Increasing Client Voice within Involuntary Groups

Partners for Change Outcome Management System (PCOMS) is a client-driven outcome management system that has been proven effective with engaging voluntary mental health client populations through several randomized clinical trials. Little is known, however, about PCOMS application to clients who are court ordered or pressured to attend group programs. This study (N = 10) interviewed group facilitators who use PCOMS with involuntary groups. Participants strongly endorsed the use of the instruments to increase client voice, respond supportively to client incongruence, and focus on client responsibility for change. Guidelines for application to involuntary groups and research and practice implications are discussed.     

慢性乙型病毒性肝炎的科学治疗与预防

乙肝在我国广泛流行,严重危害人民的健康,给病人、家庭、社会造成沉重的经济负担和巨大的精神压力,给社会发展带来不容忽视的影响。针对公众对于乙肝的恐慌心理和治疗、预防乙肝的模糊认识,文章介绍了慢性乙型病毒性肝炎(乙肝)的感染机理、乙肝病毒的传播途径和预防方法、乙肝病人的临床诊断和治疗原则。在此基础上介绍了病程进展和相关表现症状,明确了乙肝治疗的总体目标,传递了科学的治疗与预防知识,提出了预防控制乙肝宣传教育的知识要点。     

Siblings’ Differential Treatment in Mexican American Families

We investigated the patterns and correlates of parents’ differential treatment of adolescent siblings in 246 two‐parent Mexican American families. In home interviews, siblings rated 7 domains of differential treatment (e.g., privileges, chores, warmth) as well as their adjustment and perceptions of parental acceptance and fairness, and both parents and adolescents reported on cultural dynamics. More gender‐typed patterns of differential treatment were evident when parents were more oriented to Mexican than Anglo culture. The links between differential treatment and youth reports of adjustment, parental acceptance, and parental fairness were moderated by adolescents’ familism values, particularly for older siblings: Differential treatment was linked more strongly to adjustment and parent‐youth relationship problems when youth reported lower levels of familism.     

放射治疗可变野准直器的研究与设计

在总结归纳了不同时期放射治疗设备准直器的设计和应用之后,分析了它们的优点以及不足,提出了可变野准直器。它是采用机电一体化和机器人技术原理设计而成,并模拟IMRT的方式进行准直器调强的验证。对提出的可变野准直器的原理和特点进行解释,对设计方案进行了详细阐述。该设备活动空间增大,改进了特殊部位肿瘤的治疗,成为先进放疗系统中最关键的部件之一。     

A Clinical Comparison of Lesbian and Heterosexual Women in a Psychiatric Outpatient Clinic

ABSTRACT

Previous research has reported that when compared to heterosexual women, lesbians may use alcohol and illicit substances to a greater degree and may experience greater psychiatric symptomatology. This study sought to describe any differences in clinical diagnoses, familial histories, and substance usage between lesbian and heterosexual women in a psychiatric outpatient clinic. A chart review was conducted and a sample of 455 heterosexuals and 75 lesbians was obtained. Data, where available, included demographic information, clinical diagnoses, time in treatment, sexual orientation, past and present substance use, and familial substance abuse and psychiatric history. Lesbians were found to have greater past illicit substance use but less current use. No significant differences were found for alcohol use. Similarly, no significant differences in clinical diagnoses were found. Significant differences were found among families. Family members of lesbians had greater substance use and psychiatric histories. These findings both support and dispute some previous research and suggest areas for future researchers to explore.     

论社会转型期的发展性控制

我国目前面临着从传统计划经济向现代市场经济的转型,而要成功地实现这一转型,采取"稳中求进"的发展性控制模式是当前中国的必然选择.发展性控制是在维护社会稳定的过程中谋求社会高速发展的社会控制模式.它以重建社会公平的现实,实现利益的新平衡,形成稳定的道德秩序和良好的社会风气,保持社会的稳定等为目标.同时,它又主张积极地选择和利用多元的社会控制手段,采取综合治理的控制模式,并强调众多控制手段的综合协调运用的重要性.     

MCAI网页课件的制作及其在水处理教学中的应用

MCAI网页课件具有一般CAI课件不可比拟的优点,是现代化教育发展的趋势。本文介绍了制作MCAI网页课件常用的软件及方法,并介绍了自行开发的水处理实验MCAI网页教学课件。     

基于都市圈一体化视角的治理机制研究

都市圈一体化是城市与区域经济发展的必然趋势,如何有效协调区域经济＂碎片化＂与＂一体化＂之间的内在矛盾,实现空间资源整合,是当前理论界与实践部门关注的焦点。本文将治理理论引入都市圈发展,指出创新治理机制是实现都市圈一体化的有效途径,并经过长期的研究与实践,基于治理的内涵和我国国情,提出构建多元复合型都市圈治理机制以推进长三角一体化进程。     

Risk Assessment of Salmonellosis from Consumption of Alfalfa Sprouts and Evaluation of the Public Health Impact of Sprout Seed Treatment and Spent Irrigation Water Testing

We developed a risk assessment of human salmonellosis associated with consumption of alfalfa sprouts in the United States to evaluate the public health impact of applying treatments to seeds (0–5‐log₁₀ reduction in Salmonella ) and testing spent irrigation water (SIW) during production. The risk model considered variability and uncertainty in Salmonella contamination in seeds, Salmonella growth and spread during sprout production, sprout consumption, and Salmonella dose response. Based on an estimated prevalence of 2.35% for 6.8 kg seed batches and without interventions, the model predicted 76,600 (95% confidence interval (CI) 15,400 – 248,000) cases/year. Risk reduction (by 5 ‐ to 7‐fold) predicted from a 1‐log₁₀ seed treatment alone was comparable to SIW testing alone, and each additional 1‐log₁₀ seed treatment was predicted to provide a greater risk reduction than SIW testing. A 3‐log₁₀ or a 5‐log₁₀ seed treatment reduced the predicted cases/year to 139 (95% CI 33 – 448) or 1.4 (95% CI <1 – 4.5), respectively. Combined with SIW testing, a 3‐log₁₀ or 5‐log₁₀ seed treatment reduced the cases/year to 45 (95% CI 10–146) or <1 (95% CI <1 – 1.5), respectively. If the SIW coverage was less complete (i.e., less representative), a smaller risk reduction was predicted, e.g., a combined 3‐log₁₀ seed treatment and SIW testing with 20% coverage resulted in an estimated 92 (95% CI 22 – 298) cases/year. Analysis of alternative scenarios using different assumptions for key model inputs showed that the predicted relative risk reductions are robust. This risk assessment provides a comprehensive approach for evaluating the public health impact of various interventions in a sprout production system.