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Kinds of Work Terms modified by Work Selected AbstractsRacial and ethnic disparities in low birth weight delivery associated with maternal occupational characteristicsAMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 2 2010John D. Meyer MD Abstract Objectives Work characteristics and maternal education have both been associated with low birth weight (LBW) delivery. We sought to examine the relative contribution of these two factors to LBW delivery and determine whether ethnic/racial differentials in educational attainment and work characteristics might play a role in well-described disparities in LBW. Methods Scores for work substantive complexity (SC) derived from the O*NET were imputed to maternal occupation for Connecticut singleton births in 2000. Risks for LBW were estimated separately for black, Hispanic, and white mothers using logistic regression controlling for maternal covariates. Results Using white mothers as a referent, working is associated with reduced LBW risk in black mothers compared to those not in work (OR 2.06 vs. 3.07). LBW in working black women was strongly associated with less that a high school education (OR 4.80, 95% CI 1.68,13.7), and with low work SC in blacks in those with a college education or greater (OR 4.48, 95% CI 1.24,16.2). Examination of work SC scores, controlling for age and educational level, showed lower values for blacks; increased work SC was seen in Hispanics after adjustment for lower educational attainment. A decrease in risk for LBW was seen in black mothers, compared with whites, as work SC increased. By contrast, college-educated black mothers had a greater risk for LBW than those with high school or some college education. Conclusions Maternal employment and work in a job with greater SC were associated with a reduced risk of LBW in black mothers. Improved LBW risk was also seen with employment in Hispanics. Low work SC in those with higher educational attainment was strongly associated with LBW in blacks, but not whites or Hispanics. Education/work mismatch may play a role in racial disparities in birth outcomes. Am. J. Ind. Med. 53:153,162 2010. © 2009 Wiley-Liss, Inc. [source] Psychometric characteristics of dyspnea descriptor ratings in emergency department patients with exacerbated chronic obstructive pulmonary disease,RESEARCH IN NURSING & HEALTH, Issue 5 2002Mark B. Parshall Abstract The purpose of this study was to evaluate the reliability, content validity, and factor structure of dyspnea sensory quality descriptor ratings in emergency department (ED) patients with exacerbated chronic obstructive pulmonary disease (COPD). During an ED visit 104 patients with COPD rated the intensity of 16 dyspnea sensory quality descriptors (numerical ratings of 0,10) in relation to how they felt when they decided to come to the ED (Decision) and 1 week before the visit. Content validity of 15 descriptors was supported. Factor analysis of Decision ratings resulted in seven descriptors and three factors (,=.88; 74% common variance): Smothering/Suffocating/Hunger for air (,=.87); Effort/Work (,=.87); and Tight/Constricted (,=.74). Results indicate that the intensity of sensory quality descriptors can be measured reliably in COPD patients during an exacerbation of COPD. The initial descriptor list of descriptors could be cut by more than half while retaining satisfactory psychometric properties. © 2002 Wiley Periodicals, Inc. Res Nurs Health 25:331,344, 2002 [source] Single-Institution Experience in the Management of Patients with Clinical Stage I and II Cutaneous Melanoma: Results of Sentinel Lymph Node Biopsy in 240 CasesDERMATOLOGIC SURGERY, Issue 11 2005Jordi Rex MD Background. Lymphatic mapping and sentinel lymph node biopsy (SLNB) has been developed as a minimally invasive technique to determine the pathologic status of regional lymph nodes in patients without clinically palpable disease and incorporated in the latest version of the American Joint Committee on Cancer (AJCC) staging system for cutaneous melanoma. Objective. To analyze the results of SLNB and the prognostic value of the micrometastases and the pattern of early recurrences in patients according to sentinel lymph node (SLN) status. Method. Patients with cutaneous melanoma in stages I and II (AJCC 2002) who underwent lymphatic mapping and SLNB from 1997 to 2003 were included in a prospective database for analysis. Results. The rate of identification of the SLN was 100%. Micrometastases to SLN were found in 20.8% of patients. The rate of SLN micrometastases increased according to Breslow thickness and clinical stage. Breslow thickness of 0.99 mm was the optimal cutpoint for predicting the SLNB result. Twenty-four patients (12.3%) developed a locoregional or distant recurrence at a median follow-up of 31 months. Recurrences were more frequent in patients with a positive SLN. Among patients who had a recurrence, those with a positive SLN were more likely to have distant metastases than those with negative SLN. Nodal recurrences were more frequent in patients with a negative SLN compared with those with a positive SLN. Conclusions. The status of the SLN provides accurate staging for identifying patients who may benefit from further therapy and is the most important prognostic factor of relapse-free survival. THIS WORK WAS SUPPORTED BY GRANTS FROM FONDO DE INVESTIGACIONES SANITARIAS (98/0449), BECA DE FORMACIÓ DE PERSONAL INVESTIGADOR (2001/FI0757), AND THE RED ESPÑOLA DE CENTROS DE GENÓMICA DEL CÁNCER (C03/10). [source] ETHICS BEYOND BORDERS: HOW HEALTH PROFESSIONALS EXPERIENCE ETHICS IN HUMANITARIAN ASSISTANCE AND DEVELOPMENT WORKDEVELOPING WORLD BIOETHICS, Issue 2 2008MATTHEW R. HUNT ABSTRACT Health professionals are involved in humanitarian assistance and development work in many regions of the world. They participate in primary health care, immunization campaigns, clinic- and hospital-based care, rehabilitation and feeding programs. In the course of this work, clinicians are frequently exposed to complex ethical issues. This paper examines how health workers experience ethics in the course of humanitarian assistance and development work. A qualitative study was conducted to consider this question. Five core themes emerged from the data, including: tension between respecting local customs and imposing values; obstacles to providing adequate care; differing understandings of health and illness; questions of identity for health workers; and issues of trust and distrust. Recommendations are made for organizational strategies that could help aid agencies support and equip their staff as they respond to ethical issues. [source] OPEN OCCUPATIONS , WHY WORK SHOULD BE FREEECONOMIC AFFAIRS, Issue 1 2009Jason Potts The benefits of openness are widely apparent everywhere except, seemingly, in occupations. Yet the case against occupational licensing still remains strong. Consideration of dynamic costs strengthens the case further. [source] SINGLE MOTHERS WORKING AT NIGHT: STANDARD WORK AND CHILD CARE SUBSIDIESECONOMIC INQUIRY, Issue 2 2007ERDAL TEKIN This article examines the effect of child care subsidies on the standard work decision of single mothers. Results suggest that child care subsidy receipt is associated with about a 7 percentage point increase in the probability of working at a standard job. When the effect of subsidy receipt is allowed to differ between welfare recipients and nonrecipients, results indicate that subsidy receipt has a large and positive effect among welfare recipients, whereas the effect on nonrecipients is much smaller. These findings underscore the importance of child care subsidies in helping low-income parents, especially welfare recipients, gain standard employment. (JEL J13, I38) [source] CONFLICT OF INTEREST DECLARATIONS: COULD A ,TRAFFIC LIGHT' SYSTEM WORK?ADDICTION, Issue 11 2009ROBERT WEST No abstract is available for this article. [source] CONTROLLING YOUR DRINKING: TOOLS TO MAKE MODERATION WORK FOR YOUADDICTION, Issue 9 2005JALIE A. TUCKER No abstract is available for this article. [source] TWO SUBTYPES OR MORE, MUCH WORK REMAINS: A COMMENTARY ON WINDLE AND SCHEIDTADDICTION, Issue 12 2004FRANCES K. DEL BOCA No abstract is available for this article. [source] SPATIAL CONSTRAINTS ON WOMEN'S WORK IN TARIJA, BOLIVIAGEOGRAPHICAL REVIEW, Issue 2 2000Article first published online: 21 APR 2010, KATHLEEN SCHROEDER ABSTRACT. This geography of women's work in the less-developed world is set in Tarija, Bolivia, a small city that has been dramatically changed by economic crisis and structural-adjustment programs. Explored is the spatial component of women's economic activities in a low-income barrio following the imposition of structural-adjustment programs in the 1980s and 1990s. Women who pursue employment away from home must rely on other women. In particular, households that include more than one woman who is capable of handling important daily chores are more likely to have a woman engaged in income-generating activities away from the home and the neighborhood. Women at home make it possible for other women to extend their economic activity into the broader community. These findings are important because they draw attention to women's reliance on other women, how women use space, and how they are constrained by spatial factors as they negotiate their daily lives. [source] DIAGNOSING FROUDE'S DISEASE: BOUNDARY WORK AND THE DISCIPLINE OF HISTORY IN LATE-VICTORIAN BRITAINHISTORY AND THEORY, Issue 3 2008IAN HESKETH ABSTRACT Historians looking to make history a professional discipline of study in Victorian Britain believed they had to establish firm boundaries demarcating history from other literary disciplines. James Anthony Froude ignored such boundaries. The popularity of his historical narratives was a constant reminder of the continued existence of a supposedly overturned phase of historiography in which the historian was also a man of letters, transcending the boundary separating fact from fiction and literature from history. Just as professionalizing historians were constructing a methodology that called on historians to be inductive empirical workers, Froude refused to accept the new science of history, and suggested instead that history was an individual enterprise, one more concerned with drama and art than with science. E. A. Freeman warned the historical community that they "cannot welcome [Froude] as a partner in their labors, as a fellow-worker in the cause of historic truth." This article examines the boundary work of a professionalizing history by considering the attempt to exclude Froude from the historian's discourse, an attempt that involved a communal campaign that sought to represent Froude as "constitutionally inaccurate." Froude suffered from "an inborn and incurable twist," argued Freeman, thereby diagnosing "Froude's disease" as the inability to "make an accurate statement about any matter." By unpacking the construction of "Froude's disease," the article exposes the disciplinary techniques at work in the professionalization of history, techniques that sought to exclude non-scientific modes of thought such as that offered by Froude. [source] WHY DO EUROPEANS WORK SO LITTLE?,INTERNATIONAL ECONOMIC REVIEW, Issue 1 2009Conny Olovsson Market work per person is roughly 10% higher in the United States than in Sweden. However, if we include the work carried out in home production, the total amount of work only differs by 1%. I set up a model and show that differences in policy,mainly taxes,can account for the discrepancy in both labor supply and home production between Sweden and the United States. These results are independent of the elasticity of labor supply. [source] STRUCTURAL, EXPERIMENTALIST, AND DESCRIPTIVE APPROACHES TO EMPIRICAL WORK IN REGIONAL ECONOMICS,JOURNAL OF REGIONAL SCIENCE, Issue 1 2010Thomas J. Holmes ABSTRACT The three general approaches to empirical work in economics are structural, experimentalist, and descriptive. This paper provides an overview of how empirical work in regional economics fits into these three categories. In particular, I examine a single issue in the field, the nature of agglomeration benefits and the productivity gains from agglomeration, and analyze the advantages and drawbacks of following each of these three empirical approaches. I also discuss potentially fruitful ways empirical work in regional economics might advance. [source] FINDING AND FOSTERING THE PHILOSOPHICAL IMPULSE IN YOUNG PEOPLE: A TRIBUTE TO THE WORK OF GARETH B. MATTHEWSMETAPHILOSOPHY, Issue 1 2008SARA GOERING Abstract: This article highlights Gareth Matthews's contributions to the field of philosophy for young children, noting especially the inventiveness of his style of engagement with children and his confidence in children's ability to analyze perplexing issues, from cosmology to death and dying. I relate here my experiences in introducing philosophical topics to adolescents, to show how Matthews's work can be successfully extended to older students, and I recommend taking philosophy outside the university as a way to foster critical thinking in young students and to improve the public status of the profession. [source] THE BLANK FACE OF LOVE: THE POSSIBILITY OF GOODNESS IN THE LITERARY AND PHILOSOPHICAL WORK OF IRIS MURDOCH1MODERN THEOLOGY, Issue 2 2009JENNIFER SPENCER GOODYER This article explores the value of Iris Murdoch's metaphysical ethics for the theologian. Although, in many ways, Murdoch does appeal to the theologian, a subtle form of nihilism underlies her thought insofar as human goodness,in the form of loving attention,is only possible once the individual has overcome his/her ego by staring into the void and accepting the ultimate meaninglessness of reality. As this article demonstrates, Murdoch's replacement of transcendence with void rules out any form of real love or human goodness: only a dualistic exchange of gazes remains possible. Real, selfless love is only possible when the ego understands itself in the context of theological transcendence. [source] WORK AND HUMAN FULFILMENT edited by Edmund Malinvaud and Margaret S.Archer, Pontifical Academy of Social Sciences, Sapientia Press of Ave Maria College, Ypsilanti, Michigan, 2003, Pp.NEW BLACKFRIARS, Issue 1004 2005£47.95 pbk. No abstract is available for this article. [source] CONNECTIONS BETWEEN LOWER BACK PAIN, INTERVENTIONS, AND ABSENCE FROM WORK: A TIME-BASED META-ANALYSISPERSONNEL PSYCHOLOGY, Issue 3 2000JOSEPH J. MARTOCCHIO We conducted qualitative and quantitative reviews of the medical literature to develop an understanding of the linkages between nonspecific lower back pain (LBP) and employee absenteeism, and the efficacy of lower back pain interventions (LBPI) in reducing absenteeism. First, we offered a general time-based framework to clarify the causal flows between LBP and absence. Second, we inspected LBPIs designed to ameliorate LBP, which should, in turn, lead to reduced absence-taking. Third, we conducted a meta-analysis of 45 effect sizes involving 12,214 people, to examine the relationships between both LBP and LBPIs and absenteeism. Consistent with a presumption in the medical literature, we found support for the idea that chronic LBP has a positive overall relationship with absence-taking. The relationship was stronger for absence frequency measures than time lost measures. In addition, we found that increasing aggregation time (i.e., increases in the periods over which absence is observed) enhances the size of the chronic LBP-absence connection. Further, evidence showed that LBPIs were effective overall in reducing absenteeism. Finally, when there was a temporal mismatch between the form of LBP (acute vs. chronic) and the absenteeism aggregation period in LBPI studies, effect sizes were significantly smaller. We concluded with a discussion of these results, methodological limitations, and suggestions for future research that blends medical with organizational approaches to the etiology of absence. [source] MAKING THE CORE CONTINGENT: PROFESSIONAL AGENCY WORK AND ITS CONSEQUENCES IN UK SOCIAL SERVICESPUBLIC ADMINISTRATION, Issue 2 2008KIM HOQUE In recent times, the UK has witnessed a steady growth in the use of agency workers to fill core professional roles in public sector organizations. Similar trends have been noted elsewhere, particularly in Australia and the US. In this paper our objective is to explore some of the consequences of this growth, drawing on case study research on social services. We point to a number of problems associated with the management of agency workers and to the potentially negative consequences for the quality of services. These problems, in turn, may impact on key aspects of a (largely functional) public service employment model founded on strong internal labour markets, employment stability and collegial ethos. We also note that while there are ways in which public organizations can manage this situation, certain constraints may prevent them from doing so. [source] DOES PUBLIC ACCOUNTABILITY WORK?PUBLIC ADMINISTRATION, Issue 1 2008AN ASSESSMENT TOOL In recent years, there has been a drive to strengthen existing public accountability arrangements and to design new ones. This prompts the question whether accountability arrangements actually work. In the existing literature, both accountability ,deficits' and ,overloads' are alleged to exist. However, owing to the lack of a cogent yardstick, the debate tends to be impressionistic and event-driven. In this article we develop an instrument for systematically assessing public accountability arrangements, drawing on three different normative perspectives. In the democratic perspective, accountability arrangements should effectively link government actions to the ,democratic chain of delegation'. In the constitutional perspective, it is essential that accountability arrangements prevent or uncover abuses of public authority. In the learning perspective, accountability is a tool to make governments effective in delivering on their promises. We demonstrate the use of our multicriteria assessment tool in an analysis of a new accountability arrangement: the boards of oversight of agencies. [source] BOTH HISTORIAN OF RELIGION AND PHENOMENOLOGIST: THE WORK OF HANS-JOACHIM KLIMKEIT (1939-1999)1RELIGIOUS STUDIES REVIEW, Issue 3-4 2005Ulrich Vollmer First page of article [source] A NEW ,APOLOGIA': THE RELATIONSHIP BETWEEN THEOLOGY AND PHILOSOPHY IN THE WORK OF JEAN-LUC MARIONTHE HEYTHROP JOURNAL, Issue 3 2005Christina M. GschwandtnerArticle first published online: 15 JUN 200 First page of article [source] THE ANALYSTAT WORK: SARA IN HER FOURTH ANALYTIC YEARTHE INTERNATIONAL JOURNAL OF PSYCHOANALYSIS, Issue 5 2002TOMAS BÖHM First page of article [source] THE ANALYST AT WORK: TWO SESSIONS WITH ALBATHE INTERNATIONAL JOURNAL OF PSYCHOANALYSIS, Issue 4 2002Stefano Bolognini In this paper, the author presents clinical material that relates to two sessions with a patient called Alba. This analytic work, being of a somewhat unusual character, lends itself to discussion, the author feels, since the technical choices made are undoubtedly very personal and he believes many colleagues might have done things differently. The author endeavours to enrich the account of the sessions with his concomitant thoughts, so as to supply colleagues with the elements, atmosphere and developments of his internal workshop. [source] CATHECTING BODY AND MIND IN A NEW RELATIONSHIP: ASPECTS OF THE ANALYTIC METHOD IN WORK WITH ADOLESCENTSTHE INTERNATIONAL JOURNAL OF PSYCHOANALYSIS, Issue 3 2002Björn Salomonsson First page of article [source] WAGES, HOURS OF WORK AND JOB SATISFACTION OF RETIREMENT-AGE WORKERS,THE JAPANESE ECONOMIC REVIEW, Issue 2 2005ISAO OHASHI I analyse, theoretically and empirically, the effects of pension benefits, family conditions and the personal characteristics of older individuals on their labour supply, wages, hours worked and job satisfaction, in the framework of the Nash bargaining condition whereby an older worker and a firm bargain over employment conditions such as wages, hours of work and job investment. It is stressed that as workers become older they tend to give greater priority to the number of hours worked, work environment and type of job than to wages, and try to improve these through job investment, even at the cost of lower wages. [source] DOES ELECTRICITY RESTRUCTURING WORK?THE JOURNAL OF INDUSTRIAL ECONOMICS, Issue 3 2007EVIDENCE FROM THE U.S. NUCLEAR ENERGY INDUSTRY This paper examines whether electricity restructuring improves the efficiency of U.S. nuclear power generation. Using a panel dataset consisting of the full sample of 73 investor-owned nuclear plants in the United States from 1992 to 1998, I estimate the plant-level cross-sectional and longitudinal efficiency changes associated with restructuring. Special attention is given to the potential policy endogeneity bias and different modeling strategies are presented to cope with the issue. Overall, I find a striking positive relationship between restructuring and cost reduction, and increased plant utilization. [source] POST CAESAREAN VESICOUTERINE FISTULAE , YOUSSEF SYNDROME: OUR EXPERIENCE AND REVIEW OF PUBLISHED WORKANZ JOURNAL OF SURGERY, Issue 4 2006M. Prasad Rao Objective: To analyse the incidence, symptomatology, diagnosis and therapeutic aspects of Youssef syndrome (post caesarean vesicouterine fistula), and to review relevant published work. Methods: A retrospective study from the urosurgical unit of a tertiary care referral hospital was carried out. In a retrospective analysis of urogenital fistulae over 10 years, we identified 14 patients with uterovesical fistulae, resulting from caesarean section. All the patients were evaluated by history, physical examination, radiological tests and cystoscopy. All patients underwent transperitoneal repair of these fistulae with omental interposition. Results of surgery were evaluated by absence of cyclic haematuria, stoppage of urinary incontinence, and achievement of fertility. Results: A total of 12 patients who had minimum follow up was included in the present study. The results showed that 50% of the fistulae resulted from emergency caesarean operation with 58% of patients presenting after their second caesarean section. The mean age of the patients was 19 years (range 15,29) and mean duration of symptoms was 7 months (range 3,16). Menouria and amenorrhoea were predominant presenting symptoms. The results of surgical treatment were excellent with good continence and resolution of the cyclic haematuria. Three pregnancies (37.5%) which resulted in elective caesarean section were recorded. Conclusion: Vesicouterine fistulae, despite being infrequent, are no longer a rare diagnosis and are most commonly secondary to lower segment caesarean section. With patient history and selected investigations diagnosis is relatively easy. The surgical repair of these fistulae is standard treatment, especially with delayed fistulae with achievement of total continence, and complete resolution of cyclic haematuria. Meticulous practice of obstetric and surgical principles during caesarean section can prevent the formation of these fistulae. [source] FROM WOMEN'S WORK TO THE UMBILICAL LENS: MARY KELLY'S EARLY FILMSART HISTORY, Issue 1 2008SIONA WILSON This essay presents a historical and theoretical account of Mary Kelly's formative involvement in experimental filmmaking in Britain during the early- to mid-1970s. The argument develops by tracing the complex interconnections between Kelly's political engagement with Marxist-feminism and her theoretical involvement with psychoanalysis and film theory. After discussing Kelly's participation in the Berwick Street Film Collective's Night Cleaners (1975) and the London Women's Film Group's Women of the Rhondda (1973), I present a sustained close reading of the artist's first solo work, the film loop installation Antepartum (1974). I argue that Antepartum interpellates the spectator into a feminine subject position. This reading of the film draws upon recent post-Lacanian feminist scholarship in philosophical ethics that focuses on the intrauterine relation. Antepartum offers a politically informed aesthetic experiment that prefigures some of these insights. [source] THE PHANTASM OF AESTHETIC AUTONOMY IN WHISTLER'S WORK: TITLING THE WHITE GIRLART HISTORY, Issue 3 2006AILEEN TSUI This essay explores how James McNeill Whistler's design and titling of his painting The White Girl (1862) responded to the contradictions between his ideal of aesthetic autonomy and his concern to situate his work in the art markets of London and Paris. Attention to Whistler's ironic deployment of suggestive visual imagery and of titles associated with popular narratives leads to a re-evaluation of how the painting might have signified for viewers in 1862,3. The essay argues that Whistler negotiated conflicts between aesthetic purity and commercial concerns by designing and titling this canvas to function in different ways for what he posited as distinct audiences: an aesthetically sensitive elite and the general publics in London and Paris. The investigation of Whistler's titling tactics and their implications for his art's position within modernism is extended through analysis of new evidence found in previously unnoticed titular inscriptions on wood engravings after his designs. [source] WORK OF FEMALE RURAL DOCTORSAUSTRALIAN JOURNAL OF RURAL HEALTH, Issue 2 2004Jo Wainer Objectives: To identify the impact of family life on the ways women practice rural medicine and the changes needed to attract women to rural practice. Design: Census of women rural doctors in Victoria in 2000, using a self-completed postal survey. Setting: General and specialist practice. Subjects: Two hundred and seventy-one female general practitioners and 31 female specialists practising in Rural, Remote and Metropolitan Area Classifications 3,7. General practitioners are those doctors with a primary medical degree and without additional specialist qualifications. Main outcome measure: Interaction of hours and type of work with family responsibilities. Results: Generalist and specialist women rural doctors carry the main responsibility for family care. This is reflected in the number of hours they work in clinical and non-clinical professional practice, availability for oncall and hospital work, and preference for the responsibilities of practice partnership or the flexibility of salaried positions. Most of the doctors had established a satisfactory balance between work and family responsibilities, although a substantial number were overworked in order to provide an income for their families or meet the needs of their communities. Thirty-six percent of female rural general practitioners and 56% of female rural specialists preferred to work fewer hours. Female general practitioners with responsibility for children were more than twice as likely as female general practitioners without children to be in a salaried position and less likely to be a practice partner. The changes needed to attract and retain women in rural practice include a place for everyone in the doctor's family, flexible practice structures, mentoring by women doctors and financial and personal recognition. [source] | |||||||||||||||||||||||||||||||||||||||||||