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The purpose of this paper is to explore the indicators of quality in care for people working and living in aged residential care (ARC) settings.

This research was conducted using an ethnographic design in two distinct ARC facilities in a New Zealand city, a large facility with residential, dementia and hospital level care, and a small family owned facility providing residential care only. In total, 50 hours of observational data were collected, and semi-structured interviews were conducted with 21 people, including managers, careworkers, nurses, family members and residents. These data were thematically analysed using the constant comparative method.

The main indicators of quality for staff, family and residents included: a home-like, friendly and safe environment; good medical and personal care; respect for the residents; and good staff. Participants also acknowledged the need for adjustments by residents to living in aged care; and the challenges of caring for increasingly frail residents.

Findings support the growing recognition of a need for resident-centred approaches to ARC that are reflected in government policy and regulatory apparatus. Managers in ARC facilities must balance adherence with health and safety standards, and providing an environment where their residents can enjoy a meaningful life that has purpose and value.

This article assesses pronatalism in the non-industrialized Caribbean in light of contributions that children make to household production. The place that the economic utility of children has in determining pronatal attitudes and behavior has been increasingly neglected by social scientists. This trend is especially unwarranted in regard to the traditional Caribbean. As an example, it is shown that the primary reason farmers in Jean Rabel, Haiti, are in favor of high birth rates and reject contraceptives is because the farmers conceptualize children as necessary to their economic survival.

The following exchange of opinions at The Planning Forum's International Strategic Management Conference was condensed from the “Dilemmas of Planning” session, chaired by Dan Simpson, Director of Strategy and Planning, The Clorox Company. The panelists were: Paula Cholmondeley, Vice President, Business Development and Global Sourcing, Owens Corning Fiberglas; Jean‐Yves Gueguen, Vice President, Corporate Planning and Development, American Express; Brian Marsh, Head of Planning Consultancy, Shell International Petroleum (London); Pete Schavoir, IBM Director of Strategy (retired), The IBM Corporation; and Gordon Shaw, Executive Director, Planning and International, 3M. The opinions expressed are the personal ones of panelists. Part 1 appeared in the September/October issue.

Twin to Twin Transfusion Syndrome (TTTS) is a well understood, yet under-recognized, placental disease affecting any given pregnancy at a rate of 1 in 1,000. There is no clustering of TTTS; instead the threat remains pathologically distinctive due to its pervasiveness. However, while incidence rates are random, survival rates are not. Despite compliant acceptance of “routine prenatal care,” sadly, there are many women who for currently unknown reasons are not receiving the advanced prenatal care needed to appropriately screen for, diagnosis and treat TTTS. And these women are paying the ultimate price for such obstetrical oversight.

This study hypothesizes that differential care being given by primary obstetricians of TTTS patients is resulting in experienced inequalities. Utilizing social reproduction theory, and through ethnographic and quantitative analyses of primary data, this study seeks to divulge the complex social processes taking place (or failing to take place) within the world of American obstetrics, and begin to understand how they are affecting TTTS mortality and morbidity rates.

Findings illuminate a profound imbalance of power and influence amongst the following entities: American Congress of Obstetricians and Gynecologists and Society of Maternal Fetal Medicine; obstetrical training and practice; and levels of patient awareness and advocacy.

This study argues that the current social relations being reproduced by these entities are perpetuating a climate that allows for disregard of proper TTTS management. Specifically, this study theoretically explores what social relations and subsequent (in)actions are being reproduced prior to TTTS diagnoses, and applies the effects of those observations.

Early paradox research in organization theory contained a remarkable breadth of inspirations from outside disciplines. We wanted to know more about where early scholarship found inspiration to create what has since become paradox theory. To shed light on this, we engaged seminal paradox scholars in conversations: asking about their past experiences drawing from outside disciplines and their views on the future of paradox theory. These conversations surfaced several themes of past and future inspirations: (1) understanding complex phenomena; (2) drawing from related disciplines; (3) combining interdisciplinary insights; and (4) bridging discourses in organization theory. We end the piece with suggestions for future paradox research inspired by these conversations.

The following exchange of opinions was condensed from the “Dilemmas of Planning” session, chaired by Dan Simpson, Director of Strategy and Planning, The Clorox Company. The panelists were: Paula Cholmondeley, Vice President, Business Development and Global Sourcing, Owens Corning Fiberglas; Jean‐Yves Gueguen, Vice President, Corporate Planning and Development, American Express; Brian Marsh, Head of Planning Consultancy, Shell International Petroleum (London); Pete Schavoir, IBM Director of Strategy (retired), The IBM Corporation; and Gordon Shaw, Executive Director, Planning and International, 3M. The opinions expressed are the personal ones of panelists.

The following bibliography focuses mainly on programs which can run on IBM microcomputers and compatibles under the operating system PC DOS/MS DOS, and which can be used in online information and documentation work. They fall into the following categories:

Anthropology was a late‐comer to the Caribbean and only after World War II did the study of Caribbean culture and societies become less exceptional. Early in this century when anthropology was first making itself over as an ethnographic science, anthropologists concentrated on tribal peoples. For most of the post‐Columbian era, the Caribbean region, with a few minor exceptions, was without indigenous tribal societies. Even after anthropology turned its attention to the study of peasantries, Caribbean peasantries were ignored in favor of more stable and tradition‐oriented peasant societies in other parts of Latin America. When anthropologists began to study Caribbean peoples in a more serious and systematic fashion, they found that they had to develop new concepts to explain the variation, flexibility, and heterogeneity that characterized regional culture. These concepts have had a significant impact on social and cultural theory and on the broader contemporary dialogue about cultural diversity and multiculturalism.

Those of us in our mid‐thirties can just barely remember the tourist homes, guesthouses, small hotels, and “mom and pop” tourist cabins which once dotted the two‐lane highways of this country, roads like Route 66 which spanned the country east to west and U.S. I which ran from Maine to Florida. However, aided by the developing interstate highway system, Holiday Inn, Best Western, and several other major chains spread themselves all over the landscape in the 1960s and 1970s and won a large part of the growing leisure and business travel dollar. Indeed, Holiday Inn's ubiquitous qualities were so thoroughly standardized that the company adopted the slogan, “The best surprise is no surprise.” The trouble is some people like to be surprised, especially if the surprise is a pleasant one. Until a few years ago, the traveler looking for a more interesting or cheaper accommodation than a typical chain motel had few guidebooks to choose from. Country Inns and Back Roads and Farm, Ranch and Country Vacations were about all that were available. Since the late 1970s, however, a steady stream of alternative accommodation books has appeared, and now any library faced with choosing guidebooks for the reference collection finds a bewildering number of them. In this review I will examine and evaluate what is available to guide the traveler to alternative accommodations in the United States and Canada. I'll look at bed and breakfast guides, guides to country inns, farm vacations, and college campus accommodations, but not camping guides.

The planning process is usually an integrated mixture of top‐down issues prepared at the senior levels of the organization, and bottom‐up work that goes on within the operating units. A question for this distinguished panel of CPOs is, “How can companies optimally balance the process?”