Although much research in the 1960s and 1970s was devoted to crosscultural issues such as expatriate employment, researchers moved away from doing cross-cultural research in order to direct their efforts toward the hot topics of the time. However, the past few decades have seen an exponential increase in the globalization of our economy, and this ever-increasing globalization has made the need for cross-cultural research salient once again. In the past decade alone, there has been an explosion of research examining the components and effectiveness of cross-cultural training (CCT) for expatriate preparation. Thus, the ultimate purpose of this literature review is to present the past 25 years of CCT research relevant to expatriate preparation by examining the following: the need for CCT research, the deficiencies in past research, typical training components, training delivery, theory pertaining to CCT, potential moderators of the relationship between CCT and expatriate performance, the effectiveness of CCT in enhancing expatriate performance, suggestions for future research, and strategies for improving CCT implementation and research. After reviewing the past 25 years of CCT research, it is evident that CCT is effective in facilitating success on expatriate assignments. However, additional empirical research is needed on moderators, expatriate selection, training program at FLORIDA INTERNATIONAL UNIV on June 18, 2015 hrd.sagepub.com Downloaded from
The purpose of this article is to present the best practices of cross-cultural training (CCT) in terms of what organizations are doing and what they should be doing. In presenting the best practices, the following questions will be investigated: (a) why is CCT an important research domain, (b) what is the general purpose of CCT, (c) how is CCT designed and delivered, (d) which CCT strategies are organizations currently implementing, (e) what guidelines can be offered to organizations offering CCT, and (f) what additional research is needed. This article contributes to existing CCT research by providing a condensed set of guidelines instructing organizations on the techniques necessary for maximizing the benefits of CCT.
Urine antigen testing, with or without serologic testing, can be used to confirm outbreak-associated cases of Pontiac fever caused by L. pneumophila serogroup 1.
BackgroundExclusive breastfeeding for infants up to 6 months is widely recommended, yet breastfeeding rates are relatively low in the US. The most common reason women stop breastfeeding early is a perceived insufficiency of milk. Galactagogues are herbal and pharmaceutical products that can help increase milk supply; however, data on their efficacy and safety is limited. Lactation consultants, obstetricians, and other health providers are an important point of contact for breastfeeding women experiencing challenges with lactation. This study explored providers’ perceptions, experiences, and practices in relation to galactagogue recommendation.MethodA cross-sectional survey was conducted among a convenience sample of English-speaking health providers in the US who counsel breastfeeding women and their infants.ResultsMore than 70% of respondents reported to recommend galactagogues. The most frequently recommended galactagogue was fenugreek with respondents indicating that they recommend it either ‘always’ (8.5%) or ‘most of the time’ (14.9%) and ‘sometimes’ (46.8%). More than 80% of the respondents indicated that galactagogues were useful for their clients and only one-third reported side effects. Reasons for refraining from recommending galactagogues were insufficient evidence of its efficacy and safety. Respondents reported a wide variety of sources of information used for their own education about galactagogues.DiscussionDespite little evidence regarding safety and efficacy, some galactagogues are widely recommended and often perceived to be useful. However, concerns about their efficacy and safety remain. In order to assure both providers and users about safety and efficacy, more robust studies as well as better pharmacovigilance systems are needed.
BackgroundRecent evidence has indicated a potential role of vitamin D3 in a range of neuropsychiatric outcomes, as well as on cognitive function, but conflicting data have left that role uncertain. Understanding potential associations of vitamin D status with psychiatric illness will allow clinicians to better assess therapeutic options. Few studies have examined vitamin D status among a racially diverse group of psychiatric patients who have been hospitalized, and none has done so in the southern US where socioeconomic inequality is high.MethodsIn this retrospective study, medical records from 113 patients hospitalized for psychiatric illness were retrieved and analyzed. Vitamin D status in this population was estimated, along with any patterns of association between deficiency and risk factors.ResultsThe vast majority of patients hospitalized for psychiatric illness in this biracial, low-income sample had either insufficient or deficient vitamin D levels. African-American patients had lower levels of vitamin D than Caucasian patients.DiscussionOur findings demonstrate that hospitalized psychiatric patients are at increased risk for vitamin D deficiency and in particular low-income, African-American populations. These results suggest that vitamin D should be assessed and therapy considered at the initiation of psychiatric hospitalizations.
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