Legal Representation and Dissatisfaction with Workers’ Compensation: Implications for Claimant Adjustment

This study examined relationships between attorney retention and adjustment outcomes for Workers’ Compensation low back claimants at post-settlement (N?=?1,464; 21 months post-claim settlement) and long-term follow-up (N?=?371; 72 months post-claim settlement). Claimants were classified into three groups: those who had not retained an attorney (no attorney group, 15%); those who had retained an attorney, but for reasons other than dissatisfaction with Workers’ Compensation medical treatment (attorney group, 31%); and those who had retained an attorney specifically because of dissatisfaction with Workers’ Compensation medical treatment (dissatisfied/attorney group, 54%). Groups were compared on demographic characteristics, Workers’ Compensation variables, and adjustment indicators of pain intensity, pain-related disability, general physical and mental health status, and pain catastrophizing. Relative to the no attorney and attorney groups, claimants in the dissatisfied/attorney group were younger, had longer time to settlement, and reported greater post-settlement socioeconomic stress and catastrophizing. At long-term follow-up, the dissatisfied/attorney group reported higher levels of disability and catastrophizing, as well as lower levels of mental health status, relative to the other groups. The results suggest that attorney retention that is motivated by dissatisfaction with Workers’ Compensation medical care is a significant risk factor for poor adjustment, not only in the intermediate time frame following claim settlement, but also over the long term. Findings are discussed in the context of “perceived injustice” in the Workers’ Compensation system and the mechanisms by which dissatisfaction and attorney retention may impact adjustment.     

Identification of the Edentulous Individual: An Investigation into the Accuracy of Radiographic Identifications*

Abstract: The dental identification of edentulous individuals can be challenging based on the lack of antemortem materials and unique features visible on radiographs. The constant resorption of the alveolar ridges further complicates the process. The purpose of this study was to quantify the error rate and reliability of dental identifications based on a comparison of synthesized antemortem and postmortem radiographs of edentulous individuals. Ten observers examined ten cases on two occasions and reported dichotomous and conclusion level decisions. These were analyzed using Kappa and Receiver Operator Characteristics. The mean area under the curve was 0.75 and the mean sensitivity was 0.57 and specificity was 0.83. These results suggest that dental identifications of edentulous individuals using radiographs alone have a high error rate and should be dual reported. These data add further weight to the argument that all dental prostheses should be labeled.     

Social psychological risk factors,delinquency and age of onset

Based on data from the 2014 Communities that Care Youth Survey (CCYS), the authors examine the association between risk factors of tenth graders and age of onset (never, 14 or older, 13 or younger) of three antisocial behaviors/delinquency (got arrested; carried a handgun to school; and attacked someone with the intent of seriously hurting them). Risk factors are under four domains: family, community, school, and peer. The age of onset and risk literature are discussed. The purpose of this research is to examine what risk factors are associated with age of onset. Individual risk factors under the peer domain had the strongest association with all three antisocial behaviors.     

Federal Grants and Local Capital Improvements: The Impact of Reagan Budgets

Changes in intergovernmental grants for local capital improvements during the Reagan Administration are explored from a national perspective and from the experiences of two mid-sized communities, Tulsa, Oklahoma and Toledo, Ohio. Nationally, a roller coaster pattern was identified with a strong down-turn in the most recent data and a notable shift from redevelopment to expansion/development grants such as highway and airport construction. Locally, the first dilemma is that the change in the mix of grants available is having a greater impact on the older Toledo than the newer Tulsa because their capital needs vary. Yet as federal grants declined, both cities responded affirmatively by raising new local revenues for capital improvements. The second dilemma is that the differences in their wealth and needs make revenue enhancement more difficult for Toledo than Tulsa.     

A model for technology transfer: Group-decision support systems and electronic meetings

The commercialization of research and development inventions is necessary for the US to enhance its industrial competitive position. Problems in technology transfer are attributed to a variety of causes, primary among them the intensive communications required between technology sources and users. In this paper, group-decision support systems and electronic meetings are used in designing a method that can enhance the exchange of ideas and the communication necessary to bring about a successful transaction of technology transfer.