Children’s Health in a Legal Framework

The interdisciplinary periodical Future of Children has dedicated an issue to children’s health policy. This contribution to the issue maps the legal landscape influencing policy choices. The authors demonstrate that in the U.S. legal system, parents have robust rights, grounded in the Constitution, to make decisions concerning their children’s health and medical treatment. Following from its commitment to parental rights, the system typically assumes the interests of parents and children are aligned, even when that assumption seems questionable. Thus, for example, parents who would limit their children’s access to health care on the basis of the parents’ religious belief have considerable latitude to do so, unless the child’s life is imminently threatened. There are some exceptions to this legal regime. Adolescents have the right to obtain some health services independently; in these contexts, social welfare needs such as pregnancy prevention trump parental rights. Minors also have access to abortion (although this right is more restricted than for adults). Moreover, the state has the power to intervene when parents place their children’s health at risk through abuse or neglect. A hallmark feature of the legal regime based on parental rights is that the state has no affirmative obligation to help parents care for their children’s health needs. This libertarian framing of the family-state relationship has profound implications for the development of public policy. To the extent the state provides support for families and children, it is doing so as a matter of policy choice (as with Medicaid and the Children’s Health Insurance Program) and not enforceable legal obligation. The importance of family autonomy thus results in a weak conception of shared responsibility for children. The framework also means that the state often takes a reactive approach to child wellbeing, intervening primarily when families have broken down or parents have seriously defaulted on their duties. Appreciation of the legal framework underscores the need to develop political support for any initiative to improve health services for children. Often, as this article shows, the state intervenes to promote children’s health only in response to compelling social welfare needs such as crime or disease prevention, or to crises in which parents abuse their children or fail to provide adequate care

Effects of Simple Postural Instructions on Running Form Modification in Recreational Runners – Preliminary Findings

Background and purpose: Running is one of the most popular exercises but it is also an activity with a high incidence of injury. Running form modification involving a forward lean of the trunk and forefoot strike pattern has been shown to be effective in attenuating the impact forces of the lower extremity. However, it is currently unknown how these changes can be most effectively instructed and learned by the runners. Previous studies have shown that practicing a motor task with an external focus can facilitate learning and retention when compared to the more common internal focus instructions. The purpose of this study is to examine the effectiveness of external and internal attentional focus cues on trunk posture and peak vertical ground reaction force (GRF) during the stance phase of running. Subjects and Methods: Ten recreational runners were selected for this study and randomly assigned tone of two groups receiving external or internal instructions designed to modify their running form. Trunk posture and GRF were obtained using a 3D motion capture system and a force plate instrumented treadmill while running at 2.5 m/s and a self-selected speed. Subjects were tested over a 5-week time period consisting of 4 sessions over a 4-week training program, followed by a final session 1 week after the training program to analyze retention of running form modification. Results: Overall there was a significant increase in trunk angle observed over time, following instruction, for both groups at speed 2.5 m/s. Running at speeds 2.5 m/s and a self-selected speed showed no statistically significant difference in increased trunk angle or GRF when comparing an internal versus external attentional focus. Conclusion: Simple postural instructions were shown to be effective for inducing greater trunk lean during running. This study found no difference in trunk angle or GRF when comparing internal and external attentional focus groups. Future studies would benefit from using clear and proper instructions that incorporate internal and external attentional focus cues with feedback to reinforce motor learning

Creating a Linked Data-Friendly Metadata Application Profile for Archival Description

We provide an overview of efforts to apply and extend Schema.org for archives and archival description. The authors see the application of Schema.org and extensions as a low barrier means to publish easily consumable linked data about archival resources, institutions that hold them, and contextual entities such as people and organizations responsible for their creation.Comment: 11 pages, 3 figures; full poster available from http://dcevents.dublincore.org/IntConf/dc-2017/paper/view/50

Management Jobs in the Insurance Industry: Organizational Deskilling and Rising Pay Inequality

The attention of both the research community and the popular press has begun to shift from a traditional focus on production jobs and toward management positions in part because of a perception that a fundamental change is underway in the management ranks. Unlike the temporary layoffs of production workers that were historically driven by business cycles, the changes in management job security seem to be permanent and, in large measure, driven by development inside the firm. The most important of these forces appear to be changes in the structure of management and in the organization of work processes. The authors use a unique set of data to examine the structure of management jobs among a sample of companies and observe how those jobs have changed over time. They examine changes in the skill requirements of jobs by functional area and by level in the organization, changes in the "shape" of the organization chart - the distribution of employees across management job titles - and changes in compensation for these jobs. The data were obtained from Hay Associates, and it included the internal organization of management jobs for 11 life insurance companies. The authors see a sharp expansion in the proportion of line workers, absolute declines in the number of top management positions, and only modest growth in the number of middle managers and supervisors. As a result the organization chart has changed dramatically in these companies, becoming considerably flatter. The "span of control" has increased for every level of the organization and especially for first level management. If the widening of the supervisory span of control resulted from taking decision making and responsibility from supervisors and pushing it down to line workers, it does not seem to have increased the average skill requirements of the exempt line workers. Skill requirements for the other levels rose over the period, especially for top management positions. Overall, the average level of skill in the sample fell substantially between 1986 and 1992 (even though skills rose in two of the four levels) because of a sharp shift in the distribution of employment away from management and toward line positions. The authors suggest that the best description of these patterns is that they represent upskilling of individual jobs and deskilling of organizations. Regarding compensation, none of the levels experienced increases in skill that were statically significant, but top managers received a large (28 percent) increase in pay, middle managers received a modest (10 percent) increase, and the lower two levels received virtually no increases. One conclusion is that earnings inequality is increasing substantially inside these firms in a manner that is not attributable to any increase in skill, and the dividing line for that growth in inequality is no longer exempt/nonexempt but supervisor/manager. A possible explanation for the rising inequality in compensation is that it helps offset change in the probability of promotion. The fact that the span of control is increasing and organizational chart flattening means that the probability of the average worker being promoted is declining. The decline in the probability of promotion might reduce the incentives to work hard. Increases in the compensation of top jobs increase the return to securing a promotion and may offset some of the effect produced by the decline in the probability of promotion. Another explanation is that top mangers are in "better positions to legislate their own pay increases." If true, this sample may actually underrepresent the true extent of income inequality because it consists of companies using an external consultant to help set compensation where internal consistency is an important characteristic of the pay system. These results suggest that "management" as a career will remain attractive, albeit less certain in terms of promotion prospects. Shifts to team-based approaches and the elimination of functional designations would suggest a greater need for generalists than specialists. As technology such as expert systems reduces the need for large units of "experts," the manger's skill will be in recognizing when an expert needs to be called. Leadership skills and the ability to adapt to a changing environment are two qualities that will be sought in the future. Fortunately, these skills will also be useful to team members who are not selected for promotion to mangers. Increasing income inequality may lead to distrust within the organization, though this may be offset by the technical tracks that allow highly skilled non-managers to earn equivalent levels of pay. The fact that insurance companies are relatively unique in facing no major industry-specific shocks from the outside environment suggests that these results should translate well to organizations in other industries.

Merging Traditions: Academic Dress and Nursing

This paper will argue for an innovation in the field of academic dress, for nursing graduates. Various areas will be examined: the origin of the epitoge and its development in recent times; women and academia; changes to nursing education in the UK; parallels in custom between academia and the nursing profession; the significance of the custom of wearing caps (or not); and finally a proposal for a modern epitoge. Nursing has only very recently joined the echelons of higher education. Consequently academic dress was approved for, and allocated to, nursing graduates either pre-registration, or post-registration advanced level. The results were by no means standard between institutions. Ultimately, this paper proposes combining the tradition of academic dress with the tradition of the qualified nurse—the design of a shortened epitoge to wear in addition to any academic hood awarded, thus allowing the traditional nurse training badge to be affixed to the epitoge and worn as part of academic dress. It is logical to start this discourse with a journey into medieval times in order to re-acquaint ourselves with the academic epitoge