Editorial Essay: Introduction to a Special Issue on Work and Employment Relations in Health Care

[Excerpt] This special issue of the ILR Review is designed to showcase the central role that work organization and employment relations play in shaping important outcomes such as the quality of care and organizational performance. Each of the articles included in this special issue makes an important contribution to our understanding of the large and rapidly changing health care sector. Specifically, these articles provide novel empirical evidence about the relationship between organizations, institutions, and work practices and a wide array of central outcomes across different levels of analysis. This breadth is especially important because the health care literature has largely neglected employment-related factors in explaining organizational and worker outcomes in this industry. Individually, these articles shed new light on the role that health information technologies play in affecting patient care and productivity (see Hitt and Tambe; Meyerhoefer et al.); the relationship between work practices and organizational reliability (Vogus and Iacobucci); staffing practices, processes, and outcomes (Kramer and son; Hockenberry and Becker; Kossek et al.); health care unions’ effects on the quality of patient care (Arindrajit, Kaplan, and Thompson); and the relationship between the quality of jobs and the quality of care (Burns, Hyde, and Killet). Below, we position the articles in this special issue against the backdrop of the pressures and challenges facing the industry and the organizations operating within it. We highlight the implications that organizational responses to industry pressures have had for organizations, the patients they care for, and the employees who deliver this care

Sexual well-being and diurnal cortisol after prostate cancer treatment.

Sexual dysfunction and psychological distress are common after prostate cancer. Research has not examined the role of neuroendocrine markers of stress (e.g. cortisol). This study examines whether sexual functioning or sexual bother is associated with diurnal cortisol. Men treated for prostate cancer completed the University of California-Los Angeles Prostate Cancer Index and provided saliva samples four times daily for cortisol assessment. Higher sexual bother, but not sexual functioning, was associated with steeper cortisol slope. Better sexual functioning, and not sexual bother, was significantly associated with the cortisol awakening response. Assessment of stress and stress-reducing interventions might be warranted in sexual rehabilitation after prostate cancer

Primary care physician practices in the diagnosis, treatment and management of men with chronic prostatitis/chronic pelvic pain syndrome.

To describe practice patterns of primary care physicians (PCPs) for the diagnosis, treatment and management of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), we surveyed 556 PCPs in Boston, Chicago, and Los Angeles (RR=52%). Only 62% reported ever seeing a patient like the one described in the vignette. In all, 16% were 'not at all' familiar with CP/CPPS, and 48% were 'not at all' familiar with the National Institutes of Health classification scheme. PCPs reported practice patterns regarding CP/CPPS, which are not supported by evidence. Although studies suggest that CP/CPPS is common, many PCPs reported little or no familiarity, important knowledge deficits and limited experience in managing men with this syndrome

A Note on The Influence of Soil Parent Material on Northern Red OAK Specific Gravity

Soil parent material was found to affect the specific gravity of northern red oak wood (Quercus rubra L.). The unextracted specific gravity of wood grown on limestone soils was 0.597 and that of wood grown on sandstone soils was 0.581. Site quality within a soil type had no significant effect. The relationship was independent of both rate of growth and latewood percentage

3D-XY critical fluctuations of the thermal expansivity in detwinned YBa2Cu3O7-d single crystals near optimal doping

The strong coupling of superconductivity to the orthorhombic distortion in YBa2Cu3O7-d makes possible an analysis of the superconducting fluctuations without the necessity of subtracting any background. The present high-resolution capacitance dilatometry data unambiguously demonstrate the existence of critical, instead of Gaussian, fluctuations over a wide temperature region (+/- 10 K) around Tc. The values of the amplitude ratio A+/A-=0.9-1.1 and the leading scaling exponent |alpha|<0.018, determined via a least-squares fit of the data, are consistent with the 3D-XY universality class. Small deviations from pure 3D-XY behavior are discussed.Comment: 11 pages including three figure

Endomyocardial Biopsy of Right Atrial Angiosarcoma Guided by Intracardiac Echocardiography

We report a case of a 22-year-old female who presented with pericardial effusion and cardiac tamponade. She was diagnosed with a right atrial mass by computed tomography and was referred to our institution for biopsy of this mass. Transcatheter biopsy was performed with intracardiac echocardiography (ICE) guidance, avoiding the need for transesophageal echocardiography or surgery to obtain the biopsy. ICE for transcatheter biopsy of an intracardiac mass is an attractive modality which provides precise localization of the cardiac structures

Financial Information Mediation: A Case Study of Standards Integration for Electronic Bill Presentment and Payment Using the COIN Mediation Technology

Each player in the financial industry, each bank, stock exchange, government agency, or insurance company operates its own financial information system or systems. By its very nature, financial information, like the money that it represents, changes hands. Therefore the interoperation of financial information systems is the cornerstone of the financial services they support. E-services frameworks such as web services are an unprecedented opportunity for the flexible interoperation of financial systems. Naturally the critical economic role and the complexity of financial information led to the development of various standards. Yet standards alone are not the panacea: different groups of players use different standards or different interpretations of the same standard. We believe that the solution lies in the convergence of flexible E-services such as web-services and semantically rich meta-data as promised by the semantic Web; then a mediation architecture can be used for the documentation, identification, and resolution of semantic conflicts arising from the interoperation of heterogeneous financial services. In this paper we illustrate the nature of the problem in the Electronic Bill Presentment and Payment (EBPP) industry and the viability of the solution we propose. We describe and analyze the integration of services using four different formats: the IFX, OFX and SWIFT standards, and an example proprietary format. To accomplish this integration we use the COntext INterchange (COIN) framework. The COIN architecture leverages a model of sources and receivers’ contexts in reference to a rich domain model or ontology for the description and resolution of semantic heterogeneity.Singapore-MIT Alliance (SMA

Utilizing Strategic Project Management Processes and the NATO Code of Best Practice to Improve Management of Experimentation Events

Systems engineering and project management are two core engineering management processes supported by core quantitative disciplines within engineering management problems. Traditional approaches to systems engineering focus on a single system being engineered and managed (i.e., project managed), while challenges addressing composition of systems of systems and the reuse of systems for new solutions require a strategic management approach that promote a process flow in which the outputs of one project (e.g., deliverables, knowledge, work documents) are captured for the benefit of other projects within and outside the project-based organization. Two other core processes of engineering management are therefore critical to be incorporated into this process flow: knowledge management and strategic management. Consequently, when applying complex simulation system or federations of simulation systems for experimentation, knowledge management and strategic management are needed. The NATO Code of Best Practice (COBP) for Command and Control Assessment is dealing with similar challenges. Within a project in support of PEO Soldier, Old Dominion University and the United States Military Academy developed new system engineering processes in support of system selection and orchestration that allow merging the knowledge and strategic management ideas with NATO\u27s recommended best practices