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981.
It has been well documented that persons with disabilities (PWDs) have a more vulnerable health status than persons without disabilities; yet, they often receive inadequate primary care within the US health care system. This study explores how PWDs think about the health care they receive, particularly how primary care providers facilitate or hinder quality care for PWDs. The findings from this study expand the concept of expertise in health care, suggesting it goes well beyond technical competence of health care providers. For PWDs, expertise is multi-dimensional, not solely the domain of providers and includes having knowledge and using that knowledge within the context of the provider-patient relationship. PWDs identified three distinct areas of expertise: medical/technical, medical/biographical, and systems. Expertise can be brought to health care encounters by both PWDs and providers, and it can be developed through collaboration during interactions between providers and PWDs. 相似文献
982.
Heather Strang Lawrence Sherman Caroline M. Angel Daniel J. Woods Sarah Bennett Dorothy Newbury-Birch Nova Inkpen 《The Journal of social issues》2006,62(2):281-306
One major goal of face-to-face restorative justice (RJ) is to help heal the psychological harm suffered by crime victims ( Braithwaite, 2002 ). Substantial evidence from randomized controlled trials (RCTs) has shown that this can be accomplished ( Strang, 2002 ) and more trials are underway ( Sherman & Strang, 2004 ). These outcomes are even more clearly, if less rigorously, demonstrated through retrospective interviews of victims about their feelings before and after RJ took place. We review the responses of victims ( N = 210) who participated in trials in Canberra (Australia) and in London, Thames Valley, and Northumbria (UK). Despite substantial variations in offense types, social contexts, nation and race, before-after changes revealed by qualitative and quantitative data are all in the same beneficial direction. 相似文献
983.
Research has identified associations between indicators of social disadvantage and the presence of child sleep problems. We examined the longitudinal development of infant sleep in families experiencing high (n = 58) or low (n = 64) levels of psychosocial adversity, and the contributions of neonatal self‐regulatory capacities and maternal settling strategies to this development. Assessments of infant sleep at 4‐, 7‐, and 12‐weeks postpartum indicated no differences in sleeping difficulties between high‐ and low‐adversity groups. However, more infant sleep difficulties were reported in the high‐ versus low‐adversity groups at 12‐ and 18‐month follow‐ups. Neonatal self‐regulatory capacities were not related to the presence or absence of adversity, or to subsequent infant sleep quality. However, there were group differences in maternal settling strategies that did predict subsequent infant sleep difficulties. The pattern of sleep disturbance observed in association with maternal psychosocial adversity at 18‐months was consistent with risk for broader impairments in child functioning. 相似文献
984.
Nadya A. Fouad Yung‐Lung Chen Amy Guillen Caroline Henry Neeta Kantamneni Alexandra Novakovic Paul E. Priester Sarah Terry 《The Career development quarterly》2007,56(1):19-33
Many vocational psychologists advocate addressing career as well as personal concerns in career counseling. However, some clients may have inappropriate expectations toward career counseling and may not be prepared or want to discuss personal issues. This study examined whether perceptions of the career counseling process could be modified with the use of role induction. Results indicated that, whereas role induction was associated with perceptions of students' own career concerns, gender was a strong influence in perceptions of counseling overall and in the stigma associated with a holistic perspective on career counseling. 相似文献
985.
986.
The new genetics: professionals' discursive boundaries 总被引:2,自引:0,他引:2
In this paper we examine new genetics professionals’ accounts of the social context of their work. We analyse accounts given in interview by an ‘elite’ group of scientists and clinicians. Drawing on the work of Gilbert and Mulkay (1984), we consider interviewees’ discourse about knowledge, exploring the way in which they separate science from society through the use of what we have called the ‘micro/macro split’. We then go on to consider the reasons for such a discursive boundary, exploring the interviewees’ wider discourse about expertise and responsibility for the social implications of the new genetics. We argue that interviewees’ discursive boundaries allow them to appeal variously to their objectivity, to dismiss bad science and to characterize the public as ignorant. However, these discursive boundaries are permeable and flexible, and are employed to support the new genetics professionals’ role in guiding education and government policy, whilst at the same time deflecting ultimate responsibility for the use of knowledge on to an abstract and amorphous society. Responsibility is flexibly embraced and abrogated. These flexible discursive boundaries thus promote rather than challenge the cognitive authority of new genetics professionals as they engage in debates about the social implications of their work. We end by challenging the replication of these discursive boundaries, noting some of the implications of such a critique for evaluation of the new genetics. 相似文献
987.
Sarah Jones 《Australian and New Zealand Journal of Family Therapy》1993,14(1):48-49
It is unusual for family therapists to employ a dance framework as part of the therapeutic process. What happens when you do? This article describes the work of a therapist interested in dance as a way to psychic discovery. 相似文献
988.
Upperbound lifetime excess cancer risks were calculated for activities associated with asbestos abatement using a risk assessment framework developed for EPA's Superfund program. It was found that removals were associated with cancer risks to workers which were often greater than the commonly accepted cancer risk of 1 x 10(-6), although lower than occupational exposure limits associated with risks of 1 x 10(-3). Removals had little effect in reducing risk to school populations. Risks to teachers and students in school buildings containing asbestos were approximately the same as risks associated with exposure to ambient asbestos by the general public and were below the levels typically of concern to regulatory agencies. During abatement, however, there were increased risks to both workers and nearby individuals. Careless, everyday building maintenance generated the greatest risk to workers followed by removals and encapsulation. If asbestos abatement was judged by the risk criteria applied to EPA's Superfund program, the no-action alternative would likely be selected in preference to removal in a majority of cases. These conclusions should only be interpreted within the context of an overall asbestos risk management program, which includes consideration of specific fiber types and sizes, sampling and analytical limitations, physical condition of asbestos-containing material, episodic peak exposures, and the number of people potentially exposed. 相似文献
989.
Sarah Mueth 《Serials Review》2019,45(3):119-120
AbstractThis article, based on a lightning talk held at the 2019 North Carolina Serials Conference, outlines strategies for starting a job after it’s been vacant for a period of time. The author details experiences from her first year and how she coped with the challenges this situation presented. 相似文献
990.
In testing a general linear hypothesis of the form K ′β ? ( W ′) under a general linear model, an equivalent hypothesis involving only estimable parametric functions is provided, and then an explicit test statistic in terms of the model matrices is given. The corresponding results are expanded to the case of a general linear model with a restriction and are illustrated by an example. 相似文献