Midwifery as established sect: an expanded application of the church–sect continuum

Based on church–sect theory, this paper asserts that midwifery is much like an established sect in relation to its church equivalent: Western medicine. We find that midwifery can endure in this form – as both protest movement and established institution – because of its ability to maintain its central oppositional values while being accepted as a legitimate, if marginalized, profession. Using interview data from 25 Florida midwives, we draw an analogy between the liminal status of midwifery and three of the most important characteristics of the established sect: limited institutionalization, acceptance and opposition, and a unique value set. This comparison sheds light on both church–sect theory and midwifery, which also leads us to suggest that similar analogies be used for analysis across other sub-fields in sociology.     

Determinanten des Wiedereinstiegs von Müttern in den Arbeitsmarkt in Vollzeit oder Teilzeit

This paper deals with the question which determinants influence the re-entry of mothers on the labor market after the first childbirth. Contrary to existing studies it is possible to distinguish empirically between full time and part time employment after re-entry by employing the newly available BASiD-data. Theoretical arguments indicate that women decide deliberately for a part or full time job due to labor market restriction, their household und family situation and institutional rules which vary in time. Empirically this paper focuses on mothers in West Germany because the data includes a long observation period before reunification. Based on event history models we can show that the determinants for full and part time re-entries differ substantially. Hence it can be reasoned that full and part time jobs for re-entry after birth are not simple substitutes for the women.     

Influence of Satisfaction with Services on Assisted Living Resident Satisfaction

The purpose of our investigation was to provide insight into the service domains that most heavily influenced self-reported resident satisfaction among residents in assisted living facilities. Data was gathered from the 2008 Press Ganey Assisted Living Survey. Satisfaction with service domains was measured using 7 subscales addressing the areas of activities, staff attentiveness, meals, apartment space, facility attractiveness, personal issues, and management. Generalized linear mixed models were specified to assess the influence of demographics, functional status, self-rated health, and satisfaction with service domains on resident satisfaction. In the final multivariate model self-rated health, independence with laundry and finances, and satisfaction with aides, meals and management demonstrated a significant positive effect on resident satisfaction. As the number of assisted living facilities continues to increase, senior management would be wise to consider which domains of service are particularly salient in assisted living environments.     

Five-Hundred Life-Saving Interventions and Their Cost-Effectiveness

We gathered information on the cost-effectiveness of life-saving interventions in the United States from publicly available economic analyses. "Life-saving interventions" were defined as any behavioral and/or technological strategy that reduces the probability of premature death among a specified target population. We defined cost-effectiveness as the net resource costs of an intervention per year of life saved. To improve the comparability of cost-effectiveness ratios arrived at with diverse methods, we established fixed definitional goals and revised published estimates, when necessary and feasible, to meet these goals. The 587 interventions identified ranged from those that save more resources than they cost, to those costing more than 10 billion dollars per year of life saved. Overall, the median intervention costs $42,000 per life-year saved. The median medical intervention costs $19,000/life-year; injury reduction $48,000/life-year; and toxin control $2,800,000/life-year. Cost/life-year ratios and bibliographic references for more than 500 life-saving interventions are provided.     

Cultural Intelligence: A Review and New Research Avenues

Cultural intelligence (CQ), an individual's capability to function and manage effectively in culturally diverse situations and settings, has become the focus of a vibrant scholarly conversation and a flourishing area of multidisciplinary research. Since the introduction of the concept in 2002, substantial research has been conducted concerning its definition, the validation of its measurement, and the examination of its development and predictive capabilities. The present paper systematically reviews 73 conceptual and empirical articles published on CQ from 2002 to 2015 in management and international business journals as well as in education and psychology. The authors discuss two distinct conceptualizations of CQ, developments within the conceptual research, and opportunities for further theorizing. They also cluster the empirical studies based on how CQ was used and identify patterns, achievements and challenges within the literature. Finally, based on their analysis, they identify promising avenues for future research and propose specific questions that can further advance the scholarly conversation on CQ.     

Understanding Persistence in the Resistance

Since Donald Trump's inauguration, large‐scale protest events have taken place around the United States, with many of the biggest events being held in Washington, DC. The streets of the nation's capital have been flooded with people marching about a diversity of progressive issues, including women's rights, climate change, and gun violence. Although research has found that these events have mobilized a high proportion of repeat participants who come out again and again, limited research has focused on understanding differential participation in protest, especially during one cycle of contention. This article, accordingly, explores the patterns among the protest participants to understand differential participation and what we refer to as “persistence in the Resistance.” In it, we analyze a unique data set collected from surveys conducted with a field approximation of a random sample of protest participants at the largest protest events in Washington, DC, since the Resistance began at the 2017 Women's March. Our findings provide insights into repeat protesters during this cycle of contention. The article concludes by discussing how our findings contribute to the research on differential participation.     

Challenging hegemonic masculinity by performance of ethnic habitus

The aim of this article is to examine the effect of ethnic habitus, in a specific setting, on the construction of alternative dominant masculinity and the challenge of hegemonic masculinity. Based on Bourdieu's notion of habitus, the article will show that in a specific ethno‐cultural setting, characterized by ethnic habitus, marginalized groups construct and perform situated dominant masculinity. The study is based on the military, which is a central organization for the construction of masculine identities, and will focus specifically on combat soldiers, who constitute the most significant model of idealized masculinity. Based on semi‐structured interviews, this micro‐level study demonstrates the part of self‐performance in the construction of masculinity and the challenge of hegemonic masculinity. Furthermore, illustrating the performance of worthy dominant masculinity by inferior ethnic groups in effect exposes the separation between the social status and the masculine status. Separation between social status and masculine status gives emphasis to masculinity as relational and contextual social practice and enables alternative dominant masculinities to be detected that challenge hegemonic masculinity within different settings.     

The potential impact of comparative effectiveness research on U.S. Health Care expenditures

Comparative effectiveness research (CER) has the potential to slow health care spending growth by focusing resources on health interventions that provide the most value. In this article, we discuss issues surrounding CER and its implementation and apply these methods to a salient clinical example: treatment of prostate cancer. Physicians have several options for treating patients recently diagnosed with localized disease, including removal of the prostate (radical prostatectomy), treatment with radioactive seeds (brachytherapy), radiation therapy (IMRT), or—if none of these are pursued—active surveillance. Using a commercial health insurance claims database and after adjustment for comorbid conditions, we estimate that the additional cost of treatment with radical prostatectomy is $7,300, while other alternatives are more expensive—$19,000 for brachytherapy and $46,900 for IMRT. However, a review of the clinical literature uncovers no evidence that justifies the use of these more expensive approaches. These results imply that if patient management strategies were shifted to those supported by CER-based criteria, an estimated $1.7 to $3.0 billion (2009 present value) could be saved each year.     

Potential Assistance for Disadvantaged Workers: Employment Social Enterprises

By integrating a business mission into a transitional jobs program, employment social enterprises (ESEs) provide temporary work and a supported work environment to reduce the barriers facing disadvantaged workers while generating revenue to cover production costs. This study uses surveys of workers in and financial statements from seven ESEs to provide information for three sets of complementary analyses: a pre-post analysis examines changes in employment between the time a person starts ESE work and about one year later; a case study uses propensity score methods to compare changes in employment between ESE workers and similar people who did not work in an enterprise; and a cost-benefit analysis estimates the potential value of ESE jobs. Results suggest that individuals have close to 21% gain in employment one year after starting ESE work; taxpayers gain at least $0.42 for every dollar spent on an ESE job; the return to society of developing an ESE is at least 34%; and the social returns to converting a profit-driven business into an ESE exceed 100%. Although the study cannot control for many of the factors that would allow estimation of causal impacts, it provides some of the first preliminary evidence of the value of the ESEs’ public-private approach to increase workforce skills and employment and stabilize lives of individuals with employment barriers.