Breastfeeding and emerging motherhood identity: An interpretative phenomenological analysis of first time Chinese Australian mothers’ breastfeeding experiences

BackgroundChinese Australian mothers are more likely than the general Australian mothers to introduce formula in the first month of age. A better understanding of the context of formula introduction in the early weeks of birth can provide a deeper insight into how Chinese Australian mothers can be supported to continue exclusive breastfeeding.MethodsAn interpretative phenomenological analysis approach was used to examine the lived breastfeeding experiences of 11 first time Chinese mothers in Australia. The experiences of those who breastfed exclusively were compared to those who introduced formula in the first month after birth.FindingsAn overarching theme across all participants’ narratives was the meaning ascribed to breastfeeding in their emerging motherhood identity. Breastfeeding could be a pragmatic and a socially desirable method to nourish an infant but lacking personal identification to the mother. These mothers were more vulnerable to the early introduction of formula, especially when the support environment was lacking. Maternal identity conflict was common and negatively impacted exclusive breastfeeding and mothers’ mental health. In contrast, mothers who identified closely with breastfeeding showed greater persistence and enjoyment in breastfeeding and were more likely to continue breastfeeding exclusively. Health professionals were perceived to have an important influence in strengthening maternal breastfeeding motivation and self-efficacy.ConclusionBreastfeeding support to Chinese Australian mothers needs to consider how breastfeeding can be better integrated with their motherhood identity. Health professionals are well-positioned to facilitate this process through a better understanding of mothers’ cultural and social contexts around breastfeeding.     

Media exposure and the engaged citizen: How the media shape political participation

Media exposure is widely known to increase institutional forms of political participation such as voting. Less well understood is whether media exposure also affects protest, a less institutional form of engagement. This paper examines the mechanics through which this relationship operates by considering the media's direct and indirect effect on voting and protesting, via political trust, efficacy, and knowledge. We make these comparisons by analyzing the unique Jennings panel dataset that collects information on respondents at three separate points. The results show that media exposure affects voting more than protesting and that these relationships operate through different mechanisms. While media exposure leads to voting because it increases political knowledge, it is associated with protest via external political efficacy. Furthermore, while this relationship is causal for voting it is only correlational for protest. The results illustrate the importance of disentangling forms of political engagement when considering media effects.     

话语行为效能的运作机制

语言是行为的符号表达,话语行为大于语言符号,因而话语行为效能研究着眼于话语的建构意图、建构过程与行为效能,建立并运用话语行为过程分析法,基于大量日常话语分析,归纳得出话语行为效能的运作机制.即:在功能需求的驱使下,产生话语行为的动机——语旨;为了实现语旨,话语主体借助语用策略,调配语境、语情等非语言要素和语义句模、情态范畴等语言要素,共同形成话语表达,从而产生语效,实现交际意图,满足功能需求.     

单一制与联邦制下的行政监察效能比较——对传统认识偏差的两点修正

行政监察系行政权力系统内部上级对下级行使权力过程和结果的察看与督促,因其明显的行政系统内部性特征而遭遇传统权力监控理论视域的不信任偏见,同时传统观念对单一制政府与联邦制政府下的权力监控效能优劣也存在某些认识偏差。从行政监察效能的角度切入考察,可以对这两种既有认识偏差做出适当的修正。     

Leadership efficacy: Review and future directions

The concept of leader efficacy has received relatively little attention in the leadership literature. This is somewhat surprising given that effective leadership requires high levels of agency (i.e., deliberately or intentionally exerting positive influence) and confidence. This review uses existing theory and research on leader efficacy as a point of departure for proposing an expanded and multi-level framework for understanding the domain of leadership efficacy that includes leader, follower, and collective efficacies. The primary goals are to provide a conceptual framework to stimulate future theory and research on building efficacious leadership and to understand how such leadership develops and has implications for effective performance.     

Estimation of Stratified Mark‐Specific Proportional Hazards Models with Missing Marks

Abstract. An objective of randomized placebo‐controlled preventive HIV vaccine efficacy trials is to assess the relationship between the vaccine effect to prevent infection and the genetic distance of the exposing HIV to the HIV strain represented in the vaccine construct. Motivated by this objective, recently a mark‐specific proportional hazards (PH) model with a continuum of competing risks has been studied, where the genetic distance of the transmitting strain is the continuous ‘mark’ defined and observable only in failures. A high percentage of genetic marks of interest may be missing for a variety of reasons, predominantly because rapid evolution of HIV sequences after transmission before a blood sample is drawn from which HIV sequences are measured. This research investigates the stratified mark‐specific PH model with missing marks where the baseline functions may vary with strata. We develop two consistent estimation approaches, the first based on the inverse probability weighted complete‐case (IPW) technique, and the second based on augmenting the IPW estimator by incorporating auxiliary information predictive of the mark. We investigate the asymptotic properties and finite‐sample performance of the two estimators, and show that the augmented IPW estimator, which satisfies a double robustness property, is more efficient.     

Pilot Evaluation of a Sexual Abuse Prevention Program for Taiwanese Children

The purpose of the current study was to develop and evaluate the efficacy of a school-based child sexual abuse prevention program for Taiwanese children. Forty-six Taiwanese children age 6 to 13 were divided into one of two groups based on their school grade and then randomly assigned to a skills-based child sexual abuse prevention program who received training immediately or a waiting-list control condition who received the training after a delay. Children's self-protection skills improved regardless of age after participation in the program. The program, however, did not successfully improve children's knowledge of sexuality and safety. Although future studies should modify the program content to better target knowledge of sexuality and safety, these results are promising for a pilot of this skills-based CSA prevention program in Taiwan.     

Using Photovoice to Empower Youth and Adults to Prevent Crime

Photovoice empowers residents to use photographs to identify neighborhood concerns. Although Photovoice has been used to facilitate dialogue and action among residents to address a variety of issues, including neighborhood crime, it has not been used as part of an intervention to promote collective efficacy. This project integrated Photovoice into a crime-prevention program the goal of which was to facilitate collective efficacy, which. in turn, has been associated with lower levels of neighborhood crime and violence. Twenty-four racially diverse youth and adults participated in a crime-prevention training where Photovoice was used first to identify neighborhood characteristics that participants believed contributed to and alleviated crime, and then to develop a community project. Participants worked together to reuse a highly visible vacant lot to create an inviting neighborhood art and garden space that was open to the whole community. This process facilitated stronger social ties among neighborhood residents, as well as strategies for intervening in neighborhood problems, both of which are important components of collective efficacy.     

Efficacy and safety of orally disintegrating tamsulosin tablets in Taiwanese patients with benign prostatic hyperplasia

Objectives: Tamsulosin is an alpha-1 adrenoceptor antagonist applied in treating lower urinary tract symptoms (LUTS) suggestive of benign prostatic hyperplasia (BPH). This study aimed to evaluate safety, efficacy and acceptance of newly formulated orally disintegrating tamsulosin tablets in Taiwanese patients with LUTS/BPH. Methods: This single center, non-comparative, observational study enrolled 45 male patients over age 50 years. All patients received 0.2?mg tamsulosin orally disintegrating tablets daily and were evaluated at weeks 0, 4, 8, 12 of the 12-week treatment period. Tamsulosin efficacy was evaluated by International Prostate Symptom Score (I-PSS) with 7 questions on urinary symptoms and one disease-specific quality-of-life question, with scores ranging from 0 (no symptoms) to 35 (highly symptomatic). Maximum flow rate (ml/s), voided volume (ml), flow time (s), and mean flow rate (ml/s) were measured. Danish prostatic symptom sexual function scale rated severity and associated concerns of erection quality, ejaculatory function and pain/discomfort were also assessed. Results: Patients’ mean ± SD age was 62.47?±?7.77 (range: 50–89) and mean ± SD I-PSS was 13.98?±?5.50. Statistically significant changes from baseline were found in post-test I-PSS and quality of life (both P < 0.001). Mean ± SD I-PSS decreased from 14.30?±?9.34 to 6.73?±?0.88 at patients’ final visit. Statistically significant increases in mean maximum flow rate and mean flow rate were found over 12-week study period (P < 0.05). No adverse events were reported. No significant differences were found in pulse, SBP/DBP or sexual function. Conclusion: Orally disintegrating tamsulosin tablets demonstrate acceptable safety and efficacy for acceptance and well tolerance by Taiwanese LUTS/BPH patients.     

翻译训练视角下的大学英语课程教学研究*

在一个英语为非母语的国家进行英语教学,其主要目的在于培养学习者应用英语进行交际的能力,而并非掌握其基本知识和对其进行深入研究。以往的大学英语教学忽视了对学生进行经常性英语翻译训练,导致学生通过学习仅仅掌握了考试的技巧,而不善于进行流畅而有效的交流。翻译训练贯穿在大学英语整个课程教学中,是英语教学不可缺少的重要组成部分,也是培养学生英语应用能力的基本方法和手段。