9,573 research outputs found

    Women’s Experiences of Accessing Breastfeeding and Perinatal Health Support in the Context of Intimate Partner Violence: An Interpretive Description Study

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    Background: Women experiencing intimate partner violence are at a heightened risk of negative perinatal and breastfeeding outcomes. This study explored the experiences of accessing breastfeeding support for women who endorse a history of intimate partner violence. A study of five in-depth semi-structured interviews were completed at 12-weeks postpartum with breastfeeding mothers with a history of intimate partner violence. Findings: Women expressed difficulties in accessing a healthcare provider who had specialized skill in breastfeeding support. Trust in their healthcare provider, built through displays of compassion and competence, was important to mitigate obstacles experienced during care access for this population. Trauma-and-violence-informed care principles were beneficial to the development of the therapeutic relationship in perinatal care. Women placed value on breastfeeding support received from both healthcare providers and social supports, which impacted mothers’ perceived breastfeeding support and self-efficacy. Further, mothers described increased levels of breastfeeding self-efficacy after engaging in a trauma-and-violence-informed care program aimed at supporting breastfeeding. Conclusions: Trauma-informed care may aid in the development of trust in the therapeutic relationship, which in turn impacts access to breastfeeding support and breastfeeding self-efficacy. The inclusion of trauma-and-violence informed principles in perinatal care may be effective at mitigating barriers to access for women who endorse a history of intimate partner violence. health care on how to employ trauma-informed breastfeeding care to may lead to better support for this population

    NFT-Related Companies: Token Sale Returns

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    Non-fungible tokens (NFTs) have emerged as a new means of digital asset ownership and many companies are building projects that revolve around the technology. These companies are blockchain-based and raise capital for their projects through cryptocurrency token sales, which have become a new mechanism of entrepreneurial finance. In a sample of 62 NFT-related companies, I examine which company, fundraising, and token sale process characteristics are associated with the performance of 7-day and 60-day market returns after a token’s public listing. A multivariate regression analysis finds that the total amount of capital raised before a token launch has a negative relationship with the 7-day and 60-day market returns. Ethereum returns, the length of the team token lock-up period and the presence of a vesting schedule have positive relationships with 60-day token returns

    Balancing the urban stomach: public health, food selling and consumption in London, c. 1558-1640

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    Until recently, public health histories have been predominantly shaped by medical and scientific perspectives, to the neglect of their wider social, economic and political contexts. These medically-minded studies have tended to present broad, sweeping narratives of health policy's explicit successes or failures, often focusing on extraordinary periods of epidemic disease viewed from a national context. This approach is problematic, particularly in studies of public health practice prior to 1800. Before the rise of modern scientific medicine, public health policies were more often influenced by shared social, cultural, economic and religious values which favoured maintaining hierarchy, stability and concern for 'the common good'. These values have frequently been overlooked by modern researchers. This has yielded pessimistic assessments of contemporary sanitation, implying that local authorities did not care about or prioritise the health of populations. Overly medicalised perspectives have further restricted historians' investigation and use of source material, their interpretation of multifaceted and sometimes contested cultural practices such as fasting, and their examination of habitual - and not just extraordinary - health actions. These perspectives have encouraged a focus on reactive - rather than preventative - measures. This thesis contributes to a growing body of research that expands our restrictive understandings of pre-modern public health. It focuses on how public health practices were regulated, monitored and expanded in later Tudor and early Stuart London, with a particular focus on consumption and food-selling. Acknowledging the fundamental public health value of maintaining urban foodways, it investigates how contemporaries sought to manage consumption, food production waste, and vending practices in the early modern City's wards and parishes. It delineates the practical and political distinctions between food and medicine, broadly investigates the activities, reputations of and correlations between London's guild and itinerant food vendors and licensed and irregular medical practitioners, traces the directions in which different kinds of public health policy filtered up or down, and explores how policies were enacted at a national and local level. Finally, it compares and contrasts habitual and extraordinary public health regulations, with a particular focus on how perceptions of and actual food shortages, paired with the omnipresent threat of disease, impacted broader aspects of civic life

    South Yorkshire low carbon energy supply chains: insulation sector summary

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    Structural and Attitudinal Barriers to Bicycle Ownership and Cycle-Based Transport in Gauteng, South Africa

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    Policies that aim to facilitate and promote non-motorised transport (NMT), and in particular cycling, have been developed by many high-income countries facing increasingly congested roads and saturated public transport systems. Such policies are also emerging in many low- and middle-income settings where high rates of urbanisation have led to similar problems with motorised transport. The aim of the present study was to better understand the potential structural and attitudinal barriers to cycle-based transport in one such context: South Africa’s Gauteng Province, the industrial powerhouse of sub-Saharan Africa that has recently made a firm commitment to NMT. The study focussed on demographic and socioeconomic variation in bicycle and car ownership, and related this to: (1) the reported use of motorised and non-motorised transport (both private and public); and (2) perceived ‘problems’ with cycling. The analyses drew on interviews with key respondents from n = 27,490 households conducted in 2013 as part of the third Quality of Life survey undertaken by the Gauteng City Regional Observatory. The survey contained items on three outcomes of interest: household vehicle ownership (bicycles and cars); modes of transport used for the “trips” most often made; and respondents’ “single biggest problem with
 cycling”. Respondent- and household-level demographic and socioeconomic determinants of these outcomes were examined using descriptive and multivariable statistical analyses, the latter after adjustment for measured potential confounders identified using a theoretical causal path diagram (in the form of a directed acyclic graph). Of the n = 26,469 households providing complete data on all of the variables examined in the present study, only n = 8722 (32.9%) owned a car and fewer still (n = 2244; 8.4%) owned a bicycle. The ownership of these assets was commonest amongst wealthier, economically active households; and those that owned a car had over five times the odds of also owning a bicycle, even after adjustment for potential confounding (OR 5.17; 95% CI 4.58, 5.85). Moreover, of household respondents who reported making ‘trips’ during the preceding month (n = 18,209), over two-thirds of those whose households owned a car (70.1%) reported private car-based transport for such trips, while only 3.2% of those owning a bicycle reported cycling. Amongst the specific responses given to the item requesting the “single biggest problem with
 cycling” by far the commonest was “Don’t know how to cycle” (32.2%), less than half as many citing “Vehicle accident risk” (15.9%), and fewer still: “Destination is too far” (13.9%); “Crime” (10.3%); “Too much effort” (9.2%); or “Lack of good paths” (4.6%). While the first of these reasons was commonest amongst poorer households, concerns about risk and effort were both most common amongst better educated, economically active and wealthier/better serviced households. In contrast, concerns over (cycle) paths were only common amongst those owning bicycles. The low prevalence of household bicycle ownership, and the disproportionate number of households owning bicycles that also owned cars, might explain the very small proportion of the ‘the trips most often made’ that involved cycle-based transport (0.3%), and the preferential use of cars amongst households owning both bicycles and cars. Low levels of bicycle ownership might also explain why so many respondents cited “Don’t know how” as the “single biggest problem with
 cycling”; although risk and effort were also substantial concerns (presumably for many who did, and some who did not, know how to cycle); the lack of suitable cycle lanes being only primarily a concern for those who actually owned bicycles. Structural and attitudinal barriers to cycle-based transport limit the use of cycle-based transport in Gauteng, not only amongst the vast majority of household respondents who lack the means to cycle (and the means to learn how), but also amongst those dissuaded from learning to cycle, purchasing a bicycle and/or using a bicycle they own by: the risks and effort involved; the lack of suitable cycle paths; and/or because they also own a car and prefer to drive than cycle

    Strung pieces: on the aesthetics of television fiction series

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    As layered and long works, television fiction series have aesthetic properties that are built over time, bit by bit. This thesis develops a group of concepts that enable the study of these properties, It argues that a series is made of strung pieces, a system of related elements. The text begins by considering this sequential form within the fields of film and television. This opening chapter defines the object and methodology of research, arguing for a non-essentialist distinction between cinema and television and against the adequacy of textual and contextual analyses as approaches to the aesthetics of these shows. It proposes instead that these programmes should be described as televisual works that can be scrutinised through aesthetic analysis. The next chapters propose a sequence of interrelated concepts. The second chapter contends that series are composed of building blocks that can be either units into which series are divided or motifs that unify series and are dispersed across their pans. These blocks are patterned according to four kinds of relations or principles of composition. Repetition and variation are treated in tandem in the third chapter because of their close connection, given that variation emerges from established repetition. Exception and progression are also discussed together in the fourth chapter since they both require a long view of these serial works. The former, in order to be recognised as a deviation from the patterns of repetition and variation. The latter, In order to be understood in Its many dimensions as the series advances. Each of these concepts is further detailed with additional distinctions between types of units, motifs, repetitions, variations, and exceptions, using illustrative examples from numerous shows. In contrast, the section on progression uses a single series as case study, CarnivĂ le (2003-05), because this is the overarching principle that encompasses all the others. The conclusion considers the findings of the research and suggests avenues for their application

    Why people tolerate transgressive leaders: Social identity advancement, group prototypicality, and charisma

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    Transgressive leaders have the potential to cause widespread disruption and damage to organisations. Not only can leaders' misconduct have economic, legal, and social ramifications for organisational functioning, but national leaders who violate established rules may also threaten the social fabric of entire societies. Despite these implications, transgressive leadership is a rampant problem within groups and organisations, and such leaders are often treated sympathetically by in-group members. This thesis aimed to identify some of the social psychological constructs and mechanisms that encourage followers to tolerate the transgressive behaviours of their leaders. Across eight studies using a variety of methods, populations, and contexts, I demonstrate the role of group prototypicality, identity advancement, and charisma in upholding the lenient treatment of transgressive leaders. Overall, findings from this thesis suggest that leaders who are perceived as having the group's best interests at heart are treated more sympathetically following their transgression. In part, this is because advancing group interests contributes towards perceptions of group prototypicality and charisma, which subsequently also encourage followers to treat their leader lightly. Additionally, perceptions of identity advancement encourage followers to rationalise the transgressive behaviour of their leader by downplaying how unethical their misconduct is, which paves the way for continued support of transgressive leaders. The research in this thesis has theoretical implications for the social identity theory of leadership, subjective group dynamics theory, and the deviance credit model. This research also provides practical insights into the difficulties faced in managing or mitigating transgressive leadership, and point to potential mechanisms that may be targeted by future interventions in resolving such a key societal problem

    Nurse managers’ competencies: A scoping review

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    .Aim : To describe and synthesize scientific literature on nurse managers’ competencies. Background : The key strategy for the success of health organisations currently re-sides in the capacity of the nurse manager to develop advanced competencies in management. However, there is a lack of systematic reviews that synthesize knowl-edge about nurse managers’ competencies. Evaluation : A scoping review was conducted using electronic databases including Web of Science, Scopus, PubMed and Cumulative Index to Nursing and Allied Health Literature. Key issues : After the first analysis, 392 competencies were observed from 76 stud-ies. Finally, 53 competencies were grouped according to their characteristics. The two most- cited competencies were communication and finance. Conclusions : Knowing the competencies required by nurse managers can help or-ganisations create strategies to develop competent managers. In addition, from the results we can infer what might be the core competencies, since 22 main competen-cies from the total number were identified. Implications for Nursing Management : The competencies identified constitute the body of knowledge necessary for nurse managers. In addition, it is possible to gener-ate a pathway for learning and professional development for nurses before they work at the microlevel of management. The starting point for this pathway could be the 22 core competencies.S

    Constructing Cassandra: The social construction of strategic surprise at the Central Intelligence Agency 1947-2001

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    This dissertation takes a post-positivist approach to strategic surprise, and examines the identity and internal culture of the US Central Intelligence Agency (CIA) through the lens of social constructivism. It identifies numerous social mechanisms that created and maintained four key, persistent attributes of the CIA’s identity and culture between 1947 and 2001. These features are: 1) homogeneity of personnel; 2) scientism and the reification of a narrow form of ‘reason’; 3) an overwhelming preference for ‘secrets’ over openly-available information; and, 4) a relentless drive for consensus. It then documents the influence of these elements of the CIA’s identity and culture in each phase of the intelligence cycle (Tasking, Collection, Analysis, Production and Dissemination), prior to four strategic surprises: the Cuban Missile Crisis, the Iranian Islamic Revolution of 1979, the collapse of the USSR, and al-Qa’ida’s terrorist attacks on September 11th, 2001. It concludes that these key aspects of the CIA’s identity and culture created the antecedent conditions that allowed these four strategic surprises to occur, and thus prevented the CIA from fulfilling its mandate to ‘prevent another Pearl Harbor’. This conclusion is supported by contrasting the majority views at the CIA prior to these events with the views of ‘Cassandras’ (i.e. individuals inside or outside the Agency who anticipated the approximate course of events based on reasoned threat assessments that differed sharply from the Agency’s, but who were ignored or sidelined). In so doing, this work shifts the burden of proof for explaining strategic surprises back to the characteristics and actions of intelligence producers like the CIA, and away from errors by intelligence consumers like politicians and policymakers. This conclusion also allows this work to posit that understanding strategic surprise as a social construction is logically prior to previously proposed, entirely positivist, attempts to explain or to prevent it
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