Dementia Problem Behavior and the Production of Informal Caregiving Services

Informal caregivers of individuals with Alzheimer's disease spend a considerable amount of time providing care. In this paper, we use Grossman's health production and Becker's time allocation models to develop a model of informal care provision to elderly dementia patients. In our model, time inputs produce caregiving services, which provides utility to the caregiver, but reduces leisure. We assume that time is less productive of services on the margin as the disease progresses. In this framework, an increase in patients' disease severity does not necessarily increase informal caregiver time input. The cost of formal care establishes a reservation price for informal caregiving. When the costs of informal caregiving rise above this reservation level, the patient is institutionalized. We test empirically the effect of deterioration in the patients' condition, proxied by both disease severity and dementia problem behavior, on informal caregiving time. We find that dementia-related problem behaviors and functional limitations significantly increase inputs of informal caregiving time. Patients' problem behavior exerts a modifying effect on functional limitations, and patients' comorbidities have no effect on informal caregiving time.     

网络环境下图书馆信息服务创新初探

信息资源网络化给图书馆的生存和发展带来了巨大的冲击,图书馆惟有创新才有出路。本文提出转变观念是信息服务创新的前提;加强网络信息资源的开发利用是信息服务创新的基础;技术创新是信息服务创新的手段;高素质的图书馆员是信息服务创新的关键。     

贫困地区基础教育人才流失的现状与对策

近年来 ,贫困地区基础教育人才流向发达地区的比率增大 ,严重地影响了当地基础教育的发展。作为教育管理者 ,应高度重视这一现象 ,采取有效措施 ,完善教育人才管理体制 ,留住人才 ,以保证本地区教育事业的健康发展     

传统文化与大众文化的互动

“五四”新文化运动之后 ,中国人与传统文化密不可分的关系已割裂。 10年文革浩劫过处 ,老百姓的马克思主义精神支柱几近崩塌 ,中国百姓的精神世界里剩下的仅仅是自相矛盾的奇妙混合。而在西方商品大潮中所形成的竞争意识和拜金主义因贫富差距的拉大而得以大行其道 ,社会风气趋于浮躁、迷茫和急功近利。当文学创作恢复和发扬现代知识分子的启蒙主义和现实战斗精神的时候 ,“五四”新文学的“文学的启蒙”传统也悄然崛起。当经济成为时代的巨型话语 ,以儒家文化为核心的传统人文话语既是面临挑战的境遇 ,也是得以复兴的契机。实现大众文化传统化就是建立一整套顺应自然、合乎人情、合乎客观规律、可持续发展的制度与理论 ,可以为全人类提供和谐共处的准绳。而实现传统文化大众化则必须以关注现实、中外合璧、革新教育为途径     

产业组织的垂直解体与生产者服务业的发展

生产者服务业逐渐从制造业领域分离是当代世界经济发展的重要趋势，是国际分工不断深化的必然结果。在分析了国际分工的演进脉络基础上，本文论述了产业组织的垂直解体对生产者服务业发展的影响，最后提出了加快我国生产者服务业发展的对策。     

The repeated public goods game: A solution using Tit-for-Tat and the Lindahl point

This paper demonstrates how a repeated public goods problem may be solved by using Tit-for-Tat (TFT) on the Lindahl point. The general solution is developed; geometric and numerical examples are offered.I wish to thank an anonymous reviewer for very helpful comments on earlier drafts of this paper.     

高校应运用公共关系塑造与传播其外部形象

高校应运用公共关系知识塑造与传播良好的外部形象,创设有利的外部发展环境,以促进自身的健康发展。     

Effects of Medicaid managed care policies on mental health service use among a national probability sample of children in the child welfare system

Children in the child welfare system are dependent upon Medicaid to finance services for their considerable mental health needs. This study examines the effects of Medicaid policies on mental health service use among a national probability sample of children in the child welfare system. Data for this study came from the National Survey of Child and Adolescent Well-Being, the Caring for Children in Child Welfare study, and the Area Resource File. Weighted multivariate logistic regression analyses were conducted to estimate effects of policy variables on children's use of mental health services, controlling for child-level covariates and county-level health resources. Children in counties with behavioral carve-outs under Medicaid managed care had lower odds of inpatient mental health service use. Medicaid managed care enrollment and variations in type of provider reimbursement did not affect use of mental health services. Older age, greater need for mental health services, and higher levels of caregiver education were associated with increased odds of service use. Restrictions on use of inpatient mental healthcare caused by behavioral carve-outs may disproportionately affect children in the child welfare system who have high rates of such use. Careful adoption of carve-outs is necessary to assure appropriate care for these children.     

An analysis of other countries’ international public relations in the U.S.

The purpose of this study was to examine the various aspects of international public relations by other countries in the U.S. Based on the Foreign Agency Registration Act (FARA) report in 2002, this study analyzed client, activity types, purpose of activity, and key U.S. partners for activity. This study found that (1) business organizations and central governments were major clients of international public relations in the U.S., (2) meeting with governmental officials and congressional leaders was the primary type of activity followed by information dissemination, and (3) economic purpose led by trade promotion was the primary motive for these activities.     

高校图书馆为经济欠发达地区服务的思考

高校图书馆为所处的经济欠发达地区服务既是它的职责,又是它自身发展的机遇。笔者以白城市为例,分析了高校图书馆的优势,从而提出了高校图书馆为经济欠发达地区服务的对策。