Hungary: a health system in transition

Hungary has an area of 93,030 square kilometers (35,900 square miles), the size of the state of Indiana in the United States. It is landlocked by the Czech Republic and the Slovak Republic to the north, Austria to the west, Yugoslavia to the south, and Romania and the Soviet Union to the east. Although the health care system is based on the Soviet system, there have been dramatic changes since 1991, when the soviet Union and its Eastern European partners discarded their communist structures and the Soviet empire was disbanded. In this report, the current Hungarian health care system and the political structure in which it is housed will be described in terms of a key set of characteristics and their subparts. The purpose of this approach is to facilitate comparison of the Hungarian system with other national health care systems. An expanded version of this article will appear in an upcoming second edition of the College's book, International Health Care: A Framework for Comparing National Health Care Systems, by Drs. Mendoza and Henderson.     

The impact of welfare reform on the parenting role of women in rural communities

Current family policy suggests that in order to restore family values we, as a society, need to focus on reviving a child-centered household. Full-time mothering is lauded as an honorable choice that will advance this goal and ultimately strengthen traditional family values. However, current welfare policy is contrary to this notion in that mandatory welfare-to-work programs deny women receiving public assistance the choice to be full-time mothers. Based on in-depth interviews with female welfare recipients in four rural Appalachian counties, this paper evaluates the problems women face as they confront the difficult choices of being either a “good mother” or a “good recipient.” From a feminist perspective, findings suggest that welfare reform programs in rural communities have put poor women in a proverbial “catch-22” with regard to effective parenting. Although many of the women strive to be ideal mothers as defined by societal standards, they often find that they cannot carry out the role effectively because of welfare reform regulations.     

NGOS AND THE DEVELOPMENT OF CIVIL SOCIETY IN BULGARIA AND THE USA

This study examines the development of civil society and its ability to facilitate stronger democratic practices in Bulgaria using the USA as a comparison. Using data gathered from surveys of NGOs in 2006, we examine three sets of questions. First, what is the level of NGO organizational capacity? Second, to what degree are NGOs performing their mediating roles? Third, how do NGOs perceive their effectiveness in working with the state and its citizens. Our findings suggest that Bulgarian NGOs face a number of challenges when compared with US NGOs, which affect their ability to engage in civil society activities such as establishing horizontal ties with citizens and other groups.     

Rasch Analysis of the Metacognitive Awareness Listening Questionnaire (MALQ)

A valid metacognitive awareness second language (L2) listening questionnaire is important for both researchers and teachers to facilitate the measurement of language learners’ ability to reflect on and direct their L2 learning. However, very few metacognitive awareness questionnaires have been validated, particularly in the area of L2 listening (cf., Vandergrift, Goh, Mareschal, & Tafaghodtari, 2006). The Metacognitive Awareness Listening Questionnaire (MALQ) (Vandergrift et al.) is one exception. However, very little information has been collected on the MALQ’s psychometric properties. To address this paucity, we administered the MALQ to a sample of 299 male Korean adolescent speakers of English. Using a modern measurement approach to scale validation (Rasch modeling), we found that with the exception of one subscale (Person knowledge) the subscales had good psychometric properties in that it was reliable and unidimensional.     

Understanding the social and cultural bases of Brexit*

We use data from a large scale and nationally representative survey to evaluate two narratives about the social bases of Brexit. The first narrative sees Brexit as a revolt of the economically left-behinds. The second narrative attributes Brexit to the resurgence of an English nationalism. There is some, albeit not always consistent, evidence that people in relative poverty or those living in areas that have seen greater Chinese import penetration are slightly more pro-Leave. People living in economically deprived neighborhoods are not more pro-Brexit. Using the Weberian class–status distinction, it is social status, not social class, which stratifies Brexit support. Individuals for whom being British is important are more pro-Leave. But those who see themselves as British rather than English, and those reporting omnivorous cultural consumption are less supportive of Brexit. Overall, there is empirical support for both narratives. But the weight of the evidence suggests a strong cultural dimension in Brexit support.     

Longitudinal patterns of anger reactivity and risk‐taking: The role of peer‐context

The current study examined the interplay between children's dispositional anger and susceptibility to peers' influence in increasing children's risk‐taking behaviors. Participants in the current study were children from a larger study of temperament and social–emotional development who were followed across 9, 24, 36, 48, and 60 months. Dispositional anger was measured using mothers' reports across 9 and 48 months. At 60 months, children played a risk‐taking computer game in presence of an unfamiliar peer who watched the child play. The child's risk‐taking was assessed during the game as the unfamiliar peers' reactions were coded based on comments that were peer directed, reflective of praising the target child's performance, or object directed, indicative of excitement toward the game. A latent profile analysis revealed three longitudinal anger profiles across infancy to early childhood: high stable, average stable, and low stable anger. Results suggested that as peers' object‐directed comments predicted risk‐taking independent of children's anger, the association between peer‐directed comments and risk‐taking was dependent on children's dispositional anger. Specifically, when peers praised the target child's performance, children in the high stable anger profile showed increased risk‐taking propensity. Findings are discussed based on the importance of considering both temperamental characteristics and aspects of the peer context in relation to children's risk‐taking.     

The cost of children. Part I

Using pre-war surveys of expenditure an attempt is made to assess the effect of the addition of one or more children on the distribution of expenditure. It is found that the changes between broad groups are small. The chief effect is an increased expenditure in the larger families on food and children's clothing, compensated by reduced expenditure on luxuries and adult clothing. It is confirmed that expenditure on accommodation does not rise with family size.     

Emergency and Disaster: Pervasive Risk and Public Bureaucracy in Developing Nations

Developing nations experience pervasive risk of devastation, human and property loss resulting from human and natural disasters. This level of risk is attributable to socioeconomic stress, aging and inadequate physical infrastructure, weak education and preparedness for disaster and insufficient fiscal and economic resources to carefully implement the preparedness, response, mitigation and recovery components of integrated emergency management. This article examines these dynamics using a conceptual framework derived from chaos theory and emergency management theory and raises several critical methodological issues related to inquiries into disaster and emergency management dynamics in developing nations.