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171.
Students in an academic training program were assessed for changes in their relationship and intervention skills following completion of the program. Positive improvements were found on some measures but not all. Additionally, trainee variables such as previous clinical experience. gender, age, marital stauts and scores on standardized admission tests were examined in relation to trainees' skills changes. Trainee characteristics were unrelated to changes in intervention skills. However, a number of relationships were found between trainee characteristics and changes in relationship skills.  相似文献   
172.
1. With the consistent number of part-time nurses in the workforce, hospitals would benefit by more actively integrating them into professional nursing practice. 2. Empowering part-time nurses by affording them the opportunity to provide primary care has the potential to effectively use part-time personnel, decrease the workload for full-time staff, offer more flexibility in scheduling, and result in savings for hospitals in terms of nursing recruitment and retention. 3. This program has successfully developed and implemented a model of primary nursing that places three part-time nurses on a team capable of handling two to three primary patients. The success of this model has been attributed to excellent communication, trust in one another's professional skills, and nursing expertise.  相似文献   
173.
Standard algorithms for the construction of iterated bootstrap confidence intervals are computationally very demanding, requiring nested levels of bootstrap resampling. We propose an alternative approach to constructing double bootstrap confidence intervals that involves replacing the inner level of resampling by an analytical approximation. This approximation is based on saddlepoint methods and a tail probability approximation of DiCiccio and Martin (1991). Our technique significantly reduces the computational expense of iterated bootstrap calculations. A formal algorithm for the construction of our approximate iterated bootstrap confidence intervals is presented, and some crucial practical issues arising in its implementation are discussed. Our procedure is illustrated in the case of constructing confidence intervals for ratios of means using both real and simulated data. We repeat an experiment of Schenker (1985) involving the construction of bootstrap confidence intervals for a variance and demonstrate that our technique makes feasible the construction of accurate bootstrap confidence intervals in that context. Finally, we investigate the use of our technique in a more complex setting, that of constructing confidence intervals for a correlation coefficient.  相似文献   
174.
This article provides a sociological reading of cult films, in particular, The Rocky Horror Picture Show. Cult films are secular documents, celebrated as sacred texts by audiences and used as shared foci to collectively create rituals and belief systems. They differ from popular re-releases, fad films, films with cult qualities, and critical cult films in that they involve typical people in atypical situations, sympathetic deviance, challenges to traditional authority, reflections of societal strains, and paradoxical and interpretable resolutions. Examination of the Rocky Horror text and the cult activities that occur during its viewing, reveal it as a paradoxical indictment and validation of traditional societal arrangements.  相似文献   
175.
1. Childbearing for incarcerated women is complicated by characteristics of special needs associated with psychosocial adaptation to increased stress, a restrictive physical environment, alteration of social support systems, and the displacement of the maternal role functions after birth. 2. Psychiatric nurses are in a unique position to affect the health care provided for pregnant inmates by virtue of their knowledge and expertise in assessing and treating problems in psychosocial adaptation. 3. Assessment of pregnant inmates is based on identification of the presence and magnitude of dimensions of stress, environmental restrictiveness, social support systems, and maternal role displacement.  相似文献   
176.
Abstract.  The likelihood ratio statistic for testing pointwise hypotheses about the survival time distribution in the current status model can be inverted to yield confidence intervals (CIs). One advantage of this procedure is that CIs can be formed without estimating the unknown parameters that figure in the asymptotic distribution of the maximum likelihood estimator (MLE) of the distribution function. We discuss the likelihood ratio-based CIs for the distribution function and the quantile function and compare these intervals to several different intervals based on the MLE. The quantiles of the limiting distribution of the MLE are estimated using various methods including parametric fitting, kernel smoothing and subsampling techniques. Comparisons are carried out both for simulated data and on a data set involving time to immunization against rubella. The comparisons indicate that the likelihood ratio-based intervals are preferable from several perspectives.  相似文献   
177.
178.
In this paper, the task of determining expected values of sample moments, where the sample members have been selected based on noisy information, is considered. This task is a recurring problem in the theory of evolution strategies. Exact expressions for expected values of sums of products of concomitants of selected order statistics are derived. Then, using Edgeworth and Cornish-Fisher approximations, explicit results that depend on coefficients that can be determined numerically are obtained. While the results are exact only for normal populations, it is shown experimentally that including skewness and kurtosis in the calculations can yield greatly improved results for other distributions.  相似文献   
179.
TOWARD A SYNTHESIS OF FEMINIST AND DEMOGRAPHIC PERSPECTIVES ON FERTILITY   总被引:1,自引:0,他引:1  
In explaining fertility and reproduction and emerging patterns of childbearing, both demographers and feminists have centered their thinking on women's status (economic and social), women's changing roles and life experiences (increased labor force participation, increased availability of reproductive options, declining marriage rates in many parts of the industrialized world, and the centrality of women to development), and women as agents in micro- and macrolevel changes in family, fertility, and economic change. Although demography has recently begun to integrate feminist perspectives into fertility explanations, there is not yet a synthesis of feminist theoretical insights with demographic questions. Drawing from recent thinking on global and national political and policy challenges in the less and more developed worlds, to the epistemological shifts in knowledge of reproduction/mothering, to changes in the technologies of reproduction, this article moves toward an integration of feminist and demographic perspectives on fertility.
…far from the economic dependence of women working in the interests of motherhood, it is the steadily acting cause of a pathological maternity and a declining birthrate.
Charlotte Perkins Stetson, Women and Economics , 1899  相似文献   
180.
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