Risk Assessment for Hospital-Acquired Diseases: A Risk-Theory Approach

We introduce a new approach to hospital-acquired disease risk assessment from public health databases. In a spirit similar to actuarial risk theory, we define an adjustment coefficient that can quantify the risk associated with a hospital department, allowing comparisons of similar departments. The adjustment coefficient characterizes the tail of the distribution of the total patient length of stay in a department before the first disease event occurs. We show that this coefficient is the solution of a Lundberg-like equation, and we provide a nonparametric estimation procedure for this measure, based on a Cramér-Lundberg approximation for the tail of the distribution. Using simulations, we provide evidence of the robustness of the approximation to various individual risk models. In addition, we illustrate the relevance of this approach by evaluating the risk associated with a standard patient safety indicator in 20 hospitals of southeastern France.     

Application of the Bootstrap Approach to the Choice of Dimension and the α Parameter in the SIRα Method

To reduce the dimensionality of regression problems, sliced inverse regression approaches make it possible to determine linear combinations of a set of explanatory variables X related to the response variable Y in general semiparametric regression context. From a practical point of view, the determination of a suitable dimension (number of the linear combination of X) is important. In the literature, statistical tests based on the nullity of some eigenvalues have been proposed. Another approach is to consider the quality of the estimation of the effective dimension reduction (EDR) space. The square trace correlation between the true EDR space and its estimate can be used as goodness of estimation. In this article, we focus on the SIR_α method and propose a naïve bootstrap estimation of the square trace correlation criterion. Moreover, this criterion could also select the α parameter in the SIR_α method. We indicate how it can be used in practice. A simulation study is performed to illustrate the behavior of this approach.     

Entry and Exit in OTC Derivatives Markets

We develop a parsimonious model to study the equilibrium and socially optimal decisions of banks to enter, trade in, and possibly exit, an OTC market. Although we endow all banks with the same trading technology, banks' optimal entry and trading decisions endogenously lead to a realistic market structure composed of dealers and customers with distinct trading patterns. We decompose banks' entry incentives into incentives to hedge risk and incentives to make intermediation profits. We show that dealer banks enter more than is socially optimal. In the face of large negative shocks, they may also exit more than is socially optimal when markets are not perfectly resilient.     

Time‐change models for asymmetric processes

Many records in environmental sciences exhibit asymmetric trajectories. The physical mechanisms behind these records may lead for example to sample paths with different characteristics at high and low levels (up–down asymmetries) or in the ascending and descending phases leading to time irreversibility (front–back asymmetries). Such features are important for many applications, and there is a need for simple and tractable models that can reproduce them. In this paper, we explore original time‐change models where the clock is a stochastic process that depends on the observed trajectory. The ergodicity of the proposed model is established under general conditions, and this result is used to develop nonparametric estimation procedures based on the joint distribution of the process and its derivative. The methodology is illustrated on meteorological and oceanographic data sets. We show that, combined with a marginal transformation, the proposed methodology is able to reproduce important characteristics of the data set such as marginal distributions, up‐crossing intensity, and up–down and front–back asymmetries.     

Sexual Health Services for Homeless Youth: A Qualitative Analysis of their Experiences

The sexual health problems experienced by homeless youth bring into question their use of available sexual health services. Using a qualitative typological analysis, this study aims to identify sexual health services utilization profiles for homeless youth, and to understand the role of the homeless experience on the utilization of sexual health services. Individual interviews were conducted with 33 homeless youth (17 men, 16 women) between 18 and 25?years of age. Typological analysis identified four profiles: (1) a targeted use of sexual health services to determine one’s serological status following a relational change during the homeless experience; (2) a limited use of sexual health services to manage sexual emergencies that arise during the homeless experience; (3) a regular use of sexual health services to avoid the risks associated with the homeless experience; (4) a frequent use of sexual health services to obtain support when engaging in prostitution during the homeless experience. This study shows that the precarious and unstable conditions within the homeless experience incite youth to utilize sexual health services in different ways. These findings point to the importance of rethinking sexual health services to better adapt them to the different utilization profiles of homeless youth.     

欧洲青年白皮书由来及对青年的影响

本文译自《二十一世纪论坛》2007年第8期,是StefanBecsky博士邀请作者撰写一篇有关白皮书对欧洲青年影响的文章。作者审视与回顾了过去十年来欧洲青年政策发展变化的历程,对未来十年青年工作具有指导意义。作者曾积极参与了有关青年白皮书项目的工作,作者希望读者们通过阅读,获得第一手资料并分享作者个人的经验。     

Civil Society Meta-organizations and Legitimating Processes: the Case of the Addiction Field in France

VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations - To cope with the new challenges inherent to their political role, civil society organizations must convince their...     

Japanese Children’s Knowledge of the Facial Components of Basic Emotions

While numerous studies have investigated children’s recognition of facial emotional expressions, little evidence has been gathered concerning their explicit knowledge of the components included in such expressions. Thus, we investigated children’s knowledge of the facial components involved in the expressions of happiness, sadness, anger, and surprise. Four- and 5-year-old Japanese children were presented with the blank face of a young character, and asked to select facial components in order to depict the emotions he felt. Children’s overall performance in the task increased as a function of age, and was above chance level for each emotion in both age groups. Children were likely to select the Cheek raiser and Lip corner puller to depict happiness, the Inner brow raiser, Brow lowerer, and Lid droop to depict sadness, the Brow lowerer and Upper lid raiser to depict anger, and the Upper lid raiser and Jaw drop to depict surprise. Furthermore, older children demonstrated a better knowledge of the involvement of the Upper lid raiser in surprise expressions.     

Participatory Art as a Social Practice of Commoning to Reinvent the Right to the City

The right to the city is a concept that helps rethink spatial–social dynamics, which has recently reinvigorated the field of organization studies. Following Lefebvre and considering the failure of both the market and the state, other scholars pinpoint the need to rethink social–spatial and geographical–historical relations. They do so by theorizing the city as a host for urban commons. Collective and non-commodified, these spatial–social experiences need to be constantly reproduced and preserved through commoning practices in the struggle against spatial injustice. A case study shows that a civil society organization (CSO) uses participatory art to (re)produce urban commons at the level of a local community and to redress partially spatial injustice. We theorize participatory art-making as a social practice of commoning, i.e., a process of organizing for the commons—collective art-based activities to serve a community—and of the common—to (re)produce a community while performing them. Such commoning practices are not only about sharing urban resources but also about using and experiencing differently urban spaces. By making participatory artworks in public spaces and co-designing street furniture with residents of poor areas, TDA helps to better cope with the tensions between residents and local authorities and between amateurs and professional artists. By negotiating the long-term implementation of these creative artworks in the public space with public authorities, TDA has fostered the empowerment of inhabitants as they have experienced citizens’ reappropriation of some public spaces in Marseille.