Testimony on the Equal Pay Act [H. 1733/S. 983]

Testimony on the Equal Pay Act [H. 1733/S. 983] by Ann Bookman, PhD, delivered at the Massachusetts State House, 2015 July 21

Healthy Eating and Savvy Saving: An Evaluation of Action for Boston Community Development’s Food Dollars Program For Low-Income Elders

This report is an evaluation of an innovative community-based intervention – the Food Dollars Program. Funded by the AARP Foundation, this program was designed and delivered by Action for Boston Community Development (ABCD) and their Elder Services staff in order to promote healthy eating and reduce food and economic insecurity among low-income elders in Boston. The impetus for creating this program arose from the challenges many low-income individuals face in purchasing and consuming healthy foods from the five food groups as recommended by the US Department of Agriculture (USDA) in their ChooseMyPlate model of healthy eating. The Food Dollars curriculum combines information about good nutrition with information about financial literacy. The hypothesis is that it is possible to improve healthy eating in adults who are age 50 and older and for them to stretch limited food budgets if they are provided with knowledge about nutrition, healthy eating, shopping and cooking habits AND information about good money management skills, senior discounts, food resources, and benefit programs

Gaining Ground on Equal Pay: Empowering Boston\u27s Women Through Salary Negotiation Workshops, A Report on Year One of AAUW Work Smart in Boston

This report is a case study, not an evaluation. Its focus is on a particular program, AAUW Work Smart in Boston, over a defined period of time (September 2015 – October 2016) in order to understand the program’s impact on the women who participated in it. This report explores several key questions: In what ways do AAUW Work Smart in Boston workshops have an impact on the women who complete them? What are the main barriers that prevent women from addressing their compensation level and/or achieving pay equity? What are primary factors that facilitate women’s capacity to achieve successful salary negotiation and ultimately pay equity? What types of learning and, importantly, what kinds of actions are taken as a result of completing the workshop and how do the women perceive their own worth and value? The analysis presented in this report is based primarily on in-depth interviews with 52 women who completed workshops. Supplemental data were collected to understand the perspectives and experiences of individuals involved in workshop implementation. While the research questions were focused on understanding the impact of the workshops, including whether participants were able to ask for and/or secure a pay increase following the workshop, the case study method allows for the development of a deeper analysis of the experiences women had during and following the workshop

Recovery for All? A Snapshot of Women’s Economic Status in New England

This November 2016 report, based on pre-recession and post-recession earnings data from the American Community Survey, demonstrates that while women’s overall earnings are now higher than pre-recession levels, other key indicators demonstrate a growing wage gap for many women—especially minorities and low-wage workers. Minority women in New England who are employed full-time, year-round earned 62 percent as much as white men, both before and after the recession. While the gap between minority women’s and white women’s earnings decreased in Maine, New Hampshire, and Rhode Island after the recession, it stayed the same in Massachusetts and widened in Connecticut and Vermont. Also, the percentage of female workers earning less than $20,000 a year is on the rise. Thirty percent of female workers across the region fall into this category, and in every New England state except for Maine, the proportion of women with these low annual earnings increased in the post-recession period. Data on the low-wage, female-dominated occupations of retail and direct care show that annual earnings for female workers employed in these occupations have decreased in every New England state from the pre-recession period

Workforce Issues in the Greater Boston Health Care Industry: Implications for Work and Family

This working paper synthesizes critical problems identified by interviews with more than 40 leaders in the Boston area health care industry and places them in the context of work and family issues. At present, the defining circumstance for the health care industry nationally as well as regionally is an extraordinary reorganization, not yet fully negotiated, in the provision and financing of health care. Hoped-for controls on increased costs of medical care have fallen far short of their promise. Pressures to limit expenditures have produced dispiriting conditions for the entire healthcare workforce. Under such strains, relations between managers and workers providing care are uneasy. Five key issues affect a broad cross-section of occupational groups, albeit in different ways: staffing shortages; long work hours and inflexible schedules; degraded and unsupportive working conditions; lack of opportunities for training and advancement; professional and employee voices are insufficiently heard. The paper concludes with possible ways to address such issues

Workforce Issues in the Greater Boston Health Care Industry: Implications for Work and Family

Interviews with more than 40 leaders in the Boston area health care industry have identified a range of broadly-felt critical problems. This document synthesizes these problems and places them in the context of work and family issues implicit in the organization of health care workplaces. It concludes with questions about possible ways to address such issues. The defining circumstance for the health care industry nationally as well as regionally at present is an extraordinary reorganization, not yet fully negotiated, in the provision and financing of health care. Hoped-for controls on increased costs of medical care – specifically the widespread replacement of indemnity insurance by market-based managed care and business models of operation--have fallen far short of their promise. Pressures to limit expenditures have produced dispiriting conditions for the entire healthcare workforce, from technicians and aides to nurses and physicians. Under such strains, relations between managers and workers providing care are uneasy, ranging from determined efforts to maintain respectful cooperation to adversarial negotiation. Taken together, the interviews identify five key issues affecting a broad cross-section of occupational groups, albeit in different ways: Staffing shortages of various kinds throughout the health care workforce create problems for managers and workers and also for the quality of patient care. Long work hours and inflexible schedules place pressure on virtually every part of the healthcare workforce, including physicians. Degraded and unsupportive working conditions, often the result of workplace "deskilling" and "speed up," undercut previous modes of clinical practice. Lack of opportunities for training and advancement exacerbate workforce problems in an industry where occupational categories and terms of work are in a constant state of flux. Professional and employee voices are insufficiently heard in conditions of rapid institutional reorganization and consolidation. Interviewees describe multiple impacts of these issues--on the operation of health care workplaces, on the well being of the health care workforce, and on the quality of patient care. Also apparent in the interviews, but not clearly named and defined, is the impact of these issues on the ability of workers to attend well to the needs of their families--and the reciprocal impact of workers' family tensions on workplace performance. In other words, the same things that affect patient care also affect families, and vice versa. Some workers describe feeling both guilty about raising their own family issues when their patients' needs are at stake, and resentful about the exploitation of these feelings by administrators making workplace policy. The different institutions making up the health care system have responded to their most pressing issues with a variety of specific stratagems but few that address the complexities connecting relations between work and family. The MIT Workplace Center proposes a collaborative exploration of next steps to probe these complications and to identify possible locations within the health care system for workplace experimentation with outcomes benefiting all parties

Multioccupant Activity Recognition in Pervasive Smart Home Environments

been the center of lot of research for many years now. The aim is to recognize the sequence of actions by a specific person using sensor readings. Most of the research has been devoted to activity recognition of single occupants in the environment. However, living environments are usually inhabited by more than one person and possibly with pets. Hence, human activity recognition in the context of multi-occupancy is more general, but also more challenging. The difficulty comes from mainly two aspects: resident identification, known as data association, and diversity of human activities. The present survey paper provides an overview of existing approaches and current practices for activity recognition in multi-occupant smart homes. It presents the latest developments and highlights the open issues in this field

31st Annual Meeting and Associated Programs of the Society for Immunotherapy of Cancer (SITC 2016) : part two

Background The immunological escape of tumors represents one of the main ob- stacles to the treatment of malignancies. The blockade of PD-1 or CTLA-4 receptors represented a milestone in the history of immunotherapy. However, immune checkpoint inhibitors seem to be effective in specific cohorts of patients. It has been proposed that their efficacy relies on the presence of an immunological response. Thus, we hypothesized that disruption of the PD-L1/PD-1 axis would synergize with our oncolytic vaccine platform PeptiCRAd. Methods We used murine B16OVA in vivo tumor models and flow cytometry analysis to investigate the immunological background. Results First, we found that high-burden B16OVA tumors were refractory to combination immunotherapy. However, with a more aggressive schedule, tumors with a lower burden were more susceptible to the combination of PeptiCRAd and PD-L1 blockade. The therapy signifi- cantly increased the median survival of mice (Fig. 7). Interestingly, the reduced growth of contralaterally injected B16F10 cells sug- gested the presence of a long lasting immunological memory also against non-targeted antigens. Concerning the functional state of tumor infiltrating lymphocytes (TILs), we found that all the immune therapies would enhance the percentage of activated (PD-1pos TIM- 3neg) T lymphocytes and reduce the amount of exhausted (PD-1pos TIM-3pos) cells compared to placebo. As expected, we found that PeptiCRAd monotherapy could increase the number of antigen spe- cific CD8+ T cells compared to other treatments. However, only the combination with PD-L1 blockade could significantly increase the ra- tio between activated and exhausted pentamer positive cells (p= 0.0058), suggesting that by disrupting the PD-1/PD-L1 axis we could decrease the amount of dysfunctional antigen specific T cells. We ob- served that the anatomical location deeply influenced the state of CD4+ and CD8+ T lymphocytes. In fact, TIM-3 expression was in- creased by 2 fold on TILs compared to splenic and lymphoid T cells. In the CD8+ compartment, the expression of PD-1 on the surface seemed to be restricted to the tumor micro-environment, while CD4 + T cells had a high expression of PD-1 also in lymphoid organs. Interestingly, we found that the levels of PD-1 were significantly higher on CD8+ T cells than on CD4+ T cells into the tumor micro- environment (p < 0.0001). Conclusions In conclusion, we demonstrated that the efficacy of immune check- point inhibitors might be strongly enhanced by their combination with cancer vaccines. PeptiCRAd was able to increase the number of antigen-specific T cells and PD-L1 blockade prevented their exhaus- tion, resulting in long-lasting immunological memory and increased median survival