Race differences in age at first birth and the pace of subsequent fertility: Implications for the minority group status hypothesis

We examine race differences in the effects of age at first birth on the pace of subsequent fertility. If race differences in the pace of fertility persist net of age at first birth and socioeconomic variables, they will be taken as new support for the minority group status hypothesis. Data from the 1973 National Survey of Family Growth are analyzed with the finding that race differences in the pace of fertility are real, giving support to the hypothesis. Implications are drawn suggesting that the proper points at which to examine group differences in fertility are the different stages in the process which culminates in completed fertility, rather than limiting investigation to the final product.     

Book Review: Who Sprawls Most? How Growth Patterns Differ Across the U.S. William Fulton,Rolf Pendall,Mai Nguyen,and Alicia Harrison. Washington,DC: The Brookings Institution,July 2001 (www.brook.edu/urban/fulton%2d pendall.htm)

Population and Environment -     

Youth organizing: From youth development to school reform

Over the past twenty years, youth organizing has grown across the country. Through organizing, young people identify issues of concern and mobilize their peers to build action campaigns to achieve their objectives. Youth organizing has been appreciated for its contributions to youth and community development. The authors use two case studies to trace the more recent emergence of youth organizing as an important force for school reform. The Boston-based Hyde Square Task Force began with a focus on afterschool programming, but its youth leaders now organize to get Boston Public Schools to adopt a curriculum addressing sexual harassment. Meanwhile, the Baltimore Algebra Project began as a peer-to-peer tutoring program but now also organizes to demand greater funding for Baltimore schools. These cases illustrate a broader phenomenon where students reverse the deficit paradigm by acting out of their own self-interest to become agents of institutional change.     

Task force on Medicaid in Missouri: a community collaboration in gerontological social work education

Master's level social work gerontology students formed a Task Force on Missouri Medicaid as the primary course project of the Social Policy and Aging class at George Warren Brown School of Social Work, Washington University in St. Louis. Led by students, the Task Force collaborated with community leaders to address issues with the escalating enrollment and cost of Missouri's Medicaid program, resulting in a widely disseminated policy brief. Students identified multiple professional skills gained through this assignment and community leaders determined the issue brief to be a significant contribution to Missouri's Medicaid policy debate.     

Antimicrobial resistance of urinary tract isolates in acute uncomplicated cystitis among college-aged women: choosing a first-line therapy

OBJECTIVE AND PARTICIPANTS: The authors of this retrospective case study focused on antimicrobial susceptibility of urinary tract isolates in cases of acute uncomplicated cystitis in college-aged women, aged 18 to 24 years, diagnosed at a major south-central university student health center. METHODS: The authors obtained pertinent data from patient medical and laboratory records, including, diagnoses, urine culture, and susceptibility results. RESULTS: Of 179 isolates, 161 (90%) were Escherichia coli (E. Coli) isolates, of which 23% were resistant to trimethoprimsulfamethoxazole, <1% were resistant to Ciprofloxacin, and <1% were resistant to nitrofurantoin. Sixty-eight (42%) E. Coli isolates were multidrug resistant. There were 18 isolates cultured in the study group that were significant organisms other than E. coli. For all organisms in the study group, there was a combined resistance rate of 22% to trimethoprim-sulfamethoxazole, <1.0% for Ciprofloxacin, and 7% for nitrofurantoin. CONCLUSIONS: The findings suggest that both Ciprofloxacin and Nitrofurantoin are acceptable choices for empiric therapy of acute uncomplicated urinary tract infection in this study population, keeping in mind the potential for rising resistance rates to Ciprofloxacin in the community setting.