Bayesian assessment of times to diagnosis in breast cancer screening

Breast cancer is one of the diseases with the most profound impact on health in developed countries and mammography is the most popular method for detecting breast cancer at a very early stage. This paper focuses on the waiting period from a positive mammogram until a confirmatory diagnosis is carried out in hospital. Generalized linear mixed models are used to perform the statistical analysis, always within the Bayesian reasoning. Markov chain Monte Carlo algorithms are applied for estimation by simulating the posterior distribution of the parameters and hyperparameters of the model through the free software WinBUGS.     

软件工程理论及其在软件开发中的应用研究

综合利用计算机科学与技术理论讨论了软件工程的概念、软件工程项目的基本目标、软件工程项目的实施，并探讨了数据库系统软件开发与设计思想，为从事软件开发的专业人员提供了一定的借鉴。     

Technology and School Social Work Services: Introducing Technology in an Alternative School

SUMMARY

The public school system, one of the largest human service institutions in our nation, is continuously engaged in a struggle to balance the needs of a growing and diverse population with continuing threats of budget cuts. Under these conditions, it becomes even more critical that school social workers understand and appreciate the role of technology in delivering and evaluating services. To assess the effectiveness of school social work services, evaluation will have to be planned for, and systems of data collection and processing will have to be conducted on an ongoing basis.

This paper outlines the process whereby school social workers in a local school district proceeded to introduce technology into their service delivery regimen. Secondly, the paper shows how such technology was, and may be, used to evaluate the services provided by school social workers in an alternative school.     

策划时代说策划 --中国电视节目策划的缘起及其作用

人们都说当今社会是"信息的时代",是"知识经济的时代",同时又是"策划的时代".在这样一个时代里,策划正扮演着越来越重要的角色.那么,什么是策划?什么是电视节目策划?中国的电视节目策划又是在什么条件下和怎样兴起的?在今天,面对中国入世后的严峻挑战,中国的电视节目策划应该担当起怎样的重任?这些正是本文所要探讨和说明的问题.     

Barriers and facilitators to implementing evidence-based health innovations in low- and middle-income countries: A systematic literature review

The unsuccessful implementation of health innovations occurs frequently, leading to missed opportunities where improvements could have been made on various aspects of a health system. The purpose of this study is to identify, assess and synthesise the facilitators and barriers to sustainably implementing evidence-based health innovations in a low- and middle-income country (LMIC) context. To identify the LMIC specific facilitators and barriers, a systematic literature review was conducted. 79 studies were analysed, and the implementation barriers and facilitators identified in each study were extracted. The extracted barriers and facilitators were categorised and synthesized into one of seven concepts: context, innovation, relations and networks, institutions, knowledge, actors or resources. There were no substantial variations between the frequency that each concept was identified as a facilitator or barrier to implementation. However, resources, which includes time, human, financial and physical resources, was the most frequently mentioned concept; emphasising the need to focus on the resource situation in LMICs. This study contributes to the growing literature that aims to inform health system planners and evaluators in LMICs on effectively and sustainably implementing evidence-based health innovations.     

“We thought it would be easy”: recruitment challenges,successes and best practices for low-income couple populations

Recruitment challenges present ongoing struggles for social science professionals. Especially problematic are recruiting endeavors when target populations are highly stressed, highly mobile, and are comprised of couples rather than individuals. Included in this study is a rationale supporting the need to study recruitment challenges coupled with a literature review discussing recent recruitment research summaries. Based upon a Delphi-type discussion with couples relationship education (CRE) experts, our team constructed a qualitative study to examine recruitment challenges in low-income CRE programs. Fourteen interviews were conducted with “successful” program leaders identified by federal regional managers within the Administration for Children and Families (ACF). Data were analyzed, and results detailing four main “challenge” themes, four “success” themes, and a seven-step best practice model are presented.     

Effect of a Web-Based Sexual Health Enhancement Program for Women with Gynecologic Cancer and Their Husbands

Objectives: This study examined the effects of a web-based sexual health enhancement program on of women with gynecologic cancer and their husbands. Methods: Twenty-one couples attended the program for 4 weeks and 22 couples were assigned to a control group. Results: The experimental group reported significant improvements in the sexual function of the women with gynecologic cancer (effect size [ES] = .75; p?p?=?.015). Conclusions: Therefore, our results can help provide interventions for patients and their husbands to identify and resolve sexual problems after gynecologic cancer treatment.     

Evaluation of the Neurodegenerative Conditions Coordinated Care Program (NCCCP) in Western Australia: barriers to better service provision

This paper details a 2009-2010 evaluation of the Neurodegenerative Conditions Coordinated Care Program (NCCCP) commissioned by the Disability Services Commission (DSC) in Western Australia (WA). The program, run by the Multiple Sclerosis Society of WA (Inc.) provides in-home care and supports and respite for people who are under the age of sixty-five and diagnosed with a rapidly degenerative neurological condition. In 2009, the identified barriers to the better provision of services included: shortage of quality out-of-home respite providers, and convoluted paperwork requirements to qualify for the program. Some service providers were unaware of the program and so were not referring them into the NCCCP, a number of service providers were unwilling to refer their clients into the program, neurologists were unwilling to give a final diagnosis for a client, that would enable them to qualify for the service, there was a general lack of knowledge about what services were available in the general community, and existing equipment pools were under-resourced. In 2010, the study found that most of the issues had been addressed however, out-of-home respite services were still very limited especially in rural areas, and the eligibility criteria for entry to the program is confined to those 65 years and under. This paper discusses the issues that still remain with the program as examples of barriers to better provision of services.     

电视谈话节目的文化内涵及其品格

电视谈话节目源自于西方媒体的“脱口秀”。从1993年上海台的《东方直播室》开始,我国电视谈话节目已经有十多年的时间,谈话节目的理论研究也随着这类节目样式的变化而发展,提升其文化品格就显得比较重要。在此,分析目前电视谈话节目的文化内涵,以《艺术人生》为例,指出电视谈话节目的成功所涉及的文化品格。