谈发展中的高校社区医疗保健

就高校医疗保健机构如何适应社会主义市场经济、如何适应国家的卫生体制 3项改革、适应高等教育发展等问题 ,探讨了高校医疗保健的现状及高校社区医疗保健的任务。从社区卫生诊断角度出发 ,研究了高校社区具有的特点 ,提出了健全高校社区医疗保健机构的对策 ,把高校的医疗机构演变成社会化的公益的社区卫生服务机构作为奋斗目标     

重新评价马克·吐温的代表作——《汤姆·索耶历险记》和《哈克贝里·费恩历险记》(英文)

马克·吐温,这位在美国文学史上开一代创作先河的小说家,为后人留下了20多篇不朽佳作.其中,令人惊讶的是:在他全部作品中,两部描写少年历险故事的著作——《汤姆·索耶历险记》和《哈克贝里·费恩历险记》,始终处于最突出的位置,并一直被中外学者公推为其代表作.于是我们不得不深思这样一个问题,作为美国文坛杰出代表人物之一的马克·吐温为什么选择了儿童的角色,而又把他们塑造很空前成功?纵观文学界对马克·吐温作品及其人物形象的有关研究成果和论述,似乎都不能够圆满地答复这个问题.     

中国各地区医疗卫生服务的生产效率分析

医疗卫生是与国民密切相关的一个问题，所以医疗卫生服务的生产效率如何倍受人们的关注。运用DEA模型可以对中国各地区的医疗卫生服务生产效率进行研究，分析不同地区效率高低的原因。结果显示，虽然总体上中国的医疗卫生服务的生产效率处于一个较低水平，但地区之间还是存在着很大的区别，并且地区间即便都是高效率或者低效率的地区，其投入和产出水平也不尽相同。     

民族自治地方农村养老问题与对策初探——以黔东南州锦屏县为例

民族自治地方农村养老工作与构建社会主义和谐社会、社会主义新农村建设、“三农”问题等紧密相关，养老工作能否解决好直接影响到农村的社会稳定、社会的和谐发展和“三农”问题的解决。民族自治地方农村经济相对落后、经济发展不平衡、人口分布不均衡、农村老年人口日益增多、农民工大量外出等现实，给传统养老方式带来了历史性的冲击。这要求建立具有时代特色和地方特色的养老方式。本文在进行充分的实地调查、分析黔东南苗族侗族自治州锦屏县农村现行的养老方式现状、养老方式存在问题的基础上，结合当地实际情况和借鉴其他地方的成功养老方式，提出具体可行的对策。     

网络环境下高校图书馆读者工作的转变与发展策略

论述了网络环境下高校图书馆读者工作在服务方式、读者教育、服务对象、资源提供、与读者的关系以及馆员的知识结构等方面所发生的变化,指出高校图书馆应该通过建好图书馆网站,丰富数字资源,提高读者网络检索技能,优化馆员的知识结构,进而深化读者工作。     

农户对农村公共服务的需求意愿分析 ———基于一项全国范围农户调查的实证研究

文章基于一项关于农户对农村公共服务需求意愿的全国范围的调查数据，分析了农户对农村义务教育、农村医疗卫生、农村社会保障、农村文化事业、农村劳动力技能培训这5种农村公共服务的整体需求意愿及不同特征农户需求意愿的差别、农户对5种农村公共服务各个方面要素的需求意愿以及农户对5种农村公共服务需求的优先序。研究结果表明农户对5种农村公共服务的整体需求意愿并不相同，对农村劳动力技能培训的需求最强烈，不同特征的农户的需求意愿也不相同。另外与其他农村公共产品相比，农户对文章所研究的5种农村公共服务的需求意愿比较强烈。     

Strategic Bargaining Over Child Support and Visitation

When parents divorce, child support and visitation must be determined. The 1988 Family Support Act requires all states to have child support guidelines for courts to use in determining child support obligations. However, many divorcing couples arrive at agreements without court intervention, or they simply fail to enforce the court decision ex post. Given that the guidelines provide a starting point for negotiations, couples may be able to find self-negotiated, Pareto-improving solutions. In this paper we model the bargaining process that divorcing couples engage in when coming to agreements on visitation and child support. The model suggests that individuals may arrive at agreements that are Pareto improvements for both parents but that the children's welfare may decline as a result of these self-negotiated settlements. Data from the Stanford Child Custody Study show that the changes made in child support and visitation agreements are consistent with our model in only 30 percent of the cases. Therefore, we consider alternative specifications of the model and show that both significant costs of enforcing the original agreement and alternative assumptions on parental preferences can explain these empirical results.     

教育服务产出核算分析

教育服务是服务核算中的一个重要部分。本文讨论教育服务的定义和服务产出的数量单位。研究教育服务的核算范围和计算教育服务产出价值的方法,以及教育服务的质量调整问题。最后,举例使用产出指标方法计算教育产出。     

Ecocultural Attributes: Evaluating Ecological Degradation in Terms of Ecological Goods and Services Versus Subsistence and Tribal Values

It is becoming increasingly clear that scientists, managers, lawyers, public policymakers, and the public must decide how to value what is provided by, and is a consequence of, natural resources. While “Western” scientists have clear definitions for the goods and services that ecosystems provide, we contend that these categories do not encompass the full totality of the values provided by natural resources. Partly the confusion results from a limited view of natural resources derived from the need to monetize the value of ecosystems and their component parts. Partly it derives from the “Western” way of separating natural resources from cultural resources or values, and partly it derives from the false dichotomy of assuming that ecosystems are natural, and anything constructed by man is not natural. In this article, we explore the previous assumptions, and suggest that because cultural resources often derive from, and indeed require, intact and unspoiled natural ecosystems or settings, that these values are rightly part of natural resources. The distinction is not trivial because of the current emphasis on cleaning up chemically and radiologically contaminated sites, on restoration of damaged ecosystems, on natural resource damage assessments, and on long‐term stewardship goals. All of these processes depend upon defining natural resources appropriately. Several laws, regulations, and protocols depend upon natural resource trustees to protect natural resources on trust lands, which could lead to the circular definition that natural resources are those resources that the trustees feel they are responsible for. Where subsistence or tribal peoples are involved, the definition of natural resources should be broadened to include those ecocultural attributes that are dependent upon, and have incorporated, natural resources. For example, a traditional hunting and fishing ground is less valued by subsistence peoples if it is despoiled by contamination or physical ecosystem degradation; an Indian sacred ground is tarnished if the surrounding natural environment is degraded; a traditional homeland is less valued if the land itself is contaminated. Our argument is that intact natural resources are essential elements of many cultural resources, and this aspect requires and demands adequate consideration (and may therefore require compensation).     

A case of suspected child abuse by an adolescent mother: The use of short-term psychotherapy

The incidence of pregnancy during adolescence has escalated dramatically in recent years, with an estimated half a million infants born to teenagers each year in the United States. A disproportionately high amount of child abuse and/or neglect is encountered among adolescent parents, underscoring the need for an effective intervention strategy. Short-term psychotherapy may be beneficial in these cases for forging a therapeutic alliance expeditiously and rigorously challenging the patient's resistance. The case described involves alleged abuse by a 16-year-old mother. An intervention was designed to clarify the allegations surrounding the abusive incident, help the mother confront episodes of loss in her own life and overcome feelings of hopelessness engendered by separation from her infant.