Exact short poisson confidence intervals

The authors propose a new method for constructing a confidence interval for the expectation θ of a Poisson random variable. The interval they obtain cannot be shortened without the infimum over θ of the coverage probability falling below 1 ‐ α. In addition, the endpoints of the interval are strictly increasing functions of the observed variable. An easy‐to‐program algorithm is provided for computing this interval.     

Physician incentive plan boosts physician/patient satisfaction. 5-year-old plan at priority health shows success

Physician involvement is crucial to creating a healthy physician incentive program. Look at how one large, Michigan-based managed care organization established their program.     

Money management,patient safety and customer service among top concerns for physician executives. Interview by Barbara Linney

Find out what's happening today and what the future may be like for physician executives. Seasoned physician executives and well-known physician executive recruiters share their insights on the profession.     

Social Networks and Support,Gender, and Racial/Ethnic Disparities in Hypertension Among Older Adults

Using data from the 2001 NHIS and the 2005–2006 and 2007–2008 NHANES, we examine how self-reporting a previous diagnosis of hypertension among adults aged 65+ differs by race/ethnicity for men and women; we explore the extent to which disparities are driven by group differences in social risk factors, particularly social support and integration; and last, whether these relationships mimic patterns seen for measured hypertension at interview. Findings indicate that rates of ever-diagnosed hypertension in both samples are highest among black seniors and older women and lowest among Mexican-American men, with the gender gap lowest among whites and substantially higher among blacks and Mexican-Americans. However, replication analyses of NHANES models using measured hypertension, instead of a self-report of having ever been diagnosed with hypertension, suggests that reporting bias and measurement error contribute to observed disparities, as racial/ethnic differences in hypertension rates are smaller when measured hypertension is examined, especially among women. Logistic regression models also show that while adjusting for group differences in measures of support and integration mediates some of the disparity in measured hypertension between Mexican-American and white seniors, adjusting for support and integration amplifies black-white disparities in both ever diagnosed and measured hypertension—driven primarily by adjustment for attendance at religious services, which reduces hypertension risk for all older adults but is more commonly reported among black seniors, especially women.     

Making midwifery work visible: The multiple purposes of documentation

Background

Midwives have a professional, ethical and legal obligation to effectively and thoroughly document the care provided to women and the decisions made within the partnership relationship. To appreciate the best approach to documenting midwifery care, it is important to first understand the purpose of midwifery documentation.

Deaf people and economic well-being: findings from the Life Opportunities Survey

The present study used propensity score analysis to compare the economic well-being of people with and without hearing impairment in the UK. Using nationally representative 2009/10 Life Opportunities Survey, our study found that economic well-being was significantly worse for people with hearing impairment than people without hearing impairment. Hearing impaired people (1) had lower household income, (2) experienced greater difficulties making ends meets, (3) were unable to pay for unexpected but necessary expenses of ?500, and (4) were less likely to work in paid jobs even after accounting for other demographic characteristics. The findings underscore the barriers and discrimination against people with hearing impairment in the UK. Policy measures to increase access and engagement of hearing impaired people should be considered, including increasing investment in better employment opportunities, sign interpretation, and disability benefits.     

Silent privatisation of customary land in Zambia: opportunities for a few,challenges for many

The conversion of customary land into leasehold tenure has sparked intense debates in Zambia and beyond. Growing interest in land in the last decade and half has led to a spike in demand for land across Africa, especially land adjacent to major cities, towns and developed infrastructure. This growing demand for land is gradually being directed at customary land, which well-resourced urban and local elites, as well as foreign investors, are converting from customary to private tenure, raising serious questions about the future of customary land in Africa. This paper discusses the emerging dynamics around customary land conversion drawing from a case study conducted in Chongwe and Chibombo districts in Zambia. Evidence gathered in this study suggest that while the conversion of customary land to leasehold tenure is generating opportunities for the urban elite, a few traditional leaders and international investors, it is, at the same time, creating serious challenges for the majority of the people in the local communities.     

Women’s mental health during pregnancy: A participatory qualitative study

Background/objectives

British public health and academic policy and guidance promotes service user involvement in health care and research, however collaborative research remains underrepresented in literature relating to pregnant women’s mental health. The aim of this participatory research was to explore mothers’ and professionals’ perspectives on the factors that influence pregnant women’s mental health.

Age Changes in Prosocial Responding and Moral Reasoning in Adolescence and Early Adulthood

Age changes' measures of prosocial responding and reasoning were examined. Participants' reports of helping, empathy‐related responding, and prosocial moral reasoning were obtained in adolescence (from age 15–16 years) and into adulthood (to age 25–26 years). Perspective taking and approval/interpersonal oriented/stereotypic prosocial moral reasoning increased from adolescence into adulthood, whereas personal distress declined. Helping declined and then increased (a cubic trend). Prosocial moral judgment composite scores (and self‐reflective empathic reasoning) generally increased from late adolescence into the early 20s (age 17–18 to 21–22) but either leveled off or declined slightly thereafter (i.e., showed linear and cubic trends); rudimentary needs‐oriented reasoning showed the reverse pattern of change. The increase in self‐reflective empathic moral reasoning was for females only. Thus, perspective taking and some aspects of prosocial moral reasoning—capacities with a strong sociocognitive basis—showed the clearest increases with age, whereas simple prosocial proclivities (i.e., helping, sympathy) did not increase with age.