Birth Outcome Measures and Infant Mortality

Recent studies have proposed alternative birth outcome measures as means of assessing infant mortality risk; nevertheless, there hasn’t yet been an integrated analysis of these approaches. We review 14 strategies, including various combinations of birth weight, gestational age, fetal growth rate, and Apgar scores—as predictors of early neonatal, late neonatal, and postneonatal mortality, and infant mortality. Using the NCHS linked birth/infant death file for 2001, we construct multivariate logit models and assess the associations between each of the 14 key birth outcome measures and four mortality outcomes. We find that all evaluated birth outcome measures are strong predictors, but Apgar scores are the strongest among all models for all outcomes, independent of birth weight and gestational age. Apgar scores’ predictive power is stronger for Mexican-, white-, and female-infants than for black- and male-infants. Second, all birth outcome measures remain significantly associated with mortality, but their predictive power reduces drastically over time. These findings suggest a rule of thumb for predicting infant mortality odds: when available, Apgar scores should always be included along with birth weight (or LBW status) and gestational age. Additionally, these findings argue for the continued study of low birthweight, gestational age, and Apgar scores as independently salient health outcomes.     

Continuity of Mental Health Care Across Military Transitions

Multiple deployments, a prominent characteristic of operations Enduring Freedom, Iraqi Freedom, and New Dawn, have been linked to increased risk for various mental health conditions. It is also well known that military transitions, such as a change of duty station or discharge, are an inevitable part of military life. While military transitions can be stressful for any service member or veteran, those with mental health conditions face additional challenges. Transition stress can exacerbate a mental health condition that in turn hinders ability to manage the transition, resulting in a cycle of stress. As a result, those receiving mental health care while transitioning often experience difficulty continuing treatment post-transition. This article describes a unique and innovative transition coaching program designed to address this emerging issue.     

Deporting Fathers: Involuntary Transnational Families and Intent to Remigrate among Salvadoran Deportees

One‐fourth of deportees from the United States are parents of US‐citizen children. We do not know how separation from families affects remigration among deportees, who face high penalties given unlawful reentry. We examined how family separation affects intent to remigrate among Salvadoran deportees. The majority of deportees with children in the United States were also separated from their spouse, and the vast majority had US‐citizen children. Family separation was the single most important factor affecting intent to remigrate. We interpret these findings in light of immigration policy debates.     

Experiences,Burdens, and Support Needs in Siblings of Girls and Women with Anorexia Nervosa: Results from a Qualitative Interview Study

For many years, siblings of women and girls suffering from anorexia have been regarded as “the forgotten kin,” as they have been overlooked by both researchers and clinicians. Therefore, the goal of this explorative study was to investigate siblings’ experiences, burdens, and support needs in a differentiated manner. Siblings (n = 16) of patients with an ICD-10 diagnosis “anorexia nervosa” (F 50.0) took part in a qualitative, in-depth interview study; the data were assessed using content analysis. The results of this study should be especially interesting for clinical social work. Using the findings, a variety of concrete recommendations for psycho-social practice can be made, for example regarding the inclusion of siblings in treatment settings, as well as specific support concepts for siblings of anorexic women and girls in different age groups.     

STOCHASTIC COST-VOLUME-PROFIT ANALYSIS WITH A LINEAR DEMAND FUNCTION

In this paper we incorporate a linear demand function to model the price-volume causal relationship into stochastic cost-volume-profit (CVP) analysis. We assume that the objective function is to maximize expected profit; other objective functions are also discussed and compared. A linear stochastic model follows from which probabilistic statements can be easily obtained if the random variables are assumed to be multivariate normal. The basic framework is shown to be a special case of project value maximization where project value is the cash flow of the project discounted for time and risk according to the capital asset pricing model. Moreover, an intertemporal extension that considers inventory is developed. In summary, a new approach to stochastic CVP analysis that incorporates the management decision process in an uncertain environment is developed.     

Young Adult Gambling Behaviors and their Relationship with the Persistence of ADHD

Young adulthood is a period renowned for engagement in impulsive and risky behaviors, including gambling. There are some indications that young adults exhibit higher gambling rates in comparison to older adults. Problem gambling has also been linked to ADHD. This longitudinal study examines the relationship between gambling and ADHD among an epidemiological sample of young adults (n = 235; males = 179, females = 56) aged 18-24. Results indicate that individuals who report childhood ADHD symptoms which persist into young adulthood experience greater gambling problem severity than participants with no ADHD or those with non-persistent ADHD.     

Using the Delphi Method to Classify Medical Specialties

One medical specialty classification system applicable for research and career counseling is the person‐oriented versus technique‐oriented taxonomy. Given that the model was conceptualized in the 1960s, verification based on how medical specialties are practiced and viewed today is necessary. Five specialists in medical career development and advising verified the categorization of specialties. Based on their review, 100% consensus was reached regarding grouping of specialties. This outcome validates the taxonomy of medical specialties and supports its continued use for medical career specialty advising and choice.     

Training fieldwork supervisors of social work students at a South European University: evaluation of the effectiveness of a relational psychodynamic model

This case-study adopts a mixed research methodology in order to evaluate the process and the effectiveness of a psychodynamically informed training seminar for field supervisors of undergraduate social work students, at a South European University. At the beginning of the seminar, an anonymous questionnaire gathered information on the supervisors’ demographics, preferred supervision style and expectations from the training. The training consisted of four sessions involving analysis of (1) student process-recorded interviews with clients, (2) the relationships formed between the student, the supervisor and the field practice manager, (3) brief virtual scenarios (vignettes) of field practice problems and (4) a videotaped supervision session. At the end of the training process, a follow-up questionnaire researched the satisfaction of supervisors with the training, their confidence to conduct supervision, and their satisfaction with the instructor's teaching. Overall, the training has been satisfactory for the trainees and increased their competence to supervise.