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71.
Problem gambling creates significant harm for the gambler and for concerned significant others (CSOs). While several studies have investigated the effects of individual cognitive behavioral therapy (CBT) for problem gambling, less is known about the effects of involving CSOs in treatment. Behavioral couples therapy (BCT) has shown promising results when working with substance use disorders by involving both the user and a CSO. This pilot study investigated BCT for problem gambling, as well as the feasibility of performing a larger scale randomized controlled trial. 36 participants, 18 gamblers and 18 CSOs, were randomized to either BCT or individual CBT for the gambler. Both interventions were Internet-delivered self-help interventions with therapist support. Both groups of gamblers improved on all outcome measures, but there were no differences between the groups. The CSOs in the BCT group lowered their scores on anxiety and depression more than the CSOs of those randomized to the individual CBT group did. The implications of the results and the feasibility of the trial are discussed.  相似文献   
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Background

The rates of preterm births have been increasing worldwide. Complications related to preterm births are associated with increased costs of care, and have a direct impact on the health system of the countries. Therefore, it is important to address factors associated with preterm birth in order to provide prevention strategies.

Objective

This case–control study investigated oral, systemic, and socioeconomic factors associated with preterm birth in postpartum women. Participants were 279 postpartum women that gave birth to a singleton live-born infant. Cases were women giving birth before 37 completed weeks of gestation (preterm birth). Controls were women giving birth at term (≥37 weeks). Data were collected through questionnaires, medical records and intra-oral clinical examinations, which included dental caries registration according to World Health Organization criteria and oral biofilm evaluation through visible plaque index.

Results

Ninety-one women had preterm birth (cases) and 188 women had birth at term (controls), ratio 1:2. Caries lesions were present in 62.3% of the cases and in 62.5% of the controls. The univariate analysis showed no association between dental caries and preterm birth (Odds Ratio = 1.08, p = 0.90). The multivariate analysis showed that maternal educational level (Odds Ratio = 2.56, p = 0.01) and arterial hypertension (Odds Ratio = 2.32, p = 0.01) were associated with prematurity.

Conclusion

This study demonstrated that dental caries is frequent in postpartum women, but it does not appear to be associated with preterm birth. Meanwhile, maternal education level and arterial hypertension were associated with prematurity in this population.  相似文献   
74.
We study the extent to which the likelihood of specific types of migration in Indonesia varies by the situation in the labour market and family life course. We distinguish migration types according to origin and destination (Jakarta, other metropolitan areas, and non-metropolitan areas). For migration from Jakarta, we also distinguish migration to other metropolitan areas within commuting distance. As expected, we find that young adults are the most mobile category. As an exception, migration from Jakarta to nearby metro areas was just as likely for ages 30–54 as for ages 23–29. Our findings suggest that migration to Jakarta and other metropolitan areas, in particular, is most likely undertaken for better education or jobs. Married people are more likely than others to leave Jakarta for nearby metropolitan areas.  相似文献   
75.
Since the beginning of the economic crisis in Spain young people have migrated abroad looking for job opportunities. In the meantime, after the 15-M movement in 2011, Spanish society created various social movements hoping to make change happen, as well as the pro-independence movement in Catalonia that gathered strength as a response to the Spanish economic and political crisis. This paper analyses how Spanish young people in London, as transmigrants rooted in two different countries, engage with the politics of their home country through two transnational social movements in London: ANC England and the Maroon Wave London. The article describes both local movements (comparing their goals, structure and activities), showing the reasons that young Spanish migrants get involved and their experiences within them. It also rethinks the nature and modalities of young diasporic identities and political engagement in the global age through the experiences of the young people interviewed.  相似文献   
76.
Implementation of passive remote monitoring is advancing faster than our knowledge base about appropriate and ethical use. For all the media and research attention these technologies are getting, there has been very little discussion about how they are positioned to be integrated into health plans, yet their integration is key to how they will be incorporated into social work practice. As coverage of passive remote monitoring technologies expands in Medicaid home and community-based services (HCBS), new policies that support informed decision-making, consenting processes, and regulations for ethical, appropriate use are urgently needed. Research translation often trails policy, but the rapid development and implementation of technologies that passively collect and transmit new information about older adults call for a more responsive approach. In this commentary, I describe passive remote monitoring technologies, their implementation in Medicaid HCBS, and ethical issues. I conclude with specific suggestions for policy and practice to start addressing these issues.  相似文献   
77.
Glass-cliff research shows that female leaders are preferentially selected in a crisis to signal change and not for their leadership qualifications. In parallel, the management literature urges for agentic “masculine” leadership to turn around organizations in crisis. We hypothesized that, regardless of their gender, agentic leaders should be preferred to communal leaders if leadership qualifications and actual change potential motivate leader selection. Three experimental studies demonstrated that agentic (vs. communal) candidates were perceived to match poorly-performing (vs. strongly-performing) companies. This effect was accounted for by perceptions of agentic candidates' higher suitability, higher task-orientation (versus person-orientation), and higher change potential. We discuss that women face ambiguity as to why they become leaders in crisis contexts: because they are perceived as signaling change, stereotypically linked to their gender, or for their perceived agentic qualities as leaders. In contrast, men become crisis leaders due to their perceived agentic change potential.  相似文献   
78.
This article extends symbolic interactionist thought on authenticity and stigma allure into the context of higher education in the United States where the status of the humanities is contested. Our abductive analysis of twenty‐nine, semistructured interviews with undergraduates at an elite university reveals that selecting a humanities major has social costs. Yet the students who opt into these majors renegotiate ideologies, practices, and resources in ways that generate meaningful educational experiences. Navigating these problematic situations in which status is threatened enables the social production and personal aesthetic experience of authenticity. These findings add a new evidentiary basis to theory on stigma allure and, in doing so, demonstrate that when rhetorics of crisis collide with the late modern quest for authenticity voluntary stigma can become a powerful, if also unwieldy, resource.  相似文献   
79.
Using administrative data on all adult children living in The Netherlands age 30–40 and their parents (N = 1,999,700), we investigated the extent to which situations and events associated with the support needs and privacy needs of either generation determine intergenerational coresidence and the transition to coresidence. Logistic and multinomial logistic regression analyses showed that both generations' support needs increased the likelihood of coresidence and of a move of the generation in need into the other's home. Turning to privacy needs, we found that coresidence and the transition to coresidence was less likely when a partner or stepparent was present and more likely when the adult child was a never‐married single parent.  相似文献   
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