Evaluation of free to grow: head start partnerships to promote substance-free communities

Free to Grow: Head Start Partnerships to Promote Substance-free Communities (FTG) was a national initiative in which local Head Start (HS) agencies, in partnership with other community organizations, implemented a mix of evidence-based family-strengthening and community-strengthening strategies. The evaluation of FTG used a quasi-experimental design to compare 14 communities that participated in the FTG intervention with 14 matched comparison communities. Telephone surveys were conducted with two cohorts of the primary caregivers of children in HS at baseline and then annually for 2 years. The survey was also administered to repeated cross-sectional samples of primary caregivers of young children who were not enrolled in HS. No consistent evidence was found in changes in family functioning or neighborhood conditions when the 14 FTG sites were compared to 14 matched sites. However, caregivers of young children who were not in HS in three high-implementing FTG sites showed evidence of improvements in neighborhood organization, neighborhood norms against substance abuse, and child disciplinary practices. Results provide highly limited support for the concept that family and neighborhood conditions that are likely to affect child development and well-being can be changed through organized efforts implemented by local HS programs.     

Age, ethnicity, and use of complementary and alternative medicine in health self-management

Drawing on models of health self-management, we develop hypotheses that age and ethnicity will modify associations among indicators ofpoor health and use of complementary and alternative medicine. These hypotheses are evaluated using the 2002 National Health Interview Survey with the Alternative Health Supplement. Results produced partial support for hypotheses that the effects of ailments on use of complementary and alternative medicine differ by age. Results suggest that ailments such as bodily pain, chronic conditions, and functional impairment are associated with use of complementary and alternative medicine among midlife and younger adults, but these associations are generally attenuated among older adults. Hypothesized ethnic differences received weak support. These findings suggest that different interpretations of ailments and appropriate responses may explain why complementary and alternative medicine is used by fewer older adults. The results also highlight the significance of social and cultural factors in understanding patterns of complementary and alternative medicine use in the adult population.     

Inventory control in hospital blood banks

The delicate relationship between donors and the Transfusion Service in the U.K. implies a clear duty to make the best possible use of the limited blood supplies, and this turns attention upon the stocking policies adopted by Hospital Blood Banks. Whereas Blood Bank staff can obtain an intuitive grasp of the effects of various stock levels for the common bloods, this is not usually the case for the rare bloods which are more difficult to control. A policy decision has to be made which balances the conflicting stock requirements of maintaining a high availability and also low out-dating rates. A Markovian structure is exploited in this paper for this purpose and the effects of the key variables are shown to be interrelated. In any particular instance the form of the probability distribution of demand between replenishments, the scale of the throughput, the blood life in relation to the ordering interval, the fraction of blood transfused and the fraction of the replenishment order which is supplied to the Bank will together determine the form of the operating characteristics.     

Combinatorial analysis for route first-cluster second vehicle routing

Two Route first-cluster second vehicle routing algorithms are contrasted in the first section of the paper. Next, the ‘large’ number of feasible solutions to a multiple travelling salesman problem is established given that each salesman can visit any number of customers in a stated range. An approximate expression is given for the ‘small’ fraction of this solution space searched by a route first-cluster second vehicle routing heuristic. Nevertheless, this heuristic is seen to be a very efficient means of searching its solution space.     

Comparing products using data envelopment analysis

Using an application of linear programming known as Data Envelopment Analysis (DEA), a method is described to compare products which vary in excellence along a number of dimensions, and for each of which there might be a number of associated “costs”. The method is illustrated by comparing published benchmarks of 37 computer printers. Potential uses of a DEA analysis of products might be: to assist corporate buyers who may need to reconcile a diversity of present and future uses in one standardised purchase; in competitor analysis; in determining unexplored market niches; and as a normative model of product excellence against which product purchasing behaviour could be compared.