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1.
Several methodological and ethical issues are addressed in the context of 3 related school-based studies of the primary and targeted prevention of depressive symptoms and disorder in high school adolescents. These issues include obtaining S consent and the protection of confidentiality, minimizing attrition over long-term follow-up periods, the "unit of assignment" issue common to most school-based research, and ensuring therapist fidelity to the intervention protocol. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
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Interest in medical savings accounts (MSAs) as a potential tool to reduce healthcare costs has been widespread. A small number of countries have either implemented or run pilot programs of MSAs, and vigorous policy debates have taken place in several other countries about the potential merits of introducing MSAs as a method of paying for health care. In this paper we develop a model to assess the cost saving potential of MSAs in a publicly funded healthcare system. We assume that the public healthcare payer may choose between reimbursing healthcare expenditures through an MSA or through a form of third‐party payer insurance. We use the model to identify the conditions under which MSAs may reduce costs. We illustrate using data on healthcare expenditures from Canada.  相似文献   
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Nanostructured polymer blends prepared via anionic ring opening polymerizations of cyclic monomers in the presence of a pre-made polymer melt exhibit a number of special properties over traditional polymer blends and homopolymers. Here, we report on a simple and versatile method of in situ polymerization of macrocyclic carbonates in the presence of a maleic anhydride polypropylene (mPP) matrix and a surface-active compatibilizer (i.e. PC grafted onto a mPP backbone generated in situ) to yield a micro- and nanostructured polymer blends consisting of a polycarbonate (PC) minor phase, and a polypropylene (PP) major phase. By varying the processing conditions and concentration of the macrocyclic carbonate it was possible to reduce the size of the PC dispersions to an average minor diameter of 150 nm. NMR and TEM characterizations indicate that the PC dispersions do not influence crystal content in the PP phase. Overall, the results point to a simple strategy and versatile route to new polymeric materials with enhanced benefits.  相似文献   
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Sampled-data techniques are used to examine the dynamic characteristics and closed-loop performance of the quasi-square-wave boost converter. Direct duty-ratio control and current-mode control are considered. With direct duty-ratio control, the system poles remain well damped under all load conditions, and there is no zero in the control-to-output transfer function. Good closed-loop performance is therefore achieved. Under current-mode control, the requirement for a stabilizing ramp is seen to depend on load conditions, and the achievable voltage control-loop bandwidth is smaller than that using direct duty-ratio control; however, there is a significant reduction in the magnitude of the DC source to output-voltage frequency response  相似文献   
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Young-of-the-year spottail shiners (Notropis hudsonius) were used as biomonitors to determine the spatial distribution (1982/83) and assess trend data for organochlorine and mercury residues. Significantly (p < 0.01) higher PCB residues were found in Detroit River spottail shiners than in collections from southwestern Lake St. Clair and northwestern Lake Erie. The highest PCB residues were found in the west bank collections from Michigan waters (912–2,997ng/g) compared to the mid-stream (96–290 ng/g) and east bank collections (153–316 ng/g). Chlordane residues were found to be elevated in all spottail shiner samples from urbanized areas. Octachlorostyrene and ∑ DDT residues were distributed uniformly within the study area, whereas mercury concentrations were found to be lower in spottail shiners from northwestern Lake Erie than in comparable samples from the Detroit River and southwestern Lake St. Clair. Residues for BHC, heptachlor, aldrin, and chlorinated benzenes were near their detection limits; mirex and chlorinated phenols were not detectable. Recent (1982/83) PCB residue levels in spottail shiners exceeded the IJC aquatic life objective (Great Lakes Water Quality Agreement of 1978) at all the sites sampled, except at Pike Creek in Lake St. Clair. PCB residues in spottail shiners from Pike Creek, Big Creek, and Leamington have declined significantly (p < 0.01) since the mid-seventies. Mercury and chlordane residues have decreased in spottail shiner samples from Leamington, but have remained virtually unchanged at Big Creek and Pike Creek.  相似文献   
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The authors present a theory for understanding risk for problem drinking among reservation-dwelling American Indians. The theory offers an overall framework for understanding the risk process for this group. It considers the distinction between factors that influence mean levels of American Indian problem drinking and factors that influence individual differences in American Indian drinking. It proposes important contextual differences between reservation-dwelling American Indians and Caucasians that may help explain the higher mean levels of American Indian problem drinking. The theory further holds that, within the high mean level of problem drinking characteristic of many American Indian reservations, individual differences in problem drinking can be explained by very similar personality and learning factors as those that influence problem-drinking levels for other ethnic groups. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
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