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In spite of major coverage expansions under the Patient Protection and Affordable Care Act (ACA), a large proportion of immigrants will continue to remain outside the scope of coverage. Because various provisions of the ACA seek to enhance access, advancing knowledge about immigrant access to health care is necessary. The authors apply the well‐known Andersen model on health care access to two measures—one focusing on perceptions of unmet health care needs and the other on physician visits during the last year. Using data from the New Jersey Family Health Survey, the authors find that prior to implementation of the ACA coverage expansions, immigrants in New Jersey reported lower levels of unmet health care needs despite poorer self‐rated health compared with U.S.‐born residents. The article concludes with a discussion of the use of Andersen model for studying immigrant health care access and the broader implications of the findings. 相似文献
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Abstract: While the mitochondrial control region has proven successful for human forensic evaluations by indicating ethnic origin, domestic dogs (Canis lupus familiaris) of seemingly unrelated breeds often form large groups based on identical control region sequences. In an attempt to break up these large haplotype groups, we have analyzed the remaining c. 15,484 base pairs of the canine mitochondrial genome for 79 dogs and used phylogenetic and population genetic methods to search for additional variability in the form of single nucleotide polymorphisms (SNPs). We have identified 356 SNPs and 65 haplotypes in the remainder of the mitochondrial genome excluding the control region. The exclusion capacity was found to be 0.018. The mitochondrial control region was also evaluated for the same 79 dogs. The signals from the different fragments do not conflict, but instead support one another and provide a larger fragment of DNA that can be analyzed as forensic evidence. 相似文献
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This paper reviews America's community corrections history in order to draw relevant penal policy implications for the Czech
Republic in their transition to democracy. The review reveals the implementation of numerous community-based correctional
programs that have resulted in mixed results, at best. The paper concludes that if the Czech Republic is to advance a new
and professional, effective penal system, they must address five critical areas: dealing with the Romany underclass, establishing
intermediate sanctions, promoting a professional correctional work force, confronting the media coverage of crime, and managing
the politics of crime policy.
This revised version was published online in July 2006 with corrections to the Cover Date. 相似文献
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Culture,Obesity Stereotypes,Self-Esteem,and the “Thin Ideal”: A Social Identity Perspective 总被引:1,自引:1,他引:0
Klaczynski Paul A. Goold Kristen W. Mudry Jeffrey J. 《Journal of youth and adolescence》2004,33(4):307-317
Recent concerns with the increasing prevalence of overweight and obesity among children and adults indicate the need to better understand the psychosocial correlates of weight. We examined the relationships among negative stereotypes of obesity, thin ideal beliefs, perceptions of the causes of obesity and of control over weight, body esteem, and global self-esteem. A negative correlation between beliefs in control over one's weight and self-esteem was mediated by both negative attitudes toward obesity and thin idealization. Additionally, body esteem and gender were related but this relationship was mediated by beliefs in control over weight and valuation of the thin ideal. Central to the theoretical foundation of this research, however, was the observed negative correlation between negative attitudes toward obesity and self-esteem. This relationship was mediated primarily by the belief that obesity is caused by personality shortcomings. This last finding is explained from a social identity perspective. 相似文献
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Nine people died of traumatic asphyxia due to an uncontrolled crowd at a community basketball game in New York City in 1991. We reviewed the circumstances, postmortem findings, and the causes of death. The majority of people had petechiae of the conjunctivae and face consistent with chest compression. There were minimal superficial blunt injuries and no fractures or acute intoxications. These deaths are often incorrectly attributed to blunt force injuries, while the cause typically is asphyxia due to chest compression. 相似文献
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Jakobsen KR 《Specialty law digest. Health care law》2002,(274):9-37
We have the technology. What is needed is government financial commitment, so argues Kristen Jakobsen in the following discussion of "telemedicine." The term refers to the delivery of health care services by means of modern telecommunications technology. According to Ms. Jakobsen, the telephone, the fax machine, the Internet, and interactive audio-visual transmissions hold the key to making medical care more accessible and less expensive. Potential beneficiaries include vast populations of elderly in rural areas, who tend to be remote from upscale health care facilities and in need of the wherewithal to reach them. Standing in the way, in Ms. Jakobsen's view, is a government which lacks the boldness and the vision to lay an adequate fiscal foundation for this promising possibility. 相似文献