International Adoption: Counseling and the Adoption Triad

Despite a 60-plus–year history of international adoption (IA) placements, the body of research exploring counseling and psychological interventions for those affected by IA is still in its infancy. This critical review of the state of the literature addresses research, theory, and practice relevant to the international adoption triad (adoptive parents, birth parents, and adoptees). We highlight the lack of empirical attention to the clinical needs of birth parents, the tendency to overlook the clinical needs of adoptive parents both pre- and post-adoption, early childhood vulnerability in international adoptees, and adolescent identity challenges and the attendant clinical issues.     

Costs,Benefits, and Management Considerations of a Prepaid Student Dental Health Plan

Abstract

The Student Dental Health Program (SDHP) is an open panel, prepaid dental insurance plan at the University of Alabama in Birmingham. The program was developed primarily to provide optimal dental health service; however the SDHP also serves educational and research functions that are consistent with the objectives of the university. The student bodies of the Schools of Dentistry, Medicine, Nursing, and Optometry constitute the enrollee population.

Total cost rose from $18,418 in 1969–70 with 862 enrollees, to $70,930 in 1975–76 with 1,618 enrollees. During the same period the number of procedures completed increased from 2,868 to 6,796, with the average cost per procedure increasing from $6.42 to $10.44. The number of restorative services declined and preventive services increased. In 1976–77 benefits per student treated were estimated at $80 as compared to the annual fee of $48. The value of unmet needs upon entrance to the program averaged $59 per enrollee in 1974–75. By 1976–77 this figure was reduced to $26 due to implementation of an initial screening. The program is self-supporting due to a variety of cost containment measures. On balance, the program can be considered successful and beneficial to all parties concerned.     

Canadian Campus Smoking Policies: Investigating the Gap Between Intent and Outcome From a Student Perspective

Abstract

Background: Young adults remain the earliest legal target for the tobacco industry. Against this, the existence of smoking policies would appear to offer some protection to students on campus. However, little research has been conducted into the outcomes of such policies from a student perspective. Methods: The authors conducted 8 focus groups at 4 selected Canadian undergraduate campuses to investigate student perceptions and behaviors resulting from campus smoking policies. Results: Results indicated that student smoking behaviors are minimally impacted by campus smoking policies due to seriously compromised implementation and enforcement. Conclusions: These findings imply that the presence of campus smoking policies and claims of “smoke-free” campuses should not be misinterpreted as achievement and without renewed focus and adequate tobacco control infrastructure, it will remain possible for young adults to initiate and maintain tobacco smoking on campus.     

South Korean College Students' Holland Types and Career Compromise Processes

This study explored South Korean college students' career compromise processes and examined whether preferences for sex type, prestige, or interests would be differentiated by Holland theme interest types, gender, or college major. Participants were South Korean undergraduate students from 2 universities in Seoul, South Korea. They were asked to choose 1 occupation from each of 168 pairs of occupations using a forced‐choice format. A total of 376 surveys were analyzed. There were significant main effects for Holland interest types and for gender but not for college major on their career compromise processes. Implications for career counselors and researchers are discussed.     

New High-Speed Computing Devices

“One method of error analysis (not the one we will use) is based upon the principles of mathematical statistics. Unfortunately, statistical methods can only be meaningfully applied when one has large amounts of data for a given system. In many cases … these large quantities of data are not available … then statistical methods are not applicable, and some other methods must be devised.”     

Precise Simulated Percentiles in a Pinch

A percentile point simulation algorithm is presented. The algorithm is useful when computer storage and time considerations are at a premium. The algorithm employs various time- and storage-saving ideas, including a “pinching” mechanism that reduces the proportion of simulated values stored as the number of iterations is increased. Algorithm output includes a measure of precision as well as the simulated percentile point. The simulation can be stopped when the desired degree of precision has been attained.     

An alternative method for global and partial comparison of two diagnostic systems based on ROC curves

In this paper, an alternative method for the comparison of two diagnostic systems based on receiver operating characteristic (ROC) curves is presented. ROC curve analysis is often used as a statistical tool for the evaluation of diagnostic systems. However, in general, the comparison of ROC curves is not straightforward, in particular, when they cross each other. A similar difficulty is also observed in the multi-objective optimization field where sets of solutions defining fronts must be compared with a multi-dimensional space. Thus, the proposed methodology is based on a procedure used to compare the performance of distinct multi-objective optimization algorithms. In general, methods based on the area under the ROC curves are not sensitive to the existence of crossing points between the curves. The new approach can deal with this situation and also allows the comparison of partial portions of ROC curves according to particular values of sensitivity and specificity of practical interest. Simulations results are presented. For illustration purposes, considering real data from newborns with very low birthweight, the new method was applied in order to discriminate the better index for evaluating the risk of death.     

An Improved Boxplot for Univariate Data

The boxplot is an effective data-visualization tool useful in diverse applications and disciplines. Although more sophisticated graphical methods exist, the boxplot remains relevant due to its simplicity, interpretability, and usefulness, even in the age of big data. This article highlights the origins and developments of the boxplot that is now widely viewed as an industry standard as well as its inherent limitations when dealing with data from skewed distributions, particularly when detecting outliers. The proposed Ratio-Skewed boxplot is shown to be practical and suitable for outlier labeling across several parametric distributions.