Motorcycle safety after-dark: The factors associated with greater risk of road-traffic collisions.

The effect of ambient light level on road traffic collisions (RTCs) involving a motorcycle was investigated. Data were drawn from the STATS19 database of UK reported RTCs for the period 2005-2015. To isolate the effect of ambient light (daylight vs darkness) an odds ratio was used to compare RTCs at specific times of day in the weeks either side of the Spring and Autumn clock changes. This work extended previous studies by using a more precise method for distinguishing between RTCs in daylight and after dark, thus avoiding the ambiguity of twilight. Data for four-wheel motor vehicle (FWMV) RTCs were also investigated to provide a datum. As expected, the risk of an RTC occurring was significantly higher after dark compared to daylight for both motorcycles and FWMVs. Investigation of contextual factors suggests that risk after dark is significantly higher for motorcycles compared to FWMVs for RTCs with two-vehicles, on roads with low speed limits (≤30 mph), at T-junctions, and junctions controlled by a give way sign. These are the situations where visual aids for increasing conspicuity after dark have the greater potential for reducing motorcycle RTCs.

Developing leadership in healthcare administration: a competency assessment tool.

Despite the many graduate programs that specialize in health administration, healthcare leaders and practitioners have expressed concern about the quality of preparation of health administration graduates. The purpose of this study was to facilitate one part of an integrated approach to leadership development that spans academic and practitioner settings. The approach was to design a competency assessment tool for early careerists who have two to five years of postgraduate experience and who aspire to fill senior leadership positions in complex, provider-based healthcare organizations. Open-ended interviews with key informants and a comprehensive review of relevant literature were done to identify and categorize a set of competencies relevant to early careerists. Based on data from key informants, specific work experiences and academic courses were mapped to each competency, indicating where and how such competencies might be developed. A simple rating system was then added to assess each competency, which resulted in the completion of the tool. Finally, the tool was piloted in a practitioner setting at the Massachusetts General Hospital Administrative Fellowship Program and in an academic setting at the Yale University Health Management Program. The resulting tool includes 52 competencies categorized into four domains: (1) technical skills (operations, finance; information resources, human resources, and strategic planning/external affairs); (2) industry knowledge (clinical process and healthcare institutions); (3) analytic and conceptual reasoning; and (4) interpersonal and emotional intelligence. Early experience with the tool suggests that it can facilitate career planning among graduate students, early careerists, and their mentors. Further, the tool can help directors of both academic and practitioner programs identify strengths and gaps in their existing curricula or training programs. By offering specific competencies linked to work experiences and graduate courses, the tool is an initial step toward promoting collaborative efforts between academic and practitioner programs.

Best financial practices for trustees.

State attorneys general as well as creditors and the IRS are putting more pressure on not-for-profit boards to fulfill their fiduciary responsibilities. Here's a guide to help you avoid liability and ensure a better financial outcome for your organization.

Trivers-Willard effect in contemporary North American society.

The Trivers-Willard hypothesis joins the ideas of R.A. Fisher and A.J. Bateman to model parental investment strategies. Trivers and Willard argue that any overall investment bias favoring either daughters or sons would be maladaptive. Nevertheless, they suggest that, in effectively polygynous species, more complex, conditional sex biases could be adaptive. In particular, they predict that parents in good condition will bias their investment toward sons and that parents in poor condition will bias their investment toward daughters. Among a sample of approximately 900 U.S. mothers we examined several measures of maternal investment including birth weight, interbirth interval and lactational commitment. Maternal condition was assessed by income and by the presence or absence of a coresident adult male. Some measures of investment (five of 14 statistical tests) showed marked and significant sex-by-condition interactions of the type and in the direction predicted by Trivers and Willard; none showed significant effects in the opposite direction. No conscious mediation is required to produce the observed investment patterns.