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Joinpoint regression model identifies significant changes in the trends of the incidence, mortality, and survival of a specific disease in a given population. The purpose of the present study is to develop an age-stratified Bayesian joinpoint regression model to describe mortality trend assuming that the observed counts are probabilistically characterized by the Poisson distribution. The proposed model is based on Bayesian model selection criteria with the smallest number of joinpoints that are sufficient to explain the Annual Percentage Change. The prior probability distributions are chosen in such a way that they are automatically derived from the model index contained in the model space. The proposed model and methodology estimates the age-adjusted mortality rates in different epidemiological studies to compare the trends by accounting the confounding effects of age. In developing the subject methods, we use the cancer mortality counts of adult lung and bronchus cancer, and brain and other Central Nervous System cancer patients obtained from the Surveillance Epidemiology and End Results data base of the National Cancer Institute.  相似文献   
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This article examines the use of focus groups (FGs) as a way of gathering pupils’ views on the implementation of new curricula. We provide illustrations of creative activities, which were especially designed for a case‐study research project exploring the views of 11‐year‐old pupils in English schools adopting an innovative approach to the Year 7 curriculum. We argue that combining FGs with creative methods encourages pupils to take an active role in interviews, enriches the quality of the data being collected and enhances the place of FGs as important tools in eliciting pupils’ voices for both research and curriculum planning purposes.  相似文献   
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We conducted microclimate simulations in ENVI-Met 3.1 to evaluate the impact of vegetation in lowering temperatures during an extreme heat event in an urban core neighborhood park in Phoenix, Arizona. We predicted air and surface temperatures under two different vegetation regimes: existing conditions representative of Phoenix urban core neighborhoods, and a proposed scenario informed by principles of landscape design and architecture and Urban Heat Island mitigation strategies. We found significant potential air and surface temperature reductions between representative and proposed vegetation scenarios: 1) a Park Cool Island effect that extended to non-vegetated surfaces; 2) a net cooling of air underneath or around canopied vegetation ranging from 0.9 °C to 1.9 °C during the warmest time of the day; and 3) potential reductions in surface temperatures from 0.8 °C to 8.4 °C in areas underneath or around vegetation.  相似文献   
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Policy and practice relating to openness in adoption have changed substantially in the last 30 years. There is a growing body of empirical research that supports both structural and communicative openness, and there is widespread consensus that communicative openness is desirable within adoptive families. Despite this, there is evidence that some adoptive parents and their adopted children struggle to achieve the level of communicative openness to which they aspire. This paper presents data from a small-scale exploratory study of adoptive family life. It draws on the narrative accounts of adoptive mothers and fathers to explore some of the sensitivities of adoption talk, the communication challenges experienced by adoptive parents, and the ways that adopters manage these challenges. Finally, some suggestions are made for practice.  相似文献   
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The starting point for this paper is that bodies give substance to citizenship and that citizenship matters for bodies. However, the growing literatures on the body and on citizenship rarely 'speak to each other' in any straightforward sense. Feminist theory has made a significant contribution to both fields of thought,but once again the connections between these fields tend to be passing and underdeveloped. Feminist literature on citizenship – for example in discussions of participation – increasingly offers a critique of the model of the disembodied (supposedly universal) citizen as exclusionary and advocates taking bodies seriously (Lister; Yuval-Davis). Yet bodies appear in such discussions in quite limited ways and remain instrumentally conceived. On the other hand,the growing work on the body fromcontemporary feminist theorists has designated the body a political site par excellence (Grosz). Nevertheless, these writings are typically relatively abstract and philosophical, tend to perceive corporeal politics in circumscribed ways, and are positioned at a distance from political theorizing about implications for citizenship. We intend to consider how to flesh out the bodily element in feminist citizenship literature and how to interrogate the contextual sociality of the political in recent feminist theorizing of the body, in order to suggest ways of thinking about citizen bodies and related future directions for policy-making.  相似文献   
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