The impact of P.L. 93-641, the National Health Planning and Resources Development Act, upon health and mental health programming

Federal legislation regarding health care in the U.S. has increased rapidly in the past few years. A major law with potential far-reaching effects was enacted as a result of increasing legislation and rising health care costs. This law,The National Health Planning and Resources Development Act,has created a network of over 200 local, mostly nongovernment units, called health systems agencies. These agencies are responsible for areawide health planning, plan implementation, review and approval of federal health care expenditures for local programs, and facilities review. They will affect health and mental health programs at the local level. The article is directed to local health and mental health care providers who will, of necessity, deal directly with the local HSA's.     

The effects of psychiatric symptoms on quality of life assessments among the chronic mentally ill

This study of chronically mentally disabled persons in community residences examined the discriminant validity of subjective quality of life indicators and self-report mental health indices to determine the potential confounding effects of psychopathology on the assessment of quality of life (QOL). Factor analyses and difference-score reliabilities identified a general QOL construct and a general mental health construct with 27% common variance. However, psychiatric symptoms did not significantly (p less than .05) alter the bivariate and multivariate relationships among the QOL ratings, except in the health domain in which the correlations of health-related QOL indicators with global QOL were significantly (p less than .05) attenuated after removing the effects of psychopathology. The results suggest that psychopathology does not introduce bias into the overall structure of QOL data, but they also indicate the importance of controlling for mental health effects in the assessment of patients' self-rated health and satisfaction with health care.     

The validity of indices for rural health manpower needs assessment

Population-to-practitioner ratios have long been the primary index in the designation of health manpower shortage areas. This paper documents that application of the widely used population-to-dentist index results in understatement of the need for dental health manpower in rural areas. Through the analysis of utilization data collected from a statewide health screening program in Colorado, the practice of sole reliance on the population-to-dentist indices as an indicator of need was tested. Another measure, the area-(square miles) to-dentist ratio was formulated, examined, and found to be a more useful referent of the need for additional health manpower in rural areas. Utilization of dental services in sparsely settled rural counties of Colorado was unrelated to population-to-dentist ratios. A strong, statistically significant association of utilization with land area-to-dentist ratios was found. The findings of this analysis suggest a need for reevaluation of needs assessment methodologies used in the designation of health manpower shortage areas. Indices more sensitive to consumer circumstance than to the number of health care providers available must be considered.     

加快建设宁波国际远洋集装箱中转枢纽港的发展思路和实施步骤及对策

我国是世界经济增长重心第五次大转移的主要增长极，长江三角洲地区将发展成为世界第六个特大城市带。这都要求把宁波港建设成为上海国际航运中心的远洋集装箱中转枢纽港。实现这个目标的基本思路及时策：沪、甬、舟三港联合起步形成组合港；成立杭州湾大通道开发公司并尽快建成杭州湾大通过；宁波港建成自由港（区）或实行自由港（区）主要政策；港口附近建几个外向型商品市场。     

百年学术名家留给我们的精神财富

《世纪学人 ,百年影像》共收录当代对社会科学做出突出贡献的老一辈科学家 2 62人 ,分析他们的研究领域和籍贯 ,能够发现 2 0世纪学术发展的领头羊以及学术中心之所在。而他们对各自学科的精辟认识和表述 ,尤其在做人、治学方面的真知灼见 ,则为我们留下了巨大的精神财富。他们强调做人是第一位的 ,认为真诚是沟通做人与治学的桥梁 ,是实现做人与治学两位一体的契合点。甘于寂寞、处心一志、好学深思、勤于耕耘、谦虚向上 ,是他们事业成功的主要因素 ,同时又是做人治学的重要体现。他们在耄耋之年 ,不辞辛劳 ,勤奋工作 ,甘为人梯 ,不知老之将至 ,表现了作为优秀知识分子特有的爱国奉献、奋发向上的精神     

“协统者时代”美国高校教师的专业发展培训——以哈佛大学戴瑞克·伯克教学中心为例

美国高校教师专业发展培训已经步入"协统者时代"。在这个新时代,培训机构的人员不仅要拥有科技运用能力和协调统筹能力,还应努力帮助高校教师重新认识自身的职业发展要求,积极关注学生群体和个体差异性,从容应对教学与研究发展的新趋势。哈佛大学戴瑞克·伯克教学中心正是"协统者时代"美国高校教师培训机构的典型代表。该中心采取集中化的培训模式,一方面帮助高校教师理解"超职业"要求,提升教学知识和技能;另一方面引导教师积极关注学生的新变化,适应学生群体的多样性;最后还支持教师主动应对教学、学习乃至科学研究的新态势。其实践经验对我国高校正在探索的教师培训工作具有诸多启发意义。     

客户价值的虚拟配送中心价值链研究

指出了传统价值链思想的局限性 ,从企业获得持续竞争优势出发 ,提出了基于顾客价值的价值链分析方法 ,并进一步将其应用到虚拟配送企业中。分析了虚拟配送中心价值链的特点 ,并对虚拟配送企业的运作策略进行了讨论     

昆山市娱乐场所从业青年生殖健康教育研究——基线调查分析

昆山市娱乐场所从业青年生殖健康教育干预研究基线调查的结果表明:娱乐场所从业青年的流动性大;生殖保健知识欠缺;对性病/艾滋病的预防仍有误区,他们的性观念开放;无保护性行为比较普遍;有多个性伙伴的比例较高,是一个高度性活跃的年轻群体。部分从业青年涉及商业性性行为,已经成为传播性病/艾滋病的高风险桥梁人群。     

Center–periphery relations,local governance and conflicts in Ethiopia: the experience of Metekel province

In Ethiopia, the study and issue of center–periphery relations is not an easy task. It has remained complex and dynamics as it has been dictated and shaped by ever changing socio-economic relations, state ideology and structure. A case in point is Metekel region, which had been characterized by under development, lowland, hot climate and traditional way of life. Until post-1991developments, Metekel was peripheral in relation to the central state. It was an area of confrontation and conflict. Owing to the structural weakness of the centre, successive rulers of the area did not command effective control over it. Focusing on Gumuz, a Nilo-Saharan family, on one hand, and highlanders and new settlers, on the other, this essay examined the main features and dynamics of center–periphery relations, governance and conflicts in Metekel area. The sources, both primary and secondary, have been carefully examined based on the objectives of the study.     

国学引领文化产业繁荣论

中华国学是民族智慧结晶,是文化创意火种,重视它才能认识并开发广州龙文化、羊文化、节庆文化的底蕴,以龙舟竞渡精神,将南海神庙、黄埔古港、南沙天后宫串联成线,利用广东文化强省的政策优势、传媒优势、智力优势、制造业、文化产业优势、商都消费优势等,建好广州棋都以及国际会展集团、名城旅游集团、海上丝绸之路、越秀中华文化城、南粤演艺大观园、羊城国艺创意园等,以中华国学创意促进广州文化产业大繁荣。