MYTHIC FACTS AND PARK'S PRAGMATISM:

Robert Park's proposals for the study of human and urban ecology were grounded in pragmatism, but critics of his perspective from the late 1930s through the 1940s totally missed his use of pragmatism and thereby defined four lines of deficiency: dualism (between the biotic and cultural), neglect of the sociocultural, biological determinism, and problems of measurement. These criticisms became reified as fact, out of which came Hawley's 1950 pivotal text that redirected human ecological study. Developments since then have largely been reactions against the so-called neo-orthodox approach, but in the process, the criticisms of Park have become intertextually sedimented into what we call "mythic fact' and what rhetoricians refer to as constitutive rhetoric. We document the lines of criticism and their consequences in ecological study, and then show how they were inaccurately grounded by neglecting Park's pragmatist perspective. Our analysis contributes specifically to the further understanding of predecessor-selection processes and suggests a political sociology of knowledge that challenges the cumulative theory growth model.     

Money and Journal of Organizational Behavior Management Interventions: A Review

Practitioners and business leaders can use monetary data to quantify the financial outcomes of interventions in organizational behavior management (OBM). The primary purpose of this review was to investigate the occurrence and classification of monetary data in the OBM literature. Other purposes were to demonstrate ways in which such data contribute to the measurement of value and to provide recommendations for its reporting and publication. Accordingly, a review was conducted of publications in the Journal of Organizational Behavior Management. Cumulative yearly results showed that cost data were reported more often than cost plus benefit data, and cost plus benefit data were reported more often than benefit data alone. More cost than benefit data were reported, most often with social validity, followed by institutionalization, then maintenance measures. However, more cost plus benefit data were reported than either cost or benefit data with a maintenance measure. It is concluded that reporting cost and benefit data would be beneficial to the field of OBM.     

Medical malpractice,social structure,and social control

The origin and handling of doctor-patient conflict can be understood with reference to the sociological aspects of professional health care. This premise is explored by applying Black's theory of social control to the empirical evidence concerning malpractice litigation in the United States. The vertical, organizational, and relational distances between the health care provider and the patient are particularly relevant for predicting when malpractice claims will be made and how they will be resolved. These social-structural variables help explain several patterns in the American malpractice experience, including the aggregate increase in claim rates over the past four decades; the persistence of toleration as the modal response to medical injury; why poorer patients are less suit-prone than higher income patients; why surgical specialties have higher claim rates than general practice and psychiatry; why hospitals are sued disproportionately less often than individual doctors; and the relatively high frequency of prodefendant decisions when lawsuits are decided by a judge or jury.An earlier version of this paper was presented at the annual meeting of the American Sociological Association in Pittsburgh, Pennsylvania, August 1992.     

Cultural Trailblazers: Exploring the Career Development of Latina First‐Generation College Students

Latinas in the United States have had historically low college graduation rates, are overrepresented in lower paying occupations, and experience culture‐ and values‐based struggles in obtaining career goals. As Latinas increase their presence as a cultural group in higher education and grow in the U.S. workforce, researchers are called to uncover the challenging and complex career development experience of this diverse group of students. This qualitative study used a grounded theory methodology to explore the values and life‐role salience associated with the career development of Latina 1st‐generation college students at a primarily Caucasian institution. Results included 2 overarching themes with 5 subthemes supporting culturally sensitive career counseling practices while working with this sample. Future research implications examining the efficacy of interventions to help Latina 1st‐generation college students succeed in college are provided.     

Naloxone administration for suspected opioid overdose: An expanded scope of practice by a basic life support collegiate-based emergency medical services agency

Opioid abuse is a growing and significant public health concern in the United States. Naloxone is an opioid antagonist that can rapidly reverse the respiratory depression associated with opioid toxicity. Georgetown University's collegiate-based emergency medical services (EMS) agency recently adopted a protocol, allowing providers to administer intranasal naloxone for patients with suspected opioid overdose. While normally not within the scope of practice of basic life support prehospital agencies, the recognition of an increasing epidemic of opioid abuse has led many states, including the District of Columbia, to expand access to naloxone for prehospital providers of all levels of training. In particular, intranasal naloxone is a method of administering this medication that potentially avoids needlestick injuries among EMS providers. Universities with collegiate-based EMS agencies are well positioned to provide life-saving treatments for patients acutely ill from opioid overdose.     

The Herman–Chomsky Propaganda Model: A Critical Approach to Analysing Mass Media Behaviour

The Propaganda Model (PM), developed by Edward Herman and Noam Chomsky and published in Manufacturing Consent in 1988, sought to explain the behaviour of the mass media in the United States. Analysing the function, operation and effects of the media are essential to any understanding of contemporary societies and the article begins by sketching out the contours of the liberal-pluralist vs. critical-Marxist debate about the role of the media. The article then presents an overview of the PM, locates it within the field of media and communication studies, considers its reception, discusses a number of complementary methodological and theoretical approaches, and argues that the PM, more than 20 years after its formulation, continues to provide an invaluable tool for understanding the media within contemporary capitalist societies.     

Medical Uncertainty in Students Entering Medical School

Abstract

Uncertainty is a fundamental characteristic of medical practice. Renee Fox described three types of uncertainty: limitations in the body of medical knowledge, incomplete mastery of existing knowledge, and distinguishing between limitations and mastery of knowledge. This investigation administered ten Likert-format questions about uncertainty to 171 incoming medical students at one state medical school Items were reliable over a six week test-retest, and validity was supported by correlations with an Intolerance of Ambiguity scale. Entering students recognized that uncertainty exists in medical knowledge and mastery of medical knowledge. Factor analysis of the ten item uncertainty scale revealed three dimensions: uncertainty of the profession, practice certainty, and growth in uncertainty. No significant differences in the uncertainty items, scale, or factors existed by demographic characteristics or medical specialty preferences. These findings suggest that students are aware of issues surrounding uncertainty in medicine as they begin medical school, but medical uncertainty at this early stage in medical socialization is not sufficiently powerful to be associated with medical specialty preference.     

Clustered data with small sample sizes: Comparing the performance of model-based and design-based approaches

Two classes of methods properly account for clustering of data: design-based methods and model-based methods. Estimates from both methods have been shown to be approximately equal with large samples. However, both classes are known to produce biased standard error estimates with small samples. This paper compares the bias of standard errors and statistical power of marginal effects for generalized estimating equations (a design-based method) and generalized/linear mixed effects models (model-based methods) with small sample sizes via a simulation study. Provided that the distributional assumptions are met, model-based methods produced the least-biased standard error estimates and greater relative statistical power.     

Evaluation of the Uncertainty in an Oral Reference Dose for Methylmercury Due to Interindividual Variability in Pharmacokinetics

An analysis of the uncertainty in guidelines for the ingestion of methylmercury (MeHg) due to human pharmacokinetic variability was conducted using a physiologically based pharmacokinetic (PBPK) model that describes MeHg kinetics in the pregnant human and fetus. Two alternative derivations of an ingestion guideline for MeHg were considered: the U.S. Environmental Protection Agency reference dose (RfD) of 0.1 g/kg/day derived from studies of an Iraqi grain poisoning episode, and the Agency for Toxic Substances and Disease Registry chronic oral minimal risk level (MRL) of 0.5 g/kg/day based on studies of a fish-eating population in the Seychelles Islands. Calculation of an ingestion guideline for MeHg from either of these epidemiological studies requires calculation of a dose conversion factor (DCF) relating a hair mercury concentration to a chronic MeHg ingestion rate. To evaluate the uncertainty in this DCF across the population of U.S. women of child-bearing age, Monte Carlo analyses were performed in which distributions for each of the parameters in the PBPK model were randomly sampled 1000 times. The 1st and 5th percentiles of the resulting distribution of DCFs were a factor of 1.8 and 1.5 below the median, respectively. This estimate of variability is consistent with, but somewhat less than, previous analyses performed with empirical, one-compartment pharmacokinetic models. The use of a consistent factor in both guidelines of 1.5 for pharmacokinetic variability in the DCF, and keeping all other aspects of the derivations unchanged, would result in an RfD of 0.2 g/kg/day and an MRL of 0.3 g/kg/day.