Evidence-based practice: a critical reflection

This article employs the process of critical reflection to uncover and challenge the hegemonic assumptions of evidence-based practice (EBP). The critical reflection process results in a re-conceptualisation of best practices that, while still honouring empirical research, is less hierarchical and more inclusive of a broad spectrum of interests than traditional EBP. Multidimensional Evidence-Based Practice (MEBP) validates consumer wisdom, professional experience, and qualitative research as equal partners to quantitative research in determining current state-of-the art best practices. Furthermore, MEBP incorporates a value-critical analysis of those best practices that can lead to improvements and innovations, so that ‘best practices’ becomes a dynamic rather than a static construct.     

The FARSEEING real-world fall repository: a large-scale collaborative database to collect and share sensor signals from real-world falls

Background

Real-world fall events objectively measured by body-worn sensors can improve the understanding of fall events in older people. However, these events are rare and hence challenging to capture. Therefore, the FARSEEING (FAll Repository for the design of Smart and sElf-adaptive Environments prolonging Independent livinG) consortium and associated partners started to build up a meta-database of real-world falls.

Results

Between January 2012 and December 2015 more than 300 real-world fall events have been recorded. This is currently the largest collection of real-world fall data recorded with inertial sensors. A signal processing and fall verification procedure has been developed and applied to the data. Since the end of 2015, 208 verified real-world fall events are available for analyses. The fall events have been recorded within several studies, with different methods, and in different populations. All sensor signals include at least accelerometer measurements and 58 % additionally include gyroscope and magnetometer measurements. The collection of data is ongoing and open to further partners contributing with fall signals. The FARSEEING consortium also aims to share the collected real-world falls data with other researchers on request.

Conclusions

The FARSEEING meta-database will help to improve the understanding of falls and enable new approaches in fall risk assessment, fall prevention, and fall detection in both aging and disease.

     

Influential factors in the choice of public transportation or cars as the mode of transportation in habitual commutes / Factores que influyen en la elección del transporte público o el automóvil como modo de transporte en los desplazamientos habituales

The goal of this study is to analyse the differences in attitudes towards habitual modes of transportation among users of public and private transportation. The explanatory capacity of attitudes when determining the mode choice, along with the structural and sociodemographic factors, are also verified. The study was performed in three Spanish cities with 742 participants. The results revealed that cars are better rated than public modes of transportation in the attributes associated with immediate advantages (i.e., speed and availability) and convenience. Subways are highly rated in both immediate and deferred advantages (environment, safety, cost and health). Buses are the mode rated the lowest of the three. Using logistic regression, it was verified that the variance explained by a model that includes attitudes (R² = .639) is higher than the variance explained by a model based solely on variables related to infrastructures (R² = .489). The discussion of these results includes proposals aimed at decreasing car use.     

Poverty and time

We examine the measurement of individual poverty in an intertemporal context. Our aim is to capture the importance of persistence in a state of poverty and we characterize a corresponding individual intertemporal poverty measure. Our first axiom requires that intertemporal poverty is identical to static poverty in the degenerate single-period case. The remaining two properties express decomposability requirements within poverty spells and across spells in order to reflect the persistence issue. In addition, we axiomatize an aggregation procedure to obtain an intertemporal poverty measure for societies and we illustrate our new index with an application to EU countries.     

The historical roots of multicultural unity along the Upper Guinea Coast and in Guinea-Bissau

Lusofonia or lusophony is often defined as an identity shared by people in areas that were once colonised by Portugal, which in Africa include Angola, Cabo Verde, Guinea-Bissau, Mozambique and São Tomé and Príncipe. Lusofonia assumes that in these places people share something – a language, certainly, but also a history and culture rooted in the Iberian Peninsula. In some ways it is a re-articulation of Gilberto Freyre’s lusotropicalismo, the idea that Portuguese were more adaptable than other Europeans to tropical climates and cultures and created more multicultural colonial communities. Those who espouse lusofonia often have a political agenda – the strengthening of the Community of Portuguese-Speaking Countries. In this article, we argue that, like lusotropicalismo, lusofonia is a dream; it is not rooted in a historical reality. It is luso-centric in that it ignores the power and persistence of local cultures and gives undue weight to Portuguese influence. With regard to Africa, lusofonia’s agenda is elite driven and assumes the inevitability of modernity and globalisation. And we demonstrate that it was through Upper Guinean institutions and languages, and not colonial ones, that community and fellowship were most commonly fostered in the past, as they are fostered today. Those seeking the roots of lusofonia cannot, then, look to this period of Portuguese–African engagement in Upper Guinea. There Portuguese embraced “black ways.” They operated in a peculiar multicultural space in which people possessed fluid and flexible identities. Portugal did not create that space. Lusofonia has not been the foundation for cultural unity. Rather, unity has been found in localised institutions and in Crioulo. In Guinea-Bissau, lusofonia is not an indigenous movement. If it is anything, it is the stuff of elites and foreigners and is not rooted in any historical reality.     

Methodological decisions and the evaluation of possible effects of different family structures on children: The new family structures survey (NFSS)

Every social science researcher must make a number of methodological decisions when planning and implementing research projects. Each such decision carries with it both advantages and limitations. The decisions faced and made by Regnerus (2012) are discussed here in the wider context of social science literature regarding same-sex parenting. Even though the apparent outcomes of Regnerus’s study were unpopular, the methodological decisions he made in the design and implementation of the New Family Structures Survey were not uncommon among social scientists, including many progressive, gay and lesbian scholars. These decisions and the research they produced deserve considerable and continued discussion, but criticisms of the underlying ethics and professionalism are misplaced because nearly every methodological decision that was made has ample precedents in research published by many other credible and distinguished scholars.     

Benchmark Dose Analysis via Nonparametric Regression Modeling

Estimation of benchmark doses (BMDs) in quantitative risk assessment traditionally is based upon parametric dose‐response modeling. It is a well‐known concern, however, that if the chosen parametric model is uncertain and/or misspecified, inaccurate and possibly unsafe low‐dose inferences can result. We describe a nonparametric approach for estimating BMDs with quantal‐response data based on an isotonic regression method, and also study use of corresponding, nonparametric, bootstrap‐based confidence limits for the BMD. We explore the confidence limits’ small‐sample properties via a simulation study, and illustrate the calculations with an example from cancer risk assessment. It is seen that this nonparametric approach can provide a useful alternative for BMD estimation when faced with the problem of parametric model uncertainty.     

Accuracy of approximate progressively censored reliability sampling plans for exponential models

Reliability sampling plans provide an efficient method to determine the acceptability of a product based upon the lifelengths of some test units. Usually, they depend on the producer and consumer’s quality requirements and do not admit closed form solutions. Acceptance sampling plans for one- and two-parameter exponential lifetime models, derived by approximating the operating characteristic curve, are presented in this paper. The accuracy of these approximate plans, which are explicitly expressible and valid for failure and progressive censoring, is assessed. The approximation proposed in the one-parameter case is found to be practically exact. Explicit lower and upper bounds on the smallest sample size are given in the two-parameter case. Some additional advantages are also pointed out.     

Fractional replication in simulation studies

It is shown how to use fractional replication in simulation studies. Examples are given. Considerable savings in number of runs required can be achieved through the use of fractional replication ideas.