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Beginning in the 1980s, Mexico's social and labour policies took a neoliberal turn which exacerbated inequalities, poverty and social exclusion. The change of policy course that has occurred over the past decade has so far failed to bring about a critical review of the country's economic model and its social consequences. The role of the State has been systematically cut back; social services have been outsourced to the market; and informal family‐based social protection has gained ground. Mexico's social model has thus been reduced to a system that is almost exclusively concerned with protection for those living in extreme poverty.  相似文献   
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This study investigated whether pupil size during the viewing of images of adults and children reflects the sexual orientation of heterosexual, homosexual, and bisexual men (n = 100, Mage = 22). More specifically, we explored whether this measure corresponds with sexual age preferences for adults over children in nonpedophilic men. In general, results across three experiments, in which observers freely viewed or rated the sexual appeal of person images, suggest that pupil dilation to sexual stimuli is an indicator of sexual orientation toward adults. Heterosexual men’s pupils dilated most strongly to adults of the other sex, homosexual men dilated most strongly to adults of the same sex, and bisexual men showed an intermediate pattern. Dilation to adults was substantially stronger than dilation to younger age groups. Sexual appeal ratings for images of adults and children also correlated with pupil responses, suggesting a direct link between pupil dilation and sexual interest. These findings provide support for pupil dilation as a measure of sex- and age-specific sexual preferences.  相似文献   
4.

Background

Second-degree tears are the most common form of perineal trauma occurring after vaginal birth managed by New Zealand midwives, although little is known about midwives’ perineal practice.

Aim

The aim of this study was to identify how midwives managed the last second-degree perineal tear they treated and the level to which their practice reflects National Institute for Health and Care Excellence guidelines.

Methods

An (anonymous) online survey was conducted over a six-week period in 2013. New Zealand midwives who self-identified as currently practising perineal management and could recall management of the last second-degree tear they treated were included in the analysis.

Findings

Of those invited, 645 (57.1% self-employed, 42.9% employed) were eligible and completed surveys. Self-employed midwives reported greater confidence (88.0% vs 74.4%, p < 0.001) and more recent experience (85.1% vs 57.4%, p < 0.001) with perineal repair than employed midwives. Midwives who left the last second-degree tear unsutured (7.3%) were more likely to report low confidence (48.9% vs 15.4%, p < 0.001) and less recent experience with repair (53.2% vs 24.7%, p < 0.001), and were less likely to report a digital-rectal examination (10.6% vs 49.0%, p < 0.001), compared to midwives who sutured. Care consistent with evidence-based guidelines (performing a digital-rectal examination, 59.4% vs 49.3% p = 0.005; optimal suturing techniques, 62.2% vs 48.7%, p = 0.001) was associated with recent perineal education.

Conclusions

Midwives’ management of the last second-degree perineal tear is variable and influenced by factors including: employment status, experience, confidence, and perineal education. There is potential for improvement in midwives’ management through increased uptake of evidence-based guidelines and through ongoing education.  相似文献   
5.
Sport for Development has many reported benefits, but quantitative evidence of the impact of these interventions in Low Income Countries remains sparse. A new monitoring and evaluation toolkit was used in a cross-sectional survey at Moving the Goalposts (MTG), a football project aiming to empower young Kenyan women. We wished to determine empirically whether increased membership duration brought increased benefits. MTG selected and translated toolkit items consistent with the organisation's strategic aims. We collected 333 completed questionnaires at 15 sites. Psychometric validation revealed some reliable scales; remaining items were scored separately. Scores were sensitive to differences between members defined by sociodemographic and site characteristics. Bivariate and multiple regression analyses showed that increased membership duration brought increasing benefits across several domains (perceived lifeskills; social life; insights about HIV/AIDS; outcomes related to female empowerment). Improved leadership skills were mainly age-related. Members attending more established sites experienced greater benefits, but members at more and less accessible sites benefitted similarly. Positive thoughts and feelings were related not to membership duration, but to how long a site had been operating. This indicates the importance of creating a positive culture over time. This cross-sectional study provides quantitative evidence for the benefits of Sport for Development initiatives.  相似文献   
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Urban Ecosystems - We studied the occurrence of bats in urban parks in the city of Madrid (Spain), and the resulting patterns were compared with bat occurrence in the surrounding region. In this...  相似文献   
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Summary.  The method of Bayesian model selection for join point regression models is developed. Given a set of K +1 join point models M 0,  M 1, …,  M K with 0, 1, …,  K join points respec-tively, the posterior distributions of the parameters and competing models M k are computed by Markov chain Monte Carlo simulations. The Bayes information criterion BIC is used to select the model M k with the smallest value of BIC as the best model. Another approach based on the Bayes factor selects the model M k with the largest posterior probability as the best model when the prior distribution of M k is discrete uniform. Both methods are applied to analyse the observed US cancer incidence rates for some selected cancer sites. The graphs of the join point models fitted to the data are produced by using the methods proposed and compared with the method of Kim and co-workers that is based on a series of permutation tests. The analyses show that the Bayes factor is sensitive to the prior specification of the variance σ 2, and that the model which is selected by BIC fits the data as well as the model that is selected by the permutation test and has the advantage of producing the posterior distribution for the join points. The Bayesian join point model and model selection method that are presented here will be integrated in the National Cancer Institute's join point software ( http://www.srab.cancer.gov/joinpoint/ ) and will be available to the public.  相似文献   
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Non‐profit hospitals are important anchors in Appalachian communities, in part because of the concentration of health care dollars within these institutions. Community benefit efforts of these hospitals, therefore, have the potential to fill gaps in public health and social service provision in underserved areas with documented health disparities and access barriers. To date, however, we do not fully understand how community benefit practices vary by hospital setting. Employing hierarchical linear modeling using a multilevel mixed‐effects approach, this study analyzes data from the years 2010 to 2016 to assess community benefit practices and spending between hospitals in Appalachia and non‐Appalachian counties. Findings indicate that hospitals within Appalachian counties, and rural hospitals in this region, in particular, spent less on community benefit than hospitals, not in this region. Given the potential for community benefit to impact health outcomes and access to care, this disparity is important to state and local public health efforts and suggests the need for additional support for hospitals to engage their communities around critical health needs.  相似文献   
10.
Much of the traditional discussion on science and society engagement has concentrated on the role (and even duties) of citizens in response to science, and on attempts to scientise civilian consciousness to appreciate the benefits of scientific progress. Irwin’s (1995) concept of “Citizen Science” was an important milestone in our understanding of “science and society” relations, which focused attention on the needs and concerns of citizens and looked to a new form of science “enacted by citizens themselves” (Irwin 1995: ix). In this paper, I consider the other side of the science and society relationship by focusing on the scientist as citizen. Over time, a significant minority of scientists have been active in raising public concerns around the social impacts of science and technology, particularly around biotechnology and nanotechnology. This paper presents results from a New Zealand study that engaged scientists with community groups in dialogue about biotechnology. I discuss how this may represent an emerging form of scientific reflexivity and consider the implications for future engagement practice.  相似文献   
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