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251.
Since elder abuse was first acknowledged as a health care and social problem, incidence and prevalence of mistreatment has been assessed sparingly in the United States and other countries around the world. Standardized instruments for determining the prevalence of elder abuse have not been developed and other instruments measuring a person's function and spousal violence have been adapted for the measurement of elder abuse prevalence. The purposes of this paper are to (1) ascertain the reading grade level of the most frequently used elder abuse prevalence instrument's text and (2) determine the content validity of the instruments with respect to the types of elder abuse included in them. A review of the instruments used to measure elder abuse prevalence was completed and a questionnaire was developed to measure the reading grade level and type of elder abuse content in four instruments. The Fry Readability, Flesch Reading Ease, and McLaughlin Grading formulas were used to determine reading grade level. A questionnaire regarding content validity was sent to 69 faculty and staff in one university department and a 59% return was achieved. The Conflict Tactics Scale and the Hwalek-Sengstock Elder Abuse-Screening Test had the lowest mean score at the 6th grade reading level. Results of content analysis for types of elder abuse demonstrated none of the instruments are comprehensive. Instruments to measure the prevalence are needed which balance readability and content validity.  相似文献   
252.
253.
Substantial research has indicated the beneficial effect of physical activity on physical fitness and activities of daily living in older adults, but none have investigated the effects on performance of recreational activities. This investigation studied the effect of an exercise program on fitness and golf-clubhead speed in older men. Thirty-one golfers (mean age 65.1 +/- 6.2 years) were randomly assigned to a treatment (n = 19) or control (n = 12) group. The treatment group completed an 8-week strength and flexibility program. Assessments included 10-RM muscle strength; selected range-of-motion (ROM) measurements; and golf-clubhead speed (CHS). ANCOVA revealed significant differences between groups (p <.005) for all strength measurements and several ROM measurements. CHS was significantly different (p <.05) between groups after the intervention. Mean CHS improved from 85.0 to 87.1 miles/hr (136.8 to 140.2 km/hr). These results indicate that a strength and flexibility program can improve golf performance in older adults.  相似文献   
254.
The experience and arts of 295 Chief Executive Officers have been utilized for the study's findings. The analyses suggest that a firm's effective strategic-mix of major organizational functions would depend upon the nature of the particular circumstances which the organization faces. The different organizational settings are formed in the study and the effective strategic-mix of organizational functions have been statistically formulated on the basis of the Chief Executive Officers' judgement of what constitutes the effective strategic-mix of functions for their firm's overall corporate strategy. The relative influences of the General Management function and the functional managements (Marketing, Finance, Production, R & D, etc.) upon the overall corporate strategy have been the inputs for the derivation of the effective strategic-mix of functions. Environment, technology and firm-size have been considered for the formation of the different organizational settings. The study's findings not only provide what the different strategic-mixes for the different organizational settings are but also provide a working analytical framework for comprehensive analyses for the identification of the functions critical to the accomplishment of the overall corporate objectives and goals.  相似文献   
255.
In disease registries there can be a delay between death of asubject and the reporting of this death to the data analyst.If researchers use the Kaplan-Meier estimator and implicitlyassumed that subjects who have yet to have death reported arestill alive, i.e. are censored at the time of analysis, the Kaplan-Meierestimator is typically inconsistent. Assuming censoring is independentof failure, we provide a simple estimator that is consistentand asymptotically efficient. We also provide estimates of theasymptotic variance of our estimator and simulations that demonstratethe favorable performance of these estimators. Finally, we demonstrateour methods by analyzing AIDS survival data. This analysis underscoresthe pitfalls of not accounting for delay when estimating thesurvival distribution and suggests a significant reduction inbias by using our estimator.  相似文献   
256.
The Connecticut Department of Children and Families Title IV-E waiver demonstration evaluated whether the well-being of children approved for residential mental health services could be improved, and lengths of stay in restrictive placements reduced, by providing case rate payments to community agencies to provide continuum of care services. Children between ages 7 and 15 were randomly assigned to either the demonstration group (n = 78) or to usual state-supported services (n = 79). One-year outcome results indicated that in a situation that is less costly, improvement in outcomes occurred in less restrictive settings. Continuum of care services were more effective in 1) returning children to in-home placements, 2) reducing the length of stay in restrictive placements, and (3) utilizing higher levels of case management through coordination among agencies and family support services.  相似文献   
257.
Researchers have established that alcohol is a risk factor for date rape for both victims and perpetrators. OBJECTIVE: The authors tried to experimentally address the link between alcohol consumption and women's risk detection abilities in a risky sexual vignette. PARTICIPANTS: The authors recruited 42 women from undergraduate classrooms at a large midwestern university and randomly assigned them to drink an alcoholic (.04 blood alcohol content) or a placebo beverage. METHODS: Participants completed self-report inventories and listened to a date-rape audiotaped vignette, which began with consensual sexual behavior and culminated in date rape, and the authors asked them to determine if and when the man should refrain from making further sexual advances. RESULTS: Student's t tests and Pearson r correlations showed that women who consumed alcohol and exhibited high levels of rape myth acceptance showed a significant decrease in risk recognition (p = .000 and .001, respectively). CONCLUSION: These findings highlight the significance of even small amounts of alcohol on behavior and cognition in women who are self-reported experienced drinkers.  相似文献   
258.
In the United Kingdom, there has been a resurgence of interest in philanthropy amongst the media, policymakers, and scholars alike. In this context, the analysis of new and innovative forms of philanthropy is paramount. This paper focuses on an innovation in the philanthropic form: the community foundation. The success of community foundations in the United States provided the impetus for the establishment of community foundations in the UK in the 1980s. This paper examines how the community foundation form has been adapted to the UK and the factors which have influenced the development and roles of British community foundations. It is argued that this study is both timely and important for three reasons. First, the analysis of new structures through which people give furthers our understanding of Britain’s culture of giving. Second, the paper examines the role of community-based philanthropy in the civil renewal of Britain’s communities. Finally, the study makes an important contribution to efforts to promote the community foundation form worldwide as it highlights the challenges of transferring philanthropic forms from one context to another.
Siobhan DalyEmail:
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259.
In this paper, we propose several tests for monotonic trend based on the Brillinger's test statistic (1989, Biometrika, 76, 23–30). When there are highly correlated residuals or short record lengths, Brillinger's test procedure tends to have significance level much higher than the nominal level. It is found that this could be related to the discrepancy between the empirical distribution of the test statistic and the asymptotic normal distribution. Hence, in this paper, we propose three bootstrap-based procedures based on the Brillinger's test statistic to test for monotonic trend. The performance of the proposed test procedures is evaluated through an extensive Monte Carlo simulation study, and is compared to other trend test procedures in the literature. It is shown that the proposed bootstrap-based Brillinger test procedures can well control the significance levels and provide satisfactory power performance in testing the monotonic trend under different scenarios.  相似文献   
260.
Whilst the contribution of good supervision to high‐quality social work practice is widely recognized, research exploring practitioners' experiences of supervision is surprisingly limited. Set within the context of the supervision framework for employers of social workers in England, this small‐scale survey, using an extended questionnaire, examined the experiences of supervision of a group of child care social workers. The aim was to find out what aspects of supervision worked well and where there was room for improvement. The findings suggest that whilst the majority of employers had appropriate supervision policies in place, day‐to‐day practice varied enormously, frequently falling well short of national standards, with the quality of supervision often depending more on the characteristics of the supervisor and the agency context than the needs of the worker. Supervision sessions typically focused predominantly on case management, with much less attention paid to the worker and opportunities for them to reflect on their practice. Only a quarter of the social workers in this survey could be considered to be satisfied with their current supervision, with a much higher proportion clearly dissatisfied.  相似文献   
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