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91.
This qualitative, grounded theory study investigated 11 families who reported having successfully integrated into their family unit at least one older/special needs adoptee. The theory that emerged through the constant comparative methodology consisted of two categories (Decision to Adopt and Adjustment) and a core category (Developing a Sense of Family). The two categories and core category comprised a process that was informed by the Family Narrative Paradigm and culminated in the successful integration of the child or children into the existing family unit. Parental perceptions that appeared to facilitate this process included: (a) finding strengths in the children overlooked by previous caregivers, (b) viewing behavior in context, (c) reframing negative behavior, and (d) attributing improvement in behavior to parenting efforts.  相似文献   
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ABSTRACT

An enduring challenge for HRD is ensuring academic research achieves impact on professional practice. We have located this research within debates about the research-practice gap. To investigate this challenge, we analyse case studies of academic impact from all disciplines submitted to the United Kingdom’s 2014 research assessment exercise (REF 2014). We found that Learning and Development was a primary focus of significant number of impact case studies submitted across all disciplines compared to other areas of HR and HRD. We also found that Learning and Development was a key path to Impact. These findings reveal that Learning and Development in a work context plays a pivotal role in helping researchers irrespective of discipline achieve impact. Our findings therefore speak to the research-practice gap across academia. We conclude by considering the potential role for HRD in generating impact.  相似文献   
94.
In this paper, I will attempt to address questions about the dynamics of anorexia within family relationships, the ways in which anorexic thinking encapsulates itself in the mind, and how it can leave both the therapist and the family feeling ‘starved out’. I will also address some organisational issues, in the ways the therapeutic agency can come to mirror the anorexic dilemma. How does the metaphor of ‘growing’ and ‘growing up’ join with the anorexic crisis? I will discuss the cases of both a boy and a girl with anorexia, in order to think about the dynamic differences in the ‘becoming of a man’ and the ‘becoming of a woman’.  相似文献   
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Problem

Supplementation of breastfed babies is common during the hospital stay.

Background

The Baby Friendly Hospital Initiative (BFHI) optimises practices to support exclusive breastfeeding, yet supplementation is still prevalent.

Objective

To determine predictors for supplementation in a cohort of breastfed babies in a Baby-Friendly hospital.

Methods

Electronic hospital records of 1530 healthy term or near term singleton infants and their mothers were examined retrospectively and analysed to identify factors associated with in-hospital supplementation using Poisson regression (unadjusted and adjusted).

Findings

Fifteen percent of breastfed infants were supplemented during their hospital stay. Analysis by multivariable Poisson regression found that supplementation was independently associated with overweight (reference normal weight) (aRR [adjusted relative risk] = 1.46; 95% CI: 1.11–1.93); primiparity (aRR = 1.40; 95% CI: 1.09–1.80); early term gestation (37–376 weeks, aRR = 2.79; 95% CI: 1.88–4.15; 38–386 weeks, aRR = 2.03, 95%CI: 1.46–2.82); birthweight less than 2500 grams (reference 3000–3499 grams) (aRR = 3.60; 95% CI: 2.32–5.60) and use of postpartum uterotonic (aRR = 2.47; 95% CI: 1.09–5.55). Greater than 65 minutes of skin-to-skin contact at birth reduced the risk of supplementation (aRR = 0.66; 95% CI; 0.48–0.92).

Conclusion

These identified predictors for supplementation, can inform the development of interventions for mother-infant pairs antenatally or in the early postpartum period around increased breastfeeding education and support to reduce supplementation. It may also be possible to reduce supplementation through judicious use of postpartum uterotonics and facilitation of mother-infant skin-to-skin contact at birth for greater than one hour duration.  相似文献   
97.
We seek to explain the development of the educational gap between children in “out‐of‐home care” (CLA), children deemed in social need (CIN), and other pupils. A cohort of 642,805 pupils aged 16 in 2013 was used to chart the educational progress of the full cohort, the CLA (n = 6,236), the CIN in 2012 or 2013 but not CLA (n = 20,384), and a sample individually matched with the CLA (n = 11,084). At age 7, attainment of the CLA and CIN was approximately 1 standard deviation lower than the cohort average and predicted attainment at 16. At this point, the persistent “CIN” (those with earlier and persistent needs) had the lowest attainment relative to others, and this declined further during secondary school. Those entering care before or during primary school had very low attainment at age 7, but their relative attainment did not decline. Attainment of CLA and CIN at age 16 likely reflects early environment, special educational needs, and poor relationships with secondary school. Policy, research, and intervention should focus on CIN as well as CLA, do so before entry to care, and take account of the onset of, and probable reasons for, educational difficulties.  相似文献   
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99.
The Tea Party Movement (TPM) burst onto the political scene following the 2008 elections. Early on, the movement attracted broad public support and seemed to tap into a variety of cultural concerns rooted in the changing demographic, political, and economic face of the nation. However, some observers questioned whether the Tea Party represented anything more than routine partisan backlash. And what had started as a seemingly grassroots movement that changed the face of American politics in the 2010 election was reduced to being mainly a caucus within Congress by 2012. In this article, we examine the cultural and political dimensions of Tea Party support over time. Using polling data from North Carolina and Tennessee and quantitative media analysis, we provide new evidence that cultural dispositions in addition to conservative identification were associated with TPM favorability in 2010; that these dispositions crystallized into shared political positions in 2011; and that by 2012 little distinguished TPM adherents from other conservatives.  相似文献   
100.
The purpose of this research was to examine governance in the New Zealand outdoor activity sector. We conducted 35 interviews with key personnel from organisations with responsibility for national co-ordination, education, and membership services. Using Brandsen and Pestoff’s (Public Manag Rev 8(4):493–501, 2006) co-processes framework, we describe and analyse governance of the outdoor sector. In so doing, we provide insight into the challenges facing this complex sector with regard to funding and stakeholder relationships, programme delivery, and personality conflicts. We also contribute by highlighting some of the shortcomings of the co-processes model, and offer constructively critical insights for its development.  相似文献   
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