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181.
Invasive disease secondary to Neisseria meningitidis is a rare but devastating illness among university students. The Advisory Committee on Immunization Practices recommends educating college freshmen about meningococcal disease and vaccinating all college freshmen who live in residence halls. We conducted this survey to gain a better understanding of current immunization rates and factors associated with vaccination.  相似文献   
182.
In the last decade, property taxes have increased, creating a financial burden on senior homeowners. In Massachusetts, senior property tax credit programs have arisen to address this problem, as well as to provide cost-effective volunteer assistance for municipal departments, offer seniors meaningful work that otherwise would not have been attempted, and foster involvement in municipal government among seniors. The success of the programs in retaining senior homeowners in the community remains to be evaluated. Program specifics are detailed, policy options are considered, and recommendations are made to strengthen existing programs and assist replication.  相似文献   
183.
This article describes a qualitative study exploring the experiences of terminally ill patients and their families as they lived with the inevitability of death. Frustrated by the dominant discourse surrounding the culture of dying--namely that of Elisabeth Kübler-Ross's stage theory--I sought to revisit the experiences of the terminally ill by talking directly with them. Instead of focusing on how people reacted to the introduction of death into their lives, this research attended to how the dying began relating to life and death differently as a result of death's presence. Through an analysis of ethnographically collected data, the meanings participants constructed around their experiences were explored--culminating in the creation of seven "relationships" that participants shared with death.  相似文献   
184.
Using qualitative content analysis of newspaper articles, Web site matter, and newsprint advertisements, the authors analyze the nuances of Know Your Power (KYP), a corporate Astroturf campaign created in 2007 to challenge the permitting of the Red Rock coal‐fired facility in northern Oklahoma. Employing a risk society framework, the study contributes to literatures on Astroturf campaigns, the social construction and definition of risk, discourse on the contentious politics of energy, and corporate use of false grassroots coalitions in an environmental conflict. Findings indicate that KYP utilized an educational framework, neighborhood expert knowledge, themes central in the risk society, and the impression of a grassroots coalition to convince lay publics and regulatory actors that “Red Rock is wrong.”  相似文献   
185.
There are many similarities in gay, lesbian, and bisexual individuals' coming out experiences, but bisexual people face unique challenges. Despite this, an explicit focus on bisexual people is missing from family research. Using family systems and cultural sociological perspectives, the authors analyzed how social and cultural factors shape disclosure processes for bisexuals as they come out to multiple family members. After analyzing qualitative data from a diverse group of 45 individuals, they found that bisexual people navigate monosexist and heterosexist expectations in their family relationships. Cultural constructions of bisexuality shape the ways that bisexual people disclose their identities, including how they use language to influence family members' responses in desirable ways. Relationship status also influences bisexual people's disclosure strategies, as a romantic partner's gender is meaningful to family members' understandings of their sexual orientation. The findings highlight the importance of addressing cultural and social contexts in understanding sexual minority people's coming out processes.  相似文献   
186.
Miller OA  Ward KJ 《Child welfare》2008,87(2):211-240
Racial disproportionality in child welfare has been discussed as a seemingly intractable challenge with complex contributing factors. Some argue that these dynamics are far too difficult to be significantly impacted by public child welfare systems alone. The Breakthrough Series Collaborative (BSC) methodology, incorporating an analysis of structural racism and potential system bias, was proffered as a tool for engaging public child welfare agencies in a rapid, action-oriented process for identifying innovative strategies and practices to reduce racial disproportionality and disparate outcomes. This article describes the Disproportionality BSC process, as well as the work of participating jurisdictions with respect to transforming organizational culture and testing/implementing child welfare practice improvements. A theory of change is presented and critical lessons learned are shared in the form of collaborative reflections.  相似文献   
187.
The growing literature on the intergenerational consequences of incarceration generally neglects to consider how paternal and maternal incarceration structures offspring's transition to adulthood, a fundamental life course stage that has become increasingly unequal. In this article, the authors use data from the National Longitudinal Study of Adolescent to Adult Health to explore the relationship between parental incarceration and both subjective (e.g., respondent feels older compared to others his or her age) and behavioral (e.g., respondent is a parent) indicators of adulthood transitions among respondents younger than age 24 (N = 10,937). The results suggest that both paternal and maternal incarceration is positively associated with the number of subjective and behavioral adulthood transitions. The results also suggest that parental incarceration is associated with some individual indicators, especially subjective indicators, of adulthood. Taken together, these findings highlight that the high incarceration rate in the United States has transformative intergenerational consequences.  相似文献   
188.
The present article proposes an updated model of boundary dissolution. Specifically, the model integrates the ecological-ethical model of parentification with a broader model of boundary dissolution and further incorporates an ecological-transactional perspective to advance boundary dissolution theory. This model argues that transactional processes within and across levels of ecology influence a boundary-dissolved microsystem and maladaptive and adaptive ontogenic development. This article also provides a review of the extant literature on the causes and consequences of boundary dissolution by level of ecology. Consequences to ontogenic development and child ontogenic factors that influence boundary dissolution are reviewed by developmental period to emphasize developmental processes. Directions for future work suggested by this review are highlighted.  相似文献   
189.
In this study, we explore nonprofit website development by applying two different types of website assessment tools to US charity websites. One instrument is theoretically based in nonprofit tendencies; the other is a commercial automated service. The results of these evaluation tools are further analyzed to determine whether the instruments are sufficiently independent for evaluation of nonprofit websites. The results illuminate differences in the assessment tools, finding them to be complementary. Each method offers different insights into website development deficiencies and avenues for improvement.  相似文献   
190.
The introduction of prevention-oriented financial therapy in foster care is presented. Consideration of emotional demands in financial literacy and therapy is examined and remedies provided that address them. Revisions to the five-step model of financial therapy are considered in terms of the needs of foster care client populations. A pared down prevention model provides aging out foster children with a means of successfully navigating lifestyle challenges. The need to empirically evaluate the prevention model is advised to demonstrate its value with this population.  相似文献   
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