Improvement in the sociomedical support for the urban family under current conditions

Medico-demographic processes and socio-hygienic characteristics of the population of a large city, both at an individual and familial levels, as well as territorial characteristics of residence, should be taken into consideration when developing measures for medicosocial care of the population. Analysis of the attitude of 380 city families to the activities, personality, and professional skills of local therapists and pediatricians and to the idea of primary health care rendered by a physician of a general profile demonstrated an increased activity of the families in the "physician-patient" system and confirmed the necessity of improving medicosocial care of a city family, expansion of prophylactic work with the population with due consideration for factors which have an impact on population health.     

Strategic questions for consumer-based health communications

Using the consumer-oriented approach of social and commercial marketers, this article presents a process for crafting messages designed to improve people's health behaviors. The process, termed consumer-based health communications (CHC), transforms scientific recommendations into message strategies that are relevant to the consumer. The core of CHC is consumer research conducted to understand the consumer's reality, and thereby allowing six strategic questions to be answered. The immediate result of the CHC process is a strategy statement--a few pages that lay out who the target consumer is, what action should be taken, what to promise and how to make the promise credible, how and when to reach him or her, and what image to convey. The strategy statement then guides the execution of all communication efforts, be they public relations, mass media, direct marketing, media advocacy, or interpersonal influence. It identifies the most important "levers" for contact with the consumer. Everyone from creative specialists through management and program personnel can use the strategy statement as a touchstone to guide and judge the effectiveness of their efforts. The article provides a step by step illustration of the CHC process using the 5 A Day campaign as an example.     

REVISE: A Tool for Measuring and Mitigating Bias in Visual Datasets

International Journal of Computer Vision - Machine learning models are known to perpetuate and even amplify the biases present in the data. However, these data biases frequently do not become...     

ɛ-productions in context-free grammars

Summary The effect of -productions on the space complexity of various context-free language problems is investigated. It is shown that the removal of -productions from a context-free grammar can probably not be achieved with small storage space. This explains the apparent discrepancy between two different results in the literature on the membership problem. By way of contrast, it is shown that the space complexity of the emptiness and the finiteness problems are independent of the presence of -productions.     

Government policy,public value and IT outsourcing: The strategic case of ASPIRE

The paper examines government IT outsourcing polices. The paper critiques the concept of ‘the Contract State’, and suggests how more disciplined uses of outsourcing can assist the creation of public value, more broadly conceived. Within the context of international developments, we study the United Kingdom Inland Revenue (IR), Customs and Excise (HMRC) and Department of Social Security (DSS) and their IT outsourcing contracts. The evidence suggests that outsourcing and marketization initiatives have adverse public value impacts, and may need to be rethought. Major IT operations and innovations, for example e-government, National Health Service (NHS) and identity card IT policies in the UK, are managed and generate legacies that do not always make efficient and effective use of the market. Moreover, their objectives, implementation and management over time may truncate their value to the public at large. Applying a revised Public Value policy approach offers a richer perspective to guide central government decisions worldwide about future IT outsourcing.     

Noise-shaping sense amplifier for MRAM cross-point arrays

A sensing technique using a voltage-mode architecture, noise-shaping modulator, and digital filter (a counter) is presented for use with cross-point MRAM arrays and magnetic tunnel junction memory cells. The presented technique eliminates the need for precision components, the use of calibrations, and reduces the effects of power supply noise. To obviate the effects of cell-to-cell variations in the array, a digital self-referencing scheme using the counter is presented. Measured experimental results in a 180-nm CMOS process indicate an RMS sensing noise of 20 /spl mu/V for a 5-/spl mu/s sense time. Further increases in sense time are shown to increase the signal-to-noise ratio. The current used by the sense amplifier and counter was measured as 10 /spl mu/A when running at 100 MHz or 10 mA when 1000 sense amplifiers are used with a memory subarray having 1000 bitlines.     

Emotional arousal, client perceptual processing, and the working alliance in experiential psychotherapy for depression.

Early-, middle-, and late-phase client emotional arousal, perceptual processing strategies, and working alliance were examined in relation to treatment outcome on 4 measures in 32 clients who previously underwent experiential therapy for depression. Hierarchical regression analyses relating these variables to outcome indicated that results varied depending on the therapeutic process, phase of treatment, and outcome measure involved in the analyses. Mid-therapy arousal predicted improvements in self-esteem, whereas mid- and late treatment perceptual processing predicted reductions in client interpersonal dysfunction. Emotional arousal in conjunction with perceptual processing during mid-therapy predicted reductions in depressive and psychopathological symptomatology better than either of these variables alone. The implications of these findings for psychotherapy research and practice are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Associations in the Course of Personality Disorders and Axis I Disorders Over Time.

In this study, the authors examined time-varying associations between schizotypal (STPD), borderline (BPD), avoidant (AVPD), or obsessive-compulsive (OCPD) personality disorders and co-occurring Axis I disorders in 544 adult participants from the Collaborative Longitudinal Personality Disorders Study. The authors tested predictions of specific longitudinal associations derived from a model of crosscutting psychobiological dimensions (L. J. Siever & K. L. Davis, 1991) with participants with the relevant Axis I disorders. The authors assessed participants at baseline and at 6-, 12-, and 24-month follow-up evaluations. BPD showed significant longitudinal associations with major depressive disorder and posttraumatic stress disorder. AVPD was significantly associated with anxiety disorders (specifically social phobia and obsessive-compulsive disorder). Two of the four personality disorders under examination (STPD and OCPD) showed little or no association with Axis I disorders. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effectiveness of Cognitive-Behavioral Treatment for Panic Disorder Versus Treatment as Usual in a Managed Care Setting.

Eighty clients enrolled in a managed care health plan who identified panic disorder as their primary presenting problem were randomly assigned to treatment by a therapist recently trained in a manual-based empirically supported psychotherapy (M. G. Craske, E. Meadows, & D. H. Barlow, 1994) or a therapist conducting treatment as usual (TAU). Participants in both conditions showed significant change from pre- to posttreatment on a number of measures. Those receiving panic control therapy (PCT) showed greater levels of change than those receiving TAU. Among treatment completers, an average of 42.9% of those in PCT and 18.8% in TAU achieved clinically significant change across measures. The results are discussed with reference to the dissemination of PCT and other evidence-based psychotherapies to clinical practice settings. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social role and patterns of symptomatic behaviors.

In an attempt to develop a more conceptually oriented system of psychiatric classification, the statistical relationships occurring among various symptomatic reactions were studied in 604 patients. The deviant reactions were organized into symptom clusters, and a test of their stability was made in another group of Ss. The 3 symptom clusters which emerged were "avoidance of others… self-indulgence and turning against others… [and] self-deprivation and turning against the self." (PsycINFO Database Record (c) 2010 APA, all rights reserved)