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984.
This study examined the needs that young people in Guadalajara, in the state of Jalisco, Mexico, expressed in phone calls to a research unit of the Mexican Social Security Institute. Three hundred forty-five calls, from individuals 11 to 24 years old who phoned from June 1995 to November 1998, were analyzed. Two hundred ninety-four of the callers were female and 51 were male. Greater percentages of females than males called to ask about sexuality and family problems. Males more than females asked about reproductive health (particularly pregnancy) and mental health. There were significant differences by gender and age, differences that were not detected in health service statistics. The findings have implications for decision makers and health and education service providers. They point to the need for programs that will reinforce young people's good health practices and help them avoid risky behaviors.  相似文献   
985.
This paper reflects on experience gained from presymptomatic testing for Huntington disease. An approach is presented which considers the role of the clinician and aims of the interview. Irrespective of the disease being tested for, it is suggested that the psychological aim of presymptomatic testing is to foster emotional insight and understanding that will help clients in their decision-making process about testing and their subsequent adjustment to the result. Based on these aims the process of presymptomatic testing, counseling is considered in terms of clarification, consideration, education, and reflection, followed by decision making. Practical approaches are discussed and illustrated with clinical examples.  相似文献   
986.
The ELECTRE family of decision aid methods is a well‐known approach to help decision makers (DMs) advance in a decision process. Among the most recent methods in the family, ELECTRE IS, III, and TRI compute fuzzy indices for the credibility of a given action outranking some other. We consider the case when the DMs are unsure which values each parameter should take, which may result from insufficient, imprecise or contradictory information, as well as from different preferences among a group of DMs. In the framework of a robustness analysis approach, where DMs provide only partial information on the parameter values (through constraints on acceptable combinations), we study how to find whether an outranking among two actions in an ELECTRE method is robust. In this context, we study the resulting nonlinear problems of optimizing a credibility index (under the type of constraints that we consider to appear in practice) and present some examples. Copyright © 1999 John Wiley & Sons, Ltd.  相似文献   
987.
Abstract

To evaluate whether frequent interactive tablet-use at preschool age is associated with improved fine motor skills and to describe tablet-use in young children. Cross-sectional study with 78 children, aged 24–42?months: group 1 with previous frequent tablet-use exposure (n?=?26), group 2 without previous tablet-use exposure (n?=?52). Fine motor skills were evaluated with the Bayley-III. Socioeconomic data and home environment quality were similar in both groups. Fine motor skills of group 1 were better than those of group 2 (p?=?0.013). Most participating children carried out passive and active tablet activities, usually accompanied by parents, not exceeding time recommendations for young age. We observed a difference in fine motor skills in young children slightly favoring those with tablet-use experience.  相似文献   
988.
This study comprises a first attempt to explore a cross-cultural application of Bowen family systems theory and examines the relationship between differentiation of self and couple adjustment using measurement invariance. A sample of 2,141 individuals (n = 915 from the United States; n = 635 from Italy; n = 591 from Spain) completed measures of differentiation of self (DSI-R; Skowron & Schmitt, J Marital Fam Ther, 29, 2003, 209) and couple adjustment (DAS; Spanier, J Marriage Fam, 38, 1976, 15). Results showed evidence of partial measurement equivalence for the DSI-R across the three samples. Additionally, results from latent regression showed that less emotional cutoff predicted greater couple adjustment in the United States, Spain, and Italy, whereas greater emotional reactivity predicted poorer couple adjustment only in the more collectivistic cultures, Spain and Italy. Our findings are consistent with prior empirical studies, which suggest that emotional cutoff is a strong predictor of relationship adjustment. The use of measurement invariance provides a foundation for future studies to continue employing rigorous statistical methods when examining constructs across different cultures. The findings highlight culture-specific similarities and differences in differentiation that may benefit practitioners by informing psychotherapy with individuals, couples, or families from diverse populations.  相似文献   
989.
The novel coronavirus has added new anxieties and forms of grieving to the myriad practical and emotional burdens already present in the lives of underserved and uninsured immigrant families and communities. In this article, we relate our experiences since the COVID-19 crisis to the lessons we have learned over time as mental health professionals working with families in no-cost, student-managed community comprehensive health clinics in academic-community partnerships. We compare and contrast the learnings of flexibility of time, space, procedures, or attendance we acquired in this clinical community setting during regular times, with the new challenges families and therapists face, and the adaptations needed to continue to work with our clients in culturally responsive and empowering ways during the COVID-19 pandemic. We describe families, students, professionals, promotoras (community links), and IT support staff joining together in solidarity as the creative problem solvers of new possibilities when families do not have access to Wi-Fi, smartphones, or computers, or suffer overcrowding and lack of privacy. We describe many anxieties related to economic insecurity or fear of facing death alone, but also how to visualize expanding possibilities in styles of parenting or types of emotional support among family members as elements of hope that may endure beyond these unprecedented tragic times of loss and uncertainty.  相似文献   
990.
Most research about the promotion of pro-environmental behaviours has focused on actions conducted at home (e.g. energy saving). While acknowledging their relevance, the effect of such behaviours on the mitigation of two of the most relevant global environmental problems (climate change and biodiversity loss) is relatively small. We present a literature review with two main objectives. First is to introduce the concept of active pro-environmental behaviours. These are a combination of outdoor physical activities and pro-environmental behaviours. The latter involve behaviours that have a minimum impact on the environment, or even have positive consequences for the environment. Active commuting and tree planting are examples of active pro-environmental behaviours. The second objective is to discuss the relevance of active pro-environmental behaviours for people’s health and sustainability and, thereby, to encourage more research and efforts towards the promotion of these behaviours. We conclude by suggesting how stakeholders can promote active pro-environmental behaviours.  相似文献   
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