Ambulance allocation for maximal survival with heterogeneous outcome measures

This paper proposes new models for locating emergency medical services (EMS) by incorporating survival functions for capturing multiple-classes of heterogeneous patients. The Maximal Expected Survival Location Model for Heterogeneous Patients (MESLMHP) aims to maximize the overall expected survival probability of multiple-classes of patients, whereby different classes could be defined according to agreed patient categories based on response time targets, or by capturing differing medical conditions each with a corresponding survival function. Furthermore, we propose and demonstrate an approximation approach to solving the extended stochastic version of MESLMHP, which utilizes queuing theory to permit the modeling of congestion and utilization at each ambulance station, and does not require assumptions to be made on the utilization of ambulances. Both models are demonstrated using data from the ambulance service in Wales. We show that our multiple outcome measures and survival-maximizing approach, rather than one based on average response time targets alone or a single patient class provides more effective EMS ambulance allocations.     

Oestrogen Rising 2016: Ireland’s stained and bloodied cloths

A weaver, seamstress, laundress and artist, in this essay I shall spin a yarn, tangle a web, and construct a text(ile) of the inter-weave of narrative and identity that I define as my intellectual, textual, somatic and material/visual practice obsessions. My work explores ‘the places in-between’ in the entanglements of Irish and Northern Irish gender and identity, and in the abject fabrics of death and of desire. As an Irish feminist, sense-making of the complexities, conundrums, challenges and contradictions of my land, my cloth, my body and my culture owes much to Irish women before me who fought for female suffrage, and Irish women now – north and south of the border that divides the island of Ireland – who still struggle for equality of citizenship, social justice, human rights, and full reproductive autonomy. My contention is that when we accept that Ireland herself is a many-layered cloth, a stained and bloodied cloth, a cloth marked irreversibly by history, conflict, denial and abuse, stained by its own repression, marked through denial of all its people’s rights and needs, and bloodied by its greatest export, the haemorrhage of its people, then – polemical, didactic or reflective, with more compassion, empathy, humility and heart – we just might make peace with our past.     

“Here One Moment… and Gone the Next?” Remittance as a Social Visibility Tool

Human labor is as much an export as any good. Remittances are a critical source of income for left‐behind families and communities. Transnational labor migrants often describe themselves as ‘invisible’: neither present in the lives of left‐behind families nor members of the receiving community. Building on social remittances literature, we argue that remittances serve as a remedy for this ‘invisibility.’ Through analysis of interviews with 26 temporary labor migrants from 11 countries resident in Israel, we find remittances can render migrants visible to transnational families and provide identity benefits to labor migrants. If visibility benefits decline because of familial role changes, reduced value as a remitter, cost exceeding benefits or because contracting partners change, remittance practices will change. Contrary to previous literature, our findings show that remittances decisions are dynamic, revealing why remittances practices change and even cease. Findings have implications for understanding the multibillion‐dollar remittances industry and immigrant incorporation.     

DO GENERAL TREATMENT GUIDELINES FOR ASIAN AMERICAN FAMILIES HAVE APPLICATIONS TO SPECIFIC ETHNIC GROUPS? THE CASE OF CULTURALLY‐COMPETENT THERAPY WITH KOREAN AMERICANS

To serve Korean American families effectively, marriage and family therapists need to develop a level of cultural competence. This content analysis of the relevant treatment literature was conducted to discover the most common expert recommendations for family therapy with Asian Americans and to examine their application to Korean Americans. Eleven specific guidelines were generated: Assess support systems, assess immigration history establish professional credibility, provide role induction, facilitate "saving face," accept somatic complaints, be present/problem focused, be directive, respect family structure, be nonconfrontational, and provide positive reframes. Empirical support (clinical and nonclinical research) and conceptual support for each guideline are discussed, and conclusions are reached regarding culturally competent therapy with Korean American families.     

Supporting Ally Development with Families of Trans and Gender Nonconforming (TGNC) Youth

This article is a call to the field of counseling to bridge the research on trans and gender nonconforming (TGNC) youth identity development, family acceptance, and ally development to promote TGNC-affirming family, school, and community environments for TGNC youth. Opportunities and challenges counselors face in supporting ally development of families of TGNC youth are described. Interventions and strategies are described and recommendations for counselors working with the family members of TGNC youth are provided.     

Care for Kids — Do We? A Psychological Study of State Wards in New South Wales

An investigation of children entering State wardship revealed a common background of poverty, mobility of domicile, neglect and deprivation together with physical abuse. There were high levels of parental loss and parental psychiatric illness and criminality. While of average intelligence, the children were educationally retarded and emotionally disturbed with depression and hostility the main symptoms. They perceived their environment as violent and aggressive and themselves as deprived or experiencing loss. Most clung to idealized parental figures and denied the reality of their present situation. On discharge from the receiving centre only four children were fostered and the rest continued in care.     

“What problems do you confront?” an approach to doing qualitative research

Social life is filled with problems — situations that are perceived and defined as problems by individuals as they interact with each other. As such, these problems are often of more concern to those individuals than are other matters. The sociologist can gain insight into the structure of social relations by focusing the investigation on those problems rather than directly on the underlying structure. That is, the discussion of the problems that those being studied see in their situation or setting is revealing of the structured relations in those settings. This approach to doing social research is illustrated by two of the author's studies — one a study of an emergency department, and the second a study of how commercial art galleries affect the production and consumption of art.