Workplace Characteristics, Work-To-Life Conflict, And Psychological Distress Among Medical Workers

The medical industry is the fastest growing job sector and is projected to be the largest job sector by 2018. This group of workers tends to experience heightened stressors in the workplace. The key purpose of this study was to address whether work-to-life conflict mediates the relationship between workplace characteristics and psychological distress for workers in the medical industry. Drawing on data from the 2002 National Study of the Changing Workforce (N = 329), relationships were explored using stepwise OLS regression analysis. Findings from the first model (which excludes the mediating variable of work-to-life conflict) suggest that as both coworker and supervisor support decrease, psychological distress increases. Model one also suggests that as job pressure increases, psychological distress increases. Model two shows that the relationships between both job pressure and coworker support and psychological distress become non-significant when the work-to-life conflict variable is introduced, suggesting that work-to-life conflict mediates the relationship between both job pressure and coworker support and psychological distress. Findings also show that the direct relationship between supervisor support and psychological distress remained significant with addition of work-to-life conflict. Implications of findings and suggestions for future research are discussed

Does Hospital Competition Improve Efficiency? The Effect of the Patient Choice Reform in England

We use the 2006 relaxation of constraints on patient choice of hospital in the English NHS to investigate the effect of hospital competition on dimensions of efficiency including indicators of resource management (admissions per bed, bed occupancy rate, proportion of day cases, and cancelled elective operations) and costs (reference cost index for overall and elective activity, cleaning services costs, laundry and linen costs). We employ a quasi differences-in-differences approach and estimate seemingly unrelated regressions and unconditional quantile regressions with data on hospital trusts from 2002/03 to 2010/11. Our findings suggest that increased competition had mixed effects on efficiency. An additional equivalent rival increased admissions per bed by 1.1%, admissions per doctor by 0.9% and the proportion of day cases by 0.38 percentage points, but it also increased the number of cancelled elective operations by 2.5%

Implementing concurrent-training and nutritional strategies in professional football: a complex challenge for coaches and practitioners

Purpose: To study concurrent-training (CT) and nutritional practices within a professional soccer team. Methods: Twenty-one professional football players competing in the English professional league participated in this study (mean ± standard deviations [M ± SD] 26 ± 4 years, stature 1.84 ± 0.1 m, body mass 83 ± 7 kg, VO2max; 58 ± 3 ml · kg−1 · min−1). A range of internal and external training metrics, the organisation of CT (training sequence, training rest period between bouts) and the nutritional intake around CT (timing, type and quantity) was collected for 10 weeks. Results: CT; n = 17 (endurance-training [ET] + resistance-training [RT]; n = 11; RT + ET; n = 6) rest period between bouts was not consistent and varied depending on the sequence of CT (RT + ET, 75 ± 48 min; ET + RT; 60 ± 5 min; P = 0.04). sRPE of football-specific ET was higher in RT + ET (RT + ET, 7 ± 1; ET + RT, 6 ± 1; P = 0.05). The timing of meals around training was influenced by the organisation of CT. Subsequently, CHO consumption before training session one was significantly less in RT + ET (CHO 0.10 ± 0.5 g · kg−1 vs. CHO 0.45 ± 0.2 g · kg−1). Conclusion: The present data demonstrate that the organisation of CT (i.e., exercise order and/or recovery time between bouts) and nutrition (i.e., timing of meal intake) can be unsystematic in the applied environment. The organisation of training and nutrition might influence the players’ ability to perform high-intensity actions in secondary training sessions and could potentially impact acute metabolic processes associated with muscle recovery and muscle adaptation

Measuring Inequalities in the Distribution of Health Workers: The case of Tanzania.

The overall human resource shortages and the distributional inequalities in the health workforce in many developing countries are well acknowledged. However, little has been done to measure the degree of inequality systematically. Moreover, few attempts have been made to analyse the implications of using alternative measures of health care needs in the measurement of health workforce distributional inequalities. Most studies have implicitly relied on population levels as the only criterion for measuring health care needs. This paper attempts to achieve two objectives. First, it describes and measures health worker distributional inequalities in Tanzania on a per capita basis; second, it suggests and applies additional health care needs indicators in the measurement of distributional inequalities. We plotted Lorenz and concentration curves to illustrate graphically the distribution of the total health workforce and the cadre-specific (skill mix) distributions. Alternative indicators of health care needs were illustrated by concentration curves. Inequalities were measured by calculating Gini and concentration indices.\ud There are significant inequalities in the distribution of health workers per capita. Overall, the population quintile with the fewest health workers per capita accounts for only 8% of all health workers, while the quintile with the most health workers accounts for 46%. Inequality is perceptible across both urban and rural districts. Skill mix inequalities are also large. Districts with a small share of the health workforce (relative to their population levels have an even smaller share of highly trained medical personnel. A small share of highly trained personnel is compensated by a larger share of clinical officers (a middle-level cadre) but not by a larger share of untrained health workers. Clinical officers are relatively equally distributed. Distributional inequalities tend to be more pronounced when under-five deaths are used as an indicator of health care needs. Conversely, if health care needs are measured by HIV prevalence, the distributional inequalities appear to decline. The measure of inequality in the distribution of the health workforce may depend strongly on the underlying measure of health care needs. In cases of a non-uniform distribution of health care needs across geographical areas, other measures of health care needs than population levels may have to be developed in order to ensure a more meaningful measurement of distributional inequalities of the health workforce

Tide gauges

Tide gauge measurements provide data for routine tidal predictions in ports as well as for extreme events such as storm surges and tsunamis. Along with satellite altimeter measurements, tide gauges also provide measurements used for sea-level rise estimates. This is particularly important for impact assessment in low-lying coastlines of south Asia as well as islands such as the Maldives in the Indian Ocea

Composites of Heavy Rain Producing Elevated Thunderstorms in the Central United States

Composite analyses of the atmosphere over the central United States during elevated thunderstorms producing heavy rainfall are presented. Composites were created for five National Weather Service County Warning Areas (CWAs) in the region. Events studied occurred during the warm season (April–September) during 1979–2012. These CWAs encompass the region determined previously to experience the greatest frequency of elevated thunderstorms in the United States. Composited events produced rainfall of \u3e50 mm 24 hr−1 within the selected CWA. Composites were generated for the 0–3 hr period prior to the heaviest rainfall, 6–9 hours prior to it, and 12–15 hours prior to it. This paper focuses on the Pleasant Hill, Missouri (EAX) composites, as all CWA results were similar; also these analyses focus on the period 0–3 hours prior to event occurrence. These findings corroborate the findings of previous authors. What is offered here that is unique is (1) a measure of the interquartile range within the composite mean fields, allowing for discrimination between variable fields that provided a strong reliable signal, from those that may appear strong but possess large variability, and (2) composite soundings of two subclasses of elevated thunderstorms. Also, a null case (one that fits the composite but failed to produce significant rainfall) is also examined for comparison

How Demographics, Devices, and Course Characteristics Impact Introductory Psychology Course Outcomes during COVID-19

We explored factors predicting student learning outcomes (N=1303) in online Introductory Psychology sections at an open-enrollment college in the Northeastern United States in Fall 2020. Students from historically underserved groups were more likely to struggle on course outcomes, perhaps reflecting the disproportionate impact of COVID-19. Use of desktops/laptops on assignments predicted higher pass rates and quiz grades. Scores on quizzes tended to be higher in smaller class sections. Findings suggest certain students are already at-risk at the semester’s start, students should use desktops/laptops for online coursework when possible, and smaller online class sizes correlate with better performance on low-stakes outcomes

Will a breast screening programme change the workload and referral practice of general practitioners?

This article has been made available through the Brunel Open Access Publishing Fund and is available from the specified link - Copyright © 1990 BMJ Publishing Group.STUDY OBJECTIVE--The aim of the study was to consider possible changes in the clinical activities of general practitioners whose patients are registered in a breast cancer screening programme. DESIGN--The study was a survey based on completion of forms recording breast consultations carried out by participating general practitioners during a four week period. SETTING--One of three intervention centres and one of three comparison centres in the national trial of early detection of breast cancer was selected. The intervention centre was in Guildford; the comparison centre in Stoke on Trent. PARTICIPANTS--The participants were general practitioners in the selected centres. In Guildford, 64 of 99 general practitioners approached took part (65%); in Stoke on Trent, 81 of 177 took part (46%). The proportion of male and female participants in the two centres was similar. Doctors in Stoke on Trent were older and worked in smaller practices than in Guildford. RESULTS--A comparison of workloads showed that in the screening centre there was less demand for doctor consultations from those in the screened age group, but those excluded from screening made more use of the general practitioners' services. A difference in referral practice was also apparent, with doctors in the screening centre referring more frequently for specialist advice. CONCLUSIONS--The evidence suggests that no significant change in the overall use of general practice resources can be expected with the introduction of national screening, but there may be greater pressure on assessment services

A Case Study of Anomalous Snowfall with an Alberta Clipper

An Alberta clipper moved over western New York state on 11-12 January 2004, producing snowfall amounts of up to 27 cm in portions of the region during a roughly 12-h period. In addition, lightning and thunder were reported. Such systems, known primarily for their fast motion and relatively dry nature, are not generally associated with significant snowfalls. A postmortem analysis of this event, following an ingredients-based methodology, revealed that as the weak low approached the lower Great Lakes, it came under the influence of coupled 300-hPa jets that produced enhanced divergence and significant upward vertical motion over western New York, resulting in the enhanced convective snowfall over the region for a limited time. Instability and possible enhancement via the Great Lakes are also investigated, which show that while there was at least modest instability over the region during the time of heavy snowfall, lake enhancement was unlikely