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151.
152.
The escalation in popularity of complementary and alternative medicine (CAM) has begun to stimulate regulatory responses to ensure the safety and efficacy of different modalities. The Therapeutic Goods Authority in Australia oversees a scheme of listing and registration, said to lead the world. Established CAM courses now confer recognised bachelor degrees. Victoria has recently regulated Traditional Chinese Medicine (TCM) practitioners, through the Chinese Medicine Registration Act 2000 (Vic), modelled on legislation regulating medical practitioners. CAM is being integrated into conventional medical (especially general) practice, and calls for the "mainstreaming" of CAM are increasing. Integrating CAM, however, involves a critical incoherence, well illustrated by the Victorian legislation. Clinical competence can only be properly assessed against standards established through scientific validation. If CAM systems, which purport to offer alternatives to science-based medicine, are regulated through conventional instruments, they may well be relinquishing the very identities which set them apart.  相似文献   
153.
Time spent in freely chosen leisure activities offers a distinct developmental context that can support positive youth development; however this potential for growth depends in part on adolescent interest and engagement in their free time activities. Research indicates that many adolescents report experiencing boredom, instead of interest, in their free time. This study utilized longitudinal data from 354 rural middle school students to investigate how parenting practices and adolescent motivational styles influence adolescents’ experience of interest in their free time. Findings indicated that adolescent self-regulated motivation and parental knowledge related to the free time context were positively associated with experiences of interest, while adolescent amotivation and parental control were negatively associated with interest in free time. The effect of parental knowledge and parental control on adolescents’ experiences of interest was mediated by adolescent motivational styles. These results were similar across grade level and gender. Implications for interventions promoting positive youth development are discussed.
Erin Hiley SharpEmail:
  相似文献   
154.
In many ways the autonomy of local government in Kenya has declined in the last twenty years. After reviewing the various tendencies towards centralization which can be observed and looking at some of the reforms which have occurred, the current district planning approach, known as the District Focus for Rural Development Strategy, is analysed in order to explore the roles played within it by local government. Policy documents and other official statements are discussed, as are the attitudes of political and administrative leaders. Whilst the new strategy is supposed to bring about greater decentralization, it has led to a continuing reduction of local government autonomy especially for the county councils. However, pessimistic conclusions can not be easily drawn. Local government is not likely to be abolished, the new approach may enable it to play a more effective planning role—even if a less autonomous one—and there are other forms of local participation (especially through community development) which partly compensate for the erosion of formal local government.  相似文献   
155.
The difficulty with resolving the classic problem of whether newspapers influence voting patterns is self-selection: readers select a paper to fit their politics, and newspapers select particular types of readers. One way round this chicken-and-egg problem is to compare the voting behaviour of individuals whose politics are reinforced by their paper, with those who are cross-pressured by their paper, and to compare both with those who do not regularly read a paper. Using the British Household Panel study to analyse voting patterns in 1992 and 1997, this study suggest that newspapers have a statistically significant effect on voting, larger for Labour than Conservative sympathizers, and larger for the 1992 than the 1997 election. The broader implications of these findings for British politics and democracy are discussed.  相似文献   
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157.
Governments initiate major public sector reforms for various reasons. Although change leadership appears crucial, its role in implementing reforms in public organizations receives scant attention. Insights from public administration and change management literature help to bridge the gap between these macrolevel and microlevel perspectives. Our multilevel study of two youth care organizations addressing public sector reform explores how leadership behavior—and in interaction between top and middle managers—contributes to the concept of what we call change embeddedness among front-line employees. The use of leadership behaviors during the reform that are leader centric (shaping) appear to be associated with greater ambiguity and worse change embeddedness. However, leadership focused on engaging employees and boundary spanning with external organizations seems to support the embeddedness of the reform, especially when these behaviors are connected to a clear sense of purpose around the change.  相似文献   
158.
The UK general election in December 2019 produced a resounding victory for Boris Johnson’s Conservatives, returning a majority government and the mandate for Brexit that he had campaigned for. The picture was less rosy for the Conservatives in Scotland, where his party lost half its seats to the SNP. This article reviews the election outcome in Scotland, considering the fortunes of each of the main parties, and projects forward to the devolved election in 2021, when the parties will once again debate the key constitutional question in Scotland.  相似文献   
159.
Behavioral and mental health outcomes have been associated with experiencing high levels of stress. Yet, little is known about the link between the nature of stressors, their accumulation over time, and the risk for externalizing and internalizing outcomes. Compared to the general population, African Americans are exposed to a disproportionate number of stressors beginning earlier in life. Incorporating Agnew’s General Strain Theory into the study of stress, this study examined whether different kinds of stressors are equally salient in the risk for violent behaviors and depressive symptoms among African Americans transitioning into young adulthood. It further examined the effects of the accumulation of stressors in different life domains and their effect on risks. This study utilized data from an African American subsample of an ongoing longitudinal study that followed 604 adolescents (53?% females) from 9th grade into adulthood. Multilevel growth curve models were used to examine how changes in stressors across multiple life domains related to violent behaviors and depressive symptoms. We found that continued exposure to perceived daily stress and racial discrimination stress increased the risk for violent behaviors during young adulthood, and exhibited a nonlinear relationship between the accumulation of stressors and risk for violence. Moreover, we found that exposure to perceived daily stress, financial stress, neighborhood stress, and racial discrimination stress increased the risk of depressive symptoms and led to a linear relationship between the accumulation of stressors and risk for depressive symptoms. Findings suggest identifiable stressors that can persist over time to influence risks at young adulthood.  相似文献   
160.
Organized activity participation provides important opportunities for adolescents to develop assets and resources related to positive youth development. Predisposing factors, in addition to sociodemographics and self-selection factors, may influence how youth participate over time. In this study, we used growth mixture modeling with longitudinal data from African American adolescents attending urban high schools in Flint, MI to identify subgroups of participation trajectories (Wave 1 N = 681, mean age at Wave 1 = 14.86 years, 51 % female). We measured activity participation using psychological and behavioral engagement across multiple contexts over the 4 years of high school. We examined how predisposing risk and promotive factors were related to these trajectories, accounting for sociodemographic and self-selection factors. The results indicated three participation trajectories: a low group decreasing over time (74 %), a moderate, consistent participation group (21 %) and a moderate, increasing group (5 %). More substance use was associated with lower odds of being in the moderate/consistent versus low/decreasing participation group. More parental support was associated with lower odds of being in the moderate/increasing versus the moderate/consistent group. Our results suggest that addressing predisposing factors such as substance use may help facilitate participation over time.  相似文献   
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