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David?SmithEmail author Peter?Harvey Rachel?Humeniuk Malcolm?Battersby Rene?Pols 《Journal of gambling studies / co-sponsored by the National Council on Problem Gambling and Institute for the Study of Gambling and Commercial Gaming》2015,31(3):1069-1083
This study evaluated the influence of 12-month affective and anxiety disorders on treatment outcomes for adult problem gamblers in routine cognitive–behavioural therapy. A cohort study at a state-wide gambling therapy service in South Australia. Primary outcome measure was rated by participants using victorian gambling screen (VGS) ‘harm to self’ sub-scale with validated cut score 21+ (score range 0–60) indicative of problem gambling behaviour. Secondary outcome measure was Work and Social Adjustment Scale (WSAS). Independent variable was severity of affective and anxiety disorders based on Kessler 10 scale. We used propensity score adjusted random-effects models to estimate treatment outcomes for sub-populations of individuals from baseline to 12 month follow-up. Between July, 2010 and December, 2012, 380 participants were eligible for inclusion in the final analysis. Mean age was 44.1 (SD = 13.6) years and 211 (56 %) were males. At baseline, 353 (92.9 %) were diagnosed with a gambling disorder using VGS. For exposure, 175 (46 %) had a very high probability of a 12-month affective or anxiety disorder, 103 (27 %) in the high range and 102 (27 %) in the low to moderate range. For the main analysis, individuals experienced similar clinically significant reductions (improvement) in gambling related outcomes across time (p < 0.001). Individuals with co-varying patterns of problem gambling and 12 month affective and anxiety disorders who present to a gambling help service for treatment in metropolitan South Australia gain similar significant reductions in gambling behaviours from routine cognitive–behavioural therapy in the mid-term. 相似文献
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Spraggins Reneé E. Meyer Julie A. Hetzel Lisa I. Smith Denise I. 《Population research and policy review》2002,21(1-2):73-90
Recently data on age and sex for the United States have beenreleased in the Census 2000 data product Summary File 1. This paper presents someearly analysis on the shape of the age and sex structure from Census 2000 data throughstatistics and graphics on national and sub-national levels. Also highlighted are comparisonswith data from the 1990 census. 相似文献
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We used vital records and census data and Medicare and NUMIDENT records to estimate age- and sex-specific death rates for elderly non-Hispanic whites and Hispanics, including five Hispanic subgroups: persons born in Cuba, Mexico, Puerto Rico, other foreign countries, and the United States. We found that corrections for data errors in vital and census records lead to substantial changes in death rates for Hispanics and that conventionally constructed Hispanic death rates are lower than rates based on Medicare-NUMIDENT records. Both sources revealed a Hispanic mortality advantage relative to non-Hispanic whites that holds for most Hispanic subgroups. We also present a new methodology for inferring Hispanic origin from a combination of surname, given name, and county of residence. 相似文献
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This paper discusses the merit of using a Value Based Education (VBE) approach to equip future public relations and communication practitioners with the values needed to adhere to ethical practice and foster these values in the organizations they will steward. The approach utilizes in-depth and sustained exposure to complex societal issues to instill an ethical, poly-contextually responsive and diversity sensitive consciousness in students. The need to sensitize future practitioners at institutions of higher learning to the professional requirements of this context and to the inclusive values needed to respond appropriately is an important priority in increasing their strategic relevance globally. This article illustrates how VBE was practically implemented through engaging public relations and strategic communication students in complex social issues such as the plight of economically marginalized communities, human trafficking, and migration. In this paper we propose a Value Based Education model for PR education, based on our experience of teaching Millennial students in South Africa. 相似文献
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The purpose of this study was to determine the impact ergonomics has had on the occurrence of musculoskeletal symptoms and injuries among child care workers in Wisconsin using a Classroom and Work Methods Survey developed for this investigation. Information on perceived need for and knowledge of ergonomic interventions, the extent to which ergonomic interventions had been introduced to child care settings, and barriers to implementation of ergonomic recommendations was gathered. Two hundred and fifty-eight respondents completed the survey. The majority of respondents was aware of most (18 of 20) of the recommended ergonomic interventions for child care centers and did not perceive a need to make ergonomic changes. Although the majority of respondents had implemented 15 out of the 20 recommendations, they were currently experiencing musculoskeletal pain while performing their jobs. The results of this study highlight the need for further analysis of specific child care tasks and identification of more effective methods to reduce the risk for musculoskeletal pain and injuries. 相似文献
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Valdez Rene X. Drake Michael D. Burke Conner R. Peterson M. Nils Serenari Christopher Howell Andrew 《Urban Ecosystems》2019,22(1):127-135
Urban Ecosystems - Shifting demographics among angling communities mean that managers may need different amenities at fishing sites to satisfy new constituents. Anglers approach recreational... 相似文献
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Several major risk studies have been performed in recent years in the maritime transportation domain. These studies have had significant impact on management practices in the industry. The first, the Prince William Sound risk assessment, was reviewed by the National Research Council and found to be promising but incomplete, as the uncertainty in its results was not assessed. The difficulty in assessing this uncertainty is the different techniques that need to be used to model risk in this dynamic and data-scarce application area. In previous articles, we have developed the two pieces of methodology necessary to assess uncertainty in maritime risk assessment, a Bayesian simulation of the occurrence of situations with accident potential and a Bayesian multivariate regression analysis of the relationship between factors describing these situations and expert judgments of accident risk. In this article, we combine the methods to perform a full-scale assessment of risk and uncertainty for two case studies. The first is an assessment of the effects of proposed ferry service expansions in San Francisco Bay. The second is an assessment of risk for the Washington State Ferries, the largest ferry system in the United States. 相似文献
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