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Clients are leaving the hospital "quicker and sicker," and they frequently have acute care needs that must be met by resources outside the hospital setting. Community resources are diverse, vary widely from place to place, and have no central administration. Thus, using them can be challenging for both the nurse, client, and family. Reimbursement mechanisms underlie a person's ability to use resources and receive health care. By presenting two actual case scenarios where clients have mobility problems commonly seen by orthopaedic nurses, the authors discuss the community resources available, avenues of access to them, and their reimbursement mechanisms.  相似文献   
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Precarious or temporary work is associated with adverse outcomes including low control over working hours, work-life conflict and stress. The rise in precarious employment is most marked in the service sector but little research has been done on its health effects in this sector. This study compares permanent and temporary workers in the hotel industry, where working hours are highly variable. Survey data from 150 workers from eight 3-Star hotels in urban and regional areas around Sydney were analyzed. Forty-five per cent were male and 52 per cent were female. Fifty four per cent were permanent full-time and 46 per cent were temporary workers. The effects of employment status on perceived job security, control over working hours, and work-life conflict are investigated using PLS-Graph 3.0. The effects of control over working hours, on work-life conflict and subsequent health outcomes are also explored. Temporary workers perceived themselves as less in control of their working hours, than permanent workers (β = .27). However, they also reported lower levels of work intensity (β = .25) and working hours (β = .38). The effects of low hours control (β = .20), work intensity (β = .29), and excessive hours (β = .39) on work-life conflict (r2 = .50), and subsequent health effects (r2 = .30), are illustrated in the final structural equation model.  相似文献   
75.
MPLS(Multi-Protocol Label Switch)和服务质量(QoS)是与下一代网络相关的重要技术.作者首先介绍了QoS的两种模型:综合服务(IntServ)和区分服务(DiffServ)模型,然后描述了基于MPLS网络的DiffServ模型的实现.文中介绍了网络电视(IPTV)系统的组成和存在的问题,并提出了一个基于MPLS的QoS区分服务模型改进方案.  相似文献   
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Correlations between flaw tolerance and reliability in zirconia   总被引:1,自引:0,他引:1  
Interrelations between flaw tolerance and reliability in Y-TZP, Ce-TZP and Mg-PSZ ceramics are investigated. Indentation-strength tests indicate an enhanced flaw tolerance with increasing R-curve behaviour from tetragonal martensite transformation. The Weibull modulus of unindented specimens increases with the enhanced tolerance. However, even the most tolerant zirconias show persistent scatter in strength, implying that variability in material microstructure may be as important a factor in reliability evaluation in these materials as variability in flaw size.  相似文献   
77.
Arsenic is a natural tasteless and odourless element,existing in the earth’s crust at average levels of between two and five thousands micrograms per liter (parts per million) . Arsenic is highly toxic to humans, who are exposed to it primarily from air,food and water. The occurrence of arsenic in groundwater is due to geological composition of soil. High concentrations of arsenic in water are the result of dissolution or desorption of ferric oxides and the oxidation of mineral arsenopyrites. Arsenic in drinking water has an important impact on the human health,especially in the less developed countries. Different methods exist to remove arsenic from aquatic media,and one of them is by adsorption. In this work,the adsorption of both As(III) and As(V) by means of novel microspheres has been investigated. In particular,TiO2 has been embedded into polymeric microspheres PES (PolyEtherSulphone) and PEEK-WC (PolyEtherEther-Ketone) . The main advantages of this encapsulation adsorption material are: no loss of adsorbents into the water stream,easy to be used and scaled-up.  相似文献   
78.
刘德  汪德潢 《微计算机信息》2007,23(32):264-266
专家系统是人工智能的一个分支,是一种模拟专家决策能力的计算机系统,知识库是系统的重要组成部分,是系统的核心。本文结合纺织工艺设计及管理专家系统介绍了基于知识的专家系统的概念和结构,对系统中知识的获取、存储方式予以说明.并对其知识的表示方法加以阐述。  相似文献   
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Attachment of an adenovirus (Ad) to a cell is mediated by the capsid fiber protein. To date, only the cellular fiber receptor for subgroup C serotypes 2 and 5, the so-called coxsackievirus-adenovirus receptor (CAR) protein, has been identified and cloned. Previous data suggested that the fiber of the subgroup D serotype Ad9 also recognizes CAR, since Ad9 and Ad2 fiber knobs cross-blocked each other's cellular binding. Recombinant fiber knobs and 3H-labeled Ad virions from serotypes representing all six subgroups (A to F) were used to determine whether the knobs cross-blocked the binding of virions from different subgroups. With the exception of subgroup B, all subgroup representatives cross-competed, suggesting that they use CAR as a cellular fiber receptor as well. This result was confirmed by showing that CAR, produced in a soluble recombinant form (sCAR), bound to nitrocellulose-immobilized virions from the different subgroups except subgroup B. Similar results were found for blotted fiber knob proteins. The subgroup F virus Ad41 has both short and long fibers, but only the long fiber bound sCAR. The sCAR protein blocked the attachment of all virus serotypes that bound CAR. Moreover, CHO cells expressing human CAR, in contrast to untransformed CHO cells, all specifically bound the sCAR-binding serotypes. We conclude therefore that Ad serotypes from subgroups A, C, D, E, and F all use CAR as a cellular fiber receptor.  相似文献   
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