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31.
    
  相似文献   
32.
    
Sales organizations continue to exhibit meaningful changes in their structures during the e-commerce era. This article examines the impact of Internet technology on the evolution of sales organizations and identifies key components underpinning a successful hybrid sales structure. A comprehensive review of sales organization studies leads to the derivation of a hybrid sales structure model, as well as a series of key recommendations pertaining to the organization and sales performance. These findings establish a platform for further research into the hybrid sales structure. The transition from a reliance on traditional, outside sales forces to a concomitant use of inside sales personnel produces hybrid sales structures that can accommodate online buyer–seller interactions and also leverage technological advances in sales automation and business intelligence to boost sales performance.  相似文献   
33.
Patients choosing new reproductive technologies benefit from psychological consultation as they face unforeseen emotional and interpersonal sequalae from these procedures. This paper focuses on those patients who choose family members or close friends (i.e., known donors) to donate sperm or eggs or uteri in order to conceive and produce their babies. Medical family therapy offers these patients and families a framework from which to examine the biological, psychological, and interpersonal issues involved in these within-family solutions to childlessness due to infertility.This paper is a revision of a talk, Medical Family Therapy, Infertility, and the New Reproductive Technologies, given at the 1994 annual meeting of the American Psychological Association on August 4 in Los Angeles, CA, as part of the Mini-convention on Families panel on Clinical Issues in Families and Health.  相似文献   
34.
Judaism, like Gilbert Meilaender, analogizes food and sex. Traditionally, Judaism saw the primary purpose of sex as procreation, the fulfillment of a Biblical mandate. It did not, however, link sex to the Garden of Eden story, and it acknowledged that sex was also important for couples' bonding. While Meilaender sees bonding as a value co-equal with procreation, Judaism traditionally kept procreation as the primary goal. Couples were encouraged to have sex when infertile and were permitted contraception when pregnancy endangered life, but whenever possible, they were directed to also have sex for procreation. Many modern rabbis, in agreement with Meilaender, permit contraception in order to foster bonding as a separate goal of sex. However, reproductive technology is seen, in Judaism, as partnership with God, allowing for a process of birth that is as natural as the process of producing food by farming. Last, when sex is permitted, Judaism celebrate the joy attendant to sex as a Divine gift.  相似文献   
35.
适宜技术与诊疗最优化临床应用患者方面的影响因素   总被引:1,自引:0,他引:1  
从诊疗中的认识论和辩证法的角度,通过实际案例分析医生及患者对选择适宜技术实现诊疗最优化的消极和积极的影响;阐述了患者自身的经济状况在很大程度上影响着适宜技术的应用;患者的心理因素和家人的态度在一定程度上也影响着适宜技术的应用及实现诊疗最优化。医生要提高自己的综合素质,患者要充分发挥自己的主观能动性,消除消极的影响,增强积极的影响,共同促进适宜技术的临床应用及实现诊疗最优化。  相似文献   
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With the rapid development of human–machine interface (HMI) systems in vehicles, driving distraction caused by HMI displays affects road safety. This study presents a data mining technique to model the four driving distraction indicators: speed deviation, lane departure standard deviation, dwell time, and mean glance time. Driving distraction data was collected on a real-car driving simulator. 3 secondary tasks in 13 mass produced cars were tested by 24 drivers. The random forest algorithm outperformed linear regression, extreme gradient boosting, and multi-layer perceptron as the best model, demonstrating good regression performance as well as good interpretability. The result of random forest showed that the importance of target speed is large for all driving distraction indicators. Among the variables of interaction and user interface design, less step and less on-screen distance of finger movement are efficient for lowering lane departure standard deviation and dwell time. The position of right point is another important variable, and should be between 37 and 47 degrees on a typical sample in this study. A larger angle leads to bigger lane departure, while a smaller angle leads to bigger mean glance time. Most variables of HMI display positioning themselves are not important. This study provides one driving distraction assessment method with a variable impact trend analysis for HMI secondary tasks in an early phase of product development.  相似文献   
37.
    
Vehicle fleet rear-end collisions (FRECs) are an extremely fatal type of traffic collisions on freeway and they usually occur in foggy weather. This study aimed to explore the patterns of vehicle fleet rear-end collisions occurrence under different foggy conditions and speed limits on freeway. A multi-user driving simulator system was used to conduct the experiment and the driving behavior data were collected from eight participants. The experimental results showed that as the fog density increased, the length of vehicle fleet decreased significantly, and drivers tended to keep a more stable car-following distance. The fog weather and short vehicle gap prompted drivers to react faster and brake harder in respond to the leading vehicle’s brake. In spite of the compensational behaviors, more FRECs were observed under heavy fog condition. Lowering speed limit can significantly reduce the FRECs under foggy conditions. As the speed limits reduced, drivers’ brake response time and speed variance significantly reduced. The study also found that drivers’ brake response time was negatively correlated with their positions in the fleet. Drivers in the front positions of the fleet had a longer response time than drivers in the back positions and thus were more likely to encounter collisions. The study generated a better understanding of drivers’ behavioral pattern in a vehicle fleet and the patterns of vehicle fleet rear-end collisions occurrence. The findings also shed lights on the design of driver assistance system for complex driving situations such as freeway driving under adverse weather.  相似文献   
38.
    
Abstract

Introduction: Transgender people who chose to proceed with gender affirming hormonal and/or surgical therapy, may face reduced options for fulfilling their parental desire in the future. The ideas and concerns of adult transgender people regarding fertility preservation and parental desire have never been reported in a large, non-clinical sample of assigned male at birth (AMAB) transgender people.

Methods: A web-based survey on fertility and parenthood in (binary and non-binary) transgender people was conducted in Belgium. AMAB people were selected for this analysis.

Results: We included 254 AMAB persons, of which 196 (77.2%) self-identified as transgender women (TW), 14 (5.5%) as cross-dressers and 44 (17.3%) as gender non-binary (GNB) people. Fifty-five (21.6%) respondents had a current/future parental desire, parental desire was already fulfilled in 81 (31.9%) and not present in 57 people (22.4%) (other: 19.2%). TW were more likely to express a parental desire, compared to GNB people and cross-dressers (P?=?0.004). In total, 196 AMAB people previously sought medical assistance, of which 30 (15.3%) considered the loss of fertility due to the transitioning process undesirable. The majority (68.2%) did not want fertility preservation (FP). Fourteen people (9.8%) had proceeded with FP. The main reasons not to proceed with FP included not feeling the need (70; 68.0%), not desiring a genetic link with (future) child(ren) (20; 19.4%) and having to postpone hormone treatment (15; 14.6%). TW were more likely to have a parental desire and to have cryopreserved or to consider cryopreserving gametes, compared to GNB people.

Conclusion: Parental desire and FP use were lower in the current non-clinical sample than in previous research on clinical samples. This can possibly be explained by the barriers transgender people face when considering fertility options, including postponing hormone therapy. Also, GNB persons have different needs for gender affirming treatment and FP.  相似文献   
39.
Currently, promising new tools are under development that will enable crime scene investigators to analyze fingerprints or DNA‐traces at the crime scene. While these technologies could help to find a perpetrator early in the investigation, they may also strengthen confirmation bias when an incorrect scenario directs the investigation this early. In this study, 40 experienced Crime scene investigators (CSIs) investigated a mock crime scene to study the influence of rapid identification technologies on the investigation. This initial study shows that receiving identification information during the investigation results in more accurate scenarios. CSIs in general are not as much reconstructing the event that took place, but rather have a “who done it routine.” Their focus is on finding perpetrator traces with the risk of missing important information at the start of the investigation. Furthermore, identification information was mostly integrated in their final scenarios when the results of the analysis matched their expectations. CSIs have the tendency to look for confirmation, but the technology has no influence on this tendency. CSIs should be made aware of the risks of this strategy as important offender information could be missed or innocent people could be wrongfully accused.  相似文献   
40.
The idea of securitization holds that perceived threats and the ensuing need for security measures are mobilized in speech acts to legitimate bypassing of normal practices of democratic politics and justification. Citizens, as members of the political community, are thus effectively deprived of their agency. Attempts at securitization gain clout from the severity of the mobilized threat: the more convincingly a threat is argued to cause disruptions in the functioning of society and ultimately the loss of human life, the more acceptable it will become to bypass democratic governance in order to prevent the threat. Accordingly, security technologies can be conceived of as those technologies that are constructed and mobilized in such attempts at securitization and depoliticization. However, security technologies can also be thought of as technologies that are mobilized in face of existential threats more generally, regardless of whether their mobilization has a depoliticizing effect or not. Yet, as case studies on airport security scanners and security in smart grids show, not all implementations of security, even against existential threats, show this tendency of depoliticization as essential in securitization and in technologies of security. This article further demonstrates that the agency of citizens in the governance of these technologies importantly depends on whether or not the threat is perceived as internal or external to the referent object of the security programme.  相似文献   
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