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811.
批判了现代经济学给人类发展带来的弊端,认为现代经济理论只是追求经济的增长,这不利于人类的可持续发展,并提出了生态经济学的发展方向,主张经济发展应以人类共同体的福祉为目标。  相似文献   
812.
Abstract

The Total Medical Record (TMR) system used by the Division of University Health Services at Duke University is an integrated medical and management information system. One module supports the financial needs of the division. To facilitate managerial performance, TMR automatically prints insurance claims, refund statements, revenue summary data, service utilization, itemized visit statements, monthly patient bills, dunning letters, and has a host of unique features that aid management with controlling the private fees generated by the University Health Services. In addition, the servicing of prepaid programs is accommodated, and the splitting of charges between prepaid and fee-for-service programs occurs automatically.  相似文献   
813.
Abstract

Objectives: This exploratory study examined pre-event drinking, or pregaming, by US college students. Participants: 112 undergraduates from 10 Pennsylvania colleges participated. Method: A focus group, including a written questionnaire, was conducted at each institution. Results: Only 35.7% of the participants had not pregamed during the last 2 weeks. Pregamers consumed an average of 4.9 (SD = 3.1) drinks during their most recent session. Gender, class year, and other demographic variables did not predict pregaming. Heavier drinkers, and those stating that the average student pregamed 3+ times in the last 2 weeks, were more likely to report pregaming in the last 2 weeks. How much students drink when pregaming is influenced by how much they expect to drink later on. Conclusion: Pregaming presents a growing challenge for campus officials. Additional research is needed on the nature of the problem and which combination of prevention strategies might best address this behavior.  相似文献   
814.
815.
Many of the procedures undertaken within healthcare require specialized forms of participation that may be unfamiliar, even disturbing, to patients or clients. The practitioner has to encourage and enable participation in the investigation in an appropriate fashion while preserving the structure and integrity of the procedure. In this article, we consider optometry and the deployment of a vision test, known as subject refraction, that provides data to help determine the characteristics of any corrective lens that may be required by clients. The procedure's ability to establish robust and reliable data relies upon the optometrist's ability to encourage the client to respond to a series of stimuli without consideration or reflection. That is, the client is required to produce an unwitting response—conduct that might be considered nonsymbolic rather than symbolic. In this article, we also consider the optometrist's talk and bodily comportment during subjective refraction and how it serves to shape and determine the quality of the client's response and participation, and in turn to produce reliable test results.  相似文献   
816.
The authors investigated the strategies that helped or hindered 10 immigrant women workers to do well with change that affected their work. A total of 182 incidents were extracted and grouped into 9 categories: personal beliefs/traits/ values, taking action, skills/education, personal challenges, self‐care, relationships/ support, government/community resources, work environment, and contextual challenges. Results support and extend contentions that both internal/personal and external factors are key successful adaptation to change for immigrant women. Implications for research and practice are discussed. Counseling recommendations are offered for individuals who are struggling with change.  相似文献   
817.
自1928年国民党统治开始,中国第一次进入了其现代意义上的国际合作关系时期,寻求国际伙伴关系首次成为中国内政与外交政策的主要目标.20世纪30年代和40年代早期的中德、中俄和中美关系各自具有鲜明的特性.中德关系建立在两国领导人互相信任和经验积累的基础之上,某些意识形态上的类似是其得以发展的主要因素,但更重要的是互补的经济利益使国民党可以实现平等的合作.中苏关系和中美关系一开始就是为了增强双方对付共同敌人的力量而形成结盟的,之前都不具有恰当的合作机制,而意识形态是一个复杂的、不利于结盟的因素.在中苏关系中,结盟意味着从直接敌对状态转向谨慎的合作.而中美之间非国家层面上的合作既没有达到一个较高的水平,这些合作也不会自动强化双方的官方关系.当结盟机制仓促建立起来时,却缺乏坚实的结构基础.  相似文献   
818.
819.
Environmental education organizations can do more to either institute evaluation or improve the quality of their evaluation. In an effort to help evaluators bridge the gap between the potential for high quality evaluation systems to improve environmental education, and the low level of evaluation in actual practice, we reviewed recent environmental education literature to reveal the challenges and opportunities for evaluating environmental education programs. The literature review identified strategies for confronting the challenges in environmental education evaluation, as well as notable opportunities for increasing the quality of evaluation in environmental education.  相似文献   
820.
Abstract

The authors anticipate that the primary use of this analysis will be to demonstrate journal price fluctuations by discipline and country of origin to department heads, university and hospital administrators, and others concerned (or who should be concerned) with the costs of health information. The authors expect to repeat this study on an annual basis and would welcome any comments.  相似文献   
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