79 resultados para The issue of autonomy


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Vietnam's open-door policy, its socialist-oriented market economy, recent growth in cross-border education and skills mobility, regionalisation and globalisation have created an increasing demand for Vietnamese graduates to develop not only their English language but also their intercultural competence. This paper discusses the issue of student intercultural learning and development in the Vietnamese English as a foreign language (EFL) class. Especially, it addresses the use of film as an innovative approach to engage Vietnamese students in intercultural learning and development in the EFL classroom. The study reported in this paper draws on rich sources of data which include in-depth interviews with students, student reflective journals and video-recorded class observations at a university in central Vietnam. Overall, five key themes relating to student intercultural learning through film have been identified in this study. These include enhancing knowledge about cultural differences, engaging in cross-cultural comparison, breaking cultural stereotypes, immersing students in authentic learning and living in the world of ‘other’ culture and the integrated mode of intercultural language learning. The study is a significant contribution to scholarly research on the use of media objects to enhance student intercultural learning in language classrooms in developing countries.

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David Tittensor, argues for the role of faith in development to be reconsidered in relation to the issue of bias in the provision of aid. In doing so, he draws on the works of Amartya Sen and Martha Nussbaum that seek to expand conventional understandings of aid to include wellbeing, and cites the cases of both Tablighi Jamaat and the Gülen Movement – from India and Turkey respectively – and how their religious interventions are at times precisely what Muslims are looking for.

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Our companion paper (Cummins et al. in J Happiness Stud, 2013) describes the statistical process used to demonstrate set-points and set-point-ranges for subjective wellbeing. The implications of set-points and homeostasis are now considered in the context of resilience. This discussion leads with a brief overview of resilience definitions and is followed by a description of subjective wellbeing (SWB) homeostasis. This addresses, in particular, the issue of SWB malleability under homeostatic control. The link between resources and resilience is then considered, in terms of predictions made by homeostasis theory. Finally, discussion focuses on the implications of such understanding for future directions in SWB research. It is concluded that an understanding of set-points and homeostasis allows new insights into the resilience construct.

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BACKGROUND: Because parents with young children access primary health care services frequently, a key opportunity arises for Maternal and Child Health (MCH) nurses to actively work with families to support healthy infant feeding practices and lifestyle behaviours. However, little is known regarding the extent to which MCH nurses promote obesity prevention practices and how such practices could be better supported. METHODS: This mixed methods study involved a survey of 56 MCH nurses (response rate 84.8 %), 16 of whom participated in semi-structured qualitative interviews. Both components aimed to examine the extent to which nurses addressed healthy infant feeding practices, healthy eating, active play and limiting sedentary behavior during routine consultations with young children 0-5 years. Key factors influencing such practices and how they could be best supported were also investigated. All data were collected from September to December 2013. Survey data were analysed descriptively and triangulated with qualitative interview findings, the analysis of which was guided by grounded theory principles. RESULTS: Although nurses reported measuring height/length and weight in most consultations, almost one quarter (22.2 %) reported never/rarely using growth charts to identify infants or children at risk of overweight or obesity. This reflected a reluctance to raise the issue of weight with parents and a lack of confidence in how to address it. The majority of nurses reported providing advice on aspects of infant feeding relevant to obesity prevention at most consultations, with around a third (37 %) routinely provided advice on formula preparation. Less than half of nurses routinely promoted active play and only 30 % discussed limiting sedentary behaviour such as TV viewing. Concerns about parental receptiveness and maintaining rapport were key barriers to more effective implementation. CONCLUSION: While MCH nurses are well placed to address obesity prevention in early life, there is currently a missed public health opportunity. Improving nurse skills in behaviour change counseling will be key to increasing their confidence in raising sensitive lifestyle issues with parents to better integrate obesity prevention practices into normal MCH service delivery.

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 The thesis work was aimed at resolving long established issues with difficult-to-machine materials. The main thesis contribution, is the academic community now has a better understanding of how the issue of built-up edge is occurring when machining duplex stainless steel alloys, which will aid in the machining sector.

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Marketing theory has largely ignored the issue of power in influencing exchanges. Most of the studies either disregard the role of power, or resource power is the only dimension taken into account. In this study, we expand the existing understanding by centrally situating the role of socio-political power in the consumption process. We examine the health care system in the Indian state of Kerala and highlight that socio-political power is a crucial determinant of consumption levels. In the process, we argue that in a resource—constrained Third World society socio-political empowerment is critical to the development process.

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Many health professionals and rural health academics are motivated by the challenge of achieving equitable access to health care in rural communities with the implicit vision that fairer access to services might ultimately lead to more equitable health outcomes for people living in rural and remote settings. The purpose of this paper is to put the issue of rural and urban health outcome parity into perspective and assess recent progress towards achieving the ultimate goal of improving rural health status. I will also explore ways in which rural communities might increase their access to and use of primary health care revenue in the future to improve community health outcomes. While some improvements have been achieved across the rural health system in recent times, the fundamental problem of maintaining infrastructure to service community needs in rural areas remains as daunting as ever. Extensive evidence has now been assembled to show that rural people generally enjoy a much lower standard of health care, health outcomes and life expectancy than their urban cousins. The question underlying all of this evidence, however, is... must this always be so? Is it possible to redress the current inequities between rural and urban populations and could new primary health care initiatives, such as the Enhanced Primary Care (EPC) program, be vehicles for achieving more equitable health care arrangements and health outcomes for people living in rural communities?

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The year 2012 marked the fortieth anniversary of UNESCO’s Convention Concerning the Protection of the World Cultural and Natural Heritage, or World Heritage
Convention. Regarded by many as a hugely successful project, World Heritage has
provided a framework for safeguarding a wide array of historic built environments.
The choice of “sustainable development and the role of communities” as the theme of
the fortieth anniversary was, however, recognition of the significant problems and
challenges this arena of cultural and spatial governance has created for those living in
and around listed sites. Cities have proved particularly challenging, and resistant to
prescriptive modeling at the level of international policy. Evictions, punitive
legislation, rising living costs, and loss of community are the now familiar by‐products of worldheritage that continue to go undocumented and ignored.
Against this backdrop, this chapter traces recent developments and trends surrounding urban heritage conservation, highlighting recent turns towards community‐driven approaches and discourses of sustainability. It then raises the issue of gentrification, with a particular focus on where such problems take on critical importance: small‐scale urban environments. Focusing on Galle in Sri Lanka, the final part of the chapter explores the emergence of a form of “heritagescaping” oriented by an aesthetics of solitude, tran-quility, and quiet comfort. In offering a contribution towards debates around urban sustainability and the role of heritage therein, it is argued that such processes present significant obstacles to the development of more community‐based, culturally sustainable forms of heritage conservation.

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An integrated model of care has been used effectively to manage chronic diseases; however, there is limited, yet encouraging evidence on its introduction in the management of inflammatory bowel disease (IBD), a chronic gastrointestinal condition. Here, the rationale for and implications of introducing an integrated model of care for patients with IBD are discussed, with a particular focus on psychology input, patient-centred care, efficiency as perceived by patients and doctors, financial implications and the possible means of model introduction. This is a discussion paper on the integrated model of care for IBD against a background of what has been learned from an integrated model of care established in other chronic conditions. Although limited, the emerging data on an integrated model of care in IBD are encouraging with respect to patient outcomes and savings in healthcare costs. In other conditions, the model has been well received by both patients and practitioners, although the loss of autonomy by doctors is listed among its drawbacks. The cost-effectiveness data are now sufficiently convincing to recommend the model's acceptance in principle. The model should be promoted at the policy level rather than by individual practitioners to facilitate equal access for patients with IBD on a larger scale than currently.

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The relative contribution of geographical dislocation, attachment styles, coping behaviours, and autonomy, to successful student adjustment, was examined in relation to stress and well-being. A sample of 142 on campus first year university students, across four Victorian university campuses completed self-report questionnaires. Questionnaires included demographic, social network, intrapsychic (attachment and autonomy), and coping variables. Multiple regression analysis revealed that being female, not having made a friend to confide in personal matters, lower achieved autonomy, and use of emotion-focused coping predicted higher levels of student stress. A second multiple regression analysis revealed that living away from home, and preferring others to approach oneself to initiate conversation or friendships predicted lower well-being, whilst increased frequency of phone and email contact, and greater secure parent and peer attachment, predicted greater well-being. Pearson's correlations indicated that securely attached students used more problem focused coping and social support, whereas insecurely attached students used more emotion focused coping. Qualitative data indicated student concerns about being away from family and friends, finance, course direction and structure, social opportunities on campus, and generally adjusting to the university culture. It was concluded that first year on-campus students would benefit from program initiatives targeting enhancement of on-campus social opportunities, development of autonomy, problem focused coping behaviour, interpersonal and social assertiveness.

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It has been claimed that the arguments for and against euthanasia have not changed in the last 120 years. Throughout this period, two rights claims have been thought to be central to the debate. The right to autonomy is invoked by many euthanasists as the main argument in support of euthanasia. This is often countered by the claim that euthanasia violates the right to life. This article argues that the relevance of these rights claims to the euthanasia debate has been overstated. More generally, it is argued that the bluntness of the rights claims in the context of the euthanasia debate is illustrative of the fact that the concept of rights is an unsuitable device for resolving moral disputes which involve conflicting rights.

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Race and racism has been increasingly implicated in known disparities in the health and health care of racial, ethnic and cultural minorities groups. Despite the obvious ethical implications of this observation, racism as an ethical issue per se has been relatively neglected in health care ethics discourse. In this paper consideration is given to addressing the following questions: What is it about racism and racial disparities in health and health care that these command our special moral scrutiny? Why has racism per se tended to be poorly addressed as an ethical issue in health care ethics discourse? And why, if at all, must racism be addressed as an ethical issue in addition to its positioning as a social, political, cultural and legal issue? It is suggested that unless racism is reframed and redressed as a pre-eminent ethical issue by health service providers, its otherwise preventable harmful consequences will remain difficult to identify, anticipate, prevent, manage, and remedy.