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121.
ABSTRACT

Generalised trust promotes social interactions and may well be a crucial component of immigrant integration. Recent immigrants in particular are likely to be viewed by themselves and others as ‘outsiders’ who are unfamiliar with the expectations and norms that structure day-to-day social interactions in the host country. This study relies on a unique combination of three sources of data all derived from World Values Surveys to examine levels of trust, and its sources, among newcomers in one country with a large immigrant population, Canada. The evidence indicates that recent immigrants to Canada make a clear distinction between trust in other people in general, and trust in Canadians in particular: the former is grounded in pre-migration cultural influences, while the latter is grounded in immigrants’ experiences in the new host country. Moreover, the evidence suggests trust in Canadians is a crucial component of immigrant integration.  相似文献   
122.
In outpatient healthcare clinics, capacity, patient flow, and scheduling are rarely managed in an integrated fashion, so a question of interest is whether clinic performance can be improved if the policies that guide these decisions are set jointly. Despite the potential importance of this issue, we find surprisingly few studies that look at how the allocation of capacity, paired with various appointment scheduling policies and different patient flow configurations, affects patient flow and clinical efficiency. In this paper, we develop an empirically based discrete‐event simulation to examine the interactions between patient appointment policies and capacity allocation policies (i.e., the number of available examination rooms) and how they jointly affect various performance measures, such as resource utilization and patient waiting time. Findings suggest that scheduling lower‐variance, shorter appointments earlier in the clinic (and, conversely, higher‐variance, longer appointments later) results in less overall patient waiting without reducing physician utilization or increasing clinic duration. Additionally, exam rooms exhibited classic bottleneck behavior: there was no effect on physician utilization by adding exam rooms beyond a certain threshold, but too few exam rooms were devastating to clinic throughput. Some significant interactions between these variables were observed, but were not influential to the level of managerial concern. Clinicians' intuition about managing capacity in healthcare settings may differ substantially from best policies.  相似文献   
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Adult survivors of institutional abuse were interviewed with a comprehensive assessment protocol which included the Childhood Trauma Questionnaire, the Institutional Child Abuse Processes and Coping Inventory, the Structured Clinical Interviews for Disorders of the Diagnostic and Statistical Manual of Mental Disorders IV axis I disorders and personality disorders, the Trauma Symptoms Inventory, a Life Problems Checklist, the Experiences in Close Relationships Inventory and the Kansas Marital Satisfaction Scale. Profiles were identified for subgroups that described severe sexual (N = 60), physical (N = 102), or emotional (N = 85) abuse as their worst forms of maltreatment. Survivors of severe sexual abuse had the most abnormal profile, which was characterised by higher rates of all forms of child maltreatment and higher rates of post‐traumatic stress disorder, alcohol and substance abuse, antisocial personality disorder, trauma symptoms and life problems. Survivors of severe emotional abuse were better adjusted than the other two groups. The profile of survivors of severe physical abuse occupied an intermediate position between the other two groups. A thorough assessment of abuse history and current functioning should be conducted when providing services to adult survivors of institutional abuse, since this may have important implications for the intensity of services required. Survivors of severe sexual abuse may require more intensive services. Copyright © 2009 John Wiley & Sons, Ltd.  相似文献   
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In the development of large scale technologically advanced projects and procedures, it is often necessary to project the life cycle cost elements of a full production system based upon test results from a much smaller prototype facility. This paper describes an application of simulation to characterize equipment and facilities for a large-scale vitrification plant, based upon available results, expert opinion, and classical cost estimating techniques. This study improves the understanding of the vitrification process and reduced cost uncertainties. Further, it details how optimization was incorporated in modeling the minimum additive waste stabilization blending process to reduce the cost of additives and provide a more rigorous estimate of overall system cost.  相似文献   
128.
Recent studies have shown that social "compassion" issues, andnot those directly linked to women’s interests, seem todrive the gender gap in presidential vote choice. Some of thesecompassion issues are associated with the plight of racial minoritiesin the media and in the minds of average citizens. Drawing ontheories of gender role socialization, we predict that traditionalpartisan stands on racial issues may help to explain the gendergap. Specifically, we hypothesize that the gap emerges becausemen and women react differently to cues about how compassionatecandidates are toward vulnerable social groups. In one experiment,we manipulate news information regarding George W. Bush’scommitment to blacks versus women. The gender gap is maximizedwhen Bush takes the traditional Republican stance, while itis reduced significantly when Bush espouses a more moderateposition. The gender gap is unaffected by variation in the positionthat Bush takes on women’s issues. In another experiment,we also find that the gender gap emerges when traditional partisanappeals are racialized. Finally, exposure to the 2000 RepublicanNational Convention, with its message of racial inclusion, boostedevaluations of Bush among women but not men.  相似文献   
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In the absence of an adequate supply of affordable, quality housing, child welfare agencies are placed in the unenviable position of separating families to protect children from the debilitating effects of homelessness. This article presents recommendations for costeffective housing-child welfare partnerships that will shift the burden of providing adequate housing back to housing agencies. These partnerships have the potential to move child welfare agencies closer to achieving permanence and well-being for all children.  相似文献   
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