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51.
Migration can have emotional costs for migrants, whose face‐to‐face friendships are ruptured. This article explores the ways that migrants managed their emotions towards old friends after migration. Excerpts from semi‐structured interviews with 20 skilled migrants are analysed to show the stoic, fantasy and disengagement accounts used to deal with ruptured relationships. Each account demonstrates a different type of emotion work, which assisted migrants to cope with the loss of friends. The article discusses how the ways that migrants thought about their friends were affected by structural aspects such as geographic and temporal distance, and normative expectations such as the obligation for the migrant to return home. The article provides insight into the personal costs of migration and highlights the loss and coping that can follow, whilst demonstrating the complexity of friendship over time and geographic distance.  相似文献   
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The growth in the older adult population and the demand for better trained geriatric social workers challenge the existing curricula of social work programs. The Geriatric Enrichment Grant funded by the John A. Hartford foundation has provided financial support for curricular reform. Curriculum reform is a challenging undertaking at any level. Each program and educational institution experiences the process of curriculum reform in unique ways. This paper describes one program's experience of curriculum reform for the purpose of infusing geriatric content.  相似文献   
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Heath H  Palm G 《Child welfare》2006,85(5):885-895
The authors of this special edition of Child Welfare have shared current shifts in perspective about parenting and parenting education that are raising some interesting challenges. We will first briefly review the shifts identified in the articles presented here. Second, we will raise questions about the implications of these shifts for the field of parenting education.  相似文献   
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Heath H 《Child welfare》2006,85(5):749-766
Parents have a complex task of guiding a specific child to maturity by using the opportunities offered by the environment, while avoiding its detrimental aspects. This article develops a theory of the parenting process that describes components of the parental role; situations where development and, thus, parenting occurs; the responsibility of parents in those situations; the attributes parents use to fulfill their role; and implications for professionals.  相似文献   
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Service delivery by a mental health clinic to clients from an older suburban catchment area containing both lower and middle class blacks and whites was studied. The epidemiologic method was employed, relating service delivery to the characteristics of the various population groups within the catchment. The findings indicate that low service rates for blacks were not related to ethnicity alone, but to the combination of black ethnicity and low social status; however, middle class blacks and middle class whites who entered treatment received similar service. Poor blacks had higher admission rates than poor whites with similar need indicators. In continued treatment, poor blacks received lowest service rates while minority status poor whites living in a predominantly black area received highest service rates. Social class mediated black service utilization. Severity of illness, interacting with social class and minority status mediated white service utilization. Outreach is suggested not only for poor blacks but also for poor whites, especially those living in areas in which they represent an ethnic minority.  相似文献   
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The National Cancer Institute (NCI) suggests a sudden reduction in prostate cancer mortality rates, likely due to highly successful treatments and screening methods for early diagnosis. We are interested in understanding the impact of medical breakthroughs, treatments, or interventions, on the survival experience for a population. For this purpose, estimating the underlying hazard function, with possible time change points, would be of substantial interest, as it will provide a general picture of the survival trend and when this trend is disrupted. Increasing attention has been given to testing the assumption of a constant failure rate against a failure rate that changes at a single point in time. We expand the set of alternatives to allow for the consideration of multiple change-points, and propose a model selection algorithm using sequential testing for the piecewise constant hazard model. These methods are data driven and allow us to estimate not only the number of change points in the hazard function but where those changes occur. Such an analysis allows for better understanding of how changing medical practice affects the survival experience for a patient population. We test for change points in prostate cancer mortality rates using the NCI Surveillance, Epidemiology, and End Results dataset.  相似文献   
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