Screening for breast and cervical cancers can reduce morbidity and mortality through early detection, yet many women are not getting regular lifesaving screenings as recommended. 2 The National Breast and Cervical Detection Program (NBCCEDP) was established in 1990 in order to provide low-income, uninsured, and underserved women access to breast and cervical cancer screening and diagnostic services. Georgia’s participation in the NBCCEDP led to the development of The Breast and Cervical Cancer Program (BCCP), which provides cancer screening to women 40 to 64 years of age who are uninsured and/or underinsured and at or below 200% poverty level. Deaths from breast and cervical cancers could be avoided if screening rates increased among women at risk. In order to better eliminate barriers to screening, Georgia’s Breast and Cervical Cancer Program uses client navigators to communicate with minority populations. The purpose of my thesis study was to assess the effectiveness of the Client Navigator Program utilized to enhance breast and cervical cancer screening rates for women throughout Georgia. Evaluation findings demonstrated that personal characteristics of Client Navigators, internal characteristics of the program itself, resources provided by the program, and program partnerships were the areas of greatest program strength. Funding was repeatedly listed as the greatest program threat. Findings from this study provide insights for how the overall program can be improved in the future, and thus, improving health outcomes for women who are at greatest risk of breast and cervical cancer throughout the state.

Darbe tiriamas didelių failų perdavimo efektyvumas kliento-serverio sistemoje. Apibūdinami TCP ir UDP transportavimo lygmens protokolai, skirtingi kompiuterių sujungimo tipai – naudojant tarpinį įrenginį ir be jo. Eksperimentiniam tyrimui sukurta programinė įranga leidžianti siųsti failus: * Kliento-serverio sistema veikianti TCP protokolo pagrindu; * Kliento-serverio sistema veikianti UDP protokolo pagrindu. Eksperimentiškai nustatoma didelių failų perdavimo efektyvumo priklausomybė nuo kompiuterių sujungimo tipo, transporto lygmens protokolų bei tų protokolų parametrų. / Efficiency of sending big files over networked client-server system is examined at this work. TCP and UDP transport layer protocols and different computer connection types, using intermediate device and without it, are overviewed. Software for experimental research was created: * Client-server system using TCP protocol; * Client-server system using UDP protocol. Performing experiments dependence of computer connection type, transport layer protocols ad parameter of those protocols were determined.

The present study investigated how the issues of perceived and desired confidentiality are related to the working alliance between adolescent clients and their counselors. Fifty-one students between the ages of 14 and 18 years were recruited through two school boards in Canadian cities. Results indicated that adolescents preferred greater levels of confidentiality than they thought they would actually get in hypothetical situations, but preferred significantly less in actual situations. In addition, the level of confidentiality adolescents preferred in both hypothetical and actual situations did not impact the working alliance. The level of confidentiality adolescents thought they would get in hypothetical situations was a significant predictor of the working alliance. In actual situations, however, the level of confidentiality did not impact the working alliance. Theoretical and practical implications for counselors and other researchers, limitations of this study, and future research directions are discussed.

No description available.

I examine how risk-based inspections influence auditor behavior in a multi-client setting. I conduct an experiment using an abstract setting that captures the theoretical constructs present in the audit ecology. I manipulate the presence of risk-based inspections between-participants and the level of client risk (higher vs. lower) within-participants. Consistent with the theoretical predictions, under conditions of high resource pressure, I find that auditor effort is higher under a regime with risk-based inspections as compared to a regime without inspections, and the auditor effort increases more for higher-risk clients than for lower-risk clients. More notably, following attentional control theory, I predict and find that risk-based inspections diminish the quality of auditor decision performance for lower-risk clients. Specifically, auditors' decision performance is worse (i.e., more suboptimal) for lower-risk clients than for higher-risk clients (ceteris paribus), but only under a risk-based inspections regime. Likewise, auditors' decision performance for lower-risk clients is worse in a regime with risk-based inspections than in a regime without inspections. I theorize that accountability pressures from PCAOB inspections combined with pressures from high resource constraints (that naturally occur in the audit environment) induce task-related anxiety on auditors. Following attentional control theory in a multi-task setting, I predict anxiety interrupts auditors' decision-making processing shifting attention toward higher-risk clients contributing to the anxiety, and away from lower-risk (untargeted) clients, thereby decreasing the quality of decision performance for lower-risk clients. I perform several supplemental analyses to test the underlying theory. First, I conduct a second experiment where auditors operate under relatively lower resource pressure and find that auditors’ decision performance is no longer worse for lower-risk clients in an inspections regime. The results support the theory that it is the combined pressures of inspections and high resource constraints causing the negative effects. Second, I conduct a supplemental experiment and measure participants' levels of anxiety. In support of the underlying theory, participants' reported anxiety levels are higher under a regime with versus without inspections. Third, I perform several robustness checks to rule out alternative explanations of the findings. The findings of this study contribute to the auditing literature, and they have practical and regulatory implications. First, by identifying higher auditor effort in a regime with inspections, I join others in documenting potential benefits of inspections on auditor behavior, and thus audit quality. Second, by examining the effect of risk-based inspections on auditor effort in a multi-task setting, I extend prior research by providing evidence that inspections increase auditor effort more for higher-risk clients than for lower-risk clients. Third, and most notably, by identifying diminished auditor decision performance for lower-risk clients under a risk-based inspections regime, this is the first study to provide theory and evidence on how risk-based inspections can lead to potential negative consequences on audit behavior, and thus audit quality.

Men's reluctance to seek psychological help appears to be related to a discrepancy between values and behaviors of the traditional male role and values and behaviors commonly associated with the counseling setting. The view that men must adopt traditional feminine ways of relating and coping to engage in and receive value from therapy has been challenged recently. Alternative interventions may be more attractive to some men who need help, but are unwilling to enter therapy.This study assessed: (a) the influence of male role socialization on help-seeking and (b) men's preferences for and expectations of different therapeutic orientations. It was proposed that more traditional men would be less likely to seek help for a serious psychological concern, but would be more attracted to interventions that reflect values consistent with traditional male ways of coping if they were to seek help (solution-focused and cognitive-behavioral therapy). Additionally, it was proposed that men expect psychologists to use interventions that require expression of more feminine characteristics and behaviors (psychodynamic and person-centered orientations).Undergraduate males (N = 259) were recruited from intact classrooms at a large midwestern university. Three gender role measures were administered to assess traditional masculinity ideology, and male role stress and conflict. Subjects viewed a video of a male client describing a serious personal problem and were asked about their likelihood to seek help if they were experiencing this problem. They were also asked to report their preference for and expectation of four therapy orientations if they were to seek help.Males who endorsed more traditional ideology and experienced greater role conflict were less likely to seek help for the videotaped problem. Males less likely to seek help preferred that their psychologist employ a solution-focused orientation if they were to seek help. Participants expected their psychologist to employ person-centered and psychodynamic orientations more often than solution-focused or cognitive behavioral orientations. Prior experience in counseling also affects preferences.Conclusions support the idea that some males view the counseling setting as a poor fit and may prefer and access interventions that more closely represent male ways of relating and coping. / Department of Counseling Psychology and Guidance Services

In this thesis, we explore the pipe mechanism available in Open Software Foundation's Distributed Computing Environment (OSF's DCE). OSF's DCE is one of the emerging technologies for distributed computing. The pipe mechanism in DCE provides an efficient way for transferring large or incrementally produced data that cannot fit in main memory at once. The empirical study of the pipe mechanism adds to the state of knowledge about how the pipe mechanism can be used in the development of client-server systems. / Department of Computer Science

The outsourcing of non–core Information and Communication Technology services in the ICT industry has been successfully conducted for many years based on various models and frameworks. Client organisations embark on this for many reasons including cost savings, access to specialised skills and access to global resources to name but a few. This study identified and evaluated the management of outsource agreements between client organisations and suppliers with specific focus on creating an understanding of those factors that has a direct impact on the success of outsource agreements. The primary objective of the research study was to provide a comprehensive management guideline for client organisations embarking on outsource initiatives or planning to renew existing agreements. The secondary objective was to assist service providers with guidance on pitfalls and issues experienced in the management of such agreements and to highlight the lessons learned from the industry at large. The research was conducted by means of a literature study and empirical study. The literature study included background information on outsourcing, outsourcing theories as well as outsource management frameworks. Furthermore, it addressed lessons learned and issues and pitfalls to avoid by service providers. The literature review formed the basis for creating an understanding of those factors that has a direct impact on the success of outsource agreements. Based on the evaluation of the empirical study, it was concluded that client organisations that are planning to embark on the outsourcing or renewal of services need to follow a management framework with a full lifecycle in order to ensure success. The top issues that suppliers need to address are to ensure that a climate of trust exists between them and the client; they need to be as transparent as possible and ensure that they carry extensive business knowledge of the client being serviced. / Thesis (M.B.A.)--North-West University, Potchefstroom Campus, 2012.

The outsourcing of non–core Information and Communication Technology services in the ICT industry has been successfully conducted for many years based on various models and frameworks. Client organisations embark on this for many reasons including cost savings, access to specialised skills and access to global resources to name but a few. This study identified and evaluated the management of outsource agreements between client organisations and suppliers with specific focus on creating an understanding of those factors that has a direct impact on the success of outsource agreements. The primary objective of the research study was to provide a comprehensive management guideline for client organisations embarking on outsource initiatives or planning to renew existing agreements. The secondary objective was to assist service providers with guidance on pitfalls and issues experienced in the management of such agreements and to highlight the lessons learned from the industry at large. The research was conducted by means of a literature study and empirical study. The literature study included background information on outsourcing, outsourcing theories as well as outsource management frameworks. Furthermore, it addressed lessons learned and issues and pitfalls to avoid by service providers. The literature review formed the basis for creating an understanding of those factors that has a direct impact on the success of outsource agreements. Based on the evaluation of the empirical study, it was concluded that client organisations that are planning to embark on the outsourcing or renewal of services need to follow a management framework with a full lifecycle in order to ensure success. The top issues that suppliers need to address are to ensure that a climate of trust exists between them and the client; they need to be as transparent as possible and ensure that they carry extensive business knowledge of the client being serviced. / Thesis (M.B.A.)--North-West University, Potchefstroom Campus, 2012.

Dyadic data analysis methods are underutilized in child and youth care, where much of the practice relies on relationships with individuals and groups. In this exploratory study, a dyadic data analysis approach was used to study the interdependence amongst client-counsellor dyads in a voluntary counselling setting. Ten counsellors and thirty-six clients from a Canadian voluntary counselling agency participated in this study. Counselling sessions ranged from two to 20 sessions. Clients completed a session rating scale, a measure of the therapeutic alliance. In addition, clients and counsellors completed an outcome rating scale and personal change questions. A one-with-many design was used to explore the similarity between client-counsellor dyads, the degree of consensus, assimilation, and uniqueness as well as the level of reciprocity for perceived client well-being. Multi-level modeling was used to partition the variance on the outcome rating scale to account for sources of non-independence in client-counsellor dyads, and the indirect relationships between multiple clients working with the same counsellor. Implications of the study and recommendations for future research are discussed. / Graduate