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31.
Technology offers a promising route to a sustainable future, and ergonomics can serve a vital role. The argument of this article is that the lasting success of sustainability initiatives in ergonomics hinges on an examination of ergonomics’ own epistemology and ethics. The epistemology of ergonomics is fundamentally empiricist and positivist. This places practical constraints on its ability to address important issues such as sustainability, emergence and complexity. The implicit ethical position of ergonomics is one of neutrality, and its positivist epistemology generally puts value-laden questions outside the parameters of what it sees as scientific practice. We argue, by contrast, that a discipline that deals with both technology and human beings cannot avoid engaging with questions of complexity and emergence and seeking innovative ways of addressing these issues.

Practitioner Summary: Ergonomics has largely modelled its research on a reductive science, studying parts and problems to fix. In sustainability efforts, this can lead to mere local adaptations with a negative effect on global sustainability. Ergonomics must consider quality of life globally, appreciating complexity and emergent effects of local relationships.  相似文献   
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This study examined the relation between changes in clinical functioning and changes in verbal expression in 81 seriously disturbed and treatment-resistant young adults seen in a comprehensive, psychoanalytically oriented inpatient treatment. Clinical functioning was evaluated with a battery of clinical and social measures. Verbal representations were assessed using computer-assisted scoring of Thematic Apperception Test responses. Changes in the frequency of verbal content and style in the narratives of these patients covaried with changes in clinical functioning. Significantly different covariations of verbal and clinical change, particularly differences in covariates of referential activity, were found for patients with anaclitic versus introjective personality configurations. The implications of these findings for understanding and treating severe psychopathology are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
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Using data from the Treatment of Depression Collaborative Research Program (TDCRP), the authors compared the role of patients' perfectionism and features of personality disorder (PD) in the outcome of brief treatment for depression. Data were extracted as to patients' intake levels of symptoms; perfectionism; and PD features, measured as continuous variables, as well as their symptoms at termination; their contribution to the therapeutic alliance; and their satisfaction with social relations. Poorer therapeutic outcome was demonstrated for patients with elevated levels of perfectionism and odd-eccentric and depressive PD features. Patients' contribution to therapeutic alliance and satisfaction with social relations were predicted by perfectionism but not by PD features. Results highlight the central role played by patients' personality in the course of brief treatment for depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
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Many laboratory studies of delayed ettringite formation (DEF) have been conducted on thin mortar bar specimens, heat treated, and then immersed in water. Under these conditions, rapid diffusion of alkali hydroxide into the surrounding water occurs and necessarily reduces the alkali hydroxide concentration of the mortar pore solution. Results reported recently by Famy indicate that the DEF process is triggered as a consequence of such leaching. When it is prevented by immersion into alkali hydroxide solution instead of water DEF expansion is delayed or prevented entirely. Results reported by Zhang indicate that 51-mm mortar cubes behave differently than more leaching-susceptible mortar bars when exposed to the same wet environment. Mortars that show severe DEF as mortar bars remain almost free of DEF symptoms if they are stored as cubes, even after 900 days. Attention is called to the fact that DEF in concrete is found commonly in thick concrete members where the possibility of leaching is remote. For such concrete, the reduction in internal alkali hydroxide concentration that occurs with ASR can substitute for the effect of leaching. It is postulated that without effective reduction of alkali hydroxide concentration by one or the other process, DEF remains latent.  相似文献   
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During the last 20 years, new philosophies such as the Theory of Constraints (TOC) and Activity-Based Management (ABM) have emerged as viable, distinct alternatives for measuring and improving the performance of world-class manufacturing companies. In the early phase of their evolution, these philosophies differed fundamentally in their approaches; but there is increasing evidence that both philosophies have now evolved to a stage where an integrated framework can be developed for enhancing cross-functional coordination, thereby improving organizational performance. In this paper, a general framework is presented that integrates the basic concepts, as well as recent advances of TOC and ABM philosophies, into a cohesive framework that can be used to guide performance improvement initiatives . A successful implementation in a world-class manufacturing company is described to validate the framework and to demonstrate that these philosophies can indeed work together in positive ways. Insights are provided into the reasons for implementing such an integrative framework, e.g. identifying the most profitable mix of products, allocating scarce resources optimally, establishing priorities for process improvements, analysing the strategic investment (or expansion) alternatives, and exploiting new market segments.  相似文献   
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With the advent of DRG reimbursement for Medicare patients, hospitals have had to use their case mix data more effectively. This paper describes a method use to develop summary case mix reports using a spreadsheet program. With this approach, the hospital administration could interact more during the development of the summary reports. Once the summary reports are stabilized, they can be put into production on the Hospital's main frame computer.  相似文献   
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Transgenic mice expressing chimeric human (alpha1 and alpha2 HLA-A11 domains) and murine (alpha3, transmembrane, and cytoplasmic H-2Kb domains) class I molecules were derived. These mice were used as a model system to study the immunogenicity of human CTL epitopes and also to examine the aspects of Ag processing differences of mice vs man. Immunization of these mice with seven known HLA-A11-restricted CTL epitopes emulsified in IFA resulted in vigorous specific CTL responses. A larger panel of 45 A11-binding peptides was used to examine the relationship between immunogenicity in the HLA-A11/Kb transgenic mice and HLA-A11 binding capacity. Twenty-one of 28 (75%) peptides with high binding affinities (50% inhibitory concentration (IC50), 2-50 nM) and 7 of 13 (54%) intermediate binding peptides (IC50, 50-500 nM range) were immunogenic. In parallel, 19 of these peptides were used for in vitro primary immunizations of PBMC derived from HLA-A11 healthy human donors. It was found that 8 of 8 peptides that were able to elicit CTL in primary human in vitro cultures were also immunogenic in HLA-A11/Kb mice. Finally, HLA-A11/Kb transgenic mice were found to generate an A11/Kb restricted CTL response following immunization with influenza virus A/PR/8/34, suggesting that, at least to some extent, A11 epitopes are generated by transgenic mice as a result of natural in vivo processing and presentation.  相似文献   
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