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101.
Abstract— Current proposals to promote and strengthen marriage among low-income populations focus on values and behavioral skills as primary targets of intervention. Marital research that examines contextual influences on marriage calls these emphases into question. Ethnographic and survey research reveal no evidence that populations experiencing higher rates of divorce value healthy marriages any less than other populations do. Longitudinal and observational research reveals two mechanisms through which the environment of a marriage may enhance or constrain effective relationship maintenance. First, some environments contain fewer sources of support and pose more severe challenges than others, presenting marriages in those environments with greater burdens than marriages in more supportive environments are faced with. Second, when demands external to the marriage are relatively high, even couples with adequate coping skills may have difficulty exercising those skills effectively. Together, such findings suggest that successful policies and interventions to strengthen marriages need to acknowledge the environments within which marriages take place.  相似文献   
102.
Abstract: The Bush administration's military war on terrorism is a blunt, ineffective, and unjust response to the threat posed to innocent civilians by terrorism. Decentralized terrorist networks can only be effectively fought by international cooperation among police and intelligence agencies representing diverse nation‐states, including ones with predominantly Islamic populations. The Bush administration's allegations of a global Islamist terrorist threat to the national interests of the United States misread the decentralized and complex nature of Islamist politics. Undoubtedly there exists a “combat fundamentalist” element within Islamism. But the threat posed to U.S. citizens by Islamist terrorism neither necessitates nor justifies as a response massive military invasions of other nations. Not only does the Bush administration's war on alleged “terrorist states” violate the doctrine of just war, but in addition these wars arise from a new, unilateral, imperial foreign‐policy doctrine of “preventive wars.” Such a doctrine will isolate the United States from international institutions and long‐standing allies. The weakening of these institutions and alliances will only weaken the ability of the international community to deter terrorism.  相似文献   
103.
One of the most pressing concerns in the study of international relations today is to develop a systematic account of the impact of domestic politics on foreign policy. This paper argues that domestic politics frequently influences foreign policy through a process of decision-making that grows out of the decision-maker's awareness of the requirements for effective action in the political context. It is therefore necessary to develop a theory that can explain how the political context's characteristic features affect decision-makers' thinking. In attempting to combine insights culled from the literature on political decision-making with psychological theories of decision-making processes, this paper offers a first step toward such a theory.  相似文献   
104.
医疗保健政策与医患关系   总被引:7,自引:3,他引:4  
医疗保健政策深刻地影响着医患关系,并左右着医患关系的发展与变化.在实行"以公平为主,兼顾效益"的福利性的医疗保健政策时期,我国的医患关系是和谐的.但自从医疗保健政策向"经济导向型"方向转变之后,国家大幅度减少了对卫生事业的投入,医院必须从病人身上取得卫生发展必要的资金,医药费用上涨是必然的,也失去了公平和公正,并最终导致医患关系的恶化.调整医患关系不能仅从医、患两方面着手,建立符合医学伦理的卫生政策,才是问题的关键.  相似文献   
105.
Psychologists in academic health systems are in a unique position to impact the dynamic interplay among research, clinical practice, and policy domains. In addition to their specialty expertise in psychopathology, particular types of physical illness and disease, and health promotion, psychologists have substantial knowledge of human behavior, refined scientific skills, knowledge and experience in the effective delivery of clinical services, strengths in written expression, and a collaborative orientation. This combination of strengths makes psychologists extremely well-suited for (a) interdisciplinary efforts to develop and implement evidence-based assessment and intervention strategies with biological, psychological, behavioral, and social components, and (b) leadership and advocacy efforts that impact the quality and availability of health care services.  相似文献   
106.
美国药物治疗管理服务的应用现状及对我国的启示   总被引:1,自引:1,他引:0  
为解决不合理用药问题,美国政府正尝试利用药师的专业技术优势加强对患者药物治疗的管理。在查阅分析国外文献的基础上介绍了美国药物治疗管理服务的形成背景、运作模式、核心要素和实施效果等应用现状,以期为我国临床药学服务的发展提供启示和政策建议。  相似文献   
107.
肺损伤是体外循环心内直视手术的主要并发症之一。肺损伤的机制十分复杂,主要是全身炎性反应和缺血/再灌注损伤所致。肺保护的方法多种多样,其目的是降低全身炎性反应,减轻或避免缺血/再灌注损伤。本文探讨体外循环肺损伤的机制和保护进展。  相似文献   
108.
依据墨家学说主旨、队伍组织、从事工作,特别是社会作用的不同,可将战国时期墨家学派的发展分为兴盛(公元前444年至公元前381年)、衰败(公元前381年至公元前311年)、转型(公元前311年至公元前250年)、重兴(公元前250年至公元前221年)四个阶段.兴盛阶段,墨家着力游说诸侯、传播学说、制止攻战、助弱国守城;衰败阶段,墨家学派分化内斗,三派弟子活动转型;转型阶段,“谈辩派”后学热衷于空言思辨,“说书派”后学被视为与儒家同类,“从事派”后学对“任侠之风”产生重大影响;重兴阶段,墨家学派声势复盛,“说书派”后学的宣传,“从事派”后学对墨家精神的继承,“谈辩派”后学与儒家、法家的尖锐争辩,都产生了重大社会影响.  相似文献   
109.
Two decades ago, Alexander George observed a growing gap between academic theorists and practitioners in the formulation of foreign policy. The significance of the gap has been debated, but trends in the academy, society, and government suggest it is likely to grow.  相似文献   
110.
加强我国农民工职业病防治工作的思考   总被引:10,自引:0,他引:10  
我国现有两亿多农民工,且遭受不同程度的职业病危害,以致近年新发现的职业病人几乎是农民工,但他们却没享受法律规定的平等待遇,为此中央领导多次批示,要求制定有利于《职业病防治法》贯彻落实和职业病防治工作的制本之策。结合广西开展农民工职业病防治工作的实践,指出其6个方面的主要原因和防治对策。  相似文献   
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