Well balanced: 8 steps to wellness for adults with mental illness and diabetes

Serious mental illness places a tremendous burden on clients, their families, and behavioral and medical health care providers. The co-occurrence of diabetes with mental illness may further compromise daily functioning. Psychiatric nurses can make a significant difference in improving the health and medical outcomes of this client population. A partnership was developed between the University of Rochester School of Nursing and the Western New York Care Coordination Program to evaluate a novel nursing model for adults with both serious mental illness and diabetes mellitus. The Well Balanced program incorporated health promotion, disease management, nursing care management, and evidence-based practice guidelines into 8 Steps to Wellness for a community-based mental health population. During a 16-visit intervention period, psychiatric nurses interacted with 74 clients. As a result of the program, clients experienced improvements in health risk status and in their hemoglobin A1C and reported high satisfaction with the Well Balanced program.     

Personality and psychopathological profiles in individuals exposed to mobbing

Increasingly, mental health and medical professionals have been asked to assess claims of psychological harm arising from harassment at the workplace, or "mobbing." This study assessed the personality and psychopathological profiles of 146 individuals exposed to mobbing using validity, clinical, and content scales of the Minnesota Multiphasic Personality Inventory 2. Profiles and factor analyses were obtained. Two major dimensions emerged among those exposed to mobbing: (a) depressed mood, difficulty in making decisions, change-related anguish, and passive-aggressive traits (b) somatic symptoms, and need for attention and affection. This cross-sectional pilot study provides evidence that personality profiles of mobbing victims and psychological damage resulting from mobbing may be evaluated using standardized assessments, though a longitudinal study is needed to delineate cause-and-effect relationships.     

A pilot intervention to promote walking and wellness and to improve the health of college faculty and staff

There is a need to investigate novel interventions that promote worksite physical activity and wellness. OBJECTIVE: The authors' purpose in this study was to evaluate the effectiveness of a 12-week walking program supplemented with a pedometer, computer educational program, and weekly e-mails. METHODS: College faculty and staff participated in a one-group pre-posttest study to determine whether the 12-week walking intervention had an effect on body mass index (BMI), blood pressure, blood glucose, and cholesterol. The authors also determined participant-perceived wellness effects. RESULTS: The authors observed differences between baseline and follow-up in BMI (p = .024), blood glucose (p = .06), and total cholesterol (p = .09). The program had a moderate effect on fitness, mood, health awareness, nutrition, and health. CONCLUSIONS: It is incumbent that experts develop innovative worksite physical activity and wellness programs. A pedometer-monitored walking program is one way that a worksite health initiative can improve the health and wellness of its employees and simultaneously reduce health-care costs.     

Spirit of aging rising: cross-cutting thematic modules to enrich foundation graduate social work courses

To enrich an urban generalist MSW program serving a diverse aging community, an innovative approach was initiated. A team of students, faculty and a field instructor collaborated in creating and evaluating 3 sets of cross-cutting thematic modules. An overview of the thematic modules (addressing elder abuse, family caregiving, and mental health), integrated across multiple curriculum areas (Human Behavior and the Social Environment, Macro/Policy, Practice and Research), is presented along with results of a faculty focus group evaluating the process of coordinating module content for one full week of class per foundation area (one topic per quarter).     

亚洲的HIV/AIDS水平将达到撒哈拉以南非洲的水平吗?

尽管对于任何一种致数百万人死亡的疾病都应竭尽所能地予以斗争,对本文标题所提出问题的简短回答却是:"不".我10年以前在<社会科学与医学>(Social Science and Medicine)杂志的社论中第一次阐述了这个问题,至今这一观点没有发生变化,它所依据的是近期的一些相关报告.     

瑞典的知识环境为未来做好准备了吗?

瑞典的知识环境为未来做好准备了吗?瑞典的大学如何与其他国家的大学竞争?未来的大学应该如何管理?这是目前瑞典教学与研究研究院(The Swedish Institute for Studies in Education and Research,SISTER)战略研究所的项目"明日的知识环境"(Uni-Know)正在研究的课题.该项研究已进行了一年有余.     

隐喻的主要理论及指称述评

1.现代隐喻研究的五大流派 亚里士多德开创了隐喻研究的时代.他阐释了不同概念域的两个事物之间的联系,为后来的对比论奠定了基础.顾名思义,对比论就是拿一种事物与另一种事物相比较.据此,"Man is a wolf"相当于明喻"Man is like a wolf",只不过这里的"like"被省略了.因此,隐喻是一个简缩的明喻.     

是分析社会还是改造社会——哈贝马斯与卢曼之争

哈贝马斯与卢曼在 1971年的理论之争是德国学生运动的最后一次理论争论 ,它对整个一代人和德国社会科学界有重大影响。1.争论的出发点哈贝马斯和卢曼在 1971年时都知道 ,必须突破社会学理论和方法的长期停滞状态和不充分性。他们同时也知道这种突破面临一个困难 ,就是必须分析一个比过去更加复杂和更加无法一目了然的社会。哈贝马斯认为“批判理论”已经提供了分析这种社会的理论和方法 ,霍克海姆和阿多尔诺的《启蒙辩证法》(1974)就是“现代社会辩证发展理论”。他未能采纳在北美 (特别由帕森斯 )得到发展的系统论。卢曼 (NiclasL uhmann1…     

世界保险业

世界保险业市场的保险费已连续几年超过 2 0 0 0 0亿美元 ,1997年还曾达到 2 12 90亿美元 ,较之 1996年实际增长 4.5 %。投向人寿保险较之财产保险的增幅大 ,如 1991年 ,人寿保险的比例为 5 3% ,6年以后该比例增至 5 8%。财产保险增长缓慢 (1997年实际只为0 .2 % ) ,因而使其所占比例下降的关键原因是最主要市场的剧烈竞争和过度设备能力。在日本、北美和西欧 ,该项价目不可能脱离业务规模的相应增大 ,由于受经济增长率的限制 ,致使这些地区收入量降低。相反 ,东欧、拉美和东南亚因业务规模扩大而使利润增加。从每个国家看 ,1997年保险收入…