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101.
Two moderated social media websites were designed for increasing likelihood for mental health treatment engagement for depressed adolescents (sova.pitt.edu) and for parents (wisesova.pitt.edu). This article describes iterative stakeholder interviews conducted with adolescents, young adults, parents, advocates, and clinicians and use of human computer interaction techniques to inform major design changes which: (a) underscored the role of online interaction to provide emotional support and information, (b) importance of anonymity, (c) desire to share positive media, and (d) need for frequent moderation. Future studies will examine acceptability and effectiveness of revised websites in helping depressed adolescents and their parents engage with treatment.  相似文献   
102.
Latin America experienced a long period of sustained growth since 2003 that positively impacted social and labor market indicators, including poverty. This paper contributes to the understanding of this process as it carries out a comparative study of poverty dynamics in five Latin American countries during 2003–2008. It analyzes the extent to which countries with different levels of poverty incidence diverge in terms of poverty exit and entry rates, identifies the relative importance of the frequency and impact of events associated to poverty transitions and examines how these events affect households with different characteristics. For this, a dynamic analysis of panel data is carried out using regular household surveys. Sizeable rates of poverty movements were observed in all five countries and it was found that a large proportion of household experienced positive events, mainly related to the labor market; however, only a small fraction of them actually exited poverty. Demographic events and public cash transfers proved to be of little relevance; in particular, the latter did not contribute much either to intensify poverty exits or to prevent poverty entries. Households with children experienced more (less) negative (positive) events than those without children. It appeared therefore that even when the economy behaved reasonably well at the aggregate level, high levels of labor turnover and income mobility (even of a negative nature) still prevail, mainly associated to the high level of precariousness and the undeveloped system of social protection that characterize the studied countries.  相似文献   
103.
The Pigou–Dalton bundle dominance introduced by Fleurbaey and Trannoy (Social Choice and Welfare, 2003) captures the basic idea of the Pigou–Dalton transfer principle, demanding that, in the multidimensional context also, “a transfer from a richer person to a poorer one decreases inequality”. However, up to now, this principle has not been incorporated to derive multidimensional inequality measures. The aim of this article is to characterize measures which fulfil this property, and to identify sub-families of indices from a normative approach. The families we derive share their functional forms with others having already been obtained in the literature, the major difference being the restrictions upon the parameters.  相似文献   
104.
The lack of women engaging themselves in science has been thoroughly discussed in feminist and nonfeminist science studies. It has remained a mystery why so few female students take professional careers as scientists. Though more and more female students enroll in physics studies, for example, they seem to disappear before they reach academic positions. Instead of discussing this as a query of gender inequality in this article, I discuss the more general issues of inclusion and exclusion in communities of practices. I argue that selection mechanisms in a group of students can be connected to their premises for engaging themselves in an activity. As students have different embodied experiences, they also have different premises for engaging themselves. What seems like the same practice can, in fact, be analyzed as practices belonging to different activities. This approach might bring us a small step further in the discussions of the relations between gender and science.  相似文献   
105.
The professionals use social services supervision as an educational and administrative process, meant to support. Supervision is a relatively new field introduced in the Romanian social welfare institutions. The article approaches the role of supervision in the process of professional development of social workers, following a research based on Grounded theory. We conducted this research into an elite NGO, in the North-Eastern Romania, in the domain of child protection. Supervision is a social practice based on the relationship between a person with extensive professional experience and a professional effectively involved in case management. Supervision is seen as a prerequisite to quality social services organization. Effectiveness of the supervision process may be an indicator of the quality of social work practice in an organization. The data were collected through interviews of participants in the research. The interviewed subjects operate with a definition of the supervision as being a practice based on individual or group interview, formal or informal, consisting in a series of specific phases (initial, development, end). Supervision involves the establishment of professional relationships between the participants and the quality of services and training received. This definition is partially different from those in the literature.  相似文献   
106.
We propose a random partition model that implements prediction with many candidate covariates and interactions. The model is based on a modified product partition model that includes a regression on covariates by favouring homogeneous clusters in terms of these covariates. Additionally, the model allows for a cluster‐specific choice of the covariates that are included in this evaluation of homogeneity. The variable selection is implemented by introducing a set of cluster‐specific latent indicators that include or exclude covariates. The proposed model is motivated by an application to predicting mortality in an intensive care unit in Lisboa, Portugal.  相似文献   
107.
New data collected for the Boston Metropolitan Statistical Area provide detailed information on financial assets that allow analysis to extend beyond the traditional black–white divide. Targeting US-born blacks, Caribbean blacks, Puerto Ricans, Dominicans, and other Hispanics, findings from the National Asset Scorecard for Communities of Color survey underscore the large racial and ethnic disparities in financial wealth, even after controlling for demographic and socioeconomic status. Further, some notable differences between Boston’s communities of color highlight the importance of detailed analyses for research on the racial wealth gap. In particular, among non-white communities Dominicans report comparatively low asset and high debt amounts, while Caribbean blacks report relatively higher levels of wealth. Altogether, these findings point to the need for wealth building opportunities in communities of color and further investigation of the causes and consequences of financial disparities between groups of color disaggregated by specific ancestral origin.  相似文献   
108.
With every Diagnostic and Statistical Manual of Mental Disorders that has been published, there has been controversy within controversy; however, what appears to be lacking is the importance of truly understanding what, why, and how the changes impact the community at large. Issues such as homosexuality, the five axial diagnostic system, and transitioning from a medical model to a biopsychosocial model have been hot topics that have led clinicians to challenge the reliability and validity of the manual throughout history. As clinicians and medical professionals, it is important to objectively look at the manual and become educated on how and why these changes exist. With that being said, this commentary aims to challenge the article “Commentary: Problems with the Sexual Disorders Sections of DSM-5” by Colin A. Ross (2015). The structure of this commentary purposefully mirrors the structure of the commentary that it is challenging.  相似文献   
109.
The concordance between infants’ emotion regulation styles with different partners has not been consistently analysed nor have the relational correlates of such potential across‐partners similarities. We explored these issues by assessing 10‐month‐olds’ (59.6 percent boys) emotion regulation styles separately with mother and father and by evaluating mother–infant and father–infant interaction quality. The sample consisted of 50 low‐risk families. Two home visits were conducted and similar procedures were adopted for each visit. Parent–infant interaction quality was assessed during daily routines and during free play; both parents independently completed a temperament questionnaire. Infant emotion regulation was assessed in a semi‐structured problem‐solving task: adaptive vs. maladaptive (under and over‐regulation) styles. As predicted, infants’ emotion regulation with their mothers and fathers were related. However, only father–infant interaction quality predicted infants’ emotion regulation concordance: lower interaction quality was associated with maladaptive concordance compared with non‐concordance and higher interaction quality was associated with adaptive concordance compared with non‐concordance. Our results support the claim that by the end of the first year of life, infants use similar emotion regulation styles with mother and father and point to father–infant interaction as an important correlate of emotion regulation across‐parents.  相似文献   
110.
Abstract

Sterilization plants process all reusable materials used in hospitals during different stages of healthcare provision. Most items sterilized come from the surgical theater in the form of individual instruments, linen and surgical trays. Reducing the number of instruments in trays impacts on the performance of the sterilization process. Here, we propose a three-phase method, based on lean healthcare principles, cluster analysis and kaizen groups of experts to rationalize surgical trays, reducing sterilization processing costs. We innovate by proposing a strategy to approach tray rationalization prioritizing surgical specialties that are both complex and frequent, and by using group technology to cluster surgical trays expediting expert analyses carried out by kaizen groups. Our propositions were tested in a high complexity, tertiary care hospital, covering 12 surgical specialties, reducing the number of instruments by average 9.75%, and the time-to-assemble trays by average 9.68%, obtaining annual savings of US$285.756,00 in sterilization processing costs.  相似文献   
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