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Effectively conveying risks and hazards in medical disclosure and informed consent documentation is a crucial type of communication. However, existing protocols typically do not meet the needs of patients or practitioners. In the present study, we advance a reconceptualization of obtaining written informed consent by analyzing it as a process of uncertainty management rather than a matter of document readability and recall. Results of this randomized trial indicated that patients who reviewed a simplified consent document reported greater comprehension of medico-legal terminology and lower uncertainty about the document, although they did not evince greater self-efficacy. Health literacy was a significant moderator of the relationship between consent form version and comprehension.  相似文献   
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The amount that students read for enjoyment and for school is a major contributor to students' reading achievement and knowledge of the world. Consequently, it is important to identify the factors that predict amount of reading. A literature review revealed that motivation, strategy-use, and past reading achievement all may be expected to predict reading amount. To examine these variables, a total of 251 students in Grades 3 and 5 was administered questionnaires of these constructs and a reading test. Results showed that amount of reading for enjoyment was predicted most highly by motivation, when all other variables were controlled statistically in multiple-regression analyses. In contrast, amount of reading for school was predicted most highly by strategy use, when all other variables were controlled. However, these predictions were different for students in Grades 3 and 5. Findings of the study indicate that amount of reading is multiply determined by cognitive and motivational constructs, which is consistent with an engagement perspective on reading development. Copyright 2001 Academic Press.  相似文献   
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This article highlights the birth and current benefits of a partnership between Keene State College and Keene Public Library. It is a smaller one-on-one partnership that represents a rarer model than that of consortia and joint-use library partnerships. The authors offer additional ideas for partnering with local community groups in order to strengthen the town/gown relationship.  相似文献   
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The interdisciplinary approach to family diagnosis and treatment of child abuse often begins in the hospital. The tone established at this time has crucial implications for the treatment program following discharge from the hospital. There is, however, a paucity of information in the literature regarding the best utilization of this critical phase of treatment. Often this period is viewed as a time for assessment, diagnosis and treatment of the physical injuries while neglecting to recognize and utilize the potential for planned therapeutic intervention during the hospital stay. This paper identifies methods and interventions in implementing a treatment plan particular to this phase of the over-all treatment of the child and family.  相似文献   
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