Bus drivers have responded positively toward real-time bus information in various surveys. However, empirical studies on their actual responses are limited. On the basis of actual automatic vehicle location data, this study quantified bus drivers’ responses to real-time schedule adherence and their effects on transit reliability. Bus trips that were ahead of and behind schedule were analyzed separately at timepoint stops, regular stops, and along the roadways between stops. Results revealed that bus drivers would use real-time information to keep on schedule. Early buses were found to be more likely to make adjustments in response to information than were late buses along the roadways. Moreover, bus drivers’ responses to real-time information was found to improve transit reliability: 50% of the improvement was the result of drivers’ responses to schedule adherence at timepoint stops and 50% was the result mainly of drivers’ responses to schedule adherence along the roadways. The likelihood that drivers would make adjustments at regular stops to adhere to schedule was low.

Parents of children with developmental disabilities usually experience stress, grief, and isolation. Asian American parents may experience higher stress and other difficulties due to their cultural background, discrimination, and different acculturation status. Parental well-being also has an impact on the parent-child interaction and the child's development. Psychological and educational intervention for parents of children with developmental disabilities has been studied from different approaches, such as family system and cognitive behavior therapy. The possibility of integrating cognitive behavior therapy and structural family therapy was also proposed. Keywords developmental disabilities, Asian American, cognitive behavior therapy, structural family therapy Parents of children with development disabilities usually encounter different life experiences compared to their peers with children without developmental disabilities (Power & Orto, 2004). According to the Center of Disease Control and Prevention, Developmental disabilities are a group of conditions due to an impairment in physical, learning, language, or behavior areas. These conditions begin during the developmental period, may impact day-today functioning, and usually last throughout a person's lifetime. (Centers for Disease Control and Prevention, "Facts about Developmental Disabilities," 2014, para. 1)

Objective. To investigate the risk factors for the infusion rate of chemotherapeutic agents within 2 hours after preparation and to observe the application effect of the quality control circle. Methods. The infusion rates of chemotherapeutic agents within 2 hours after the preparation in different wards of our hospital in February 2019 were counted and relevant factors were collected. Binary logistic regression analysis was utilized to screen the risk factors for the infusion rate of chemotherapeutic agents within 2 hours after the preparation. In March 2019, the quality control circle intervention was implemented according to risk factors. The application effect of the quality control circle was observed. Results. Logistic regression analysis results exhibited that insufficient attention to key performance indicator (KPI), heavy workload, forgotten or unfamiliar KPI, no real-time attention by the head of the department, simultaneous preparation of multiple groups of infusions for the same patient, preparation of all chemotherapeutic agents in the morning, and self-prepared medicine without a medical order were independent risk factors for infusion of chemotherapeutic agents beyond 2 hours after preparation ( P < 0.05 ). The infusion rate of the chemotherapeutic agents (96.54%) within 2 hours after the preparation was significantly higher after the application of the quality control circle than that before the application (60.45%). The improvement rate was 59.65% and the goal achievement rate was 104.37% ( P < 0.01 ). Conclusion. Insufficient attention to KPI, heavy workload, forgotten or unfamiliar KPI, no real-time attention by the head of the department, simultaneous preparation of multiple groups of infusions for the same patient, preparation of all chemotherapeutic agents in the morning, and self-prepared medicine without a medical order are crucial risk factors for limiting the increase in the infusion rate of chemotherapeutic agents within 2 hours after the preparation. Quality control circle intervention based on risk factors can effectively improve the infusion rate of chemotherapeutic agents within 2 hours after the preparation.