Evaluation of a Training to Reduce Provider Bias Toward Pregnant Patients With Substance Abuse

The objective of this article is not to present a scientific or systematic study, but to provide an initial framework for designing a training workshop to enhance health practitioners’ (nurses, social workers, physicians, etc.) knowledge regarding substance abuse treatment and to decrease their bias toward substance-abusing women, particularly pregnant women in rural communities. We incorporated the 4 Transdisciplinary Foundations from the Substance Abuse and Mental Health Services Administration Competencies Model, with specific competencies targeted that related to provider bias. After the conference, 52 of the 70 participants completed a questionnaire to self-assess knowledge level and confidence in skill related to substance abuse management. Participant mean scores were statistically significantly higher following the conference than 1 week prior (p < .001) in the area of “gender difference with substance abuse,” moving from an average of 2.6 to 4.5 on a 5-point Likert scale. Our conference was successful in increasing attendees’ knowledge about gender difference and substance abuse among pregnant patients.     

Mutual Aid in the Classroom

The purpose of the study is to examine the use of instructional technology in creating a mutual aid environment in the classroom. By developing and exploring Internet-based exercises designed to promote interaction in a distance education environment, the authors tested the hypothesis that instructional technology offers opportunities to promote mutual aid among students. This article describes these exercises and presents the results of a student survey about the application of mutual aid in distance education.     

Development and Consideration of Global Policies for Managing the Future Risks of Poliovirus Outbreaks: Insights and Lessons Learned Through Modeling

The success of the Global Polio Eradication Initiative promises to bring large benefits, including sustained improvements in quality of life (i.e., cases of paralytic disease and deaths avoided) and costs saved from cessation of vaccination. Obtaining and maintaining these benefits requires that policymakers manage the transition from the current massive use of oral poliovirus vaccine (OPV) to a world without OPV and free of the risks of potential future reintroductions of live polioviruses. This article describes the analytical journey that began in 2001 with a retrospective case study on polio risk management and led to development of dynamic integrated risk, economic, and decision analysis tools to inform global policies for managing the risks of polio. This analytical journey has provided several key insights and lessons learned that will be useful to future analysts involved in similar complex decision-making processes.     

Determination of a Tolerable Daily Intake of DDT for Consumers of DDT Contaminated Fish from the Lower Yakima River, Washington*

DDT, DDE, and DDD have been detected at elevated concentrations in sediments and fish of the Yakima River, its tributaries and drainages. An assessment was conducted to evaluate the public health significance of eating fish from the river. This was accomplished by establishing a daily intake level of DDT for the population of greatest concern, and comparing this level to a tolerable daily intake. The most sensitive and highly exposed group was determined to be breastfeeding infants. Infant daily intakes of DDT, based on estimated mother's DDT-breast milk levels, were compared to a recommended tolerable daily intake. Results indicate that mothers who frequently consume Yakima River bottom-feeding fish could have breast milk DDT concentrations sufficiently high to expose their infants to levels above the tolerable daily intake.     

How human resource outsourcing affects organizational learning in the knowledge economy

Adaptability and knowledge management, key elements of organizational learn-ing, are critical to organizational success as a result of a fundamental shift towards a knowledge economy. HR outsourcing and the growth in contingent work can result in a significant loss in learning capital through a breakdown in the psychological contract. We explore how to preserve HR's strategic role in facilitating organizational learning in the new outsourcing and offshoring con-text. The problem is compounded if outsourcing is introduced for cost control rather than strategic refocusing reasons. We suggest that managers can posi-tively influence the relationship between outsourcing and organizational learn-ing through internal marketing tactics and enriched psychological contracts. A previous version of this paper was presented at the Administrative Sciences Association of Canada (ASAC) Annual Meeting, Toronto, Canada, June 2005.     

Career Maturity in College Students With Learning Disabilities

This study compared levels of career maturity between college students with and without learning disabilities and investigated factors associated with career maturity. Few differences in career maturity were found. However, different predictors of career maturity for the two groups emerged. For students with learning disabilities, number of accommodations and quantity of work experience accounted for 22% of the variance in career maturity. For students without disabilities, academic achievement and type of work experience accounted for 21% of the variance in career maturity. Students with learning disabilities who received more instructional accommodations had lower levels of career maturity.     

Debt management in a small open economy: A theoretical and an empirical study for Belgium

This article analyzes the effects of debt management and its consequence for the control of base money in a small open economy (Belgium). The study compares the effects obtained from a small theoretical model with the results of a larger empirical model.The theoretical model focuses on the financing of government by money operation, on the bond rate, and on the international reserve of the Central Bank.The empirical model is a medium-term one, including the demand and the supply sectors of the economy and permitting simultaneous analysis of real and financial variables.The effects of an endogeneous or exogenous debt management have been studied by numerical simulation of modification in the public expenditure, the world trade, and the discount rate.     

The Baltimore City Drug Treatment Court: 3-year self-report outcome study

This study reports results from interviews with 157 research participants who were interviewed 3 years after randomization into treatment and control conditions in the evaluation of the Baltimore City Drug Treatment Court. The interviews asked about crime, substance use, welfare, employment, education, mental and physical health, and family and social relationships. Program participants reported less crime and substance use than did controls. Few differences between groups were observed on other outcomes, although treatment cases were less likely than controls to be on the welfare rolls at the time of the interview. Effects differed substantially according to the originating court.     

The research pendulum: multiple roles and responsibilities as a researcher

Qualitative research on sexual identities has highlighted the use of oral narratives to understand the lives of lesbians and gay men. Feminist ethnographers, sociologists and queer theorists have further posed methodological inquiries to the issues of insider/outsider, the possibilities of an erotic subject and the matter of representation. Using interview data with Hong Kong lesbians, this paper discusses a researcher's multiple positionalities and its effects on both the researched and the researcher. Being self-reflexive requires a researcher to test her or his own boundaries and to take up social responsibilities as the interpreter of texts. This paper calls for further dialogue between a researcher's subject positions, research processes and the final presentation of findings. doi:10.1300/J155v10n03_02.