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The Reconceptualized Uncertainty in Illness Theory (RUIT) was used to investigate antecedents to, appraisals of, and ways of coping with stressful caregiving. Four focus groups with caregivers (8 males and 16 females) of relatives with dementia were conducted; 15 cared for their parents and the remainder cared for their spouses. They were recruited from an adult care center and other community settings in a metropolitan area in New England. The discussions were audiotaped and transcribed verbatim. Two researchers independently coded the transcripts. Thematic analysis was structured according to the RUIT. The study is unique in its application to caregivers as opposed to patients and to all of the elements of the RUIT. Caregivers experience uncertainty in similar ways to patients with life-altering illness. Symptom severity--lack of personal boundaries, repetitive and aggressive behaviors, and the need for constant care--was the most frequent source of stress. The appraisals were mostly negative and included feelings of resentment, a lack of support from family members, financial strains, and loss of freedom. Self-improvement and self-care were important aspects of coping. Spirituality and humor were other coping skills that respondents used. Not all respondents said they were coping and some also reported that support from health care providers was not always helpful. Nurses can help improve coping by explaining the factors that contribute to caregiver strain and uncertainty, and by assisting caregivers to anticipate the effects of the caregiving role.
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The set of the first Hilbert coefficients of parameter ideals relative to a module—its Chern coefficients—over a local Noetherian ring codes for considerable information about its structure–noteworthy properties such as that of Cohen-Macaulayness, Buchsbaumness, and of having finitely generated local cohomology. The authors have previously studied the ring case. By developing a robust setting to treat these coefficients for unmixed rings and modules, the case of modules is analyzed in a more transparent manner. Another series of integers arise from partial Euler characteristics and are shown to carry similar properties of the module. The technology of homological degree theory is also introduced in order to derive bounds for these two sets of numbers. © 2014, Institute of Mathematics, Vietnam Academy of Science and Technology (VAST) and Springer Science+Business Media Singapore.
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Our purpose is to study the cohomological properties of the Rees algebras of a class of ideals generated by quadrics. For all such ideals I⊂. R=. K[. x, y, z] we give the precise value of depth. R[. It] and decide whether the corresponding rational maps are birational. In the case of dimension d≥. 3, when K=R, we give structure theorems for all ideals of codimension d minimally generated by (d+12)-1 quadrics. For arbitrary fields K, we prove a polarized version. © 2014 Elsevier Inc.
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In order to reduce students' test anxiety, collaborative testing was suggested as an evaluation strategy. However, few studies have focused on testing group construction, especially when an important factor, i.e., group diversity is taken into consideration. In this paper we conducted a case study to assess the association between group diversity and test anxiety in collaborative testing. The results observed may indicate that: 1) around 20% of students suffered from test anxiety to some extent in either an individual test or a collaborative test; 2) collaborative testing could alleviate test anxiety, whereas the effect is not statistically significant; 3) there exists a moderate positive correlation between group diversity and test anxiety in collaborative testing. The results of the study may suggest limiting group diversity in collaborative testing in order to alleviate test anxiety. © 2015 IEEE.
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Due to the considerable advantages of collaborative learning, group work is widely used in tertiary institutions. Previous studies demonstrated that group diversity had positive influence on group work achievement. Therefore, an interesting question that arises is how to achieve maximum group diversity effectively and automatically, especially when the features to be considered are numerous and the number of students is large. In this paper we apply a multi-start algorithm composed by a greedy constructive and strategic oscillation improvement to group students. We evaluated the technique based on a small-scale case study. The results observed indicate that the multi-start algorithm-based grouping model is feasible. It improved the overall and average students diversity within group significantly, and it also enhanced students' collaborative learning outcomes compared to random grouping model. However, we did not find any evidence on monotonic positive relationship between diversity and students' learning outcomes. © 2015 IEEE.
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Vulnerabilities need to be detected and removed from software. Although previous studies demonstrated the usefulness of employing prediction techniques in deciding about vulnerabilities of software components, the accuracy and improvement of effectiveness of these prediction techniques is still a grand challenging research question. This paper proposes a hybrid technique based on combining N-gram analysis and feature selection algorithms for predicting vulnerable software components where features are defined as continuous sequences of token in source code files, i.e., Java class file. Machine learning-based feature selection algorithms are then employed to reduce the feature and search space. We evaluated the proposed technique based on some Java Android applications, and the results demonstrated that the proposed technique could predict vulnerable classes, i.e., software components, with high precision, accuracy and recall. © 2015 IEEE.
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We consider variations of the original art gallery problem where the domain is a polyomino, a polycube, or a polyhypercube. An m-polyomino is the connected union of m unit squares called pixels, an m-polycube is the connected union of m unit cubes called voxels, and an m-polyhypercube is the connected union of m unit hypercubes in a d dimensional Euclidean space. In this paper we generalize and unify the known results about guarding polyominoes and polycubes and obtain simpler proofs. We also obtain new art gallery theorems for guarding polyhypercubes. © 2015 Elsevier B.V.
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This paper deals with predator–prey dynamics in individual and population perspectives. First, we build a discrete Markov model on predator–prey interactions in individual perspective. By shortening the time gap, from discrete time to continuous time, and increasing the number of individuals to infinity, a continuity equation on the predator–prey interactions is derived in a large population regime. Then, with the leading items of the continuity equation, that is the mean-field equation, following the approximate model, which entails qualitative analysis, we can obtain an asymptotically stable closed orbit or simply put, the parameter conditions where equilibrium point exists. These qualitative conclusions are the performance of individual microscopic interactions on macro-level groups, or can be treated as one component of microscopic models of various random statistical average results.This paper explored the accuracy and operability of the model constructed on individual level, which differs from traditional method, constructing population model directly via differential equations and difference equations. Therefore, by operating variables and data from individual behavior, it is probable for us to construct more accurate models for population dynamic. © 2014, Springer Science+Business Media Dordrecht (outside the USA).
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Purpose-This paper aims to use goal-setting theory to explain the transfer of knowledge and skills between master of business administration (MBA) and the workplace. Design/methodology/approach-Data were obtained by an online survey of MBA students enrolled in at four US graduate business schools. These were a public and private institution in the Northeast region, a private sectarian institution in the Midwest region and a private institution in the Pacific region. All students worked while attending the university. The sampling frame consisted of each school’s MBA enrollees. Questionnaires were distributed to a random cross-section of part-time students at each graduate school of business representative of returned by 144 students. The profiles of responders were consistent with parameters for the entire MBA student population. Findings-The research shows that multiple goals of reciprocal knowledge and skills transfer may be in harmony and mutually reinforcing. In principle, each goal is more likely to be attained with greater economy of effort than might be surmised. Additionally, the same forces may act similarly to facilitate attainment of two well-integrated goals, in this case transfer betweenMBAstudies and work, as well as between work and MBA studies. Research limitations/implications-The present study involved participants from part-time public and private MBA granting institutions in the USA. The study tested and extended goal-setting theory and introduced the innovative concept of reciprocal transfer. Future studies should seek to generalize the findings to a broader population of part-time MBA students, especially from other nations. Despite its strengths, the findings of this study need to be interpreted in the perspective of some limitations. The current study did not measure transfer climates in either the organization or university settings. Transfer climates undoubtedly have an important bearing on transfer outcomes. Practical implications-Review of the present study suggests that a positive MBA environment is needed to influence motivation to learn and perceptions of the MBA program’s utility, thereby promoting transfer of knowledge and skills to MBA studies from the workplace. A supportive work-to-MBA-studies transfer climate will lead to more active learning of course content that has greater relevance for achieving career goals. Potentially generalizable from the organizational transfer climate literature (Rouiller and Goldstein 1990; Rouiller and Goldstein 1993), positive transfer from work to MBA studies will occur when appropriate situational cues and consequences are present in the program. Social implications-A constructive implication suggested by the findings of this study would be the intervention and transfer management by educators to structure and strengthen the university transfer climate of their part-time MBA programs. Traditionally, the concept of transfer climate has been primarily applied to employee workplace training activity and job performance. The university culture of the MBA student might emphasize and reward continuous learning from workplace experiences. Opportunities at the university should be provided for the exercise of newly acquired workplace skills that reinforce MBA learning experiences. Originality/value-This is the first study that shows how learning goals and performance goals are integrated in the context of a new concept, i.e. reciprocal transfer of knowledge and skills betweenMBA and workplace settings. It also demonstrates, for the first time, the impact of learning and motivation for MBAstudies and perceived utility ofMBAprogram on the extent of transfer of learning and skills from the workplace to the university setting. © Emerald Group Publishing Limited.
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Trends in popular belief about same-sex relationships have undergone noteworthy change in the United States over the last decade. Yet this change has been marked by stark polarizations and has occurred at varying rates depending upon regional, community, racial, religious, and individual family context. For queer youth and their families, this cultural transformation has broadened opportunities and created a new set of risks and vulnerabilities. At the same time, youth's increasingly open and playful gender fluidity and sexual identity is complicated by unique intersections of class, race, religion, and immigration. Effective family therapy with queer youth requires practitioner's and treatment models that are sensitive to those who bear the burden of multiple oppressions and the hidden resilience embedded in their layered identities. We present case examples of our model of family therapy which addresses refuge, supports difficult dialogs, and nurtures queerness by looking for hidden resilience in the unique intersections of queer youths' lives. These intersections provide transformational potential for youth, their families and even for family therapists as we are all nurtured and challenged to think more complexly about intersectionality, sexuality, and gender. Las tendencias en la creencia popular acerca de las relaciones entre personas del mismo sexo han sufrido un cambio considerable en Estados Unidos durante la ultima decada. Sin embargo, este cambio se ha producido a ritmos diferentes segun las comunidades locales y regionales, y el contexto familiar individual. En el caso de los jovenes queer y sus familias, esta transformacion cultural ha ampliado oportunidades y creado un nuevo conjunto de riesgos y vulnerabilidades. Los jovenes queer y sus familias, al intentar desarrollarse en numerosos contextos, estan marcados por divergencias crueles en actitudes y creencias. Al mismo tiempo, la fluidez del genero y la identidad sexual cada vez mas abiertas y ludicas de los jovenes estan complicadas por intersecciones unicas de clase, raza, religion e inmigracion. Una terapia familiar eficaz con jovenes queer exige modelos de tratamiento y profesionales que sean sensibles a aquellas personas que cargan sobre sus espaldas numerosas opresiones y una resiliencia oculta incorporada en sus identidades multiples. Presentamos ejemplos de casos de nuestro modelo de terapia familiar que aborda el refugio, respalda los dialogos dificiles y apoya la sexualidad alternativa buscando la resiliencia oculta en las intersecciones unicas de las vidas de los jovenes queer. Estas intersecciones ofrecen posibilidades transformacionales para los jovenes, sus familias e incluso los terapeutas familiares mientras nos estimulan y nos desafian a todos a pensar de forma mas compleja acerca de la interseccionalidad, la sexualidad y el genero.
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What is the current state of mobile services among academic libraries of the country's top 100 universities, and what are the best practices for librarians implementing mobile services at the university level? Through in-depth website visits and survey questionnaires, the authors studied each of the top 100 universities' libraries' experiences with mobile services. Results showed that all of these libraries offered at least one mobile service, and the majority offered multiple services. The most common mobile services offered were mobile sites, text messaging services, e-books, and mobile access to databases and the catalog. In addition, chat/IM services, social media accounts and apps were very popular. Survey responses also indicated a trend towards responsive design for websites so that patrons can access the library's full site on any mobile device. Respondents recommend that libraries considering offering mobile services begin as soon as possible as patron demand for these services is expected to increase.
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The chapter traces the development of Orthodoxy by focusing on the Ecumenical Patriarchate of Constantinople and the Russian Orthodox Church in the early modern period. It is based on the premise that in both cases Orthodoxy faced three main challenges: imperial/political, intellectual, and financial. In both the Ottoman and the Russian empires, the Orthodox Church played important roles in the political, administrative, cultural, economic, ideological, and social lives of the Orthodox believers. Orthodoxy usually provided legitimizing ideological support to state authority, was forced to reckon with Western cultural and theological trends, and also proactively defended its economic interests. For most of the period, the Ecumenical Patriarchate and the Russian Orthodox Church maintained constant contacts, even in the face of mutual suspicions of each other’s motives. The chapter argues that early modern Orthodoxy proved adaptive, developed over time, and withstood the challenges it faced, ultimately keeping its symbolic capital largely intact.
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Background: The rates of annual visits for adult Medicaid enrollees to the emergency department (ED) are increasing. Many programs throughout the country are focused on engaging patients in the use of their primary care providers (PCP) rather than the ED for low acuity conditions. It is unclear, however, the proportion of patients who are willing to use primary care services rather than the ED if they are given the choice. Methods: Cross-sectional study of adult Medicaid enrollees (18 y and older) presenting to a large, urban, academic ED from June to August 2012 with a low acuity condition was performed. We excluded patients who did not have a PCP or active Medicaid insurance. Our primary goal was to determine the proportion of patients who prefer to use the ED, rather than their PCP clinic, if an appointment was immediately available. Our second goal was to understand why patients would prefer ED over PCP care. Results: A total of 150 patients agreed to complete the survey, and 95 (63.3%) met our inclusion criteria. Forty-three patients (45.3%) stated preferring to use their PCPs rather than the ED if an appointment was available at that time. Thirteen (48.1%) cited that the ED had more technology or specialty care services available when compared with their PCP's clinic, 8 (15.4%) were in significant pain, and 6 (11.5%) felt the care they received in the ED was better than what they would receive in their PCP clinic. Conclusions: Our study shows that a little less than half of adult Medicaid enrollees presenting to the ED with low acuity conditions would have preferred to use their PCP rather than the ED, if an appointment had been immediately available.
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Background: Fast food establishments are available on many college campuses and, as a result, many students consume foods that are high in calories and contribute to unhealthy weight gain. Purpose: This study measured college students' knowledge of the calorie content for fast food items and whether the provision of calorie information for those foods influenced their future purchasing intentions. Method: Randomly selected undergraduate college students (N = 201) completed an online survey that measured baseline knowledge of calorie content for a fast food item and intention to purchase that item in the future. After provision of accurate calorie information, students were posttested for intention to purchase that item in the future. Results: The majority of students underestimated calorie content for fast food items. After receiving accurate calorie information, those who initially underestimated calorie content were significantly more likely to change their intention to purchase that food item in the future. Discussion: Many college students are interested in avoiding high-calorie fast food items but are uninformed about calorie content. Translation to Health Education Practice: Colleges should provide calorie information for fast food items at the point of purchase so that students can make informed decisions that will promote their health. © 2015, Copyright © SHAPE America.
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