For the Children: Accounting for Careers in Child Protective Services

This paper analyzes autobiographical essays from women who work as social service workers in child-protection agencies. Working long hours in relatively low-paying jobs, these women have limited prestige and autonomy and increasingly, come under close scrutiny and public criticism. They are clearly exploited in terms of the emotional and mothering labor they are expected to perform and are held personally accountable for daily decisions that could have dire consequences for the children they serve to protect. This paper is an investigation of how their narratives explain and justify their willingness to continue working in these situations and how their professional identities are defined and defended

Potential impact of subsonic and supersonic aircraft exhaust on water vapor in the lower stratosphere assessed via a trajectory model

We employ a trajectory model to assess the impact on the stratosphere of water vapor present in the exhaust of subsonic and a proposed fleet of supersonic aircraft. Air parcels into which water vapor from aircraft exhaust has been injected are run through a 6-year simulation in the trajectory model using meteorological data from the UKMO analyses with emissions dictated by the standard 2015 emissions scenario. For the subsonic aircraft, our results suggest maximum enhancements of ~150 ppbv just above the Northern Hemisphere tropopause and of much less than 50 ppbv in most other regions. Inserting the perturbed water vapor profiles into a radiative transfer model, but not considering the impact of additional cirrus formation resulting from emissions by subsonic aircraft, we find that the impact of subsonic water vapor emissions on the radiative balance is negligible. For the supersonic case, our results show maximum enhancements of ~1.5 ppmv in the tropical stratosphere near 20 km. Much of the remaining stratosphere between 12 and 25 km sees enhancements of greater than 0.1 ppmv, although enhancements above 35 km are generally less than 50 ppbv, in contrast to previous 2-D and 3-D model studies. Radiative calculations based upon these projected water vapor perturbations indicate they may cause a nonnegligible impact on tropical temperature profiles. Since our trajectory model includes no chemistry and our radiative calculations use the most extreme water vapor perturbations, our results should be viewed as upper limits on the potential impacts

Randomized Polypill Crossover Trial in People Aged 50 and Over

PMCID: PMC3399742This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

Using PDSAs to Optimize Surgical Screening

This poster describes a project that used a patient-centered medical home model to improve cervical cancer screening for patients at Duffy Health Center in Hyannis. Lessons learned include: identifying existing opportunities to provide whole-person care may provide revenue enhancement opportunities; practice workflow tools require user input in their development to be accepted and effective; buy-in from all team members is crucial and it is important for the team to agree on the process; and data collection is essential, along with ongoing quality improvement and practice transformation coaching

Trends in Down’s syndrome live births and antenatal diagnoses in England and Wales from 1989 to 2008: analysis of data from the National Down Syndrome Cytogenetic Register

Objectives To describe trends in the numbers of Down’s syndrome live births and antenatal diagnoses in England and Wales from 1989 to 2008

Exposed: Discrimination Against Breastfeeding Workers

https://repository.uchastings.edu/wll/1000/thumbnail.jp

Challenges of teaching occupation: Introduction of an occupation focused teaching tool.

Occupational science is of importance to multiple disciplines due to its potential to contribute to understandings of complex social issues. “Occupation”, as a key concept of occupational science, is recognised as being highly complex, making it challenging for students to develop a comprehensive understanding of the concept. Terminology of occupational science literature has been noted at times as using the terms occupation, purposeful activity and activity interchangeably, which further adds to the challenge of teaching the concept. This paper explores evolving definitions of occupation, challenges this evolution has created within education, and the potential use of occupation as a threshold concept. Consideration of a selection of pedagogic methods used in teaching the concept of occupation is briefly explored. The paper concludes with identification of a newly developed occupation-focused teaching tool as a proposed alternative approach to teaching the concept of occupation. The teaching tool was originally developed to teach occupation as a discrete concept, rather than the therapeutic use of occupation as taught in occupational therapy education. The tool is an analogy for occupation, and has utility in supporting the transformation of students’ understanding of the concept of occupation, commensurate to understandings of occupational science.N/