A non‐linear model of fecundability,postpartum amenorrhea,and sterility*

This paper proposes a convolution model of fecundability, controling for the effects of postpartum amenorrhea and unobserved heterogeneity in fecundability. Simulation analysis was used to assess the validity and reliability of estimates derived from the model. Analysis showed that the model captured the mean and standard deviation of age at the onset of sterility in simulated populations where sterility followed either a Gompertz, a gamma, or a lognormal distribution. The model performed well when sterility was specified by either a lognormal or a gamma distribution. The model also accurately estimated fecundability and postpartum amenorrhea. Next, the model was found to fit data from 17th and 18th century French Canadian birth histories. In this French Canadian sample the mean age at sterility was found to be 46.3 years using a gamma model. The decline in fecundability was almost linear after age 30. Thus, fecundability at age 40 had declined to about one‐third of that observed at age 30. Variability in individual fecundability was quite high. For example, women with fecundability one standard deviation above the mean had about 2.3 times as high fecundability as women one standard deviation below the mean.     

Structural invariance and stability of sense of coherence: A longitudinal analysis of two groups with different employment experiences

This 5-year follow-up study investigated the structure and the factorial invariance of the 13-item sense of coherence (SOC) scale (Antonovsky, ) in two employment groups (unemployment/lay-off experiences vs. continuous full-time employment) and across two measurement times. In addition, the stability of SOC between these two employment groups was compared. The postal questionnaire data was collected twice, in 1992 and in 1997. The participants were Finnish technical designers (N=352) aged between 25 and 40 years in 1992. A total of 51% of the investigated participants had been employed full-time during the 5-year follow-up period and 49% had been unemployed and/or laid off for a total period of at least one month during the follow-up. The confirmatory factor analysis indicated that the SOC scale measured one general second-order SOC factor consisting of three, first-order factors of meaningfulness, comprehensibility, and manageability. The results also indicated that the scale was best used as an 11-item measure. The factorial invariance of the scale across time and across the two employment groups was supported by the data. Unexpectedly, the stability of SOC did not differ between the two employment groups. However, those participants who had experienced unemployment and/or been laid off during the follow-up period had a weaker SOC at both measurement times than those who had been employed throughout the follow-up.     

Stratified structural and epistemic aspects of the care manager's discretion—a theoretical approach to social work related to older people's potential relocation to a residential home

By applying a theoretical point of departure, the overarching aim of this article is to describe, analyze, and try to understand why care managers in their everyday occupational practice normalize the restrictive approach when older people consider relocation to a residential home. While earlier research to a large extent has drawn attention to how the care managers carry out the restrictive approach, this article pays attention to the circumstances paving its way. The focus is on influences from different sociological levels, thereby ‘stratified’, and from two aspects of discretion, where ‘structural aspects’ refer to choices between permitted alternatives and ‘epistemic aspects’ to practical reasoning under conditions of indeterminacy. With this combination, a multitude of circumstances contributing to the restrictive approach is revealed. Thus, the theoretical model includes levels as well as discretionary powers where formulas constitute the foundation at each level, subsequently related to multidisciplinary references in order to get the practice into perspective. The findings show that the priority given to home-based care in contrast to residential care is repeated and confirmed at each level and besides in an interchange between structural and epistemic aspects.     

A structured procedure for materials planning during production transfer

This paper explores materials planning procedures to ensure the materials’ availability during production transfers. The paper defines a production transfer as the preparation, physical transfer and start-up of relocated production. A structured procedure of materials planning during production transfer is developed based on theory, and then validated and refined based on the analysis of four case studies. The paper shows that there is a need for a structured procedure of materials planning during production transfers. It also explains the importance of activities that create prerequisites for the materials’ availability during production transfer, such as updating and adapting documentation, planning and control systems, and describes the activities that ensure the materials’ availability, such as preventive and corrective actions. A valid estimation of the time needed to reach a steady state and a combination of several preventive actions improves the ability to ensure that materials are available. The cases showed differences across company size, because large companies took more and farther-reaching preventive actions.     

Supervision as pedagogy and support in the Swedish eldercare - a developmental project

The number of elderly people is gradually increasing, and with it the number of persons receiving some kind of care in their everyday lives. However, researchers and the mass media recurrently report great difficulties for many caregivers in their work situations. This article considers process-oriented supervision as a pedagogic method for training and support of nurse aids and managers in Swedish eldercare. With reference to a developmental project, the author discusses the clash between the supervisor's process-oriented manner and the staffs' problem-oriented attitudes. This shows that supervision in this form may not necessarily be an effective way of reforming care. Instead the caregivers point out organisational changes and better leadership as more adequate methods.     

Market Segmentation in Scientific Publications: Research Patterns in American vs European Management Journals1

Ideal science should conform to certain criteria or goals, among them the goals of universalism and commonality. Realization of these goals may be limited, however, through the dividing up of researchers in terms of geographical borders. In this study the general hypothesis is tested that there is a segmentation of the society of management researchers into a North American (US) and a European (E) segment, a segmentation which is furthered by differences in incentive schemes and in paradigms. Four leading management journals from North America and from Europe, respectively, and the 242 articles they contained published in 1993 were selected to represent the different geographical segments. The results provide: support for the existence of two such segments; support for differences in incentive schemes influencing the articles; support for their being paradigm differences between the two segments; and support for a paradigm effect being stronger in US-journals than in E-journals, US-authors are more willing, however, to conform to the E-paradigm than vice versa. We argue for methodological pragmatism in order to reduce the presumed counter-productive effects of paradigmatic rigidity.     

Resistance training is linked to heightened positive motivational state and lower negative affect among healthy women aged 65–70

Resistance training (RT) improves overall health, but the psychological effects of RT in healthy old adults have not been tested. The aim of this study was to investigate a sample of 65–70-year-old healthy and physically active women to assess their sense of coherence, health-related quality of life, hope, and affect, before and after taking part in a 24-week RT intervention (N = 14), compared to controls (N = 18). Findings showed a significant increase in hope (p = 0.013) and a significant decrease in negative affect (p = 0.002). Starting RT after age 65 does not appear to negatively impact on women’s psychological health but seems to be associated with important psychological health benefits.     

Re‐Forming the School: Taking Swedish Lessons

In the context of government decentralisation and integration of services, over the last 15 years Sweden has been developing an all‐day school based on inter‐professional teamworking and adopting a holistic approach to working with children. The article describes these recent educational reforms in Sweden, which have sought to re‐structure the school and develop new ways of working, offers some evaluative comments on this process and considers possible implications of these reforms for other countries. It compares Swedish school reforms with recent English policy developments intended to make ‘extended schools’ a universal provision by 2010.     

Who runs the mill? The distribution of power in Swedish social service agencies

The aim of the article is to describe how significant actors in Swedish social service agencies perceive their own and other groups' influence over central areas of their agencies, and also to investigate the correspondence between these actors' perceptions of influence and what is said about the distribution of influence in the legislation and in the literature on social service organisations. The investigation is based on a questionnaire sent to politicians, managers and social workers in Swedish municipalities.

The analysis shows a concordance between the actors' own perceptions of their influence, and the ‘real’ distribution of influence, as perceived by the same actor groups. The general picture is that the politicians feel they have a strong influence on policy, delegation and, partly, also on organisational issues, but it is noteworthy that the top managers feel they have a stronger influence over all these areas. Social workers' influence is limited to the choice of working methods and operational procedures. The results indicate that some core elements of the New Public Management (NPM) model of governance exist in Swedish municipalities and seem to be generally accepted among significant actors. However, the results raise important questions about who should be held accountable for neglect and mismanagement and for failure in implementation of reforms in the social services.