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Despite the increasing public profile of same-sex issues, health policies are often shaped by heteronormative assumptions. The health concerns of lesbian, gay, bisexual, transsexual/transgender, two-spirit, intersex, queer and questioning (LGBTTTIQQ) people are complex and require broadening from an often exclusively sexual health and risk focus to a more holistic approach. In this context, this paper illustrates how a critical feminist geography of health, with its focus on the mutual construction of gender relations, space and place, potentially enhances and extends current understandings of public health policy and practice. Moreover, the use of a policy lens foregrounding gender and other power relations suggests that feminist research and coalitions facilitate participatory processes that address “the politics of discourse.” In particular, public health nursing practice can enhance the construction of spaces of resistance that challenge heteronormative discourse through research strategies focused on sexual minority communities’ health experiences and their visions for supportive care. In this respect, two strategies consistent with public health priorities to increase knowledge and participate in alliances are described. Ethnographic research with childbearing lesbians demonstrates that attention to institutional dynamics that foster safe spaces can facilitate access to public health services. Public health nurses’ involvement in community coalitions can enhance dissemination of community knowledges. The implications for gender inclusive and place-sensitive public health nursing practice include the development of sensitive educators, meaningful educational curriculum and related program planning, explicit policies, community partnerships and political leadership in institutional and research venues.  相似文献   
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大珠母贝人工苗工厂化分组标粗;室内养殖54d,贝苗平均壳高从入池时6.61mm增长至13.08mm,最大为14.25mm,平均成活率31.9%,最高达49.8%。试验结果初步表明:1.大珠母贝岸上室内工厂化养殖不但可行,而且也将是解决当前海上养成困境的一条出路;2.发现自然海区中也存在饥饿死亡现象及死亡潜伏期,反映出海上养殖高死亡率的复杂性;3.人工配合饲料的应用显著提高了贝苗的增长率和成活率,显示出广阔的商业价值。  相似文献   
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After a worldwide financial crisis in the early 1980s, many states decided to implement new public management strategies. These strategies consist of private sector management practices that aim to reduce the cost of public services. The US and the UK first adopted the new public management model and other states soon followed. The Norwegian state was initially reluctant to adopt private management practices, but it eventually implemented modified reforms that suited the Norwegian socio-political context. This article investigates the ways in which the Norwegian state and Norwegian employers shape the labor force in Norwegian nursing homes through new public management strategies, and the tools that foreign-born nurses use to challenge these structures. The Norwegian state shapes the labor force through labor market policies and the rescaling of public services to local governments, and Norwegian employers reinforce the neoliberal values of the state in their hiring practices and daily operations in the workplace. In particular, this article analyzes the interweaving neoliberal institutional and personal factors that influence the working experiences of Polish nurses in a semi-private nursing home in Oslo. The city of Oslo created a unique public–private partnership with a city-owned company that manages three nursing homes in Oslo. The findings of this study indicate that Polish nurses in one of these nursing homes were negatively affected by the new public management strategies. They improved some of their working conditions over time but structural barriers still persist despite high demand for their skills.  相似文献   
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目的:本文分析总结颅脑外伤病人CT扫描的护理及扫描技术要点,材料与方法:对9600例颅脑外伤病人在做CT检查前的护理技术及扫描技术进行了回顾性分析总结,了解伤后脑内改变对诊断和治疗有着和重要作用。总结了颅脑外伤CT扫描的护理技术的9项要点,结论:CT是诊断颅脑外伤的首选方法,它不仅能够明确颅外伤的范围,也是判断可进行外科手术的重要指证,CT检查的护理技术及扫描技术是确保外伤患者CT检查顺利的关键。  相似文献   
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ABSTRACT

Globalisation, supply–demand dynamics, uneven development, enhanced connectivity including the better flow of information, communication and the reduced cost of travel have encouraged the global integration of nursing labour markets. Developed regions of the world have attracted internationally educated nurses (IENs) because of growing healthcare needs. India, along with the Philippines, has become a key supplier of nurses in the global economy. Traditionally the supply of nurses was heavily regionalised in south India, especially Kerala, but of late Punjab, in north India, has played an increasing role in nurse training and migration as the profession has become more respected and more international. This paper uses survey and interview data to detail the recent interest in nursing as a channel for independent female international migration from Punjab, and to examine how migratory ambitions have developed over the last decade in parallel with the changing status of nursing as an internationally respected profession. We identify growing interest in international migration for nursing students and their increased intention to pursue employment opportunities in Australia and New Zealand. This research highlights how nursing and care migration are increasingly structured by international circuits of training and employment, and how such circuits alter migrant and occupational geographies on the ground in sending regions.  相似文献   
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