Confidence interval estimation of the difference between paired AUCs based on combined biomarkers

In many diagnostic studies, multiple diagnostic tests are performed on each subject or multiple disease markers are available. Commonly, the information should be combined to improve the diagnostic accuracy. We consider the problem of comparing the discriminatory abilities between two groups of biomarkers. Specifically, this article focuses on confidence interval estimation of the difference between paired AUCs based on optimally combined markers under the assumption of multivariate normality. Simulation studies demonstrate that the proposed generalized variable approach provides confidence intervals with satisfying coverage probabilities at finite sample sizes. The proposed method can also easily provide P-values for hypothesis testing. Application to analysis of a subset of data from a study on coronary heart disease illustrates the utility of the method in practice.     

宁夏人口与生态环境面临的问题及对策

宁夏是少数民族地区,较为宽松的生育政策。导致人口快速增殖。由于宁夏所处的地理位置和历史遗留的生态债务使得境内生态环境十分脆弱。尤其是人口过度增殖已超出了刚性土地资源的有效容纳力。这不仅给环境造成了巨大压力,也进一步加剧了生态环境的恶化。本文通过大量统计数据和实地调研。分析了近年来宁夏人口与生态环境之间存在的亟待解决的矛盾和问题。分析表明,当前宁夏尤其是宁南山区人口数量与人口素质、人口数量与生态存量和生态消费之间表现出了明显的此长彼消的关系。在分析的基础上．提出了人口与生态环境建设方面的政策建议。     

Community-Based Services and Depression from Person-Environment Fit Perspective: Focusing on Functional Impairments and Living Alone

ABSTRACT

Guided by the Person-Environment Fit perspective, we investigated the extent to which personal and environmental factors influence depression among community-dwelling adults. The data came from the special section about community-based service utilization in the 2012 Health and Retirement Study (N=1,710). Although community-based service was not significantly associated with depression after controlling for covariates, respondents with functional limitations and living alone were less likely to be depressed when using community-based services. This study demonstrates the different associations between community-based services and depression depending on personal needs. It discusses the importance of community-based services for aging-in-place policy, particularly among vulnerable populations.     

A transnational networked public sphere of air pollution: analysis of a Twitter network of PM2.5 from the risk society perspective

ABSTRACT

Drawing on digitaltrace data, publicly accessible government documents, and journalistic reports, this research integrates Beck’s risk society theory with digital media theories to examine the mediated process of risk definition and assessment of PM2.5 (particulate matters with a diameter less than 2.5 micrometers) in a networked public sphere. Network and content analysis of a PM2.5 Twitter network shows that political and professional elite remained the most powerful producers of risk definition. Established media played a key role, yet faced challenges from a variety of actors who disseminated and filtered information. Laypersons, while peripheral, actively interacted with elite and established media. The blurring geographic boundary in the PM2.5 Twitter network revealed an emerging transnational public sphere, which, however, was segregated by language. This research advances a layered understanding of the contingent, paradoxical media impact for social changes in a risk society.     

Multi-ethnic school environment from the school leader’s perspective: challenges and approaches to improve multi-cultural competency among teachers in Malaysia

This study aims to identify the challenges and approaches to improve a multicultural competency among teachers in multi-ethnic schools environment based on school leaders’ perspective. Data collection method used in this study is qualitative method. A total of nine school leaders from the states of Kedah, Penang, and Perak were included in the interview session. The results of this study show that the challenges faced by teachers in practicing the multicultural competency are lack of experience toward cultural diversity. A late exposure to cultural diversity makes it difficult for teachers to accept and adapt in a multi-ethnic school environment. The approaches suggested by school leaders to improve the multicultural competency are as follows: (1) Courses on cultural diversity should be organized to enhance the knowledge about cultural diversity; (2) the development of more open and better policy for education system in Malaysia in order to prepare teachers with a higher multicultural competency for teaching students from diverse ethnic and cultural groups; (3) an early exposure to cultural diversity in order to increase the multicultural competency, especially during teaching practicum.     

Home Environment and Its Relation with Quality of Life of Older People

In this cross-sectional study, we tested the relationship between sociophysical environment, quality of life (QOL), and perceived social support among elderly in Iran. The sample includes 128 participants recruited in the city of Shahrekord, Iran. We measured Evaluation of Older People Living Environment (EVOLVE); Control, Autonomy, Self-realization and Pleasure scale (CASP-19) and Multidimensional Scale of Perceived Social Support (MSPSS) tools respectively, through home-based observation and interview. A significant relationship was found between several domains of home environment, QOL, and perceived social support. The interaction effect of the home environment and gender in relation to QOL and perceived social support was statistically significant. Our results support that the home physical environment may not be considered a strong predictor of QOL among the Iranian elderly.     

The Impact of the Physical Home Environment for Family Carers of People with Dementia: A Qualitative Study

Background: The majority of people with dementia are cared for by their families at home. This study aimed to elicit family carers' perceptions on home environmental aspects and strategies with the view to identify barriers and facilitators when caring for a person with dementia at home.

Design and methods: Thirteen co-resident family carers were engaged in semi-structured in-depth walking interviews. Interviews were recorded, transcribed and analysed using thematic analysis.

Results: Home environments can pose a number of challenges and opportunities. Aspects of the architectural and interior environment (e.g. size, condition, layout and accessibility, familiarity) are perceived as important (Theme 1) as well as a plethora of environmental strategies that encourage independence and comfort at home (Theme 2). Carers' scepticism, timing, costs, property characteristics and mistrust to services are some barriers to implementing environmental strategies (Theme 3).

Conclusions: Carers improvised solutions via trial and error and need further education on strategies to create an enabling and comfortable home environment.     

Religion and the environmental opinion in 22 countries: a comparative study

The objective is to test if religiosity affects environmental opinion in Europe. Using data from European Social Survey (ESS) 2002/2003, the study answers three questions. At the societal level: Is public opinion about the environment different in political systems with different Christian traditions? Is environmental concern less or higher in the public opinion depending on the degree of secularization in the political systems? At the individual level: Is the environmental opinion of the individual affected by the personal confession of faith, religious involvement, and the dominant religious context? At the societal level, the findings show stronger concern for the environment in Catholic and Eastern Orthodox countries than in Protestant countries. The tendency also shows a weakened concern for the environment in countries with a rather secular population. At the individual level, there are significant positive effects on environmental care from Catholic culture, negative effect from Protestant culture, and no effect from religious involvement.