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61.
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This paper develops and tests a continuous time discrete state Markov Chain as a model for change in group structure. Movement of triads among different states is focused upon. It is shown formally that a triad cannot move to a state where all the pair relationships are mutual without incurring intransitivity. An empirical test on the change in sociometric structures provides support for the model.  相似文献   
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This study examined the dominant factors that predict the utilization of services by 129 identified elder abuse victims who reside in the community. Utilizing the Andersen Model, services accepted or rejected were analyzed from individual, family and environmental perspectives. Results indicated that service utilization is related to three "need" factors: (1) Victim has cognitive and ADL impairments, (2) Victim has poor health status (self rated), and (3) The abuser is financially dependent on the victim and is also the primary caregiver of the victim. "Enabling" factor (1) Victim lives alone. "Predisposing" factors (1) Abuser is substance abuser and (2) Abuser is female. A great proportion of the elder abuse victims in this study accepted services from an agency that provided a single entry point into the service system and had highly trained personnel utilizing a case management approach.  相似文献   
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The purpose of this study was to evaluate the feasibility of measuring stress hormones and immunity following rape. The long-term goal is to evaluate the predictive value of stress-immune-inflammatory responses to later health outcomes. Fifteen women reporting rape were compared with 16 control participants. Serum stress hormones, proinflammatory cytokines, acute phase proteins, functional assays, and lymphocyte subsets were measured in blood samples. Women reporting rape had higher cytotoxic cells, lower B lymphocyte counts, higher proinflammatory biomarkers, and decreased lymphocyte proliferation compared to the control group. This finding suggests that rape produces activation of the innate immunity and suppression of some aspects of adaptive immunity. If these immune changes persist, they may contribute to the pathophysiology of long-term health sequelae by provoking chronic inflammation and decreased cellular immunocompetence.  相似文献   
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A busy time for librarians was late May through early July 2008 with the Ohio Valley Group of Technical Services Librarians meeting May 14–16, the North American Serials Interest Group meeting June 5–8, and an American Library Association preconference Electronic Serials 101: What I Wished I’d Known Before I Got in Over My Head, June 27.  相似文献   
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This paper reports on an investigation into strategic project management in the UK upstream oil and gas sector. The management process is represented by a set of elements which covers context, content and output and are balanced across financial, internal business, external environment, and learning and innovation perspectives. The paper uncovers elements that appear to explain successful project management and compares these with the elements to which managers pay greatest attention. There appears to be a mismatch between those elements which are associated with success and those receiving significant management attention.  相似文献   
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Sweeping changes in the world of work are transforming the very fabric of career counseling practice as clients cope increasingly with work uncertainty, including unemployment, underemployment, and precarious work. The authors describe how relational perspectives (Blustein, 2011 ; Flum 2015 ; Richardson, 2012 ; Schultheiss, 2003 ) can be infused in career counseling, with a focus on the concerns of an increasingly stressed and anxious client population. To provide a framework for the application of relational perspectives, the authors integrate and present existing relational theories and frameworks in 4 tenets that have particular relevance for career counseling practice. An in‐depth case analysis is provided to illustrate how relational perspectives can be integrated in working with clients experiencing uncertain work and associated relational challenges.  相似文献   
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There has been a rapid increase in the development of technological innovations to reduce the escalation and impact of alcohol problems among adolescents and adults. Technology-based interventions offer the possibility of reaching individuals who otherwise might not seek treatment, (e.g., those in remote areas, those not perceiving a need for treatment, or others who might resist treatment). This article describes 4 case examples of technology-based interventions for risky drinking: (a) a freely available and interactive Web site that provides individualized feedback and information on risky drinking patterns; (b) a brief intervention for adolescents that provides individualized feedback to teens regarding their alcohol use; (c) a computer-delivered screening and brief intervention for alcohol use among pregnant women; and (d) a simulation program for training social workers in screening and brief intervention. These case examples highlight how technology could have a role in addressing the Alcohol Misuse Grand Challenge.  相似文献   
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