Decision Analysis and Risk Management Decision Making: Issues and Methods

This paper provides an overview of decision analysis and its use in risk management decision making. The paper discusses the distinctive characteristics of decision analysis and compares these characteristics with those of its principal alternative—cost–benefit analysis. The paper also discusses each of the steps in a decision analysis and the strengths and limitations of the method.     

Changes in HIV/AIDS knowledge and testing behavior in Africa: how much and for whom?

Demographic and Health Survey data from nine African countries make it clear that HIV/AIDS prevention knowledge has been increasing. Still, in many cases, fewer than half of adult respondents can identify specific prevention behaviors. Knowledge is lowest in rural areas and among women. HIV testing generally remains rare but is highly variable across countries, likely reflecting differences in the supply of testing services. In most cases, schooling and wealth impacts on prevention knowledge have either been stable or have increased; hence, in the majority of contexts, initial disparities in knowledge by education and wealth levels have persisted or widened.

Suicide and mental health problems among Swedish youth in the wake of the 1990s recession

The purpose of this explorative study is to bring together a variety of Swedish data sources with indicators of youth mental health and living conditions in order to illuminate trends during the last decades, elucidate possible determinants of mental ill health and develop hypotheses to explain the observed trend patterns. The analyses in the study reveal some surprising inconsistencies with respect to the mental health trends among young people during the 1990s. Most striking is the pattern of increasing youth unemployment coinciding with almost inverse trends in the rates of suicide. The secular trends in fatal suicides during this period do not show any increase but some actual decrease in sub‐populations despite high sustained levels of unemployment. In contrast, survey data indicate that the general mental health of youth during this period appears to have deteriorated.     

关于发展老年卫生健康服务领域的若干思考

本文在界定了老年卫生健康服务领域的基础上,详细地分析了老年人对该领域产品或服务需求的基本现状,认为在现阶段发展老年卫生健康服务领域必须考虑到老年人的购买能力以及消费特点;还要依靠产业政策的扶持带动老年消费市场的持续发展。     

Hybridization and speciation in the carabid beetles of the subgenusOhomopterus (Coleoptera, Carabidae, genusCarabus)

Natural hybridization among wingless carabid beetles of the subgenusOhomopterus (Carabidae, genusCarabus) is reviewed, and its significance in the evolution of this subgenus discussed. Natural hybridization occurs between parapatric species of similar size. Two case studies of natural hybridization suggest that natural hybridization could have affected the evolution of this subgenus in different ways. When there is a large difference in genital morphology between hybridizing species, interspecific copulation often results in genital injuries that causes mortality of copulating individuals, and hence reduces the fitness of hybridizing individuals greatly. In such a case, hybridization may be effective in maintaining the parapatric distribution of the two species, and in the long term, may promote reinforcement selection for traits which are effective in prezygotic reproductive isolation. When the morphological difference in genitalia is not so large as to cause genital injury, a hybrid population may be established at the intermediate zone between two parental species, provided that the immigration rates of the two species into the intermediate zone are small. Thus, natural hybridization may have contributed to both divergence and reticulate evolution in this subgenus.     

医科与农科大学生SCL——90测查比较研究

用心理卫生自评量表(SCL———90)调查了内蒙古蒙医学院和哲里木畜牧学院两高校大学生的心理健康和差异,结果表明,两高校学生男女总体心理健康水平无明显差异,存在的心理问题各具特点,而医科学生心理问题较多,强度较大。     

扬州市邗江区乡镇预防保健体制改革两种模式的比较研究

扬州市邗江区1999年对全区21所乡镇卫生院进行了产权制度改革。改制前3年,实行“医防合一”体制,从2002年起实行“医防分设”体制。文章采用定性调查和定量调查相结合的方法,比较改革前后农村卫生体系和农村预防保键资源、组织机构、服务效率、监督执法力度、农民满意度等方面的变化。研究表明,“医防分设”是必由之路,为进一步改革和完善预防保健体系提供了依据。     

实现男女平等构建两性和谐发展的社会

男女两性协调发展在构建和谐社会中有十分重要的意义,两性协调发展可促进经济、社会协调发展,有利于人的全面发展,同时女性发展得到重视,有助于从根本上提高民族素质,推动三大文明建设。但实际生活中,实现男女平等、协调发展既面临传统与现实的挑战,又面临经济全球化、城市化、工业化进程带来的机遇。本文在分析这些情况的基础上,提出解决男女协调发展的途径。     

Contractual audit and mental health rehabilitation: a study of formulating effectiveness in a Finnish supported housing unit

Saario S, Raitakari S. Contractual audit and mental health rehabilitation: a study of formulating effectiveness in a Finnish supported housing unit Int J Soc Welfare 2010: 19: 321–329 © 2010 The Author(s), Journal compilation © 2010 Blackwell Publishing Ltd and International Journal of Social Welfare. Mental health NGOs in Western Europe are increasingly managed by contractual audit procedures. This article concerns how contractual audit and its emphasis on effectiveness of care impact on the practices of long‐term mental health rehabilitation. To demonstrate this, a case study of a Finnish NGO that provides supported housing is presented. The study looks at how service purchasing practices, as stated in the contract between the municipality and the NGO, are reflected in the meetings among practitioners. Documentary and meeting data were utilised together with Mitchell Dean's notion of technologies of agency. It was found that practitioners actively sought to show the effectiveness of their everyday work in terms of contractual audit by demonstrating both the economic and progressive aspects of care. Thus, professional competency in mental health rehabilitation appears to entail both the skills of care interventions and the ability to perform these interventions as efficient and financially accountable activities.     

A longitudinal study of depressiveness in children in public care

Rajhvajn Bulat L. A longitudinal study of depressiveness in children in public care Int J Soc Welfare 2010: 19: 412–423 © 2009 The Author, Journal compilation © 2009 Blackwell Publishing Ltd and the International Journal of Social Welfare. The aim of this article is to analyse the challenges involved when making longitudinal observations of depressiveness in children raised in public care. The first measurement comprised 375 children from children's homes and foster families; however, most of the results are based on an analysis of the 139 children who participated in both parts of the research. We used the Child Depression Inventory and the anxiety/depression subscales of Youth Self Report and Child Behaviour Checklist as measures of depressiveness. The comparison of results from the first and second measurements showed that depressiveness in children in public care decreased over time. Children who grew up in children homes were, in the first measurement, more depressed than those living in foster families, but after five years that difference had disappeared. Furthermore, decrease in depressiveness is predominantly associated with less frequent delinquent, aggressive or hyperactive behaviour, less withdrawal and better control over uncomfortable emotions.