Quality improvement in patient distribution at a major university student health center

Healthcare in a major university setting poses unusual challenges and great opportunities. Two traditionally challenging areas in patient distribution are the initial intake of allergy/immunization patients and the triage of outpatients in the general medical clinic. The authors describe the use of the FOCUS-PDCA quality improvement (QI) problem-solving process for each situation. After identifying major problems, the health center established cross-functional teams of experts representing the allergy/immunization and general medical clinics. The teams analyzed the problems with a flow chart and undertook studies to further elucidate causes and potential solutions. They listed potential solutions in order of priority and submitted them to the student health center director for review and initiation. Each team then used the PDCA (plan-do-check-act) cycle to put approved solutions into effect. Permanent improvements made in each area resulted in a more effective and efficient patient distribution system, favorable staff comment, and greater patient satisfaction.     

"I Am the Man!" Performing gender and other incongruities

The following essay details the genesis of the performance "I Am the Man" for the First International Drag King Extravaganza. In it the authors explain both their autobiographical performances and the relationship between their drag performances and transgender theory by linking Shakespeare to queer theory and by overlapping their personal narratives.     

Economic potential and entry into marriage and cohabitation

This article explores the relationship between economic potential and rates of entry into marriage and cohabitation. Using data from the 1990 census and the 1980-1992 High School and Beyond (Sophomore Cohort), we developed a method for explicitly estimating five time-varying measures of earnings potential. The analyses of union formation are based on an intergenerational panel study of parents and children, to which our measures of earnings potential were appended. The results indicate that all five measures of earnings potential strongly and positively influence the likelihood of marriage for men, but not for women. Earnings potential does not affect entry into cohabiting unions for either men or women.     

An evaluation of population projections by age

A number of studies have evaluated the accuracy of projections of the size of the total population, but few have considered the accuracy of projections by age group. For many purposes, however, the relevant variable is the population of a particular age group, rather than the population as a whole. We investigated the precision and bias of a variety of age-group projections at the national and state levels in the United States and for counties in Florida. We also compared the accuracy of state and county projections that were derived from full-blown applications of the cohort-component method with the accuracy of projections that were derived from a simpler, less data-intensive version of the method. We found that age-group error patterns are different for national projections than for subnational projections; that errors are substantially larger for some age groups than for others; that differences in errors among age groups decline as the projection horizon becomes longer; and that differences in methodological complexity have no consistent impact on the precision and bias of age-group projections.     

Social support as a mediator of revictimization of low-income African American women

Mediating effects of social support on the link between childhood maltreatment and adult intimate partner violence (IPV) were explored in a sample of 362 low-income, African American women. We examined relations between childhood maltreatment experiences (total maltreatment, sexual abuse, physical abuse, emotional abuse, emotional neglect, and physical neglect) and adult maltreatment (physical IPV and nonphysical IPV). Results of hierarchical multiple regression analyses revealed small, but significant, effects. Further, social support mediated revictimization. Social support fully mediated relations in which the form of childhood maltreatment was different than the form of adult IPV (e.g., the relation between childhood sexual abuse and adult nonphysical IPV), but only partially mediated the relations in which the form of childhood maltreatment was similar to adult IPV (e.g., the relation between childhood emotional abuse and adult nonphysical IPV). Implications for clinical interventions for women with intimate partner violence experiences are discussed.     

Missing at random (MAR) in nonparametric regression - A simulation experiment

The additive model is considered when some observations on x are missing at random but corresponding observations on y are available. Especially for this model, missing at random is an interesting case because the complete case analysis is expected to be no more suitable. A simulation experiment is reported and the different methods are compared based on their superiority with respect to the sample mean squared error. Some focus is also given on the sample variance and the estimated bias. In detail, the complete case analysis, a kind of stochastic mean imputation, a single imputation and the nearest neighbor imputation are discussed.     

Editorial

Ohne Zusammenfassung

---

Editorial

     

The densest <Emphasis Type="Italic">k</Emphasis>-subgraph problem on clique graphs

The Densest k-Subgraph (DkS) problem asks for a k-vertex subgraph of a given graph with the maximum number of edges. The problem is strongly NP-hard, as a generalization of the well known Clique problem and we also know that it does not admit a Polynomial Time Approximation Scheme (PTAS). In this paper we focus on special cases of the problem, with respect to the class of the input graph. Especially, towards the elucidation of the open questions concerning the complexity of the problem for interval graphs as well as its approximability for chordal graphs, we consider graphs having special clique graphs. We present a PTAS for stars of cliques and a dynamic programming algorithm for trees of cliques. M.L. is co-financed within Op. Education by the ESF (European Social Fund) and National Resources. V.Z. is partially supported by the Special Research Grants Account of the University of Athens under Grant 70/4/5821.     

Semi-online scheduling with “end of sequence” information

We study a variant of classical scheduling, which is called scheduling with “end of sequence” information. It is known in advance that the last job has the longest processing time. Moreover, the last job is marked, and thus it is known for every new job whether it is the final job of the sequence. We explore this model on two uniformly related machines, that is, two machines with possibly different speeds. Two objectives are considered, maximizing the minimum completion time and minimizing the maximum completion time (makespan). Let s be the speed ratio between the two machines, we consider the competitive ratios which are possible to achieve for the two problems as functions of s. We present algorithms for different values of s and lower bounds on the competitive ratio. The proposed algorithms are best possible for a wide range of values of s. For the overall competitive ratio, we show tight bounds of ϕ + 1 ≈ 2.618 for the first problem, and upper and lower bounds of 1.5 and 1.46557 for the second problem. The authors would like to dedicate this paper to the memory of our colleague and friend Yong He who passed away in August 2005 after struggling with illness. D. Ye: Research was supported in part by NSFC (10601048).