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OBJECTIVE: This report reviews the evidence that informs the role of health and mental health care providers in addressing youth smoking cessation. DESIGN: Qualitative literature review. RESULTS: Physicians do not consistently screen adolescents for tobacco use and fail to provide recommended cessation advice. Challenges to addressing smoking cessation include the need for procedures to ensure confidentiality and the existence of competing demands to provide other services. Few published studies have specifically addressed the effectiveness of clinical interventions. Interventions that require return visits or follow-up phone contacts are technically difficult to implement in this population. Successful interventions may require resources not available in nonresearch settings. Most studies have used brief clinical intervention as a control condition, making it impossible to evaluate its effectiveness. CONCLUSION: There is little evidence that supports current clinical smoking cessation guidelines for adolescents. More research is needed to develop inexpensive, efficient clinical interventions that can provide youths access to smoking cessation help. Future challenges include reorganizing clinical systems to offer greater counseling by support staff or in electronic formats and to provide effective booster messages and follow-up care in a population that is difficult to track.  相似文献   
33.
陈莲笙道长生于1917年10月25日,上海市人.历任中国道教协会副会长,中国道教协会顾问,上海市道教协会会长.上海市道教协会名誉会长,上海城隍庙住持,上海道学院院长,<上海道教>杂志主编,上海市宗教学会理事,上海市政协第七届委员,上海市政协第八、九届常委等职.  相似文献   
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Previous work on children's intuitive knowledge about the natural world has documented their difficulty in acquiring an overarching concept of biological life that includes plants as well as humans and non‐human animals. It has also suggested that the acquisition of fundamental biological concepts like alive and die may be influenced by the language used to describe them, as evidenced by differences between English‐ and Indonesian‐speaking children's performance in tasks involving these concepts. Here, we examine one particularly important source of linguistic information available to children during this acquisition process: everyday conversations with their parents. We take a cross‐linguistic approach in analysing the evidence available to English‐ and Indonesian‐speaking children as they acquire meanings for words corresponding to the concepts alive and die . Our analysis illustrates that young children acquiring English and Indonesian are faced with distinct problems, but that parental input in both languages does little to support the acquisition of broad, inclusive biological concepts.  相似文献   
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The current study was designed to gain a better understanding of the nature of the relationship between substance use and sexual risk taking within a community sample of women (N = 1,004). Using confirmatory factor analysis, the authors examined the factor structure of sexual risk behaviors and substance use to determine whether they are best conceptualized as domains underlying a single, higher order, risk-taking propensity. A 2 higher order factor model (sexual risk behavior and substance use) provided the best fit to the data, suggesting that these 2 general risk domains are correlated but independent factors. Sensation seeking had large general direct effects on the 2 risk domains and large indirect effects on the 4 first-order factors and the individual indicators. Negative affect had smaller, yet still significant, effects. Impulsivity and anxiety were unrelated to sexual health risk domains.  相似文献   
36.
Rats' lever presses on a retractable lever earned brief presentations of discriminative stimuli signalling periods in which responding on an alternative lever was either non-reinforced (extinction) or reinforced on a random ratio schedule. The predictions of two theoretical accounts of this behaviour were tested by studying the effects of omitting either the stimulus signalling the reinforced or that signalling the non-reinforced schedule component. Under these conditions rats' behaviour is determined by the conditioned, affective properties of the stimuli rather than by their purely informational properties.  相似文献   
37.
OBJECTIVE: To examine dysregulation in biological measures associated with histories of abuse in women and whether women with premenstrual dysphoric disorder (PMDD) differ in their dysregulation. DESIGN: Twenty-five women meeting prospective criteria for PMDD and 42 non-PMDD controls underwent structured interview to determine abuse histories and lifetime Axis I diagnoses, excluding those with current Axis I disorders or using medications. MAJOR OUTCOME MEASURES: Plasma cortisol and norepinephrine (NE), heart rate (HR), blood pressure (BP), and vascular resistance index (VRI) were assessed at rest and in response to mental stress. RESULTS: A greater proportion of PMDD women had prior abuse compared with non-PMDD women. Regardless of PMDD status, all abused women had lower plasma NE and higher HRs and tended to have lower plasma cortisol at rest and during stress. Abused women also reported more severe daily emotional and physical symptoms. Greater VRI and BP at rest and during stress were seen only in PMDD women with abuse. CONCLUSION: There is persistent dysregulation in stress-responsive systems in all abused women that cannot be accounted for by current psychiatric illness or medications, and PMDD women may be differentially more vulnerable to the impact of abuse on measures reflecting alpha-adrenergic receptor function.  相似文献   
38.
The ability to make egocentric distance estimates of a single point source of light, seen in darkness and without the cues of changing size and luminance, was investigated in sixteen observers. The attenuation required to maintain constant luminance, when the target was viewed from different distances, was shown to follow the inverse square law providing the angle subtended by the light was less than 20 s arc. Distance changes were also simulated by means of a split mirror which produced vergence cues, or by test lenses to provide accommodation cues. Over the range 0.5 to 9.2 m distance estimates were surprisingly accurate, although there was some overestimation of near and underestimation of far distances. Most observers made good judgements when only convergence cues were varied, whereas no observers made consistently good judgements when only accommodation cues were varied. The difficulties are discussed in terms of the accommodation-convergence link. When distance was simulated by changing convergence and accommodation cues, estimates were not as good as when real distance was changed. Since good estimates were made with brief target exposures, these judgements were not based on subsequent convergence or accommodation changes. It is suggested that the metric or reference against which the apparently absolute judgements were made was the efferent demand signal associated with a 'resting' position of convergence in darkness.  相似文献   
39.
The purpose of this study was to examine speech convergence and speech evaluation in fact-finding interviews conducted in the field. Forty interviewers (ERs), undergraduates enrolled in a class on interviewing processes, conducted 20–30 minute interviews with selected interviewees (EEs), business persons and professionals in fields of interest to the ERs. Speech behaviors examined included response latency, speech rate, and turn duration; these were coded per one minute intervals of each interaction. Time series regression procedures indicated that both ERs and EEs converged speech rate and response latency toward their interlocutors' performances of these behaviors. Although turn duration convergence did not characterize the entire data set, male-male dyads did converge significantly and male (ER)-female (EE) dyads significantly diverged turn duration. Regarding speech evaluation, there was some evidence that greater response latency similarity, greater speech rate and response latency convergence, and faster ER speech and slower EE speech were positively related to the competence and social attractiveness judgments of participants. Limitations and implications are discussed.  相似文献   
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