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Community college completion rates are low, especially among low-income students. The existing policy and research attention has primarily focused on academic and financial challenges, but there is ample reason to think that non-academic obstacles might be key drivers of dropout rates for low-income students. This study focuses on the role of “life barriers” and investigates the effectiveness of intensive case-management services for low-income community college students. We evaluate the impact of the Stay the Course (STC) intensive case-management program through a multi-armed randomized controlled trial evaluation conducted between 2013 and 2016 in Fort Worth, Texas. Analysis of administrative records indicates that STC significantly increased persistence and degree completion for women; estimates for the full sample are imprecise. The statistically significant estimates for women imply that STC tripled associate's degree receipt by 31.5 percentage points. We find no difference in outcomes between students in an emergency financial assistance (EFA) only treatment arm and the control group. Given program costs of $4,343 per person, the implied cost per additional associate's degree is $27,140. This study complements existing literature on financial and informational interventions designed to increase completion rates and is most closely related to the smaller literature examining coaching and mentoring interventions.  相似文献   
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Changes in mental health legislation (e.g. Mental Health Act 2007 in England and Wales, Mental Health Act 2001 in Ireland) have generally improved adherence to international human rights standards, but also present challenges to primary care providers. When mental health legislation was substantially reformed in Ireland, 62.9% of general practitioners (GPs) felt the new legislation was not user-friendly. Majorities of GPs who felt the legislation affected their practice reported increased workloads (85%) and various other difficulties (53%). GPs who had received training about the legislation were more likely to find it user-friendly (43% versus 30.9%), and informal training (e.g. from colleagues) was just as likely as formal training to be associated with a GP finding it user-friendly. With similar changes to mental health legislation being introduced in England and Wales, it is significant that informal training is just as good as formal training in helping GPs work with new mental health legislation.  相似文献   
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In 2003 it was estimated that 2,700 full internal coronial autopsies were performed in Queensland at a cost of approximately A$5.3 million. This large number of internal coronial autopsies (almost 95% of all matters referred to the coroner) is of concern not only due to the economic cost but also because of the public heath risks, availability of specialist staff and significant religious and cultural sensitivities surrounding internal autopsies. In 2005 the authors began research funded by the Australian Research Council (ARC) to determine if unnecessary internal autopsies are being performed in Queensland and to establish guidelines for when an internal autopsy is required. This article highlights areas of potential concern when the issue of autopsy is reviewed within the coronial system through an examination of international literature on the issue of autopsy diagnosis and error rates more generally, and through preliminary discussion of the data obtained. The article considers the role and purpose of the autopsy generally as well as within the coronial system specifically; compares diagnostic error rates in hospital autopsies with those in the coronial system; the current situation internationally with regard to internal autopsies; and finally the specific circumstances existing in Queensland.  相似文献   
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Unmarried Cohabitation and Parenthood in Britain and Europe   总被引:4,自引:0,他引:4  
This paper focuses on cohabitation and unmarried parenthood across a range of European nations. It includes a brief outline of the history of cohabitation, reviews recent trends in cohabitation and unmarried parenthood, compares the stability of marital and cohabiting unions, examines the extent to which cohabiting couples are regarded as families, and the final sections include a review of the policy responses to date, as well as a discussion of the impetuses that may lie behind the rise in cohabitation and unmarried parenthood.  相似文献   
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Brendan  O'Leary 《Political studies》1989,37(4):562-587
The merits of consociation as a means of solving the Northern Ireland conflict are presented through contrasting it with other ways of stabilizing highly divided political systems. Why voluntary consociation has been unsuccessful in Northern Ireland and unfortunately is likely to remain so is explained. The signing of the Anglo-Irish Agreement (AIA) must be understood against the background of the failure of previous consociational experiments. The AIA partly represented a shift in British strategy from voluntary to coercive consociationalism. The prospects for this coercive consociational strategy and variants on it are evaluated.  相似文献   
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