An EM Algorithm for Smoothing the Self-consistent Estimator of Survival Functions with Interval-censored Data

Interval-censored data arise in a wide variety of application and research areas such as, for example, AIDS studies (Kim et al ., 1993) and cancer research (Finkelstein, 1986; Becker & Melbye, 1991). Peto (1973) proposed a Newton–Raphson algorithm for obtaining a generalized maximum likelihood estimate (GMLE) of the survival function with interval-cen sored observations. Turnbull (1976) proposed a self-consistent algorithm for interval-censored data and obtained the same GMLE. Groeneboom & Wellner (1992) used the convex minorant algorithm for constructing an estimator of the survival function with "case 2" interval-censored data. However, as is known, the GMLE is not uniquely defined on the interval [0, ∞]. In addition, Turnbull's algorithm leads to a self-consistent equation which is not in the form of an integral equation. Large sample properties of the GMLE have not been previously examined because of, we believe, among other things, the lack of such an integral equation. In this paper, we present an EM algorithm for constructing a GMLE on [0, ∞]. The GMLE is expressed as a solution of an integral equation. More recently, with the help of this integral equation, Yu et al . (1997a, b) have shown that the GMLE is consistent and asymptotically normally distributed. An application of the proposed GMLE is presented     

The role of the gerontological social worker in assisted living

This qualitative study reports on thirteen assisted living (AL) administrators' perspectives of the role and the importance of the AL social worker in addressing the unmet needs of older adults as they move and transition into AL. Participant interviews were analyzed using the constant comparative method. Administrators described 5 AL social work roles: (a) decision-making and adjustment coordinator; (b) resident advocate; (c) mental health assessor and counselor; (d) family social worker; and (e) care planner. Implications include directly examining AL social workers' views, analyzing costs and benefits of employing AL social workers, and developing social work practicum sites within AL.     

Warehouses or Welfare?: Legislative Dispositions for Alcoholics

Skid row alcoholic offenders and the various legislative responses to this social problem are examined. Recent United States case law is discussed in the context of sociological explanations of societal intervention against this group. The validity of the medical model of alcoholism as a basis for planning social policy in respect of alcoholic offenders is questioned. Traditional justifications for civil commitment programmes are rejected as an infringement of civil liberty and human dignity. The effectiveness of criminal sanction on a cost benefit basis is analysed. Finally,. alternative policies are discussed and recommendations are made as to possible long-term solutions.     

Palliative sedation: an essential place for clinical excellence

The complexities that converge around palliative sedation invite clinicians to work together to differentiate the issues and come to recommendations and decisions that are humane, ethical, legal, and clinically sound. Whether a crisis or long-term situation exists, the work is essentially the same. It must include critical thinking, clinical expertise, multidimensional assessment, and an array of interventions to assist patients and families in situations where symptoms and suffering are sufficiently intense to warrant exploration of sedation. The many issues inherent in the discussion of sedation at end of life require not that we have the answers but rather that we work with our colleagues to raise relevant questions and integrate both expertise and compassion into end-of-life decisions and care.     

The role,power and influence of company chairs

This paper develops an analytical framework to depict the heterogeneity that characterises the role of board chair and demonstrate the potential variability in how chairs operate boards and exercise power and influence on strategy, control and resource related tasks at board level. Theories of power and influence, as applied to top management teams and boards of directors, are explicated within the context of contemporary governance practices that are establishing the role of the board chair as distinct to that of the chief executive officer. Specifically, the paper maps sources of power and varying contemporary chair practices, including chair nomenclature (i.e. executive vs. non-executive chairs), chair origin (insider vs. outsider) and chair time (full-time vs. part-time). A number of theoretical chair-power models emerge from this analysis and are subject to empirical analysis using data collected from 160 chairs of 500 FTSE-listed companies. Theoretically and empirically, the paper complements structural approaches to studying boards with attention to behaviour on boards. By linking board structure, board process and the exercise of influence, the study reveals both differences amongst chairs in how they run the board, but also that chairs’ differ in the influence they exert on board-related tasks. Full-time executive chairs exert their greatest influence in strategy and resource dependence tasks whereas part-time, non-executive chairs seem to exert more influence over monitoring and control tasks.     

The breakdown of class politics

This paper reviews debate in the 1990s over whether, why, and how much class is declining in its impact on politics. One position is the “null hypothesis” of many at Berkeley and Oxford: the impact of class has not changed. The other position is that “post-industrial society” is transforming politics and redefining class. To focus, the paper does not seek to inventory themes in abstract, but stresses core points made by actual proponents in the exchange. Over the decade many issues were resolved; others were not. Social inequality persists, and inequality of income has risen; but the motor of politics is less clearly jobs. Consumption and other post-industrial concerns have entered and transformed politics in many countries worldwide. How political parties have changed their appeals away from “class” is a key issue, as is the drop by about half in the size of the traditional working class in most Western countries since 1945. From this exchange lessons emerge for conceptualizing and measuring these dynamics in the future. He has taught at Columbia, Harvard, Yale, the Sorbonne, UCLA, and the University of Florence.     

The effect of lawyers on non-discipline/discharge arbitration decisions

Both labor and management often have a lawyer present their case at an arbitration hearing. This paper investigates whether the probability of obtaining a favorable arbitration outcome was related to the use of legal counsel. An analysis of 1,284 Canadian non-discipline/discharge cases revealed that a party was more likely to receive a favorable award when it had legal representation and the other side did not. However, there was no difference in win rates when the outcomes of cases in which both parties used lawyers were compared with those in which neither side was represented by legal counsel. Support for this research was provided by a Social Sciences and Humanities Research Council/Saint Mary’s University Matching Grant. The excellent research assistance of Nancy Canavan is gratefully acknowledged.     

Financial Liberalisation in Southern Africa: An Assessment

In the early 1990s many Southern African economies embarked on financial liberalisation. Although it is too soon to carry out sophisticated econometric analysis of this change in policy, the available empirical evidence may be inspected to see whether it lends support to advocates of financial liberalisation. In this article we explore the avenues through which financial liberalisation might be expected to exert an influence. Consistent with much of the existing literature, we discover that a degree of agnosticism is warranted. Financial liberalisation is no panacea and will not improve economic performance unless accompanied by sound economic policies. It remains difficult to isolate the effects of financial liberalisation from the data available.     

Parenting capacity

We describe an approach to the assessment of parenting for families in which child abuse has been established to have occurred. Neither the category of abuse nor its physical severity adequately predicts the future wellbeing or safety of an abused child. The critical variable in determining the child's future is the level of disturbance in parenting. We argue against the most common approach to assessments of parenting, which is to generate a non‐hierarchical list of issues with the emphasis on relatively concrete and readily measurable dimensions such as social support, parental knowledge about parenting and the child's developmental status. We enhance the standard approach to assessment by organizing it around parenting capacity. We do not attempt to operationalize parenting capacity, de?ning it as the parents' ability to empathically understand and give priority to their child's needs. Adequate parenting requires that the parents be able to meet the challenges posed by their particular child's temperament and development (which may be shaped by the abusive experience) and also to accept and be prepared to address their own intrinsic characteristics which impede their parenting capacity. Parenting capacity is more dif?cult to assess than the more concrete and commonly measured aspects of parenting, but we argue that its assessment should be central to child protection management decisions. Copyright © 2004 John Wiley & Sons, Ltd.