Making a Difference: Human Service Interest Group Influence on Social Welfare Program Regulations

Social workers increasingly understand the importance of political action to affect legislative policy-making. This paper sheds light onto the unexplored subject of interest group influence on the executive branch, specifically on the writing of program regulations for social welfare programs. It describes groups active in the process and what they do in their quest for influence. It also presents a preliminary model of interest group influence on regulation writing. Results show that having greater access, articulating a liberal policy position, choosing a better strategy and devoting more resources to influence efforts are all significant predictors of a group\u27s influence level during the Clinton Administration

Protection, Prizes or Patrons? Explaining the Origins and Maintenance of Human Services Interest Groups

Little work has been done to understand the origins of human service interest groups or how they maintain themselves once founded. This paper tests three models of interest group origins and maintenance: a pluralist approach in which groups form and con tinue because they protect members\u27 interests; a rational actor model in which groups form and are maintained because they offer members prizes that are more valuable than the costs of joining; and a patronage model in which groups form and continue because financial backers are willing to support them financially. Results show support for the protection and patrons models for the 127 Washington D.C. based advocacy organizations surveyed

Controlling the Levers of Power: How Advocacy Organizations Affect the Regulation Writing Process

The Federal regulation-writing process is vital to understanding how laws are translated into policy. This paper re-examines data on human services interest groups active in lobbying the executive branch to determine what factors influence their effectiveness. Building on findings from Hoefer (2000), structural equation modeling is used to re-analyze the original regression model of interest group effectiveness (IGE) on a sample of 127 Washington D.C.-based interest groups. Results indicate that some of the previous findings are not supported and an alternative model is proposed. A group\u27s position, context and access to information and policymakers emerge as significant determinants of IGE. Access also mediates the impact of a group\u27s strategy and position on IGE. Implications for practice and future research are provided

Dating Violence Policy: Making the Grade

Dating violence rates affect an unacceptably high percentage of youth. This paper tests a model to understand the considerable variation in state dating violence policy comprehensiveness. Independent variables in the model are state political culture, partisan control of political institutions, prevalence of dating violence, and median household income. Bivariate results show partial support for preliminary hypotheses. Regression analysis indicates that strength of Democratic Party control of governmental institutions is the only variable in the model that achieved statistical significance. Implications and recommendations for future research are provided

Do Social Workers Support NASW\u27s Political Activism? Evidence From Texas

According to the NASW Code of Ethics, social workers are called to engage in political activity at the micro, mezzo and macro levels for the advancement of social justice and human rights. NASW has mechanisms in place to aggregate the voices of individual social workers through political activity. Drawing on a model of civic voluntarism, the aim of this study was to examine the impact of political activity on decisions by Texas social workers to join or re-join NASW, as well as their opinions on the political engagement of NASW/Texas. This study employs a non-experimental, exploratory, cross-sectional survey design to assess political participation of social workers and their view of how politically active NASW as an organization should be. The survey was sent to all attendees of the 2013 NASW/Texas Conference, held in Austin, Texas. The conference attendees (n = 789) included NASW members (n = 643), and non-members (n = 146). A total of 148 responded to the survey, yielding a 19% response rate. The findings of the study suggest that political activity at the organizational level positively impacts social workers’ decisions to join or maintain their NASW membership

Letters to the Editor Regarding NASW Press Censorship Issue

LETTERS TO THE EDITOR REGARDING NASW PRESS CENSORSHIP Marcia B. Cohen, Co-editor, Journal of Progressive Human Services Richard Hoefer, Editor, Journal of Policy Practice Tony Tripodi, Former Editor of Social Work Research Former Co-editor of Journal of Social Work Research and Evaluation Stanley L. Witkin, Former Editor-in-Chief, Social Work Elizabeth J. Clark, Executive Director, National Association of Social Workers (NASW

In-vitro and in-silico evidence for oxidative stress as drivers for RDW

Red blood cell distribution width (RDW) is a biomarker associated with a variety of clinical outcomes. While anemia and subclinical inflammation have been posed as underlying pathophysiology, it is unclear what mechanisms underlie these assocations. Hence, we aimed to unravel the mechanisms in silico using a large clinical dataset and validate our findings in vitro. We retrieved complete blood counts (CBC) from 1,403,663 measurements from the Utrecht Patient Oriented Database, to model RDW using gradient boosting regression. We performed (sex-stratified) analyses in patients with anemia, patients younger/older than 50 and validation across platforms and care settings. We then validated our hypothesis regarding oxidative stress using an in vitro approach. Only percentage microcytic (pMIC) and macrocytic (pMAC) erythrocytes and mean corpuscular volume were most important in modelling RDW (RMSE = 0.40, R 2  = 0.96). Subgroup analyses and validation confirmed our findings. In vitro induction of oxidative stress underscored our results, namely increased RDW and decreased erythrocyte volume, yet no vesiculation was observed. We found that erythrocyte size, especially pMIC, is most informative in predicting RDW, but no role for anemia or inflammation. Oxidative stress affecting the size of the erythrocytes may play a role in the association between RDW and clinical outcomes

Undocumented Worker Employment and Firm Survivability

Do firms employing undocumented workers have a competitive advantage? Using administrative data from the state of Georgia, this paper investigates the incidence of undocumented worker employment across firms and how it affects firm survival. Firms are found to engage in herding behavior, being more likely to employ undocumented workers if competitors do. Rivals' undocumented employment harms firms' ability to survive while firms' own undocumented employment strongly enhances their survival prospects. This finding suggests that firms enjoy cost savings from employing lower-paid undocumented at workers wages less than their marginal revenue product. The herding behavior and competitive effects are found to be much weaker in geographically broad product markets, where firms have the option to shift labor-intensive production out of state or abroad

Severe lymphopenia acquired during chemoradiotherapy for esophageal cancer: Incidence and external validation of a prediction model

Background: The incidence of grade 4 lymphopenia in patients treated with chemoradiotherapy (CRT) according to Chemoradiotherapy for Oesophageal cancer followed by Surgery Study (CROSS) regimen is unclear. The primary aim was to determine the incidence of grade 4 lymphopenia during CROSS for esophageal cancer. Secondary aims were to externally validate a prediction model for grade 4 lymphopenia and compare overall survival between patients with and without grade 4 lymphopenia. Methods: Patients who underwent CRT for esophageal cancer between 2014 and 2019 were eligible for inclusion. Patients with a planned radiation dose of 41.4 Gy (CROSS) or 50.4 Gy (“extended-CROSS”) and concurrent carboplatin and paclitaxel were included. The primary outcome was the incidence of grade 4 lymphopenia during CRT defined according to Common Terminology Criteria for Adverse Events version 5.0 (i.e. lymphocyte count nadir < 0.2 µL). The secondary outcome measures were the prediction model's external performance (i.e. discrimination and calibration). Overall survival for patients with versus without grade 4 lymphopenia was compared using Kaplan–Meier analysis. Results: A total of 219 patients were included of whom 176 patients (80%) underwent CROSS and 43 patients (20%) extended-CROSS. The incidence of grade 4 lymphopenia was 11% in CROSS and 33% in extended-CROSS (p < 0.001). External discrimination yielded a c-statistic of 0.80 (95% confidence interval: 0.70–0.89). External calibration of the model was poor in CROSS but fair in extended-CROSS. Adjusted calibration using intercept correction (adjusted for the lower a-priori risk for grade 4 lymphopenia in CROSS) showed fair agreement between the observed and predicted risk for grade 4 lymphopenia. Median overall survival in patients with versus without grade 4 lymphopenia was 12.7 versus 42.5 months (p = 0.045). Conclusion: The incidence of grade 4 lymphopenia is significantly higher in esophageal cancer patients receiving extended-CROSS compared to those receiving CROSS. The prediction model demonstrated good external performance in the setting of the CROSS-regimen and could be used to identify patients at high-risk for grade 4 lymphopenia who might be eligible for lymphopenia–mitigating strategies