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The National Association of Addiction Treatment Providers (NAATP) has culled its membership, removing members who don't comply with its ethics guidelines — mainly for marketing purposes. But rather than reducing its total numbers, this move has doubled membership, from 450 in the fall of 2015 to more than 900, NAATP Executive Director Marvin Ventrell told ADAW last week.  相似文献   

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This study examined the relationship among the recovery grip strength, functional outcomes, and work performance following occupational therapy intervention for hand trauma. This study had a sample size of 15 participants whose recovery grip strength was measured using a Jamar dynamometer, whose satisfaction with outcomes was measured by the Michigan Hand Outcomes Questionnaire (MHQ), and whose compliance with the home therapy program was measured by a visual analog scale (VAS). A Pearson r correlation demonstrated a significant relationship between recovery grip strength and two MHQ subset scores: overall hand function (r = 0.59, p = 0.019) and activities of daily living (ADL) performance (r = 0.61, p = 0.016). The participants' self-rating of compliance did not predict or influence either recovery grip strength or MHQ scores. A moderate positive correlation approaching significance (r = 0.51, p = 0.052) was found between grip strength and overall MHQ scores. The researchers concluded that a recovery grip strength measure should be used along with functional measures to appropriately assess overall hand function following hand trauma.  相似文献   

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Alcohol use disorder (AUD) — what used to be called alcoholism, but a condition which by definition is sometimes used to apply to everyone who drinks alcohol and is underage — is not a disease of adults only. It starts in childhood, and that's why Scott E. Hadland, M.D., and colleagues argue for screening in the February issue of Pediatrics.  相似文献   

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Drawing upon the historical relationship between statistics, probabilistic reasoning and life insurance, the article argues that mathematical calculation played a necessary but limited role in making markets for life insurance. Insuring publics have been fairly consistently cautious in the use of probabilistic and statistical reasoning to inform investment in life insurance. In this they follow a pattern set by early insurance companies who themselves were slow to alter their commercial practices in line with emerging knowledge. I examine some of the reasons for this glacial pace and some of the ambiguities on which statistical ‘certainties’ were built as part of an argument that the role of statistics and mathematics in market calculation is both less and more than it seems. This is manifest in the history of industrial life assurance, an industry with a phenomenally successful track record in the mass enrolment of consumers. Unlike their predecessors, industrial companies disdained swamping their target markets with probabilistic arguments in favour of a very different sort of argument that, nevertheless, carried a trace of statistical thinking with it. This trace came in the form of ‘good, average men’, the agents who became industrial insurance's core marketing device and who translated the essentials of a statistically informed product into a more palatable, more calculable form.  相似文献   

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A growing literature examines the empirical relationship between the joint reproductive preferences of marital partners and reproductive outcomes in Africa. Less explored is how spousal power in decision making may be influenced by lineage type. Using pooled data from Ghana, we investigate how lineage affects gendered reproductive decision outcomes and find some evidence that matrilineal women are more able than nonmatrilineal women to translate their reproductive preferences into action consistent with their goals.  相似文献   

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PurposeThis study describes the development and evaluation of a participatory training for cooks in African American churches.The 8-h training focused on providing healthy meals within the church food program. It enlisted cooks in hands-on “cooking with the chef” training and menu building exercises, and demonstrated development of flavor in foods through healthy ingredients. Cook ratings from pre- to post-training (possible range: 1–10) were evaluated with the Wilcoxon signed rank test.Results114 cooks from 57 churches over the period from 7/21/07 to 3/21/11 participated in trainings. Self-rated cooking skill increased from pre- (6.5 ± SD) to post-training (7.9 ± SD), p = 0.0001. Self-rated confidence in preparing meals also increased significantly (pre: 7.3 ± SD; post: 8.3 ± SD), p = 0001.Qualitative feedback from the cooks’ training has been positive. Two of the more frequently stated changes cooks report are using less salt and using more vegetables and fruits in menus. Lessons learned include: choosing the right church to host the training, teamwork as a key component, need for support system for church cooks, allocation of time for planning as well as shopping for healthy ingredients, and incorporation of flexibility into the training plan.  相似文献   

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Housing and the social processes that create it are an important part of a better world. The permanent supportive housing movement holds that housing, in addition to a variety of human services, is the most dignified and effective way to help people without homes. But the design of such initiatives matters. This community-based, qualitative research project investigates the connection between space, participation, and community. It draws on the experiences of residents of an innovative housing organization on Skid Row in Los Angeles, California. Residents of the program find community space to be both promising and contested. Their experiences also reveal the way that institutional space can be trauma-informed and impact their overall wellbeing and opportunities for interacting with others. However, their feelings of being a part of the community and their involvement in activities are not always connected, as identity and social context can cause residents to identify or dis-identify with their community despite how involved or uninvolved they are. Intentionally designed community spaces in permanent supportive housing units can respond to trauma and set the stage for interaction, but they cannot solve all problems.  相似文献   

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In this paper we explore the intersection of the modern-state and fieldwork practices within the social sciences. Our contention is that during the past decade or so there has been an expansion in forbidden or restricted research terrain that threatens the present and future conduct of social research. We argue that this restriction has been engendered by two related developments: privatization and human subjects regulations. The social and political implications of these trends are considered. Her most recent books areMadwives: Schizophrenic Women in the 1950s (Rutgers University Press, 1987) andGender Issues in Field Research (Sage, 1988). He is the author ofCastles of Our Conscience: Social Control and the American State, 1800–1985 (Forthcoming, Polity Press, Cambridge, U.K.)  相似文献   

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The purpose of this study is to empirically evaluate the transformational leadership styles, emotions, and organizational outcomes among different professionals in different sectors. The transformational leadership and emotions theories were utilized and tested in a sample of 128 leaders in Sweden. The main objectives of the study are (1) to determine which of the transformational leadership styles (TLS) are best at predicting effective outcomes (OUT) of extra effort by employees (EXE), leader effectiveness (EFE) and job satisfaction (SAT) and (2) to examine which TLS predict significant positive emotions (TEMO). Results of the study reveal that TLS and most of the outcome scales (SAT, EXE, SAT) are positively and significantly correlated. Charisma (C) and idealized influence (II) are not correlated with EFE. The results further supported that inspirational motivation leaders behavior could produce greater amounts of SAT (r?=?.54**), EXE (r?=?.41**). Individualized consideration (IC) also generates great SAT, r?=?.42. The study also found that only inspirational motivation (I) and intellectual stimulator leadership styles made a significance for TEMO such as being enthusiastic, hopeful, proud, happy, attentive, and inspiring with β?=?26 and β?=?17, respectively. Inspirational transformational leaders’ behavior and emotions are the most capable in increasing the organizational overall outcomes by boosting employees’ job satisfaction, additional effort, and effectiveness. Hence, these improve and enhance the mental and psychological health inside and outside the workplace.  相似文献   

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Based on longitudinal data from the Master File of the Survey of Labour and Income Dynamics (SLID) for Canada for 1993-1999, we provide multinomial logit estimates of the effect of minimum wages on the probability of being in one of four schooling-employment states as well as transitions across the states. We find that minimum wage increases led to large and statistically significant reductions in the employment of teenagers but had no net effect on their school enrollment or on the individual transition probabilities. We also find no substantial substitution of students for nonstudents or students leaving school to queue for the higher minimum wage jobs.  相似文献   

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The present study provides an implementation fidelity, process, and immediate outcomes evaluation of Project Towards No Drug Abuse (TND), a drug prevention program targeting continuation high school youth (n=1426) at risk for drug abuse. A total of 24 schools participated in three randomized conditions: TND Only, TND and motivational interviewing follow-up, and no treatment control. Fidelity was high: across program schools the curriculum was implemented as intended and was received favorably by students. Relative to controls, intervention conditions produced effects on hypothesized mediators, including greater gains in program related knowledge, greater reductions in drug use intentions, and positive changes in motivation. However, few generalizations to attitudes and intentions regarding risky sexual behavior were found. The pattern of results suggests that the experimental manipulations worked as intended.  相似文献   

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《The aging male》2013,16(3):136-140
Abstract

Adverse-outcomes related to sarcopenia are mostly mentioned as physical disability. As the other skeletal muscles, respiratory muscles may also be affected by sarcopenia. Respiratory muscle strength is known to affect pulmonary functions. Therefore, we aimed to investigate the relations between extremity muscle strength, respiratory muscle strengths and spirometric measures in a group of male nursing home residents. Among a total of 104 male residents, residents with obstructive measures were excluded and final study population was composed of 62 residents. Mean age was 70.5?±?6.7 years, body mass index: 27.7?±?5.3?kg/m2 and dominant hand grip strength: 29.7?±?6.5?kg. Hand grip strength was positively correlated with maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP) (r?=?0.35, p?<?0.01 and r?=?0.26, p?<?0.05, respectively). In regression analysis, the only factor related to MIP was hand grip strength; among spirometric measures only parameter significantly related to grip strength was peak cough flow (PCF). The association of PCF with grip strength disappeared when MIP alone or “MIP and MEP” were included in the regression analysis. In the latter case, PCF was significantly associated only with MIP. We found peripheric muscle strength be associated with MIP and PCF but not with MEP or any other spirometric parameters. The relation between peripheral muscle strength and PCF was mediated by MIP. Our findings suggest that sarcopenia may affect inspiratory muscle strength earlier or more than the expiratory muscle strength. Sarcopenia may cause decrease in PCF in the elderly, which may stand for some common adverse respiratory complications.  相似文献   

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Although there is a growing international literature examining the relationship between sexual orientation and income or wages, there is far less evidence on whether sexual minorities experience systematically different non-pecuniary economic outcomes. I use confidential representative data on over 9,000 young Australian women age 22–27 with information on self-reported sexual orientation, income, and non-pecuniary economic outcomes such as: workplace harassment, job search difficulty, work stress, and job satisfaction. After controlling for demographic and work characteristics, I find that in comparison to heterosexual women the young lesbians in my sample: (1) have lower personal incomes; (2) have significantly higher odds of reporting distressing harassment at work, difficulty finding a job, losing a job, and decreased income; and (3) are significantly more dissatisfied with and report more stress about economic aspects of their lives (e.g. work, career, money). Differentials for non-economic aspects of life are generally smaller. These results for young lesbians in Australia suggest that lesbians are not a universally “privileged” minority and highlight the need for more research into lifecycle variations into both pecuniary and non-pecuniary aspects of economic well-being.
Christopher CarpenterEmail:
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This study reports on the effects of having a history of childhood sexual abuse (CSA) on treatment outcomes among substance abusing men and women (N = 2,434) in a national, multisite study of drug treatment outcomes. A history of CSA was reported by 27.2% of the women and 9.2% of the men. Controlling for gender, compared to patients without CSA, patients reporting CSA were younger at entry into the current drug treatment, were more likely to be White, were more likely to have a comorbid mental disorder, be alcohol or cocaine dependent, had higher levels of criminal activities, had a higher level of problem recognition, and had a more negative peer influence. Controlling for these correlates, a history of abuse was related to a lower likelihood of posttreatment abstinence.  相似文献   

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