Negotiating Quality: Total Quality Management and the Complexities of Transforming Professional Organizations

During the past two decades organizations in many industries have introduced management-style changes, such as employee involvement (EI) and total quality management (TQM). In the health care sector, one change has been the inclusion of TQM into the accreditation process. Using ethnographic and interview data, this case study examines the process of introducing TQM into a professional organization—a hospital—and shows how successful implementation of such new management styles in professional organizations requires complex negotiations of existing formal and informal power relationships. Some employees and middle managers embraced the TQM philosophy and techniques and successfully influenced the implementation and project-team design. In this case, administrators used TQM as rhetoric and justification for increased bureaucratic control, goals that are distinctly at odds with the ideological objectives of TQM.     

Sex-dependent associations between daily physical activity and leg exercise blood pressure responses

The authors examined interindividual and sex-specific variation in systolic (SBP) and diastolic (DBP) blood pressure responses to graded leg-extension exercise in healthy older (60-78 yr) women (n = 21) and men (n = 19). Maximal oxygen uptake (VO2max), body composition, physical activity (accelerometry), and vascular function were measured to identify predictors of exercise BP. Neither VO2max nor activity counts were associated with the rise in SBP or DBP during exercise in men. The strongest predictors of these responses in men were age (SBP: r2 = .19, p = .05) and peak exercise leg vasodilation (DBP: r2 = -.21, p < .05). In women, the modest relationship observed between VO2max and exercise BP was abolished after adjusting for central adiposity and activity counts (best predictors, cumulative r2 = .53, p < .05, for both SBP and DBP). These results suggest that determinants of variation in submaximal exercise BP responses among older adults are sex specific, with daily physical activity influencing these responses in women but not men.     

Childhood Predictors of an At-Risk Transition into Early Adulthood Among African American and Caucasian Males

Early adulthood represents a period of transition that is marked by change and exploration. For some, this transition is uncomplicated, yet for others, it is problematic. While many studies have explored factors that predict adjustment in childhood and adolescence, substantially less is known about childhood factors that predict adjustment during the transition into adulthood. Furthermore, it remains unclear whether childhood factors that predict adult adjustment differ between African American and Caucasian males. Accordingly, the current study examined childhood predictors of early adult (age 19–20) adjustment in a community sample of 397 African American and Caucasian males. Findings indicated that African American and Caucasian males who experienced high levels of peer delinquency, depressive symptoms, and conflicted parent–child communication in childhood were more likely to experience adjustment issues in early adulthood. For African American males, low academic achievement was important for predicting adult adjustment, while low organization involvement uniquely predicted adult adjustment for Caucasian males.     

The portrayal of public relations in the era of Ivy Lee through the lens of the New York Times

Public relations has and, it appears, always has had an image problem. From public relations’ protohistory, through the rise of the publicist and press agent, the history of the relationship between journalists and public relations practitioners remained rocky. Using the New York Times as a lens, this study seeks to examine, through a qualitative framing analysis (N = 106), how public relations was perceived and discussed by one of its most important audiences, the journalist, during the early years of the twentieth century. The study found that while the tasks and media used in the practice of public relations as framed by the Times may be accurate, the cultural context of the early 20th century called the very “doing” of public relations into question.     

Rape,storytelling and social media: how Twitter interrupted the news media’s ability to construct collective memory

Abstract

This study, using the Mary Kay LeTourneau interview on ABC’s 20/20 television program, investigates how social media coupled with citizens’ voices interact with mainstream media in the telling of a story and the construction of collective memory. Grounded in discourse analysis, this research examines the 20/20 story and accompanying Twitter conversations to understand how dominant and feminist ideologies about gender, rape, sexual violence, sexuality, and love are presented and (re)articulated in these texts. In doing so, this study considers how a newly opened public sphere via social media may have the capabilities to influence our collective memories and remove some of this long-held power away from traditional mainstream media.     

The Significance of Education for Mortality Compression in the United States

Recent studies of old-age mortality trends assess whether longevity improvements over time are linked to increasing compression of mortality at advanced ages. The historical backdrop of these studies is the long-term improvement in a population's socioeconomic resources that fueled longevity gains. We extend this line of inquiry by examining whether socioeconomic differences in longevity within a population are accompanied by old-age mortality compression. Specifically, we document educational differences in longevity and mortality compression for older men and women in the United States. Drawing on the fundamental cause of disease framework, we hypothesize that both longevity and compression increase with higher levels of education and that women with the highest levels of education will exhibit the greatest degree of longevity and compression. Results based on the Health and Retirement Study and the National Health Interview Survey Linked Mortality File confirm a strong educational gradient in both longevity and mortality compression. We also find that mortality is more compressed within educational groups among women than men. The results suggest that educational attainment in the United States maximizes life chances by delaying the biological aging process.     

Extrapolation of Carcinogenicity Between Species: Qualitative and Quantitative Factors

Prediction of human cancer risk from the results of rodent bioassays requires two types of extrapolation: a qualitative extrapolation from short-lived rodent species to long-lived humans, and a quantitative extrapolation from near-toxic doses in the bioassay to low-level human exposures. Experimental evidence on the accuracy of prediction between closely related species tested under similar experimental conditions (rats, mice, and hamsters) indicates that: (1) if a chemical is positive in one species, it will be positive in the second species about 75% of the time; however, since about 50% of test chemicals are positive in each species, by chance alone one would expect a predictive value between species of about 50%. (2) If a chemical induces tumors in a particular target organ in one species, it will induce tumors in the same organ in the second species about 50% of the time. Similar predictive values are obtained in an analysis of prediction from humans to rats or from humans to mice for known human carcinogens. Limitations of bioassay data for use in quantitative extrapolation are discussed, including constraints on both estimates of carcinogenic potency and of the dose-response in experiments with only two doses and a control. Quantitative extrapolation should be based on an understanding of mechanisms of carcinogenesis, particularly mitogenic effects that are present at high and not low doses.