Gender differences in positive perceptions,anxiety, and depression among mothers and fathers of children with intellectual disabilities: a logistic regression analysis

This study explores gender differences in positive perceptions, anxiety, and depression among mothers and fathers of children with intellectual disabilities (IDs). We examined the relationship between these variables and certain characteristics of both the child (age and severity of disability) and the parents (age, educational level, and employment status). A sample of 60 mother/father couples who had children with IDs completed the Positive Contributions Scale to measure their positive perceptions, and the Hospital Anxiety and Depression Scale to assess their level of anxiety and depression. Bivariate analyses were used to determine differences between fathers and mothers as regards their positive perceptions and levels of anxiety and depression. A logistic regression model was then applied to identify which of the variables might be significant predictors of the gender differences observed among parents. Both mothers and fathers had positive perceptions of their children with IDs that co-existed with symptoms of anxiety and depression, with scores being higher among mothers. The predictive analysis of gender showed that individual variables (such as the employment status of both parents) may explain these differences.     

Nurses leading the response to the crisis of palliative care for vulnerable populations

All nurses are prepared to be generalists in palliative care. Within the discipline there are nurses who seek advanced educational preparation and develop clinical expertise in palliative care nursing. These are our leaders in palliative care nursing who can exert influence in all health care settings to support nurses providing palliative care. It is nurses and advanced practice nurses in partnership who are capable of developing and advocating for palliative care across settings. The focus of care is the person, not the diagnosis or the setting. The viewpoint that "all nursing care is palliative care" can transform health care with nurses taking the lead.     

Income,distance and amenities. An empirical analysis

This paper analyses the income distribution of households in Barcelona metropolitan area. For this purpose we use the monocentric model. As the basic model does not have direct implications for this distribution, we survey the extensions of the model that have been used in empirical literature. One of the most promising ways is to introduce externalities in the decision process; they can result directly from exogenous amenities (given traits of urban area) or be created by other agents’ decisions. We first test the simple model relating income to distance. Then we introduce and test the model with exogenous amenities; recreational areas, transportation systems, health, educational and cultural infrastructure. In the third stage we test the model with spatial effects. We present evidence that any model with spatial effects improves significantly the empirical results.     

Product differentiation and dynamic price behavior in fish markets

The objective of this paper is to estimate the dynamics of aquaculture and fish prices as a response to price shocks. The vector autoregression approach will be used to explain the dynamics of the sea bream market in both cultured and wild fishing. The main result is that changes in public regulation or in production conditions could stimulate production responses which may take time to settle. Usually, the change is a matter of adjusting between equilibria over a period of time, with the pattern and speed of the adjustment, depending on the nature and degree of disequilibrium in the fishing system. Comments from reviewers have been incorporated into the paper and are gratefully acknowledged. Financial support was provided by Direcció General de Recerca, Departament d'Universitats, Recerca i Societat de la Informació project N^o SGR2001-160.     

Does Inter‐jurisdictional Competition Engender a “Race to the Bottom”? A Meta‐Regression Analysis

A growing literature documents the existence of strategic political reactions to public expenditure between rival jurisdictions. These interactions can potentially create a downward expenditure spiral (“race to the bottom”) or a rising expenditure spiral (“race to the top”). However, in the course of identifying the existence of such interactions and ascertaining their underlying triggers, the empirical evidence has produced markedly heterogeneous findings. Most of this heterogeneity can be traced back to study design and institutional differences. This article contributes to the literature by applying meta‐regression analysis to quantify the magnitude of strategic inter‐jurisdictional expenditure interactions, controlling for study, and institutional characteristics. We find several robust results beyond confirming that jurisdictions do engage in strategic expenditure interactions, namely that strategic interactions: (i) are weakening over time, (ii) are stronger among municipalities than among higher levels of government, and (iii) appear to be more influenced from tax competition than yardstick competition, with capital controls and fiscal decentralization shaping the magnitude of fiscal interactions.     

Migration,Unemployment, and Skill Downgrading

In this paper, we analyze the labor market impacts of immigration under flexible and rigid labor market regimes. A general equilibrium framework is developed, accounting for skill heterogeneity and labor market frictions, where unemployed medium‐skilled manufacturing workers are downgraded into low‐skilled service jobs, while low‐skilled service workers might end up unemployed. The analytical analysis shows that medium‐skill immigration decreases low‐skilled unemployment under the flexible regime, indicating a complementarity effect, while the rigid regime induces a substitution effect, leading to low‐skilled unemployment. Moreover, it leads to wage polarization. In a numerical analysis, the economic effects of different migration scenarios are quantified.     

Inpatient nursing unit volume, length of stay, cost, and mortality

Nursing unit volume-outcome relationships exist for patients assigned selected DRGs. This finding suggests that, in some cases, aggregating inpatients with similar clinical conditions may result in lower cost of care, shorter length of stay, and fewer hospital deaths.     

On Keynes on inflation and unemployment

Keynes tends to be represented as someone who thought that alleviating unemployment was more important than any other consideration. Interestingly it seems that this was not always the case; he did not recommend employment creation under all conditions of excess labour supply. The great inflation of World War I and its aftermath left an indelible impression on him, and this mitigated his position on the importance of high levels of employment. In 1920 he recommended that inflation in the UK be controlled even if some unemployment would result, and there is at least some hint in his work that the relative importance to him of inflation and unemployment did not vary much over the remainder of his life.     

Beyond the Toledo agreement: the intergenerational impact of the Spanish Pension Reform

The paper examines the intergenerational impact of the Spanish public pension system after the 1997 Pension Reform Act. Within a Generational Accounting framework, we find that the new legal setting could leave future generations with liabilities as high as 176% of 1996 GDP. Hence, we analyse the impact of alternative reforms. Holding the pay-as-you-go setting, a further improvement to tax-benefit linkage in line with the Toledo Agreement proposals is shown to yield an intergenerationally more balanced outcome, than an increase in the retirement age or an expansion of public subsidies financed through indirect taxes. Finally, a move toward a partially funded pension system which restores the intergenerational balance is simulated.