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791.
Long-term care (LTC) needs to be reconceptualized. The current efforts to reinvent the nursing home perpetuate a flawed model of care. The heritage of the nursing home as the dominant model for LTC needs to be reexamined. The basic LTC building blocks--housing, services, and medical care--can be combined in various ways to meet consumers' needs and preferences. We need innovative solutions that can offer reasonable service while recognizing the value of acceptable risk taking. Modest personal care should not come at the price of surrendering one's autonomy.  相似文献   
792.
This paper uses the fictional case of the ‘Babel fish’ to explore and illustrate the issues involved in the controversy about the use of cochlear implants in prelinguistically deaf children. Analysis of this controversy suggests that the development of genetic tests for deafness poses a serious threat to the continued flourishing of Deaf culture. I argue that the relationships between Deaf and hearing cultures that are revealed and constructed in debates about genetic testing are themselves deserving of ethical evaluation. Making good policy about genetic testing for deafness will require addressing questions in political philosophy and anthropology about the value of culture and also thinking hard about what sorts of experiences and achievements make a human life worthwhile.  相似文献   
793.
The present study examined discrimination attributions in the psychological well‐being of Black adolescents. Findings are based on a representative sample of 810 African American and 360 Caribbean Black youth, aged 13–17, who participated in the National Survey of American Life. Youth completed measures of perceived discrimination, discrimination attributions, depressive symptoms, self‐esteem, and life satisfaction. Approximately half the youth attributed discrimination to race/ethnicity (43%), followed by age (17%), physical appearance (16.5%), and gender (7.5%), and there were no ethnic, gender, or age differences regarding discrimination attributions. Key findings suggest that the association between perceived discrimination and psychological well‐being did not vary according to discrimination attribution, which implies that discrimination is harmful for Black youth regardless of the attribution.  相似文献   
794.
This article introduces the second issue of the special double issue focusing on forensic, cultural, and systems issues in child sexual abuse cases. We briefly review the articles, which include a discussion of child sexual abuse myths, an empirical analysis of extended child sexual abuse evaluations, an article on the role of the medical provider in child sexual abuse evaluations, a study of satisfaction levels with multidisciplinary teams in child advocacy centers, and a commentary advocating for the credentialing of forensic interviewers. We call for further empirical examination of media related to child sexual abuse risk, research on appropriate models for extended sexual abuse interviews and evaluations, and optimal practices relevant to each member of multidisciplinary teams in a child advocacy center.  相似文献   
795.
The Mandarin registers known as lǐyǔ (俚语) have commonly been translated as ‘slang,’ though traditionally lǐyǔ has differed from slang in English by virtue of its strong link to regionalism. A newly emergent version of lǐyǔ that is prominent among young Chinese is marked not by regionalism but by its Internet‐enabled global purview. This youth‐culture lǐyǔ, like the student slang described by Eble (1996) , functions as a device to promote group solidarity while also serving as an identity marker for China's millennial generation. Lǐyǔ, like the numerous versions of slang described in English, Portuguese and other languages, is marked by ebullient or non‐deferential affect, an attribute that helps explains the close association between slang and swearwords. Slang and lǐyǔ lexemes, in light of the affect they entail, are the pragmatic opposites of honorifics – terms which index deference within formal, hierarchical structures.
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796.
According to current estimates, more than a quarter of all students and over 40 percent of African American and Hispanic students do not graduate from high school on time. The vast majority of those young people who do not graduate with their peers drop out. The enormous costs to these individuals, their communities, and our society require us to invest in systems that accurately identify young people at risk of dropping out and provide the supports necessary to keep them on track to graduation. This chapter offers a framework for action that calls on communities to identify the scale and scope of the dropout problem and understand why students disengage from school; transform or replace low-performing schools; install early warning and multitiered response systems that provide comprehensive, targeted, and intensive supports to students in and out of school; establish supportive policies and resource allocations; and build community will and capacity so positive changes are deeply implemented and sustained.  相似文献   
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799.
This research examines a model centered on organizational learning in purchasing. Two different studies are conducted to test the hypotheses among purchasing users (Study 1) and buyers (Study 2). The user sample consists of users representing 355 strategic business units of a Fortune 500 multinational corporation. The buyer sample consists of corporate buyers of 200 multinational corporations drawn from the membership directory of the National Association of Purchasing Management (NAPM). In each study, the focus is on the learning relationships between corporate buyers and internal users in the purchasing organization. Based on the two studies, the results suggest that organizational learning in the purchasing process is influenced by the organizational culture factors of localness, transformational leadership, and openness. Organizational learning has a positive effect on information processing in the purchasing system, which, in turn, has a positive influence on the cycle time of the purchasing process.  相似文献   
800.
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