The Restructuring and Privatisation of British Rail: Was it really that bad?

Following the government�s decision to place Railtrack into administration (October 2001), attention has focused on what went wrong with privatisation, and how crucial network investment will be financed in future. This paper uses a social cost-benefit analysis framework to assess whether the restructuring and privatisation of British Rail has produced savings in operating costs. The paper shows that major efficiencies have been achieved, consumers have benefited through lower prices, whilst the increased government subsidy has been largely recouped through privatisation proceeds. We find that output quality has also improved (pre-Hatfield). The achievement of further savings will be key to delivering improved rail services in the future. This paper finds that a privatised structure, where shareholders demand a return on their investment, has led to significant improvements in operating efficiency - it remains to be seen whether the new regime, with a not-for-profit infrastructure owner, will deliver the same efficiency improvements

Why the Poor Get Fat: Weight Gain and Economic Insecurity

Something about being poor makes people fat. Though there are many possible explanations for the income-body weight gradient, we investigate a promising butlittle-studied hypothesis: that economic insecurity acts as an independent cause of weight gain. We use data on working age men from the 1979 National Longitudinal Survey of Youth (NLSY79) to identify the effect of various measures of economic insecurity on weight gain. We find in particular that over the 12-year period between 1988 and 2000, a one point (0.01) increase in the probability of becoming unemployed causes weight gain over this period to increase by about one pound, and each realized drop in annual income results in an increase of about 5.5 pounds. The mechanism also appears to work in reverse, with health insurance and government "social safety net" payments leading to smaller weight gains.obesity, unemployment, moral hazard, NLSY79

Scapular dyskinesia: evolution towards a systems-based approach

Historically, scapular dyskinesia has been used to describe an isolated clinical entity whereby an abnormality in positioning, movement or function of the scapula is present. Based upon this, treatment approaches have focused on addressing local isolated muscle activity. Recently, however, there has been a progressive move towards viewing the scapula as being part of a wider system of movement that is regulated and controlled by multiple factors, including the wider kinetic chain and individual patient-centred requirements. We therefore propose a paradigm shift whereby scapular dyskinesia is seen not in isolation but is considered within the broader context of patient-centred care and an entire neuromuscular system

Testing the Feasibility of a Passive and Active Case Ascertainment System for Multiple Rare Conditions Simultaneously: The Experience in Three US States

Background: Owing to their low prevalence, single rare conditions are difficult to monitor through current state passive and active case ascertainment systems. However, such monitoring is important because, as a group, rare conditions have great impact on the health of affected individuals and the well-being of their caregivers. A viable approach could be to conduct passive and active case ascertainment of several rare conditions simultaneously. This is a report about the feasibility of such an approach. Objective: To test the feasibility of a case ascertainment system with passive and active components aimed at monitoring 3 rare conditions simultaneously in 3 states of the United States (Colorado, Kansas, and South Carolina). The 3 conditions are spina bifida, muscular dystrophy, and fragile X syndrome. Methods: Teams from each state evaluated the possibility of using current or modified versions of their local passive and active case ascertainment systems and datasets to monitor the 3 conditions. Together, these teams established the case definitions and selected the variables and the abstraction tools for the active case ascertainment approach. After testing the ability of their local passive and active case ascertainment system to capture all 3 conditions, the next steps were to report the number of cases detected actively and passively for each condition, to list the local barriers against the combined passive and active case ascertainment system, and to describe the experiences in trying to overcome these barriers. Results: During the test period, the team from South Carolina was able to collect data on all 3 conditions simultaneously for all ages. The Colorado team was also able to collect data on all 3 conditions but, because of age restrictions in its passive and active case ascertainment system, it was able to report few cases of fragile X syndrome. The team from Kansas was able to collect data only on spina bifida. For all states, the implementation of an active component of the ascertainment system was problematic. The passive component appears viable with minor modifications. Conclusions: Despite evident barriers, the joint passive and active case ascertainment of rare disorders using modified existing surveillance systems and datasets seems feasible, especially for systems that rely on passive case ascertainment

Perceived goal instrumentality is associated with forgiveness: A test of the valuable relationships hypothesis

Three autobiographical studies tested the valuable relationships hypothesis of forgiveness. Although previous studies revealed that relationship value predicts interpersonal forgiveness, the measure of relationship value may be conflated with affective assessments of the relationship with the transgressor, which might have caused a criterion contamination problem. Therefore, we assessed the goal-related instrumentality of the transgressor (i.e., how useful the transgressor is for helping the victim to achieve his/her goals in fitness-relevant domains). Three studies, one involving a Japanese student sample (Study 1), a second involving Japanese community sample (Study 2), and a third involving U.S. community sample (Study 3), convergently showed that perceived goal instrumentality, as well as a latent relationship value variable estimated from multiple measures of relationship value, are associated with forgiveness. Moreover, this association could be explained in part by the intermediate association of perceived goal instrumentality with empathy both in Japan and the U.S

Corporate Multimedia and MIS Course

Pacing, branching, and interaction are three unique characteristics that multimedia brings to education. As costs decrease and the advantages of multimedia are documented, corporations are rapidly adopting this new instructional method. Major benefits to the individual and organization include instructional flexibility, increased retention, decreased instructional costs, improved performance monitoring, and record keeping. These benefits provide support for using multimedia as a method to enhance the typical college of business junior level management information systems (MIS) course