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701.
This study examined 587 Turkish adolescents’ (Mage = 13.14, SD = 1.61) judgments and bystander responses towards hypothetical intragroup interpersonal (Turkish victim) and intergroup bias-based (Syrian refugee victim) bullying. Intergroup factors and social-cognitive skills were assessed as predictors. Findings revealed that adolescents were less likely to see bullying as acceptable and less likely to explicitly support the bully in intragroup interpersonal bullying compared to intergroup bias-based bullying. Further, adolescents with higher theory of mind and empathy were more likely to evaluate intergroup bias-based bullying as less acceptable and more likely to challenge the bully. Adolescents’ prejudice and discrimination towards refugees were predictors of bystander judgments and responses to intergroup bias-based bullying. This study provides implications for anti-bullying intervention programs.  相似文献   
702.
703.
Research on widowhood mostly emphasizes negative outcomes, but some studies suggest widows are resilient. This study evaluated the in-depth daily experiences of older widows compared to married women. Participants included 75 widows and 125 married women from the National Study of Daily Experiences II, who completed daily diaries over 8 days. For long-term widows, there were no differences compared to married women in daily and general well-being, and a few differences in time use. Results add to the literature by using daily diary data to illustrate the general resilience of older women many years after the death of a spouse.  相似文献   
704.
Long-range-dependent time series are endemic in the statistical analysis of Internet traffic. The Hurst parameter provides a good summary of important self-similar scaling properties. We compare a number of different Hurst parameter estimation methods and some important variations. This is done in the context of a wide range of simulated, laboratory-generated, and real data sets. Important differences between the methods are highlighted. Deep insights are revealed on how well the laboratory data mimic the real data. Non-stationarities, which are local in time, are seen to be central issues and lead to both conceptual and practical recommendations.  相似文献   
705.
Scotland has a lower life expectancy than any country in Western Europe or North America, and this disadvantage is concentrated above age 50. According to the Human Mortality Database, life expectancy at age 50 has been lower in Scotland than in any other developed country since 1980. Relative to 15 developed countries that we have chosen for comparison, Scotland's life expectancy in 2009 at age 50 was lower by an average of 2.5?years for women and 1.6?years for men. We estimate that Scottish women lost 3.6?years of life expectancy at age 50 as a result of smoking, compared to 1.4?years for the comparison countries. The equivalent figures among men are 3.1 and 2.1?years. These differences are large enough for the history of heavy smoking in Scotland to account both for most of the shortfall in life expectancy for both sexes and for the country's unusually narrow sex differences in life expectancy.  相似文献   
706.

Background

The birth of an extremely preterm infant can disrupt normal mother–infant physical contact and the care provided by the mother. This situation has an impact on the process of bonding between the mother and the child.

Aim

The objective of this study was to describe and understand the experiences of mothers who have extremely preterm infants admitted in Neonatal Intensive Care Units with regard to their bonding process.

Methods

An interpretive, qualitative research methodology using Gadamer’s philosophical hermeneutics was carried out. A focus group and eleven in-depth, semi-structured interviews were conducted. Data were collected between June and September of 2016.

Findings

Sixteen women with a mean age of 34.4 years participated in the study. Two themes emerged from the data analysis: (1) premature labour and technological environment, a distorted motherhood, with the subthemes ‘feeling of emptiness and emotional crisis’ and ‘the complexity of the environment and care generate an emotional swing’; (2) learning to be the mother of an extremely preterm infant, with the subthemes “the difficulty of relating to a stranger” and ‘forming the bond in spite of difficulties’.

Conclusions

The bonding with extremely preterm infants is interrupted after giving birth. The maternal emotional state and the environment of the neonatal intensive care unit limit its development. Nursing care can facilitate mother–infant bonding by encouraging communication, participation in care, massaging or breastfeeding.  相似文献   
707.

Background

Postpartum anaemia is a frequent and potentially preventable complication that has serious repercussions on health and maternal well-being.

Aim

Determine the incidence and perinatal risk factors associated with postpartum anaemia in women who gave birth vaginally.

Methods

An observational and analytical retrospective cohort study conducted at the Mancha-Centro Hospital during the 2010–2014 period. Data were collected from 2990 women who gave birth vaginally. The main outcome variable was postpartum anaemia for two cut-off points (haemoglobin (Hb) <11 g/dL and <9 g/dL at 24-h postpartum). Women with prepartum anaemia (<11 g/dL) were excluded. It included a multivariate analysis by multiple linear regression.

Findings

45% (1341) of women had postpartum levels of Hb <11 g/dL, and 7.1% (212) of women had Hb <9 g/dL. The most strongly associated risk factors with more severe anaemia (Hb <9 g/dL) were episiotomy (OR 3.19. 95%CI: 2.10-4.84), first stage of labour >9 h (OR 2.50. 95%CI: 1.58-3.94), primiparity (OR 2.50. 95%CI: 1.61–3.87) and previous caesarean section (OR 2.43. 95%CI: 1.51–3.90). The other independent risk factors for both Hb cut-off points were prolonged second stage of labour, instrumental birth, tearing > first degree, non-practice of active management and heavier birth weight of newborns.

Conclusion

Postpartum anaemia has a high incidence. The active management of third stage of labour, selective practice of episiotomies, and performing instrumental births only when strictly necessary are efficient measures to lower the incidence of postpartum anaemia.  相似文献   
708.

Background

Midwives being ‘with woman’ is embedded in professional philosophy, standards of practice and partnerships with women. In light of the centrality of being ‘with woman’ to the profession of midwifery, it is timely to review the literature to gain a contemporary understanding of this phenomenon.

Aim

This review synthesises research and theoretical literature to report on what is known and published about being ‘with woman’.

Methods

A five step framework for conducting an integrative literature reviews was employed. A comprehensive search strategy was utilised that incorporated exploration in electronic databases CINAHL, Scopus, Proquest, Science Direct and Pubmed. The initial search resulted in the retrieval of 2057 publications which were reduced to 32 through a systematic process.

Findings

The outcome of the review revealed three global themes and corresponding subthemes that encompassed ‘with woman’: (1) philosophy, incorporated two subthemes relating to midwifery philosophy and philosophy and models of care; (2) relationship, that included the relationship with women and the relationship with partners; and (3) practice, that captured midwifery presence, care across the childbirth continuum and practice that empowers women.

Conclusion

Research and theoretical sources support the concept that being ‘with woman’ is a fundamental construct of midwifery practice as evident within the profession’s philosophy. Findings suggest that the concept of midwives being ‘with woman’ is a dynamic and developing construct. The philosophy of being ‘with woman’ acts as an anchoring force to guide, inform and identify midwifery practice in the context of the rapidly changing modern maternity care landscapes. Gaps in knowledge and recommendations for further research are made.  相似文献   
709.
Sexual concordance (the relationship between genital and self-reported sexual responses) may be associated with orgasm consistency (OC; the proportion of sexual acts leading to orgasm) during penile–vaginal intercourse (PVI) in women. We investigated the relationship between women’s sexual concordance (assessed using different stimulus modalities and self-reported sexual arousal methods) and OC during various sexual activities (assessed using different types of questions). For Study 1 (n = 51), when sexual concordance was assessed using audiovisual sexual stimuli, we did not find a statistically significant relationship between OC and poststimulus self-reports of sexual arousal or genital sensations, raw values of OC, or ranges of OC. For Study 2 (n = 44), where sexual concordance was assessed using audionarrative sexual stimuli, we did find a statistically significant relationship between PVI OC and sexual concordance using change in self-reported sexual arousal, and ranges of orgasm consistency. Two findings were inconsistent with previous research. First, OC varied significantly by activity type in both studies; masturbation yielded the highest OC. Second, PVI OC was significantly related to oral sex and masturbation OC (Study 2). We discuss the need for further research and various factors that may affect women’s orgasm consistency and sexual concordance.  相似文献   
710.
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