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181.

Background

There appears to be a chasm between idealised motherhood and reality, and for women who experience birth trauma this can be more extreme and impact on mental health. Australia is unique in providing residential parenting services to support women with parenting needs such as sleep or feeding difficulties. Women who attend residential parenting services have experienced higher rates of intervention in birth and poor perinatal mental health but it is unknown how birth trauma may impact on early parenting.

Aims and objectives

This study aims to explore the early parenting experiences of women who have accessed residential parenting services in Australia and consider their birth was traumatic.

Methods

In-depth interviews were conducted with eight women across Australia who had experienced birth trauma and accessed residential parenting services in the early parenting period. These interviews were conducted both face to face and over the telephone. The data was analysed using thematic analysis.

Findings

One overarching theme was identified: “The Perfect Storm of Trauma” which identified that the participants in this study who accessed residential parenting services were more likely to have entered pregnancy with pre-existing vulnerabilities, and experienced a culmination of traumatic events during labour, birth, and in the early parenting period. Four subthemes were identified: “Bringing Baggage to Birth”, “Trauma through a Thousand Cuts”, “Thrown into the Pressure Cooker”, and “Trying to work it all out”.

Conclusion

How women are cared for during their labour, birth and postnatal period impacts on how they manage early parenthood. Support is crucial for women, including practical parenting support, and emotional support by health professionals and peers.  相似文献   
182.

Problem

Providing skin-to-skin contact in the operating theatre and recovery is challenging.

Background

Barriers are reported in the provision of uninterrupted skin-to-skin contact following a caesarean section.

Aim

To explore how health professionals’ practice impacts the facilitation of skin-to-skin contact within the first 2 h following a caesarean section.

Methods

Video ethnographic research was conducted utilising video recordings, observations, field notes, focus groups and interviews.

Findings

The maternal body was divided in the operating theatre and mothers were perceived as ‘separate’ from their baby in the operating theatre and recovery. Obstetricians’ were viewed to ‘own’ the lower half of women; anaesthetists were viewed to ‘own’ the top half and midwives were viewed to ‘own’ the baby after birth. Midwives’ responsibility for the baby either negatively or positively affected the mother's ability to ‘own’ her baby, because midwives controlled what maternal-infant contact occurred. Mothers desired closeness with their baby, including skin-to-skin contact, however they realised that ‘owning’ their baby in the surgical environment could be challenging.

Discussion

Health professionals’ actions are influenced by their environment and institutional regulations. Further education can improve the provision of skin-to-skin contact after caesarean sections. Skin-to-skin contact can help women remain with their baby and obtain a sense of control after their caesarean section.

Conclusion

Providing skin-to-skin contact in the first 2 h after caesarean sections has challenges. Despite this, health professionals can meet the mother's desire to ‘own’ her baby by realising they are one entity, encouraging skin-to-skin contact and avoiding maternal and infant separation.  相似文献   
183.
Objective: Using a 4-phase study design, the present study developed and tested the Charlotte Attitudes Towards Sleep (CATS) Scale, a measurement tool for assessing sleep attitudes in college students. Participants: Participants were 706 undergraduate students recruited at a southeastern university and on a national recruitment Web site between October 2013 and April 2015. Methods: All participants completed the CATS Scale. Participants then completed either a measure of social desirability, faulty sleep beliefs, or measures of sleep and sleep hygiene. Phase 3 participants (N = 168) completed the CATS Scale 2 weeks later to examine test-retest reliability. Results: Analyses indicated that the scale was content valid, internally consistent, and independent of social desirability, yielded acceptable temporal stability, and demonstrated concurrent validity in relation to sleep behaviors and outcomes. Conclusions: The CATS Scale is a theoretically driven instrument with promising psychometric properties that may prove beneficial for future research and application efforts among college students.  相似文献   
184.
Accurate assessment of emotion requires the coordination of information from different sources such as faces, bodies, and voices. Adults readily integrate facial and bodily emotions. However, not much is known about the developmental origin of this capacity. Using a familiarization paired‐comparison procedure, 6.5‐month‐olds in the current experiments were familiarized to happy, angry, or sad emotions in faces or bodies and tested with the opposite image type portraying the familiar emotion paired with a novel emotion. Infants looked longer at the familiar emotion across faces and bodies (except when familiarized to angry images and tested on the happy/angry contrast). This matching occurred not only for emotions from different affective categories (happy, angry) but also within the negative affective category (angry, sad). Thus, 6.5‐month‐olds, like adults, integrate emotions from bodies and faces in a fairly sophisticated manner, suggesting rapid development of emotion processing early in life.  相似文献   
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186.
A vector of k positive coordinates lies in the k-dimensional simplex when the sum of all coordinates in the vector is constrained to equal 1. Sampling distributions efficiently on the simplex can be difficult because of this constraint. This paper introduces a transformed logit-scale proposal for Markov Chain Monte Carlo that naturally adjusts step size based on the position in the simplex. This enables efficient sampling on the simplex even when the simplex is high dimensional and/or includes coordinates of differing orders of magnitude. Implementation of this method is shown with the SALTSampler R package and comparisons are made to other simpler sampling schemes to illustrate the improvement in performance this method provides. A simulation of a typical calibration problem also demonstrates the utility of this method.  相似文献   
187.
Abstract

Per the 2019 NASIG Core Competencies for electronic resources librarians (ERL), ERLs “work with concepts and methods that are very much in flux … [they are] knowledgeable about the legal framework within which libraries and information agencies operate… [including] laws relating to… equal rights (e.g., the Americans with Disabilities Act)”. However, the Core Competencies do not define the level to which an ERL is responsible for determining the accessibility of an electronic resource. This article aims to create a better understanding of the steps an ERL can take to develop an accessibility statement pertaining to procuring accessible content. This article synthesizes key laws and policies that ERLs should be aware of in order to draft an accessibility procurement statement for their institution. It will also discuss licensing strategies, documentation collection, and conducting potential audits of electronic purchases.  相似文献   
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190.
It is difficult to estimate the size of the irregular migrant population in a specific city or country, and even more difficult to arrive at estimates at the European level. A review of past attempts at European-level estimates reveals that they rely on rough and outdated rules-of-thumb. In this paper, we present our own European level estimates for 2002, 2005, and 2008. We aggregate country-specific information, aiming at approximate comparability by consistent use of minimum and maximum estimates and by adjusting for obvious differences in definition and timescale. While the aggregated estimates are not considered highly reliable, they do -- for the first time -- provide transparency. The provision of more systematic medium quality estimates is shown to be the most promising way for improvement. The presented estimate indicates a minimum of 1.9 million and a maximum of 3.8 million irregular foreign residents in the 27 member states of the European Union (2008). Unlike rules-of-thumb, the aggregated EU estimates indicate a decline in the number of irregular foreign residents between 2002 and 2008. This decline has been influenced by the EU enlargement and legalisation programmes.  相似文献   
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