Identity in political context: lesbian/gay representation in the public sphere

Discourses constructed to represent lesbians and gay men in the public sphere generate an essentialist identity which is both necessary and damaging. Legislative debate illustrates the production of a constrictive and homogeneous identity rejected by many gay/lesbian scholars and activists. Discussion of the rhetorical power of identity claims has produced alternative stances toward variant sexuality. This discussion can be advanced by challenging dominant constructions of civil rights and the public sphere.     

Improving performance in a contracted physician network

Health care organizations face significant performance challenges. Achieving desired results requires the highest level of partnership with independent physicians. Tufts Health Plan invited medical directors of its affiliated groups to participate in a leadership development process to improve clinical, service, and business performance. The design included performance review, gap analysis, priority setting, improvement work plans, and defining the optimum practice culture. Medical directors practiced core leadership capabilities, including building a shared context, getting physician buy-in, and managing outliers. The peer learning environment has been sustained in redesigned medical directors' meetings. There has been significant performance improvement in several practices and enhanced relations between the health plan and medical directors.     

The economic effects of faculty unions

The relationship between faculty salaries and unionism at Ph.D.-level universities is investigated. Unlike previous attempts at analyzing this topic, the model endogenizes the union-nonunion choice using appropriate techniques for analyzing limited dependent variables. These techniques allow computation of average salaries for all schools under the assumption that they are unionized and also under the assumption that they are not unionized. Subtraction of the predicted nonunion salary from the union salary provides an estimate of salary differences, which is corrected for selectivity bias.     

Three faces of cruelty: Towards a comparative sociology of violence

Conclusion In our contemporary society, ferocious cruelty is no longer structurally induced; it is no longer part of the dominant ceremonial order, although we still find individual cases. In this sense, modern society appears more humane. But at the same time, the dangers of callousness increase; and the technological efficiency of modern instruments of destruction makes its consequencess all the more appalling while it hides them from view. Between these opposing trends, ascetic cruelty has had its ups and downs, cresting during periods of mobilized conflict.There is no evolutionary trend towards kindness and happiness. Ferociousness once increased, then declined; callousness and asceticism now oppose each other as defenders and challengers of the status quo. And the institutionalized asceticism of a victorious revolutionary movement easily amalgamates with the callousness of an established bureaucratic regime.The demons can be exorcised, but only by seeing them for what they are. Those who claim that the demons can be exorcised only by action in the world, not by theorizing about them, seem to be possessed by demons of their own, especially the demon of asceticism; one senses here the communal hostility of the ascetic to the individual luxury of intellectual contemplation. And here is the danger. Those who deny everything for the self deny it as well for others; our altruism, taken too exclusively, is an infinite regress, passing a bucket from hand to hand that never reaches the fire. When we act, we call out the demons to meet us. Be careful: they are ourselves.     

Combining Food Frequency and Survey Data to Quantify Long-Term Dietary Exposure: A Methyl Mercury Case Study

Twenty-four-hour recall data from the Continuing Survey of Food Intake by Individuals (CSFII) are frequently used to estimate dietary exposure for risk assessment. Food frequency questionnaires are traditional instruments of epidemiological research; however, their application in dietary exposure and risk assessment has been limited. This article presents a probabilistic method of bridging the National Health and Nutrition Examination Survey (NHANES) food frequency and the CSFII data to estimate longitudinal (usual) intake, using a case study of seafood mercury exposures for two population subgroups (females 16 to 49 years and children 1 to 5 years). Two hundred forty-nine CSFII food codes were mapped into 28 NHANES fish/shellfish categories. FDA and state/local seafood mercury data were used. A uniform distribution with minimum and maximum blood-diet ratios of 0.66 to 1.07 was assumed. A probabilistic assessment was conducted to estimate distributions of individual 30-day average daily fish/shellfish intakes, methyl mercury exposure, and blood levels. The upper percentile estimates of fish and shellfish intakes based on the 30-day daily averages were lower than those based on two- and three-day daily averages. These results support previous findings that distributions of "usual" intakes based on a small number of consumption days provide overestimates in the upper percentiles. About 10% of the females (16 to 49 years) and children (1 to 5 years) may be exposed to mercury levels above the EPA's RfD. The predicted 75th and 90th percentile blood mercury levels for the females in the 16-to-49-year group were similar to those reported by NHANES. The predicted 90th percentile blood mercury levels for children in the 1-to-5-year subgroup was similar to NHANES and the 75th percentile estimates were slightly above the NHANES.     

A study of the relationship between protective behaviors and drinking consequences among undergraduate college students

The authors identified the number, type, and frequency of protective behaviors that undergraduate college students who consume alcohol use to prevent alcohol-related consequences. Their hypothesis was that students who engage in more types of protective behaviors with greater frequency would be less likely to experience alcohol-related consequences. Participants consisted of a randomly selected sample of 1,355 undergraduates aged 18 years and older at a large public university. Students completed a mailed questionnaire on alcohol and health behaviors in spring 2002. The findings (after adjustment for covariates) indicated that self-protective behaviors are inversely associated with alcohol-related problems for women but not for men. The influences of gender and racial and ethnic differences are considered in relation to prevention and intervention programs aimed at reducing alcohol-related consequences on college campuses.