This article presents an evaluation framework developed to assess the first-level effects of introducing the Standard Days Method (SDM) in Peru Ministry of Health clinics. Four questions are asked: 1) To what extent do providers routinely achieve SDM service delivery standards? 2) Is the time invested in SDM delivery consistent with program norms? 3) How does SDM delivery compare with delivery of established methods? and 4) How does SDM introduction affect delivery of established methods? A study at 62 clinics demonstrated the framework's usefulness. The Standard Days Method introduction had positive overall effects on the quality of care but provider training needed adjustments. 相似文献
We propose an algorithmic framework for computing sparse components from rotated principal components. This methodology, called SIMPCA, is useful to replace the unreliable practice of ignoring small coefficients of rotated components when interpreting them. The algorithm computes genuinely sparse components by projecting rotated principal components onto subsets of variables. The so simplified components are highly correlated with the corresponding components. By choosing different simplification strategies different sparse solutions can be obtained which can be used to compare alternative interpretations of the principal components. We give some examples of how effective simplified solutions can be achieved with SIMPCA using some publicly available data sets. 相似文献
This paper examines recent changes in weekly income levels and dispersion for Māori, New Zealand’s indigenous ethnic group.
Changes in the Māori income distribution between 1997 and 2003 reflect rapid increases in economic growth and employment rate.
A reduced proportion of people had zero or benefit-level incomes and a higher proportion had high incomes. Income inequality
declined for working-aged Māori and was stable for employed Māori. The average income gap between Māori and Europeans declined.
The increased Māori employment rate during this period was the single most important driver of changes in the Māori income
distribution.
A 2 2 2 contingency table can often be analysed in an exact fashion by using Fisher's exact test and in an approximate fashion by using the chi-squared test with Yates' continuity correction, and it is traditionally held that the approximation is valid when the minimum expected quantity E is E S 5. Unfortunately, little research has been carried out into this belief, other than that it is necessary to establish a bound E>E*, that the condition E S 5 may not be the most appropriate (Martín Andrés et al., 1992) and that E* is not a constant, but usually increasing with the growth of the sample size (Martín Andrés & Herranz Tejedor, 1997). In this paper, the authors conduct a theoretical experimental study from which they ascertain that E* value (which is very variable and frequently quite a lot greater than 5) is strongly related to the magnitude of the skewness of the underlying hypergeometric distribution, and that bounding the skewness is equivalent to bounding E (which is the best control procedure). The study enables estimating the expression for the above-mentioned E* (which in turn depends on the number of tails in the test, the alpha error used, the total sample size, and the minimum marginal imbalance) to be estimated. Also the authors show that E* increases generally with the sample size and with the marginal imbalance, although it does reach a maximum. Some general and very conservative validity conditions are E S 35.53 (one-tailed test) and E S 7.45 (two-tailed test) for alpha nominal errors in 1% h f h 10%. The traditional condition E S 5 is only valid when the samples are small and one of the marginals is very balanced; alternatively, the condition E S 5.5 is valid for small samples or a very balanced marginal. Finally, it is proved that the chi-squared test is always valid in tables where both marginals are balanced, and that the maximum skewness permitted is related to the maximum value of the bound E*, to its value for tables with at least one balanced marginal and to the minimum value that those marginals must have (in non-balanced tables) for the chi-squared test to be valid. 相似文献
The current study examined the role of hypothalamic‐pituitary‐adrenal reactivity (a physiological indicator of stress) in early infancy as a mediator of the relationship between maternal postpartum depression and toddler behavior problems. Participants were 137 at‐risk mothers and their children participating in a longitudinal study of intergenerational transmission of risk. Mothers’ depression was measured five times during the infants’ first 18 months. Infant cortisol was collected during a social stressor (the still‐face paradigm) when infants were 6 months old, and mothers reported on toddlers’ internalizing and externalizing symptoms at 18 months. Among this sample of high‐risk mother–infant dyads, early postpartum depression predicted atypical infant cortisol reactivity at 6 months, which mediated the effect of maternal depression on increased toddler behavior problems. Clinical implications are discussed. 相似文献
We analyze cooperation of individuals in a family context, using a Public Good game. In a lab experiment, 165 individuals from 55 three-generation families (youth, parent, and grandparent) play a repeated Public Good game in three different treatments: one in which three members of the same family play each other (family), a second with the youth and two non-family members, while preserving the previous generational structure (inter-generational), and a third in which three randomly-selected players play each other (random). We find that all the age groups cooperate more when playing with relatives, indicating that family ties may have a positive relationship to contributions to the Public Good. We also find that this trend is more evident for the youths and the parents than for the grandparents. Furthermore, young individuals tend to cooperate less than older generations, especially in non-family treatments. Our results serve as evidence of the relationship between family ties and inter-generational cooperative behaviors.
Urban Ecosystems - Urbanization-induced habitat loss and alteration causes significant challenges for the survival of many species. Identifying how species respond to urbanization can yield... 相似文献
Urban Ecosystems - Urban streams provide important ecosystem services to cities’ population, from the maintenance of urban biodiversity, temperature, humidity and air quality to improving... 相似文献
Urban Ecosystems - Latin America and the Caribbean (LAC) is one of the most urbanized and biologically diverse regions in the world but is often characterized by weak environmental governance and... 相似文献