An individual measure of relative survival

Summary.  Relative survival techniques are used to compare survival experience in a study cohort with that expected if background population rates apply. The techniques are especially useful when cause-specific death information is not accurate or not available as they provide a measure of excess mortality in a group of patients with a certain disease. Whereas these methods are based on group comparisons, we present here a transformation approach which instead gives for each individual an outcome measure relative to the appropriate background population. The new outcome measure is easily interpreted and can be analysed by using standard survival analysis techniques. It provides additional information on relative survival and gives new options in regression analysis. For example, one can estimate the proportion of patients who survived longer than a given percentile of the respective general population or compare survival experience of individuals while accounting for the population differences. The regression models for the new outcome measure are different from existing models, thus providing new possibilities in analysing relative survival data. One distinctive feature of our approach is that we adjust for expected survival before modelling. The paper is motivated by a study into the survival of patients after acute myocardial infarction.     

THE AURA OF "HIGH TECH" IN A WORLD OF MESSY PRACTICE

This study employs interlocking analytical devices from the perspectives of several disciplines to explore members' meanings through definitions of "high technology" given by workers in design engineering. The comparative analysis employs concepts from art history, sociology of culture, anthropology and science studies to explore the appeal of "high technology" in comparison with the aura of original artworks and the status accrued by symbolic tools. Additionally, the role standardization has played in the development of engineering as a profession is explored in historical context as are the recurring themes of speed and "the new." The findings reveal that how engineers use new technologies in the world of messy practice and their conceptual framework regarding so-called "high technology" do not map well onto one another. The study illustrates the perspective of science and technology studies that views all technology as socially shaped and society shaping, its construction accomplished through messy patched-up practices rather than clean, linear paths or perfect techniques.     

Differentiated leader–member exchange,justice climate,and performance: Main and interactive effects

Leaders form different quality leader–member exchange (LMX) relationships with their subordinates. This variable treatment termed LMX differentiation can have negative effects on individuals' behavior and attitudes. In this study, we examined the cross-level main effect of justice climate on task performance and the moderating role of justice climate on the relationship between LMX differentiation and task performance. We tested these two hypotheses using a field study of 90 subordinates nested under 27 supervisors. Procedural justice climate, not distributive justice climate, was found to positively influence subordinate task performance. Further, distributive justice climate, not procedural justice climate, was found to moderate the LMX differentiation–task performance relationship; such that the relationship was positive when distributive justice climate was high and negative when distributive justice climate was low. Findings and future directions are discussed.     

Reflective Supervision for Child Protection Practice – Reaching Beneath the Surface

This paper describes a model of reflective supervision for child protection practice that is informed by psychoanalytic theory. Eileen Munro promotes the idea of depth in practice, referring to the skills and knowledge required to undertake the work. Her reports highlight the importance of supervision to provide a thinking space for practitioners where reflection can take place. This paper will explore the importance of supervision in more depth and describe how psychoanalytic ideas can help us understand the complexities of our work with families, anchoring us to a solid theoretical base and helping to make sense of the maelstrom of feelings that are stirred in us as well as in our colleagues and clients.     

Non-Heterosexuality,Relationships, and Young Women’s Contraceptive Behavior

Non-heterosexual young women have a higher rate of unintended pregnancy than their heterosexual peers, but their fertility behaviors are understudied. We use longitudinal data from the Relationship Dynamics and Social Life study to investigate mechanisms contributing to non-heterosexual women’s higher pregnancy risk. These data include weekly reports of relationships, sex, and contraceptive use over 30 months. We compare the relationships and fertility behaviors of three groups: exclusively heterosexual (consistent heterosexual behavior, identity, and attraction); mostly heterosexual (heterosexual identity with same-sex behavior and/or same-sex attraction); and LGBTQ (any non-heterosexual identity). We find that mostly heterosexual and LGBTQ women behave differently from exclusively heterosexual women in ways likely to elevate their risk of unintended pregnancy: more distinct partners during the study period, more sexual intercourse with men, less frequent contraceptive use, less use of a dual method (condom plus hormonal method), and more gaps in contraceptive coverage. Mostly heterosexual women resemble LGBTQ women in their contraceptive behavior but have significantly more intercourse with men, which may increase their pregnancy risk relative to both LGBTQ and exclusively heterosexual women. We conclude by considering implications for LGBTQ health and the measurement of sexual minority populations.     

Brexit: Be Careful What You Wish For?

In this paper, I focus on the British future from Brexit. The institutional form this will take is not yet fixed. However, one can consider likely outcomes based on dominant economic frameworks. From this perspective, it seems unlikely that Brexit will address the actual grievances that resulted in Brexit. These transcend European Union membership.