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  1. Total Quality Management: the Case for the Public Sector: a Comparative Study of the Implementation of Total Quality...

    Total quality management [TQM] is an approach to improving the competitiveness, effectiveness and flexibility of the whole organization through the improvement of the organizational processes and those who...

  2. The Impact of Communication Impairments on the Social Relationships of Older Adults

    Communication forms the foundation of social interaction. For older adults, however, there is known to be an increased risk of developing conditions that interfere with the ability to communicate. These...

  3. An Orphanage in Mexico: Four United Nations' Human Rights of Children and Wolins' Prerequisites for Efficient Group Care...

    In Mexico there are officially 1.8 million orphaned children, without counting non-orphaned children deprived of family, who also need care; of these, only 657,000 are living in 703 orphanages. Mexico's...

  4. Religion and Infant Mortality in the U.S.: A Preliminary Study of Denominational Variations

    Prior research has identified a number of antecedents to infant mortality, but has been focused on either structural (demographic) forces or medical (public health) factors, both of which ignore potential...

  5. Counseling Emerging Adult Clients: The Role of Attachment Relationships in Promoting Well-Being and Positive Development

    Emerging adulthood refers to a stage of development between adolescence and adulthood, generally encompassing the 18-29 age range. Sweeping societal changes during the latter 20th and early 21st centuries have...

  6. Compassion Fatigue, the Wellness of Care Providers, and the Quality of Patient Care

    Working with traumatized patients in the Emergency Department can compromise the well-being of the provider and the quality of patient care. Compassion Fatigue and burnout are two terms used to describe...

  7. Metaphor Use in Interpersonal Communication of Body Perception in the Context of Breast Cancer

    Female breast cancer patients are often confused, frustrated, and devastated by changes occurring in their bodies and the treatment process. Many women express frustration and concern with the inability to know...

  8. Reliability, Validity, and Factor Structure of the Hopkins Symptom Checklist-25: Population-Based Study of Persons Living...

    Depression and anxiety are highly comorbid among people living with HIV ( PLHIV ), but few instruments for screening or measurement have been validated for use in sub-Saharan Africa. The objective of this study...

  9. The Historical, Political, Social, and Individual Factors That Have Influenced the Development of Aging and Disability...

    This thesis reports on the perspectives and experiences of policymakers, advocates, agency supervisors, and experts in the field of gerontology, about the development of Aging and Disability Resource Centers...

  10. The Longterm Psychosocial Impacts of Caregiving on the Caregivers of Persons with Stroke

    This study is a Time 4 (T4) follow-up interview of ninety-three caregivers of persons who experienced a first stroke between 2 to 4 years (mean = 36 months) prior to the T4 interview. The first wave of data...

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