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The goal of the Healthy Families America Research to Practice Network (RPN) was to foster communication among academic researchers, community-based evaluators, and practitioners to integrate science-based prevention practices into practice settings. The RPN goals were guided by and are a response to the limitations of past and current research paradigms in the social sciences. Accomplishments included creation of a 40-member researcher-practitioner council, development of a national Program Information Management System, and completion of a 4-year national Implementation Study, employing data from over 100 sites in nine states. The discussion examines what was learned about this rare experiment in creating practitioner-scientist partnerships and the impact of the RPN on child abuse and neglect prevention. A five-year plan to sustain and strengthen a practice-research collaborative is recommended. 相似文献
195.
Miles MS Holditch-Davis D Pedersen C Eron JJ Schwartz T 《Journal of prevention & intervention in the community》2007,33(1-2):35-50
This study identified factors associated with emotional distress in 109 African American women with HIV. The relationship of personal factors (demographic, social conflict, social support, and spirituality), health-related factors (perception of health, physical and mental health problems, and years diagnosed), and cognitive/coping responses (stigma, worry, and emotion focused coping) on depressive symptoms and mood state was examined. Younger age, more social conflict, less social support, lower perception of health, and more HIV worry were associated with higher depressive symptom scores. Variables most often affecting various mood states included personal factors (public housing, unemployment, and social conflict) and worry about having HIV worry. 相似文献
196.
Federal- and state-designated entities' ability to pursue claims for damages to the nation's natural resources have long existed under statutory and common law but, until recently, were placed on the back burner.
Pursuit of Natural Resource Damage (NRD) claims by federal and certain state governments have drastically increased. New Jersey and New Mexico have been among the most aggressive. Issues surrounding NRD claims such as allocation of liability, calculation of damages using formulas and technical factors, and causation are the focus of litigation. New Jersey's groundwater initiative and New Mexico's program are being watched closely to determine future success of NRD claims. 相似文献
197.
Joseph Y. S. Cheng 《Journal of Chinese Political Science》2012,17(2):165-185
As China??s comprehensive national power grows, its efforts to reduce the ??China threat?? perception have become more challenging. In line with the Chinese leadership??s current theme of peace and harmony in China??s foreign policy line, Chinese scholars have been highlighting the same theme in their research on China??s traditional strategic culture. Their research criticizes Western cosmopolitanism and praises the peaceful nature of China??s traditional ??tianxia?? concept. The exploitation of traditional strategic culture to provide re-assurance to the international community has now been raised to the official level, as reflected by the White Paper on ??China??s Peaceful Development?? released by the State Council??s Information Office on September 6, 2011. This probably means that it will be a major element of China??s public diplomacy for the foreseeable future. These efforts, however, may not have a significant impact because of rising nationalism in the region and the moderate escalation of existing territorial disputes involving China and its neighbors. 相似文献
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When patients die after chiropractic or surgical interventions of the cervical spine, pathologists tasked with the autopsy are frequently overwhelmed by the complicated anatomy, laborious dissections, complex operative procedures and surgical hardware, and the necessity to differentiate artifacts from trauma and disease. However, abundant data can be obtained from careful evaluation of the cervical spine in situ; extensive postmortem diagnostic imaging procedures; detailed dissections of the removed, formalin-fixed and decalcified spine; and histology. This study presents a regimented, stepwise approach to the evaluation of the cervical spine in these difficult cases, promotes uniform assessment, facilitates diagnoses, and supports the accumulation of otherwise hard-to-come-by reference material that can be of value in future cases. The resultant detailed autopsy findings may prove useful in the medico-legal death investigation process. Autopsy findings may also be of great value to health care providers involved in quality assurance processes. 相似文献
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Informal or unofficial representation refers to the practice (more common in some European jurisdictions than in others), that persons not designed by a court or by the patient himself, make medical decisions on the patient's behalf in case of their incompetence. If the law provides for this, it is usually next of kin (spouse, children, brothers and sisters, etc.) who are allowed to act in such a capacity. Informal representation raises several questions. Are family members always familiar with what their relative would have wished, ready to take responsibility, and not too much reigned by their emotions? The basic legal concern is whether there are sufficient procedural and other safeguards to protect the incompetent patient from representatives who do not serve their best interests. In addressing these issues, after a brief survey of the law in the Netherlands as compared with that in Belgium, Germany and England/Wales, we will argue that informal representation as such is not at variance with international and European standards. However, an 'informal' approach to surrogate decision-making should always go together with sufficient protection of the incompetent patient, including procedural safeguards with regard to the decision that the patient is incompetent, limits to the decision-making power of informal representatives and effective forms of conflict resolution. 相似文献
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