A Short Form of the Trauma Symptom Checklist for Young Children

A short form of the Trauma Symptom Checklist for Young Children was derived from the original 90 items. An exploratory factor analysis of each factor identified the four items from each of the original factors with the highest eigenvalues. These items were subjected to confirmatory factor analysis. The best fit was obtained for an 8-factor, 32-item model. The short form evidenced good convergent validity with parent ratings obtained from the Child Behavior Checklist, the Child Sexual Behavior Inventory, and the University of California at Los Angeles Post-traumatic Stress Disorder Reaction Index (UCLA PTSD RI). Norms (t-scores and percentiles based on raw scores) were calculated by age and by gender. The short form has promise as a screening measure with parents in settings like a child advocacy center.     

Screening for Geriatric Depression in Residential Care Facilities: A Systematic Narrative Review

Studies in residential care facilities suggest that routine screening can assist in the early detection of geriatric depression. However, the effectiveness of screening instruments in residential care in the US and Canada has not been adequately evaluated. We conducted a systematic narrative review of the English-language literature published between 2000 and 2010 on screening instruments used for depression detection in older adults living in residential care facilities. The review yielded nine scales and their modifications tested in residential care, which we evaluated. We provide specific recommendations for the use of effective scales and discuss implications for practice, policy and research.     

孤独症谱系障碍儿童呼名反应和应答性微笑的影响因素研究

呼名反应（Response to name）需要被呼叫的儿童识别并将注意转移到自己的名字这一具有社会意义的刺激上。前人研 究对于孤独症儿童是否存在呼名反应缺陷尚不完全清楚。笔者在本研究中主要采用家庭录像法考察孤独症儿童的呼名反应, 同时考察儿童在呼名反应之后的应答性微笑,共收集46名孤独症儿童的视频资料。结果表明,59.1%的孤独症儿童表现出呼 名反应,但是仅有28.3%的儿童在被呼名后出现应答性微笑。影响呼名反应和应答性微笑的情境因素包括主要活动、交往对 象和互动媒介等。总之,孤独症儿童应答性微笑非常困难。该指标更具有敏感性,可作为孤独症早期的筛查指标之一。     

违约风险、银行信贷筛选与货币政策非对称效应

本文构建一个包含企业违约风险与银行信贷筛选的动态随机一般均衡模型,研究银行信贷筛选对货币政策宏观经济效应产生的影响。在参数校准的基础上,分析了货币政策冲击的长期效应与短期效应。研究结果显示：(1)无论是基于长期还是短期效应的角度,银行信贷筛选均显著抑制了扩张性货币政策对宏观经济产生的积极影响;(2)基于货币政策冲击的短期效应可以发现,银行信贷筛选降低了扩张性货币政策的实际效应,并且放大了货币政策对通胀的影响;(3)通过比较扩张性与紧缩性货币政策的脉冲响应可以发现,银行信贷筛选导致货币政策的宏观经济效应存在非对称性特征。福利分析的结果表明,相比无银行信贷筛选的情形而言,银行信贷筛选导致了整体社会福利的恶化。     

不对称信息下信息技术服务外包合同设计

本文针对客户企业向IT供应商外包信息技术服务这一背景,考虑IT供应商不仅具有开发信息系统能力的私有信息,且其开发过程中的努力行为对于客户企业不可见的情况,研究了客户企业信息技术服务外包合同设计问题。研究发现,不对称信息下,客户企业可以通过设计最优合同菜单来甄别不同能力的IT供应商,但是此时客户企业需要向高能力IT供应商支付信息租金。同时,客户企业可以通过设计最优合同有效规制高能力IT供应商系统开发过程中的努力行为,但是相比于信息对称的情况,不对称信息下低能力IT供应商会存在努力不足的现象。低能力IT供应商努力不足的现象会降低社会福利和客户企业的期望利润;客户企业向高能力IT供应商支付信息租金的行为也会减少客户企业的期望利润。增加系统调试阶段的调试时间或者选择信息系统故障检出率高的IT供应商,可以降低高能力IT供应商的信息租金,并缓解低能力IT供应商努力不足的现象,进而减少信息不对称给客户企业带来的利润损失。     

A boosting inspired personalized threshold method for sepsis screening

Sepsis is one of the biggest risks to patient safety, with a natural mortality rate between 25% and 50%. It is difficult to diagnose, and no validated standard for diagnosis currently exists. A commonly used scoring criteria is the quick sequential organ failure assessment (qSOFA). It demonstrates very low specificity in ICU populations, however. We develop a method to personalize thresholds in qSOFA that incorporates easily to measure patient baseline characteristics. We compare the personalized threshold method to qSOFA, five previously published methods that obtain an optimal constant threshold for a single biomarker, and to the machine learning algorithms based on logistic regression and AdaBoosting using patient data in the MIMIC-III database. The personalized threshold method achieves higher accuracy than qSOFA and the five published methods and has comparable performance to machine learning methods. Personalized thresholds, however, are much easier to adopt in real-life monitoring than machine learning methods as they are computed once for a patient and used in the same way as qSOFA, whereas the machine learning methods are hard to implement and interpret.     

以“三个代表”重要思想为指导开创高校思想政治工作的新局面

本文首次报导牛心朴子草经化学分离制成20个不同标号试样,进行农药活性筛选包括抑制异类植草生长、刺激典型植物特征器官生长、抗植物病害等共440项生物活性的结果,由此揭示该草具有多种生物活性;特别是使用活体小株法获得了该草具有抗植物病毒高活性的新发现。     

电子商务的智能化营销

互联网和电子商务的出现,在信息获得的手段和方法上突破了传统时空观念的限制,在多方面动摇了企业经营和营销理论的根基。同时也改变了企业外部经营和购销的实务操作模式。传统行业的电子商务得到了广泛的应用,积累了大量的数据,在强大的数据库技术和数据挖掘工具的支持下,从海量的数据中挖掘出有用的信息来提高企业经营管理水平已成为热门的课题,为企业实现智能化营销提供了坚实的基础。     

Improving Intimate Partner Violence Services in Home Visiting: A Multisite Learning Collaborative Approach

Abstract

To improve intimate partner violence (IPV) service delivery, the Florida Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Initiative’s continuous quality improvement (CQI) team implemented a Breakthrough Series model Learning Collaborative with eight program sites. Using mixed-methods, we: examined post-Collaborative changes in Florida MIECHV home visitors’ knowledge, system awareness, and confidence; identified strategies to address challenges in supporting families with IPV; and assessed post-Collaborative program improvements. The Collaborative included three interactive 2-day sessions, six webinars, and testing strategies using the Model for Improvement (Plan-Do-Study-Act). Three online surveys assessed changes influencing IPV screening, referrals, and safety planning. Thematic content analysis of qualitative data revealed existing barriers and strategies to address challenges. Home visitors reported accurate knowledge (change: 2.3%-34.8%), confidence (change: 31.8%-37.9%), and system awareness (change: 22.7%-53.5%) for all items from baseline to final survey. There was also an increase in rates of IPV screening (change: 88.0%-91.0%) and referrals (change: 43.0%-100.0%). Strategies for addressing challenges in supporting families experiencing IPV were identified at the individual (self-care, continuous education); interpersonal (reflective supervision, trauma-informed approach); organizational (defining success, supportive agency/program, policies); and community (collaboration with IPV service providers) levels. Lessons learned from the MIECHV IPV Learning Collaborative informed future CQI projects.     

Radon Testing Behavior in a Sample of Individuals with High Home Radon Screening Measurements

Although radon exposure has been identified as the second leading cause of lung cancer, fewer than 6% of U.S. homeowners test their homes for radon. This report examines participants'follow-up radon testing behavior subsequent to receiving an initial screening radon level greater than 20 pCi/L. Sixty-two participants in the Iowa State-Wide Rural Radon Screening Survey who had radon screening measurements over 20 pCi/L were questioned by phone survey 3 months after receipt of their radon screening result to assess: whether participants were aware of radon's health risk; if participants recalled the radon screening results; how participants perceived the relative health risk of radon and whether participants planned follow-up radon testing. Only 19% of the respondents specifically identified lung cancer as the possible adverse health outcome of high radon exposure, and the majority of participants underestimated the health risks high radon levels pose when compared to cigarettes and x-rays. In addition, less than one third (29%)of the participants actually remembered their radon screening level within 10 pCi/L 3 months after receiving their screening results. Only 53% of the individuals correctly interpreted their screening radon level as being in the high range, and only 39% of the participants planned follow-up radon measurements. Receipt of radon screening test results indicating high radon levels was not an adequate motivational factor in itself to stimulate further radon assessment or mitigation. Our findings suggest that free radon screening will not result in a dramatic increase in subsequent homeowner initiated remediation or further recommended radon testing.