Perception of family need in pediatric oncology

This paper studies the needs of a family in which a child has been diagnosed with cancer. The tasks of the family include meeting the physical and psychosocial needs of the child while attempting to maintain normal family functioning. Various psychological and social factors affect the outcome of medical treatment and the recovery process. The paper highlights the needs assessment as a tool in a comprehensive approach to service delivery.     

From world citizenship to purified patriotism: Obama’s nation-shaping in a global era

This analysis responds to two questions in recent scholarship. The first is Ulrich Beck’s call for scholars to empirically explore how nationhood is evolving in a global context – whether and how nation-states are being cosmopolitanised. The second concerns normative debates regarding what form belonging should take in a global era – patriotic attachments or cosmopolitan ones. The rhetoric of Barack Obama provides empirical fodder for both explorations. As a leader who proclaimed and was widely noted for his cosmopolitan sensibilities, yet ultimately relied heavily on themes of patriotism and American exceptionalism, Obama’s case confirms that nationhood remains a potent form of collectivity in the contemporary era; suggests that although the conditions of globalisation may be facilitative ones with regard to cosmopolitanisation, they are not sufficient ones; and calls into question Martha Nussbaum’s recent claim that if ‘purified’, patriotism lends itself to a ‘striving for global justice and inclusive human love’.     

The provisioning responsibilities of older women

Conceptual frameworks that theorize relationship based work, caring and provisioning, are considered. It is argued that provisioning has greater potential for revealing the various dimensions of older women's contributions to society and citizenship claims. Data on the work and responsibilities of older women are presented. Participants belong to a group promoting public discussion on issues of security and justice for older women. This group was one of six research sites documenting the provisioning work done by women in diverse social locations. Findings reveal that older women carry large and complex provisioning responsibilities. This work is summarized under two categories: provisioning activities and provisioning strategies. Discussion of the findings focuses on three major issues facing older women: the unexpected magnitude of provisioning work they are doing; how to integrate the realities of an aging body into provisioning expectations; setting priorities when time is a scarce resource. Implications for theory and the citizenship claims of older women are considered.     

Labor Force Supply Decisions of Rural Low-Income Mothers

Employment is crucial to the economic well-being of families. Using a multi-state sample of 412 rural low-income mothers, our study identifies factors influencing two employment decisions they make: labor force entry and number of hours supplied. A logistic regression model correctly predicted 80% of mothers’ work participation decisions. Employed mothers were older, better educated, and less likely to suffer from depression; as well as, more likely to have a driver’s license and receive child care assistance and the Earned Income Tax Credit. An estimated labor supply function explained 33% of the variation in hours worked by the 208 employed rural mothers. Higher wages, availability of health insurance, and overtime benefits predicted the number of hours they were willing to work.

Evaluating the complex interactions between malaria and cholera prevalence,neglected tropical disease comorbidities,and community perception of health risks of climate change

The burgeoning literature on the climate change–human health nexus has focused almost exclusively on the health impacts of climate change with little attention to how ill-health and disease influence public perception of the health risks of climate change. Based on a cross-sectional survey of 1,253 individuals, linear regression was used to examine the independent effects of malaria and cholera prevalence, and neglected tropical disease comorbidities on perceived health risks of climate change. Individuals who reported more comorbidities had higher scores on perceived health risks of climate change compared with those who did not report any comorbidities. Unexpectedly, at the multivariate level, there were no statistically significant relationships between age of respondents, gender, and educational attainment on the one hand, and perceived health risks of climate change on the other hand. Individuals who were diagnosed with cholera in the past 12 months had higher scores on perceived health risks of climate change but there was no relationship between diagnosis with malaria in the past 12 months and perceived health risks. Individuals who had attained secondary education had lower scores on perceived health risks of climate change compared with those without any formal education. Given that this relationship did not exist at the bivariate level, it indicates that biosocial and sociocultural factors suppressed the relationship between secondary education attainment and perceived health risks of climate change. The findings underscore the complex relationship between perceived health risks of climate change and infectious disease, comorbidities, compositional, and contextual factors at the multivariate level.     

Statistical issues in first‐in‐human studies on BIA 10‐2474: Neglected comparison of protocol against practice

By setting the regulatory‐approved protocol for a suite of first‐in‐human studies on BIA 10‐2474 against the subsequent French investigations, we highlight 6 key design and statistical issues, which reinforce recommendations by a Royal Statistical Society Working Party, which were made in the aftermath of cytokine release storm in 6 healthy volunteers in the United Kingdom in 2006. The 6 issues are dose determination, availability of pharmacokinetic results, dosing interval, stopping rules, appraisal by safety committee, and clear algorithm required if combining approvals for single and multiple ascending dose studies.     

A modified Friedman test for randomized complete block designs

The Friedman test is often used for a randomized complete block design when the normality assumption is not satisfied or the data are ordinal. The Friedman test can be viewed as an extension of the sign test for multiple measurements within each subject or block. We propose a modified Friedman test based on the Wilcoxon sign rank approach. Coincidentally, Tukey proposed a test statistic similar to our proposed test, but blocks are ranked by the minimum difference within each block. In the proposed test, we use the variance of block to rank the blocks, with the least variance being ranked the smallest. In both Tukey test and the modified Friedman test, linear ranks are used for blocks and treatments. The Tukey test belongs to the family of weighted-ranking test from Quade (1979 Quade, D. (1979). Using weighted rankings in the analysis of complete blocks with additive block effects. Journal of the American Statistical Association 74(367):680–683. [Google Scholar]).The modified Friedman test, the Friedman test and the Tukey test are compared under various conditions and the results indicate that the proposed test is generally more powerful than the Friedman test and the Tukey test when the number of groups is small.     

TANF’s 15th Anniversary and the Great Recession: are Low‐Income Mothers Celebrating Upward Economic Mobility?

This article examines the impact of welfare reform for the upward economic mobility of low‐income families at the fifteenth anniversary of the Temporary Assistance for Needy Families (TANF) program. The reformed policy was based on assumptions about participating families’ morality and encouraged states to move families off welfare through work and marriage without considering whether they were still poor. TANF was also implemented during an economic boom. Today, the US economy is suffering from the effects of the Great Recession, with many fearing a double dip recession. Poverty rates rose during the last 3 years and are currently above 15 percent. For the first time since 1996, the welfare rolls are increasing in many states. Welfare reform’s ‘work first’ approach did not create lasting upward economic mobility for low‐income families. As an alternative, I explore how higher education for welfare mothers will create opportunities for lasting upward mobility, even in times of recession.