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1.
John D. Emerson David C. Hoaglin Frederick Mosteller 《Statistical Methods and Applications》1993,2(3):269-290
Summary Meta-analyses of sets of clinical trials often combine risk differences from several 2×2 tables according to a random-effects
model. The DerSimonian-Laird random-effects procedure, widely used for estimating the populaton mean risk difference, weights
the risk difference from each primary study inversely proportional to an estimate of its variance (the sum of the between-study
variance and the conditional within-study variance). Because those weights are not independent of the risk differences, however,
the procedure sometimes exhibits bias and unnatural behavior. The present paper proposes a modified weighting scheme that
uses the unconditional within-study variance to avoid this source of bias. The modified procedure has variance closer to that
available from weighting by ideal weights when such weights are known. We studied the modified procedure in extensive simulation
experiments using situations whose parameters resemble those of actual studies in medical research. For comparison we also
included two unbiased procedures, the unweighted mean and a sample-size-weighted mean; their relative variability depends
on the extent of heterogeneity among the primary studies. An example illustrates the application of the procedures to actual
data and the differences among the results.
This research was supported by Grant HS 05936 from the Agency for Health Care Policy and Research to Harvard University. 相似文献
2.
Robert J. Wheeler 《Social indicators research》1991,24(1):71-79
A comprehensive set of variables that have been supported as contributing to overall health and general well-being were analyzed to determine their simple structure using factor analysis and their relative contribution using Pearson correlation. The contributors to general well-being had been theoretically grouped into: emotions, beliefs, temperaments, behaviors, sittuations, experiences and health. The empirical factor structure was compared with the theoretical structure used to develop the variables. Stability was investigated by comparing results with those of another geographically separated group. All subjects were normally functioning working adults. The results demonstrated the feasibility and potential usefulness of using self-report questionnaires with multivariate procedures to measure components of the global general well-being concept. 相似文献
3.
Summary Based on 14 case studies of highly effective therapies and the reasons they succeeded less frequently than they could, we
propose a variety of steps to improve the health care system of the U.S.A. Whatever proposal emerges from current national
debates until innovations are shown to be safe and effective, they should not be supported; when slightly better technologies
are much more expensive than other good ones we need to consider appropriate choices carefully; simplified billing and bookkeping
would reduce our costs; when a technology is rapidly introduced cautionnary measures may be needed; tracking immunization
and repairing their omissions requires a new system; educational programs such as seen effective in hypertension should be
applied in other areas such as vaccination; in organ transplantation the nation should consider “presumed consent”; our payment
system sometimes creates perverse incentives and therefore needs review; and the preferences of the public in allocation of
health resources need to be discovered once the public is informed about the issues.
Research supported by Andrew W. Mellon Foundation. 相似文献
4.
The Czech Republic is changing rapidly and its current economic transformation is a strain on Czech families. In this study, the connection between economic strain and individual well-being is investigated via mailed questionnaires from 234 households in the Czech Republic. For Czech women, depression rises more with economic strain than does hostility, while Czech men become more hostile than depressed in the face of economic strain. For women, social support is a buffer between economic strain and hostility, whereas self-esteem is a buffer for depression. For men, both self-esteem and social support exacerbate hostility in the context of economic strain. 相似文献
5.
Don A. Dillman Tommy L. Brown John E. Carlson Edwin H. Carpenter Frederick O. Lorenz Robert Mason John Saltiel Roberta L. Songster 《Rural sociology》1995,60(4):674-687
Abstract Past research suggests that mail surveys encourage a primacy effect, which is a tendency to choose the first answers from a list, whereas telephone surveys encourage a recency effect, a tendency to choose the last answers from a list. This paper summarizes results from 82 new experiments conducted in 12 separate surveys in seven states. Only four of 33 mail survey comparisons exhibited significant primacy effects, while five of 26 experiments in telephone surveys exhibited recency effects. In addition, only three of 23 cross-method comparisons produced a significant primacy/recency effect in the expected manner. The conclusion is that the prevalence of primacy and recency effects has been over-estimated by past research and a new theoretical approach that takes into account multiple causation is needed for examining these effects. 相似文献
6.
Frederick J. Desroches Ph.D. 《Qualitative sociology》1990,13(1):39-61
Conclusion Like many studies of covert deviance, this paper is based upon a captive sample of persons who have come to the attention of law enforcement agencies. The existence of Laud Humphreys' research, however, makes possible a comparison of police generated data with data obtained through observations and interviews with unapprehended offenders. Because police observations were so detailed, a rare opportunity to replicate a qualitative study presented itself. This research largely substantiates the picture drawn by Humphreys in his classic study,Tearoom Trade: Impersonal Sex in Public Places. Consistent with his observations, most tearoom participants (a) communicate through non-verbal gestures and seldom speak, (b) do not associate outside the tearoom or attempt to learn one another's identity or exchange biographical information, (c) do not use force or coercion or attempt to involve youths or children, (d) are primarily heterosexual and married, (e) depart separately with the insertor leaving first, (f) commit their sex acts out of sight of the entrance and accidental exposure, (g) do not undress or engage in anal sex, (h) break off sexual contact when someone enters the washroom, (i) rarely approach straight men, (j) read and write sexually explicit homosexual graffiti, and (k) linger inside and outside the washroom for someone to appear. In addition, (1) fellatio is generally not reciprocated and fellators are usually older men; (m) most offenders are neat in appearance; (n) some engage in series and simultaneous encounters; (o) encounters are brief, usually not exceeding twenty minutes; and (p) few have criminal records with the exception of those previously convicted of similar offenses.The behavior of players reveals remarkable consistency over time, from community to community, and across national boundaries. Many men, the majority of them married and primarily heterosexual, continue to visit out-of-the-way public washrooms in search of fast, impersonal, and exciting sex despite the risk to family, friends, job, and reputation. Although shopping malls have usurped public parks as the favorite locale of tearoom participants, the basic rules of the game and profile of the players—as Humphreys contends—remain the same over time and place. 相似文献
7.
8.
Frederick D. Buggie 《Long Range Planning》1982,15(2):22-31
Guidelines are offered for following the tortuous trail of new- product development. To succeed, you must first accumulate many likely new-product concepts, rather than just one or two. They all should be subjected to preliminary market research at the same time that they are being investigated for their production feasibility. Feedback-loops must be built in to bridge and reflect results from these simultaneous processes, and the concepts themselves must be allowed to change and undergo a gradual metamorphosis…or they must be allowed to die painlessly at this early stage. Finally, the survivors will achieve commercial success only through the optimism and preseverance of their ‘pilot’. 相似文献
9.
Complete and accurate understandings of stratification depend on more regular consideration of disability. To build sociologists' recognition of disability as a socially constructed axis of stratification, we first demonstrate the construction of the disability category through classic legitimating processes: moral attributions, biological attributions, separation, and dichotomization. Expanding understandings of basic processes of stratification, we then document the centrality of disability in the social construction of class, race, gender, sexual orientation, and age. Finally, we show various ways disability functions as an axis of stratification in intersection with other key axes of stratification. 相似文献
10.
Research shows that those with greater social capital enjoy better physical and mental health. The current study illuminates a paradox of social capital which may afflict those involved in traumatic events. Several years of survey data reveal a dynamic picture of the link between social capital and stress following Hurricane Katrina. Results reveal that initially after Katrina, those who were more socially embedded carried the greatest load with respect to helping the displaced population, thus experiencing more stress. But over time, the most socially-involved then snapped back from their stressful experiences more rapidly than isolates. This confirms that over the course of stressful events, social involvement first exposes people to more stress, but as time passes, provides them a significant buffer against negative psychosocial experiences. 相似文献