MENDENHALL TJ, BERGE JM, HARPER P, GREENCROW B, LITTLEWALKER N, WHITEEAGLE S and BROWNOWL S. Nursing Inquiry 2010; 17: 359–372 The Family Education Diabetes Series (FEDS): community‐based participatory research with a midwestern American Indian communityIndigenous people around the globe tend to struggle with poorer health and well‐being than their non‐indigenous counterparts. One area that this is especially evident is in the epidemic of diabetes in North America’s American Indians (AIs) – who evidence higher prevalence rates and concomitant disease‐related complications (...) than any other racial/ethnic group. As researchers and AI communities work together to transcend conventional top‐down, service‐delivery approaches to care, community‐based participatory research is beginning to show promise as a way to partner contemporary biomedical knowledge with the lived‐experience, wisdom, and customs of Indigenous people. This study describes the Family Education Diabetes Series (FEDS) as an example of such effort, and highlights pilot findings assessing its value and impact across key diabetes‐relevant variables. Following 36 intervention participants across baseline, 3‐month, and 6‐month time periods, data show significant improvements in weight, blood pressure, and metabolic control (A1c). Strengths and limitations of this investigation are presented, along with suggestions about how to further advance and empirically test the work across other Indigenous communities. (shrink)

A key challenge in the management of the public-private partnership project is to understand the critical factors for sustainability performance as well as their complex interaction. Majority of existing studies focus on identifying general factors without consideration of specific context of individual sector. To bridge the gap, unique characteristics of water PPP projects are taken into consideration in this study where the relationship among critical factors to achieve sustainable performance is analyzed from a network perspective. Stakeholder-associated factors and their interrelations (...) were identified via extensive literature review and structured interview, and the social network analysis method was employed to recognize the critical factors and their interactions in sustainability achievement of water PPP projects. As a result, seven stakeholder groups and 18 critical factor nodes were identified and further classified into four challenges when achieving sustainability. These challenges are promoting ecological awareness and responsible citizen behaviour; project construction quality; ecological designs and technology innovations; and project management capacity. These findings provide the stakeholders of water PPP projects with useful references for mitigating the risks and facilitating efforts to achieve better sustainability performance. (shrink)

This study investigates the ethical climate types presented in the Korean tourism industry, the differences in the perceptions of these ethical climate types based on individual/organizational characteristics, and the influence of ethical climate types based on job satisfaction/organizational commitment. Empirical findings of this study identify six ethical climate types and demonstrate significant difference and significant influence of the proposed relationships. This research contributes to the existing body of academic work by using empirical data collected from 820 respondents across 14 companies (...) within the Korean tourism industry, to demonstrate the relationship between actual ethical climate types and ethical climate related factors. The findings of this study identify the new factor ‹moral caring,’ which describes an environment characterized by decisions that maximize collective interest, but based on an individual employee’s personal values and ethics. Such a factor has important implications for the service industry, where face-to-face encounters typify the relationship between employee and consumer. (shrink)

Advocacy is an important concept in nursing practice; it is frequently used to describe th nurse-client relationship. The term advocacy, however, is subject to ambiguity of interpretation. Such ambiguity was evidenced recently in criticisms levelled at the nursing profession by hospital ethicist Ellen Bernal. She reproached nursing for using 'patient rights advocate' as a viable role for nurses. We maintain that, for nursing, patient advocacy may encompass, but is not limited to, patient rights advocacy. Patient advocacy is not merely the (...) defence of infringements of patient rights. Advocacy for nursing stems from a philosophy of nursing in which nursing practice is the support of an individual to promote his or her own well-being, as understood by that individual. It is an ethic of practice. La défense des malades joue un grand rôle dans la pratique des infirmiers/ères. Le terme est souvent utilisé pour définir les rapports entre malades et soignants. Le mot 'defénse' pourtant, peut être mal compris. Une ambiguïté était évidente récemment dans la critique de la profession infirmière faite par la philosophe éthique Ellen Bernal. Elle reproche à la profession d'utiliser le terme 'avocat des droits des malades' pour désigner le rôle primordial des infirmiers/ères. Nous croyons que pour les soignants, la défense des malades peut comprendre le rôle 'd'avocat des droits des malades' mais elle ne s'y borne pas. La défense n'est pas limitée à la défense des infractions des droits des malades. La défense dans la profession infirmière est basée sur une philosophie où la pratique infirmière est le soutien des malades dans leur quête de promouvoir leur propre bien-être. Die Fürsprache spielt eine wichtige Rolle in der Krankenpflege. Sie wird oft als kennzeichnend für die Beziehung zwischen Patient und Pflegepersonal beschrieben. Der Ausdruck 'Fürsprache' kann aber auch mehrdeutig interpretiert werden. Das wurde letzthin in der Kritik der Ethikerin Ellen Bernal an der Krankenpflege sichtbar. Sie machte den Pflegenden den Vorwurf, dass sie sich die Rolle des 'Rechts-Advokat des Patienten' aneignen. Wir sind der Meinung, dass es die Aufgabe des Pflegepersonals ist, auch die Rechte der Patienten zu vertreten, aber dass das nur ein Teil der Fürsprache ist. Sie ist nicht nur Verteidignung von verletzten Patientenrechten. Die Fürsprache in der Krankenpflege stammt von einer Philosophie, deren Ausübung die Unterstützung der Patienten für ihr Wohlergehen zum Ziel hat, so wie die Patienten selbst ihr Wohlergehen verstehen. Sie ist eine Ethik der Tat. (shrink)

In ‘The Revisionist Psychoanalysis’, Adorno criticizes the neo-Freudian psychoanalysis for losing the critical edge of Freud’s theory with regard to social critique. Neo-Freudians whom Adorno calls ‘revisionists’ criticize Freud for his ‘mechanical’ views of the human psyche and for his over-emphasis on sexual libido. They reverse Freud’s dictum – ‘where id was, there ego shall be’ – by stressing the importance of development of the ego, and thus that of its adaptive functions. For revisionists, the aim of psychoanalytic practice is (...) to help analysands be better adapted to their social environment. According to Adorno, the revisionist psychoanalysis is suspected of conformism, and implicitly advocating an ideology that what is existent is the best of all possible worlds. The emphasis on adaptation actually weakens the ego instead of strengthening it – leaving it vulnerable to the whim of social conditions, and that of instinctual impulses. Most importantly, it weakens individuals’ ability to think critically and makes them susceptible to ideological and psychological manipulation against their own rational interests. (shrink)

Ever since it was annexed from northern Mexico in 1848, San Francisco has catered to tourists attracted to its good year-round weather, natural splendor, as well as its licentious entertainment industry and, since the 1950s, the buoyancy of its lesbian and gay community. The author looks at the growth and vibrancy of alternative lifestyles in San Francisco, arguing that the visibility of the queer community there is not the result of general tolerance in the Western outpost but, paradoxically, the outcome (...) of a struggle between the lesbian, gay, and transgendered residents of the city and the repressive local, state, and federal agencies whose harassment of the alternative communities, culminating in the 1930s and 1940s in frequent bar-raids, arrests, and the “war on vice,” brought about the queer community’s politicization and grovving militancy. (shrink)

Ever since it was annexed from northern Mexico in 1848, San Francisco has catered to tourists attracted to its good year-round weather, natural splendor, as well as its licentious entertainment industry and, since the 1950s, the buoyancy of its lesbian and gay community. The author looks at the growth and vibrancy of alternative lifestyles in San Francisco, arguing that the visibility of the queer community there is not the result of general tolerance in the Western outpost but, paradoxically, the outcome (...) of a struggle between the lesbian, gay, and transgendered residents of the city and the repressive local, state, and federal agencies whose harassment of the alternative communities, culminating in the 1930s and 1940s in frequent bar-raids, arrests, and the “war on vice,” brought about the queer community’s politicization and grovving militancy. (shrink)

An expert on business ethics discusses the complex issues that arise from the increased responsibilities placed upon administrative assistants and other support staff, looking at one hundred real-world problems and their solutions.

本书包括:在北京广播学院的讲演;在北京青年政治学院报告;沈昌案答辩词;李之焕案答辩词等内容。.

Studies have shown that performance‐dependent monetary rewards facilitate visual perception. However, no study has examined whether such a positive effect is limited to the rewarded task or may be generalized to other tasks. In the current study, two groups of people were asked to perform two visual perception tasks, one being a reward‐relevant task and the other being a reward‐irrelevant task. For the reward‐relevant task, the experimental group received performance‐dependent monetary rewards, whereas the control group did not. For the reward‐irrelevant (...) task, both groups were not rewarded. The two tasks were randomly intermixed trial by trial (Experiment 1) or presented block by block (Experiment 2) or session by session (Experiments 3a, 3b, and 3c). Results showed that performance‐dependent monetary rewards improved participants' performance on the relevant task in all experiments and impaired their performance on the irrelevant task in Experiments 2, 3a, 3b, and 3c. These results suggested that monetary rewards might incur a cost on reward‐irrelevant tasks. Finally, the benefit of monetary rewards disappeared when they were no longer provided during the final session. This is the first study that reveals both the bright and dark sides of the performance‐dependent monetary rewards in visual perception. (shrink)

Ninety-year-old Master Nan Huaijin and his students' ten-day course, the essence of his life is all in his life. The recording of the class in 2008 was formally compiled and published today. Nanshi has explained the essentials of practice with nearly a hundred years of experience and reminded the quick way to get started. Study case study for each person, reminding the key points of study, it is enough for later reference. Introduce the content and history of Dharma Sutra and (...) Dao Di Sutra repeatedly, and use the essence of Langa Sutra, Deep Secret Sutra, Middle Theory, Guan Zi and other books to illustrate internal cultivation Theories and methods for external use. The study of traditional Chinese mind, body, life and life, including Zen, Taoism. (shrink)

Articles on philosophy of Tamil society based on Tamil literature, by a Marxist author and critic.

In this book, Ilhan Inan questions the classical definition of curiosity as _a desire to know._ Working in an area where epistemology and philosophy of language overlap, Inan forges a link between our ability to become aware of our ignorance and our linguistic aptitude to construct terms referring to things unknown. The book introduces the notion of inostensible reference. Ilhan connects this notion to related concepts in philosophy of language: knowledge by acquaintance and knowledge by description; the referential and the (...) attributive uses of definite descriptions; the _de re/de dicto_ distinction; and Kripke’s distinction between rigid and accidental designators. Continuing with a discussion of the conditions for curiosity and its satisfaction, Inan argues that the learning process—starting in curiosity and ending in knowledge—is always an effort to transform our inostensible terms into ostensible ones. A contextual account is adopted for the satisfaction of curiosity. It then discusses the conditions of successful reference to the object of curiosity and its presuppositions. The book concludes with a discussion on the limits of curiosity and its satisfaction. (shrink)

di 1 juan. Lun yu bie cai -- di 2 juan. Laozi ta shuo, Mengzi pang tong -- di 3 juan. Yi jing za shuo, Yi jing xi zhuan bie jiang -- di 4 juan. Chan zong yu dao jia, Dao jia, Mi zong yu dong fang shen mi xue, Jing zuo xiu dao yu chang sheng bu lao -- di 5 juan. Chan hai li ce, Chan hua, Zhongguo fo jiao fa zhan shi lüe, Zhongguo dao jiao fa zhan (...) shi lüe -- di 6 juan. Li shi de jing yan, Yi xin yi jiu de yi dai, Zhongguo wen hua fan yan -- di 7 juan. Ru he xiu zheng fo fa, Yao shi jing de ji shi guan, Xue fo zhe de ji ben xin nian -- di 8 juan. Jin gang jing shuo shen mo, Leng yan da yi jin shi -- di 9 juan. Yuan jue jing lüe shuo, Ding hui chu xiu, Leng qie da yi jin shi -- di 10 juan. Yuan ben da xue wei yan. (shrink)

本书包括青年与审美:审美的心理条件;爱情与审美;生活与审美;自然与审美;艺术与审美等内容。.

ObjectiveThis study aimed to better understand the current situation involving work stressors and the coping styles of outpatient and emergency nurses in 29 pediatric specialty hospitals across China. The study analyzed this correlation to provide a reference for the occupational stress management of pediatric nurses.MethodsFrom June to September 2020, 1,457 outpatient and emergency nurses in 29 pediatric specialty hospitals across China were selected as study participants, and a questionnaire survey was conducted using the Basic Information Questionnaire, the Chinese version of (...) the Work Stressor Scale for Nurses, and the Simple Coping Style Scale.ResultsThe assessed stress level of outpatient and emergency nurses in 29 tertiary pediatric specialty hospitals nationwide is lower than the results of the survey of the 2007 domestic norm, p < 0.05. The stressors related to nurses’ expectations, family conflicts, the nature of nursing work, patient factors, and workload were lower compared with the national norm. The positive coping style score on the Simple Coping Style Scale for pediatric outpatient nurses was, and work stressors were positively associated with negative coping styles. Multiple regression analysis showed that the influencing factors of work stressors among pediatric outpatient and emergency nurses correlated with the authorized size, age, working years of nurses, work department, and negative coping styles.ConclusionNegative coping styles were present among pediatric outpatient and emergency nurses and were associated with work stressors. The influencing factors of stressors mainly correlated with the clinical establishment, age, years of employment as a nurse, work department, and negative coping styles. (shrink)

BackgroundDuring the course of a previous study, our laboratory made a serendipitous finding that just thinking about genital stimulation resulted in brain activations that overlapped with, and differed from, those generated by physical genital stimulation.ObjectiveThis study extends our previous findings by further characterizing how the brain differentially processes physical ‘touch’ stimulation and ‘imagined’ stimulation.DesignEleven healthy women participated in an fMRI study of the brain response to imagined or actual tactile stimulation of the nipple and clitoris. Two additional conditions – imagined (...) dildo self-stimulation and imagined speculum stimulation – were included to characterize the effects of erotic versus non-erotic imagery.ResultsImagined and tactile self-stimulation of the nipple and clitoris each activated the paracentral lobule and the secondary somatosensory cortex. Imagined self-stimulation of the clitoris and nipp... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy and Rhetoric 33.3 (2000) 221-242 [Access article in PDF] Reigning in the Court of Silence: Women and Rhetorical Space in Postbellum America Nan Johnson [Figures]Nervous, enthusiastic, and talkative women are the foam and sparkle, quiet women the wine of life. The senses ache and grow weary of the perpetual glare and brilliancy of the former, but turn with a sense of security and repose to the mild, mellow (...) glow irradiating the sphere of the latter. We associate all ideas of rest with quiet women. They are soul-divinities reverently guarding their sacred trusts in the Court of Silence. When she speaks, her words are aptly chosen and fitly spoken. She is wise and thoughtful, but loving and meek. "Still waters run deep," but not in the world-applied sense; babbling rills do not wear their channels deep, but streams of calmest flow have hidden depths undreamed of, unsuspected.--Anonymous, "Quiet Women" 461In an article entitled "Quiet Women," which appeared in The Ladies' Repository in 1868, an anonymous author argues that "quiet women are the wine of life." Capturing the deep cultural longing of the postbellum period for the icon of the American woman as angel of the hearth, this portrait deifies the quiet woman and demonizes the other possibilities: the enthusiastic woman, the talkative woman, the brilliant woman, and the babbling woman. The mild and mellow queen of the "Court of Silence" is graceful, calm, and, most important of all, silent. In this characterization, an idealized woman is defined as necessarily rhetorically meek. By worshiping "the quiet woman," influential proponents of public opinion such as The Ladies' Repository reinscribed for a postbellum readership a definition of true womanhood that equated silence with feminine virtue and enthusiastic vocality with its opposite. The argument that the rhetorical conduct of the "wise and thoughtful" woman could be contrasted instructively with the trivial and ultimately inconsequential rhetorical behavior of loud and talkative women is one that was made in so many cultural conversations of the postbellum period that it achieved the power of an ideological trope. 1 [End Page 221]Efforts to regulate women's rhetorical behavior intensified rather than abated in the decades following the Civil War as women pursued education, the right to vote, property rights, and mobility in public life. In conduct literature, a genre that proliferated during the postbellum period, the preferred construction of the "quiet" woman was a mainstay in an ideological agenda that supported the generally held nineteenth-century view that character and the nature of one's rhetoric are mutually revealing. Like other types of self-help materials marketed in the last decades of the century, such as elocution manuals and letter-writing guides, conduct manuals included among their vast tables of contents the matters of how and where one ought to speak. In their coverage of deportment in all areas of life, conduct manuals promised the aspiring middle-class American an education in the home in the culturally valuable skills of public speaking and writing. 2 The collective enterprise of the parlor rhetoric movement and conduct literature in particular was to offer happiness and success to those who would follow certain rules. Enormously popular in the postbellum period and well into the turn of the century, conduct manuals argued a conservative gender agenda that appealed to the middle-class readers of a nation who seemed eager to accept the idea that correct deportment in daily life could help to restore the social calm the postwar nation longed for. Although by the 1880s the American public had well in mind notable examples of women, such as Lucretia Mott, Sojourner Truth, Frances Willard, and Elizabeth Cady Stanton, who had assumed powerful reformist voices in the causes of abolition, temperance, and women's rights, the rhetorical space these women occupied in shaping political and cultural life was viewed as the exception rather than the rule. 3 In spite of the high profile rhetorical careers of a handful of women, or, perhaps, because of them, postbellum America wondered uneasily just how public women's lives... (shrink)

Previous studies have shown that Chinese speakers and non-Chinese speakers exhibit different patterns of cross-modal congruence for the lexical tones of Mandarin Chinese, depending on which features of the pitch they attend to. But is this pattern of language-specific listening a conscious cultural strategy or an automatic processing effect? If automatic, does it also apply when the same pitch contours no longer sound like speech? Implicit Association Tests (IATs) provide an indirect measure of cross-modal association. In a series of IAT (...) studies, conducted with participants with three kinds of language backgrounds (Chinese-dominant bilinguals, Chinese balanced bilinguals, and English speakers with no Chinese experience) we find language-specific congruence effects for Mandarin lexical tones but not for matched sine-wave stimuli. That is, for linguistic stimuli, non-Chinese speakers show advantages for pitch-height congruence (high-pointy, low-curvy); no congruence effects were found for Chinese speakers. For non-linguistic stimuli, all participant groups showed advantages for pitch-height congruence. The present findings suggest that non-lexical tone congruence (high-pointy, low-curvy) is a basic congruence pattern, and the acquisition of a language with lexical tone can alter this perception. (shrink)