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71.
72.
飞机一进入非洲南部国家纳米比亚的首都温德和克,就像进入了一个自然保护区。由于温德和克位于中央高原上,并且以阿瓦斯山脉为天然屏障,游客一进入该市就能问或看见捻角羚和其他羚羊,这不是什么稀罕事。  相似文献   
73.
Five-Hundred Life-Saving Interventions and Their Cost-Effectiveness   总被引:42,自引:0,他引:42  
We gathered information on the cost-effectiveness of life-saving interventions in the United States from publicly available economic analyses. "Life-saving interventions" were defined as any behavioral and/or technological strategy that reduces the probability of premature death among a specified target population. We defined cost-effectiveness as the net resource costs of an intervention per year of life saved. To improve the comparability of cost-effectiveness ratios arrived at with diverse methods, we established fixed definitional goals and revised published estimates, when necessary and feasible, to meet these goals. The 587 interventions identified ranged from those that save more resources than they cost, to those costing more than 10 billion dollars per year of life saved. Overall, the median intervention costs $42,000 per life-year saved. The median medical intervention costs $19,000/life-year; injury reduction $48,000/life-year; and toxin control $2,800,000/life-year. Cost/life-year ratios and bibliographic references for more than 500 life-saving interventions are provided.  相似文献   
74.
This article undertakes a discourse analysis of texts concerning a recent high profile case of opposition to war by Kimberly Rivera, a US soldier and a mother of five. Developing on previous research concerning how female soldiers, anti-war women and anti-war soldiers have been made intelligible within understandings of war and gender, the analysis traces the discursive repertoires constituting Rivera as a political subject. The article considers how, when and with what implications for broader discourses of gender and war, and their transformation, the categories of soldierhood and motherhood were invoked to construct and obstruct Rivera as an intelligible dissenting subject. The most common presentation of Rivera centered on her motherhood, understood to be in crisis due to her military role. With motherhood and soldierhood seen to be antithetical this crisis could be “solved” through opposition to war. This limited the extent to which Rivera was intelligible as a “thinking citizen” and reproduced motherhood and soldierhood as stable categories leaving their immanent discourses concerning war and gender untroubled. The article then considers ways in which alternative avenues for transformative interventions could open up if dissenters like Rivera were “written” as other than fundamentally contradictory figures.  相似文献   
75.
Much has been written about social lives of people with severe mental illness (SMI). Before social lives can flourish, however, people with SMI must first get close to other people. We studied this closeness by holding three hour-long focus groups at Fountain House, a community mental health agency in New York City. We found that closeness between two people with SMI is challenging because someone with depression, for example, may have trouble understanding someone with a different disorder (e.g., schizophrenia). Romantically, closeness is also challenging—SMI is hard to explain to partners. In the workplace, closeness is difficult because SMI can alienate co-workers. It could push them away. In mental health programs, we found that closeness has more of a chance to develop (1) during evening and weekend activities; (2) when activities are planned often enough to prevent isolation; and (3) when staff reach out to people before extended absence causes distance.  相似文献   
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In the twenty‐first century, a small percentage of U.S. children have ties to family‐based agriculture. Yet with the rise of the modern farming movement that emphasizes local and family‐based production, new spaces may exist for involving children and youth in farming. This article focuses on the social value of children to family‐based agriculture in the contemporary era. Drawing on a qualitative study of families that farm in the capital region of New York—an epicenter for the modern food movement—we consider why families farm, how they involve children in their farms, and how they understand children's contributions. Interviews with 76 adult members of 50 families show children to be central to families' goals; they often rationalize farming as a lifestyle choice undertaken for the benefit of their children. Families also actively involve their own children—and other people's children—in their farms. By documenting the way families talk about children and farming, we shed light on the logic used to incorporate children into modern productive enterprises. The centrality of children, we argue, helps explain the success of the modern food movement and the persistence of family‐based agriculture despite conditions that make it economically difficult to accomplish.  相似文献   
78.
In this paper we examine the nature of gossip talk as an activity type in the context of the TV game show 'Big Brother'. Using a detailed analytic approach to the situated nature of gossip sequences, we show how participants in the show manage gossip talk strategically to establish social relationships within the house, as well as to present themselves in a positive way to the viewing (and voting) audience. We argue that there is a contextual double framing for talk in the Big Brother (BB) house which participants are orienting to, both as members of a social group, and as players in a TV game show. The paper thus contributes to existing work on the social function of gossip, as well as exploring its strategic function in this particular interactional context, calling into question the nature of 'natural' discourse.  相似文献   
79.
Children with developmental delays often suffer feeding difficulties. It has become common for those with a severe likelihood of malnutrition to be considered for alternative methods of nutritional intake, often a gastrostomy. As part of a pilot study investigating the effects of gastrostomy on the child and their family, we conducted a literature review in order to establish the current areas of research, progress and concern. This paper describes the method and findings of the literature review and concludes with a discussion of the topics raised. The main conclusion is that although the need for gastrostomy in this group of children has been shown to be effective in maintaining adequate weight gain and nutritional intake, the support given to the family prior to, and after the operation is inadequate. Greater emphasis needs to be placed on detailed family assessment as part of the early intervention package. Copyright © 2001 John Wiley & Sons, Ltd.  相似文献   
80.
There is a need to study the effects of urbanization on wildlife in order to understand the ecological implications of increasing urbanization and find out how to reduce its threats to biodiversity. The blue tit evolved as a forest species and prefers deciduous and mixed forests, whereas its nesting in urban habitats is a more recent phenomenon. Our long-term study of blue tit populations has been conducted in two habitats: an urban parkland (frequently visited by people) and a deciduous forest outside of the city. Using linear mixed modeling, we revealed that a relationship of blue tit breeding success (and the number of fledglings) with thermal conditions in May differed between the urban parkland and the forest. While the relationship was positive in the forest, it was negative in the parkland. In addition, breeding success in the parkland increased with increasing number of rainy days in May. We argue that the main possible reason for such patterns is human activity in the parkland, which interferes with tit parental care, especially the regular feeding of nestlings, whereas it is evidently associated with weather conditions. Human disturbance in the forest is likely to be negligible.  相似文献   
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