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When we speak of prevention in the context of public health, we usually think of what is sometimes called ‘primary prevention’, which aims to prevent disease from occurring in the first place; that is, to reduce the incidence of disease. Vaccination against childhood infectious diseases is a good example of primary prevention, as is the use of sunscreen to prevent the development of skin cancer. However, somewhat confusingly, the term ‘prevention’ is also used to describe other strategies to control disease. One of these is the use of screening to advance diagnosis to a point at which intervention is more effective, often described as ‘secondary prevention’. What is sometimes called ‘tertiary prevention’ is even more remote from the everyday concept of prevention, usually implying efforts to limit disease progression or the provision of better rehabilitation to enhance quality of life among those who have been diagnosed with a disease.
This final chapter offers advice on the opportunities and challenges of being a composer, and is intended to be useful and encouraging for anyone developing their practice. It suggests ways to build a professional profile through growing networks and understanding effective working habits.
Older people are one of the biggest populations requiring hospital care, and the demand is expected to rise. There is a compelling need to transform hospital environments to meet older-people physical, psychological, and emotional needs. In the UK, certain hospital circumstances such as ward configuration, mealtimes, noise levels, and visiting hours can be detrimental to patients admitted with delirium and to those living with dementia. In rehabilitation settings, lack of meaningful activities, isolation, and boredom are additional key challenges.
Models of good hospital practice catering for old people exist, both in the UK and internationally, and there is strong evidence for their clinical effectiveness. Environmental strategies to maintain orientation and enhance safety in hospital are crucial for a positive experience. Arts-based programmes in acute care settinsg can improve the experience of a hospital admission.
A cultural shift is warranted to champion the delivery an elderly-friendly service. Creating the right environment requires a hospital-wide system, a ward-based service, and a specially trained clinical team. In this chapter we will present examples of essential ingredients for hospitals and wards, and desirable qualities in clinicians who work in collaboration to deliver the best outcomes for an older population.
Individuals often use self-directed strategies to manage intake of tempting foods, but what these strategies are and whether they are effective is not well understood. This study assessed the frequency of use and subjective effectiveness of self-directed strategies in relation to BMI and snack intake.
Design:
A cross-sectional and prospective study with three time points (T1: baseline, T2: 3 months and T3: 3 years). At T1, demographics, frequency of use and subjective effectiveness of forty-one identified strategies were assessed. At T2 and T3, current weight was reported, and at T2 frequency of snack intake was also recorded.
Setting:
Online study in the UK.
Participants:
Data from 368 participants (Mage = 34·41 years; MBMI = 25·06 kg/m2) were used for analysis at T1, n = 170 (46·20 % of the total sample) at T2 and n = 51 (13·59 %) at T3.
Results:
Two strategy factors were identified via principal axis factoring: (1) diet, exercise, reduction of temptations, and cognitive strategies, and (2) planning, preparation and eating style. For strategy 1, frequency of use, but not subjective effectiveness, was positively related to BMI at T1. Subjective effectiveness predicted an increase in BMI from T1 and T2 to T3. No relationship to snack intake was found. For strategy 2, frequency of use was negatively related to BMI at T1. Neither frequency of use nor subjective effectiveness were related to changes in BMI over time, but subjective effectiveness was negatively correlated with unhealthy snack intake.
Conclusion:
Self-directed strategies to reduce the intake of tempting foods are not consistently related to BMI or snack intake.
Executive functions refer to the higher-order skills we use to engage in purposeful and goal-directed behaviours (Carlson et al., 2013). ‘Purposeful’ means that we call on these functions when we have a goal in mind. Developmental psychologists compare the brain with a bustling airport, referring to executive functions as the mind’s ‘air traffic control’ system (Center on the Developing Child, 2011). In the same way that an air traffic controller manages the arrival and departure of several aeroplanes at the same time, the brain’s executive functions enable us to manage a lot of information. Executive functions help us to focus and resist distractions, to think before acting, and to cope with frustrations and rules simultaneously. Young children use executive functions in all aspects of their everyday lives, such as remembering the rules of a game, resisting temptations or impulsive reactions, waiting their turn, staying focused, recalling routines and respecting different points of view. This chapter begins by defining executive functions and their role in children’s learning. It then describes how educators work across the early years to promote executive functions. The final section of the chapter lists questions that may help early years educators to reflect on the ways in which they support children’s emerging executive functions.
Finally, Chapter 17 refers to an important aspect of the role of any EC professional – ongoing professional learning. This chapter discusses reflective practice and critical reflection as a means of ensuring that EC professionals review and monitor their own practice and understand how this practice affects children’s learning outcomes. Tools such as reflective journals and professional portfolios are discussed. The theoretical aspects of EC professionals’ pedagogical content knowledge, content knowledge and pedagogical knowledge are explored.
As we discussed with regard to leadership in Part 1, the context in which the public health tools are used has a bearing on the choice of tool and how it is implemented. In the second part of Essential Public Health: Theory and Practice, we consider a range of contemporary contexts in which public health is practised and illustrate how the tools we have described are applied.
This chapter is dissected into distinct and clear learning tasks. These tasks are then examined within the context of a self-regulated learning cycle and points for instruction and assessment are emphasized. The tasks are reassembled into two case studies – one positive and one negative – to demonstrate how the learning tasks can be used by students. Teacher educators may be interested in the first three parts of each chapter, although they could also use the fourth part to inspire action research projects. Educational researchers may be interested in all four bullet points in order to understand the concepts and variables in the research project design.
The Conclusion summarises the findings and makes recommendations for interpreting the Refugee Convention in a manner that better responds to the characteristics of contemporary armed conflicts. The effective international protection of persons fleeing contemporary armed conflicts would require a shift in assumptions and consideration of evidence that goes beyond the conventional warfare perspective currently adopted by appellate authorities in EU MS to focus instead on the gendered dynamics of violence. The book recommends a more detailed examination of armed groups’ strategies and tactics in conflicts, including their means, as this provides a better understanding of their reliance on violence against civilians to control populations and territories and support the financial costs of fighting. Examining the tactics and means of parties to conflicts locates a logic in the choice of violence leading to highly visible forms of human rights violations. This, in turn, enables the conceptualisation of particular incidents, such as kidnappings or sexual violence and rape at checkpoints, as strategic choices of violence rather than criminal by-products of conflicts. Thus, better understanding the dynamics of violence in conflict helps identify the Refugee Convention reasons for persecution and highlights the increasing importance of imputed Refugee Convention grounds.
In this study, we examined 535 primary classroom teachers’ causal attributions about challenging behaviour in West Bengal, India. The participants completed a questionnaire that collected information about their perceptions, causal attribution, and proposed strategies to address a range of challenging behaviours that were presented through five vignettes. The participants identified student-related and family-related factors as the main causes of challenging behaviour more frequently compared to teacher-related causes. They reported using proactive strategies more often than reactive strategies to address challenging behaviours in their classrooms. The findings provided insight into teachers’ causal attributions influencing their choice of classroom-management strategies, which helped to understand teaching practices and how they affect students. The implications of the study are presented to improve professional learning and practice for teachers and guide them to adopt strength-based strategies to address challenging behaviour in primary schools in West Bengal, India.
In this chapter, we begin by examining the importance of trust in partnership work. We will then discuss the final premise of the TWINE Model of Partnership - to adapt. Through this premise, we will explore concepts such as participatory action, mapping out timelines, funding and resourcing a partnership. We will also examine some of the common challenges that might be faced in partnership work and discuss the ways these challenges might be overcome in practice.
This chapter discusses the daily experience of hunger in the ghettos. It explores the myriad of coping mechanisms employed by those in the ghetto to combat hunger. This chapter discusses how individuals, families, and communities sought to increase the amount of food available. It discusses the sale of assets to obtain food and the preparation and consumption of hunger foods. This chapter reviews ways in which hunger drove individuals to behave in ways that challenged their core beliefs in terms of how they behaved, what they were willing to eat, and how they interacted with one another.
Building on Herbert Simon’s critique of rational choice theory, Schwartz et al. (2002) proposed that when making choices, some individuals — maximizers — search extensively through many alternatives with the goal of making the best choice, whereas others — satisficers — search only until they identify an option that meets their standards, which they then choose. They developed the Maximization Scale (MS) to measure individual differences in maximization, and a substantial amount of research has now examined maximization using the MS, painting a picture of maximizers that is generally negative. Recently, however, several researchers have criticized the MS, and almost a dozen new measures of maximization have now been published, resulting in a befuddling and contradictory literature. We seek to clarify the confusing literature on the measurement of maximization to help make sense of the existing findings and to facilitate future research. We begin by briefly summarizing the understanding of maximizers that has emerged through research using Schwartz et al.’s MS. We then review the literature on the measurement of maximization, attempting to identify the similarities and differences among the 11 published measures of maximization. Next, we propose a two-component model of maximization, outlining our view of how maximization should be conceptualized and measured. Our model posits that maximization is best understood as the pursuit of the maximization goal of choosing the best option through the maximization strategy of alternative search; other constructs such as decision difficulty and regret are best considered outcomes or causes — rather than components — of maximization. We discuss the implications of our review and model for research on maximization, highlighting what we see as pressing unanswered questions and important directions for future investigations.
The modern business environment requires managers to make effective decisions in a dynamic and uncertain world. How can such dynamic decision making (DDM) improve? The current study investigated the effects of brief training aimed at improving DDM skills in a virtual DDM task. The training addressed the DDM process, stressed the importance of self-reflection in DDM, and provided 3 self-reflective questions to guide participants during the task. Additionally, we explored whether participants low or high in self-reflection would perform better in the task and whether participants low or high in self-reflection would benefit more from the training. The study also explored possible strategic differences between participants related to training and self-reflection. Participants were 68 graduate business students. They individually managed a computer-simulated chocolate production company called CHOCO FINE and answered surveys to assess self-reflection and demographics. Training in DDM led to better performance, including the ability to solve initial problems more successfully and to make appropriate adjustments to market changes. Participants’ self-reflection scores also predicted performance in this virtual business company. High self-reflection was also related to more consistency in planning and decision making. Participants low in self-reflection benefitted the most from training. Organizations could use DDM training to establish and promote a culture that values self-reflective decision making.
We present the Concordant-Ranks (CR) strategy that decision makers use to quickly find an alternative that is proximate to an ideal alternative in a multi-attribute decision space. CR implies that decision makers prefer alternatives that exhibit concordant ranks between attribute values and attribute weights. We show that, in situations where the alternatives are equal in multi-attribute utility (MAU), minimization of the weighted Euclidean distance (WED) to an ideal alternative implies the choice of a CR alternative. In two experiments, participants chose among, as well as evaluated, alternatives that were constructed to be equal in MAU. In Experiment 1, four alternatives were designed in such a way that the choice of each alternative would be consistent with one particular choice strategy, one of which was the CR strategy. In Experiment 2, participants were presented with a CR alternative and a number of arbitrary alternatives. In both experiments, participants tended to choose the CR alternative. The CR alternative was on average evaluated as more attractive than other alternatives. In addition, measures of WED, between given alternatives and the ideal alternative, by and large agreed with the preference order for choices and attractiveness evaluations of the different types of alternatives. These findings indicate that both choices and attractiveness evaluations are guided by proximity of alternatives to an ideal alternative.
During stressful experiences the endocrine and brain systems involved have distinct neurochemical processes which enhance the power of the memory. Post-traumatic stress disorder is due not only to psychological factors, but neurochemical and evolutionary ones as well. It is valuable for people who have experienced stressful life events to realize that the power these memories have is not entirely psychological. It is in a deeply developed neural pathway created and preserved in the brain in a resilient fashion. Understanding that this is not a question primarily of “getting over It,” but rather “learning to live with it” may help. Stress has many effects on the brain and the body. Bolstering your physical reserves with physical activity, effective sleep, and a healthy diet enhances the ability to deal with stress. The experience of stress involves not only the brain, but also the body’s cardiovascular system and other parts. It is best if the work of dealing with stressful factors is accomplished early, before the achlyievement of great age. Several strategies can help to deal with stress: restful sleep, meditation, diet, cognitive and physical exercise, and avoidance of toxins.
In contemporary times, the body of students in most schools reflects a diverse medley of race, class, gender, ethnicity, religion, ability, identity and sexual orientation. All these young people have a right to a quality schooling experience, as well as the knowledge, skills and understandings required for them to lead active and healthy lives. However, teachers are sometimes unprepared for managing this complexity let alone celebrate this diversity. Although the learning area has much to contribute to young people, physically, socially, emotionally and cognitively, research continues to show how teaching practices celebrate some students while marginalising and discriminating against others. So too, when health and physical education is influenced by the logic of neo-liberal individualism, students are made to feel responsible for their own health and are sometimes ‘blamed’ for their failure to perform particular skills or achieve particular kinds of bodies . However, with a focus on diversity, acceptance and inclusion, health and physical education can have an integral role in combating injustice and achieve the best outcomes for all students.
Political opposition has long been one of the most dramatically understudied elements of real-world politics in contemporary democratic and authoritarian regimes. The past decade or so has, however, witnessed an upsurge of new opposition research that begs for a major state-of-the-field review. Interestingly, recent scholarship has focused more on manifestations of opposition in authoritarian and hybrid than in democratic systems, which indicates a latent reconceptualization of political opposition (setting aside older distinctions between regime-loyal opposition and regime-challenging forms of resistance, dissidence and contestation). With a focus on party-based forms of opposition, which have been widely considered to mark the most effective form of opposition, this review article takes stock and highlights key issues for future research as well as some inherent obstacles to the emergence of a more integrated field of cross-regime opposition studies.
Vocabulary-learning strategies are not only a means to improving the quality of vocabulary learning, but are a part of encouraging learners to take control of their own learning. That is, to become autonomous learners. It is useful to distinguish between knowledge of vocabulary strategies and the ability to use strategies. To be truly useful, a strategy needs to be practised until it is very easy to use. However, knowledge of the principles of learning that lie behind strategies is also important, because this knowledge allows learners to look critically at their own learning and to reflect on ways to improve it. A good language course should introduce learners to the most important principles of learning and should inform them of ways in which they can improve their language learning both inside and outside of the classroom. A good language course book should also include this information, and in this chapter, we will look at how this can be done. Strategies can involve choosing what to focus on and when to focus on it, finding information about words, establishing knowledge, and enriching knowledge.
This chapter assessed sustainability and resilience of eleven farming systems in their current situation, as well as in hypothetical future systems, using qualitative and quantitative methods. The assessment shows that current farming systems address sustainability dimensions in an unbalanced way and are characterized by poor resilience. Future resilient systems are imagined to promote environmental and social functions in the long term.