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复古服装——即上世纪七、八十年代的服装,在西方国家早已掀起一阵回归热潮;在中国,这样的"复古风"并不多见。然而,北京南锣鼓巷中的一家小店却推出最时尚的复古宣言:贩卖你的回忆给你!  相似文献   

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Utilizing a cluster sampling design to maximize representativeness, we look at the health effects of acculturation and acculturation stressors among 1,001 adult migrant farmworkers in Fresno, California. Using self‐ratings of mental and physical health as well as the CES‐D depression scale, we find that the amount of time one spends in the United States, the level of English‐language usage, as well as the intensity of acculturation stresses that one reports, are all related to declines in health. In addition, acculturation stress has more deleterious effects on self‐rated health (both physical and mental) among the more highly acculturated.  相似文献   

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In this Keynote Address I ask where family therapy comes from in Australia and New Zealand, as a way of seeing where it might go. I look at our histories, cultures and traditions and how they are connected. What happened to the old certainties of our field, and where do we take a stand today? How can we come across with courage, imagination and a sense of community? How can we maintain those impulses to justice and to remembering that psychotherapy stands for at its best?  相似文献   

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The share of U.S. adults who are overweight is on the rise. Researchers know who is obese, and they've got some good ideas about why we're adding pounds. What they don't have is a proven treatment for what may be the nation's most threatening health problem after cigarette smoking.  相似文献   

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This article evaluates the impact of remittances on health outcomes in Ecuador using an instrumental-variables approach. Although we do not find significant impacts on long-term child health variables, we find that remittances do have an impact on health expenditures, and on some preventive issues such as de-worming and vaccination. In addition, we find significant effects of remittances on medicine expenditures when illness occurs. In this regard, remittances are used for both preventive and emergency situations. Interestingly, we also find a significant and positive effect of remittances on health knowledge.  相似文献   

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‘What do we see when we look at ourselves?’ asked South African visual activist/artist Zanele Muholi in her 2006 photographic collection Only Half the Picture. The question, a deeply challenging introspection, required black women in particular to reflect on the ways in which history has made us not look at ourselves, but be looked at. The images Muholi presented were viewed as both troubling and liberating. This article, using a queer framework, is concerned with recoding the ways in which black women's bodies and female sexuality have been represented in post-colonial contexts. Using Zanele Muholi's photography, the article opens possibilities for claiming an erotic position for the black female's ‘queer’ body. This is further complicated by racial dynamics. The article argues that such representations work against painful colonial histories of black female torture while also desexualizing the black female.  相似文献   

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Using eight two-year panels from the Medical Expenditure Panel Survey data for the period 2004 to 2012, we examine the effect of economic shocks on mental health spending by families with children. Estimating two-part expenditure models within the correlated random effects framework, we find that employment shocks have a greater impact on mental health spending than do income or health insurance shocks. Our estimates reveal that employment gains are associated with a lower likelihood of family mental health services utilization. By contrast employment losses are positively related to an increase in total family mental health. We do not detect a link between economic shocks and mental health spending on behalf of fathers.

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Public attitudes toward smoking are complex, but the facts for businesses are clear. Second-hand smoke is a major health hazard, and the most unhealthy places for second-hand smoke are bars and restaurants. While there is little support for a total smoking ban, selected bans are more popular. Even if new federal rules don't force restaurants to ban smoking, businesses can gain a competitive edge by going smoke-free.  相似文献   

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This article describes my experiences of leading a commissioned child mental health service through a process of change in my role as manager. The article uses the metaphor of the Argentine tango to conceptualize my efforts to implement leadership in my work. I look at the influence of the music, the relationship between leadership and followership, and the idea of mutual presence to draw out aspects of my experience. In so doing, I relate theory to practice and bring together various theories of leadership in a creative synthesis. The article draws away from realist notions of management theory to ask how it is that we perform leadership. It suggests that we do so by the provision of an ‘intelligible formulation’ of chaotic events. This can be reached through the reflective understanding of the nature of the work. It can also be striven toward through creative acts of ‘discernment’ of the practices of the agency. These acts are fostered through the distribution of leadership that simultaneously dissolves yet persists. The need for mutual presence is highlighted and the role of leadership outside the immediate circle of authority is examined. The use of the Argentine tango as a metaphor draws together these various strands and provides a clear conceptual framework in this autoethnographic article.  相似文献   

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Older adults with multiple pre-existing conditions are admitted to hospitals with acute illnesses and injuries every day. Delirium is not recognized by clinicians across health care settings. With awareness of risk factors and knowledge of delirium, nurses can play a pivotal role in the early identification, treatment, and, most important, prevention of delirium in older adults. Nurses often display a lack of knowledge related to delirium and the complex symptoms that appear differently in the presence of other complicating co-morbid conditions in aging adults. Nurses play a crucial role in keeping patients safe and ensuring optimal outcomes, regardless of the setting. With the growing population of older adults and the expected increases in chronic illness and dementia, delirium is a problem nurses are likely to experience in all practice settings. Knowing what to look for facilitates recognizing the risk and acting early to minimize (or even prevent) delirium.  相似文献   

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We look for asymmetries in the dynamics of real GDP growth for the G7 countries, using a model by Beaudry and Koop that allows the depth of a recession to influence the rate of growth of output. We find evidence supporting these nonlinearities in four countries, including the United States, but we do not find evidence that the asymmetries are common even among the four countries exhibiting asymmetric behavior. A modification of the model to distinguish between the recession and recovery phases of a business cycle does not change this general finding. The asymmetries discovered by Beaudry and Koop do not appear to be common among the G7 nations. (JEL E32)  相似文献   

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Abstract

We are beginning to recognize that further improvements in health care are best achieved through the development of the lay resource in health in contrast to the professional resource. Recent research has shown that the vast proportion of health care still remains in the hands of lay people, and that efforts aimed at improving this resource can have a powerful effect on health and the health care industry. It is important now that health professionals recognize a new public interest in demystifying medicine and deprofessionalizing health care.

With this increased recognition we can begin the road back to establishing a health competent society, less dependent on unnecessary professional intrusion. We can also look forward to a broader-based perspective on health and health care, which may very well involve new concepts of health that are at variance with present professional views and practices. We can also expect to achieve a new level of equity in responsibility for the production of health care as well as its consumption.  相似文献   

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While there is little doubt that sociological theory and research has had an important impact on the way people think about health and health care, mental health and medical sociologists are often confronted with challenges concerning the utility of the work that they do. Among the doubters are deans, funding agencies and family members. We are challenged by the ascendency of biological interpretations of human behaviors, by the incompatibility between the contextual view we prefer and the very strong individualistic orientation of our culture, and by the fact that we do not have an applied arm that trains the professionals who treat health and mental-health conditions. How do we respond to this challenge? The title of this paper gives a short answer: "The Production of Understanding." I propose that a powerful but under-recognized value of our work is the generation of explanations about health and mental health matters that help people understand the other side of an "us"/"them" divide. We produce understanding in a context in which misunderstanding is regularly constructed by powerful people who offer victim-blaming explanations for the circumstances experienced by people with less power. The production of understanding serves as an important counterbalance to this tendency. Our work shapes the way people think about problems related to health and mental health, limits the power of inaccurate victim-blaming accounts and provides understanding about why health and mental health are mal-distributed among people from different social circumstances.  相似文献   

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The health sector in Québec (Canada) is dealing with profound macro-economic and macro-organizational changes. This article is interested in the impact of these changes on the work of home health aides (HHAs) and home care nurses and their occupational health and safety (OHS). The study was carried out in the home care services (HCS) of four local community service centres (CLSC) with different organizational characteristics. It is based on an analysis by triangulation of 66 individual and group interviews, 22 observed workdays and 35 observed multidisciplinary or professional meetings, as well as on administrative documents. HHAs are experiencing an erosion of their job because the relational and affective aspects of their work are disappearing. This may be due to an increase in their physical workload, leading to an increase in musculoskeletal problems and, to a lesser extent, in psychological health problems. Nurses are seeing an increase in the volume of invisible work that they have to do, which also has the effect of decreasing the relational aspects of their activity. The increasingly numerous psychological health problems are the consequence of this change in their profession. This study also shows that managers' decisions at the local level can reduce or increase the work constraints of HHAs and nurses. Examples of good practices for HHAs are the stabilization of clienteles and the possibility of organizing their itinerary, while for nurses, it is in how clientele follow-up tools are implemented. This article discusses the effects of government policies and decisions on the work and OHS of home care personnel. To address this subject, we use a specific analysis of the workload of home health aides (HHAs) and nurses. We will show the relationships between managers' organizational choices to respond to governmental constraints and the resulting work changes. We will also look at their consequences on occupational health and safety (OHS) and on the work of different personnel.  相似文献   

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The Impact of Job Displacement on Employer Based Health Insurance Coverage   总被引:1,自引:1,他引:0  
We analyze the effect of job displacement on the probability that employer based health insurance is made available to workers. Using fixed and random effects logit models, we do find that displacement is associated with a lower probability of having access to an employer based health insurance plan. Overall this penalty is quite small (between 2 and 3 percentage points), but it becomes substantial (about 16 percentage points) for displaced workers who have been with the current employer for less than 6 months. While we do not find evidence that the penalty associated with being displaced has worsened in recent years, we do find that employers respond to economic hardship by cutting back on fringe benefits.  相似文献   

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If we do not sometimes look back over our shoulders to remind ourselves of the ANZJFT's past achievements, we may forget, and newcomers may never be stimulated to explore earlier contributions for themselves. For this reason, six subscribers were asked to write five hundred words in answer to the question ‘Over the time you have been reading the Journal, what article sticks in your memory the most?’ The one restriction that was placed upon their choice was that if they found themselves unable to choose between two articles, they were to discuss the older of the two, to help assure a wider spread.  相似文献   

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