Work after the Age of Fifty: Switzerland in an international Comparison

Ältere Arbeitskräfte, Arbeitsmarkt, Arbeitsmarktpolitik, Schweiz, Elderly workforce, Labour market, Labour market policy, Switzerland

A Novel Clinical Perspective on New Masses after Lead Extraction (Ghosts) by Means of Intracardiac Echocardiography

Background: A lead-reactive fibrous capsule (FC) identified by ultrasounds as an atrial or ventricular lead thickness of more than 1 mm above the vendor-declared lead diameter (TL) and its local fibrotic attachment to the cardiac wall (FAC) have never been investigated in vivo, so their relationship with post-extraction masses (ghost) is not known. Methods: Intracardiac echocardiography (ICE) was performed twice during the same extraction procedure in 40 consecutive patients: before and immediately after infected lead extraction Results: The ghost detection rate was high: 60% (24/40 patients); ICE could identify both TL and FAC, TL being noted in 25/40 (62%) patients and FAC in 12/40 patients (30%). Both TL and FAC were significantly associated with ghosts (p< 0.001 andp= 0.002, respectively), but TL had a higher prediction power. The specificity was similar: 94% (15/16) and 100% (16/16), respectively, but TL showed a much higher sensitivity: 100%, (24/24) vs 50% (12/24) (p= 0.016). The ghost group did not show a higher event rate in the follow-up (mean follow-up time = 20 +/- 17 months). Conclusion: ICE is able to evaluate both TL and FAC in vivo; ghosts are mostly benign remnants of fibrotic lead capsule cut off during extraction and retained inside the heart by FAC

Improved WKB analysis of Slow-Roll Inflation

We extend the WKB method for the computation of cosmological perturbations during inflation beyond leading order and provide the power spectra of scalar and tensor perturbations to second order in the slow-roll parameters. Our method does not require that the slow-roll parameters be constant. Although leading and next-to-leading results in the slow-roll parameters depend on the approximation technique used in the computation, we find that the inflationary theoretical predictions obtained may reach the accuracy required by planned observations. In two technical appendices, we compare our techniques and results with previous findings.Comment: REVTeX 4, 13 pages, no figures, final version to appear in Phys. Rev.

Higher Order Slow-Roll Predictions for Inflation

We study the WKB approximation beyond leading order for cosmological perturbations during inflation. To first order in the slow-roll parameters, we show that an improved WKB approximation leads to analytical results agreeing to within 0.1% with the standard slow-roll results. Moreover, the leading WKB approximation to second order in the slow-roll parameters leads to analytical predictions in qualitative agreement with those obtained by the Green's function method.Comment: Replaced to match published versio

Mondialisation, progrès technique et dépréciation du capital humain. L’impact sur les politiques de formation

Le capital humain et les politiques visant à sa création et à sa préservation prennent de plus en plus d’importance dans les sociétés industrialisées. Cet article propose un survol de la littérature économique récente dans ce domaine. Le défi majeur qui occupe aujourd’hui le marché du travail est l’accélération du progrès technique, qui s’accompagne d’effets différenciés suivant le niveau de qualification des travailleurs. Deux théories sont évoquées pour analyser ces effets. D’une part, le progrès technique est vu comme biaisé en faveur des travailleurs qualifiés et défavorable aux moins qualifiés. D’autre part, et suite au phénomène de polarisation du marché du travail récemment observé, on peut cependant penser que la technologie est surtout substituable aux emplois du milieu de l’échelle. De ces constatations découlent plusieurs recommandations de politiques économiques, la principale étant de donner aux travailleurs les moyens d’être flexibles et polyvalents, ce qui passe par une éducation relativement générale plutôt que trop spécifique et cantonnée à un secteur ou une profession.Human capital and policies designed to create and preserve it are becoming increasingly important in developed economies. This article provides an overview of the recent economic literature in the field. The major challenge facing the labor market today is the accelerating progress of technology, which yields differentiated effects depending on the workers’ skill level. Two theories are put forward to analyze these effects. On the one hand, technological change is seen as biased in favor of skills and detrimental to less skilled workers. On the other hand, following the recently observed phenomenon of polarization of the labor market, it is reasonable to think that technology is most likely to replace mid-scale jobs. These findings suggest a number of policy recommendations, the main one being to give workers the means to be flexible and versatile, for which they require an education which is relatively general rather than too specific and restricted to one sector or occupation

Disciplinary problems among high achiever students: the types and the causes

This qualitative study has been done to 24 teachers and 72 students from various secondary schools in Penang, Malaysia, in order to investigate the effect of between class ability grouping (BCAG) on high achiever secondary school students. Studies reported that BCAG triggered correspondence bias among teachers, which eventually affect them to show different perception and expectations towards high achiever classes (HAC) and low achiever classes (LAC) students. Symbolic interaction theories explained that individuals tend to be affected by others’ expectation, and therefore behave in a way they were expected to. Therefore, according to the previous studies on BCAG, it was assumed that HAC students would achieve better and would not be significantly involved in disciplinary problems. After semi-structured interview had been conducted in order to collect the data, and two-cycled analyses method, namely In-Vivo and Thematic Analyses had been operated in order to analyze the massive amount of qualitative data, the it was discovered that HAC students were involved with disciplinary problems, such as being disrespectful to teachers, paying less attention in the classroom, neglecting assignments and doing external work during classes. Other findings of this study showed that the disciplinary problems among HAC are related to their self-esteem types due to locus of control difference, as well as bigger issues apart from the competition among themselves. School management system, BCAG itself, reciprocal envy between HAC and LAC students, as well as their inclination towards tuition centers contributed to disciplinary problems among HAC students

Trauma coagulopathy and its outcomes

Background and Objectives: Trauma coagulopathy begins at the moment of trauma. This study investigated whether coagulopathy upon arrival in the emergency room (ER) is correlated with increased hemotransfusion requirement, more hemodynamic instability, more severe anatomical damage, a greater need for hospitalization, and hospitalization in the intensive care unit (ICU). We also analyzed whether trauma coagulopathy is correlated with unfavorable indices, such as acidemia, lactate increase, and base excess (BE) increase. Material and Methods: We conducted a prospective, monocentric, observational study of all patients (n = 503) referred to the Department of Emergency and Acceptance, IRCCS Fondazione Policlinico San Matteo, Pavia, for major trauma from 1 January 2018 to 30 January 2019. Results: Of the 503 patients, 204 had trauma coagulopathy (group 1), whereas 299 patients (group 2) did not. Group 1 had a higher hemotransfusion rate than group 2. In group 1, 15% of patients showed hemodynamic instability compared with only 8% of group 2. The shock index (SI) distribution was worse in group 1 than in group 2. Group 1 was more often hypotensive, tachycardic, and with low oxygen saturation, and had a more severe injury severity score than group 2. In addition, 47% of group 1 had three or more body districts involved compared with 23% of group 2. The hospitalization rate was higher in group 1 than in group 2 (76% vs. 58%). The length of hospitalization was >10 days for 45% of group 1 compared with 28% of group 2. The hospitalization rate in the ICU was higher in group 1 than in group 2 (22% vs. 14.8%). The average duration of ICU hospitalization was longer in group 1 than in group 2 (12.5 vs. 9.78 days). Mortality was higher in group 1 than in group 2 (3.92% vs. 0.98%). Group 1 more often had acidemia and high lactates than group 2. Group 1 also more often had BE <−6. Conclusions: Trauma coagulopathy patients, upon arrival in the ER, have greater hemotransfusion (p = 0.016) requirements and need hospitalization (p = 0.032) more frequently than patients without trauma coagulopathy. Trauma coagulopathy seems to be more present in patients with a higher injury severity score (ISS) (p = 0.000) and a greater number of anatomical districts involved (p = 0.000). Head trauma (p = 0.000) and abdominal trauma (p = 0.057) seem related to the development of trauma coagulopathy. Males seem more exposed than females in developing trauma coagulopathy (p = 0.018). Upon arrival in the ER, the presence of tachycardia or alteration of SI and its derivatives can allow early detection of patients with trauma coagulopathy

L’emergenza e i rapporti tra lo Stato e le Regioni

Forum sul rapporto tra Stato e Regioni al tempo del Coronaviru