Caste,Religion, and Mental Health in India

Population Research and Policy Review - The relationship between mental health and social disadvantage in low- and middle-income countries is poorly understood. Our study contributes the first...     

Names and naming in adoption: Birth heritage and family‐making

In this article, we consider the significance and practices of names and naming in adoption to develop understanding of the issue amongst scholars, policymakers, adoption practitioners, and adoption communities. Research on the topic of names and adoption is scarce and focused mostly on international and domestic adoptions in the United States. We draw on the research literature to critically explore names and naming in adoption through two recurrent and related themes. The first is “birth heritage,” where names, forenames especially, are shown to be important in the approach taken by adopters to their child's birth family and cultural identity. The second theme is “family‐making,” where namesaking and homogeneity of surname emerge, amongst others, as strategies to create, sustain, and display “family.” In gathering together for the first time an otherwise scattered, disparate body of research, our article showcases names and naming as illuminating distillations of key contemporary challenges experienced by families formed through adoption. We conclude our article by considering emergent gaps in existing knowledge and understanding about names, naming, and adoption that might usefully be addressed, to inform professional advice and familial decisions about names, and enhance outcomes for adoptees and their families.     

Human capital and agency effects on CEO compensation of IPO biopharmaceutical firms and the market’s response

This paper examines the determinants of base pay and total incentive compensation packages of CEOs of biopharmaceutical firms that have recently gone public, and whether human capital and agency factors affect the market’s response to the initial public offering. We find that in terms of net proceeds, the IPO market appears to reward the firms that have founder-CEOs and CEOs with higher incentive compensation. CEOs with prior venture capital experience are associated with receiving higher incentive compensation, while CEOs with a greater ownership interest in the firm receive lower incentive compensation but higher salaries. CEOs of firms with a greater percentage of insiders are associated with lower salaries. The results should add to our understanding related to human capital and agency theories, as well as help firms and investors better understand and structure CEO compensation.     

Stress in Social Services: Mental Wellbeing, Constraints and Job Satisfaction

Correspondence to Margaret Coffey, Liverpool Hope University College, Room AEW 098, Hope Park, Liverpool L16 9JD, UK. E-mail: coffeym{at}hope.ac.uk Summary The public sector is facing an impending shortage of staff,because young people no longer want to work in it and nearlya third of its workforce is over 50 years of age. Staff workingwithin the public sector report that stress is the biggest singlefactor affecting their decision to leave. This research notereports the findings of a recent study carried out in two socialservice departments in the north-west of England. The primaryaim of the research was to explore work-related stress, usinga ‘problem diagnosis tool’ to understand the stressorsexperienced by social services staff, and to inform the developmentof interventions aimed at reducing and/or eliminating them.This study used in-depth interviewing to develop a questionnaireincorporating a variety of measures to assess potential stressorsand mental well-being. The questionnaire response rate was 33per cent (n = 1234) and the results demonstrated statisticallysignificant differences between staffing grades. Staff workingwith children and families reported the highest levels of absenteeism,poorest well-being, and highest level of organizational constraints.Job satisfaction was low compared with established norms forvarious occupational groups. This grounded research baselineis a crucial step to inform specifically designed and targetedinterventions, which can be effectively evaluated from thisbaseline position.     

Controlling health care costs: An evaluation of strategies

There has been much discussion about the factors underlying inflation in the health care sector and the means to moderate increases in health expenditures. This paper identifies various costcontainment strategies and synthesizes research findings that may be helpful in evaluating their effectiveness. The review demonstrates the complexity of the issues and relationships that must be confronted and understood in cost containment. The delivery system is shown to be not well-suited to improving efficiency and restraining health care expenditure. Any single strategy, whether it involves restructuring the market or more direct regulation, cannot in itself accomplish the combination of expenditure control and adequacy of services that is socially desirable. A number of mutually reinforcing strategies are required. Finally, more empirical and analytical information on incentives, provider and regulatory decisionmaking, costs of regulation, and the dynamics of negotiation, is essential for the design of an effective costcontainment program.     

Hogging the road

This essay examines how aesthetic, corporate and cultural formations have radically altered. motorcycling and its image over the past two decades as a means to highlight more general changes in cultural politics, citizenship and governing through culture. The essay begins with the Guggenheim's The Art of the Motorcycle exhibit, treated. as a means for shaping and governing thought and conduct about and on motorcycles. The essay then addresses numerous articulations between aesthetic criteria and economic practices that have benefited. corporate and professional entities at the expense of long-time motorcyclists. Lastly, the essay formulates genealogical criteria for assessing attempts to represent culture in the hopes of more actively engaging in struggles over not just representation, but the activation of modes of thought, conduct and citizenship.     

Combining an Internal Pilot with an Interim Analysis for Single Degree of Freedom Tests

An internal pilot with interim analysis (IPIA) design combines interim power analysis (an internal pilot) with interim data analysis (two-stage group sequential). We provide IPIA methods for single df hypotheses within the Gaussian general linear model, including one and two group t tests. The design allows early stopping for efficacy and futility while also re-estimating sample size based on an interim variance estimate. Study planning in small samples requires the exact and computable forms reported here. The formulation gives fast and accurate calculations of power, Type I error rate, and expected sample size.     

A course for clinical trial personnel in clinical study designs, randomization, allocation schedules, and interactive response systems

This continuing education course for professionals involved in all areas of clinical trials integrates concepts related to the role of randomization in the scientific process. The course includes two interactive lecture and discussion sections and a workshop practicum. The first interactive lecture introduces basic clinical trial issues and statistical principles such as bias, blinding, randomization, control groups, and the importance of formulating clear and discriminating clinical and statistical hypotheses. It then focuses on the most commonly used clinical study designs and the corresponding patient randomization schemes. The second interactive lecture focuses on the implementation of randomization of patients and drug supply through allocation and component ID schedules. The workshop practicum, conducted in small groups, enables students to apply the lecture concepts to real clinical studies. Flexibility was built into the workshop practicum materials to allow the course content to be customized to specific audiences, and the interactive lecture sessions can be stretched to cover more advanced topics according to class interest and time availability.     

Medicaid Funding for Assisted Living Care: A Five-State Examination

Medicaid waiver programs financing assisted living care are examined in five states to gain insights about program implementation, accomplishments, and challenges. Documents, augmented with stakeholder interviews, are used to describe income eligibility, options for supplementing payments to facilities, risk adjustment payment levels, and participation. Needs determination and waiver-based payments are in place. Eligibility and funding levels are complicated by room and board allocations that are linked to the federal benefit rate for Supplemental Security Income. Provider participation may be diminishing. Many recipients have to accept shared occupancy as program payments are insufficient for single units.