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31.
The analysis focuses on average waiting times to a fertile conception, as derived from non-contraceptive exposure in second and higher-order birth intervals. Life-table estimates are derived from exposure in the two-year periods preceding the survey, for 20 surveys in Africa, Asia and Latin America undertaken as part of the WFS programme. Differences in the waiting time to conception are examined as a function of the duration of lactation and post partum abstinence. In addition, the extent to which variations in waiting times are produced by country and regional effects, and effects due to age, duration of marriage and parity are examined. The analysis points out the dangers of deriving estimates of natural fertility from the sub-group of women who never breastfed.  相似文献   
32.
This qualitative study of lesbian and gay elders seeks to identify the psychosocial challenges this community faces regarding long-term care. Two focus groups were conducted among 16 gay elders in community and long-term care settings. Participants reported fear of being rejected or neglected by healthcare providers, particularly personal care aides; fear of not being accepted and respected by other residents; fear of having to go back into the closet if placed in long-term care; and a preference for gay-friendly care. Participants suggested staff training to promote acceptance and respect for gay people, and favorably perceived gay-specific and gay-friendly living arrangements.  相似文献   
33.
Using data from the German Family Panel (pairfam) based on 11,746 intergenerational family relationships, the present study examined differences in parental closeness across relations with multiple, coresidential, and non‐coresidential adolescent and adult children. Replicating previous research in a multilevel analysis across families, the authors found a strong positive effect of biological descent on closeness in comparison to adoptive and steprelations; this parental favoritism toward biological offspring was partly explained by selection via parental resources and attitudes. Supplemental within‐parent fixed effect analyses suggested that the relative disadvantage of stepchildren was offset by longer duration of the stepparent–stepchild relationship, lower household income, fewer children in the household, and high parental affirmation of familism.  相似文献   
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In its recent report entitled Through a Glass Darkly, the Senate Standing Committee on Social Welfare claims that there is insufficient evidence available to evaluate welfare services, yet even within a brief paper this can be demonstrated to be not so. The Senate Committee however chose to ignore information about services as such, in order to discuss the process of evaluation. The apparent shortcomings of current services and the way the committee largely ignored these must be viewed in the light of the role welfare fulfils within the state—a role in which serving the interests of claimants is clearly not the major component.  相似文献   
37.
Responding to Dimen's bringing together the vagaries of disgust, embarrassment, and shame lurking in sexuality, I translate “Eew” into abjection. I emphasize the “otherness” of sexuality mainly through the paradoxes of the body, which can figure as a chunk of flesh, demurring in a state of “facticity” (thingness), but which can also be(come) the house of the soul, the carrier of one's spirit, one's unique individuality and subjectivity.

To capture the other's ineffable subjectivity, we have to “cajole” his or her spirit to come and dwell on the body, particularly its apertures and skin. By caressing and arousing the other, we can transform the obscenity that inheres potentially in the sexual experience into the most transcendent and ecstatic event. Abjection, “Eew,” occurs when mutual understanding, which is the embodiment between two people, fails. When embodiment collapses into being only body, it is obscene and disgusting.  相似文献   
38.

Background

There is no current validated clinical assessment tool to measure the attainment of midwifery student competence in the midwifery practice setting. The lack of a valid assessment tool has led to a proliferation of tools and inconsistency in assessment of, and feedback on student learning.

Objective

This research aimed to develop and validate a tool to assess competence of midwifery students in practice-based settings.

Design

A mixed-methods approach was used and the study implemented in two phases. Phase one involved the development of the AMSAT tool with qualitative feedback from midwifery academics, midwife assessors of students, and midwifery students. In phase two the newly developed AMSAT tool was piloted across a range of midwifery practice settings and ANOVA was used to compare scores across year levels, with feedback being obtained from assessors.

Findings

Analysis of 150 AMSAT forms indicate the AMSAT as: reliable (Cronbach alpha greater than 0.9); valid—data extraction loaded predominantly onto one factor; and sensitivity scores indicating level of proficiency increased across the three years. Feedback evaluation forms (n = 83) suggest acceptance of this tool for the purpose of both assessing and providing feedback on midwifery student’s practice performance and competence.

Conclusion

The AMSAT is a valid, reliable and acceptable midwifery assessment tool enables consistent assessment of midwifery student competence. This assists benchmarking across midwifery education programs.  相似文献   
39.
The present contribution shows conceptual and methodological approaches for the study of social context effects within families. Family members mutually constitute the social context in which family behavior and personality development take place. Social influence in families becomes evident empirically in family members’ significant similarity concerning a wide variety of characteristics. The present study focuses on intrafamily convergence with regard to religiousness. In an empirical illustration, both (a) horizontal intracouple alignment and (b) vertical intergenerational transmission processes are examined. Besides the finding that experiences during religious socialization in the parental home have a stronger impact than partner influences in adulthood, our analyses show that social context effects are more pronounced the stronger the cohesion of the respective interaction dyad is (e.g., according to measures of relationship quality).  相似文献   
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