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121.
We present the results of the use of a cognitive behavioral therapeutic intervention tool to improve the mental, physical, and social health of a group of long-term unemployed women in Spain. Method: We sent automated text messages (SMS) to the mobile phones of long-term unemployed women selected at random from public social services. During a 28-day intervention period, women received four daily automated text messages on her mobile phone on a predetermined hourly schedule. We measured depression symptoms at the start and end of the intervention and we analyzed qualitative data to determine the acceptability of a remote SMS program. Results: Depression symptoms using the Personal Health Questionnaire-9 (PHQ-9), went from an average of 13.8 at baseline to 4.9 at the end of 28 days (p?=?0.89). One hundred percent of the women reported that they liked receiving the text messages and most found them helpful.  相似文献   
122.
Patients with severe mental illness may have needs different from those of patients with more limited illnesses and might benefit from other types of intervention than traditional treatment. We interviewed health care professionals from two open, short-term psychiatric wards and teachers from two schools for adults with psychiatric diagnoses. The focus was to explore how differences in contextual factors such as time, tasks, and organizational demands might affect the actions and attitudes of health care professionals and teachers, as well as the potential consequences for patients and students. Data were collected through qualitative interviews. Participants included 14 health care professionals and 14 teachers. The informants worked with patients and students with similar diagnoses and illness durations. All interviews were conducted during the informants’ work time. Findings and interpretations showed that both teachers and health care professionals were engaged in their work and in the wellbeing of students and patients. However, they described marked differences in practice, including the amount of time spent with students/patients, the organization of their work, main tasks, amount of control over their tasks, and social structure. These differences seemed to affect relationships with students/patients, attitudes toward students/patients, norms and values, and opportunities for patient empowerment. Our findings suggest that while existing psychiatric health care might be appropriate for limited short-term problems such as single-episode depression, a model with a supportive environment, based on stable relations and possibility for learning, may improve personal development and mental health for persons with severe mental illness and disturbances in self-experience.  相似文献   
123.

Background

During the last decades, there has been an alarming and dramatic increase in the number of cesarean births in both developed and undeveloped countries. This increase has not been clinically justified but, nevertheless, has raised an important number of issues.

Aim

The aim of this study was to determine the risk factors associated with the high cesarean section rates in Lebanon.

Methods

This study is based on a sample of 29,270 Lebanese women who were pregnant between 2000 and 2015. Among these, 14,327 gave birth by cesarean section and 14,943 gave birth vaginally. To identify the risk factors of cesarean section, logistic regression was applied as a statistical method using the SPSS statistical package.

Findings

Of the 29,270 pregnant women included in the study, 49% had cesarean sections while 51% gave birth vaginally. Repeat cesarean section accounted for 23% while vaginal birth after cesarean accounted for only 0.2% of deliveries. In addition, weekdays were associated with a preference of providers to carry out more cesarean sections. According to an analysis of our data using logistic regression, the risk factors associated with the increase in cesarean section rates were advanced maternal age, elective cesarean section, malpresentation of fetus, multiple birth, prolonged pregnancy, prolonged labor, and fetal distress.

Conclusion

Based on these results, it is recommended that a new health policy be implemented to reduce the number of unnecessary cesarean deliveries in Lebanon.  相似文献   
124.
李本红 《河北学刊》2012,32(4):194-197
学术期刊是学术和学科建设的重要阵地,应以学术性作为编辑审稿工作的唯一标准。然而,在现有学术评价体制的影响下,这一工作受到了诸多非学术因素的消极干扰,如以作者身份的高低而非稿件质量的高低来取舍稿件。这一非学术性倾向直接影响了审稿的公正性,也削弱了编辑审稿活动的意义,是学术评价异化的一种反映,不利于学术研究的正常进行和健康发展。编辑应该强化责任意识,自觉克服心理因素,排除思维定势,提高学术判断力,重视学术新人的发现和扶持,从而有效发挥学术期刊在学术和学科建设中的积极作用。  相似文献   
125.
关于"IT投资是否能提高企业生产率"这一命题,学界一直众说纷纭,一个很重要的原因在于这些研究建立在IT投资能对企业生产率产生直接影响的假设前提之上,而忽略了IT作用于企业生产率的中间过程。IT投资必须与企业内部生产环境相吻合才能提高企业生产率,IT投资转化为企业生产率的影响因素包括内部因素和外部因素,其中内部因素包括企业管理特征、企业员工特征及企业结构特征;外部因素指的是企业所面临的外部环境。  相似文献   
126.
城市化进程中失地农民就业保障的政策选择   总被引:1,自引:0,他引:1  
解决失地农民的就业问题是我国现阶段新农村建设中的一个重要内容。近年来失地农民的就业基本情况有转移就业压力大,无就业和隐性失业等工作不稳定的状态,因土地征用而产生收入下降、生活得不到保障、助长社会不良现象的问题。影响失地农民实现就业的因素有土地征用制度、再就业安置措施、失地农民自身素质、就业歧视。今后必须重视失地农民的就业问题,完善土地征用补偿机制和就业安置方式,完善法律保障和社会保障体系,加强就业培训,转变就业观念等方面完善失地农民就业保障的政策。  相似文献   
127.
价值分配的对象是价值,不是财富.按劳分配的现实理论依据是劳动价值论,最终理论依据是按贡献分配.按生产要素分配的理论依据是以承认其价值创造作用为基础的按贡献分配,而不是按所有权分配.  相似文献   
128.
农业节水灌溉技术扩散过程中的影响因素分析   总被引:1,自引:0,他引:1  
农业节水灌溉技术对于提高农业灌溉用水的利用率非常重要,为了使农业节水灌溉技术更好的扩散,本文对农业节水灌溉技术扩散过程进行了详细分析。通过对农业节水灌溉技术扩散过程中的扩散源、被扩散的节水灌溉技术、扩散技术采用者等影响扩散的因素进行分析,以期为农村地区农业节水灌溉技术扩散效果的提高提供帮助。  相似文献   
129.
听力教学是大学英语教学的重点也是难点,在实际训练中,由于学生缺乏有效的技能训练,各种知识储备不足,加之大学生听力教学过程中乏少行之有效的培养策略,致使听力始终是大学生英语学习的弱项。这里针对大学英语听力教学所存在的问题,就影响学生听力理解的各种因素进行剖解,并结合现有的教学软硬件运用实践,提出了富有针对性的方法和策略。  相似文献   
130.
论证"十五"计划经济发展速度的前提是要正确分析和判断经济发展趋势、经济现象与经济规律的吻合程度,经济运行的工作质量和寻求解决问题的途径和办法。影响国内生产总值增长速度的因素有全社会固定资产投资总额、社会消费品零售总额、价格指数、进出口总额、实际利用外资、财政收入、居民储蓄和城镇居民人均可支配收入及农民人均纯收入八项。固定资产投资、消费品零售总额、进出口总额是经济增长可持续发展的关键因素,必须重视价格指数的正面影响,关注资本的投入量和资本的使用效率,关注财政投资对宏观调控能力的影响,增加城镇中低收入居民的可支配收入和增加农民收入是启动消费市场带动经济全面回升的重要步骤。  相似文献   
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