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301.
A literature survey was used to identify pre-operative risks that commonly result in unwanted post-operative complications in the elderly. By adapting these risk conditions into a pre-operative survey, seniors who might have these complications were identified. Practitioners were notified of these risk factors. Elective surgery was postponed, when necessary, to have patients stop smoking and to gain training in pulmonary toilet. When in the inpatient setting, the patients were followed by both the surgeon and the appropriate specialist to reduce complications rates. By developing and employing this approach, a 25 percent decrease in unwanted complications was experienced, mostly due to reduction in pulmonary events. This resulted in an associated 58 percent drop in unwanted length-of-stay days in the hospital per 1,000 senior patients. Outcomes were improved, while inpatient utilization was reduced.  相似文献   
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In May 2007, Scotland went to the polls to elect both local constituency and regional members to the Scottish Parliament. Astonishingly, 100000 votes were rejected as "spoiled". Voters had misunderstood the new form of ballot paper—3% had marked a single cross despite having two votes. Parties contesting the election described it as "a debacle", "a shambles", "totally unsatisfactory". One American called it more flawed than Florida's notorious "hanging chad" ballot that gave the 2000 Presidential election to George Bush. What went wrong? Sheila Bird looks into the Scottish ballot paper.  相似文献   
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Indiscipline is an increasing problem in schools today. Promoting discipline is not solely a means to fostering an effective learning environment, it is also an end in itself. Learning respect and to accept responsibility for our own actions are the foundations of our society. We become equipped with these basic tools through discipline in school and, as such, can begin a meaningful adult life beyond compulsory education. ‘Turn Your School Round’ is a behaviour management package designed to create a ‘listening’ school which fosters an appropriate environment for this type of development. This study undertakes a survey of the extent of use, and usefulness, of TYSR in Scottish schools. Copyright © 1999 John Wiley & Sons, Ltd.  相似文献   
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Within work organisations, perceptions of gender-based competencies and inclinations affect assignment and other practices and thus the distribution of women and men among different opportunity structures. Five illustrations are provided to support the view that ideas about masculinity and femininity are embedded in organisational arrangements. The opportunity to accumulate merit and the attribution of merit appear to be structured along gender lines.  相似文献   
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Career breaks may be associated with women’s relatively poorer pay and promotion prospects. To test this and other hypotheses, a sample of Australian women was asked to review their lives as paid and unpaid workers. About half of the women reported that they were currently working at the same skill level as in their first job, a quarter had improved, while about 20% were currently in lower-skilled work than in their first job. Tertiary education and further education after first entering the labour force is associated with continuing to work at the same skill level after a break. Breaks from working were found to last typically for up to one year and were thus unlikely to account for a sustained skill loss. Women’s responsibilities for household tasks rose during breaks, and persisted at a higher level after the return to work. Different models are appropriate for the analysis of earnings of continuous workers and those with breaks. There appear to be no relative pay penalties for broken work experience for the highly educated or those in highly skilled jobs. Continuous workers in ‘women’s’ occupations receive a higher return than others to their human capital.  相似文献   
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There has been relatively little qualitatively or quantitatively published research to guide the field in identifying and addressing barriers to seeking help for older women who experience domestic violence. Women over the age of 45 have seldom been participants in research on domestic violence. This paper describes results from a qualitative study that focused on reactions to and internalization of abusive behaviors of an intimate partner. Twenty-one focus groups were conducted with 134 middle- aged and older women. Analysis of the data identified six factors that describe reactions to abusive behavior that become barriers to help seeking, including self-blame, powerlessness, hopelessness, the need to protect family, and the need to keep such abuse secret from others. These.  相似文献   
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This study was designed to investigate how both characteristics of the sojourner and of the host affect how American students regard and treat international students in the United States. Undergraduates (N=198) evaluated college admission applications. All applicant information was held constant except for gender, race, and nationality. After they completed a questionnaire evaluating the foreign applicant, they volunteered to offer various levels of hospitality to foreign students. In terms of host characteristics, the results indicate that women were more favorable than men in their ratings of foreign students, and Minorities (48% of the sample) were more favorable than Whites in their volunteerism. Regarding characteristics of the foreigner, American students responded equally to male and female foreigners; equally to White and Black foreigners; but they evaluated Canadian foreigners more favorably than Algerian ones. There was an interaction between gender of the host and foreigner in a few instances, and several instances of an interaction between race of the host and race of the foreigner. These results partially support the hypotheses and suggest that what makes a difference in how Americans respond to foreigners is cultural similarity and shared ethnic minority status.  相似文献   
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