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701.

Problem and background

Vaginal birth after caesarean section is a safe option for the majority of women. Seeking women’s views can be of help in understanding factors of importance for achieving vaginal birth in countries where the vaginal birth rates after caesarean is low.

Aim

To investigate women’s views on important factors to improve the rate of vaginal birth after caesareanin countries where vaginal birth rates after previous caesarean are low.

Methods

A qualitative study using content analysis. Data were gathered through focus groups and individual interviews with 51 women, in their native languages, in Germany, Ireland and Italy. The women were asked five questions about vaginal birth after caesarean. Data were translated to English, analysed together and finally validated in each country.

Findings

Important factors for the women were that all involved in caring for them were of the same opinion about vaginal birth after caesarean, that they experience shared decision-making with clinicians supportive of vaginal birth, receive correct information, are sufficiently prepared for a vaginal birth, and experience a culture that supports vaginal birth after caesarean.

Discussion and conclusion

Women’s decision-making about vaginal birth after caesarean in these countries involves a complex, multidimensional interplay of medical, psychosocial, cultural, personal and practical considerations. Further research is needed to explore if the information deficit women report negatively affects their ability to make informed choices, and to understand what matters most to women when making decisions about vaginal birth after a previous caesarean as a mode of birth.  相似文献   
702.
Anthropogenic changes in land use and cover (LULC) in stream catchments can alter the composition of riparian plant communities, which can affect ecosystem functions of riparian areas and streams from local to landscape scales. We conducted a study to determine if woody plant species composition and abundance along headwater streams were correlated with categorical and continuous LULC and environmental variables along an urban-to-rural gradient. These variables were calculated at different spatial scales (subcatchment level and within 0.5 and 1 km radii of plots) and used % impervious surface cover (ISC) and finer scale LULC classification levels to determine their ability to explain species composition, diversity, abundance, non-native provenance and wetland indicator status of four plant strata—canopy tree, tree sapling, tree seedling and shrub. At all scales, we found distinct riparian woody communities within land-use categories, with significant differences among shrub species. Fine-scale land-cover variables correlated with species composition of shrub, tree sapling and tree seedling strata, but not the canopy tree stratum. Celtis occidentalis and Acer negundo were ubiquitous but dominated riparian areas surrounded by development, while Asimina triloba was associated with forested rural riparian banks. Non-native shrubs, Lonicera maackii and Euonymus alatus, were indicative of areas surrounded by development, while the native shrub, Lindera benzoin, was associated with deciduous forest. Negative factor-ceiling relationships between canopy tree, sapling and tree seedling densities and % ISC were found, with abrupt declines above approximately 30 % ISC. Facultative wetland shrubs were not found above 30 % ISC. Streambank height, which was strongly negatively correlated with depth to the water table and positively correlated with cumulative catchment area, was negatively correlated with facultative wetland tree and shrub species. In addition, riparian tree sapling and seedling densities declined as the abundance of Lonicera maackii increased.  相似文献   
703.
In this study we examined the additive and multiplicative relations between poverty status, material hardship, liquid assets, non-liquid assets, and children’s cognitive skills and social problems at 36?months. The data were from a representative sample of 1,292 children in six rural counties in the United States. Findings indicated that income, material hardship, and non-liquid assets explained unique variation in young children’s development. Material hardship was associated with more social problems for children. Poverty status was associated with lower cognitive skills, and non-liquid assets were associated with higher cognitive skills at 36?months. We concluded that models that estimate the relation between poverty and child outcomes without including measures of hardship and assets could be underspecified.  相似文献   
704.
Psychoactive bath salts are a relatively new group of designer drugs sold as tablets, capsules, or powder and pur-chased in places such as tobacco and convenience stores, gas stations, head shops, and the Internet. Bath salts are stimulant agents that mimic cocaine,lysergic acid diethylamide, methamphetamine, or methylenedioxymethamphetamine (ecstasy). The most common bath salts are the cathinone derivatives 3,4-methylenedioxypyrovalerone(MDPV), 4-methylmethcathinone(mephedrone), and 3,4-methylenedioxy-N-methylcathinone (methylone). The drugs cause intense stimulation, eu-phoria, elevated mood, and a pleasurable "rush" Tachycardia, hypertension,peripheral constriction, chest pain, hallucinations, paranoia, erratic behavior,inattention, lack of memory of substance use, and psychosis have been observed in those who have used bath salts. The U.S. Drug Enforcement Administration recently exercised an emergency authority to name three key ingredients in bath salts as Schedule I, thereby making them illegal to possess or sell in the United States. Nursing implications related to both clinical and educational settings are discussed.  相似文献   
705.
706.
Does proximity matter? Distance dependence of adolescent friendships   总被引:1,自引:0,他引:1  
Geographic proximity is a determinant factor of friendship. Friendship datasets that include detailed geographic information are scarce, and when this information is available, the dependence of friendship on distance is often modelled by pre-specified parametric functions or derived from theory without further empirical assessment. This paper aims to give a detailed representation of the association between distance and the likelihood of friendship existence and friendship dynamics, and how this is modified by a few basic social and individual factors. The data employed is a three-wave network of 336 adolescents living in a small Swedish town, for whom information has been collected on their household locations. The analysis is a three-step process that combines (1) nonparametric logistic regressions to unravel the overall functional form of the dependence of friendship on distance, without assuming it has a particular strength or shape; (2) parametric logistic regressions to construct suitable transformations of distance that can be employed in (3) stochastic models for longitudinal network data, to assess how distance, individual covariates, and network structure shape adolescent friendship dynamics. It was found that the log-odds of friendship existence and friendship dynamics decrease smoothly with the logarithm of distance. For adolescents in different schools the dependence is linear, and stronger than for adolescents in the same school. Living nearby accounts, in this dataset, for an aspect of friendship dynamics that is not explicitly modelled by network structure or by individual covariates. In particular, the estimated distance effect is not correlated with reciprocity or transitivity effects.  相似文献   
707.
The authors explored the relationship between the career aspirations of 89 preadolescents from low socioeconomic backgrounds and the actual occupations of the working adults in their homes with regard to status, job gender identification, and interest ( Holland, 1997 ). There was a significant relationship between boys’ career aspirations and the occupations of the working male adults in their homes, specifically job gender identification and interest. More adult males had stereotypically male jobs—classified as Realistic by Holland (1997) —that was mirrored in the preadolescent boys’ career aspirations. There were no significant matches between the boys and working women or with the girls and the working adults of either gender.  相似文献   
708.
Over the last 20 years, research has questioned how well equipped newly qualified social workers are in relation to child care and protection. Recent inquiries have highlighted that some social workers have not recognised their responsibilities towards children and young people when they encounter them in the course of their duties. In England, Lord Laming's (2009) report The Protection of Children in England, following the death of Peter Connelly in Haringey, recommended a specialist child protection route as part of the social work degree and re‐opened the debate about the benefits of specialism versus genericism. In Scotland, when faced with similar challenges, Key Capabilities in Child Care and Protection were introduced to ensure that all social workers at the point of qualifying can evidence their knowledge and skills in relation to child care and protection. This paper describes their development. Copyright © 2010 John Wiley & Sons, Ltd.
‘Introduced to ensure that all social workers at the point of qualifying can evidence their knowledge and skills’

Citing Literature

Number of times cited according to CrossRef: 2

  • Margaret Bruce, The Voice of the Child in Child Protection: Whose Voice?, Social Sciences, 10.3390/socsci3030514, 3 , 3, (514-526), (2014). Crossref
  • Jane V. Appleton, Peter Sidebotham, Child Protection and Mental Health, Child Abuse Review, 10.1002/car.2220, 21 , 3, (153-156), (2012). Wiley Online Library

Volume 21 , Issue 3 May/June 2012

Pages 190-202  相似文献   

709.
Allocation of at most n recoverable items among m demand locations is considered. Items are assumed to be demanded singly and independently and are eventually returned to the demand location. If a stockout occurs, the demand is lost and a penalty corresponding to lost profit is assessed. The allocation that minimizes the sum of expected stockout costs plus holding costs is readily obtained. An example involving allocation of rental cars among outlets is solved in detail.  相似文献   
710.
Wealth is an important measure of economic well-being, because while income captures the current state of inequality, wealth has the potential for examining accumulated and historically structured inequality. This presentation documents the extent of gender inequality in wealth for Canadian women and men aged 45 and older. The analysis uses data from the 1999 Canadian Survey of Financial Security, a large nationally representative survey of household wealth in Canada. Wealth is measured by total net worth as measured by total assets minus debt. We test two general hypotheses to account for gender differences in wealth. The differential exposure hypothesis suggests that women report less wealth accumulation because of their reduced access to the material and social conditions of life that foster economic security. The differential vulnerability hypothesis suggests that women report lower levels of wealth because they receive differential returns to material and social conditions of their lives. Support is found for both hypotheses. Much of the gender differences in wealth can be explained by the gendering of work and family roles that restricts women's ability to build up assets over the life course. But beyond this, there are significant gender interaction effects that indicate that women are further penalized by their returns to participation in family life, their health and where they live. When women do work, net of other factors, they are better able to accumulate wealth than their male counterparts.  相似文献   
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