Outcome study: An industrial rehabilitation program

A review of work hardening outcome research reveals a wide range of return to work statistics between 50% to 80%. Managed care issues are forcing therapy services to objectively quantify their successes to ensure a future in health care. Work Venture has been maintaining program outcome statistics since 1994. In this report, 1997 and 1998 return to work statistics are documented and compared to multiple programs. Work Venture's average annual return to gainful employment percentages for 1997 are 61.2% at 3 months and 61.8% at 6 months, and in 1998, 76.8% at 3 maonths and 76.6% at 6 months after discharge. Many factors are involved in successful return to work with workers compensation claims. Due to these factors it is difficult to compare one program's results with another. It is recommended that a uniform method of collecting and presenting data be developed to ensure valid comparison.     

Adolescent Women's Recommendations for Enhanced Parent-Adolescent Communication About Sexual Behavior

Family communication about adolescent sexual health and behavior promotes adolescent health and family connectedness. However, few studies seek the perspective of adolescents regarding their recommended strategies for family communication. Findings of a survey of female adolescent family planning patients (n = 249) indicated adolescent recommendations for better family communication included treat teen as an equal, 63%; increase parental knowledge about lifestyle and peer pressures, 61%, and improve parental listening skills, 61%. There were no statistically significant differences according to age, pregnancy history, or school enrollment status for suggested strategies for improved communication with parents. Sexually active adolescent daughters expressed interest in maintaining family connectedness and support with increased time for family activities as well as increased quality and quantity of dialogue between the adolescent girl and her parents.     

将你的问题外包处理了吗？

外包是改善运营的众多选择中的一个对许多企业来说,外包是将麻烦转到别人身上的途径。但是这并不能给你带来什么好处。这里有三个方法,可以使你在外包之前改善运营缺陷并获得成本优势。对于一个美国著名的投资管理企业的高级经理来说,起初做这样的决定是件很容易的事情。后台财务支持已成为     

Determinants of fertility levels and change among developed countries: 1958–1978

This article provides a multivariate cross-national test of the hypothesis that national population/family planning policies have effected levels, and changes in fertility in developed nations over the past two decades. Variation is assessed in the total fertility rates (TFR) in 1978, and in the change in these rates between 1958 and 1978, among thirty developed countries. Measures include socioeconomic development, divorce, percent in consensual unions, female labor force participation, abortion policy, and level of contraceptive use by married couples and, government population/family planning policy. Seventy percent of the variation in 1978 TFR is related to the percent contracepting, female labor force, and the population/family planning policy measures. These are the only measures with significant direct effects. A longitudinal analysis of 1958 to 1978 change in TFRs is also conducted. This model increases R² to 75%, and the three independent variables remain significant. Implications of these findings for policy makers interested in increasing or decreasing fertility rates are noted.     

Child maltreatment in families experiencing domestic violence

This study examined the association between physical domestic violence (PDV) and reported child maltreatment in a cohort of children at risk for maltreatment. Participants were 219 6- to 7-year-old children and their caregivers. PDV was measured by combining caregivers' self-reports and children's reports, while child maltreatment was based on state Division of Social Services Central Registry records. Among 219 child-caregiver pairs studied, 42 (19.2%) had at least one maltreatment report in the 2 years following the interviews. PDV consistently predicted child maltreatment, with adjusted odds ratios ranging from 2.96 to 3.46. In addition, we investigated interactions between PDV and other predictors of child maltreatment. Among Aid to Families with Dependent Children (AFDC) participants, PDV was highly associated with child maltreatment. However, this pattern was not observed among subjects who did not have AFDC. There is an increased incidence of child maltreatment reports in families experiencing PDV. AFDC participation intensified the probability of child maltreatment in the presence of PDV. Findings also suggest that in households experiencing PDV, social supports may protect children from maltreatment.     

Achtsamkeit lernen im Offenen Dialog

Dialogue in the sense of David Bohm invites individuals and groups to consider together their ways of thinking and learning. By exploring mental models, which usually hinder reaching deeper agreement, this kind of dialogue opens new grounds and is, at the latest, since Peter Senge’;s management-bestseller “The fifth discipline” (1990), considered to be a basic process for team learning in groups and organisations. The article refers to university projects on ‘open dialogue’ with students at the universities of Oldenburg and Bochum between 2001–2003. Characteristics of “open dialogue” are represented as ways of attentiveness learning. Students practical reports are used to work out recommendations based upon “open dialogue” for the development of central deep ecology and human competences.     

Health lifestyles in Russia and the socialist heritage

This study examines the relationship between socialist ideology and the current negative health lifestyles of the Russian population. We explore the possibility that Soviet-style socialism with its negation of individuality and individual initiative in health matters promoted the development of a passive orientation toward healthy living. Using a national sample, we compare the health practices of those Russians who wish to return to socialism as it was before Gorbachev to those of Russians who favor staying with the present political and economic course or adopting other reforms. If a socialist ideology has indeed fostered a lack of responsibility for individual health promotion in Russia today, those persons wishing to return to socialism would be less likely to adopt a positive health lifestyle. Our data show that this is indeed the case, as pro-socialist respondents demonstrate less activity toward achieving health than antisocialists--although neither group collectively practices a healthy way of life.     

It's a rave new world: estimating the prevalence and perceived harm of ecstasy and other drug use among club rave attendees

The use of 3,4-methylenedioxymethamphetamine (MDMA or "ecstasy") appears to be increasing worldwide, with "rave" attendees being one high-risk population. To date, however, only one study has collected ecstasy use information from rave attendees in the United States. To address this limitation, we collected self-report drug use information from 70 adult "club rave" attendees within the Baltimore-Washington corridor in April and May 2002. Data collection was scheduled between 12 A.M. and 5 A.M. Participation rates were high, with 85 percent of the club rave attendees completing the interview. Eighty-six percent of the respondents reported lifetime ecstasy use, 51 percent reported 30-day use, and 30 percent reported using ecstasy within the two days preceding the interview. While past-year ecstasy users were comparable to non-users with respect to a host of demographic and drug use variables, non-ecstasy users were significantly more likely than past-year users to perceive risks associated with the regular use of alcohol and ecstasy. Not surprisingly, non-ecstasy users were significantly more likely than past-year users to perceive harmful long-term physical and psychological effects associated with ecstasy ingestion. These findings suggest that rave attendees may be an important population for ecstasy-related prevention efforts.