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1.
The histories and service needs of 2 groups of homeless women, those unaccompanied by minor children (n = 46) and those accompanied by minor children (n = 22), were compared, on the basis of their responses to a biennial survey of homeless people in a midsize city in the southeast United States. Mothers of children aged 2–10 also completed a measure of stress symptoms for their children (n = 20). Irrespective of family status group, problems such as substance abuse, history of mental illness, health problems, chronicity of homelessness, and crime victimization tended to cluster together. The findings also suggest that declining and/or inadequate levels of public benefits, Temporary Assistance to Needy Families, and Medicaid-funded health care in particular, have adversely affected the 2 groups, particularly families with children. The young children in this sample experienced elevated levels of stress, and significant associations were found between children's stress levels and certain risk factors of their mothers. Implications for service delivery are discussed. 相似文献
2.
Roger Slee 《Disability & Society》1993,8(4):351-360
Public education authorities throughout the Australian States and Territories have moved towards the development of policies and programmes to integrate students considered disabled into regular classrooms. The implementation of policy frequently is reduced to disputation over resources which, it is argued, will facilitate integration. This paper contends that such debates sustain the flawed notion that integration is simply a technical issue to be achieved through deployment of special equipment and personnel to regular schools, recommending a further consideration of the contribution of pedagogy, curriculum and school organisation to disabling or enabling educational programmes. 相似文献
3.
Christian P. Robert Xiao-Li Meng Jesper Møller Jeffrey S Rosenthal C Jennison M. A Hurn F Al-Awadhi Peter McCullagh Christophe Andrieu Arnaud Doucet Petros Dellaportas Ioulia Papageorgiou Ricardo S Ehlers Elena A Erosheva Stephen E Fienberg Jonathan J Forster Roger C Gill Nial Friel Peter Green David Hastie R King Hans R Künsch N. A. Lazar C Osinski 《Journal of the Royal Statistical Society. Series B, Statistical methodology》2003,65(1):39-55
4.
Brian D. Loader Steve Muncer Roger Burrows Nicholas Pleace & Sara Nettleton 《International Journal of Social Welfare》2002,11(1):53-65
The advent of thousands of Usenet groups on the Internet, covering a vast range of medical and welfare issues and ostensibly devoted to the mutual social support of participating members, has raised the potential for the development of new forms of 'virtual' health care. This article critically analyses the use by people with diabetes of one such Usenet group. It seeks to establish, first, the extent to which such a site provides some demonstrable measure of social support to its participants. This is approached by undertaking a structural analysis of the site to identify the extent of usage, and the nature of supporting interventions using a fivefold classification (instrumental, informational, esteem and social companionship and other). Second, the article attempts to identify any disparity between the lay health-knowledge in evidence and biomedical opinions proffered by the use of a panel of consultant diabetiologists. The results of the analysis suggest that the diabetes newsgroup provides an example of an active forum for largely well-informed participants who routinely use the media as an aid to the reflexive management of their medical condition. It also raises the prospect of a renegotiated relationship between medical knowledge and lay experience based upon shared learning 相似文献
5.
To explore the projection efficiency of a design, Tsai, et al [2000. Projective three-level main effects designs robust to model uncertainty. Biometrika 87, 467–475] introduced the Q criterion to compare three-level main-effects designs for quantitative factors that allow the consideration of interactions in addition to main effects. In this paper, we extend their method and focus on the case in which experimenters have some prior knowledge, in advance of running the experiment, about the probabilities of effects being non-negligible. A criterion which incorporates experimenters’ prior beliefs about the importance of each effect is introduced to compare orthogonal, or nearly orthogonal, main effects designs with robustness to interactions as a secondary consideration. We show that this criterion, exploiting prior information about model uncertainty, can lead to more appropriate designs reflecting experimenters’ prior beliefs. 相似文献
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Diesel Engine Exhaust and Lung Cancer Mortality: Time‐Related Factors in Exposure and Risk 下载免费PDF全文
Suresh H. Moolgavkar Ellen T. Chang Georg Luebeck Edmund C. Lau Heather N. Watson Kenny S. Crump Paolo Boffetta Roger McClellan 《Risk analysis》2015,35(4):663-675
To develop a quantitative exposure‐response relationship between concentrations and durations of inhaled diesel engine exhaust (DEE) and increases in lung cancer risks, we examined the role of temporal factors in modifying the estimated effects of exposure to DEE on lung cancer mortality and characterized risk by mine type in the Diesel Exhaust in Miners Study (DEMS) cohort, which followed 12,315 workers through December 1997. We analyzed the data using parametric functions based on concepts of multistage carcinogenesis to directly estimate the hazard functions associated with estimated exposure to a surrogate marker of DEE, respirable elemental carbon (REC). The REC‐associated risk of lung cancer mortality in DEMS is driven by increased risk in only one of four mine types (limestone), with statistically significant heterogeneity by mine type and no significant exposure‐response relationship after removal of the limestone mine workers. Temporal factors, such as duration of exposure, play an important role in determining the risk of lung cancer mortality following exposure to REC, and the relative risk declines after exposure to REC stops. There is evidence of effect modification of risk by attained age. The modifying impact of temporal factors and effect modification by age should be addressed in any quantitative risk assessment (QRA) of DEE. Until there is a better understanding of why the risk appears to be confined to a single mine type, data from DEMS cannot reliably be used for QRA. 相似文献
9.
Mbilinyi LF Neighbors C Walker DD Roffman RA Zegree J Edleson J O'Rourke A 《Research on social work practice》2011,21(1):43-56
OBJECTIVE: To preliminarily evaluate telephone-delivered motivational enhancement therapy (MET) in motivating unadjudicated and nontreatment seeking intimate partner violence (IPV) perpetrators, who also use substances, to self-refer into treatment. METHOD: 124 adult men were recruited via a multimedia marketing campaign and were randomly assigned to the intervention (MET) or comparison group following a baseline assessment. Participants in the MET condition received a personalized feedback report on their IPV and substance-use behaviors, consequences, and social norms beliefs. RESULTS: Results supported the likely effectiveness of MET in short-term reduction of IPV behavior, increasing motivation for treatment seeking, and changing perceived norms for IPV and substance abuse (SA). CONCLUSIONS: Applications for brief MET interventions to facilitate voluntary treatment entry among substance-using IPV perpetrators are discussed. 相似文献
10.
Roger W. Schmenner 《Production and Operations Management》2015,24(2):341-350
This study names a pantheon of entrepreneurs and managers who have introduced a range of far‐reaching productivity innovations throughout modern history. The thread tying together all of the innovations, in whatever sector of the economy one examines, is the theory of swift, even flow. The study argues why swift, even flow explains the power and long‐lasting nature of these innovations and why other factors thought by some to affect productivity fall short. 相似文献