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Duchenne Muscular Dystrophy (DMD) is a neurogenetic developmental disorder that presents with progressive muscular weakness. It is caused by a mutation in a gene that results in the absence of specific products that normally localize to muscle cells and the central nervous system (CNS). The majority of affected individuals have IQs within the normal range, generally with lower verbal than performance IQ scores. Prior work has demonstrated selective deficits on tests of verbal span and immediate memory. For the current study, 26 boys with DMD (and normal intellectual function) and their unaffected siblings were evaluated. Paired comparisons demonstrated that the children with DMD had significantly poorer academic achievement scores than their siblings, even though their vocabulary levels and home and educational environments were comparable. Children with DMD also had more behavioral concerns, physical disabilities, and poorer verbal memory spans. Linear regression indicated that behavioral concerns, executive function, and physical disability did not contribute substantially to academic performance, whereas performance on verbal span did. DMD presents with a selective developmental aberration in verbal span that has wide‐ranging consequences on learning skills.  相似文献   
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OBJECTIVE: This article presents the results of complementary research studies on the behaviors of hospital clinicians in asking clinical questions and the relationship between asking of questions, outcome of information searches, and success in problem solving. METHODS: Triangulation in research methods--a combination of mailed questionnaires, interviews, and a randomized controlled study--was employed to provide complementary views of the research problems under study. RESULTS: The survey and interviews found that clinical problems (concerned mainly with therapy and equipment or technology) were expressed as statements rather than questions (average number of concepts = 1.7), that only slightly more than half (higher for doctors) of problems could be solved, and that the majority of clinical questions were not well formed. An educational workshop however improved clinicians' formulation of questions, but the use of structured prompting was found to improve building of hypotheses in the doctors' group without training. The workshop also improved satisfaction with the obtained information and success in problem solving. Nonetheless, for both the experimental and control groups, more structured and complete questions or statements did not mean higher success rates in problem solving or higher satisfaction with obtained information. CONCLUSION: The triangulation methods have gathered complementary evidence to reject the hypothesis that building well-structured clinical questions would mean higher satisfaction with obtained information and higher success in problem solving.  相似文献   
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In this paper, the stability equation method is applied to the analysis of nonlinear systems with characteristics equations having complex coefficients. Three types of systems are studied: those with unstable open-loop poles, unstable characteristics roots or an equal number of open-loop poles and zeros.  相似文献   
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This paper addresses a dynamic portfolio investment problem. It discusses how we can dynamically choose candidate assets, achieve the possible maximum revenue and reduce the risk to the minimum level. The paper generalizes Markowitz's portfolio selection theory and Sharpe's rule for investment decision. An analytical solution is presented to show how an institutional or individual investor can combine Markowitz's portfolio selection theory, generalized Sharpe's rule and Value-at-Risk(VaR) to find candidate assets and optimal level of position sizes for investment (dis-investment). The result shows that the generalized Markowitz's portfolio selection theory and generalized Sharpe's rule improve decision making for investment.  相似文献   
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This investigation presents a framework for understanding and also to test the efficacy of Social Work intervention on the well being of the white collared employee (industrial employee) and his/her family. A comprehensive and intensive personal- family exploration was done to uncover the relatedness of seemingly disparate areas of the clients lives. A total of 80 executives (industrial employees) served as subjects. A baseline assessment was done using structured, standardized interview-schedules/questionnaires. The results of the study can be enumerated as follows: After the Social Work intervention, the executives in occupational profile, there were significant changes in Role perception, overload, role conflict, low status and poor peer relations. In coping strategies there was significant improvement in sub-scales like problem solving and unproductive coping. Significant reduction was noticed in their proneness to heart disease, depression, inadequate mental mastery, and perceived ill health. There was significant improvement in their family group support, and in their expressiveness, achievement, orientation, active-recreational and organizational characteristics.  相似文献   
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INTRODUCTION Since the phenomenon of piezoelectricity in natural crystals was discovered in 1880, it has been applied in many fields, such as smart structure, sensing devices and active control, because of its special properties. Combining electrical behavior with mechanical deformation is the special property which attracted great interest of researchers. Many models have been developed for studying piezoelec- tric effects. Dunn and Wienecke (1996) used Green’s functions for transverse…  相似文献   
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Although the U.S. population is becoming increasingly diverse, the race of individuals entering the counseling profession remains predominantly White (S. P. Pack‐Brown, 1999). The authors define and explore the connection between White privilege and oppression and encourage the use of racial identity models to address these constructs with counselor trainees in supervision.  相似文献   
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