Ten steps to developing a national agenda to address financial conflicts of interest in industry sponsored clinical research

Financial liaisons between clinical researchers, research institutions, and industrial sponsors have gained momentum in recent years. In the process, it has been argued by many that trust in the research infrastructure is being eroded by the financial conflicts of interest that emerge from these arrangements. Yet, the financial resources of industry are needed to continue technology transfer from the bench to the bedside. Policy makers and government regulators are currently struggling to determine how to best manage financial conflicts of interest that emerge from these liaisons. Various organizations and government entities have proposed different strategies. This paper explores the limitations of existing measures and recommends that a unified national agenda is needed. We propose 10 steps to develop an agenda to address financial conflicts of interest in industry-sponsored clinical research.     

WORK INCENTIVES AND SOLE MOTHERS: COMPARING AUSTRALIAN POLICY

This article adopts a comparative perspective on policies to increase labour force participation of single mothers. Australia's orientation is briefly explored within the context of other major English-speaking countries (the United States, Britain and Canada), and the common emphasis in the policies on providing employment services and reducing poverty traps for Australia and Canada's largest province (Ontario) is then examined. While the potential of these approaches to increase labour force participation is found to be limited, the comparison suggests that Canada would do well to follow some of the recent anti-poverty measures Australia has adopted. Australia, however, appears to offer a less favourable employment climate for women. The article concludes that both jurisdictions will need to pursue a broader set of policies to respond to the root causes of poverty among women heading families on their own.     

A Pilot for Improving Depression Care on College Campuses: Results of the College Breakthrough Series–Depression (CBS-D) Project

Abstract

Objective: To implement a pilot quality improvement project for depression identification and treatment in college health. Participants: Eight college health center teams composed primarily of primary care and counseling service directors and clinicians. Methods: Chronic (Collaborative) Care Model (CCM) used with standardized screening to identify, treat, and track depressed students for 12 weeks to monitor predetermined process and clinical outcomes. Results: Of all students receiving primary medical care services between January 2007 and May 2008, 69% (n = 71,908) were screened for depression. A total of 801 depressed students were treated and tracked; most predetermined treatment process and clinical outcome targets were achieved. Conclusion: The CCM for depression shows promise for improving depression identification and care for college students.     

Robustness of Risk Maps and Survey Networks to Knowledge Gaps About a New Invasive Pest

In pest risk assessment it is frequently necessary to make management decisions regarding emerging threats under severe uncertainty. Although risk maps provide useful decision support for invasive alien species, they rarely address knowledge gaps associated with the underlying risk model or how they may change the risk estimates. Failure to recognize uncertainty leads to risk‐ignorant decisions and miscalculation of expected impacts as well as the costs required to minimize these impacts. Here we use the information gap concept to evaluate the robustness of risk maps to uncertainties in key assumptions about an invading organism. We generate risk maps with a spatial model of invasion that simulates potential entries of an invasive pest via international marine shipments, their spread through a landscape, and establishment on a susceptible host. In particular, we focus on the question of how much uncertainty in risk model assumptions can be tolerated before the risk map loses its value. We outline this approach with an example of a forest pest recently detected in North America, Sirex noctilio Fabricius. The results provide a spatial representation of the robustness of predictions of S. noctilio invasion risk to uncertainty and show major geographic hotspots where the consideration of uncertainty in model parameters may change management decisions about a new invasive pest. We then illustrate how the dependency between the extent of uncertainties and the degree of robustness of a risk map can be used to select a surveillance network design that is most robust to knowledge gaps about the pest.     

Conceptualizing community in the context of work and family

In recent years, many work-family scholars and practitioners have called for expanding the analysis of work and family to include community. This paper uses the ecological systems approach as a framework for selecting and reviewing community concepts thought to be relevant to the analysis of work, community, and family. Based on the work-family literature and the review of community concepts, the paper creates a set of common categories of characteristics for the analysis of relationships among community, work, and family. The development of such categories is a first step in understanding work, community, and family as interrelated domains. Hopefully, they will be useful for developing and testing hypotheses regarding interrelationships among work, community, and family and the effects of work, community, and family characteristics on domain quality and individual well-being. On a vu, au cours de ces dernières années, de nombreux professeurs et praticiens demander que soit étendue l'analyse du travail et de la famille pour inclure la communauté. Cet article utilise l'approche des systèmes écologiques comme base de sélection et d'étude des principes de communauté considérés pertinents dans l'analyse du travail, de la communauté et de la famille. Ensuite, en s'appuyant sur la littérature visant le travail et la famille, ainsi que sur l'étude des principes de communauté, l'article établit un jeu de catégories communes des caractéristiques permettant l'analyse de rapports entre communauté, travail et famille. L'établissement de telles catégories constitue un premier pas envers une meilleure compréhension de l'interrelation entre les domaines du travail, de la communauté et de la famille. Il est à espérer que cela sera utile envers le développement et l'évaluation des hypothèses visant à établir une relation entre le travail, la communauté et la famille, ainsi que l'influence qu'auraient les caractéristiques du travail, de la communauté et de la famille sur la qualité du domaine et la qualité de la vie.     

The Educational Orientations of Graduate Social Work Faculty

For this exploratory study of the educational orientations of graduate social work faculty, the author surveyed faculty in 38 randomly selected graduate social work departments in the United States in Spring 1991. All were sent a revised Hadley Educational Orientation Questionnaire, which measured their agreement with 12 items each on Mentoring Orientation and Master Teaching Orientation scales. The survey also asked about the source of their educational philosophies. Analysis of 346 responses suggests that faculty tend toward a master teaching approach in attempting to impart essential knowledge and to empower students, but they also incorporate elements from the mentoring approach. Faculty indicated that their educational philosophies were derived principally from work experiences, personal experiences, and professional socialization.     

Visual Dominance and Visual Egalitarianism: Individual and Group-Level Influences of Sex and Status in Group Interactions

This study investigated visual dominance and visual egalitarianism of men and women (N = 94; 17 teams) in team meetings at diverse workplaces. Two novel gaze-related measures were developed: (a) a group visual dominance ratio (group-VDR) assessing each member’s visual dominance vis-à-vis all other members, and (b) a gaze distribution index (GDI) assessing each member’s visual egalitarianism to all group members. Multilevel analyses were conducted to account for influences of the team members’ sex and status on the individual level and for influences of sex and status composition of the teams, and the team leaders’ sex on the group level. Results suggested that high-status individuals displayed more visual dominance than low-status individuals. The significant interaction of individuals’ sex and status indicated that the positive relationship of status and visual dominance applied particularly to women. The more women in a team, the more visual dominance was displayed. The team leader’s sex significantly influenced visual egalitarianism: Gaze distribution was less egalitarian when the team leader was male.     

The Emergence of Associational Life in México’s Wild West: Pioneering Civic Participation,Sea Turtle Conservation,and Environmental Awareness in Baja California Sur

This research explores the contributions of the sea turtle conservation movement in Baja California Sur (B.C.S.), Mexico, to the growth of associational life in the state. Mexico has historically been known as a country with a traditionally weak associational life. Yet, the activities of sea turtle NGOs and community groups presented a unique case study to better understand the social, political, and strategic factors that have contributed to voluntary civic engagement and the environmental successes of the movement. Through 799 interviews and surveys with public stakeholders, this research utilized Sabet’s (Democratization 2:410–432, 2008) focus on political opportunity, efforts to reform informal rules, and supportive social networks, as an explanatory framework to help describe the emergence of associational life. We found that the sea turtle conservation movement in B.C.S. has become accessible to a diversity of interests and individuals. We found unexpected results in the extent of federal environmental agency complaisance in regard to the involvement of NGOs in conservation programs and environmental policy decisions that have traditionally been the sole domain of the Government of Mexico.     

Bilingual Education Programs: A Cross-National Perspective

We examine alternative forms of bilingual education that have significant implications for intergroup relationships and the reduction of prejudice in two different national settings: Canada and the United States. The Canadian programs are intended for English-speaking students from the culturally dominant group, whereas the U.S. programs we discuss are intended for language minority and language majority students. Both aim to promote proficiency in English and another language. These programs provide many of the conditions that are argued to be essential for the reduction of prejudice and discrimination. They also provide students with the communication skills and cultural awareness that facilitates intergroup contact. The history and current structure of these programs along with salient educational practices are reviewed, and research relevant to changes in intergroup behavior and attitudes is discussed.