离婚审判中保护当事人探视子女权研究

保护离婚父母探视子女权利的法律制度在我国尚属空白。本文介绍了探视权的概念、特点并简要分析国外探视子女的法律规定及我国探视子女规定的历史和现状,并就设立探视制度、处理探视纠纷等提出具体立法建议     

语言多属性决策的目标规划模型

研究了只有部分属性权重信息、属性值以语言变量或不确定语言变量形式给出且决策者对方案有偏好信息的语言多属性决策问题.给出了语言变量和不确定语言变量的运算法则,以及不确定语言变量之间比较的可能度公式,定义了语言变量的偏离度概念.在属性值以1)语言变量和2)不确定语言变量,这两种形式给出的情形下,分别建立了一个基于偏离度的目标规划模型,并通过求解这两种模型分别获得相应的属性权重.然后对于情形1),利用语言加权平均(LWA)算子,对语言决策信息进行加权集成,继而对方案进行排序和择优;对于情形2),利用不确定语言加权平均(ULWA)算子,对不确定语言决策信息进行加权集成,并利用可能度公式构造可能度矩阵(互补判断矩阵),继而利用互补判断矩阵排序公式对决策方案进行排序和择优.最后进行了实例分析.     

江苏省综合性医院临床医生对新医改认知研究

为了解江苏省综合性医院临床医生对新医改现状的看法,评价新医改在江苏省内的实施进展和效果,该研究选取了新医改部分重点问题,采用自设计问卷,调查江苏省内7家三级综合性医院和7家二级综合性医院临床医生,运用描述性分析和卡方检验辅助分析研究结果。发现66.5%的医生更希望政府医改经费投入能侧重于医务人员劳动收入;对家庭医生签约服务的认知度及成效评价低于分级诊疗及医联体建设;认为医患关系和看病难、看病贵问题略有改善的医生分别占20.3%、24.9%、27.9%。需正确认识医务人员认知差异及原因;重视医务人员权益、优化薪酬管理制度;加强家庭医生签约服务的宣传和推广;丰富医联体间活动形式;建立及时有效的临床医生反馈机制。     

水平井分段多簇压裂缝间干扰研究

水平井分段多簇压裂在现场得到了广泛运用，其压裂过程中普遍存在缝间干扰现象。缝间干扰有助于形成复 杂裂缝网络以提高储层导流能力，但是也会导致起裂困难，甚至形成砂堵。因此有必要对分段多簇压裂的缝间干扰问 题进行研究。对此，基于弹性力学建立了分析多簇裂缝诱导应力的数学模型，从起裂压力、裂缝宽度、簇间距等多方面 研究了缝间干扰对水平井分段多簇压裂施工的影响。模拟结果显示，诱导应力会导致起裂压力升高、裂缝变窄，严重 时将造成压裂施工失败。通过进行分析，给出了起裂过程及延伸过程中缝间干扰的影响关系。分析认为，利用缝间干 扰提高改造体积时应当控制簇间距防止对压裂施工造成负面影响。研究结论对优化水平井分段多簇压裂设计具有指 导意义。     

An M/G/1 clearing queueing system with setup time and multiple vacations for an unreliable server

This paper studies an M/G/1 clearing queueing system with setup time and multiple vacations, in which all present customers in the system are served simultaneously and breakdowns may occur in busy or setup period. We investigate the stationary distribution of system size and the Laplace–Stieltjes transform of sojourn time. In addition, various performance measures are discussed, such as the mean system size at arbitrary time and the mean length of a vacation circle. Moreover, a cost analysis is carried out for this queueing system. Numerical results are presented to study the sensitivity of the system parameters on the expected cost function and system performances.     

Treatment Choice With Trial Data: Statistical Decision Theory Should Supplant Hypothesis Testing

Abstract

A central objective of empirical research on treatment response is to inform treatment choice. Unfortunately, researchers commonly use concepts of statistical inference whose foundations are distant from the problem of treatment choice. It has been particularly common to use hypothesis tests to compare treatments. Wald’s development of statistical decision theory provides a coherent frequentist framework for use of sample data on treatment response to make treatment decisions. A body of recent research applies statistical decision theory to characterize uniformly satisfactory treatment choices, in the sense of maximum loss relative to optimal decisions (also known as maximum regret). This article describes the basic ideas and findings, which provide an appealing practical alternative to use of hypothesis tests. For simplicity, the article focuses on medical treatment with evidence from classical randomized clinical trials. The ideas apply generally, encompassing use of observational data and treatment choice in nonmedical contexts.     

Schizotypal Personality Disorder: A Clinical Social Work Perspective

Schizotypal personality disorder (SPD) is considered to be a “schizophrenia spectrum disorder” as evidenced in part by its cross-listing in that chapter of the DSM-5. SPD is considered to be a condition with limited potential for positive change because one of its major features is the presence of a biologically based cognitive deficit. This assumption, however, is an example of the medical model’s creating a bias against psychosocial features that are always involved in character development. The social work profession’s bio-psycho-social perspectives focus more comprehensively on all features of the condition and promote a more optimistic view of clients’ change potentials. The purposes of this paper are to examine SPD from a social work perspective and to demonstrate, with a case example, how effective intervention can be organized and delivered.     

国际组织与成员国法律责任多重归属问题研究

国际组织和成员国的法律责任归属问题一直以来都是国际法争论的话题。政府间国际组织作为一类国际法主体,应独立承担法律责任。但在实践中,成员国在执行国际组织决议的过程中往往滥用国际组织法律人格,其行为不仅是国际组织法律人格的体现,还代表了自己的意志,造成法律责任归属不明。以此种争议情形为研究对象,结合1999年的使用武力合法性案,2007年欧洲人权法院的拜拉米案和萨拉马提(Behrami/Saramati)案、阿尔吉达(Al-Jedda)案以及2014年海牙法院关于斯雷布雷尼察(Srebrenica)诉荷兰案的相关判决,借鉴国外学者近几年的相关研究,认为应当坚持国际组织和成员国法律责任的多重归属。围绕责任多重归属原则的确立过程,通过对2011年《国际组织责任条款草案》相关条文的分析,明确了行为归属与责任归属的关系:只有确定行为归属之后,才能确定责任归属;为了最终确定责任的多重归属,提出以有效控制为标准认定行为归属,并明确这种有效控制是对具体行为的事实控制。     

Bayes shrinkage estimator for consistency assessment of treatment effects in multi-regional clinical trials

The primary objective of a multi-regional clinical trial is to investigate the overall efficacy of the drug across regions and evaluate the possibility of applying the overall trial result to some specific region. A challenge arises when there is not enough regional sample size. We focus on the problem of evaluating applicability of a drug to a specific region of interest under the criterion of preserving a certain proportion of the overall treatment effect in the region. We propose a variant of James-Stein shrinkage estimator in the empirical Bayes context for the region-specific treatment effect. The estimator has the features of accommodating the between-region variation and finiteness correction of bias. We also propose a truncated version of the proposed shrinkage estimator to further protect risk in the presence of extreme value of regional treatment effect. Based on the proposed estimator, we provide the consistency assessment criterion and sample size calculation for the region of interest. Simulations are conducted to demonstrate the performance of the proposed estimators in comparison with some existing methods. A hypothetical example is presented to illustrate the application of the proposed method.     

The precision of regression-type estimator for incremental cost–effectiveness ratio

The estimation of incremental cost–effectiveness ratio (ICER) has received increasing attention recently. It is expressed in terms of the ratio of the change in costs of a therapeutic intervention to the change in the effects of the intervention. Despite the intuitive interpretation of ICER as an additional cost per additional benefit unit, it is a challenge to estimate the distribution of a ratio of two stochastically dependent distributions. A vast literature regarding the statistical methods of ICER has developed in the past two decades, but none of these methods provide an unbiased estimator. Here, to obtain the unbiased estimator of the cost–effectiveness ratio (CER), the zero intercept of the bivariate normal regression is assumed. In equal sample sizes, the Iman–Conover algorithm is applied to construct the desired variance–covariance matrix of two random bivariate samples, and the estimation then follows the same approach as CER to obtain the unbiased estimator of ICER. The bootstrapping method with the Iman–Conover algorithm is employed for unequal sample sizes. Simulation experiments are conducted to evaluate the proposed method. The regression-type estimator performs overwhelmingly better than the sample mean estimator in terms of mean squared error in all cases.