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51.
The authors describe the curricular changes made as part of a 20-year commitment by Smith College School for Social Work (SCSSW), a graduate school with a clinical social work specialization, to become an antiracism institution. Unaware of precedents, faculty, administration, and students needed to develop structures and processes to confront inherent institutional racism at the SCSSW. In addition to multiple administrative actions, every aspect of the curriculum was reevaluated, leading to changes in courses offered and everything about them, from syllabi to pedagogy, as well as how faculty are trained and supported. The authors found that explicit and implicit curriculum must work together in intentional and synchronous ways. Critical intention across design, implementation, evaluation, accountability, and openness to process is emphasized here. They conclude that an antiracism commitment requires continuous engagement, connection, challenge, learning, and teaching and a curriculum that is fluid, flexible, proactive, and responsive.  相似文献   
52.
Research on the risk of motor vehicle injuries and their relationship with the amount of travel has been only partially analyzed. The few individual exposure assessments are related to very specific subsets of the driving and traveling populations. This study analyzes the relationship between kilometers traveled and hospitalization due to motor vehicle injuries. Twelve thousand three hundred and sixty nine Spanish university graduates from the Seguimiento Universidad de Navarra multipurpose cohort study were evaluated. They had not been hospitalized due to motor vehicle injuries at baseline and were followed up to eight years. Biannual questionnaires allowed for self‐reporting of kilometers traveled in motor vehicles, together with incidence of hospitalization. Covariates in the Cox regression models included age and gender and baseline use of safety belt while driving, driving a vehicle with driver‐side airbag, driving a motorcycle, and drinking and driving. There were 49,766 participant‐years with an average yearly travel of 7,828 km per person‐year. Thirty‐six subjects reported a first hospitalization event during this time. The adjusted hazard ratio per additional kilometer traveled was 1.00005 (95% confidence interval 1.000013 to 1.000086). Even the smallest of reductions in the amount of kilometers traveled (from an average of 3,250 km per year to 1,000) has a statistically significant protective effect on the likelihood of sustaining hospitalization due to motor vehicle injury (aHR 0.9, 95% CI 0.78 to 0.98). In light of current policies aimed to reduce motorized traffic due to environmental concerns, it may be appropriate to consider the additional health benefit related to reductions in injuries.  相似文献   
53.
The construct of eustress was studied alongside hope and self-efficacy, to explore how these constructs are related to life satisfaction among undergraduates. Questionnaires were administered to undergraduates to test the hypotheses that (1) as eustress levels increase, so will life satisfaction levels; (2) when eustress, hope, and self-efficacy are examined together, they will predict life satisfaction better than eustress alone; (3) eustress, hope, and self-efficacy will all be positively correlated with life satisfaction; and (4) self-efficacy will be the most positively correlated with life satisfaction. The results revealed a significant positive correlation between eustress and life satisfaction. A Hierarchical Linear Regression analysis revealed significant results supporting hypotheses 2 and 3, but not hypothesis 4. Results indicated that hope is the best predictor of life satisfaction. The work reported provides a reliable tool for measuring eustress, examines eustress in a new way at the academic level, and provides helpful information about student wellness to college administrators.  相似文献   
54.
The good government models of the 1990s realized a focus that included reinventing, reengineer-ing, rethinking, quality, empowerment, and devolution of the organization. These organizational reform ideologies sought to increase involvement, improve productivity, manage performance, and drive results. One essential key that has been disregarded in these government models is the involvement of community in the decision-making process. This paper points to the importance of involving and empowering citizens in the decision-making process, particularly in regard to community justice based on the notion of restorative justice system. Community justice, a modern day reform movement with international proportions, is based on the principles of empowering community, repairing harm caused by a crime or disturbance, and reducing risk to the community.  相似文献   
55.
The area under the receiver operating characteristic curve (AUC) is the most commonly reported measure of discrimination for prediction models with binary outcomes. However, recently it has been criticized for its inability to increase when important risk factors are added to a baseline model with good discrimination. This has led to the claim that the reliance on the AUC as a measure of discrimination may miss important improvements in clinical performance of risk prediction rules derived from a baseline model. In this paper we investigate this claim by relating the AUC to measures of clinical performance based on sensitivity and specificity under the assumption of multivariate normality. The behavior of the AUC is contrasted with that of discrimination slope. We show that unless rules with very good specificity are desired, the change in the AUC does an adequate job as a predictor of the change in measures of clinical performance. However, stronger or more numerous predictors are needed to achieve the same increment in the AUC for baseline models with good versus poor discrimination. When excellent specificity is desired, our results suggest that the discrimination slope might be a better measure of model improvement than AUC. The theoretical results are illustrated using a Framingham Heart Study example of a model for predicting the 10-year incidence of atrial fibrillation.  相似文献   
56.
57.
Migrants have been found to be at enhanced risk for the Human Immune Deficiency Virus (HIV) in comparison with settled populations. As they migrate, they often bring with them their traditions and cultural values, which may influence the ways they access or make sense of health promotion interventions in the host country. In the diaspora, should they experience compromised citizenship, marked by an unresolved immigration status, some may need to remain invisible and this may include not accessing or presenting late for vital health care interventions. Addressing the needs of such invisible populations is key to health promotion work and paramount to public health interests. This paper describes how ever‐changing “traditions”, in particular the notions of Pachedu and Zenzele, were harnessed to develop ethically grounded sexual health care interventions amongst Zimbabweans in Luton, Bedfordshire, England. These interventions were delivered in mundane settings that formed some of the key everyday networks of this population. The reinvention of “tradition” for the purposes of delivering health and social care interventions has been one of the cornerstones of health promotion interventions in Africa, where the rates of HIV are some of the highest in the world. The concept of Pachedu harnessed confidentiality in the delivery of sexual health interventions with Zenzele calling for communal involvement in such initiatives. A key point that resulted in the success of this intervention was partnership work between statutory providers and the local Zimbabwean population throughout the project’s life span. Rather than being construed as passive recipients of health and social care interventions, local Zimbabweans and their statutory partners were engaged in mutual capacity building initiatives. Local Zimbabweans were also engaged and consulted throughout, from the conceptualization of the project, delivery, monitoring, and dissemination of the findings.  相似文献   
58.
Dynamic Measures of Individual Deprivation   总被引:1,自引:0,他引:1  
We introduce a one-parameter class of individual deprivation measures. Motivated by a suggestion of Runciman, we modify Yitzhaki’s index by multiplying it by a function that is interpreted as measuring the part of deprivation generated by an agent’s observation that others in his reference group move on to a higher level of income than himself. The parameter reflects the relative weight given to these dynamic considerations, and the standard Yitzhaki index is obtained as a special case. In addition, we characterize more general classes of measures that pay attention to this important dynamic aspect of deprivation.  相似文献   
59.
本文以文化图式理论为依据,试图分析汉语文化对英语比喻的认知障碍。调查的结果显示,汉语的文化图式对三种不同类型的英语比喻,存在不同程度的认知障碍。当中英文化内涵不同、语言表达也不同时,学生对英语比喻的认知障碍最大,其次是对文化内涵相同、语言表达不同的英语比喻。当文化内涵相同、语言表达相似或相同时,学生对英语比喻的认知障碍较小。文章最后提出了两个消除认知障碍的有效策略。  相似文献   
60.
基于网络教学有利于满足学生个性化的学习需求、有利于"课堂"与"课外"学习相结合、网络平台能为学生提供了一个"人工语境"等因素,文章认为在现有教学模式基础上,搭建预科汉语网络学习平台,建立预科汉语网络学习资料库,开展个性化的网络自主学习,对提高少数民族学生预科汉语教学水平有进一步的促进作用。  相似文献   
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