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Relational autonomy proposes that persons are socially embedded, with decisions being made within social relationships. Through this theoretical lens, this article…
Relational autonomy proposes that persons are socially embedded, with decisions being made within social relationships. Through this theoretical lens, this article explores how the healthcare professional–patient relationship can affect pregnant women’s decisions to accept pertussis and influenza vaccines.
Hackney was chosen as the study site as it has very low vaccine uptake rates. In-depth interviews were conducted with 40 pregnant and recently pregnant women, as well as 10 healthcare professionals. Interviews explored experiences of the UK's National Health Service (NHS) health care and views towards vaccination in pregnancy. An observation of a consultation between a pregnant patient and her General Practitioners (GPs) was also conducted in order to understand how the vaccination discussion takes place.
The findings of this study indicate that advice from friends and family can greatly influence a pregnant woman’s vaccination decisions. The patient’s social context, including influences on her decisions, must be understood by healthcare professionals, so that discussions about concerns can take place. If close relationships with patients are formed, healthcare professional advice is more likely to be trusted. With support from healthcare professionals, patients feel competent, empowered to make the right decision for them, and are more likely to vaccinate.
This research will help to inform contextualised policies aimed at increasing vaccination acceptance and reducing inequality in access to vaccination during pregnancy in Hackney.
To the author’s knowledge, this chapter is the first to apply the theory of relational autonomy to views towards maternal vaccination and decision making. It provides valuable insights into how healthcare professionals’ interactions with their pregnant patients can influence vaccination acceptance. The chapter contains advice on how both healthcare professionals and policy-makers can include mothers in vaccine decision-making processes in more personalised ways, by adopting a dialogue that appreciates and understands the social processes around vaccination concerns.
Health information oriented toward the consumer has long been scarce. Online databases and health information directories have been geared to the health professional. Many libraries have responded to the consumer's desire for and right to health information, but most have not, except indirectly, as participants in consumer health information consortiums. As McClaskey states:
This paper examines bread wheat quality and its effect on vertical co‐ordination in the wheat supply chain. Wheat quality is defined by many different characteristics…
This paper examines bread wheat quality and its effect on vertical co‐ordination in the wheat supply chain. Wheat quality is defined by many different characteristics, which poses limitations on the effectiveness of industry grading schemes in meeting the quality needs of end‐users. Consequently, individual processors may have an incentive to segregate wheat based on their own quality specifications. The costs and benefits of wheat segregation are analysed using a simple economic model, and illustrated with a case study of supply chain management taken from the UK bread industry. Warburtons Ltd procures bread wheat varieties with specific intrinsic quality attributes from Canada using identity preserved supply contracts. The paper concludes that the benefits of wheat quality control will encourage millers and bakers to develop closer vertical linkages with wheat suppliers in the future.
The following annotated bibliography of materials on orienting users to the library and on instructing them in the use of reference and other resources covers publications from 1979. A few items from 1978 were included because information about them had not been available in time for the 1978 listing. Some entries were not annotated because the compiler was unable to secure a copy of the item. The bibliography includes publications on user instruction in all types of libraries and for all types of users from children to adults. To facilitate the use of the list, it has been divided into categories by type of library. Even though the library literature includes many citations to items on user instruction in foreign countries, this bibliography includes only publications in the English language.
THIS month usually sees the estimates adopted that must govern public library spending for the year to come. It is likely to be a testing time for many librarians and we look forward with much interest to their experiences this year. The international rearmament programme, which authority has told us will not radically change our economic position, must have its repercussions on all municipal activities; expansion, so badly needed and so often deferred, is not likely to come immediately. However, as we remarked last month, dismal prophecies have so often been confounded by the subsequent facts that we hope 1951 will not be an exception. The defence programme may have some Staff effects, especially if the Z reserves are called again to the Colours. There is much that we may hope and much we should plan for in the months immediately ahead.
The refined process structure tree (RPST), the hierarchy of non-overlapping single-entry single-exit (SESE) regions of a process model, has been utilized for better…
The refined process structure tree (RPST), the hierarchy of non-overlapping single-entry single-exit (SESE) regions of a process model, has been utilized for better comprehension and more efficient analysis of business process models. Existing RPST methods, based on the triconnected components of edges, fail to identify a certain type of SESE region. The purpose of this paper is to introduce an alternative method for generating a complete RPST utilizing rather simple techniques.
The proposed method first focuses on the SESE regions of bonds and rigids, from the innermost ones to the outermost ones, utilizing dominance and post-dominance relations. Then, any SESE region of a series nested in a bond or a rigid is identified with a depth-first search variation. Two-phase algorithms and their completeness proofs, a software tool incorporating visualization of stepwise outcomes, and the experimental results of the proposed method are provided.
The proposed method utilizes simple techniques that allow their straightforward implementation. Visualization of stepwise outcomes helps process analysts to understand the proposed method and the SESE regions. Experiments with 604 SAP reference models demonstrated the limitation of the existing RPST methods. The proposed method, however, completely identified all types of SESE regions, defined with nodes, in less computation time than with the old methods.
Each triconnected component of the undirected version of a process model is associated with a pair of boundary nodes without discriminating between the entry and the exit. Here, each non-atomic SESE region is associated with two distinct entry and exit nodes from the original model in the form of a directed graph. By specifying the properties of SESE regions in more comprehensible ways, this paper facilitates a deeper understanding of SESE regions rather than relying on the resulting RPST.
WITH this issue we are commencing the twenty‐seventh year of our career as an independent Library Journal and trust that we shall carry on the tradition of our illustrious founder and continue to criticise or praise without fear or favour. During the past twelve months our editorial staff has successfully produced special numbers dealing with Bookbinding, Book Selection, Children's Departments, Classification, and Colonial Libraries. Judging by the correspondence we have received, our efforts have been greatly appreciated by the majority of our readers. Naturally we have not pleased everybody and we have even been dubbed the “little contemporary” in some quarters. However, we can point to an unbroken record of twenty‐six years' endeavour to serve the library profession and we ourselves are justly proud of the contemptible “little contemporary” that did not cease to appear even during the darkest hours of the dread war period.