Smoking during pregnancy,stigma and secrets: Visual methods exploration in the UK

BackgroundMoral judgements are commonly directed towards mothers through reference to health behaviour in pregnancy, and working-class mothers are particularly subject to this moral gaze.AimTo gain an in-depth understanding of the health issues affecting 10 low income pregnant women from deprived areas of south Wales, UK.MethodsParticipants completed visual activities (timelines, collaging or thought bubbles and dyad sandboxing) prior to each interview. Participants’ visual representations were used in place of a topic guide, to direct the interview. Guided by feminist principles, 28 interviews were completed with 10 women. Data were analysed thematically.FindingsSmoking was discussed at length during interviews, and this paper focuses on this issue alone. Five of the participants had smoked during pregnancy. Negative reactions were directed towards pregnant women who smoked in public, resulting in maternal smoking being undertaken in private. Participants also reported awkward relationships with midwives and other health professionals, including receipt of public health advice in a judgemental tone.DiscussionSmoking during pregnancy is a particularly demonised and stigmatised activity. This stigma is not always related to the level of risk to the foetus, and instead can be seen as a moral judgement about women. We urgently need to move from individualised neo-liberal discourses about the failure of individual smokers, to a more socio-ecological view which avoids victim blaming.ConclusionStigma from friends, family, strangers and health professionals may lead to hidden smoking. This is a barrier to women obtaining evidence based stop smoking support.     

College students with congenital heart disease: A critical time for transition

As medical and surgical advances improve, more young adults with congenital heart disease (CHD) are attending college. This case study illustrates some of the issues that these young adults may face as they attend college and discusses the role that college health practitioners can play in easing that transition. Participants: A case of a male with CHD presenting to the college health clinic with a new onset headache. Methods: The authors discuss some of the unique challenges that college health practitioners may face when caring for students with CHD. In addition, they make recommendations on how best to care for these patients and how best to coordinate care with CHD students other care providers. Results: This student with a history of coarctation of the aorta presented with new onset headaches and was found to have high blood pressure. He was diagnosed with recurrent coarctation, underwent percutaneous treatment with stenting and quickly resumed classes. Conclusions: As more students with CHD enter college, college health providers will need to understand some of the health risks that CHD students face. In addition, understanding some of the optimal ways to coordinate care with CHD providers can ease the transition that CHD students face as they enter college.     

美国“新一代合作社”的发展及其对我国的启示

产生于20世纪九十年代的“新一代合作社”,是美国新型合作社组织形式之一,其利用发行交货权,为从事提高农产品附加值的生产经营活动筹集资金的方法;封闭运行,以协议明确合作社与社员间的权责、事项及约束各自行为的运作模式,对规范我国农民专业合作社的运行及突破发展瓶颈问题很有启示。     

FORRIDGE - Principles of good practice in material flow

The post World War II Industrial Revolution has driven production away from the old 'economies of scale' to the new 'economies of scope'. Apparently Japanese led, the associated roots of present good practice on material flow can be traced back in the USA to Jay Forrester and in the UK to Jack Burbidge. Specifically, in the supply chain scenario, Forrester exposed the importance of system structure in relating and integrating information flow with material flow. Similarly Burbidge led the way in exploiting cycle time reduction, synchronization of orders throughout the chain, simplified product structures, and streamlined component flows. This paper unites their contributions to material flow engineering and shows how present day system design methodologies incorporate their ideas on best practice. These principles are particularly relevant to the product delivery process (PDP) which governs material flow in supply chains.     

On vendor part delivery dates in a stochastic assembly system

This paper describes the development of a model for the determination of optimal mean part delivery dates in a stochastic assembly system for the objective of minimizing the expected cost of subassembly and part inventory. Parts are assembled at each station to a subassembly. The part delivery and processing times at assembly stations follow known probability distributions. An approximate solution technique based on the optimization of individual stations in isolation is developed. The approximation applies a correction factor, as a function of the variability in part delivery and processing time, cost parameters and number of stations, to the decisions from the single station solutions to compensate for interdependence between stations. Results indicate that this is an effective approach and yields good near-optimal solutions with very little computational effort. Insights regarding the effect of the type of distribution used, random processing times, variance of the distribution used and cost parameter values on part delivery dates are also reported.     

Customer Behavior in an Online Ordering Application: A Decision Scoring Model*

This research presents the development of behavioral scoring models to predict future customer purchases in an online ordering application. Internet retailing lowers many barriers for customers switching between retailers for repeat purchases; thus, retaining existing customers is a key challenge for achieving profitability. Survey data were collected from 1,089 online customers of two companies. The subjective survey data were then used to predict purchases over the ensuing 12 months based on data from the company databases. The analysis illustrates the general applicability of predictive models of future customer purchases while also demonstrating the need to develop specific models tailored for an individual company's operating and marketing environment. The models provide insight on how companies can target marketing dollars more effectively and allocate investment across multiple operational areas for maximum return. The research answers a call for rigorous research in the area of predictive marketing, an area in which many companies are excelling but where there is a scarcity of detailed knowledge regarding application of such models.     

The Role of Non‐profit Organizations in the Mixed Economy of Welfare‐to‐Work in the UK and Australia

This article charts the development of welfare‐to‐work policies and compares and contrasts the traditions of delivery in the UK and Australia. We find that in the UK, employment services and social security benefit administration have been dominated by the central state, traditionally affording a key role to civil servants as direct delivery agents. However, in federal Australia, mixed economies of welfare‐to‐work operate in the different states, there is a far greater role for social services and non‐profit organizations are firmly established as key providers of frontline employment services. Since the late 1990s, UK welfare reforms have been gradually following the Australian lead in contracting non‐state actors as delivery agents. As this trend seems set to continue and intensify, we examine the Australian experience in order to reflect on the role of non‐profits in policy reform.     

A best on-line algorithm for the single machine parallel-batch scheduling with restricted delivery times

We consider a single batch machine on-line scheduling problem with delivery times. In this paper on-line means that jobs arrive over time and the characteristics of jobs are unknown until their arrival times. Once the processing of a job is completed it is delivered to the destination. The objective is to minimize the time by which all jobs have been delivered. For each job J _j , its processing time and delivery time are denoted by p _j and q _j , respectively. We consider two restricted models: (1) the jobs have small delivery times, i.e., for each job J _j , q _j ≤p _j ; (2) the jobs have agreeable processing and delivery times, i.e., for any two jobs J _i and J _j , p _i >p _j implies q _i ≥q _j . We provide an on-line algorithm with competitive ratio for both problems, and the results are the best possible. Project supported by NSFC (10671183).     

Longitudinal Analysis of Inhibitors of Manufacturer Delivery Performance

This article examines demand, manufacturing, and supply factors proposed to inhibit manufacturer delivery execution. Extant research proposes many factors expected to harm delivery performance. Prior cross‐sectional empirical research examines such factors at the plant level, generally finding factors arising from dynamic complexity to be significant, but factors arising from detail complexity to be insignificant. Little empirical research examines the factors using product‐level operating data, which arguably makes more sense for analyzing how supply chain complexity factors inhibit delivery. For purposes of research triangulation, we use longitudinal product‐level data from MRP systems to examine whether the factors inhibit internal manufacturing on time job rates and three customer‐oriented measures of delivery performance: product line item fill rates, average delivery lead times, and average tardiness. Our econometric models pool product line item data across division plants and within distinct product families, using a proprietary monthly dataset on over 100 product line items from the environmental controls manufacturing division of a Fortune 100 conglomerate. The data summarize customer ordering events of over 900 customers and supply chain activities of over 80 suppliers. The study contributes academically by finding significant detail complexity inhibitors of delivery that prior studies found insignificant. The findings demonstrate the need for empirical research using data disaggregated below the plant‐level unit of analysis, as they illustrate how some factors previously found insignificant indeed are significant when considered at the product‐level unit of analysis. Managers can use the findings to understand better which drivers and inhibitors of delivery performance are important.     

《儒林外史》的结构方式：“递入”与“互见”

“递入”与“互见”是构成《儒林外史》独特结构形态的主要方式,前者以时间的相连形成文本结构的统一,后者藉空间的呼应促成人物故事的完整,两者的巧妙运用使《儒林外史》中人物各传联接成一个血脉贯通的有机整体。《儒林外史》的结构方式以及由此形成的结构形态对近代章回小说产生了深刻的影响,是导致近代章回小说叙事结构发生嬗变的重要因素。