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211.
We use case study methodology to examine the degree of cooperation and coordination among organizations providing mental health care to older persons. Mail surveys and in‐depth interviews were employed to gather data from human service organizations in one relatively rural county of Upstate New York. We find that organizations that are older and provide larger numbers of services tend to have a higher degree of integration with other organizations. There is little evidence of formal coordination of services. Informal cooperation, at least on an ad hoc basis, is common, though. Older persons with chronic mental health problems are relatively well served by the system. Older persons whose mental health problems are associated with the aging process are not well served by the system. The growth of mental health managed care has increased competition among many organizations, further fragmenting a weakly integrated system. 相似文献
212.
The transfer of new health technology to South Africa is occurring despite the fact that North American and European health care planners and entrepreneurs have a very limited understanding of traditional Black South African cultures which condition the health-related behaviors of the majority of the population. Consequently, relatively few people of African descent in this very diverse nation are, at least initially, benefiting from the new imported medical technology. This study gives an overview of traditional Black medicine in South Africa and, through the presentation of several case studies, discusses its implications for the societal adoption of new health technology received from the United States and other industrialized nations. The example of the successful application of cervical cancer exams in rural and urban clinics of the Eastern Cape is analyzed and institutional mechanisms that support successful transfer are identified. 相似文献
213.
Carol Johnson 《Citizenship Studies》2010,14(5):495-509
Politicians have long mobilised emotion in order to gain voters' support. However, this article argues that the politics of affect is also implicated in how citizens' identities, rights and entitlements are constructed. Examples are drawn from the positions of UK, US, Canadian and Australian politicians, including Tony Blair, David Cameron, Kevin Rudd and Barack Obama. Emotions analysed include love, fear, anxiety, empathy and hope. The article argues for the importance of a concept of ‘affective citizenship’ which explores (a) which intimate emotional relationships between citizens are endorsed and recognised by governments in personal life and (b) how citizens are also encouraged to feel about others and themselves in broader, more public domains. It focuses on issues of sexuality, gender, race and religion, and argues that the politics of affect has major implications for determining who has full citizenship rights. The Global Financial Crisis has also seen the development of an ‘emotional regime’ in which issues of economic security are increasingly influencing constructions of citizenship. 相似文献
214.
Robert L. Brown 《The Review of International Organizations》2010,5(2):141-175
Principal-agent analyses of delegation to international organizations have advanced our understanding of international cooperation
through institutions. However, broader tests of why and when states delegate are not possible without a clear means for objectively
identifying and measuring delegation. This paper develops a metric for delegation based upon the services the agent provides
to its principals and the resources and autonomy it has to provide those services. This numerical metric is continuous and
generalizable to a wide variety of principal-agent relationships. This paper then demonstrates the face validity of the measure
with case studies of delegation to the International Atomic Energy Agency (IAEA) and the International Monetary Fund (IMF).
The paper concludes with a test of Realist and Institutionalist hypotheses for cooperation using the delegation metric, demonstrating
the complexity of the underlying reasons we observe delegation. 相似文献
215.
Billie F. Corder Reid Whiteside Mary McNeill Toby Brown Robert F. Corder 《Journal of youth and adolescence》1981,10(4):255-262
Group psychotherapy with disturbed undersocialized adolescents requires modification of traditional group psychotherapy methods. The effectiveness of a structured, brief video-tape feedback and discussion on group psychotherapy process with this population was studied by an analysis of detailed ratings of each statement, or process unit; in randomly selected videotapes from a control and experimental group during a nine-month period. Significant differences in level of intimacy of verbal content and in frequency of feedback about behavior in content indicate that this technique is effective in facilitating group psychotherapy goals.Received Ed.D. from University of Kentucky. Research interests are group psychotherapy process and methodology.Received M.A. from North Carolina State University. Research interest is adolescent group psychotherapy.Received Ph.D. from North Carolina State University. Research interest is adolescent group psychotherapy.Received M.A. from University of North Carolina. Research interest is group psychotherapy process.Received Ph.D. from Purdue University. Research interets include analysis of small group processes. 相似文献
216.
The Supreme Court instructs that the most important consideration in analyzing fair use is the effect on the market for the original. Employing music sales data, this article presents evidence of digital sampling's effect on the sales of sampled songs. Our results indicate that a reassessment of fair use in the area of music sampling is needed since sales of sampled songs increased after being repurposed within new songs. These results are robust and highly statistically significant. Findings of this nature favor a judicial determination that sampling constitutes a fair use, even when considering the influence that a new work has on extant licensing markets for sample clearance. This article argues that the current sample–licensing market is a product of aberrant antisampling case law arising from a lack of relevant empirical data and nonutilitarian judicial opinions. As set forth herein, the goal of encouraging creative activity without hindering copyright owners’ capacity to financially gain from their work is served by implementing a limited presumption of fair use for sampling. The findings are further applicable outside of the fair use analysis, as the study is important in the private law when viewed through a law and strategy lens. Forward thinking music firms should reframe their approach by encouraging sampling of their works to secure cost‐free advertising and achieve a competitive advantage. 相似文献
217.
Nicole Yarid M.D. Emily C. Brown M.D. Markus Boos M.D. Ph.D. Jeffrey Otjen M.D. James Metz M.D. Carole Jenny M.D. Kenneth W. Feldman M.D. 《Journal of forensic sciences》2019,64(1):284-288
Traumatic cardiac ventricular ruptures in children are rare. Only a single case of left ventricular rupture due to child abuse has been reported. We report a child who sustained a fatal left ventricular apical rupture. It appeared to have resulted from hydrostatic forces resulting from abusive blunt thoracic injury. That he was being abused was previously missed when he was presented to the emergency department with facial pyoderma. It was not noted that he also had lip and oral mucosal injury, sites not affected by staph toxins. As a result, his underlying, abusive and secondarily infected, facial flow type scald burn was not appreciated. Within a week thereafter his fatal injury occurred, accompanied by extensive and obvious associated abusive injuries. Postmortem high‐detail whole body computed tomography scanning aided the autopsy. Although rare, ventricular rupture from abusive blunt thoracic injury can occur. 相似文献
218.
Jeffrey James Lynch M.Sc. Carrie Brown Ph.D. Andrea Palmiotto Ph.D. Heli Maijanen Ph.D. Franklin Damann Ph.D. 《Journal of forensic sciences》2019,64(1):171-174
Forensic casework from past‐conflicts relies on the corrected historical Trotter data for stature estimation in Fordisc. For roughly 10 years’, stature estimation using this data has produced point estimates for the tibia that are on average 1.25 inches less than the other long bones. This issue was identified after applying the equations derived from Fordisc to the USS Oklahoma commingled assemblage. Reevaluation of Fordisc revealed that a correction factor of 20 mm, instead of 10 mm, was mistakenly applied to the Trotter tibia data. Historical forensic anthropology reports written at the Defense POW/MIA Accounting Agency were utilized to identify that the overcorrection is isolated to Fordisc 3 with an error rate of 5% of known antemortem statures falling outside of the prediction intervals that relied on the tibia. Further evaluation of the Oklahoma sample indicates the 10 mm correction is still producing point estimates less than the other long bones. 相似文献
219.
220.
Kerry Brown 《北京周报(英文版)》2019,62(40):28-29
The 70th anniversary of the founding of the People’s Republic of China (PRC) gives people inside and outside the country a chance to assess what the key achievements of the past decades have been, and where China is heading. 相似文献