Development and Validation of a Measure of Living Standards for Older People

Living standards are an effective way to assess socioeconomic status in relation to health but controversy remains about their assessment, particularly for older people. Sen’s capability framework shifts attention from material conditions to opportunities for choice enabled by material resources. To develop this promising approach, this paper reports on the development of a measure of living standards for older people based on Sen’s capability framework. Six living standards domains were established from thematic analysis of 143 interviews with people aged over 65 years in New Zealand. Questionnaire items were developed and tested to assess the extent to which older people had the freedom to pursue these domains. The 73 items were tested for face validity in interviews. Following this, a revised version was posted to 2,000 people aged over 65 years randomly selected from the New Zealand electoral roll and 1,064 completed questionnaires were returned. Item screening for response rates and spread reduced the items to 34. Confirmatory factor analysis of these 34 items suggested that the six theoretical domains were supported. Following model development, 25 items assessing the six domains were selected. Results to date show that this measure of living standards (LS-Cap) is a promising instrument to assess living standards as the freedom to access valued needs.     

Women in Procrustean Beds: Strength Testing and the Workplace

Pre-employment strength testing in its present form supports employment practices which exclude women from manual handling tasks traditionally assigned to men. However, several lines of reasoning lead us to think that pre-employment testing is a Procrustean bed which imposes unreasonable requirements on most women. Examination of some tests and their scientific underpinnings leads us to conclude that they may result in discrimination. Women often approach manual tasks in ways different from men, so that pre-employment tests developed around the ways men usually perform these tasks are poor predictors of women’s performance at real-life jobs. We also question the fact that pre-employment testing involves the types of requirements imposed in men’s traditional work, but not women’s. This perspective leads us to propose a less rigid notion of physical strength and to introduce the concept of human-task interaction. Representations of human capacity based on sexual stereotypes may conceal health and safety problems in job requirements which should be addressed directly, leading to more constructive propositions regarding job design and employee selection. We propose that standards be set for job requirements, such that all manual handling jobs become physically accessible to at least 75% of all workers.     

Emotional abuse and neglect: a time for reappraisal

This paper explores, from a UK perspective, issues surrounding policy and practice in cases of neglect, which inevitably involves emotional abuse. It does not address cases of emotional abuse in which neglect does not occur. The paper argues that there is a sufficient body of knowledge on the necessary conditions for healthy child development and factors associated with psychological/ emotional disorders in childhood for social workers to be more proactive in work with such cases. There is, however, a need for this evidence to be assembled and organized in ways which will be useful to social workers. Nonetheless, intervention in such cases is unlikely to become more effective unless some of the reasons for the'neglect of neglecf are better understood and addressed. In the second part of the paper, a range of factors influencing such work is considered, related to the professional, organizational and legal context within which social workers in the UK operate.
The paper draws on an ESRC funded project, which ended in 1995, of social workers' judgements in cases of child sexual abuse and neglect     

Covert social movement networks and the secrecy-efficiency trade off: The case of the UK suffragettes (1906–1914)

This paper formulates and empirically tests a number of hypotheses regarding the impact of covertness upon network structure. Specifically, hypotheses are deduced from theoretical arguments regarding a ‘secrecy-efficiency trade off’ which is said to shape covert networks. The paper draws upon data concerning the UK suffragettes. It is taken from a publicly archived UK Home Office document listing 1992 court appearances (for suffrage related activities), involving 1214 individuals and 394 court sessions, between 1906 and 1914. Network structure at earlier phases of suffragette activism, when the movement was less covert, is compared with that during the final phase, when it was more covert and meets the definitional criteria of what we call a ‘covert social movement network’ (CSMN). Support for the various hypotheses tested is variable but the key claims derived from the idea of the secrecy-efficiency trade off are supported. Specifically, the suffragettes’ network becomes less dense and less degree centralised as it becomes more covert.     

Non-estrogen-based treatments for menopausal symptoms

The British Menopause Society Council is committed to provide up-to-date authoritative reviews to aid health professionals to inform and advise women about key issues in postreproductive health. This guidance refers to non-estrogen-based treatments for menopausal symptoms, such as hot flushes, symptoms of urogenital atrophy and lack of sexual desire. Treatment of choice should be based on up to-date information and targeted to individual women's needs. Non-hormonal strategies may be useful for women with estrogen-dependent disease such as breast cancer.     

Primary prevention of coronary heart disease in women

The British Menopause Society Council is committed to provide up-to-date authoritative reviews to aid health professionals to inform and advise women about key issues in postreproductive health. Coronary heart disease (CHD) is a leading cause of death in women. Observational studies have consistently shown estrogen to help prevent CHD in postmenopausal women. The large randomized controlled Women's Health Initiative (WHI) trial did not confirm these observational findings. However, further analyses of the WHI study as well as the observational Nurses' Health Study have now found that the timing of onset of hormone replacement therapy (HRT) use is important and that estrogen may have a protective role in CHD in women aged 50-59 years. This consensus statement will examine the evidence regarding HRT and non-estrogen therapies (lipid lowering agents, aspirin, antihypertensives, antidiabetic medications, selective estrogen receptor modulators [SERMs]) as well as diet, lifestyle and smoking cessation in the primary prevention of CHD in women.     

Subjective machines: Probabilistic risk assessment based on deep learning of soft information

For several years machine learning methods have been proposed for risk classification. While machine learning methods have also been used for failure diagnosis and condition monitoring, to the best of our knowledge, these methods have not been used for probabilistic risk assessment. Probabilistic risk assessment is a subjective process. The problem of how well machine learning methods can emulate expert judgments is challenging. Expert judgments are based on mental shortcuts, heuristics, which are susceptible to biases. This paper presents a process for developing natural language-based probabilistic risk assessment models, applying deep learning algorithms to emulate experts’ quantified risk estimates. This allows the risk analyst to obtain an a priori risk assessment when there is limited information in the form of text and numeric data. Universal sentence embedding (USE) with gradient boosting regression (GBR) trees trained over limited structured data presented the most promising results. When we apply these models’ outputs to generate survival distributions for autonomous systems’ likelihood of loss with distance, we observe that for open water and ice shelf operating environments, the differences between the survival distributions generated by the machine learning algorithm and those generated by the experts are not statistically significant.     

Unmet demand for short-acting hormonal and long-acting reversible contraception among community college students in Texas

Objective: To identify preferences for and use of short-acting hormonal (e.g., oral contraceptives, injectable contraception) or long-acting reversible contraception (LARC) among community college students in Texas. Participants: Female community college students, ages 18 to 24, at risk of pregnancy, sampled in Fall 2014 or Spring 2015 (N = 966). Methods: We assessed characteristics associated with preference for and use of short-acting hormonal or LARC methods (i.e., more-effective contraception). Results: 47% preferred short-acting hormonal methods and 21% preferred LARC, compared to 21% and 9%, respectively, who used these methods. A total of 63% of condom and withdrawal users and 78% of nonusers preferred a more effective method. Many noted cost and insurance barriers as reasons for not using their preferred more-effective method. Conclusions: Many young women in this sample who relied on less-effective methods preferred to use more-effective contraception. Reducing barriers could lead to higher uptake in this population at high risk of unintended pregnancy.     

On the integration of due date setting and order release control

This paper calls for a paradigm shift in the production control literature away from assuming due date setting and order release are two independent decision levels. When order release is controlled, jobs do not enter the shop floor directly but are retained in a pre-shop pool and released to meet certain performance targets. This makes the setting of accurate planned release dates – the point at which jobs transition from the pool to the shop floor – a key consideration when setting due dates. We develop a new approach to estimating planned release dates to be embedded in the Workload Control (WLC) concept. Our approach is unique as it anticipates the release decision as part of the due date setting procedure. This makes a second independent release decision superfluous and avoids a major cause of tardiness – deviations between (i) the planned release date used when calculating the delivery time allowance and (ii) the actual, realised release date. Simulation is used to compare the performance of WLC using two decision levels with the new single-level approach where the release decision is anticipated when setting the due date. Performance improvements are shown to be robust to uncertainty in processing time estimates.