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91.
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   
92.
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   
93.
94.

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   
95.
Most gambling studies have a gender-blind research approach, although a large body of scientific evidence suggests that gambling in females is on the rise and that males and females have different gambling behaviours and experience specific gambling-related harm. This study addressed these gender differences using a network analysis, an innovative approach considering disorders/concepts as dynamic systems of interacting symptoms/items. Data on gambling activities, problem gambling, substance use and mental health were collected in a representative sample of French adult gamblers (n = 8805). The study capitalized on the network analysis directly to compare associations of specific gambling activities with gambling disorder symptoms separately for both genders. The network analysis revealed that problem gambling was strongly associated with gambling machines among females, whereas it was related to sports betting, poker and casino games among males. The networks that included substance use and mental health showed that substance use was related to specific gambling activities. These findings confirm the links between various gender-specific gambling patterns and problem gambling and suggest a need to consider these gender differences to improve prevention efforts. More broadly, the present study further supports the importance of gender differences for gambling research and policy.  相似文献   
96.
97.
This study investigated youth's modeling of and deidentification from parents in romantic relationships using two phases of data from adolescent siblings, mothers, and fathers in 246 Mexican‐origin families. Each parent reported his and her marital satisfaction and conflict, and youth reported on parent–adolescent warmth and conflict at Time 1. Youth's reports of modeling of and deidentification from their mothers and fathers and three romantic relationship outcomes were assessed at Time 2. Findings revealed that higher parental marital satisfaction, lower marital conflict, and higher warmth and lower conflict in parent–adolescent relationships were associated with more modeling and less deidentification from parents. Moreover, higher deidentification was linked to a greater likelihood of youth being involved in a romantic relationship and cohabitation, whereas more modeling was linked to a lower likelihood of cohabitation and older age of first sex. Discussion underscores the importance of assessing parental modeling and deidentification and understanding correlates of these processes.  相似文献   
98.
An individual’s, and indeed the nation’s, social and economic futures are highly dependent on early childhood development (ECD) outcomes, with poor ECD inhibiting future opportunities. Ecological ECD literature describes family, community and institutions as being key factors in children’s wellbeing, with suggestions that community factors may ameliorate impacts of poor ECD. It is therefore important to develop a greater understanding of those modifiable factors that positively, and negatively, affect ECD outcomes so as ECD policy and practice can be designed and implemented effectively. One approach to this analysis is through the identification and analysis of influencing factors identified within off-diagonal communities—that is those communities where children have either developed well in consideration of their high-levels of socio-economic disadvantage, or developed poorly in consideration of their low levels of socio-economic disadvantage. In this paper we describe a new method for the identification of off-diagonal communities. The method provides a clear and transparent approach to community selection, including a range of methods to further interrogate the community selection ensuring a rigorous and considered selection process. This new method, based on population Census and Australian Early Development Census data, provides the first step in identifying community factors likely to facilitate childhood wellbeing. These findings could inform policy making to reduce inequities by assisting in policy and service delivery design targeted to community needs.  相似文献   
99.

Objective

To identify the risk factors for preterm birth, low birthweight and small for gestational age babies among remote-dwelling Aboriginal women.

Methods

The study included 713 singleton births from two large remote Aboriginal communities in Northern Territory, Australia in 2004–2006 (retrospective cohort) and 2009–2011 (prospective cohort). Demographic, pregnancy characteristics, labour and birth outcomes were described. Multivariate logistic regression analysis was conducted and adjusted odds ratios were reported.

Results

The preterm birth rate was 19.4%, low birthweight rate was 17.4% and small for gestational age rate was 16.3%. Risk factors for preterm birth were teenage motherhood, previous preterm birth, smoker status not recorded, inadequate antenatal visits, having pregnancy-induced hypertension, antepartum haemorrhage or placental complications. After adjusting for gender and birth gestation, the only significant risk factor for low birthweight was first time mother. The only significant risk factor for small for gestational age baby was women having their first baby.

Conclusions

Rates of these events are high and have changed little over time. Some risk factors are modifiable and treatable but need early, high quality, culturally responsive women centred care delivered in the remote communities themselves. A different approach is recommended.  相似文献   
100.
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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