Integrated Approaches for the Public Health Prioritization of Foodborne and Zoonotic Pathogens

To address the persistent problems of foodborne and zoonotic disease, public health officials worldwide face difficult choices about how to best allocate limited resources and target interventions to reduce morbidity and mortality. Data‐driven approaches to informing these decisions have been developed in a number of countries. Integrated comparative frameworks generally share three methodological components: estimating incidence of acute illnesses, chronic sequelae, and mortality; attributing pathogen‐specific illnesses to foods; and calculating integrated measures of disease burden such as cost of illness, willingness to pay, and health‐adjusted life years (HALYs). To discuss the similarities and differences in these approaches, to seek consensus on principles, and to improve international collaboration, the E.U. MED‐VET‐NET and the U.S.‐based Food Safety Research Consortium organized an international conference convened in Berlin, Germany, on July 19–21, 2006. This article draws in part on the deliberations of the conference and discusses general principles, data needs, methodological issues and challenges, and future research needs pertinent to objective data‐driven analyses and their potential use for priority setting of foodborne and zoonotic pathogens in public health policy.     

Midlife Career Transitions of Men Who Are Scientists and Engineers: A Narrative Study

This article summarizes the results of a qualitative study of career transition experiences of middle‐aged male scientists and engineers in the current socioeconomic environment in the United States. The study addresses the effects of the transitions from psychosocial perspectives. The authors selected participants from research organizations, industry, and academic fields. The authors used a narrative approach to collect data and analyzed the data using a grounded theory approach. The results suggest that the major factors that describe the dynamics in the career transition experiences are personhood, relationships, lifestyle, and workplace environment. The findings and their implications in developing coping skills and counseling strategies are discussed.     

Working for God and Sustainability: The Activities of Faith-Based Organizations in Kenya

Faith-based organizations (FBOs) have long played a role in international development, and are increasingly involved in environmental sustainability initiatives. Despite these contributions they have, until recently, been largely ignored in scholarship and by secular agencies. This article adds to the growing recognition of FBOs, exploring the identity and function of FBOs doing environmental and development work in Kenya through document review, qualitative questionnaires and participant observation. A diverse group of FBOs with varied identities and engaged in a broad range of activities revealed several strengths and challenges of faith-based environmental and development work. Of particular note is the key role churches and faith-based agencies can play in effecting sustainable and holistic change in Global South countries, due to their rootedness in the community, the social capital they help to produce, and the respect they receive from the people.     

THE ROLE OF HOSPITAL COMPETITION ON TREATMENT EXPENDITURE AND OUTCOME: EVIDENCE FROM STROKE AND CARDIAC TREATMENT IN TAIWAN

This article examines whether market competition affects treatment expenditure and health outcomes of stroke and cardiac treatment in Taiwan. Our measure of treatment expenditure is the hospital expenditure paid at the index admission (short term) and the sum of inpatient and outpatient expenditures paid in the subsequent year (long term). Our measure of health outcome is the probability of death in 1 and 12 months after the hospital's discharge. Our measure of competition follows the method developed by Kessler and McClellan that calculates the Herfindal index based on the predicted patient flows using exogenous variables (e.g., traveling distance to hospitals). Using data of patients hospitalized for new stroke and cardiac treatment between 1997 and 2001 in Taiwan, we find that an increase of market competition results in an insignificant impact on a patient's mortality. In terms of treatment expenditure, our results indicate that hospitals facing more competition incur higher expenditures, either the short‐ or long‐term expenditure. Finally, we find evidence showing that an increase of treatment expenditure at admission is due to a raise of length of stay and treatment intensity per day as well as the usage of expensive equipment. (JEL I11, L13, L41)     

MOVING OUT TO MOVE UP: DUAL‐CAREER MIGRATION AND WORK–FAMILY TRADEOFFS

Using data from a survey of new entrants to the junior PhD job market in economics, this paper shows that dual‐career location problems compromise the personal and professional lives of early‐career PhDs. Contrary to the common assumption that couples who do not live together break up, we find that living apart is a viable solution to location problems in the first year after graduate school. Surprisingly, PhDs facing moderate location problems are more likely than those facing severe location problems to make career sacrifices on behalf of their relationship; PhDs facing severe location problems are more likely to live apart. (JEL, J12, J44, A11)     

Social Entrepreneurship in Communities

The United States ranks low on many measures of population health. In addressing this societal problem, nonprofit health conversion foundations are emerging as important, local social entrepreneurs. We investigated the processes by which these organizations create and implement locally situated innovative approaches to promote health and wellness. Using an inductive, qualitative approach, we identified central themes by which conversion foundations, as social entrepreneurs, developed collaborative solutions to health. We found that they defined the social problem, generated social capital in the community, and educated potential partners. These mechanisms helped build a groundwork for collaboration among community actors. Conversion foundations then convened partners with complementary competencies to develop creative solutions. This research contributes to the literature on social entrepreneurship and nonprofits by expanding understanding of how foundations can foster community collaborations to develop innovative solutions to social problems. Further, this study sheds light on the activities and processes of nonprofit health conversion foundations as actors with the potential to improve population health.     

Unraveling the Source of African American Children's Positively Biased Perceptions of Peer Acceptance

The present study investigated possible ethnic contributions to overly positive self‐perceptions in middle childhood. The goals of this study were threefold. First, the present study sought to replicate the intriguing findings reported by Zakriski and Coie that African American children overestimate their acceptance, and European American children underestimate acceptance by other‐ethnicity peers. Second, this study examined possible explanations for ethnic differences in the pattern of perceptual bias. Finally, this study extended prior research by examining ethnic differences in the accuracy of children's perceived peer acceptance. Archival data consisting of 826 children in third (N = 284), fourth (N = 241), and fifth grades (N = 301) were used in the present investigation; 237 of which were African American children, and 589 were European American children. Results of this study replicated the findings of Zakriski and Coie . Moreover, African Americans' overestimation and European Americans' underestimation of acceptance by other‐ethnicity peers was found to be attributable to more positive views of self and others among African American children relative to European American children. Finally, children were found to be more accurate about judging their acceptance by peers of the same ethnicity than those of a different ethnicity. Possible explanations of what causes African American children to have more positive views of self and others than European American children are discussed.     

Ageing Populations and Housing Needs: Comparing Strategic Policy Discourses in France and England

Set against a broad European policy agenda which promotes ‘ageing in place’ and representations of older people as active, independent citizens, this article compares recent English and French policy discourses on population ageing and its implications for the housing needs of increasingly large numbers of older citizens. Through analysis of six recent strategic policy statements representing each government's official responses to population ageing and its social policy implications for the 21st century, we demonstrate how differences in the social representation of the ageing process and of older peoples themselves permeate policy discourse, influencing the perceptions of the housing needs of older citizens and the role that housing itself may play in promoting independent living. In England, demographic ageing, housing and its role in facilitating independent living and active ageing are explicitly articulated, whilst in France, the housing environment has until recently, been portrayed as one which must accommodate the illness, incapacity and dependency of later life. Our article offers explanations for these differences in terms of cultural variations in the social representations or ‘constructions’ of later life, divergences in political philosophies and welfare principles.     

Supply Chain Models with Mutual Commitments and Implications for Social Responsibility

In today's increasingly globalized environment, more and more companies recognize the mutual dependence of supply chain partners in value creation. When making business decisions, they take into consideration their partners’ bottom line profitability, especially in emerging markets. The question is, is this kind of practice sustainable? This study makes an attempt to formalize this issue by examining a stylized two‐party supply chain model in which each player maximizes its own profit while making a certain commitment to its partner. We compare five different games between the two supply‐chain partners, which reflect different power positions of the players and different levels of commitment. We identify conditions under which both players are better off with mutual commitments than without, a situation we call win–win. We show that win–win can be achieved if and only if the mutual commitments are comparable. Thus, the recognition of mutual dependence of the supply chain members needs to be translated into reciprocal concerns. In addition, different players’ commitments play different roles but together they have a similar effect as a profit sharing contract. Finally, we discuss the implications of our findings in the context of socially responsible operations. In particular, our analyses show that it is possible to care about the supply chain partners’ bottom line without sacrificing one's own profitability, and our models can be used as a tool to determine the commitment levels by evaluating the predicted outcome.