The residential segregation of occupational groups in central cities and suburbs

The impression of journalists and social critics in the 1950’s that post-war suburbia was uniformly middle-class has been generally rejected by social scientists, but there is a persisting belief in a high degree of residential segregation by social level in suburbia and in a high degree of socio-economic homogeneity within suburban neighborhoods. A comparison of eight central cities with their suburban zones in 1950 and in 1960 revealed, for both dates, (a) small differences in occupational distributions between the central cities and the suburban zones and (b) generally higher Index of Residential Dissimilarity values for pairs of occupational groups in the central cities. These findings indicate that suburban neighborhoods, at least in the eight suburban zones studied, were little, if any, more occupationally homogeneous than the central city neighborhoods. This suggests that the belief in homogeneous suburban neighborhoods should be added to the growing list of discredited “myths of suburbia. ”     

Methods for the analysis of mortality risks across heterogeneous small populations: examination of space-time gradients in cancer mortality in North Carolina counties 1970–75

A method of analyzing mortality rates in heterogeneous populations is presented. This method, appropriate for the investigation of mortality rates in small geographic areas (e.g., counties) where the forces of mobility operate to selectively “package” persons, is applied to the determination of whether a spatial west-east gradient in cancer mortality rates existed in North Carolina over the period 1970 to 1975. A significant gradient (as well as a significant temporal trend) is determined to exist in the data, though only for particular race, age and sex-specific demographic groups. Several alternate hypotheses are presented to explain the existence of the spatial gradient in these particular demographic groups.     

Cognitive-behavioral therapy for obsessive-compulsive disorder: review of treatment techniques

Obsessive-compulsive disorder (OCD) is a chronic, impairing condition with an estimated lifetime prevalence in adults of 2.5%. Controlled treatment trials have demonstrated that cognitive-behavioral therapy (CBT) is an effective intervention for OCD. However, many individuals diagnosed with OCD do not receive appropriate, empirically validated interventions, perhaps due to limited knowledge of CBT among mental health practitioners. This article provides a review of CBT for OCD. Issues related to treatment delivery and assessment are presented and highlighted by an individual example.     

Review of shaken baby syndrome

1. Shaken baby syndrome can lead to substantial neuropsychological deficits that can alter children's normal developmental course. 2. Clinical acumen can be critical in identifying shaken baby syndrome and preventing further difficulties. 3. Education and treatment for caregivers can be important in reducing the likelihood of shaken baby syndrome.     

The role of litigation in human research accountability

This essay examines and analyzes the recent and dramatic series of personal injury lawsuits instituted against those individuals and institutions that conduct and monitor human research. It discusses the social engineering functions of tort litigation, outlines the legal elements and viability of lawsuits against those who conduct and monitor human research, and evaluates and predicts what role tort litigation will play in fulfilling the goals of accountability in the context of human research and human research regulation. In general, tort law engenders two forms of accountability: retrospective and prospective. Retrospective accountability is backward looking, focusing on harms that have already occurred, their culprits, and the reimbursement of individuals for their injuries. Prospective accountability is forward looking in that it encourages actors and institutions to fulfill responsibilities toward individuals in order that harm does not occur, or at least that the risk of harm is decreased. This article argues that research litigation is not, and will probably never become, an effective means of ensuring retrospective accountability in regard to research injuries and ethical violations. Paradoxically though, the current wave of research litigation may serve an important and even key role in encouraging and ensuring prospective accountability.     

Quality of Life Indexes for National Policy: Review and Agenda for Research

A number of governments and public policy institutes have developed Quality of Life Indexes – statistics that attempt to measure the quality of life for entire states or regions. We develop 14 criteria for determining the validity and usefulness of such QOL indexes to public policy. We then review 22 of the most-used QOL indexes from around the world. We conclude that many of the indexes are successful in that they are reliable, have established time series measures, and can be disaggregated to study subpopulations. However, many fall short in four areas: (1) indexes vary greatly in their coverage and definitions of domains of QOL, (2) none of the indexes distinguish among the concepts of input, throughput, and output that are used by public policy analysts, (3) they fail to show how QOL outputs are sensitive to public policy inputs, and (4) none have examined convergent validity against each other. We conclude that many of these indexes are potentially very useful for public policy and recommend research to further improve them.     

Lifestyle habits,substance use and predictors of job burnout in professional working women

Abstract

This study explores differences in self-reported lifestyle habits, substance use (alcohol, drugs and smoking) and predictors of job burnout in a sample of 879 professional working women employed in dental health ofices in a cross-sectional design. Job burnout was measured using the Maslach Burnout Inventory (MBI) and self-reported substance use and lifestyle habits were assessed using the Stress Assessment Profile. Self-reported drinking, smolung and drug use were only modestly correlated with each other in this sample. Employed women with higher levels of drinking reported significantly lower quality overall lifestyle practices, eating/nunition habits, and more frequent use of avoidant coping strategies in the face of work and life hassles compared to non-drinkers. Women who smoked also reported significantly lower overall lifestyle practices and eating/nutrition habits. Those who reported using drugs for recreational purposes reported significantly greater hassles, poorer lifestyle habits, a less hardy outlook on life, and more frequent use of dysfunctional coping strategies. Although women who reported using drugs experienced significantly higher interpersonal burnout (depersonalization) compared to non-drug users, in general, self-reported substance use was not significantly related to job burnout. After controlling for age and psychological distress, perceived stress, type A behaviour, cognitive hardiness and lifestyle habits significantly contributed to predictions of job burnout in multiple regression analyses. Despite methodological limitations, the prevalence of substance use found in this study supports previous research findings. Professional working women who practise poor lifestyle and health habits appear to be at risk of experiencing job burnout.     

Sleep hygiene practices and sleep duration in rotating-shift shiftworkers

Abstract

Alcohol, caffeine and tobacco intake, exercise, activities on going to bed, and sleep-enhancing measures were assessed in 72 rotating-shift shiftworkers to determine whether these variables differ following day shifts and night-shifts, and which are related to sleep duration. Only alcohol intake and exercise prior to sleep, and feeling drowsy when retiring, differed following the night-shift. Workers generally followed recommendations concerning alcohol intake, sleeping immediately on retiring, and exercising, but acted contrary to recommendations concerning caffeine and nicotine intake. The only behaviour clearly associated with poor sleep was smoking, which reduced sleep duration.