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排序方式: 共有283条查询结果,搜索用时 805 毫秒
81.
随着企业信息化建设的深入和发展,企业应用集成已成为其重要内容.WebServices技术的出现和发展,为企业应用集成提供了新的模式.文章分析了实施企业应用集成的层次;介绍了WebServices的层次架构、运行模式和机制;并根据WebServices的关键技术和原理,设计了基于WebServices技术的企业应用集成框架.  相似文献   
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This paper reviews the changes in the health status of Native Americans since the mid-1950s, how the disease pattern differs from non-Natives, and regional differences within the Native American population. Despite some limitations, data from the Indian Health Service indicate that substantial decline in the infant mortality rate and mortality from such infectious diseases as tuberculosis and gastroenteritis has occurred. With the exception of cardiovascular diseases and cancer, the risk of death from most causes are higher among Native Americans than the total US population. Geographic variation in disease rates can be demonstrated, most notable in diabetes. The unique pattern of diseases among Native Americans reflect the interaction of environmental and genetic factors. Genetic susceptibility plays a significant role in some diseases, such as diabetes, while for others, the generally lower socioeconomic status, higher prevalence of certain health risk behaviors and lower utilization of preventive services in the Native American population are important determinants.  相似文献   
85.
There is often a disconnect between the best available research and the policy decisions governing the functioning of large child-serving systems. This paper argues that this is, in part, due to conflating system contact with actual service provision. When outcomes are understood in terms of contacts as compared to services, this can lead to inappropriate or inadequate policy responses. Empirical data on contact and services for four large child-serving systems (child welfare, education, juvenile court, and mental health) are presented to illustrate this dilemma. Multi-sector services and need for collaboration are also briefly reviewed. Recommendations are made for improving data infrastructure and research to help bridge the gap between what policy makers see and actual system functioning. This is presented as a key step on the path to achieving evidence-based policy to support children's well-being.  相似文献   
86.

Objectives

Child maltreatment (CM) causes injury in large numbers of U.S. children. This study uses a large, multi-state dataset of child protective services reports for infants and young children under five years of age to examine risk factors and the effects of services in confirmed maltreatment investigations and recurrence over five years.

Methods

The Child Files of the National Child Abuse and Neglect Data System (NCANDS) for 2003-2007 were used to study confirmed CM reports to child protective services (CPS) using regression models and survival analysis among a cohort of children first reported during 2003.

Results

There were 1.2 million confirmed maltreatment reports to state child protective services agencies in 22 states during 2003-2007 in NCANDS, including 177,568 infants and young children under five years. 19.3% had a second confirmed CM report within 5 years. White race, inadequate housing and receiving public assistance were associated with significantly increased risk of CM recurrence. Infants and young children received more services and had less recurrence than did older children.

Conclusions

Infants and young children have different risk factors and receive different services than do older children in the CPS system. We need additional research to further assess and better target services for the special needs of infants, young children and their families if we are to protect them and reduce future child maltreatment.  相似文献   
87.
Early childhood professionals—social workers, educators, speech therapists, occupational therapists, physical therapists, pediatricians, and others—create the foundation for a life-long duration of experiences that families, who have children with disabilities, will have with various professional groups. The nature of the early childhood interventionists' interaction, treatment, services or supports of the child and the attitudes conveyed to families during these critical early years may be a significant factor in the willingness of families and young adults to continue to pursue therapeutic and supportive services. With insights into early intervention best practices, social workers are likely to find themselves in a preferred position to plan appropriate family-focused intervention strategies that may encourage success and prevent complications or a worsening of specific initial conditions among children with disabilities.  相似文献   
88.
关于建立社会福利机构绩效评估体系的设想   总被引:1,自引:0,他引:1  
针对我国社会福利服务事业刚刚起步、对社会福利机构尚缺乏有效监管和测评方法的现实 ,从社会福利机构绩效评估的定义入手 ,借鉴已有研究成果 ,提出了建立一个本土化的社会福利机构绩效评估体系的设想。  相似文献   
89.
This paper examines contacts that Swedish physically abused children have with the Department of Social Services (DSS) 4 years after a physical abuse incident has been reported to the police. The children’s files have been investigated in an effort to evaluate which child and parent characteristics led DSS to make interventions for the 69 children still in need of assistance, 4 years after the original abuse incident. Intervention by the DSS prior to the reported abuse incident increased the odds 18 times that a child would still receive interventions 4 years after the incident, and the presence of a mentally ill mother increased the odds 11 times.  相似文献   
90.
Kinship care, the placement of children with their relatives, has become an integral part of the child welfare system in the United States. It is also becoming a more established way of meeting the needs of children in care in other western countries (Greeff, 1999). However, kinship care did not emerge as a child welfare issue until the late 1980s, and only recently has it become a part of the formalized system for out-of-home care (Hegar & Scannapieco, 1995). Since that time, many states have come to rely more heavily on placements with relatives to meet the needs of children removed from parental custody. For example, California has placed approximately 51% of the foster care population in kinship care, while Illinois has placed 55% (GAO, 1999).Discussion about the reasons for the increases in kinship care has been widespread (Brooks & Barth, 1998; Gleeson, 1999; Harvey, 1999; Hegar & Scannapieco, 2000). Regardless of the impetus behind the increased use of kinship care, states must now incorporate kinship foster care into the traditional foster care system in order to qualify them for federal funding (O'Laughlin, 1998). The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 amended federal law to require that states give priority to relatives when deciding with whom to place children who are in the foster care system (GAO, 1999).The apparent paradigm shift from traditional foster parents to kinship care parents (Hegar, 1999) requires that agencies use both different approaches to assessment (Scannapieco & Hegar, 1996) and provide different types of intervention and services. Adapting placement services to the needs of kinship care providers is the focus of this article.  相似文献   
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