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241.
We examine the institutions that comprise the U.S. health system and their relationship to a surging immigrant population. The clash between the system and this human flow originates in the large number of immigrants who are unauthorized, poor, and uninsured and, hence, unable to access a system largely based on ability to pay. Basic concepts from sociological theory are brought to bear on the analysis of this clash and its consequences. Data from a recently completed study of health institutions in three areas of the United States are used as an empirical basis to illustrate various aspects of this complex relation. Implications of our results for theory and future health policy are discussed.  相似文献   
242.
This paper sets out the results of a Spanish study of the experience and meaning of work among disabled women of two generations, with three types of disability (physical, visual and hearing). Performing a socially recognised activity such as a job is a source of emotional welfare and self‐esteem. Moreover, it confers a certain social status. For the participants in this study the kind of work involved, whether productive, paid and ‘extra‐domestic’ or ‘reproductive’, unpaid and done at home, acquires different meanings, since for disabled women, sexist stereotypes – already more or less accentuated in the culture – social attitudes towards disability and personal factors introduce relevant differences, while leading to conflicts and dilemmas that these women have to solve. At any rate, their sense of responsibility in performing all types of work should be emphasised as evidence of their sense of independence and personal competence, forming a keystone in their construction of a sense of identity and social integration.  相似文献   
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244.
依据2016—2020年《中国卫生健康统计年鉴》和《中国统计年鉴》数据,构建BCC模型测算 5年间我国中医院资源配置效率均值,运用面板数据的Tobit模型,对提出的假设进行验证并发现影响效率的因素,探究我国30个省份“十三五”期间中医院资源配置效率及影响因素。结果显示,“十三五”期间,30个省份中医院资源配置处于数据包络法(DEA)有效的4个,弱有效的6个,无效的20个。 医师配置密度和医护管理人员比分别对中医院资源配置的综合效率产生显著负向和正向影响;空间分布密度和中西医竞争水平分别对中医院资源配置的规模效率产生显著负向和正向影响。“十三五” 期间我国大多数省份中医院资源配置效率还有待提升,应统筹配置现有资源,提高医疗技术水平;合理设置人员结构,建立柔性激励机制;坚持中西医并重,突出中医药特色。  相似文献   
245.
The aim of this study was to examine the relations between popularity and different types of aggressive, destructive, and norm‐breaking behaviors in a large cross‐sectional sample of adolescents (N=3,312, M age=13.60). We were interested in the extent to which the relations of these behaviors with popularity were moderated by positive features (i.e., athletic abilities, physical attractiveness, and prosociality). From a goal‐framing perspective, it was argued that positive features evoke positive affect, which in turn enhances the positive impact of aggressive, destructive, and norm‐breaking behaviors on popularity. The results supported our notion that these latter behaviors are especially related to popularity in adolescents who also exhibit positive features.  相似文献   
246.
It is usually considered that the proportion of handicapped people grows with age. Namely, the older the man/woman, the more the level of disability he/she suffers. However, empirical evidence shows that this assessment is not always true, or at least, it is not true in the Spanish population. The study tries to assess the impact of age on disability in Spain. Each gender has been treated separately because it can be shown that men and women have their own pattern of behaviour. Three different methods of estimation have been used to check the link between those variables. The results seem to support the idea that the relationship among age and the intensity of disability is not always direct. One of the concluding remarks in this analysis is that the method of estimation has a great incidence in the final results, especially in central ages between 20 and 80 years old.  相似文献   
247.
248.
The term gridlock describes the occurrence of rigid patterns in couples’ conflict. This study aimed to describe strategies of conflict resolution and gridlock prevention from the perspectives of couples and couple therapists. Participants were couple therapists and highly adjusted couples scored by the dyadic adjustment scale (DAS), distributed according to traditional and non‐traditional position in life and duration of relationships. Conflict gridlock scenarios were used to create video stimulus that were presented to participants. A qualitative methodology was used to analyse couples’ and therapists’ commentaries on the scenarios. Results showed differences in preventing conflict gridlock among sub‐groups of couples. Long‐term traditional couples focused on loyalty to a common project and value sacrificing to a higher good; long‐term non‐traditional couples prioritised caring and validating the bond in the relationship. Short‐term traditional couples focused on mutual love and the relief of hurt while short‐term non‐traditional couples supported the value of equity.  相似文献   
249.
世人皆知陆游是我国南宋时期伟大的爱国诗人,很少有人知道他还是宋代杰出的书法家.本文以当时的书法时代风格为背景,对陆游的生活经历、艺术成就及传世作品进行简要评述,并以此为依据提出陆游书法创作的分期问题.  相似文献   
250.
Urbanized areas show a high proportion of non-native plants and can work as dispersal points to the surrounding areas. Ensenada is a fast growing city located in the northwestern peninsula of Baja California (Mexico). It is the southern extreme of a bi-national, coastal urban corridor that extends from Los Angeles, California south to Ensenada. This corridor is part of the biodiversity hotspot of the California Floristic Province. The aim of this study was to analyze the composition and distribution of the spontaneous flora in the city of Ensenada. We systematically sampled two differentiated urban environments, vacant lots and arroyos, in 2006 and 2007. We found a total of 158 plant species, 61% of them were non-native species. Arroyo areas showed higher non-native species richness than vacant lots (21.9 vs. 13.6 species/transect) and could be potential dispersal vectors for non-native species to natural areas outside of the city, or in the reverse direction also.  相似文献   
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