Two Sides of the Same Coin: Examining the Misclassification of Workers as Independent Contractors

Under current National Labor Relations Boardinterpretations of the National Labor Relations Act, employersmay only be punished for misclassifying their employees asindependent contractors if a separate violation of the NLRA ispresent. As the U.S. economy increasingly focuses on gig work,millions of workers are affected by misclassification, whichresults in lower pay and fewer employment protections.Misclassification also strips the government of billions ofdollars in tax revenue.The NLRB considered the issue of making themisclassification of employees a standalone violation of Section8(a)(1) of the NLRA in the case Velox Express, Inc., yet itdeclined to do so. This decision is not in accord with therealities of the modern gig economy and the changing nature ofthe workplace. This Note argues that the NLRB should findthat standalone violations of Section 8(a)(1) of the NLRA existwhen employers misclassify workers as independentcontractors rather than as employees. Misclassification benefitsemployers while substantially harming employees. Employerswho misclassify their workers should face the repercussions ofan NLRA violation each time they misclassify a worker. Thisstandalone violation would further Congress’s stated purposesfor the NLRA and would provide gig workers with protectionsassociated with the employment relationship

Hyperbaric Oxygen Therapy for Cancer Patients with Radiation-Induced Tissue Injuries

Cancer, secondary to cardiovascular disease, is the leading cause of death worldwide (Centers for Disease Control and Prevention, n.d.). Radiation is a standard cancer therapy, however it can cause fibrosis of blood vessels, the breakdown of soft tissue, and subsequently lead to necrosis. When caring for cancer patients, it is imperative to consider the lasting effects interventions pose on their long-term health. Hyperbaric oxygen therapy (HBOT) is a healing treatment consisting of administering 100% oxygen to the body in a pressurized chamber; in turn, HBOT facilitates capillary regrowth, blood flow restoration, and increased efficiency of wound healing time. The efficacy of hyperbaric oxygen therapy in improving the healing time of radiation-induced tissue injury in adults, compared to those not receiving the therapy, was examined. A literature search was conducted using the databases CINAHL and PubMed. The search encompassed the years 2019 to 2024 and included the search terms: hyperbaric oxygen therapy, injury, radiation, and cancer. Inclusion criteria involved articles that identified the uses of HBOT when treating post-radiation injuries for breast, head, neck, and pelvic cancers. Exclusion criteria included articles that did not fit the age group or highlighted alternative treatment modalities. Twelve peer-reviewed articles met the search criteria. The literature found that individuals receiving HBOT for radiation-induced complications reported increased quality of life, decreased pain, and minimal side effects shortly after therapy. Based on the findings, there is strong support that this treatment modality can reduce the healing time of tissue injuries compared to those not utilizing HBOT

A comprehensive systematic review of the impact of planned interventions offered to pregnant women who have requested a caesarean section as a result of tokophobia (fear of childbirth)

Background: Tokophobia, a deep‐seated fear of childbirth, causes women emotional anguish and affects the mother‐baby relationship. It can result in women avoiding future pregnancies or requesting caesarean section. This review examines evidence for the effectiveness of planned interventions in women with okophobia in both reducing requests for caesarean section and in ameliorating maternal distress. Objectives: 1) To synthesise the best available quantitative evidence for the effectiveness of planned interventions in reducing: a) fear/anxiety in tokophobic women, b) planned caesarean sections 2) To synthesise the best available qualitative evidence relating to the experiences of tokophobic women who request a caesarean section, particularly satisfaction with interventions and the childbirth experience. Inclusion criteria: This review considered studies that included pregnant women requesting a caesarean section for tokophobia in the absence of medical (or obstetric) indications who were offered a planned intervention. Search strategy: The literature search focused on published and unpublished studies in English distributed between January 1990 and April 2012. An initial limited database search was undertaken to identify keywords, followed by an extensive search of relevant databases and potential grey material. Methodological quality: Assessment for methodological quality was carried out independently by two reviewers using the standardised appraisal tools from the Joanna Briggs Institute. Data extraction: Data were extracted from papers included in the review using the standardised data extraction tool from the Joanna Briggs Institute. Data synthesis: Statistical meta‐analysis was not possible due to heterogeneity. Therefore, a narrative summary of the data was undertaken. Results: Nine quantitative papers (comprising eight studies: one randomised controlled trial, five case control studies and two descriptive case series) were included; two of these papers appertained to the same study. No qualitative papers were found. Definitions for tokophobia varied. Samples were confounded by the inclusion of women with complex obstetric histories or with mental health issues. Comparison groups were sometimes non‐tokophobic women. Interventions were complex and descriptions sometimes lacked clarity. Although the randomised controlled trial found no difference in birth choices between samples, a group therapy intervention predisposed women to vaginal birth. One study measured whether interventions reduced fear, finding that they did. Four studies explored satisfaction with the intervention. In three cases interventions were evaluated positively. These involved midwifery input and birth planning. Conclusion: More research is needed to identify how tokophobic women might be helped. Current guidelines should be upheld for the time being, in the absence of further evidence. Implications for practice: Due to the heterogeneous nature of the research it is impossible at this stage to draw conclusions for practice. Implications for research: Due to ethical concerns about randomising tokophobic women to non‐treatment groups, innovative research designs should be considered. More research is needed on the effectiveness of group interventions and the role of midwives in administering interventions. A standard, measurable definition for tokophobia is needed and careful documentation and differential analysis of women's parity, mental health and obstetric status should be made. Outcomes should include fear reduction. Satisfaction and birth outcome should be measured on more than one occasion

Strategic Opportunities in Rental Companies and Ridesharing

Given the future of mobility, the increase in online shopping, and the ease of ridesharing, companies need to adapt their network to one that uniquely utilizes their resources to cater to these dramatic changes. The task in this case was to re-image Goodyear’s dealer network and find possible ways to use their excess space to help establish themselves in the future of mobility. The team conducted secondary research on three main topics: retail versus online shopping, Goodyear’s services compared to services needed by Uber and Lyft drivers, and information regarding the current and future status of ridesharing

Synthesis of fluorinated fused benzofurans and benzothiophenes: smiles-type rearrangement and cyclisation of perfluoro(het)aryl ethers and sulfides

Lithium–bromine exchange in 2-bromophenyl perfluoroaryl ethers or sulfides affords fused fluorinated benzofurans or benzothiophenes respectively by SNAr substitution of the adjacent fluorine in the perfluoroaryl substituent. The structures of the new compounds were confirmed by NMR spectroscopy and single crystal X-ray diffraction analysis. In the case of 2-bromophenyl tetrafluoropyrid-4-yl ether, lithiation promoted a Smiles-type rearrangement which led to formation of 4-(2-hydroxyphenyl)tetrafluoropyridine, for which the structure was confirmed by X-ray crystallography

Effects of increased isopycnal diffusivity mimicking the unresolved equatorial intermediate current system in an earth system climate model

Earth system climate models generally underestimate dissolved oxygen concentrations in the deep eastern equatorial Pacific. This problem is associated with the "nutrient trapping" problem, described by Najjar et al. [1992], and is, at least partially, caused by a deficient representation of the Equatorial Intermediate Current System (EICS). Here we emulate the unresolved EICS in the UVic earth system climate model by locally increasing the zonal isopycnal diffusivity. An anisotropic diffusivity of ∼50,000 m 2 s-1 yields an improved global representation of temperature, salinity and oxygen. In addition, it (1) resolves most of the local "nutrient trapping" and associated oxygen deficit in the eastern equatorial Pacific and (2) reduces spurious zonal temperature gradients on isopycnals without affecting other physical metrics such as meridional overturning or air-sea heat fluxes. Finally, climate projections of low-oxygenated waters and associated denitrification change sign and apparently become more plausibl

Intrinsic Absorption in the Spectrum of Mrk 279: Simultaneous Chandra, FUSE, and STIS Observations

We present a study of the intrinsic X-ray and far-ultraviolet absorption in the Seyfert 1.5 galaxy Markarian 279 using simultaneous observations from the Chandra X-ray Observatory, the Space Telescope Imaging Spectrograph aboard the Hubble Space Telescope, and the Far Ultraviolet Spectroscopic Explorer (FUSE). We also present FUSE observations made at three additional epochs. We detect the Fe K-alpha emission line in the Chandra spectrum, and its flux is consistent with the low X-ray continuum flux level of Mrk 279 at the time of the observation. Due to low signal-to-noise ratios in the Chandra spectrum, no O VII or O VIII absorption features are observable in the Chandra data, but the UV spectra reveal strong and complex absorption from HI and high-ionization species such as O VI, N V, and C IV, as well as from low-ionization species such as C III, N III, C II, and N II in some velocity components. The far-UV spectral coverage of the FUSE data provides information on high-order Lyman series absorption, which we use to calculate the optical depths and line and continuum covering fractions in the intrinsic HI absorbing gas in a self-consistent fashion. The UV continuum flux of Mrk 279 decreases by a factor of ~7.5 over the time spanning these observations and we discuss the implications of the response of the absorption features to this change. From arguments based on the velocities, profile shapes, covering fractions and variability of the UV absorption, we conclude that some of the absorption components, particularly those showing prominent low-ionization lines, are likely associated with the host galaxy of Mrk 279, and possibly with its interaction with a close companion galaxy, while the remainder arises in a nuclear outflow.Comment: To appear in 2004 May ApJS; double-column format; 58 pages, incl. 29 figures, 9 tables; minor changes to tex

Transformative social innovation and (dis)empowerment

This article responds to increasing public and academic discourses on social innovation, which often rest on the assumption that social innovation can drive societal change and empower actors to deal with societal challenges and a retreating welfare state. In order to scrutinise this assumption, this article proposes a set of concepts to study the dynamics of transformative social innovation and underlying processes of multi-actor (dis)empowerment. First, the concept of transformative social innovation is unpacked by proposing four foundational concepts to help distinguish between different pertinent ‘shades’ of change and innovation: 1) social innovation, (2) system innovation, (3) game-changers, and (4) narratives of change. These concepts, invoking insights from transitions studies and social innovations literature, are used to construct a conceptual account of how transformative social innovation emerges as a co-evolutionary interaction between diverse shades of change and innovation. Second, the paper critically discusses the dialectic nature of multi-actor (dis)empowerment that underlies such processes of change and innovation. The paper then demonstrates how the conceptualisations are applied to three empirical case-studies of transformative social innovation: Impact Hub, Time Banks and Credit Unions. In the conclusion we synthesise how the concepts and the empirical examples help to understand contemporary shifts in societal power relations and the changing role of the welfare state

A crossover randomised controlled trial of oral mandibular advancement devices for obstructive sleep apnoea-hypopnoea (TOMADO)

Rationale Mandibular advancement devices (MADs) are used to treat obstructive sleep apnoea-hypopnoea syndrome (OSAHS) but evidence is lacking regarding their clinical and cost-effectiveness in less severe disease. Objectives To compare clinical- and cost-effectiveness of a range of MADs against no treatment in mild to moderate OSAHS. Measurements and methods This open-label, randomised, controlled, crossover trial was undertaken at a UK sleep centre. Adults with Apnoea-Hypopnoea Index (AHI) 5–<30/h and Epworth Sleepiness Scale (ESS) score ≥9 underwent 6 weeks of treatment with three nonadjustable MADs: self-moulded (SleepPro 1; SP1); semi-bespoke (SleepPro 2; SP2); fully-bespoke MAD (bMAD); and 4 weeks no treatment. Primary outcome was AHI scored by a polysomnographer blinded to treatment. Secondary outcomes included ESS, quality of life, resource use and cost. Main results 90 patients were randomised and 83 were analysed. All devices reduced AHI compared with no treatment by 26% (95% CI 11% to 38%, p=0.001) for SP1, 33% (95% CI 24% to 41%) for SP2 and 36% (95% CI 24% to 45%, p<0.001) for bMAD. ESS was 1.51 (95% CI 0.73 to 2.29, p<0.001, SP1) to 2.37 (95% CI 1.53 to 3.22, p<0.001, bMAD) lower than no treatment (p<0.001 for all). Compliance was lower for SP1, which was the least preferred treatment at trial exit. All devices were cost-effective compared with no treatment at a £20 000/quality-adjusted life year (QALY) threshold. SP2 was the most cost-effective up to £39 800/QALY. Conclusions Non-adjustable MADs achieve clinically important improvements in mild to moderate OSAHS and are cost-effective

Coherent Coupling of a Diamond Tin-Vacancy Center to a Tunable Open Microcavity

Efficient coupling of optically active qubits to optical cavities is a key challenge for solid-state-based quantum optics experiments and future quantum technologies. Here we present a quantum photonic interface based on a single Tin-Vacancy center in a micrometer-thin diamond membrane coupled to a tunable open microcavity. We use the full tunability of the microcavity to selectively address individual Tin-Vacancy centers within the cavity mode volume. Purcell enhancement of the Tin-Vacancy center optical transition is evidenced both by optical excited state lifetime reduction and by optical linewidth broadening. As the emitter selectively reflects the single-photon component of the incident light, the coupled emitter-cavity system exhibits strong quantum nonlinear behavior. On resonance, we observe a transmission dip of 50 % for low incident photon number per Purcell-reduced excited state lifetime, while the dip disappears as the emitter is saturated with higher photon number. Moreover, we demonstrate that the emitter strongly modifies the photon statistics of the transmitted light by observing photon bunching. This work establishes a versatile and tunable platform for advanced quantum optics experiments and proof-of-principle demonstrations towards quantum networking with solid-state qubits.Comment: 15 pages, 12 figure