Coaching für Führungskräfte im Krankenhaus Baustein einer Strategie zum Total Quality Management

Coaching of managers in hospitals as component of a total quality management strategy The author delineates the changed conditions of hospitals at the beginning of the new millenium. In order to be up to date with the growing challenges and the need for change a Total Quality Management (TQM) is necessary. This TQM sees the satisfaction of clients and of employees as crucial for all reorganization processes. The realization in everyday hospital life requires a total personnel development concept, with special regard to the managers and their specific needs for support by supervisors resp. coaches.     

Minority Poverty in Nonmetropolitan Texas*

Abstract Despite a high prevalence of poverty among minorities in nonmetropolitan areas, research and policy concerns regarding poverty have continued focusing on metropolitan minorities. This study uses a model integrating individual, household, and structural factors to examine poverty among Latinos, blacks, and Anglos in nonmetropolitan and, for comparative purposes, metropolitan areas, using data from the 1985 Special Texas Census TDHS 1987. The findings show that minorities in nonmetropolitan areas tend to have the highest poverty rates. In addition, consistent as well as divergent patterns exist among the six ethnic-resident groups with respect to the relationships among the various individual, household, and structural factors and poverty.     

Local polynomial estimation of Poisson intensities in the presence of reporting delays

Summary.  The system for monitoring suicides in Hong Kong has considerable delays in reporting as the cause of death needs to be determined by a coroner's investigation. However, timely estimates of suicide rates are desirable to assist in the formulation of public health policies. This motivated us to develop a non-parametric procedure to estimate the intensity function of a Poisson process in the presence of reporting delays. We give closed form estimators of the Poisson intensity and the delay distribution, conduct simulation studies to evaluate the method proposed and derive their asymptotic properties. The method proposed is applied to estimate the intensity of suicide in Hong Kong.     

科学技术在构建和谐社会中的价值

在新的人文观念的视野中,作为"第一生产力"的科学技术,不仅承载着社会和谐发展的经济价值,而且还通过促进人与自然协调发展、促进人与社会协调发展、促进精神文明建设承载着社会和谐发展的生态价值、人文价值和社会价值.准确把握科学技术在构建和谐社会中的价值和功用,对于我国实施科教兴国战略、构建社会主义和谐社会具有重要的现实意义.     

ELICITING A DIRECTED ACYCLIC GRAPH FOR A MULTIVARIATE TIME SERIES OF VEHICLE COUNTS IN A TRAFFIC NETWORK

The problem of modelling multivariate time series of vehicle counts in traffic networks is considered. It is proposed to use a model called the linear multiregression dynamic model (LMDM). The LMDM is a multivariate Bayesian dynamic model which uses any conditional independence and causal structure across the time series to break down the complex multivariate model into simpler univariate dynamic linear models. The conditional independence and causal structure in the time series can be represented by a directed acyclic graph (DAG). The DAG not only gives a useful pictorial representation of the multivariate structure, but it is also used to build the LMDM. Therefore, eliciting a DAG which gives a realistic representation of the series is a crucial part of the modelling process. A DAG is elicited for the multivariate time series of hourly vehicle counts at the junction of three major roads in the UK. A flow diagram is introduced to give a pictorial representation of the possible vehicle routes through the network. It is shown how this flow diagram, together with a map of the network, can suggest a DAG for the time series suitable for use with an LMDM.     

Gay Affirmative Practice: A Model for Social Work Practice with Gay,Lesbian, and Bisexual Youth

Gay affirmative practice has recently been introduced into the social work literature as a culturally sensitive model for working with gay, lesbian, and bisexual (GLB) adults, however, this model has rarely been applied to practice with GLB youth. In this article, the authors review the literature to present the main tenets of gay affirmative practice, outline the challenges that GLB youth face, and delineate the environmental and individual strengths that can be enhanced to promote well-being. The authors then apply the gay affirmative practice model to GLB youth, offering concrete information about the specific knowledge, attitudes, and skills that social workers should acquire to better serve the unique, yet diverse, needs of GLB youth.     

Individualism vs Collectivism in Different Cultures: A cross-cultural study

In this study, individualism vs collectivism, in line with the work of Triandis in 1985, was assessed in two groups of male and female students, in Egypt and Germany. The results confirm the effect that cultural background has on individualist vs collectivist orientations in both of these cultures for male and female students. Men and women scored higher on individualism in Germany than in Egypt, whereas collectivism scores were higher in Egypt than in Germany. These findings are discussed in terms of general recommendations for intercultural interventions that discourage viewing people solely in terms of group membership, and instead as distinct individuals.     

Distal and Proximal Factors in Domestic Violence: A Test of an Integrated Model

We employed 4,095 couples from both waves of the National Survey of Families and Households (NSFH) to test a model of couple violence drawn from several theoretical perspectives. The outcome distinguishes among nonviolent couples and those experiencing either physical aggression or intense male violence. According to the model, background characteristics of couples are related to relationship stressors, which affect the risk of violence via their tendency to promote verbal conflict. Considerable support for the model was found. Couples were at higher risk for one or both forms of violence if they were younger at union inception, had been together for less time, were both in their first union, had only one partner who was employed, had a nontraditional woman paired with a traditional man, had at least one partner who abused substances, had more children, had more frequent disagreements, exhibited a more hostile disagreement style, or lived in an economically disadvantaged neighborhood. Moreover, the effects of stressors such as the number of children and couples' employment status disparities appear to be mediated by disagreement frequency and disagreement style.     

Data skeletons: simultaneous estimation of multiple quantiles for massive streaming datasets with applications to density estimation

We consider the problem of density estimation when the data is in the form of a continuous stream with no fixed length. In this setting, implementations of the usual methods of density estimation such as kernel density estimation are problematic. We propose a method of density estimation for massive datasets that is based upon taking the derivative of a smooth curve that has been fit through a set of quantile estimates. To achieve this, a low-storage, single-pass, sequential method is proposed for simultaneous estimation of multiple quantiles for massive datasets that form the basis of this method of density estimation. For comparison, we also consider a sequential kernel density estimator. The proposed methods are shown through simulation study to perform well and to have several distinct advantages over existing methods.