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21.
When an unexpected financial crisis overtook Southeast Asia in 1997 planners and policymakers feared that the economic difficulties would unwind two decades of remarkable economic and social development. Newspaper headlines spoke of massive increases in poverty, unemployment and malnutrition, and it was speculated that family planning programs would collapse and fertility would rise dramatically. Infant and child mortality and maternal mortality were also expected to increase. This paper briefly reviews the onset of the financial crisis as a background for assessing whether speculations about die demographic and social effects tallied with reality. It is found that these effects were neither as dramatic nor as easy to monitor as some of the public debate implied. The general lesson is that the most serious social and demographic problems were not so much the products of crisis as embedded in chronic weaknesses that had become entrenched in times of economic growth. The crisis exposed these weaknesses.  相似文献   
22.
Increases in immigration have led to an enormous growth in the number of cross-linguistic medical encounters taking place throughout the United States. In this article the role of hospital-based interpreters in cross-linguistic, internal medicine ‘medical interviews’ is examined. The interpreter's actions are analyzed against the historical and institutional context within which she is working, and also with an eye to the institutional goals that frame the patient-physician discourse. Interpreters are found not to be acting as ‘neutral’ machines of semantic conversion, but are rather shown to be active participants in the process of diagnosis. Since this process hinges on the evaluation of social and medical relevance of patient contributions to the discourse, the interpreter can be seen as an additional institutional gatekeeper for the recent immigrants for whom she is interpreting. Cross-linguistic medical interviews may also be viewed as a form of cross-cultural interaction; in this light, the larger political ramifications of the interpreters' actions are explored. ‘Interpreters are the most powerful people in a medical conversation.’ Head of Interpreting Services at a major private U.S. hospital, May 1999.  相似文献   
23.
This paper provides an extended analysis of the child labor problem in the artisanal and small-scale mining (ASM) sector, focusing specifically on the situation in sub-Saharan Africa. In recent years, the issue of child labor in ASM has garnered significant attention from the International Labor Organization (ILO), which has been particularly active in raising public awareness of the problem; and, has proceeded to implement policies and collaborative project work aimed at curtailing children's participation in ASM activities in a number of African countries. The analysis concludes with a critical appraisal of an ILO project recently launched in the Talensi–Nabdam District in the Upper East Region of Ghana, which sheds light on how the child labor problem is being tackled in practice in ASM communities in sub-Saharan Africa.  相似文献   
24.
A five week stress management program for pregnant adolescents and adolescent mothers emphasizing deep muscle relaxation and cognitive control methods was pilot tested with 23 experimental and 12 control subjects. The experimental group demonstrated a significantly greater reduction in cognitive and affective manifestations of stress and an increased belief in their ability to deal with stress. While the differences between the groups did not reach statistical significance with respect to changes in overall stress levels or use of specific coping strategies, a consistent trend was demonstrated in the data for more positive changes in the experimental group. Recommendations were made for an expanded program, the inclusion of incentives, and the program's inclusion in the school schedule.  相似文献   
25.
Abstract Dairy farmers in Michigan's Upper Peninsula, an economically marginal rural region, are encumbered by contextual constraints that are not similarly faced by their downstate counterparts. However, this does not mean that they are any less ambitious or less efficient in dealing with the resources available to them. Indeed, dairying and similar small-scale economic enterprises in this and other marginal contexts may be quite competitive and sustainable if appropriate sociopolitical supports are instituted and, in the case of dairying, if marketing orders and regulatory policies are formulated and implemented in light of their impact upon the economic growth and viability of the wider region. To explore this issue, we consider the situations, basic characteristics, and restructuring trends over time of dairy farms in three upstate localities as compared with that of a downstate dairy farming community.  相似文献   
26.
Regression Modelling of Disease Risk in Relation to Point Sources   总被引:1,自引:0,他引:1  
We describe a class of models for the investigation of possible raised risk of disease around putative sources of environmental pollution. An adaptation of the point process method suggested by Diggle and Rowlingson is presented, allowing the use of routinely available aggregated data and incorporating the more general distance–risk model suggested by Elliott and co-workers. An application to data on cancers of the stomach around municipal solid waste incinerators is presented.  相似文献   
27.
Planners in England routinely include shared ownership (SO) housing in the affordable housing element of new developments. Government policies in a number of European countries have also backed intermediate housing market mechanisms as a solution to housing affordability. The rhetoric of such mechanisms makes claims about its social progressiveness, its role in facilitating socio-economic mobility and helping people move from rented accommodation into full owner-occupation. SO schemes in England have been justified on the grounds of being transitional tenures and planners have accepted SO on this basis. However, given the paucity of rigorous empirical work, there is a concern that this is a policy based on assumption rather than evidence. This paper delineates existing knowledge, clarifies dimensions of the intermediate housing market and highlights underlying policy issues based on a large data-set of shared owners in England. Our analysis indicates that SO may not be appropriately classified as affordable housing, and justifiable policy requires further evidence.  相似文献   
28.
ABSTRACT

The intense media coverage in New Zealand and Australia of the Christchurch mosque attacks exhibited significant disparity in editorial decision-making between the two countries. This research interrogates the different approaches taken in newsrooms and how these differences were manifested in broadcasts and publications. New Zealand media were focused largely on empathetic coverage of victims and resisted the alleged gunman's attempts to publicise his cause while their Australian counterparts showed no such reluctance and ran extended coverage of the alleged perpetrator, along with material ruled objectionable in New Zealand. It finds the editorial focus in each case exhibits the effect of proximity, identified in literature on empirical ethical decision-making as a factor in applied ethicality. The authors conclude that a proximity filter was used by New Zealand media who identified the victims as part of their own community, but the events of 15 March 2019 were seen as ‘foreign’ by Australian journalists who used perceived distance as justification for extremely graphic content.  相似文献   
29.
This paper presents a multifaceted approach to unemployment stress experienced by male and female managers, in the form of a literature review and comparative research model. In order to develop a working model which can be applied to both male and female managers, the paper covers a substantial range of the literature pertaining to the processes and effects of unemployment for managers. Previous studies often provide conflicting data which generally results from differential approaches taken to the study of unemployment. In addition, it is important to note that the majority of studies focus on blue-collar male workers and that the vast majority are based on a male model of work. The proposed model highlights sources of stress, moderators of stress and stress outcomes that may affect unemployed managers, and distinguishes areas in which gender differences are likely to be found. However, these differences are only hypothesized from the current literature and require in-depth research if they are to be fully understood.  相似文献   
30.
Abstract

Objective: To implement a pilot quality improvement project for depression identification and treatment in college health. Participants: Eight college health center teams composed primarily of primary care and counseling service directors and clinicians. Methods: Chronic (Collaborative) Care Model (CCM) used with standardized screening to identify, treat, and track depressed students for 12 weeks to monitor predetermined process and clinical outcomes. Results: Of all students receiving primary medical care services between January 2007 and May 2008, 69% (n = 71,908) were screened for depression. A total of 801 depressed students were treated and tracked; most predetermined treatment process and clinical outcome targets were achieved. Conclusion: The CCM for depression shows promise for improving depression identification and care for college students.  相似文献   
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