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241.
Employer-provided insurance is the leading source of medical insurance for non-elderly Americans. However, it leaves many without coverage. Evidence suggests that the non-group insurance market does a poor job of filling in these gaps, for those with both short- and long-term uninsurance. It does so for all income and age groups, as well as for both genders. It does fill some of the gaps in employer-provided coverage for those with middle and high incomes, though very incompletely.  相似文献   
242.
This article employs the process of critical reflection to uncover and challenge the hegemonic assumptions of evidence-based practice (EBP). The critical reflection process results in a re-conceptualisation of best practices that, while still honouring empirical research, is less hierarchical and more inclusive of a broad spectrum of interests than traditional EBP. Multidimensional Evidence-Based Practice (MEBP) validates consumer wisdom, professional experience, and qualitative research as equal partners to quantitative research in determining current state-of-the art best practices. Furthermore, MEBP incorporates a value-critical analysis of those best practices that can lead to improvements and innovations, so that ‘best practices’ becomes a dynamic rather than a static construct.  相似文献   
243.
During the modern phase of economic reforms directed at the establishment of market economy, many countries with transition economies face the challenge of solving the issue of formation and rational usage of internal sources of financing the real sector of the economy, as well as attracting considerable volume of direct foreign investment. In general, financial market imperfections hold back innovation and growth, and that public policy can complement financial markets. Therefore, the most relevant issue at the present time is the formation of attendant and complex supervision institutions, as well as an exigency of innovative economy governance as mainframe principles for further banking system elaboration and financial sector development in general. We have taken Armenia as a case study for transition economy as far as Armenia is currently in the stage of capital market development through integration into international financial markets.   相似文献   
244.
Immigration policy is at the forefront of US policy discussions, and the use of welfare benefits by immigrants has been hotly debated. In 1996, Congress enacted welfare reform legislation, which imposed strict restrictions on welfare eligibility for noncitizens. However, a number of states restored access to welfare benefits to immigrants that had been cut out in the federal welfare reform law. Using data from the Current Population Survey, we examine whether immigrant women adjusted their childbearing in response to changes in the generosity of welfare benefits at the state-level. We find that noncitizen women reduced their fertility in response to cutbacks imposed by the legislation. Our findings, which prove robust to a number of identification and robustness checks, underscore how immigrants respond to state-level policies and provide insight into the potential impacts of comprehensive immigration reform, particularly the components related to the path to citizenship and access to public benefits.  相似文献   
245.
Urbanization causes species loss around the world, but its effects on phylogenetic diversity are poorly known in tropical forests. Using a patch-landscape approach in an urbanizing region of the Brazilian Atlantic Forest, we tested whether the increase in landscape urbanization reduces plant species density, phylogenetic richness and divergence, and increases the relatedness among co-occurring individuals and species. We assessed plant responses to urbanization in adult (diameter at breast height?>?10 cm) and sapling communities (2.5–10 cm diameter) separately, as saplings are proxies of the future flora. We sampled 2860 woody plants belonging to 155 species in nine circular landscapes with urbanization level varying from 0% to 45%, and estimated the relatedness among the species that have increased and decreased in relative abundance in more urbanized landscapes (winner and losers, respectively). As expected, species density and phylogenetic richness decreased with the increase in urbanization. These responses were consistent for adult and sapling communities, suggesting a persistent loss of species and lineages in more urbanized landscapes. Contrary to our expectations, phylogenetic divergence and structure did not respond to urbanization, indicating that the more urbanized landscapes still retain much evolutionary history. However, because the relatedness among winners was greater than among losers, it is likely that the phylogenetic divergence gradually reduces and the relatedness increases, resulting in impoverished forests with uncertain ability to provide ecosystem services such as carbon storage and pest control. This environmental cost should be taken into account to align urban sprawl with biodiversity conservation.  相似文献   
246.
The purpose of the current study was to examine the relationships among discrimination, mental health, and body image in a national sample of transgender adults. Participants (N = 78) identified as transgender, genderqueer, or other gender-non-binary identities and were recruited via a national online survey. Harassment/rejection, work/school, and other discrimination explained 10.4% of the variance in body appreciation, while satisfaction with life, anxiety, self-esteem, and depression explained 60.7%. Within these models, harassment/rejection was inversely associated with body appreciation, while self-esteem and satisfaction with life were positively associated. A series of path models moving from a measurement model to a more parsimonious and excellent-fitting model found that the effect of harassment/rejection on body appreciation was fully mediated by self-esteem and satisfaction with life, resulting in a multiple mediation.  相似文献   
247.
Pathological gambling is characterized by a persisting maladaptive and recurrent behavior with severe social and psychological consequences. There is evidence of strong comorbidity with psychiatric manifestations as well as cognitive mainly involving executive functions. This study aimed to investigate impairment in executive functions and working memory, and personality traits in a sample of Greek gamblers. Twenty-four men involved in various gambling activities were recruited from ecological settings as probable pathological gamblers. They were assessed with a comprehensive neuropsychological battery involving several executive tasks, the Zuckerman–Kuhlman Personality Questionnaire, the Hospital Anxiety Depression Scale, and the Difficulties in Emotion Regulation Scale. An age- and education-level matched group of 21 men without history of habitual gambling served as controls. As a group, gamblers displayed significantly lower scores on indices of inhibition, decision making and self-reported emotional awareness, and scored higher on impulsivity/sensation seeking personality traits. Notably, gamblers scored similarly or significantly higher on measures of verbal and visuospatial working memory, cognitive flexibility, processing speed, verbal fluency, and sustained attention. Overall, we argue that gamblers do present with specific cognitive deficits, but there is no evidence for a generalized executive impairment, and further stress the importance of investigating cognitive, personality, and psychiatric aspects of gambling on the basis of an ecologically valid sampling.  相似文献   
248.
The researchers examined differential outcomes related to two distinct motivations for withdrawal (preference for solitude and shyness) as well as the possibility that support from important others (mothers, fathers, and best friends) attenuate any such links. Adolescents (159 males, 171 females) reported on their motivations to withdraw, internalizing symptoms, and relationship quality in eighth grade, as well as their anxiety and depression in ninth grade. Using structural equation modeling, the authors found that maternal support weakened the association between shyness and internalizing problems; friend support weakened the association between preference for solitude and depression; and friend support strengthened the association between shyness and depression. Results suggest that shy adolescents may not derive the same benefits from supportive friendships as their typical peers.  相似文献   
249.
ABSTRACT

Social network services are allowing more social connectivity and making possible sharing information and knowledge of a different nature. This article analyses if social workers related to active social policies from Malaga province (Spain) are using social network services to share information and knowledge and if there is a mirror between online and offline relationships. Since it is an experimental model, through virtual ethnography and through social network analysis methodology, we observed the presence, connectivity and analysed the structure of relationships that keep 235 professionals from 52 organizations in Facebook®. Moreover, the model uses the statistical technique of modularity for detecting online communities, which are compared with distribution of professionals in their organizations. Results show how social network services applied to social intervention are massively and frequently used by professionals. On the other hand, the detected communities reflect existence of analogy between online and offline relationships. The online structure shows a high degree of cohesion and how certain professionals have higher capacity of influence and diffusion depending on position in the online structure. It argues about the opportunity to incorporate social network services towards social intervention as a manner of social innovation to improve cooperation and diffusion of information and knowledge.  相似文献   
250.
There are times when entire populations of certain countries have had to readjust their lives and economic strategies as all of society is under transition. Post-Soviet Central Asia underwent this period after 1991. During times of transition, there are always people that tend to be able to make use of the new uncertainties, even at the risk of entering legal grey areas. Here new social groups emerge, ethnic origin becomes relevant and new kinship ties are made. These transformation periods are often short and provide limited opportunities for analysing the strategies of those pioneers that I call Kairos economists. They often act only in cooperation with residents of the border and with duty customs and security personnel. This article analyses this special economy with the help of case studies that have been observed during the transformation period from the Soviet to an independent Central Asia.  相似文献   
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