Ron Gray, Debra Bick and Yan-Shing Chang
The purpose of this paper is to describe the major factors affecting health during pregnancy, birth and the postnatal period and outline the evidence for interventions to improve…
Abstract
Purpose
The purpose of this paper is to describe the major factors affecting health during pregnancy, birth and the postnatal period and outline the evidence for interventions to improve outcomes in women and their children.
Design/methodology/approach
Selective review of the literature. A number of electronic bibliographic databases were searched, including the Cochrane Database of Systematic Reviews, PubMed and PsycINFO, for relevant studies published since 1990. Papers were restricted to those published in English which presented data from studies conducted in high-income countries, with priority given to systematic reviews, randomised controlled trials and other quantitative studies which present a higher level of evidence.
Findings
Many factors may affect maternal and infant health during and after pregnancy. Potentially modifiable factors with an evidence base to support intervention include improving diet, and the avoidance of smoking, alcohol and illicit drugs. Good clinical management of underlying illness is also important, along with attempts to engage women in improving health prior to conception and postnatally rather than once pregnancy is established.
Research limitations/implications
The evidence base for interventions on some potentially modifiable risk factors is incomplete. There is good evidence of benefit from some health behaviours such as smoking cessation and uptake of breastfeeding and accumulating evidence of the benefit of some models of maternity care.
Practical implications
Good maternal health during and after pregnancy plays a key role in giving the child a better start in life. Improved health behaviours are vital but often these are heavily dependent on social context and hence working to tackle social inequality and provide maternity care tailored to individual need is likely to be just as important as trying to directly alter behaviour.
Originality/value
Pregnancy and the postnatal period present an opportunity to improve maternal health and have a positive effect on future child health. Greater investment is required in this antenatal period of life.
Details
Keywords
Foetal alcohol spectrum disorders describes a group of disorders caused by the consumption of prenatal alcohol. The range of outcomes and the clinical management of these…
Abstract
Foetal alcohol spectrum disorders describes a group of disorders caused by the consumption of prenatal alcohol. The range of outcomes and the clinical management of these disorders vary in both the complexity of their presentations, associated disorders and management outcomes. This article seeks to review the literature around some of the more difficult areas associated with the condition and present some insights into possible ways of managing the psychiatric and neurodevelopmental disorders seen in the context of the UK system and the NHS.
Details
Keywords
Narrates the discussion between Juan (a corporate executive of a multinational company) and Audrey (an independent environmental consultant) when they sit next to each other on a…
Abstract
Narrates the discussion between Juan (a corporate executive of a multinational company) and Audrey (an independent environmental consultant) when they sit next to each other on a flight. Explains, through the dialogue, some of the environmental pitfalls companies can encounter when basing operations in the USA, such as regulations relating to clean air, clean water, emissions, toxic pollutants, land use restrictions, species protection plans etc.). Makes the point that it is individuals who face civil and criminal penalties for breaking these regulations, not the company. Provides an overview of US environmental regulations and recommends that companies can avoid falling foul of the law through education, training and taking legal advice. Mentions ISO 14000 and 14001 environmental standards as a potential way forward, although they do not yet carry any weight under US law.
Details
Keywords
Yaw A. Debrah and Ian G. Smith
Presents over sixty abstracts summarising the 1999 Employment Research Unit annual conference held at the University of Cardiff. Explores the multiple impacts of globalization on…
Abstract
Presents over sixty abstracts summarising the 1999 Employment Research Unit annual conference held at the University of Cardiff. Explores the multiple impacts of globalization on work and employment in contemporary organizations. Covers the human resource management implications of organizational responses to globalization. Examines the theoretical, methodological, empirical and comparative issues pertaining to competitiveness and the management of human resources, the impact of organisational strategies and international production on the workplace, the organization of labour markets, human resource development, cultural change in organisations, trade union responses, and trans‐national corporations. Cites many case studies showing how globalization has brought a lot of opportunities together with much change both to the employee and the employer. Considers the threats to existing cultures, structures and systems.
Details
Keywords
Presents a special issue, enlisting the help of the author’s students and colleagues, focusing on age, sex, colour and disability discrimination in America. Breaks the evidence…
Abstract
Presents a special issue, enlisting the help of the author’s students and colleagues, focusing on age, sex, colour and disability discrimination in America. Breaks the evidence down into manageable chunks, covering: age discrimination in the workplace; discrimination against African‐Americans; sex discrimination in the workplace; same sex sexual harassment; how to investigate and prove disability discrimination; sexual harassment in the military; when the main US job‐discrimination law applies to small companies; how to investigate and prove racial discrimination; developments concerning race discrimination in the workplace; developments concerning the Equal Pay Act; developments concerning discrimination against workers with HIV or AIDS; developments concerning discrimination based on refusal of family care leave; developments concerning discrimination against gay or lesbian employees; developments concerning discrimination based on colour; how to investigate and prove discrimination concerning based on colour; developments concerning the Equal Pay Act; using statistics in employment discrimination cases; race discrimination in the workplace; developments concerning gender discrimination in the workplace; discrimination in Japanese organizations in America; discrimination in the entertainment industry; discrimination in the utility industry; understanding and effectively managing national origin discrimination; how to investigate and prove hiring discrimination based on colour; and, finally, how to investigate sexual harassment in the workplace.
Details
Keywords
Pender O. Gbenedio, Eric D. Benson and Eddy Omolehinwa
Traces the history of efforts to harmonize global accounting and presents a study analysing obstacles to it, using multidimensional scaling. Illustrates the environmental…
Abstract
Traces the history of efforts to harmonize global accounting and presents a study analysing obstacles to it, using multidimensional scaling. Illustrates the environmental influences on global accounting, groups 37 factors obstructing harmonization into economic, social, political/legal and cultural groups; and assesses their impact in both developing and industrially developed countries (IDCs). Finds that political, economic and social variables create more difficulties for IDCs, but that cultural factors affect both groups equally. Displays the results graphically, discusses them further and calls for extended research to explore this “great challenge to the accounting profession”.
Details
Keywords
Benjamin Thomas Gray and Matthew Sisto
The purpose of this viewpoint article is to describe the experience of recovery houses and peer work from the perspective of a service user (Ben). The current profile and…
Abstract
Purpose
The purpose of this viewpoint article is to describe the experience of recovery houses and peer work from the perspective of a service user (Ben). The current profile and visibility of recovery houses on mental health wards is low. Indeed, since Ben’s first diagnosis in 2003 and during the last 17 months as a peer worker the importance of recovery houses has not even been mentioned once by staff or service users. It should be noted that this article expresses the view of the first author (Ben) and not the co-author (Matthew).
Design/methodology/approach
This is also a service user narrative by Ben. He was diagnosed with paranoid schizophrenia in 2003 and spent two years in and out of the mental health unit where he is now a peer worker. Ben had a relapse in 2013 for about six months and then attended Ron Coleman’s and Karen Taylor’s Recovery Champions course and their recovery house on the Isle of Lewis, Scotland, where he first heard of the recovery approach and which improved Ben’s mental health. Ron and Karen’s organisation is called Working to Recovery. Ben is currently a peer worker on the same unit where he was once a patient and working with the Director of Patient Experience, Matthew Sisto. This article is based on lived experience as a service user and peer worker.
Findings
This article makes a case for and a case against the proposal to incorporate recovery houses more into the fabric of NHS mental health care as well as a possible alternative to psychiatric units. The main argument in this article is to suggest making recovery houses more mainstream, more of them and more accessible to those currently in traditional mental health units. Currently there are no formal mechanisms of discharge from hospital to recovery houses. Not one person on the wards where I was a patient since 2003 or peer worker in the last 17 months has been discharged to a recovery house. Recovery houses are a therapeutic alternative or complement to traditional psychiatric care. They could also have other potential benefits, such as decreasing bed blocking on psychiatric wards (service users who are well and waiting for accommodation), reducing risk of relapse and remedying the loneliness and isolation that is often faced by service users on discharge to the community (changing from being around a lot of people on the ward to no one and isolation at home). Recovery houses are in short supply and in need of scaling up (more of them). There is the need to increase the referral and accessibility of recovery houses for service users on mental health wards. Currently recovery houses offer short-term support, only a matter of weeks or months. They would be better if they offered longer periods and also ongoing support. Recovery houses would also benefit people with mental illness, their carers and others if they incorporated elements of peer support.
Originality/value
Recovery houses and peer support are relatively new approaches in the mental health journeys of people with mental illness. This article is important because it makes a case for/ case against and addresses the feasibility of incorporating the recovery approach and recovery houses into the quite antiquated and slow to change fabric of the conventional NHS. It considers traditional and alternative pathways of care and steps for change to make recovery houses more mainstream and accessible to NHS psychiatric patients (and even perhaps to replace conventional psychiatric care in the long run).
Details
Keywords
Cheryl Yandell Adkisson and Ron Adkisson
This chapter focuses on the objectives of historical interpretation (particularly teaching objectives outside of the traditional name- and date-driven curriculum), ideas that lead…
Abstract
This chapter focuses on the objectives of historical interpretation (particularly teaching objectives outside of the traditional name- and date-driven curriculum), ideas that lead to creating a safe environment for students to be willing to try character portrayal themselves, content typically taught using this strategy, and successfully implemented sample lessons and activities by the authors that effectively utilize and harness the power of historical interpretation. These activities involve intense and intentional skill–based instruction that scaffolds students throughout their coursework, filling the school year with meaningful student-researched and student-produced historical interpretation. The authors discuss their teaching philosophy in relation to history and social studies, explaining why historical interpretation benefits teaching and learning. Through teacher- and student-driven character portrayals, the authors have created vibrant, secure classroom environments where students become responsible for their own learning and enthusiastic about research, writing, and performing. The chapter contains recommendations for coaching students in artifact analysis, performance, historical thinking strategies, storytelling, and creative writing. While they acknowledge that living history is not a “one-size-fits-all” solution to teaching history and social studies, they demonstrate that the unique learning culture that can result, providing student reflections to illustrate that point. The authors include and explain several effective resources that they have developed for student analysis of artifacts/objects, for guiding historical thinking, and for researching and writing. The chapter concludes with suggestions for individual and large group performance activities and advice on how to grade living history projects, keeping learning in mind as a component of holistic grading of creative student products.
Details
Keywords
A religious revival is occurring in the United States today as the traditional wall preventing faith from entering the work place is crumbling. With workers increasingly…
Abstract
A religious revival is occurring in the United States today as the traditional wall preventing faith from entering the work place is crumbling. With workers increasingly practicing their religion at work, employers face a growing cavalcade of dilemmas, including those where employees discuss religious tenets, wear religious symbols, object to employer edits on the basis of faith, and proselytize. The faith/work challenge is made even more complex because of the greater number of religions practiced today (both traditional religions based on Judeo‐Christian principles and the so‐called “immigrant religions” that have blossomed during recent decades) coupled with the growing popularity of a host of “spirituality” movements. As the mixing of faith and work becomes common place, employers and employees naturally look to the law to establish concomitant rights and duties.