A Framework for Analyzing the Economic Tradeoffs Between Urban Commerce and Security Against Terrorism

This article presents a framework for economic consequence analysis of terrorism countermeasures. It specifies major categories of direct and indirect costs, benefits, spillover effects, and transfer payments that must be estimated in a comprehensive assessment. It develops a spreadsheet tool for data collection, storage, and refinement, as well as estimation of the various components of the necessary economic accounts. It also illustrates the usefulness of the framework in the first assessment of the tradeoffs between enhanced security and changes in commercial activity in an urban area, with explicit attention to the role of spillover effects. The article also contributes a practical user interface to the model for emergency managers.     

Policing “Domestic Disturbances” in Small Towns and Rural Communities: Implications for Officer and Victim Safety

Drawing on Canadian police data on homicide involving domestic dispute calls from 1960 to the present (n = 20), as well as on in‐depth interviews with police officers (n = 33) working in rural and remote communities, the authors reexamine the argument that police attendance at domestic disturbance calls can pose a special threat to officer safety. Although some scholarship suggests that purported risks have been overstated, the authors argue that location may be a critical factor in reducing or heightening not only risks to officers, but also to victims. Although intended as an exploratory work, situated within the context of cultural support for domestic violence in rural communities, the authors raise both interesting policy implications, as well as potential avenues for future research. En partant de données de la police canadienne sur les homicides impliquant des disputes familiales de 1960 à nos jours (n = 20), ainsi que sur des entrevues en profondeur avec des agents policiers (n = 33) travaillant dans des régions rurales et des communautés éloignées, les auteurs ré‐examinent l'argument voulant que les interventions policières lors d'appels liés à des problèmes domestiques posent un risque spécial pour les agents policiers. Même si certains spécialistes suggèrent que ces risques sont exagérés, les auteurs affirment que le lieu pourrait être un facteur important par rapport au niveau de risque pour les agents policiers, ainsi que les victimes. Même s'il s'agit d'une recherche exploratoire, se situant dans le contexte du soutient culturel de la violence domestique dans les communautés rurales, les auteurs s'intéressent à la fois aux implications en termes de gestion et aux directions possibles en termes de recherches futures.     

Total Economic Consequences of an Influenza Outbreak in the United States

Pandemic influenza represents a serious threat not only to the population of the United States, but also to its economy. In this study, we analyze the total economic consequences of potential influenza outbreaks in the United States for four cases based on the distinctions between disease severity and the presence/absence of vaccinations. The analysis is based on data and parameters on influenza obtained from the Centers for Disease Control and the general literature. A state‐of‐the‐art economic impact modeling approach, computable general equilibrium, is applied to analyze a wide range of potential impacts stemming from the outbreaks. This study examines the economic impacts from changes in medical expenditures and workforce participation, and also takes into consideration different types of avoidance behavior and resilience actions not previously fully studied. Our results indicate that, in the absence of avoidance and resilience effects, a pandemic influenza outbreak could result in a loss in U.S. GDP of $25.4 billion, but that vaccination could reduce the losses to $19.9 billion. When behavioral and resilience factors are taken into account, a pandemic influenza outbreak could result in GDP losses of $45.3 billion without vaccination and $34.4 billion with vaccination. These results indicate the importance of including a broader set of causal factors to achieve more accurate estimates of the total economic impacts of not just pandemic influenza but biothreats in general. The results also highlight a number of actionable items that government policymakers and public health officials can use to help reduce potential economic losses from the outbreaks.     

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.     

Sexual Education,Gender Ideology,and Youth Sexual Empowerment

Sexual education plays an essential role in preventing unplanned pregnancy and the transmission of sexually transmitted infections (STIs). School-based sexual education programs, in particular, may be well positioned to address social factors that are empirically linked to negative sexual health outcomes, such as traditional social norms surrounding gender and sexuality. However, youth are seldom granted access to sexual education programs that explicitly address these issues. This study presents findings from a pretest–posttest survey of a sexual education program that did. It was designed for eighth graders (N=95) in the context of a school–community collaboration. The study assessed the links between several components of sexual empowerment, including gender ideology, sexual knowledge, and contraceptive beliefs. Findings link participation in the sexual education program to more progressive attitudes toward girls and women, less agreement with hegemonic masculinity ideology, and increases in sexual health and resource knowledge. Structural equation models suggest that traditional attitudes toward women were significantly related to hegemonic masculinity ideology among both boys and girls, which was in turn negatively related to safer contraceptive beliefs.     

Who's Controlling Who? Personal Communication Devices and Work

Personal communication devices have long been part of work life. In recent decades, the range of modes available has proliferated and their use has became widespread. This article examines the ways that personal communication devices have shaped workers' experience of work. It reviews four key areas of research on this topic: the ability to work in new times and spaces; the relationship between work and personal life; the fragmentation of work; and the pace and intensity of work. The article highlights how the issue of control is critical when attempting to understand the how and why of any effects arising from workers' use of these technologies.     

Improving outcomes for children in out‐of‐home care: the role of therapeutic foster care

How best to support children and young people in foster care remains a challenge for child welfare. There has been little Australian research on the outcomes for children and young people placed in therapeutic foster care (TFC). This article aims to address this knowledge gap, presenting the evaluation of a state‐wide model of TFC known as the Circle Program operating in Victoria, Australia. Data sources for the study were case assessment analysis; surveys of foster carers, program workers and other stakeholders in the sector; and both focus groups and individual interviews with foster care workers. The evaluation found that the Circle Program lessened the number of unplanned exits of children from foster placements compared with generalist foster care. Another important finding was that the Circle Program positively influenced foster carers' decisions to stay in the carer role. Key components perceived as contributing to outcomes of the Circle Program included enhanced training of foster carers, intensive carer support, specialist therapeutic support to the child and carer, therapeutic service to family members and a network of services to provide support to the child.