The impact of litigation on nursing home quality

Government reports indicate that regulations have been ineffective in improving quality of care in many nursing homes. Some analysts feel that litigation against nursing homes may be the result of quality problems that are monitored during the inspection process, some contend litigation merely causes quality problems by diverting financial resources away from patient care, and some argue that litigation is duplicating the efforts of the inspection process. Given that the relationship between litigation and inspection-oriented measures of quality is not clear, this article explores the relationship empirically. When a significant relationship is found, the empirical results suggest that litigation is associated with a decline in inspection-oriented measured quality in the nursing home facing the legal claim. In contrast, litigation against a chain has a very different relationship to firm-level quality, where firms within a chain that is being sued have higher levels of inspection-oriented quality. Our results suggest that legal claims may result from quality problems that go unmeasured during the inspection process. However, more research in this area is warranted.     

Composition of bacillus species in aerosols from 11 U.S. cities

A PCR-based heteroduplex assay was used to determine the presence and composition of Bacillus species in 11,059 Environmental Protection Agency PM2.5 aerosol samples from 11 U.S. cities. The assay differentiated three groups: Type A containing Bacillus anthracis and very closely related, often pathogenic, Bacillus cereus and Bacillus thuringiensis strains; Type B containing other B. cereus and B. thuringiensis strains; and a third group of more-distantly related Bacillus species. Eight of the 11 cities were positive for Bacillus species in 50% or more of the samples, and the percent of aerosol samples that contained the HD Type A group ranged from 3% to 32%. Cities from the eastern half of the United States generally contained a higher frequency and broader diversity of Bacillus species than the western half of the United States. Positive samples were detected throughout the year. These results have implications for pathogen detection in environmental samples, understanding the natural evolution of new pathogenic strains, and incidence of infection caused by strains of the B. cereus subgroup.     

Assessing the Generalization of Psychopathy in a Clinical Sample of Domestic Violence Perpetrators

This study proposed that domestic violence perpetrators in a clinical sample could be categorized into distinct subgroups and that a particular subgroup of batterers would exhibit sufficient psychopathic characteristics to be clinically meaningful. Participants were interviewed in order to gather a relevant social, familial, educational, criminal, and substance abuse history. They were then administered several psychological measures including the Psychopathy Checklist: Screening Version (PCL:SV). Results lent support to the empirical batterer typology identified by Holtzworth-Munroe, A., Meehan, J. C., Herron, K., Rehman, U., & Stuart, G. L. (2000). However, despite the presence of a more antisocial subgroup, psychopathy did not consistently differentiate among batterers across the measured dependent variables.     

Priming Presidential Approval: The Conditionality of Issue Effects

Variations in the effectiveness of media priming are traditionally attributed to individual differences in political sophistication and news exposure. We contribute to this literature by considering the degree to which the content of an issue prime drives its use in presidential approval. Using a macro level approach, we combine public opinion data on presidential approval from 1981 to 2000 with content analyses of presidential news coverage to see how media attention affects the way issues are weighted in presidential approval. We find that the effectiveness of issue primes depends on issue content, such that familiar and understandable issues are more likely to be primed than more complex and difficult issues.

Establishing safe injection facilities in Canada: legal and ethical issues

In the face of an ongoing and escalating health crisis among injection drug users in Canada, calls are coming from many quarters to initiate safe injection facilities as a way to reduce overdoses, the spread of bloodborne diseases, and other health and community problems associated with injection drug use. This article summarizes a paper on safe injection facilities released in early 2002 by the Canadian HIV/AIDS Legal Network. The paper contributes to the policy discussion in Canada and sets out why and how the law should support the introduction of safe injection facilities.