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301.
How do activists create cultural change? Scholars have investigated the development and maintenance of collective identities as one avenue for cultural change, but to understand how activists foster change beyond their own movements, we need to look at activists’ strategies for changing their targets’ mindsets and actions. Sociologists need to look at activists’ boundary work to understand both the wide‐sweeping goals and strategies that activists enact to generate broad‐based cultural changes. Using data from participant observation and interviews with animal rights activists in France and the United States, and drawing on research on ethnic boundary shifting, I show how activists used two main strategies to shift symbolic boundaries between humans and animals, as well as between companion and farm animals—(1) they blur boundaries through focusing and universalizing strategies and (2) they cross boundaries physically, discursively, and iconographically. This study contributes a new theoretical and empirical example to the cultural changes studied by scholars of social movements, and it also provides a useful counterpoint to studies of symbolic boundary construction and maintenance in the sociology of culture.  相似文献   
302.
In cost‐effectiveness analyses of drugs or health technologies, estimates of life years saved or quality‐adjusted life years saved are required. Randomised controlled trials can provide an estimate of the average treatment effect; for survival data, the treatment effect is the difference in mean survival. However, typically not all patients will have reached the endpoint of interest at the close‐out of a trial, making it difficult to estimate the difference in mean survival. In this situation, it is common to report the more readily estimable difference in median survival. Alternative approaches to estimating the mean have also been proposed. We conducted a simulation study to investigate the bias and precision of the three most commonly used sample measures of absolute survival gain – difference in median, restricted mean and extended mean survival – when used as estimates of the true mean difference, under different censoring proportions, while assuming a range of survival patterns, represented by Weibull survival distributions with constant, increasing and decreasing hazards. Our study showed that the three commonly used methods tended to underestimate the true treatment effect; consequently, the incremental cost‐effectiveness ratio (ICER) would be overestimated. Of the three methods, the least biased is the extended mean survival, which perhaps should be used as the point estimate of the treatment effect to be inputted into the ICER, while the other two approaches could be used in sensitivity analyses. More work on the trade‐offs between simple extrapolation using the exponential distribution and more complicated extrapolation using other methods would be valuable. Copyright © 2015 John Wiley & Sons, Ltd.  相似文献   
303.
304.
Radio frequency identification (RFID) has been used to improve business supply chain management for over 35 years. As often happens, private sector technology migrates to the public sector where it is adapted for use. RFID use in governments is spreading far and wide at the federal and state levels with virtually no debate or performance analyses to inform adoption decisions. Implementation of RFID technology impacts government efficiency and effectiveness in many areas. Data show that most RFID applications promise enhanced effectiveness but also pose increased costs. A model is constructed to assist state and local managers in choosing to adopt RFID and to discern the status and impacts of this bold new innovation.
Elizabeth RudinEmail:

Barbara L. Neuby PhD   is an Associate Professor who teaches and researches in the areas of Budgeting and Security Administration in the Master of Public Administration program at Kennesaw State University. Dr. Neuby participates in various financial and emergency preparedness efforts at the state and local level. Elizabeth Rudin   graduated from Kennesaw State University in August of 2008 with a Master of Public Administration degree where she focused her research on emergency management. Ms. Rudin is currently employed in municipal government in Georgia.  相似文献   
305.
ABSTRACT

Resilience approaches have been successfully applied in crisis management, disaster response, and high reliability organizations and have the potential to enhance existing systems of nursing home disaster preparedness. This study’s purpose was to determine how the Center for Medicare and Medicaid Services (CMS) “Emergency Preparedness Checklist Recommended Tool for Effective Health Care Facility Planning” contributes to organizational resilience by identifying the benchmark resilience items addressed by the CMS Emergency Preparedness Checklist and items not addressed by the CMS Emergency Preparedness Checklist, and to recommend tools and processes to improve resilience for nursing homes. The CMS Emergency Preparedness Checklist items were compared to the Resilience Benchmark Tool items; similar items were considered matches. Resilience Benchmark Tool items with no CMS Emergency Preparedness Checklist item matches were considered breaches in nursing home resilience. The findings suggest that the CMS Emergency Preparedness Checklist can be used to measure some aspects of resilience, however, there were many resilience factors not addressed. For nursing homes to prepare and respond to crisis situations, organizations need to embrace a culture that promotes individual resilience-related competencies that when aggregated enable the organization to improve its resiliency. Social workers have the skills and experience to facilitate this change.  相似文献   
306.
Through the use of qualitative data analysis of in‐depth interviews with eight white international transracial adoptive mothers, four properties emerged that describe these mothers' racial views. These properties varied in the degree that they integrated perspectives different from the white dominant culture. The mothers did not experience significant changes in their perspective on race subsequent to adoption. This paper includes a discussion of white racial identity and implications for social work practice with transracially adoptive parents.  相似文献   
307.
This study outlines pilot evaluation data of the web‐based training resource ‘Keeping Families and Children in Mind’, designed for clinicians who work with families where a parent has a mental illness. The resource was developed from scoping existing workforce packages and in consultation with consumers, carers, researchers and mental‐health clinicians. Preliminary evaluation data were collected from an urban and a rural site in Australia via focus group interviews and pre‐ and post‐training questionnaires to ascertain the experiences of those who participated in the training. Additionally, training facilitators were invited to maintain journals in order to identify planning and implementation issues when using the resource. Post‐training, participants emphasized the need to work collaboratively with others, as well as the importance of acknowledging and working with the family members of consumers, especially children. Also, participants reported positive changes in knowledge, skill and confidence when working with families affected by parental mental illness. Facilitators highlighted technology issues and the need to work interactively with participants when using the resource. Recommendations regarding policy and future research conclude this paper.  相似文献   
308.
A national sample of practitioners (PRSA members) and academics provided their perceptions of what graduate students of public relations should study (N = 463). Despite expectations of difference between practitioners and educators, they agreed that a master's program graduate should have knowledge of business and understand how globalization shapes public relations. Still, a master's of public relations program graduate should also write well, speak well, and have had some “capstone” experience.  相似文献   
309.
Abstract

Objective: Evaluation of the Brief Alcohol Screen and Intervention in College Students (BASICS) in a university primary care setting. Participants/Methods: Undergraduates (N = 449) participated in BASICS and electronic surveys assessing frequency/quantity of alcohol and drug use, psychosocial and mental health outcomes, and demographic information. Data were collected at baseline and 6-month follow-up between August 2006 and August 2008. Results: Drinking and drug use decreased between baseline and 6 months. Participants reported an increase in protective factors and in readiness to change alcohol-related behaviors, and a decrease in alcohol-related consequences and in distress symptoms. Heavy episodic drinking at baseline significantly moderated the changes in number of drinks in a typical week and in a typical weekend, and number of drinks on the occasion drank most on a weekend. Conclusions: BASICS can be implemented in a primary health care setting and university students may reduce their alcohol and/or drug use.  相似文献   
310.
ABSTRACT

Objective: This campaign sought to (a) increase awareness of sexual health and chlamydia testing; (b) motivate students, particularly sexually active men who do not pursue regular sexually transmitted infection (STI) testing, to get tested; and (c) improve the capacity of the student health center to provide free chlamydia testing and treatment for all students. Participants: Students enrolled at a 4-year public research university (N = 333). Methods: Collaborative partnerships formed the foundation of a campus marketing and testing campaign, with treatment for students testing positive for chlamydia. Results: A total of 333 students were tested over 5 consecutive Mondays, showing a chlamydia incidence of 9.6%. The incidence for females and males were 8.6% and 10.8%, respectively. Conclusions: The campaign was effective in reaching men, an at-risk population not traditionally emphasized in STI testing.  相似文献   
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