Couple and family interventions in health problems

Intervention research for couples and families managing chronic health problems is in an early developmental stage. We reviewed randomized clinical trials of family interventions for common neurological diseases, cardiovascular diseases, cancer, and diabetes, which is similar to the content of previous reviews discussed later. One overriding theme of these studies is that patients with chronic illnesses and their families face a variety of challenges to which researchers have responded with an array of treatment modalities. Very few of the interventions reviewed, with the exception of treatment for adolescents with diabetes, tested family psychotherapy models. Most interventions were time-limited therapeutic interventions that trained families to improve their communication and problem-solving skills, individual and family coping skills, and medical management. Researchers more clearly described mechanisms of change in intervention studies with cancer and diabetes than with other diseases, and not surprisingly, they found greater empirical support for their interventions. Family interventions show promise to help patients and family members manage chronic illnesses. To develop an empirical base for family approaches to managing chronic illnesses, interventions must be based on theories that delineate mechanisms of change in family processes and skills in medical management necessary to maintain patients' and family members' health.     

政府旅游开发方式评析——以土耳其为例

提起旅游,人们脑海里首先浮现的必然是"阳光与海滩"。土耳其是地中海地区的一个主要国家,在历史、文化、自然风光、美食、民俗等方面都具有巨大潜力,并且土耳其人民也非常热情友善。土耳其拥有21世纪的游客所寻求的异国风情。为使土耳其的这种潜力在继续服务于旅游业的同时保持其延续性,就需要认真的自省与科学的研究和规划。旅游业对于一国的社会福利和经济发展有着举足轻重的影响,但也存在毁灭当地资源的可能。理性运用旅游资产、增加游客数量和提高旅游收入,这些都可以通过有效的旅游规划来实现。在此问题上,中央政府、地方政府和非政府组织在相互协作的框架下各司其职显得至关重要。本文通过揭示当前土耳其旅游业的现状,对中央和地方政府扮演的角色做出评析,希望从国家管理的风格和方式角度出发,使土耳其的旅游规划和政策取得实际效果。     

1918—1932年苏联石油出口和石油工业

十月革命胜利后国外武装干涉和国内反动势力严重威胁着新生的布尔什维克政权。1918年起土耳其和英国军队先后占领巴库等石油产区,至1921年初苏俄石油出口量几乎为零。苏维埃政权稳固之后决定以出口石油换取外国设备和其他工业必需品,但收效不大。1923—1925年间西方大石油公司购买苏联石油产品的数量猛增并意欲控制苏联石油产品的出口和销售,苏联政府顺势而为,通过不断努力在世界石油市场上获得了一席之地。1926—1928年间英国等西欧国家在世界市场上排挤苏联石油,苏联遂与美国石油公司建立起伙伴关系,利用美国公司的营销网络与英国分庭抗礼。1929—1932年间英国停止抵制苏联石油产品,意味着英国要求苏联政府补偿企业国有化损失的方案落空,苏联获得了在世界市场上销售石油的合法权利。     

Treatment of premenstrual syndrome: a decision-making algorithm

The aim of this short paper will be to guide the clinician through the plethora of possible interventions to help them to individualize treatment for their patients with PMS. The discussion will highlight management principles rather than evidence per se. It uses as its basis an updated version of the treatment algorithm published by the RCOG in its Green Top Guideline no. 48 on the management of PMS.     

The relationship between heart rate as an indicator of work hardness and results of dynamometry

Heart rate is associated with work hardness and increase linearly with its increasing. In the average of energy consumption, heart rate measurement is simple but non-accurate method for calculation of work hardness. Our purpose in this research was to evaluate the relationship between heart rate and dynamometry results with hypothesis of work hardness effectiveness on the human power. This study was conducted on 102 porcelain workers. Participants were selected randomly. The research tools include stethoscope, the dynamometer. Heart rate, and pinch, grip, and back-leg-chest force were measured and relationships between variables were analyzed with Pearson correlation test and independent T-test using Spss 16 software. The average heart rate of participants were 4.11 ± 1.79 with minimum 60 and maximum 120. The average force of pinch, grip, and back-leg-chest were 8.9 ± 3.20, 4.2 ± 4.5 and 9.36 ± 6.55, respectively. Work hardness for 3.86% of workers were light, 7.12% were moderate and 1% were heavy. Pinch, grip, and back-leg-chest force relation with heart rate were not significant (r=0.01, p=0.85), (r=-0.03, p=0.74), and (r=0.05, p= 0.59), respectively. There was no correlation between heart rate and work hardness. So we can't use the dynamometry results to determine of work hardness.     

Study on workloads of human care worker with the introduction of IT system - the characteristics of work loads by observational research and the suggestions for KAIZEN

The purpose of this study was to clarify the characteristic of workloads on human care worker with the introduction of IT system, and suggested the support measures for KAIZEN in Japan. The investigation method is workflow line and hearing with a focus on work observation. The objects were 8 human care workers of the acute hospital that introduced an electronic system. By the introduction of the electronic chart, the nurse station sojourn time decreased, sickroom sojourn time increased, and time about direct nursing care to a patient increased. In addition, access to patient information became easy, and the offer of the health care service based on correct information came to be possible in real time. By The point of workflow line, it was effect that moving lengths decreased in order to install the electronic chart in patients' rooms. Though, it was a problem that it hasn't formed where to place the instruments such as sphygmomanometer, clinical thermometer and others.     

Naturalistic observation of drivers' interactions while overtaking on an undivided road

Current models of driving behavior and designs of driver support systems are not taking adequately into account the interactions between drivers. Although a driver's intended maneuver may not be physically possible at a specific time point, it may still be safely executed if the driver's intention is successfully communicated to and interpreted by another driver, who alters the own future trajectory so as to enable the maneuver execution. This paper presents some empirical findings relevant to communicative and cooperative interactions between drivers along naturalistic overtaking maneuvers on an undivided road. The cues used by drivers to interpret other drivers' intention and the drivers' interactions were extracted through video observations of the maneuvers together with the frequency of such interactions per level of traffic risk. The findings show that drivers use formal and informal cues to anticipate other drivers' intention. A significant percentage of maneuvers were performed after facilitation by other drivers. Future studies should focus on this phenomenon while future models of driving behavior should incorporate communicative and cooperative interactions among drivers, so as to design adequate cooperative support systems to enhance road safety.