473 research outputs found

    Review of \u3cem\u3eManaging Diversity: Towards a Globally Inclusive Workplace.\u3c/em\u3e Michalle Mor Barak. Reviewed by Susan J. Lambert.

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    Book review of Michelle Mor Barak, Managing Diversity: Towards a Globally Inclusive Workplace, Thousand Oaks, CA: Sage Publications, 2005. $49.95 papercover

    Improving Work Schedules in Hourly Jobs

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    Slides of presentation given by Susan J. Lambert, Associate Professor, University of Chicago, at a briefing titled Flexible Work Arrangements and Low-Wage Work. This event was held on Wednesday, July 8, 2009, and presented by Workplace Flexibility 2010 and the New America Foundation

    Precarious Work Schedules as a Source of Economic Insecurity and Institutional Distrust

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    Work schedules may fuel precariousness among U.S. workers by undermining perceptions of security, both economic and societal. Volatile hours, limited schedule input, and short advance notice are all dimensions of precarious work schedules. Our analyses suggest that scheduling practices that introduce instability and unpredictability into workers’ lives undermine perceptions of security in unique ways for hourly and salaried workers. Although the data suggest that precarious scheduling practices are widespread in the labor market, workers who are black, young, and without a college degree appear to be at highest risk. The findings highlight the importance of examining constellations of scheduling practices and considering the direction of work-hour fluctuations when investigating the ramifications of today’s scheduling practices for quality of employment and quality of life

    Tendon reattachment to bone in an ovine tendon defect model of retraction using allogenic and xenogenic demineralised bone matrix incorporated with mesenchymal stem cells

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    BACKGROUND: Tendon-bone healing following rotator cuff repairs is mainly impaired by poor tissue quality. Demineralised bone matrix promotes healing of the tendon-bone interface but its role in the treatment of tendon tears with retraction has not been investigated. We hypothesized that cortical demineralised bone matrix used with minimally manipulated mesenchymal stem cells will result in improved function and restoration of the tendon-bone interface with no difference between xenogenic and allogenic scaffolds. MATERIALS AND METHODS: In an ovine model, the patellar tendon was detached from the tibial tuberosity and a complete distal tendon transverse defect measuring 1 cm was created. Suture anchors were used to reattach the tendon and xenogenic demineralised bone matrix + minimally manipulated mesenchymal stem cells (n = 5), or allogenic demineralised bone matrix + minimally manipulated mesenchymal stem cells (n = 5) were used to bridge the defect. Graft incorporation into the tendon and its effect on regeneration of the enthesis was assessed using histomorphometry. Force plate analysis was used to assess functional recovery. RESULTS: Compared to the xenograft, the allograft was associated with significantly higher functional weight bearing at 6 (P = 0.047), 9 (P = 0.028), and 12 weeks (P = 0.009). In the allogenic group this was accompanied by greater remodeling of the demineralised bone matrix into tendon-like tissue in the region of the defect (p = 0.015), and a more direct type of enthesis characterized by significantly more fibrocartilage (p = 0.039). No failures of tendon-bone healing were noted in either group. CONCLUSION: Demineralised bone matrix used with minimally manipulated mesenchymal stem cells promotes healing of the tendon-bone interface in an ovine model of acute tendon retraction, with superior mechanical and histological results associated with use of an allograft

    Policy Recommendations for Meeting the Grand Challenge to Reduce Extreme Economic Inequality

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    This brief was created forSocial Innovation for America’s Renewal, a policy conference organized by the Center for Social Development in collaboration with the American Academy of Social Work & Social Welfare, which is leading theGrand Challenges for Social Work initiative to champion social progress. The conference site includes links to speeches, presentations, and a full list of the policy briefs

    The validity of Dutch health claims data for identifying patients with chronic kidney disease:a hospital-based study in the Netherlands

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    Background. Health claims data may be an efficient and easily accessible source to study chronic kidney disease (CKD) prevalence in a nationwide population. Our aim was to study Dutch claims data for their ability to identify CKD patients in different subgroups. Methods. From a laboratory database, we selected 24 895 adults with at least one creatinine measurement in 2014 ordered at an outpatient clinic. Of these, 15 805 had >= 2 creatinine measurements at least 3 months apart and could be assessed for the chronicity criterion. We estimated the validity of a claim-based diagnosis of CKD and advanced CKD. The estimated glomerular filtration rate (eGFR)-based definitions for CKD (eGFR = 75 years. The specificity of CKD and advanced CKD was >= 99%. Positive predictive values ranged from 72% to 99% and negative predictive values ranged from 40% to 100%. Conclusion. When using health claims data for the estimation of CKD prevalence, it is important to take into account the characteristics of the population at hand. The younger the subjects and the more advanced the stage of CKD the higher the sensitivity of such data. Understanding which patients are selected using health claims data is crucial for a correct interpretation of study results

    Stable Scheduling Increases Productivity and Sales

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    Variable schedules are now the norm for part-time workers in a variety of industries including retail, where schedules typically change every day and every week, with three to seven days' notice of the next week's schedule. In recent years, these scheduling practices have come under increasing scrutiny in state attorney general offices, state and local legislatures, and the media. In retail, unstable schedules for employees have been considered an inevitable outcome of stores' need for profitability. Operations researchers have found that matching labor to incoming traffic is a key driver of retail store profitability (Perdikaki et al., 2012). At the same time, social scientists have studied the deleterious effects of variable schedules on employee wellbeing (Henly & Lambert, 2014). What has been lacking is evidence that schedules in service-sector jobs can be improved in ways that benefit both employers and employees

    Fitter women did not have attenuated hemodynamic responses to psychological stress compared with age-matched women with lower levels of fitness

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    According to the \u27cross stressor adaptation hypothesis\u27, regular exercise acts as a buffer against the detrimental effects of stress. Nevertheless, evidence that higher levels of cardiorespiratory fitness moderate hemodynamic responses to acute psychological stress is inconclusive, especially in women. Women aged 30-50 years (in the mid-follicular phase of the menstrual cycle) with higher (n = 17) and lower (n = 17) levels of fitness were subjected to a Trier Social Stress Test (TSST). Continuous, non-invasive measurements were made of beat-to-beat, systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), heart rate (HR), stroke volume (SV), cardiac output (CO), left ventricular ejection time (LVET), maximum slope, pulse interval (PI) and total peripheral resistance (TPR). Maximal oxygen consumption was significantly (p<0.001) higher in the \u27higher fit\u27 women. Lower fit women had higher fasting glucose, resting heart rate, waist to hip ratios and elevated serum triglyceride and cholesterol/ HDL ratios compared with higher fit women (p<0.05 for all). While all measured parameters (for both groups)displayed significant (p<0.001) responses to the TSST, only HR, PI and LVET differed significantly between higher and lower fit women (p<0.001 for all) with the higher fit women having the larger response in each case. It was also found that higher fit women had significantly shorter time to recovery for maximum slope compared with the lower fit women. These findings provide little support for the notion that higher levels of cardiorespiratory fitness result in lower cardiovascular responsivity to psychological stress in women but may indicate that lower fit women have blunted responses to stress
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