Supreme Court expands view of interstate commerce in peer review proceeding

At the end of May, the U.S. Supreme Court allowed an antitrust claim by a physician against a hospital for an allegedly improper peer review proceeding. Previously, hospitals were allowed to defend against antitrust claims regarding a peer review decision involving one physician on the grounds that the activities did not affect interstate commerce. The Supreme Court has apparently removed this defense by letting stand a Court of Appeals decision allowing a physician's antitrust claim against a hospital that has suspended his privileges.     

From quality assurance to continuous quality improvement

To change from punitive and legalistic QA to positive and productive CQI, both attitudes and methods must change. This is a difficult challenge, but potential rewards for both the organization and its individual members suggest that the effort is worthwhile and deserves high priority. Members of the executive/management team will likely turn to physician executives for guidance on how to proceed.     

The challenge of world health

2 development specialists have expounded on the demands world health has placed on public health. Striking declines in infant and child mortality occurred with the advent of biomedical and technical interventions in developing countries after World War II. At the same time, these interventions promoted longer lives by curing and/or treating chronic diseases in developed countries. In the 1970s, however, it was apparent that the hospital based, curative approach could not meet health needs and was very costly. In developed countries, biomedical and social sciences showed that chronic diseases did not occur due to modernization but from unhealthy behaviors, diet, and lifestyle. In fact, in 1975, the US Centers for Disease Control announced that unhealthy lifestyles contributed to 50% of all deaths while the medical system was responsible for only 11%. The US and other developed countries then began to promote healthy lifestyles, and in the 1980s, considerable improvements in health occurred, especially among adults. Developing countries which depended on the Western medical model did not experience health gains in the 1970s. Yet developing countries where health systems concentrated on carrying essential services to all people and promoted basic hygiene and sound dietary practices continued to achieve considerable health gains. In 1978, WHO an UNICEF hosted the International Conference on Primary Health Care in Alma Ata, the Soviet Union to hold these developing countries with community based health systems as models of primary health care (PHC). The 1980s witnessed the spread of PHC especially in the form of child survival which focused on oral rehydration therapy and breast feeding. The biomedical and social sciences are needed to move this health policy and program strategy forward. Governments must see to policies that promote healthy people. Political will is needed to make human welfare a high priority.     

RACE-OF-INTERVIEWER EFFECTS IN A PREELECTION POLL VIRGINIA 1989

All published preelection surveys of the 1989 Virginia gubernatorialcontest overestimated the vote share of the black candidateand eventual victor, Douglas Wilder. We offer a "social desirability"interpretation of the polls' inaccuracies and hypothesize thatclaiming support for Wilder was the socially desirable responsefor some whites, especially when the interviewer was black.We show a race-of-interviewer effect on the vote intention ofwhite respondents of 8–11 percentage points in a preelectionsurvey of Virginia voters. The effects were greatest among whiteDemocrats and among whites who were more uncertain of theirvote intention. We discuss the implications of these findingsfor race-of-interviewer research and for improving the accuracyof preelection forecasts in contests with black and white opposingcandidates.     

Using nineteenth century census results: the Colombian censuses of 1835, 1843, and 1851

The author discusses three of the six national censuses taken during the ninteenth century in Colombia--those for 1835, 1843, and 1851. The focus is on the importance of macro patterns generated by the data, the methods recommended to overcome the problems of the censuses, and ways to make the information useful for historical demography.     

Reconceptualizing migration as a household phenomenon: outmigration from New York City by race and Hispanic origin

"This paper proposes a conceptual framework for analyzing migration as a household event and presents two public use microdata applications of this approach for out-migrants from New York City. The distribution of single- and multi-origin households by race and Hispanic origin permits a more rigorous analysis of household migration differentials....and the disaggregation of household members by migration status provides insight into the household outcomes of the migration process...." (SUMMARY IN FRE AND SPA)     

Macroeconomic impacts of worker remittances on Arab world labor exporting countries

The author discusses the effect of remittances from workers in oil-producing states in the Arab world on macroeconomic development patterns in non-oil-producing regions. Consideration is given to the impact of remittances on consumption and domestic growth and their interrelationships with foreign exchange. (SUMMARY IN FRE AND SPA)     

Audience effects on solitary faces during imagery: Displaying to the people in your head

Subjects imagined situations in which they reported enjoying themselves either alone or with others. Electromyographic (EMG) activity was recorded bilaterally from regions overlying thezygomatic major muscles responsible for smiling. Controlling for equal rated happiness in the two conditions, subjects showed more smiling in high-sociality than low-sociality imagery. In confirming imaginary audience effects during imagery, these data corroborate hypotheses that solitary facial displays are mediated by the presence of imaginary interactants, and suggest caution in employing them as measures of felt emotion.Avery Gilbert and Amy Jaffey had compelling insights throughout the course of study. We thank Paul Ekman, Carroll Izard, and Paul Rozin for extensive comments on earlier drafts. We also thank Bernard Apfelbaum, Jon Baron, Janet Bavelas, John Cacioppo, Linda Camras, Dean Delis, Rob DeRubeis, Alan Fiske, Stephen Fowler, Greg McHugo, Harriet Oster, David Premack, W. John Smith, and David Williams for their valuable comments and suggestions.