Pragmatic decisions in the evaluation of consumer satisfaction with mental health treatment

This article examines pragmatic choices which must be made in conducting consumer satisfaction assessment of mental health treatment. It is argued that choices involving sample, format, and procedure for examining satisfaction may influence the results of such research, and must be considered when creating or evaluating these efforts. These choices are examined in detail.     

Frustrated fertility: a population paradox

This Bulletin examines the causes of subfecundity -- the diminished ability to reproduce -- and its effect today and in the past on the fertility, or actual reproductive performance, of individuals and, hence, populations. By definition, all real populations are subfecund since all experience some degree of involuntary biological factors affecting coitus, conception, or the ability to carry a conceptus to live birth which reduces their fecundity below the estimated biological population maximum of 15 children per woman. Affecting both men and women, these factors fall into 5 categories: genetic factors such as blood group incompatibilities and inherited sickle cell anemia or diabetes; psychopathology, including psychic stress and behavioral disorders (e.g., drug and alcohol abuse); infectious diseases such as gonorrhea, malaria, tuberculosis, and postabortion infection; malnutrrition, including the chronic undernutrition of the 3rd World and the overnutrition of developed societies; and hazards posed by increasing amounts of radiation and toxic chemicals in the environment. Reducing subfecundity requires improved living conditions, avoidance of or protection from known hazards, and adoption of medical advances which now can help 40 to 60% of subfecund couples. But even in the U.S. fertility would certainly rise among the 15% of couples now estimated to be involuntarily childless and the 10% who have fewer children than they want, and among disadvantaged groups, and teenagers.     

当代生活与艺术之死:第二、第三和第一世界

当今所谓的艺术,主要是受20世纪七八十年代以来发展并在全球范围内扩散的美国式“艺术”观念所支配,而再也不受德语的“艺术”或法语的“美的艺术”体系所支配。自从现代主义诞生以来,艺术的历史使命的减弱或者消失已经成为事实,但从全球范围而言,“艺术的终结”这一论断仍有些夸大其词。因为在第一世界的艺术死亡之后(这里存在更多的是文化),第二和第三世界的艺术还生长着。艺术从根本上说还不是一个媒介事件和现象,而是一个同我们每个人相关的东西——不管它是不是商品。     

从所有的地方获得好的构想

一些令你确保构想在你的企业里胜出的可做之事: ▲不要以为你或你的公司拥有全部答案: 这是一个学习型企业的第一条商业法则,如果你以为你无所不 知,那么你就会停止寻找好的构想。 ▲研究竞争对手: 韦尔奇认为,学习好的构想的最佳去处之一就是你的竞争对手那 里。养成一个习惯,每周花1小时时间研究他们的网页、产品目录和其 他所有能使你了解他们的最新创意的东西。     

从语义学到心灵哲学： 重思对阿奎那关于理智之非物质性论证的一些批评

阿奎那关于个别感觉与普遍理性表征的理论是其对理智之非物质性论证的关键部分，但这一理论受到司各特、奥卡姆及布里丹等后来者的批评。然而，这些批评其实都不能成立。阿奎那的论证并不像罗伯特·帕斯纳奥对他的诘难中所说的那样，犯了从一个表征的语义内容推出此表征之本体论属性的“内容谬误”。此外，由布里丹本人的评论可以看出，布里丹实际上不得不接受他所批评的阿奎那论证所蕴含的主要内容。     

Gambling Among Prison Inmates: Patterns and Implications

There is an absence of research on gambling among prison inmates during their incarceration. Little is known about how prisoners organize gambling activities or the potential risks they face from gambling. Similarly, no empirical attention has been given to how correctional institutions respond to inmate gambling. This study employed interviews with 55 male prisoners and self-administered surveys with 159 correctional officers and staff, at two medium security prisons in Ohio. Data were gathered on prevalence and patterns of inmate gambling, perceived hazards of gambling, and perceived institutional responses to prisoner gambling. Findings suggest that inmate gambling is common and constitutes an important feature of the underground economy of prisons, yet little is done to deter or prevent this activity. Suggestions are made for more effective institutional responses.     

Impact of physical activity on activity of daily living in moderate to severe dementia: a critical review

The objectives of this study were to describe the different modalities of physical activity programs designed for moderate to severe dementia and to identify their impact on functional independence in activities of daily living (ADL). A critical review of randomized controlled trials related to the impact of physical activity programs in moderately to severely demented persons on ADL performance and meta-analysis of the identified studies were performed. Among the 303 identified articles, five responded to the selection criteria. Four out of the five studies demonstrated limited methodological quality. In one high-quality study, physical activity programs significantly delayed deterioration of ADL performance. The program components and ADL assessment tools vary widely across studies. Although the proposed treatments have not proven their efficiency in improving the ADL status of the patients, they were able to limit the decline in ADL functioning. Future research is warranted in order to identify clinically relevant modalities for physical activity programs for people with moderate to severe dementia.