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201.
Homoeopathy is one of the most widespread forms of complementary and alternative medicine (CAM) currently used in the UK. As an overtly holistic discipline, the homoeopathic consultation process is often regarded as being intrinsically patient-centred. This paper will argue that although an underlying mutualistic or collegial approach is often evident in homoeopathy, there are certain points in a consultation where these types of behaviour are more overt. It is suggested that these points are likely to be located where there is a predictable possibility of misalignment between letting the patient set the agenda, and the practical needs of the consultation process – ie the performance of certain essential consultation 'tasks'. In order to illustrate this, one particular aspect of the homoeopathic consultation will be examined – the 'treatment-giving' phase. Four broad transitional formats will be proposed: categorical ; open ; deferred ; and reversed . The relatively dynamic sequential positioning that the treatment phase occupies in the homoeopathic context will be highlighted, as will the implications that this may have in terms of encouraging patient / practitioner negotiation over treatment decisions.  相似文献   
202.
We describe a natural field experiment investigating donation behaviour. The setting was an art gallery where donations could be deposited into a transparent box in the foyer. Two aspects of the donation environment were manipulated: signs on the donation box and the initial contents of the box. We used three sign treatments: a control with no sign, a sign that thanked donors, and a sign that indicated donations would be matched. We used two initial contents treatments: one with relatively little money ($50) and one with four times as much. The average donation per donor was significantly larger in the $200 treatments but this was offset by a decrease in the propensity to donate. In the matching treatments donations were significantly larger both at the per donor and per visitor level. A control variable turned out to have the largest influence on donation behaviour: the day of the week. The average donation per visitor was 51% higher on Sundays, when compared to every other day of the week.  相似文献   
203.
We identify the political conditions that shape the economicposition of married/cohabiting women and of the economicallymost vulnerable group of women—single mothers. Specifically,we examine the determinants of reductions in single mothers'poverty rate due to taxes and transfers, and women's wages relativeto spouses'/ partners' wages. The Luxembourg Income Study archiveyields an unbalanced panel with 71 observations on 15 countries.The principal determinants of poverty reduction due to taxesand transfers are left government, constitutional veto points,and welfare generosity. The relative wage of women in couplesis a function mainly of female labor force participation, parttime work among women, and women's mobilization. In explainingthe causal pathways to these outcomes, we highlight the interrelationshipsof welfare state, care, and labor market policies.  相似文献   
204.
Sex‐based discrimination has resulted in severe demographic imbalances between males and females, culminating in a large number of “missing women” in several countries around the world. We provide new estimates and projections of the number of missing females and of the roles played by prenatal and postnatal factors in this imbalance. We estimate time series of the number of missing females, the number of excess female deaths, and the number of missing female births for the world and selected countries. Estimates are provided for 1970–2010 and projections are made from 2010 to 2050. We show that the estimates of these different indicators are consistent with one another and account for the dynamics of the population of missing females over time. We conclude that the number of missing females has steadily risen in the past decades, reaching 126 million in 2010, and the number is expected to peak at 150 million in 2035. Excess mortality was the dominant cause of missing females in the past, and this is expected to remain the case in future decades in spite of the recent rise of prenatal sex selection. The annual number of newly missing females reached 3.4 million in 2010 and is expected to remain above 3 million every year until 2050.  相似文献   
205.
In recent years, the lesbian and gay “scene” of bars, nightclubs, and dance parties has been undergoing a structural decline in many Western cities. This article aimed to examine the relevance of the scene to same-sex attracted young adults amid these changes. An online survey was conducted with 572 same-sex attracted young women and men in Sydney. Only a minority of respondents participated in the scene at least weekly (16%), and the majority did not regard the scene as important to their leisure time (60%). However, respondents valued the scene as a space to connect with other same-sex attracted people and display same-sex affection without fear of hostility. Lesbian and gay identified respondents tended to be more socially engaged with the scene compared to other same-sex attracted respondents. The findings suggest that while the scene continues to be valued by many same-sex attracted young people, improved social attitudes have made participating in the scene less of an imperative.  相似文献   
206.
The measurement invariance of the Modern Homonegativity Scale (MHS) was examined among heterosexual female (n = 449) and male (n = 329) university students who were predominantly Mexican American. The MHS demonstrated full invariance of factor loadings and partial invariance of latent intercepts. At the latent mean level, heterosexual men compared to heterosexual women held more negative attitudes toward both gay men and lesbian women. There were no latent mean differences in attitudes toward gay men and lesbian women when rated by either heterosexual men or heterosexual women. The MHS can be used by heterosexual men and heterosexual women to assess their homonegativity.  相似文献   
207.
208.
This paper addresses the problem of open order rescheduling in a job shop. Results are reported of experiments conducted in a simulation model of an 8-machine job shop. Four different order updating policies are examined. The due-date process is modeled to include several realistic features about the pattern of due-date variability. These features are parameterized and tested at several levels. Tardiness results indicate that open order rescheduling is beneficial only when allowances are loosely set. The results indicate that inventory performance is improved by order rescheduling, particularly in cases when due dates are revised to earlier times than originally forecast.  相似文献   
209.
Over the past five years the Artificial Intelligence Center at SRI has been developing a new technology to address the problem of automated information management within real- world contexts. The result of this work is a body of techniques for automated reasoning from evidence that we call evidential reasoning. The techniques are based upon the mathematics of belief functions developed by Dempster and Shafer and have been successfully applied to a variety of problems including computer vision, multisensor integration, and intelligence analysis.

We have developed both a formal basis and a framework for implementating automated reasoning systems based upon these techniques. Both the formal and practical approach can be divided into four parts: (1) specifying a set of distinct propositional spaces, (2) specifying the interrelationships among these spaces, (3) representing bodies of evidence as belief distributions, and (4) establishing paths of the bodies for evidence to move through these spaces by means of evidential operations, eventually converging on spaces where the target questions can be answered. These steps specify a means for arguing from multiple bodies of evidence toward a particular (probabilistic) conclusion. Argument construction is the process by which such evidential analyses are constructed and is the analogue of constructing proof trees in a logical context.

This technology features the ability to reason from uncertain, incomplete, and occasionally inaccurate information based upon seven evidential operations: fusion, discounting, translation, projection, summarization, interpretation, and gisting. These operation are theoretically sound but have intuitive appeal as well.

In implementing this formal approach, we have found that evidential arguments can be represented as graphs. To support the construction, modification, and interrogation of evidential arguments, we have developed Gister. Gister provides an interactive, menu-driven, graphical interface that allows these graphical structures to be easily manipulated.

Our goal is to provide effective automated aids to domain experts for argument construction. Gister represents our first attempt at such an aid.  相似文献   

210.
Black gay men must navigate identities and stigmas related to being gay and Black, and report higher HIV incidence relative to their White male counterparts although they report lower rates of drug use and risky sexual behaviors. This study examined whether closeness to the gay or Black community correlated with HIV-related risk and protective behaviors. Data were drawn from uConnect, a population-based cohort study of young Black men who have sex with men (YBMSM) on Chicago's South Side. The sample consists of 618 Black MSM ranging in age from 16 to 29. Cross-sectional measures for this study include Black and gay community closeness, drug use, sexual risk behaviors, HIV testing, and health promotion behaviors. Closeness with the gay community was associated with greater pre-exposure prophylaxis (PrEP) knowledge as well as participating in health promotion programs along with higher rates of transactional sex and having sex under the influence of substances, and increased odds of self-reported HIV seropositivity. Involvement in the Black community was associated with lower odds of reporting being HIV positive. Findings suggest that programs and initiatives are needed to help promote the positive aspects of the Black and gay communities, while minimizing the negative correlates of such involvements.  相似文献   
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