1,278 research outputs found
Self-care Problems and Management Strategies Experienced by Rural Patient/Caregiver Dyads Living With Heart Failure: A Qualitative Study
Background: Rural patients with heart failure (HF) have higher mortality and hospitalization rates compared with their urban counterparts. Although research supports the inclusion of informal caregivers in daily self-care activities, data are limited regarding the problems encountered by rural patient/caregiver dyads living with HF in managing HF in the home and how these problems are managed. Objective: The aim of this study was to identify and describe HF self-care problems experienced by rural dyads in the home and how these problems are managed. Methods: Using a descriptive qualitative design, data were collected from rural patient/caregiver dyads living with HF via individual, semistructured, telephone interviews and analyzed using schematic content analysis. Interviews and data analysis occurred concurrently until data saturation was reached. Results: Thematic data saturation was obtained with 11 dyads. On average, patients were 65.3 (±13.9) years old, and caregivers were 62 (±12.37) years old. Four themes illustrating dyadic HF self-care problems and management strategies emerged: (1) HF self-care components, namely, maintenance, symptom monitoring, and management (diet, exercise, activities, strategies); (2) environment (rural barriers, COVID-19); (3) caregiver contributors (confidence, role); and (4) dyadic contributors (dyadic relationship). Dyads described various self-care problems, with the type of relationship and presence of mutuality influencing the problem-solving process and development of management strategies. Conclusions: The identified themes emphasize the self-care problems experienced by rural dyads living with HF and the contributions of both dyad members to effectively manage these challenges. Findings support the need for culturally sensitive, tailored interventions targeting self-care in rural dyads living with HF
[Memo from James G. Bryant, Regional Representative, United States Employment Service, regarding travel permits for itinerant laborers]
A memo from Regional Representative James G. Bryant, United States Employment Service, to all USES managers regarding travel permits for itinerant Japanese workers in the U. S. The memo describes the procedure to follow when these traveling workers apply for work permits and when a change of address occurs. The procedure ensures that these itinerant workers are able to be tracked when they move to new areas.The War Relocation Authority (WRA), together with the Wartime Civil Control Administration (WCCA), the Civil Affairs Division (CAD) and the Office of the Commanding General (OFG) of the Western Defense Command (WDC) operated together to segregate and house some 110,000 men women and children from 1942 to 1945. The collection contains documents and photographs relating to the establishment and administrative workings of the (WDC), the (WRA) and the (WCCA) for the year 1942
Manu Karuka, Empire’s Tracks: Indigenous Nations, Chinese Workers, and the Transcontinental Railroad
Manu Karuka, Empire’s Tracks: Indigenous Nations, Chinese Workers, and the Transcontinental Railroad. University of California Press, 2019. Pp. 320. ISBN: 9780520296640 Author: Bryant Scott, Texas A & M University at Qatar Carving across the plains, mountains, and plateaus of the American West, trains forge the bedrock of the mythic United States. From John Ford’s early silent film, The Iron Horse (1924), to the monumental collaboration between Ford, Henry Hathaway, and George Marshall, H..
A Psychologically-Based Framework for the Measurement of Customer Satisfaction in Service Operations
In the past two decades, service organizations have come under intense governmental and societal pressures to become more cost effective and have come under intense stakeholder pressure to become more profitable. These pressures have caused organizations to focus on what actually creates profits from their operations. A consensus exists that customer retention is the key to financial success. The literature establishes that loyalty is an antecedent of retention and that satisfaction is the major antecedent of loyalty; however, prior service operations studies have focused on quality. Therefore, there is a need to establish a framework for measuring satisfaction before attempting to measure loyalty or retention. This study examines the operations management, marketing, and psychology literature to develop a structural equation modeling framework within which to measure customer satisfaction.
Request a copy of the paper from the author: Angela M. Wicks ([email protected]
Encouraging Customer Adoption of Self-Service Technologies: Put a Little Fun in Their Lives
This research examines the factors that influence a consumer\u27s decision to alter the manner in which they conduct their business to adopt a new technology based means of engaging with the service provider. A there are two key elements in the introduction of self-service technologies (SSTs), one is the use of the technology itself and another is that existing customers must change the manner in which they conduct their business. To better understand the dynamics at play when customers are asked to adopt technologies, a structural model relating attitudes and anticipated outcomes to decisions to change existing behavior is proposed and tested in a banking context. The findings are that people will consider changing when the technology offers greater utility and when it is fun to use.
Request a copy of the paper from the author: James M. Curra
Thermoeconomics - A Thermodynamic Approach to Economics (Second edition)
This second edition of the book stems from work by the author published in Energy Economics, the International Journal of Exergy and follow-up working papers. Topics covered include the gas laws, the distribution of income, first and second laws of thermodynamics, economic processes, elasticity, entropy and utility, production processes, reaction kinetics, empirical monetary analysis of UK and USA economies, interest rates, bonds, yield curves, yield spread, unemployment, entropy maximisation and the cycle, empirical analysis of world energy resources and climate change as factors affecting economic output, and lastly a discussion of sustainabilityThermodynamics, economics, money, value, utility, Le Chatelier, equilibrium, entropy, production, interest rates, yield, energy, exergy, peak oil, gas, coal, climate change
Valuing Transgenic Cotton Technologies Using a Risk/Return Framework
Stochastic Efficiency with Respect to a Function (SERF) is used to rank transgenic cotton technology groups and place an upper and lower bound on their value. Yield and production data from replicated plot experiments are used to build cumulative distribution functions of returns for nontransgenic, Roundup Ready, Bollgard, and stacked gene cotton cultivars. Analysis of Arkansas data indicated that the stacked gene and Roundup Ready technologies would be preferred by a large number of risk neutral and risk averse producers as long as the costs of the technology and seed are below the lower bounds calculated in this manuscript.cotton, financial risk, market value, SERF, transgenic, Agribusiness, Crop Production/Industries, Risk and Uncertainty, Q12, Q16,
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