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61.
The authors integrate theoretical work on the performance of gender with a life course perspective to frame an analysis of in-depth interviews with 17 long-term married couples. The findings indicated that couples' sexual experiences are characterized by change over time, yet that change is shaped by the intersection of gender and age. Midlife couples (ages 50 - 69) were distressed by changes in their sex lives likely because they impede couples from performing gendered sexuality. The source of this distress stems from age-related physical changes; however, it manifests in different ways for husbands and wives. In contrast, later life couples (ages 70 - 86) were more likely to emphasize the importance of emotional intimacy over sex as they age. Marital sex is a source of conflict for many midlife couples because of husbands' and wives' incongruent experiences, but later life husbands and wives tend to have more congruent experiences of marital sex.  相似文献   
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With increases in the overall number of individuals with posttraumatic stress disorder (PTSD), nurse educators must provide experiences that help nursing students learn how to better communicate and care for individuals with this disorder. This article describes how two learning strategies-case studies and standardized patients-were combined to facilitate the development of therapeutic communication and assessment skills. Two case studies on PTSD were written, and actors were trained to portray the individuals in the case studies. Fourteen baccalaureate nursing students enrolled in a senior-level psychiatric nursing clinical course participated in this pilot alternative learning activity. This article describes the learning activity and presents student evaluations of the assignment.  相似文献   
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The placement of nasogastric (NG) tubes is known to be prone to error and may lead to serious issues for patient safety and wellbeing. In some instances these have been catastrophic and resulted in the death of the patient. This study sought to explore the potential risks associated with this procedure through the use of systematic prospective risk assessment. The research team used the Prospective Hazard Analysis (PHA) toolkit developed by Ward et al (2010) . The study has shown a wide number of risks that cover equipment design, work organisation, and training issues. The link between equipment design and training provides an important example of the need for a systematic approach to reducing errors and improving resilience in this aspect of healthcare.  相似文献   
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Scheduling university examinations is often done with the objective of spreading a student's required examinations over an examination week. That is the equivalent of the problem of minimizing the number of examinations a student must take on any one day. An approach to scheduling exams which relates the problem to the classical assignment problem is discussed. The model developed is a symmetry-constrained assignment model, and the solution method requires use of a branch-and-bound algorithm. Results from application of the algorithm to six semesters of actual data are presented.  相似文献   
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Universities have always competed with one another for the relatively small number of highly qualified students interested in graduate education. This competition has been intensified recently by adverse demographic trends. This paper is concerned with the use of financial aid awards as a means of competition and with allocation of awards so that enrollments are maximized while satisfying academic standards and budget constraints. It also considers the randomness of actual aid disbursements and develops models of incremental aid allocation that increase enrollments but are within tolerance levels for budget overruns.  相似文献   
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Abstract

Throughout history interracial/interethnic marriages have been considered an extreme deviation from the marital norm and thus inappropriate by the standards of mainstream society and minority communities. Even today, societal views of intermarried couples often remain negative in nature. This negative perception is frequently sustained by the assumption that intermarried couples experience race / ethnic-based differences in social, moral, and living standards that result in marriages that are fraught with conflict and instability. The mate selection literature however, would suggest that intermarried couples are not socially deficient, but are similar to those who marry within their racial / ethnic group. This research is intended to fill a gap in the literature by exploring the interpersonal, interactive aspects of interracial/interethnic marriages. In particular, this study evaluates intermarried couples as they interact during videotaped sessions of cooperative problem solving to determine if they are similar to, or distinct from, intramarried couples. Data from two aspects of the marital interaction are presented: the types of marital problems encountered and the manner in which couples attempt to resolve these issues. Findings show that while race/ethnicity did not emerge as an issue for intermarried couples, they were confronting different marital issues than intramarried couples. In addition, intermarrieds often employ different interactional styles than intramarrieds when dealing with their marital issues.  相似文献   
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In an attempt to determine if a community standard existed and to relate judgments of pornography to conservatism, scores on Wilson and Patterson's Conservatism Scale, yes‐no judgments on whether 25 pictures were or were not pornographic, and demographic data were obtained from a random sample (N = 114) of a community. Results were as follows: (1) suggestive evidence for the existence of a community standard; (2) the c‐scale correlated .57 (N = 114, p < .01) with number of pictures judged pornographic; (3) the 25 pictures met Guttman requirements of unidimensionality (reproducibility of .925); and (4) factor analysis of the pornography judgments yielded three clear‐cut factors and one ambiguous factor which were ordered along the Guttman dimension.  相似文献   
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