593 research outputs found

    Intentional Invisibility: Professional Women and the Navigation of Workplace Constraints

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    Drawing on an in-depth case study at a large nonprofit organization, we find, in line with previous scholarship, that women professionals continue to face biased expectations at work and at home. We leverage data from interviews and participant observation to identify a new strategy that women use to navigate professional constraints created by the second shift and workplace double binds: “intentional invisibility.” Intentional invisibility refers to a set of risk-averse, conflict-avoidant strategies that women professionals in our study employ to feel authentic, manage competing expectations in the office, and balance work and familial responsibilities. We find women across the organization reporting intentionally remaining behind the scenes in attempts to avoid backlash and maintain a professional status quo. While intentional invisibility allows women to successfully navigate gender unequal professional and personal landscapes, it could simultaneously present an additional challenge to career advancement

    Integration of Tobacco Treatment Services into Cancer Care at Stanford.

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    As part of a National Cancer Institute Moonshot P30 Supplement, the Stanford Cancer Center piloted and integrated tobacco treatment into cancer care. This quality improvement (QI) project reports on the process from initial pilot to adoption within 14 clinics. The Head and Neck Oncology Clinic was engaged first in January 2019 as a pilot site given staff receptivity, elevated smoking prevalence, and a high tobacco screening rate (95%) yet low levels of tobacco cessation treatment referrals (<10%) and patient engagement (<1% of smokers treated). To improve referrals and engagement, system changes included an automated "opt-out" referral process and provision of tobacco cessation treatment as a covered benefit with flexible delivery options that included phone and telemedicine. Screening rates increased to 99%, referrals to 100%, 74% of patients were reached by counselors, and 33% of those reached engaged in treatment. Patient-reported abstinence from all tobacco products at 6-month follow-up is 20%. In July 2019, two additional oncology clinics were added. In December 2019, less than one year from initiating the QI pilot, with demonstrated feasibility, acceptability, and efficacy, the tobacco treatment services were integrated into 14 clinics at Stanford Cancer Center

    A Geographic Information System Framework for the Management of Sensor Deployments

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    A prototype Geographic Information System (GIS) framework has been developed to map, manage, and monitor sensors with respect to other geographic features, including land base and in-plant features. The GIS framework supports geographic placement and subsequent discovery, query, and tasking of sensors in a network-centric environment using Web services. The framework couples the GIS feature placement logic of sensors with an extensible ontology which captures the capabilities, properties, protocols, integrity constraints, and other parameters of interest for a large variety of sensor types. The approach is significant in that custom, GIS-based interfaces can be rapidly developed via the integration of sensors and sensor networks into applications without having detailed knowledge of the sensors’ underlying device drivers by leveraging service-oriented computing infrastructure within the GIS framework

    Traumatic atlantoaxial rotatory subluxation in an adolescent: a case report

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    Atlantoaxial rotatory subluxation is rarely caused by trauma in adults. Usually, the treatment of choice is traction using Halo/Gardner-Wells fixation devices for up to six weeks. CASE PRESENTATION: We present the case of a 19-year-old Caucasian woman with traumatic atlantoaxial subluxation. Early reduction three hours after trauma and immobilization using only a soft collar were performed and yielded very good clinical results. CONCLUSION: In the adult population, atlantoaxial subluxation is a rare condition but is severe if untreated. Early treatment implies a non-surgical approach and a good outcome. Conservative treatment is the recommended first step for this condition

    Tibet, the Himalaya, Asian monsoons and biodiversity - In what ways are they related?

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    Prevailing dogma asserts that the uplift of Tibet, the onset of the Asian monsoon system and high biodiversity in southern Asia are linked, and that all occurred after 23 million years ago in the Neogene. Here, spanning the last 60 million years of Earth history, the geological, climatological and palaeontological evidence for this linkage is reviewed. The principal conclusions are that: 1) A proto-Tibetan highland existed well before the Neogene and that an Andean type topography with surface elevations of at least 4.5 km existed at the start of the Eocene, before final closure of the Tethys Ocean that separated India from Eurasia. 2) The Himalaya were formed not at the start of the India-Eurasia collision, but after much of Tibet had achieved its present elevation. The Himalaya built against a pre-existing proto-Tibetan highland and only projected above the average height of the plateau after approximately 15 Ma. 3) Monsoon climates have existed across southern Asia for the whole of the Cenozoic, and probably for a lot longer, but that they were of the kind generated by seasonal migrations of the Inter-tropical Convergence Zone. 4) The projection of the High Himalaya above the Tibetan Plateau at about 15 Ma coincides with the development of the modern South Asia Monsoon. 5) The East Asia monsoon became established in its present form about the same time as a consequence of topographic changes in northern Tibet and elsewhere in Asia, the loss of moisture sources in the Asian interior and the development of a strong winter Siberian high as global temperatures declined. 6) New radiometric dates of palaeontological finds point to southern Asia's high biodiversity originating in the Paleogene, not the Neogene

    Rural?Urban Migration and Poverty:

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    Summaries What is the relationship between rural?urban migration and poverty? This article takes up this question, which is by no means new, but about which there is no consensus. The importance of migration for urban as well as for rural areas, for poverty and for poverty alleviation policies is considerable, and the article indicates that more research is needed, particularly taking into account both sides of the migration streams. Rates of urbanisation, which have remained low in countries like India, underestimate the importance of migration. Migrants in cities continue to maintain close links with, and return to, their areas of origin, thus limitiing urban population growth and complicating analyses and policies. The article, focusing on migration to Calcutta but also drawing on all?India survey data and other evidence, discusses the following issues: the role of poverty versus inequality in migration; the migrants' districts of origin; the socio?economic background of migrants; the migrants' income and expenditure, compared to non?migrating groups; and whether migrants are able to improve their income over time
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