Small Parts Aspiration, Ingestion, and Choking in Small Children: Findings of the Small Parts Research Project

Obtaining information on current child injury trends and their associated issues is an important factor in developing products that meet or surpass acceptable toy safety boundaries. Understanding these boundaries helps determine safe product design characteristics that reduce the risk of product-related injury. Inchcape Testing Services developed a Small Parts Aspiration, Ingestion, and Choking Hazards Research Project, independent of an ongoing consumer Product Safety Commission (CPSC) project. The project's purpose was to determine, independent of CPSC, whether a more stringent small parts regulatory standard was necessary and, if so, to ensure that the standard was determined objectively. This article reports on the project's findings relating to critical characteristics (size, shape, and consistency) relative to the victim's age, of objects responsible for child choking injuries and fatalities.     

In the Eye of the Storm: Frontline Supervisors and Federal Agency Performance

This study examines the role of frontline supervisors in thetwenty-two largest federal agencies and explores their contributionsto organizational performance and effectiveness. Specifically,this study develops a measure of federal agency performanceand tests a hybrid model that predicts it. Several researchquestions on the nature and importance of supervisory managementare tested within this framework. Data for the study come fromthe 2000 Merit Principles Survey, U.S. Merit Systems ProtectionBoard. The findings show that "management matters." Frontlinesupervisors play an important role in organizational performanceand effectiveness, and supervisory management is an importantdeterminant of high performance in federal agencies. In addition,high-performing agencies tend to have skillful upper-level managers,strong cultures that value employees and emphasize the importanceand meaningfulness of the agency's work, and policies that empowerthose employees. These agencies also tend to have a strong performanceorientation, and they strive for workforce diversity. Thesefindings are explained further, and their implications are discussed.     

Supportive parenting moderates the effect of discrimination upon anger, hostile view of relationships, and violence among African American boys

Studies have shown that exposure to discrimination increases the probability that African American adolescents will engage in delinquent behavior, especially acts of violence. The present study extended this research by examining the extent to which supportive parenting buffers a youth from these deleterious consequences of discrimination. Analyses based upon two waves of data from a sample of 332 African American adolescent males and their caretakers supported this hypothesis. Further the results indicated that there are two avenues whereby supportive parenting reduces the probability that discrimination will lead to violence. First, supportive parenting decreases the chances that discrimination will lead to anger and a hostile view of relationships. Second, supportive parenting lowers the risk that anger or a hostile view of relationships, when they develop, will result in violence.     

Telephone survey respondents' reactions to questions regarding interpersonal violence

Concerns have been raised regarding the appropriateness of asking about violence victimization in telephone interviews and whether asking such questions increases respondents' distress or risk for harm. However, no large-scale studies have evaluated the impact of asking such questions during a telephone interview. This study explored respondents' reactions to questions regarding violence in two large recently completed telephone surveys. After respondents were asked about violence, they were asked if they thought surveys should ask such questions and whether they felt upset or afraid because of the questions. In both surveys, the majority of respondents (regardless of their victimization history) were willing to answer questions about violence and were not upset or afraid because of the questions. More than 92% of respondents thought such questions should be asked. These results challenge commonly held beliefs and assumptions and provide some assurance to those concerned with the ethical collection of data on violent victimization.     

What might Normalisation Process Theory bring to policy implementation studies? Learning lessons and uncovering questions through a case study of the profound implementation failure of a new policing policy

Normalisation Process Theory (NPT), used nationally and internationally to explore implementation within health services research, is used for the first time within policing to understand profound policy implementation failure and to generate broader discussion of policy implementation theory. The policy in question (Police to Primary Care [P2PC]) was an intervention designed to notify GPs when women are assessed by police as at high risk of future domestic abuse. Designed to improve interagency communication, it took place amidst radical organisational change. Using qualitative interviews with domestic abuse specialist and frontline officers, this paper addresses how NPT helps to explain the (non)implementation of P2PC, how such an analysis differs from other policy implementation approaches, and what this means for our understandings of policy implementation more broadly. NPT proved useful in understanding mechanisms leading to (non)implementation of the intervention: fuzzy alignment with existing practice, faulty communication of purpose, and inattention to discretionary implementation spaces. It helped us understand why the intervention came to be invisible. Dwarfed by its organisational context, made institutionally hard to read by a lack of formal protocols, and given restricted view to police officers, it was compromised by a failure to instigate systems of organisational learning. More broadly, NPT helped reveal practices intersecting top‐down and bottom‐up implementation theory. The paper concludes by asking how NPT and theories of street‐level bureaucracy might be better used in tandem and, particularly, how this might help explorations of policy implementation where human actors are joined by technological actors in interpreting and making policy in vivo.     

Medicaid Funding for Assisted Living Care: A Five-State Examination

Medicaid waiver programs financing assisted living care are examined in five states to gain insights about program implementation, accomplishments, and challenges. Documents, augmented with stakeholder interviews, are used to describe income eligibility, options for supplementing payments to facilities, risk adjustment payment levels, and participation. Needs determination and waiver-based payments are in place. Eligibility and funding levels are complicated by room and board allocations that are linked to the federal benefit rate for Supplemental Security Income. Provider participation may be diminishing. Many recipients have to accept shared occupancy as program payments are insufficient for single units.     

Task Trade Between Similar Countries

We propose a theory of task trade between countries that have similar relative factor endowments and technological capabilities, but may differ in size. Firms produce differentiated goods by performing a continuum of tasks, each of which generates local spillovers. Tasks can be performed at home or abroad, but offshoring entails costs that vary by task. In equilibrium, the tasks with the highest offshoring costs may not be traded. Among the remainder, those with the relatively higher offshoring costs are performed in the country that has the higher wage and the higher aggregate output. We discuss the relationship between equilibrium wages, equilibrium outputs, and relative country size.