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61.
Emergency departments (EDs) are an important health care setting for the identification of elder abuse (EA). Our objective was to develop an ED-based tool to identify EA. The initial tool included a brief cognitive assessment, questions to detect multiple domains of EA, and a physical examination. Refinement of the tool was based on input from clinical experts and nurse and patient feedback. The revised tool, which included 15 questions about EA, was then tested in an academic ED. We calculated the inter-rater reliability, sensitivity, and specificity of individual EA questions. Among ED patients age≥65 (N = 259), 17 (7%) screened positive for suspicion of EA. We identified a combination of six questions that cover the included domains of EA, demonstrated good or excellent inter-rater reliability, and had a sensitivity and specificity of 94% (95% confidence interval (CI) 71–100%) and 90% (95% CI 85–93%), respectively. These results inform a proposed screening tool for multisite validation testing.  相似文献   
62.
The article highlights the ongoing relevance of W.E.B. Du Bois for the global analysis of race and class. Engaging scholarly debates that have ensued within the educational subfields of critical race theory (CRT) and (revolutionary) critical pedagogy, the article explores how a deeper engagement with Du Bois’s ideas contributes theoretically and methodologically to these two subfields. Of particular focus is Du Bois’s conceptualization of a ‘guiding hundredth,’ which he forwarded as a corrective to his ideas of a ‘talented tenth.’ The article also offers a case study analysis of the film Sounds of a New Hope, which documents a hip hop exposure program to the Philippines. The case study draws upon Du Bois’s ‘guiding hundredth’ for a twenty-first century context as a Filipino American cultural worker utilizes hip hop to articulate, analyze, and alter the lived experiences for Filipino/a Americans in a global diaspora.  相似文献   
63.
This research presents an examination of Black gay men and their lived experiences while undergraduates at historically Black colleges and universities (HBCUs). Based on 10 in-depth interviews with self-identified Black gay men, the author presents four emergent themes, which reveal the complex ways in which Black gay men navigate and negotiate the intersections of their multiple identities as related to race, sexual orientation, and gender at HBCUs. The findings of this research have implications for larger discussions of community, Black masculinity, and gay identity in predominantly Black and non-Black contexts.  相似文献   
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The perceptual effects of varying levels of expert advice for potentially improving on strategic decisions were examined in conjunction with goals. The amounts of advice about decision alternatives, as well as assigned goals ranging from “nearly impossible” to “easy,” were manipulated. The task used was complex and functioned perceptually as an “ill-structured” problem. Mixed results indicated that more advice significantly affected satisfaction but advice in general had little influence on effort. On the other hand, as goal difficulty decreased, satisfaction and effort significantly increased. Easy goals were superior to more difficult ones within this perceptually ill-structured decision-making situation.  相似文献   
66.
Engaging non-conventional gatekeepers such as the police presents both promises and perils. Although studies have relied on police data for researching suicide and other sensitive topics in Africa, there is a paucity of literature that explores or reflects on police gatekeeping and its research implications. This paper presents authors’ reflections on police gatekeeping in a qualitative suicide study in Accra, Ghana. The main observation is that the process was double-edged. On the one hand, it led to field delays and costs, (mis)apprehensions and positionality problems, and trust building challenges. On the other hand, it vouched for research(er) credibility, provided therapeutic openings, and facilitated the viability of research with the suicide bereaved. Sensitivity to research context, sensitising the police, and reinforcing ‘therapeutic-research discourse’ with participants, are recommended means for aligning participants’ goals to research goals and for achieving therapeutic disclosures.  相似文献   
67.
ABSTRACT

This paper will argue that 3D digital animation, unlike its 2D and stop-motion counterparts, currently lacks recognisable self-reflexive aesthetic devices through which the trace of animators’ labour can be made visible. It will open with a brief history of how animation has previously shown its workings; from the pencil-wielding hand of Émile Cohl to the opening seconds of South Park, plus the intentional and unintentional smears and multiples visible on animation cells. These devices will then be discussed in relation to Marx’s analysis of the commodity in Capital Vol. 1, and how the process of fetishisation is momentarily disrupted by imperfections in the object which have been caused by production errors. These faults reconnect the object to its producer through the trace of (imperfect) labour which remains visible on the surface. In animation, similar (albeit consciously made) ‘errors’ connect the perceptive viewer directly to the work of 2D or stop-motion animators. This paper will argue the need for an equivalent to emerge in 3D digital animation, as well as highlighting some contemporary animators testing and subverting the limits of 3D and sketching some possible ways these might encourage further formal innovations.  相似文献   
68.
In clinical trials, missing data commonly arise through nonadherence to the randomized treatment or to study procedure. For trials in which recurrent event endpoints are of interests, conventional analyses using the proportional intensity model or the count model assume that the data are missing at random, which cannot be tested using the observed data alone. Thus, sensitivity analyses are recommended. We implement the control‐based multiple imputation as sensitivity analyses for the recurrent event data. We model the recurrent event using a piecewise exponential proportional intensity model with frailty and sample the parameters from the posterior distribution. We impute the number of events after dropped out and correct the variance estimation using a bootstrap procedure. We apply the method to an application of sitagliptin study.  相似文献   
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