The Influence of the Socio-economic Characteristics of Disabled People on Their Employment Status and Income

Most of the studies of the employment and income levels of disabled people focus on a specific disability or on severely disabled persons. A few studies are cross disability ones, but they fail to go beyond simple associations or else have extremely small sample sizes. There is a need for studies which are cross disability and which have an adequate sample size in order to determine if there are structural variables in society—like a class system-which operate upon the employment opportunities of disabled persons. Using a sample (n = 733) of the Disability Community in Massachusetts, socio-economic variables related to employment and income are studied. Statistically significant relationships are found. Several models are developed and the implications for social theory are discussed.     

Naming Men as Men: Implications for Work,Organization and Management

This paper seeks to contribute to the growing interest in naming men as men as part of a critical analysis of gendered power relations in organizations. The paper highlights the way in which men and masculinities are frequently central to organizational analysis, yet rarely the focus of interrogation. They remain taken for granted and hidden. Examining recent studies that contribute to a critical analysis of gendered power relations, we consider the growing interest in multiplicity, diversity and difference. In particular, we explore the issue of ‘multiple masculinities’ as well as some of the conceptual difficulties that surround it. Arguing for an approach which addresses the unities, differences and interrelations between men and masculinities, we suggest that critical studies of gendered power need to examine the management of organizations in much more detail. Highlighting five masculinities that seem to be routinely embedded in managerial discourses and practices, we conclude by advocating further research in this previously neglected area.     

TEACHING TOOLS: ECONOMICS OF CHILDHOOD IMMUNIZATION

Recent outbreaks of measles and other childhood diseases have put immunization policy on the national agenda. This teaching note on childhood immunization, intended for principles courses, discusses the rationale for government involvement, the situation in the U.S., and the policies of Northern Ireland and Austria. It emphasizes (a) the use of financial incentives to motivate behavior, (b) the distinction between shifting and moving along the demand curve, and (c) the notion of negative prices (i.e., paying the customer to "buy" the item). Students especially like the idea of the demand curve extending below the x-axis.     

Adaptive Management: A Paradigm for Remediation of Public Facilities Following a Terrorist Attack

Terrorist actions are aimed at maximizing harm (health, psychological, economical, and political) through the combined physical impacts of the act and fear. Immediate and effective response to a terrorist act is critical to limit human and environmental harm, effectively restore facility function, and maintain public confidence. Though there have been terrorist attacks in public facilities that we have learned from, overall our experiences in restoration of public facilities following a terrorist attack are limited. Restoration of public facilities following a release of a hazardous material is inherently far more complex than in industrial settings and has many unique technical, economic, social, and political challenges. For example, there may be a great need to quickly restore the facility to full operation and allow public access even though it was not designed for easy or rapid restoration, and critical information is needed for quantitative risk assessment and effective restoration must be anticipated to be incomplete and uncertain. Whereas present planning documents have substantial linearity in their organization, the “adaptive management” paradigm provides a constructive parallel paradigm for restoration of public facilities that anticipates and plans for uncertainty, inefficiencies, and stakeholder participation. Adaptive management grew out of the need to manage and restore natural resources in highly complex and changing environments with limited knowledge about causal relationships and responses to restoration actions. Similarities between natural resource management and restoration of a public facility after a terrorist attack suggest that integration of adaptive management principles explicitly into restoration processes will result in substantially enhanced and flexible responses necessary to meet the uncertainties of potential terrorist attacks.     

Issues in applying recent CPMP ‘Points to Consider’ and FDA guidance documents with biostatistical implications

The International Conference on Harmonisation guideline ‘Statistical Principles for Clinical Trials’ was adopted by the Committee for Proprietary Medicinal Products (CPMP) in March 1998, and consequently is operational in Europe. Since then more detailed guidance on selected topics has been issued by the CPMP in the form of ‘Points to Consider’ documents. The intent of these was to give guidance particularly to non‐statistical reviewers within regulatory authorities, although of course they also provide a good source of information for pharmaceutical industry statisticians. In addition, the Food and Drug Administration has recently issued a draft guideline on data monitoring committees. In November 2002 a one‐day discussion forum was held in London by Statisticians in the Pharmaceutical Industry (PSI). The aim of the meeting was to discuss how statisticians were responding to some of the issues covered in these new guidelines, and to document consensus views where they existed. The forum was attended by industry, academic and regulatory statisticians. This paper outlines the questions raised, resulting discussions and consensus views reached. It is clear from the guidelines and discussions at the workshop that the statistical analysis strategy must be planned during the design phase of a clinical trial and carefully documented. Once the study is complete the analysis strategy should be thoughtfully executed and the findings reported. Copyright © 2003 John Wiley & Sons, Ltd.     

A simple estimator for a shared frailty regression model

Summary. We propose a simple estimation procedure for a proportional hazards frailty regression model for clustered survival data in which the dependence is generated by a positive stable distribution. Inferences for the frailty parameter can be obtained by using output from Cox regression analyses. The computational burden is substantially less than that of the other approaches to estimation. The large sample behaviour of the estimator is studied and simulations show that the approximations are appropriate for use with realistic sample sizes. The methods are motivated by studies of familial associations in the natural history of diseases. Their practical utility is illustrated with sib pair data from Beaver Dam, Wisconsin.