INSTRUCTING OPERATIONS DESIGN: AN EXPERIENTIAL APPROACH

Teaching an operations design course has major pedagogical challenges. (1) The design topics—output, process, facility, and work design—are necessarily taught sequentially, yet the decisions are integrative. (2) Instruction must be generic to service or product producers. (3) Discussing output design is difficult since students typically have had no exposure to the “product language” of engineering graphics. (4) No text is available which examines in sufficient depth all the operations design decisions. (5) Cases necessarily depict historical situations—process technologies and economic data—while operations managers must plan future directions for their productive systems. (6) While the commercial world contains fresh information and data, students are inexperienced in obtaining knowledge from the real world. (7) While the course presents an operations management perspective, students must recognize the information, data, and cooperation necessary from the other functional areas to successfully complete the operations design. To help overcome these seven pedagogical challenges, the students in the undergraduate and graduate operation design courses complete a comprehensive feasibility study for a new product or service and the entire productive system.     

Assessment of the Effectiveness of Radon Screening Programs in Reducing Lung Cancer Mortality

The present study was aimed at assessing the health consequences of the presence of radon in Quebec homes and the possible impact of various screening programs on lung cancer mortality. Lung cancer risk due to this radioactive gas was estimated according to the cancer risk model developed by the Sixth Committee on Biological Effects of Ionizing Radiations. Objective data on residential radon exposure, population mobility, and tobacco use in the study population were integrated into a Monte‐Carlo‐type model. Participation rates to radon screening programs were estimated from published data. According to the model used, approximately 10% of deaths due to lung cancer are attributable to residential radon exposure on a yearly basis in Quebec. In the long term, the promotion of a universal screening program would prevent less than one death/year on a province‐wide scale (0.8 case; IC 99%: –3.6 to 5.2 cases/year), for an overall reduction of 0.19% in radon‐related mortality. Reductions in mortality due to radon by (1) the implementation of a targeted screening program in the region with the highest concentrations, (2) the promotion of screening on a local basis with financial support, or (3) the realization of systematic investigations in primary and secondary schools would increase to 1%, 14%, and 16.4%, respectively, in the each of the populations targeted by these scenarios. Other than the battle against tobacco use, radon screening in public buildings thus currently appears as the most promising screening policy for reducing radon‐related lung cancer.     

A Home-based Description of Attachment in Physically Disabled Infants

This study investigated attachment security and behavior in 34 physically disabled infants and 26 non‐disabled infants by using convergent, categorical (secure, avoidant and ambivalent) and continuous (Attachment Behavior Q‐Set) measures of the relationship, based on the same set of home observations. Proportions of attachment classifications were not different for disabled and non‐disabled infants, but insecure infants in the disabled group scored consistently lower on the AQS security score than non‐disabled insecure infants. This result suggests that while proportions of attachment classifications may not vary as a function of infant status, insecure disabled infants are more insecure than insecure non‐disabled infants. An analysis of 5 behavioral dimensions of the AQS showed that secure infants emitted the same kinds of attachment behaviors without regard for infant status. Insecure disabled infants, however, showed lower levels of secure base behavior and physical contact with mother than their non‐disabled counterparts, and showed a marginal tendency to fuss more as well. Discussion focuses on the potential benefits of using convergent, categorical and continuous measures of attachment in the study of both typical and atypical groups of infants.     

Children’s Recognition and Discrimination of Fear and Disgust Facial Expressions

Facial expressions of fear and disgust have repeatedly been found to be less well recognized than those of other basic emotions by children. We undertook two studies in which we investigated the recognition and visual discrimination of these expressions in school-age children. In Study 1, children (5, 6, 9, and 10 years of age) were shown pairs of facial expressions, and asked to tell which one depicted a target emotion. The results indicated that accuracy in 9- and 10-year-olds was higher than in 5- and 6-year-olds for three contrasts: disgust–anger, fear–surprise, and fear–sadness. Younger children had more difficulty recognizing disgust when it was presented along with anger, and in recognizing fear when it was presented along with surprise. In Study 2, children (5, 6, 9, and 10 years of age) were shown a target expression along with two other expressions, and were asked to point to the expression that was the most similar to the target. Contrary to our expectations, even 5- and 6-year-olds were very accurate in discriminating fear and disgust from the other emotions, suggesting that visual perception was not the main limiting factor for the recognition of these emotions in school-age children.     

Families' values and attitudes regarding responsibility for the frail elderly: implications for aging policy

This study examines the norms and values associated with care to disabled and frail aging parents, in particular those with regard to the sharing of responsibilities for care between families and formal services, and this within three age cohorts in Quebec, Canada. It is based on a telephone interview of 1,315 people. Factor analysis yielded four factors: (1) family responsibility; (2) uncompromising family obligations; (3) acceptance of services; (4) distrust of services. Analyses of the data indicate that all three age cohorts consider that families have responsibilities for their aging family members, at the same time that they score very high on the acceptance of service scale. This article discusses these seemingly paradoxical results and their implications for aging policy.     

Pilot study of a Web-based acceptance and commitment therapy intervention for university students to reduce academic procrastination

Objective: This pilot study pursued two aims. The first was to investigate the feasibility and acceptability of a Web-based acceptance and commitment therapy (ACT) intervention to reduce academic procrastination among university students. The second aim was to test the effectiveness of the intervention on procrastination and committed actions. Participants: The sample was comprised of Canadian university students (n?=?36) that participated in the intervention between September 2016 and April 2017. Methods: The study relied on a prepost research design. Results: The intervention appears feasible, acceptable, and valuable to students. A significant reduction in procrastination and a significant improvement in committed actions were found between pre and postintervention. The effect sizes for these results were medium. Conclusions: Results provide preliminary support for the feasibility and effectiveness of a Web-based ACT intervention for academic procrastination. Results also highlight some aspects that need to be improved for further development.     

Modeling the Effects of Genetic Factors on Late-Onset Diseases in Cohort Studies

Many late-onset diseases are caused by what appears to be a combination of a genetic predisposition to disease and environmental factors. The use of existing cohort studies provides an opportunity to infer genetic predisposition to disease on a representative sample of a study population, now that many such studies are gathering genetic information on the participants. One feature to using existing cohorts is that subjects may be censored due to death prior to genetic sampling, thereby adding a layer of complexity to the analysis. We develop a statistical framework to infer parameters of a latent variables model for disease onset. The latent variables model describes the role of genetic and modifiable risk factors on the onset ages of multiple diseases, and accounts for right-censoring of disease onset ages. The framework also allows for missing genetic information by inferring a subject's unknown genotype through appropriately incorporated covariate information. The model is applied to data gathered in the Framingham Heart Study for measuring the effect of different Apo-E genotypes on the occurrence of various cardiovascular disease events.     

Effects of government policies on the work of home care personnel and their occupational health and safety

The health sector in Québec (Canada) is dealing with profound macro-economic and macro-organizational changes. This article is interested in the impact of these changes on the work of home health aides (HHAs) and home care nurses and their occupational health and safety (OHS). The study was carried out in the home care services (HCS) of four local community service centres (CLSC) with different organizational characteristics. It is based on an analysis by triangulation of 66 individual and group interviews, 22 observed workdays and 35 observed multidisciplinary or professional meetings, as well as on administrative documents. HHAs are experiencing an erosion of their job because the relational and affective aspects of their work are disappearing. This may be due to an increase in their physical workload, leading to an increase in musculoskeletal problems and, to a lesser extent, in psychological health problems. Nurses are seeing an increase in the volume of invisible work that they have to do, which also has the effect of decreasing the relational aspects of their activity. The increasingly numerous psychological health problems are the consequence of this change in their profession. This study also shows that managers' decisions at the local level can reduce or increase the work constraints of HHAs and nurses. Examples of good practices for HHAs are the stabilization of clienteles and the possibility of organizing their itinerary, while for nurses, it is in how clientele follow-up tools are implemented. This article discusses the effects of government policies and decisions on the work and OHS of home care personnel. To address this subject, we use a specific analysis of the workload of home health aides (HHAs) and nurses. We will show the relationships between managers' organizational choices to respond to governmental constraints and the resulting work changes. We will also look at their consequences on occupational health and safety (OHS) and on the work of different personnel.