US campus fraternities and sororities and the young adult injury burden

Objective: To investigate whether the presence of fraternities and sororities was associated with a higher local injury rate among undergraduate-age youth. Methods: In 2016 we compared the rate of 2010–2013 youth (18–24 years) emergency department (ED) visits for injuries in Hospital Service Areas (HSA) with and without fraternities and sororities. ED visits were identified in the State Emergency Department Database (n=1,560 hospitals, 1,080 HSAs, 16 states). US Census Bureau and National Center for Education Statistics sources identified HSA population and campus (n=659) characteristics. A proprietary database identified campuses with fraternities and sororities (n=287). ED visits explicitly linked to fraternities and sororities in the National Electronic Injury Surveillance System–All Injury Program were used to identify injury causes for sub-group analysis. Results: HSAs serving campuses with fraternities and sororities had lower age 18–24 injury rates for all causes except firearm injuries (no difference). Conclusions: Fraternities and sororities were not associated with a higher injury rate at the population level among undergraduate-age youth. A major limitation is not being able to observe campus health services utilization.     

Self-Concept,Attitudes Toward Career Counseling,and Work Readiness of Malaysian Vocational Students

The authors examined the relationship between self-concept, attitudes toward career counseling, and work readiness among 574 Malaysian vocational students. Attitudes toward career counseling have been studied in Western cultures; however, little is known about how career counseling is perceived in Eastern cultures. Attitudes toward career counseling were examined as a potential mediator of the relationship between self-concept and work readiness. The authors applied structural equation modeling to explain these relationships. Value of career counseling was found to significantly mediate the link between self-concept and work readiness. Results supported a direct relationship between positive self-concept and work readiness skills. This may be due, in part, to a heightened value of career counseling among vocational students that increases career awareness and thus enhances work readiness. Future research could include samples with more female participants and additional constructs, such as self-efficacy and career adaptability.     

Sexual minorities and selection of a primary care physician in a midwestern U.S. city

How and why sexual minorities select a primary care physician is critical to the development of methods for attracting these clients to a physician's practice. Data obtained from a sample of sexual minorities in a mid-size city in our nation's heartland would indicate that these patients are loyal when the primary care physician has a positive attitude toward their sexual orientation. The data also confirms that most sexual minorities select same sex physicians but not necessarily same sexual orientation physicians because of lack of knowledge of physicians' sexual orientation. Family practice physicians and other primary care physicians can reach out to this population by encouraging word of mouth advertising and by displaying literature on health issues for all sexual orientations in their offices.     

Assessing Family Problems: An Evaluation of Key Elements of the Children’s Review Schedule

The importance of providing consistent methods for the assessment of need for practice and research in child and family social work has been accepted for some considerable time. One feature identified by key stakeholders, such as Directors of Children’s and Social Services, is the need for rigour in the development of such instruments. This paper reports on an evaluation of the Children’s Review Schedule, an instrument developed in collaboration with one Children’s Department. It focuses on a key aspect of the assessment of need: the measurement of the nature, range and severity of family problems.     

Taking License with Medical Work: Notes on the Resolution of Risk and Uncertainty in a Gynecological Self-Help Clinic

Occupational case studies provide comparative data for studying the structure of work. In the case presented here, an occupational grouping which staked out its own jurisdiction provides a limiting case for the study of collective solutions to risk and uncertainty encountered in work. How a gynecological self-help clinic organized work to protect individual workers from risk and its consequences shows that relationships among work, uncertainty, and risk are indeed flexible.     

Residency differentials in Mormon fertility

Abstract Although one of the most consistent findings of recent fertility studies is the convergence of the religious differentials in fertility, few data have been analysed to discover Mormon fertility trends and differentials. This paper, based on data obtained on 1,001 Mormon couples, is concerned with describing the effects that the dispersion of Mormon families from the Mormon centre in Utah to surrounding areas with various social conditions is having on the fertility of the re-located Mormon families. Data presented clearly show that such families do, on the average, have a lower fertility than do their Mormon contemporaries residing in the homogeneous Mormon society in Utah. They probably compromise their religious obligations to have children with the contradicting demands of their new environment. Their loyalty to these religious beliefs, however, is confirmed by data which show that they tend to have larger families in their new environments than do their non-Mormon neighbours.     

A treatment program for children with sexual behavior problems

This paper discusses the problems and treatment of children with sexual behavior problems. These children coerce, intimidate or force other children by threats of physical harm to comply with their sexual requests, frequently a reenactment of their own experiences. This paper describes a comprehensive therapeutic foster care approach to these children.     

The coordination of short-run decision-making with long-range planning

The dichotomy of short-run and long-run decision-making in economic enterprises has gained widespread acceptance, both in practice and in the related literature despite the inherent interdependence of these decisions. The problem addressed in this paper deals with the proper coordination of short- and long-run planning. Structuring the overall decision problem of the firm as a dynamic programming problem, we find that a natural decomposition into long- and short-range planning results. In this decomposition, all decisions which must be made in the first segment of the planning period are allocated to the short-run decision-makers and all subsequent decisions to the long-range planners. Though several formats have been suggested in the literature for linking short- and long-run plans, most notably the use of shadow prices and of targets or quotas, we find that from a conceptual viewpoint these are inadequate mechanisms and that the proper connection involves the dynamic programming return function.