It is almost self-evident that there are no credible distributive justice arguments to deflect NICU care for ELBW infants now, when survival is so good. But, surprisingly, even when NICU survival was much worse, there have never been credible distributive justice arguments against NICU care for infants with BW <1000 g, whether dollars spent on survivors or 'intact survivors' is the outcome measure.

Negative impacts on the professionalization of staff nurses by the development and use of computerized nursing care plans are presented as a selected finding of a qualitative study. A symbolic interaction framework, using nurses' stories as communicated in semi-structured interviews, yielded meaning and behavior in metaphorical form. The computerized system for patient care planning, and the larger system in which it is embedded, contribute to loss of autonomy, loss of individualization of care, and loss of nursing expertise. Some questions that should be addressed now are identified.

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This is a descriptive study of the cOlTImunity process by which a complaint is made to a protective service agency. It is by this proce s s that deviant child care is fi r st identified and the deci sian to take action is made. The study develops a typology of the cOlTIplaint proce s sand identifi(3 s seven elelTIents as significant in complaints that reach community agencies. The elements were: the calTIplaint situation, the precipitating events that brought the complaint situation to the attention of SOlTIeone outside the nuclear falTIily, the relationship between the cOlTIplainant and family, the cOlTIplainant's

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