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891.
Complementary and Alternative Medicine (CAM) have increasingly been used by pregnant women with a steady rise in interest by midwives. Literature describing CAM and self-help options midwives recommend to women experiencing a post-date pregnancy is sparse. This study aimed to investigate if Australian midwives’ personal CAM use impacts on discussions and recommendations of CAM/Self-help strategies.

Methodology/design

A survey of a national midwifery association midwifery members (n = 3,552) was undertaken at a midwifery conference (October 2015) and via e-bulletins (November 2015–March 2016). The self-administered survey included questions on what self-help and CAM strategies midwives discuss and recommend to women with a post-date pregnancy, midwives’ confidence levels on discussing or recommending CAM, midwives’ own personal use of CAM.

Findings

A total of 571 registered midwives completed the survey (16%). Demographics (age, years as a midwife, state of residence) reflected Australian midwives and the midwifery association membership. Most respondents discuss (91.2%) and recommend (88.6%) self-help/CAM strategies to women with a post-date pregnancy. The top five CAM recommended were Acupuncture (65.7%), Acupressure (58.1%), Raspberry Leaf (52.5%), Massage (38.9%) and Hypnosis/Calmbirthing/Hypnobirthing (35.7%). Midwives were more likely to discuss strategies if they personally used CAM (p < .001), were younger (p < .001) or had worked less years as midwives (p = .004). Midwives were more likely to recommend strategies if they used CAM in their own pregnancies (p = .001).

Conclusion

Midwives’ personal use of CAM influenced their discussions and recommendations of CAM/self-help strategies to women experiencing a post-date pregnancy. This study has implications for inclusion of CAM in midwifery education curricula.  相似文献   
892.
Although design changes is a significant inhibiting factor to schedule management and cost control in building projects globally, however, the reasons remain largely unknown, and the construction industry is unable to manage the problem effectively. A triangulated approach was employed where 39 reasons were first explored through semi-structured interviews with experienced practitioners. Subsequently, a national survey was used to rank the reasons. ‘Value engineering’, ‘lack of coordination among various professional consultants’ and ‘change of requirement’ ranked the highest. Next, exploratory factor analysis revealed eight underlying factors. Finally, the influence of these manifested factors was validated statistically using partial least squares based structural equation modelling. The three most critical factors found are ‘competency of project team', ‘quality and workmanship’, and ‘site constraints and safety consideration’. This paper contributes to the development of new underlying factors inducing design changes, which largely explain design changes as well as enable practitioners and researchers to devise effective preventive measures in controlling design changes in building projects.  相似文献   
893.
894.
Objectives: Anxiety sensitivity (AS) is associated with cannabis use. People high in AS may use cannabis to cope with elevated anxiety. This association is consistently supported in the literature. However, we have much to learn about the mechanisms of the AS pathway to cannabis use. We aimed to examine negative urgency—the tendency to act impulsively when distressed—as a mediator of the association of AS with cannabis problems and cannabis dependence symptoms. We hypothesized that negative urgency would uniquely mediate the association of AS with cannabis outcomes after controlling for other facets of impulsivity. Participants and Methods: Postsecondary students (= 91; Fall 2012) completed online self-reports. To participate, students needed to be ≥18 years old, enrolled in postsecondary studies, and needed to report current cannabis use. Results: Negative urgency uniquely mediated associations between AS and cannabis problems and dependence symptoms. Conclusions: Our findings suggest a mechanistic role of negative urgency in the AS pathway to cannabis misuse.  相似文献   
895.
Millennials are struggling to meet current financial challenges. As we strive to improve financial capability in future generations, it is important that we look to the primary source of financial education: parents. This qualitative, multigenerational study explored what Millennials and their parents and grandparents (N?=?153) wish they had been taught about finances by their parents, as well as what parents and grandparents wish they had taught their children. Thematic content coding of the interviews revealed three core “I Wish” themes: “Practical Knowledge,” “Financial Stewardship,” and “Open Communication.” These findings can assist researchers, family life educators, financial educators, parents, and future parents to enhance the financial education provided by parents in the home.  相似文献   
896.
Anthropogenic alteration of the landscape has facilitated plant community change and non-native species invasion in urban areas. We used species occurrence data from over 2000 wetlands within the Chicago metropolitan region to classify urban wetlands into community types and examined non-native species composition across community types. Non-native species were widespread across the region, occurring in over 99% of wetlands. On average, 35% of the plant species in individual wetlands were non-native. A single non-native species, Phalaris arundinacea, was present in 74% of wetlands. Six wetland community types were identified (wet meadows, marshes, forested wetlands, farmed wetlands/mudflats, roadside marshes, and an undetermined wetland type), with each having aggressively spreading non-natives amongst the most common plant species. We conducted canonical correspondence analysis to evaluate the contribution of surrounding land cover, roads, and location of wetlands to plant community composition in these wetlands, and found that similar changes to the landscape have resulted in similar combinations of native and non-native species. Differences in species composition reflected spatial gradients in land use from urban to rural areas across the region, as well as proximity to major roads. Anthropogenic drivers have resulted in profound and pervasive changes to wetland communities across the region, creating novel habitats and ultimately novel community types.  相似文献   
897.
The American Community Survey (ACS) provides valuable, timely population estimates but with increased levels of sampling error. Although the margin of error is included with aggregate estimates, it has not been incorporated into segregation indexes. With the increasing levels of diversity in small and large places throughout the United States comes a need to track accurately and study changes in racial and ethnic segregation between censuses. The 2005–2009 ACS is used to calculate three dissimilarity indexes (D) for all core-based statistical areas (CBSAs) in the United States. We introduce a simulation method for computing segregation indexes and examine them with particular regard to the size of the CBSAs. Additionally, a subset of CBSAs is used to explore how ACS indexes differ from those computed using the 2000 and 2010 censuses. Findings suggest that the precision and accuracy of D from the ACS is influenced by a number of factors, including the number of tracts and minority population size. For smaller areas, point estimates systematically overstate actual levels of segregation, and large confidence intervals lead to limited statistical power.  相似文献   
898.
The question raised by Cheney and Christensen (2001) as to “what a non-Western, non-managerial and non-rationalist form of public relations will look like” (p.182), together with the call made by Gregory (2014) for public relations practitioners (PRPs) to be active social change agents, motivated this paper. The aim of this research is to follow a culture-centred approach and apply the circuit of culture (Curtin & Gaither, 2005) to investigate the meanings that young people (aged 18 to 34), as cultural intermediaries, ascribe to their participation in a digital empowerment project implemented by the City of Johannesburg, South Africa. This research forms part of a larger, ongoing multi-disciplinary research project.The research highlights the complexity of projects of this nature, the wide variety of stakeholders involved, the significance of structure, the importance of training of cultural intermediaries, and the benefits such intermediaries gain from their involvement. A key finding is that self-development and financial benefit contribute significantly to the success of cultural intermediaries. This paper contributes to the field of public relations by providing an analysis of cultural intermediaries’ contribution to the circuit of culture as influenced not only by production and consumption but also by identity and regulation as seen in the way they represented the meaning created during their experience.  相似文献   
899.
As war challenges survival and social relations, how do actors alter and adapt dispositions and practices? To explore this question, I investigate women's perceptions of normal relations, practices, status, and gendered self in an intense situation of wartime survival, the Blockade of Leningrad (1941–1944), an 872‐day ordeal that demographically feminized the city. Using Blockade diaries for data on everyday life, perceptions, and practices, I show how women's gendered skills and habits of breadseeking and caregiving (finding scarce resources and providing aid) were key to survival and helped elevate their sense of status. Yet this did not entice rethinking “gender.” To explore status elevation and gender entrenchment, I build on Bourdieu's theory of habitus and fields to develop anchors: field entities with valence around which actors orient identities and practices. Anchors provide support for preexisting habitus and practices, and filter perceptions from new positions vis‐à‐vis fields and concrete relations. Essentialist identities and practices were reinforced through two processes involving anchors. New status was linked to “women's work” that aided survival of anchors (close others, but also factories and the city), reinforcing acceptance of gender positions. Women perceived that challenging gender relations and statuses could risk well‐being of anchors, reconstructing gender essentialism.  相似文献   
900.
There are nearly 110 million cases of sexually transmitted infections (STIs) in the United States. The Centers for Disease Control and Prevention estimate that annually there are more than 19.7 million new STI cases. Of those, more than half are accounted for by youth aged 15–24 years. Although some STIs are not considered to be life threatening, they can lead to severe health problems, risk of HIV infection, or infertility if they are not properly treated. Some research has shown that parent–youth communication can reduce youth’s at-risk sexual behaviors. The following is a systematic review of the literature on parent–youth sexual communication and family-level interventions designed to reduce risky sexual behavior in youth.  相似文献   
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