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961.
This study is a historical reconstruction and in-depth scrutiny of one very successful team initiative within a Quality Improvement (QI) program in a municipal government organization. The identification of the essential concepts that contributed to the team's success and their integration into a local explanatory theory of team achievement is the final purpose of the study. The focus of this retrospective study is on the team process, with primary attention given to team members’ perspectives and reflections on the project development. Data collection and analysis were conducted with methods drawn from the qualitative research tradition and from Quality Management.

Main findings point to the importance of consistent management support, correct team composition with an emphasis on the team leader choice and demeanor, and to the central role of training in the group conduct. The negotiated approach to decision-making employed by the team, which reflected its organizational context, and the effort and mechanisms that allowed the group to reach equilibrium between internal and external interests proved critical for its ultimate achievement.  相似文献   

962.
This paper deals with the creep effect on dynamic visco-elastic properties of short fibre reinforced polymer SMC composite. The vibration-creep-vibration test procedure was applied to examine the influence of creep on dynamic modulus E and loss tangent tg of the material. The results show that creep causes appreciable influence on E and tg.  相似文献   
963.
The problem of the cooling of a spherical volume of air after departure of a shock wave in air of normal density is studied numerically. Based on the results obtained, a conclusion is made that no radiative cooling wave exists in a real atmosphere.Academic Scientific Complex A. V. Luikov Heat and Mass Transfer Institute of the Academy of Sciences of Belarus, Minsk, Belarus. Translated from Inzhenerno-Fizicheskii Zhurnal, Vol. 66, No. 2, pp. 155–158, February, 1994  相似文献   
964.
This article has made a number of points that assert what is today a minority position within the fields of MPD/DID and BPD. We hope our views will stimulate attempts by others to rethink their positions and test our assertions, so that issues surrounding these two disorders can be sharpened. For the sake of the clarity of future work, we summarize in outline form the essence of our viewpoint. 1. BPD and MPD/DID have similar appearing symptoms, such as identity problems, unstable affect modulation, self-destructive behaviors, chaotic impulse control, and troubled interpersonal relationships, but they have decisive differences in underlying dynamics, process, and structure. 2. DSM tends to blur these two disorders by its emphasis on phenomenology over inner structure, thus fostering misleading conclusions when DSM criteria are used to test for comorbidity or overlap between BPD and MPD/DID. 3. BPD and MPD/DID are both described dynamically as using the defense of splitting, but we contend that the splitting in each disorder is fundamentally different from the splitting in the other. BPD uses a polarization form of splitting, whereas MPD/DID uses ego splitting or identity division. 4. Both disorders partake in the process of dissociation, but the quality of dissociation in BPD is a "low-tech" spaced out type, whereas that of MPD/DID is a "high-tech" waking dream. 5. BPD structure is also "low tech," with polarization of self, object, and relationship. MPD/DID structure is "high tech," with heavily symbolic, highly nuanced variations of self, object, and relationship. 6. Although both conditions have etiologic elements of trauma, BPD has a larger degree of developmental deficiency, with a failure to complete the task of entering a repression hierarchy of defenses. MPD/DID, by use of primary process-linked symbolic dissociation, is able to continue development to the repression hierarchy, although at a profound cost of simultaneous suspension of reality testing. BPD patients suffer from the rigid use of too few defenses; MPD/DID patients suffer from the obsolete use of too many defenses. 7. BPD patients grow up in homes in which overtly expressed aggression is more tolerated, or at least more openly experienced. MPD/DID patients grow up in homes in which the fact of aggression is kept a secret. This has consequences for the formation of psychic structure in each disorder.(ABSTRACT TRUNCATED AT 400 WORDS)  相似文献   
965.
966.
To a child, pain and fear are inseparable. How to safely relieve both is a subject of growing debate and research. Only recently has a narcotic drug been approved specifically for children, and its use is controversial.  相似文献   
967.
968.
969.
Farley D 《FDA consumer》1994,28(1):12-17
Certain heart valves manufactured by Shiley, Inc., turned out to have increased fracture rates. Alerting doctors and patients to this problem has changed the way FDA expects manufacturers to communicate significant risks with medical devices.  相似文献   
970.
The fundamentals of multi-step braiding for the fabrication of three-dimensional fibre preforms for composites have been studied. To facilitate the understanding of the complex multi-step braiding processes, a computer simulation algorithm has been developed. The simulation acts as a tool to allow the identification of individual yarn paths, number and location of yarn groups, and braid geometry. It was found that individual control of the rows and columns of yarn carriers on a Cartesian braiding bed allows for the fabrication of advanced multi-step braids; the micro-structural possibilities of three-dimensional braids are thus greatly extended. Some basic relationships of the braiding parameters have been identified. It has been concluded that the traditional four-step and two-step braidings are special cases of multi-step braidings. To verify the feasibility of the structures, experimental investigations have also been carried out. Innovative braid architectures have been designed and fabricated using a prototype multi-step braiding machine.  相似文献   
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