The use of multiple scenarios by U.S. industrial companies

A growing number of firms have responded to the ‘unpredictable future’ by developing ways to measure their proposed strategies against several plausible alternative futures. Probably the most widely used of these techniques is multiple (or alternative) scenario analysis (MSA).Survey results indicate that approximately 150 of the Fortune ‘1000’ industrials now use MSA in their formal planning processes. Most have begun using MSA within the last 3 or 4 years. Furthermore, a number of other companies are considering its use. Survey results also show that firms do not follow the relatively rigorous procedures as suggested in the literature. Also, MSA seems to be most successful when management is both knowledgable and involved with scenarios from the beginning.     

The etiology of low back pain in military helicopter aviators: prevention and treatment

Low back pain (LPB) is a major health problem among military rotary-wing aircrews worldwide. In order to define the etiology and propose remedies to LBP in helicopter aviators a review and critique of the literature was conducted. In-flight sitting posture and vibration generated by the aircraft were identified as high risk factors for LBP. Consequently, researchers recommended ergonomic modifications to the crew stations. The efficacy of these technical interventions has not been proven. As well, these design changes are not financially practical. Following an in depth kinesiological analysis of the physical demands of this type of flying, and preliminary experimentation, an alternative aeromedical approach focusing on the aircrew rather than the craft is presented. The authors propose a set of flight-specific exercises that might effectively deal with this problem. A thorough testing of this approach is envisioned.     

Informal Care Intensity and Caregiver Drug Utilization

Providing informal care has negative health consequences for informal caregivers. If these health consequences increase drug utilization among caregivers, estimates of health care savings from informal care—mainly realized through reductions in utilization among care recipients—should consider the increased drug costs incurred by informal caregivers. This paper evaluates whether more intensive informal caregivers have higher drug utilization than less intensive caregivers, controlling for initial health status and other factors. We find that informal care intensity is associated with higher drug consumption. An increase of 10% of total informal care per day is associated with a 0.7% increase in drugs. The small magnitudes indicate that, in this application, it is not important to consider caregiver drug utilization when quantifying the net savings to the health care system of informal care. For individual caregivers, such as those who take multiple drugs per month and/or have no drug coverage, the increase in drug utilization associated with intensive caregiving is likely to be costly.     

“Order through Fluctuation”: An Evolutionary Epistemology for Human Systems**

Most approaches to systems theory, group theory and family theory suffer from two major inadequacies. First, they are heavily oriented toward structure (e.g. structure of the system) as opposed to process. Second, because of this bias, such theories overemphasize stability at the expense of change and transformation. In contrast, Ilya Prigogine's concept of “order through fluctuation” demonstrates how systems suddenly organize themselves and, equally suddenly, make discontinuous shifts from one coherent order to another. As a paradigm, “order through fluctuation” constitutes a basic nonequilibrium ordering principle that governs the forming and unforming of systems at all levels.     

Birth Mothers Now Birth Grandmothers: Intergenerational Relationships in Open Adoptions

Abstract

Despite growing trends in openness between birth and adoptive families, little is known about what happens when adopted children become parents and birth mothers become birth grandmothers. These new and unique relationships between birth mothers and their grandchildren were examined through intensive case study analyses of in-depth interviews with birth mothers who placed infants for adoption more than 25?years ago (N?=?11). Findings revealed enjoyment in their role as grandmothers and emphasized the significant role the adult adoptee (parent) played in influencing communication with their grandchild and families’ incorporation of technology-mediated contact to overcome geographic barriers. Implications for practitioners, policy makers, and researchers are discussed.     

What Adolescents Can Tell Us: Technology and the Future of Social Work Education

The use and usefulness of Information Technology (IT) is rapidly growing around the world, especially among the youth. IT has been shown to impact learning styles, communication, and social relationships in many ways. Recently, significant discussion has arisen around the importance of IT in higher education and more specifically, social work education. This study qualitatively assesses 128 youth aged 13–14 years to understand their access to and use of IT as well as the way it impacts their psychosocial development to provide clues that will help inform the design of social work education for the future. Youth in four school districts reported unanimous access to computers and television and a majority of students used other technologies. Adolescents reported increased ease of communication and ability to get information as well as enhanced social relationships connected to their use of IT. Discussion and implications suggest that in the future, social work education will have to implement IT into its curriculum in order to attract students and provide the best possible learning environment for the next generation, which has included technology in every aspect of their lives.     

Imprisonment in Hospital

You are sitting drinking tea at your midmorning break, chatting to your neighbour about the cost of living. There is an announcement over the radio: “Caffeine has been declared a dangerous drug under the Queensland Health Act Amendment Act 1971. Caffeine is a stimulant found in coffee, tea, cocoa and cola.”