HRM and the case of transgender workers: a complex landscape of limited HRM “know how” with some pockets of good practice

Purpose: HRM departments report a lack of knowledge on supporting transgender employees during gender transition in the workplace. The purpose of this research is to survey the experiences of transgender workers in English, French and German speaking countries to evaluate their experience of transitioning at work and the HRM support they received to do so. Design/methodology/approach: A questionnaire consisting of 32 quantitative items and qualitative text boxes was completed by 166 transgender individuals. Findings: Results show a mostly negative landscape with some pockets of good practice. Research limitations/implications: Answers are based on self-report measures and data is cross-sectional. Practical implications: Recommendations for good practice are proposed for HRM departments. Social implications: A move towards a more inclusive workplace. Originality/value: Questions focus on HRM practices specifically while other surveys have assessed work practices more broadly

303. Image registration – precise quality assessment of radiotherapy without necessity of showing corresponding points in simulation and portal images

PurposeEnabling the quality assessment of radiotherapy to be made in daily practice, using the new software tool to analyze the simulation and portal images.MethodIn the registration of the anatomical structures as well as the irradiation fields, the features used as landmarks are the edges. The significant edge fragments must be chosen manually, but without showing any specific corresponding points. Field edges marked with wires in the simulation image are found fully automatically with the original combination of a dedicated line edge detector and a version of hierarchical, combined Hough transform. The registration is guided by the robust accuracy criterion using the modified Hausdorff distance measure. The only parameter of the measure – quantile rank, or share of data used in comparison – is not fixed, but evolves from 1 to 0 during the optimization of the accuracy. This has two advantages. 1: The user can choose the result found for the share corresponding to the actual share of erroneous data in the images, which can be seen only after the results for all the possible ranks are known. 2: The algorithm can avoid the local minima. The registration takes few seconds on a typical PC. The method has been implemented in a software tool which supports the complete process of measurement, and has been tested in clinical triais with positive result.ConclusionsThe modified Hausdorff distance measure with evolving rank is a good and efficient registration accuracy measure for quality assessment of radiotherapy based on the comparison of portal and simulation images

Delayed mating in tortricid leafroller species: Simultaneously aging both sexes prior to mating is more detrimental to female reproductive potential than aging either sex alone

Abstract The effect of delayed mating on reproductive potential, longevity and oviposition period of female redbanded leafroller, Argyrotaenia velutinana (Walker) and Pandemis leafroller, Pandemis pyrusana Kearfott, was investigated in the laboratory. Virgin female or male moths of each species were held for 1, 2, 4, 6 or 10 days prior to pairing with one-day-old virgin conspecifics of the opposite sex. In addition, reproductive potential was assessed when both sexes of each species were aged for those periods prior to pairing. The expected reproduction of female A. velutinana was reduced by 34, 53, 71 and 81% for 2, 4, 6 and 10-day delays in female mating, respectively. For P. pyrusana, expected reproduction was reduced by 47, 74, 85 and 93% for 2, 4, 6 and 10-day delays in female mating, respectively. Increasing male age at mating in both species had a lesser effect on female reproductive output compared with increasing female age at mating. As male A. velutinana age at mating increased, the expected reproduction of female A. velutinana was reduced by 15, 45, 54 and 70% for 2, 4, 6 and 10-day delays, respectively. Comparing male P. pyrusana of various ages at mating, expected reproduction was reduced by 14, 42, 64 and 79% for 2, 4, 6 and 10-day delays in mating, respectively. The decrease in female reproduction when both sexes were aged prior to mating was higher than when either sex alone was aged prior to pairing with a one-day-old virgin of the opposite sex. The expected reproduction of female A. velutinana was reduced by 60, 83, 96 and 98% for 2, 4, 6 and 10-day delays in mating of both sexes, respectively. Only 7.5% of female eggs hatched when both sexes of A. velutinana were aged ten days prior to mating. When simultaneously aging both sexes of P. pyrusana prior to mating, expected reproduction was reduced by 71, 93, 96 and 99% for 2, 4, 6 and 10-day delays in mating, respectively. No P. pyrusana eggs hatched after a ten-day delay of mating for both sexes. For both species, female longevity increased and duration of oviposition period decreased with increasing female age at mating. Our results demonstrate that delayed mating in both females and males negatively affects female reproductive output in both species and that simultaneous aging of both sexes prior to mating has a greater effect than aging either sex alone. Our results suggest that laboratory studies that have paired aged females or aged males with conspecifics of optimal reproductive maturity have likely underestimated the effects of delayed mating on reproductive output

A Bose-Einstein Approach to the Random Partitioning of an Integer

Consider N equally-spaced points on a circle of circumference N. Choose at random n points out of $N$ on this circle and append clockwise an arc of integral length k to each such point. The resulting random set is made of a random number of connected components. Questions such as the evaluation of the probability of random covering and parking configurations, number and length of the gaps are addressed. They are the discrete versions of similar problems raised in the continuum. For each value of k, asymptotic results are presented when n,N both go to infinity according to two different regimes. This model may equivalently be viewed as a random partitioning problem of N items into n recipients. A grand-canonical balls in boxes approach is also supplied, giving some insight into the multiplicities of the box filling amounts or spacings. The latter model is a k-nearest neighbor random graph with N vertices and kn edges. We shall also briefly consider the covering problem in the context of a random graph model with N vertices and n (out-degree 1) edges whose endpoints are no more bound to be neighbors

A composite score combining waist circumference and body mass index more accurately predicts body fat percentage in 6- to 13-year-old children

Purpose: Body mass index (BMI) and waist circumference (WC) are widely used to predict % body fat (BF) and classify degrees of pediatric adiposity. However, both measures have limitations. The aim of this study was to evaluate whether a combination of WC and BMI would more accurately predict %BF than either alone. Methods: In a nationally representative sample of 2,303 6- to 13-year-old Swiss children, weight, height, and WC were measured, and %BF was determined from multiple skinfold thicknesses. Regression and receiver operating characteristic (ROC) curves were used to evaluate the combination of WC and BMI in predicting %BF against WC or BMI alone. An optimized composite score (CS) was generated. Results: A quadratic polynomial combination of WC and BMI led to a better prediction of %BF (r 2=0.68) compared with the two measures alone (r 2=0.58-0.62). The areas under the ROC curve for the CS [0.6*WC-SDS+0.4*BMI-SDS] ranged from 0.962±0.0053 (overweight girls) to 0.982±0.0046 (obese boys) and were somewhat greater than the AUCs for either BMI or WC alone. At a given specificity, the sensitivity of the prediction of overweight and obesity based on the CS was higher than that based on either WC or BMI alone, although the improvement was small. Conclusion: Both BMI and WC are good predictors of %BF in primary school children. However, a composite score incorporating both measures increased sensitivity at a constant specificity as compared to the individual measures. It may therefore be a useful tool for clinical and epidemiological studies of pediatric adiposit

3/Evaluation of set-up deviations during the irradiation of patients suffering from breast cancer treated with two different techniques

PurposeTo present results of patient positioning during routine radiotherapy for patients treated after mastectomy and to compare the inaccuracies in patient set-up for this group of patients and for the patients treated after breast conserving therapy with tangential fields.Methods and materialsIn total, the analysis comprised 56 pairs of portal and simulator films for 14 consecutive patients treated following breast conserving therapy and 98 pairs of portal and simulator films for 20 consecutive patients treated after mastectomy. For the first group the tangential field technique (TF technique) was used, for the second the inverse hockey stick technique (IHS technique). The comparison of the treatment reproducibility obtained for both groups of patients was performed in terms of systematic and random error calculated for the whole groups and by the comparison of cumulative distribution of the length of the displacement vector.ResultsIn the IHS and TF techniques for medial and lateral fields, displacement larger than 5 mm occurred in 28.3%, 15.8% and 25.4% respectively. For the IHS technique, the systematic errors for lateral and cranial-caudal direction were 1.9 and 1.7 mm respectively (1 standard deviation – SD), the random errors for lateral and cranial-caudal direction were 2.0 and 2.5 mm. For the TF technique, the systematic errors for lateral and cranial-caudal direction were 2.6 and 1.3 mm for medial field and 3.7 and 0.7 mm for lateral fields respectively, the random errors for lateral and cranial-caudal direction were 2.2 and 1.0 mm for medial field and 2.9 and 1.1 for lateral field respectively. Rotations were negligible in the HIS technique. For the TF technique the systematic component and random component amounted to about 2.0 degrees (1 SD).ConclusionsBoth the inverse hockey stick and standard tangential techniques showed good reproducibility of patients set-up with respect to cranial-caudal direction. For the TF technique, the accuracy should be improved for the medial field with respect to the ventral-dorsal direction

The formation of medical workers subjectity in the patient care institution environment from a position of the eco-psychological approach

The process of the medical worker's subjectity development as the realization of the ability to be a subject of the optional activity in the shape of professional performance in the patient care institution environment is analyse

Use of recombinant activated factor VII for acute bleeding episodes in acquired hemophilia: final analysis from the Hemostasis and Thrombosis Research Society Registry acquired hemophilia study

The Hemostasis and Thrombosis Research Society Registry was used to monitor the postapproval use and safety of recombinant activated factor VII (rFVIIa). The objective of this article is to evaluate the data from the Hemostasis and Thrombosis Research Society Registry related to rFVIIa-treated bleeding episodes in patients with acquired hemophilia. For each rFVIIa-treated bleeding episode, the initial dose, total dose, average infused dose, number of doses, and treatment duration were calculated. Efficacy was assessed on a three-point scale. Out of the 166 registered patients with acquired hemophilia, 110 patients were treated for 237 bleeding episodes (139 rFVIIa treated); the majority (70%) were in patients older than 60 years. The most frequently reported bleeding locations were subcutaneous (40%) and mucosal (32%). Subcutaneous bleeding episodes were more commonly reported in women (55% vs. 40% men) and white patients (44 vs. 27% black). Of the 139 rFVIIa-treated bleeding episodes, rFVIIa was used as first-line treatment in 127 bleeding episodes. The median initial dose was 90 μg/kg; the median total dose per episode was 333.5 μg/kg. Physician-rated efficacy of rFVIIa for each bleeding episode was reported as ‘bleeding stopped’ in 85% of bleeding episodes, ‘bleeding slowed’ in 11% of bleeding episodes, ‘no improvement’ in 4% of bleeding episodes, and was not documented in 1 bleeding episode. One thromboembolic event was reported; transient neurologic symptoms were reported in a 31-year-old postpartum patient after 110 doses of rFVIIa. Adequate hemostasis was provided for most rFVIIa-treated bleeding episodes at doses largely conforming to the package insert. No major safety concerns were reported