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101.
OBJECTIVE: The primary objectives of this study were to identify sources of meaning for individuals within the context of a work environment, and to compare varied sources of meaning for individuals with high and low work satisfaction levels. METHOD: Participants were chosen based on satisfaction levels in employment, full-time employment status within an organization for at least one year, and diversity in the work setting. Data were gathered through a series of interviews and observations of the participants' workplaces. A comparative analysis of transcribed interviews was conducted by the researchers and with an expert occupational therapy faculty panel. From these analyses, the researchers developed work narratives for a mechanical engineer, a high school teacher, an employee of mechanical services, and a career service counselor. RESULTS: Emerging themes from the work narratives indicated that the various meanings employees found in work had an effect on their perceived levels of job satisfaction. Participants conveyed that organization identification, financial benefits, independent decision-making, reciprocal respect, opportunities for creativity, and maintaining significant relationships outside of work enhanced meaning and satisfaction. CONCLUSIONS: The worker role is a significant source of an individual's identity, meaning, and satisfaction in life. Professionals in various fields can work with employers to develop meaningful work environments for increased job satisfaction, greater motivation for work, increased productivity, and decreased employee turnover.  相似文献   
102.
Volunteer labor is generally modeled as an individualistic pursuit, akin to leisure or to human capital accumulation. Some activities labeled as volunteering, however, may be more usefully thought of as quid pro quo time commitments that are part of securing services for family members. Parents are frequently expected to volunteer, for example, when their children participate in youth sports leagues or school marching bands. In such cases, volunteering is essentially an instance of household production undertaken outside the home. Using data from the Panel Study of Income Dynamics, we divide volunteering into three categories—youth-related, religious, and non-youth-related secular—according to the likelihood that an instance of volunteering in the category represents household production. We find evidence that husbands and wives respond to one another’s time pressures such that youth-related volunteering looks like a task for which husbands’ and wives’ time inputs substitute for one another. Further, we find this pattern for housework, and not for other forms of volunteering. An increase in either spouse’s hours of market work will significantly reduce that spouse’s likelihood of volunteering for youth-related activities while raising the partner’s likelihood of volunteering. A similar pattern holds for hours volunteered to youth-related activities, with the wife’s responses achieving statistical significance.  相似文献   
103.
Abstract

Bioethical debates contribute to discussions about the direction of healthcare funding as we enter the twenty - first century. The funding of healthcare is debated by economists, bioethicists and clinicians. Because of their practice experience and knowledge base social workers are also well-placed to contribute to such issues. The debate has taken place at the ‘macro’ rather than the ‘micro’ level. Yet many ethical decisions about healthcare are made at the patient's bedside. Are they procedural or clinical decisions? Are decisions made for a group or class of patient or on an individual basis? Answers for these questions are sought in a study of medical decision-making for head-injured patients admitted to the Intensive Care Unit of a major teaching hospital.

This paper attempts to draw out ethical principles which are part of medical decision-making. The notion of contextual ethics is likened to the ecological approach of Carel Germain which provides a useful framework for ethnomethodological research.  相似文献   
104.
Previous research has linked expressed emotion (EE) levels and psychiatric symptomology, whereas other empirical efforts have examined the relationship between EE and marital relationship variables. Still other research has linked psychological conditions with acts of aggression, and the impact of marital issues within this domain of inquiry also has been explored. The study presented here examined the combined effects of EE, marital quality, and psychiatric symptomology on displays of verbal aggression by both relationship partners. Both husbands' and wives' reports of marital quality were predictive of both husbands' and wives' verbal aggression levels; here, reports of lower marital quality were associated with higher levels of verbal aggression. Additionally, husbands' and wives' reports of psychological symptomology in self and partner were important paths to marital quality, as were husbands' and wives' reports of EE levels. Further, some evidence was generated that supports the mediating role of marital quality with regard to EE and psychological symptomology. However, the overall fit indices of the models tested in this empirical effort were modest. Limitations that concern the instruments utilized in the present study are discussed in this regard.  相似文献   
105.
Input‐output analysis is frequently used in studies of large‐scale weather‐related (e.g., Hurricanes and flooding) disruption of a regional economy. The economy after a sudden catastrophe shows a multitude of imbalances with respect to demand and production and may take months or years to recover. However, there is no consensus about how the economy recovers. This article presents a theoretical route map for imbalanced economic recovery called dynamic inequalities. Subsequently, it is applied to a hypothetical postdisaster economic scenario of flooding in London around the year 2020 to assess the influence of future shocks to a regional economy and suggest adaptation measures. Economic projections are produced by a macro econometric model and used as baseline conditions. The results suggest that London's economy would recover over approximately 70 months by applying a proportional rationing scheme under the assumption of initial 50% labor loss (with full recovery in six months), 40% initial loss to service sectors, and 10–30% initial loss to other sectors. The results also suggest that imbalance will be the norm during the postdisaster period of economic recovery even though balance may occur temporarily. Model sensitivity analysis suggests that a proportional rationing scheme may be an effective strategy to apply during postdisaster economic reconstruction, and that policies in transportation recovery and in health care are essential for effective postdisaster economic recovery.  相似文献   
106.
107.
Many of the available methods for estimating small-area parameters are model-based approaches in which auxiliary variables are used to predict the variable of interest. For models that are nonlinear, prediction is not straightforward. MacGibbon and Tomberlin and Farrell, MacGibbon, and Tomberlin have proposed approaches that require microdata for all individuals in a small area. In this article, we develop a method, based on a second-order Taylor-series expansion to obtain model-based predictions, that requires only local-area summary statistics for both continuous and categorical auxiliary variables. The methodology is evaluated using data based on a U.S. Census.  相似文献   
108.
Loddon Mallee Integrated Cancer Service plays a key role in planning the delivery of cancer services in the Loddon Mallee Region of Victoria, Australia. Forecasting the incidence of cancer is an important part of planning for these services. This article is written from an industry perspective. We describe the context of our work, review the literature on forecasting the incidence of cancer, discuss contemporary approaches, describe our experience with forecasting models, and list issues associated with applying these models. An extensive bibliography illustrates the world-wide interest in this forecasting problem. We hope that it is useful to researchers.  相似文献   
109.
In the wake of the recent awareness of the sexual abuse of people with learning disabilities is the recognition that a small number of men with learning disabilities are themselves sexually abusing. The need to understand the men's behaviour and provide effective responses is pressing yet the search for an ethical course of enquiry appears illusory. The two conflicting dilemmas which make this task so difficult are whether the men's learning disabilities preclude their giving informed consent to the research process, and/or whether men who are sexually abusing have lost some rights to exclude themselves from research which is intended to prevent further abuse. This paper explores in depth these dilemmas and describes the authors' attempts to resolve them as they attempted to devise a protocol for consent to involvement in a qualitative study of men with learning disabilities who sexually abuse. Issues raised in this particular context have relevance to many other issues in learning disability services where robust ethical debate is needed, but often glossed over.  相似文献   
110.
In light of the Armitage-Doll multistage carcinogenesis theory, this paper examines the assumption that an additive relative risk relationship is indicative of two carcinogens that affect the same stage in the cancer process. We present formulas to compute excess cancer risks for a variety of patterns for limited exposure durations to two carcinogens that affect the first and penultimate stages; and using an index of synergy proposed by Thomas (1982), we find a number of these patterns to produce additive, or nearly additive, relative risk relationships. The consistent feature of these patterns is that the two exposure periods are of short duration and occur close together.  相似文献   
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