Prediction and Prevention of Child Abuse and Neglect

A high-risk population was successfully identified by the use of perinatal screening procedures. These children encountered significantly different parenting practices than the low-risk "control" group. There were also significant differences between "High-Risk" and "Low-Risk" families on issues concerning social adjustment and mother/infant attachment. Five children in a "High-Risk Nonintervene" group required hospitalization for serious injuries thought to be secondary to abnormal parenting practices. There were no such hospitalizations in either a High Risk Intervene group or a Low Risk group. Labordelivery observations, and postpartum interviews and observations provided the most accurate predictive information; prenatal interviews and questionnaires did not add significantly. Perinatal assessment and simple intervention with families at high risk for abnormal parenting practices significantly improves the infants' chances for escaping serious hospitalized physical injury.     

Continuity of Midwifery Care in England: A New Professional Project?

Over the last decade, an increasing amount of research has examined the relationship between gender and professionalization using female professional projects to illustrate how the generic notion of a profession has been a gendered one. This paper develops Witz's (1990) theory of professional strategies in female-dominated occupations particularly regarding midwives in Britain in the twentieth century and suggests that an important dimension that also needs to be critically examined in midwifery history is the interaction of gender and social class within midwifery. Furthermore it documents the traditional emphasis in midwifery on the single woman's career path. This historical analysis has resonance today as midwifery in Britain is undergoing a renaissance. The role of the midwife and the current organization of the maternity services are being reviewed with the intention of providing increased choice and control over the reproductive process for women and increased continuity of care with a midwife. These changes are viewed as midwives' new professional project and the implications for midwives and women discussed. The aim of this paper is to explore the explanatory power of these approaches to current developments in maternity care and by drawing historical parallels, consider the impact that this professionalizing strategy may have for those who are excluded from this process of ‘dual closure’. Furthermore, this paper asks whether this new way of working empowers midwives, women, both or neither?     

New Public Management Is Dead--Long Live Digital-Era Governance

The "new public management" (NPM) wave in public sector organizationalchange was founded on themes of disaggregation, competition,and incentivization. Although its effects are still workingthrough in countries new to NPM, this wave has now largely stalledor been reversed in some key "leading-edge" countries. Thisebbing chiefly reflects the cumulation of adverse indirect effectson citizens' capacities for solving social problems becauseNPM has radically increased institutional and policy complexity.The character of the post-NPM regime is currently being formed.We set out the case that a range of connected and informationtechnology–centered changes will be critical for the currentand next wave of change, and we focus on themes of reintegration,needs-based holism, and digitization changes. The overall movementincorporating these new shifts is toward "digital-era governance"(DEG), which involves reintegrating functions into the governmentalsphere, adopting holistic and needs-oriented structures, andprogressing digitalization of administrative processes. DEGoffers a perhaps unique opportunity to create self-sustainingchange, in a broad range of closely connected technological,organizational, cultural, and social effects. But there arealternative scenarios as to how far DEG will be recognized asa coherent phenomenon and implemented successfully.     

A Semiparametric Bayesian Model for Circular-Linear Regression

Circular data are observations that are represented as points on a unit circle. Times of day and directions of wind are two such examples. In this work, we present a Bayesian approach to regress a circular variable on a linear predictor. The regression coefficients are assumed to have a nonparametric distribution with a Dirichlet process prior. The semiparametric Bayesian approach gives added flexibility to the model and is useful especially when the likelihood surface is ill behaved. Markov chain Monte Carlo techniques are used to fit the proposed model and to generate predictions. The method is illustrated using an environmental data set.     

Re-examining pregnancy-related anxiety: A replication study

Background

Recognition of pregnancy-related anxiety as a distinct anxiety is supported by evidence differentiating it from general anxiety and depression. Adverse associations with pregnancy-related anxiety further support this distinction. An influential study by Huizink et al. (2004), demonstrated that anxiety and depression contribute little to the variance of pregnancy-related anxiety, yet this study has not been replicated. Further, addressing limitations of the original study will provide further clarity to the findings.

Two Perspectives on the Language of Special Needs Computing: towards a shared view

This paper reviews and examines the language used in literature that describes the educational and therapeutic use of microcomputers with people who have special needs. In the language of special needs computing two perspectives are identified. One perspective focuses on the microcomputer technology while the other focuses on the microcomputer user. While the language of both perspectives acknowledges the value of microcomputers, each perspective moves towards an acknowledgement that microcomputer use needs to be placed in an environmental context. This move in both language sets reflects an increasing focus on the potential barriers to microcomputer use.     

Dependency or Self-Reliance? The Contradictory Case of Work in UK Small Business Families

The focus of this article is a relatively neglected area of social and family policy: its relationship with small business. Economic policy makers have encouraged enterprise, particularly in the form of small business, as a solution to problems of competitiveness and economic growth. The article uncovers what an enterprise culture actually means for some of those families who first embarked upon business ownership in the 1980s in the UK Using data from a qualitative study, it contends that, in contradiction to the enterprise rhetoric, for micro-businesses owners and their families, values of self-reliance and dependency often are found as opposite characteristics necessary for the success of a small business. A recent survey of micro-businesses in contrasting British regional economies suggests that such experiences are likely to be found amongst a substantial proportion of micro-businesses.