Providers’ perspectives of barriers experienced in maternal health care among Marshallese women

Problem

Pacific Islanders are disproportionately burdened by poorer maternal health outcomes with higher rates of pre-term births, low birth weight babies, infant mortality, and inadequate or no prenatal care.

Events and experiences impacting the development of clinical self confidence: a study of the first year of client contact

Research was conducted to identify the events and experiences influencing the development of clinical self-confidence during the first year of client contact for beginning marriage and family therapists. Thirty-nine recent graduates of a master's degree training program participated in a semistructured interview in which they were asked to describe the influences on their clinical self-confidence. Through qualitative analysis, four event and experience categories emerged as exerting the most influence on confidence at this stage of professional development: supervision, contact with clients, contact with peers, and personal life stress. The authors recommend providing strength-focused supervision, acknowledging the effects of client contact, encouraging peer contact, and attending to personal life stress.     

How business associations use interorganizational networks to achieve workforce development goals: Implications for Human Resource Development

Abstract

This study uses data from a series of comparative case studies to analyse the interorganizational networks of business associations providing workforce development services in the United States. Three aspects of the networks were of particular interest, including (a) the form the partnerships took, (b) the trade-off to involving educational or community vs. business partners in providing workforce development services and (c) the strengths of associations in brokering services to adults or youth. The findings demonstrate that business associations work in intermediary networks or provide their services directly. The conclusions suggest that human resource development professionals should work more actively with local business associations to recruit, train and provide supports for workers in US firms.     

Assessment of Health Risk from Exposure to Contaminated Soil

The risk to human health posed by contaminated soil in a residential area depends on the potential extent of exposure to soil and on the toxic properties of the contaminants. A detailed soil exposure analysis is presented for young children, older children, and adults living in a house surrounded by contaminated soil. From this analysis, a lifetime exposure model is derived and used to assess chronic health risks.     

Discussion on statistical analysis of carcinogenicity studies with an early terminated treated group

High rates of mortality on long term carcinogenicity studies can often result in challenges when it comes to the statistical analysis of tumor incidence. The current regulatory advice often results in treated groups being terminated earlier than the control group. However, this advice rarely considers the impact of this action on the statistical analyses. The nature of these analyses means that groups terminated at different times may not be directly comparable due to age differences of the animals. Here we discuss the issues related to this and investigate several approaches of how to incorporate these groups within the statistical analyses. Although no single method appears to resolve these issues consistently, inclusion of the early terminated group is still informative. Depending on the timing of the early termination, either pooling of the groups into a single terminal kill (TK) interval or reassignment of intervals based purely on time of death (ie, no separate TK interval) appear preferable. However, to draw meaningful conclusions the time of onset of a given tumor must also be considered alongside incident rates and any statistical findings.     

Publication patterns of faculty in commision on accreditation for marriage and family therapy education programs

Journal articles published by faculty in Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE) programs from 1998 to 2002 were analyzed to determine patterns regarding the amount and type of research conducted by this group. Fifty-eight percent of the articles were identified as research. Slightly more than 10% of these dealt with clinical processes and outcomes. Forty percent of studies reported a specific source of funding. Twenty-nine percent of research articles used qualitative methods, with percentages rising over the course of time. Results suggest the average number of publications per faculty member was relatively low, particularly for senior faculty. Implications for these findings are discussed.     

A content analysis of research in family therapy journals

In order to assess trends in family therapy research, empirical articles (N = 195) from three family therapy journals over a 5-year period were coded for several variables: authorship, external funding, methodology, sample, purpose, cost effectiveness, use of therapeutic model, and topic. Results indicated that a large pecentage of research in these journals focused on nonclinical issues and used nonclinical samples. Authors were affiliated with a wide variety of disciplines and reported low levels of external funding for their research. While a majority of the studies used quantitative methods, there appeared to be a growing number of studies using qualitative methods. Implications of these findings are discussed in light of research reviews over the past two decades.     

The study of urbanization

Seven years' work of the Committee on Urbanization of the Social Science Research Council has produced The Study of Urbanization. Although the book is an excellent series of documentations of trends in specific fields, it lacks any attempt to unify the contributions to a concise definition of urbanization.Most contributors view urbanization as a process of aggregation, but this is no more than a rough indicator of the fundamental processes at work, and each discipline explores only the matter confined to its assigned segment of the process. Thus, for example, the city is viewed as a sub-division of localized space; as a complex of markets for land, labor, housing, and goods and services; or as a set of market-social units. From what is offered in this volume, then, one is led to think that sociology cannot find a comprehensive approach to fashioning a general model of urbanization.While three papers come close to defining urbanization as substance and process and are an orderly account of at least the salient features of urbanization through early, transitional, and late phases, urbanization as a process in different areas and cultures is a subject which is treated casually. While the very concept of urbanization implies the recurrence of common features, a set of criteria for avoiding preoccupation with the exotic and inconsequential in different cultures is still needed. We need to study the significance of the fact that peoples of various parts of the world have entered urbanization at different points in industrial, institutional, and administrative technology. Here, organization, the most commonly agreed upon variable in this book, is not a sufficient explanation.In sum, the subject is too broad for close agreement, but the failure of the book to achieve its objective is counterbalanced by the individual quality of the contributions.     

The influence of family environment on mental health need and service use among vulnerable children

Children in child welfare are especially likely to have unmet mental health needs. The role of family factors in children's use of mental health services was examined in a longitudinal sample of 1075 maltreated or at-risk children. Vulnerable family environment (poor family functioning, low social support, and caregiver psychological distress) is an important predictor of children's mental health needs. It also predicts them not having these needs met.