State transition modeling of complex monitored health data

This article considers the analysis of complex monitored health data, where often one or several signals are reflecting the current health status that can be represented by a finite number of states, in addition to a set of covariates. In particular, we consider a novel application of a non-parametric state intensity regression method in order to study time-dependent effects of covariates on the state transition intensities. The method can handle baseline, time varying as well as dynamic covariates. Because of the non-parametric nature, the method can handle different data types and challenges under minimal assumptions. If the signal that is reflecting the current health status is of continuous nature, we propose the application of a weighted median and a hysteresis filter as data pre-processing steps in order to facilitate robust analysis. In intensity regression, covariates can be aggregated by a suitable functional form over a time history window. We propose to study the estimated cumulative regression parameters for different choices of the time history window in order to investigate short- and long-term effects of the given covariates. The proposed framework is discussed and applied to resuscitation data of newborns collected in Tanzania.     

Public transport and people with impairments – exploring non-use of public transport through the case of Oslo,Norway

abstract

Despite the attention given to universal design in recent years, many people with impairments still refrain from travelling on public transport. This explorative case study, conducted in the greater Oslo region in Norway, aims to add knowledge on why this is so. Findings indicate that insecurity while travelling and expectations of problems along the way are significant barriers. For many it is the sum of all challenges combined, from experience or anticipation that leads to non-use of public transport. The study shows that universal design policy, as of today, does not lead to accessible public transport systems that rendered impairments irrelevant. If society could safeguard the individuals’ travel needs, this might have profound societal repercussions through increased workforce participation and value added in society. Only then can society make the best use of all its inhabitants while championing inclusiveness and equality.     

Young Norwegians and their views on climate change and the future: findings from a climate concerned and oil-rich nation

Young people represent the future, but little is known about their attitudes towards climate change, one of the most serious issues facing the world today. The purpose of the present study is to contribute with improved and new knowledge of young Norwegians’ understanding of and attitudes towards this issue, with a special focus on perspectives of the future. Of particular interest is the influence of divergent framings of the climate question in Norway, due to conflicting interests between the petroleum industry and climate concern. The young people's voices are elicited through two different surveys undertaken during the fall of 2013, one national (Norwegian Citizen Panel) and one local (School survey conducted among high-school students). The study generated both quantitative and qualitative findings, stemming from closed-ended as well as open-ended questions. The data were handled through a mixed methods approach, combining quantitative and qualitative analyses. The results show that the voices tend to be oriented towards the opinion that Norway has a responsibility to help poor countries as well as a duty to prevent climate change and that the country should reduce its oil production. We further observe that young Norwegians have an optimistic view of the future, based on a pronounced belief in technology and science.     

Perceptions and expectations of price changes and inflation: A review and conceptual framework

Drawing on relevant literature from a diverse range of academic disciplines we present a conceptual framework intended to further our understanding of perceptions and expectations of price changes and inflation. Based on this framework, we provide a detailed review of the literature and an analysis of open issues in current research. The review is primarily concerned with individuals’ perceptions and expectations of price changes and inflation, which can influence individuals’ economic behaviour (e.g. spending and saving decisions). The main insight from the review is that while consumers may have a limited ability to store and recall specific prices, and even succumb to a number of biases in the way in which they form perceptions and expectations of global price changes, they do seem to have some feel for, and ability to judge and forecast, inflation. How they achieve this, however, is still an open question, although plausible explanations have been proposed. While much important research has been undertaken and significant progress made in our understanding of the psychology of inflation, there remain many unanswered questions and interesting avenues for future research, which are discussed in the final part of the paper.     

Public Opposition to a Proposed Nuclear Waste Repository in Canada: An Investigation of Cultural and Economic Effects

Residents of four northern communities were surveyed about Atomic Energy of Canada Limited's proposal to site an underground repository for high-level nuclear waste somewhere in the Canadian Shield. Opposition to the repository was relatively strong in all communities, but was strongest among aboriginal respondents. Path analysis revealed that trust in nuclear regulators, faith in science and technology, and anticipated net costs were important mediators of this effect. Aboriginals were less trusting, exhibited less faith in science and technology, and perceived the costs associated with the repository to be higher than their nonaboriginal counterparts. No support was found for the hypothesis that, after controlling for aboriginal status, financially insecure individuals would display greater support for the nuclear waste repository than financially secure individuals. Policy implications for balancing perceived risks and siting needs are discussed.     

Radical alternative conceptualizations of the classical welfare state? Contrasting the United Kingdom and the Netherlands with Norway

In many countries, new, broad, and normative “conceptions of society” gained prominence that represent fundamentally different discursive alternatives to the classical welfare state. We present two political projects that contain radical alternative conceptualizations of the classical welfare state, the “Big Society” in Britain and the “Participation Society” in the Netherlands, and contrast these with Norwegian developments, where no such a radical alternative conceptualization of the welfare state can be found. We show that the British and Dutch political projects were attempts to replace the welfare state, whereas there is no comparable big idea about a radical overhaul of the welfare state in Norway. Our analysis contributes to a better understanding of a fundamental shift in welfare state reform, namely a radical reconsidering of the ideational and normative foundation that defines and underpins what the welfare state is or should be.     

For the greater good? Ethical reflections on interviewing the ‘rich’ and ‘poor’ in qualitative research

ABSTRACT

There is increasing emphasis on understanding economic advantage alongside disadvantage – on studying both ‘poverty’ and ‘riches’. This trend prompts and requires new ethical reflection. I argue that in qualitative interview research, a clearer distinction needs to be drawn between ethical commitments to individual research participants, and the group(s) to which they belong. This distinction is often elided in ethics guidelines and when researchers discuss their own work. Attending to the distinction highlights a symmetrical ethical dilemma: researchers studying disadvantage are often motivated to further the interests of the wider group to which their participants belong, yet the study itself risks eliciting or exacerbating negative experiences or identities amongst participants themselves. Conversely, the process of studying advantage frequently bolsters the positive identities or experiences of individual study participants, even as the research findings challenge or subvert the interests of their group.     

A Disillusioned College Professor

In this article, the author discusses the double-bind situation of being an educator in a college setting, but reluctant to disclose that which could enlighten her social work students the most—at 14 years old she experienced a complete psychotic break (catatonic-type), but completely recovered within a few months and largely without medication. Here the author acknowledges the shameful nature of contemporary controversial issues in mental health some 37 years after her own experience and includes an excerpt from “An Absence of Concern,” a work in progress, to illustrate the dynamic inner processes that remain intact during a break, but largely denied by an ignorant society.