A child health production function estimated from longitudinal data. Cebu Study Team

Collaborating researchers used a multi equation model to analyze 3080 mother-infant pairs living on the island of Cebu in the central Philippines and to estimate a child health production function. The econometric methods used eliminated obstacles such as heterogeneity and endogeneity of significant explanatory factors. They also maximized the longitudinal quality of the data. The results showed that morbidity in 1 period reduced infant weight in following periods. For example, diarrhea and febrile respiratory infection reduced growth in the time period following the illnesses. Further effects of some contributing factors were great near birth not diminished with age. For example, breast feeding promoted growth and protected against infection, especially diarrhea and febrile respiratory infection, more substantially near birth than it did later. Further, in urban areas, preventive health care positively affected growth independently of its indirect influence on reducing respiratory infection. Yet it had little effect on diarrhea. Diarrhea had a strong adverse effect on growth. Exposure of the infant to enteric pathogens had the greatest influence on production of diarrhea. In urban areas, exposure included water supply contamination, exposure to feces, a more pathogenic diet, and community crowding. In rural areas, however, exposure included community crowding and increased rainfall which presumably washed feces into the water supply. Household crowding in both urban and rural areas and irritation from smoke in urban areas only tended to bring about febrile respiratory infection.     

Robustness to the unavailability of data in block designs

We present general results for finding or boundingt _maxB , the maximum number of arbitrary whole blocks of observations which can be removed from a block design, and still leave all of the elementary treatment contrasts estimable. The block sizes may be larger than the number of treatments. The results are applied to BBDs, reinforced BIBDs and BBDs, BTIBDs, and a series of variance balanced incomplete block designs with two block sizes. Also given for most of these designs, are results fort _max, the maximum number of arbitrary, scattered observations that can become unavailable, and still leave all of the elementary treatment contrasts estimable.The work was undertaken while Dr. Whittinghill was visiting Ohio State University, and supported by a grant from the Natural Sciences Division, Colby College, Waterville, Maine.     

Forecasting first births

This study is concerned with one aspect of the family cycle, namely, the transition from young married to young married with small children. The focus is on developing models to forecast entries into this latter stage for the purpose of marketing research. "Using ordinary least squares, forecasting models were estimated for (1) total number of first births, (2) number of white first births, and (3) number of nonwhite first births." Models are estimated for both the United States and California using data from official sources.     

The maintenance, funding and modification of retiree medical benefits

Retiree medical benefits are an ever-growing concern as costs escalate and the date for implementation of Statement of Financial Accounting Standards No. 106 approaches. These authors summarize case law relevant to employers' right to modify or terminate benefits and discuss methods of funding theses liabilities.     

Implementing a new inventory management system

Determining the type of inventory management system to use in a hospital depends as much on one's technical abilities as its does with the culture of the institution and the vendor's capabilities.     

Putting supplies at the bedside via the Friesen concept

Hospitals designed using the concepts of architect Gordon Friesen are especially conducive to reengineering for patient-focused care. The Nurserver, a closet-like space outside each patient's room, makes it very easy for hospitals to redesign their methods for delivering supplies so that caregivers seldom have to go more than a few feet to get what they need. In this article, staff of Monongalia General Hospital in Morgantown, West Virginia, describe how they have used the Friesen design to modify supply distribution processes.