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The Food and Drug Administration may license OraQuick?, a rapid HIV test, for over-the-counter (OTC) sale. This study investigated whether HIV-uninfected, non-monogamous, gay and bisexual men who never or rarely use condoms would use the test with partners as a harm-reduction approach. Sixty participants responded to two computer-assisted self-interviews, underwent an in-depth interview, and chose whether to test themselves with OraQuick. Over 80% of the men said they would use the kit to test sexual partners or themselves if it became available OTC. Most participants understood that antibody tests have a window period in which the virus is undetectable, yet saw advantages to using the test to screen partners; 74% tested themselves in our offices. Participants offered several possible strategies to introduce the home-test idea to partners, frequently endorsed mutual testing, and highlighted that home testing could stimulate greater honesty in serostatus disclosure. Participants drew distinctions between testing regular versus occasional partners. Non-monogamous men who have sex with men, who never or rarely use condoms, may nevertheless seek to avoid HIV. Technologies that do not interfere with sexual pleasure are likely to be used when available. Studies are needed to evaluate the advantages and disadvantages of using OTC rapid HIV tests as one additional harm-reduction tool.  相似文献   
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We examined whether endorsing hyper‐masculine attitudes positively related to the psychological well‐being of adolescent boys (N=233) in an extreme son preference community, in Tamilnadu, India. A survey with masculinity and measures of psychological well‐being was administered. We predicted that endorsement of masculinity would positively relate to personal strength, academic achievement, and positive psychological outcomes. Using regression analyses, we found that greater endorsement of masculinity predicted lower self‐reported depression (b=?.48, p<.001), lower internalized shame (b=?.48, p<.001), higher academic performance (b=.15, p<.05), and higher personal strength (b=.43, p<.001). We discuss the relevance of our findings for developing interventions to combat extreme female neglect.  相似文献   
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A demographic survey of eight Toposa villages in Southern Sudan was undertaken to delineate patterns of infant and childhood mortality. Among these predominantly egalitarian agro-pastoralists few standard socio-economic variables useful in the detection of demographic differentials were found. Instead, polygyny was used as a measure of social differentiation, hypothesizing that social differentiation induces demographic differences between polygynous and monogamous marriages. Analysis indicated social differentiation through gerontocracy, while significant differences in mortality and fertility levels were found berween monogamous and polygynous marriages, with the latter featuring higher fertility and mortality levels. Underlying rationale for these differences were sought through consideration of social and biological factors.  相似文献   
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S. Balan  Prem Vrat  Pradeep Kumar   《Omega》2009,37(2):282-299
The information transferred in the form of orders between the nodes of a supply chain tends to be distorted when it moves from downstream to upstream. This phenomenon is called as bullwhip effect and this research is aimed to analyze this effect deeply in a single input single output (SISO) model. A discrete time series SISO model is developed for the analysis and it proves to be very useful in revealing the dynamics characteristics of the system. The bullwhip effect is measured from the transfer function model and the effect can be reduced by applying soft computing approach. A detailed sensitivity analysis is carried out to investigate the behavior of the model under various conditions. The applied fuzzy logic theory controls the errors and change in errors associated with forecasted demand between the nodes of a supply chain and it allows a smooth information flow in the chain. Tuning of fuzzy logic controller has been performed using adaptive neuro-fuzzy inference system (ANFIS). The method is illustrated with a numerical example. The application of soft computing approach addresses the real situation of human judgment with fuzziness helps the managers to forecast the demand with less distortion and to improve the supply chain effectiveness.  相似文献   
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The article describes single-subject research designs as an efficient and cost-effective way to assess the impact of targeted interventions on individual behavior. The authors overview the basic tenets of single-subject research, provide examples of several types of single-subject designs, and describe the utility of single-subject designs in rehabilitation research.  相似文献   
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