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41.
Sociologists theorizing the concept of 'generation' have traditionally looked to birth cohorts sharing major social upheavals such as war or decolonization to explain issues of generational solidarity and identity affiliation. More recently, theorists have drawn attention to the cultural elements where generations are thought to be formed through affinities with music or other types of popular culture during the 'coming of age' stage of life. In this paper, we ask whether developments in computer technology, which have both productive and cultural components, provide a basis for generational formation and identity and whether generational discourse is invoked to create cultures of difference in the workplace. Qualitative data from a sample of Information Technology workers show that these professionals mobilize 'generational' discourse and draw upon notions of 'generational affinity' with computing technology (e.g. the fact that people of different ages were immersed to varying degrees in different computing technologies) in explaining the youthful profile of IT workers and employees' differing levels of technological expertise.  相似文献   
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43.
Terminally ill individuals with serious and persistent mental illness (SPMI) are currently underserved by palliative care. However, palliative care nurses can expect to see more patients with SPMI because an estimated 6% of the adult population has chronic mental illness, and mortality and morbidity rates are higher in this group. Reasons for these increased rates are discussed. Literature regarding the provision of palliative care to those with SPMI is sparse, but what literature there is does offer suggestions for improvements in clinical practice. These suggestions for improvement are explored, and conclusions are drawn about the need for future research.  相似文献   
44.
Abstract

Objective: To examine the prevalence and characteristics of precollege sexual victimization (SV) experiences and associations with revictimization and recent substance use behaviors among a sample of college students who reported precollege SV. Participants: A sub-sample of 931 college students who reported precollege SV at baseline data collection for an ongoing multi-site clinical trial. Methods: Data were collected via electronic surveys between September 2015 and March 2017. Measures included precollege and during college SV, recent substance use, and alcohol-related harm reduction behaviors. Results: Precollege SV characteristics associated with revictimization included: Nonpenile penetration (aOR: 1.51, 95%CI: 1.04–2.19); pressured sex (aOR: 1.46, 95%CI: 1.06–2.01); and stranger assault (aOR: 2.03, 95%CI: 1.22–3.40). Past 30-day binge drinking was also associated with revictimization (aOR: 1.86, 95%CI: 1.36–2.54). Conclusions: The relationship between precollege SV and alcohol, especially binge drinking, may require a more integrated approach to preventing subsequent revictimization.  相似文献   
45.
Grazian (2009) challenges a prominent narrative that claims urban nightlife is a democratized and social-capital-enriching "third space" of social life. For Grazian, urban nightlife is, instead, characterized by (1) race and class divisions, (2) gender inequities and the exploitation of women, and (3) exclusivity rather than inclusiveness or solidarity. Grazian makes a brief and compelling case. It is one I agree with to a certain point. However, in this essay, I present two major concerns with his argument.  相似文献   
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This paper is the first to address the causal relationship between an abrupt change in the availability of public nutrition assistance and low-income households' private nutrition assistance utilization. In particular, we examined the way in which loss of Women Infants and Children (WIC) benefits impacted a household's utilization of private food assistance. Using a regression discontinuity analysis framework, we found that households significantly increased utilization of private nutrition assistance following an abrupt loss in public nutrition assistance. Estimates indicated that some households might have been able to compensate from about half to more than 90% of their loss in public WIC nutrition assistance. (JEL I38, C36, D12)  相似文献   
47.
This study examined the relationships of mental health issues and sexual orientation in a national sample of college students. Using the Fall 2009 American College Health Association-National College Health Assessment, responses from heterosexual, gay, lesbian, bisexual, and unsure students (N = 27,454) relating to mental health issues and impact of these issues on academics were examined. The findings indicate that gay, lesbian, bisexual, and unsure students consistently reported higher levels of mental health issues and a more frequent impact on academics because of these issues than heterosexual students. Bisexuals frequently reported higher levels than students identifying as gay, lesbian, and unsure.  相似文献   
48.
To allow appropriate allocation of prevention and care funding, HIV/AIDS surveillance data must include risk factor information, currently available for less than 70% of cases reported in the United States. The authors evaluated an intervention consisting of provider training and materials to improve risk factor reporting. Facilities were matched prior to randomization to intervention or control, and generalized linear mixed models were used to test for an intervention effect. Twenty-one percent of cases from intervention facilities and 33.4% from control facilities (p = .09) were reported without any risk factor information. The pre-post difference (20.7% for intervention and 36.0% for control) was not significant among HIV cases (p = .11) nor among AIDS cases (p = .12; 21.3% for intervention and 31.1% for control). The methods the authors' evaluated may need to be combined with other approaches and/or alternative classification schemes to significantly reduce the percentage of cases reported to surveillance without risk factor information.  相似文献   
49.
ABSTRACT

Dysthymia affects millions of people and has been associated with impaired psychosocial and occupational functioning and poor clinical treatment outcomes. Yet few studies have examined protective factors that can be utilized to help individuals with dysthymia in clinical settings, particularly among individuals with comorbid substance use disorders. The purpose of this study was to examine the potential protective quality of adult attachment dimensions, spirituality, and meaning in life among clients with and without dysthymia in treatment for addiction. Data were obtained from 305 self-report questionnaires administered to clients attending a residential substance abuse treatment center. Approximately 25% of the sample met criteria for dysthymia. Results from logistic regression analyses indicated that purpose and meaning in life and attachment anxiety were the most important protective factors against having dysthymia. These results suggest that mental health professionals may need to integrate these protective factors into the treatment of individuals with dysthymia and substance use disorders, which may enhance treatment outcomes and maximize treatment effectiveness. Future studies should continue to explore protective factors that can assist individuals who experience these comorbid conditions and consider replicating this study using an ethnically diverse sample and other clinical settings to determine the generalizability of the findings.  相似文献   
50.
Content analyses were used to explore alternative sources and functions of developmental support other than mentoring among nonfaculty university employees. The majority of participants reported that they had an alternative source of developmental support outside of a mentoring relationship, that the developmental functions (i.e., kinds of support) provided by these sources varied, and that there were differences in sources and functions by participant age and gender. The alternative source of support most frequently mentioned was coworkers. The results also suggested that alternative sources of support may provide many of the functions associated with traditional mentors, although the full range may not be represented.  相似文献   
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