188 research outputs found
Marketing Post-Feminism Through Social Media: Fan Identification and Fashion on Pretty Little Liars
Television shows targeted to a young, female audience often depict post-feminist themes such as self-sexualization, self-branding, consumerism, female empowerment through the body, and the good girl. This thesis focuses on the ABC Family hit series Pretty Little Liars as an example of the ways in which television shows promote these post-feminist ideologies. I argue that as the network has branded itself as the place for millennial programming; it has used digital platforms to make Pretty Little Liars a one-stop-shop for young women to learn about beauty and femininity. Relatedly, this project analyzes the ways in which young women construct their identities and online self-brands around the female characters on Pretty Little Liars and how, through the stars and costuming especially, the show inspires audiences both as a cultural phenomenon and an object of consumption
Alien Registration- Donatelle, Elvira (Portland, Cumberland County)
https://digitalmaine.com/alien_docs/25588/thumbnail.jp
Instituting Collaborative Conservation in Federal Land Management: the BLM\u27s Resource Advisory Councils as an Example
Collaborative Conservation is one type of Environmental Conflict Resolution (ECR) that, since the 1970’s, has proliferated throughout public land and natural resource management, especially in the Western United States. As the notion of collaboration has risen in the collective consciousness of public land management professionals, various efforts to capitalize on its use have been instituted through regulatory reforms and legislation. For twenty years the Resource Advisory Councils have fulfilled their regulatory responsibilities and exemplify policy mandated collaborative consensus-building process, yet little research has been conducted to understand what contributes to their effectiveness. This study investigates the effect of instituting or requiring collaborative conservation in the management of public lands by examining the Resource Advisory Councils (RACs) as they are employed within the Bureau of Land Management. This study seeks to understand the key benefits and features of the RAC institution that enable its effectiveness by asking: what can be learned from the Rocky Mountain Region RACs as an example for how collaborative problem solving can be instituted in public lands management? And, how can these lessons inform future attempts to institute collaborative governance within the legal and institutional framework of federal public lands management? In an age of ceaseless animosity over the management of federal public lands, this study contributes to advancing the integration of collaborative problem solving in federal lands management and gives voice to the positive effects of community-based conflict resolution
Encoding Memory through Multimodality in Modern-Day Memorial Museums: Concerns over the Use and Possible Overuse of Technology. The Example of the Armenian Genocide Museum-Institute
The article is devoted to the study of the use of technology in memorial museums, particularly in those related to geno-cide, with a goal to construct a theoretical framework that can be used to reflect on and analyze the use of technology in similar spaces. A multidisciplinary theoretical framework is assembled through Semiotics, Communication and Memory Studies, as well as Philosophy, in order to explain the benefits and dangers of implementing technology in memorial museums. Particularly, Peirce’s idea ofunlimited semiosis, Eco’s considerations about the multiplicity of meanings (“open text”), the existence of two narratives in memorial museums, Heidegger’s writings on technology (especially enframing and revealing) and Jakobson’s communication theory based on Buhler’s organon model are invoked with the aim of explicating the interplay between technology and memory. Proceeding inductively from the example of the Arme-nian Genocide Museum Institute (AGMI), the authors identify general dangers that should be kept in mind in the process of genocide memorialization
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Relationship Between Sexual Orientation and Quality of Life in Female Breast Cancer Survivors
Background: Some groups of breast cancer survivors bear a greater burden of diminished quality of life than others. Self-identified lesbians, or women who partner with other women in romantic and spousal relationships, are one group of women that has been hypothesized to experience and report poorer quality of life compared with heterosexual breast cancer survivors.
Methods: A convenience sample of 204 breast cancer survivors (143 heterosexual and 61 self-identified lesbians) participated in this cross-sectional, online study by completing electronic surveys regarding their quality of life.
Results: Multivariate linear regression indicated that quality of life was not related to sexual orientation (β = 0.13, p = 0.30). Quality of life scores were similar between heterosexual and self-identified lesbian breast cancer survivors.
Conclusion: Quality of life scores were similar between heterosexual and lesbian breast cancer survivors. Future survivorship research should include population-based sampling of lesbian breast cancer survivors for testing quality of life and reducing the healthy volunteer effect, and population-based methodologies should be made available to enhance researcher ability to study this rare population.Keywords: Impact, Women, DiagnosisKeywords: Impact, Women, Diagnosi
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Physician Care Patterns and Adherence to Postpartum Glucose Testing after Gestational Diabetes Mellitus in Oregon
Objective: This study examines obstetrician/gynecologists and family medicine physicians' reported care patterns, attitudes and beliefs and predictors of adherence to postpartum testing in women with a history of gestational diabetes mellitus.
Research Design and Methods: In November-December 2005, a mailed survey went to a random, cross-sectional sample of 683 Oregon licensed physicians in obstetrician/gynecologists and family medicine from a population of 2171.
Results: Routine postpartum glucose tolerance testing by both family physicians (19.3%) and obstetrician/gynecologists physicians (35.3%) was reportedly low among the 285 respondents (42% response rate). Factors associated with high adherence to postpartum testing included physician stated priority (OR 4.39, 95% CI: 1.69-7.94) and physician beliefs about norms or typical testing practices (OR 3.66, 95% CI: 1.65-11.69). Specialty, sex of physician, years of practice, location, type of practice, other attitudes and beliefs were not associated with postpartum glucose tolerance testing.
Conclusions: Postpartum glucose tolerance testing following a gestational diabetes mellitus pregnancy was not routinely practiced by responders to this survey. Our findings indicate that physician knowledge, attitudes and beliefs may in part explain suboptimal postpartum testing. Although guidelines for postpartum care are established, some physicians do not prioritize these guidelines in practice and do not believe postpartum testing is the norm among their peers
Implementation of quality management systems and progress towards accreditation of National Tuberculosis Reference Laboratories in Africa
Background: Laboratory services are essential at all stages of the tuberculosis care cascade, from diagnosis and drug resistance testing to monitoring response to treatment. Enabling access to quality services is a challenge in low-resource settings. Implementation of a strong quality management system (QMS) and laboratory accreditation are key to improving patient care.
Objectives: The study objective was to determine the status of QMS implementation and progress towards accreditation of National Tuberculosis Reference Laboratories (NTRLs) in the African Region.
Method: An online questionnaire was administered to NTRL managers in 47 World Health Organization Regional Office for Africa member states in the region, between February and April 2015, regarding the knowledge of QMS tools and progress toward implementation to inform strategies for tuberculosis diagnostic services strengthening in the region.
Results: A total of 21 laboratories (43.0%) had received SLMTA/TB-SLMTA training, of which 10 had also used the Global Laboratory Initiative accreditation tool. However, only 36.7% of NTRLs had received a laboratory audit, a first step in quality improvement. Most NTRLs participated in acid-fast bacilli microscopy external quality assurance (95.8%), although external quality assurance for other techniques was lower (60.4% for first-line drug susceptibility testing, 25.0% for second-line drug susceptibility testing, and 22.9% for molecular testing). Barriers to accreditation included lack of training and accreditation programmes. Only 28.6%of NTRLs had developed strategic plans and budgets which included accreditation.
Conclusion: Good foundations are in place on the continent from which to scale up accreditation efforts. Laboratory audits should be conducted as a first step in developing quality improvement action plans. Political commitment and strong leadership are needed to drive accreditation efforts; advocacy will require clear evidence of patient impact and cost-benefit
Interventions for promoting smoking cessation during pregnancy.
BACKGROUND: Smoking remains one of the few potentially preventable factors associated with low birthweight, preterm birth and perinatal death. OBJECTIVES: To assess the effects of smoking cessation programs implemented during pregnancy on the health of the fetus, infant, mother, and family. SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group trials register and the Cochrane Tobacco Addiction Group trials register (July 2003), MEDLINE (January 2002 to July 2003), EMBASE (January 2002 to July 2003), PsychLIT (January 2002 to July 2003), CINAHL (January 2002 to July 2003), and AUSTHEALTH (January 2002 to 2003). We contacted trial authors to locate additional unpublished data. We handsearched references of identified trials and recent obstetric journals. SELECTION CRITERIA: Randomised and quasi-randomised trials of smoking cessation programs implemented during pregnancy. DATA COLLECTION AND ANALYSIS: Four reviewers assessed trial quality and extracted data independently. MAIN RESULTS: This review included 64 trials. Fifty-one randomised controlled trials (20,931 women) and six cluster-randomised trials (over 7500 women) provided data on smoking cessation and/or perinatal outcomes. Despite substantial variation in the intensity of the intervention and the extent of reminders and reinforcement through pregnancy, there was an increase in the median intensity of both 'usual care' and interventions over time. There was a significant reduction in smoking in the intervention groups of the 48 trials included: (relative risk (RR) 0.94, 95% confidence interval (CI) 0.93 to 0.95), an absolute difference of six in 100 women continuing to smoke. The 36 trials with validated smoking cessation had a similar reduction (RR 0.94, 95% CI 0.92 to 0.95). Smoking cessation interventions reduced low birthweight (RR 0.81, 95% CI 0.70 to 0.94) and preterm birth (RR 0.84, 95% CI 0.72 to 0.98), and there was a 33 g (95% CI 11 g to 55 g) increase in mean birthweight. There were no statistically significant differences in very low birthweight, stillbirths, perinatal or neonatal mortality but these analyses had very limited power. One intervention strategy, rewards plus social support (two trials), resulted in a significantly greater smoking reduction than other strategies (RR 0.77, 95% CI 0.72 to 0.82). Five trials of smoking relapse prevention (over 800 women) showed no statistically significant reduction in relapse. REVIEWERS' CONCLUSIONS: Smoking cessation programs in pregnancy reduce the proportion of women who continue to smoke, and reduce low birthweight and preterm birth. The pooled trials have inadequate power to detect reductions in perinatal mortality or very low birthweight
Give It Up for Baby: Outcomes and factors influencing uptake of a pilot smoking cessation incentive scheme for pregnant women
The use of incentives to promote smoking cessation is a promising technique for increasing the effectiveness of interventions. This study evaluated the smoking cessation outcomes and factors associated with success for pregnant smokers who registered with a pilot incentivised smoking cessation scheme in a Scottish health board area (NHS Tayside)
Re-starting smoking in the postpartum period after receiving a smoking cessation intervention: a systematic review
Aims: In pregnant smoking cessation trial participants, to estimate (1) among women abstinent at the end of pregnancy, the proportion who re-start smoking at time-points afterwards (primary analysis) and (2) among all trial participants, the proportion smoking at the end of pregnancy and at selected time-points during the postpartum period (secondary analysis).
Methods: Trials identified from two Cochrane reviews plus searches of Medline and EMBASE. Twenty-seven trials were included. The included trials were randomized or quasi-randomized trials of within-pregnancy cessation interventions given to smokers who reported abstinence both at end of pregnancy and at one or more defined time-points after birth. Outcomes were validated biochemically and self-reported continuous abstinence from smoking and 7-day point prevalence abstinence. The primary random-effects meta-analysis used longitudinal data to estimate mean pooled proportions of re-starting smoking; a secondary analysis used cross-sectional data to estimate the mean proportions smoking at different postpartum time-points. Subgroup analyses were performed on biochemically validated abstinence.
Results: The pooled mean proportion re-starting at 6 months postpartum was 43% [95% confidence interval (CI) = 16–72%, I2 = 96.7%] (11 trials, 571 abstinent women). The pooled mean proportion smoking at the end of pregnancy was 87% (95% CI = 84–90%, I2 = 93.2%) and 94% (95% CI = 92–96%, I2 = 88%) at 6 months postpartum (23 trials, 9262 trial participants). Findings were similar when using biochemically validated abstinence.
Conclusions: In clinical trials of smoking cessation interventions during pregnancy only 13% are abstinent at term. Of these, 43% re-start by 6 months postpartum
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