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71.
Our study's objective is to determine whether substance use disorders’ association with aggression differs according to the type of substance and/or the form of aggression, within the same population. We used data from the National Survey on Drug Use and Health across 2008–2014, with a pooled sample of 270,227 adult respondents. We used regression models to estimate the odds ratios for those having alcohol and/or drug use disorder(s) perpetrating (a) each form of aggression compared with no aggression and (b) other-directed compared with self-directed aggression. Alcohol use disorder alone and drug use disorder(s) alone were both associated with significantly increased odds of committing self-directed, other-directed, and combined aggression. Individuals with drug use disorder(s) alone were more likely to commit other-directed than self-directed aggression (adjusted odds ratio = 1.46, 95% CI = 1.04–2.05). Individuals with alcohol use disorder alone were not likely to commit one over the other (adjusted odds ratio = 1.20, 95% CI = 0.90–1.61). In conclusion, the integrated model of aggression based on the stress–diathesis model is a relevant framework to study risk factors for aggression. Further research is needed to identify longitudinal predictors of directionality of aggression.  相似文献   
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Caregiving Behavior Is Associated With Decreased Mortality Risk   总被引:1,自引:0,他引:1  
ABSTRACT— Traditional investigations of caregiving link it to increased caregiver morbidity and mortality, but do not disentangle the effects of providing care from those of being continuously exposed to an ailing loved one with serious health problems. We explored this possible confound in a national, longitudinal survey of elderly married individuals ( N = 3,376). Results showed that spending at least 14 hr per week providing care to a spouse predicted decreased mortality for the caregiver, independently of behavioral and cognitive limitations of the care recipient (spouse), and of other demographic and health variables. These findings suggest that it may be premature to conclude that health risks for caregivers are due to providing active help. Indeed, under some circumstances, caregivers may actually benefit from providing care.  相似文献   
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Even at the end of life, testing cancer patients for inherited susceptibility may provide life-saving information to their relatives. Prior research suggests palliative care inpatients have suboptimal understanding of genetic importance, and testing may be underutilized in this clinical setting. These conclusions are based on limited research. This study aimed to estimate genetic testing prevalence among high-risk palliative care patients in a National Cancer Institute-designated comprehensive cancer center. We also aimed to understand these patients’ understanding of, and attitudes toward, hereditary cancer testing and DNA banking. Palliative care in-patients with cancer completed structured interviews, and their medical records were reviewed. Among patients at high risk for hereditary cancer, we assessed history of genetic testing/DNA banking; and related knowledge and attitudes. Among 24 high-risk patients, 14 (58.3%) said they/their relatives had genetic testing or they had been referred for a genetics consultation. Of the remaining 10 patients, seven (70%) said they would “probably” or “definitely” get tested. Patients who had not had testing were least concerned about the impact of future testing on their family relationships; two (20%) said they were “extremely concerned” about privacy related to genetic testing. Of patients without prior testing, five (50%) said they had heard or read “a fair amount” about genetic testing. No high-risk patients had banked DNA. Overall, 23 (95.8%) said they had heard or read “almost nothing” or “relatively little” about DNA banking. Written materials and clinician discussion were most preferred ways to learn about genetic testing and DNA banking. Overall, this study demonstrates underutilization of genetics services at the end of life continues to be problematic, despite high patient interest.  相似文献   
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This article seeks to address and dispel some of the popular myths and misconceptions surrounding authorship of a scientific publication as this is often misconstrued by beginners in academia especially those in the developing world. While ethical issues in publishing related to authorship have been increasingly discussed, not much has been written about the myths and misconceptions of who might be an author. Dispelling these myths and misconceptions would go a long way in shaping the thoughts and plans of students, junior faculty and researchers in academia especially in the developing world.  相似文献   
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This paper explores the relationship between religiosity and happiness among the multicultural people in Oman. A sample of 335 respondents from all walks of life in Oman was analysed using the mean happiness value and their religiousness, religion, age, education level and nationality. The findings were verified using regression and correlation analysis. It was observed that regardless of the religious belief, the level of happiness among people increases with the increasing level of religiousness. The findings could be useful not only to the general public, but also to psychologist and mental health professionals. People with depression, suicidal tendencies, low self-esteem and so on may possibly be treated with religious practices and activities. If such techniques show effectiveness, they may help to bring improvements in mental health and well-being treatments. One unique aspect of this study is that the sample consisted of people from various nationalities, religions and cultural backgrounds living in Oman.  相似文献   
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Previous research on union participation has been disjointed, with no clear consensus on the definition and nature of participation. Additionally, few studies have examined how participation changes over time, with those that have finding mixed results regarding its stability. We propose that these mixed and inconsistent findings are due largely to past research focusing on overall levels of participation, ignoring differences in how individuals participate. To remedy this, we adopted a person-centered approach to identify different types of union participators. Using a large sample of union members, we conducted latent transition analysis and found six union participator classes: high participators, leadership participators, formal union promoters, informal union promoters, silent supporters, and non-participators. In addition, we examined how individuals changed membership across two time points (separated by 6 years), antecedents of class membership (role tenure and union commitment), and outcomes (freerider intentions and actual financial contributions to the union's political action fund). The six classes differed uniquely, in terms of the ways people participate, changes in how people participate over time, what predicted class membership, and how class membership impacts two outcomes. The current study demonstrates that person-centered approaches can both clarify previous conflicting findings within the participation literature and predict meaningful outcomes.  相似文献   
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随着伊斯兰教的传播,一个新的世界进入地中海沿岸。一个裂口撕开了,一直延续至今。——亨利·皮雷纳[1]说明是否应该以蕴涵着一种历史哲学——尽管其价值有待评估——的历史现实主义的名义认为,探索或者激活历史地存在于地中海空间的意义问题的一切尝试都注定陷入唯灵论的幻想、唯心主义的思辨、怀旧的追忆[2]?抑或尽管缺乏人道主义方案的世界化凯旋推进,但依然可以在地中海思想和文化史中辨认出某些理性的态度、精神的追求、创造性想象的作品、传播文明的先知、圣人、思想家、艺术家和英雄的见证,他们足以丰富、阐明、启迪、保障新的争取人…  相似文献   
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