Five-Hundred Life-Saving Interventions and Their Cost-Effectiveness

We gathered information on the cost-effectiveness of life-saving interventions in the United States from publicly available economic analyses. "Life-saving interventions" were defined as any behavioral and/or technological strategy that reduces the probability of premature death among a specified target population. We defined cost-effectiveness as the net resource costs of an intervention per year of life saved. To improve the comparability of cost-effectiveness ratios arrived at with diverse methods, we established fixed definitional goals and revised published estimates, when necessary and feasible, to meet these goals. The 587 interventions identified ranged from those that save more resources than they cost, to those costing more than 10 billion dollars per year of life saved. Overall, the median intervention costs $42,000 per life-year saved. The median medical intervention costs $19,000/life-year; injury reduction $48,000/life-year; and toxin control $2,800,000/life-year. Cost/life-year ratios and bibliographic references for more than 500 life-saving interventions are provided.     

Transgender experiences and transphobia in higher education

While categories like “campus climate” highlight variation across institutions, trans people's experiences also vary within an institutional context. By studying trans people's experiences in higher education, however, we can better understand and respond to the differentiated and changing needs of transgender people in other arenas. In this paper, I review key qualitative and quantitative findings along several themes: (a) disclosing trans identities, (b) trans communities, and (c) resources and career‐level support. Specifically, I use the concept of microclimates to explain how trans people encounter various forms of support and discrimination on campus. For example, someone might receive support from particular individuals, such as an advisor, or spaces, like a gender studies classroom, but not others. Researchers also report both similarities and differences between binary and nonbinary trans people, as well as between transgender men and transgender women, suggesting that there is no universal trans experience, nor a one‐size‐fits‐all approach to supporting trans students and faculty members. Challenging interpersonal and systemic transphobia requires context‐specific interventions.     

Quality of earnings: A key factor in financial planning

This paper presents the results of an empirical study based on the premise that, among companies with the same nominal earnings, those with higher quality of earnings will be more highly valued by investors. The price-earnings ratio should be higher for companies with better quality of earnings and lower for companies with poorer quality of earnings. The test is performed by estimating regression equations relating the price-earnings ratio to quality of earnings factors. The study should prove to be of significant value to financial decision-makers in formulating their long range plans.     

Behavioral epidemiology and social area analysis: The study of blackout looting

This article describes the use of social area analytic techniques in the study of the looting which occurred during the Con Edison power failure of July 13 and 14, 1977. Detailed procedures are outlined of the systematic collection and analysis of data which were developed from available data. Analyses contrasting competing explanatory theoretical models for blackout looting are presented. The central dependent variable is ratio of looted to retail stores. Both the numerator and denominator are aggregated to the census tract level.     

Management of Night-Waking in Young Children

Regular waking at night is one of the most common problems encountered by parents of young children. In a family counselling programme in Auckland, a night-waking programme has been used with 208 children referred during a two year period. The programme involved organized bed-time routines, procedures for settling the child and non-reward of crying, calling out and getting out of bed. Programme introduction was followed by daily phone calls to parents in which appropriate parent behaviours were prompted and reinforced. Further face to face sessions were held after one week and then if needed. Parent reports show high rates of parent implementation of procedures and rapid change of child sleep behaviour with improvements being maintained at follow up. In a survey of 48 of the parents, positive changes in the daytime behaviour of children were reported as coinciding with improved sleep habits. Also there was an absence of negative side effects, and generally, parent satisfaction with the programme was high.     

Psychologists’ roles in ending homelessness

Homelessness in the U.S. remains a pernicious social problem despite national coordinated efforts to end it. Psychologists are well positioned to address homelessness through direct service, advocacy, research, and policy work. Results of a survey of psychologist members (n?=?197) and student members (n?=?209) of the American Psychological Association highlighted activities they engaged in related to helping people who experience housing instability and showed psychologists are more compassionate toward those who experience homelessness than is the general public. Respondents suggested a number of factors that would encourage their greater involvement with homelessness issues including receiving more focused training, increased funding for services, and simply being asked by someone to help. Given the continued problem of homelessness, psychologists can play an important role in supporting those who are in this situation. Suggestions for increasing training and engagement of psychologists are discussed.     

Some aspects of the use of birth expectations data from sample surveys for population projections

The value of national sample survey data relating to birth expectations for projecting births is reassessed in the light of data limitations pointed out by Ryder and Westoff among others and of the methods of projection used by the United States Bureau of the Census. The annual level of fertility under the cohort-fertility projection method depends on the assumptions regarding completed fertility, about which the available survey data are fairly informative, and on the assumptions regarding the timing of births, about which the survey data tell us very little. Test calculations suggest that Ryder and Westoff have overstated the significance of timing relative to completed family size for the level of future births. We believe that the fall in the annual total fertility rate in the first half of the sixties is to be explained only in part by a general delay in childbearing; a moderate to substantial decrease in completed family size has also occurred. Analysis of the latest set of fertility projections of the Census Bureau also suggests that the assumptions about completed fertility are a much more important determinant of the level of future births than timing, both in the short and long term. Although the available expectations data cannot help in predicting short-term annual changes in fertility, they appear useful for making long-term projections of annual fertility. Expansion of the size, frequency, and content of the sample surveys and incorporation of parity and birth interval into the projection method may improve projections.     

The Mindful Couple

Couples who request conjoint treatment often demonstrate relationship problems that are exacerbated by emotional reactivity. Neurobiology research has clarified the process of emotional dysregulation, and the benefit of mindful interventions in managing and preventing hyperarousal. This paper examines the mechanics of emotional dysregulation and presents a case example that demonstrates how breathing and staying in the moment were used to help de-escalate an agitated couple. Mindful interventions can be used to help couples tolerate, understand, and manage emotional states that can otherwise become destructive. These techniques are particularly useful with volatile couples, and can be used in conjunction with other therapeutic interventions.     

Estimative influence measures for the multivariate general linear model

Within the context of the multiviriate general linear model, and using a Bayesian formulation and Kullback-Leibler divergences this paper provides a framework and the resultant methods for the problem of detecting and characterizing influential subsets of observations when the goal is to estimate parameters. It is further indicated how these influence measures inherently depend upon one's exact estimative intent. The relationship to previous work on observations influential in estimation is discussed. The estimative influence measures obtained here are also compared with predictive influence functions previously obtained. Several examples are presented illustrating the methodology.