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91.

Problem

Although the World Health Organization and American Academy of Pediatrics recommend exclusive breastfeeding for the first six months, only 22% of U.S. mothers do so. Mothers’ perceived insufficient milk (PIM) is the primary reason for breastfeeding discontinuation globally. There are two changeable causes of PIM: (1) mothers’ misinterpretation of their infant’s behavior, and (2) mothers’ lack of confidence in their ability to breastfeed.

Aim

The purpose of this study was to evaluate the short-term effect of a home-based intervention designed to prevent and/or reduce PIM.

Methods

A mixed-methods, single-group, pretest-midtest-posttest design was used for evaluating a home-based breastfeeding program. The program was implemented during three 1.0- to 1.5-h home intervention sessions at 6, 13, and 27 days postpartum, delivered to 14 dyads of breastfeeding mothers and their full-term singleton infants.

Findings

We found significant increases over time in mothers’ sensitivity to infant behavior and breastfeeding self-efficacy as well as significant decreased attribution of infant crying to PIM. Exit interviews indicated that the program was accepted by participating mothers.

Discussion

This is the first intervention study that has directly targeted the causes of PIM. The home-based intervention has the potential to add to maternal competencies both in correctly assessing their infants’ behavior, thereby preventing erroneous attribution of infant behavior to PIM, as well as simultaneously bolstering maternal confidence in breastfeeding skills.

Conclusion

By building maternal competencies, the home-based intervention has a longer-range potential to prevent breastfeeding discontinuation. Further evaluation is warranted.  相似文献   
92.
The study of human resource management (HRM) has been invigorated by the promise that there is a best-practice, high-involvement management (HIM) that can guarantee superior organizational performance. None the less, there remain concerns that contingency theory still rules, that is, that the fit between the human resource systems and their context, and particularly the organization's business strategy, is all important and, thus, that HIM will only outperform other systems in certain circumstances. In the 1990s, there has been a spate of research that has sought to test whether HIM is indeed universally relevant. This paper reviews these studies. The paper first introduces the conceptual dimensions of the debate concerning HRM and performance. This shows that the issues go beyond a simple competition between universalism and contingency theory. There are more complicated hypotheses linking human resource practices beneath the surface of the recent literature. The second part of the paper overviews the studies in the light of these hypotheses, revealing that they present an uneven picture. Firstly, there are conceptual differences underlying the studies and, secondly, the results vary between them, and the effects of HIM vary between performance measures even in particular studies. Though a fair number of the studies claim to support universalism, their claims are not always unequivocally supported by their research evidence, and it is premature to conclude in its favour. If anything, there is more support for the 'lean production' argument that stresses the interaction effect between HIM and total quality management on performance.  相似文献   
93.
Statistics and Computing - Existing parametric regression models in the literature for response data on the unit sphere assume that the covariates have particularly simple structure, for example...  相似文献   
94.
It has been noted that adolescents may be more susceptible to pathological gambling. Not only is it usually illegal, but it appears to be related to high levels of problem gambling and other delinquent activities such as illicit drug taking and alcohol abuse. This paper examines risk factors not only in adolescent gambling but also in videogame playing (which shares many similarities with gambling). There appear to be three main forms of adolescent gambling that have been widely researched. Adolescent gambling activities and general risk factors in adolescent gambling are provided. As well, the influence of technology on adolescents in the form of both videogames and the Internet are examined. It is argued that technologically advanced forms of gambling may be highly appealing to adolescents.  相似文献   
95.
PERT techniques logically arrange all related tasks involved in completing a major process. Tasks can be examined in relationship to each other and one can determine whether—and, if so, by how much—changes in the length of time to perform one task affect overall completion time. When applied to the export process, PERT techniques allow one to examine trade-offs between alternatives such as air and water shipping; and to calculate values of accelerating each task.  相似文献   
96.
97.
This article examines the relationships between neighborhood racial and income composition and healthy food availability. We explore the extent to which physical and social isolation affects healthy food availability for groups marginalized by race and class in a context largely missing from the literature. We use census tract data and five‐year estimates from the American Community Survey to produce maps illustrating the patterns of race and income composition in Topeka, Kansas. Included in these maps are data points illustrating the distribution of stores offering healthy foods. We find that, as in the large metro areas analyzed thus far, the distribution of healthy food stores in Topeka is similarly patterned. Blacker (and poorer) neighborhoods tend to have the lowest levels of healthy food availability. We conclude with a discussion of the relevance of this work to the knowledge base regarding food environments and health in the United States.  相似文献   
98.
In an ecosystem of management journals dominated by US heavyweights, the British Journal of Management (BJM) assumes a unique role. There is no other European business and management journal of the standing and stature of this journal that seeks both to be multidisciplinary and to appeal to a general readership of business and management scholars. This is a tribute to the efforts of previous editorial teams. At the same time, the journal faces the challenge of remaining relevant both to the immediate British Academy of Management community and to the wider scholarly one, while raising its own game in pioneering and leading debates, and in global esteem.  相似文献   
99.
100.
Against the backdrop of several concerning reports which have noted growing socio-religious conservatism and intolerance amongst Indonesia youth, this study examined how school-aged Indonesian young people navigate encounters with religious difference in their everyday lives. Recognising the significance of religious and citizenship education curricula, the research included classroom observations and interviews with 20 religiously-diverse Indonesian young people in three purposively selected high schools in Jakarta. The paper reveals that participants in all three schools agreed that religious studies and their personal religious frameworks were central to their approaches toward religious tolerance. However, their lived everyday experiences of rubbing shoulders with religious ‘others’, expanded upon and critiqued the narrowness and rigidity of these frameworks and showed greater religious inclusivity. Through this analysis the paper integrates prior work on ‘lived religion’ and ‘lived citizenship’ to fuse a ‘lived religious citizenship’ concept, arguing that this adds depth to both fields by recognising that religion cannot be separated from the experience of being a citizen. A focus on lived religious citizenship provides a deeper account of individual identity and highlights the importance of qualitative studies focused on the living out of religion and citizenship.  相似文献   
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