Childless Elders in Assisted Living: Findings from the Maryland Assisted Living Study

We compared data drawn from a random sample of 399 current assisted living residents and a subsample of 222 newly admitted residents for two groups: childless residents and residents with children. The percentage of childless residents (26%) in our study was slightly higher than U.S. population estimates of childless individuals aged 65 years and older (20%). In the overall sample, the two groups differed significantly by age, race, and women's years of education. The childless group was slightly younger, had a higher percentage of African American residents, and had more years of education than the group with children. In the subsample, we looked at demographic, functional, financial, and social characteristics and found that childless residents reported fewer diagnoses of dementia and fewer visits from a relative but more reported paying less money per month for assisted living and having private insurance than residents with children. As childlessness among older adults continues to increase, it will become increasingly important to understand how child status affects the need for and experience of long-term care.     

When Precaution Creates Misunderstandings: The Unintended Effects of Precautionary Information on Perceived Risks,the EMF Case

In the past decade, growing public concern about novel technologies with uncertain potential long‐term impacts on the environment and human health has moved risk policies toward a more precautionary approach. Focusing on mobile telephony, the effects of precautionary information on risk perception were analyzed. A pooled multinational experimental study based on a 5 × 2 × 2 factorial design was conducted in nine countries. The first factor refers to whether or not information on different types of precautionary measures was present, the second factor to the framing of the precautionary information, and the third factor to the order in which cell phones and base stations were rated by the study participants. The data analysis on the country level indicates different effects. The main hypothesis that informing about precautionary measures results in increased risk perceptions found only partial support in the data. The effects are weaker, both in terms of the effect size and the frequency of significant effects, across the various precautionary information formats used in the experiment. Nevertheless, our findings do not support the assumption that informing people about implemented precautionary measures will decrease public concerns.     

Control charts for monitoring the median in non-negative asymmetric data

Statistical Methods & Applications - Control charts are commonly used for monitoring the mean of processes. However, there are practical applications in which asymmetric data are the standard....     

An Analysis of Damage to U.S. Soybean Yields from 1982 Acid Deposition Levels

Experimental data were compiled for seven soybean varieties studied at four different locations in the U.S. for a period of one to three years. Three dose–response functions (linear, quadratic, and Weibull) were fitted, as appropriate, to the experimental data. Effects of acid deposition on soybean yields were estimated by combining variety-specific dose–response and production data. These calculations suggest that U.S. soybean production (2.2 billion bushels in 1982) would increase by 3.2 million bushels with a 10% reduction in 1982 hydrogen ion concentration levels in all counties where soybeans were grown, and by almost 70 million bushels with uniform improvement to pH 5.2. These estimates are based on many simplifying assumptions and are subject to several important sources of uncertainty explored in this study. The calculated changes are small in comparison with effects from other natural and anthropogenic stresses.     

Playing,Sitting Out,and Observing the Game: An Investigation of Faculty Members’ Perspectives on Political Behavior in Ethical Decision Making

Ethical dilemmas are inherently ambiguous, complex, and ill-defined. Additionally, these dilemmas involve multiple stakeholders. These characteristics may induce political behavior as a resolution tactic. Thus, the goal of the present effort was to investigate perspectives on politics among researchers in an ethical decision-making context. A qualitative analysis of interviews with university faculty members revealed that faculty members’ perspectives on political behavior in an ethical decision-making context fall into a number of categories, including positive, negative, and realistic views of political activity. The implications of these varying perspectives on ethical decision making are discussed.     

Nonlinearity,Breaks, and Long-Range Dependence in Time-Series Models

We study the simultaneous occurrence of long memory and nonlinear effects, such as parameter changes and threshold effects, in time series models and apply our modeling framework to daily realized measures of integrated variance. We develop asymptotic theory for parameter estimation and propose two model-building procedures. The methodology is applied to stocks of the Dow Jones Industrial Average during the period 2000 to 2009. We find strong evidence of nonlinear effects in financial volatility. An out-of-sample analysis shows that modeling these effects can improve forecast performance. Supplementary materials for this article are available online.     

Suffering and generativity: Repairing threats to self in old age

Suffering is a powerful experience that can be difficult to articulate. Suffering differs from pain alone and includes an individual's awareness of a threat to self through death, loss of identity, or uncertainty of the meaningfulness of one's life. In response to this threat, generative acts, especially creative expressions imbued with the self, may act as a means to repair the self in crisis. The case of Mr. A, an 85-year old man in good health, illustrates how various artistic pieces he created – a wooden dog and several poems – helps him to restore a “fading” self. For Mr. A. the idea of “fading away” or becoming weaker and less useful until eventually disappearing is a major source of personal suffering. Through his art, he creates unique, interactive and tangible entities that can outlive his physical body and help him reclaim or repair threats to selfhood.     

Holding Mutual Vulnerability in Brilliant Sanity

Others’ suffering impacts the body-mind of the clinician, thus exposing his or her own vulnerability during the encounter. Self-defensive reactions naturally arise, probably reflecting one’s own embodied relational history and thus the difficulty to hold difficult affects. Reflecting on some contemplative aspects of Francisco Varela’s life, this paper explores how mindfulness and compassion practice may help therapists in establishing an open and nondissociated relation toward inner and intersubjective worlds. It suggests how particular qualities of being present may act as implicit modeling to mutually regulate and integrate experience. A clinical case investigates the interest of acknowledging mutual embodied vulnerability co-emerging in the encounter, fostering the therapeutic space potential for deep dialogue, connection, and mutual transformation.     

Development of a purchasing portfolio model: an empirical study in a Brazilian hospital

This study was motivated by the complexity of managing hospital purchases. This area of activity is characterised as having a great diversity of items to be purchased, classes and suppliers, which impacts the business, costs and health risks for patients in many ways. Our paper presents the development of an approach to managing a purchasing portfolio for a large Brazilian hospital, using Kraljic’s model, the Fuzzy-TOPSIS method and decision rules as methodological resources. We discuss the results and summarise a set of managerial implications for our case study, thereby demonstrating the effectiveness of our proposal. This study also contributes to expanding the application domain of Kraljic’s model, in which the Fuzzy-TOPSIS method has proved a flexible tool, and supports solving sorting problems.     

Qualitative Evaluation Methods in Ethics Education: A Systematic Review and Analysis of Best Practices

Although qualitative research offers some unique advantages over quantitative research, qualitative methods are rarely employed in the evaluation of ethics education programs and are often criticized for a lack of rigor. This systematic review investigated the use of qualitative methods in studies of ethics education. Following a review of the literature in which 24 studies were identified, each study was coded based on 16 best practices characteristics in qualitative research. General thematic analysis and grounded theory were found to be the dominant approaches used. Researchers are effectively executing a number of best practices, such as using direct data sources, structured data collection instruments, non-leading questioning, and expert raters. However, other best practices were rarely present in the courses reviewed, such as collecting data using multiple sources, methods, raters, and timepoints, evaluating reliability, and employing triangulation analyses to assess convergence. Recommendations are presented for improving future qualitative research studies in ethics education.