Medicare and Medicaid Reimbursement Rates for Nursing Homes Motivate Select Culture Change Practices But Not Comprehensive Culture Change

Components of nursing home (NH) culture change include resident-centeredness, empowerment, and home likeness, but practices reflective of these components may be found in both traditional and “culture change” NHs. We use mixed methods to examine the presence of culture change practices in the context of an NH’s payer sources. Qualitative data show how higher pay from Medicare versus Medicaid influences implementation of select culture change practices, and quantitative data show NHs with higher proportions of Medicare residents have significantly higher (measured) environmental culture change implementation. Findings indicate that heightened coordination of Medicare and Medicaid could influence NH implementation of reform practices.     

新疆高校少数民族学生预科汉语网络教学研究

基于网络教学有利于满足学生个性化的学习需求、有利于"课堂"与"课外"学习相结合、网络平台能为学生提供了一个"人工语境"等因素,文章认为在现有教学模式基础上,搭建预科汉语网络学习平台,建立预科汉语网络学习资料库,开展个性化的网络自主学习,对提高少数民族学生预科汉语教学水平有进一步的促进作用。     

Foster Carer Strain and its Impact on Parenting and Placement Outcomes for Adolescents

Drawing on recently completed research funded by the Departmentof Health, this article examines the extent of strain on thefoster carers of adolescents, its influence on parenting practicesand the overall impact on placement outcomes. The research find­ingsshow that foster-carers’ parenting capacity was markedlyreduced in a number of specific areas when they had experienceda high number of stressful life events in the six months priorto the young person’s arrival or were under considerablestrain during the placement. Conduct problems, hyperactivityand violent behaviour by the young people increased carer strain,as did contact difficulties with the children’s families.Problems in contacting social workers were linked to elevatedstrain, whilst strain was lessened when carers received helpfrom friends or from local professionals. Signifi­cantlyhigher disruption rates were experienced by strained carersand these placements were also less beneficial to the youngpeople.     

DIVERSITY BUT NOT EQUALITY: DOMESTIC LABOUR IN COHABITING RELATIONSHIPS

This paper examines the domestic labour arrangements of cohabiting couples and the implications for gender equality. The discussion is based on a predominantly qualitative study of thirty young cohabiters. The men and women shared domestic labour in diverse ways but not equally, instead they used discursive strategies to avoid assessing whether their contributions were equal. The cohabiters expressed extremely egalitarian attitudes when asked general questions about society but equality is absent when they discuss their own relationships. I argue that the concept of equality is part of public discourse rather than a fundamental principle of cohabiting relationships.     

Generalized integer-valued random coefficient for a first order structure autoregressive (RCINAR) process

A random coefficient autoregressive process for count data based on a generalized thinning operator is presented. Existence and weak stationarity conditions for these models are established. For the particular case of the (generalized) binomial thinning, it is proved that the necessary and sufficient conditions for weak stationarity are the same as those for continuous-valued AR(1) processes. These kinds of processes are appropriate for modelling non-linear integer-valued time series. They allow for over-dispersion and are appropriate when including covariates. Model parameters estimators are calculated and their properties studied analytically and/or through simulation.     

杨幺“陆耕水战”的战略战术

南宋洞庭湖区杨幺农民起义能够6次击败朝廷官军围剿，坚持斗争达7年之久，其根本的立足法宝，就在于“陆耕水战”的战略战术。这一战略战术之所以特具威力．一是与其深入进行各种反封建斗争密切相连，从而具有广泛的群众基础；二是他们创制了当时最先进的水战工具，并施以因地制宜、灵活机动的各种战术。这两个方面是过去研究者未能涉及和论述的。     

Pedagogical guerrillas,armed democrats,and revolutionary counterpublics: Examining paradox in the Zapatista unprising in Chiapas Mexico

Theory and Society -