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1.
Abstract

Objective: To examine rural-urban differences in college students’ cardiovascular risk perceptions. Participants: College students in rural (n?=?61) and urban (n?=?57) Kentucky counties were recruited from November 2012 to May 2014. Methods: This was a secondary data analysis of a cross-sectional study examining rural-urban differences in cardiovascular risk factors. Students rated their risk for developing high blood pressure, diabetes, high cholesterol, heart disease, having a stroke, and gaining excess weight. Chi-square and logistic regression were used for data analysis. Results: Rural students had lower odds of perceived high risk for developing high blood pressure compared to urban students (odds ratio (OR): 0.32, 95% CI: 0.11–0.96) after adjusting for race, sex, and body mass index. This association was not observed after adjusting for healthcare access variables. No other significant differences were observed. Conclusions: Efforts to raise perceived risk for developing hypertension among rural college students may be warranted.  相似文献   
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Research suggests the relationship between pleasure and condom use during penile–vaginal intercourse (PVI) is associated with relationship status. This online study examined pleasure ratings and condom use at last PVI, stratifying by partner type, among a national sample of Canadian university students. Participants were 715 undergraduates (60.7% women, 39.3% men) who reported on their most recent sexual experience. Condom use decreased with level of relationship commitment, whereas ratings of pleasure increased. Overall, participants were more likely to rate their most recent PVI as Very pleasurable when condoms were not used compared to when condoms were used. However, when stratified by partner type, these differences largely disappeared. For women, with one exception, there were no differences in pleasure between PVI with and without condoms across most partner-type categories. Women in committed dating relationships were more likely to report their last PVI as very pleasurable if condoms were not used than women in these same relationships who had used condoms. Across relationship categories, men who did and did not use condoms did not differ in terms of their pleasure ratings. The results of this study suggest relationship context should be taken into account when assessing condom use experiences.  相似文献   
3.
Determinations of significance play a pivotal role in environmental impact assessments because they point decision makers to the predicted effects of an action most deserving of attention and further study. Impact predictions are always subject to uncertainty because they rely on estimates of future consequences. Yet uncertainty is often neglected or treated in a perfunctory manner as part of the characterization, evaluation, and communication of anticipated consequences and their significance. Proposals to construct fossil fuel pipelines in North America provide a highly visible example; casual treatment of how uncertainty affects significance determinations has resulted in poorly informed stakeholders, frustrated industry proponents, and inconsistent choices on the part of public decision makers. Using environmental assessments for recent pipeline proposals as examples, we highlight five ways in which uncertainty is often neglected when determining impact significance and suggest that a mix of known methods, new guidelines, and appropriate oversight could greatly improve current practices.  相似文献   
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ABSTRACT

This paper analyzes the disjunctive temporalities of Occupy Philadelphia’s political constituencies. Drawing on both an ethnographic participant observation study of the Occupy Philadelphia movement and Philadelphia’s neoanarchist political communities, and on recent social scientific theorization of events, the paper argues that contradictory ideas about temporal timescales, momentum, duration, sequences, and rhythms of tactical and strategic action problematized interaction and coordination among movement participants. These points of coordinative disjuncture can be traced back to differences in participants’ ideas about prefigurative politics and strategic temporalities. Limning the temporal expectations and experiences of social movement participants, this paper contributes to the examination of both linkages and disjunctures between eventful temporalities experienced in moments of protest and in social movements with diverse timescales.  相似文献   
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Understanding what social goals are associated with bullying and victimization behaviours, even after allowing for biases in interpretation of and affective responses to social events, is critical for understanding the socio‐behavioural profile of bullies and victims. In the present study, 181 nine‐ to ten‐year‐olds' affective responses, attribution of intent, and social goals were assessed in the context of a series of ambiguous and overtly hostile provocation vignettes. Results showed that even after allowing for other social information processing biases, social goals were meaningfully associated with bullying and victimization scores. Bullying was inversely associated with relationship‐building goals, and positively associated with goals to be assertive over the provocateur when provocation was overtly hostile. Being victimized was associated with having submissive goals even when provocation was ambiguous and after accounting for attribution of hostile intent. Findings are discussed in light of theoretical and practical implications.  相似文献   
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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   
10.
Abstract

This case study focuses on user research that was conducted to enhance our users’ ebook discovery experience. We took an outward-facing approach by seeking the users’ perspectives. We wanted to know: How do users find ebooks? How do they perceive multiple records for the same title? Would users find additional metadata useful, such as download availability, file format, and chapter titles? We coordinated guerilla usability testing in our library lobby, inspired by low-overhead, high-impact user experience work at other academic libraries. The resulting data gave us a much-needed new perspective of ebook usage that supplements what we already know from our day-to-day work.  相似文献   
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