Comparison of conflict of interest policies and reported practices in academic medical centers in the United States

The authors reviewed the conflict of interest policies of 9 academic medical centers in the United States and interviewed members of the Institutional Review Boards (IRBs) and Conflict of Interest Committees (COICs) at those institutions. They found that many institutions used processes for reporting and managing conflicts of interest that were more decentralized than the processes described in their policies. Also, most institutions had no clear and comprehensive policy to guide investigators regarding disclosure of conflicts of interest to potential research participants. Considerable differences in understanding of conflict of interest policies were observed between IRB and COIC officials.     

Families' values and attitudes regarding responsibility for the frail elderly: implications for aging policy

This study examines the norms and values associated with care to disabled and frail aging parents, in particular those with regard to the sharing of responsibilities for care between families and formal services, and this within three age cohorts in Quebec, Canada. It is based on a telephone interview of 1,315 people. Factor analysis yielded four factors: (1) family responsibility; (2) uncompromising family obligations; (3) acceptance of services; (4) distrust of services. Analyses of the data indicate that all three age cohorts consider that families have responsibilities for their aging family members, at the same time that they score very high on the acceptance of service scale. This article discusses these seemingly paradoxical results and their implications for aging policy.     

Encombrantes victimes. Pourquoi les maladies professionnelles restent-elles socialement invisibles en France ?

Except for wage-earners suffering from asbestos-related forms of cancer, the casualties of work-related accidents and illnesses are still invisible in public health discussions in France. This is even more surprising since the victims of collective risks in many other sectors have mobilized to draw public attention to their cause and seek legal redress. To shed light on the reasons for the invisibility of occupational pathologies, the difficulties are presented that an association of the victims of a toxic substance very frequently used in occupational settings (glycol ether) encountered. The integration of this organization's actions in the broader framework of the labor movement spawned contradictions that were resolved by “marginalizing” the victims.     

Gender Differences in Heterosexual College Students' Conceptualizations and Indicators of Sexual Consent: Implications for Contemporary Sexual Assault Prevention Education

Because sexual assault is often defined in terms of nonconsent, many prevention efforts focus on promoting the clear communication of consent as a mechanism to reduce assault. Yet little research has specifically examined how sexual consent is being conceptualized by heterosexual college students. In this study, 185 Midwestern U.S. college students provided responses to open-ended questions addressing how they define, communicate, and interpret sexual consent and nonconsent. The study aimed to assess how college students define and communicate consent, with particular attention to gender differences in consent. Results indicated no gender differences in defining consent. However, there were significant differences in how men and women indicated their own consent and nonconsent, with women reporting more verbal strategies than men and men reporting more nonverbal strategies than women, and in how they interpreted their partner's consent and nonconsent, with men relying more on nonverbal indicators of consent than women. Such gender differences may help to explain some misunderstandings or misinterpretations of consent or agreement to engage in sexual activity, which could partially contribute to the occurrence of acquaintance rape; thus, a better understanding of consent has important implications for developing sexual assault prevention initiatives.     

‘Run after time’: the roads of suitcase traders

Since the 1990s, the development of informal trade in trans-frontier places bordering Mongolia has offered opportunities for Mongolian people to develop new trade links with China, Kazakhstan, and Russia. These ‘businessmen of the transition’ or informal ‘suitcase traders’ go abroad along roads opened to and through Russia and China. My article analyses the ‘circulatory roads’ opened by suitcase traders. I take two examples of this activity: Mongolian Kazakh traders who go to Russia and Mongolian traders who go to China. The trans-frontier places reveal the particular ways of being and skills of drivers, retailers and wholesalers.     

Two-Sample Statistics for Testing the Equality of Survival Functions Against Improper Semi-parametric Accelerated Failure Time Alternatives: An Application to the Analysis of a Breast Cancer Clinical Trial

This paper presents two-sample statistics suited for testing equality of survival functions against improper semi-parametric accelerated failure time alternatives. These tests are designed for comparing either the short- or the long-term effect of a prognostic factor, or both. These statistics are obtained as partial likelihood score statistics from a time-dependent Cox model. As a consequence, the proposed tests can be very easily implemented using widely available software. A breast cancer clinical trial is presented as an example to demonstrate the utility of the proposed tests.     

Evaluation of a treatment program for abusive and high-risk families in Spain

This article describes a six-year evaluation of a comprehensive treatment program for abusive families in Spain. The evaluation involved practitioners' clinical judgments, standardized measures, and follow-up data about children's living situations. The results were similar to those obtained by similar programs from the United States and other developed countries. The analysis obtained the lowest rates of success for neglectful and abusive-neglectful families. Dropout and nondropout families differed in two paternal characteristics: alcohol problems and childhood experience of out-of-home care. Rehabilitated and nonrehabilitated families differed in several variables, including time elapsed between case detection and referral to the treatment program. Scores on measures showed significant changes during treatment.     

Vernacular Domed Houses of Harran, Turkey

The beehive domed vernacular houses of Harran, Turkey were studied from the point of view of historical origin. The factors like climate, social and urban structure, spatial organization, construction and materials which effected the form of the buildings were considered. It has been discovered through this study that Harran houses can be built rapidly like tents, with burnt or sun-dried shallow bricks. Vernacular architecture of Harran illustrates the concepts of flexible building, climatic building design and re-usable building materials concepts. Possibilities of using this construction type in our times is discussed.     

Reliability of reasons for early termination of breastfeeding: application of a bivariate probability model with sample selection to data from surveys in Malaysia in 1976-77 and 1988-89

Although extensively collected, data on people's reasons for their behaviour provided retrospectively have been met with some scepticism on the grounds that they may be subject to biases and errors that jeopardize their usefulness. This study investigates, for a sample of 1,327 births, the reliability with which women in Peninsular Malaysia recalled, at intervals 12 years apart, reasons for not initiating or for stopping breastfeeding less than 3 months after a birth. Overall, we find low to moderate reliability of recall. Levels of reliability are relatively high for some reasons (the child died and no or insufficient milk) but low for some others (child ill, breastfeeding inconvenient). Results from selection models show that reliability does not vary with the length of time since the child's birth but is inversely related to socio-economic status (proxied by education and employment). Social status, social norms, and health-related factors appear to be significant influences on women's consistency of reporting.     

Efficacy of a Self-Help Treatment for At-Risk and Pathological Gamblers

Available evidence suggests that self-help treatments may reduce problem gambling severity but inconsistencies of results across clinical trials leave the extent of their benefits unclear. Moreover, no self-help treatment has yet been validated within a French Canadian setting. The current study therefore assesses the efficacy of a French language self-help treatment including three motivational telephone interviews spread over an 11-week period and a cognitive-behavioral self-help workbook. At-risk and pathological gamblers were randomly assigned to the treatment group (n = 31) or the waiting list (n = 31). Relative to the waiting list, the treatment group showed a statistically significant reduction in the number of DSM-5 gambling disorder criteria met, gambling habits, and gambling consequences at Week 11. Perceived self-efficacy and life satisfaction also significantly improved after 11 weeks for the treatment group, but not for the waiting list group. At Week 11, 13% of participants had dropped out of the study. All significant changes reported for the treatment group were maintained throughout 1, 6 and 12-month follow-ups. Results support the efficacy of the self-help treatment to reduce problem gambling severity, gambling behaviour and to improve overall functioning among a sample of French Canadian problem gamblers over short, medium and long term. Findings from this study lend support to the appropriateness of self-help treatments for problem gamblers and help clarify inconsistencies found in the literature. The low dropout rate is discussed with respect to the advantages of the self-help format. Clinical and methodological implications of the results are put forth.