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101.
ABSTRACT

The New York City Department of Health and Mental Hygiene partnered with the nation's largest university system, the City University of New York (CUNY), to provide technical assistance and resources to support the development and implementation of a system-wide tobacco-free policy. This effort formed one component of Healthy CUNY—a larger initiative to support health promotion and disease prevention across the university system and resulted in the successful introduction of a system-wide tobacco-free policy on all CUNY campuses. Glassman et al (J Am Coll Health. 2011;59:764–768) published a blueprint for action related to tobacco policies that informed our work. This paper describes the policy development and implementation process and presents lessons learned from the perspective of the Health Department, as a practical case study to inform and support other health departments who may be supporting colleges and universities to become tobacco-free.  相似文献   
102.
ABSTRACT

Although elder self-neglect is of significant concern to adult protective service (APS) workers in the United States, minimal research has been conducted on this topic in Australia. Using qualitative research methods, this article examines how 24 Australian professionals understand situations of self-neglect. Unlike in the United States, where the term self-neglect is used in a broad and all-encompassing manner, participants in this research differentiated among self-neglect (the neglect of self), squalor (extreme neglect of environment), collecting (the accumulation of certain objects), and hoarding (the inability to throw objects away). It is argued that separating out the various behaviors that are classified under the broad umbrella of neglect can be useful in fostering reflective interventions in these situations.  相似文献   
103.
ABSTRACT

Racial and ethnic discrimination has adverse effects on the health and mental health outcomes of people of color. Evidence indicates that modern discriminatory behavior is often a product of brief, commonplace, and often subtle acts that convey derogatory messages to people of color, known as racial and ethnic microaggressions. Accurately measuring microaggression is essential to understanding and preventing behaviors that are consistent with this complex construct. The current study examines evidence for the reliability and validity of the Racial and Ethnic Microaggressions Scale (REMS). Data from a sample of 286 randomly selected Black, Latino/Hispanic, and Asian young adults (ages 18–35 years old) were used to examine the REMS. Exploratory factor analysis was used to assess the factor structure of the REMS across racial and ethnic groups. Findings support the reliability of the instrument but also suggest that a shorter 5-factor model offers a promising alternative to the original 6-factor instrument. Results also reveal differences between how members of different racial and ethnic groups conceptualize microaggression. Recommendations for using a revised version of the instrument (the Revised 28-Item REMS) and for future research aimed at optimally measuring microaggression are identified.  相似文献   
104.
105.
ABSTRACT

Older adults with functional impairments are at risk of being excluded from participation in day-to-day life. This exclusion can have detrimental effects on psychological well-being. The physical home environment is a potential force for both enhancing and limiting participation for this population. This systematic review of literature examined relationships between the physical home environment, functional impairment, and psychological well-being among older adults who live in community settings. The Ecological Model of Aging served as the guiding framework for this review. Results suggest that knowledge of the relationships between these constructs is still in the early stages. While associational relationships are established, the nature of these relationships is clouded by the inconsistency of measurement across studies, as well as design challenges. Objective and subjective features of the physical home environment are linked to psychological well-being throughout the literature. A growing body of evidence demonstrates that personal competence serves as a moderator of those relationships.  相似文献   
106.
在国际教育合作背景下,福建农林大学引进的农业生态学(Agroecology)课程与福建省甚至全国高校双语课程相比具有独特的优势。本文回顾了中加合作《农业生态学》双语课程的引进和适应过程,以及其作为福建省"精品课程"的教学体系、风格、方式及其建设成效;最后作者提出从促进国际交流、加强教材建设和教学成果的推广应用等3方面努力把该课程建成国家级"双语示范课程"。  相似文献   
107.
This paper considers a general equilibrium model in which the distinction between uncertainty and risk is formalized by assuming agents have incomplete preferences over state‐contingent consumption bundles, as in Bewley (1986). Without completeness, individual decision making depends on a set of probability distributions over the state space. A bundle is preferred to another if and only if it has larger expected utility for all probabilities in this set. When preferences are complete this set is a singleton, and the model reduces to standard expected utility. In this setting, we characterize Pareto optima and equilibria, and show that the presence of uncertainty generates robust indeterminacies in equilibrium prices and allocations for any specification of initial endowments. We derive comparative statics results linking the degree of uncertainty with changes in equilibria. Despite the presence of robust indeterminacies, we show that equilibrium prices and allocations vary continuously with underlying fundamentals. Equilibria in a standard risk economy are thus robust to adding small degrees of uncertainty. Finally, we give conditions under which some assets are not traded due to uncertainty aversion.  相似文献   
108.
Why Has Safety Improved at Rail‐Highway Grade Crossings?   总被引:2,自引:0,他引:2  
The number of collisions and fatalities at rail-highway intersections in the United States has declined significantly over the past 30 years, despite considerable increases in the volume of rail and highway traffic. This article disaggregates the improvement into its constituent causes. Negative binomial regressions are conducted on a pooled data set for 49 states from 1975 to 2001. The analysis concludes that about two-fifths of the decrease is due to factors such as reduced drunk driving and improved emergency medical response that have improved safety on all parts of the highway network. The installation of gates and/or flashing lights accounts for about a fifth of the reduction. The development in the 1970s and early 1980s of the Operation Lifesaver public education campaign, and the installation of additional lights on locomotives in the mid 1990s, each led to about a seventh of the reduction. Finally, about a tenth is due to closure of crossings resulting from line abandonments or consolidation of little-used crossings.  相似文献   
109.
This article uses data from the 1996 Uganda Demographic and Health Survey to examine whether migration of women improves the survival chances of their children to age five. We expand on prior research by testing not only the hypothesized positive effect of rural-urban migration, but also the effects of other migration stream behaviours on child survival. Results show that up to 10% of children die before age five and within-group differences in mortality exist among urban and rural children depending on their mother's migration status. Only urban-urban migration was significantly related to child survival, compared to rural non-migrants, after controlling for other factors, although other streams of migration (rural-urban, urban-rural, rural-rural) were positively related to child survival. Generally, migration explains a small component of the variance in child survival. Several other factors, including parents' education, household size, household headship, mother's age at birth, duration of breastfeeding, and place of delivery have a significant predictive power on child survival.  相似文献   
110.
Homelessness pervades every fabric of American society: it has plagued individuals and families, young and old, males and females. This paper analyzes and discusses the feasibility of a current proposal, Priority: Home? The Federal Plan to Break the Cycle of Homelessness, and the intended effects of its policies pertaining to the homeless. Specifically, the plan outlines the need for a continuum of care, a concept which promotes three stages to attain self-sufficiency: emergency shelter, transitional housing, and permanent housing. Providing support services and follow-up care are contingent on the success of the continuum. The plan therefore describes a comprehensive solution to address homelessness and requires that all levels of government participate in the process.  相似文献   
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