requires new collaborative approaches. Building on this pilot, we can later expand beyond only SDG 3 to other SDGs.  相似文献   
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44.

Background

Previous physical activity (PA) tracking studies have examined the stability of overall PA and/or PA types, but few have investigated how specific types of sport/exercise track over the life course. The aim of this study was to determine how specific sports/exercises in midlife track and predict future sport/exercise and PA in men transitioning to old age.

Methods

Seven thousand seven hundred thirty-five men (aged 40–59?years) recruited in 1978–80 were followed up after 12, 16 and 20?years. At each wave men self-reported participation in sport/exercise. Frequent sport/exercise participants (>?1/month) reported the types of sport/exercise they engaged in. Men also reported total PA, health status, lifestyle behaviours and socio-demographic characteristics. Stability of each sport/exercise was assessed using kappa statistics and intraclass correlation coefficients. Logistic regression estimated the odds of participating in sport/exercise and being active at 20-year follow up according to specific types of sport/exercise in midlife.

Results

Three thousand three hundred eighty-four men with complete data at all waves were included in analyses. Tracking of specific sports/exercises ranged from fair to substantial, with golf being the most common and most stable. Bowls was the most frequently adopted. Odds of participating in sport/exercise and being active in old age varied according to sport/exercise types in midlife. Golf and bowls in midlife were the strongest predictors of sport/exercise participation in old age. Golf, cricket and running/jogging in midlife were among the strongest predictors of being active in old age. Compared to participating in just one sport/exercise in midlife, sampling multiple sports/exercises was more strongly associated with sport/exercise participation and being active in old age.

Conclusion

The stability of sport/exercise participation from midlife to old age varies by type. Specific sports/exercises in midlife may be more likely to predict future PA than others. However, participating in a range of sports/exercises may be optimal for preserving PA into old age.
  相似文献   
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Among their many responsibilities, foster parents are tasked with providing healthy food and proper nutrition to children with a variety of physical, psychological, and emotional needs. Using the lens of symbolic interactionism, this exploratory mixed methods study examined how foster parents attend to the nutritional needs of abused and neglected children. Methods used included both quantitative surveys and qualitative follow-up interviews. Surveys were completed by 23 foster parents in a large, Midwest metropolitan area. Parents reported they provided their children balanced meals, although one-third of households reported instances of food insecurity. During qualitative interviews, foster parents (N = 9) described how children arrived at their home with a variety of unhealthy eating habits, some severe in nature. Parents discussed strategies used to modify and improve eating patterns, including offering healthy food choices, having children plan meals, and gathering as a family for daily dinners. In general, parents understood the link between unhealthy eating and past childhood trauma, but also reported being unprepared for more serious eating problems like hoarding. Findings indicate that foster parents need food assistance to increase food security as well as training in assessing and responding a variety of unhealthy child eating behaviors.  相似文献   
47.
As a society, we've made tremendous progress toward gender equality over the past several decades. Yet there remains significant inequality between women and men. Furthermore, when we look closely at some of the progress made toward gender equality, we find it considerably less impressive than surface appearances. In this article, we review the updated framework of Risman's (2017) gender structure theory and argue that it can help us make sense of the progress we've made as well as analyzing inequality as it persists between women and men. Using gender structure theory, we then show how gender is simultaneously reproduced and contested across the individual, interactional, and macro levels of society within 3 major social domains: work, family, and gender identity.  相似文献   
48.
ABSTRACT

Despite the fact that Aboriginal and Torres Strait Islander communities typically experience a high prevalence of sexual and family violence, service responses have mostly been culturally inappropriate and ineffective. This article reports on a collaborative, participatory research project aimed at exploring barriers to service access by Aboriginal and Torres Strait Islander clients when they have been affected by sexual and family violence. The findings reveal multiple barriers to service access, including justice system deterrents, social taboo, shame, and a lack of culturally appropriate services. The article highlights the importance of recognising and addressing the complex interplay of historic, social, and cultural factors influencing service access.  相似文献   
49.

Objective

To identify the predominant culture of an organisation which could then assess readiness for change.

Design

An exploratory design using the Competing Values Framework (CVF) as a self-administered survey tool.

Setting

The Maternity Unit in one Australian metropolitan tertiary referral hospital.

Subjects

All 120 clinicians (100 midwives and 20 obstetricians) employed in the maternity service were invited to participate; 26% responded.

Main outcome measure

The identification of the predominant culture of an organisation to assess readiness for change prior to the implementation of a new policy.

Results

The predominant culture of this maternity unit, as described by those who responded to the survey, was one of hierarchy with a focus on rules and regulations and less focus on innovation, flexibility and teamwork. These results suggest that this unit did not have readiness to change.

Conclusion

There is value in undertaking preparatory work to gain a better understanding of the characteristics of an organisation prior to designing and implementing change. This understanding can influence additional preliminary work that may be required to increase the readiness for change and therefore increase the opportunity for successful change. The CVF is a useful tool to identify the predominant culture and characteristics of an organisation that could influence the success of change.  相似文献   
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