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151.
Matching and attribute trade are two perspectives used to explain mate selection. We investigated patterns of matching and trade, focusing on obesity, using Add Health Romantic Pair data (N = 1,405 couples). Obese individuals, relative to healthy weight individuals, were less likely to have physically attractive partners, with this disadvantage greater for women than men, and greater for White women than Black women. Additional education, a more attractive personality, and better grooming increased the probability of having a physically attractive partner and offset the disadvantage of obesity for some individuals. Unexpectedly, we found women, like men, trade education for their partners’ physical attractiveness. Despite evidence of attribute trade, matching with respect to physical characteristics was the dominant mate selection pattern.  相似文献   
152.
Behavioral observation of battered children reveals a generalized syndrome consisting of apathy, social isolation, emotional constriction, aggression, and intellectual, motor and language retardation. This syndrome is considered to be a ‘behavioral deficiency syndrome.’ Developmental interference imposed by abusive parents upon the child, and subsequent reactive learning by the child are discussed as etiological factors in the development of this syndrome. Implication of these etiological factors for therapy of the abusive family are also discussed.  相似文献   
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154.
The widespread application of technology in health care has imposed a broad range of challenges. The field of health technology assessment (HTA) is developed in order to face some of these challenges. However, this strategy has not been as successful as one could hope. One of the reasons for this is that social and ethical considerations have not been integrated in the HTA process. Nowadays however, such considerations have been included in many HTAs. Still, the conclusions and recommendations of the HTAs are not followed. The reason for this may be that the methods for integrating ethics for HTA are not sufficiently developed, or that they are not adequate. This article presents a supplementary approach to the ethical inquiry in HTA. It is argued that a value analysis is crucial in order to address the ethical issues of health care technology in a fruitful way and to make viable decisions about such technology.
Bjørn HofmannEmail: Phone: +47-2-2844645Fax: +47-2-2844661
  相似文献   
155.
This paper reports the results of a needs assessment study conducted by a university-based alcohol abuse prevention project. Data are presented on the drinking patterns and drinking problems of a random sample of 462 students. Results suggest that students are experiencing numerous difficulties in the physical, educational, legal and psychosocial areas due to their use of alcoholic beverages. Implications for prevention and intervention programming are discussed and the need for planning programs from a data-based perspective rather than a rational and intuitive approach is stressed.  相似文献   
156.
157.
This paper discusses measurement issues related to the evaluation of computer-tailored health behavior change programs. As the first generation of commercially available tailored products is utilized in health promotion programming, programmers and researchers are becoming aware of the unique challenges that the evaluation of these programs presents. A project is presented that used an online tailored health behavior assessment (HBA) in a worksite setting. Process and outcome evaluation methods are described and include the challenges faced, and strategies proposed and implemented, for meeting them. Implications for future research in tailored program development, implementation, and evaluation are also discussed.  相似文献   
158.
In this article, we present strategies to help combat the U.S. nursing shortage. Key considerations include providing an attractive work schedule and work environment—critical issues for retaining existing nurses and attracting new nurses to the profession—while at the same time using the set of available nurses as effectively as possible. Based on these ideas, we develop a model that takes advantage of coordinated decision making when managing a flexible workforce. The model coordinates scheduling, schedule adjustment, and agency nurse decisions across various nurse labor pools, each of differing flexibility levels, capabilities, and costs, allowing a much more desirable schedule to be constructed. Our primary findings regarding coordinated decision making and how it can be used to help address the nursing shortage include (i) labor costs can be reduced substantially because, without coordination, labor costs on average are 16.3% higher based on an actual hospital setting, leading to the availability of additional funds for retaining and attracting nurses, (ii) simultaneous to this reduction in costs, more attractive schedules can be provided to the nurses in terms of less overtime and fewer undesirable shifts, and (iii) the use of agency nurses can help avoid overtime for permanent staff with only a 0.7% increase in staffing costs. In addition, we estimate the cost of the shortage for a typical U.S. hospital from a labor cost perspective and show how that cost can be reduced when managers coordinate.  相似文献   
159.
This paper investigates American Jews’ personal experiencing of anti-Semitism and perception of its extent. Analysis of NJPS-2000/2001 indicates that lower age, less education, and American nativity increase experiencing of anti-Semitism. Religious identification and attachment to Israel are positively associated with anti-Semitic experience; friendship with other Jews has the opposite effect. Contextual factors are not significant for the experiencing of anti-Semitism but living in a state that leans toward the Democratic Party has a downward effect. Contrary to experience, younger age and higher education are negatively associated with the perception of a high incidence of anti-Semitism. Being a woman, American born, and living in states with high concentrations of Jews positively affect Jews’ perception of anti-Semitism. A paramount determinant of the perception of anti-Semitism is the individual’s belief that he or she has experienced it. The results are discussed in reference to three working hypotheses of integration, group identification, and environment.  相似文献   
160.
精神障碍者的拒绝治疗权是弱者人权保障与自我决定权在《精神卫生法》中的贯彻,是精神卫生立法的核心问题之一。其兼具必要性和复杂性,因而在理论与实践中经常遭到曲解,如视精神科医生的医学判断为法律判决、将强制住院等同于拒绝治疗权的丧失、将限制拒绝治疗权适用的紧急情形扩大为一般性危险。由此导致对精神障碍者拒绝治疗权的否定和对人类尊严的蔑视,形成了贬低人格的家长主义。因此,学界需要对认识误区进行深度剖析并提出相应的对策,以期为完善我国的精神卫生立法提供建议。  相似文献   
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