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621.
622.
Although feeding problems are common during infancy and are typically accompanied by relational difficulties, little research observed the mother–infant feeding relationship across the first year as an antecedent to the development of feeding difficulties. We followed 76 low‐risk premature infants and their mothers from the transition to oral feeding in the neonatal period to the end of the first year. Prior to hospital discharge, microlevel patterns of maternal touch and gaze were coded during feeding and nonfeeding interactions, global patterns of maternal adaptation were assessed, and infants' neurobehavioral status was tested. Psychomotor development was evaluated at 4 months. At 1 year, feeding difficulties were determined on the basis of maternal interview and direct observations of feeding interactions. Mothers of infants who exhibited feeding difficulties at 1 year showed less affectionate touch and gaze during nonfeeding interactions and more gaze aversion and lower adaptability during feeding interactions already in the neonatal period. Infants with feeding difficulties demonstrated poorer psychomotor performance at 4 months. Feeding interactions of infants with feeding difficulties at 1 year were characterized by higher maternal intrusiveness, lower infant involvement, and greater infant withdrawal. Less maternal affectionate touch and lower maternal adaptation in the neonatal period, poor infant psychomotor skills, and higher maternal intrusiveness and lower infant involvement at 1 year predicted feeding difficulties. The findings underscore the role of the relational components across the first year in the development of feeding difficulties.  相似文献   
623.
This study examines how relationship transitions affect subjective well‐being (SWB) and how this effect changes over time. We used prospective data containing information about 18 years of young adults' lives (PSIN, N = 5, 514). SWB was measured with the Satisfaction with Life Scale. Within‐person multilevel regression analyses showed that dating, unmarried cohabitation, and marriage had additional well‐being enhancing effects. After entry into a union, well‐being slowly decreased. A large SWB decrease was found after union dissolution, but through adaptation or repartnering well‐being increased again. Well‐being of never‐married and never‐cohabiting young adults decreased slowly over time. These effects were independent of parenthood and employment. Our results confirm expectations from the resources theory but contradict some assumptions of the set‐point theory.  相似文献   
624.
Contemporary understandings of work and family are largely based on middle-class women's experience, whereas poverty and welfare researchers focus on the economic struggles of single female-headed families. This qualitative study examines the cultural and moral forces underlying the tension between paid work and family responsibilities through the experience of poor and low-income women. Interview data reveal that as expected, the conditions of poverty and welfare shape work and family decisions. Yet, choices about work and family entail moral and emotional commitments defined through powerful gendered cultural schemas. Providing financially for children reflects a strong work ethic and moral worth corresponding to a masculine model of individual responsibility privileging self-sufficiency and independence. This is challenged by a shared moral imperative that mother's primary responsibility is the care of children. This examination is important for researchers in understanding the moral and emotional salience of gender in shaping the work and family lives of poor and low-income women.  相似文献   
625.
626.
Treating male lower urinary tract symptoms (LUTS) by targeting the prostate would have limited effect on overactive bladder (OAB) symptoms. This study assessed perceived symptoms and quality of life (QoL) of male patients with OAB treated with an α-blocker plus solifenacin in daily clinical practice. Male patients aged ≥40 years were included after the decision was made to initiate treatment with an α-blocker for LUTS plus solifenacin for OAB symptoms. The primary endpoint was change in patient perception of bladder condition (PPBC) questionnaire score over 6?months. Other assessments included the OAB-questionnaire short form (OAB-q SF) and International Prostate Symptom Score (IPSS). Interpretation of the study data was hindered by not meeting the enrollment target and a high dropout rate. In 36 evaluable patients, mean (SD) PPBC score improved from 4.3 (0.93) at baseline (“moderate” to “severe” problems) to 3.5 (1.06) at month 6 (“minor” to “moderate” problems). OAB-q SF scores and total IPSS also improved. In this patient population, treatment with solifenacin and an α-blocker resulted in improvements in male patient perception of their LUTS and QoL, although the results should be interpreted with caution due to the low number of patients with complete data.  相似文献   
627.
628.
Many older adolescents display sexual references on their social networking site profiles; this study investigated whether these references were associated with self-reported sexual intention, sexual experience, or risky sexual behavior. Public Facebook profiles of undergraduate freshmen were identified within 1 large U.S. university Facebook network. Profile owners who displayed sexual references (Displayers) and did not display references (Non-Displayers) were invited to complete surveys. Surveys measured sexual intention, using the Postponing Sexual Intercourse (PSI) scale, and sexual experiences. A higher PSI score was inversely related to intention to initiate sexual intercourse. Of the 118 profiles that met inclusion criteria, 85 profile owners completed surveys. Profile owners were mostly female (56.5%) and Caucasian (67.1%). The mean PSI score for Displayers was 6.5?±?1.6, and the mean PSI score for Non-Displayers was 10.2?±?0.6 (p?=?.02). There were no differences between Displayers and Non-Displayers regarding lifetime prevalence of sexual behavior, number of sexual partners, or frequency of condom use. Display of sexual references on college freshmen's Facebook profiles was positively associated with reporting intention to initiate sexual intercourse. Facebook profiles may present an innovative cultural venue to identify adolescents who are considering sexual activity and may benefit from targeted educational messages.  相似文献   
629.
With aging comes a multitude of possible losses, including loss of health, spouse, friends, or independence. These losses can place older adults at risk for isolation and loneliness. Loneliness is of significant concern in older adults, as it can negatively affect their quality of life. An interpretive phenomenological study was conducted to explore the meaning of loneliness in 12 older adults living in the community. Selected excerpts from the participants reveal several themes, as well as the importance of maintaining meaningful connections and relationships with others to alleviate feelings of loneliness. Nurses can become more attuned to the problem of loneliness in older adults and the importance of helping their older clients maintain meaningful connections with others to reduce loneliness.  相似文献   
630.
In Australia, as in most other developed countries, women constitute less than 10 per cent of engineers and they are leaving the profession faster than men. Engineering organizations have taken up managing diversity as a key policy to improve the recruitment and retention rates of women engineers. This article contributes to the developing literature of critical approaches to diversity by drawing on data from three large engineering companies to argue that this policy fails to challenge the prevailing sexual politics in engineering. We propose the concept of ‘sexual politics’ in order to stress that gender is relational, contested and always political. In failing to engage with the sexual politics in engineering organizations, managing diversity obscures the systematic nature of women's disadvantage and men's advantage in the workplace. Only when these politics are recognized, confronted and transformed will engineering careers be more equitable.  相似文献   
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