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51.
A simple least squares method for estimating a change in mean of a sequence of independent random variables is studied. The method first tests for a change in mean based on the regression principle of constrained and unconstrained sums of squares. Conditionally on a decision by this test that a change has occurred, least squares estimates are used to estimate the change point, the initial mean level (prior to the change point) and the change itself. The estimates of the initial level and change are functions of the change point estimate. All estimates are shown to be consistent, and those for the initial level and change are shown to be asymptotically jointly normal. The method performs well for moderately large shifts (one standard deviation or more), but the estimates of the initial level and change are biased in a predictable way for small shifts. The large sample theory is helpful in understanding this problem. The asymptotic distribution of the change point estimator is obtained for local shifts in mean, but the case of non-local shifts appears analytically intractable.  相似文献   
52.
This study investigated the influence of a community health worker (CHW) diabetes lifestyle intervention on mental health outcomes. Our study was guided by the principles of community-based participatory research. Data were collected from 164 African American (N = 94) and Hispanic adults (N = 70) participating in a randomized, 6-month delayed intervention group design for improving glycemic control. The intervention time periods were baseline to 6 months for the treatment group and 6–12 months for the delayed group. Linear mixed models were used to conduct longitudinal analyses of the Problem Areas in Diabetes (PAID) and Patient Health Questionnaire (PHQ) scales. In the model adjusted for demographics, the PAID dropped significantly from pre-intervention to post-intervention within both the treatment and delayed groups (p < 0.05) with an average intervention effect of ?6.4 (p < 0.01). The PAID dropped even further within the immediate group from 6 to 12 months. Although the PHQ did not change significantly, the PHQ-2 had an average intervention effect of ?0.3 (p < 0.05) in the model adjusted for demographics. This study contributes to an understanding of how a CHW-led diabetes intervention can result in positive mental health outcomes for Latinos and African Americans with Type 2 diabetes. It also highlights the importance of further exploring what factors may contribute to racial/ethnic variation in mental health outcomes for African Americans and Latinos with diabetes and the role CHWs can play.  相似文献   
53.
54.
Organizational Culture: Sailing Between Evangelism and Complexity   总被引:1,自引:0,他引:1  
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55.
This study tests a cross‐cultural model of the work‐family interface. Using multigroup structural equation modeling with IBM survey responses from 48 countries (N= 25,380), results show that the same work‐family interface model that fits the data globally also fits the data in a four‐group model composed of culturally related groups of countries, as well as a two‐group gender model. This supports a transportable rather than a culturally specific or gender‐specific work‐family interface model: notably, job flexibility related to reduced work‐family conflict, reduced family‐work conflict, and enhanced work‐family fit. Work‐family fit related to increased job satisfaction. Findings suggest that investment by multinational companies in job flexibility initiatives may represent a dual‐agenda way to benefit men, women, and businesses in diverse cultures.  相似文献   
56.
Abstract

The Library of Congress (LC) is in the process of developing a new level of MARC 21 and AACR2 cataloging for non-serial Internet resources called “access” level. This article briefly describes the impetus behind the creation of this new standard, information about the proposed standard itself, and the results of a test conducted at LC using the core data set and cataloging guidelines. The future plans of the Library for implementing and possibly expanding the use of access level are identified.  相似文献   
57.
A preliminary testing procedure for design ettecta in a ran-dom effects covariance model is Compared with the usual procedure to see if the power of the latter can be improved. A procedure which ignores the random covariate effects is included for comparison and for study of misspecification effects. Methodology is based on Roebruck's (1982) results for regular linear models.  相似文献   
58.
Urban Ecosystems - Coastal urbanisation, energy extraction, food production, shipping and transportation have led to the global proliferation of artificial structures within the coastal and marine...  相似文献   
59.
ABSTRACT

Despite its emphasis on social justice, social work in the United States has not always attended to issues of diversity in doctoral education. This article examines the state of the discipline’s research on traditionally underrepresented students in U.S. doctoral social work programs. An analysis of relevant peer-reviewed articles from social work journals revealed that this research has focused on demographic trends, degree motivation, student barriers, existing supports, and career navigation. Diversity in U.S. doctoral social work education is vastly understudied with the majority of scholarship focusing on ethnoracial difference. The limitations of this study are discussed, and future research directions are proposed including the need to examine various kinds of social differences and a wider range of support initiatives.  相似文献   
60.
ABSTRACT

Health outcomes are affected by patient, provider, and environmental factors. Previous studies have evaluated patient-level factors; few focusing on environment. Safe clinical spaces are important for lesbian, gay, bisexual, and transgender (LGBT) communities. This study evaluates current models of LGBT health care delivery, identifies strengths and weaknesses, and makes recommendations for LGBT spaces. Models are divided into LGBT-specific and LGBT-embedded care delivery. Advantages to both models exist, and they provide LGBT patients different options of healthcare. Yet certain commonalities must be met: a clean and confidential system. Once met, LGBT-competent environments and providers can advocate for appropriate care for LGBT communities, creating environments where they would want to seek care.  相似文献   
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