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Recent Australian interest in the integration of early childhood services is largely informed by international research and policy developments, particularly from the United Kingdom. Service integration is widely recognised as an effective means of holistically meeting the needs of children and families and ameliorating disadvantage. What is less well known is that Australia has a history of integrated early childhood services. This paper focuses on three points in 20th century Australia when advocacy for integrated early childhood service provision was evident: post‐World War I when the first Mother and Baby Welfare Clinic was established; during the late 1930s to mid 1940s with the advent of the Lady Gowrie Centres; and in the 1970s when several reports recommended the integration and co‐ordination of early years services. Attending to this history acknowledges this innovative Australian work, and provides potentially valuable, and somewhat cautionary, lessons for contemporary advocacy for integrated early childhood services.  相似文献   
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The socio‐cultural factors underlying contemporary Aboriginal settlement and mobility patterns are invisible to the categorisations that underpin both demographic modelling and policy that relies on that modelling. Taking the Yolngu people of north east Arnhem Land as a case study, this paper elaborates an anchored network model consisting of three tiers—an ontologically prior ancestral geography, with its associated contemporary settlements, to which kin‐based networks are anchored by nodal individuals. While the content of each tier may vary across the continent, this model can potentially be applied wherever Aboriginal Australians continue to live in kin‐based social universes. It is argued that constructing a ‘recognition space’ between conventional demographic categories and Aboriginal categorisations of their socio‐spatial universes would lead to more informed policy‐making on the part of government. Such policies would take account of the aspirations of Aboriginal people rather than imposing upon them the state's aspirations for them.  相似文献   
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This paper investigates the impact of self‐service technology (SST) usage on customer satisfaction and retention. Specifically, we disentangle the distinct effects of satisfaction and switching costs as drivers of retention among self‐service customers. Our empirical analysis examines 26,924 multi‐channel customers of a nationwide retail bank. We track each customer's channel usage, overall satisfaction, and retention over a 1‐year period. We find that, relative to face‐to‐face service, customers who use self‐service channels for a greater proportion of their transactions are either no more satisfied, or less satisfied with the service they receive, depending on the channel. However, we also find that these same customers are predictably less likely to defect to a competitor if they are heavily reliant on self‐service channels characterized by high switching costs. Through a mediation model, we demonstrate that, when self‐service usage promotes retention, it does so in a way that is consistent with switching costs. As a robustness check, we examine the behavior of channel enthusiasts, who concentrate transactions among specific channels. Relative to more diversified customers, we find that self‐service enthusiasts in low switching cost channels defect with greater frequency, while self‐service enthusiasts in high switching cost channels are retained with greater frequency.  相似文献   
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We suppose a case is to be compared with controls on the basis of a test that gives a single discrete score. The score of the case may tie with the scores of one or more controls. However, scores relate to an underlying quantity of interest that is continuous and so an observed score can be treated as the rounded value of an underlying continuous score. This makes it reasonable to break ties. This paper addresses the problem of forming a confidence interval for the proportion of controls that have a lower underlying score than the case. In the absence of ties, this is the standard task of making inferences about a binomial proportion and many methods for forming confidence intervals have been proposed. We give a general procedure to extend these methods to handle ties, under the assumption that ties may be broken at random. Properties of the procedure are given and an example examines its performance when it is used to extend several methods. A real example shows that an estimated confidence interval can be much too small if the uncertainty associated with ties is not taken into account. Software implementing the procedure is freely available.  相似文献   
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Problem

Although the World Health Organization and American Academy of Pediatrics recommend exclusive breastfeeding for the first six months, only 22% of U.S. mothers do so. Mothers’ perceived insufficient milk (PIM) is the primary reason for breastfeeding discontinuation globally. There are two changeable causes of PIM: (1) mothers’ misinterpretation of their infant’s behavior, and (2) mothers’ lack of confidence in their ability to breastfeed.

Aim

The purpose of this study was to evaluate the short-term effect of a home-based intervention designed to prevent and/or reduce PIM.

Methods

A mixed-methods, single-group, pretest-midtest-posttest design was used for evaluating a home-based breastfeeding program. The program was implemented during three 1.0- to 1.5-h home intervention sessions at 6, 13, and 27 days postpartum, delivered to 14 dyads of breastfeeding mothers and their full-term singleton infants.

Findings

We found significant increases over time in mothers’ sensitivity to infant behavior and breastfeeding self-efficacy as well as significant decreased attribution of infant crying to PIM. Exit interviews indicated that the program was accepted by participating mothers.

Discussion

This is the first intervention study that has directly targeted the causes of PIM. The home-based intervention has the potential to add to maternal competencies both in correctly assessing their infants’ behavior, thereby preventing erroneous attribution of infant behavior to PIM, as well as simultaneously bolstering maternal confidence in breastfeeding skills.

Conclusion

By building maternal competencies, the home-based intervention has a longer-range potential to prevent breastfeeding discontinuation. Further evaluation is warranted.  相似文献   
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