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141.
Environmental issues have become a hot topic recently, especially those surrounding industrial outputs. Effluents, emissions, outflows, by-products, waste materials, product de-commissioning, land reclamation and energy consumption are all the subject of monitoring, either under new legislation or through economic necessity. Many types of environmental data are often difficult to understand or measure because of their unusual distribution of values however. Standard methods of monitoring these data types often fail or are unwieldy. The scarcity of events, small volume measurements and the unusual time scales sometimes involved add to the complexity of the task. One recently developed monitoring technique is the Summed Rank Cusum (SRC) that applies non-parametric methods to a standard chart. The SRC can be used diagnostically and this paper describes the application of this new tool to three data sets, each derived from a different problem area. These are measuring industrial effluent, assessing the levels of potentially harmful proteins produced by an industrial process and industrial land reclamation in the face of harmful waste materials. The use of the SRC to spot change points in time retrospectively is described. The paper also shows the use of SRC in the significant-difference testing mode, which is applied via the use of spreadsheets. Links to other similar methods described in the literature are given and formulae describing the statistical nature of the transformation are shown. These practical demonstrations illustrate that the graphical interpretation of the method appears to help considerably in practice when trying to find time-series change points. The charts are an effective graphical retrospective monitoring technique when dealing with non-normal data. The method is easy to apply and may help considerably in dealing with environmental data in the industrial setting when standard methods are not appropriate. Further work is continuing on the more theoretical aspects of the method.  相似文献   
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143.
ObjectiveTo undertake a structured review of the literature to determine the effect of antenatal education on labour and birth, particularly normal birth.MethodOvid Medline, CINAHL, Cochrane and Web of Knowledge databases were searched to identify research articles published in English from 2000 to 2012, using specified search terms in a variety of combinations. All articles included in this structured review were assessed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).FindingsThe labour and birthing effects on women attending antenatal education may include less false labour admissions, more partner involvement, less anxiety but more labour interventions.ConclusionThis literature review has identified that antenatal education may have some positive effects on women's labour and birth including less false labour admissions, less anxiety and more partner involvement. There may also be some negative effects. Several studies found increased labour and birth interventions such as induction of labour and epidural use. There is contradictory evidence on the effect of antenatal education on mode of birth. More research is required to explore the impact of antenatal education on women's birthing outcomes.  相似文献   
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Examining the factors that influence adolescents’ sexual behaviors is crucial for understanding why they often engage in risky sexual behaviors. Using social cognitive theory, we examined predictors of father‐son communication about sexuality. Fathers (N = 155) of adolescent sons completed a survey measuring 12 variables, including self‐efficacy and outcome expectations. We found that (a) son's pubertal development, father's sex‐based values, father's education, father's communication with his father, outcome expectations, and general communication accounted for 36% of the variance in information sharing communication and (b) son's pubertal development, outcome expectations, general communication, and father‐son contact accounted for 20% of the variance in values sharing communication. Study findings can aid professionals in designing guidelines and programs to promote father‐son general communication and sex‐based communication.  相似文献   
146.
Abstract

This article is based on an ethnographic study undertaken to explore whether eight people diagnosed with terminal cancer and their families drew on aspects of their cultural identities to make sense of their journey towards death, and if so, how. Ethnographic methods were supplemented by semistructured interviews. Most participants received medical treatments until close to death and invested much effort, time, and hope in these. Consequently, they made little sense of their palliative referrals. Instead, they accommodated the biomedical cultures of treatment-oriented services, thus delaying their own and their family's preparation for death. Only three participants appeared well prepared one month prior to death. An ecological perspective helped to explain the systemic factors involved in this prioritisation. The authors make recommendations for greater involvement of social workers in palliative care, and for more attention to supporting dying people and their families to make culturally meaningful decisions in the journey toward death.  相似文献   
147.
Villa Soft Drinks Ltd, established in 1884, manufactures and bottles spring waters and carbonates for both the growing adult soft drinks market and the more traditional soft drinks market. The company employs just over 100 people split between the manufacturing site in Sunderland and the head office and distribution centre in Washington. One of the fundamental problems affecting the day-to-day running of Villa, and most companies, is communication. There is a lack of awareness of the impact that changes in one department have on other departments (e.g. if production efficiency is increased by 10%, what impact will this have on warehousing?). Villa had recently identified key performance indicators (KPIs) to monitor all aspects of manufacturing performance on a regular basis. This enabled the current production situation to be evaluated and helped familiarize staff with charts and measurements. The use of Pareto analysis and problem solving techniques helped to boost efficiency and utilization. Key performance indicators were then developed in most other departments and are monitored and displayed regularly. The KPIs can be used further to improve transparency across the company by incorporating them in an interactive, interpretative tool to aid communication and understanding at all levels of the company. Individual departmental flow diagrams will be linked together to represent how the company operates. The diagrams will include both material flow and information flow. These data will then be organized in a software package and the end result will be a fully integrated simulation of the company in which any variable can be altered to demonstrate the effect this has on other departments and therefore the company as a whole. This will be an extremely valuable tool for the company as it will have many different applications, such as calculating manning requirements, identifying potential cycle time reductions and optimizing warehouse space.  相似文献   
148.
Telecommuting, whether full time, part time, or over short periods when the need arises, can be an important accommodation for employees with disabilities. Indeed, telecommuting may be the only form of accommodation that offers employees whose disabilities fluctuate a means to stay consistently and gainfully employed. This article describes one employer's experience in considering a request for telecommuting as a reasonable accommodation for a particular employee. Drawing on real-life examples, both positive and negative, this article provides a win/win framework for decision-making that can help employers evaluate the use of telecommuting as a possible accommodation and facilitates open and ongoing communication between employer and employee.  相似文献   
149.
The purpose of this study was to evaluate the feasibility of measuring stress hormones and immunity following rape. The long-term goal is to evaluate the predictive value of stress-immune-inflammatory responses to later health outcomes. Fifteen women reporting rape were compared with 16 control participants. Serum stress hormones, proinflammatory cytokines, acute phase proteins, functional assays, and lymphocyte subsets were measured in blood samples. Women reporting rape had higher cytotoxic cells, lower B lymphocyte counts, higher proinflammatory biomarkers, and decreased lymphocyte proliferation compared to the control group. This finding suggests that rape produces activation of the innate immunity and suppression of some aspects of adaptive immunity. If these immune changes persist, they may contribute to the pathophysiology of long-term health sequelae by provoking chronic inflammation and decreased cellular immunocompetence.  相似文献   
150.
This qualitative, grounded theory study investigated 11 families who reported having successfully integrated into their family unit at least one older/special needs adoptee. The theory that emerged through the constant comparative methodology consisted of two categories (Decision to Adopt and Adjustment) and a core category (Developing a Sense of Family). The two categories and core category comprised a process that was informed by the Family Narrative Paradigm and culminated in the successful integration of the child or children into the existing family unit. Parental perceptions that appeared to facilitate this process included: (a) finding strengths in the children overlooked by previous caregivers, (b) viewing behavior in context, (c) reframing negative behavior, and (d) attributing improvement in behavior to parenting efforts.  相似文献   
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