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991.
Population Research and Policy Review - Do welfare reform policies affect marital stability among two-parent families? Long term findings from an experiment in Minnesota, evaluated via a random...  相似文献   
992.
993.
A case is made for the therapeutic benefits of well-timed, prudently ventured sarcastic comments directed at persons in the patients'llives, including the therapist, who are experienced as failing them. Literature on use of humor in therapy is reviewed. The circumstances under which humor may be experienced empathically are suggested, as well as instances in which it may be contraindicated.  相似文献   
994.
Abstract Agriculture is the leading industry in the Commonwealth of Pennsylvania. At the same time, encroaching development has pressured prime agricultural land to change uses, a change usually considered irreversible. Some regions of Pennsylvania have used zoning to control and plan for the development of agricultural land, but these decisions have not always been agreed on. In response to conflicts over zoning and calls for more effective restrictions of development of prime agricultural soils, the state government implemented agricultural preservation programs designed to ensure the future viability of Pennsylvania's agriculture. While response has been reported as favorable, most reviews relied on voters' support of a state referendum to fund agricultural preservation programs. Few have examined local responses to the implementation of these programs. This paper explores local community responses to agricultural preservation and the state's programs in three regions of Pennsylvania which differ in levels of urban presence and pressure. Using secondary sources, qualitative data, and general population surveys, this analysis provides implications about strategies of agricultural preservation in a state which leads in such efforts.  相似文献   
995.
ABSTRACT

A housing adaptation (HA) can enable independent living in one's own home, but deciding to change the home environment can be a thought-provoking matter. The aim of this study was to explore the applicant's perspective and decision-making process when applying for an HA grant. Seventeen persons were interviewed about their application for such a grant, and the data were analyzed using a constant comparative approach. The findings illustrated how the participants negotiated control in their everyday lives as they went from recognizing a need to then deciding to apply for an HA grant. Before coming to a decision, alternative solutions were considered and their expectations on the effect of having an HA were explored. This knowledge is useful for professionals and caregivers to help support people during the HA decision-making process.  相似文献   
996.
Security as a phenomenon has come to occupy increasing social energy and thus merits sociological attention. But the question of how to go about studying “security” is somewhat vexing, because the concept of “security” is both highly polysemous (Ranasinghe 2013) and one that can potentially be located within a wide spectrum of social sites, ranging from the feelings of individuals to the practices of states. I suggest that we must first clarify what we are talking about when we talk about “security.” Here, I present several ideas for fully articulating the concept.  相似文献   
997.
Abstract

Objective: Interferon-γ release assays (IGRAs) are an important tool for detecting latent Mycobacterium tuberculosis infection (LTBI). Insufficient data exist about IGRA specificity in college health centers, most of which screen students for LTBI using the tuberculin skin test (TST). Participants: Students at a low–TB incidence college health center. Methods: TST and T-SPOT.TB were performed on prospectively recruited students. TB exposure risk was assessed using a questionnaire: Those at low risk were assumed to not have LTBI in order to calculate test specificity. Results: Of 184 students enrolled, 143 had results available for both TST and T-SPOT.TB. Agreement of the tests was 97% (kappa statistic 0.717; 95% confidence interval, 0.399–1.00). Among 124 low-risk students, specificity for TST and T-SPOT.TB were 98.4% and 100%, respectively. Conclusions: T-SPOT.TB specificity was high among low-risk students. Additional studies such as cost-effectiveness analyses using T-SPOT.TB as a single or confirmatory test to TST are needed to contribute to LTBI screening policy decisions.  相似文献   
998.
Abstract

This article reviews the literature dealing with problems brought by student-athletes to college counseling and mental health centers. Among the issues discussed are fear of success; identity conflict; social isolation; poor athletic performance; academic problems; and career or vocational concerns. In addition, the authors examine the paradox that although athletes experience as much or more psychological distress as non-athletes, research indicates that athletes use professional services less often than nonathletes. Finally, the authors review approaches to psychological intervention, including short-term psychotherapy, very brief interventions, cognitive behavioral therapy, and career/vocational counseling, and discuss special considerations for conducting therapy with athletes.  相似文献   
999.
ABSTRACT

One of the challenges in preventing the financial exploitation of older adults is that neither criminal justice nor noncriminal justice professionals are equipped to detect capacity deficits. Because decision-making capacity is a cornerstone assessment in cases of financial exploitation, effective instruments for measuring this capacity are essential. We introduce a new screening scale for financial decision making that can be administered to older adults. To explore the scale’s implementation and assess construct validity, we conducted a pilot study of 29 older adults seen by APS (Adult Protective Services) workers and 79 seen by other professionals. Case examples are included.  相似文献   
1000.
Although previous research has indicated stepfamilies experience poorer mental well-being than biological families, it has focused primarily on stepfather-led families. In contrast, this study focuses on the well-being of stepmothers. It is also the first to compare well-being across all combinations of residential, nonresidential, simple, and complex stepfamilies and to measure anxiety and depression as indicators of stepmother well-being. Participants were 333 biological mothers and stepmothers. Among the results, in comparison to biological mothers, full complex and part simple stepmothers reported significantly higher mean levels of, respectively, depression and anxiety. Results also suggest that, for biological mothers but not for stepmothers, having a long-term partner might be a buffer against anxiety and depression.  相似文献   
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