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1.
Epidemiological data show high rates of suicide attempts among adolescent Latinas. Few studies have addressed the psychosocial, cultural and family correlates of suicide attempts among this age group of a rapidly growing population. The authors studied 31 adolescent Hispanic females who were receiving mental health services; 14 girls had attempted suicide in the previous five years and 17 had never attempted suicide. The two groups of girls did not differ significantly with respect to demographic profiles, levels of depression, family type, acculturation, or self-esteem. However, as hypothesized, the mutuality between girls and their mothers was lower among suicide attempters. Maladaptive coping skills of withdrawal and wishful thinking were more commonly used by attempters, and non-attempters used emotional regulation and problem-solving more frequently. Findings are discussed within the context of the empirical and theoretical literature and implications for practice are considered.  相似文献   
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Health care cannot survive in its present form. It is becoming unaffordable for a large share of the country's population. Its quality and effectiveness inexplicably vary between communities and across time. With all these problems, the process of health care can be understood. All that are needed are good, basic data; its access, management, and analysis; and then presentation of facts and observations. Together, these functions describe the translation of data into information--the field of medical informatics. Information about such management concerns as clinical efficiency (which largely is related to appropriateness and cost-effectiveness) and about the realities of day-to-day medical practice can be used to improve the value of health care. Informed decision making is based solely on confidence that, given the right information and understanding, we can all make the right decisions. The right decisions mean better patient acceptance and satisfaction, a sense of value enhancement by payers, and support of the Hippocratic tradition.  相似文献   
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While motivation is commonly interpreted as an individual student’s characteristic, motivational perceptions and beliefs, such as causal attributions of success and failure, are embedded in cultural meanings and contextual practices. The current study aimed to investigate causal attributions among Arab high school students in Israel and to interpret them in the light of their cultural-political context. Two hundred and five 11th-grade Arab students from three different geographic regions in Israel responded to open-ended and closed survey questions about events of success and failure in school. The analysis indicated that students overwhelmingly considered exams when thinking about events of success and failure, reflecting the normative teacher-centred pedagogical practices in schools. The analysis also manifested patterns of a self-serving bias. These findings are interpreted in the light of the cultural-political characteristics of the Arab school system in Israel.  相似文献   
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We examine how soda sales changed due to the campaign attention and election outcome of a local excise tax on sugar‐sweetened beverages. Using panel data of beverage sales from university retailers in Berkeley, California, we estimate that soda purchases relative to control beverages significantly dropped immediately after the election, months before the tax was implemented in the city of Berkeley or on campus. Supplemental scanner data from off‐campus retailers reveal this result is not unique to the university setting. Our findings suggest soda tax media coverage and election outcomes can have larger effects on purchasing behavior than the tax itself. (JEL D12, H20, C23, I38, Q18)  相似文献   
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Objective: This study aims to investigate the effect of smoking on sexual functions in AS patients.

Patients and methods: A total of 67 male AS patients with a median age of 34 years (range: 18–57) reporting sexual activity at least for the past 4 weeks period were included. Patients were divided into smokers (Group 1, n?=?47) and non-smokers (Group 2, n?=?20). Fagerström test for nicotine dependence, smoking history, exhaled carbon monoxide test were recorded for smoking AS patients. Visual analogue scale (VAS), Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Metrology Index (BASMI), Bath Ankylosing Spondylitis Functional Index (BASFI), Ankylosing Spondylitis Quality of Life (ASQoL), International Index of Erectile Function (IIEF), Beck Depression Inventory (BDI) were filled for both groups.

Results: There was no significant difference between smokers and non-smokers in all evaluation parameters. BASMI scores were significantly lower in the mild dependency subgroup as compared to those with moderate or severe dependency (p?=?.005 and p?=?.007, respectively). Total IIEF score and IIEF categories correlated significantly with BASDAI, BASFI, BASMI, ASQoL, pain, fatigue, and cumulative smoking. BDI showed an inverse correlation with the IIEF score and IIEF category (p?r?=?–0.520, p?r?=?–0.508, respectively).

Conclusions: Sexual function in AS patients is associated with the pain, fatigue, disease activity, functional status, quality of life, depression as well as the cumulative exposure to smoking, and that sexual functions tend to decline with increasing degree of cigarette dependency.  相似文献   
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Social Indicators Research - The heterogeneous economic results of divorce have received limited attention. The current study analyzes such consequences from an intersectionality perspective, where...  相似文献   
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In this study, our aim was to investigate the changes of different data structures and different sample sizes on the structural equation modeling and the influence of these factors on the model fit measures. Examining the created structural equation modeling under different data structures and sample sizes, the evaluation of model fit measures were performed with a simulation study. As a result of the simulation study, optimization and negative variance estimation problems have been encountered depending on the sample size and changing correlations. It was observed that these problems disappeared either by increasing the sample size or the correlations between the variables in factor. For upcoming studies, the choice of RMSEA and IFI model fit measures can be suggested in all sample sizes and the correlation values for data sets are ensured the multivariate normal distribution assumption.  相似文献   
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