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51.
[Scientists] are neither Gods nor charlatans; they are merely experts, like every other expert on the political stage. They have, of course, their special area of expertise, the physical world, but their knowledge is no more immaculate than that of economists, health policy makers, police officers, legal advocates, weather forecasters, travel agents, car mechanics, or plumbers. The expertise that we need to deal with them is the well‐developed expertise of everyday life; it is what we use when we deal with plumbers and the rest. Plumbers are not perfect-far from it‐but society is not beset with anti‐plumbers because being anti-plumbing is not a choice available to us.1  相似文献   
52.
Reducing the number of preterm births is a high public health priority in the U.S. Preterm birth, affecting an estimated 380,000 infants annually, is a leading cause of infant mortality and morbidity and is associated with individual and systemic characteristics. Preterm birth is estimated to cost society $26 billion annually. Despite an elevated financial burden caused by preterm birth, very little is known about who bears these costs. This study seeks to understand the relationship between Medicaid and private insurance payment for preterm birth, using multiple years of vital statistics data, which for the first time since 2010 include information on payment source. The nationwide data cover births that occur in all settings, including non-hospital settings, and many maternal characteristics not available in other datasets, improving upon previous analyses. These data can be used to promote better Medicaid coverage of interventions known to be effective in reducing preterm births.  相似文献   
53.
This report on practice discusses the pertinence of agile principles on the basis of the case “Universitätskolleg”, a central organisational unit of Universität Hamburg to promote the quality of studies and teaching. It describes previous experience with the framework scrum and the method Lean Kanban in mind. Odds and challenges of agile principles in university context are described and reflected and next steps are named.  相似文献   
54.
Delinquent peers have a strong influence on adolescent delinquent behavior. However, few studies have investigated adolescents’, and in particular young females’, own perspectives of the role of peers on their delinquent behavior. The purpose of the present study was to explore how young female offenders described their delinquent behavior and more specifically the role they assign to peer relations in committing or avoiding delinquent acts. Nine female adolescents, sentenced to youth service, were interviewed, and the data was analyzed using the Consensual Qualitative Research (CQR) method. The results showed that committing crimes and taking drugs with peers were portrayed as a way for the female delinquents to socialize. Delinquent and pro-social activities with peers appear to serve similar developmental functions in the sense that it is described to fulfill the same developmental needs. The young offenders also described collectively created pressures and norms in the peer group as the main contributing factor to their norm-breaking behavior, where they described being both recipients and producers of influence in the group. Another important finding was that the female offenders showed an awareness of the importance of pro-social peers and the need to eliminate delinquent friends from their peer network in order to help them refrain from deviant behavior. Implications for prevention and intervention are discussed.  相似文献   
55.
The article examines different forms of institutionalization of religion in Germany since the 1950s. Going beyond the classical church-sect dichotomy, we discuss in a theoretical part communities, organizations, market relations, movements and events as possible candidates for the structuring of religious communication. In an empirical part, we outline recent changes of social forms in Germany. By addressing divergent trajectories in the major German churches, smaller Christian denominations, immigrant religions and the evolving spectrum of new religiosity, we show that a general trend is not observable. The developments do not prove the often claimed ‘end of religious communities’. It rather seems that modernity produces a variety of religious social forms that seem to balance the tension between communalization (Vergemeinschaftung) and socialization (Vergesellschaftung).  相似文献   
56.
Abstract

Objective: To implement a pilot quality improvement project for depression identification and treatment in college health. Participants: Eight college health center teams composed primarily of primary care and counseling service directors and clinicians. Methods: Chronic (Collaborative) Care Model (CCM) used with standardized screening to identify, treat, and track depressed students for 12 weeks to monitor predetermined process and clinical outcomes. Results: Of all students receiving primary medical care services between January 2007 and May 2008, 69% (n = 71,908) were screened for depression. A total of 801 depressed students were treated and tracked; most predetermined treatment process and clinical outcome targets were achieved. Conclusion: The CCM for depression shows promise for improving depression identification and care for college students.  相似文献   
57.
58.
Since the 1990s there is an ongoing process of decentralisation and ??Verbetrieblichung?? in German labour regulation. The opening of regional sector-level collective agreements for additional specific bargaining at the plant level is evaluated and discussed by practitioners and scholars very controversially. Critics of the decentralisation trends expect an increase of distributive conflicts inside plants and companies. The article analyses whether there are actually signs for an increase of conflicts in firm-level industrial relations in this context, and if so, under which conditions conflicts are likely to occur. Based in theoretical considerations, the article analyses the influence of different patterns of collective agreements on the incidence of conflicts and the relationship between employers and employees at firm level. Empirical data stems from a representative survey that includes interviews with management and employee representatives from German private sector companies. The data suggest some evidence on the conflict reducing function of industry-level collective agreements. Changes in a firm??s regulation structure appear to increase conflicts.  相似文献   
59.
A cross-national community structure survey examined the relationship between national characteristics and newspaper coverage of water handling. Sampling all relevant 250+ word articles from September 1, 2000 (the implementation of UN Millennium Development Goal target 7c) to September 1, 2010 in 21 newspapers worldwide in NewsBank and AllAfrica databases yielded 394 articles. Articles were coded for visual/editorial “prominence” and “direction” (framing of clean water access as primarily “government responsibility,” “societal responsibility,” or “balanced/neutral” coverage), then combined to produce composite “Media Vector” scores for each newspaper (+.5241 to ?.3886, a range of .9127). Thirteen of 21 Media Vectors (60%) reflected coverage favoring government responsibility for water handling. Pearson correlations revealed the potency of 4 variable cluster scales (all α = .70+) as major correlates of water handling coverage: “female empowerment,” “vulnerability,” “privilege,” and “press freedom,” with three clusters connected to “societal” responsibility. Regression analysis reinforced the strong role of female empowerment in coverage emphasizing societal responsibility. Overall, indicators of privilege and press freedom followed suit, also linked to coverage emphasizing “societal” responsibility for water handling, whereas indicators of vulnerability instead correlated with more media emphasis on government responsibility.  相似文献   
60.
This study presents the perspective of parents who adopted children internationally and their now adult adopted children regarding the impact of international adoption on their lives. Areas explored include adaptation of the child and family, challenges experienced along the way, influence on various aspects of their lives, parent-child relationship, rewards and regrets associated with the adoption experience, recommendations for those considering international adoptions, and an adjective that would describe their journey. The outcome illuminates the success of international adoptions and the life-changing bond that is formed when parents and children transcend all boundaries to form a family to call their own.  相似文献   
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