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541.
Child welfare systems in the United States are failing to include families in making plans, and this reduces their success in stabilizing children's placements and promoting children's well-being. A North Carolina study demonstrates how one restorative practice—family group conferencing (FGC)—advances family participation in child welfare planning. A sample of 27 conferences showed that the 221 family group members outnumbered the 115 service providers at the meetings. Family group members were usually satisfied with the conference process and decision and saw the plans as primarily reached through consensus, following a trusted leader, and bargaining. Satisfaction with the decision was reduced when bargaining was employed. Manipulation was more likely to occur when conference preparations were inadequate.  相似文献   
542.
Defining Community Care: realities and myths   总被引:1,自引:0,他引:1  
This article looks critically at the concept of community care and argues that it is unhelpful and redundant. It makes three main points: first, that many care settings have elements of institutional and so-called community care and that there is no clear dichotomy between the two. Second, it is argued that the real distinction is not between the institution and the community but is between the institution and home. Community care is not provided by anonymous, altruistic others but comes from specific individuals (usually women) in domiciliary settings. The concept and definition of “home” are briefly discussed and it is suggested that most care is delivered either in a home , from home or at home. The third argument is that careful individual assessment is required to ensure that dependent people are not offered housing or residential solutions when what they need (and want) is care and services.  相似文献   
543.
544.
Intergenerational patterns of teenage fertility   总被引:1,自引:0,他引:1  
One of the frequently cited consequences of teen childbearing is the repetition of early births across generations, which thereby perpetuates a cycle of poverty and disadvantage. We use data from the 1988 National Survey of Family Growth (NSFG), Cycle IV, to examine trends and determinants of the intergenerational teen fertility link for women who reached adolescence between the 1950s and the 1980s. We find that daughters of both white and black teen mothers face significantly higher risks of teen childbearing than daughters of older mothers. We also find, more generally, that patterns of teenage family formation (i.e., both marriage and childbearing behaviors) tend to be repeated intergenerationally. The results suggest that the intrafamily propensity for early childbearing is not inherited biologically, at least not through factors related to the timing of puberty. Rather, the intergenerational patterns appear to operate at least in part through the socioeconomic and family context in which children grow up.  相似文献   
545.
This paper explores testing procedures with response-related incomplete data, with particular attention centered to pseudolikelihood ratio tests. We construct pseudolikelihood functions with the biased observations supplemented by auxiliary information, without specifying the association between the primary variables and the auxiliary variables. The asymptotic distributions of the test statistics under the null hypothesis are derived and finite-sample properties of the testing procedures are examined via simulation. The methodology is illustrated with an example involving evaluation of kindergarten readiness skills in children with sickle cell disease.  相似文献   
546.
547.
Objective . We build on past research regarding immigrant group adaptation by examining the wages of first–, second–, and third–generation Mexican–American men and women and empirically evaluating if past theories of immigrant incorporation apply to the Mexican–American case. Methods . We use the 1989 Latino National Political Study and the 1990/1991 Panel Studies of Income Dynamics and OLS regressions to estimate the effects of generation and human capital on wages. Results . Immigrant men and women report lower wages than their second– and third–generation counterparts, but once human capital controls are added, the wage pattern becomes one of steady decline across generations for men, and stagnation or marginal decline across generations for women. Conclusions . Our results generally contest the applicability of linear assimilation hypotheses to the Mexican–American experience, while lending some credence to the selectivity and immigrant optimism hypotheses. Results also indicate the importance of developing more contextualized immigrant adaptation frameworks.  相似文献   
548.
Risk Assessment of Virus in Drinking Water   总被引:15,自引:0,他引:15  
The reevaluation of drinking water treatment practices in a desire to minimize the formation of disinfection byproducts while assuring minimum levels of public health protection against infectious organisms has caused it to become necessary to consider the problem of estimation of risks posed from exposure to low levels of microorganisms, such as virus or protozoans, found in treated drinking water. This paper outlines a methodology based on risk assessment principles to approach the problem. The methodology is validated by comparison with results obtained in a prospective epidemiological study. It is feasible to produce both point and interval estimates of infection, illness and perhaps mortality by this methodology. Areas of uncertainty which require future data are indicated.  相似文献   
549.
Quantitative microbial risk assessment was used to predict the likelihood and spatial organization of Mycobacterium tuberculosis ( Mtb ) transmission in a commercial aircraft. Passenger exposure was predicted via a multizone Markov model in four scenarios: seated or moving infectious passengers and with or without filtration of recirculated cabin air. The traditional exponential ( k  = 1) and a new exponential ( k  = 0.0218) dose-response function were used to compute infection risk. Emission variability was included by Monte Carlo simulation. Infection risks were higher nearer and aft of the source; steady state airborne concentration levels were not attained. Expected incidence was low to moderate, with the central 95% ranging from 10−6 to 10−1 per 169 passengers in the four scenarios. Emission rates used were low compared to measurements from active TB patients in wards, thus a superspreader emitting 44 quanta/h could produce 6.2 cases or more under these scenarios. Use of respiratory protection by the infectious source and/or susceptible passengers reduced infection incidence up to one order of magnitude.  相似文献   
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