The treatment of strabismus in the four to ten year old child

Approximately 6% of children have strabismus, a condition where the eyes are not straight and do not work together. The condition is described and the problems created are discussed, including its effect on appearance and performance. Treatments available to correct strabismus and their success rates are presented. Most children can be treated effectively to restore normal appearance and binocular function.a Diplomate in Binocular Vision and Perception, American Academy of Optometry, Fellow, College of Optometrists in Vision Development, and in private practice, Garden City, New York.     

Fear of crime among vulnerable populations: Homeless women

Are the factors associated with the fear of crime in the general population the same as those operating with especially vulnerable subgroups? If not, how and why are they different? Previous studies concerning the fear of crime have identified certain vulnerability factors as being associated with higher levels of fear. These include, for instance, being female, living in certain ghetto areas, and being elderly. Because many of these studies focused upon fear in the general population, however, they assumed a certain homogeneity of fear, whether it be among women, among the elderly, among Blacks, etc. They failed to make distinctions based upon relative degrees of vulnerability. They also generally neglected the notion of fear management—of coping. This research addresses these concerns. Two hundred homeless women (defined here as homeless adult females living on the streets), were interviewed in New York City. Among other things, they were asked about their crime risks and their crime fears. Results indicate that fear of crime is higher among those street women who have suffered past victimization. It is also slightly higher among those who perceived themselves to be more vulnerable. Perhaps most interesting is the finding that there is only a low correlation between self-perceived vulnerability to victimization and the fear of crime. This supports the proposition that these are two distinctive concepts; and, most importantly, it does so in the context of a particularly vulnerable population. Possible explanations of a seemingly paradoxical situation, namely high vulnerability existing side by side with a low fear of crime, are explored and discussed.     

Women's Status,Fertility Decline,and Women's Health in Developing Countries: Direct and Indirect Influences of Social Status on Health

Abstract In the present three‐wave study of 72 developing countries, we use growth curves to examine how changes in fertility and level of fertility mediate the effect of women's social status on women's health as measured by infant mortality, maternal mortality, and female life expectancy. We find that level of female education, average age at marriage, and the percentage of married women using contraceptives influence attained level of fertility, with controls for economic growth and dependency status. Change in fertility, however, is predicted only by average age at marriage and by level of education. Change in fertility, in turn, predicts improvement in all three women's health indicators, while the level of fertility predicts improvement in maternal mortality and infant mortality. In addition to the mediating effects of fertility, both age at marriage and education contribute directly to reduced level of infant mortality; level of primary education contributes directly to reduced levels of maternal mortality; and use of contraceptives contributes directly to improvement in female life expectancy. These findings provide strong evidence that women's social status makes direct contributions to women's health which cannot be attributed to economic growth, dependency status, and/or the mediating effects of level and change in fertility. The policy implication for developing countries is that greater gains can be made in women's health, particularly maternal health, by improving women's social status, especially in rural areas.     

Economic Conditions,Spouse Support,and Psychological Distress of Rural Husbands and Wives1

Abstract Previous studies of the relation between economic conditions and psychological stress among farm operators are extended by comparing farming and nonfarming husbands' and wives' depressive symptoms and by including spouse support as both a mediating and a moderating variable. Using three waves of data from the Iowa Youth and Families Project, the analyses found few differences between farmers and nonfarmers, but the relation between economic pressure and distress operates differently for husbands and wives. For husbands, wives' support buffers the relation between economic pressure and husbands' sense of control over events in their lives, which in turn reduces depression. For wives, husbands' support both directly reduces their depression and buffers the effects of economic pressure on depression by weakening the relation between sense of control and feelings of depression.     

Correlation-adjusted estimation of sensitivity and specificity of two diagnostic tests

Summary. Models for multiple-test screening data generally require the assumption that the tests are independent conditional on disease state. This assumption may be unreasonable, especially when the biological basis of the tests is the same. We propose a model that allows for correlation between two diagnostic test results. Since models that incorporate test correlation involve more parameters than can be estimated with the available data, posterior inferences will depend more heavily on prior distributions, even with large sample sizes. If we have reasonably accurate information about one of the two screening tests (perhaps the standard currently used test) or the prevalences of the populations tested, accurate inferences about all the parameters, including the test correlation, are possible. We present a model for evaluating dependent diagnostic tests and analyse real and simulated data sets. Our analysis shows that, when the tests are correlated, a model that assumes conditional independence can perform very poorly. We recommend that, if the tests are only moderately accurate and measure the same biological responses, researchers use the dependence model for their analyses.     

Multivariate distributions with generalized inverse gaussian marginals,and associated poisson mixtures

Several types of multivariate extensions of the inverse Gaussian (IG) distribution and the reciprocal inverse Gaussian (RIG) distribution are proposed. Some of these types are obtained as random-additive-effect models by means of well-known convolution properties of the IG and RIG distributions, and they have one-dimensional IG or RIG marginals. They are used to define a flexible class of multivariate Poisson mixtures.     

Selfish bin coloring

The bin packing problem, a classical problem in combinatorial optimization, has recently been studied from the viewpoint of algorithmic game theory. In this bin packing game each item is controlled by a selfish player minimizing its personal cost, which in this context is defined as the relative contribution of the size of the item to the total load in the bin.     

Measuring the Role of Central and Eastern European Countries in World Drug Research

This paper explores the sociological behavior of firms in the pharmaceutical industry in Central and Eastern Europe as measured by funding linkages. Using the ISI Web of Science data-base, the number of research papers funded by top American and European pharmaceuticals with at least one author from Central and Eastern Europe are identified. Results indicate that Poland leads in the region by both the number of papers funded and by percentage of a firm’s total papers funded, followed closely by Hungary, Greece and the Czech Republic. Though the percentages of any firm’s linkages with a Central and Eastern European author are small (upper limit being 6.6%), this percentage is skewed due to the fact that the US is cited for 50% of papers for most firms. Roche Corporation is the top funder of papers among both US and European firms. Incidentally, zero top American pharmaceuticals were found to have an R&D center located in Central and Eastern Europe whereas European firms: GlaxoSmithKline and Sanofi-Aventis do—possibly indicating a difference in business strategy between European and American pharmaceuticals.