PubMed · 11712460
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The research addresses questions about the desirability of privatizing a key component of the child support enforcement process, namely, the serving of legal documents or "service of process" for cases in which the noncustodial parent is living in another state. Child support enforcement cases that require this type of "long arm" service of process were randomly assigned to a private vendor and to out-of-state sheriff offices using an experimental research design. The author finds that although there is no difference in the time it took the two groups to process cases, the private vendor was more successful, on average, at performing this function. Furthermore, he finds that the higher success rate of the private vendor is sufficient to produce a substantively important increase in collections in child support enforcement cases. Additional questions about the suitability of privatizing "service of process" and other like services are also discussed.
BACKGROUND: Recent but scarce reports of methicillin-resistant Staphylococcus aureus strains (MRSA) among children without risk factors associated with its acquisition prompted us to investigate its presence in the community. PATIENTS AND METHODS: During the September and October months in 1997, nasal and pharyngeal swabs were obtained from 358 children aged less than five years who attended three day-care centers in the Marianao Area, La Habana City, Cuba. The isolated S. aureus strains were characterized for antimicrobial sensitivity using the Kirby-Bauer method. Methicillin resistance was confirmed by te Oxacillin Salt-Agar Screening-Plate method recommended by the National Committee for Clinical Laboratory Standards. RESULTS: 18.7% of children were carriers of S. aureus in the upper respiratory tract; 2.2% of children carried MRSA strains. The highest resistance levels corresponded to erythromycin (50.74%) and tetracycline (29.9%). All tested strains were sensitive to ciprofloxacin. CONCLUSIONS: Our results provide evidence on the recovery of MRSA strains among healthy children attending day-care centers and are suggestive of a rapid colonization and spread of these microorganisms in the community.
Comparative research on girls' excess mortality in the Middle East is rare. Estimates from the United Nations suggest that absolute excess mortality of girls was not universal in the 1970s and was uncommon by the 1980s. Compared with historical Northwest Europe at similar levels of boys' under-five mortality, however, girls' under-five mortality was high in both periods. Studies of the allocation of food and health care suggest that parents invested less and provided less curative care to girls than boys where girls' excess mortality was greatest. Urbanization and women's relative economic opportunity account for much of the variation in relative mortality. Unexplained excess mortality of girls in the Middle East compared with historical Northwest Europe may be attributable to differences in socio-cultural, political, and economic systems that influence the forms of discrimination exercised against girls; however, inadequate measurement of these variables limits their consideration in comparative research.