Involving constituents in agency priority setting: a case study

Many government agencies have "constituents" who believe the agencies should hear and consider their needs and desires in establishing program priorities. This article describes how one involves interested constituents (consumers, industry, medical professionals, and state organizations) in the agency's annual priority-setting process. This participation has produced a number of beneficial results-some expected and some unexpected.     

IPSec网络安全协议及其应用

当今的世界是网络的世界,数以万计的人们通过互联网来传递信息,实现办公。因此,如何保证网络的安全成为人们日益关注的问题。IPSec就是在IPV4数据包结构上增加的一种网络安全性服务,使网络实现了安全通讯。     

中美八年制医学博士教育发展的比较研究

八年制医学博士教育是我国医学教育国际化进程的重要改革举措,与世界发达国家如美国成功的八年制医学博士教育相比,我国的八年制医学教育发展规模较小,发展历程短,许多方面还有待完善和改进。应当借鉴发达国家医学高等教育的发展经验,全面调研我国八年制教育现况,完善我国八年制培养模式;及时调整不合理的培养模式;实施定期评估政策,有效保证我国八年制教育的质量。     

Evaluation of the U.S. Air Force Family Support Center Program

This article provides an overview of the implementation and evaluation of Family Support Centers (FSC) in the U.S. Air Force. After describing the FSC model, the quantitative aspect of the evaluation is discussed, including the evaluation design, implementation methods, survey response rates, and procedures for data analysis. A summary of evaluation results also are presented as well as a discussion of administrative and methodological issues encountered in performing the evaluation. The results of the evaluation suggest that the FSC has become an integral part of the base human service delivery system, especially for married members and civilian spouses.     

Cosine similarity-based clustering and dynamic reputation trust aware key generation scheme for trusted communication on social networking

Social networking sites (SNSs) make it possible to connect people and they can communicate with others. Due to the lack of privacy mechanisms, the users in SNSs are vulnerable to some kinds of attacks. Security and privacy issues have become critically important with the fast expansion of SNSs. Most network applications such as pervasive computing, grid computing and P2P networks can be viewed as multi-agent systems which are open, anonymous and dynamic in nature. Moreover, most of the existing reputation trust models (RTMs) do not depend on any clustering structures. The clustering structures are used to effectively calculate the trustworthiness of the network nodes. In this paper, a novel cosine similarity-based clustering and dynamic reputation trust aware key generation (CSBC-DRT) scheme is proposed. For better faced clustering, a cosine similarity measure is estimated for all the nodes on the network. Based on the similarity measure among the nodes, the network nodes are clustered into disjoint groups. The RTM is built in this proposed scheme. Here, an improved MD5 algorithm is explored for key generation and key verification. After the key verification, the trusted measures such as reputation value, positive edge and negative edge values are computed to formulate the trusted network. The proposed scheme performs better than the existing RTM, which provides trusted communication in social networks.     

Cybernetic appropriateness review: Does it change physician hospital utilization patterns?

All hospital care can be characterized as either appropriate (i.e., efficatious and necessary) or inappropriate (i.e., services without benefit or services that could be provided in a less costly setting). A demonstration project combining an appropriateness determination methodology with a cybernetic control system was implemented in a study area that included six hospitals and approximately 400 practicing physicians. Project results to date indicate substantial improvements in the ratio of appropriate to inappropriate care for both hospitals and individual physicians. Evaluation research design problems and areas of future research are also discussed.     

Disappointing and deviant youth and the rage of the elders

A generalized adult hostility toward youth derives from the complexities of the parent/child relationship, often mirrored in the helper/client and therapist/patient dyads. Parents derive considerable or little narcissistic gain from the accomplishments of their offspring, and conversely, are disappointed or even mortified by their failures. This is particularly true of narcissistically vulnerable parents—helpers and therapists as well—and accounts for widespread attitudes of competition, disparagement, and outright hostility toward young people. In the extreme, the pathological situations of emotional exploitation, incest, and physical abuse occur, but lesser forms of exploitation, such as personally gratifying advocacy, political gain, cultism, and enhancement of professional status, point to similar, but seemingly less destructive, forms of narcissistic gain. Youth may respond by conforming, defying, disappointing, and deviating. Adults may be either pleased, or enraged.     

免疫鸡群暴发马立克氏病[MD]的报告

某鸡场MD免疫鸡群65～85日龄鸡大量发病、死亡，用多种约物治疗无效，通过流行病学、症状、病理剖检和细菌学、血清学（琼脂扩散）试验诊断为鸡马立克氏病。     

Evaluation of Camp Tortuga, a two week children's therapeutic day camp via goal attainment scaling and locus of control

The present study evaluated the effectiveness of a two-week therapeutic day camping experience in facilitating change in children aged 8–12 years with adjustment or behavioral problems. For each of the 42 children attending camp, three Goal Attainment Scales (GAS) were administered before camp separately to the children, parents and counselors. These scales specified individualized behavioral goals for problem areas relating to self, family, children, and group which could be realistically attainable within two weeks. Post-camp GAS follow-up showed that children, parent, and counselor groups each perceived the children as achieving significant positive change in regard to specified goals. Children were also administered a locus of control measure. The hypothesis that “internals” would be perceived as achieving significantly more positive behavioral change on the GAS than “externals” was confirmed. Discussion centered on the viability of therapeutic camping, the merits of using the GAS and the multi-informant approach, and specific therapeutic strategies indicated by the present findings.