Implementation of a responsible conduct of research education program at Duke University School of Medicine

Academic medical centers rarely require all of their research faculty and staff to participate in educational programs on the responsible conduct of research (RCR). There is also little published evidence of RCR programs addressing high-profile, internal cases of misconduct as a way of promoting deliberation and learning. In the wake of major research misconduct, Duke University School of Medicine (DUSoM) expanded its RCR education activities to include all DUSoM faculty and staff engaged in research. The program included formal deliberation of the Translational Omics misconduct case, which occurred at Duke. Over 5,000 DUSoM faculty and staff participated in the first phase of this new program, with a 100% completion rate. The article reports on the program’s development, challenges and successes, and future directions. This experience at Duke University illustrates that, although challenging and resource intensive, engagement with RCR activities can be integrated into programs for all research faculty and staff. Formal, participatory deliberation of recent cases of internal misconduct can add a novel dimension of reflection and openness to RCR educational activities.     

Domestic violence and women with disabilities: locating the issue on the periphery of social movements

Women with disabilities, like non‐disabled women, are at risk of experiencing abuse perpetrated by those closest to them. This paper reviews what is known about the domestic abuse of disabled women, explores some of the dynamics of that abuse and considers why this issue has not been high on the agenda of either the movement against domestic violence or the disabled people’s movement in the UK, taking into consideration several points that disabled women have raised. In doing so it focuses on the concept of compound oppressions as a potential explanation for the failure of this problem to have widespread recognition as a social issue.     

Decision-making by children

In this paper, we examine the determinants of decision-making power by children and young adolescents. Moving beyond previous economic models that treat children as goods consumed by adults, we develop a noncooperative model of parental control of child behavior and child resistance. Using child reports of decision-making and psychological and cognitive measures from the NLSY79 Child Supplement, we examine the determinants of shared and sole decision-making based on indices created from seven domains of child activity. We find that the determinants of sole decision-making by the child and shared decision-making with parents are quite distinct: sharing decisions appears to be a form of parental investment in child development rather than a simple stage in the transfer of authority. In addition, we find that indicators of child capabilities and preferences affect reports of decision-making authority in ways that suggest child demand for autonomy as well as parental discretion in determining these outcomes.

Correspondence Between Gonadal Steroid Hormone Concentrations and Secondary Sexual Characteristics Assessed by Clinicians,Adolescents, and Parents

Adolescent sexual maturation is staged using Tanner criteria assessed by clinicians, parents, or adolescents. The physiology of sexual maturation is driven by gonadal hormones. We investigate Tanner stage progression as a function of increasing gonadal hormone concentration and compare performances of different raters. Fifty‐six boys (mean age, 12.7 ± 1.3 years) and 52 girls (mean age, 12.0 ± 1.6 years) were seen at baseline, 6 and 12 months. Estradiol and testosterone concentrations were determined from three morning serum samples and Tanner stage by three different raters (clinician, parent, and adolescent). Results confirm that Tanner criteria reflect gonadal hormone concentrations, and clinician rating provides optimal assessment. Detailed insight about the strengths and limitations of different raters is provided, augmenting the scientific understanding of pubertal development.     

Effects of financial insecurity on social interactions

Little is known about the effects of financial insecurity on social interactions despite consistently observed income effects on social capital and a growing recognition of the potential importance of income volatility in affecting hardships, distress, and other aspects of well-being. We use data on women participating in a longitudinal study in the U.S. to investigate the effects of financial insecurity measured along two dimensions (safety nets and hardships) on two types of social interactions (participating in community organizations and having close friends). In auxiliary analyses we explore the potential mediating effects of mental health. We find that safety nets in the form of bank accounts, credit cards, and ability to borrow money increase both participation in organizations and friendships, whereas material hardships decrease friendships but increase participation in organizations. We find no evidence that mental health, as we have measured it, mediates the observed effects of financial insecurity on social interactions, although it has strong and negative independent associations with having close friends.     

Short-term positive and negative consequences of sex based on daily reports among college students

Because sexual behavior may be associated with a broader range of outcomes than physical consequences like sexually transmitted infections and pregnancy, it is important to understand consequences of sex that may influence mental and social well-being in emerging adulthood. This article describes the short-term intrapersonal and interpersonal consequences reported by college students on days they engage in vaginal sex and what factors predict experiencing particular consequences. Data are from first-year college students who reported vaginal sex on at least one of 28 sampled days (mean age = 18.5 years; 53% female; 30% Hispanic/Latino [HL]; of non-HL participants, 30% were African American, 22% were Asian American, 35% were European American, and 12% were multiracial; N = 209 people and N = 679 person days). Participants reported positive consequences more frequently than negative consequences. Non-use of contraception and sex with a non-dating partner were associated with greater odds of reporting negative consequences. These findings have implications for messages about casual sex and use of contraception in sex education and sexual health programming.     

An evaluation of Midwifery Group Practice. Part II: women's satisfaction

BACKGROUND: Midwifery Group Practice (MGP) is a continuity of midwifery care model for women of all levels of pregnancy risk available at a tertiary metropolitan hospital in Australia. This paper presents Part II of the demonstration study exploring the effectiveness of MGP, and reports on women's satisfaction with the model of care. METHODS: A Maternal Satisfaction Questionnaire was developed and sent to all women (n=120) enrolled in MGP over a three-month period. The questionnaire comprised two open-ended questions asking women to list up to three things they liked and did not like about MGP, and a structured section exploring levels of satisfaction through a five-point Likert response format. The open-ended questions were analysed using qualitative content analysis, and analysis of the structured part of the questionnaire was undertaken by comparing mean scores of satisfaction ranging from -2 (very negative attitudes) to +2 (very positive attitudes). RESULTS: Of the 120 women who were sent a Maternal Satisfaction Questionnaire, 84 returned their questionnaire (70% response rate). Three overarching themes were identified in the content analysis of open-ended questions, namely: Continuity of care; Accessibility; and Personal and professional attributes of the midwife. Analysis of the structured part of the questionnaire showed that women were satisfied with the care they received in MGP, as indicated by positive scores on all questions. CONCLUSIONS: Women being cared for in MGP are satisfied with their care.     

Happily ever after? Fates of translocated nuisance woodchucks in the Chicago metropolitan area

Urban Ecosystems - Human-wildlife conflict is increasing as urbanization expands and wildlife species adjust to living near people. Translocation is often used to manage human-wildlife conflict...     

Racial Disparities in US Infant Birth Outcomes: A Protective Effect of Military Affiliation?

Research has been unable to determine why African Americans have higher infant mortality and preterm birth prevalence than whites, even taking into account measurable social and economic differences. This is, in part, due to the difficulty of adequately measuring the impacts of racial inequality and residential segregation. As an alternative approach, this paper comparatively examines infant outcomes among military-affiliated and civilian black and white women. The military setting provides higher-than-average economic equality and universal healthcare access. Although military-affiliated populations are usually left out of most major datasets, we construct a new variable that allows us to identify military affiliation using the CDC’s PRAMS survey data. Multinomial logistic regression analyses show that there is a negative association between adverse birth outcomes and military affiliation for both white and black women. Thus, the black-white infant mortality gap persists in the military even though black affiliates experience significant improvement in outcomes relative to their same-race civilian counterparts. Nevertheless, the black-white disparity among military-affiliated women is somewhat lessened compared to the black-white civilian disparity.