The design of computer based planning and modeling systems

Today there are nearly 2000 corporations in North America and Europe either using, developing, or experimenting with some form of corporate planning model. With the emergence of this new and rather substantial interest in the methodology of corporate planning modeling, there appears to be a definite need for a conceptual framework which can be used to design and implement computer based planning and modeling systems.In this paper the authors describe a collection of elements which they believe to be of critical importance in designing a corporate planning model. Their objective is to develop a set of criteria for not only designing a planning and modeling system, but a set of criteria which can also be used to facilitate the evaluation and comparison of alternative planning and modeling systems.There are over 50 planning and modeling software packages on the market today. These include systems such as BUDPLAN, COMOS and SIMPLAN. This paper attempts to provide the reader with a convenient checklist of possible features to consider in either designing one's own system or selecting an appropriate software package.     

Asking the Question: Childhood Sexual Abuse in Adults with Mental Illness

Enquiry about childhood sexual abuse (CSA) is not routine practice for mental health practitioners undertaking client assessment. This study audited 100 patient charts to determine rates of enquiry and response by mental practitioners around CSA. Fifty-seven mental health staff also completed a subsequent questionnaire exploring factors that influence practice in regard to sexual abuse. Staff lacked confidence in how to ask and effectively respond to sexual abuse disclosure. Mandatory training focusing on trauma informed care could improve staff confidence and capacity to identify and effectively address not only sexual abuse, but childhood trauma and abuse more generally.     

Generational Differences in Orientations to Coresidence in Chongju,South Korea

This study examines generational differences by assessing the advantages and disadvantages of intergenerational coresidence in Chongju, South Korea. In the past, it was traditional for the elderly to live with the eldest son. Rapid industrialization and urbanization have contributed to changing gender roles and living arrangements, and new values promote daughters sharing filial responsibilities with their brothers. To explore the perceived benefits and costs of coresidence, 50 intergenerational households were studied. Interviews about attitudes toward living in an extended family arrangement were conducted among the mothers and daughters-in-law in the 50 intergenerational households. Two separate regressions, one analyzing mothers and one analyzing daughters-in-law, were performed. The older generation reported more benefits and fewer costs than the younger generation, although the regression analyses for mothers' satisfaction was not statistically significant. The results are interested in the context of exchange theory. The results have implication for social welfare and housing policy in South Korea.     

Are Adult Patients More Tolerant of Treatment Risks Than Parents of Juvenile Patients?

Understanding patient-specific differences in risk tolerance for new treatments that offer improved efficacy can assist in making difficult regulatory and clinical decisions for new treatments that offer both the potential for greater effectiveness in relieving disease symptoms, but also risks of disabling or fatal side effects. The aim of this study is to elicit benefit-risk trade-off preferences for hypothetical treatments with varying efficacy and risk levels using a stated-choice (SC) survey. We derive estimates of "maximum acceptable risk" (MAR) that can help decisionmakers identify welfare-enhancing alternatives. In the case of children, parent caregivers are responsible for treatment decisions and their risk tolerance may be quite different than adult patients' own tolerance for treatment-related risks. We estimated and compared the willingness of Crohn's disease (CD) patients and parents of juvenile CD patients to accept serious adverse event (SAE) risks in exchange for symptom relief. The analyzed data were from 345 patients over the age of 18 and 150 parents of children under the age of 18. The estimation results provide strong evidence that adult patients and parents of juvenile patients are willing to accept tradeoffs between treatment efficacy and risks of SAEs. Parents of juvenile CD patients are about as risk tolerant for their children as adult CD patients are for themselves for improved treatment efficacy. SC surveys provide a systematic method for eliciting preferences for benefit-risk tradeoffs. Understanding patients' own risk perceptions and their willingness to accept risks in return for treatment benefits can help inform risk management decision making.     

Employment gains and wage declines: The erosion of black women’s relative wages since 1980

Public policy initiatives in the 1950s and 1960s, including Affirmative Action and Equal Employment Opportunity law, helped mitigate explicit discrimination in pay, and the expansion of higher education and training programs have advanced the employment fortunes of many American women. By the early 1980s, some scholars proclaimed near equity in pay between black and white women, particularly among young and highly skilled workers. More recent policy initiatives and labor market conditions have been arguably less progressive for black women’s employment and earnings: through the 1980s, 1990s, and the first half of the 2000s, the wage gap between black and white women widened considerably. Using data from the Current Population Survey Merged Outgoing Rotation Group (CPS-MORG), this article documents the racial wage gap among women in the United States from 1979 to 2005. We investigate how demographic and labor market conditions influence employment and wage inequality among black and white women over the period. Although shifts in labor supply influence the magnitude of the black-white wage gap among women, structural disadvantages faced by black women help explain the growth in the racial wage gap.     

Firearm presence and storage practices in North Carolina homes

Firearms injuries are a leading cause of injury and death in North Carolina, including suicide, homicide, intentional assault, and unintentional injuries. Research has demonstrated that the presence of a firearm in a household increases the risk for homicide and suicide. This study examined two firearms-related risk factors, the presence of a firearm in the household and risky storage practices (loaded and unlocked), using the 2011 North Carolina Behavioral Risk Factor Surveillance System (BRFSS). We hypothesized that among household firearm owners, those who keep unlocked loaded firearms would be varied by demographic variables and also by tendencies for more risk-taking behaviors such as smoking and drinking. Results showed that those who were more likely to keep firearms in or around the home were male, older age, White race, married, with some post high school education, and with higher income. There were no differences by region, age, race, education, or income among those who kept firearms loaded and unlocked. Risky storage practices were related to social conditions such as marital status and number of adults and children in the household. The presence of firearms was lower among those who lived alone; however, among those with a firearm in the household, 42% of single adult households keep a loaded and/or unlocked firearm in the house, and up to 30% of households with children do as well. Behavioral risk factors such as smoking, binge drinking, and not using a seatbelt when driving a car were also related to firearms possession and storage conditions.