Serious and fatal injuries to infants with discrepant parental explanations: some assessment and case management issues

The objective of this study was to examine the challenges faced by child protection systems in assessment and case management where babies and infants have received serious and fatal physical injuries in the context of discrepant parent/carer explanations. Thirty‐eight case files or review records of children under the age of 2 with serious or fatal physical injuries were examined. Qualitative methods were employed to identify issues relating to types of parent/carer explanations, factors of concern in addition to the injuries and child protection system responses to the families. Findings indicate that the initial safety response by child protection systems to babies with serious injuries with discrepant explanations can be inadequate. Assessment of further risks could be inconsistent, especially in cases where there are few other factors of concern apart from the injury. There is a need for the development in the UK of more systematic decision‐making processes to achieve more consistent standards of assessment and case management of high‐risk infants and to minimize false‐negative and false‐positive predictions of further risk. Copyright © 2002 John Wiley & Sons, Ltd.     

The Myth of Bodily Perfection

The paper identifies the myth of bodily perfection as one that permeates the dominant culture of late 20th century Western civilization, and points to ways in which the myth supports the creation of an illusory category of people called 'the disabled'. Grounded in an understanding of disability as socially constructed, and drawing on the experiences of women with disabilities, the paper further points to important differences in social expectations depending on whether one has disabilities that are visible or invisible. In discussions of disability, however, disabilities that are not visible are often ignored. It is concluded that this contributes to the widespread denial of disability and is oppressive.     

Quality circles—Are they working in British factories?

A survey of Quality Circle programmes in British manufacturing companies reveals that Circles introduced and used properly with full management and trade union support can and do work and have many benefits. The findings suggest that current management attitudes and actions are more detrimental to the establishment and success of a circle programme than that of the trade unions. Based on the findings, indications are made of the factors which will assist companies who are considering the introduction of a Quality Circle programme and also help those companies currently using Circles to make and keep them effective.     

The inter-rater reliability and validity of self-report of risk factors for cumulative trauma disorders within the hand therapist population - a pilot study

OBJECTIVES: This study examined the validity of hand therapists' self-report of cumulative trauma disorder (CTD) risk factors by comparing the self-report to observations performed by the raters. Inter-rater reliability was also analyzed between the raters who observed the hand therapists. STUDY DESIGN: Two raters simultaneously observed each hand therapist during a splinting task at a therapy facility. Following this task, the raters and the hand therapist independently completed an identical assessment tool. Thirteen therapists were observed and a total of six raters observed the therapists. Responses from two categories of the self-assessment, "posture" and "mechanical stress", were compared. Percentage of agreement was calculated by dividing the number of like responses by the total number of possible responses for each category. RESULTS: Overall inter-rater reliability was 72%, significantly above the accepted minimum standard of 60-70%, and validity was 39%, significantly below the accepted minimum. CONCLUSION: The high percentage of inter-rater reliability established consistency and accuracy among the raters in their observations. However, the low percentage of validity should prompt hand therapists to investigate the accuracy of a patient's self-report before relying on it for treatment.     

Hiding behind the cloth:child sexual abuse and the Catholic Church

The existence of child sexual abuse within the Catholic Church has shocked many. In this article, the authors review the history of child sexual abuse in the church, the recent events that brought this tragedy into societal consciousness, and the efforts by the church to conceal the abuse. Two sources of empirical literature, the general psychological writing on priest sex abuse and the psychoanalytic literature, on child sexual abuse are compared. Both sources of literature seek explanation for priests' child sexual abuse within the structure and culture of the church rather than viewing the priest as a "typical" sex predator. The authors argue that, in fact, the guilty priests are child predators who differ little from other child predators.     

Prevalence of overweight and obesity in collegiate American football players, by position

OBJECTIVE: The authors' purpose in this study was to determine overweight and obesity prevalence in a collegiate football team. PARTICIPANTS: Eighty-five National Collegiate Athletic Association (NCAA) Division I football players volunteered to participate. METHODS: The authors measured height, weight, and waist circumference (WC), and estimated body fat percentage (% BF) from bioelectrical impedance. RESULTS: Body mass index (BMI), WC, and % BF were all positively correlated (p < .01), but BMI overestimated the prevalence of overweight and obesity in 50.6% of the cases. Fourteen players (16%) qualified as obese under all 3 methods. Offensive linemen had significantly higher % BF (p < .01) than most other positions, and on average this group exceeded the at-risk criteria for BMI (> 30 kg/m2), WC (> 102 cm), and % BF (> 25%). CONCLUSIONS: BMI alone is not a valid indicator of overweight and obesity in a strength-trained athletic population. However, some collegiate football players, especially linemen, meet multiple criteria for obesity.     

Household skills and low wages

Household skills provide job skills when tasks in jobs and household production are similar and jobs produce substitutes for home-made services. Opportunity costs of higher education are foregone earnings during schooling and foregone household production while studying and later in life. I show that individuals in jobs requiring household skills accept lower wage rates than traditional human capital theory predicts, and that individuals with low household skills tend to enter higher education. According to these results, declining household skills may have contributed to the observed increasing demand for higher education by women.