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61.
This paper describes the present status of aquaculture activities in Dhaka City and its surrounding areas including the system of fish marketing and distribution and environmental and socioeconomic issues. Dhaka City contains over 10 million people and is expanding day by day. Demand of fish in the last 10 years has increased as a result of increases in population and income levels. The annual per capita consumption of fish is reported to drop by 0.5 kg since 1985. The reason for this decline is increased prices and decreased supply of fish. Fish supply to the city comes from catch in the rivers-estuaries and floodlands of Dhaka district, neighboring districts, imports from other areas and aquaculture in surrounding areas of the city. Considerable quantities of fish are imported from India, Myanmar and Thailand. Seasonal patterns are common both in supply and consumption of fish. Along with traditional rural household aquaculture, in recent years, urban and peri-urban aquaculture has also been popular. Three broad types of aquaculture activities are found in and around Dhaka City; these are polyculture of carp in ponds, monoculture of catfishs in ponds, and pen and cage aquaculture in open waters. The carp includes both Indian major carp and Chinese carp and some minor carp. The catfish group includes mainly Thai pangas (Pangasius sutchi). Tilapia (Oreochromis niloticus) is also widely popular among the farmers. The technology used for aquaculture is improved extensive to semi-intensive. Increasing demand for fish in the city markets has encouraged the expansion of peri-urban aquaculture with a corresponding increase in the proportion of farmed fish in the markets.  相似文献   
62.
Munchausen syndrome by proxy (MSbP) was first described by Dr Roy Meadow in 1977 as a form of child abuse in which illnesses are fabricated in a child by a parent, usually the mother. The parent causes the illness in the child or exaggerates symptoms in the child, resulting in unnecessary medical and psychological treatments and hospitalizations (Meadow, 1985). The presentation of children in a variety of ways to different medical institutions often defies detection (Williams, 1986). Extra vigilance and investigative efforts are required to unravel the complexity of the action in the pathogenic family. In recent years, MSbP has been reported with increasing frequency and it is now recognized as more common in the service delivery system than has been previously documented. Medical, psychological and social information are separate pieces of a puzzle which will remain separate without a coordinating body to integrate and complete the overall picture. This paper explores a particular case in the State of New South Wales, where members of the legal, medical, social work and psychology professions collaborated to establish that the child was in need of care and should be removed from the high-risk environment in the family home. This is the first Munchausen case in New South Wales that has proceeded to the Supreme Court. Highlighted are the difficulties involved in identifying the syndrome. It is proposed that a coordinating body is fundamental for collating retrospective medical records and to provide a pivotal point for the various professionals involved to meet, exchange and share discrete information. It is further suggested that the Child Protection Services within the State be made responsible for this function and a standardized and systematic procedure be adopted when encountering cases of possible MSbP.  相似文献   
63.
This study was conducted to develop and initially evaluate the psychometric properties of the Planned Happenstance Career Inventory (PHCI), which aims to assess skill in using chance events to develop career opportunities. After item generation and exploratory factor analysis, 130 original items were reduced to 25 items across 5 factors (5 items for each corresponding factor). Multigroup confirmatory factor analysis confirmed the validity of this 5‐factor structure, and the goodness of fit showed an adequate fit to the observed data for both women and men. Results showed that PHCI subscales correlated moderately and in expected directions with career preparation, career decision‐making self‐efficacy, and career stress. These findings suggest that the PHCI, which assesses 5 dimensions of career‐related planned happenstance skill, shows promise as a useful tool for facilitating understanding of the influence of chance events on career choice behavior.  相似文献   
64.
The purpose of this study was to examine the outreach effort and impact of a joint federal-state campaign, Own Your Future, promoting awareness and planning for long-term care (LTC) in the state of Washington. The study applied survey methodology to evaluate the extent of campaign dissemination, evidence of its impact on LTC planning behaviors, and barriers to purchasing private LTC insurance. A total of 3,198 survey responses from a randomly selected community sample and a Washington State employee sample (ages 51 to 71) were analyzed. Results indicated that the impact of the campaign was limited, both with respect to awareness of the campaign itself and to initiation of LTC planning behaviors. Quantitative data revealed a high prevalence of health-related problems (e.g., obesity, diabetes), inadequate knowledge of basic LTC-related information (e.g., cost, payers), and negative attitudes toward purchasing LTC insurance among respondents. Qualitative analyses suggested that respondents perceived significant problems related to affordability and accountability within the current LTC insurance industry. These possible barriers to the purchase of LTC insurance suggest targets to be addressed by policy makers seeking to find ways to offset the public costs of LTC.  相似文献   
65.
The authors argue that Parsons, through commitment to his “convergence thesis” and to his structural-functionalism coupled with his biological evolutionism, misrepresents Weber. Parsons arbitrarily applies to the Weberian tradition his own criteria biased against history. His general theoretical focus inclines toward the tradition of the functionalist Durkheim and that of the evolutionist Spencer. The authors contend that the later metamorphosis of Parsons' general theory of action into a theory of social systems has resulted in an abstract conception of social reality that is incongrous with Weber's view. The source of the Parsonian bias is further traced in his psychologization of Weber. Finally, it is asserted that Parsons represents a case of a-historicism incompatible with the Weberian tradition, with the consequence that the important contributions of Weber's historical sociology for the understanding of social change in the modern world are lost.  相似文献   
66.
67.
Abstract

An outbreak of measles (rubeola) occurred on the Bloomington campus of Indiana University in February 1983, resulting in 179 clinically diagnosed cases. An aggressive, voluntary immunization program followed by the possibility of sanctions against nonimmunized students returning to campus after spring break resulted in 23,000 vaccinations, with other students submitting verifications of previous history of disease or live-vaccine immunization.

The factors that may have contributed to the outbreak were less natural immunity in this age group, absence of school legislation when these individuals were entering school, and use of killed vaccine which did not provide immunity.  相似文献   
68.
Abstract

Although the first student health service is credited to Amherst College in 1861, almost 50 years passed before Princeton University established the first mental health service in 1910. At that time, a psychiatrist was hired to help with student personality development. Although other schools subsequently established such services, the first 50 years of college mental health were marked by a series of national conferences. At the American Student Health Association's annual meeting in 1920, “mental hygiene” was identified as critical for college campuses to assist students to reach their highest potential. However, it took another 40 years before mental health and psychological counseling services became common on college and university campuses. The American College Health Association formed a Mental Health Section to serve mental health professionals in 1957, and most colleges and universities have now developed mental health and counseling programs commensurate with the size of their student bodies.  相似文献   
69.
Abstract

Objective: This study investigates the relative contributions of global self-esteem, body mass index (BMI), dieting behaviors, and perceived parental control and care on body satisfaction among a nonclinical sample of college students. Participants and Methods: Participants (49 males and 299 females) reported weight and height (to calculate BMI) and completed the EAT 26 test. Perceived parental care and control, global self-esteem, and body satisfaction were measured and examined in relation to BMI and dieting behavior. Results: High BMIs were associated with lower body satisfaction for both genders; dieting behavior, self-esteem, and perceived parental care and control demonstrated a unique gender-specific association among variables in prediction of body satisfaction and dieting behavior for each gender. Conclusions: Body satisfaction as a part of global self-esteem is constructed differently by males and females. Various aspects of parenting (care and control) are associated with self-esteem and body satisfaction for each gender, influencing dieting behavior.  相似文献   
70.
Health professionals often lack adequate protocols or knowledge to detect, manage, and prevent elder maltreatment. This systematic review describes and evaluates existing literature on the effectiveness of educational interventions to improve health professionals' recognition and reporting of elder abuse and neglect. Fourteen articles described 22 programs ranging from brief didactics to experiential learning and targeted a variety of health and social service audiences. Most evaluations were limited to satisfaction measures. These programs may result in increased awareness, collaboration, and improved case finding. However, using the published literature to guide new program planning is constrained by lack of details and limited evaluations.  相似文献   
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