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81.
Gwendolyn Fearing MSW Christine L. Sheppard MSW Lynn McDonald PhD Marie Beaulieu PhD 《Journal of elder abuse & neglect》2017,29(2-3):102-133
Elder abuse and neglect is a societal issue that requires prevention and intervention strategies at the practice and policy level. A systematic review on the efficacy of community-based elder abuse interventions was undertaken to advance the state of knowledge in the field. The peer-reviewed literature between 2009 and December 2015 were searched across four databases. Two raters independently reviewed all articles, assessed their methodological quality, and used a modified Sackett Scale to assign levels of evidence. Four thousand nine hundred and five articles were identified; nine were selected for inclusion. Although there was Level-1 evidence for psychological interventions (n = 2), only one study on strategies for relatives (START) led to a reported decrease in elder abuse. There was Level-4 evidence for conservatorship, an elder abuse intervention/prevention program (ECARE), and a multidisciplinary intervention (n = 4), in which one study yielded significant decreases in elder abuse and/or neglect. The remaining three were classified as Level-5 evidence (n = 3) for elder mediation and multidisciplinary interventions. There are limited studies with high levels of evidence for interventions that decrease elder abuse and neglect. The scarcity of community-based interventions for older adults and caregivers highlights the need for further work to elevate the quality of studies. 相似文献
82.
The calculation of net immigration for the purpose of estimating the resident population in Australia is based on net permanent and long–term (12 months or more) movements into and out of the country. All international movements with duration of stay in Australia or travel abroad of less than 12 months (defined as short–term) are excluded. However, changes between short–term and long–term/permanent status can occur when people extend or shorten their stay or travel. Because net immigration is a significant component of Australia’s population growth (accounting for 40–50 per cent of annual growth), adjusting for these changes in migration status is thought to result in better estimates of net immigration and the resident population. The paper shows that adjusting for change of status can have a large impact on net immigration, particularly when the immigrant intake is small. Failure to adequately adjust for change of status can also lead to misleading conclusions about the relative contributions of net temporary and permanent movements to total net immigration. The effect on the resident population, however, is relatively small, being less than 1 per cent of the total population. The paper also addresses the question of how important it is for countries to adjust for change of migrant status in international migration statistics in the context of increasing international mobility. 相似文献
83.
We propose a mixture model that combines a discrete-time survival model for analyzing the correlated times between recurrent
events, e.g. births, with a logistic regression model for the probability of never experiencing the event of interest, i.e.,
being a long-term survivor. The proposed survival model incorporates both observed and unobserved heterogeneity in the probability
of experiencing the event of interest. We use Gibbs sampling for the fitting of such mixture models, which leads to a computationally
intensive solution to the problem of fitting survival models for multiple event time data with long-term survivors. We illustrate
our Bayesian approach through an analysis of Hutterite birth histories. 相似文献
84.
Lena Rodriguez James R. George Brent McDonald 《Kōtuitui : New Zealand Journal of Social Sciences Online》2017,12(2):192-204
Public health initiatives around obesity have generally worked well for middle class Australians and New Zealanders. This message has not had the same impact in Anglo working class areas and certain CALD communities, especially Māori and Pasifika, where obesity rates remain highest. This paper employs qualitative data from interviews with eighty-five Māori and Pasifika migrants to Australia to explore attitudes to food purchasing and consumption behaviours and associated health risks. It is evident the individual, medicalised approach to improving obesity rates has not been effective and there needs to be a new culturally responsive structural approach. This would require governments to prioritise population health over existing relationships with commercial food manufacturers – especially in relation to spatial domination of commercialised fast food outlets in low socio-economic status districts and in the areas of sports and education sponsorship. We also explore the assumptions of evidence-based health policy more generally, providing a critique of who is represented and served by the commercial solicitation and management of health research. This includes what constitutes ‘evidence’, who is conducting and funding the research, who appraises and compares the data and how is it interpreted and employed. 相似文献
85.
86.
Homosexual identity is conceptualized as a life-spanning developmental process that eventually leads to personal acceptance of a positive gay self-image and a coherent personal identity. Habermas' theory of ego development is utilized to provide a synthesis and understanding of the literature on the construction and maintenance of the homosexual identity. It is concluded that the homosexual identity generally emerges in a three-stage process in which the person progresses from: (1) an egocentric interpretation of homoerotic feelings to (2) an internalization of the normative, conventional assumptions about homosexuality to (3) a post-conventional phase in which societal norms are critically evaluated and the positive gay identity is achieved and managed. Developmental tasks associated with each stage are outlined in terms of their ego-integrative functions. Although the stages in the process of homosexual identity formation are theoretically the same for females and males, because of the paucity of research on the homosexual identity in females, this paper deals chiefly with males. 相似文献
87.
In this paper, we report data drawn from a larger project on the functioning of the Queensland community service delivery system, particularly that providing services to people with disabilities. Our reasoning for focusing at this level is that, from the service user's perspective, support is derived from the service delivery system, not just individual service providers. Defining the service delivery system as formal services and informal support networks, we undertook interviews and focus groups with service providers in six areas in Queensland: inner urban, outer urban, rural and remote. The period on which we report is one in which considerable reform activity had been undertaken by funding bodies of the Commonwealth and State governments. We report on those factors we identified which promote the integrated functioning of the service delivery system, as well as those factors that disrupt it. We conclude with a brief evaluative analysis of the current status of the system. 相似文献
88.
This paper describes a case history of the development of an Expert System in Strategic Marketing Planning codenamed EXMAR. It traces the evolution of the system from the formation of the DTI club two years ago to the launch of the prototype model. The paper outlines the technical and domain–specific obstacles encountered en route and how these were overcome. A number of conclusions are drawn from the project. The principal one is that there is a bright future for expert systems in the field of strategic management. Professor Malcolm McDonald is the principal expert to the club. Hugh Wilson is a senior consultant with Artificial Intelligence Ltd. He was also the knowledge engineer and the project manager. For readers who would like a simple explanation of Expert Systems, please refer to Professor McDonald's paper ‘Marketing Planning and Expert Systems: an Epistemology of Practice’, Marketing Intelligence and Planning, 7, 7/8, 1989. 相似文献
89.
We develop Metropolis-Hastings algorithms for exact conditional inference, including goodness-of-fit tests, confidence intervals and residual analysis, for binomial and multinomial logistic regression models. We present examples where the exact results, obtained by enumeration, are available for comparison. We also present examples where Monte Carlo methods provide the only feasible approach for exact inference. 相似文献
90.