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561.
This paper reports on an evaluation of the Cornwall Young Carers project (jointly funded by social services and the Cornwall and Isles of Scilly Health Action Zone), conducted during the period 2000–2002. A diverse range of methodological approaches were adopted (comparative national statistics, local pilot study, monthly and quarterly data capturing instruments, and a service user focus group) in monitoring and evaluating the project's high level statements/outcomes. Four evaluative themes are discussed, namely: identification of young carers; assessment of young carers' needs; direct service provision; and partnership working. Recommendations and action steps are proposed with a view of informing future planning and service delivery, as well as developing an ethos of integrating evaluation into everyday practice for the Cornwall Young Carers Project. Overall, the project has made significant progress in meeting and exceeding its original targets. The fact that the project has been able to identify 202 new young carers over this period is a key milestone in demonstrating the critical need for the project's services. It is suggested that existing referrals are only the ‘tip of the iceberg’ for work with young carers in Cornwall.  相似文献   
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Summary.  In studies to assess the accuracy of a screening test, often definitive disease assessment is too invasive or expensive to be ascertained on all the study subjects. Although it may be more ethical or cost effective to ascertain the true disease status with a higher rate in study subjects where the screening test or additional information is suggestive of disease, estimates of accuracy can be biased in a study with such a design. This bias is known as verification bias. Verification bias correction methods that accommodate screening tests with binary or ordinal responses have been developed; however, no verification bias correction methods exist for tests with continuous results. We propose and compare imputation and reweighting bias-corrected estimators of true and false positive rates, receiver operating characteristic curves and area under the receiver operating characteristic curve for continuous tests. Distribution theory and simulation studies are used to compare the proposed estimators with respect to bias, relative efficiency and robustness to model misspecification. The bias correction estimators proposed are applied to data from a study of screening tests for neonatal hearing loss.  相似文献   
564.
The visible and political gay community has been characterized as an increasingly middle-class, white institution. It is hypothesized that this middle-class nature requires economic and psychosocial resources that are not available to the working class and, thus, may limit the expression of sexual orientation for the working class. An analysis of data from the multicity Urban Men's Health Study supports this hypothesis. Nine of 14 hypothesized effects are statistically significant and indicate that working-class men who are homosexually active are less likely to describe themselves as gay, are more likely to have heterosexual experience, and are less likely to be involved in the gay community. Thus, it is important to incorporate class differences when addressing the social and the political dynamics of sexual orientation.  相似文献   
565.
This paper presents a method of estimating a receiver operating characteristic (ROC) curve when the underlying diagnostic variable X is continuous and fully observed. The new method is based on modelling the probability of response given X , rather than the distribution of X given response. The method offers advantages in modelling flexibility and computational simplicity. The resulting ROC curve estimates are semi-parametric and can, in principle, take an infinite variety of shapes. Moreover, model selection can be based on standard methods within the binomial regression framework. Statistical accuracy of the curve estimate is provided by a simply implemented bootstrap approach.  相似文献   
566.
In this paper we develop a study on several types of parallel genetic algorithms (PGAs). Our motivation is to bring some uniformity to the proposal, comparison, and knowledge exchange among the traditionally opposite kinds of serial and parallel GAs. We comparatively analyze the properties of steady-state, generational, and cellular genetic algorithms. Afterwards, this study is extended to consider a distributed model consisting in a ring of GA islands. The analyzed features are the time complexity, selection pressure, schema processing rates, efficacy in finding an optimum, efficiency, speedup, and resistance to scalability. Besides that, we briefly discuss how the migration policy affects the search. Also, some of the search properties of cellular GAs are investigated. The selected benchmark is a representative subset of problems containing real world difficulties. We often conclude that parallel GAs are numerically better and faster than equivalent sequential GAs. Our aim is to shed some light on the advantages and drawbacks of various sequential and parallel GAs to help researchers using them in the very diverse application fields of the evolutionary computation.  相似文献   
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在日语学习中,因受语言环境和学习方法的限制,听力被认为是提高日语水平和成绩的一大难关。作者遵循听觉系统中听力的解码理论,以一年一度的国际日本语能力测试题为例,提出并具体分析了提高日语听力的三种模式———预测法、捕捉法和贯穿法,并指出运用这些技巧时应注意的几个问题。期望学习者能克服心理障碍,讲究科学的方法,把这些模式积极运用到平时的训练和测试中去,以此来提高日语听力水平和成绩。  相似文献   
570.
College students (20 women, 14 men) seeking career counseling services at a university career center participated in this exploratory investigation. A 2 (DISCOVER treatment) × 2 (counseling treatment) research design was used to evaluate the individual and combined effects of DISCOVER (ACT, 1998) and counseling on participants' career decision‐making self‐efficacy and career decision‐making attributional style. Findings revealed a significant effect of the use of DISCOVER on participants' career decision‐making self‐efficacy and their sense of control over the career decision‐making process. Results are discussed regarding the implications for career counseling and ideas for further research in this domain.  相似文献   
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