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281.
环境主义者应当如何看待自由贸易?很多环境主义者通过诉诸“底线竞争的论点”反对自由贸易。虽然这种观点没有多少说服力,但我们有理由担心无限制的自由贸易可能引起的环境影响。目前世贸组织(WTO)这样的机构所遵循的贸易规则也许并不合理。对于和贸易相关的环境破坏的补偿计划而言,适当的贸易壁垒以及消费者运动也许是必要且可行的。环境主义者至少应该考虑,如果不妨碍其他重要道德目标的实现,这些针对无限制自由贸易的措施是能够有效减少环境问题,并且制度上的安全保障也能防止对这些措施的滥用。  相似文献   
282.
There has been a growing trend in long-term care policy to offer individuals with disabilities the option of consumer direction (CD), where responsibility of managing care and support services is transferred from agencies to care recipients, thus supporting clients' self-determination. Although CD has been accepted as an option for non-elderly individuals with disabilities, barriers persist to promoting older adults' autonomy through CD. This article reviews the incorporation of CD in long-term care policy, addresses the current barriers to providing older adults the right to self-direct, and makes recommendations for overcoming these barriers through social work practice, policy, and research.  相似文献   
283.
The population of aging prisoners has increased significantly over the past several decades, resulting in concerns about the criminal justice system’s ability to address the needs of prisoners and parolees with chronic health conditions. This is troubling, given the health disparities among incarcerated populations. Health self-management has become a strategy within the community-based health care industry to improve health services and outcomes while reducing health care costs for nonincarcerated individuals with chronic conditions. However, to date little research has focused on the practice or promotion of health self-management among current and former incarcerated populations. This article highlights current understandings about chronic health self-management among older prisoners and parolees, with an emphasis on the potential benefits and current challenges in promoting their health self-management practices. Finally, specific recommendations are made for promoting health self-management for these populations through social work practice, policy advocacy, and research to achieve goals in improving health outcomes and reducing healthcare costs.  相似文献   
284.
Various exact tests for statistical inference are available for powerful and accurate decision rules provided that corresponding critical values are tabulated or evaluated via Monte Carlo methods. This article introduces a novel hybrid method for computing p‐values of exact tests by combining Monte Carlo simulations and statistical tables generated a priori. To use the data from Monte Carlo generations and tabulated critical values jointly, we employ kernel density estimation within Bayesian‐type procedures. The p‐values are linked to the posterior means of quantiles. In this framework, we present relevant information from the Monte Carlo experiments via likelihood‐type functions, whereas tabulated critical values are used to reflect prior distributions. The local maximum likelihood technique is employed to compute functional forms of prior distributions from statistical tables. Empirical likelihood functions are proposed to replace parametric likelihood functions within the structure of the posterior mean calculations to provide a Bayesian‐type procedure with a distribution‐free set of assumptions. We derive the asymptotic properties of the proposed nonparametric posterior means of quantiles process. Using the theoretical propositions, we calculate the minimum number of needed Monte Carlo resamples for desired level of accuracy on the basis of distances between actual data characteristics (e.g. sample sizes) and characteristics of data used to present corresponding critical values in a table. The proposed approach makes practical applications of exact tests simple and rapid. Implementations of the proposed technique are easily carried out via the recently developed STATA and R statistical packages.  相似文献   
285.
Late adolescence and the period following, often referred to as emerging adulthood, have been noted as particularly important for setting the stage for continued development through the life span as individuals begin to make choices and engage in a variety of activities that are influential for the rest of their lives. Demographic, sociocultural, and labor market changes have made the years between ages eighteen and twenty-five more transitional than in the recent past. This chapter reviews the critical assets and needs that are essential for keeping youth on healthy, productive pathways into adulthood and examines the developmental tasks and changes of late adolescence.  相似文献   
286.
An innovative program being implemented in U.S. school systems teaches youth to integrate the skills of conflict management beyond academics to their social and civic lives.  相似文献   
287.
We examined the relationships between nursing home (NH) resident satisfaction and NH organizational characteristics, while controlling for the effect of resident characteristics within facilities. We used a stratified, random sample of NHs (N = 72) from two states and a prescreened and randomized sample of 1496 residents. Data sources included resident interviews, an administrator survey, the Minimum Data Set (MDS), and the Online Survey, Certification and Reporting System (OSCAR). Using Hierarchical Linear Modeling (HLM) techniques, we found that non-chain affiliation, certified nursing assistant staffing, and provision of a family council had significant positive effects on total resident satisfaction. The presence of a special care unit was associated with lower levels of satisfaction.  相似文献   
288.
289.
The current investigation analyses the impact of income and economic uncertainty on women’s family formation and expansion. Analyses based on the data of the German Socio-economic Panel reveal that partner income and income security have positive effects on the propensity toward family formation. Conversely, downward mobility in the partner’s career inhibits second birth transitions. Partner resources could be interpreted as social capital facilitating the realisation of the desire for children. Furthermore, the investigation shows that only persistent occupational uncertainty has negative effects on first birth transitions valid equally for men and women. Consequently, results suggest that women are not backtracking from the labour market in reaction to experiences of uncertainty and exclusion. This indicates that women’s occupational establishment is an important condition of family formation. In conclusion, the analysis documents that individual economic und social situation rather than potential economic incalculabilities associated with higher unemployment rates.  相似文献   
290.
Improved Self-exclusion Program: Preliminary Results   总被引:2,自引:2,他引:0  
The gambling industry has offered self-exclusion programs for quite a long time. Such measures are designed to limit access to gaming opportunities and provide problem gamblers with the help they need to cease or limit their gambling behaviour. However, few studies have empirically evaluated these programs. This study has three objectives: (1) to observe the participation in an improved self-exclusion program that includes an initial voluntary evaluation, phone support, and a mandatory meeting, (2) to evaluate satisfaction and usefulness of this service as perceived by self-excluders, (3) to measure the preliminary impact of this improved program. One hundred sixteen self-excluders completed a questionnaire about their satisfaction and their perception of the usefulness during the mandatory meeting. Among those participants, 39 attended an initial meeting. Comparisons between data collected at the initial meeting and data taken at the final meeting were made for those 39 participants. Data showed that gamblers chose the improved self-exclusion program 75% of the time; 25% preferred to sign a regular self-exclusion contract. Among those who chose the improved service, 40% wanted an initial voluntary evaluation and 37% of these individuals actually attended that meeting. Seventy percent of gamblers came to the mandatory meeting, which was a required condition to end their self-exclusion. The majority of participants were satisfied with the improved self-exclusion service and perceived it as useful. Major improvements were observed between the final and the initial evaluation on time and money spent, consequences of gambling, DSM-IV score, and psychological distress. The applicability of an improved self-exclusion program is discussed and, as shown in our study, the inclusion of a final mandatory meeting might not be so repulsive for self-excluders. Future research directives are also proposed.
Nicole TremblayEmail:
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