Critical Components in Implementing Evidence‐based Practice: A Multiple Case Study of Individual Placement and Support for People with Psychiatric Disabilities

When developing Community Mental Health Services to support people with psychiatric disabilities, European countries are advocating evidence ‐based practice (EBP ). Individual Placement and Support (IPS ) is an evidence ‐based model designed to support people in acquiring and maintaining competitive employment. Implementation science is a growing research field, with a focus on components that impact the process of implementing EBP programmes. In this multiple case study, we have followed three IPS demonstration sites for two years, in order to describe and analyze barriers and facilitators for implementation, according to constructs described in the Consolidated Framework for Implementation Research (Damschroder et al. 2009 ). The results highlight the importance of strategic networking, as well as the need for planning and preparations carried out before the start of an EBP programme, since deficiencies related to these constructs are difficult to compensate for.      

A comprehensive health service evaluation and monitoring framework

ObjectiveTo develop a framework for evaluating and monitoring a primary health care service, integrating hospital and community services.MethodA targeted literature review of primary health service evaluation frameworks was performed to inform the development of the framework specifically for remote communities. Key principles underlying primary health care evaluation were determined and sentinel indicators developed to operationalise the evaluation framework. This framework was then validated with key stakeholders.ResultsThe framework includes Donabedian's three seminal domains of structure, process and outcomes to determine health service performance. These in turn are dependent on sustainability, quality of patient care and the determinants of health to provide a comprehensive health service evaluation framework. The principles underpinning primary health service evaluation were pertinent to health services in remote contexts. Sentinel indicators were developed to fit the demographic characteristics and health needs of the population. Consultation with key stakeholders confirmed that the evaluation framework was applicable.ConclusionData collected routinely by health services can be used to operationalise the proposed health service evaluation framework. Use of an evaluation framework which links policy and health service performance to health outcomes will assist health services to improve performance as part of a continuous quality improvement cycle.     

“和为贵”、“中庸之道”与“武士道”精神——关于日本政治文化的思考

“和为贵”与“中庸之道”,是中国传统文化中的重要思想原则。传入日本后,曾对其社会发展,产生很大积极作用。但同时,当日本对外侵略扩张时,又能与其“军国主义”思想并行不悖。为什么呢？这是与日本本土政治文化,诸如“内外有别”的共同体意识、“武士道”精神,以及“万世一系”的天皇制度等相结合的结果     

Multivariate bandwidth selection for local linear regression

The existence and properties of optimal bandwidths for multivariate local linear regression are established, using either a scalar bandwidth for all regressors or a diagonal bandwidth vector that has a different bandwidth for each regressor. Both involve functionals of the derivatives of the unknown multivariate regression function. Estimating these functionals is difficult primarily because they contain multivariate derivatives. In this paper, an estimator of the multivariate second derivative is obtained via local cubic regression with most cross-terms left out. This estimator has the optimal rate of convergence but is simpler and uses much less computing time than the full local estimator. Using this as a pilot estimator, we obtain plug-in formulae for the optimal bandwidth, both scalar and diagonal, for multivariate local linear regression. As a simpler alternative, we also provide rule-of-thumb bandwidth selectors. All these bandwidths have satisfactory performance in our simulation study.     

街区邻里政治的动员路径与二重维度——以社区居委会为中心的分析

将后单位时代都市街区中的"邻里政治"置于多元行动者的论域之中,讨论国家-社会在持续绵延的日常生活层面的遭遇,旨在将国家-社会的研究范式切换至"邻里日常生活中的行动者",以此为切口,考察社区居委会在邻里空间的权力操作策略和运作逻辑,居委会动员群众参与、争取居民认同的技术与手段,以及国家权力如何通过代理人的行动和话语渗透到市民日常生活.邻里政治展现的不同行动形式和实践逻辑,从根本上彰显了邻里政治的二重维度,即以居委会为中心的"情理政治"和以物业运作为中心的"法理政治".由居委会运作的"情理政治"是国家出于政权建设需要的自上而下的制度性安排,呈现出"居委会-典型群众(积极分子)-居民"的传统二次动员路径,贯穿于其中的重要因子是面子、人情、互惠、信任等地方性社会资源.     

A note on testing the regression functions via nonparametric smoothing

The authors present a consistent lack‐of‐fit test in nonlinear regression models. The proposed procedure possesses some nice properties of Zheng's test such as the consistency, the ability to detect any local alternatives approaching the null at rates slower than the parametric rate. What's more, for a predetermined kernel function, the proposed test is more powerful than Zheng's test and the validity of these findings is confirmed by the simulation studies and a real data example. In addition, the authors find out a close connection between the choices of normal kernel functions and the bandwidths. The Canadian Journal of Statistics 39: 108–125; 2011 © 2011 Statistical Society of Canada     

东北亚文化发展的新思维 --读《东北亚共同体的文化视角》

中国东北、朝鲜(韩)、日本在内的东北亚地区,地理位置较近,同属汉字文化圈,在过去数十年间,尽管在经济上取得了巨大成功,但东北亚在政治上依然是令世界不安的焦点地区。为了长期的安定,作者以独特视角提出先从构建文化共同体开始,研究进一步加强区域性合作,以谋求共同发展。     

Fitting asymmetric bimodal data with selected distributions

ABSTRACT

This article discusses two asymmetrization methods, Azzalini's representation and beta generation, to generate asymmetric bimodal models including two novel beta-generated models. The practical utility of these models is assessed with nine data sets from different fields of applied sciences. Besides this tutorial assessment, some methodological contributions are made: a random number generator for the asymmetric Rathie–Swamee model is developed (generators for the other models are already known and briefly described) and a new likelihood ratio test of unimodality is compared via simulations with other available tests. Several tools have been used to quantify and test for bimodality and assess goodness of fit including Bayesian information criterion, measures of agreement with the empirical distribution and the Kolmogorov–Smirnoff test. In the nine case studies, the results favoured models derived from Azzalini's asymmetrization, but no single model provided a best fit across the applications considered. In only two cases the normal mixture was selected as best model. Parameter estimation has been done by likelihood maximization. Numerical optimization must be performed with care since local optima are often present. We concluded that the models considered are flexible enough to fit different bimodal shapes and that the tools studied should be used with care and attention to detail.     

NGO：人本社区教育的新型组织载体

人本社区教育是社会发展到一定历史阶段人们对社区教育的一种更高追求。NGO蓬勃发展的时代机遇、自下而上的网络组织形式、利他助人的服务理念、扶弱济困的价值取向与人本社区教育价值观耦合,成为践行人本社区教育的新型组织载体。     

广州天河区在幸福社区建设中的策略

为创建“幸福社区”,广州市天河区首次邀请第三方对全区居民展开问卷调查进行“社区诊断”,分析各类居民对社区管理服务的需求,全面推进街道家庭综合服务中心建设和制定有针对、可操作的“五个一”平台建设。这种“软硬并举”的“天河模式”策略,为探索区县幸福社会建设提供了宝贵的经验。