481 research outputs found

    Re United Ass\u27n of Journeymen & Apprentices of the Plumbing & Pipefitting Industry of the United States and Canada, Local 221, and Fraser-Brace Engineering Co Ltd

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    The grievor, an employee in the construction industry, was dis­charged for loafing . Warnings given by the field superintendent and the general foreman had not been passed down to him by the working foreman, and the privilege of taking smoke breaks was flexible . The agreement provided that an employee could be discharged for cause . The majority of the board, A.A. White, dissenting, held, even if the requirements of cause in the construction agreement were considerably lower than the requirements of just cause common in general industrial situations, cause for dismissal was not estab­lished here. In the construction industry, where foremen are members of unions, the company may have to take special steps to ensure that warnings reach the employees. The board ordered that the employee be suspended for two days and that he be compensated for lost wages. A.A. White, dissenting, stated that the requirements of cause were less than those of just cause and that this flowed from the fact that the company had agreed to hire exclusively from the union

    Re United Ass\u27n of Journeymen & Apprentices of the Plumbing & Pipefitting Industry and Fraser-Brace Engineering Co Ltd

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    Employee Grievance seeking compensation for loss of wages due to unjust discharge. The broad issue before us is whether the company is liable to compensate the grievor for wages lost during the whole period of six weeks for which he was unemployed. The general principle, stated at the end of our award on the merits in this matter, is that the grievor must have taken all reasonable steps to minimize his loss. The company pressed the argument that not only the grievor but the union as well must have taken all reasonable steps to minimize the grievor\u27s loss. This board is therefore faced not only with the issue of whether all reason­able steps were taken, but also with the issue of whether a failure by the union to take all reasonable steps to minimize the loss will affect the grievor\u27s right to recover

    Examining Facilitators of HPV Vaccination Uptake in Men Who Have Sex with Men: A Cross-Sectional Survey Design

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    Men who have sex with men (MSM) in England are eligible for vaccination against human papillomavirus (HPV) via specialist sexual health services and HIV clinics. Uptake among clinic attendees is incomplete, but the reason for this is unclear. We do not know who is accessing and being offered the vaccine. This cross-sectional study conducted in England examined socio-demographic correlates of vaccine uptake for MSM and how frequently the vaccine is being offered in clinics. MSM completed an online questionnaire asking about socio-demographic characteristics, whether they had recently attended a sexual health or HIV clinic, and if so, whether they had been offered the vaccine, and vaccination status. Around 52% of MSM (N = 115; mean age = 30.2) had received at least one dose of the vaccine, and 70% of clinic attendees had been offered the vaccine. MSM were more likely to have initiated the vaccine series if they were homosexual (versus bisexual; OR: 5.22; 95% CI: 1.55–17.51) or had heard about the vaccine from one or two types of sources (versus no sources: OR: 14.70; 95% CI: 4.00–54.00 and OR: 26.00; 5.74–117.77 respectively). Initiation was not associated with age, ethnicity, education level, or number of sexual partners. Hepatitis B vaccination status was associated with vaccination initiation only in unadjusted models. The majority of eligible MSM are being offered the vaccine in clinics. Socio-demographic differences in uptake of the HPV vaccine among MSM may lead to inequalities in HPV-related disease

    Preventing and responding to depression, self-harm, and suicide in older people living in long term care settings: a systematic review

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    Abstract Objective: The well documented demographic shift to an aging population means that more people will in future be in need of long term residential care. Previous research has reported an increased risk of mental health issues and suicidal ideation among older people living in residential care settings. However, there is little information on the actual prevalence of depression, self-harm, and suicidal behavior in this population, how it is measured and how care homes respond to these issues. Method: This systematic review of international literature addressed three research questions relating to; the prevalence of mental health problems in this population; how they are identified and; how care homes try to prevent or respond to mental health issues. Results: Findings showed higher reported rates of depression and suicidal behavior in care home residents compared to matched age groups in the community, variation in the use of standardised measures across studies and, interventions almost exclusively focused on increasing staff knowledge about mental health but with an absence of involvement of older people themselves in these programmes. Conclusion: We discuss the implications of these findings in the context of addressing mental health difficulties experienced by older people in residential care and future research in this area

    Socioeconomic inequalities in attitudes towards cancer: an international cancer benchmarking partnership study.

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    Socioeconomic status (SES) differences in attitudes towards cancer have been implicated in the differential screening uptake and the timeliness of symptomatic presentation. However, the predominant emphasis of this work has been on cancer fatalism, and many studies focus on specific community subgroups. This study aimed to assess SES differences in positive and negative attitudes towards cancer in UK adults. A population-based sample of UK adults (n=6965, age≥50 years) completed the Awareness and Beliefs about Cancer scale, including six belief items: three positively framed (e.g. 'Cancer can often be cured') and three negatively framed (e.g. 'A cancer diagnosis is a death sentence'). SES was indexed by education. Analyses controlled for sex, ethnicity, marital status, age, self-rated health, and cancer experience. There were few education-level differences for the positive statements, and overall agreement was high (all>90%). In contrast, there were strong differences for negative statements (all Ps<0.001). Among respondents with lower education levels, 57% agreed that 'treatment is worse than cancer', 27% that cancer is 'a death sentence' and 16% 'would not want to know if I have cancer'. Among those with university education, the respective proportions were 34, 17 and 6%. Differences were not explained by cancer experience or health status. In conclusion, positive statements about cancer outcomes attract near-universal agreement. However, this optimistic perspective coexists alongside widespread fears about survival and treatment, especially among less-educated groups. Health education campaigns targeting socioeconomically disadvantaged groups might benefit from a focus on reducing negative attitudes, which is not necessarily achieved by promoting positive attitudes

    Attitudes towards lung cancer screening in socioeconomically deprived and heavy smoking communities: informing screening communication

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    BACKGROUND: While discussion continues over the future implementation of lung cancer screening, low participation from higher risk groups could limit the effectiveness of any national screening programme. OBJECTIVES: To compare smokers' beliefs about lung cancer screening with those of former and never smokers within a low socioeconomic status (SES) sample, to explore the views of lower SES smokers and ex-smokers in-depth, and to provide insights into effective engagement strategies. DESIGN, SETTING AND PARTICIPANTS: Using proactive, community-based recruitment methods, we surveyed 175 individuals from socioeconomically deprived communities with high smoking prevalence and subsequently interviewed 21 smokers and ex-smokers. Participants were approached in community settings or responded to a mail-out from their housing association. RESULTS: Interviewees were supportive of screening in principle, but many were doubtful about its ability to deliver long-term survival benefit for their generation of "heavy smokers." Lung cancer was perceived as an uncontrollable disease, and the survey data showed that fatalism, worry and perceived risk of lung cancer were particularly high among smokers compared with non-smokers. Perceived blame and stigma around lung cancer as a self-inflicted smokers' disease were implicated by interviewees as important social deterrents of screening participation. The belief that lungs are not a treatable organ appeared to be a common lay explanation for poor survival and undermined the potential value of screening. CONCLUSIONS: Attitudes towards screening among this high-risk group are complex. Invitation strategies need to be carefully devised to achieve equitable participation in screening

    Pig production feeding and management of the brood sow and litter

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    Successful pork production depends first upon selection of good breeding stock. The breeding stock selected should have the inherent ability to produce and nurse a large litter that will use feed efficiently. Equally important are proper feeding and management of the brood sow and her litter. It is a good plan to separate the gilts from the fattening hogs at 4 to 5 months of age and feed them a growing ration. Whole oats or a mixture of one-half oats and barley or wheat coarsely ground, self-fed, constitute a good foundation for a ration. Enough corn should be fed, probably a couple of ears daily, to each gilt to keep her gaining. One-half gallon of skimmilk daily or 1/2 pound of protein concentrate will furnish sufficient protein for one gilt in addition to what she obtains from grain and pasture. (The protein concentrate may be hand-fed or mixed with the grain on the basis of 5 pounds to each 100 pounds of grain.

    Fast integral equation methods for the modified Helmholtz equation

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    We present a collection of integral equation methods for the solution to the two-dimensional, modified Helmholtz equation, u(\x) - \alpha^2 \Delta u(\x) = 0, in bounded or unbounded multiply-connected domains. We consider both Dirichlet and Neumann problems. We derive well-conditioned Fredholm integral equations of the second kind, which are discretized using high-order, hybrid Gauss-trapezoid rules. Our fast multipole-based iterative solution procedure requires only O(N) or O(NlogN)O(N\log N) operations, where N is the number of nodes in the discretization of the boundary. We demonstrate the performance of the methods on several numerical examples.Comment: Published in Computers & Mathematics with Application
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