The joint paediatric–forensic examination in child abuse

The investigation of alleged child abuse should be multi-professional and coordinated to minimize distress to the child and family. Much attention has focused on the joint interview process, with less prominence being given to the medical component of the initial investigation. No standard practice exists in the United Kingdom regarding the conduct of the medical examination or in the training requirements of the doctors who perform the examination. We present a model of practice which has evolved in Edinburgh and the Lothians, drawing on the combined expertise and experience of paediatricians and police surgeons, which has operated for over 2 years; and propose a formal accreditation process for doctors who wish to specialize in the field of child abuse. © 1998 John Wiley & Sons, Ltd.     

Familial spinal shape

It has been proposed that there is a familial relationship in the shape of the spine. This paper describes a pilot study investigating familial shape in the sagittal plane (side view), using three data sets of normal Leeds schoolchildren. The study is exploratory in nature, because only small samples were available. Data acquisition was by means of the Quantec system, which obtains surface shape measurements and extracts a line representing the spinal curve. The coordinates of the spine line in the sagittal plane are then used to investigate familial correlations of spinal shape. The spine lines first undergo some preprocessing, including Procrustes rotations to remove location, rotation and size effects. Smoothed principal component analysis of the curves provides suitable shape variables, and familial correlations between curves are then investigated. The covariates of sex and height are also investigated in the analysis. It does appear that there could be some evidence for familial correlations in sagittal spinal shape, although a further large-scale study is required. Finally, a discussion of the approach and other alternatives is considered.     

Deprivation and Poverty in Hong Kong

Despite high and rising real incomes, the poverty rate in Hong Kong remains a cause of community concern. The government has been reluctant to set a poverty line, although the recently (re‐)established Commission on Poverty has recommended that a poverty line for Hong Kong is developed. Against this background, this article reports results derived from a new deprivation study designed to shed new light on the living standards of the poorest in the community. Reflecting international studies, deprivation is identified as existing when people do not have and cannot afford items regarded by a majority in the community as being essential for all. A list of 35 basic needs items is identified as meeting this definition, the results indicating that around 30 per cent are deprived of at least two items, over 18 per cent are deprived of at least four items and 10 per cent are deprived of at least eight items. Deprivation rates are particularly high among items that meet basic health needs. A mean deprivation score index (MDIS) is then used to compare the degree of deprivation experienced by different groups, and indicates that deprivation is most pronounced amongst those receiving Comprehensive Social Security Assistance (CSSA), people affected by a disability and recent migrants. The overlap between deprivation and income poverty is also relatively low, which suggests both measures have a role to play in identifying who is most vulnerable and guiding where policy change is most urgently needed.     

Unmet home care service needs of rural older adults with Alzheimer's disease: a perspective of informal caregivers

This study assessed unmet service needs of rural older adults with Alzheimer's disease (AD) and identified factors that were related to these needs. Data were collected from 109 informal caregivers of AD patients. Over half of the patients experienced unmet service needs in 1 or more areas of activities of daily functioning. Informal caregiver burden and patient's gender and functional status were significantly related to patients' unmet service needs. Patients' use of formal services was marginally related to their unmet service needs. To better address patients' service needs, a comprehensive needs assessment should be conducted with both patients and their caregivers.     

Methodological and conceptual issues confronting a cross-country Delphi study of educational program evaluation

Although the Delphi is widely used, research on certain methodological issues is somewhat limited. After a brief introduction to the strengths, limitations, and methodological challenges of the technique, we share our experiences (as well as problems encountered) with an electronic Delphi of educational program evaluation (EPE) in the Asia-Pacific region. The study is described followed by a discussion of the difficulties in participant recruitment and selection, sample size, instrumentation, data collection and analysis and attempts to resolve them. Some of these problems are generic to the Delphi whereas others related to the specifics of the investigation. What we learned should be useful for future Delphis with a similar focus.     

The differential effects of husbands' and wives' statuses on marital fertility

As an extension of prior subjectively-oriented studies that predicted couples' fertility decisions or outcomes by the expected costs and benefits of childbearing to husbands and wives, this article examines the differentiated effects of husbands' and wives' objective statuses on marital fertility, using the cumulative 1972–1990 GSS data. An interesting finding is that wives' education has a significant, negative effect on fertility while the effect of husbands' education is positive and statistically insignificant. This suggests that the generalization of the negative effect of education on fertility may be misleading if one fails to make a distinction between marital partners. Meanwhile, this study finds no significant differences in the effects of husbands' and wives' occupational and work statuses on fertility. By and large, the husbands' status variables add little information to the models explaining fertility. It is also found that the effects of husbands' and wives' statuses are contingent upon their relative education.     

Integrations,identity and conflicts: A cross-border perspective on residential relocation of Hong Kong citizens to Mainland China

This paper aims to test if traditional literature on both internal residential mobility and international migration hold up in explaining the driving forces behind the home-moving behaviours of Hong Kong residents to the Chinese Mainland, under a mixture of economic integrations, past connections along with present structural and identity differences. The multi-dimensionality of this behaviour, in comparison to other forms of residential movements in the literature, is shown as there is no single attribute, albeit all necessary conditions, sufficient enough to encourage such movement on its own. Instead, the cross-border residence is primarily a middle-class, middle-aged phenomenon, due to one’s past connections with Mainland China throughout his/her life course and the possession of financial resources insufficient to afford larger living space in Hong Kong yet enough to benefit from the remarkable living cost advantages on the other side of the border. It provides some directions for studying similar forms of residential mobility in the era of globalization when the functions of national borders have become more obscure than before. Implications from this residential behaviour are then discussed.     

Intergenerational Transmission and the Formation of Cultural Orientations in Adolescence and Young Adulthood

In this article we wanted to shed light on the intergenerational transmission and the formation of cultural orientations in adolescence. The intergenerational transmission was analyzed in different age groups in a longitudinal design (orientations of parents and their adolescent children were measured twice, with a time lapse of 3 years). Results clearly revealed that late adolescence is the “formative phase” for the establishment of cultural orientations and suggested that psychological processes such as internalization are guiding this formation. This internalization was found for all investigated orientations. In addition, as adolescents grew older, their susceptibility to parental orientations diminished, but, in contrast, parents did not become more susceptible to their children's orientations. No age effects in sociocultural influences were found. It was concluded that the investigated sociocultural influences should be seen as providing a structural context within which the formation of orientations in adolescence takes place.     

Criteria for the Unique Determination of Probability Distributions by Moments

A positive probability law has a density function of the general form Q ( x )exp(− x ^1/λ L ( x )), where Q is subject to growth restrictions, and L is slowly varying at infinity. This law is determined by its moment sequence when λ< 2, and not determined when λ> 2. It is still determined when λ= 2 and L ( x ) does not tend to zero too quickly. This paper explores the consequences for the induced power and doubled laws, and for mixtures. The proofs couple the Carleman and Krein criteria with elementary comparison arguments.