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321.
The quality of care rendered to residents of nursing facilities continues to gain attention from legislators, regulators, and the courts. Advocates for improvements in the quality of care by government-funded healthcare providers have identified the False Claims Act (FCA) as a potent tool. The Second Circuit decision in Mikes v. Straus might be viewed as a barrier to FCA claims against nursing facilities. Any impediment imposed by this decision, however, is limited by the facts of the case; the authors believe that carefully-crafted pleadings can enable litigants to rely upon the FCA in pursuing quality-of-care claims against nursing facilities. 相似文献
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323.
Using techniques derived from information theory, structural dimensions of adolescent self-images were studied. Within a sample of 58 adolescents, patients and normals, a variety of self-images were obtained using a specially designed Q-sort. The initial hypothesis predicted, on the basis of previous findings, that the idealized self-images would be more polarizedfor the patients. This hypothesis was only partiallyconfirmed. the self-idealization was significantly more polarized in the patient group. But the other two idealizations (those based on parental expectations) did not reflect a patient-normal difference. Rather, a significant three-way interaction of sex, age, and psychiatric status was found for these self-images, as well as for the current self-image. The consistent pattern in these three-way interactions was that late-adolescent boys polarized their self-images if they were in the normal group and had structurally complex (nonpolarized) self-images if they were in the patient group. The paper concludes by discussing the meaning of these findings. A framework for interpreting polarization is proposed and applied to the results. In addition, the notion of a Self-Image Profile is formulated and further elaborated. Finally, the relevance of these studies to other personality research and clinical observations is considered.This investigation was supported in part by a Research Scientist Development Award, Number K1-70-178, to S.T.H.Received M.A. in social anthropology from Harvard University and M.D. from Yale University. Candidate, Boston Psychoanalytic Institute, 1969-. Currently studying self-image and cognitive development in populations of normal and psychiatrically impaired adolescents, from individual and group perspectives.Received M.D. from the University of Chicago; attended the Chicago Psychoanalytic Institute (1952–1954) and the Washington Psychoanalytic Institute (1954–1961). Presently on staff of Washington School of Psychiatry and Washington Psychoanalytic Institute. Major research interests are adolescence and the family and psychoanalytic-oriented treatment in conjunction with a ward or in-patient milieu therapy. Specific interest is identity formation of adolescence. 相似文献
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This directory summarizes the responses of 13 nations to questions about the state ot policy studies research and teaching in those nations. While policy studies is not an exclusively American development, not many countries are as involved in this area as American scholars and universities. 相似文献
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328.
Stuart L. Kaplan M.D. Michael Nussbaum Phyllis Skomorowsky I. Ronald Shenker Patricia Ramsey 《Journal of youth and adolescence》1980,9(4):299-304
In a study of the relationship between health habits and depression, 80 high school students, selected on an availability basis, were administered a Health Behaviors Questionnaire (HBQ) and the Beck Depression Inventory (BDI). The HBQ and the BDI significantly correlated (r=0.43p<0.01). Those who smoked were more frequently depressed than those who did not (X
2=10.5p<0.05), and those who used drugs other than marijuana were depressed more frequently than those who did not (X
2=9.2p<0.01). Mildly overweight boys (overweight by more than 5% of their ideal weight) and mildly under-weight boys (underweight by more than 5% of their ideal weight) were moreThis research was supported in part by a grant from the American Diabetes Association and by National institute of Health Grant MH 15529.Received his M.D. at George Washington School of Medicine. Major interest is interface of child psychiatry and pediatrics.Received his M.D. at Downstate Medical Center, State University of New York. Major interest is metabolic changes in adolescence.Received her M.A. from Queens College, New York. Major interest is measurement of human behavior.Received his M.D. from the University of Wisconsin. Major interest is adolescent sexuality.Received her Ph.D. in psychology from Hofstra University. Major interest is evaluation of clinical programs. depressed than boys of normal weight (p<0.02). The more pounds underweight the girls were, the more depressed they were (r=0.482, p<0.05). The closer the weight of a girl who perceived herself as overweight was to her ideal weight, the more depressed she was (r=–0.428,p<0.05). 相似文献
329.
Alan M. Jacobson Stuart T. Hauser Sally Powers Gil Noam 《Journal of youth and adolescence》1984,13(6):489-507
Self-esteem as measured by the Coopersmith Self-Esteem Inventory [Coopersmith, S. (1967),The Antecedents of Self-Esteem, Freeman, San Francisco] and ego development as measured by the Washington University Sentence Completion Test [Loevinger, J., and Wessler, R. (1970),Measuring Ego Development, Vol. I, Jossey-Bass, San Francisco] were evaluated in three groups of early adolescents: diabetic patients, nonpsychotic psychiatric patients, and a nonpatient group of high-school students. We found that low levels of ego development were associated with low levels of global and domain-specific self-esteem in all three subject groups. Levels of self-esteem among diabetic patients were not significantly different from those of nonpatients. While psychiatric patients had significantly lower self-esteem levels than the other groups, this difference was accounted for by preconformists, i.e., those at the lowest stages of ego development. Psychiatric patients reaching higher ego levels showed self-esteem levels indistinguishable from those of the diabetics and nonpatients.This study was supported by the youth development project of the Joslin DRTC (NIH AM20530-01), a grant from the Joslin Diabetes Center (NIH-BRSG), and NIH Grant AM27845. The authors thank John Houlihan, M.A., for statistical and computer consultations and Jennifer Johnson for data analyses.Received M.D. from The University of Chicago. Currently studying psychosocial consequences of diabetes mellitus.Received M.D. from Yale University and Ph.D. from Harvard University (Psychology). Currently studying family contexts of adolescent development.Received Ed.D. from Harvard University (School of Education). Currently studying family coping processes in response to stressful events.Received Dipl. Psych. from Freie Universitat, Berlin (Clinical Psychology). Currently studying relationships between psychopathology and development among adolescent psychiatric patients. 相似文献
330.
Policy researchers have become increasingly familiar with a number of improved techniques for analyzing data obtained from interrupted time-series designs for evaluating public programs and policies. In this paper we contribute to this trend by presenting two groups of data analysis techniques which are not currently widely used by policy researchers, but are likely to be valuable adjuncts to traditional regression techniques for analyzing data obtained from interrupted time-series designs. First, aids for model specification are presented that enable the analyst to define an appropriate linear trend model—often one which will reduce the degree of multicollinearity and, therefore, produce more precise estimates of the impacts of a public program or policy. Next we consider approaches for point estimation and joint (simultaneous) interval estimation of a policy intervention's total effect at various points in time. 相似文献