222 research outputs found

    The institutional foundations of medicalization : a cross-national analysis of mental health and unemployment

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    In this study, we question (1) whether the relationship between unemployment and mental healthcare use, controlling for mental health status, varies across European countries and (2) whether these differences are patterned by a combination of unemployment and healthcare generosity. We hypothesize that medicalization of unemployment is stronger in countries where a low level of unemployment generosity is combined with a high level of healthcare generosity. A subsample of 36,306 working-age respondents from rounds 64.4 (2005-2006) and 73.2 (2010) of the cross-national survey Eurobarometer was used. Country-specific logistic regression and multilevel analyses, controlling for public disability spending, changes in government spending, economic capacity, and unemployment rate, were performed. We find that unemployment is medicalized, at least to some degree, in the majority of the 24 nations surveyed. Moreover, the medicalization of unemployment varies substantially across countries, corresponding to the combination of the level of unemployment and of healthcare generosity

    Economic Globalization and the Welfare State in Affluent Democracies, 1975-1998

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    Prior scholarship is sharply divided on how or if globalization influences welfare states. Globalization's effects may be positive causing expansion, negative triggering crisis and reduction, curvilinear contributing to convergence, or insignificant. We bring new evidence to bear on this crucial debate with a pooled time series analysis of two measures of the welfare state and 16 indicators of economic globalization for 17 affluent democracies from 1975 to 1998. The analysis suggests that: (1) state-of-the-art welfare state models warrant revision in the globalization era; (2) most indicators of economic globalization do not have significant effects; (3) the few significant globalization effects are in different directions and often inconsistent with extant theories; (4) the globalization effects are far smaller than the effects of domestic political and economic factors; and (5) these effects are not systematically different for liberal vs. nonliberal welfare state regimes, European vs. non-European countries, or with four alternative dependent variables. Increased globalization and a modest convergence of the welfare state have occurred, but globalization does not unambiguously cause welfare state expansion, crisis and reduction or convergence. -- Bisherige Befunde der sozialwissenschaftlichen Forschung zum kausalen VerhĂ€ltnis von 'Globalisierung' und Wohlfahrtsstaat sind nicht eindeutig. Danach kann Globalisierung positive Effekte haben und zu einem Ausbau an Wohlfahrtsstaatlichkeit fĂŒhren, eine Krise des Wohlfahrtsstaates oder Leistungsreduktionen herbeifĂŒhren, kurvilineare Wirkungen aufweisen und zu Konvergenz beitragen, als auch vollkommen insignifikant sein. Unsere gepoolte Zeitreihenanalyse von Wohlfahrtsstaatlichkeit und 'Globalisierung' in 17 reichen Demokratien (1975-1998) hat folgende Befunde zu Tage gefördert: (1) im Zeitalter der Globalisierung erscheinen bestehende Wohlfahrtsstaatsmodelle revisionsbedĂŒrftig; (2) die Mehrzahl der ökonomischen Globalisierungsindikatoren weist keine signifikanten Effekte auf; (3) die wenigen signifikanten Effekte zeigen in unterschiedliche Richtungen und stimmen hĂ€ufig nicht mit bestehenden theoretischen Annahmen ĂŒberein; (4) die Globalisierungseffekte sind deutlich kleiner als die Effekte binnenpolitischer Variablen und ökonomischer Faktoren; (5) diese Effekte unterscheiden sich in 'liberalen' und 'nicht-liberalen' Wohlfahrtsregimen bzw. europĂ€ischen und nicht-europĂ€ischen LĂ€ndern nicht systematisch von einander. Im Analysezeitraum können wir sowohl einen Anstieg der verschiedenen Globalisierungsindikatoren sowie eine moderate Konvergenz der verschiedenen Wohlfahrtsstaaten konstatieren. Jedoch kann der Prozess der 'Globalisierung' nicht eindeutig als kausale Ursache fĂŒr die unterschiedlichen Entwicklungsrichtungen in den verschiedenen Wohlfahrtsstaaten identifiziert werden.

    Contribution of ÂČ³⁞U and ÂČÂłÂČTH to radiation dose and risk from fly ash effluent of coal-fired power plants

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    2010 Spring.Includes bibliographic references.Covers not scanned.Print version deaccessioned 2022.The goal of this project was to determine the activity concentrations of 238U and 232Th emitted from a coal-fired power plant that could potentially impact human health and the environment. The activity concentration of 238U and 232Th in fly ash was used to estimate effluent uranium and thorium. The estimate of effluent activity was then used to model radiation dose and evaluate any associated increase in cancer risk to employees working in the plant and individuals living near the plant. Grab samples of fly ash were obtained and manually fractionated using the soil sizing techniques of sieving and pipetting. The respective samples were counted using alpha spectroscopy to determine the activity concentrations of 238U and 232Th. Whole body dose was calculated using 10 CFR 20 Appendix B annual limits on intake (ALI). The alpha emissions from 238U and 232Th are of particular interest as they are significant contributors to dose in the lungs and other tissues due to their high relative biologic effectiveness and short range. The results of this study indicate that fly ash contains both 238U and 232Th but is not a radioactive substance as defined by the IAEA transportation safety standards and Title 49 of the Code of Federal Regulations. Although the relative concentration of radionuclides in the fly ash of this study is quite low, it is still possible for individuals to receive a measurable dose. Exceeding occupational and public dose limits would require inhalation of approximately 1-1000 kg of fly ash for 232U and approximately 50 g to 20 kg for 232Th. The highest CEDE (ICRP 30) per unit mass incurred by inhalation of fly ash was class W 232Th (1.81 mrem g-1), while class W 238U had the lowest CEDE per unit mass (3.32 prem g-1). The general relationship between activity concentration of 238U and 232Th found using data from radiochemical analysis and particle size suggest that activity concentration increases with increasing particle size. However the relationship between activity concentration and particle size found in the literature suggests that activity concentration increases with decreasing particle size. The accompanying health risk from 238U and 232Th in fly ash is predicted to be less than 10-5 percent

    Economic globalization and the welfare state in affluent democracies, 1975-1998

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    "Bisherige Befunde der sozialwissenschaftlichen Forschung zum kausalen VerhĂ€ltnis von 'Globalisierung' und Wohlfahrtsstaat sind nicht eindeutig. Danach kann Globalisierung positive Effekte haben und zu einem Ausbau an Wohlfahrtsstaatlichkeit fĂŒhren, eine Krise des Wohlfahrtsstaates oder Leistungsreduktionen herbeifĂŒhren, kurvilineare Wirkungen aufweisen und zu Konvergenz beitragen, als auch vollkommen insignifikant sein. Unsere gepoolte Zeitreihenanalyse von Wohlfahrtsstaatlichkeit und 'Globalisierung' in 17 reichen Demokratien (1975-1998) hat folgende Befunde zu Tage gefördert: (1) im Zeitalter der Globalisierung erscheinen bestehende Wohlfahrtsstaatsmodelle revisionsbedĂŒrftig; (2) die Mehrzahl der ökonomischen Globalisierungsindikatoren weist keine signifikanten Effekte auf; (3) die wenigen signifikanten Effekte zeigen in unterschiedliche Richtungen und stimmen hĂ€ufig nicht mit bestehenden theoretischen Annahmen ĂŒberein; (4) die Globalisierungseffekte sind deutlich kleiner als die Effekte binnenpolitischer Variablen und ökonomischer Faktoren; (5) diese Effekte unterscheiden sich in 'liberalen' und 'nicht-liberalen' Wohlfahrtsregimen bzw. europĂ€ischen und nicht-europĂ€ischen LĂ€ndern nicht systematisch von einander. Im Analysezeitraum können wir sowohl einen Anstieg der verschiedenen Globalisierungsindikatoren sowie eine moderate Konvergenz der verschiedenen Wohlfahrtsstaaten konstatieren. Jedoch kann der Prozess der 'Globalisierung' nicht eindeutig als kausale Ursache fĂŒr die unterschiedlichen Entwicklungsrichtungen in den verschiedenen Wohlfahrtsstaaten identifiziert werden." (Autorenreferat)"Prior scholarship is sharply divided on how or if globalization influences welfare states. Globalization's effects may be positive causing expansion, negative triggering crisis and reduction, curvilinear contributing to convergence, or insignificant. We bring new evidence to bear on this crucial debate with a pooled time series analysis of two measures of the welfare state and 16 indicators of economic globalization for 17 affluent democracies from 1975 to 1998. The analysis suggests that: (1) state-of-the-art welfare state models warrant revision in the globalization era; (2) most indicators of economic globalization do not have significant effects; (3) the few significant globalization effects are in different directions and often inconsistent with extant theories; (4) the globalization effects are far smaller than the effects of domestic political and economic factors; and (5) these effects are not systematically different for liberal vs. nonliberal welfare state regimes, European vs. non-European countries, or with four alternative dependent variables. Increased globalization and a modest convergence of the welfare state have occurred, but globalization does not unambiguously cause welfare state expansion, crisis and reduction or convergence." (author's abstract

    Knowledge Mobilization in Agile Information Systems Projects: A Literature Analysis

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    This study focuses on how knowledge is mobilized in agile information systems (IS) projects. One crucial success factor of those projects is to mobilize knowledge through different knowledge management processes. It is vital to establish efficient knowledge management (KM) processes to generate a knowledge culture based on transparency and communication. Communication channels, digital tools, and platforms are essential for establishing a KM infrastructure supporting the knowledge work of the project organization. Thus, each IS implementation team should maintain a knowledge base and a knowledge potential at some level. However, this is not always the case. We conducted a literature review to survey the extant research on the role of KM in agile system development projects. The agile approach is often associated with the networking model and tacit knowledge. The findings indicate that the agile approach is supposed to promote KM. While tacit knowledge is rooted in the analogue process of continuous actions and informal communication, explicit knowledge is captured in digital records of documentation and databases. In KM, the personalization model (behavioural, networking) and the codification (technocratic, repository) model is central. The choice of system development method (agile versus plan-driven) influences how knowledge is mobilized in the project organization. An agile approach heavily relies on informal communication, tacit knowledge sharing, and light documentation. In contrast, the plan-driven methods such as the waterfall approach generate more explicit knowledge through documentation. Communities of practice are important structures for transforming from plan-driven to agile approaches. We present a framework showing specific challenges the literature identifies concerning the efficient mobilization of knowledge in the agile context. For large-scale agile projects, informal coordination mechanisms were important. This study identifies several measures for overcoming barriers and risks for knowledge sharing in the agile context.Knowledge Mobilization in Agile Information Systems Projects: A Literature AnalysispublishedVersio

    Are inequities decreasing? Birth registration for children under five in low-income and middle-income countries, 1999-2016.

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    INTRODUCTION: Although global birth registration coverage has improved from 58% to 71% among children under five globally, inequities in birth registration coverage by wealth, urban/rural location, maternal education and access to a health facility persist. Few studies examine whether inequities in birth registration in low-income and middle-income countries have changed over time. METHODS: We combined information on caregiver reported birth registration of 1.6 million children in 173 publicly available, nationally representative Demographic Health Surveys and Multiple Indicator Cluster Surveys across 67 low-income and middle-income countries between 1999 and 2016. For each survey, we calculated point estimates and 95% CIs for the percentage of children under 5 years without birth registration on average and stratified by sex, urban/rural location and wealth. For each sociodemographic variable, we estimated absolute measures of inequality. We then examined changes in non-registration and inequities between surveys, and annually. RESULTS: 14 out of 67 countries had achieved complete birth registration. Among the remaining 53 countries, 39 countries successfully decreased the percentage of children without birth registration. However, this reduction occurred alongside statistically significant increases in wealth inequities in 9 countries and statistically significant decreases in 10 countries. At the most recent survey, the percentage of children without birth registration was greater than 50% in 16 out of 67 countries. CONCLUSION: Although birth registration improved on average, progress in reducing wealth inequities has been limited. Findings highlight the importance of monitoring changes in inequities to improve birth registration, to monitor Sustainable Development Goal 16.9 and to strengthen Civil Registration and Vital Statistics systems
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