Assessment of the Effectiveness of Radon Screening Programs in Reducing Lung Cancer Mortality

The present study was aimed at assessing the health consequences of the presence of radon in Quebec homes and the possible impact of various screening programs on lung cancer mortality. Lung cancer risk due to this radioactive gas was estimated according to the cancer risk model developed by the Sixth Committee on Biological Effects of Ionizing Radiations. Objective data on residential radon exposure, population mobility, and tobacco use in the study population were integrated into a Monte‐Carlo‐type model. Participation rates to radon screening programs were estimated from published data. According to the model used, approximately 10% of deaths due to lung cancer are attributable to residential radon exposure on a yearly basis in Quebec. In the long term, the promotion of a universal screening program would prevent less than one death/year on a province‐wide scale (0.8 case; IC 99%: –3.6 to 5.2 cases/year), for an overall reduction of 0.19% in radon‐related mortality. Reductions in mortality due to radon by (1) the implementation of a targeted screening program in the region with the highest concentrations, (2) the promotion of screening on a local basis with financial support, or (3) the realization of systematic investigations in primary and secondary schools would increase to 1%, 14%, and 16.4%, respectively, in the each of the populations targeted by these scenarios. Other than the battle against tobacco use, radon screening in public buildings thus currently appears as the most promising screening policy for reducing radon‐related lung cancer.     

Planners' Perspectives on Obstacles to Sustainable Urban Development: Implications for Transformative Planning Strategies

A major problem confronting planning is the gap between transformative proposals and enduring urban development trends. The paper interprets interviews with 62 planners involved in a sustainable urban development strategy in a large region focussed on Toronto, Canada. Surveyed planners were asked about the obstacles they encounter when attempting to modify prevailing urban development. Mentioned obstacles are consistent with expectations arising from three major perspectives on inertia: institutionalism, political economy and path dependence. Interviews also highlight the role of planners' practical knowledge in identifying and interpreting obstacles, and the existence of a consensus among respondents over sustainable urban development.     

Economic Modeling Triggers More Efficient Planning: An Experimental Justification

Consider a firm as an organization that needs to efficiently coordinate several specialized departments in an uncertain environment. Decision making involves collective planning sessions and decentralized operational processes. In this setting this paper explores the role of economic modeling through an experimental game. Results support the idea that economic modeling favors higher performance. Economic modeling facilitates the emergence of common knowledge and the decomposition of a group decision problem into individual decision problems that are meaningfully interrelated. This paper was presented at the Porquerolles Summer School on Cognitive Sciences, September 2001.     

To test or not to test: do workplace drug testing programs discourage employee drug use?

Workplace drug testing programs are often met with intense criticism. Despite resistance among labor and consumer groups and a lack of rigorous empirical evidence regarding effectiveness, drug testing programs have remained popular with employers throughout the 1990s and into the current century. The present study analyzed nationally representative data on over 15,000 US households to determine whether various types of workplace drug testing programs influenced the probability of drug use by workers. The study estimated several empirical specifications using both univariate and bivariate probit techniques. The specification tests favored the bivariate probit model over the univariate probit model. Estimated marginal effects of drug testing on any drug use were negative, significant, and relatively large, indicating that drug testing programs are achieving one of the desired effects. The results were similar when any drug use was replaced with chronic drug use in the models. These results have important policy implications regarding the effectiveness and economic viability of workplace anti-drug programs.     

Child custody issues and co‐occurrence of intimate partner violence and child maltreatment: controversies and points of agreement amongst practitioners

The situation of families undergoing separation in a context of co‐occurrence of intimate partner violence (IPV) and child maltreatment raises certain issues related to child custody. The results presented in this paper were collected and analysed within the framework of a qualitative study aiming to identify the principal points of agreement and the main controversies amongst practitioners in several different types of organizations. Focus groups were held with a total of 43 practitioners from six different settings concerned with child custody in cases of co‐occurrence of IPV and child maltreatment. Although they agreed on the importance of ensuring the safety of victims of violence, their views diverged on three points: (1) the importance of preserving the father–child relationship; (2) collaboration between voluntary organizations and semi‐voluntary or legal agencies; and (3) consideration of cultural differences.     

School Provision for Roma Children: a European perspective

The current period is a pivotal one: European institutions started taking the schooling of Roma children into account in the early 1980s. Important texts have been adopted and wide‐reaching projects have been implemented. As European programmes are intensifying and are gradually opening up to all the States of Europe, we are faced with the necessity of defining the work in this field — both in terms of objectives, and in terms of organisation — more clearly. Even if part of the road is now being travelled, and the jigsaw of projects and programmes in diverse and essential domains is gradually taking shape, a great deal none the less remains to be done. Within our present social context rendering all progress appears to be fragile and uncertain. All efforts must be combined to consolidate achievements and advance towards the dynamic cultural affirmation and development made possible in the mutual respect of an intercultural approach. The set of activities presently under way can continue to be seen as an essential driving force, as a reference model, and as a demonstration that cultural diversity and action geared towards respecting diversity are a source of enrichment for all pupils, and for European society as a whole.