Rust in the Wheatbelt: The Social Impacts of Industrial Decline in a Rural Kansas Community

While most sociologists now recognize the importance of urban industrial problems, there is less awareness of the causes and social significance of nonmetropolitan manufacturing decline. By means of structured and informal interviews, nonparticipant observations, and analysis of public documents, a case study was conducted to evaluate the economic and social "community impacts" of industrial restructuring in a nonurban community. Eight negative consequences of manufacturing decline were identified. The study generated information inconsistent with two prevailing explanations for recent rural industrial troubles in the United States: the underskilled production labor theory, and the deficient physical infrastructure thesis. Case evidence suggested that capital flight, economic and political network powerlessness, and managerial competency deficits may be significant causes of rural manufacturing decline. Given the significance of manufacturing for rural areas, more cogent, multidisciplinary explanations for nonurban industrial shifts need to be developed.     

The future of public sector collective bargaining in Canada

Conclusion Looking to the future of Canadian public sector labor relations, the glass is half full. Despite regular intervals when government fiscal and economic policy “trump” public sector bargaining rights through legislation, public sector unions and collective bargaining will survive. Public sector compensation and job security will likely continue to be at least comparable to the unionized private sector, and public sector union density should remain stable, at or near its currently high levels.     

Families, orphans and children under stress in Zimbabwe

This paper evaluates a programme called FOCUS in Zimbabwe: Families, Orphans, and Children under Stress. The programme was initiated in 1993 and works with seven community groups, providing support to around 6500 children in 2000 households. The programme succeeds through committed community volunteers, who made over 93,000 visits to households in 1999. Communities are mobilised by building on existing practices, using natural entry points, and careful selection of local volunteers and supervisors. There is good community ownership, extremely low volunteer turnover, and reporting systems verify that aims and objectives are met. The programme maintains good ethics, addresses a range of children's rights, and is sustainable through a mixture of donor funds, FACT (sponsoring organisation) support and community support. Issues of concern include better recognition of psycho-social needs, prevention and protection from sexual abuse, reducing stigma and discrimination, increasing child-centred approaches and participation, and reducing gender imbalance among volunteers.     

Spline smoothing over difficult regions

Summary. It is occasionally necessary to smooth data over domains in R ² with complex irregular boundaries or interior holes. Traditional methods of smoothing which rely on the Euclidean metric or which measure smoothness over the entire real plane may then be inappropriate. This paper introduces a bivariate spline smoothing function defined as the minimizer of a penalized sum-of-squares functional. The roughness penalty is based on a partial differential operator and is integrated only over the problem domain by using finite element analysis. The method is motivated by and applied to two sample smoothing problems and is compared with the thin plate spline.     

Estimating the costs of preventive interventions

The goal of this article is to improve the practice and reporting of cost estimates of prevention programs. It reviews the steps in estimating the costs of an intervention and the principles that should guide estimation. The authors then review prior efforts to estimate intervention costs using a sample of well-known but diverse studies. Finally, the authors illustrate the principles with an example, the Family Bereavement Program. They conclude that example by discussing whether and how the costs of the intervention might differ when implemented in a real-world setting.     

Prevention and treatment of osteoporosis in women

Osteoporosis affects one in three women. There has been some confusion among women and health professionals about the management of osteoporosis since the publication of the Women's Health Initiative and Million Women studies. This guidance regarding estrogen-based and non-estrogen-based treatments for osteoporosis responds to the controversies about the benefits and risks of individual agents. Treatment choice should be based on up-to-date evidence and targeted to individual women's needs.     

Developing the NICE/SCIE Guidelines for Dementia Care: The Challenges of Enhancing the Evidence Base for Social and Health Care

Internationally, interest is developing in the challenges ofdeveloping evidence-based guidelines for social work practice.The paper reports on the process of establishing the UK’sfirst joint health and social care evidence-based practice guideline,which is in dementia care. The paper addresses the methodologicaland procedural challenges of reviewing, meta-analysing and synthesizingknowledge for health and social care given the contrasting historiesof the two sectors in relation to the emergence of evidence-basedpractice. Dementia care is a complex domain within which socialand clinical perspectives intersect, reinforcing the desirabilityof producing ‘joined up’ health and social carepractice guidelines that are relevant to integrated services.It is suggested that the exemplar of producing a joint healthand social care guideline for dementia may be a model for futuredevelopment of practice guidelines. Some of the main recommendationsare presented to illustrate the character of the joint guideline,lessons are drawn for future guideline development, and implicationsfor policy and practice implementation are considered.