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Partners of military veterans with mental health challenges may experience more stress than their civilian counterparts due to unique stressors. Consequently, exploration of effective support mechanisms is warranted. Research suggests that pets provide social support to various populations. This qualitative study explored the impact of the human-animal bond in pet-owning partners (N = 17) of veterans with mental health challenges by conducting one-on-one interviews and utilizing interpretive phenomenological analysis. Findings support the therapeutic role of pets for veteran partners. Results of this study contribute to emerging evidence for consideration by health care providers including the humananimal bond as a social support mechanism to potentially improve mental health and well-being of veteran partners and their families. [ABSTRACT FROM AUTHOR]

Reducing maternal and child mortality is a priority in the Millennium Development Goals (MDGs), and will likely remain so after 2015. Evidence exists on the investments, interventions and enabling policies required. Less is understood about why some countries achieve faster progress than other comparable countries. The Success Factors for Women's and Children's Health studies sought to address this knowledge gap using statistical and econometric analyses of data from 144 low- and middle-income countries (LMICs) over 20 years; Boolean, qualitative comparative analysis; a literature review; and country-specific reviews in 10 fast-track countries for MDGs 4 and 5a. There is no standard formula--fast-track countries deploy tailored strategies and adapt quickly to change. However, fast-track countries share some effective approaches In addressing three main areas to reduce maternal and child mortality. First, these countries engage multiple sectors to address crucial health determinants. Around half the reduction in child mortality in LMICs since 1990 is the result of health sector Investments, the other half is attributed to investments made in sectors outside health. Second, these countries use strategies to mobilize partners across society, using timely, robust evidence for decision-making and accountability and a triple planning approach to consider immediate needs, long-term vision and adaptation to change. Third, the countries establish guiding principles that orient progress, align stakeholder action and achieve results overtime. This evidence synthesis contributes to global learning on accelerating improvements in women's and children's health towards 2015 and beyond. La reduction de la mortalite maternelle et infantile est une priorite des objectlfs du Millenaire pour le developpement (OMD) et le restera probablement apres l'echeance de 2015. Il existe des donnees sur les investissements, les interventions et les politiques habilitantes necessaires. On comprend mal pourquoi certains pays ont realise des progres plus rapidement que d'autres pays comparables. Les Facteurs de reussite des etudes sur la sante des femmes et des enfants ont cherche a combler ce manque de connaissances en utilisant les analyses statistiques et econometriques des donnees provenant de 144 pays a faible revenu et a revenu intermediaire et recueillies depuis 20 ans: une analyse comparative qualitative booleenne; une etude bibliographique et des etudes specifiques a chaque pays pour les 10 pays a progression rapide pour les points 4 et 5a des OMD. Il n'existe pas de formule standard--les pays a progression rapide ont deploye des strategles personnalisees et se sont adaptes rapidement auxchangements. Cependant, ces pays ont en commun des approches efficaces visant 3 grands axes afin de reduire la mortalite maternelle et infantile. Premierement, ils impliquent de nombreux secteurs pour traiter les facteurs determinants et cruciaux pour la sante. Pres de la moitie de la reduction de la mortalite infantile dans les pays a faible revenu et a revenu intermediaire depuis 1990 resulte des investissements dans le secteur de la sante, l'autre moitie etant attribuee aux investissements realises dans les secteurs exterieurs a la sante. Deuxiemement, ces pays utilisent des strategies pour mobiliser les partenaires dans la societe, en utilisant des donnees solides et opportunes pour la prise de decisions et la responsabilisation, ainsi qu'une approche de planificaron triple pour prendre en consideration les besoins immediats, la vision a long terme et l'adaptation aux changements. Troisiemement, ces pays etablissent des principes directeurs qui orientent les progres, harmonisent les actions des parties prenantes et generent des resultats dans le temps. Cette synthese de donnees contribue a l'ensemble des connaissances requises pour accelerer les amellorations sur la sante des femmes et des enfants en vue de l'echeance de 2015 et au-dela. La reduccion de la mortalidad materna e infantil es una prioridad en los Objetivos de Desarrollo del Milenio (ODM), y probablemente lo seguira siendo despues de 2015. Existen evidencias sobre las inversiones, las intervenciones y las politicas necesarias, pero se sabe menos acerca de por que algunos paises logran un progreso mas rapido que otros paises comparables. Los estudios relativos a los Factores de Exito en la Salud de las Mujeres y los Ninos han tratado de abordar esta brecha de conocimiento por medio de analisis estadisticos y econometricos de datos de 144 paises de ingresos bajos y medianos (PIBM) a lo largo de mas de 20 anos, analisis comparativos cualitativos booleanos, revision de la literatura y revisiones especificas de cada pais en 10 paises bien encarrilados para los ODM 4 y 5a. No existe una formula estandar, estos paises despliegan estrategias a medida y se adaptan rapidamente a los cambios. Sin embargo, comparten ciertos enfoques eficaces a la hora de abordar tres areas principales para reducir la mortalidad materna e infantil. En primer lugar, involucran a numerosos sectores para hacer frente a los factores sanitarios decisivos. Alrededor de la mitad de la reduccion de la mortalidad infantil en los PIBM desde 1990 es el resultado de Inversiones en el sector de la salud, y la otra mitad se atribuye a las inversiones realizadas en sectores fuera del ambito sanitario. En segundo lugar, estos paises utilizan estrategias para movilizara socios a traves de la sociedad, utilizando evidencias oportunas y solidas para la toma de decisiones y la rendicion de cuentas, asi como un enfoque de planificacion triple para considerar las necesidades inmediatas, la vision a largo plazo y la adaptacion al cambio. En tercer lugar, los paises establecen principios rectores que orientan el progreso, armonizan las acciones de las partes interesadas y logran resultados en el tiempo. Este compendio de evidencias contribuye al aprendizaje global sobre como acelerar las mejoras en la salud de mujeres y ninos hacia el 2015 y mas adelante., Introduction Worldwide, accelerated progress is required to achieve Millennium Development Goals (MDGs) 4 (reduce child mortality) and 5 (improve maternal health) as highlighted in the United Nations Secretary-General's Global Strategy [...]

Stakeholders from a range of sectors --including health, finance, planning, water and sanitation, nutrition and education--and from diverse constituencies --including government, nongovernmental organizations, private sector and academic institutions --all contribute [...]

The steep-walled bedrock gorges of the Greater Himalayan rivers currently lack significant stored sediment, suggesting that fluvial erosion and transport capacity outpace the supply of sediment from adjacent hillsides. Despite this appearance of sustained down-cutting, such rivers can become choked with sediments and aggrade during intervals of higher precipitation. Cosmogenic dating ([sup.10]Be and [sup.26]Al) of fluvially carved bedrock surfaces indicates that sediment at least 80 m thick filled the Marsyandi River valley in central Nepal during a time of strengthened early Holocene monsoons. Despite threefold differences in height (43-124 m) above the modern river, these fluvial surfaces display strikingly similar cosmogenic exposure ages clustering around 7 [+ or -] 1 ka. We speculate that enhanced monsoonal precipitation increased pore pressure and the frequency of landsliding, thereby generating a pulse of hillslope-derived sediment that temporarily overwhelmed this alpine fluvial system's transport capacity. After the easily liberated material was exhausted ca. 7 ka, the hillslope flux dropped, and the river incised through the aggraded alluvium. It concurrently eroded adjacent rock walls, thereby removing previously accumulated [sup.10]Be and [sup.26]Al and resetting the cosmogenic clock in the bedrock. Unlike previous studies, these exposure ages cannot be used to derive river-incision rates; instead they record a coupled fluvial-hillslope response to climate change. Keywords: cosmogenic dating, aggradation, bedrock incision, precipitation, hillslope stability, Marsyandi River.

With the growing complexity of healthcare practice environments and pending nurse leader retirements, the development of future nurse leaders is increasingly important. This article reports on focus group research conducted with Generation Y nurses prior to their initiating coursework in a Master’s Degree program designed to support development of future nurse leaders. Forty-four emerging nurse leaders across three program cohorts participated in this qualitative study conducted to capture perspectives about nursing leaders and leadership. Conventional content analysis was used to analyze and code the data into categories. We discuss the three major categories identified, including: idealistic expectations of leaders, leading in a challenging practice environment, and cautious but optimistic outlook about their own leadership and future, and study limitations. The conclusion offers implications for future nurse leader development. The findings provide important insight into the viewpoints of nurses today about leaders and leadership.