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71.
72.
Five-Hundred Life-Saving Interventions and Their Cost-Effectiveness 总被引:42,自引:0,他引:42
Tammy O. Tengs Miriam E. Adams Joseph S. Pliskin Dana Gelb Safran Joanna E. Siegel Milton C. Weinstein John D. Graham 《Risk analysis》1995,15(3):369-390
We gathered information on the cost-effectiveness of life-saving interventions in the United States from publicly available economic analyses. "Life-saving interventions" were defined as any behavioral and/or technological strategy that reduces the probability of premature death among a specified target population. We defined cost-effectiveness as the net resource costs of an intervention per year of life saved. To improve the comparability of cost-effectiveness ratios arrived at with diverse methods, we established fixed definitional goals and revised published estimates, when necessary and feasible, to meet these goals. The 587 interventions identified ranged from those that save more resources than they cost, to those costing more than 10 billion dollars per year of life saved. Overall, the median intervention costs $42,000 per life-year saved. The median medical intervention costs $19,000/life-year; injury reduction $48,000/life-year; and toxin control $2,800,000/life-year. Cost/life-year ratios and bibliographic references for more than 500 life-saving interventions are provided. 相似文献
73.
Neil Adams 《Australian and New Zealand Journal of Family Therapy》1996,17(2):75-84
In an earlier paper, the relationship between spirituality, science and therapy was explored. In this paper spirituality is discussed in a more clinical context. Family response to trauma is outlined, concentrating on the area of Acquired Brain Injury (ABI), and several models of adaptation are reviewed. There appear to he commonalities in response to different types of trauma. However in the area of ABI, positive outcomes have been under-reported in the literature which has focussed for various reasons on maladaptation. In viewing response to trauma as involving both the potential for positive transformation as well as suffering and burden, concepts of Frankl and Jung, spiritual belief and ‘near death experience’ are discussed. Examples of how families find meaning and positively appraise their experience of ABI are given. 相似文献
74.
Karen Adams Shannon Faulkhead Rachel Standfield Petah Atkinson 《Women and birth : journal of the Australian College of Midwives》2018,31(2):81-88
Background
The 2007 United Nations Declaration on the Rights of Indigenous Peoples states that Indigenous peoples have the right to self-determination for social and cultural development. This fundamental right has been impeded worldwide through colonisation where many Indigenous peoples have had to adapt to ensure continuation of cultural knowledge and practice. In South East Australia colonisation was particularly brutal interrupting a 65,000 year-old oral culture and archives have increasing importance for cultural revival.Aim
The aim of this research was to collate archival material on South East Australian Aboriginal women’s birthing knowledge and practice.Methods
Archivist research methods were employed involving a search for artefacts and compiling materials from these into a new collection. This process involved understanding the context of the artefact creation. Collaborative yarning methods were used to reflect on materials and their meaning.Findings
Artefacts found included materials written by non-Aboriginal men and women, materials written by Aboriginal women, oral histories, media reports and culturally significant sites. Material described practices that connected birth to country and the community of the women and their babies. Practices included active labour techniques, pain management, labour supports, songs for labour, ceremony and the role of Aboriginal midwives. Case studies of continuing cultural practice and revival were identified.Conclusion
Inclusion of Aboriginal women’s birthing practices and knowledge is crucial for reconciliation and self-determination. Challenging the colonisation of birthing, through the inclusion of Aboriginal knowledge and practice is imperative, as health practices inclusive of cultural knowledge are known to be more effective. 相似文献75.
PJ Adams 《Journal of marital and family therapy》2012,38(3):458-470
Practitioners who view intimate partner violence as a set of strategies aimed at maintaining positions of power and privilege often face an engagement dilemma when men at their first contact talk of themselves as disempowered by circumstances such as separation, loss of access to children, legal problems, substance abuse issues, and their own history of being abused. This paper explores how a language-oriented approach to violence can assist practitioners in responding to abuser's current perceptions while avoiding collusion with justifications for violence. It examines common ways of speaking that men will employ to justify their violence then explores practical ways to identify and neutralized these messages before exploring personal opportunities for change. 相似文献
76.
Valerie Margaret Adams Dale Bagshaw Sarah Wendt Lana Zannettino 《Journal of elder abuse & neglect》2014,26(3):270-290
Financial abuse by a family member is the most common form of abuse experienced by older Australians, and early intervention is required. National online surveys of 228 chief executive officers and 214 aged care service providers found that, while they were well placed to recognize financial abuse, it was often difficult to intervene successfully. Problems providers encountered included difficulties in detecting abuse, the need for consent before they could take action, the risk that the abusive family member would withdraw the client from the service, and a lack of resources to deal with the complexities inherent in situations of financial abuse. 相似文献
77.
78.
Navigating the Tavern: Digitally Mediated Connections and Relationship Persistence in Bar Settings 下载免费PDF全文
The widespread adoption of digital communications technologies has provided new avenues for social interaction to occur. We build on the sociological literature of fleeting encounters in bar settings to show how patrons' use of these technologies augments the bar experience and shapes the social networks that may develop through interaction. Using seven gay, lesbian, and heterosexual bars located in Southern California as research sites, we describe how patrons invoke digital technologies as props to aid the impression management strategies used to facilitate new connections. Second, we demonstrate how these encounters are subject to greater relationship persistence as a result of the way these technologies are used to quickly create a shared history. We conclude by arguing that fleeting encounters are no longer connections that either persist or completely fade away after face‐to‐face interaction. Rather, they often persist through technology‐mediated communications in ways that result in, at minimum, the development of weak ties. This greater relationship persistence can permit more opportunity to get to know a potential partner in digitally mediated settings like Facebook or via texting, but it could also require new strategies to evade interested others given this new lack of ephemerality and the influx of weak ties. 相似文献
79.
Sharing personal information in the child protection context: Impediments in the Australian legal framework 下载免费PDF全文
Professionals, including social workers, in the child protection context are frequently required to make decisions on whether to share sensitive personal information about children, their families, and others with colleagues and across institutional and jurisdictional boundaries. Sharing information across agencies and organisations is essential to allow joined‐up service provision and to effectively protect and support children and their families. A legal framework that supports this decision making is a necessary, although not sufficient, condition for effective information sharing. This article examines the complex legal framework that governs information sharing across the Australian states and territories. It identifies a number of structural and regulatory elements that unnecessarily limit information sharing or have a tendency to create a culture that is risk averse, rather than proactive, in sharing information. The article suggests structural and regulatory reforms that would improve the legal framework for sharing information, while at the same time giving due recognition to the human rights that come into tension in this policy context: the right to privacy and the rights of the child. 相似文献
80.
Darren C. Treadway Jacob W. Breland Garry L. Adams Allison B. Duke Laura A. Williams 《Social Networks》2010
Scholars have suggested that skill (Ferris et al., 2007) and motivation (Forret and Dougherty, 2001) need to be considered in predicting the direction and intensity of networking behaviors. Congruently, the present study argues that skill and motivation operate interactively and assesses the interactive impact of political skill (i.e., the ability to interact effectively with others) and future time perspective on differentially predicting community-based and career-based networking behavior. Results from a sample of managers from a national retail chain (n = 291) indicated that politically skilled individuals who possessed a deep future time perspective were more involved in career-related networking than politically skilled individuals who perceived a shallow future time perspective. Additionally, politically skilled respondents with shallow organizational time perspectives engaged in higher levels of community-based networking than did their counterparts with deeper organizational time perspectives. The implications of these findings are discussed in terms of political skill, social networks, and socioemotional selectivity theory. 相似文献