College students with congenital heart disease: A critical time for transition

As medical and surgical advances improve, more young adults with congenital heart disease (CHD) are attending college. This case study illustrates some of the issues that these young adults may face as they attend college and discusses the role that college health practitioners can play in easing that transition. Participants: A case of a male with CHD presenting to the college health clinic with a new onset headache. Methods: The authors discuss some of the unique challenges that college health practitioners may face when caring for students with CHD. In addition, they make recommendations on how best to care for these patients and how best to coordinate care with CHD students other care providers. Results: This student with a history of coarctation of the aorta presented with new onset headaches and was found to have high blood pressure. He was diagnosed with recurrent coarctation, underwent percutaneous treatment with stenting and quickly resumed classes. Conclusions: As more students with CHD enter college, college health providers will need to understand some of the health risks that CHD students face. In addition, understanding some of the optimal ways to coordinate care with CHD providers can ease the transition that CHD students face as they enter college.     

On sequential closed testing dose groups with a control

Methods for a sequential test of a dose-response effect in pre-clinical studies are investigated. The objective of the test procedure is to compare several dose groups with a zero-dose control. The sequential testing is conducted within a closed family of one-sided tests. The procedures investigated are based on a monotonicity assumption. These closed procedures strongly control the familywise error rate while providing information about the shape of the dose-responce relationship. Performance of sequential testing procedures are compared via a Monte Carlo simulation study. We illustrae the procedures by application to a real data set.     

Adaptable Careers: Maximizing Less and Exploring More

Today, young adults are expected to decide between educational, vocational, and job options and to make the best choice possible. Career literatures emphasize the importance of young adults' career decision making but also acknowledge the problems related to making these decisions. The authors argue that career counselors could support clients' intuitive processing of career information and help their clients to develop a positive and flexible view of the self and the environment while diminishing concerns about accountability for and irreversibility of career decisions. The authors argue that career adaptability rather than decision making should become the focal concept of career theory and practice.     

Writing the self: Exploring the stigma of hearing impairment

Neoclassical economic and sociological views of discrimination are compared. We summarize economic models of taste, statistical, error, and monopolistic discrimination. Economists argue that competitive market forces should lead to the demise of discrimination in the long run. After explaining these arguments, we present sociological arguments about institutional and social‐psychological mechanisms that promote the persistence of discrimination. A typology of social‐psychological feedback effects from discrimination is presented. We conclude that it is important to recognize forces promoting both the erosion and persistence of discrimination and that this requires a perspective drawing upon both sociology and economics.     

Validating Work Discrimination and Coping Strategy Models for Sexual Minorities

The purpose of this study was to validate and expand on Y. B. Chung's (2001) models of work discrimination and coping strategies among lesbian, gay, and bisexual persons. In semistructured individual interviews, 17 lesbians and gay men reported 35 discrimination incidents and their related coping strategies. Responses were coded based on Chung's models. Results supported the validity of the Work Discrimination model and two coping strategy models (Vocational Choice and Identity Management). The Discrimination Management coping strategy model was expanded. Implications for practice and research are discussed.     

Impatience versus Incentives

This paper studies the dynamics of long‐term contracts in repeated principal–agent relationships with an impatient agent. Despite the absence of exogenous uncertainty, Pareto‐optimal dynamic contracts generically oscillate between favoring the principal and favoring the agent.     

The Effects of Multitasking on Operations Scheduling

This study considers a typical scheduling environment that is influenced by the behavioral phenomenon of multitasking. Under multitasking, the processing of a selected job suffers from interruption by other jobs that are available but unfinished. This situation arises in a wide variety of applications; for example, administration, manufacturing, and process and project management. Several classical solution methods for scheduling problems no longer apply in the presence of multitasking. The solvability of any scheduling problem under multitasking is no easier than that of the corresponding classical problem. We develop optimal algorithms for some fundamental and practical single machine scheduling problems with multitasking. For other problems, we show that they are computationally intractable, even though in some cases the corresponding problem in classical scheduling is efficiently solvable. We also study the cost increase and value gained due to multitasking. This analysis informs companies about how much it would be worthwhile to invest in measures to reduce or encourage multitasking.     

Keep Your Friends Close? Supply Chain Design and Disruption Risk

In this article, we evaluate the relationship between supply chain design decisions and supply chain disruption risk. We explore two supply chain design strategies: (i) the dispersion of supply chain partners to reduce supply chain disruption risk versus (ii) the co‐location of supply chain partners to reduce supply chain disruption risk. In addition, we assess supply chain disruption risk from three perspectives: the inbound material flow from the supplier (supply side), the internal production processes (internal), and the outbound material flow to the customer (customer side) as a disruption can occur at any of these locations. We measure disruption risk in terms of stoppages in flows, reductions in flow, close calls (disruptions that were prevented at the last minute), disruption duration (time until normal operation flow was restored), and the spread of disruptions all the way through the supply chain. We use seemingly unrelated regression (SUR) to analyze our data, finding that lead times, especially supply side lead times, are significantly associated with higher levels of supply chain disruption risk. We find co‐location with suppliers appears to have beneficial effects to the reduction of disruption duration, and, overall supply side factors have a higher impact when it comes to supply chain disruption risk than comparable customer side factors.     

新冠肺炎疫情突发期政策制定的特征分析与效果评价 ——基于江苏省疾病预防控制中心的田野观察

文章聚焦政策本身,采用在江苏省疾病预防控制中心进行田野观察的研究方法,收集新型冠状病毒肺炎（简称新冠肺炎）疫情突发期的政策并进行文本分析,主要讨论政策文本发布时间的分布态势、发布单位、发布形式和政策内容4个方面。研究发现,在新冠肺炎疫情突发期（2020年1月15日至1月31日）国家级和省级指导性文件数量锐增。以江苏省为例,省级政策发文单位单一、文本类型多为通知类,起到了应对突发公共卫生事件时的及时反馈、迅速应急以及布置指导的作用。政策发布主体联防联控的及时应对性以及对政策文本的长效性考虑上尚有欠缺。总结政策制定的规律、原则以及经验,提出公共卫生事件突发期的政策观念应从单一权威主义走向多元协作,政策导向应从“战”时应急转向“平战结合”,政策价值应从“短期”应急转向“常态化”指导。