Avian Influenza Risk Perception and Live Poultry Purchase in Guangzhou, China, 2006

Human H5N1 highly pathogenic avian influenza (HPAI) infection is associated with intimate exposure to live poultry. Perceptions of risk can modify behaviors, influencing actual exposure. However, greater hazard is not necessarily followed by perception of greater risk and more precautionary behavior because self-serving cognitive biases modulate precautionary and hazardous behaviors. We examined risk perception associated with avian influenza. A total of 1,550 face-to-face within-household interviews and 1,760 telephone interviews were derived to study avian influenza risk perception and live poultry use in Guangzhou and Hong Kong, respectively. Chi-square and Mann-Whitney tests assessed bivariate associations and risk distributions, respectively, and fully adjusted multivariate logistic models determined independent risk associations. Relative to Hong Kong, perceived "generalized" risk from buying live poultry (GZ, 58%, 95% confidence interval 55–60% vs. HK, 41%, 39–43%; χ²= 86.95, df  = 1, p < 0.001) and perceived self/family risk from buying ( z  =−2.092, p  = 0.036) were higher in Guangzhou. Higher perceived "generalized" risk was associated with not buying live poultry (OR = 0.65, 0.49–0.85), consistent with the pattern seen in Hong Kong, while perceived higher self/family risk was associated with buying ("likely/very likely/certain" OR = 1.74, 1.18–2.59); no such association was seen in Hong Kong. Multivariate adjustment indicated older age was associated with buying live poultry in Guangzhou (OR = 2.91, 1.36–6.25). Guangzhou respondents perceived greater risk relative to Hong Kong. Buying live poultry was associated with perceptions of less "generalized" risk but more self/family risk. Higher generalized risk was associated with fewer live poultry purchases, suggesting generalized risk may be a useful indicator of precautionary HPAI risk behavior.     

Ecological and socio-economic impacts of the red import fire ant,Solenopsis invicta (Hymenoptera: Formicidae), on urban agricultural ecosystems

Urban Ecosystems - The agricultural impacts of the Red Imported Fire Ant, Solenopsis invicta Buren 1972, have been well studied in North America, but have received less emphasis in Asia where the...     

Simultaneous prediction intervals for all patrwise differences among several future sample means

Hahn (1977) suggested a procedure for constructing prediction intervals for the difference between the means of two future samples from normal populations having equal variance, based on past samples selected from both populations. In this paper, we extend Hahn's work by constructing simultaneous prediction intervals for all pairwise differences among the means of k ≥ 2 future samples from normal populations with equal variances, using past samples taken from each of the k populations. For K = 2, this generalization reduces to Hahn's special case. These prediction intervals may be used when one has sampled the performance of several products and wishes to simultaneously as- sess the differences in future sample mean performance of these products with a predetermined overall coverage probability. The use of the new procedure is demonstrated with a numerical example.     

Does sorry work? The impact of apology laws on medical malpractice

Physicians’ apologies for adverse medical events are acknowledged as a factor in patients’ decisions to litigate. Apology laws which render physicians’ apologies inadmissible in court are written to encourage patient-physician communication and to overcome the physicians’ disinclination to apologize because apologies could invite lawsuits. We present a novel model of apologies and malpractice in order to examine whether state-level apology laws have an impact on malpractice lawsuits and settlements. Using a difference-in-differences estimation, we find that apology laws could expedite the resolution process. We also find that apology laws result in the greatest reduction in average payment size and settlement time in cases involving severe patient outcomes.     

Hierarchical Bayesian Approach to a Multi-Site Hidden Markov Model

Multivariate data with a sequential or temporal structure occur in various fields of study. The hidden Markov model (HMM) provides an attractive framework for modeling long-term persistence in areas of pattern recognition through the extension of independent and identically distributed mixture models. Unlike in typical mixture models, the heterogeneity of data is represented by hidden Markov states. This article extends the HMM to a multi-site or multivariate case by taking a hierarchical Bayesian approach. This extension has many advantages over a single-site HMM. For example, it can provide more information for identifying the structure of the HMM than a single-site analysis. We evaluate the proposed approach by exploiting a spatial correlation that depends on the distance between sites.     

Association between hand-grip strength and erectile dysfunction in older men

Abstract

Objectives: To evaluate the association between handgrip strength and erectile dysfunction (ED) in community-dwelling older men.

Methods: This cross-sectional study included 1771 participants of the Dong-gu Study. Handgrip strength was measured with a handheld dynamometer. ED was assessed with the Korean version of the International Index of Erectile Function (IIEF). ED was categorized as none to mild (IIEF-EF scores of 13–30) and moderate to severe (IIEF-EF scores of 0–12). Multivariable logistic regression was conducted with adjustment for potential confounders.

Results: The proportion of men with moderate to severe ED was 48.8%. The age-adjusted ED score increased with increasing quartile of handgrip strength (11.0, 12.4, 13.4, and 14.0 in the lowest, second, third, and highest quartiles, respectively). After adjustment for potential confounders, greater handgrip strength was associated with a lower risk of ED (odds ratio (OR): 0.82 per 5?kg; 95% confidence interval (CI): 0.74–0.90). In addition, a high level of moderate to vigorous physical activity was associated with a lower risk of ED (OR: 0.75; 95% CI: 0.61–0.93).

Conclusion: In this study, aging men with greater handgrip strength had a lower risk of ED. This result suggests that reduced physical functioning may contribute to ED.     

Determinants of the Safety Performance of Private Multi-storey Residential Buildings in Hong Kong

Given the high population and development density in Hong Kong, building failures can result in catastrophic consequences. It is thus worthwhile identifying those dilapidated buildings, and this explains why the Hong Kong government has considered launching a mandatory building inspection scheme in the city. Apart from the measurement of building safeness, however, it is equally important to explore the major determinants of the safety performance of buildings. Such information can help the government and other related organizations to rationalize their subsidies offered for building improvement and to make more informed strategies of urban regeneration in Hong Kong. To this end, the safety performance of 429 private multi-storey residential buildings was measured in this study using the Building Safety and Conditions Index developed by The University of Hong Kong. It was then followed by an explanatory analysis which found that older buildings were less safe than large, modern buildings. More importantly, the co-existence of a property management agent and a statutory owners’ association delivered the best building safety performance, and in this respect was the optimum building management regime for private multi-storey buildings in Hong Kong. These findings pose significant policy implications for building safety and urban regeneration in Hong Kong.     

From passive assistance to capacity building: assessing the Child Development Fund in Hong Kong

Poverty was not a major issue in Hong Kong before the 1990s. After the Asian financial crisis, the government admitted that poverty was growing and demanded attention. While passive assistance was maintained, increasing emphasis was placed on capacity building to promote self-reliance. The Child Development Fund was introduced to combat intergenerational poverty by developing children's capacity and assets, especially through mentorship. On the basis of published data and interviews with social workers, the project should be considered a success, but it was not without problems. The contribution of social workers to the project was significant but received little government recognition.