Helpful citizens and caring families: Patterns of informal help and caregiving in Sweden in a 17‐year perspective

Jegermalm M, Grassman EJ. Helpful citizens and caring families: patterns of informal help and caregiving in Sweden in a 17‐year perspective This article reports on an analysis of informal help and caregiving in Sweden with, for the first time, a focus on patterns of change over 17 years regarding scope, type of caregivers and the recipients of help. The discussion is based on results from a national survey repeated four times between 1992 and 2009. In the 1990s, the figures were stable, but from the late 1990s to 2009, there seems to have been a dramatic increase in the extent of informal help giving. Concerning types of helpers, the patterns implied involvement not only from family members, but also from other types of helpers. Two interpretative perspectives were used in the analysis: the first from recent welfare state changes and the substitution argument; the second from the present debate on civil society and its possible and changing role. These perspectives represent two partly complementary approaches to the understanding of the dynamics of informal involvement in contemporary Swedish society.     

WOMEN'S CAREER PATTERNS IN SWEDEN

Although research on and models of career patterns are often implicitly assumed to be of general validity, they are usually coloured by their cultural, ethnic and historical background and by a lack of gender perspective. One of the most critical research gaps concerns changes and transitions in women's careers. The general aim of this paper is to describe career patterns over the life course of women born in the 1950s in Sweden — in terms of shape, level and stability. Data were collected from work histories in the interviews of a sample of Swedish women aged 43 (n?=?109) as part of a longitudinal study. Career patterns were plotted based on life events related to education, family and work. Results revealed relative stability of labour force participation, but not of work hours over the life course. Most of the women worked part time taking care of children for a varying number of years. Continuous full-time work (from 16 to 43) was highly unusual and almost entirely limited to women without children. Nevertheless, career progress in terms of moving to higher career levels was a common feature of the cohort albeit largely restricted to female-dominated occupations. The significance of a generous welfare state supportive for women's career opportunities as well as a highly gender-segregated labour market are discussed. A tentative new model of career patterns, taking account of women's experiences and sensitive to welfare state context, is proposed, as a basis for future research with larger and more diverse samples.

Con frecuencia se asume implícitamente que la investigación y los modelos de los patrones profesionales tienen validez general. Sin embargo, estos estan generalmente matizados por sus antecedentes culturales, étnicos e históricos, y por la ausencia de perspectiva de género. Una de las brechas mas críticas en la investigación concierne a los cambios y transcisiones en la carrera de las mujeres. El objetivo general de este artículo es describir los patrones profesionales en el transcurso de la vida de las mujeres nacidas en Suecia en los años 1950s, en función de forma, nivel y estabilidad. Los datos fueron obtenidos de historias laborales procedentes de entrevistas en una muestra de 109 mujeres suecas de 43 años de edad, como parte de un estudio longitudinal. Los patrones profesionales fueron graficados en base a los eventos de la vida relacionados con educación, familia y trabajo. Los resultados revelaron una relativa estabilidad en la participación en la fuerza laboral, pero no en las horas de trabajo durante la vida. La mayoría de las mujeres trabajaron a tiempo parcial cuidando los hijos por un numero variable de años. El trabajo contínuo a tiempo completo (desde los 16 a los 43 años) resultó sumamente inusual y casi totalmente limitado a las mujeres sin hijos. No obstante, el progreso hacia mejores niveles profesionales resultó un rasgo común de la cohorte, aunque muy restringido a las ocupaciones dominantemente femeninas. Se discuten la significancia de un sistema de asistencia social estatal generoso en el apoyo a las oportunidades profesionales de la mujer y la amplia segregación de género en el mercado laboral. Como base para futuras investigaciones con muestras mayores y diversas, se propone un modelo tentativo de patrones profesionales que toma en cuenta las experiencias de las mujeres y que es sensible al contexto de la asistencia social estatal.     

Outcome of an interdisciplinary pain management program in a rehabilitation clinic

The Chronic Pain Section at Reykjalundur has 33 beds for patients with various chronic pain problems. About 200 patients are treated annually. For 3 years, 158 patients were enrolled in a random study focusing on increasing the patients' functioning and eliminating analgesic drugs through an interdisciplinary rehabilitation program. Patients answered a questionnaire at admission, before discharge from the clinic and about one year after discharge. The follow-up was done with a mailed questionnaire. The focus was on the patients' functioning rather than absence of pain. The program's duration was 7 weeks. The first 2 weeks were utilized for evaluation, information and education (pain school). Pain relieving drugs were gradually withdrawn but anti-inflammatory drugs were used when indicated. Cognitive behavioral therapy was applied in an increasing number of cases over the 3 year period by specially trained nurses and a psychiatrist. Pain, anxiety and depression were self-evaluated on a numeric rating scale (NRS). About 50% of the patients had a history of pain for more than 5 years. Low back pain was the most common diagnosis (48.1%) and 28.5% had post-traumatic pain. A significant reduction in pain, anxiety and depression was found both at discharge (p < 0.0001) and at follow-up (p < 0.001). Before entering the program, only 18.4% of the patients were able to work whereas 48.1% returned to work after discharge and 59.2% were working at follow-up.     

Disrupting an imposed racial identity or performing the model minority? The pursuit of postsecondary education by young African immigrant men in Southern Ontario,Canada

ABSTRACT

This article examines how young African immigrant men in Southern Ontario cope with the dominant racial identity at school in an effort to improve their academic performance and access postsecondary education (PSE). Critical race theory in education is employed to explain how the young men distance themselves from stereotypes about Black masculinity by regulating their own behaviour and differentiating themselves from their Caribbean immigrant peers. Sixty-seven young men who had immigrated to Southern Ontario from several African countries over the last 10 years were interviewed individually and in focus groups for the study. The findings suggest that the research participants adopted a model minority status within an educational system that clearly embodies racist and systemically oppressive frameworks.     

Replenishing the pipeline: A quantitative approach to optimising the sourcing of new projects

Large pharmaceutical companies maintain a portfolio of assets, some of which are projects under development while others are on the market and generating revenue. The budget allocated to R&D may not always be sufficient to fund all the available projects for development. Much attention has been paid to the selection of optimal subsets of available projects to fit within the available budget. In this paper, we argue the need for a forward-looking approach to portfolio decision-making. We develop a quantitative model that allows the portfolio management to evaluate the need for future inflow of new projects to achieve revenue at desired levels, often aspiring to a certain annual revenue growth. Optimisation methods are developed for the presented model, allowing an optimal choice of number, timing and type of projects to be added to the portfolio. The proposed methodology allows for a proactive approach to portfolio management, prioritisation, and optimisation. It provides a quantitatively based support for strategic decisions regarding the efforts needed to secure the future development pipeline and revenue stream of the company.     

Tests of stochastic dominance with repeated measurements data

AStA Advances in Statistical Analysis - The paper explores a testing problem which involves four hypotheses, that is, based on observations of two random variables X and Y, we wish to discriminate...