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Robert M. Malow Jessy G. Dévieux Ligia Martinez Fred Peipman Barbara A. Lucenko Seth C. Kalichman 《Journal of family violence》2006,21(2):127-135
Epidemiological studies in the United States estimate HIV seroprevalence rates ranging between 4% and 23% for serious mentally ill adults (SMIA; i.e., schizophrenia, bipolar disorder, and other chronic disorders with psychotic features), with substantially greater estimates for risky sexual behaviors. Among the most consistent factors linked to HIV risk in non-SMIA populations is a history of emotional, physical, or sexual abuse. The current study examined the intersection of abuse history and HIV sexual risk behavior in SMIAs with a group of men (n = 64) and women (n = 115) recruited from eight geographically diverse and representative clinical sites around Florida. A cross-sectional interview revealed a high prevalence of alcohol and other drugs problems, as well as a history of emotional, physical, or sexual abuse in 75% of the participants, with 68% of these reporting multiple types of abuse. Compared to nonabused counterparts, those with a history of abuse reported significantly greater: (a) lifetime and current psychiatric symptoms, (b) recent unprotected sexual intercourse, and (c) crack cocaine, heroin, and marijuana use. No gender differences were detected in the associations of abuse history and sexual risk behaviors. These results underscore the need for HIV prevention efforts targeted to SMIAs and the critical importance of addressing abuse history in interventions with this underserved population. 相似文献
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The federal government spends vast sums of money for management and analysis services. The authors contend that the selection process to determine the winners of the awards of contracts to perform these services too often disregards cost competitiveness as a factor in the award. The relative importance of technical proficiency and cost are examined and a model is proposed whereby a high level of technical expertise can be obtained at a more reasonable cost. 相似文献
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Mission-Driven, Results-Oriented Budgeting: Fiscal Administration and the New Public Management 总被引:1,自引:0,他引:1
Fred Thompson 《Public Budgeting & Finance》1994,14(3):90-105
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During a hunt in Western Pomerania in January 1999 a wolf, injured at the left hind leg, was killed by a shot in the chest region. It was a 2-year-old male that probably came to Germany from Poland by crossing the Oder River. The hunter was reported to the police afterwards, because there were doubts as to the legality of the lethal shot. The hunter pleaded relief by reason of section 22 a German Hunting Law (prevention of avoidable pain or suffering of wild animals). After the shooting there was a number of wrong expert statements by a veterinarian and two zoologists concerning the age of the injury on the left hind leg and the direction of the shot to the chest region, which were corrected by subsequent medico-legal examinations performed on the order of the prosecution. 相似文献