Ascendancy of primary care will create role intensification for physician executives

The need for physicians in management roles in the health care system has never been greater. And the years ahead will see that need broadened and intensified. To maintain their leadership role in medical affairs in hospitals and other types of health care delivery organizations, physician executives will have to envision provider organizations and systems that have not yet been conceived, let alone developed and implemented. They have to become totally open-minded and futuristic in their thinking. And they will have to help other physicians accommodate this new way of thinking if the medical profession is to continue in a leading role in health care matters. Although numerous factors will have to be anticipated and analyzed by these new physician leaders, the ascendancy of primary care in a managed health care world long dominated by the technical and technological superiority of hospital care will present a particular challenge to the physician executive.     

Environmental hazards and the health status of women and children in a riverine community in Nigeria: Nikrowa in Edo State

Nikrowa is a riverine village located in Ovia North-East Local Government Area of Edo State. This paper examines the relationship between the environment and the health status of women and children in the village. Data used in this essay were obtained mainly in focus groups from a study of women and health service utilization in Nikrowa. Women in Nikrowa farm, fish, collect water and firewood, and process and prepare food. They also bear many children. Their hard physical labor causes them to suffer continuous body aches and pains. Environment-related illnesses such as malaria, measles, dysentery, and diarrhea are prevalent among children. The geographical isolation of Nikrowa limits access to modern health care facilities, so traditional therapies are used to treat prevailing illnesses. It is suggested that women have access to fertilizers in order to improve soil fertility and agricultural yields. Fuelwood and adequate and safe water supplies should be made readily available to women. Moreover, access roads to rural areas should be improved to facilitate transport to modern health care facilities, and rural primary health care facilities should be helped to provide efficient services by providing trained staff and ensuring regular supplies of drugs.     

Economic integration and labor flows: stage migration in farm labor markets in Mexico and the United States

"This article examines the probable effects of the North American Free Trade Agreement (NAFTA) on migration from Mexico to the United States, disputing the view that expansion of jobs in Mexico could rapidly reduce undocumented migration. To the extent that NAFTA causes Mexican export agriculture to expand, migration to the United States will increase rather than decrease in the short run. Data collected in both California and the Mexican State of Baja California show that indigenous migrants from southern Mexico typically first undertake internal migration, which lowers the costs and risks of U.S. migration. Two features of employment in export agriculture were found to be specially significant in lowering the costs of U.S. migration: first, working in export agriculture exposes migrants to more diverse social networks and information about U.S. migration; second, agro-export employment in northern Mexico provides stable employment, albeit low-wage employment, for some members of the family close to the border (especially women and children) while allowing other members of the family to assume the risks of U.S. migration."     

Implementing partial least squares

Partial least squares (PLS) regression has been proposed as an alternative regression technique to more traditional approaches such as principal components regression and ridge regression. A number of algorithms have appeared in the literature which have been shown to be equivalent. Someone wishing to implement PLS regression in a programming language or within a statistical package must choose which algorithm to use. We investigate the implementation of univariate PLS algorithms within FORTRAN and the Matlab (1993) and Splus (1992) environments, comparing theoretical measures of execution speed based on flop counts with their observed execution times. We also comment on the ease with which the algorithms may be implemented in the different environments. Finally, we investigate the merits of using the orthogonal invariance of PLS regression to improve the algorithms.     

Applied sociology? Even musicians give concerts

Applied sociology is basically what sociologists do for nonsociologists and sometimes for themselves. Applied sociology includes the teaching of sociology as one of the liberating arts and sciences. It also involves the practice of sociology outside academia in the public and private sectors. Either way, applied sociology needs support groups, and state sociological associations need useful things to do beyond their traditional interests in academic teaching and research. Professional sociological associations, and especially those that serve at the local, state level, can become important support groups for applied sociology. This article suggests five types of applied sociology projects appropriate for state associations. These are volunteering applied sociology; doing applied sociology through consulting; making the value of sociological applications more visible; identifying applied sociology jobs for our baccalaureate, master's, and doctoral graduates; and helping to improve the socioeconomic outlook for our academic colleagues and, in turn, ourselves. State associations provide an organizational base, proximate members, and local opportunities for applying sociology. Ron Wimberley, teaches sociological research methods and does research on the southern Black Belt and other topics. He also attempts applied sociology through volunteer work, consulting, and occasional leaves from his university position. Catherine Harris of Wake Forest University is appreciated for suggesting the topic. The author is responsible for the views expressed in the article.     

Is There a Forest Transition? Deforestation,Reforestation, and Development1

Abstract Environmental social scientists have recently begun to use the term 'forest transition' to describe how forest cover changes as economic development occurs in nations. The hypothesized transition occurs as follows. An initial surge in economic activity in impoverished societies spurs deforestation, but as economic activity continues to intensify and cities grow larger, a 'turnaround' occurs, and deforestation gives way to reforestation. This paper uses cross-national data from five successive surveys of world forest resources to assess this empirical claim. A turnaround in forest cover trends does occur in a significant number of nations. The paper also evaluates two explanations for the turnaround, a wood scarcity hypothesis derived from microeconomic theory and an industrialization hypothesis linked to central place theory. It finds period specific support for the industrialization hypothesis. The paper concludes with a brief discussion of the implications of these findings for proposals to alleviate the biodiversity crisis through programs of reforestation.     

Power, Politics, and the Framing of Environmental Illness

The medical community, along with other government agencies, has created its own frame of environmental illness. This frame has been generally accepted by the American public. In this paper we discuss framing in general and the factors related to how the environmental illness frame has been constructed and maintained. We offer a brief history of the medical institution and illustrate the frame with its definitions of environmental illness. Qualitative data from a study of Oak Ridge, a contaminated community located in Tennessee, are examined to analyze the consequences of challenging the environmental illness frame. Implications for future research are discussed.