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This research investigated how resistance to use of services attributed to family members and primary caregiver self-efficacy and resistance influenced actual use of services. Data were analyzed from questionnaires completed by 224 persons engaged in informal elder care in the community. Tests of 6 hypotheses revealed that family influence on caregivers had a consistent, important influence on behavior and views of caregivers. Family resistance to use of formal services framed caregivers' feelings, preferences, and decisions ranging from their own perceived self-efficacy to actual obtainment of help outside the family. Professionals must include family members in their dialogue with primary caregivers about their plans for elder care. Suggestions for interventions to better understand family and caregiver resistance are discussed.  相似文献   
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This paper describes a computer-aided software development process design. This is a computerized intelligent tool designed to aid managers of software development projects in planning, managing and controlling the development process of medium to large scale software projects. The application of this computerized tool should help reduce the uncertainties involved in the budget, personnel and schedule planning of software development projects.  相似文献   
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众所周知,人们对美国的海外传教事业毁誉参半.赛珍珠的一生与美国传教事业的关系错综复杂,她为了挣脱孩提时期宗教信仰的束缚进行了艰难的斗争.赛珍珠的经历代表了很多人对传教活动的醒悟,人们开始质疑"向非基督教文化传播基督教是否有道德可言"这个问题.  相似文献   
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A research team that works on scholarship related to sexual minority issues has been conducting research and recruiting participants since the fall of 2012. In the years since the team was formed, there has been a variety of challenges with recruitment, approval for research through the Institutional Review Board, gaining access to the lesbian, gay, bisexual, and queer (LGBQ) community, and general mistrust of researchers. Using concepts from feminist-informed qualitative research methodology—including reflexivity, positionality, and engaging in research with individuals from marginalized communities—we present reflections on some of the methodological challenges the research team has encountered while trying to conduct LGBQ research in southwest Virginia. This article encompasses the viewpoints of multiple members of the research team, including those who are faculty, graduate students, and undergraduate students with identities across the sexual orientation spectrum.  相似文献   
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This study examined the effects of an instructed structured Nordic walking (NW) exercise program on the functional capacity of older sedentary people. Volunteers were randomly assigned to an NW group (68.2 ± 3.8 yr old) or control group (69.9 ± 3.0 yr old). Before and at the end of the 9-wk intervention, functional tests and 2-dimensional ground-reaction-force (GRF) patterns of normal (1.40 m/s) and fast (1.94 m/s) walking speeds were measured. The intervention included a 60-min supervised NW session on an inside track twice a week for 9 wk. The mean changes in functional tests differed between groups significantly. Gait analyses showed no significant differences between the groups on any GRF parameters for walking speed either before or after the intervention. The study showed that NW has favorable effects on functional capacity in older people and is a suitable form of exercise for them.  相似文献   
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There is a lack of critical examination of the efficacy of guardianship reform. Yet, the awarding of guardianship, especially when it is unwarranted, may deprive individuals of their most basic civil liberties. This longitudinal research investigated whether guardianship decisions differed prior to and following revision of state statutes increasing procedural safeguards. Using data from 766 petitions for guardianship of persons 60 years of age or over from Iowa and Missouri, it revealed that in most cases, a request for a full guardianship was tantamount to receiving one. Least restrictive alternatives were seldom employed, and few petitions were denied either before or after legislative changes. Reasons for the seeming discrepancy between revised statutes and guardianship decisions are suggested. No amount of statutory reform, however, will alter the tendency for society's attitudes toward aging to overshadow and shape the interpretation and implementation of legislation.  相似文献   
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In recent years, manufacturing firms have realized that a new, higher level of global competition causes them to compete simultaneously on multiple manufacturing goals, such as quality, delivery, cost, and flexibility. In response to this realization, considerable research now focuses on the relationship of manufacturing improvement programs to manufacturing goals. However, to date, this research has not investigated the specific underlying statistical relationships between manufacturing goals and the shop floor. This study investigates manufacturing lead time linkages with manufacturing programs and manufacturing goals. The basic purpose of this study is to understand and explain how programs affect the elements of manufacturing lead time and how manufacturing lead time affects manufacturing goal capabilities. By understanding these linkages, managers can logically trace the effects of specific programs to their eventual effects on manufacturing goal capabilities. This study's most important finding is that statistical variations in the elements of lead time cause a tendency for certain manufacturing goals to be more difficult to control and achieve than others because of canonical relationships of lead time variances. To control these lead time variances, successful firms concentrate their early program targets first on achieving “fitness for use” quality, followed by delivery reliability, short delivery lead time and cost, current product flexibility, and lastly, new product flexibility. This study mathematically illustrates which improvement programs most affect manufacturing goals through their relationship to manufacturing lead time variance reduction. It suggests that firms improve goal performance by initially targeting improvement through setup time reduction programs, defect reduction programs, and preventive maintenance programs, to facilitate quality improvements. By targeting specific programs and their related lead time variances, firms improve their manufacturing facility competitiveness with minimum obstacles.  相似文献   
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