Does Returning to Work After Childbirth Affect Breastfeeding Practices?

Although the Surgeon General recently highlighted breastfeeding as '......one of the most important contributors to infant health,' few health economics studies based in developed countries have considered breastfeeding as an important health behavior that can be influenced by labor market decisions and by public policies. This study examines the effect of the timing and intensity of returning to work after childbirth on the probability of initiating breastfeeding and the number of weeks of breastfeeding. Data come from the National Longitudinal Survey of Youth (NLSY79). Baseline probit models and family-level fixed effects models indicate that returning to work within 3 months is associated with a reduction in the probability that the mother will initiate breastfeeding by 16-18%. Among those mothers who initiate breastfeeding, returning to work within 3 months is associated with a reduction in the length of breastfeeding of 4-6 weeks. We find less consistent evidence that working at least 35 hours per week (among mothers who return to work within 3 months) detracts from breastfeeding. Baseline and fixed effects models indicate that returning to full-time work is associated with a reduction in the length of breastfeeding of 1-4 weeks; however, we do not find consistent evidence regarding the association between returning to full-time work and breastfeeding initiation. Overall, the findings suggest that maternal employment is negatively associated with both breastfeeding initiation and breastfeeding duration.

What Can We Learn From the Existing Evidence of the Business Case for Investments in Nursing Care: Importance of Content, Context, and Policy Environment

Decisions of health care institutions to invest in nursing care are often guided by mixed and conflicting evidence of effects of the investments on organizational function and sustainability. This paper uses new evidence generated through Interdisciplinary Nursing Quality Research Initiative (INQRI)-funded research and published in peer-reviewed journals, to illustrate where the business case for nursing investments stands and to discuss factors that may limit the existing evidence and its transferability into clinical practice. We conclude that there are 3 limiting factors: (1) the existing business case for nursing investments is likely understated due to the inability of most studies to capture spillover and long-run dynamic effects, thus causing organizations to forfeit potentially viable nursing investments that may improve long-term financial stability; (2) studies rarely devote sufficient attention to describing the content and the organization-specific contextual factors, thus limiting generalizability; and (3) fragmentation of the current health care delivery and payment systems often leads to the financial benefits of investments in nursing care accruing outside of the organization incurring the costs, thus making potentially quality-improving and cost-saving interventions financially unattractive from the organization\u27s perspective. The payment reform, with its emphasis on high-quality affordable patient-centered care, is likely to strengthen the business case for investments in nursing care. Methodologically rigorous approaches that focus on broader societal implications of investments in nursing care, combined with a thorough understanding of potential barriers and facilitators of nursing change, should be an integral part of future research and policy efforts

Automatisierte Linienplanung im öffentlichen Verkehr

Automatisierung und Digitalisierung sollen in der Bahnproduktion Kosten senken und die Kapazität der Infrastruktur erhöhen. Dazu müssen alle Planungsschritte in einem einheitlichen System abgebildet werden. Davon profitieren die Bahnkunden durch ein attraktiveres Angebot, höhere Pünktlichkeit und mehr Sicherheit. Die ZHAW beteiligt sich an dieser Entwicklung in Forschung und Lehre. Unter anderem wurde für den Schritt der Linienplanung eine Methode entworfen, die es erlaubt in kurzer Zeit kostenoptimale und kundenfreundliche Linienpläne zu erstellen

A Mobile Assessment Tool for Collecting Data in Large-Scale Educational Studies

Abstract Conducting scientific studies is an often frustrating and tedious task. To minimize the usual problems, such as lack of concentration or willingness to participate, and instead promote interest in the study, a smart mobile device assessment tool was developed. The tablet-based assessment tool offers a wide range of visual tasks that can be employed when conducting studies utilizing the European Framework of Visual Literacy (ENViL). Furthermore, the assessment tool is highly configurable in the field using a centralized server and spreadsheet-based configuration files, thereby ensuring that no programming language is required to adapt the tasks on the mobile devices participating in the study. Finally, the presented framework and architecture are completely cross-platform and cross-device and can be re-used and extended for any number of similar studies and tasks

Wie viel Photo­voltaik ver­trägt das Verteilnetz?

Für eine Analyse wurden in einem Trafokreis fünf Sensoren in Verteil­netz­kabinen und beim Trafo installiert und diverse Rege­lungen getestet. Das Resultat: Zusätz­liche Rege­lungen ermög­lichen zwar mehr PV im Netz, aber der Projek­tierungs-, Installa­tions- und Betriebs­aufwand ist hoch. Andere Mass­nahmen können sinnvoller sein

Costs of Military Eye Injury, Vision Impairment, and Related Blindness and Vision Dysfunction Associated with Traumatic Brain Injury (TBI) without Eye Injury Prepared by

2 TAKE AWAY MESSAGE Based on published data from 2000-2010, the total incident cost of eye injury in the military each year in this timeframe has been $2.282 billion, which represents superficial eye injury, nonsuperficial eye injury that does and does not result in permanent visual impairment or blindness, and vision impairment related to Traumatic Brain Injury (TBI). If we multiply the one-year costs by 11 to account for the period from 2000-2010, the total cost to the economy of all ocular injury and vision impairment related to TBI is$25.107 billion. Of that total, the costs incurred in the first year (all for superficial injury, initial medical care for non-superficial injuries, and rehabilitation for bilateral vision impairment) are $634 million. This is money that has already been spent. The present value of the projected Department of Veterans Affairs (VA) benefits for the remainder of the lives of all service members with ocular injuries in the 11 years under study is$188 million. The present value of the projected costs to the remainder of the economy over the remaining lifetimes of the service members with eye injuries or vision impairment due to TBI is $24.286 billion. This last cost is not to the federal government but to the economy and society as a whole

Willingness to Pay for Cataract Surgery in Rural Southern China

This paper examines the willingness of patients in China to pay for cataract surgery

Temporal Changes in Alcohol-Related Morbidity and Mortality in Germany

Aims: Trends in morbidity and mortality, fully or partially attributable to alcohol, for adults aged 18–64 were assessed for Germany. Methods: The underestimation of population exposure was corrected by triangulating survey data with per capita consumption. Alcohol-attributable fractions by sex and two age groups were estimated for major disease categories causally linked to alcohol. Absolute numbers, population rates and proportions relative to all hospitalizations and deaths were calculated. Results: Trends of 100% alcohol-attributable morbidity and mortality over thirteen and eighteen years, respectively, show an increase in rates of hospitalizations and a decrease in mortality rates. Comparisons of alcohol-attributable morbidity including diseases partially caused by alcohol revealed an increase in hospitalization rates between 2006 and 2012. The proportion of alcohol-attributable hospitalizations remained constant. Rates of alcohol-attributable mortality and the proportion among all deaths decreased. Conclusions: The increasing trend in mortality due to alcohol until the mid-1990s has reversed. The constant proportion of all hospitalizations that were attributable to alcohol indicates that factors such as improved treatment and easier health care access may have influenced the general increase in all-cause morbidity. To further reduce alcohol-related mortality, efforts in reducing consumption and increasing treatment utilization are needed