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关键词： child welfare   children   community intervention   evidence-based practice   intervention   quantitative   ABBREVIATED TREATMENTS   FOLLOW-UP   BEHAVIOR   EFFICACY   STANDARD  

摘要： Objectives: The purpose of this study was to evaluate Parent-Child Interaction Therapy (PCIT) deployed in a community setting comparing in-home with the standard office-based intervention. Child behavior, parent stress, parent functioning, and attrition were examined. Methods: Using a quasi-experimental design, standardized measures at three time points were collected from parent-child dyads (n=120) with thirty-seven families completing treatment. Results: Growth modeling analyses indicate significant improvements in child and parent outcomes in both treatment settings with more rapid improvements in parent outcomes within office-based treatment. Attrition was predicted by income and parent functioning. Conclusion: PCIT delivered in the community can produce measureable improvements. In-home PCIT is a feasible option but future research should consider benefits and costs. Treatment completion remains a challenge.

关键词： Partial Little Square   Data Type   Random Forest   Molecular Data   Classification Algorithm  

摘要： Background: Combining clinical and molecular data types may potentially improve prediction accuracy of a classifier. However, currently there is a shortage of effective and efficient statistical and bioinformatic tools for true integrative data analysis. Existing integrative classifiers have two main disadvantages: First, coarse combination may lead to subtle contributions of one data type to be overshadowed by more obvious contributions of the other. Second, the need to measure both data types for all patients may be both unpractical and (cost) inefficient. Results: We introduce a novel classification method, a stepwise classifier, which takes advantage of the distinct classification power of clinical data and high-dimensional molecular data. We apply classification algorithms to two data types independently, starting with the traditional clinical risk factors. We only turn to relatively expensive molecular data when the uncertainty of prediction result from clinical data exceeds a predefined limit. Experimental results show that our approach is adaptive: the proportion of samples that needs to be re-classified using molecular data depends on how much we expect the predictive accuracy to increase when re-classifying those samples. Conclusions: Our method renders a more cost-efficient classifier that is at least as good, and sometimes better, than one based on clinical or molecular data alone. Hence our approach is not just a classifier that minimizes a particular loss function. Instead, it aims to be cost-efficient by avoiding molecular tests for a potentially large subgroup of individuals; moreover, for these individuals a test result would be quickly available, which may lead to reduced waiting times (for diagnosis) and hence lower the patients distress. Stepwise classification is implemented in R-package stepwiseCM and available at the Bioconductor website.

关键词： SUSTAINABLE architecture   SUSTAINABLE building design & construction   CONSTRUCTION contracts  

摘要： The article reports on the plan of the American Institute of Architects (AIA) to issue green model contract forms in order to minimize the exposure of sustainable projects to legal issues in the U.S. Institute associate counsel Joshua Balance explains that the goal of the forms is to ensure the correct definition of the roles and responsibilities. The forms are based on contract agreements between owner and architect and between owner and contractor.

关键词： 化学检验   技能大赛   理论知识   操作技能  

摘要： 本文主要从化学检验技能大赛推动校内实训基地的建设、提升教师理实一体化的教学能力、提高学生的综合职业素质等几方面阐述化学检验技能大赛对日常教学的促进作用。

关键词： 医学检验   感染管理   制度规程   防护处理  

摘要： 医院感染与医疗质量和医疗安全密切相关,直接影响到患者的安全和医务人员的健康。本文针对当前医院检验科在感染管理工作方面存在的一些问题,提出了相应的对策和意见。

关键词： 生化检验   肾上腺皮质疾病   应用  

摘要： 目的探讨生化检验在肾上腺皮质疾病诊断中的作用。方法回顾性分析2009年4月至2011年4月因肾上腺皮质疾病入住我院的64位患者的临床资料,按所采取检验方法的不同分为生化检验组和常规检验组。其中生化检验组38例,常规检验组26例。结果生化检验组检验有效36例,检验无效2例,有效率为94.7%;常规检验组检验有效19例,检验无效7例,有效率73.1%。结论生化检验较常规检验在肾上腺皮质疾病诊断中的作用显著,可作为肾上腺皮质疾病的例行检查。

关键词： POPs   包装技术   杀虫剂   重庆市   识别   分类   持久性有机污染物   经验  

摘要： 废弃杀虫剂类POPs（持久性有机污染物）会对人体健康造成严重而持久的危害。目前，中国主要采用高温焚烧技术来处理杀虫剂类POPs．而有效识别、分类和包装技术则是确保高温焚烧消除率的关键前提。重庆市率先开展的杀虫剂类POPs的处置试点工作，在识别、分类和包装技术上取得了进步．也为全国范围内的清运处置工作提供了良好的借鉴作用。

关键词： 一次性无菌过滤器   质量评价   无菌检查  

摘要： 目的探讨不同厂家不同规格的一次性无菌过滤器的质量。方法通过采用无菌检查的方法对其进行验证检查,以氟哌叮醇注射液为样品,根据试验结果对一次性无菌过滤器的质量进行分析、比较和评估。结果不同厂家相同规格的一次性无菌过滤器均通过ISO9001质量管理体系及ISO4001环境管理体系的认证,可以满足各类检品无菌试验的检查要求。结论不同厂家相同规格的一次性无菌过滤器按照《中国药典》2010年版"无菌检查首选方法",无菌质量控制可满足方法学的验证。

关键词： 国际贸易   计价货币   货币职能   非平衡面板数据  

摘要： 基于20个国家的非平衡面板数据实证分析表明,经济实力、产品差异化程度、贸易市场份额、贸易地理方向、币值稳定性、国内金融市场深化程度等是决定一国货币能否在国际贸易中充当计价货币的主要因素。这些因素是一国经济实力、贸易实力和货币实力的集中体现,其中经济实力是基础,贸易实力是关键,货币实力是支撑。此外货币联盟也会提高区域统一货币在国际贸易中的计价地位。

关键词： 质量监督检验中心   产品检测   安全防范报警系统   上海   副主任   认证中心   分发   检测机构  

摘要： 记者：产品检测是认证的重要环节。作为认证中心的分包检测机构，十年来，上海检测中心是如何严把认证产品检测质量关的？在产品检测这一环节，如何确保和促进认证质量？