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1.
All leaders in health care today are charged with the responsibility of transforming present practices into new and different ones that are needed for the future. The structural side of transforming is ultimately easier than the human side. However, the most frequent failures come from not concentrating sufficiently on the behavioral side of the change. Structural and psychological change must occur simultaneously and embrace each other for best results.  相似文献   
2.
Experimentally determined p,V,T data are reported for toluene, trichloromethane, dichloromethane, acetonitrile, aniline, and n-dodecane at 278, 288, 298, 313, and 323 K, except for dichloromethane, for which the highest temperature was 298 K. At each temperature, measurements were done at pressures up to about 280 MPa or (for aniline and n-dodecane) at a lower pressure slightly below the freezing pressure at the temperature of measurement. Values of the isobaric expansivity isothermal compressibility and (for toluene, trichloromethane, dichloromethane, and acetonitrile) internal pressure, derived from the p,V,T data, are presented.  相似文献   
3.
The pressure-flow (P-F) relationship in intravenous catheters is shown to be represented by the predictive model P = RLF + RTF2. The pressure loss due to F, calculated from experimental data, was found to equal the expected Poiseuille laminar flow loss. Pressure loss due to F2 was found to be the sum of turbulent P losses due to entrance length flow disturbance, kinetic energy at the outflow, and minor shape change losses. Analysis of the flow capabilities of intravenous catheters can be used to evaluate suitability for specific intravenous infusion needs.  相似文献   
4.
Examined perceived environment, perceived incentive and outcome, and person constructs for relationships with interest and participation in voluntary learning and development activity by nonmanagement employees. All 3 groups of constructs were related to development activity. In relationships with development activity, perceived outcome and environment variables interacted with workers' personal values relevant to aspects of a development setting, illustrating the potentially important role that differences in values may play in a development context. Additionally, small relationships were observed between several demographic variables and values within a development setting. Results provide implications for the design and implementation of successful development programs and highlight the need to carefully consider individual differences in this context when targeting many different types of employees for participation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
5.
Working collaboratively, psychologist educators and trainers at the doctoral, internship, and postdoctoral levels; credentialers; practitioners; and students offer 8 proposals for psychologists to consider in recognizing, assessing, and intervening with problems of professional competence in students and practicing professionals. In the proposals, the authors address the following topics: definitions and categories; preparing the system; self-assessment; remediation; diversity; communication across various levels of the system; confidentiality; and ethical, regulatory, and legal underpinnings. They also propose future directions for the assessment of problems in professional competence in both students and practicing psychologists. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
6.
7.
This article focuses on preteen British children's use of text messaging, particularly the abbreviations and characteristic language used within text messages. We look not only at the language style used by the children, but at the ways in which it relates to their traditional literacy skills, as measured through standardized tests and assessments. We have found repeated positive relationships between use of text register language and traditional literacy skills, and we give here a preview of our latest, longitudinal work, which allows those relationships to be studied directionally, enabling us to draw causal conclusions.  相似文献   
8.
Abstract

Emerging intrastate transboundary issues focus on use of the Mahomet aquifer, which underlies about fifteen counties and many other political entities in east-central Illinois. This sand and gravel aquifer in the lower part of the buried Mahomet Bedrock Valley ranges between four and fourteen miles wide and from about 50 to 200 feet thick. Much of the region's rural population, several large communities, and many small towns obtain water from the Mahomet aquifer, as do industrial, agricultural, and commercial users. Increased development of the Mahomet aquifer to meet growing demands for water has caused conflicts over real or perceived adverse effects. One result has been the creation of fifteen resource protection zones and twelve water authorities. For groundwater supplies, resource protection zones help municipalities protect water-supply wells from potential adverse impacts. Many resource protection zones overlap one another, however, so this situation could lead to disputes over use of the resource. The reason that several of the twelve water authorities were organized was to meet a challenge perceived from a demand to be placed on the aquifer, in other words, a potential for conflict of use. Complicating the situation is that some of the water authorities overlap the resource protection zones. This could lead to disputes not only about water use, but also over which jurisdiction has the authority to settle a dispute. The Mahomet Aquifer Consortium was recently organized by concerned people representing diverse groundwater interests at the local level, including the private sector, professional organizations, and various governmental units. The consortium brings together representatives of some groups that typically did not communicate with each other in the past. The consortium may provide a forum through which emerging transboundary issues pertaining to use of the Mahomet aquifer can be addressed. Because the consortium is a voluntary organization that relies on consensus building, the success it may achieve in resolving future conflicts over groundwater use from the Mahomet aquifer remains to be seen.  相似文献   
9.
Although several studies have examined the relationship between intimate partner violence (IPV) and drug use among women in drug treatment programs, more information is needed to delineate differences, as a function of the specific drug used. Data from a random sample of 416 women attending methadone programs were analyzed to elucidate the differential associations between IPV and use of the following: marijuana only, cocaine only, heroin only, or cocaine and heroin. Prevalence of IPV among this sample far exceeded estimates from the general population. After adjusting for sociodemographic variables, use of cocaine only was significantly associated with an increased likelihood of experiencing IPV compared with no drug use. Similar results were found for women using both cocaine and heroin. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
10.
Microwave energy can be used to polymerize embedding polymers used for light and electron microscopy, providing novel and ultrarapid processing methods to accomplish cell and tissue embedments. These quick methods steadily show promise for diagnosis of disease where rapid methods can be crucial. This review is intended to answer some of the questions microscopists may have in attempting to utilize such microwave embedding procedures and to provide a comparison of results using divergent Medcast and LR White.  相似文献   
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