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351.
The statutory language of the Safe Drinking Water and Toxic Enforcement Act of 1986 (Proposition 65; California Health and Safety Code 25249.5 et seq.) encourages rapid adoption of “no significant risk levels” (NSRLs), intakes associated with estimated cancer risks of no more than 1 in 100,000. Derivation of an NSRL for a carcinogen listed under Proposition 65 requires the development of a cancer potency value. This paper discusses the methodology for the derivation of cancer potencies using an expedited procedure, and provides potency estimates for a number of agents listed as carcinogens under Proposition 65. To derive expedited potency values, default risk assessment methods are applied to data sets selected from an extensive tabulation of animal cancer bioassays according to criteria used by regulatory agencies. A subset of these expedited values is compared to values previously developed by regulatory agencies using conventional quantitative risk assessment and found to be in good agreement. Specific regulatory activities which could be facilitated by adopting similar expedited procedures are identified.  相似文献   
352.
Substance abuse is connected to considerable suffering and symptoms. Neuropsychological assessment supports understanding of the distress and the symptoms of the individual client and therefore is increasingly requested in substance abuse treatment. Substances, however, influence neuropsychological functions and emotional states. Therefore, assessment often needs to be postponed. Conducted at a suitable point of time, with respect to abstinence and treatment planning, assessment might provide understanding of the needs and possibilities of the client. This work contributes with suggestions on how neuropsychological assessment might be conducted in substance abuse treatment. Because the effects of substances are considerable, an overview of the effects of varying substances on neuropsychological functioning is presented. It is also suggested that assessment should be understood as a collaborative process that should support clients’ understanding of themselves.  相似文献   
353.
This article describes the results of research on the demographic, housing, psychosocial characteristics, and service needs of a sample of homeless people with HIV disease_ Results show that respondents are similar in demographic and housing characteristics to the general homeless population. On average, respondents report high levels of stress and depression, moderate satisfaction with perceived social support availability, moderate beliefs in their ability to influence health related outcomes, moderate levels of self-efficacy, and low levels ofphysical and psychosocial disability. A range of services was identified as both helpful and useful in supporting a stable living arrangement. Implications for social policy, service provision, and research are discussed.  相似文献   
354.
Although cosmopolitanism used to be associated with Western, elite practices, it has in recent years been used to describe a wider array of practices by non-elite and non-Western groups. This article explores the cosmopolitanism of Cuba's “children of the revolution” living in Spain. They are those now young adults who were born in Cuba after the revolution and who were brought up to become the socialist New Man. Theirs was a world of socialist cosmopolitanism, which simultaneously was infused with commitment to a national, territorially-based political project: an independent, socialist Cuba. However, some of these New Men and New Women now embrace ideals of cosmopolitan individualism rather than the patriotic socialism with which they were inculcated as children. Yet the cultural tools that the children of the revolution make use of in their practices and narratives of cosmopolitanism paradoxically point back to revolutionary Cuba. The article argues that cosmopolitanism as a lived practice owes to experiences within the Cuban socialist-national project and is in effect a response to the ineffectiveness of this project, not necessarily a substantive opposition to it. Social capital and habitus deriving from Cuban socialism gave the children of the revolution the desire to attain cosmopolitanism as part of their life-projects. This finding suggests that the relationship between nationalism and cosmopolitanism needs further rethinking.  相似文献   
355.
Abstract

This study evaluated the impact of three specific modifications to the structural design of electronic gaming machines proposed by the New South Wales Liquor Administration Board, on player satisfaction. These modifications: reduction in reel spin speed, maximum bet limited to A$1.00 and removal of high denomination bill acceptors; were recommended as putative harm minimisation strategies within a larger government responsible gaming policy framework. Participants were a total of 363 patrons attending either a club or hotel venue in Sydney. Gambling behaviour and responses to a brief satisfaction questionnaire were obtained under conditions of play on modified and unmodified electronic gaming devices. Responses to satisfaction measures varied between hotel and club patrons and recreational and problem gamblers. Problem gamblers consistently reported less satisfaction and enjoyment playing machines. Overall, little effect on satisfaction or enjoyment was found for either social or problem gamblers in respect to concurrent modifications limiting maximum bet size and reducing high denomination bill acceptors. Slower machines were rated as less satisfying to play, but effects were small and did not appear to influence player’s stated intentions. It is yet to be determined if changes to structural characteristics of electronic gaming machines are associated with harm reduction.  相似文献   
356.
This article introduces an arts-based approach to leadership inquiry using ‘Poem houses’ – an art form developed by Brigid Collins. Poem houses are three dimensional artefacts combining visual interpretation with poetic text and which hold special significance for the maker. The bringing together of poetry and assemblage in the artworks made by Collins is a conscious attempt to create the conditions in which an ‘uncovering’ may happen, by means of a process of layered collage and juxtaposed words and images – in what amounts to ‘intermediality’. This artistic form has inspired the methods and tools used in the workshops led, with Grisoni and described in this paper. The focus for this inquiry is leadership development and, in particular, sense making processes arising from the creation of and reflections on poem houses made by workshop participants. The poem houses provide an innovative visual narrative of individual and organisational experiences of leadership. Examples are drawn from a workshop for public sector managers where we show how new insights of what it means to be a leader and collective reflections on the creative process were generated. These findings create individual and organisational narratives that contribute to our understandings of the current context of public sector leadership.  相似文献   
357.
Despite the efficacy of cognitive-behavioral therapy (CBT) in treating adolescent anxiety, few sufferers seek treatment. Barriers to accessing psychologists include a shortage of skilled therapists, long waiting lists, and affordability. The Internet is a medium possibly able to address issues of accessibility and affordability. This study aimed to assess the efficacy of online therapy in the treatment and prevention of adolescent anxiety and depression. Participants (N = 38) were randomly allocated to one of four conditions: online CBT, face-to-face CBT, combined face-to-face/online CBT, and control. Combined face-to-face/online CBT is more effective in treating symptoms of depression and anxiety compared to stand-alone online or face-to-face therapy. The present study suggests that for those who are unable to access face-to-face therapy, computerized therapy may be a viable option. This is an important finding, especially in light of current capacity to treat and accessibility problems faced in the treatment of adolescent depression and anxiety.  相似文献   
358.
In order to assess the reliability and validity of two data collection instruments for measuring sexual practices in homosexual men, we administered a recall data collection instrument to 30 sexually active men, and a diary instrument to a subset of 19 participants. Each instrument covered a period of one month. For the recall instrument, the correlation coefficients between the test‐retest showed a good level of reliability for a number of infrequent sexual practices but was poor for frequent sexual practices. Correlation coefficients were calculated for sexual practices recorded in the first two and the second two weeks for both the recall and the diary. Generally, the level of agreement between the first and second two weeks for sexual practice data recorded in the diary was lower than the recall questionnaire. While the reliability of the recall method was found to be limited to certain sexual practices, it was concluded to be the most reliable and efficient method presently available for the collection of important high‐risk AIDS‐related sexual activities for a one‐month period.  相似文献   
359.
Abstract

This paper fleshes out the rather sparse empirical literature on citizenship with data collected from seven focus groups involving a wide range of New Zealanders. Results indicate that the term “citizenship” is relatively unimportant to identity and belonging compared to “family” and “community”. Yet there is considerable agreement about the key elements of citizenship and what makes a “good citizen”. Knowledge about citizenship, however, is not evenly distributed or experienced in the same way by different groups of New Zealanders, with Maori participants offering notably more negative perspectives on citizenship, and benefit recipients most likely to feel like “second‐class citizens”. Against predictions, the findings further suggest that neo‐liberal reforms have not eliminated a belief in community spirit and collective solutions to social problems. Although New Zealanders do believe that individuals should be responsible for themselves, they also expect government to ensure the social and economic conditions that make this possible.  相似文献   
360.
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