A New Game In Town: Competitive higher education

Research universities in the USA are complex, expensive organizations that perform multiple interrelated tasks and serve numerous constituencies. The value structure that has evolved for these universities is one that creates very high barriers to entry for new players and numerous impediments to rapid change. Consequently, real competitive pressures on universities have been minimal. However, new types of for-profit and non-profit organizations are beginning to provide competition in targeted segments of higher education. The arrival of Internet-mediated distance learning will greatly increase both market penetration by these new organizations and competition between traditional institutions of higher learning. Because this new competition targets only selected activities of the research university, it risks to destabilize their organization and structure. Ways in which this destabilization might occur are analysed and possible responses are discussed.     

Knowledge,attitudes, and behavior related to condom use and STDs in a high risk population

Since the mid‐1980s, the incidence of sexually transmitted diseases (STDs) among Blacks has increased dramatically nationwide, particularly in Philadelphia and other major urban areas. One approach to this public health problem is to prevent the further transmission of disease through the use of condoms during sexual activity. To provide a basis for condom‐promotion programs within a high risk Black urban community, we explored condom use behavior and the relationship between condom use and variables related to demographic characteristics, knowledge, attitudes, perceived risk and concern about STDs, and STD history. A household survey was conducted of a stratified, quota sample of 925 male and female adolescent and adult residents in North and West Philadelphia. These areas have the highest rate of STDs in the city and among the highest rates in the country. The survey revealed a trichotomy among respondents with respect to condom use: approximately one‐third of the sample used condoms consistently; one‐third used them intermittently, and one‐third never used condoms. Consistent condom users tended to use condoms with both steady and casual partners; less frequent condom users tended to use condoms with partners who could be considered higher risk: new partners and casual partners. Although condom use rates did not vary as a function of age among males, women under age 20 were far more likely to use condoms than were other female age groups. Knowledge about STDs and prevention was not found to predict condom use. Negative attitudes toward condoms were related to non‐use, with the exception of women who used condoms in perceived high risk situations despite negative attitudes.     

Reviewing changes to the Child Disability Allowance: Giving parents a voice

Abstract

The Diabetes Clinic at Princess Margaret Hospital for Children has been concerned at the impact of changes made in 1998 to eligibility for the Child Disability Allowance on families caring for a child with diabetes. A survey of those families was conducted to obtain their views on the changes. Results showed the number of families receiving Child Disability Allowance since the changes has significantly declined. Parents indicated the allowance should be automatic for children with insulin dependent diabetes as the disability is chronic, incurable, requires extra care and attention, and is a financial and emotional burden for families. Many felt the application process was unjust, incomplete and inadequate. The results formed part of a submission to the Department of Family and Community Services evaluation, giving parents a voice in this process. This project illustrates the capacity of social workers to attempt to impact on social policy within the context of their clinical practice.     

A revised simplex algorithm for the absolute deviation curve fitting problem

The statistical properties of quasi-ranges in small samples from a gamma density are the objects of study in this paper.The methods of computing the "Coefficient MatrixnA(j,k), which plays a major role for computing moments and quantiles from such a density using high speed digital computers, are presented. Limited tables of central and non-central moments as well as tables of quantile values, are given. More extensive tables can be easily constructed by using the methods described here when the need arises. Also, a table of values for kurtosis and skewness is presented.     

What Affects the Quality of Economic Analysis for Life‐Saving Investments?‡

Economic analysis of life-saving investments in both the public and private sectors has the potential to dramatically improve longevity and the quality of life, but only if the analyses on which decisions are based are done well. In this article, we analyze a data set that provides information on the content and quality of journal articles that measure the cost-effectiveness of life-saving investments. Our study is the first to provide a detailed multivariate analysis of factors affecting objective measures of quality. We also explore whether a series of recommendations by an expert panel convened by the U.S. Public Health Service affect the way analyses of specific life-saving investments are done. Our results suggest that four factors are positively correlated with an index we construct to measure analytical quality: (1) having at least one author affiliated with a university, (2) publication in a journal that has experience in publishing these analyses, (3) if the life-saving investment is located in the United States, and (4) if the analysis considers a measure of social costs or benefits. Somewhat surprisingly, a study's funding source and whether it is affiliated with industry are not significantly correlated with the quality index. Finally, neither time nor the panel guidelines had an impact on the index.     

Young men's perspectives on family support and disclosure of same-sex attraction

Young men who have sex with men (YMSM) face myriad challenges when deciding to disclose their sexual orientation to family members. Key to this decision is consideration of how disclosure may influence the support they receive from family. This paper explores a diverse sample of YMSM's (N = 43) perspectives on disclosure of their same-sex attractions to key family members and its impact on family support. Several stages/categories of disclosure are described and some YMSM seemed to continue to move between categories. Additionally, relationships after disclosure included negotiations between the expression of their sexual orientation and the maintenance of family support.     

A Structured Literature Review for Risk Assessment: EMF and Human Health Risk

The volume of publications on any given topic makes it difficult to select an appropriate subset of publications for review by an expert panel. This paper proposes a method for selecting a subset using a protocol that attempts to order publications based upon good research methods. The protocol was followed by graduate students with no expert knowledge of the area they were reviewing. They reduced 11730 articles on the topic of EMF and Health risk to 68 articles that were reviewed by an expert panel. The interrater reliability was 96% and 94% of the relevant articles were captured by this process.