Epidemic Mycoplasma Pneumoniae Infection at a College for the Deaf

Abstract

An outbreak of Mycoplasma pneumoniae infection affected up to 110 students and employees at a college for deaf students (Gallaudet). After the introduction of M. pneumoniae onto the campus in late August 1977, the disease spread slowly among the students; the last documented case occurred in mid-December. A thorough review of chart records, mail surveys, a dormitory survey, and a three-month surveillance of the student health service provided an intensive look at the epidemiology and clinical spectrum of a mild to moderately severe disease in the epidemic setting. A matched-pair analysis demonstrated a more serious clinical illness among patients with M. pneumoniae than other patients presenting with febrile respiratory illness. Appropriate antimicrobial therapy appeared to suppress a high antibody response to M. pnuemoniae. A follow-up serosurvey one year after this outbreak demonstrated diagnostic titers to M. pneumoniae in 11 of 30 patients with confirmed infection in the original epidemic.     

Flood Risk,Flood Mitigation,and Location Choice: Evaluating the National Flood Insurance Program's Community Rating System

Climate change is expected to worsen the negative effects of natural disasters like floods. The negative impacts, however, can be mitigated by individuals’ adjustments through migration and relocation behaviors. Previous literature has identified flood risk as one significant driver in relocation decisions, but no prior study examines the effect of the National Flood Insurance Program's voluntary program—the Community Rating System (CRS)—on residential location choice. This article fills this gap and tests the hypothesis that flood risk and the CRS‐creditable flood control activities affect residential location choices. We employ a two‐stage sorting model to empirically estimate the effects. In the first stage, individuals’ risk perception and preference heterogeneity for the CRS activities are considered, while mean effects of flood risk and the CRS activities are estimated in the second stage. We then estimate heterogeneous marginal willingness to pay (WTP) for the CRS activities by category. Results show that age, ethnicity and race, educational attainment, and prior exposure to risk explain risk perception. We find significant values for the CRS‐creditable mitigation activities, which provides empirical evidence for the benefits associated with the program. The marginal WTP for an additional credit point earned for public information activities, including hazard disclosure, is found to be the highest. Results also suggest that water amenities dominate flood risk. Thus, high amenity values may increase exposure to flood risk, and flood mitigation projects should be strategized in coastal regions accordingly.     

How much reliable are the integrated ‘live’ data? A validation strategy proposal for the non-parametric micro statistical matching

The integration of different data sources is a widely discussed topic among both the researchers and the Official Statistics. Integrating data helps to contain costs and time required by new data collections. The non-parametric micro Statistical Matching (SM) allows to integrate ‘live’ data resorting only to the observed information, potentially avoiding the misspecification bias and speeding the computational effort. Despite these pros, the assessment of the integration goodness when we use this method is not robust. Moreover, several applications comply with some commonly accepted practices which recommend e.g. to use the biggest data set as donor. We propose a validation strategy to assess the integration goodness. We apply it to investigate these practices and to explore how different combinations of the SM techniques and distance functions perform in terms of the reliability of the synthetic (complete) data set generated. The validation strategy takes advantage of the relation existing among the variables pre-and-post the integration. The results show that ‘the biggest, the best’ rule must not be considered mandatory anymore. Indeed, the integration goodness increases in relation to the variability of the matching variables rather than with respect to the dimensionality ratio between the recipient and the donor data set.     

Families for children: international strategies to build in-country capacity in the Philippines, Thailand, Romania, and India.

Holt International Children's Services was founded in the 1950s to facilitate the adoption of Amerasian children in the aftermath of the Korean War. Today, its vision has expanded to encompass international policies, programs, and practices that will help establish nurturing, lifelong relationships for children. Working together with child welfare professionals and advocates, non-governmental organizations, and governments, Holt has helped to develop in-country, self-sustaining family resources for thousands of children. Efforts in the Philippines, Thailand, India, and Romania are highlighted.     

Examining the effects of gambling-relevant cues on gambling outcome expectancies

There is a consensus in the addictions literature that exposure to addiction-relevant cues can precipitate a desire to engage, or actual engagement, in the addictive behaviour. Previous work has shown that exposure to gambling-relevant cues activates gamblers’ positive gambling outcome expectancies (i.e. their beliefs about the positive results of gambling). The current study examined the effects of a new, arguably more ecologically valid cue manipulation (i.e. exposure to a gambling lab environment vs. sterile lab environment) on 61 regular gamblers’ explicit and implicit gambling outcome expectancies. The authors first tested the internal consistency of their implicit reaction time measure of gambling outcome expectancies, the Affective Priming Task. Split-half reliabilities were satisfactory to high (.72 to .88), highlighting an advantage of this task over other characteristically unreliable implicit cognitive measures. Unexpectedly, no predicted between-lab condition differences emerged on most measures of interest, suggesting that peripheral environmental cues that are not the focus of deliberate attentional allocation may not activate positive outcome expectancies. However, there was some evidence that implicit negative gambling outcome expectancies were activated in the gambling lab environment. This latter finding holds clinical relevance as it suggests that presenting peripheral gambling-related cues while treating problem gamblers may facilitate processing of the negative consequences of gambling.     

The value of symmetric and asymmetric indices of segregation constructed from MCD data

People studying rural communities typically limit their analyses to single communities or to comparatively large units, such as counties. This information is important, but it is in local subcounty areas where rural people live and work. We examine the appropriateness of minor civil divisions (MCD's) as a small ecological unit in nonmetropolitan areas to measure segregation between poor and nonpoor people. The index of dissimilarity (D) and P^*-type contiguity indices are evaluated for the nonmetro portions of Mississippi and Wisconsin. MCD's are different in the two states, which affects the interpretation of the indices. We found that segregation, as measured by D, was low in both states. The low value of D in Mississippi may have resulted from how the state's MCD's were delineated. Although the P^* indices are highly correlated with the poverty rate, they do provide more information than the poverty rate alone.