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The school setting represents the most common setting by which youth receive mental and behavioral health (MBH) services (Farmer et al., 2003, Psychiatr Serv, 54, 60–66). Nevertheless, many school psychologists are not providing MBH services despite the high prevalence of need. Additional research is needed to understand factors leading to these deficits, as well as potential solutions to ameliorate these concerns. The current study surveyed 341 school psychologists across seven states and found current ratios are one school psychologist for every 1,500–2,000 students. Study results suggest school psychologists are providing a half to full day of universal, prevention-oriented MBH services each week whereas more targeted, direct services (e.g., individual or small group counseling) are offered 1–4 hr each week. The school psychologist-to-student ratios also demonstrated a statistically significant and inverse association with the provision of targeted MBH services, with higher ratios resulting in fewer MBH services. Respondents provided potential solutions for how to expand the delivery of MBH services within schools, including increased awareness and support among school and district administrators, as well as access to training and professional development related to MBH services.  相似文献   
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Teacher praise is an effective strategy that decreases preschool students’ disruptive behavior. It is well established that school‐aged students with behavior problems receive fewer teacher praises than their peers; however, it is unclear whether these findings are consistent among preschool students. The purpose of this study was to collect praise frequency data in general, at‐risk, and special education classrooms. Over 10 hours of direct observation data were used to examine six preschool teachers’ natural use of praise. Teachers’ use of praise was not statistically different based on classroom type; however, special education teachers used twice as many praises compared to general education and at‐risk teachers. Teachers used more general praise compared to behavior‐specific praise, which was statistically significant. Finally, teachers delivered more praise to individual and large groups of students compared to small groups of students, which was also statistically significant. Future directions and implications for using praise to prevent behavior problems among preschool students are offered.  相似文献   
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Background: A librarian consultation service was offered to 88 primary care clinicians during office hours. This included a streamlined evidence‐based process to answer questions in fewer than 20 min. This included a contact centre accessed through a Web‐based platform and using hand‐held devices and computers with Web access. Librarians were given technical training in evidence‐based medicine, including how to summarise evidence. Objectives: To describe the process and lessons learned from developing and operating a rapid response librarian consultation service for primary care clinicians. Methods: Evaluation included librarian interviews and a clinician exit satisfaction survey. Results: Clinicians were positive about its impact on their clinical practice and decision making. The project revealed some important ‘lessons learned’ in the clinical use of hand‐held devices, knowledge translation and training for clinicians and librarians. Conclusions: The Just‐in‐Time Librarian Consultation Service showed that it was possible to provide evidence‐based answers to clinical questions in 15 min or less. The project overcame a number of barriers using innovative solutions. There are many opportunities to build on this experience for future joint projects of librarians and healthcare providers.  相似文献   
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The authors investigated the number of sessions necessary for college counseling center clients of different levels of severity of distress at intake to achieve clinically significant change (CS) in therapy. The Outcome Questionnaire‐45 (M. J. Lambert, N. B. Hansen, et al., 1996) was used to categorize 914 clients by severity of distress. Analyses of outcome indicated that clients with less and more severe distress needed 14 and 20 sessions, respectively, for 50% in each group to achieve CS. Implications are discussed.  相似文献   
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The history of science is more than the history of scientists. This essay argues that various modem "publics" should be counted as belonging within an enlarged vision of who constitutes the "scientific community"--and describes how the history of science could be important for understanding their experiences. It gives three examples of how natural knowledge-making happens in vernacular contexts: Victorian Britain's publishing experiments in "popular science" as effective literary strategies for communicating to lay and specialist readers; twentieth-century American science museums as important and contested sites for conveying both scientific ideas and ideas about scientific practice; and contemporary mass-mediated images of the "ideal" scientist as providing counternarratives to received professional scientific norms. Finally, it suggests how humanistic knowledge might help both scientists and historians grapple more effectively with contemporary challenges presented by science in public spheres. By studying the making and elaboration of scientific knowledge within popular culture, historians of science can provide substantively grounded insights into the relations between the public and professionals.  相似文献   
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全面预算管理是以企业战略规划为依据,以量化的、综合的、涵盖企业经营全过程的全面预算为基础,以全员、全过程、全方位控制为特征的企业内部管理控制系统。从我国会展行业的实际现状出发,从理论和实践两方面对全面预算管理的应用进行探讨,运用全面预算管理的基本理论,深入分析会展行业特点及在实施过程中存在的问题,并有针对性地提出改进措施,以此抓住会展企业预算管理工作的关键环节,探索建立起一套适合其自身发展的预算管理体系。  相似文献   
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The aims of this study were to examine and compare selected physiological and metabolic responses of wheelchair athletes in two paraplegic racing classes [T3: n?=?8 (lesion levels T1–T7; paraplegics); T4: n?=?9 (lesion levels below T7; paraplegics)] to prolonged exercise. In addition, we describe the responses of three tetraplegic athletes [T2: n?=?3 (lesion levels C6/C7: tetraplegics)]. Twenty athletes completed 90?min of exercise at 75% [Vdot]O2peak on a motorized treadmill adapted for wheelchairs. The mean (±s) heart rates of the T3 and T4 racing classes were 165±2 and 172±6 beats?·?min?1, respectively. For the T4 racing class, heart rate gradually increased during the test (P?<0.05), whereas for the T3 racing class, heart rate reached a plateau after an initial increase. The mean heart rate of the tetraplegics was 114±3 beats?·?min?1. The T3 and T4 classes exhibited similar respiratory exchange ratios, plasma lactate and glucose concentrations throughout the test. For both the T3 and T4 racing class, free fatty acid, glycerol, ammonia, urea and potassium concentrations had increased from resting values by the end of the test (P?<0.05). In conclusion, the results of this study suggest that endurance-trained wheelchair athletes are able to maintain velocities equivalent to the same relative exercise intensity (75% [Vdot]O2peak) for prolonged periods irrespective of lesion level.  相似文献   
10.
Sixty WISC-III protocols, administered by graduate students in training, were examined to obtain preliminary data on the frequency and types of administration and scoring errors that examinees commit. Results were compared with previous studies that have evaluated examiner errors on the Wechsler scales. In general, the present results were consistent with those of previous studies that have illustrated that a large number of scoring errors are committed by graduate students as well as by other professional groups. The majority of errors committed by participants in this study were general errors. That is, errors were not specific to a particular subtest. The five most frequent errors included failure to query, failure to record responses verbatim, reporting Full Scale IQ incorrectly, reporting Verbal IQ incorrectly, and adding individual subtest scores incorrectly. However, the traditional difficult to score Verbal subtests were not as troublesome for examiners in this study as they were for examiners in previous studies. In addition, significant decreases in the mean number of errors per protocol and in the number of most frequently occurring errors per protocol were noted. © 1998 John Wiley & Sons, Inc.  相似文献   
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