Mental Health and Substance Abuse Screening in Primary Care

ABSTRACT

An automated screening system for substance abuse and mental health problems was developed and implemented in a rural primary care clinic. Eighty-nine patients were assessed with this system. The incidence of identified problems, 35% in total, was consistent with that found in previous studies of patients in general and medical settings. Additionally, over half of the patients assessed felt at least some need for mental health or substance abuse treatment. Nonetheless, because of the staff's concerns over patient privacy, impeding patient flow, and the physician's perceived ability to adequately identify these problems without assistance, the system was not adopted.     

Errors in inspection and grading distributional aspects ofscreening and merarchal screening

Continuing the studies of Johnson et al (1980) and Johnson and Kotz (1981), further distributions arising from models of errors in inspection and grading of samples from finite, possibly stratified lots are obtained. Screening, and hierarchal screening forms of inspection are also considered, and the effects of errors on the advantages of these techniques assessed.     

自言自语--一种行之有效的语言研究方法

在语言研究中,自言自语方式被广泛运用且行之有效.它通过让被测者现场陈述执行任务时所想到的一切东西来挖掘他们的认知过程.它所收集到的资料是最原始真实的.由于本身的特性,自言自语方式应被精心设计和仔细操作,并满足一定的条件来确保其效果.     

'The Tip of the Ice Berg': Children's Complaints and Advocacy in Wales--An Insider View from Complaints Officers

This paper is based on findings of a Welsh Assembly Governmentfunded review of children’s independent advocacy servicesin Wales with reference to their involvement in complaints madeby children, or by their parents or carers on their behalf,about local authority social services. It draws, primarily,upon qualitative interviews with local authority children’scomplaints officers, whose task is to receive complaints orconcerns, field these to appropriate social services staff,maintain oversight of their progression and keep complainantsinformed of developments. The paper describes the challengesthat complaints officers perceive children encounter in movingcomplaints forward, especially in a context where independentadvocacy services are involved and where these services areviewed with some suspicion by social services staff. It suggeststhat complaints officers play a pivotal part in managing thesometimes contested and complex interface between service providerand child and may do so from a position of limited authorityand influence. The role of complaints officers in engaging withcomplainants and their advocates, and with those colleaguesimplicated in complaints, has rarely been the topic of research.This paper provides accounts from these key staff that helpilluminate the tensions and difficulties that can enter thechildren’s complaints process.     

论听证制度的异化

听证制度是民主发展的体现,其优势性是显而易见的,但在具体运用时却产生了偏离其本原的异化现象。因此,要防止听证制度异化的发生,采取具体预防措施,使听证制度真正在我国发挥其体现民意并辅助行政机关做出正确决策、决定的作用。     

上海地区干部健康体检胸部肿瘤的X线分析

目的回顾性分析1996年～2000年上海地区干部在我院健康体检胸部肿瘤的检出情况,探讨健康体检在早期发现胸部肿瘤的意义和方法。方法全部病例均经电视透视发现胸部异常阴影后,再摄取胸部正侧位片,并进一步进行各种检查初步明确诊断,经随访、手术及病理证实。结果被检出的160例胸部肿瘤中,肺恶性肿瘤87例,肺良性肿瘤23例,纵膈肿瘤45例,胸壁横膈肿瘤5例。67例周围型肺癌平均瘤体直径2.2cm,≤2cm的早期肺癌38例占56.72%。在电视透视发现的67例周围型肺癌和45例纵膈肿瘤中,分别有25例(37.31%)和21例(46.67%)在胸部平片中不能显示。结论定期胸部健康体检是早期发现胸部肿瘤的主要方法,在干部保健工作中有重要意义。胸部电视透视是健康体检早期发现胸部肿瘤的重要手段,采用肿瘤追踪筛查方法能有效地提高肺部肿瘤检出率。     

Supersaturated design including an orthogonal base

Recently, many supersaturated designs have been proposed. A supersaturated design is a fractional factorial design in which the number of factors is greater than the number of experimental runs. The main thrust of the previous studies has been to generate more columns while avoiding large values of squared inner products among all design columns. These designs would be appropriate if the probability for each factor being active is uniformly distributed. When factors can be partitioned into two groups, namely, with high and low probabilities of each factor being active, it is desirable to maintain orthogonality among columns to be assigned to the factors in the high-probability group. We discuss a supersaturated design including an orthogonal base which is suitable for this common situation. Mathematical results on the existence of the supersaturated designs are shown, and the construction of supersaturated designs is presented. We next discuss some properties of the proposed supersaturated designs based on the squared inner products.     

野生动物非法狩猎治理机制的构建

由于错误的传统饮食观念的影响,许多人认为野生动物具有较高的营养价值甚至药用价值,这成为野生动物非法狩猎行为难以治理的原因。通过实证研究方法对野生动物非法狩猎案件进行统计分析,针对非法狩猎罪中“明知”对象的法律规定模糊、适用速裁程序的案件范围窄以及社区矫正的规制机能难以发挥等问题,应当通过建立非法狩猎工具的协同治理机制、扩大速裁程序的案件覆盖范围以及针对非法狩猎者建立公益劳动制度以从根本上保障人民群众的生命健康安全和社会经济的稳定发展。     

立法程序的法理分析

立法程序乃是具有立法权限的国家机关制定、修改和废止规范性法律文件所遵循的制度化的正当过程 ,是限制立法者恣意进而使立法活动彰显程序正义的制度设置 ,也是国家通过立法手段协调利益冲突、规制社会秩序及配置社会资源的合法路径和正当法律程序。现代立法程序具有民主性、公开性、交涉性及自律性等几大属性。现代立法程序的价值体系主要由正义、效率和秩序等构成。其中 ,正义奠定了立法程序的道德基石 ,效率赋予了立法程序经济性的内涵 ,秩序则给立法程序注入了制度化的理念。现代立法程序的建构及运作应当遵循“正义优先、兼顾效率和秩序”的价值取向。     

完善政府教育投资责任制探讨

农村教育发展不均衡现象十分严重。实现教育质量均等是教育均衡的核心目标。建立省地县三级义务教育分担体制 ,按需拨款 ,实行儿童义务教育专用账户制 ,强化学校经费使用的监管 ,是均衡教育资源的有力措施。