Findings are presented from matched case-control studies of risk factors for diabetes, cryptorchidism and inguinal hernia in children using routine data collected by the Oxford Record Linkage Study since 1965. There were 315 cases born 1965-85 in the diabetes study, 947 and 1449 cases in studies of cryptorchidism diagnosed at birth and at orchidopexy respectively, and 1701 male and 347 female cases in the study of inguinal hernia. Each case was individually matched with up to eight controls on sex, year, and hospital or place of birth. A potential bias caused by differential migration of cases and controls was identified. A sample of 753 controls born in Oxfordshire was checked against the Oxfordshire Family Health Services Authority register to determine migration out of the study area in relation to perinatal risk factors. A general procedure was developed to estimate the strength of the migration bias. Pre-eclampsia was identified as a significant pre-natal risk factor for diabetes. The studies of cryptorchidism identified significantly raised risks with low birth weight, low social class and breech presentation. The results suggested that asymmetric growth retardation in the third trimester may be involved in the aetiology of undescended testes that do not spontaneously descend in later life. Analysis of risk factors among siblings of cases and controls suggested that permanent changes to the mother may occur around the time of the pregnancy involving the affected child. Low birth weight, short gestation and smoking during pregnancy were associated with significantly raised risks of inguinal hernia among boys. Among girls the results were similar, suggesting that mechanisms independent of the sex of the child may be important in the aetiology of this condition. Estimates of disease risk in siblings showed a strong familial aggregation, especially among girls.

The thesis covers the history of the Chinese in Victoria between 1870 and 1890. This includes growth and development of anti-Chinese movement, including objections to Chinese immigration and legal and economic factors.

An electroencephalographic (EEG) protocol was used to examine cerebral activity in the moments proceeding self paced motor performance. Throughout the series of investigations, power in the alpha waveband (8-13 Hz) was used as the dependant variable. In the first investigation, subjects completed a variety of stereotyped 'left and right brain' tasks. These tasks induced a reliable and predictable pattern of lateralised activity. Furthermore, tasks categorised as 'right brain' were shown to induce a more consistent effect. In the second investigation, expert Karate athletes performed a number of Karate specific tasks together with a skill acquisition and cognitive task condition. Significant increases in alpha band power, mediated by task difficulty, were found to be associated with one category of task. In the third study, subjects completed a series of novel tasks, designed to systematically vary the effort and accuracy demands. A significant decrease in alpha band power was shown to be associated with preparation for the asymmetrical high effort task, namely a leg extension against resistance. Outcome of the high accuracy condition was found to significantly mediate alpha band power immediately prior to performance. In the final investigation, the alpha band powers of cricketers, non-cricketing sportsmen and non-sportsmen were compared as they performed a variety of Cricket related, throwing tasks. Significant differences were detected between the different groups and between the different tasks. Once again, success was found to mediate the pattern of alpha band power. It was concluded that the effects observed were probably due to changes in the Rolandic Wicket or Mu rhythm generated in the central and pre-central regions.

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The current financial crisis has stroke the World without leaving alone any sector, firmor household. Some sectors have been more affected than other ones. In the sport sector,gymnasiums and sport clubs have to adapt to the new situation while companies that didnot have been force to shut down or fire employees to stay afloat. According to Ferrell& Hartline (2002), if the company is not able to adapt, it will not be able to reach itsobjectives and by so, the company will no longer be profitable. The purpose of thisstudy was to examine how Balearic gymnasiums and sports clubs adapt their marketingstrategy focusing on their marketing mix to the renovated consumer buying behaviourduring the financial crisis. A quantitative method was used for this research, and the empirical data was gatheredfrom 76 gymnasiums and sports centres in the Balearic Islands. Primary data wasobtained though a survey via on-line to their respective emails. The results show that the different individuals analyzed have recognized a change intheir consumers’ behaviour and have applied different changes in their marketing mix.The findings can be of utility for similar companies that face a similar situation. It helpto understand how important is for a firm to have a proactive and flexible marketingstrategy to be able to adapt itself to the continuously changing environment in order toeither improve their position or survive on the market.

Social security of women during pregnancy and maternity and protection of their work Abstract The diploma thesis deals with the security of women during pregnancy and motherhood and the safety of their work. The whole work illustrates the development of social security in the Czech Republic, in particular the current situation of social security with the main focus on pregnant women and parents taking care of their children. The diploma thesis is divided into four chapters. The first chapter deals with the historical development of social security in the territory of the Czech Republic, in particular the development in the 20 century which is decisive for the current state of social security in the Czech Republic. The second chapter focuses on the international context of social security. The Czech Republic is a member state of several international organisations whose legislation has a significant impact on our social area. Therefore, this chapter is also devoted to international organisations and international law regulations focused on the social area, in particular on the rights of social security. The third chapter, which is the most extensive, is dedicated to the social security of women during pregnancy and motherhood. It deals with the security arising from both the sickness insurance system and the...

This qualitative study was designed and conducted to hear the voices of military spouses who chose to live separately from the active duty spouse. The study also sought to identify potential risks due to the separation and protective factors that were used to positively cope with separation. Previous studies have examined risk factors for military spouses as a result of military induced separation such as deployment. However, no study has been conducted regarding separation by choice of the military spouse and active duty service member. The theory of resiliency provided an understanding of the presence of protective factors and resiliency. Data were collected from 8 military spouses, recruited through social media, using semistructured interviews, who provided details of their lived experience of voluntary separation. The study findings indicated that participants who were voluntarily separated from their active duty spouse were unhappy with the separation. All but 1 of the participants in the study experienced separation stressors such as being stressed, overwhelmed, lonely, and sad because to the separation. Negative psychological symptoms such as depression and anxiety were experienced by military spouses voluntarily separated 7 months and longer. Social support, such as family, was identified by all participants in the study as a protective factor helping them cope with the separation. The findings of the study provide other military spouses with knowledge on voluntary separation. Additionally, federal and state mental health professionals and policy makers can gain better understanding and knowledge about this population to help foster positive mental health and designed laws to assist military spouses.

This study revisits the effect of duration by residence in relation to smoking during pregnancy. It contributes to the literature by incorporating a health inequity perspective, and discusses whether immigrants tend to converge with Swedish women’s smoking. The study is based on Swedish Medical Birth Register and includes 1 1864 52 pregnancies between 1991 and 2012. Logistic regression was performed to attain crude and adjusted Odds Ratios and 95 % confidence intervals. Immigrants’ are divided by categorizing countries of origin depending on levels of Human Development (IHDI). Overall immigrant women show low levels of smoking during pregnancy when they arrive to Sweden, by duration of residence levels of smoking increase and converge with smoking patterns of Swedish women. I found that there are differences in smoking patterns depending on IHDI of the country. Immigrant women of higher categories of IHDI show higher levels of smoking although the increase of smoking is higher among immigrant women from categories of lower IHDI. However, immigrant women’s smoking during pregnancy is affected by duration of residence, and the increased smoking is associated with health inequalities related to their country of origins IHDI, and by socioeconomic inequalities in Sweden.

Background and Aims: Mental health difficulties during the perinatal period (pregnancy to 1 year postnatal) are commonplace and are associated with significant impacts for mothers and infants. There is an acknowledgement that more needs to be understood about perinatal mental health, particularly during pregnancy, and that service and treatment options need to be improved. Women's lived experience of difficulties during pregnancy, particularly when experiencing moderate to severe mental health difficulties, is a little researched area. A need for wider treatment options than medication alone has been highlighted and Peer Support Interventions (PSIs) are often considered within this area. Despite this, there is yet to be a review of their effectiveness to date that also considers women's views of such interventions. Therefore, this thesis aimed to systematically review literature focused on women's views of PSIs and their effectiveness. In addition, it also aimed to explore the lived experience of women with moderate to severe difficulties with their mental health during pregnancy, with a focus on trying to establish any psychological needs/needs they may have. Methods: A mixed methods systematic review was conducted to meet the aims on PSI interventions. This involved searching electronic databases, quality assessment of included papers and summarising results, including a meta-synthesis for qualitative findings. The empirical project, on women's lived experiences, utilised an Interpretative Phenomenological Analysis approach to explore the lived experience of women experiencing moderate to severe mental health difficulties during pregnancy. Semi-structured interviews were conducted with 11 women recruited via a specialist perinatal mental health service. Results Thirteen studies were included in the review. Results highlighted the heterogeneity of types of PSIs and methodologies employed to evaluate these. Most studies focused on PSIs for the postnatal period and were often aimed at depression. There was a lack of research on PSIs targeted antenatally, or for other types of mental health difficulties. There was tentative evidence for the use of telephone based PSIs in reducing depressive symptomatology postnatally, but less evidence for the use of other types of PSI, or for interventions during pregnancy. The qualitative evidence highlighted the acceptability of PSIs to women and a meta-synthesis of qualitative research identified a number of themes representing women's views of PSIs. From the empirical project, several Superordinate themes were identified: Need for acceptance, Need for awareness, Search for explanations, What helped, Emotional intensity, Societal influences and Service provision. Within these a range of emergent themes were also found. These themes highlighted possible psychological needs and other needs during this time, as well as providing a greater understanding of women's lived experience. Conclusions: There is a need for more research to establish effectiveness of PSIs during pregnancy and of other modes of delivery and to build on existing findings on the effectiveness of telephone based PSIs. Women viewing PSIs as highly acceptable for perinatal mental health difficulties, should cause services to consider their use, or other opportunities for sharing of peer advice/information. Themes identified from the empirical project highlight the need for greater awareness and acceptance of mental health difficulties during pregnancy, as well as the impact of societal influences on women during this time, and the role clinicians and services could play in achieving greater awareness. Small changes within services could help raise awareness levels and help women feel less isolated.

The relationships of estradiol-17-beta, progesterone, and LH in the early postpartum St. Croix ewe were monitored during the breeding season in 1988. A second group of non-postpartum, ovariectomized St. Croix ewes were used to determine non-ovarian levels of progesterone for comparison. Results of this study indicate that: 1. The short duration rise in progesterone exhibited by some ewes is indicative of an ovulation. 2. Ewes that do exhibit a short luteal phase prior to the first "normal" luteal phase have a longer period from parturition to the first "normal" luteal phase. 3. Serum levels of LH increase beginning 3 days postpartum. 4. There is a strong relationship between the concentration of estradiol and the exhibition of behavioral estrus in the postpartum ewe. 5. There appears to be a definite but somewhat irregular pulsatile release pattern of estradiol from the follicle of the postpartum ewe. The ability of the endocrine system of the St. Croix to return to functional levels of production and release during the first 15 days postpartum is likely related to their relatively short postpartum intervals and subsequent pregnancies.