Demographic Shifts in the Czech Republic after 1989: A Second Demographic Transition View

A dramatic change in fertility,family formation and living arrangements tookplace in the Czech Republic over the 1990s. Theestablishment of democracy, profound socialtransformation and transition to the marketeconomy affected the values and demographicbehaviour of the young Czech generation. Thispaper examines whether these demographic shiftscan be interpreted within the framework of thesecond demographic transition. The theoreticalpart discusses the idea of the transition,outlining three distinctive conceptualisations.Two of them – the view of the transition as aprogression of characteristic interrelateddemographic changes and a broader viewstressing the importance of underlyingideational factors – fit the Czech situationvery well. A comparison with the Netherlandsreveals that the onset of the transition in theCzech Republic may be clearly located in thefirst half of the 1990s, lagging two decadesbehind the Netherlands.     

The End of “Lowest‐Low” Fertility?

Total fertility rates fell to previously unseen levels in a large number of countries beginning in the early 1990s. The persistence of TFRs below 1.3 raised the possibility of rapid population aging and decline. We discuss the recent widespread turnaround in so‐called lowest‐low‐fertility countries in Europe and East Asia. The number of countries with TFRs below 1.3 fell from 21 in 2003 to five in 2008. Moreover, the upturn in the TFR was not confined to lowest‐fertility countries, but affected the whole developed world. We explore the demographic explanations for the recent rise in TFRs stemming from fertility timing effects as well as economic, policy, and social factors. Although the current economic downturn may suppress TFRs in the short run, we conclude that formerly lowest‐low‐fertility countries will continue to see increases in fertility as the transitory effects of shifts to later childbearing become less important.     

Changing attitudes about self-injury prevention management: lessons learned

In the behavioral health environment, nurses often use continuous staff monitoring and, at times, physical restraints, to manage the severity of patients' self-injury. Both options put staff in control, are the most restrictive in nature, and can be financially draining on the hospital's budget. This can result in negative reactions by both patients and staff. It is important to develop a program that will empower patients to control their behavior and allow staff to be aware of their perceptions and attitudes toward patients who self-injure. This article describes the leadership initiative that drove the development, training, and implementation of a self-injury prevention project and the lessons learned by staff.     

Large scale communication networks—Design and analysis

The paper discusses the problem of design and analysis of large scale communication systems. An iterative process, composed of a minimum cost network design algorithm and a network performance algorithm, is presented for the solution of these problems. Computational considerations, using these algorithms, are discussed.     

Is Lowest‐Low Fertility in Europe Explained by the Postponement of Childbearing?

In 2001, more than half of Europe's population lived in countries with a total fertility rate (TFR) at or below 1.3. Use of the adjusted TFR proposed by Bongaarts and Feeney, which takes into account the effects of the ongoing fertility postponement, changes the European fertility map considerably. All 27 countries analyzed had adjusted TFRs in 1995–2000 above 1.4. Thus, the “lowest‐low” fertility in Europe may be interpreted as a temporary consequence of the increasing age at motherhood. However, substantial regional differences in fertility level across Europe persist even when the differential pace of fertility postponement is taken into account. The estimated adjusted TFRs in Europe (1.63) and in the 25‐member European Union (1.71) contrast with the TFR levels of 1.40 and 1.46, respectively. These seemingly small differences have vastly different implications in terms of the potential long‐term pace of population decline.     

Assessing the effectiveness of strategic planning

This paper describes a method for assessing the effectiveness of strategic planning systems in terms of the results actually observed subsequent to planning activity. The paper explains in particular how, in making the assessment, one might cope with the fact of environmental change subsequent to the setting of planned goals. This ends oriented approach to measuring effectiveness is shown to be complementary to process oriented approaches and is illustrated by an example from the coal industry.     

Improving homeless persons' utilisation of primary care: lessons to be learned from an outreach programme in The Netherlands

Elissen AMJ, Van Raak AJA, Derckx EWCC, Vrijhoef HJM. Improving homeless persons' utilisation of primary care: lessons to be learned from an outreach programme in The Netherlands Faced with rising homelessness, countries around the world are in need of innovative approaches to caring for those without shelter, who, more often than not, suffer from severe health problems. We conducted a case study of an innovative Dutch Primary Care for the Homeless (PCH) programme to gain insight into clients' demographic characteristics, health problems and service use, and to develop an explanation for its success in increasing the latter. Our analyses are based on a combination of quantitative and qualitative data. The results of the study suggest that the success of the PCH programme can be explained by the providers' pragmatism and will to adapt their mode of care provision to the behavioural patterns and needs of their homeless clients.     

Bayesian regularisation in geoadditive expectile regression

Regression modelling beyond the mean of the response has found a lot of attention in the last years. Expectile regression is a special and computationally convenient case of this type of models where expectiles offer a quantile-like characterisation of the complete distribution and include the mean as a special case. In the frequentist framework, expectile regression could be combined with covariate effects of quite different forms and in particular nonlinear and spatial effects. We propose Bayesian expectile regression based on the asymmetric normal distribution as an auxiliary likelihood to allow for the additional inclusion of Bayesian regularisation priors for covariates with linear effects. Proposal densities based on iteratively weighted least squares updates for the resulting Markov chain Monte Carlo simulation algorithm are developed and evaluated in both simulations and an application. A special focus of the simulations lies on the evaluation of coverage properties of the Bayesian credible bands and the quantification of the detrimental effect arising from the misspecification of the auxiliary likelihood.     

On confidence intervals for semiparametric expectile regression

In regression scenarios there is a growing demand for information on the conditional distribution of the response beyond the mean. In this scenario quantile regression is an established method of tail analysis. It is well understood in terms of asymptotic properties and estimation quality. Another way to look at the tail of a distribution is via expectiles. They provide a valuable alternative since they come with a combination of preferable attributes. The easy weighted least squares estimation of expectiles and the quadratic penalties often used in flexible regression models are natural partners. Also, in a similar way as quantiles can be seen as a generalisation of median regression, expectiles offer a generalisation of mean regression. In addition to regression estimates, confidence intervals are essential for interpretational purposes and to assess the variability of the estimate, but there is a lack of knowledge regarding the asymptotic properties of a semiparametric expectile regression estimate. Therefore confidence intervals for expectiles based on an asymptotic normal distribution are introduced. Their properties are investigated by a simulation study and compared to a boostrap-based gold standard method. Finally the introduced confidence intervals help to evaluate a geoadditive expectile regression model on childhood malnutrition data from India.