Blood Transfusion in Room 223

How educators handle conflicting views of Populism is important in engaging students in critical thinking.     

Human Health Risk Assessment of Penicillin/Aminopenicillin Resistance in Enterococci Due to Penicillin Use in Food Animals

Penicillin and ampicillin drugs are approved for use in food animals in the United States to treat, control, and prevent diseases, and penicillin is approved for use to improve growth rates in pigs and poultry. This article considers the possibility that such uses might increase the incidence of ampicillin-resistant Enterococcus faecium (AREF) of animal origin in human infections, leading to increased hospitalization and mortality due to reduced response to ampicillin or penicillin. We assess the risks from continued use of penicillin-based drugs in food animals in the United States, using several assumptions to overcome current scientific uncertainties and data gaps. Multiplying the total at-risk population of intensive care unit (ICU) patients by a series of estimated factors suggests that not more than 0.04 excess mortalities per year (under conservative assumptions) to 0.14 excess mortalities per year (under very conservative assumptions) might be prevented in the whole U.S. population if current use of penicillin drugs in food animals were discontinued and if this successfully reduced the prevalence of AREF infections among ICU patients. These calculations suggest that current penicillin usage in food animals in the United States presents very low (possibly zero) human health risks.     

Cognitive-Behavioral Therapy for Bipolar Disorder: Implications for Clinical Social Workers

ABSTRACT

The purposes of this review article are to orient clinical social workers to cognitive-behavioral theory, intervention, and research on bipolar disorder (BD); identify pros and cons of applying cognitive-behavioral therapy (CBT) to social work clients with BD; and identify specific implications for clinical social work practice. Of the 545 articles that were obtained via the systematic review, 18 studies were identified as being potentially eligible for inclusion, and 9 of those studies ultimately satisfied the inclusion criteria. The results of each study were summarized via identifying statistically significant (p< .05) differences that existed between experimental cohorts who received CBT (plus pharmacotherapy) and control cohorts who received treatment as usual. Outcomes showed CBT cohorts as having significant improvement over their respective control groups. The review's implications for clinical social workers and the need for future research are discussed.     

从"权利"到"仪式":南非的艾滋病行动主义

在本文中,我考察了南非HIV/AIDS行动主义的道德政治如何有助于公民身份(citizen-ship)新形式的出现,这种新形式既与基于权利(rights-based)的斗争相关,又与个体HIV/AIDS患者对病痛和污名化(stigmatization)极端体验的共享意义相关。我指出,可以确定的是,正是晚期艾滋病患者"接近死亡"的绝境体验、以及与这种疾病晚期阶段相连的巨大污名和"社会死亡",为HIV/AIDS的幸存者对"新生命"和社会行动主义的委身提供了平台。行动主义者的干预和对这些创伤经验的重述也推动了HIV/AIDS对行动主义的委身和社会底层的动员。此外,污名和社会死亡的巨大否定性也驱使行动主义者重建对HIV检测呈阳性人群新的、正面的身份认同,并促使他们思考,作为一名公民-行动主义者和一项社会运动的成员意味着什么。     

Relationships among JIT practices: an interpretive modeling approach

Abstract

This research develops a model of relationships among components of Total-JIT, including JIT-information, JIT-manufacturing, JIT-purchasing, and JIT-selling, to establish an implementation hierarchy based on relative importance. The data collected relates to the relationships among JIT components and two performance measures, supply chain competency and organizational performance. Two groups are used in the research, one group of five operations management academics and another group of 30 practicing operations managers working in U.S. manufacturing firms. An interpretive structural modelling methodology is used to develop alternative structural models. The academics’ data show JIT-information emerging as lynchpin of relationships, directly impacting all other JIT practices and both performance measures. The practitioners’ data indicates that all JIT practices and performance measures are interactive as components and outcomes. This study is the first to apply interpretive structural modelling to investigate the interplay among total-JIT components and the performance measures of supply chain competency and organizational performance.     

Maximal autocorrelation functions in functional data analysis

This paper proposes a new factor rotation for the context of functional principal components analysis. This rotation seeks to re-express a functional subspace in terms of directions of decreasing smoothness as represented by a generalized smoothing metric. The rotation can be implemented simply and we show on two examples that this rotation can improve the interpretability of the leading components.     

Migration Decisions of Dual-earner Families: An Application of Multilevel Modeling

A comprehensive framework for guiding analyses of internal migration is lacking. This study contributes to the family migration literature in three important ways. We develop a multilevel theoretical framework emphasizing an integration of individual-, family-, and neighborhood-level effects; introduce multilevel statistical modeling; and explicitly assess how effects of economic-based explanatory variables vary by gender. Our data are from the Panel Study of Income Dynamics (PSID). We find that the likelihood of a family migrating is affected by economic and non-economic factors, some of which vary by gender. We add to the dual-earner migration literature by finding that wives are not likely to be tied-movers, but husbands are likely to be tied-stayers. Neighborhood factors also are important to the decision to migrate.

The Continuing Legacy of the Communist Legacy? The development of family policies in Poland and the Czech Republic

This article compares family policies in Poland and the CzechRepublic in order to explain why the two countries have differentpolicies. Previous studies are right to claim that post-communistfamily policies are basically going in a refamilialist directionthat gives mothers a greater incentive to return to the home,but they tend to neglect the important differences that existbetween countries. Although previous studies were correct toemphasize the role of the anti-feminist communist legacy inexplaining this trend toward re-famialilization, it is a country'seconomic-institutional legacy that goes the farthest in explainingthe differences in policies.     

Developing community leadership through the arts in Southside Virginia: Social networks, civic identity and civic change

This paper describes a strategy designed to catalyse a processof civic dialogue and social learning in an economically distressedsection of Virginia typically referred to as Southside or theDan River Region. The model underpinning this initiative employsthe arts and a grassroots leadership programme simultaneouslyto encourage a broad-scale civic conversation concerning thepast and potential future of the principal communities locatedin the Southside region. The combination of broad participationand development of an effective leadership cadre at the grassrootslevel should encourage the creation of robust community problemsolving coalitions across the region. The initiative aims toengender specific forms of locally driven community-based problem-solvingcoalitions: those that emphasize inclusiveness and value thefull participation of historically disenfranchised individuals.The project also employs non-traditional forums to promote creativedialogue and to encourage reflection among the broader citizenryon the significance and possible character of a new and regionalidentity.