Glens Falls, New York: An Industrial Perspective

This paper examines the decline and changing nature of work in the manufacturing sector in a variety of industries located in the city of Glens Falls, New York. A small industrial city, Glens Falls has experienced an overall decline in population, the number of industries, plant locations, and total manufacturing employment. An examination of eleven companies, including the history and nature of operations, confirms a cycle of manufacturing job creation and job destruction which ebbs and flows based on the restructuring activities of companies including shifting, consolidating and closing plants as they strive to maintain and increase profitability. In the community of Glens Falls, this has resulted in an overall decline in manufacturing jobs. Interviews with individual workers with long work histories in manufacturing jobs provide perspective on the changing nature of their work as new machinery and automation of processes have been implemented. Several workers also recount their experiences in declining industries, the loss of their jobs, and their inability to obtain similar employment. The existence of fewer manufacturing job opportunities has permanently altered the availability of employment for displaced factory workers as well as the next generation of workers in this and other industrial cities

Physiotherapy for cystic fibrosis in Australia and New Zealand: a clinical practice guideline

Physiotherapy management is a key element of care for people with cystic fibrosis (CF) throughout the lifespan. Although considerable evidence exists to support physiotherapy management of CF, there is documented variation in practice. The aim of this guideline is to optimize the physiotherapy management of people with CF in Australia and New Zealand. A systematic review of the literature in key areas of physiotherapy practice for CF was undertaken. Recommendations were formulated based on National Health and Medical Research Council (Australia) guidelines and considered the quality, quantity and level of the evidence; the consistency of the body of evidence; the likely clinical impact; and applicability to physiotherapy practice in Australia and New Zealand. A total of 30 recommendations were made for airway clearance therapy, inhalation therapy, exercise assessment and training, musculoskeletal management, management of urinary incontinence, managing the newly diagnosed patient with CF, delivery of non-invasive ventilation, and physiotherapy management before and after lung transplantation. These recommendations can be used to underpin the provision of evidence-based physiotherapy care to people with CF in Australia and New Zealand