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91.
The calculation of reorder points when the distribution of lead-time demand is normal is quite complex, primarily because of having to bound it away from negative demand values. A number of researchers have sought feasible alternative forms of lead-time demand which can be calculated without undue difficulty. It is proposed here to assume a Poisson (daily) demand and an exponential lead time (days). If they are assumed independent their convolution is geometric, which is itself asymptotically exponential. This has a number of advantages: (1) The exponential lead time is appropriate where the lead time is often short (i.e., local source), occasionally longer (when the local sources stock out), and, infrequently, quite long. (2) The geometric lead-time demand is independent of changes of time scale. (3) Reorder points and lot sizes appear in simple closed form. (4) The exponential asymptote is sufficiently close that this further simplification is usually warranted.  相似文献   
92.
Substance use and physical violence often coincide, but little has been published on the correlates associated with receipt of partner versus nonpartner physical violence for rural users of methamphetamine and/or cocaine. In this study, participants' substance use, depression and past-year physical victimization were assessed. In separate logistic regression models, received partner violence in females was associated with age; alcohol, cocaine, and methamphetamine abuse/dependence; and number of drugs used in the past 6 months. In males, received nonpartner violence was associated with age, cocaine abuse/dependence, and being Caucasian. Findings suggest a relationship between stimulant use and received violence among rural substance users and a need for victimization screenings in settings where such individuals seek health care.  相似文献   
93.
Although contemporary couples increasingly express preferences for egalitarian unions, previous research has suggested that sexual intimacy decreases when routine housework is shared. Yet this research was conducted on data that are decades old. To update this work, the authors compared data from the 2006 Marital and Relationship Survey (MARS) and Wave 2 of the National Survey of Families and Households (NSFH2), collected in 1992–1994. The results indicated change in the association between housework arrangements and sexual intimacy across surveys. Although egalitarian arrangements were associated with lower sexual frequency compared to conventional arrangements in the NSFH2, no such difference was found in the MARS. In fact, reported sexual frequency increased across surveys among egalitarian couples only. In addition, how housework was arranged mattered more for sexual satisfaction among MARS couples than NSFH2 couples. These changes appear to result from the increasing role of perceived equity as a mechanism linking the division of housework to sex.  相似文献   
94.
Young adults often express preferences for egalitarianism but often find themselves in conventional household arrangements. Using interview data from 122 working‐class and middle‐class cohabitors, the authors applied Komter's (1989) concepts of manifest, latent, and hidden power to examine the ways that contemporary young adults reinforce and modify gender norms surrounding the division of housework. Cohabiting women more often expect equal housework arrangements than men, regardless of class, yet middle‐class women achieve equal divisions more often because they are better able to exercise manifest power than their working‐class counterparts and because middle‐class men appear more willing to cede to their partners' demands. In contrast, working‐class women's desires to achieve equality are frequently rebuffed as they face greater resistance or defer to their partners' competing wishes. Although the exercise of manifest power is central to arranging housework, the hidden power of gender conventions pervades across class, leading many couples toward traditional arrangements.  相似文献   
95.
An important problem facing the manager of an outpatient health care clinic involves determining the best combination of services, facilities, and personnel to maximize profits and simultaneously achieve acceptable measures of the clinic's daily performance. This problem is often attacked using either linear programming or computer simulation. This paper uses a recursive optimization-simulation approach which takes advantage of the best features of both optimization and simulation while minimizing the disadvantages of each method used alone. Results from a hypothetical setting using data from several actual settings demonstrate the value of the recursive method.  相似文献   
96.
An exploratory study was conducted with a convenience sample of 41 adult survivors of sibling incest using a retrospective survey design. Participants were interviewed about their childhood sexual experiences with a sibling. Most participants reported vaginal or oral intercourse and coercive experiences. Half of the sample reported sexual experiences with family members, as well as other child abuse. Half of the participants showed evidence of distorted beliefs about child sexual abuse. Disclosure of the incest during childhood was rare. doi:10.1300/ J070v15n04_02.  相似文献   
97.
A wide range of animal and human studies provide evidence for the potential of physical and cognitive exercise in promoting cognitive health later in life. The effects of such activities on intermediate outcomes, such as cognitive performance, are becoming clearer, as are the molecular mechanisms involved. Physical and cognitive exercise might increase "cognitive reserve" and increase the overall health of the brain, thereby reducing or delaying cognitive impairment and dementia. However, conclusive evidence for such benefits is not yet established. The third annual Bedside to Bench conference, cosponsored by The American Geriatrics Society and the National Institutes of Health's National Institute on Aging, reviewed current knowledge regarding the role of physical and cognitive exercise in promoting cognitive vitality. Conference attendees identified gaps in our current understanding of these processes and recommended next steps for research. In particular, researchers will need to explore clinical issues related to the timing, intensity, and duration of various types and combinations of physical and cognitive activities in animal models to elucidate the mechanisms involved and inform the design of future human studies. The concept of the enriched environment currently employed in animal studies to promote physical activity, socialization, and problem solving should be explored in human studies.  相似文献   
98.
The purpose of this study was to explore (a) faculty members' beliefs about the ethics of reparative therapy and referring lesbian, gay, and bisexual (LGB) clients, (b) course content related to reparative therapy and referral of LGB clients, and (c) positions taken by programs associated with reparative therapy and referral of LGB clients. A total of 117 faculty members from accredited family therapy programs completed an online survey for this study. While the vast majority of faculty members reported that reparative therapy is unethical, there was less agreement related to the ethics of referring LGB clients, which may highlight the need for clearer ethical guidelines to regulate this potentially harmful practice. Implications for clinical training and future research are discussed.  相似文献   
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