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1.
Child Maltreat ; 20(3): 170-82, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25908320

RESUMO

Child welfare data collected for administrative purposes are often used as a source of information for understanding the population impact of child abuse and neglect (CA/N). This study used administrative data linked at the individual level for a cohort of Aotearoa New Zealand (NZ) children to follow and extend a model developed by Drake et al. In this investigation, we aimed to build an understanding of the high representation of indigenous NZ children in administratively sourced measures of CA/N. Variation in rate ratios (RRs) within infant mortality and birth outcomes considered as possible proxies for actual CA/N RRs leaves open a range of interpretations. Our findings indicate that a more nuanced interpretation of the overrepresentation of indigenous children in administratively recorded maltreatment statistics is required. Rather than considering risk and bias as competing explanations, we suggest an acknowledgment of the impact of colonization and the existence of systemic bias generating increased risk as key drivers. As linked administrative data are increasingly used for research and evaluation, and considered for use in supporting decision making, there is a need for a deeper understanding of the drivers of administratively recorded CA/N in order to effectively address the needs of indigenous populations.


Assuntos
Maus-Tratos Infantis/estatística & dados numéricos , Proteção da Criança/estatística & dados numéricos , Serviços de Saúde do Indígena/estatística & dados numéricos , Modelos Estatísticos , Havaiano Nativo ou Outro Ilhéu do Pacífico/estatística & dados numéricos , Criança , Maus-Tratos Infantis/prevenção & controle , Serviços de Saúde da Criança/organização & administração , Feminino , Humanos , Masculino , Nova Zelândia , Fatores de Risco
2.
Am J Prev Med ; 48(5): 509-19, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-25794472

RESUMO

INTRODUCTION: In 2012, the New Zealand Government announced a proposal to introduce predictive risk models (PRMs) to help professionals identify and assess children at risk of abuse or neglect as part of a preventive early intervention strategy, subject to further feasibility study and trialing. The purpose of this study is to examine technical feasibility and predictive validity of the proposal, focusing on a PRM that would draw on population-wide linked administrative data to identify newborn children who are at high priority for intensive preventive services. METHODS: Data analysis was conducted in 2013 based on data collected in 2000-2012. A PRM was developed using data for children born in 2010 and externally validated for children born in 2007, examining outcomes to age 5 years. RESULTS: Performance of the PRM in predicting administratively recorded substantiations of maltreatment was good compared to the performance of other tools reviewed in the literature, both overall, and for indigenous Maori children. CONCLUSIONS: Some, but not all, of the children who go on to have recorded substantiations of maltreatment could be identified early using PRMs. PRMs should be considered as a potential complement to, rather than a replacement for, professional judgment. Trials are needed to establish whether risks can be mitigated and PRMs can make a positive contribution to frontline practice, engagement in preventive services, and outcomes for children. Deciding whether to proceed to trial requires balancing a range of considerations, including ethical and privacy risks and the risk of compounding surveillance bias.


Assuntos
Modelos Teóricos , Serviços Preventivos de Saúde , Adulto , Maus-Tratos Infantis/prevenção & controle , Pré-Escolar , Feminino , Previsões , Humanos , Lactente , Masculino , Nova Zelândia , Grupos Populacionais , Medição de Risco/métodos , Adulto Jovem
3.
J Mol Evol ; 57 Suppl 1: S233-40, 2003.
Artigo em Inglês | MEDLINE | ID: mdl-15008420

RESUMO

By considering three DNA sequences simultaneously there is sufficient information to recover a full Markov model with three transition matrices from the root to each of the sequences. It is necessary to have relatively long sequences because, for nucleotides, the full model requires 39 parameters that are estimated from 63 observable values. This triplet Markov method is evaluated for the protein coding genes of mammalian vertebrate mitochondrial genomes, and, in addition, version for two-state-characters (such as R/Y coding) is implemented. A key finding is that some changes in mutational mechanism differentially affect the mutation rate between pairs of nucleotides: there does not appear to be a universal change in "rate" of evolution. It remains to be explored whether detecting changes in certain nucleotide interchanges can be localized to a particular part of the DNA replication/repair system. In order to estimate divergence dates it may eventually be advantageous to use the nucleotide interchanges that show little rate change.


Assuntos
Evolução Molecular , Cadeias de Markov , Modelos Genéticos , Mutação , Animais , Códon , Reparo do DNA , Humanos , Mamíferos/genética , Mitocôndrias/genética , Purinas , Pirimidinas
4.
Genome Inform ; 13: 82-92, 2002.
Artigo em Inglês | MEDLINE | ID: mdl-14571377

RESUMO

Evolutionary trees sit at the core of all realistic models describing a set of related sequences, including alignment, homology search, ancestral protein reconstruction and 2D/3D structural change. It is important to assess the stochastic error when estimating a tree, including models using the most realistic likelihood-based optimizations, yet computation times may be many days or weeks. If so, the bootstrap is computationally prohibitive. Here we show that the extremely fast "resampling of estimated log likelihoods" or RELL method behaves well under more general circumstances than previously examined. RELL approximates the bootstrap (BP) proportions of trees better that some bootstrap methods that rely on fast heuristics to search the tree space. The BIC approximation of the Bayesian posterior probability (BPP) of trees is made more accurate by including an additional term related to the determinant of the information matrix (which may also be obtained as a product of gradient or score vectors). Such estimates are shown to be very close to MCMC chain values. Our analysis of mammalian mitochondrial amino acid sequences suggest that when model breakdown occurs, as it typically does for sequences separated by more than a few million years, the BPP values are far too peaked and the real fluctuations in the likelihood of the data are many times larger than expected. Accordingly, several ways to incorporate the bootstrap and other types of direct resampling with MCMC procedures are outlined. Genes evolve by a process which involves some sites following a tree close to, but not identical with, the species tree. It is seen that under such a likelihood model BP (bootstrap proportions) and BPP estimates may still be reasonable estimates of the species tree. Since many of the methods studied are very fast computationally, there is no reason to ignore stochastic error even with the slowest ML or likelihood based methods.


Assuntos
Algoritmos , Teorema de Bayes , Biologia Computacional/métodos , Funções Verossimilhança , Filogenia , Animais , Interpretação Estatística de Dados , Humanos , Cadeias de Markov , Método de Monte Carlo , Análise de Sequência de DNA/métodos
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