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41.
Labia minora elongation has been documented as being practiced by 98.6% of the women in Tete province, Mozambique. Women engage in this procedure before the first menstruation. In this article we report on the findings from the male respondents from Tete province that participated in the qualitative component of the World Health Organization–supported multicountry Gender, Sexuality, and Vaginal Practices study. The men reported that the main motivation behind labia minora elongation is to enhance the sexual pleasure for both female and male partners. Researching what men know and perceive of labia minora elongation is crucial to understanding the contribution of this practice for sexual health. This knowledge is helpful to inform the development of new human immunodeficiency virus (HIV)/sexually transmitted infection (STI) prevention technologies and culturally appropriate information, education, and communication interventions.  相似文献   
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In this article performance measurements and synergy effects of Public Social Private Partnerships are estimated. After an overview on the literature on different definitions, subject and efficiency of Public Private Partnerships and especially of Public Social Private Partnerships, a methodical approach for measuring performance and synergies is developed. This approach is based on the concept of the Cobb/Douglas production function and it can be interpreted as the standardized Nash solution of cooperative games. The micro theoretical approach is analyzed with regard to its assumptions, implications and consequences and subsequently applied to the PSPP project initiated by the Bertelsmann Stiftung. The empirical analysis is based on a survey among the cooperation partners of the project Anschub.de, in which data on the resources and budgetary contributions of the cooperation partners were collected. By means of the budgetary contributions relative performance measurements and synergy effects respectively can be investigated for the partners.  相似文献   
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Positive life satisfaction in poverty represents in well-being research the so called satisfaction-paradox. In poverty studies the state of being satisfied with a life in poverty has been explained by either shiftlessness of the people expressing it or by conscious decision of the individual for a poverty life. This article in contrast develops a constructive explanation to the problem in order to create the possibility for intervention and thus reduction of the social and material costs for society and strain to the poverty stricken individual. A theoretical framework is developed that integrates the theory of learned helplessness (Seligman, 1978), the theory of cognitive dissonance (Festinger, 1975) and the subjective quality of life models (Campbell, Converse and Rodgers, 1976). The interpretation shows new ways how to avoid the existence of the satisfaction paradox at least in a part of the concerned individuals and hence opens the possibility to increase overall well-being in the society.  相似文献   
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The relationship between workplace characteristics and nocturnal sleep in a working population was investigated. Data from 709 employees (mean age=39 years; 87% men) from two German companies were analysed at the entry of the longitudinal cohort study (overall accrual 73%). We investigated the association between the effort-reward imbalance model at work (Siegrist, ) and self-reported sleep quality and sleep disturbances, as assessed by the Jenkins Sleep Quality Index. Effort and overcommitment were found to be higher, and reward was lower in participants with lower (N=328) vs. higher sleep quality (N=381), as well as in participants with (N=217) vs. without (N=492) disturbed sleep (all ps<.001). In regression analyses, lower sleep quality (R 2=.33) and sleep disturbances (R 2 Nagelkerke=.33) were predicted by older age, female gender (only significant for sleep disturbances), shift-work, lower physical and mental health functioning, and higher overcommitment. Individuals were 1.7 times more likely to report disturbed sleep per standard deviation increase in overcommitment. Gender-stratified analyses revealed that higher overcommitment was associated with unfavourable sleep in men, while in women poor sleep was related to lower reward. The findings suggest that overcommitment at work interferes with restful sleep in men, while in women disturbed sleep may be associated with the amount of overcommitment and perceived job reward and sleep quality associated with the perceived reward.  相似文献   
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This article discusses current claims to have demonstrated a biological basis for elements of human behavior. It argues that many of these are seriously flawed by their misunderstandings of the nature of culture and social interaction, which leads to the adoption of an inappropriate realist epistemology. These issues were extensively debated during the late nineteenth and early twentieth century when the intellectual and institutional boundaries between the social and biological sciences were more fluid. The arguments of that period about the role of “instinct” in human behavior are important resources for responding to the recent revival of biological determinism. As defined by Blumer and Strauss, however, symbolic interactionism has moved away from its engagement with biology. This article argues for reengagement and for a reappraisal of the historical resources available to sociologists in sifting the “imperialist” claims of biology while acknowledging the importance of embodiment as a constraint on social constructionism.  相似文献   
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1. Support groups are an important and frequent source of help for caregivers of older adults who experience a high degree of physical and emotional stress. However, not every participant feels comfortable speaking in a group setting. 2. Writing is a form of emotional expression that has been shown to produce both physiological and psychological benefits. Use of narrative writing as an adjunct to traditional group therapy methods has not been studied. 3. In this pilot project, use of writing within the support group format provided caregivers with an additional strategy for coping with the stressors of caregiving. Participants' physical and mental health improved significantly after participating in the group. 4. Therapeutic writing can be used independently or in a group to enable emotional expression. Nurses who work with caregivers can help develop interventions that use narrative writing as a method to improve coping.  相似文献   
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组织承诺影响因素的模拟实验研究   总被引:19,自引:0,他引:19  
与传统问卷调查的研究方法不同,本研究采用情景模拟实验的方法来探讨影响组织承诺的各种因素,以及组织承诺对离职等各种结果变量的影响。本研究的结果和方法进一步加深了人们对组织承诺以及情景模拟实验的理解。  相似文献   
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Infectious diseases, such as methicillin-resistant Staphylococcus aureus and avian influenza, have recently been high on the agenda of policy makers and the public. Although hygiene and biosecurity are preferred options for disease management, policy makers have become increasingly aware of the critical role that communication assumes in protecting people during outbreaks and epidemics. This article makes the case for a language-based approach to understanding the public perception of disease. Health language research carried out by the authors, based on metaphor analysis and corpus linguistics, has shown that concepts of journeys, pathways, thresholds, boundaries and barriers have emerged as principal framing devices used by stakeholders to advocate a hygiene based risk and disease management. These framings provide a common ground for debate, but lead to quite different perceptions and practices. This in turn might be a barrier to global disease management in a modern world.  相似文献   
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