BOOTSTRAPPED MULTI-DIMENSIONAL PRODUCT LIMIT PROCESS

We approximate the limit process for a multivariate censored survival distribution using the bootstrap. The empirical process has a complicated covariance structure depending on the survival and censoring. The bootstrapped process provides a means to develop distribution-free procedures including simultaneous confidence bands. Results extend to comparison of multivariate survival distributions. A gallstone study is examined in some detail.     

Patterns and determinants of union growth in the hospital industry

Recent changes in the National Labor Relations Act have increased the possibility that union coverage will expand among private non-profit hospitals. This study examines the success of union organizing efforts in the industry during the 1974–1978 period. The analysis focuses on the influence of environmental and organizational variables as well as the nature of the election process itself. The results suggest that hospital union success is largely dependent uponprior union success in the hospital (+), voter turnout (−) and unit size (−). The annual rate of election victories is predicted to fall to nearly 25 % by 1983 from an average of 50% in the 1974–1978 period.     

Work-injuries and Invalidism in Migrant Families: A Systems View**

Australia has a large non-English speaking industrial work force, with a significant incidence of chronic invalidism following work accidents. Health Services are relatively ineffective in preventing this and often only seem to amplify the problem. The destructive interactions that occur between the accident victim and his family, and health and legal services are described. The phases of this social process, termed the “Accident Victim Syndrome”, are outlined. The implications for effective intervention, for the role in family therapy, and for health care delivery in general are discussed.     

National and international EDI

EDI is a vital and promising tool used today despite its deficiencies. The future of EDI depends on the commitment that business makes toward accepting its potential. EDI has the means to provide a universal system for business and management to functions to meet the needs and changes of business worldwide. This paper discusses the standards, deficiencies, implementations and changes.     

Survival of the corporate planner

Like most businesses, corporate planning units come and go. Based on a survey of 105 coporate planning units in the U.K., this article presents those factors, both external and internal to such units, which appear to have most influence on the creation, survival and success of corporate planning units.     

Death in the Family Implications for Family Development

This article attempts to integrate concepts from psychoanalytic literature on parent loss with concepts from family literature in order to demonstrate their compatibility. A case is described that suggests that family treatment for this patient population provides the optimal opportunity for comprehensive diagnosis and treatment planning. The patient and family were treated by one of the authors. The other author served as supervisor and consultant.     

The Spokane Tribe''s Multipathway Subsistence Exposure Scenario and Screening Level RME

Exposure scenarios are a critical part of risk assessment; however, representative scenarios are not generally available for tribal communities where a traditional subsistence lifestyle and diet are relevant and actively encouraged. This article presents portions of a multipathway exposure scenario developed by AESE, Inc. in conjunction with the Spokane Tribal Cultural Resources Program. The scenario serves as the basis for a screening-level reasonable maximum exposure (RME) developed for the Midnite Uranium Mine Superfund site. The process used in developing this scenario balances the need to characterize exposures without revealing proprietary information. The scenario and resulting RME reflect the subsistence use of original and existing natural resources by a hypothetical but representative family living on the reservation at or near the mine site. The representative family lives in a house in a sparsely populated conifer forest, tends a home garden, partakes in a high rate of subsistence activities (hunting, gathering, fishing), uses a sweat lodge daily, has a regular schedule of other cultural activities, and has members employed in outdoor monitoring of natural and cultural resources. The scenario includes two largely subsistence diets based on fish or game, both of which include native plants and home-grown produce. Data gaps and sources of uncertainty are identified. Additional information that risk assessors and agencies need to understand before doing any kind of risk assessment or public health assessment in tribal situations is presented.