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151.
In reviewing peer-leader feedback within Multi-Source Feedback programs, the group aggregate agreement (GAA) method is contrasted with self-other agreement (SOA). Past research (Markham, Smith, et al., 2014) has demonstrated convergence problems with GAA for groups of peer raters. To evaluate dyadic convergence, we used the Benchmarks data to investigate two derailment factors (Building & Mending Relationships and Interpersonal Problems) for 4607 peers describing 1505 focal respondents. For high-agreement dyads, the rtotal = ? 0.66** with 88% of the combined variance and covariance based on dyadic averages converging as whole units. Only 50% of all dyads demonstrated this type of high convergence. For low agreement dyads, the matching correlation (rtotal = ? 0.56**) was almost exclusively a function of within-dyad divergence with only 4% stemming from between-dyad sources. Research implications for evaluating SOA under these agreement conditions are highlighted. Practitioner applications for using an entity-based visualization of dyads also are prototyped and discussed.  相似文献   
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Gonadotrophin receptor hormone analogues (GnRHa) have been used in a range of sex hormone-dependent disorders. In the management of premenstrual syndrome, they can completely abolish symptoms. The success of GnRHa in the treatment of endometriosis and adjuvant therapy in the management of fibroids is proven. This efficacy does not come without a cost and the side-effects of the hypo-estrogenic state have limited their application. The use of add-back therapy to counter these effects has enabled wider application, longer durations of treatment and an increase in compliance. This review article is an update on the evidence supporting gonadotrophin receptor hormone analogues in combination with add-back therapy.  相似文献   
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Social work practitioners face powerful existential threats in child protection. Core aspects of anxiety and their significance for practitioner–parent relations are identified. Social and psychoanalytic theories are utilized to suggest that the production of anxiety in child protection stems from multiple sources and that insufficient attention has been paid to the social context of poverty and disadvantage. Menzies' core analytic categories of primary and secondary anxiety are applied and extended to take account of specific dimensions of the social and organizational context of child protection practice for social work. Processing the anxiety is central to practitioner–parent relations that lie at the heart of the protection of children.  相似文献   
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Supplier sourcing strategies are a crucial factor driving supply chain success. In this paper, we investigate the implications of uncertain supplier reliability on a firm's sourcing decisions in an environment with stochastic demand. In particular, we characterize specific conditions under which a firm should choose a single versus multiple supplier sourcing strategy. In an environment with both uncertain demand and supply, we characterize the total order quantity, the number of suppliers selected for order placement, and the allocation of the total order quantity among these selected suppliers. For deeper managerial insight, we also examine the sensitivity of the optimal sourcing decisions to interactions between uncertainties in product demand and supply reliability. We show that sourcing from a single supplier is an optimal strategy for environments characterized by high levels of demand uncertainty or high salvage values. A numerical analysis based on data obtained from an office products retailer further reinforces our analytical results. In addition, we also find that when minimal order quantities are imposed, there are situations where it is not optimal to place an order with the lowest cost supplier.  相似文献   
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This paper outlines a theoretical contribution to conceptualizing practitioner–mother relationships in child protection social work. It examines what is represented when these face‐to‐face encounters takes place. It suggests an intersubjective dimension where mothers are in effect asked to give an account of themselves. Drawing on humanities and social science writing, practitioner–mother relations are examined to analyse their symbolic and literal significance and the underlying purposes and assumptions that bind them. Butler's theory of recognition is utilized to alert us to the importance of supporting the narrative capacity of women caught up in child protection processes and of allowing the mother to give an account of herself as a woman and as a mother.  相似文献   
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The literature on caring for people with Alzheimer's disease predominantly underscores the role of the care giver, largely ignoring the care receiver. Care is viewed as a service to mind someone rather than a compassionate act of shared relationship. Alzheimer's disease is portrayed as negatively influencing reciprocity in caring relationships, precipitating their gradual dissolution. We report findings from an ethnographic study that followed nearly 100 dyads of people with Alzheimer's disease and those who cared for them for more than 1 year. ‘Give and take’ in a relationship appears richer and more ambiguous than previously supposed; despite one party's cognitive losses, shared meanings can still be experienced by both people. In an in-depth examination of the narratives of co-carers, gathered during home visits, relationships were seen to be dynamic co-constructions built upon everyday events, interactions, environments and disease progression. Importantly, we show that people with Alzheimer's disease express insight and awareness despite decline.  相似文献   
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