To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure firstname.lastname@example.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Previous work on the Osaka dialect (OD) collectively suggests that this western regional variant of Japanese is associated with informality, masculinity, and affective fatherhood—social meanings that can be recruited in the construction of audio-visual media personas. This study examines the use of OD by one protagonist in the film Soshite chichi ni naru/Like father, like son, as well as the social meanings that listeners attribute to this variety of Japanese. Specifically, we ask two questions: (i) to what extent is the production of OD in the film recognizable to native speakers of Japanese, and (ii) what qualities do Japanese language users attribute to OD? A dialect recognition experiment found low recognizability of OD but high recognizability of a general ‘nonstandard Japanese’ language variety. Qualitative data revealed that Japanese language users perceived OD to index various characteristics including that of a masculine, affective father. (Perception, dialect, fatherhood, Osaka dialect, indexicality)*
where the constant
cannot be replaced by
. In addition to being interesting and important in their own right, inequalities such as these have applications in additive combinatorics. We show that for
to be extremal for this inequality, we must have
Our central technique for deriving this result is local perturbation of
to increase the value of the autocorrelation, while leaving
unchanged. These perturbation methods can be extended to examine a more general notion of autocorrelation. Let
matrix with real entries and columns
$1\leq i\leq n$
be a constant. For a broad class of matrices
, we prove necessary conditions for
to extremise autocorrelation inequalities of the form
A questionnaire survey of 85 counsellors investigated potential contributors to stress in the workplace and valued coping strategies. The sample consisted of three groups: a Government group, a Private group and a Religious group, which represented three different types of work organisation. Recent research suggests that organisational factors contribute to occupational stress, and that personal coping strategies may not alleviate stress appreciably. The results of the study indicated that the most stressed group was the Government group of counsellors, that the most highly rated contributor to stress was management attitudes and that the most valued coping strategies were organisational in nature rather than personal.
Chondritic meteorites, and especially the most volatile-rich chondrites, the carbonaceous chondrites, preserve a record of the solar protoplanetary disk dust component and how it has been changed both in the disk environment itself and in its asteroidal parent body. Here we review some of the key features of carbonaceous chondrites and report some new data on their organics component. These show that the nebula reached temperature of >10000C, but only very locally, to produce chondrules. Most meteoritic material underwent thermal and/or aqueous processing, but some retain delicate nebular components such as complex organic molecules and amorphous silicates.
The widespread use of smartphones makes effective therapies such as cognitive–behavioural therapy (CBT) potentially accessible to large numbers of people.
This paper reports the usage data of the first trial of Catch It, a new CBT smartphone app.
Uptake and usage rates, fidelity of user responses to CBT principles, and impact on reported negative and positive moods were assessed.
A relatively modest proportion of people chose to download the app. Once used, the app tended to be used more than once, and 84% of the user-generated content was consistent with the basic concepts of CBT. There were statistically significant reductions in negative mood intensity and increases in positive mood intensity.
Smartphone apps have potential beneficial effects in mental health through the application of basic CBT principles. More research with randomised controlled trial designs should be conducted.
The impact of healthcare system integration on infection prevention programs is unknown. Using catheter-associated urinary tract infection (CAUTI) prevention as an example, we hypothesize that US Department of Veterans Affairs (VA) nursing homes have a more robust infection prevention infrastructure due to integration and centralization compared with non–VA nursing homes.
VA and non-VA nursing homes participating in the AHRQ Safety Program for Long-Term Care collaborative.
Nursing homes provided baseline information about their infection prevention programs to assess strengths and gaps related to CAUTI prevention via a needs assessment questionnaire.
A total of 353 of 494 nursing homes from 41 states (71%; 47 VA and 306 non-VA facilities) responded. VA nursing homes reported more hours per week devoted to infection prevention-related activities (31 vs 12 hours; P<.001) and were more likely to have committees that reviewed healthcare-associated infections. Compared with non-VA facilities, a higher percentage of VA nursing homes reported tracking CAUTI rates (94% vs 66%; P<.001), sharing CAUTI data with leadership (94% vs 70%; P=.014) and with nursing personnel (85% vs 56%, P=.003). However, fewer VA nursing homes reported having policies for appropriate catheter use (64% vs 81%; P=.004) and catheter insertion (83% vs 94%; P=.004).
Among nursing homes participating in an AHRQ-funded collaborative, VA and non-VA nursing homes differed in their approach to CAUTI prevention. Best practices from both settings should be applied universally to create an optimal infection prevention program within emerging integrated healthcare systems.
Consumer health organisations (CHOs), which operate outside the mainstream healthcare system with a specific focus on supporting people to self-manage their health conditions, have become widespread. Yet, there has been little systematic research into CHOs, including their perceived benefits and barriers, which encourage or deter their access by people with a variety of chronic health conditions.
This study explored the benefits of CHOs in self-management and also the barriers that inhibit their access, from the perspective of people with chronic conditions and their unpaid carers.
In-depth, semi-structured interviews were completed with 97 participants across four regions of Australia. The sample included a high representation of people from culturally and linguistically diverse backgrounds and Aboriginal and Torres Strait Islander people as well as non-indigenous Australians.
Three inter-related themes were identified that represented the benefits of involvement and participation in CHOs: knowledge and information, connection and support and experiential learning. However, limited access pathways emerged as a barrier that inhibited a person’s entry into CHOs. Furthermore, the person’s beliefs and experiences about their own health condition(s) also inhibited their continued participation in CHO programmes.
Although our findings confirm that CHOs are a valuable resource in alleviating the ‘work of being a patient’ for some people, there seems to be some barriers that prevent their full access and utilisation. Structured integration systems to increase the reliable delivery and accessibility of CHOs are needed to ensure that people who would benefit from accessing them can do so.
In this study, we examined the prevalence and nature of nonclinical panic attacks in 649 Australian youth and explored the relations between such attacks and measures of social support, stress, anxiety, depression, and fear. Full-blown attacks (attacks involving four or more symptoms with rapid onset) were reported by 104 of the youth (16%). Attacks were reported more frequently by girls than boys; however, age was unrelated to panic-attack status. Heightened levels of anxiety and fear, as well as stress in the family and lack of family support, were related to attack status. Path-analytic procedures supported a working model consisting of stress, social support, and emotional distress as related to panic status. Limitations of the self-report data on panic attacks and the other measures used in this study are acknowledged.
Email your librarian or administrator to recommend adding this to your organisation's collection.