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21.
The aim is to refine recent discussion about the process of compensation under conditions of organic impairment in order to better understand how the concept has been addressed by cultural-historical researchers. From a dialogue among contemporary authors and the examination of the case of a student with multiple disabilities confronting the schooling process, we draw attention to how meaning has an effect upon complex functional systems and paves the way for new forms of human development. We conclude that it is important to challenge the relevance of the term compensation in its connection with the notion of human constitution.  相似文献   
22.
This study compares the efficacy of 2 psychoeducational interventions—ACCENT skills-based and didactic information only—to prevent HIV among Portuguese women. At posttest and follow-up, participants in both intervention groups (n = 127) were more knowledgeable about HIV than at baseline. Although both intervention groups showed an increase in self-reported condom use over time, differences were marginally stronger in the ACCENT group. Both intervention groups showed more positive results than the non-intervention control group (n = 33). The study suggests that HIV prevention interventions can produce significant changes when they target a set of knowledge, social, and cognitive variables relevant to sexual behavior change.  相似文献   
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25.

Aim

To assess the relationship between the duration of the second stage of labour and postpartum anaemia during vaginal birth.

Methods

An observational, analytical retrospective cohort study was performed at the “Mancha-Centro Hospital” (Spain) during the 2013–2016 period. Data were collected from 3437 women who had a vaginal birth. Postpartum anaemia was defined as a haemoglobin level below 11 g/dL at 24 h postpartum. A univariate analysis was used for potential risk factors and a multivariate analysis with binary logistic regression to control for possible confounding factors.

Findings

The incidence of postpartum anaemia was 42.0%. The risk of postpartum anaemia did not increase in nulliparous women whose duration of the second stage of labour exceeded 4 h. Compared with multiparous women who delivered between 0 and 3 h, multiparous women with a duration of the second stage of labour beyond 3 h were at higher risk of postpartum anaemia (OR = 2.43 [1.30–4.52]).

Conclusion

The duration of the second stage of labour beyond 4 h is safe for postpartum anaemia in nulliparous women. However in multiparous women, monitoring should increase if the second stage of labour exceeds 3 h given the increased risk of postpartum anaemia.  相似文献   
26.

Background

The rates of breastfeeding worldwide are slowly improving since 1996. Europe is still trailing behind the global breastfeeding incidence and prevalence rates. Thus, breastfeeding promotion, protection, prolongation and support have become an important challenge as breastfeeding sharply decreases in the first six months of life.

Objectives

The aim of this project is to determine, assess and identify the real impact of breastfeeding support networks in Murcia (Spain).

Methods

After searching unsuccessfully for a validated questionnaire, a specific one was developed and validated for measuring the impact of formal and informal support networks through five dimensions: satisfaction, consultation, experience, problems and support. The questionnaire was provided to 500 mothers with experience in breastfeeding, who brought their children to baby paediatricians between 2 June and 27 November 2014. Upon completion of the survey and fieldwork, a detailed statistical analysis was conducted.

Results

The degree of satisfaction perceived by the users of the services of support breastfeeding networks is remarkable. In addition, mothers who clarified their doubts and discussed their problems with health professionals and/or breastfeeding support networks were more likely to breastfeed for a longer duration compared to those who did not (p = 0.005). Furthermore, mothers who sought support in breastfeeding are more likely to breastfeed for more than 6 months (p < 0.0005).

Conclusion

Based on this information, we conclude that breastfeeding support networks have a positive influence in the duration of a women’s decision to breastfeed.  相似文献   
27.
The 2014 release of a new set of purchasing power parity (PPP) conversion factors (PPPs) for 2011 has prompted a revision of the World Bank’s international poverty line. In revising the line, we have sought to minimize changes to the real purchasing power of the earlier $1.25 line (in 2005 PPPs), so as to preserve the integrity of the goalposts for international targets such as the Sustainable Development Goals (SDGs) and the World Bank’s twin goals – which were set with respect to that line. In particular, the new line was obtained by inflating the same fifteen national poverty lines – originally used by Ravallion et al. (World Bank Econ. Rev. 23(2): 163–184 2009) to construct the $1.25 line – to 2011 prices in local currency units, and then converting them to US dollars using 2011 PPP conversion factors. With a small approximation, this procedure yields a new international poverty line of $1.90 per person per day. In combination with other changes described in the paper, this revision leads to relatively small changes in global poverty incidence for 2011: from 14.5 % using the old method to 14.1 % using the new method. In 2012, the new reference year for the global count, we find 12.7 % of the world’s population, or 897 million people, are living in extreme poverty. There are changes in the regional composition of poverty, but they are also relatively small. This paper documents methodological decisions taken in the process of updating both the poverty line and the consumption and income distributions at the country level, including issues of inter-temporal and spatial price adjustments. It also describes various caveats and limitations of the approach taken.  相似文献   
28.
This article addresses the question of why Portugal is an exception among southern European countries in having a high rate of female employment. Cross‐national data show an even greater gap between Portugal and its southern European neighbours in the employment rates for low‐educated women. This article presents case‐based evidence on the work orientations, gender relations and reconciliation strategies of low‐educated women working in the clothing industry in Portugal. The analysis reveals that while economic need plays an important role in their attachment to employment, their work decisions are forged by a complex set of attitudes regarding employment and the family. Traditional values regarding the role of women in the family co‐exist with more modern values regarding their employment participation. Moreover, the institutional arrangements of childcare and reconciliation also appear to be more supportive than might be expected in a southern Europe welfare state. By focusing on a particular group of low‐educated women, the findings suggest that the same welfare policies may have different impacts on the reconciliation strategies of women of different socioeconomic groups.  相似文献   
29.
This work is based on the ergonomic approach and the principles of universal design, with the aim of establishing the cognitive design features that interfaces must comply, for older adults achieve a good performance during their interaction with technological aids. Describes the analysis of exploratory experiences with a group of 17 older adults was aimed first to establish the main barriers to implementation that arise during these activities, and secondly to set the variables to be addressed and the procedure required to develop depth study, where the relationship establish between the quality of the stimuli and the level of performance achieved in the implementation of older adults with interfaces, observing each of the cognitive functions that promote independence, attention, motivation, memory these processes. The study in depth, looking for describe gaps and mismatches encountered during execution, which hamper the harmonious interaction processes through participatory methodological approach that allows to specify requirements for the creation of stimulating interfaces for cognitive skills and committed with the levels of autonomy of the elderly.  相似文献   
30.
This paper, which stems from a developing research project, aims to disseminate among the international scientific community the thought of Daciano da Costa (1930-2005) given the importance he conferred to Ergonomics, throughout his teaching career and his professional practice as a reference figure in the Design of the twentieth century in Portugal. We focus on the important role played by Ergonomics within the conceptual Design process, through the case study Daciano da Costa.What Daciano brought to the practice and teaching was a modernization of processes, a new perspective on the emerging themes of design, like ergonomics. Daciano believed that designing was providing a service. This task was understood as the building of a relationship with users. One of his distinguished features was the particular attention he paid to the unique aspects of the scale of proximity: the scale of the hand, of the immediate gesture, of the body. As a professor he insisted not so much on the end product, but rather on the recognition of the research process and how it was conducted. When designing, developing and supervising the exercises he set, ergonomic factors were one of his main concerns.  相似文献   
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