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131.
Accurate assessment of ethnic minority clients is often hindered by clinician bias and lack of culturally sensitive instruments. Multicultural guidelines can enhance clinician awareness and sensitivity in conducting assessments with diverse populations. These guidelines are illustrated using an Asian Indian American character from Lahiri's (2008) novel Unaccustomed Earth. La evaluación precisa de clientes pertenecientes a minorías étnicas se ve con frecuencia dificultada por el sesgo de los especialistas clínicos y la falta de instrumentos culturalmente sensibles. Las directrices multiculturales pueden ampliar la conciencia de los especialistas y su sensibilidad al llevar a cabo evaluaciones con poblaciones diversas. Estas directrices se ilustran usando un personaje indoasiáticoamericano extraído de la novela Unaccustomed Earth de Lahiri (2008).  相似文献   
132.
为了在门诊落实"一切以病人为中心"的服务理念,通过调查、了解病人的需求,改变传统的就医模式,将多学科整合,推出创新的"一站式"多学科综合门诊。改善了就诊流程,简化了就诊手续,对疑难杂症提供全方位、多学科综合诊疗,同时缩短患者就诊等候时间和多次往返各门诊的不便,减少就诊环节,实现医学整合,满足患者需求。  相似文献   
133.
进展性脑梗死是临床上常见的一种缺血性脑卒中,其发病率高,致残率高,预后较差,严重危害患者的生命和健康,成为临床卒中治疗的一大难题.本文结合近年来的有关研究文献,就进展性脑梗死的临床分型、形成机制、可能的危险因素及其防治策略等方面的研究进展作一综合性介绍.  相似文献   
134.
Because campus officials are relying on personal communication technologies to communicate with students, a question arises about access and usage. Although communication technologies are popular among college students, some evidence suggests that differences exist in ownership and use. We examined patterns of student ownership and use of cell phones and use of instant messaging, focusing on three predictors of digital inequality: gender, ethnicity, and income. Logistic and hierarchical linear regression analyses were used to analyze results from 4,491 students. The odds that female and white students owned cell phones were more than twice as high as for men and African-American students. Students in the $100,000-$149,000 per year income bracket were more than three times as likely to own a cell phone than those from the median bracket. However, being female, African-American, and/or from the highest income brackets was positively predictive of the number of text messages sent and the amount of time spent talking on a cell phone per week. We found no differences between students on the use of instant messaging. Implications of these results, as well as areas for further research, are provided.  相似文献   
135.
随着社会的巨大变迁, 我国老年人孤独感水平可能逐年增高。通过采用横断历史研究的方法, 对使用UCLA孤独量表(第三版)调查老年人孤独感的25篇文献进行元分析, 调查年代跨度为1995年至2011年, 共涉及13280名老年人。研究结果表明:(1)我国老年人孤独感水平随年代的变迁呈上升趋势; (2)不同婚姻状况、不同性别老年人的孤独感水平随年代均呈上升趋势; (3)老年人孤独感水平存在婚姻状况差异, 但不存在性别差异。  相似文献   
136.
This article investigates the influence of progress certainty and discrete progress markers (DPMs) on performance and preferences. The authors suggest that the effects of DPMs depend on whether progress certainty is high or low. When the distance to the goal is uncertain, DPMs can help reduce uncertainty and thus improve performance and increase preference. However, when the distance to the goal is certain, DPMs may generate complacency, sway motivation away from the end goal, and decrease performance in the task, as well as its appeal. Therefore, the addition of more information, feedback, or progress indicators may not always improve task performance and preference for the task. The authors validate these claims in 4 experiments.  相似文献   
137.
Dan Zahavi 《Synthese》2008,160(3):355-374
The analyses of the mind–world relation offered by transcendental idealists such as Husserl have often been dismissed with the argument that they remain committed to an outdated form of internalism. The first move in this paper will be to argue that there is a tight link between Husserl’s transcendental idealism and what has been called phenomenological externalism, and that Husserl’s endorsement of the former commits him to a version of the latter. Secondly, it will be shown that key elements in Husserl’s transcendental idealism, including his rejection of representationalism and metaphysical realism, is shared with a number of prominent contemporary defenders of an externalist view on the mind. Ultimately, however, it will be suggested that the very alternative between internalism and externalism—an alternative based on the division between inner and outer—might be inapplicable when it comes to phenomenological conceptions of the mind–world relation.  相似文献   
138.
Dan López de Sa 《Synthese》2008,163(2):263-272
According to the simple proposal, a predicate is rigid iff it signifies the same property across the different possible worlds. The simple proposal has been claimed to suffer from an over-generalization problem. Assume that one can make sense of predicates signifying properties, and assume that trivialization concerns, to the effect that the notion would cover any predicate whatsoever, can be overcome. Still, the proposal would over-generalize, the worry has it, by covering predicates for artifactual, social, or evaluative properties, such as ‘is a knife,’ ‘is a bachelor,’ or ‘is funny.’ In defense, it is argued that rigidity for predicates as characterized plays the appropriate theoretical role, and that the contention that “unnatural” properties are not to be rigidly signified is ungrounded.  相似文献   
139.
班级生态系统对儿童亲社会行为影响的研究述评   总被引:3,自引:0,他引:3  
依据生态系统观以及班级环境中亲社会行为研究的进展,在班级环境中,与儿童人际互动最密切,对其亲社会行为具有重要影响的两类人群是——同伴和教师。作者把儿童与同伴、儿童与教师之间的互动关系作为班级环境中两个重要生态子系统,依次介绍了班级环境中这两个生态子系统的各成分,以及它们对儿童亲社会行为的影响。文章最后指出,该领域的研究应注重人际间的双向互动、基于观察的互动模式研究、以及重视时间变量对行为过程的影响  相似文献   
140.
Organizational research and practice involving ratings are rife with what the authors term ill-structured measurement designs (ISMDs)--designs in which raters and ratees are neither fully crossed nor nested. This article explores the implications of ISMDs for estimating interrater reliability. The authors first provide a mock example that illustrates potential problems that ISMDs create for common reliability estimators (e.g., Pearson correlations, intraclass correlations). Next, the authors propose an alternative reliability estimator--G(q,k)--that resolves problems with traditional estimators and is equally appropriate for crossed, nested, and ill-structured designs. By using Monte Carlo simulation, the authors evaluate the accuracy of traditional reliability estimators compared with that of G(q,k) for ratings arising from ISMDs. Regardless of condition, G(q,k) yielded estimates as precise or more precise than those of traditional estimators. The advantage of G(q,k) over the traditional estimators became more pronounced with increases in the (a) overlap between the sets of raters that rated each ratee and (b) ratio of rater main effect variance to true score variance. Discussion focuses on implications of this work for organizational research and practice.  相似文献   
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