The role of trade unions in strategic planning

The changing climate of industrial relations has created a more puralist and complex state of relationships within the industrial sector of the economy. Trade unions and their employees are demanding and achieving a greater degree of participation in both the long and short term issues which affect company decisions in terms of either resource allocation or general policy. This article examines the role of trade unions within the context of strategic planning and argues that their increasing involvement is inevitable and their role should therefore be effectively recognized and their contribution to the development of corporate strategy ensured.     

Utilizing Bayesian predictive power in clinical trial design

The Bayesian paradigm provides an ideal platform to update uncertainties and carry them over into the future in the presence of data. Bayesian predictive power (BPP) reflects our belief in the eventual success of a clinical trial to meet its goals. In this paper we derive mathematical expressions for the most common types of outcomes, to make the BPP accessible to practitioners, facilitate fast computations in adaptive trial design simulations that use interim futility monitoring, and propose an organized BPP-based phase II-to-phase III design framework.     

Met needs and unmet needs, and satisfaction among Social HMO members

This article reports on a survey of 800 members of four Social HMO demonstration sites, who were receiving home-based, community-based, and short-term institutional services under the demonstration's expanded community care benefits. The survey asked whether members needed help in 11 areas, whether they received help in each area from an informal caregiver, whether they wanted more help from the Social HMO, and whether help provided by both was adequate. Satisfaction with the program and with service coordination was also assessed. The adequacy of informal care differed by problem area, as did the help desired from the Social HMO and its responsiveness. Members were less satisfied when they had weaker informal care, were African American, and when they received inadequate help from the plan with ADLs, transportation, medical access, and managing money. Members were more satisfied when they were professionals, home owners, knew their service coordinator's name (or how to contact her), and received help with their problems. The findings point to the importance of clarifying divisions of labor with informal caregivers, as well as possible expansions in responsibilities for service coordinators and benefits beyond traditional boundaries.     

Indigenous data,indigenous methodologies and indigenous data sovereignty

The field of Indigenous methodologies has grown strongly since Tuhiwai Smith’s 1999 groundbreaking book Decolonizing Indigenous Methodologies. For the most part however, there has been a marked absence of quantitative methodologies with the methods aligned with Indigenous methodologies predominantly qualitative. This article proposes that the absence of an Indigenous presence from Indigenous data production has resulted in an overwhelming statistical narrative of deficit for dispossessed Indigenous peoples around the globe. Using the theoretical concept of Indigenous Lifeworlds this article builds on the core premises of Walter and Andersen’s 2013 book Indigenous quantitative methodologies. Arguing for a fundamental disturbance of the Western logics of statistical data the article details recent developments in the field including the emergence of the Indigenous Data Sovereignty movement. The article also explores Indigenous quantitative methodologies in practice using the case study of a Tribal Epidemiology Centre in New Mexico.     

The historical roots of multicultural unity along the Upper Guinea Coast and in Guinea-Bissau

Lusofonia or lusophony is often defined as an identity shared by people in areas that were once colonised by Portugal, which in Africa include Angola, Cabo Verde, Guinea-Bissau, Mozambique and São Tomé and Príncipe. Lusofonia assumes that in these places people share something – a language, certainly, but also a history and culture rooted in the Iberian Peninsula. In some ways it is a re-articulation of Gilberto Freyre’s lusotropicalismo, the idea that Portuguese were more adaptable than other Europeans to tropical climates and cultures and created more multicultural colonial communities. Those who espouse lusofonia often have a political agenda – the strengthening of the Community of Portuguese-Speaking Countries. In this article, we argue that, like lusotropicalismo, lusofonia is a dream; it is not rooted in a historical reality. It is luso-centric in that it ignores the power and persistence of local cultures and gives undue weight to Portuguese influence. With regard to Africa, lusofonia’s agenda is elite driven and assumes the inevitability of modernity and globalisation. And we demonstrate that it was through Upper Guinean institutions and languages, and not colonial ones, that community and fellowship were most commonly fostered in the past, as they are fostered today. Those seeking the roots of lusofonia cannot, then, look to this period of Portuguese–African engagement in Upper Guinea. There Portuguese embraced “black ways.” They operated in a peculiar multicultural space in which people possessed fluid and flexible identities. Portugal did not create that space. Lusofonia has not been the foundation for cultural unity. Rather, unity has been found in localised institutions and in Crioulo. In Guinea-Bissau, lusofonia is not an indigenous movement. If it is anything, it is the stuff of elites and foreigners and is not rooted in any historical reality.     

The FARSEEING real-world fall repository: a large-scale collaborative database to collect and share sensor signals from real-world falls

Background

Real-world fall events objectively measured by body-worn sensors can improve the understanding of fall events in older people. However, these events are rare and hence challenging to capture. Therefore, the FARSEEING (FAll Repository for the design of Smart and sElf-adaptive Environments prolonging Independent livinG) consortium and associated partners started to build up a meta-database of real-world falls.

Results

Between January 2012 and December 2015 more than 300 real-world fall events have been recorded. This is currently the largest collection of real-world fall data recorded with inertial sensors. A signal processing and fall verification procedure has been developed and applied to the data. Since the end of 2015, 208 verified real-world fall events are available for analyses. The fall events have been recorded within several studies, with different methods, and in different populations. All sensor signals include at least accelerometer measurements and 58 % additionally include gyroscope and magnetometer measurements. The collection of data is ongoing and open to further partners contributing with fall signals. The FARSEEING consortium also aims to share the collected real-world falls data with other researchers on request.

Conclusions

The FARSEEING meta-database will help to improve the understanding of falls and enable new approaches in fall risk assessment, fall prevention, and fall detection in both aging and disease.