29 CFR 35.24 - Designation of responsible employee.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 1 2010-07-01 2010-07-01 true Designation of responsible employee. 35.24 Section 35.24 Labor Office of the Secretary of Labor NONDISCRIMINATION ON THE BASIS OF AGE IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE FROM THE DEPARTMENT OF LABOR Duties of DOL Recipients § 35.24...

29 CFR 32.7 - Designation of responsible employee.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 1 2010-07-01 2010-07-01 true Designation of responsible employee. 32.7 Section 32.7 Labor Office of the Secretary of Labor NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE General Provisions § 32.7 Designation of responsible employee. A...

Noninvasive Uterine Electromyography For Prediction of Preterm Delivery*

PubMed Central

UCOVNIK, Miha L; MANER, William L.; CHAMBLISS, Linda R.; BLUMRICK, Richard; BALDUCCI, James; NOVAK-ANTOLIC, Ziva; GARFIELD, Robert E.

2011-01-01

Objective Power spectrum (PS) of uterine electromyography (EMG) can identify true labor. EMG propagation velocity (PV) to diagnose labor has not been reported. The objective was to compare uterine EMG against current methods to predict preterm delivery. Study design EMG was recorded in 116 patients (preterm labor, n=20; preterm non-labor, n=68; term labor, n=22; term non-labor, n=6). Student’s t-test was used to compare EMG values for labor vs. non-labor (P<0.05 significant). Predictive values of EMG, Bishop-score, contractions on tocogram, and transvaginal cervical length were calculated using receiver-operator-characteristics analysis. Results PV was higher in preterm and term labor compared with non-labor (P<0.001). Combined PV and PS peak frequency predicted preterm delivery within 7 days with area-under-the-curve (AUC) = 0.96. Bishop score, contractions, and cervical length had AUC of 0.72, 0.67, and 0.54. Conclusions Uterine EMG PV and PS peak frequency more accurately identify true preterm labor than clinical methods. PMID:21145033

Black Male Labor Force Participation.

ERIC Educational Resources Information Center

Baer, Roger K.

This study attempts to test (via multiple regression analysis) hypothesized relationships between designated independent variables and age specific incidences of labor force participation for black male subpopulations in 54 Standard Metropolitan Statistical Areas. Leading independent variables tested include net migration, earnings, unemployment,…

Positive Psychological Capital and Emotional Labor: A Study in Educational Organizations

ERIC Educational Resources Information Center

Tosten, Rasim; Toprak, Mustafa

2017-01-01

This study aims to explore the effects of teachers' psychological capital competencies on their emotional labor competencies based on their perceptions. It follows a quantitative research design adopting survey method. Data were collected from 266 teachers working in Siirt Province, Turkey. The results show that teachers have high levels of…

ACOG Committee Opinion no. 597: Committee on Obstetric Practice: Labor induction or augmentation and autism.

PubMed

2014-05-01

Functional oxytocin deficiency and a faulty oxytocin signaling pathway have been observed in conjunction with autism spectrum disorder (ASD). Because exogenous synthetic oxytocin commonly is administered for labor induction and augmentation, some have hypothesized that synthetic oxytocin used for these purposes may alter fetal oxytocin receptors and predispose exposed offspring to ASD. However, current evidence does not identify a causal relationship between labor induction or augmentation in general, or oxytocin labor induction specifically, and autism or ASD. Recognizing the limitations of available study design, conflicting data, and the potential consequences of limiting labor induction and augmentation, the Committee on Obstetric Practice recommends against a change in current guidance regarding counseling and indications for and methods of labor induction and augmentation.

A Prospective Randomized Trial of Postural Changes vs Passive Supine Lying during the Second Stage of Labor under Epidural Analgesia

PubMed Central

Simarro, María; Espinosa, José Angel; Salinas, Cecilia; Ojea, Ricardo; Salvadores, Paloma; Walker, Carolina; Schneider, José

2017-01-01

There exist very few studies comparing different postures or postural changes during labor in parturients with epidural analgesia. Aim: To disclose whether the intervention of a multidisciplinary nursing team including a physiotherapist during the second stage of labor improves the obstetric outcome in parturients with epidural analgesia. Design: Prospective randomized trial. Setting: University-affiliated hospital. Population: Women undergoing labor with epidural analgesia after a normal gestation. Methods: 150 women were randomized either to actively perform predefined postural changes during the passive phase of the second stage of labor under the guidance of the attending physiotherapist (study group), or to carry out the whole second stage of labor lying in the traditional supine position (control group). Results: There were significantly more eutocic deliveries (p = 0.005) and, conversely, significantly less instrumental deliveries (p < 0.05) and cesarean sections (p < 0.05) in the study group. The total duration of the second stage of labor was significantly shorter (p < 0.01) in the study group. This was at the expense of the passive phase of the second stage of labor (p < 0.01). Significantly less episiotomies were performed in the study group (31.2% vs 17.8%, p < 0.05). Conclusion: The intervention of a physiotherapist during the second stage of labor significantly improved the obstetric outcome. PMID:29099021

29 CFR Appendix E to Part 825 - Designation Notice to Employee of FMLA Leave (Form WH-382)

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 3 2010-07-01 2010-07-01 false Designation Notice to Employee of FMLA Leave (Form WH-382) E Appendix E to Part 825 Labor Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR OTHER LAWS THE FAMILY AND MEDICAL LEAVE ACT OF 1993 Pt. 825, App. E Appendix E to Part...

Mothers' Perceptions of Labor Support.

PubMed

Nikula, Pirkko; Laukkala, Helena; Pölkki, Tarja

2015-01-01

The purpose of this study was to describe mothers' perceptions of labor support during childbirth. A cross-sectional, descriptive, correlational survey design was used. Data were collected using the Bryanton Adaptation of Nursing Support in Labor Questionnaire (BANSILQ) completed by new mothers (n = 260) in the postnatal ward in a Finnish university hospital. Nonparametric methods were used for data analysis. Mothers perceived emotional assistance to be most important. From the list of midwives' labor support behaviors provided in the survey, the following were considered most helpful: giving praise, treating on an individual basis, and answering questions truthfully and understandably. Emotional, tangible, and informational labor support enhanced the mothers' birth experiences. Labor support should be provided when caring for every mother during childbirth. An evidence-based model of labor support should be used for nursing and midwifery education and clinical practice.

Cultural Influences in Women-Friendly Labor-Saving Hand Tool Designs: The Milk Churner Case.

PubMed

Kisaalita, William S; Katimbo, Abia; Sempiira, Edison J; Mugisa, Dana J

2016-02-01

The aim of this study was to highlight the importance of culture in sustainable, labor-saving solutions design for women in low-resource settings. One of the reasons behind the gender asset gap among Sub-Saharan African women is the higher labor burden these women face, making it difficult for them to produce for the home and markets. Hand tools are the simplest form and therefore the best first step to address this problem. But designing women-friendly (sustainable) hand tools calls for better understanding of the low-resource settings where these women reside. A milk churner was redesigned using a human-centered (participatory) approach with groups of women from two dominant ethnolinguistic groups of Bantu and Nilotic of Uganda, and its usability was tested. The churner reduced labor up to eightfold and has potential to expand the range of uses to include children and husbands due to its simplicity. Also, the churner significantly reduced undesirable health effects, like pain in knee joints. Based on the experience with the churner, a six-item "survival guide" is proposed to complement human-centered design guiding principles for facilitating the generation of solutions in low-resource settings. By paying great attention to culture in relation to human factors, a labor-reducing churner has been successfully introduced among Ugandan women. The ultimate goal is to make the churner available to female smallholder dairy-farming households throughout Sub-Saharan Africa. This study provides a survival guide for generating solutions to problems from low-resource settings. © 2016, Human Factors and Ergonomics Society.

Cultural Influences in Women-Friendly Labor-Saving Hand Tool Designs

PubMed Central

Kisaalita, William S.; Katimbo, Abia; Sempiira, Edison J.; Mugisa, Dana J.

2016-01-01

Objective: The aim of this study was to highlight the importance of culture in sustainable, labor-saving solutions design for women in low-resource settings. Background: One of the reasons behind the gender asset gap among Sub-Saharan African women is the higher labor burden these women face, making it difficult for them to produce for the home and markets. Hand tools are the simplest form and therefore the best first step to address this problem. But designing women-friendly (sustainable) hand tools calls for better understanding of the low-resource settings where these women reside. Method: A milk churner was redesigned using a human-centered (participatory) approach with groups of women from two dominant ethnolinguistic groups of Bantu and Nilotic of Uganda, and its usability was tested. Results: The churner reduced labor up to eightfold and has potential to expand the range of uses to include children and husbands due to its simplicity. Also, the churner significantly reduced undesirable health effects, like pain in knee joints. Based on the experience with the churner, a six-item “survival guide” is proposed to complement human-centered design guiding principles for facilitating the generation of solutions in low-resource settings. Conclusion: By paying great attention to culture in relation to human factors, a labor-reducing churner has been successfully introduced among Ugandan women. The ultimate goal is to make the churner available to female smallholder dairy-farming households throughout Sub-Saharan Africa. Applications: This study provides a survival guide for generating solutions to problems from low-resource settings. PMID:26764373

Analyses of Blood Bank Efficiency, Cost-Effectiveness and Quality

NASA Astrophysics Data System (ADS)

Lam, Hwai-Tai Chen

In view of the increasing costs of hospital care, it is essential to investigate methods to improve the labor efficiency and the cost-effectiveness of the hospital technical core in order to control costs while maintaining the quality of care. This study was conducted to develop indices to measure efficiency, cost-effectiveness, and the quality of blood banks; to identify factors associated with efficiency, cost-effectiveness, and quality; and to generate strategies to improve blood bank labor efficiency and cost-effectiveness. Indices developed in this study for labor efficiency and cost-effectiveness were not affected by patient case mix and illness severity. Factors that were associated with labor efficiency were identified as managerial styles, and organizational designs that balance workload and labor resources. Medical directors' managerial involvement was not associated with labor efficiency, but their continuing education and specialty in blood bank were found to reduce the performance of unnecessary tests. Surprisingly, performing unnecessary tests had no association with labor efficiency. This suggested the existence of labor slack in blood banks. Cost -effectiveness was associated with workers' benefits, wages, and the production of high-end transfusion products by hospital-based donor rooms. Quality indices used in this study included autologous transfusion rates, platelet transfusion rates, and the check points available in an error-control system. Because the autologous transfusion rate was related to patient case mix, severity of illness, and possible inappropriate transfusion, it was not recommended to be used for quality index. Platelet-pheresis transfusion rates were associated with the transfusion preferences of the blood bank medical directors. The total number of check points in an error -control system was negatively associated with government ownership and workers' experience. Recommendations for improving labor efficiency and cost-effectiveness were focused on an incentive system that encourages team effort, and the use of appropriate measurements for laboratory efficiency and operational system designs.

Factors affecting the labor efficiency of hospital-based blood bank laboratories.

PubMed

Lam, H C; Kominski, G F; Petz, L D; Sofaer, S

1994-09-01

A variety of financing mechanisms and managerial innovations have been developed in the past decade to control hospital costs. Some evidence suggests that those changes have not produced substantial improvements in labor efficiency among employees in the hospital's technical level, such as in the blood bank laboratories. This study measured labor efficiency in 40 hospital-based blood bank laboratories in Southern California during the year from July 1989 to June 1990 and explored the impact of financial, managerial, and operational factors on labor efficiency. With standardized output measures used in all blood bank laboratories, a wide variation of labor efficiency was found. Multivariate analyses indicate that the labor efficiency of blood bank employees was not influenced by organizational financial incentives, but was affected by the managerial styles of blood bank managers. Interpretation of the findings suggests that labor efficiency is affected by operational designs intended to improve responses to variable workloads and reduce slack time.

Retirement Patterns from Career Employment

ERIC Educational Resources Information Center

Cahill, Kevin E.; Giandrea, Michael D.; Quinn, Joseph F.

2006-01-01

Purpose: This article investigates how older Americans leave their career jobs and estimates the extent of intermediate labor force activity (bridge jobs) between full-time work on a career job and complete labor-force withdrawal. Design and Methods: Using data from the Health and Retirement Study, we explored the work histories and retirement…

Changes in labor patterns over 50 years

PubMed Central

Laughon, S. Katherine; Branch, D. Ware; Beaver, Julie; Zhang, Jun

2013-01-01

Objective The objective of the study was to examine differences in labor patterns in a modern cohort compared with the 1960s in the United States. Study Design Data from pregnancies at term, in spontaneous labor, with cephalic, singleton fetuses were compared between the Collaborative Perinatal Project (CPP, n = 39,491 delivering 1959-1966) and the Consortium on Safe Labor (CSL; n = 98,359 delivering 2002-2008). Results Compared with the CPP, women in the CSL were older (26.8 ± 6.0 vs 24.1 ± 6.0 years), heavier (body mass index 29.9 ± 5.0 vs 26.3 ±4.1 kg/m2), had higher epidural (55% vs 4%) and oxytocin use (31% vs 12%), and cesarean delivery (12% vs 3%). First stage of labor in the CSL was longer by a median of 2.6 hours in nulliparas and 2.0 hours in multiparas, even after adjusting for maternal and pregnancy characteristics, suggesting that the prolonged labor is mostly due to changes in practice patterns. Conclusion Labor is longer in the modern obstetrical cohort. The benefit of extensive interventions needs further evaluation. PMID:22542117

29 CFR 458.80 - Unavailability of Administrative Law Judges.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 2 2010-07-01 2010-07-01 false Unavailability of Administrative Law Judges. 458.80 Section 458.80 Labor Regulations Relating to Labor OFFICE OF LABOR-MANAGEMENT STANDARDS, DEPARTMENT OF LABOR... Administrative Law Judges. In the event the Administrative Law Judge designated to conduct the hearing becomes...

Feasibility study of an Integrated Program for Aerospace vehicle Design (IPAD) Volume 7: IPAD benefits and impact

NASA Technical Reports Server (NTRS)

Hansen, S. D.; Southall, J. W.

1973-01-01

The potential benefits, impact and spinoff of IPAD technology are described. The benefits are projected from a flowtime and labor cost analysis of the design process and a study of the flowtime and labor cost savings being experienced with existing integrated systems. Benefits in terms of designer productivity, company effectiveness, and IPAD as a national resource are developed. A description is given of the potential impact of information handling as an IPAD technology, upon task and organization structure and people who use IPAD. Spinoff of IPAD technology to nonaerospace industries is discussed. The results of a personal survey made of aerospace, nonaerospace, government and university sources are given.

Effects of safety and health training on work-related injury among construction laborers.

PubMed

Dong, Xiuwen; Entzel, Pamela; Men, Yurong; Chowdhury, Risana; Schneider, Scott

2004-12-01

This study was designed to evaluate the effects of safety and health training on work-related injury in the construction industry. Union health insurance records, union training records, and workers compensation data for 1993 and 1994 were analyzed for more than 8000 construction laborers in Washington State. After controlling for demographic factors, laborers who received safety and health training during the study period were 12% (95% confidence interval [CI] = 0.75-1.02) less likely than nontrained laborers to file for workers compensation. Among workers 16 to 24 years old, training was associated with a 42% (95% CI = 0.35-0.95) reduction in claims. These findings provide evidence of the effectiveness of safety and health training in preventing occupational injuries among construction laborers, particularly among younger workers. However, the results cover only a limited time and the long-term effects remain unclear.

Role for a Labor-Management Partnership in Nursing Home Person-Centered Care

ERIC Educational Resources Information Center

Leutz, Walter; Bishop, Christine E.; Dodson, Lisa

2010-01-01

Purpose: To investigate how a partnership between labor and management works to change the organization and focus of nursing home frontline work, supporting a transition toward person-centered care (PCC) in participating nursing homes. Design and Methods: Using a participatory research approach, we conducted case studies of 2 nursing homes…

29 CFR 457.1 - Purpose and scope.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 2 2014-07-01 2014-07-01 false Purpose and scope. 457.1 Section 457.1 Labor Regulations Relating to Labor OFFICE OF LABOR-MANAGEMENT STANDARDS, DEPARTMENT OF LABOR STANDARDS OF CONDUCT GENERAL Purpose and Scope § 457.1 Purpose and scope. The regulations contained in this subchapter are designed to...

29 CFR 457.1 - Purpose and scope.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 2 2012-07-01 2012-07-01 false Purpose and scope. 457.1 Section 457.1 Labor Regulations Relating to Labor OFFICE OF LABOR-MANAGEMENT STANDARDS, DEPARTMENT OF LABOR STANDARDS OF CONDUCT GENERAL Purpose and Scope § 457.1 Purpose and scope. The regulations contained in this subchapter are designed to...

29 CFR 457.1 - Purpose and scope.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 2 2011-07-01 2011-07-01 false Purpose and scope. 457.1 Section 457.1 Labor Regulations Relating to Labor OFFICE OF LABOR-MANAGEMENT STANDARDS, DEPARTMENT OF LABOR STANDARDS OF CONDUCT GENERAL Purpose and Scope § 457.1 Purpose and scope. The regulations contained in this subchapter are designed to...

29 CFR 457.1 - Purpose and scope.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 2 2010-07-01 2010-07-01 false Purpose and scope. 457.1 Section 457.1 Labor Regulations Relating to Labor OFFICE OF LABOR-MANAGEMENT STANDARDS, DEPARTMENT OF LABOR STANDARDS OF CONDUCT GENERAL Purpose and Scope § 457.1 Purpose and scope. The regulations contained in this subchapter are designed to...

29 CFR 457.1 - Purpose and scope.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 2 2013-07-01 2013-07-01 false Purpose and scope. 457.1 Section 457.1 Labor Regulations Relating to Labor OFFICE OF LABOR-MANAGEMENT STANDARDS, DEPARTMENT OF LABOR STANDARDS OF CONDUCT GENERAL Purpose and Scope § 457.1 Purpose and scope. The regulations contained in this subchapter are designed to...

The efficacy and safety of inflatable obstetric belts for management of the second stage of labor.

PubMed

Kang, Jin Hee; Lee, Gun Ho; Park, Young Bae; Jun, Hye Sun; Lee, Kyoung Jin; Hahn, Won Bo; Park, Sang Won; Park, Hee Jin; Cha, Dong Hyun

2009-10-01

This study was designed to assess the effect of inflatable obstetric belts on uterine fundal pressure in the management of the second stage of labor. One hundred twenty-three nulliparas with a singleton cephalic pregnancy at term were randomized. Standard care was performed in the control group, and uterine fundal pressure by the Labor Assister (Baidy M-420/Curexo, Inc., Seoul, Korea) was utilized in addition to standard care in the active group. The Labor Assister is an inflatable obstetric belts that synchronized to apply uniform fundal pressure during a uterine contraction. The 62 women in the active group spent less time in the second stage of labor when compared to the 61 women in the control group (41.55+/-30.39 min vs. 62.11+/-35.99 min). There was no significant difference in perinatal outcomes between the two groups. In conclusion, the uterine fundal pressure exerted by the Labor Assister reduces the duration of the second stage of labor without attendant complications.

Gender Equality and Social Policy: Implications of a Study of Parental Leave in Sweden.

ERIC Educational Resources Information Center

Haas, Linda

1990-01-01

Evaluated the effectiveness of parental leave as a social policy designed to eliminate the traditional, gender-based division of labor. Examined whether fathers' taking parental leave equalized women's and men's involvement in the labor market and in child care once the leave was over by analyzing 319 sets of Swedish parents. (Author/ABL)

The Gendered Consequences of Unemployment Insurance Reforms

ERIC Educational Resources Information Center

Mooi-Reci, Irma; Mills, Melinda

2012-01-01

This study examines whether a series of unemployment insurance benefit reforms that took place over a 20-year period in the Netherlands had a gendered effect on the duration of unemployment and labor market outcomes. Using longitudinal data from the Dutch Labor Supply Panel (OSA) over the period 1980-2000, and adopting a quasi-experimental design,…

A joint labor-management hazard communication training program: a case study in worker health and safety training.

PubMed

Robins, T G; Hugentobler, M K; Kaminski, M; Klitzman, S

1994-01-01

The 1983 OSHA Hazard Communication Standard requires training of employees exposed to hazardous chemicals. The authors provide a detailed look at the successes and failures of a joint labor-management training program that was designed to bring a firm with more than 50 manufacturing facilities into compliance with the standard.

Labor Market Substitution Between Schooling and On-the-Job Training: Final Report.

ERIC Educational Resources Information Center

Rahm, Carl M.

The report describes a study designed to examine substitution between formal schooling and dropouts' post-school training or experience in the labor market. The basic hypothesis is that if formal schooling and post-school training are substitutes, then experience-earnings profiles measured in the logarithm of earnings should tend to converge. To…

Ideas versus labor: what do children value in artistic creation?

PubMed

Li, Vivian; Shaw, Alex; Olson, Kristina R

2013-04-01

As scientists, we primarily award authorship, as well as legal patents, to those who generate ideas, often without formally crediting others who executed the actual experiments. However, little is known about how and when people come to value ideas. Here, we investigate whether young children also value ideas over labor. In Study 1, we found that 4 and 6 year olds preferred pictures containing their ideas to those containing their labor. In Study 2 we rule out an alternative explanation-that children simply favor pictures containing their idiosyncratic preferences-by discovering that 6 year olds, but not 4 year olds chose a picture they mistakenly believed contained their idea, over a picture that contained their idiosyncratic preferences. Consistent with these results, using a third-party design in Study 3, we found that 6 year olds, but not 4 year olds favored a person who only contributed an idea over another who only contributed labor in awarding ownership. Across three studies, these results suggest that by 6 years old, children value ideas over labor. Copyright © 2012 Elsevier B.V. All rights reserved.

Labor Patterns in Women Attempting Vaginal Birth After Cesarean With Normal Neonatal Outcomes

PubMed Central

GRANTZ, Katherine L.; GONZALEZ-QUINTERO, Victor; TROENDLE, James; REDDY, Uma M.; HINKLE, Stefanie N.; KOMINIAREK, Michelle A.; LU, Zhaohui; ZHANG, Jun

2015-01-01

Objective To describe labor patterns in women with a trial of labor after cesarean (TOLAC) with normal neonatal outcomes. Study Design In a retrospective observational study at 12 U.S. centers (2002–2008), we examined time interval for each centimeter of cervical dilation and compared labor progression stratified by spontaneous or induced labor in 2,892 multiparous women with TOLAC (second delivery) and 56,301 nulliparous women at 37 0/7 to 41 6/7 weeks of gestation. Analyses were performed including women with intrapartum cesarean delivery, and then repeated limiting only to women who delivered vaginally. Results Labor was induced in 23.4% of TOLAC and 44.1% of nulliparous women (P<.001). Cesarean delivery rates were 57.7% in TOLAC versus 19.0% in nulliparous women (P<.001). Oxytocin was used in 52.4% of TOLAC versus 64.3% of nulliparous women with spontaneous labor (P<.001) and 89.8% of TOLAC versus 91.6% of nulliparous women with induced labor (P=.099); however, TOLAC had lower maximum doses of oxytocin compared to nulliparous women: median (90th percentile): 6 (18) mU/min versus 12 (28) mU/min, respectively (P<.001). Median (95th percentile) labor duration for TOLAC versus nulliparous women with spontaneous labor from 4–10cm was 0.9 (2.2) hours longer (P=.007). For women who entered labor spontaneously and achieved vaginal delivery, labor patterns for TOLAC were similar to nulliparous women. For induced labor, labor duration for TOLAC versus nulliparous women from 4–10cm was 1.5 (4.6) hours longer (P<.001). For women who achieved vaginal delivery, labor patterns were slower for induced TOLAC compared to nulliparous women. Conclusions Labor duration for TOLAC was slower compared to nulliparous labor, particularly for induced labor. By improved understanding of the rates of progress at different points in labor, this new information on labor curves in women undergoing TOLAC, particularly for induction, should help physicians when managing labor. PMID:25935774

29 CFR 1919.13 - General.

Code of Federal Regulations, 2010 CFR

2010-07-01

.... Where no design data on which to base a rating is obtainable, the safe working load ratings assigned... 29 Labor 7 2010-07-01 2010-07-01 false General. 1919.13 Section 1919.13 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED...

Report of Advisory Group on Assessing Means for Strengthening the Role of Labor in Education and Work Planning.

ERIC Educational Resources Information Center

Northwest Regional Educational Lab., Portland, OR.

As a part of research designed to determine how labor leaders perceive the current relationship between labor and education and to identify activities that could promote greater collaboration in education and work, an advisory committee composed of labor leaders met to analyze labor's role in planning educational activities. Central issues for the…

Labor Market Identification Model; Procedure in Labor Market Planning for Vocational Education Programs of Columbia Junior College.

ERIC Educational Resources Information Center

Columbia Junior Coll., CA.

This document is designed as a workbook for those planning to conduct labor market surveys. The data gathering procedures were specifically designed for a small rural college with limited financial and manpower resources. The purposes of such a survey are to identify manpower needs, to make the college known as a source of trained manpower, and to…

77 FR 17353 - Federal Acquisition Regulation; New Designated Country (Armenia) and Other Trade Agreements Updates

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-26

...) 52.222-19, Child Labor--Cooperation with Authorities and Remedies (MAR 2012) (E.O. 13126...) * * * (1) * * * (i) 52.222-19, Child Labor--Cooperation with Authorities and Remedies (MAR 2012) (E.O... Labor--Cooperation with Authorities and Remedies. * * * * * CHILD LABOR--COOPERATION WITH AUTHORITIES...

Induction of Labor in a Contemporary Obstetric Cohort

PubMed Central

Laughon, S. Katherine; Zhang, Jun; Grewal, Jagteshwar; Sundaram, Rajeshwari; Beaver, Julie; Reddy, Uma M.

2012-01-01

Objective To describe details of labor induction, including precursors and methods, and associated vaginal delivery rates. Study Design A retrospective cohort study of 208,695 electronic medical records from 19 hospitals across the United States, 2002–2008. Results Induction occurred in 42.9% of nulliparas and 31.8% of multiparas and elective or no recorded indication for induction at term occurred in 35.5% and 44.1%, respectively. Elective induction at term in multiparas was highly successful (vaginal delivery 97%) compared to nulliparas (76.2%). For all precursors, cesarean delivery was more common in nulliparas in the latent compared to active phase of labor. Regardless of method, vaginal delivery rates were higher with a ripe versus unripe cervix, particularly for multiparas (86.6 – 100%). Conclusions Induction of labor was a common obstetric intervention. Selecting appropriate candidates and waiting longer for labor to progress into the active phase would make an impact on decreasing the national cesarean delivery rate. PMID:22520652

29 CFR 1640.9 - Processing of complaints or charges of employment discrimination filed with a designated agency...

Code of Federal Regulations, 2012 CFR

2012-07-01

... discrimination filed with a designated agency and either a section 504 agency, the EEOC, or both. 1640.9 Section 1640.9 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION... and either a section 504 agency, the EEOC, or both. (a) Designated agency processing. A designated...

29 CFR 1640.9 - Processing of complaints or charges of employment discrimination filed with a designated agency...

Code of Federal Regulations, 2014 CFR

2014-07-01

... discrimination filed with a designated agency and either a section 504 agency, the EEOC, or both. 1640.9 Section 1640.9 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION... and either a section 504 agency, the EEOC, or both. (a) Designated agency processing. A designated...

29 CFR 1640.9 - Processing of complaints or charges of employment discrimination filed with a designated agency...

Code of Federal Regulations, 2011 CFR

2011-07-01

... discrimination filed with a designated agency and either a section 504 agency, the EEOC, or both. 1640.9 Section 1640.9 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION... and either a section 504 agency, the EEOC, or both. (a) Designated agency processing. A designated...

29 CFR 1640.9 - Processing of complaints or charges of employment discrimination filed with a designated agency...

Code of Federal Regulations, 2010 CFR

2010-07-01

... discrimination filed with a designated agency and either a section 504 agency, the EEOC, or both. 1640.9 Section 1640.9 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION... and either a section 504 agency, the EEOC, or both. (a) Designated agency processing. A designated...

Use of Midlevel Practitioners to Achieve Labor Cost Savings in the Primary Care Practice of an MCO

PubMed Central

Roblin, Douglas W; Howard, David H; Becker, Edmund R; Kathleen Adams, E; Roberts, Melissa H

2004-01-01

Objective To estimate the savings in labor costs per primary care visit that might be realized from increased use of physician assistants (PAs) and nurse practitioners (NPs) in the primary care practices of a managed care organization (MCO). Study Setting/Data Sources Twenty-six capitated primary care practices of a group model MCO. Data on approximately two million visits provided by 206 practitioners were extracted from computerized visit records for 1997–2000. Computerized payroll ledgers were the source of annual labor costs per practice from 1997–2000. Study Design Likelihood of a visit attended by a PA/NP versus MD was modeled using logistic regression, with practice fixed effects, by department (adult medicine, pediatrics) and year. Parameter estimates and practice fixed effects from these regressions were used to predict the proportion of PA/NP visits per practice per year given a standard case mix. Least squares regressions, with practice fixed effects, were used to estimate the association of this standardized predicted proportion of PA/NP visits with average annual practitioner and total labor costs per visit, controlling for other practice characteristics. Results On average, PAs/NPs attended one in three adult medicine visits and one in five pediatric medicine visits. Likelihood of a PA/NP visit was significantly higher than average among patients presenting with minor acute illness (e.g., acute pharyngitis). In adult medicine, likelihood of a PA/NP visit was lower than average among older patients. Practitioner labor costs per visit and total labor costs per visit were lower (p<.01 and p=.08, respectively) among practices with greater use of PAs/NPs, standardized for case mix. Conclusions Primary care practices that used more PAs/NPs in care delivery realized lower practitioner labor costs per visit than practices that used less. Future research should investigate the cost savings and cost-effectiveness potential of delivery designs that change staffing mix and division of labor among clinical disciplines. PMID:15149481

Barriers to the use of hydrotherapy in labor.

PubMed

Stark, Mary Ann; Miller, Michael G

2009-01-01

To determine nurses' perceived barriers to the use of hydrotherapy in labor. While effective in relieving pain, reducing anxiety, encouraging relaxation, and promoting a sense of control, hydrotherapy is rarely used during labor. Comparative descriptive survey design. A national convention and perinatal listserves. Intrapartum nurses (N=401) attending a national convention (Association of Women's Health, Obstetric, and Neonatal Nurses, 2007; n=225) and members of perinatal listserves (n=176) were recruited. A questionnaire was designed for this study (Nurses' Perception of the Use of Hydrotherapy in Labor). The questionnaire was available in paper format and online. Institutional but not individual characteristics (age, education, and role) were associated with Nurses' Perception of the Use of Hydrotherapy in Labor. Nurses who reported higher epidural rates (r=.45, p=.000) and Cesarean section rates (r=.30, p=.000) reported more barriers. There was no difference in perception of barriers for nurses at hospitals providing different levels of care; there were significant differences when primary care providers were considered. Intrapartum nurses in facilities where certified nurse-midwives do most deliveries reported significantly fewer barriers than nurses who worked in facilities where physicians attended most deliveries (F=6.84, df=2, p=.000). The culture of the birthing unit in which nurses provide care influences perception of barriers to the use of hydrotherapy in labor. Providing hydrotherapy requires a supportive environment, adequate nursing policies and staffing, and collaborative relationships among the health care team.

Florida's Labor History Symposium (November 18, 1989). Proceedings.

ERIC Educational Resources Information Center

Wilson, Margaret Gibbons, Ed.

This document contains the proceedings from a one-day symposium designed to illuminate the history of the labor movement in Florida. The proceedings are organized into two parts: Part 1 "Topics in Florida Labor History" features "Labor History in Florida: What Do We Know? Where Do We Go?" (R. Zieger); "Workers' Culture and…

Teacher Unions and TQE: Building Quality Labor Relations.

ERIC Educational Resources Information Center

Streshly, William A.; DeMitchell, Todd A.

This book is designed to provide school administrators and labor leaders with ideas about how to improve school district labor relations by incorporating the principles of Total Quality Management (TQM). In schools that apply the principles of Total Quality Education (TQE)--that is TQM as it modified to school practice--labor and management can…

29 CFR 1910.309-1910.330 - [Reserved

Code of Federal Regulations, 2011 CFR

2011-07-01

... Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR OCCUPATIONAL SAFETY AND HEALTH STANDARDS Electrical Design Safety Standards for Electrical Systems §§ 1910.309-1910.330 [Reserved] Safety-Related Work Practices ...

29 CFR 1910.309-1910.330 - [Reserved

Code of Federal Regulations, 2012 CFR

2012-07-01

... Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR OCCUPATIONAL SAFETY AND HEALTH STANDARDS Electrical Design Safety Standards for Electrical Systems §§ 1910.309-1910.330 [Reserved] Safety-Related Work Practices ...

Transit labor relations guide

DOT National Transportation Integrated Search

2001-09-01

This report is designed as a guide for those involved in labor relations in the transit industry. It begins with a history of transit labor relations. The economic, political, and legal environment of transit relations is then discussed. A section fo...

The Efficacy and Safety of Inflatable Obstetric Belts for Management of the Second Stage of Labor

PubMed Central

Kang, Jin Hee; Lee, Gun Ho; Park, Young Bae; Jun, Hye Sun; Lee, Kyoung Jin; Hahn, Won Bo; Park, Sang Won; Park, Hee Jin

2009-01-01

This study was designed to assess the effect of inflatable obstetric belts on uterine fundal pressure in the management of the second stage of labor. One hundred twenty-three nulliparas with a singleton cephalic pregnancy at term were randomized. Standard care was performed in the control group, and uterine fundal pressure by the Labor Assister™ (Baidy M-420/Curexo, Inc., Seoul, Korea) was utilized in addition to standard care in the active group. The Labor Assister™ is an inflatable obstetric belts that synchronized to apply uniform fundal pressure during a uterine contraction. The 62 women in the active group spent less time in the second stage of labor when compared to the 61 women in the control group (41.55±30.39 min vs. 62.11±35.99 min). There was no significant difference in perinatal outcomes between the two groups. In conclusion, the uterine fundal pressure exerted by the Labor Assister™ reduces the duration of the second stage of labor without attendant complications. PMID:19794998

Planetary spacecraft cost modeling utilizing labor estimating relationships

NASA Technical Reports Server (NTRS)

Williams, Raymond

1990-01-01

A basic computerized technology is presented for estimating labor hours and cost of unmanned planetary and lunar programs. The user friendly methodology designated Labor Estimating Relationship/Cost Estimating Relationship (LERCER) organizes the forecasting process according to vehicle subsystem levels. The level of input variables required by the model in predicting cost is consistent with pre-Phase A type mission analysis. Twenty one program categories were used in the modeling. To develop the model, numerous LER and CER studies were surveyed and modified when required. The result of the research along with components of the LERCER program are reported.

Goldratt's Thinking Process Applied to the Problems Associated with Trained Employee Retention in a Highly Competitive Labor Market

ERIC Educational Resources Information Center

Taylor, Lloyd J., III; Poyner, Ilene

2008-01-01

Purpose: This study aims to investigate the problem of trained employee retention in a highly competitive labor market for a manufacturing facility in the oilfields of West Texas. Design/methodology/approach: This article examines how one manufacturing facility should be able to retain their trained employees by using the logic of Eliyahu M.…

Lessons Learned Developing an Extension-Based Training Program for Farm Labor Supervisors

ERIC Educational Resources Information Center

Roka, Fritz M.; Thissen, Carlene A.; Monaghan, Paul F.; Morera, Maria C.; Galindo-Gonzalez, Sebastian; Tovar-Aguilar, Jose Antonio

2017-01-01

This article outlines a four-step model for developing a training program for farm labor supervisors. The model draws on key lessons learned during the development of the University of Florida Institute of Food and Agricultural Sciences Farm Labor Supervisor Training program. The program is designed to educate farm supervisors on farm labor laws…

Differences in Inflammatory Markers between Nulliparous Women Admitted to Hospitals in Pre-Active versus Active Labor

PubMed Central

Neal, Jeremy L.; Lamp, Jane M.; Lowe, Nancy K.; Gillespie, Shannon L.; Sinnott, Loraine T.; Mccarthy, Donna O.

2014-01-01

Objectives To determine if labor-associated inflammatory markers differ between low-risk, nulliparous women in pre-active vs. active labor at hospital admission and over time. Study Design Prospective comparative study of low-risk, nulliparous women with spontaneous labor onset at term (N=118) sampled from two large Midwestern hospitals. Circulating concentrations of inflammatory markers were measured at admission and again 2 and 4 hours later: namely, neutrophil and monocyte counts; and serum inflammatory cytokines (interleukin [IL]-1β, IL-6, tumor necrosis factor [TNF]-α, IL-10) and chemokines (IL-8). Biomarker concentrations and their patterns of change over time were compared between pre-active (n=63) and active (n=55) labor admission groups using Mann-Whitney U tests. Results Concentrations of IL-6 and IL-10 in the active labor admission group were significantly higher than concentrations in the pre-active labor admission group at all three time points. Neutrophil levels were significantly higher in the active group at 2 and 4 hours after admission. The rate of increase in neutrophils and IL-10 between admission and 2 hours later was faster in the active group (p<0.001 and p=0.003, respectively). Conclusions Circulating concentrations of several inflammatory biomarkers are higher and their rate of change over time since admission is faster among low-risk, nulliparous women admitted to hospitals in active labor, as compared to those admitted in pre-active labor. More research is needed to determine if progressive changes in inflammatory biomarkers might be a useful adjunct to improving the assessment of labor progression and determining the optimal timing of labor admission. PMID:25086275

The efficacy of hypnosis as an intervention for labor and delivery pain: a comprehensive methodological review.

PubMed

Landolt, Alison S; Milling, Leonard S

2011-08-01

This paper presents a comprehensive methodological review of research on the efficacy of hypnosis for reducing labor and delivery pain. To be included, studies were required to use a between-subjects or mixed model design in which hypnosis was compared with a control condition or alternative intervention in reducing labor pain. An exhaustive search of the PsycINFO and PubMed databases produced 13 studies satisfying these criteria. Hetero-hypnosis and self-hypnosis were consistently shown to be more effective than standard medical care, supportive counseling, and childbirth education classes in reducing pain. Other benefits included better infant Apgar scores and shorter Stage 1 labor. Common methodological limitations of the literature include a failure to use random assignment, to specify the demographic characteristics of samples, and to use a treatment manual. Copyright © 2011 Elsevier Ltd. All rights reserved.

Defining an abnormal first stage of labor based on maternal and neonatal outcomes

PubMed Central

Harper, Lorie M.; Caughey, Aaron B.; Roehl, Kimberly A.; Odibo, Anthony O.; Cahill, Alison G.

2014-01-01

OBJECTIVE The objective of the study was to determine the threshold for defining abnormal labor that is associated with adverse maternal and neonatal outcomes. STUDY DESIGN This study consisted of a retrospective cohort of all consecutive women admitted at a gestation of 37.0 weeks or longer from 2004 to 2008 who reached the second stage of labor. The 90th, 95th, and 97th percentiles for progress in the first stage of labor were determined specific for parity and labor onset. Women with a first stage above and below each centile were compared. Maternal outcomes were cesarean delivery in the second stage, operative delivery, prolonged second stage, postpartum hemorrhage, and maternal fever. Neonatal outcomes were a composite of the following: admission to level 2 or 3 nursery, 5 minute Apgar less than 3, shoulder dystocia, arterial cord pH of less than 7.0, and a cord base excess of −12 or less. RESULTS Of the 5030 women, 4534 experienced first stage of less than the 90th percentile, 251 between the 90th and 94th percentiles, 102 between the 95th and 96th percentiles, and 143 at the 97th percentile or greater. Longer labors were associated with an increased risk of a prolonged second stage, maternal fever, the composite neonatal outcome, shoulder dystocia, and admission to a level 2 or 3 nursery (P < .01). Depending on the cutoff used, 29–30 cesarean deliveries would need to be performed to prevent 1 shoulder dystocia. CONCLUSION Although women who experience labor dystocia may ultimately deliver vaginally, a longer first stage of labor is associated with adverse maternal and neonatal outcomes, in particular shoulder dystocia. This risk must be balanced against the risks of cesarean delivery for labor arrest. PMID:24361789

76 FR 2720 - Trade Adjustment Assistance Program; Designation of Certifying Officers

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-14

... DEPARTMENT OF LABOR Employment and Training Administration Trade Adjustment Assistance Program; Designation of Certifying Officers AGENCY: Employment and Training Administration, Labor. ACTION: Notice... workers and firms in the service sector; made benefits available to workers whose jobs have been off...

Child Labor Amendments of 1991. Joint Hearing on S.600 To Amend the Fair Labor Standards Act of 1938 To Improve Enforcement of the Child Labor Provisions of Such Act, and for Other Purposes, before the Subcommittee on Labor and Subcommittee on Children, Family, Drugs and Alcoholism of the Committee on Labor and Human Resources. United States Senate, One Hundred Second Congress, First Session.

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. Senate Committee on Labor and Human Resources.

A joint hearing was held to consider S. 600, a U.S. Senate bill designed to help educate the public about federal child labor laws and strengthen enforcement of child labor laws through an amendment to the Fair Labor Standards Act of 1938. Senator Howard M. Metzenbaum presided. The hearings were called because of sporadic enforcement of inadequate…

Oxytocin Augmentation in Spontaneously Laboring, Nulliparous Women: Multilevel Assessment of Maternal BMI and Oxytocin Dose

PubMed Central

Carlson, Nicole S.; Corwin, Elizabeth J.; Lowe, Nancy K.

2017-01-01

Background Synthetic oxytocin, the primary tool for labor augmentation, is less effective among obese women, leading to more unplanned cesarean deliveries for slow labor progress. It is not known if obese women require higher doses of oxytocin due to maternal, fetal, or labor factors related to maternal obesity. Objectives This study had two main objectives: 1) Examine the influence of maternal body mass index (BMI) on hourly doses of oxytocin from augmentation initiation until vaginal delivery in obese women; and 2) Examine the influence of other maternal, fetal, and labor factors on hourly doses of oxytocin in obese women. Study design Longitudinal study of a cohort (N = 136) of healthy, nulliparous, spontaneously laboring obese women (BMI ≥ 30 kg/m2) who received oxytocin augmentation and achieved vaginal delivery. We performed iterative multilevel analyses to examine the influence of maternal BMI and other factors on hourly oxytocin doses. Results Maternal BMI explained 16.56% (95% CI [13.7-20.04], p < 0.001) of the variance in hourly oxytocin doses received in a multilevel model controlling for influence of maternal, fetal, and labor characteristics. Maternal age, gestational age, status of amniotic membranes at hospital admission, and admission cervical dilation examination were not significant; however, neonatal birthweight and cervical dilation at oxytocin initiation were significant predictors of hourly oxytocin dose in these women (p < 0.001). Conclusions Even when parturition preparation has progressed adequately for spontaneous labor initiation, there still may be some obesity-related blunting of myometrial contractility and response to oxytocin used for augmentation. PMID:28347147

Identifying Success Factors in Community College Grants Awarded under the U.S. Department of Labor's Community-Based Job Training Grants Program, 2005-2008

ERIC Educational Resources Information Center

Garrison, Debra Linley

2010-01-01

This study provides an in-depth analysis of the Community-Based Job Training Grants awarded by the U.S. Department of Labor from 2005 to 2008. The primary research question is designed to identify the most important factors in meeting grant-training outcomes; however, numerous secondary questions were addressed to provide the reader with in-depth…

Systematic review: elective induction of labor versus expectant management of pregnancy.

PubMed

Caughey, Aaron B; Sundaram, Vandana; Kaimal, Anjali J; Gienger, Allison; Cheng, Yvonne W; McDonald, Kathryn M; Shaffer, Brian L; Owens, Douglas K; Bravata, Dena M

2009-08-18

The rates of induction of labor and elective induction of labor are increasing. Whether elective induction of labor improves outcomes or simply leads to greater complications and health care costs is commonly debated in the literature. To compare the benefits and harms of elective induction of labor and expectant management of pregnancy. MEDLINE (through February 2009), Web of Science, CINAHL, Cochrane Central Register of Controlled Trials (through March 2009), bibliographies of included studies, and previous systematic reviews. Experimental and observational studies of elective induction of labor reported in English. Two authors abstracted study design; patient characteristics; quality criteria; and outcomes, including cesarean delivery and maternal and neonatal morbidity. Of 6117 potentially relevant articles, 36 met inclusion criteria: 11 randomized, controlled trials (RCTs) and 25 observational studies. Overall, expectant management of pregnancy was associated with a higher odds ratio (OR) of cesarean delivery than was elective induction of labor (OR, 1.22 [95% CI, 1.07 to 1.39]; absolute risk difference, 1.9 percentage points [CI, 0.2 to 3.7 percentage points]) in 9 RCTs. Women at or beyond 41 completed weeks of gestation who were managed expectantly had a higher risk for cesarean delivery (OR, 1.21 [CI, 1.01 to 1.46]), but this difference was not statistically significant in women at less than 41 completed weeks of gestation (OR, 1.73 [CI, 0.67 to 4.5]). Women who were expectantly managed were more likely to have meconium-stained amniotic fluid than those who were electively induced (OR, 2.04 [CI, 1.34 to 3.09]). There were no recent RCTs of elective induction of labor at less than 41 weeks of gestation. The 2 studies conducted at less than 41 weeks of gestation were of poor quality and were not generalizable to current practice. RCTs suggest that elective induction of labor at 41 weeks of gestation and beyond is associated with a decreased risk for cesarean delivery and meconium-stained amniotic fluid. There are concerns about the translation of these findings into actual practice; thus, future studies should examine elective induction of labor in settings where most obstetric care is provided.

[Effects of a yoga-focused prenatal program on stress, anxiety, self confidence and labor pain in pregnant women with in vitro fertilization treatment].

PubMed

Shim, Chung Sin; Lee, Young-Sook

2012-06-01

The purpose of this study was to identify the effects of a Yoga-focused prenatal program on the stress, anxiety, self confidence and labor pain of pregnant women who had in vitro fertilization (IVF) treatment. A quasi experimental study with a non-equivalent control group pretest-posttest design was used. The data collection period and meditation program were between January 9 and August 31, 2009. Forty-six women who were pregnant following IVF, and were between 12-20 weeks gestation, participated in the study (23 experimental group, 23 control group). Data were analyzed using Chi-square test, Mann-Whitney U Test, ANCOVA, and Cronbach's alpha coefficients with the SPSS 12.0 for Windows Program. Although the sample size was limited, women who participated in the program showed statistically significant improvements in stress, anxiety, labor pain, and labor confidence for women pregnant after IVF. The result indicate that this 12-week Yoga-focused educational program can be utilized for women pregnant following IVF to reduce their stress, anxiety, and labor pain, and to increase delivery confidence. It is suggested that the Yoga-focused educational program be offered to every pregnant woman.

Induction of labor in women with a history of fast labor.

PubMed

Kenny, Tiffany H; Fenton, Bradford W; Melrose, Erica L; McCarroll, Michele L; von Gruenigen, Vivian E

2016-01-01

History of fast labor is currently subjectively defined and inductions for non-medical indications are becoming restricted. We hypothesized that women induced for a history of fast labor do not have faster previous labors and do not deliver more quickly. A retrospective case-control cohort design studied multiparas undergoing elective induction at one high risk center. Outcomes of dyads electively induced for a history of previous fast labor indication (PFast) were compared to controls with a psychosocial indication. A total of 612 elective inductions with 1074 previous deliveries were evaluated: 81 (13%) PFast and 531 (87%) control. PFast had faster previous labors (median 5.5 h, IQR: 4.5-6) versus. control (10 h, IQR: 9-10.5; p < 0.001). Subsequent delivery time from start to expulsion was shorter for PFast (median 7 h, IQR: 5-9, p < 0.001) than controls with and without a previous labor <5.5 h (8.6 h, IQR: 6-14 and 9.5 h, IQR: 7-15, respectively). PFast were less likely to have a serious maternal complication. Neonatal complications were similar. Patients induced for a history of fast labor do have faster previous labors, suggesting a significant history of fast labor can be defined as <5.5 h. These women deliver more quickly and with lower morbidity than controls when subsequently induced, therefore the benefit may warrant the risk for a select number of women with a history of a prior labor length <5.5 h.

29 CFR 1640.3 - Exchange of information.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 4 2012-07-01 2012-07-01 false Exchange of information. 1640.3 Section 1640.3 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION PROCEDURES FOR COORDINATING... Exchange of information. The EEOC, section 504 agencies, and designated agencies shall share any...

29 CFR 1640.3 - Exchange of information.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 4 2013-07-01 2013-07-01 false Exchange of information. 1640.3 Section 1640.3 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION PROCEDURES FOR COORDINATING... Exchange of information. The EEOC, section 504 agencies, and designated agencies shall share any...

29 CFR 1640.3 - Exchange of information.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 4 2011-07-01 2011-07-01 false Exchange of information. 1640.3 Section 1640.3 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION PROCEDURES FOR COORDINATING... Exchange of information. The EEOC, section 504 agencies, and designated agencies shall share any...

29 CFR 1640.3 - Exchange of information.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 4 2014-07-01 2014-07-01 false Exchange of information. 1640.3 Section 1640.3 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION PROCEDURES FOR COORDINATING... Exchange of information. The EEOC, section 504 agencies, and designated agencies shall share any...

29 CFR 1640.3 - Exchange of information.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 4 2010-07-01 2010-07-01 false Exchange of information. 1640.3 Section 1640.3 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION PROCEDURES FOR COORDINATING... Exchange of information. The EEOC, section 504 agencies, and designated agencies shall share any...

29 CFR 4050.9 - Annuity or elective lump sum-living missing participant.

Code of Federal Regulations, 2010 CFR

2010-07-01

... unloaded designated benefit divided by the present value (determined as of the deemed distribution date.... 4050.9 Section 4050.9 Labor Regulations Relating to Labor (Continued) PENSION BENEFIT GUARANTY... participant. This section applies to a missing participant whose designated benefit was determined under...

29 CFR 1910.302 - Electric utilization systems.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 5 2012-07-01 2012-07-01 false Electric utilization systems. 1910.302 Section 1910.302..., DEPARTMENT OF LABOR OCCUPATIONAL SAFETY AND HEALTH STANDARDS Electrical Design Safety Standards for Electrical Systems § 1910.302 Electric utilization systems. Sections 1910.302 through 1910.308 contain design...

29 CFR 1910.302 - Electric utilization systems.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 5 2013-07-01 2013-07-01 false Electric utilization systems. 1910.302 Section 1910.302..., DEPARTMENT OF LABOR OCCUPATIONAL SAFETY AND HEALTH STANDARDS Electrical Design Safety Standards for Electrical Systems § 1910.302 Electric utilization systems. Sections 1910.302 through 1910.308 contain design...

29 CFR 1910.302 - Electric utilization systems.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 5 2014-07-01 2014-07-01 false Electric utilization systems. 1910.302 Section 1910.302..., DEPARTMENT OF LABOR OCCUPATIONAL SAFETY AND HEALTH STANDARDS Electrical Design Safety Standards for Electrical Systems § 1910.302 Electric utilization systems. Sections 1910.302 through 1910.308 contain design...

29 CFR 1910.302 - Electric utilization systems.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 5 2011-07-01 2011-07-01 false Electric utilization systems. 1910.302 Section 1910.302..., DEPARTMENT OF LABOR OCCUPATIONAL SAFETY AND HEALTH STANDARDS Electrical Design Safety Standards for Electrical Systems § 1910.302 Electric utilization systems. Sections 1910.302 through 1910.308 contain design...

29 CFR 1910.302 - Electric utilization systems.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 5 2010-07-01 2010-07-01 false Electric utilization systems. 1910.302 Section 1910.302..., DEPARTMENT OF LABOR OCCUPATIONAL SAFETY AND HEALTH STANDARDS Electrical Design Safety Standards for Electrical Systems § 1910.302 Electric utilization systems. Sections 1910.302 through 1910.308 contain design...

A descriptive study of "being with woman" during labor and birth.

PubMed

Hunter, Lauren P

2009-01-01

The objective of this study was to learn more about women's perceptions of the nurse-midwifery practice of "being with woman" during childbirth. The descriptive, correlational design used a convenience sample of 238 low-risk postpartum women in a hospital nurse-midwifery practice, with two childbirth settings: a standard labor and delivery unit and an in-hospital birth center. The main outcome measure was a 29-item seven-response Likert scale questionnaire, the Positive Presence Index (PPI), administered to women cared for during labor and birth by nurse-midwives to measure the concept of being with woman. Statistical analysis demonstrated women who gave birth in the in-hospital birth center or who began labor in the in-hospital birth center prior to an indicated transfer to the standard labor and delivery unit gave higher PPI scores than women who were admitted to and gave birth on the standard labor and delivery unit. Parity, ethnicity, number of midwives attending, presence of personal support persons, length of labor, and pain relief medications were unrelated to PPI scores. Two coping/comfort techniques, music therapy and breathing, were found to be correlated with reported higher PPI scores than those of women who did not use the techniques. These results can be used to encourage continued use of midwifery care and for low client to midwife caseloads during childbirth, and to modify hospital settings to include more in-hospital birth centers.

Testing the Effectiveness of Therapeutic Showering in Labor.

PubMed

Stark, Mary Ann

: Therapeutic showering is a holistic nursing intervention that is often available and supports physiologic labor. The purpose of this study was to compare the effectiveness of therapeutic showering with usual care during active labor. Research questions were as follows: Are there significant differences between women who showered 30 minutes during active labor and those who received usual labor care in anxiety, tension, relaxation, pain, discomfort, and coping? Is there a difference in use of obstetric interventions between groups? A convenience sample of healthy low-risk women in active labor was recruited (N = 32). A pretest posttest control group repeated-measures design was used. Participants were randomized to treatment group (n = 17), who showered for 30 minutes, or to control group (n = 14) who received usual labor care. Women evaluated pain, discomfort, anxiety, tension, coping, and relaxation at enrollment, again 15 minutes after entering the shower or receiving usual care, then again 30 minutes after entering the shower or receiving usual care. Chart reviews after delivery recorded obstetric interventions. The showering group had statistically significant decreases in pain, discomfort, anxiety and tension, and significant increase in relaxation. There were no differences in use of obstetric interventions. Therapeutic showering was effective in reducing pain, discomfort, anxiety, and tension while improving relaxation and supporting labor in this sample.

Beta-2 adrenoceptor genotype and progress in term and late preterm active labor

PubMed Central

MILLER, Russell S.; SMILEY, Richard M.; DANIEL, Danette; WENG, Chunhua; EMALA, Charles W.; BLOUIN, Jean-Louis; FLOOD, Pamela D.

2011-01-01

OBJECTIVE To evaluate whether beta-2 adrenoceptor genotype at a functional polymorphic site encoding for amino acid residue 16 influences rate of cervical dilatation in term and late preterm active labor. STUDY DESIGN Subjects that underwent vaginal delivery at 34 or greater weeks gestational age between May, 2006, and August, 2007, were identified. Each subject had provided venous blood from which DNA was extracted for beta-2 adrenoceptor genotyping. Digital cervical examinations with paired examination times were collected from intrapartum records. Rate of cervical dilatation in active labor was determined using linear regression and rates were compared between genotype groups. RESULTS Among 401 subjects with satisfactory genotype and intrapartum data, overall rate of active labor was 0.76+/−0.01 cm/hr. When labor was compared by genotype, homozygous Arg/Arg16 subjects progressed at a slower rate (0.64+/−0.03 cm/hr) than all other pooled genotypes (0.8+/−0.02 cm/hr). CONCLUSION Homozygous beta-2 adrenoceptor genotype encoding for Arg/Arg16 was associated with slower progress in active labor. PMID:21600547

Effects of SP6 Acupuncture Point Stimulation on Labor Pain and Duration of Labor

PubMed Central

Yesilcicek Calik, Kiymet; Komurcu, Nuran

2014-01-01

Background: Acupressure has been used frequently to improve labor, manage labor pain, and shorten delivery time. However, there has been little research-based evidence to support the positive effects of acupressure in the obstetric area and obstetric nursing. Objectives: The aim of this study was to evaluate the effects of SP6 acupressure on labor pain and delivery time in primigravida women in labor. Patients and Methods: The study was conducted at the Trabzon Maternity Hospital in Turkey. Its design was a randomized controlled clinical trial study using a single-blinded method. One hundred (100) primigravida women in labor were randomly assigned to either the SP6 acupressure (n = 50) or control group (n = 50). Acupressure was practiced 35 times in total on the SP6 point of both legs in the SP6 acupressure group; 15 times (during contraction) when cervical dilation was 2-3 cm, 10 times when cervical dilation was 5-6 cm and 10 times at 9-10 cm dilation, while the women in the control group received standard care. Labor pain was measured five times using a structured questionnaire of a subjective labor pain scale (visual analogue scale-VAS) when dilation was 2-3 cm (VAS 2), 5-6 cm (VAS 3) and 8-9 cm (VAS 4) before and after acupressure was applied to the SP6 point (VAS 1), and finally at the early postpartum period (VAS 5). The duration of labor in both groups was measured with a partograph and the length of delivery time was calculated in two stages: from 3 cm cervical dilation to full cervical dilation, and from full cervical dilation to delivery. Results: There were significant differences between the groups in subjective labor pain scores (except VAS 4) (P < 0.001). The duration of the Phase one (3 cm dilatation to full dilatation) and Phase two (full dilatation to birth) in the acupressure group was shorter than the control group (Phase one, 225 min and 320 min, respectively; Phase two, 15 min and 20 min, respectively; both P < 0.001). Conclusions: It was determined that SP6 acupressure was effective in decreasing pain and duration of labor. PMID:25558386

29 CFR 1910.36 - Design and construction requirements for exit routes.

Code of Federal Regulations, 2012 CFR

2012-07-01

....36 Section 1910.36 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR OCCUPATIONAL SAFETY AND HEALTH STANDARDS Exit Routes and Emergency Planning... of exit routes necessary for your workplace, consult NFPA 101-2000, Life Safety Code. (c) Exit...

Targeted Business Incentives and Local Labor Markets

ERIC Educational Resources Information Center

Freedman, Matthew

2013-01-01

This paper uses a regression discontinuity design to examine the effects of geographically targeted business incentives on local labor markets. Unlike elsewhere in the United States, enterprise zone (EZ) designations in Texas are determined in part by a cutoff rule based on census block group poverty rates. Exploiting this discontinuity as a…

29 CFR 1614.307 - Organization of Special Panel.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION FEDERAL SECTOR... each time a panel is convened; and (3) One member of the EEOC designated by the Chairman of the... Chairman of the EEOC shall each designate one member from their respective agencies to serve on the Special...

29 CFR 1614.307 - Organization of Special Panel.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION FEDERAL SECTOR... each time a panel is convened; and (3) One member of the EEOC designated by the Chairman of the... Chairman of the EEOC shall each designate one member from their respective agencies to serve on the Special...

29 CFR 1614.307 - Organization of Special Panel.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION FEDERAL SECTOR... each time a panel is convened; and (3) One member of the EEOC designated by the Chairman of the... Chairman of the EEOC shall each designate one member from their respective agencies to serve on the Special...

29 CFR 1614.307 - Organization of Special Panel.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION FEDERAL SECTOR... each time a panel is convened; and (3) One member of the EEOC designated by the Chairman of the... Chairman of the EEOC shall each designate one member from their respective agencies to serve on the Special...

29 CFR 1614.307 - Organization of Special Panel.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION FEDERAL SECTOR... each time a panel is convened; and (3) One member of the EEOC designated by the Chairman of the... Chairman of the EEOC shall each designate one member from their respective agencies to serve on the Special...

The Moderating Role of Leader-Member Exchange in the Relationships Between Emotional Labor and Burnout in Clinical Nurses.

PubMed

Lee, Eun Kyung; Ji, Eun Joo

2018-03-01

This study aimed to identify the moderating effect of leader-member exchange in the relationship between emotional labor and burnout among clinical nurses. A cross-sectional study design was used. Participants were 170 registered nurses working in the general wards of two tertiary hospitals in Seoul, South Korea. The data were collected through convenience sampling using self-report measures of emotional labor, leader-member exchange, and burnout. The data were analyzed using hierarchical multiple regression. Data from 165 nurses (response rate 97.1%) were utilized. The mean age of the participants was 28.42 years (SD = 5.43), and their mean years of experience as a nurse was 5.80 years (SD = 5.51). First, emotional modulation efforts in their profession and patient-focused emotional suppression (both factors of emotional labor) showed significant negative and positive effects, respectively, on burnout. Second, leader-member exchange showed a significant negative effect on burnout. Finally, when controlling for marital status and work unit, leader-member exchange had a moderating effect on the relationship between burnout and the two aforementioned factors of emotional labor. The results of this study suggest that as a way to reduce burnout, institutional support to enhance leader-member exchange should be established for nurses who are experiencing emotional labor. Copyright © 2018. Published by Elsevier B.V.

The Rise of Organized Labor: Workers, Employers, and the Public Interest. Public Issues Series.

ERIC Educational Resources Information Center

Stewart, James; Giese, James R.

This booklet is part of a series of units designed to help students take and defend a position on public issues. The booklet is premised on the idea that the study of how various labor-related conflicts were resolved in the past can throw light on the problem of how they ought to be resolved here and now. That is why this particular unit looks at…

29 CFR Appendix E to Part 825 - Designation Notice to Employee of FMLA Leave (Form WH-382)

Code of Federal Regulations, 2012 CFR

2012-07-01

..., DEPARTMENT OF LABOR OTHER LAWS THE FAMILY AND MEDICAL LEAVE ACT OF 1993 Pt. 825, App. E Appendix E to Part 825—Designation Notice to Employee of FMLA Leave (Form WH-382) ER17NO08.011 ... 29 Labor 3 2012-07-01 2012-07-01 false Designation Notice to Employee of FMLA Leave (Form WH-382...

29 CFR Appendix E to Part 825 - Designation Notice to Employee of FMLA Leave (Form WH-382)

Code of Federal Regulations, 2011 CFR

2011-07-01

..., DEPARTMENT OF LABOR OTHER LAWS THE FAMILY AND MEDICAL LEAVE ACT OF 1993 Pt. 825, App. E Appendix E to Part 825—Designation Notice to Employee of FMLA Leave (Form WH-382) ER17NO08.011 ... 29 Labor 3 2011-07-01 2011-07-01 false Designation Notice to Employee of FMLA Leave (Form WH-382...

29 CFR 30.16 - Hearings.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 1 2011-07-01 2011-07-01 false Hearings. 30.16 Section 30.16 Labor Office of the Secretary of Labor EQUAL EMPLOYMENT OPPORTUNITY IN APPRENTICESHIP AND TRAINING § 30.16 Hearings. (a) Within 10 days after receiving a request for a hearing, the Secretary shall designate a hearing officer. The...

29 CFR 30.16 - Hearings.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 1 2012-07-01 2012-07-01 false Hearings. 30.16 Section 30.16 Labor Office of the Secretary of Labor EQUAL EMPLOYMENT OPPORTUNITY IN APPRENTICESHIP AND TRAINING § 30.16 Hearings. (a) Within 10 days after receiving a request for a hearing, the Secretary shall designate a hearing officer. The...

29 CFR 30.16 - Hearings.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 1 2013-07-01 2013-07-01 false Hearings. 30.16 Section 30.16 Labor Office of the Secretary of Labor EQUAL EMPLOYMENT OPPORTUNITY IN APPRENTICESHIP AND TRAINING § 30.16 Hearings. (a) Within 10 days after receiving a request for a hearing, the Secretary shall designate a hearing officer. The...

29 CFR 42.10 - Farm labor contact persons and regional coordinators (OSHA).

Code of Federal Regulations, 2010 CFR

2010-07-01

... contact persons and regional coordinators (OSHA). (a) OSHA Area Directors shall be responsible for... Contact Persons shall be designated in OSHA area offices with responsibility for conducting a significant... 29 Labor 1 2010-07-01 2010-07-01 true Farm labor contact persons and regional coordinators (OSHA...

29 CFR 1952.110 - Description of the plan as initially approved.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Section 1952.110 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH... Industrial Commission as the State agency designated to administer the plan throughout the State. It defines the covered occupational safety and health issues as defined by the Secretary of Labor in 29 CFR 1902...

29 CFR 1952.110 - Description of the plan as initially approved.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Section 1952.110 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH... Industrial Commission as the State agency designated to administer the plan throughout the State. It defines the covered occupational safety and health issues as defined by the Secretary of Labor in 29 CFR 1902...

29 CFR 1952.110 - Description of the plan as initially approved.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Section 1952.110 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH... Industrial Commission as the State agency designated to administer the plan throughout the State. It defines the covered occupational safety and health issues as defined by the Secretary of Labor in 29 CFR 1902...

Effect of stage of initial labor dystocia on vaginal birth after cesarean success

PubMed Central

Lewkowitz, Adam Korrick; Nakagawa, Sanae; Thiet, Mari-Paule; Rosenstein, Melissa Greer

2016-01-01

OBJECTIVE The objective of the study was to examine whether the stage of labor dystocia causing a primary cesarean delivery (CD) affects a trial of labor after cesarean (TOLAC) success. STUDY DESIGN This was a retrospective cohort study of women who had primary CD of singleton pregnancies for first- or second-stage labor dystocia and attempted TOLAC at a single hospital between 2002 and 2014. We compared TOLAC success rates between women whose primary CD was for first- vs second-stage labor dystocia and investigated whether the effect of prior dystocia stage on TOLAC success was modified by previous vaginal delivery (VD). RESULTS A total of 238 women were included; nearly half (49%) achieved vaginal birth after cesarean (VBAC). Women with a history of second-stage labor dystocia were more likely to have VBAC compared with those with first-stage dystocia, although this trend was not statistically significant among the general population (55% vs 45%, adjusted odds ratio, 1.4, 95% confidence interval, 0.8–2.5]). However, among women without a prior VD, those with a history of second-stage dystocia did have statistically higher odds of achieving VBAC than those with prior first-stage dystocia (54% vs 38%, adjusted odds ratio, 1.8 [95% confidence interval, 1.0–3.3], P for interaction = .043). CONCLUSION Nearly half of women with a history of primary CD for labor dystocia will achieve VBAC. Women with a history of second-stage labor dystocia have a slightly higher VBAC rate, seen to a statistically significant degree in those without a history of prior VD. TOLAC should be offered to all eligible women and should not be discouraged in women with a prior second-stage arrest. PMID:26348381

Estimation of unemployment rates using small area estimation model by combining time series and cross-sectional data

NASA Astrophysics Data System (ADS)

Muchlisoh, Siti; Kurnia, Anang; Notodiputro, Khairil Anwar; Mangku, I. Wayan

2016-02-01

Labor force surveys conducted over time by the rotating panel design have been carried out in many countries, including Indonesia. Labor force survey in Indonesia is regularly conducted by Statistics Indonesia (Badan Pusat Statistik-BPS) and has been known as the National Labor Force Survey (Sakernas). The main purpose of Sakernas is to obtain information about unemployment rates and its changes over time. Sakernas is a quarterly survey. The quarterly survey is designed only for estimating the parameters at the provincial level. The quarterly unemployment rate published by BPS (official statistics) is calculated based on only cross-sectional methods, despite the fact that the data is collected under rotating panel design. The study purpose to estimate a quarterly unemployment rate at the district level used small area estimation (SAE) model by combining time series and cross-sectional data. The study focused on the application and comparison between the Rao-Yu model and dynamic model in context estimating the unemployment rate based on a rotating panel survey. The goodness of fit of both models was almost similar. Both models produced an almost similar estimation and better than direct estimation, but the dynamic model was more capable than the Rao-Yu model to capture a heterogeneity across area, although it was reduced over time.

29 CFR 1640.9 - Processing of complaints or charges of employment discrimination filed with a designated agency...

Code of Federal Regulations, 2013 CFR

2013-07-01

... discrimination filed with a designated agency and either a section 504 agency, the EEOC, or both. 1640.9 Section 1640.9 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION PROCEDURES FOR COORDINATING THE INVESTIGATION OF COMPLAINTS OR CHARGES OF EMPLOYMENT DISCRIMINATION BASED ON...

48 CFR 1515.404-471 - EPA structured approach for developing profit or fee objectives.

Code of Federal Regulations, 2011 CFR

2011-10-01

... profit or fee objective. (5) The weight factors discussed in this section are designed for arriving at... involving creative design. (B) Consideration should be given to the managerial and technical efforts.../technical and general labor. Analysis of labor should include evaluation of the comparative quality and...

48 CFR 1515.404-471 - EPA structured approach for developing profit or fee objectives.

Code of Federal Regulations, 2013 CFR

2013-10-01

... profit or fee objective. (5) The weight factors discussed in this section are designed for arriving at... involving creative design. (B) Consideration should be given to the managerial and technical efforts.../technical and general labor. Analysis of labor should include evaluation of the comparative quality and...

48 CFR 1515.404-471 - EPA structured approach for developing profit or fee objectives.

Code of Federal Regulations, 2012 CFR

2012-10-01

... profit or fee objective. (5) The weight factors discussed in this section are designed for arriving at... involving creative design. (B) Consideration should be given to the managerial and technical efforts.../technical and general labor. Analysis of labor should include evaluation of the comparative quality and...

48 CFR 1515.404-471 - EPA structured approach for developing profit or fee objectives.

Code of Federal Regulations, 2014 CFR

2014-10-01

... profit or fee objective. (5) The weight factors discussed in this section are designed for arriving at... involving creative design. (B) Consideration should be given to the managerial and technical efforts.../technical and general labor. Analysis of labor should include evaluation of the comparative quality and...

48 CFR 1515.404-471 - EPA structured approach for developing profit or fee objectives.

Code of Federal Regulations, 2010 CFR

2010-10-01

... profit or fee objective. (5) The weight factors discussed in this section are designed for arriving at... involving creative design. (B) Consideration should be given to the managerial and technical efforts.../technical and general labor. Analysis of labor should include evaluation of the comparative quality and...

Using the Department of Labor's "My Next Move" to Improve Career Preparedness

ERIC Educational Resources Information Center

Koys, Daniel J.

2017-01-01

The Department of Labor's Occupational Information Network can help students prepare for their careers because it contains information on over 900 occupations. Occupational Information Network includes a tool called My Next Move that is designed to help people learn about those occupations. This research uses a pretest/posttest design with a…

29 CFR 1915.503 - Precautions for hot work.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 7 2013-07-01 2013-07-01 false Precautions for hot work. 1915.503 Section 1915.503 Labor... Employment § 1915.503 Precautions for hot work. (a) General requirements—(1) Designated Areas. The employer may designate areas for hot work in sites such as vessels, vessel sections, fabricating shops, and...

29 CFR 1915.503 - Precautions for hot work.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 7 2012-07-01 2012-07-01 false Precautions for hot work. 1915.503 Section 1915.503 Labor... Employment § 1915.503 Precautions for hot work. (a) General requirements—(1) Designated Areas. The employer may designate areas for hot work in sites such as vessels, vessel sections, fabricating shops, and...

29 CFR 1915.503 - Precautions for hot work.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 7 2011-07-01 2011-07-01 false Precautions for hot work. 1915.503 Section 1915.503 Labor... Employment § 1915.503 Precautions for hot work. (a) General requirements—(1) Designated Areas. The employer may designate areas for hot work in sites such as vessels, vessel sections, fabricating shops, and...

29 CFR 1915.503 - Precautions for hot work.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 7 2014-07-01 2014-07-01 false Precautions for hot work. 1915.503 Section 1915.503 Labor... Employment § 1915.503 Precautions for hot work. (a) General requirements—(1) Designated Areas. The employer may designate areas for hot work in sites such as vessels, vessel sections, fabricating shops, and...

29 CFR 1915.503 - Precautions for hot work.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 7 2010-07-01 2010-07-01 false Precautions for hot work. 1915.503 Section 1915.503 Labor... Employment § 1915.503 Precautions for hot work. (a) General requirements—(1) Designated Areas. The employer may designate areas for hot work in sites such as vessels, vessel sections, fabricating shops, and...

Connecting CTE to Labor Market Information. Practice Application Brief.

ERIC Educational Resources Information Center

Brown, Bettina Lankard

The use of up-to-date labor market information (LMI) provided by a variety of state, federal, and local agencies and organizations can help program planners and policy makers design effective career and technical education (CTE) programs to prepare students for occupations and careers in demand. LMI includes information about labor market…

29 CFR 1607.1 - Statement of purpose.

Code of Federal Regulations, 2014 CFR

2014-07-01

... incorporate a single set of principles which are designed to assist employers, labor organizations, employment... are designed to provide a framework for determining the proper use of tests and other selection procedures. These guidelines do not require a user to conduct validity studies of selection procedures where...

29 CFR 1607.1 - Statement of purpose.

Code of Federal Regulations, 2011 CFR

2011-07-01

... incorporate a single set of principles which are designed to assist employers, labor organizations, employment... are designed to provide a framework for determining the proper use of tests and other selection procedures. These guidelines do not require a user to conduct validity studies of selection procedures where...

29 CFR 1607.1 - Statement of purpose.

Code of Federal Regulations, 2012 CFR

2012-07-01

... incorporate a single set of principles which are designed to assist employers, labor organizations, employment... are designed to provide a framework for determining the proper use of tests and other selection procedures. These guidelines do not require a user to conduct validity studies of selection procedures where...

29 CFR 1607.1 - Statement of purpose.

Code of Federal Regulations, 2013 CFR

2013-07-01

... incorporate a single set of principles which are designed to assist employers, labor organizations, employment... are designed to provide a framework for determining the proper use of tests and other selection procedures. These guidelines do not require a user to conduct validity studies of selection procedures where...

29 CFR 1607.1 - Statement of purpose.

Code of Federal Regulations, 2010 CFR

2010-07-01

... incorporate a single set of principles which are designed to assist employers, labor organizations, employment... are designed to provide a framework for determining the proper use of tests and other selection procedures. These guidelines do not require a user to conduct validity studies of selection procedures where...

A multi-center randomized trial of two different intravenous fluids during labor

PubMed Central

DAPUZZO-ARGIRIOU, Lisa M.; SMULIAN, John C.; ROCHON, Meredith L.; GALDI, Luisa; KISSLING, Jessika M.; SCHNATZ, Peter F.; RIOS, Angel GONZALEZ; AIROLDI, James; CARRILLO, Mary Anne; MAINES, Jaimie; KUNSELMAN, Allen R.; REPKE, John; LEGRO, Richard S.

2017-01-01

Objective To determine if the intrapartum use of a 5% glucose-containing intravenous solution decreases the chance of a cesarean delivery for women presenting in active labor. Methods This was a multi-center, prospective, single (patient) blind, randomized study design implemented at 4 obstetric residency programs in Pennsylvania. Singleton, term, consenting women presenting in active spontaneous labor with a cervical dilation of <6cm were randomized to lactated Ringer's with or without 5% glucose (LR versus D5LR) as their maintenance intravenous fluid. The primary outcome was the cesarean birth rate. Secondary outcomes included labor characteristics, as well as maternal or neonatal complications. Results There were 309 women analyzed. Demographic variables and admitting cervical dilation were similar among study groups. There was no significant difference in the cesarean delivery rate for the D5LR group (23/153 or 15.0%) versus the LR arm (18/156 or 11.5%), [RR (95%CI) of 1.32 (0.75, 2.35), P=0.34]. There were no differences in augmentation rates or intrapartum complications. Conclusions The use of intravenous fluid containing 5% dextrose does not lower the chance of cesarean delivery for women admitted in active labor. PMID:25758624

Contemporary Labor Patterns: The Impact of Maternal Body Mass Index

PubMed Central

KOMINIAREK, Michelle A.; ZHANG, Jun; VANVELDHUISEN, Paul; TROENDLE, James; BEAVER, Julie; HIBBARD, Judith U.

2011-01-01

Objective To compare labor patterns by body mass index (BMI). Study Design 118,978 gravidas with a singleton term cephalic gestation were studied. Repeated-measures analysis constructed average labor curves by parity and BMI categories for those that reached 10cm. Interval censored regression analysis determined median traverse times adjusting for covariates in vaginal deliveries and intrapartum cesareans. Results For nulliparas, the time difference to reach 10 cm was 1.2 hours from the lowest to highest BMI category. Multiparas entered active phase by 6 cm, but reaching this point took longer for BMI≥40.0 (3.4hours) compared to BMI<25.0 (2.4hours). Progression by centimeter (P<0.001) except from 7–9cm in multiparas (P>0.05), and from 4–10cm (P<0.001) increased as BMI increased for nulliparas and multiparas. Second stage length with and without an epidural was similar among BMI categories for nulliparas (P>0.05), but decreased as BMI increased for multiparas (P<0.001). Conclusion Labor proceeds more slowly as BMI increases suggesting that labor management be tailored to allow for these differences. PMID:21798510

Labor patterns in twin gestations

PubMed Central

Leftwich, Heidi K.; Zaki, Mary N.; Wilkins, Isabelle; Hibbard, Judith U.

2014-01-01

Objective To compare labor progression in twin vs singleton gestations. Study Design Retrospective review of electronic database created by Consortium on Safe Labor, reflecting labor and delivery information from 12 clinical centers 2002-2008. Women with twin gestations, cephalic presentation of presenting twin, gestational age ≥34 weeks, with ≥2 cervical examinations were included. Exclusion criteria were fetal anomalies or demise. Singleton controls were selected by the same criteria. Categorical variables were analyzed by χ2; continuous by Student t test. Interval censored regression was used to determine distribution for time of cervical dilation in centimeters, or “traverse times,” and controlled for confounding factors. Repeated-measures analysis constructed mean labor curves by parity and number of fetuses. Results A total of 891 twin gestations were compared with 100,513 singleton controls. Twin gestations were more often older, white or African American, earlier gestational age, increased prepregnancy body mass index, and with lower birthweight. There was no difference in number of prior cesarean deliveries, induction, or augmentation, or epidural use. Median traverse times increased at every centimeter interval in nulliparous twins, in both unadjusted and adjusted analysis (P < .01). A similar pattern was noted for multiparas in both analyses. Labor curves demonstrated a delayed inflection point in the labor pattern for nulliparous and multiparous twin gestations. Conclusion Both nulliparous and multiparous women have slower progression of active phase labor with twins even when controlling for confounding factors. PMID:23871795

Preterm Induction of Labor: Predictors of Vaginal Delivery and Labor Curves

PubMed Central

Feghali, Maisa; Timofeev, Julia; Huang, Chun-Chih; Driggers, Rita; Miodovnik, Menachem; Landy, Helain J.; Umans, Jason G.

2014-01-01

Objective To evaluate the labor curves of patients undergoing preterm induction of labor (IOL) and assess possible predictors of vaginal delivery (VD). Study Design Data from the NICHD Consortium on Safe Labor were analyzed. A total of 6,555 women undergoing medically-indicated IOL before 37 weeks gestational age (GA) were included in this analysis. Patients were divided into four groups based on gestational age: A: 24-27+6, B: 28-30+6, C: 31-33+6, and D: 34-36+6 weeks. Pregnant women with a contraindication to VD, IOL at or after 37 weeks and those without data from cervical exam on admission were excluded. ANOVA was used to assess differences between GA groups. Multiple logistic regression was used to assess predictors of VD. A repeated measures analysis was used to determine average labor curves. Results Rates of vaginal live births increased with GA, from 35% (Group A) to 76% (Group D). Parous women [odds ratio (OR)=6.78, 95% confidence interval (CI) 6.38-7.21] and those with a favorable cervix at the start of IOL (OR=2.35, 95% CI 2.23-2.48) were more likely to deliver vaginally. Analysis of labor curves in nulliparous women showed shorter duration of labor with increasing GA; the active phase of labor was, however, similar across all GA. Conclusion The majority of women undergoing medically-indicated preterm IOL between 24 and 36+6 weeks’ GA deliver vaginally. The strongest predictor of VD was parity. Preterm IOL had a limited influence on estimated labor curves across gestational age. PMID:25068566

Joint Strike Fighter: Additional Costs and Delays Risk Not Meeting Warfighter Requirements on Time

DTIC Science & Technology

2010-03-01

December 2009, only 4 of 13 test aircraft had been delivered and labor hours to build the aircraft had increased more than 50 percent above earlier...Table 7: Changes in Reported JSF Program Costs, Quantities, and Deliveries 40 Figures Figure 1: JSF Labor Hours for Manufacturing Test...Aircraft 15 Figure 2: Wing Station Labor Hours 16 Figure 3: Mate and Delivery Labor Hours 17 Figure 4: Growth in the Number of Engineering Design

Characteristic features of determining the labor input and estimated cost of the development and manufacture of equipment

NASA Technical Reports Server (NTRS)

Kurmanaliyev, T. I.; Breslavets, A. V.

1974-01-01

The difficulties in obtaining exact calculation data for the labor input and estimated cost are noted. The method of calculating the labor cost of the design work using the provisional normative indexes with respect to individual forms of operations is proposed. Values of certain coefficients recommended for use in the practical calculations of the labor input for the development of new scientific equipment for space research are presented.

Labor Inhibits Placental Mechanistic Target of Rapamycin Complex 1 Signaling

PubMed Central

LAGER, Susanne; AYE, Irving L.M.H.; GACCIOLI, Francesca; RAMIREZ, Vanessa I.; JANSSON, Thomas; POWELL, Theresa L.

2014-01-01

Introduction Labor induces a myriad of changes in placental gene expression. These changes may represent a physiological adaptation inhibiting placental cellular processes associated with a high demand for oxygen and energy (e.g., protein synthesis and active transport) thereby promoting oxygen and glucose transfer to the fetus. We hypothesized that mechanistic target of rapamycin complex 1 (mTORC1) signaling, a positive regulator of trophoblast protein synthesis and amino acid transport, is inhibited by labor. Methods Placental tissue was collected from healthy, term pregnancies (n=15 no-labor; n=12 labor). Activation of Caspase-1, IRS1/Akt, STAT, mTOR, and inflammatory signaling pathways was determined by Western blot. NFκB p65 and PPARγ DNA binding activity was measured in isolated nuclei. Results Labor increased Caspase-1 activation and mTOR complex 2 signaling, as measured by phosphorylation of Akt (S473). However, mTORC1 signaling was inhibited in response to labor as evidenced by decreased phosphorylation of mTOR (S2448) and 4EBP1 (T37/46 and T70). Labor also decreased NFκB and PPARγ DNA binding activity, while having no effect on IRS1 or STAT signaling pathway. Discussion and conclusion Several placental signaling pathways are affected by labor, which has implications for experimental design in studies of placental signaling. Inhibition of placental mTORC1 signaling in response to labor may serve to down-regulate protein synthesis and amino acid transport, processes that account for a large share of placental oxygen and glucose consumption. We speculate that this response preserves glucose and oxygen for transfer to the fetus during the stressful events of labor. PMID:25454472

Emotional labor and professional practice in sports medicine and science.

PubMed

Hings, R F; Wagstaff, C R D; Thelwell, R C; Gilmore, S; Anderson, V

2018-02-01

The aim of this study was to explore how sport medicine and science practitioners manage their emotions through emotional labor when engaging in professional practice in elite sport. To address the research aim a semistructured interview design was adopted. Specifically, eighteen professional sport medicine and science staff provided interviews. The sample comprised sport and exercise psychologists (n=6), strength and conditioning coaches (n=5), physiotherapists (n=5), one sports doctor and one generic sport scientist. Following a process of thematic analysis, the results were organized into the following overarching themes: (a) factors influencing emotional labor enactment, (b) emotional labor enactment, and (c) professional and personal outcomes. The findings provide a novel contribution to understanding the professional demands faced by practitioners and are discussed in relation to the development of professional competencies and the welfare and performance of sport medics and scientists. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Does Work Contribute to Successful Aging Outcomes in Older Workers?

ERIC Educational Resources Information Center

Sanders, Martha J.; McCready, Jack W.

2010-01-01

Older workers are the fastest growing segment of the labor force, yet little is known about designing jobs for older workers that optimize their experiences relative to aging successfully. This study examined the contribution of workplace job design (opportunities for decision-making, skill variety, coworker support, supervisor support) to…

29 CFR 825.301 - Designation of FMLA leave.

Code of Federal Regulations, 2013 CFR

2013-07-01

... AND MEDICAL LEAVE ACT OF 1993 Employee and Employer Rights and Obligations Under the Act § 825.301... leave so as to allow the employer to determine whether the leave qualifies under the Act. If the... 29 Labor 3 2013-07-01 2013-07-01 false Designation of FMLA leave. 825.301 Section 825.301 Labor...

29 CFR 825.301 - Designation of FMLA leave.

Code of Federal Regulations, 2012 CFR

2012-07-01

... AND MEDICAL LEAVE ACT OF 1993 Employee and Employer Rights and Obligations Under the Act § 825.301... leave so as to allow the employer to determine whether the leave qualifies under the Act. If the... 29 Labor 3 2012-07-01 2012-07-01 false Designation of FMLA leave. 825.301 Section 825.301 Labor...

29 CFR 825.301 - Designation of FMLA leave.

Code of Federal Regulations, 2014 CFR

2014-07-01

... AND MEDICAL LEAVE ACT OF 1993 Employee and Employer Rights and Obligations Under the Act § 825.301... leave so as to allow the employer to determine whether the leave qualifies under the Act. If the... 29 Labor 3 2014-07-01 2014-07-01 false Designation of FMLA leave. 825.301 Section 825.301 Labor...

Priorities for urban labor market research in Anglophone Africa.

PubMed

House, W J

1992-10-01

The earlier interest regarding how urban labor markets function centered on the dualist approach. An International Labor Office report on Kenya detected the urban informal sector reinforcing the labor market segmentation idea that those unable to obtain employment in the formal sector could obtain a subsistence-level livelihood in the urban informal sector. Recent work in urban Juba, Southern Sudan, has demonstrated that low-income households in the lowest quintile of urban income per adult showed an overrepresentation of female-headed households; larger household sizes; more children; greater dependency; and an overrepresentation of the indigenous, nonmigrant ethnic group plus an underrepresentation of the migrant Northern Sudanese who dominate the trade sector. Real wages in the formal sectors of English-speaking African countries have declined in the past decade. Unemployment of the educated is growing, evidenced by a longitudinal study of university graduates in Kenya over the period from 1970 to 1983. In 1991 the majority of 1990 graduates had still not found public sector employment. The rapid growth of labor supply has been paralleled by a rapidly growing informal sector which created 6 million new jobs in Africa between 1980 and 1985, while the formal sector added only 1/2 million jobs in the urban economy. An efficient labor market is characterized by relatively high turnover at less than 1 year of seniority and very low turnover among workers with 3-15 years of seniority. The modeling of the urban labor market has not progressed much in the last decade, and the dualistic approach has been repudiated. Such modeling requires in-depth data on the way workers and households allocate their time across the labor market segments. The understanding of the fusion of labor markets is best attained by well-designed household level surveys, which would study the relationship between labor market insertion and poverty status.

Teaching about Child Labor and International Human Rights. ERIC Digest.

ERIC Educational Resources Information Center

Hamot, Gregory E.; Jensen, Elizabeth S.

An estimated 246 million children between the ages of 5 and 17 work in the agricultural, industrial, and craft sectors worldwide. Approximately 180 million of these children work under the worst forms of child labor as defined by the International Labor Organization (2002). In spite of conventions and protocols designed to eradicate the worst…

Medical and Non-Medical Factors Influencing Utilization of Delayed Pushing in the Second Stage

PubMed Central

FREY, Heather A.; TUULI, Methodius G.; CORTEZ, Sarah; ODIBO, Anthony O.; ROEHL, Kimberly A.; SHANKS, Anthony L.; MACONES, George A.; CAHILL, Alison G.

2014-01-01

Objective To evaluate factors impacting selection to delayed pushing in the second stage of labor. Study design This case-control study was a secondary analysis of a large retrospective cohort study. Cases included women who delayed pushing for 60 minutes or more in the second stage of labor. Controls began pushing prior to 60 minutes from the time of diagnosis of complete dilation. Demographic, labor, and nonmedical factors were compared among cases and controls. Logistic regression modelling was used to identify factors independently associated with delayed pushing. Results We identified 471 women who delayed pushing and 4,819 controls. Nulliparity, maternal body mass index > 25, high fetal station at complete dilation, regional anesthesia use, and start of second stage during staffing shift change were independent factors associated with increased use of delayed pushing. On the other hand, black race and second stage management during night shift were associated with lower odds of employing delayed pushing. Delayed pushing was more commonly employed in nulliparous women, but 38.9% of multiparous women also delayed pushing. Conclusion We identified multiple factors associated with use of delayed pushing. This study helps to define current patterns of second stage labor management. PMID:23208765

Vida PURA: A Cultural Adaptation of Screening and Brief Intervention to Reduce Unhealthy Drinking among Latino Day Laborers

PubMed Central

Ornelas, India J.; Allen, Claire; Vaughan, Catalina; Williams, Emily C.; Negi, Nalini

2014-01-01

Background Brief intervention is known to reduce drinking in primary care, however because health care access is limited for Latino immigrants, traditional brief interventions are unlikely to reach this population. Methods Using Barrera and Castro’s framework, our study aims to culturally adapt a screening and brief intervention program to reduce unhealthy alcohol use among Latino day laborers, a particularly vulnerable group of Latino immigrant men. We conducted 18 interviews with Latino day laborers and 13 interviews with mental health and substance use providers that serve Latino immigrant men. Interviews were conducted until saturation of themes was reached. Themes from interviews were used to identify sources of mismatch between traditional screening and brief intervention and our target population. Results Unhealthy alcohol use was common, culturally accepted, and helped relieve immigration-related stressors. Men had limited knowledge about how to change their behavior. Men preferred to receive information from trusted providers in Spanish. Men faced significant barriers to accessing health and social services, but were open to receiving brief interventions in community settings. Findings were used to design Vida PURA, a preliminary adaptation design of brief intervention for Latino day laborers. Key adaptations include providing brief intervention at a day labor worker center, by promotores trained to incorporate the social and cultural context of drinking for Latino immigrant men. Conclusions Culturally adapted brief intervention may help reduce unhealthy drinking in this underserved population. PMID:25153904

Designing Military Pay. Contributions and Implications of the Economics Literature

DTIC Science & Technology

1993-01-01

34Time, Salary, and Incentive Payoffs in Labor Contracts," Journal of Labor Economics , VoL 9, No. 1, 1991, pp. 25-44. Foulkes, Fred K., Personnel...Edward Lazear, "The Excess Sensitivity of Layoffs and Quits to Demand," Journal of Labor Economics , VoL 2, No. 2,1984, pp. 233-257. Hashimoto, Masanori...34 Research in Labor Economics , VoL 9, Ronald Ehrenberg, ed., Ithaca, New York: JAI Press, Cornell University, 1988, pp. 225-256. Mellow, Wesley, "Employer Size

Refurbishment cost study of the thermal protection system of a space shuttle vehicle, phase 2

NASA Technical Reports Server (NTRS)

Haas, D. W.

1972-01-01

The labor costs and techniques associated with the refurbishment and maintenance of representative thermal protection system (TPS) components and their attachment concepts suitable for space shuttle application are defined, characterized, and evaluated from the results of an experimental test program. This program consisted of designing selected TPS concepts, fabricating and assembling test hardware, and performing a time and motion study of specific maintenance functions of the test hardware on a full-scale- mockup. Labor requirements and refurbishment techniques, as they relate to the maintenance functions of inspection, repair, removal, and replacement were identified.

Social Context of Work Injury Among Undocumented Day Laborers in San Francisco

PubMed Central

Walter, Nicholas; Bourgois, Philippe; Loinaz, H Margarita; Schillinger, Dean

2002-01-01

OBJECTIVE To identify ways in which undocumented day laborers' social context affects their risk for occupational injury, and to characterize the ways in which these workers' social context influences their experience of disability. DESIGN Qualitative study employing ethnographic techniques of participant-observation, supplemented by semistructured in-depth interviews. SETTINGS Street corners in San Francisco's Mission District, a homeless shelter, and a nonprofit day labor hiring hall. PARTICIPANTS Thirty-eight Mexican and Central American male day laborers, 11 of whom had been injured. PRIMARY THEMES Anxiety over the potential for work injury is omnipresent for day laborers. They work in dangerous settings, and a variety of factors such as lack of training, inadequate safety equipment, and economic pressures further increase their risk for work injury. The day laborers are isolated from family and community support, living in a local context of homelessness, competition, and violence. Injuries tend to have severe emotional, social, and economic ramifications. Day laborers frequently perceive injury as a personal failure that threatens their masculinity and their status as patriarch of the family. Their shame and disappointment at failing to fulfill culturally defined masculine responsibilities leads to intense personal stress and can break family bonds. Despite the high incidence of work injuries and prevalence of work-related health conditions, day laborers are frequently reluctant to use health services due to anxiety regarding immigration status, communication barriers, and economic pressure. IMPLICATIONS On the basis of these ethnographic data, we recommend strategies to improve ambulatory care services to day laborers in 3 areas: structural changes in ambulatory care delivery, clinical interactions with individual day laborers, and policymaking around immigration and health care issues. PMID:11929509

Why Japanese workers remain in the labor force so long: lessons for the United States?

PubMed

Williamson, John B; Higo, Masa

2009-12-01

As part of the search for ways to increase labor force participation rates among older workers in the United States, it makes sense to take a close look at evidence from Japan, one of the few industrial countries with a substantially higher labor force participation rate among older workers, particularly men, than the United States. Based mainly on prior studies and original interview data, we first discuss five potential factors which help explain why Japanese workers remain in the labor force as long as they do: (1) perceived economic necessity; (2) the large fraction of workers who are self-employed; (3) a culture that puts a high value on remaining in the labor force throughout the life course; (4) the long healthy life expectancy; and (5) the government's role in facilitating the labor force participation of older workers. We suggest that the Japanese national cultural value on remaining economically productive well into old age clearly underlies the development of the government's legislative initiatives aiming to extend the working lives of older workers. We then outline three policy suggestions for those seeking to increase labor force participation rates among older U.S. workers: (1) increase the financial incentive to workers who remain in the labor force; (2) improve public programs designed to foster efforts by older workers to become self-employed; and (3) increase the extent of government efforts to link older workers to prospective employers.

Passive solar water heating: breadbox design for the Fred Young Farm Labor Center in Indio

DOE Office of Scientific and Technical Information (OSTI.GOV)

Melzer, B; Maeda, B

1979-10-01

An appropriate passive solar preheater for multifamily housing units in the Fred Young Farm Labor Center in Indio, California, was designed and analyzed. A brief summary of passive preheater systems and the key design features used in current designs is presented. The design features necessary for the site requirements are described. The eight preliminary preheater designs reviewed for the project are presented. The results of thermal performance simulation for the eight prototype systems are discussed. Alternative monitoring systems for the installation are described and evaluated. The consultants' recommendations, working drawings, and performance estimates of the system selected are presented. (MHR)

Obstetric care providers' knowledge, practice and associated factors towards active management of third stage of labor in Sidama Zone, South Ethiopia.

PubMed

Tenaw, Zelalem; Yohannes, Zemenu; Amano, Abdela

2017-09-07

Active management of third stage of labor played a great role to prevent child birth related hemorrhage. However, maternal morbidity and mortality related to hemorrhage is high due to lack of knowledge and skill of obstetric care providers 'on active management of third stage of labor. Our study was aimed to assess knowledge, practice and associated factors of obstetric care providers (Midwives, Nurses and Health officers) on active management of third stage of labor in Sidama Zone, South Ethiopia. An institution based cross sectional study design was conducted from December 1-30 /2015 among midwives, nurses and health officers. Simple random sampling technique was used to get the total of 528 participants. Data entry was done using EPI Info 3.5.1 and exported to SPSS version 20.0 software package for analysis. The presence of association between independent and dependent variables was assessed using odds ratio with 97% confidence interval by applying logistic regression model. Of the 528 obstetric care providers 37.7% and 32.8% were knowledgeable and skilled to manage third stage of labor respectively. After controlling for possible confounding factors, the result showed that pre/in service training, being midwife and graduation year were found to be the major predictors of proper active management of third stage of labor. The knowledge and practice of obstetric care providers towards active management of third stage of labor can be improved with appropriate interventions like in-service trainings. This study also clearly showed that the level of knowledge and practice of obstetric care providers to wards active management of third stage of labor needs immediate attention of Universities and health science colleges better to revise their obstetrics course contents, health institutions and zonal health bureau should arrange trainings for their obstetrics care providers to enhance skill.

Women's Experiences with and Preference for Induction of Labor with Oral Misoprostol or Foley Catheter at Term.

PubMed

Ten Eikelder, Mieke L G; van de Meent, Marieke M; Mast, Kelly; Rengerink, Katrien Oude; Jozwiak, Marta; de Graaf, Irene M; Scholtenhuis, Marloes A G Holswilder-Olde; Roumen, Frans J M E; Porath, Martina M; van Loon, Aren J; van den Akker, Eline S; Rijnders, Robbert J P; Feitsma, A Hanneke; Adriaanse, Albert H; Muller, Moira A; de Leeuw, Jan W; Visser, Harry; Woiski, Mallory D; Weerd, Sabina Rombout-de; van Unnik, Gijs A; Pernet, Paula J M; Versendaal, Hans; Mol, Ben W; Bloemenkamp, Kitty W M

2017-01-01

Objective  We assessed experience and preferences among term women undergoing induction of labor with oral misoprostol or Foley catheter. Study Design  In 18 of the 29 participating hospitals in the PROBAAT-II trial, women were asked to complete a questionnaire within 24 hours after delivery. We adapted a validated questionnaire about expectancy and experience of labor and asked women whether they would prefer the same method again in a future pregnancy. Results  The questionnaire was completed by 502 (72%) of 695 eligible women; 273 (54%) had been randomly allocated to oral misoprostol and 229 (46%) to Foley catheter. Experience of the duration of labor, pain during labor, general satisfaction with labor, and feelings of control and fear related to their expectation were comparable between both the groups. In the oral misoprostol group, 6% of the women would prefer the other method if induction is necessary in future pregnancy, versus 12% in the Foley catheter group (risk ratio: 0.70; 95% confidence interval: 0.55-0.90; p =  0.02). Conclusion  Women's experiences of labor after induction with oral misoprostol or Foley catheter are comparable. However, women in the Foley catheter group prefer more often to choose a different method for future inductions. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Silicon production process evaluations

NASA Technical Reports Server (NTRS)

1982-01-01

Chemical engineering analyses involving the preliminary process design of a plant (1,000 metric tons/year capacity) to produce silicon via the technology under consideration were accomplished. Major activities in the chemical engineering analyses included base case conditions, reaction chemistry, process flowsheet, material balance, energy balance, property data, equipment design, major equipment list, production labor and forward for economic analysis. The process design package provided detailed data for raw materials, utilities, major process equipment and production labor requirements necessary for polysilicon production in each process.

Development of termination and utilization concepts for flat conductor cables. Volume 3: Cost study comparison, flat versus round conductor cable

NASA Technical Reports Server (NTRS)

1972-01-01

A cost study comparing flat conductor cable (FCC) with small-gage wire (SGW) and conventional round conductor cable (RCC) is presented. This study was based on a vehicle wiring system consisting of 110,000 ft of conventional RCC equally divided between AWG sizes 20,22, and 24 using MIL-W-81044-type wire and MIL-C-26500 circular connectors. Basic cost data were developed on a similar-sized commercial jet airplane wiring system on a previous company R&D program in which advanced wiring techniques were carried through equivalent installations on an airplane mockup; and on data developed on typical average bundles during this program. Various cost elements included were engineering labor, operations (manufacturing) labor, material costs, and cost impact on payload. Engineering labor includes design, wiring system integration, wiring diagrams and cable assembly drawings, wire installations, and other related supporting functions such as the electronic data processing for the wiring. Operations labor includes mockup, tooling and production planning, fabrication, assembly, installation, and quality control cost impact on payload is the conversion of wiring system weight variations through use of different wiring concepts to program payload benefits in terms of dollars.

Definition of Failed Induction of Labor and Its Predictive Factors: Two Unsolved Issues of an Everyday Clinical Situation.

PubMed

Baños, Núria; Migliorelli, Federico; Posadas, Eduardo; Ferreri, Janisse; Palacio, Montse

2015-01-01

The objectives of this review were to identify the predictive factors of induction of labor (IOL) failure or success as well as to highlight the current heterogeneity regarding the definition and diagnosis of failed IOL. Only studies in which the main or secondary outcome was failed IOL, defined as not entering the active phase of labor after 24 h of prostaglandin administration ± 12 h of oxytocin infusion, were included in the review. The data collected were: study design, definition of failed IOL, induction method, IOL indications, failed IOL rate, cesarean section because of failed IOL and predictors of failed IOL. The database search detected 507 publications. The main reason for exclusion was that the primary or secondary outcomes were not the predetermined definition of failed IOL (not achieving active phase of labor). Finally, 7 studies were eligible. The main predictive factors identified in the review were cervical status, evaluated by the Bishop score or cervical length. Failed IOL should be defined as the inability to achieve the active phase of labor, considering that the definition of IOL is to enter the active phase of labor. A universal definition of failed IOL is an essential requisite to analyze and obtain solid results and conclusions on this issue. An important finding of this review is that only 7 of all the studies reviewed assessed achieving the active phase of labor as a primary or secondary IOL outcome. Another conclusion is that cervical status remains the most important predictor of IOL outcome, although the value of the parameters explored up to now is limited. To find or develop predictive tools to identify those women exposed to IOL who may not reach the active phase of labor is crucial to minimize the risks and costs associated with IOL failure while opening a great opportunity for investigation. Therefore, other predictive tools should be studied in order to improve IOL outcome in terms of health and economic burden. © 2015 S. Karger AG, Basel.

Characterization of visceral and subcutaneous adipose tissue transcriptome in pregnant women with and without spontaneous labor at term: Implication of alternative splicing in the metabolic adaptations of adipose tissue to parturition

PubMed Central

Mazaki-Tovi, Shali; Tarca, Adi L.; Vaisbuch, Edi; Kusanovic, Juan Pedro; Than, Nandor Gabor; Chaiworapongsa, Tinnakorn; Dong, Zhong; Hassan, Sonia S; Romero, Roberto

2018-01-01

OBJECTIVE The aim of this study was to determine gene expression and splicing changes associated with parturition and regions (visceral vs subcutaneous) of the adipose tissue of pregnant women. STUDY DESIGN The transcriptome of visceral and abdominal subcutaneous adipose tissue from pregnant women at term with (n=15) and without (n=25) spontaneous labor was profiled with Affymetrix GeneChip Human Exon 1.0 ST array. Overall gene expression changes and differential exon usage rate were compared between patient groups and adipose tissue regions (paired analyses). Selected genes were tested by quantitative reverse transcription–polymerase chain reaction. RESULTS Four hundred eighty-two genes were differentially expressed between visceral and subcutaneous fat of pregnant women with spontaneous labor at term (q-value <0.1; fold change >1.5). Biological processes enriched in this comparison included tissue and vasculature development, inflammatory and metabolic pathways. Differential splicing was found for 42 genes (q-value <0.1; difference FIRMA scores >2) between adipose tissue regions of women not in labor. Differential exon usage associated with parturition was found for three genes (LIMS1, HSPA5 and GSTK1) in subcutaneous tissues. CONCLUSION We show for the first time evidence of implication of mRNA splicing and processing machinery in the subcutaneous adipose tissue of women in labor compared to those without labor. PMID:26994472

DYSREGULATION OF MATERNAL SERUM ADIPONECTIN IN PRETERM LABOR

PubMed Central

Mazaki-Tovi, Shali; Romero, Roberto; Vaisbuch, Edi; Erez, Offer; Mittal, Pooja; Chaiworapongsa, Tinnakorn; Kim, Sun Kwon; Pacora, Percy; Yeo, Lami; Gotsch, Francesca; Dong, Zhong; Nhan-Chang, Chia-Ling; Jodicke, Cristiano; Yoon, Bo Hyun; Hassan, Sonia S.; Kusanovic, Juan Pedro

2013-01-01

Objective Intra-amniotic and systemic infection/inflammation have been causally linked to preterm parturition and fetal injury. An emerging theme is that adipose tissue can orchestrate a metabolic response to insults, but also an inflammatory response via the production of adipocytokines, and that these two phenomenon are interrelated. Adiponectin, an insulin-sensitizing, anti-inflammatory adipocytokine, circulates in multimeric complexes including low-molecular-weight (LMW) trimers, medium-molecular-weight (MMW) hexamers and high-molecular-weight (HMW) isoforms. Each of these complexes can exert differential biological effects. The aim of this study was to determine whether spontaneous preterm labor (PTL) with intact membranes and intra-amniotic infection/inflammation (IAI) is associated with changes in maternal serum circulating adiponectin multimers. Study design This cross-sectional study included patients in the following groups: 1) normal pregnant women (n=158); 2) patients with an episode of preterm labor and intact membranes without IAI who delivered at term (n=41); 3) preterm labor without IAI who delivered preterm (n=27); and 4) preterm labor with IAI who delivered preterm (n=36). Serum adiponectin multimers (total, HMW, MMW and LMW) concentrations were determined by ELISA. Non-parametric statistics were used for analyses. Results 1) Preterm labor leading to preterm delivery or an episode of preterm labor which does not lead to preterm delivery, was associated with a lower median maternal serum concentration of total and HMW adiponectin, a lower median HMW/total adiponectin ratio, and a higher median LMW/total adiponectin ratio than normal pregnancy; 2) among patients with preterm labor, those with IAI had the lowest median concentration of total and HMW adiponectin, as well as the lowest median HMW/total adiponectin ratio; 3) The changes in maternal adiponectin and adiponectin multimers remained significant after adjusting for confounding factors such as maternal age, BMI, gestational age at sampling, and parity. Conclusion 1) Preterm labor is characterized by a change in the profile of adiponectin multimers concentrations and their relative isoforms. These changes were observed in patients with an episode of preterm labor not leading to preterm delivery, in patients with intra-amniotic inflammation, or in those without evidence of intra-amniotic inflammation; 2) The changes in adiponectin multimer concentrations reported in preterm labor are different from those previously reported in spontaneous labor at term, suggesting that there is a fundamental difference between preterm labor and labor at term; 3) The findings reported herein, provide the first evidence for the participation of adiponectin multimer in preterm parturition. We propose that adiponectins and adipokines in general provide a mechanism to organize the metabolic demands generated by the process of preterm parturition regardless of the nature of the insult (intra-amniotic inflammation or not). PMID:19579094

Changes in amniotic fluid concentration of thrombin-antithrombin III complexes in patients with preterm labor: evidence of an increased thrombin generation

PubMed Central

Erez, Offer; Romero, Roberto; Vaisbuch, Edi; Chaiworapongsa, Tinnakorn; Kusanovic, Juan Pedro; Mazaki-Tovi, Shali; Gotsch, Francesca; Gomez, Ricardo; Maymon, Eli; Pacora, Percy; Edwin, Samuel S.; Kim, Chong Jai; Than, Nandor Gabor; Mittal, Pooja; Yeo, Lami; Dong, Zhong; Yoon, Bo Hyun; Hassan, Sonia S; Mazor, Moshe

2012-01-01

Objective Preterm labor is associated with excessive maternal thrombin generation as evidenced by increased circulating thrombin–antithrombin (TAT) III complexes concentration. In addition to its hemostatic functions, thrombin has uterotonic properties that may participate in the mechanism leading to preterm birth in cases of intrauterine bleeding. Thrombin also has a proinflammatory role, and inflammation is associated with increased thrombin generation. The aim of this study was to determine whether intra-amniotic infection/inflammation (IAI) is associated with increased amniotic fluid (AF) thrombin generation in women with preterm and term deliveries. Study design This cross-sectional study included the following groups: 1) mid-trimester (n=74); 2) term not in labor (n=39); 3) term in labor (n=25); 4) term in labor with IAI (n=22); 5) spontaneous preterm labor (PTL) who delivered at term (n=62); 6) PTL without IAI who delivered preterm (n=59); 7) PTL with IAI (n=71). The AF TAT III complexes concentration was measured by ELISA. Non-parametric statistics were used for analysis. Results 1) TAT III complexes were identified in all AF samples; 2) patients with PTL who delivered preterm, with and without IAI, had a significantly higher median AF TAT III complexes concentration than those with an episode of PTL who delivered at term (p<0.001, p=0.03, respectively); 3) among patients with preterm labor without IAI, elevated AF TAT III complexes concentration were independently associated with a shorter amniocentesis-to-delivery interval (hazard ratio- 1.5, 95%CI, 1.07–2.1); 4) among patients at term, those with IAI had a higher median AF TAT III complexes concentration than those without IAI, whether in labor or not in labor (p=0.02); 5) there was no significant difference between the median AF TAT III complexes concentration of patients at term with and without labor; and 6) patients who had a mid-trimester amniocentesis had a lower median AF TAT III complexes concentration than that of patients at term not in labor (p<0.001). Conclusions We present herein a distinct difference in the pattern of intra-amniotic thrombin generation between term and preterm parturition. Preterm labor leading to preterm delivery is associated with an increased intra-amniotic thrombin generation, regardless of the presence of IAI. In contrast, term delivery is associated with an increased intra-amniotic thrombin generation only in patients with IAI. PMID:19900035

Association between ß2-adrenergic receptor gene polymorphisms and adverse events of ritodrine in the treatment of preterm labor: a prospective observational study.

PubMed

Chung, Jee Eun; Choi, Soo An; Hwang, Han Sung; Park, Jin Young; Lee, Kyung Eun; Yee, Jeong; Kim, Young Ju; Gwak, Hye Sun

2017-11-13

Ritodrine, a tocolytic β2-agonist, has been used extensively in Europe and Asia despite its safety concerns. This study was designed to identify associations between β2-adrenergic receptor (ADRB2) polymorphisms and adverse drug events (ADEs) in patients with preterm labor treated with ritodrine. This follow-up study was prospectively conducted at Ewha Womans University Mokdong Hospital in Korea. Five single nucleotide polymorphisms (SNPs) of the ADRB2 gene (rs1042713, rs1042714, rs1042717, rs1042718, and rs1042719) were analyzed in 186 pregnant women with preterm labor. Patients with the AA genotype of rs1042717 had significantly lower incidence of ADEs compared to those with the G allele (p = 0.009). In multivariate analysis, one of the predictors of ADEs was the maximum infusion rate of ritodrine (AOR 4.47, 95% CI 1.31-15.25). Rs1042719 was also a significant factor for ritodrine-induced ADEs. The CC genotype carriers had 78% decreased risk of ADEs compared to those with other genotypes. This study demonstrates that ADEs induced by ritodrine are associated with ADRB2 gene polymorphisms, as well as the infusion rate of ritodrine in pregnant women with preterm labor.

Labor Intervention and Outcomes in Women Who Are Nulliparous and Obese: Comparison of Nurse-Midwife to Obstetrician Intrapartum Care

PubMed Central

Carlson, Nicole S.; Corwin, Elizabeth J.; Lowe, Nancy K.

2017-01-01

Background Women who are obese have slower labors than women of normal weight, and show reduced response to interventions designed to speed labor progress like oxytocin augmentation and artificial rupture of membranes. The optimal labor management for these women has not been described. Methods This retrospective cohort study compared 2 propensity score-matched groups of women (N = 360) who were healthy, nulliparous, spontaneously laboring, and obese (body mass index 30 kg/m2). Labors were managed by either a certified nurse-midwife (CNM) or an obstetrician at one hospital from 2005 through 2012. Comparisons were made on a range of labor processes and outcomes. Results Women who were obese and cared for in labor by CNMs were 87.0% less likely to have operative vaginal birth (adjusted odds ratio [aOR], 0.15; 95% confidence interval [CI], 0.06–0.41) and 76.3% less likely to have third- or fourth-degree perineal lacerations (aOR, 0.31; 95% CI, 0.13–0.79) compared to a matched group of women who were obese and had similarly sized neonates but who were cared for by obstetricians. The rates of unplanned cesarean birth, postpartum hemorrhage, maternal intrapartum fever, and neonatal intensive care unit admission were similar between groups. CNM patients were significantly less likely than patients of obstetricians to have labor anesthesia, synthetic oxytocin augmentation, or intrauterine pressure catheters. By contrast, CNM patients were significantly more likely than patients of obstetricians to use physiologic labor interventions, including intermittent fetal monitoring, ambulation, and hydrotherapy. Discussion In women with spontaneous labor onset who were healthy, obese, and nulliparous, watchful waiting and use of physiologic labor interventions, characterizing CNM intrapartum care, were associated with outcomes that were similar to, or better than, those of women who were obese and exposed to more high-technology interventions characterizing intrapartum care by obstetricians. In women who were obese, physiologic labor interventions were safe for both mothers and neonates. PMID:28099786

Labor Intervention and Outcomes in Women Who Are Nulliparous and Obese: Comparison of Nurse-Midwife to Obstetrician Intrapartum Care.

PubMed

Carlson, Nicole S; Corwin, Elizabeth J; Lowe, Nancy K

2017-01-01

Women who are obese have slower labors than women of normal weight, and show reduced response to interventions designed to speed labor progress like oxytocin augmentation and artificial rupture of membranes. The optimal labor management for these women has not been described. This retrospective cohort study compared 2 propensity score-matched groups of women (N = 360) who were healthy, nulliparous, spontaneously laboring, and obese (body mass index ≥ 30 kg/m 2 ). Labors were managed by either a certified nurse-midwife (CNM) or an obstetrician at one hospital from 2005 through 2012. Comparisons were made on a range of labor processes and outcomes. Women who were obese and cared for in labor by CNMs were 87.0% less likely to have operative vaginal birth (adjusted odds ratio [aOR], 0.15; 95% confidence interval [CI], 0.06-0.41) and 76.3% less likely to have third- or fourth-degree perineal lacerations (aOR, 0.31; 95% CI, 0.13-0.79) compared to a matched group of women who were obese and had similarly sized neonates but who were cared for by obstetricians. The rates of unplanned cesarean birth, postpartum hemorrhage, maternal intrapartum fever, and neonatal intensive care unit admission were similar between groups. CNM patients were significantly less likely than patients of obstetricians to have labor anesthesia, synthetic oxytocin augmentation, or intrauterine pressure catheters. By contrast, CNM patients were significantly more likely than patients of obstetricians to use physiologic labor interventions, including intermittent fetal monitoring, ambulation, and hydrotherapy. In women with spontaneous labor onset who were healthy, obese, and nulliparous, watchful waiting and use of physiologic labor interventions, characterizing CNM intrapartum care, were associated with outcomes that were similar to, or better than, those of women who were obese and exposed to more high-technology interventions characterizing intrapartum care by obstetricians. In women who were obese, physiologic labor interventions were safe for both mothers and neonates. © 2017 by the American College of Nurse-Midwives.

The development and validation of an activity monitoring system for use in measurement of posture of childbearing women during first stage of labor.

PubMed

Martin, Caroline J Hollins; Kenney, Laurence; Pratt, Thomas; Granat, Malcolm H

2015-01-01

There is limited understanding of the type and extent of maternal postures that midwives should encourage or support during labor. The aims of this study were to identify a set of postures and movements commonly seen during labor, to develop an activity monitoring system for use during labor, and to validate this system design. Volunteer student midwives simulated maternal activity during labor in a laboratory setting. Participants (N = 15) wore monitors adhered to the left thigh and left shank, and adopted 13 common postures of laboring women for 3 minutes each. Simulated activities were recorded using a video camera. Postures and movements were coded from the video, and statistical analysis conducted of agreement between coded video data and outputs of the activity monitoring system. Excellent agreement between the 2 raters of the video recordings was found (Cohen's κ = 0.95). Both sensitivity and specificity of the activity monitoring system were greater than 80% for standing, lying, kneeling, and sitting (legs dangling). This validated system can be used to measure elected activity of laboring women and report on effects of postures on length of first stage, pain experience, birth satisfaction, and neonatal condition. This validated maternal posture-monitoring system is available as a reference-and for use by researchers who wish to develop research in this area. © 2015 by the American College of Nurse-Midwives.

29 CFR 1910.27 - Fixed ladders.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR OCCUPATIONAL SAFETY AND HEALTH STANDARDS Walking-Working Surfaces § 1910.27 Fixed ladders. (a) Design... fraction thereof, except that, where no cage, well, or ladder safety device is provided, landing platforms...

29 CFR 1977.1 - Introductory statement.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR... AND HEALTH ACT OF 1970 General § 1977.1 Introductory statement. (a) The Occupational Safety and Health... general application designed to regulate employment conditions relating to occupational safety and health...

Bureau of Labor Statistics Takes a New Look at Employee Benefits.

ERIC Educational Resources Information Center

Frumkin, Robert; Wiatrowski, William

1982-01-01

Describes the design, coverage, output, and availability of results of a new annual survey on the incidence and characteristics of employee benefit plans in the private sector, which is conducted by the Bureau of Labor Statistics. (SK)

The Influence of Nature Stimulus in Enhancing the Birth Experience.

PubMed

Aburas, Rehab; Pati, Debajyoti; Casanova, Robert; Adams, Nicole Gilinsky

2017-01-01

The physical environment is one of the factors that affect women's experience of labor. The basics of the childbirth process have not changed since the beginning of human existence; however, the environment in which women today give birth has changed significantly. Incorporating design elements and strategies that calm and reduce negative emotions may create positive experiences for women in labor. The purpose of this study was to examine the impact of one such strategy, namely, the presentation of images of nature, on the labor and delivery experience. The study findings showed that the experimental condition has a higher score on the Quality of Care From the Patient's Perspective (QPP) subscale. In addition, there was an increase in the QPP scores associated with the increase in Nature TV watching time, QPP mean of watching time (less than 1 hr) group, m = 4.5 and QPP mean of watching time (more than 3 hs), m = 4.8. The mean score for the heart rate was lower in the experimental condition, m = 84.60, than in the control one, m = 90.49. For Apgar, the mean score was higher for Group A, m = 8.65, and Group B, m = 8.92. These findings support the study hypothesis which states that the nature images would influence the labor experience positively. In addition, the findings emphasize the importance of incorporating nonpharmacological techniques in the labor and delivery room (LDR) units to sooth the pain. Adding nature imagery to the LDR environment can be one of these techniques.

Efficacy of an Ergonomic Ankle Support Aid for Squatting Position in Improving Pushing Skills and Birth Outcomes During the Second Stage of Labor: A Randomized Controlled Trial.

PubMed

Lin, Yu-Ching; Gau, Meei-Ling; Kao, Ghi-Hwei; Lee, Hung-Chang

2018-03-16

The physical positions that are adopted by women during childbirth significantly impact their childbirth outcomes and experiences. Literature studies have associated using a squatting position with reduced childbirth pain and increased comfort and pushing efficiency. However, the major disadvantage of the squatting position is that women may lack the muscular fitness and stamina necessary to sustain this position for a long period. The aim of this study was to compare the pushing experiences and birth outcomes of three different pushing positions during the second stage of labor. A randomized controlled trial was conducted at a regional teaching hospital in northern Taiwan. Data were collected from 168 primiparous women during the 38th to 42nd gestational weeks. None of the participants received epidural analgesia during labor, and all were free of pregnancy and labor-related complications. During labor, after full cervical dilation and when the fetal head had descended to at least the +1 station and had turned to the occiput anterior position, the experimental group was asked to push in the squatting position while using the ergonomically designed ankle support. For purposes of comparison, Comparison Group A was asked to push in the squatting position without the use of the support, and Comparison Group B was asked to push in a standard semirecumbent position. All of the participants completed a demographic and obstetrics data sheet, the short-form McGill Pain Questionnaire, and the Labor Pushing Experience scale within 4 hours postpartum. In terms of delivery time, the duration between the start of pushing to crowning for the experimental group (squatting with ankle supports) averaged 25.79 minutes less (F = 6.02, p < .05) than the time for Comparison Group B (semirecumbent). The duration between the start of pushing to infant birth averaged 25.21 minutes less for the experimental group than for Comparison Group B (F = 6.14, p < .05). Moreover, the experimental group had a lower average visual analog scale pain score (5.05 ± 3.22) than Comparison Group B (F = 42.67, p < .001), and the average McGill pain score for the experimental group was lower than both comparison groups (F = 18.12, p < .001). The participants in the group that delivered from a squatting position with ankle support had better labor pushing experiences than the comparison groups (F = 14.69, p < .001). In comparison with both unsupported squatting and semirecumbent pushing, squatting with the aid of ergonomically designed ankle supports reduced pushing times, ameliorated labor pain, and improved the pushing experience. Thus, this intervention may reduce the caring needs of women during the second stage of labor. This intervention may be introduced in midwifery education programs and in clinical practice as a method to improve the care of women during the second stage of labor.

29 CFR 2400.3 - Delegation of authority.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Delegation of authority. 2400.3 Section 2400.3 Labor... IMPLEMENTING THE PRIVACY ACT § 2400.3 Delegation of authority. (a) The Chairman shall designate an OSHRC... § 2400.4(c) of this part. ...

29 CFR 2400.3 - Delegation of authority.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 9 2011-07-01 2011-07-01 false Delegation of authority. 2400.3 Section 2400.3 Labor... IMPLEMENTING THE PRIVACY ACT § 2400.3 Delegation of authority. (a) The Chairman shall designate an OSHRC... § 2400.4(c) of this part. ...

29 CFR 1952.320 - Description of the plan as initially approved.

Code of Federal Regulations, 2013 CFR

2013-07-01

... specifically designed to cover the following areas: general industrial safety, construction safety, first aid... Section 1952.320 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH... structure, the Occupational Safety Standards Commission has the responsibility to adopt standards and...

29 CFR 1952.320 - Description of the plan as initially approved.

Code of Federal Regulations, 2012 CFR

2012-07-01

... specifically designed to cover the following areas: general industrial safety, construction safety, first aid... Section 1952.320 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH... structure, the Occupational Safety Standards Commission has the responsibility to adopt standards and...

29 CFR 1952.320 - Description of the plan as initially approved.

Code of Federal Regulations, 2014 CFR

2014-07-01

... specifically designed to cover the following areas: general industrial safety, construction safety, first aid... Section 1952.320 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH... structure, the Occupational Safety Standards Commission has the responsibility to adopt standards and...

Traditional and Hybrid Dental Assisting Program: An Exploration of Design and Optimal Outcomes for Community College Students

ERIC Educational Resources Information Center

Sell, Janet A.

2016-01-01

This study was designed to investigate an accredited dental assisting educational program at a Midwest community college. The Bureau of Labor of Statistics (2015) claimed the profession of dental assisting is one of the fastest growing occupation, along with ongoing research that good oral health is linked to overall general health, thereby…

TECHNOLOGY AND MANPOWER IN DESIGN AND DRAFTING 1965-75. MANPOWER RESEARCH BULLETIN NUMBER 12.

ERIC Educational Resources Information Center

Office of Manpower Policy, Evaluation, and Research (DOL), Washington, DC.

AS PART OF AN EXPERIMENTAL AND DEMONSTRATION PROJECT LAUNCHED BY THE DEPARTMENT OF LABOR IN 1965 TO EMPHASIZE LIKELY FUTURE TECHNOLOGICAL AND MANPOWER CHANGES, THIS STUDY OF THE DESIGN AND DRAFTING PROCESS AIMED TO IDENTIFY THE MAJOR TECHNOLOGICAL CHANGES IN THE NEXT 10 YEARS, TO DETERMINE THE EXTENT AND RATE OF DIFFUSION OF THESE CHANGES, AND TO…

Assessing the applicability of the Taguchi design method to an interrill erosion study

NASA Astrophysics Data System (ADS)

Zhang, F. B.; Wang, Z. L.; Yang, M. Y.

2015-02-01

Full-factorial experimental designs have been used in soil erosion studies, but are time, cost and labor intensive, and sometimes they are impossible to conduct due to the increasing number of factors and their levels to consider. The Taguchi design is a simple, economical and efficient statistical tool that only uses a portion of the total possible factorial combinations to obtain the results of a study. Soil erosion studies that use the Taguchi design are scarce and no comparisons with full-factorial designs have been made. In this paper, a series of simulated rainfall experiments using a full-factorial design of five slope lengths (0.4, 0.8, 1.2, 1.6, and 2 m), five slope gradients (18%, 27%, 36%, 48%, and 58%), and five rainfall intensities (48, 62.4, 102, 149, and 170 mm h-1) were conducted. Validation of the applicability of a Taguchi design to interrill erosion experiments was achieved by extracting data from the full dataset according to a theoretical Taguchi design. The statistical parameters for the mean quasi-steady state erosion and runoff rates of each test, the optimum conditions for producing maximum erosion and runoff, and the main effect and percentage contribution of each factor obtained from the full-factorial and Taguchi designs were compared. Both designs generated almost identical results. Using the experimental data from the Taguchi design, it was possible to accurately predict the erosion and runoff rates under the conditions that had been excluded from the Taguchi design. All of the results obtained from analyzing the experimental data for both designs indicated that the Taguchi design could be applied to interrill erosion studies and could replace full-factorial designs. This would save time, labor and costs by generally reducing the number of tests to be conducted. Further work should test the applicability of the Taguchi design to a wider range of conditions.

The effects of impairments on employment and wages: estimates from the 1984 and 1990 SIPP.

PubMed

Baldwin, M L

1999-01-01

Unlike the minority groups covered by civil rights laws in the past, the disabled population is a heterogeneous group. Because of differences in the nature and onset of health conditions, it is important to study the labor market experiences of different impairment groups separately, rather than treating "disabled workers" as a single group. This article uses data from the 1984 and the 1990 panels of the Survey of Income and Program Participation to analyze trends in the employment and wages of six impairment groups in the years immediately preceding the ADA. The results confirm the diversity of labor market experiences within the disabled population and suggest that policies designed to improve labor market outcomes for workers with disabilities in response to the ADA should be targeted to the different needs of different impairment groups.

A Native American Community with a 7% Cesarean Delivery Rate: Does Case Mix, Ethnicity, or Labor Management Explain the Low Rate?

PubMed Central

Leeman, Lawrence; Leeman, Rebecca

2003-01-01

PURPOSE Cesarean delivery rates vary widely across populations. Studying communities with low rates of cesarean delivery may identify practices that can lower the cesarean rate. METHODS A population-based historical cohort study included all pregnant women (N = 1132) from 1992 through 1996 in a predominantly Native American region of northwestern New Mexico known to have a high prevalence of gestational diabetes and preeclampsia. The outcomes studied included delivery type (eg, cesarean, operative vaginal, spontaneous vaginal), indication for cesarean delivery, presence of obstetrical risk factors, and use of labor induction or augmentation. RESULTS The cesarean delivery rate of the study group (7.3%) was only 35% of the 1996 US rate of 20.7%. Among study participants, the relative risk of a primary cesarean delivery for dystocia was 0.22 (95% CI, 0.14, 0.35). Trial of labor after cesarean delivery was attempted by 93% of study participants compared with 42% of women nationwide in 1994. The cesarean delivery rates for women with diabetes in pregnancy (11.5% versus 35.4%) and preeclampsia (14.8% versus 37.4%) were significantly lower than nationwide rates. Case-mix analysis comparison with a standardized population and comparison of standard (ie, term, singleton, vertex) primiparous women demonstrate that the low rate of cesarean delivery was not because of a lower prevalence of risk factors. CONCLUSIONS The community’s low rate of cesarean delivery is primarily the result of a decreased use of cesarean delivery for labor dystocia and an almost universal acceptance of trial of labor after cesarean delivery. Cultural attitudes toward childbirth, design of the perinatal system, and genetic factors also may explain the low rate of cesarean delivery. PMID:15043178

A Native American community with a 7% cesarean delivery rate: does case mix, ethnicity, or labor management explain the low rate?

PubMed

Leeman, Lawrence; Leeman, Rebecca

2003-01-01

Cesarean delivery rates vary widely across populations. Studying communities with low rates of cesarean delivery may identify practices that can lower the cesarean rate. A population-based historical cohort study included all pregnant women (N = 1132) from 1992 through 1996 in a predominantly Native American region of northwestern New Mexico known to have a high prevalence of gestational diabetes and preeclampsia. The outcomes studied included delivery type (eg, cesarean, operative vaginal, spontaneous vaginal), indication for cesarean delivery, presence of obstetrical risk factors, and use of labor induction or augmentation. The cesarean delivery rate of the study group (7.3%) was only 35% of the 1996 US rate of 20.7%. Among study participants, the relative risk of a primary cesarean delivery for dystocia was 0.22 (95% CI, 0.14, 0.35). Trial of labor after cesarean delivery was attempted by 93% of study participants compared with 42% of women nationwide in 1994. The cesarean delivery rates for women with diabetes in pregnancy (11.5% versus 35.4%) and preeclampsia (14.8% versus 37.4%) were significantly lower than nationwide rates. Case-mix analysis comparison with a standardized population and comparison of standard (ie, term, singleton, vertex) primiparous women demonstrate that the low rate of cesarean delivery was not because of a lower prevalence of risk factors. The community's low rate of cesarean delivery is primarily the result of a decreased use of cesarean delivery for labor dystocia and an almost universal acceptance of trial of labor after cesarean delivery. Cultural attitudes toward childbirth, design of the perinatal system, and genetic factors also may explain the low rate of cesarean delivery.

Investigating the effect of music on labor pain and progress in the active stage of first labor.

PubMed

Hosseini, S E; Bagheri, M; Honarparvaran, N

2013-06-01

DESIGN AND PURPOSE: The purpose of this study is to investigate the effects of music-therapy on labor pain and progress in parturient primipara. Music-therapy during labor increases tolerance to pain; decreasing anxiety, it increases paturition and uterus activity and shorten labor duration. The subjects of this research were 30 women, selected voluntarily and they have been put in two experimental and control group. This research has been conducted in the form of pre-test and post-test design. The experimental group listened to a relaxing music for 30 minutes in each hour for a two-hour period a nd the control group was not exposed to music during this period. For the purpose of gathering data in both groups, the pain scales (verbal, numeric and visual) was used to measure pain. The independent variable in this research is relaxing music and the dependent variables are the pain level and delivery progress. The independent t for sensations of pain in the experimental and control group before intervention has been (p = 0.875) 0.601 in numeric and visual pain and (p < 0.01) 2.92 in verbal pain, and one hour after intervention, it has been (p < 0.0001) 8.527 in visual and numeric pain and (p < 0.0001) 11.824 in verbal pain. Also, the equal value of independent t for the duration of delivery in control group before and after intervention shows that music has not had any effect on the rate of serotonin. The results of statistical analysis show the effect of music on the decrease of sensation of pain in the experimental group as compared with the control group.

Cortisol as a Biomarker of Stress in Term Human Labor: Physiological and Methodological Issues

PubMed Central

Newton, Edward R.; Tanner, Charles J.; Heitkemper, Margaret M.

2013-01-01

Literature on the use of plasma cortisol to quantify psychophysiological stress in humans is extensive. However, in parturition at term gestation the use of cortisol as a biomarker of stress is particularly complex. Plasma cortisol levels increase as labor progresses. This increase seems to be important for maintenance of maternal/fetal wellbeing and facilitation of normal labor progress. Unique physiological and methodological issues involved in the use of cortisol as a biomarker of stress in labor present challenges for researchers. This review examines these issues, suggests mixed methods and within-subject repeated measures designs, and offers recommendations for assay procedures for parturient sampling. Documentation of clinical interventions and delivery outcomes may elucidate relationships among psychophysiological stressors, cortisol and normal labor progress. With attention to these methodological issues, analysis of plasma cortisol may lead to clinical interventions that support normal labor physiology. PMID:23338011

29 CFR 1641.5 - Processing of complaints filed with OFCCP.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 1641.5 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION... act as EEOC's agent for the sole purposes of receiving, investigating and processing the ADA charge... work-sharing agreements between EEOC and State and local agencies designated as FEP agencies, the...

29 CFR 1641.5 - Processing of complaints filed with OFCCP.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 1641.5 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION... act as EEOC's agent for the sole purposes of receiving, investigating and processing the ADA charge... work-sharing agreements between EEOC and State and local agencies designated as FEP agencies, the...

29 CFR 1641.5 - Processing of complaints filed with OFCCP.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 1641.5 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION... act as EEOC's agent for the sole purposes of receiving, investigating and processing the ADA charge... work-sharing agreements between EEOC and State and local agencies designated as FEP agencies, the...

29 CFR 1641.5 - Processing of complaints filed with OFCCP.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 1641.5 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION... act as EEOC's agent for the sole purposes of receiving, investigating and processing the ADA charge... work-sharing agreements between EEOC and State and local agencies designated as FEP agencies, the...

29 CFR 1641.5 - Processing of complaints filed with OFCCP.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 1641.5 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION... act as EEOC's agent for the sole purposes of receiving, investigating and processing the ADA charge... work-sharing agreements between EEOC and State and local agencies designated as FEP agencies, the...

29 CFR 1952.350 - Description of the plan as initially approved.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Industrial Commission, Division of Occupational Safety and Health, as the State agency designated to... Safety and Health of the Arizona Industrial Commission to Barry J. White, Associate Assistant Secretary... Section 1952.350 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH...

29 CFR 1952.350 - Description of the plan as initially approved.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Industrial Commission, Division of Occupational Safety and Health, as the State agency designated to... Safety and Health of the Arizona Industrial Commission to Barry J. White, Associate Assistant Secretary... Section 1952.350 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH...

Engineering and Design: Civil Works Cost Engineering

DTIC Science & Technology

1994-03-31

labor cost requirements are broken into tasks of work. Each task is usually performd by a labor crew. Crews may vary in size and mix of skills. The...requested in advance of the expected purchase date. Suppliers are reluctant to guarantee future pricw and ofien will only quote current prices. It may be...unit cost is the overhead cost for the item. g. Sources for Pricing. The Cost Engineer must rely on judgement, historical data, and current labor market

Optimization of Aircraft Seat Cushion Fire Blocking Layers.

DTIC Science & Technology

1983-03-01

function of cost and weight, and the costs of labor involved in assembling a ccmposite seat cushion. The same classes of high char yield polymers that are...SEAT LATER DESIGN REPORT NRBBNBsg$$$$$$NN$$R$$$$$ SEAT DESIGN NUMBER: 009 LAYER NAME CODE NO. S MANUFACTURER 5 COST FACTORS . LABOR ...72621, 9096.. 7SS43. 73757. 77147. DELTA COSTS 0. 8340. 2922. 1136. 4327. ACOSOS in Iho..aS Of dollars. COST SUIRNY REPORT Re ....... VONR3 MORFA

Mitochondrial MnSOD mRNA expression in human chorioamniotic membranes and its association with labor, inflammation and infection

PubMed Central

Than, Nandor Gabor; Romero, Roberto; Tarca, Adi L.; Draghici, Sorin; Erez, Offer; Chaiworapongsa, Tinnakorn; Kim, Yeon Mee; Kim, Sun Kwon; Vaisbuch, Edi; Tromp, Gerard

2010-01-01

Objective Human parturition is characterized by the activation of genes involved in acute inflammatory in the fetal membranes. Manganese superoxide dismutase (MnSOD) is a mitochondrial enzyme that scavenges reactive oxygen species (ROS). MnSOD is up-regulated in sites of inflammation and has an important role in the down-regulation of acute inflammatory processes. Therefore, the aim of this study was to determine the differences in MnSOD mRNA expression in the fetal membranes in patients with term and preterm labor as well as in acute chorioamnionitis. Study design Fetal membranes were obtained from patients in the following groups: 1) term not in labor (n=29); 2) term in labor (n=29); 3) spontaneous preterm labor with intact mebranes (n=16); 4) PTL with histological chorioamnionitis (n=12); 5) preterm prelabor rupture of membranes (PPROM; n=17); and 6) PPROM with histological chorioamnionitis (n=21). MnSOD mRNA expression in the membranes was determined by quantitative real-time RT-PCR. Results 1) MnSOD mRNA expression was higher in the fetal membranes of patients at term in labor than those not in labor (2.4-fold; p=0.02); 2) the amount of MnSOD mRNA in the fetal membranes was higher in PTL than in term labor or in PPROM (7.2-fold, p=0.03; 3.2-fold, p=0.03, respectively); 3) MnSOD mRNA expression was higher when histological chorioamnionitis was present both among patients with PPROM (3.8-fold, p=0.02) and with PTL (5.4-fold, p=0.02) than in patients with these conditions without histological chorioamnionitis; 4) expression of MnSOD mRNA was higher in PTL with chorioamnionitis than in PPROM with chorioamnionitis (4.3-fold, p=0.03); Conclusion The increase in MnSOD mRNA expression by fetal membranes in term labor and in histological chorioamnionitis in PTL and PPROM suggests that the fetus deploys anti-oxidant mechanisms to constrain the inflammatory processes in the chorioamniotic membranes. PMID:19900038

29 CFR 1952.350 - Description of the plan as initially approved.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Industrial Commission, Division of Occupational Safety and Health, as the State agency designated to administer the plan throughout the State. It adopts the definition of occupational safety and health issues... Section 1952.350 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH...

29 CFR 1952.350 - Description of the plan as initially approved.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Industrial Commission, Division of Occupational Safety and Health, as the State agency designated to administer the plan throughout the State. It adopts the definition of occupational safety and health issues... Section 1952.350 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH...

75 FR 1415 - Submission for OMB Review: Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-11

... Department of Labor--Bureau of Labor Statistics (BLS), Office of Management and Budget, Room 10235... Statistics. Type of Review: Revision of a currently approved collection. Title of Collection: The Consumer... sector. The data are collected from a national probability sample of households designed to represent the...

29 CFR 1601.76 - Right of party to request review.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION PROCEDURAL REGULATIONS FEP Agency Designation Procedures § 1601.76 Right of party to request review. The Commission shall... procedures set forth in the Substantial Weight Review Procedures (EEOC Order 916). [46 FR 50367, Oct. 13...

29 CFR 1601.76 - Right of party to request review.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION PROCEDURAL REGULATIONS FEP Agency Designation Procedures § 1601.76 Right of party to request review. The Commission shall... procedures set forth in the Substantial Weight Review Procedures (EEOC Order 916). [46 FR 50367, Oct. 13...

29 CFR 1601.76 - Right of party to request review.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION PROCEDURAL REGULATIONS FEP Agency Designation Procedures § 1601.76 Right of party to request review. The Commission shall... procedures set forth in the Substantial Weight Review Procedures (EEOC Order 916). [46 FR 50367, Oct. 13...

29 CFR 1601.76 - Right of party to request review.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION PROCEDURAL REGULATIONS FEP Agency Designation Procedures § 1601.76 Right of party to request review. The Commission shall... procedures set forth in the Substantial Weight Review Procedures (EEOC Order 916). [46 FR 50367, Oct. 13...

29 CFR 1601.76 - Right of party to request review.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION PROCEDURAL REGULATIONS FEP Agency Designation Procedures § 1601.76 Right of party to request review. The Commission shall... procedures set forth in the Substantial Weight Review Procedures (EEOC Order 916). [46 FR 50367, Oct. 13...

A quasi-experimental outcomes analysis of a psychoeducation intervention for pregnant women with abuse-related posttraumatic stress

PubMed Central

Rowe, Heather; Sperlich, Mickey; Seng, Julia S.

2015-01-01

Objective To test the effectiveness of a trauma-specific psycho-educational intervention for pregnant women with a history of childhood maltreatment on six intrapartum and postpartum psychological outcomes. Design Quasi-experimental study comparing women from a single-group pretest-posttest pilot intervention study with women matched from a prospective observational study. Setting Rural and university-based prenatal clinics. Participants Pregnant women entered the study by responding to an advertisement or by referral from a maternity care provider. Women could take part whether or not they met posttraumatic stress disorder diagnostic criteria. Outcomes data exist for 17 pilot intervention study participants and 43 matched observational study participants. Interventions Participants in the observational study received usual care. Participants in the pilot intervention study received usual care plus the intervention, a fully manualized self-study program supported by weekly phone tutoring sessions with a health professional. Main Outcome Measures The National Women’s Study PTSD Module; The Peritraumatic Dissociation Experience Questionnaire); The Perception of Care Questionnaire; The Postpartum Depression Screening Scale; The Postpartum Bonding Questionnaire; and a semantic differential appraisal of the labor experience. Results Participants in the intervention study had better scores on all measures. Differences in means between participants in the intervention study and participants in the observational study equated to medium effect sized for dissociation during labor, rating of labor experience, and perception of care in labor, and small effect sizes for postpartum PTSD symptoms, postpartum depression symptoms, and mother-infant bonding. Conclusion This trauma-specific intervention reaches and benefits pregnant women with a history of childhood maltreatment. PMID:24754455

METHOD FOR THE SUPERCRITICAL FLUID EXTRACTION OF SOILS/SEDIMENTS

EPA Science Inventory

Supercritical fluid extraction has been publicized as an extraction method which has several advantages over conventional methods, and it is expected to result in substantial cost and labor savings. This study was designed to evaluate the feasibility of using supercritical fluid ...

Human Prenatal Effects: Methodological Problems and Some Suggested Solutions

ERIC Educational Resources Information Center

Copans, Stuart A.

1974-01-01

Briefly reviews the relevant literature on human prenatal effects, describes some of the possible designs for such studies; and discusses some of the methodological problem areas: sample choice, measurement of prenatal variables, monitoring of labor and delivery, and neonatal assessment. (CS)

Design and implementation of a cost-accounting system in hospital pharmacy.

PubMed

Gouveia, W A; Anderson, E R; Decker, E L; Backer, K

1988-03-01

The design and implementation of a cost-accounting system in a hospital pharmacy department is described. Pharmacy resource use (labor, drugs, supplies, and overhead), or pharmacy's intermediate products, was clearly defined in terms of dosage forms (10 groupings representing variable labor and supplies) and drug products (more than 100 categories that incorporate cost and volume of use for 3000 line items). Costs were defined as variable or nonvariable (fixed), based on whether they were related to a specific medication order. Labor was divided into variable and fixed components. Time standards were developed using time and motion studies. Variable labor hours were determined as follows: specified hours (the volume of each dosage form multiplied by the standard time for each dosage form); nonspecified hours (time not directly associated with production); hours worked (specified plus nonspecified hours); and hours paid (hours worked plus sick leave and vacation). A standard cost for each drug product was based on the weighted average of volume and cost of the individual line items. The total drug budget was constructed by multiplying the standard cost for each drug product times the projected volume for each drug product. The pharmacy budget was developed by calculating the number and mix of pharmacy products used in association with the projected number and type of cases for the fiscal year. The monthly pharmacy budget reports were assembled with data from the payroll, billing, and cost-accounting systems.(ABSTRACT TRUNCATED AT 250 WORDS)

29 CFR 1910.105 - Nitrous oxide.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 5 2010-07-01 2010-07-01 false Nitrous oxide. 1910.105 Section 1910.105 Labor Regulations... OCCUPATIONAL SAFETY AND HEALTH STANDARDS Hazardous Materials § 1910.105 Nitrous oxide. The piped systems for the in-plant transfer and distribution of nitrous oxide shall be designed, installed, maintained, and...

29 CFR 1952.220 - Description of the plan as initially approved.

Code of Federal Regulations, 2011 CFR

2011-07-01

... and the Department of Health as the agencies designated to administer the plan throughout the State. It adopts the definition of occupational safety and health issues expressed in § 1902.2(c)(1) of this... Section 1952.220 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH...

29 CFR 1952.220 - Description of the plan as initially approved.

Code of Federal Regulations, 2010 CFR

2010-07-01

... and the Department of Health as the agencies designated to administer the plan throughout the State. It adopts the definition of occupational safety and health issues expressed in § 1902.2(c)(1) of this... Section 1952.220 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH...

29 CFR 1917.45 - Cranes and derricks (See also § 1917.50).

Code of Federal Regulations, 2012 CFR

2012-07-01

... 1917.45 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION... shall not be used in a manner that exerts sideloading stresses upon the crane or derrick boom. (2) No... not be exposed to accidental contact. Designated persons may work on energized equipment only if...

29 CFR 1917.45 - Cranes and derricks (See also § 1917.50).

Code of Federal Regulations, 2014 CFR

2014-07-01

... 1917.45 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION... shall not be used in a manner that exerts sideloading stresses upon the crane or derrick boom. (2) No... not be exposed to accidental contact. Designated persons may work on energized equipment only if...

29 CFR 1917.45 - Cranes and derricks (See also § 1917.50).

Code of Federal Regulations, 2010 CFR

2010-07-01

... 1917.45 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION... shall not be used in a manner that exerts sideloading stresses upon the crane or derrick boom. (2) No... not be exposed to accidental contact. Designated persons may work on energized equipment only if...

29 CFR 1917.45 - Cranes and derricks (See also § 1917.50).

Code of Federal Regulations, 2011 CFR

2011-07-01

... 1917.45 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION... shall not be used in a manner that exerts sideloading stresses upon the crane or derrick boom. (2) No... not be exposed to accidental contact. Designated persons may work on energized equipment only if...

29 CFR 1917.45 - Cranes and derricks (See also § 1917.50).

Code of Federal Regulations, 2013 CFR

2013-07-01

... 1917.45 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION... shall not be used in a manner that exerts sideloading stresses upon the crane or derrick boom. (2) No... not be exposed to accidental contact. Designated persons may work on energized equipment only if...

29 CFR 1917.157 - Battery charging and changing.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 7 2010-07-01 2010-07-01 false Battery charging and changing. 1917.157 Section 1917.157..., DEPARTMENT OF LABOR (CONTINUED) MARINE TERMINALS Related Terminal Operations and Equipment § 1917.157 Battery charging and changing. (a) Only designated persons shall change or charge batteries. (b) Battery charging...

29 CFR 35.32 - Mediation.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 1 2010-07-01 2010-07-01 true Mediation. 35.32 Section 35.32 Labor Office of the Secretary... Mediation. (a) Referral to mediation. CRC will promptly refer to the Federal Mediation and Conciliation Service or the mediation agency designated by the Secretary of Health and Human Services under 45 CFR part...

76 FR 45297 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Design of...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-28

... Department of Labor, Occupational Safety and Health Administration (OSHA), Office of Management and Budget... submission of responses. Agency: Occupational Safety and Health Administration (OSHA). Title of Collection.... SUMMARY: The Department of Labor (DOL) is submitting the Occupational Safety and Health Administration...

Evaluating Three Allied Health Training Programs: Exploratory Research into Curriculum Relevance and Labor Market Conditions

ERIC Educational Resources Information Center

Appel, Gary L.; And Others

1977-01-01

Presents results of a research effort designed to develop a methodology for assisting dietetic technicians, physical therapist assistants, and medical record technicians curriculum relevance, and to better understand labor market conditions affecting the utilization and distribution of midlevel technicians. (Author/LAS)

78 FR 16509 - Amendment to Information Collection Activity; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-15

... the labor market and achieve self-sufficiency. The projects will evaluate up to twelve subsidized and... assist ex-offenders and noncustodial parents improve labor market outcomes, reduce criminal recidivism... related program models and target populations. Thus, ACF and ETA have agreed to collaborate on the design...

Colonial Secondary Education in a Global Age: Economic Distortions in Bangladesh.

ERIC Educational Resources Information Center

Ilon, Lynn

2000-01-01

Argues that existing secondary education system in Bangladesh, designed during British colonial times, is ill suited to serve current labor-market demands. Discusses three economic distortions resulting from the misalignment of secondary education with the labor market: inappropriate curriculum, excess demand for secondary education, and increased…

29 CFR 1640.4 - Confidentiality.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 4 2010-07-01 2010-07-01 false Confidentiality. 1640.4 Section 1640.4 Labor Regulations...) When a section 504 agency or a designated agency receives information obtained by the EEOC, such agency... the ADA, to the same extent as these provisions would bind the EEOC, except when the agency receives...

29 CFR 1640.4 - Confidentiality.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 4 2011-07-01 2011-07-01 false Confidentiality. 1640.4 Section 1640.4 Labor Regulations...) When a section 504 agency or a designated agency receives information obtained by the EEOC, such agency... the ADA, to the same extent as these provisions would bind the EEOC, except when the agency receives...

29 CFR 1640.4 - Confidentiality.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 4 2013-07-01 2013-07-01 false Confidentiality. 1640.4 Section 1640.4 Labor Regulations...) When a section 504 agency or a designated agency receives information obtained by the EEOC, such agency... the ADA, to the same extent as these provisions would bind the EEOC, except when the agency receives...

29 CFR 1640.4 - Confidentiality.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 4 2014-07-01 2014-07-01 false Confidentiality. 1640.4 Section 1640.4 Labor Regulations...) When a section 504 agency or a designated agency receives information obtained by the EEOC, such agency... the ADA, to the same extent as these provisions would bind the EEOC, except when the agency receives...

29 CFR 1640.4 - Confidentiality.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 4 2012-07-01 2012-07-01 false Confidentiality. 1640.4 Section 1640.4 Labor Regulations...) When a section 504 agency or a designated agency receives information obtained by the EEOC, such agency... the ADA, to the same extent as these provisions would bind the EEOC, except when the agency receives...

75 FR 7524 - Workforce Investment Act; Native American Employment and Training Council

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-19

... Constitution Avenue, NW., Room S- 2322, Washington, DC 20210. SUPPLEMENTARY INFORMATION: The meeting will be.... Evangeline M. Campbell, Designated Federal Official (DFO), U.S. Department of Labor, 200 Constitution Avenue... Program, Employment and Training Administration, U.S. Department of Labor, Room S-4209, 200 Constitution...

29 CFR 1917.157 - Battery charging and changing.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 7 2011-07-01 2011-07-01 false Battery charging and changing. 1917.157 Section 1917.157..., DEPARTMENT OF LABOR (CONTINUED) MARINE TERMINALS Related Terminal Operations and Equipment § 1917.157 Battery charging and changing. (a) Only designated persons shall change or charge batteries. (b) Battery charging...

29 CFR 1917.157 - Battery charging and changing.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 7 2012-07-01 2012-07-01 false Battery charging and changing. 1917.157 Section 1917.157..., DEPARTMENT OF LABOR (CONTINUED) MARINE TERMINALS Related Terminal Operations and Equipment § 1917.157 Battery charging and changing. (a) Only designated persons shall change or charge batteries. (b) Battery charging...

29 CFR 1917.157 - Battery charging and changing.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 7 2014-07-01 2014-07-01 false Battery charging and changing. 1917.157 Section 1917.157..., DEPARTMENT OF LABOR (CONTINUED) MARINE TERMINALS Related Terminal Operations and Equipment § 1917.157 Battery charging and changing. (a) Only designated persons shall change or charge batteries. (b) Battery charging...

29 CFR 1917.157 - Battery charging and changing.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 7 2013-07-01 2013-07-01 false Battery charging and changing. 1917.157 Section 1917.157..., DEPARTMENT OF LABOR (CONTINUED) MARINE TERMINALS Related Terminal Operations and Equipment § 1917.157 Battery charging and changing. (a) Only designated persons shall change or charge batteries. (b) Battery charging...

An Experiment in Comparative Advantage.

ERIC Educational Resources Information Center

Haupert, Michael J.

1996-01-01

Describes an undergraduate economics course experiment designed to teach the concepts of comparative advantage and opportunity costs. Students have a limited number of labor hours and can chose to produce either wheat or steel. As the project progresses, the students trade commodities in an attempt to maximize use of their labor hours. (MJP)

29 CFR 102.25 - Ruling on motions.

Code of Federal Regulations, 2012 CFR

2012-07-01

... motions. An administrative law judge designated by the chief administrative law judge, by the associate... his decision. Whenever the administrative law judge has reserved his ruling on any motion, and the... 29 Labor 2 2012-07-01 2012-07-01 false Ruling on motions. 102.25 Section 102.25 Labor Regulations...

29 CFR 102.25 - Ruling on motions.

Code of Federal Regulations, 2014 CFR

2014-07-01

... motions. An administrative law judge designated by the chief administrative law judge, by the associate... his decision. Whenever the administrative law judge has reserved his ruling on any motion, and the... 29 Labor 2 2014-07-01 2014-07-01 false Ruling on motions. 102.25 Section 102.25 Labor Regulations...

29 CFR 102.25 - Ruling on motions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... motions. An administrative law judge designated by the chief administrative law judge, by the associate... his decision. Whenever the administrative law judge has reserved his ruling on any motion, and the... 29 Labor 2 2010-07-01 2010-07-01 false Ruling on motions. 102.25 Section 102.25 Labor Regulations...

29 CFR 102.25 - Ruling on motions.

Code of Federal Regulations, 2013 CFR

2013-07-01

... motions. An administrative law judge designated by the chief administrative law judge, by the associate... his decision. Whenever the administrative law judge has reserved his ruling on any motion, and the... 29 Labor 2 2013-07-01 2013-07-01 false Ruling on motions. 102.25 Section 102.25 Labor Regulations...

Participation of Women in the Web Development in the Universitities: A Case Study.

ERIC Educational Resources Information Center

Thevar, Suriya Mayandi; Schinzel, Britta; Ben, Esther Ruiz

This study evaluates the extent to which the escalation of the labor demand, the transformation of work culture, and the diversification of the professional characteristics of the World Wide Web profession have attracted women to enter in to this new branch of information technology (IT) occupations. The study focuses on Web designers at the…

Trends in the Danish work environment in 1990-2000 and their associations with labor-force changes.

PubMed

Burr, Hermann; Bjorner, Jakob B; Kristensen, Tage S; Tüchsen, Finn; Bach, Elsa

2003-08-01

The aims of this study were (i) to describe the trends in the work environment in 1990-2000 among employees in Denmark and (ii) to establish whether these trends were attributable to labor-force changes. The split-panel design of the Danish Work Environment Cohort Study includes interviews with three cross-sections of 6067, 5454, and 5404 employees aged 18-59 years, each representative of the total Danish labor force in 1990, 1995 and 2000. In the cross-sections, the participation rate decreased over the period (90% in 1990, 80% in 1995, 76% in 2000). The relative differences in participation due to gender, age, and region did not change noticeably. Jobs with decreasing prevalence were clerks, cleaners, textile workers, and military personnel. Jobs with increasing prevalence were academics, computer professionals, and managers. Intense computer use, long workhours, and noise exposure increased. Job insecurity, part-time work, kneeling work posture, low job control, and skin contact with cleaning agents decreased. Labor-force changes fully explained the decline in low job control and skin contact to cleaning agents and half of the increase in long workhours, but not the other work environment changes. The work environment of Danish employees improved from 1990 to 2000, except for increases in long workhours and noise exposure. From a specific work environment intervention point of view, the development has been less encouraging because declines in low job control, as well as skin contact to cleaning agents, were explained by labor-force changes.

Patient-Perceived Pressure from Clinicians for Labor Induction and Cesarean Delivery: A Population-Based Survey of U.S. Women

PubMed Central

Jou, Judy; Kozhimannil, Katy B; Johnson, Pamela Jo; Sakala, Carol

2015-01-01

Objective To determine whether patient-perceived pressure from clinicians for labor induction or cesarean delivery is significantly associated with having these procedures. Data Sources/Study Setting Listening to Mothers III, a nationally representative survey of women 18–45 years who delivered a singleton infant in a U.S. hospital July 2011–June 2012 (N = 2,400). Study Design Multivariate logistic regression analysis of factors associated with perceived pressure and estimation of odds of induction and cesarean given perceived pressure. Principal Findings Overall, 14.8 percent of respondents perceived pressure from a clinician for labor induction and 13.3 percent for cesarean delivery. Women who perceived pressure for labor induction had higher odds of induction overall (adjusted odds ratio [aOR]: 3.51; 95 percent confidence interval [CI]: 2.5–5.0) and without medical reason (aOR: 2.13; 95 percent CI: 1.3–3.4) compared with women who did not perceive pressure. Those perceiving pressure for cesarean delivery had higher odds of cesarean overall (aOR: 5.17; 95 percent CI: 3.2–8.4), without medical reason (aOR: 6.13; 95 percent CI: 3.4–11.1), and unplanned cesarean (aOR: 6.70; 95 percent CI: 4.0–11.3). Conclusions Patient-perceived pressure from clinicians significantly predicts labor induction and cesarean delivery. Efforts to reduce provider–patient miscommunication and minimize potentially unnecessary procedures may be warranted. PMID:25250981

Factors that influence the timing of spontaneous labor at term.

PubMed

Fogleman, Kelly A; Herring, Amy H; Kaczor, Diane; Pusek, Susan N; Jo, Hyejin; Thorp, John M

2007-11-01

Whether pre-term birth culminates as a result of a de novo pathologic process or is more simply early activation of physiologic mechanisms is unknown. Exploration of the onset of labor in term women with classical risk factors for early delivery might provide insights into the mechanisms leading to pre-term birth. This study examines whether sociodemographic factors known to increase the risk of pre-term birth also affect the length of term gestations. From a large prospective cohort composed of women delivering from 1995-2000, a sample was selected of 441 women from Central North Carolina, US, who delivered singletons after 37 weeks gestation. An algorithm was designed to identify induced labors and gestational age was censored at the time of induction. Gestational age was assigned by sonography and menstrual dating. Data were analysed using the Cox proportional hazards model. The main outcome measure was time to spontaneous labor. Women with 12 years of education had longer periods of gestation than women with less than 12 years of education, HR = 0.57 [0.39, 0.84]. Shorter gestational periods were found for women with pre-term premature rupture of membranes (PPROM) in a previous pregnancy, HR = 3.70 [1.60, 8.52], even after adjusting for confounders. Smoking was not associated (p > 0.1) with the timing of labor at term. By studying the timing of spontaneous parturition at term we identified that there is little overlap in risk factors that affect timing of delivery between spontaneous term and pre-term births.

Midwives’ Verbal Support of Nulliparous Women in Second Stage Labor

PubMed Central

Borders, Noelle; Wendland, Claire; Haozous, Emily; Leeman, Lawrence; Rogers, Rebecca

2013-01-01

Objective To describe how nurse-midwives verbally support nulliparous women during second stage labor and document specific details of each second stage. Design Descriptive qualitative study. Setting A university hospital labor and delivery unit in the southwestern United States. Participants Nulliparous women (N=14) greater than 18 years of age and their attendant midwives (N=9). Methods A single research midwife observed the entire second stage of each woman and used a standardized data collection form to record spontaneous or directed pushing, position changes, open and closed glottis pushing. A digital audio recorder was employed to capture verbal communication between the midwife and laboring woman. The research midwife and two qualitative experts employed content analysis to analyze the audio transcripts and identify categories of verbal support. Results Analysis revealed four categories of verbal support: affirmation, information sharing, direction, and baby talk. The vast majority of verbal communication by nurse-midwives consisted of affirmation and information sharing. Nurse-midwives gave direction for specific reasons. Women pushed spontaneously the majority of the time, regardless of epidural use. Conclusion Nurse-midwives use a range of verbal support strategies to guide the second stage. Directive support was relatively uncommon. Most verbal support instead affirmed a woman’s ability to follow her own body’s lead in second stage labor, with or without epidural. Callouts Our study provides evidence on how nurse-midwives verbally support nulliparous women while they push. Nurse-midwives utilized mostly affirmation and information sharing in their support of women during second stage, regardless of epidural use. Spontaneous pushing and epidural anesthesia are compatible, especially if the woman labors down and feels the urge to push prior to initiating active pushing. PMID:23600405

Active management of labor

PubMed Central

Rogers, Rebecca G; Gardner, Michael O; Tool, Kevin J; Ainsley, Jeanne; Gilson, George

2000-01-01

Objective To compare the costs of a protocol of active management of labor with those of traditional labor management. Design Cost analysis of a randomized controlled trial. Methods From August 1992 to April 1996, we randomly allocated 405 women whose infants were delivered at the University of New Mexico Health Sciences Center, Albuquerque, to an active management of labor protocol that had substantially reduced the duration of labor or a control protocol. We calculated the average cost for each delivery, using both actual costs and charges. Results The average cost for women assigned to the active management protocol was $2,480.79 compared with an average cost of $2,528.61 for women in the control group (P = 0.55). For women whose infant was delivered by cesarean section, the average cost was $4,771.54 for active management of labor and $4,468.89 for the control protocol (P = 0.16). Spontaneous vaginal deliveries cost an average of $27.00 more for actively managed patients compared with the cost for the control protocol. Conclusions The reduced duration of labor by active management did not translate into significant cost savings. Overall, an average cost saving of only $47.91, or 2%, was achieved for labors that were actively managed. This reduction in cost was due to a decrease in the rate of cesarean sections in women whose labor was actively managed and not to a decreased duration of labor. PMID:10778374

Evaluation of the effects of ice massage applied to large intestine 4 (hegu) on postpartum pain during the active phase of labor

PubMed Central

Can, Hafize Ozturk; Saruhan, Aynur

2015-01-01

Background: The uterus continues to contract after childbirth. The pain caused by the contractions of the uterus can be as severe as labor pain. The study was aimed to evaluate the effects of ice massage applied to the large intestine 4 (LI4) on postpartum pain during the active phase of labor. Materials and Methods: The study was designed as a randomized controlled trial with three groups and carried out in two stages. The study sample comprised of 150 pregnant women, who were referred to a maternity hospital. In the experimental group, ice massage was applied to LI4 during four contractions within the active phase of labor. In the placebo group, pressure was applied to LI4 using silicone balloons and the third group was the control group. The Visual Analog Scale (VAS) and The McGill (Melzack) Pain Questionnaire (MPQ) were compared among the experimental, placebo, and control groups. Results: The mothers in the ice application group had the lowest mean VAS score. It was determined that ice massage applied to LI4 during the active phase of labor did not lead to any statistical differences in mothers in the first 24 hours postpartum in terms of the characteristics of the pain with MPQ and VAS. Conclusions: In the study, the perception of pain was tried to be minimized by applying pressure with ice balloons to LI4. However, although the application was determined to have made no difference in the pain intensity, the mothers’ statements in the ice application group suggested that they felt more comfortable than did the mothers in the other groups. PMID:25709702

A novel misoprostol delivery system for induction of labor: clinical utility and patient considerations.

PubMed

Stephenson, Megan L; Wing, Deborah A

2015-01-01

Induction of labor is one of the most commonly performed obstetric procedures and will likely become more common as the reproductive population in developed nations changes. As the proportion of women undergoing induction grows, there is a constant search for more efficacious ways to induce labor while maintaining fetal and maternal safety as well as patient satisfaction. With almost half of induced labors requiring cervical ripening, methods for achieving active labor and vaginal delivery are constantly being investigated. Prostaglandins have been shown to be effective induction agents, and specifically vaginal misoprostol, used off-label, have been widely utilized to initiate cervical ripening and active labor. The challenge is to administer this medication accurately while maintaining the ability to discontinue the medication when needed. The misoprostol vaginal insert initiates cervical ripening utilizing a delivery system that controls medication release and can be rapidly removed. This paper reviews the design, development, and clinical utility of the misoprostol vaginal insert for induction of labor as well as patient considerations related to the delivery system.

Employment barriers for persons with psychiatric disabilities: update of a report for the President's Commission.

PubMed

Cook, Judith A

2006-10-01

A major public policy problem is the extremely low labor force participation of people with severe mental illness coupled with their overrepresentation on the public disability rolls. This situation is especially troubling given the existence of evidence-based practices designed to return them to the labor force. This article reviews research from the fields of disability, economics, health care, and labor studies to describe the nature of barriers to paid work and economic security for people with disabling mental disorders. These barriers include low educational attainment, unfavorable labor market dynamics, low productivity, lack of appropriate vocational and clinical services, labor force discrimination, failure of protective legislation, work disincentives caused by state and federal policies, poverty-level income, linkage of health care access to disability beneficiary status, and ineffective work incentive programs. The article concludes with a discussion of current policy initiatives in health care, mental health, and disability. Recommendations for a comprehensive system of services and supports to address multiple barriers are presented. These include access to affordable health care, including mental health treatment and prescription drug coverage; integrated clinical and vocational services; safe and stable housing that is not threatened by changes in earned income; remedial and postsecondary education and vocational training; benefits counseling and financial literacy education; economic security through asset development; legal aid for dealing with employment discrimination; peer support and self-help to enhance vocational self-image and encourage labor force attachment; and active involvement of U.S. business and employer communities.

The Spatial and Career Mobility of China’s Urban and Rural Labor Force*

PubMed Central

Hao, Lingxin; Liang, Yucheng

2017-01-01

This paper provides a comprehensive examination of the spatial and career mobility of China’s labor population. The paper integrates theories on stratification and social change and exploits the innovative design and measurement of the China Labor-force Dynamics Survey to minimize the under-coverage problem of the rural-urban migratory experience. Our analysis provides several fresh findings: (1) at-birth rural household registration (hukou) status leads to a greater probability of spatial mobility and career advancement than at-birth urban hukou status does; (2) education and gender differentiates rural-origin people, increasing the heterogeneity of urban labor and decreasing the heterogeneity of rural labor; (3) hukou policy relaxation favors later cohorts over earlier cohorts; and (4) among demographically comparable people, having experienced spatial mobility is correlated with having career advancement experience. Work organizations are found to be the arena where the two dimensions of mobility can happen jointly. Our findings provide a rich context for understanding the management and organization of Chinese labor. PMID:29129981

The Spatial and Career Mobility of China's Urban and Rural Labor Force.

PubMed

Hao, Lingxin; Liang, Yucheng

2016-03-01

This paper provides a comprehensive examination of the spatial and career mobility of China's labor population. The paper integrates theories on stratification and social change and exploits the innovative design and measurement of the China Labor-force Dynamics Survey to minimize the under-coverage problem of the rural-urban migratory experience. Our analysis provides several fresh findings: (1) at-birth rural household registration (hukou) status leads to a greater probability of spatial mobility and career advancement than at-birth urban hukou status does; (2) education and gender differentiates rural-origin people, increasing the heterogeneity of urban labor and decreasing the heterogeneity of rural labor; (3) hukou policy relaxation favors later cohorts over earlier cohorts; and (4) among demographically comparable people, having experienced spatial mobility is correlated with having career advancement experience. Work organizations are found to be the arena where the two dimensions of mobility can happen jointly. Our findings provide a rich context for understanding the management and organization of Chinese labor.

Extracting nursing practice patterns from structured labor and delivery data sets.

PubMed

Hall, Eric S; Thornton, Sidney N

2007-10-11

This study was designed to demonstrate the feasibility of a computerized care process model that provides real-time case profiling and outcome forecasting. A methodology was defined for extracting nursing practice patterns from structured point-of-care data collected using the labor and delivery information system at Intermountain Healthcare. Data collected during January 2006 were retrieved from Intermountain Healthcare's enterprise data warehouse for use in the study. The knowledge discovery in databases process provided a framework for data analysis including data selection, preprocessing, data-mining, and evaluation. Development of an interactive data-mining tool and construction of a data model for stratification of patient records into profiles supported the goals of the study. Five benefits of the practice pattern extraction capability, which extend to other clinical domains, are listed with supporting examples.

The National Longitudinal Surveys Handbook. Revised.

ERIC Educational Resources Information Center

Ohio State Univ., Columbus. Center for Human Resource Research.

This volume is designed as a comprehensive guide to the National Longitudinal Surveys of Labor Market Experience (NLS) which are concerned with the labor market experience of middle-aged and young men and women. Detailed descriptions of the objectives of the surveys, the samples covered, and the types of information collected are presented.…

29 CFR 825.300 - Employer notice requirements.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR OTHER LAWS THE FAMILY AND MEDICAL LEAVE ACT OF 1993 Employee and Employer Rights and Obligations Under the Act § 825.300... meet the requirements of the Act, the notice to the employee that the leave is not designated as FMLA...

29 CFR 1202.8 - Hearings on craft or class.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 4 2010-07-01 2010-07-01 false Hearings on craft or class. 1202.8 Section 1202.8 Labor... craft or class. In the event the contesting parties or organizations are unable to agree on the..., specifying the craft or class of employees eligible to participate in the designation of representatives. ...

Washington State Annual Rural Manpower Report, 1972.

ERIC Educational Resources Information Center

Washington State Dept. of Employment Security, Olympia.

The report contains information on significant developments in the 1972 Washington State Farm Labor and Rural Manpower Program. Part I, the Annual Summary, recommends that farm labor programs be designed to insure an adequate number of efficient workers and that a means be developed to prolong employment periods for the worker, thus reducing…

29 CFR 102.111 - Time computation.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 2 2010-07-01 2010-07-01 false Time computation. 102.111 Section 102.111 Labor Regulations... Papers § 102.111 Time computation. (a) In computing any period of time prescribed or allowed by these rules, the day of the act, event, or default after which the designated period of time begins to run is...

29 CFR 102.111 - Time computation.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 2 2014-07-01 2014-07-01 false Time computation. 102.111 Section 102.111 Labor Regulations... Papers § 102.111 Time computation. (a) In computing any period of time prescribed or allowed by these rules, the day of the act, event, or default after which the designated period of time begins to run is...

29 CFR 102.111 - Time computation.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 2 2012-07-01 2012-07-01 false Time computation. 102.111 Section 102.111 Labor Regulations... Papers § 102.111 Time computation. (a) In computing any period of time prescribed or allowed by these rules, the day of the act, event, or default after which the designated period of time begins to run is...

29 CFR 102.111 - Time computation.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 2 2013-07-01 2013-07-01 false Time computation. 102.111 Section 102.111 Labor Regulations... Papers § 102.111 Time computation. (a) In computing any period of time prescribed or allowed by these rules, the day of the act, event, or default after which the designated period of time begins to run is...

Texas Labor Mobility, Experimental and Demonstration Project. Final Report.

ERIC Educational Resources Information Center

Texas Employment Commission, Austin.

The Texas Labor Mobility Project's purpose was to demonstrate the effectiveness of using financial assistance to create stability in migrant workers and to reduce unemployment. The program was designed as a research project to gather information about all phases of the Mobility Project. This was handled through the Texas Employment Commission. In…

77 FR 39516 - Notice of a Public Meeting of the Advisory Committee on Apprenticeship (ACA)

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-03

.... Department of Labor, Frances Perkins Building, 200 Constitution Avenue NW., Washington, DC 20210. The ACA is..., 200 Constitution Avenue NW., Washington, DC 20210. FOR FURTHER INFORMATION CONTACT: The Designated... Administration, U.S. Department of Labor, 200 Constitution Avenue NW., Room N-5311, Washington, DC 20210...

The New Federal Wage-Hour, Equal Pay, and Equal Employment Opportunity Laws. Including 1974 Revisions.

ERIC Educational Resources Information Center

Institute For Management, Old Saybrook, CT.

The book is designed to explain the entire Fair Labor Standards Act. The 1974 amendments are detailed regarding new and previously covered employees, agricultural labor, government employees, domestics, conglomerates, small stores, other revisions, overtime exemptions, and age discrimination. The document elaborates on specifications for overtime…

Economic and Labor Market Trends

ERIC Educational Resources Information Center

Nightingale, Demetra Smith; Fix, Michael

2004-01-01

A number of economic and labor market trends in the United States over the past 30 years affect the well-being of workers and their families. This article describes key changes taking place and the implications for social and economic policies designed to help low-income working families and their children, particularly those families that include…

Systems Engineering-Based Tool for Identifying Critical Research Systems

ERIC Educational Resources Information Center

Abbott, Rodman P.; Stracener, Jerrell

2016-01-01

This study investigates the relationship between the designated research project system independent variables of Labor, Travel, Equipment, and Contract total annual costs and the dependent variables of both the associated matching research project total annual academic publication output and thesis/dissertation number output. The Mahalanobis…

Shall We Dance? A Design Epistemology for Organizational Learning and Performance

ERIC Educational Resources Information Center

Rowland, Gordon

2004-01-01

Management experts claim that organizational learning, knowledge management, intellectual capital, and related concepts are more important to today's organizations than traditional assets such as natural resources and skilled labor. Management thus enters domains more typically studied by those in training, education, and human performance…

Massage Therapy and Labor Outcomes: a Randomized Controlled Trial

PubMed Central

Janssen, Patricia; Shroff, Farah; Jaspar, Paula

2012-01-01

Introduction Massage is a time-honored method by which women have received comfort throughout the millennia, yet it has not been rigorously evaluated in the modern day delivery suite. No study to date that we are aware of has evaluated the effect of massage therapy by a regulated massage therapist on labor pain. The purpose of this study was to evaluate the effectiveness of massage therapy provided by registered massage therapists in managing pain among women in active labor. Methods BC Women’s Hospital, Vancouver, BC. Research Design: a randomized controlled trial. Participants: 77 healthy nulliparous women presenting in spontaneous labor. Intervention: Swedish massage administered for up to five hours by a registered massage therapist during labor vs. standard care. Main outcome measures include: cervical dilation at the time of administration of epidural, compared using estimated marginal means in an analysis of covariance. We also compared perception of pain at three time periods during labor according to cervical dilation at 3–4 cm, 5–7 cm, and 8–10 cm using the McGill Present Pain Intensity Scale. Results The mean cervical dilation at the time of epidural insertion after adjustment for station of the presenting part, cervical dilation, and status of membranes on admission to hospital was 5.9 cm (95% CI 5.2–6.7) compared to 4.9 in the control group (95% CI 4.2–5.8). Scores on the McGill Pain Scale were consistently lower in the massage therapy group (13.3 vs. 16.9 at 3–4 cm, 13.3 vs. 15.8 at 5–6 cm, and 19.4 vs. 28.3 at 7–8 cm), although these differences were not statistically significant. Conclusions Our findings from this pilot study suggest that massage therapy by a registered massage therapist has the potential to be an effective means of pain management that may be associated with delayed use of epidural analgesia. It may therefore have the potential to reduce exposure to epidural analgesia during labor and decrease rates of associated sequelae. PMID:23429706

Changing Patterns of Work in America, 1976: Hearings Before the Subcommittee on Employment, Poverty, and Migration Labor of the Committee on Labor and Public Welfare, United States Senate, Ninety-Fourth Congress, Second Session on Examination of Alternative Working Hours and Arrangements, April 7 and 8, 1976.

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. Senate Committee on Labor and Public Welfare.

Several programs designed to improve work life in the United States are reviewed. The subcommittee solicits opinions from leaders in business, labor, and government about what legislative and institutional changes can be made to ensure continued progress in the status of the working people. The hearings cover a broad range of topics including job…

[A comparison of maternal psychosocial adaptation among pregnant women with different gravidity].

PubMed

Lin, Chun-Ting; Chou, Fan-Hao

2008-12-01

The purpose of this study was to examine women's psychosocial adaptation during different trimesters of pregnancy and to compare maternal psychosocial adaptation between primigravida and multigravida. A cross-sectional and comparative research design was conducted. A convenience sample consisting of 717 pregnant women who made a prenatal clinical visit in southern Taiwan were recruited for this study. The sample included 369 primigravida and 348 multigravida. A Demographic Inventory and the Chinese version of the Prenatal Self-Evaluation Questionnaire (PSEQ) were used to collect data. Results found that (1) the subscale "relationship with husband" for multigravida showed statistically significant differences between the three trimesters, with scores for the third trimester higher than those for the first. Also, multigravida had poorer adaptation on "relationship with husband" in the third trimester than in the first; (2) Analysis of covariance was used to adjust for age, marital status and planned pregnancy, as the distribution of such variables was significantly different between primigravida and multigravida. Results showed significant differences between the two sample groups in terms of PSEQ total scores and scores for "concern for well-being of self and baby," "preparation for labor," and "fear of helplessness, and loss of control in labor." This indicates that primigravida had poorer maternal psychosocial adaptation than multigravida and worried more about "concern for well-being of self and baby," "preparation for labor," and "fear of helplessness, and loss of control in labor." The findings of this study provide evidence-based data to help nursing professionals provide more suitable nursing care to pregnant women. Nurses should assess pregnant women's psychosocial adaptation during their prenatal visiting and then assist them to better understand the process of childbirth and enhance their level of control during labor. In addition, nurses should appraise women's relationships with their husbands during the third trimester and supply appropriate nursing care to pregnant women for a more pleasant pregnancy and labor experience.

Information Seeking in Organizational Communication: A Case Study of Applied Theory.

ERIC Educational Resources Information Center

Grunig, James E.

An experimental seminar in corporate communication at the University of Maryland was designed to (1) develop a set of theoretical concepts useful to the organizational communicator who functions as a mediator between management and labor, (2) utilize a practical methodology for these concepts, and (3) conduct a case study in cooperation with an…

Building Public-Private Partnerships To Improve Vocational Education in Illinois.

ERIC Educational Resources Information Center

Sheets, Robert G.; And Others

The Illinois Council on Vocational Education (ICoVE) launched a statewide study in 1990 to understand the perspectives of business and labor on what vocational education can do to prepare the work force with the skills necessary for the future. The study was designed to build new public-private partnerships. It included a survey of businesses and…

The Extent of Skills Mismatch among Childhood Education Graduates of Princess Alia University College

ERIC Educational Resources Information Center

Nashash, Hyam M.

2015-01-01

This study is aimed at investigating the extent of skill mismatch between the skills the childhood education graduates at Al-Balqa Applied University--Princess Alia University College acquired during their studies and those demanded in the labor market. The descriptive survey design was adopted and the purposive sampling technique was employed to…

What Determines Employment of Part-Time Faculty in Higher Education Institutions?

ERIC Educational Resources Information Center

Liu, Xiangmin; Zhang, Liang

2007-01-01

This study uses a cross-section national sample of four-year colleges and universities in the United States to examine the variation of part-time faculty employment. Results of this study suggest that higher educational institutions actively design and adopt contingent work arrangements to save on labor costs and to manage their resource…

Group Simulation for "Authentic" Assessment in a Maternal-Child Lecture Course

ERIC Educational Resources Information Center

Hensel, Desiree; Stanley, Leah

2014-01-01

The purpose of this pilot study was to explore student perceptions and outcomes surrounding the use of a labor and delivery simulation as a midterm exam in a maternal-newborn lecture course. An exploratory case study design was used to gain a holistic view of the simulation experience. Data from focus groups, written debriefings, simulation…

Clinical factors associated with readmission for postpartum hypertension in women with pregnancy-related hypertension: a nested case control study

PubMed Central

Hirshberg, A; Levine, LD; Srinivas, SK

2017-01-01

Objective To evaluate the association between mode of delivery and length of labor on readmission for postpartum hypertension in women with pregnancy-related hypertension. Study Design Nested case control study within a cohort of 99 women with pregnancy-related hypertension who delivered at our institution between 2005 and 2009. Data were abstracted for clinical and labor information. Mode of delivery and length of labor were compared between women with previously diagnosed pregnancy-related hypertension readmitted within 4 weeks post partum (25 cases) and those not readmitted (74 controls). Categorical and continuous variables were compared using χ2 and T-tests, respectively. Multivariable logistic regression controlled for confounders. Result Hypertension readmission was not associated with mode of delivery (cases: 10(40%) spontaneous vaginal delivery, 15(60%) cesarean delivery; controls: 38(51%) spontaneous vaginal delivery, 36(49%) cesarean delivery, P=0.33). Length of labor appeared longer in cases, with a trend toward significance (median: 15.5 [7,28] h vs 10.75 [5.8,15.9] h, P=0.12) and was significantly associated with readmission after controlling for delivery mode, induction and parity (adjusted odds ratio = 1.06 [1 to 1.12], P = 0.048). Readmitted patients were less likely to have initially been started on antihypertensive medications after controlling for age, race and chronic hypertension (adjusted odds ratio = 0.23 [0.06 to 0.88], P=0.03). Conclusion Postpartum readmission for hypertension in women with known pregnancy-related hypertension is not associated with mode of delivery, appears increased in those with longer length of labor and decreased in those initially started on antihypertensive medications. This provides targets for future research to continue to improve transitions of care and reduce preventable readmissions. PMID:26765549

Supermarket Speak: Increasing Talk among Low-Socioeconomic Status Families

ERIC Educational Resources Information Center

Ridge, Katherine E.; Weisberg, Deena Skolnick; Ilgaz, Hande; Hirsh-Pasek, Kathryn A.; Golinkoff, Roberta Michnick

2015-01-01

Children from low-socioeconomic status (SES) families often fall behind their middle-class peers in early language development. But interventions designed to support their language skills are often costly and labor-intensive. This study implements an inexpensive and subtle language intervention aimed at sparking parent-child interaction in a place…

A Study of the Feasibility of Vocational Modules.

ERIC Educational Resources Information Center

Platero, Dillon; And Others

Educational consultants, town residents, Navajo tribal chapters and councils, the Bureau of Indian Affairs, the Navajo Division of Education, and local public school districts in Navajo, New Mexico, worked together to design an effective vocational program for an unskilled labor force sparsely settled within a large geographic area. The concept of…

Closing the Education Gap: Benefits and Costs.

ERIC Educational Resources Information Center

Vernez, Georges; Krop, Richard A.; Rydell, C. Peter

This study explored the implications of demographic trends on the quality of the future labor force and on public social expenditures. It also focused on the educational costs and social benefits of educational and immigration policy alternatives designed to close the gap in educational attainment between non-Hispanic whites and Hispanics and…

An Intelligent Recommendation System for Animation Scriptwriters' Education

ERIC Educational Resources Information Center

Tsai, Shang-Te; Chang, Ting-Cheng; Huang, Yu-Feng

2016-01-01

Producing an animation requires extensive labor, time, and money. Experienced directors and screenwriters are required to design scenes using standard props and actors in position. This study structurally analyzes the script and defines scenes, characters, positions, dialogue, etc., according to their dramatic attributes. These are entered into a…

Creating a Market.

ERIC Educational Resources Information Center

Kazimirski, J.; And Others

The second in a series of programmed books, "Creating a Market" is published by the International Labour Office as a manual for persons studying marketing. This manual was designed to meet the needs of the labor organization's technical cooperation programs and is primarily concerned with consumer goods industries. Using a fill-in-the-blanks and…

Comparison of relaxation with counterpressure massage techniques for reduce pain first stage of labor

NASA Astrophysics Data System (ADS)

Lisa, U. F.; Jalina, M.; Marniati

2017-09-01

Based on interviews of so me mother who entered the first stage of labor lack of care from health workers to the effort to reducing the acuteof labor. Health care workers appertain hospital in effective in implement maternity nursing interventions in reducing acute the first stage of labor. The reducing acute have two method are pharmacological and non-pharmacological. In this case, has several techniques there are: relaxation and counterpressure massage techniques that capable to reducing acute first stage of labor. The of non-pharmacological is one of authority which must be implemented by midwives especially breathing relaxation techniquesand massage. The research is Quasi Exsperimen with pretes-posttest design. The statistic test has T test paired and unpairedt test. To indicatea reducing the level of acute before and after given relaxation technique result p-value <0.001 with value mean after being given the treatment as much as 44.00 and the ranges of value 10-90, a reducing the level of acute before and after the counter pressure massage techniques p-value <0.001 with value mean after being given the treatment as much as 42.67 and the ranges of value 10-90. It is no significant difference between the relaxation and counter pressure massage techniques in reducing acute in the first stage of labor, because both techniques are highly effective use in reducing acute of labor the result p-value is 0.891. The relaxation and counter pressure massage techniques useful in provide an affection of mother care because both techniques are very effective work in reducing acute to focus on the point of pain. Therefore, the health of workers, especially for a study to apply relaxation and massage to provide of mother care, mainly to the primigravida who in experienced in process of labor.

Application of advanced technologies to small, short-haul aircraft

NASA Technical Reports Server (NTRS)

Andrews, D. G.; Brubaker, P. W.; Bryant, S. L.; Clay, C. W.; Giridharadas, B.; Hamamoto, M.; Kelly, T. J.; Proctor, D. K.; Myron, C. E.; Sullivan, R. L.

1978-01-01

The results of a preliminary design study which investigates the use of selected advanced technologies to achieve low cost design for small (50-passenger), short haul (50 to 1000 mile) transports are reported. The largest single item in the cost of manufacturing an airplane of this type is labor. A careful examination of advanced technology to airframe structure was performed since one of the most labor-intensive parts of the airplane is structures. Also, preliminary investigation of advanced aerodynamics flight controls, ride control and gust load alleviation systems, aircraft systems and turbo-prop propulsion systems was performed. The most beneficial advanced technology examined was bonded aluminum primary structure. The use of this structure in large wing panels and body sections resulted in a greatly reduced number of parts and fasteners and therefore, labor hours. The resultant cost of assembled airplane structure was reduced by 40% and the total airplane manufacturing cost by 16% - a major cost reduction. With further development, test verification and optimization appreciable weight saving is also achievable. Other advanced technology items which showed significant gains are as follows: (1) advanced turboprop-reduced block fuel by 15.30% depending on range; (2) configuration revisions (vee-tail)-empennage cost reduction of 25%; (3) leading-edge flap addition-weight reduction of 2500 pounds.

Migration and depressive symptoms in migrant-sending areas: findings from the survey of internal migration and health in China.

PubMed

Lu, Yao; Hu, Peifeng; Treiman, Donald J

2012-08-01

China has experienced large-scale internal migration and growing mental health disorders. Limited research has examined the relationship between the two processes. We examined the association between labor out-migration and depressive symptoms of family members left behind in migrant-sending areas. We conducted a multistage probability sample survey of Chinese adults in 2008 ("Internal Migration and Health in China"), including 787 people in rural migrant-sending areas. To study whether adults in out-migrant households were more likely to experience depressive symptoms (CES-D) than were adults in non-migrant households, we used multivariate regressions and adjusted for a wide range of confounding factors and for the complex sampling design. Adults in households with labor out-migrants were more likely to report depressive symptoms than those in households without out-migrants, presumably a result of the absence of family members. However, monetary remittances from labor migrants buffered the mental health costs of out-migration. Labor out-migration has important consequences for the mental health in migrant-sending communities. There is an urgent need to address the psychological costs of migration and to promote regular remittances.

Complementarities or contradictions? Scoping the health dimensions of "flexicurity" labor market policies.

PubMed

Afzal, Zabia; Muntaner, Carles; Chung, Haejoo; Mahmood, Qamar; Ng, Edwin; Schrecker, Ted

2013-01-01

Flexicurity, or the integration of labor market flexibility with social security and active labor market policies, has figured prominently in economic and social policy discussions in Europe since the mid-1990s. Such policies are designed to transcend traditional labor-capital conflicts and to form a mutually supportive nexus of flexibility and security within a climate of intensified competition and rapid technological change. International bodies have marketed flexicurity as an innovative win-win strategy for employers and workers alike, commonly citing Denmark and The Netherlands as exemplars of best practice. In this article, we apply a social determinants of health framework to conduct a scoping review of the academic and gray literature to: (a) better understand the empirical associations between flexicurity practices and population health in Denmark and (b) assess the relevance and feasibility of implementing such policies to improve health and reduce health inequalities in Ontario, Canada. Based on 39 studies meeting our full inclusion criteria, preliminary findings suggest that flexicurity is limited as a potential health promotion strategy in Ontario, offers more risks to workers' health than benefits, and requires the strengthening of other social protections before it could be realistically implemented within a Canadian context.

Comparing Livestock Enterprises for the Optimum Combination of Labor and Capital Resources to Produce Maximum Income. Final Report.

ERIC Educational Resources Information Center

Ratcliff, Dale L.

Designed as a tool for vocational agriculture instructors to use in helping their students plan livestock enterprises that they will use as a part of their supervised occupational experience programs, this microcomputer program enables students to compare livestock enterprises for optimum combination of labor and capital resources to produce…

Industrial and Labor Relations, Unit 4. A Core Curriculum of Related Instruction for Apprentices.

ERIC Educational Resources Information Center

New York State Education Dept., Albany. Bureau of Occupational and Career Curriculum Development.

The curriculum was designed to provide a systematic way of instructing apprentices preparing for various trades in the area of industrial and labor relations which would provide the apprentice with working knowledge of employee-employer interaction and the processes involved. The core curriculum is developed in 10 learning modules which are…

Teaching Laura Kipnis's "Love's Labors" in "Ways of Reading"

ERIC Educational Resources Information Center

Fike, Matthew A.

2013-01-01

This essay describes a method of teaching a very challenging anthology piece: Laura Kipnis's "Love's Labors" (chapter 1 of her 2003 "Against Love: A Polemic"). The method, although designed for a critical thinking course, should also provide resources for those who teach Kipnis's work in writing courses. Using…

A Model for the Linkage of Vocational Education at Post-Secondary Private Schools and Industry, Business, and Labor. A Research Monograph.

ERIC Educational Resources Information Center

Banathy, Bela H.; Duwe, Axel

This monograph describes a program designed to (1) link private postsecondary vocational education with business, industry, labor, and other societal sectors and (2) establish interorganizational coordination that is beneficial to all participants. (In a companion monograph, available as CE 024 328, linkage and interorganizational cooperative…

Learning about Work: A Guide for Discussion in the Schools.

ERIC Educational Resources Information Center

Communications Workers of America, Washington, DC. Education Dept.

This kit is designed to help labor union members or others interested in workplace issues to make successful visits to elementary and secondary school classrooms. The slide program lasts approximately 45 minutes and does not require an expert in teaching or labor history background. Suggestions on whom to approach within the school in order to…

NLS Handbook, 2005. National Longitudinal Surveys

ERIC Educational Resources Information Center

Bureau of Labor Statistics, 2006

2006-01-01

The National Longitudinal Surveys (NLS), sponsored by the U.S. Bureau of Labor Statistics (BLS), are a set of surveys designed to gather information at multiple points in time on the labor market experiences of groups of men and women. Each of the cohorts has been selected to represent all people living in the United States at the initial…

Games and Simulations in Industrial and Labor Relations Training.

ERIC Educational Resources Information Center

Coghill, Mary Ann

This book is not designed to be read like a book; instead, it is intended for group participation. Games and simulations are a popular development in industrial and labor relations training programs. This report brings to the attention of instructors, in both the business and academic communities, the variety of subjects and levels at which such…

The Impact of Fiscal Redistributive Policies on the Supply of Labor: Five Essays in Economic Theory and Program Design.

ERIC Educational Resources Information Center

Kesselman, Jonathan Rhys

Static and dynamic incentive effects of the following fiscal transfer forms are examined: income subsidy (negative income tax), wage subsidy, categorical income subsidy (work requirement), and overtime wage subsidy. Budgetary costs, aggregate labor-market impacts, and welfare effects are analyzed. A program for categorically combining wage and…

25 CFR 309.2 - What are the key definitions for purposes of the Act?

Code of Federal Regulations, 2011 CFR

2011-04-01

... “made by an Indian” means that an Indian has provided the artistic or craft work labor necessary to implement an artistic design through a substantial transformation of materials to produce the art or craft... Indian artistic or craft work labor; (v) Industrial products, which for this purpose are defined as goods...

A Methodology for Observation of the Childbirth Environment.

ERIC Educational Resources Information Center

Anderson, Barbara J.

This paper describes the development of an instrument designed to obtain systematic data on the physical state, medical and social interactions of a woman in active labor. Observations were made of primiparous women who were accompanied in the labor room by the father. Women who had received childbirth training and those who had not were included…

The Empirical Study on the Labor Export of Three Gorges Reservoir Area in China

NASA Astrophysics Data System (ADS)

Hu, Bangyong

There are many large surplus labor force in the three gorges reservoir area, export of labor services is one way to tackle the problem of employment of the surplus-labor and increase farmers income, export of labor is also a effective way to solve three rural issues. This paper analyzes the need for the development of service economy, study the problems of export of labor services, at last the author give some suggestion to develop labor economy.

A multistudy examination of organizational stressors, emotional labor, burnout, and turnover in sport organizations.

PubMed

Larner, R J; Wagstaff, C R D; Thelwell, R C; Corbett, J

2017-12-01

While a growing body of research has examined the types of organizational stressors encountered by individuals and their allied responses, little is known about how such individuals manage their emotional responses to these stressors or the consequences of such behaviors. This article presents novel findings from two studies examining the moderating role that emotional labor plays in the relationship between the frequency of organizational stressor experience, burnout, turnover intentions, and actual turnover in sport. In study 1, participants (n=487) completed measures of organizational stressors (OSI-SP), emotional labor (ELS), burnout (ABQ), and turnover intentions. In study 2, a 6-month longitudinal design was used to examine measures of organizational stressors (OSI-SP), emotional labor (ELS), turnover intentions, and actual turnover. Study 1 showed that surface acting moderated the relationship between the frequency of organizational stressors and burnout in sport. Further, surface acting acted as an important mechanism through which burnout mediated the relationship between the frequency of organizational stressors and turnover intentions. Study 2 showed that surface acting moderated the relationship between the organizational stressor frequency and turnover intentions-but not actual turnover-over time. These results highlight the importance of surface acting in understanding how individuals respond to organizational stressors encountered in sport, expanding our understanding of the positive and negative responses component of the meta-model of stress, emotions, and performance. These findings also highlight potentially deleterious emotion-management behaviors that practitioners might consider when aiming to support individuals encountering organizational stressors in sport. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Environmental risk factors by gender associated with attention-deficit/hyperactivity disorder.

PubMed

Silva, Desiree; Colvin, Lyn; Hagemann, Erika; Bower, Carol

2014-01-01

Early environmental risk factors associated with attention-deficit/hyperactivity disorder (ADHD) have been increasingly suggested. Our study investigates the maternal, pregnancy, and newborn risk factors by gender for children prescribed stimulant medication for treatment of ADHD in Western Australia. This is a population-based, record linkage case-control study. The records of all non-Aboriginal children and adolescents born in Western Australia and aged <25 years who were diagnosed with ADHD and prescribed stimulant medication (cases = 12,991) were linked to the Midwives Notification System (MNS) to obtain maternal, pregnancy, and birth information. The control population of 30,071 children was randomly selected from the MNS. Mothers of children with ADHD were significantly more likely to be younger, be single, have smoked in pregnancy, have labor induced, and experience threatened preterm labor, preeclampsia, urinary tract infection in pregnancy, or early term delivery irrespective of the gender of the child, compared with the control group. In the fully adjusted model, a novel finding was of a possible protective effect of oxytocin augmentation in girls. Low birth weight, postterm pregnancy, small for gestational age infant, fetal distress, and low Apgar scores were not identified as risk factors. Smoking in pregnancy, maternal urinary tract infection, being induced, and experiencing threatened preterm labor increase the risk of ADHD, with little gender difference, although oxytocin augmentation of labor appears protective for girls. Early term deliveries marginally increased the risk of ADHD. Studies designed to disentangle possible mechanisms, confounders, or moderators of these risk factors are warranted.

Monitoring uterine activity during labor: a comparison of three methods

PubMed Central

EULIANO, Tammy Y.; NGUYEN, Minh Tam; DARMANJIAN, Shalom; MCGORRAY, Susan P.; EULIANO, Neil; ONKALA, Allison; GREGG, Anthony R.

2012-01-01

Objective Tocodynamometry (Toco—strain gauge technology) provides contraction frequency and approximate duration of labor contractions, but suffers frequent signal dropout necessitating re-positioning by a nurse, and may fail in obese patients. The alternative invasive intrauterine pressure catheter (IUPC) is more reliable and adds contraction pressure information, but requires ruptured membranes and introduces small risks of infection and abruption. Electrohysterography (EHG) reports the electrical activity of the uterus through electrodes placed on the maternal abdomen. This study compared all three methods of contraction detection simultaneously in laboring women. Study Design Upon consent, laboring women were monitored simultaneously with Toco, EHG, and IUPC. Contraction curves were generated in real-time for the EHG and all three curves were stored electronically. A contraction detection algorithm was used to compare frequency and timing between methods. Seventy-three subjects were enrolled in the study; 14 were excluded due to hardware failure of one or more of the devices (12) or inadequate data collection duration(2). Results In comparison with the gold-standard IUPC, EHG performed significantly better than Toco with regard to Contractions Consistency Index (CCI). The mean CCI for EHG was 0.88 ± 0.17 compared to 0.69 ± 0.27 for Toco (p<.0001). In contrast to Toco, EHG was not significantly affected by obesity. Conclusion Toco does not correlate well with the gold-standard IUPC and fails more frequently in obese patients. EHG provides a reliable non-invasive alternative regardless of body habitus. PMID:23122926

Shouldering the Load: An Analysis of Gender-Based Differences in the Undergraduate PR Writing Classes and Advising Undergraduate PRSSA Chapters

ERIC Educational Resources Information Center

Waymer, Damion

2014-01-01

This study contributes to public relations (PR) literature and research because it finds and highlights discrepancies between male and female PR faculty concerning their involvement or lack thereof with designated labor-intensive teaching and service responsibilities. More specifically, this study finds that more females serve as faculty advisors…

State of Business Statistics Education in MENA Region: A Comparative Study with Best Practices

ERIC Educational Resources Information Center

Hijazi, Rafiq; Zoubeidi, Taoufik

2017-01-01

Purpose: The purpose of this study is to investigate the state of undergraduate business statistics education in the Middle East and North Africa (MENA) and assess its alignment with the best practices in equipping business graduates with the knowledge and skills demanded by the labor market. Design/methodology/approach: A survey of 108…

Combining Computational and Social Effort for Collaborative Problem Solving

PubMed Central

Wagy, Mark D.; Bongard, Josh C.

2015-01-01

Rather than replacing human labor, there is growing evidence that networked computers create opportunities for collaborations of people and algorithms to solve problems beyond either of them. In this study, we demonstrate the conditions under which such synergy can arise. We show that, for a design task, three elements are sufficient: humans apply intuitions to the problem, algorithms automatically determine and report back on the quality of designs, and humans observe and innovate on others’ designs to focus creative and computational effort on good designs. This study suggests how such collaborations should be composed for other domains, as well as how social and computational dynamics mutually influence one another during collaborative problem solving. PMID:26544199

IT Solution concept development for tracking and analyzing the labor effectiveness of employees

NASA Astrophysics Data System (ADS)

Ilin, Igor; Shirokova, Svetlana; Lepekhin, Aleksandr

2018-03-01

Labor efficiency and productivity of employees is an important aspect for the environment within any type of organization. This is particularly crucial factor for the companies, if which operations are associated with physical labor, such as construction companies. Productivity and efficiency are both very complicated concepts and a huge variety of methods and approaches to its analysis can be implemented within the organization. Despite that, it is important to choose the methods, which not only analyze the key performance indicators of employee, but take into account personal indicators, which might affect performance even more than professional skills. For this complicated analysis task it is important to build IT solution for tracking and analyzing of the labor effectiveness. The concept for designing this IT solution is proposed in the current research.

Maquiladoras and National Security: Design Theory as a Guide

DTIC Science & Technology

2011-10-25

created in 1964 when the Mexican government established the Border Industrialization Program. Previously, under the Bracero program , large numbers...valve” for the Mexican economy in terms of unemployment. Previously, under the Bracero program , Mexican laborers were allowed temporary entry into...the United States to pursue seasonal labor opportunities. A guest worker program, perhaps modeled after the Bracero program that was discontinued in

29 CFR 1919.33 - Proof tests-wire rope.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 7 2013-07-01 2013-07-01 false Proof tests-wire rope. 1919.33 Section 1919.33 Labor... Persons § 1919.33 Proof tests—wire rope. Wire rope, except as provided in § 1919.14(b), shall be tested by... acceptable to the Administration on the basis of design, shall not exceed one-fifth of the breaking load of...

29 CFR 1919.33 - Proof tests-wire rope.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 7 2012-07-01 2012-07-01 false Proof tests-wire rope. 1919.33 Section 1919.33 Labor... Persons § 1919.33 Proof tests—wire rope. Wire rope, except as provided in § 1919.14(b), shall be tested by... acceptable to the Administration on the basis of design, shall not exceed one-fifth of the breaking load of...

29 CFR 1919.33 - Proof tests-wire rope.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 7 2014-07-01 2014-07-01 false Proof tests-wire rope. 1919.33 Section 1919.33 Labor... Persons § 1919.33 Proof tests—wire rope. Wire rope, except as provided in § 1919.14(b), shall be tested by... acceptable to the Administration on the basis of design, shall not exceed one-fifth of the breaking load of...

DataTrack 7: Women in the Labor Force.

ERIC Educational Resources Information Center

American Council of Life Insurance, Washington, DC.

One of a series that compiles and interprets data from a variety of sources on one particular subject of interest to life insurance executives, this report deals with women in the labor force. It can be used in the design of new products and services, to meet changing consumer needs, the selection of new markets and marketing strategies, for the…

Duration of labor with spontaneous onset at the University of Ilorin Teaching Hospital, Ilorin, Nigeria.

PubMed

Ijaiya, Munir'deen A; Adesina, Kike T; Raji, Hadijat O; Aboyeji, Abiodun P; Olatinwo, Abdulwaheed O; Adeniran, Abiodun S; Adebara, Idowu O; Isiaka-Lawal, Salamat

2011-01-01

Duration of labor varies from one pregnancy to another and a period of less than 12 hours is regarded as normal. Modern obstetric practice involves active management of labor with the aim of preventing prolonged labor and its sequelae. The main objective of this study was to determine and compare the average duration of labor of spontaneous onset between nulliparas (Po) and multiparas (P ≥ 1) and to determine factors affecting duration of labor. This study was a prospective study carried out between 15 May and 14 June 2004 at the Labor Ward of the University of Ilorin Teaching Hospital, Ilorin, Nigeria. Two hundred and thirty-eight women who satisfied the inclusion criteria were studied. The inclusion criteria were term pregnancy with vertex presentation, labor with spontaneous onset, live fetus at presentation and spontaneous vertex delivery. The mean ± SD admission-delivery interval in labor ward was shorter (3.77 ± 2.88 hours) among multiparas than that of nulliparas (5.00 ± 3.17 hours) (P = 0.235). The mean ± SD duration of labor (from the onset of labor to delivery) was shorter among multiparas (8.73 ± 4.17 hours) than that of nulliparas (11.23 ± 4.29 hours) (P = 0.426). The differences were not significant (t-test, P > 0.05). Maternal age and individual parity had significant correlation with the duration of labor in this study (Pearson correlation = -0.019, -0.027, respectively, P < 0.05). Interestingly, duration of labor was not significantly different among multiparas and nulliparas although it was shorter. Correlation existed between duration of labor and maternal age and individual parity.

30 CFR 56.9309 - Chute design.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Chute design. 56.9309 Section 56.9309 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE SAFETY AND... design. Chute-loading installations shall be designed to provide a safe location for persons pulling...

30 CFR 56.9309 - Chute design.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Chute design. 56.9309 Section 56.9309 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE SAFETY AND... design. Chute-loading installations shall be designed to provide a safe location for persons pulling...

30 CFR 57.19035 - Headframe design.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Headframe design. 57.19035 Section 57.19035 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE... Headframes and Sheaves § 57.19035 Headframe design. All headframes shall be constructed with suitable design...

30 CFR 56.19035 - Headframe design.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Headframe design. 56.19035 Section 56.19035 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE... Headframes and Sheaves § 56.19035 Headframe design. All headframes shall be constructed with suitable design...

30 CFR 56.19035 - Headframe design.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Headframe design. 56.19035 Section 56.19035 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE... Headframes and Sheaves § 56.19035 Headframe design. All headframes shall be constructed with suitable design...

30 CFR 57.19035 - Headframe design.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Headframe design. 57.19035 Section 57.19035 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE... Headframes and Sheaves § 57.19035 Headframe design. All headframes shall be constructed with suitable design...

Skilled Trades to University Student: Luck or Courage?

ERIC Educational Resources Information Center

Watt, Bonnie

2016-01-01

Purpose: The purpose of this paper is to examine participants' experiences as they transitioned from the skilled trade labor workforce to the school teaching profession. Their goal was to work in the secondary school system as certificated teachers. Design/methodology/approach: The study examined interview data from a 2014 to 2015 evaluation study…

Psychological Strain and Emotional Labor among Police-Officers: A Diary Study

ERIC Educational Resources Information Center

van Gelderen, Benjamin; Heuven, Ellen; van Veldhoven, Marc; Zeelenberg, Marcel; Croon, Marcel

2007-01-01

The authors examined the relationship between psychological strain, emotional dissonance and emotional job demands during a working day of 65 Dutch (military) police officers, using a 5-day diary design. We hypothesized that emotional dissonance partly mediated the relationship between psychological strain at the start and at the end of a work…

Gender, Marital Status, and Commercially Prepared Food Expenditure

ERIC Educational Resources Information Center

Kroshus, Emily

2008-01-01

Objective: Assess how per capita expenditure on commercially prepared food as a proportion of total food expenditure varies by the sex and marital status of the head of the household. Design: Prospective cohort study, data collected by the United States Bureau of Labor Statistics 2004 Consumer Expenditure Survey. Setting: United States.…

Child Labor, Learning Problems, and Poverty

ERIC Educational Resources Information Center

Taylor, Mark

2017-01-01

In Africa, approximately 80 million children are working. Africa's 41% child labor rate is nearly twice as high as that in Asia. This study examined whether child labor is a direct result of poverty or of reading and math problems in school. The study analyzed reading and math scores of 62 child laborers and 62 non-child laborers from a farming…

Reciprocal Feedback Between miR-181a and E2/ERα in Myometrium Enhances Inflammation Leading to Labor

PubMed Central

Wang, Gang; Liu, Wei-Na; Kinser, Holly; Franco, Hector L.

2016-01-01

Context: The initiation of term and preterm labor is associated with an up-regulated inflammatory response in myometrium; however, the underlying signaling pathways remain incompletely defined. Objective: To define the regulatory mechanisms that mediate the increased myometrial inflammatory response leading to labor, we investigated the roles of microRNAs (miRNA/miR). Design and Setting: Human myometrial tissues, isolated smooth muscle cells, and animal models were used to study miR-181a regulation of uterine inflammatory pathways and contractility. Patients: Myometrial tissues from 15 term pregnant women undergoing elective cesarean section (not in labor) and 10 term pregnant women undergoing emergency cesarean section (in labor) were used. Results: Expression of the highly conserved microRNA, miR-181a, was significantly decreased in mouse and human myometrium during late gestation. By contrast, the putative miR-181a targets, TNF-α, and estrogen receptor (ER)-α, and the validated target, c-Fos, key factors in the inflammatory response leading to parturition, were coordinately up-regulated. In studies using human myometrial cells, overexpression of miR-181a mimics repressed basal as well as IL-1β-induced TNF-α, C-C motif chemokine ligand 2 and 8 expression, whereas the expression of the antiinflammatory cytokine, IL-10, was increased. Overexpression of miR-181a dramatically inhibited both spontaneous and IL-1β-induced contraction of human myometrial cells. Notably, miR-181a directly targeted ERα and decreased its expression, whereas estradiol-17β reciprocally inhibited expression of mature miR-181a in myometrial cells. Conclusions: Thus, increased estradiol-17β/ERα signaling in myometrium near term inhibits miR-181a, resulting in a further increase in ERα and proinflammatory signaling. This escalating feedback loop provides novel targets and therapeutic strategies for the prevention of preterm labor and its consequences. PMID:27459534

30 CFR 57.9309 - Chute design.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Chute design. 57.9309 Section 57.9309 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE SAFETY AND....9309 Chute design. Chute-loading installations shall be designed to provide a safe location for persons...

30 CFR 57.9309 - Chute design.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Chute design. 57.9309 Section 57.9309 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE SAFETY AND....9309 Chute design. Chute-loading installations shall be designed to provide a safe location for persons...

7 CFR 3560.559 - Design and construction requirements.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 15 2011-01-01 2011-01-01 false Design and construction requirements. 3560.559... § 3560.559 Design and construction requirements. (a) General. The requirements established in § 3560.60... encouraged that the design of off-farm labor housing incorporate outdoor shower, boot washing station, and/or...

29 CFR 1926.1433 - Design, construction and testing.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 8 2013-07-01 2013-07-01 false Design, construction and testing. 1926.1433 Section 1926... Construction § 1926.1433 Design, construction and testing. The following requirements apply to equipment that... locomotive cranes manufactured prior to November 8, 2010 must meet the applicable requirements for design...

29 CFR 1926.1433 - Design, construction and testing.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 8 2014-07-01 2014-07-01 false Design, construction and testing. 1926.1433 Section 1926... Construction § 1926.1433 Design, construction and testing. The following requirements apply to equipment that... locomotive cranes manufactured prior to November 8, 2010 must meet the applicable requirements for design...

29 CFR 1926.1433 - Design, construction and testing.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 8 2011-07-01 2011-07-01 false Design, construction and testing. 1926.1433 Section 1926... Construction § 1926.1433 Design, construction and testing. The following requirements apply to equipment that... locomotive cranes manufactured prior to November 8, 2010 must meet the applicable requirements for design...

29 CFR 1926.1433 - Design, construction and testing.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 8 2012-07-01 2012-07-01 false Design, construction and testing. 1926.1433 Section 1926... Construction § 1926.1433 Design, construction and testing. The following requirements apply to equipment that... locomotive cranes manufactured prior to November 8, 2010 must meet the applicable requirements for design...

Temporal and quantitative associations of electronic fetal heart rate monitoring patterns and neonatal outcomes†.

PubMed

Ogunyemi, Dotun; Jovanovski, Andrew; Friedman, Perry; Sweatman, Brittany; Madan, Ichchha

2018-04-06

The objective of this study is to evaluate the associations of electronic fetal heart rate monitoring (EFM) patterns and adverse neonatal outcomes Study design: From 2013 to 2016; 12,067 term, singleton deliveries in labor ≥2 h with abnormal EFM defined as absent accelerations, variable, late or prolonged decelerations, tachycardia, bradycardia, or minimal variability were analyzed as any documentation during labor, in first hour and last hour of labor. Outcomes were composite neonatal adverse outcomes, neonatal intensive care unit (NICU) admission, neonatal hypoxia, neonatal hypoglycemia, umbilical artery pH, and base excess. Independent associations were ascertained using regression analysis. Significant independent associations occurred between any abnormal EFM during the last hour and five adverse neonatal outcomes; between abnormal EFM at any time and one adverse neonatal outcome while there was none with the first hour of labor. In the last hour, accelerations had significant negative associations with three adverse neonatal outcomes, while prolonged decelerations, late decelerations, tachycardia, and bradycardia had significant positive associations with three adverse neonatal outcomes. Throughout labor, increasing accelerations events were significantly negatively correlated with all adverse neonatal outcomes, while increasing frequency of late, variable, and prolonged decelerations were positively associated with five adverse neonatal outcomes. Hierarchical analysis showed that bradycardia/tachycardia contributed only 0.8%, while all EFM periodic changes contributed 1%; the addition of the frequencies of abnormal EFM events contributed 0.6% to the variance in umbilical artery pH and base excess. Terminal EFM patterns are independently associated with neonatal outcomes. Accelerations are protective of adverse neonatal outcomes. Increasing frequency of EFM patterns overtime contributes to neonatal outcome.

Depression and Retirement in Late Middle-Aged U.S. Workers

PubMed Central

Doshi, Jalpa A; Cen, Liyi; Polsky, Daniel

2008-01-01

Objective To determine whether late middle-aged U.S. workers with depression are at an increased risk for retirement. Data Source Six biennial waves (1992–2002) of the Health and Retirement Study, a nationally representative panel survey of noninstitutionalized 51–61-year-olds and their spouses started in 1992. Study Design Workers aged 53–58 years in 1994 were followed every 2 years thereafter, through 2002. Depression was coded as lagged time-dependent variables measuring active depression and severity of depression. The main outcome variable was a transition to retirement which was measured using two distinct definitions to capture different stages in the retirement process: (1) Retirement was defined as a transition out of the labor force in the sample of all labor force participants (N = 2,853); (2) In addition a transition out of full time work was used as the retirement definition in the subset of labor force participants who were full time workers (N = 2,288). Principal Findings In the sample of all labor force participants, the presence of active depression significantly increased the hazard of retirement in both late middle-aged men (adjusted OR: 1.37 [95 percent CI 1.05, 1.80]) and women (adjusted OR: 1.40 [95 percent CI 1.10, 1.78]). For women, subthreshold depression was also a significant predictor of retirement. In the sample of full time workers, the relationship between depression and retirement was considerably weaker for women yet remained strong for men. Conclusions Depression and depressive symptoms were significantly associated with retirement in late middle-aged U.S. workers. Policymakers must consider the potentially adverse impact of these labor market outcomes when estimating the cost of untreated depression and evaluating the value of interventions to improve the diagnosis and treatment of depression. PMID:18370974

Employment Trends from 1984 to 1995 and Their Implications for Napa Valley College. Planning Report Number 1.

ERIC Educational Resources Information Center

Friedlander, Jack

Designed to assist staff at Napa Valley College (NVC) in their efforts to develop short- and long-range plans for the institution, this report reviews recent reports by the Bureau of Labor Statistics regarding trends in the labor force. Following introductory material, the report looks at occupations with the largest job growth, the 20 fastest…

Youth Apprenticeships and School-to-Work Transition: Current Knowledge and Legislative Strategy. EQW Working Papers.

ERIC Educational Resources Information Center

Osterman, Paul; Iannozzi, Maria

For many youths, the early years in the labor market are characterized not by an absence of jobs but rather by a "churning" process that often delays the benefits of high school educational experiences for several years. Youth apprenticeship programs should be designed to serve as a strategy/vehicle of school reform, function as a labor market…

Building Models for the Linkage and Coordination of Vocational Education at Public and Private Post-Secondary Schools and Business, Industry, and Labor. Final Report.

ERIC Educational Resources Information Center

Banathy, Bela H.; And Others

The Far West Laboratory for Educational Research and Development (FWL) conducted a project which focused on the design and validation of models for the linkage and coordination of vocational education at public and private postsecondary institutions with business, industry, and labor. The general procedure followed was to adapt organizational…

Planning, Designing, Building, and Moving a Large Volume Maternity Service to a New Labor and Birth Unit.

PubMed

Thompson, Heather; Legorreta, Kimberly; Maher, Mary Ann; Lavin, Melanie M

Our health system recognized the need to update facility space and associated technology for the labor and birth unit within our large volume perinatal service to improve the patient experience, and enhance safety, quality of care, and staff satisfaction. When an organization decides to invest $30 million dollars in a construction project such as a new labor and birth unit, many factors and considerations are involved. Financial support, planning, design, and construction phases of building a new unit are complex and therefore require strong interdisciplinary collaboration, leadership, and project management. The new labor and birth unit required nearly 3 years of planning, designing, and construction. Patient and family preferences were elicited through consumer focus groups. Multiple meetings with the administrative and nursing leadership teams, staff nurses, nurse midwives, and physicians were held to generate ideas for improvement in the new space. Involving frontline clinicians and childbearing women in the process was critical to success. The labor and birth unit moved to a new patient tower in a space that was doubled in square footage and geographically now on three separate floors. In the 6 months prior to the move, many efforts were made in our community to share our new space. The marketing strategy was very detailed and creative with ongoing input from the nursing leadership team. The nursing staff was involved in every step along the way. It was critical to have champions as workflow teams emerged. We hosted simulation drills and tested scenarios with new workflows. Move day was rehearsed with representatives of all members of the perinatal team participating. These efforts ultimately resulted in a move time of ~5 hours. Birth volumes increased 7% within the first 6 months. After 3 years in our new space, our birth volumes have risen nearly 15% and are still growing. Key processes and roles responsible for a successful build, efficient and safe move day, and optimal operational utility, as anticipated, of a new labor and birth unit in a large volume perinatal service are detailed.

Words from the Heart Speak to the Heart: A Study of Deep Acting, Faking, and Hiding among Child Care Workers

ERIC Educational Resources Information Center

Lee, Raymond T.; Brotheridge, Celeste M.

2011-01-01

Purpose: The purpose of this paper is to understand, from the child care worker's perspective, how work experience, display rules, and affectivity are related to emotional labor. It also examines the utility of separating surface acting into its two components: the hiding and faking of emotions. Design/methodology/approach: This study is based on…

A cost effective 5΄ selective single cell transcriptome profiling approach with improved UMI design

PubMed Central

Arguel, Marie-Jeanne; LeBrigand, Kevin; Paquet, Agnès; Ruiz García, Sandra; Zaragosi, Laure-Emmanuelle; Waldmann, Rainer

2017-01-01

Abstract Single cell RNA sequencing approaches are instrumental in studies of cell-to-cell variability. 5΄ selective transcriptome profiling approaches allow simultaneous definition of the transcription start size and have advantages over 3΄ selective approaches which just provide internal sequences close to the 3΄ end. The only currently existing 5΄ selective approach requires costly and labor intensive fragmentation and cell barcoding after cDNA amplification. We developed an optimized 5΄ selective workflow where all the cell indexing is done prior to fragmentation. With our protocol, cell indexing can be performed in the Fluidigm C1 microfluidic device, resulting in a significant reduction of cost and labor. We also designed optimized unique molecular identifiers that show less sequence bias and vulnerability towards sequencing errors resulting in an improved accuracy of molecule counting. We provide comprehensive experimental workflows for Illumina and Ion Proton sequencers that allow single cell sequencing in a cost range comparable to qPCR assays. PMID:27940562

Lunar surface mine feasibility study

NASA Astrophysics Data System (ADS)

Blair, Brad R.

This paper describes a lunar surface mine, and demonstrates the economic feasibility of mining oxygen from the moon. The mine will be at the Apollo 16 landing site. Mine design issues include pit size and shape, excavation equipment, muck transport, and processing requirements. The final mine design will be driven by production requirements, and constrained by the lunar environment. This mining scenario assumes the presence of an operating lunar base. Lunar base personnel will set-up a and run the mine. The goal of producing lunar oxygen is to reduce dependence on fuel shipped from Earth. Thus, the lunar base is the customer for the finished product. The perspective of this paper is that of a mining contractor who must produce a specific product at a remote location, pay local labor, and sell the product to an onsite captive market. To make a profit, it must be less costly to build and ship specialized equipment to the site, and pay high labor and operating costs, than to export the product directly to the site.

The impact of changes in preterm birth among twins on stillbirth and infant mortality in the United States

PubMed Central

Getahun, D; Demissie, K; Marcella, SW; Rhoads, GG

2015-01-01

OBJECTIVE To examine trends for preterm births, stillbirths, neonatal and infant deaths in twin births by gestational age and birth weight categories, as well as trends in induction of labor and cesarean delivery during 1995–2006. STUDY DESIGN A trend analysis was performed on data derived from the National Centers for Health Statistics’ Vital Statistics Data files (1995–2006). The primary outcomes examined were preterm birth, stillbirth, neonatal and infant mortality. RESULT During the study period, rates of labor induction among twins decreased by 8% and rates of cesarean delivery increased by 35%. Concurrently, the preterm birth rate increased by 13% from 54% in 1995–96 to 61% in 2005–06. The overall stillbirth rate, and neonatal and infant death rates decreased during the same period by 21% (95% confidence interval (CI): 18–25%), 13% (95% CI: 9–16%) and 12% (95% CI: 8–15%), respectively. There were significant reductions in neonatal death rates related to respiratory distress syndrome (RDS; 48%, 95% CI: 41–54%) and congenital anomalies (25%, 95% CI: 16–33%) during the study period. Reductions in post-neonatal infant mortality were mainly in RDS (88%) and sudden infant death syndrome (26%). Mortality rates among infants born by either induction of labor or cesarean delivery fell during the study period and remained much lower than the overall infant mortality rate. CONCLUSION The findings of this study suggest that during 1995–2006 there was an increase in preterm birth rates and a decrease in labor inductions with a sharp decline in stillbirth, neonatal and infant mortality rates. PMID:24968177

Factors influencing women's perceptions of shared decision making during labor and delivery: Results from a large-scale cohort study of first childbirth.

PubMed

Attanasio, Laura B; Kozhimannil, Katy B; Kjerulff, Kristen H

2018-06-01

To examine correlates of shared decision making during labor and delivery. Data were from a cohort of women who gave birth to their first baby in Pennsylvania, 2009-2011 (N = 3006). We used logistic regression models to examine the association between labor induction and mode of delivery in relation to women's perceptions of shared decision making, and to investigate race/ethnicity and SES as potential moderators. Women who were Black and who did not have a college degree or private insurance were less likely to report high shared decision making, as well as women who underwent labor induction, instrumental vaginal or cesarean delivery. Models with interaction terms showed that the reduction in odds of shared decision making associated with cesarean delivery was greater for Black women than for White women. Women in marginalized social groups were less likely to report shared decision making during birth and Black women who delivered by cesarean had particularly low odds of shared decision making. Strategies designed to improve the quality of patient-provider communication, information sharing, and shared decision making must be attentive to the needs of vulnerable groups to ensure that such interventions reduce rather than widen disparities. Copyright © 2018 Elsevier B.V. All rights reserved.

Selective intrapartum anti-bioprophylaxy of group B streptococci infection of neonates: a prospective study in 2454 subsequent deliveries.

PubMed

Poulain, P; Betremieux, P; Donnio, P Y; Proudhon, J F; Karege, G; Giraud, J R

1997-04-01

To investigate the efficacy of a selective intrapartum prophylaxy of group B streptococci (GBS) infection of the neonates. A prospective protocol of universal antepartum screening of GBS and selective intrapartum treatment from the 1st February 1994 to the 31st December 1995, on 2454 subsequent deliveries was designed. Our policy included: (1) antepartum screening as soon as possible after 28 weeks by a single vaginal and perianal sample for culture; (2) intrapartum recognition of one condition of high risk of fetal contamination during labor (these conditions included: a temperature of 38 degrees C during labor, rupture of membranes for more than 12 h or prolonged labor for more than 12 h with rupture of membranes, prematurity, twins, maternal diabetes, previous pregnancy with GBS infection of the neonate); and (3) intrapartum anti-bioprophylaxy (amoxicillin) for women with positive screening during pregnancy and one condition of high risk of fetal contamination during labor. We studied the outcome of neonates during this period to look for immediate GBS severe infection of the neonates in the form of bacteraemia or meningitis and compared the results with the rate of neonatal infection before this protocol (4.5/1000 live births in 1993). We noted that 11% of pregnant women were carriers, 25% of which led to antibiotic chemoprophylaxis during the labor. We noticed four cases of neonatal bacteraemia of GBS. One case arose from the group of carriers (but no condition of risk of fetal contamination during the labor and no chemoprophylaxy). The three other cases were from women with a negative antepartum screening. There was no case of meningitis and all four babies were in good health at day 10 of life. Comparing with results prior to the study, we noticed that the rate of neonatal bacteraemia dropped from 4.5 to 1.6 per 1000 livebirths (P < 0.0001). This protocol of intrapartum anti-bioprophylaxy significantly decreases the rate of GBS neonatal sepsis. We propose to improve the efficacy of this prevention program, especially with regard to the method of antepartum screening of pregnant women colonized with GBS.

Information Infrastructures for Integrated Enterprises

DTIC Science & Technology

1993-05-01

PROCESSING demographic CAM realization; ule leveling; studies; prelimi- rapid tooling; con- accounting/admin- nary CAFE and tinuous cost istrative reports...nies might consider franchising some facets of indirect labor, such as selected functions of administration, finance, and human resources. Incorporate as...vices CAFE Corporate Average Fuel Economy CAD Computer-Aided Design 0 CAE Computer-Aided Engineering CAIS Common Ada Programming Support Environment

Women in Nontraditional Occupations. Choice and Turnover.

ERIC Educational Resources Information Center

Waite, Linda J.; Berryman, Sue E.

A project was designed to identify factors that predispose young women to choose and remain in sex-atypical jobs in the military and in civilian firms. Data were from the National Longitudinal Survey of Youth Labor Market Behavior, a longitudinal study with annual interviews from 1979 through 1983 of youth between the ages of 14 and 21 in the…

Planning Student Flow with Linear Programming: A Tunisian Case Study.

ERIC Educational Resources Information Center

Bezeau, Lawrence

A student flow model in linear programming format, designed to plan the movement of students into secondary and university programs in Tunisia, is described. The purpose of the plan is to determine a sufficient number of graduating students that would flow back into the system as teachers or move into the labor market to meet fixed manpower…

Older Workers: An Opportunity to Expand the Long-Term Care/Direct Care Labor Force

ERIC Educational Resources Information Center

Hwalek, Melanie; Straub, Victoria; Kosniewski, Karen

2008-01-01

Purpose: This study examined issues related to using older workers in frontline jobs in long-term care from employers' and prospective employees' perspectives. Design and Methods: Telephone surveys were conducted with employers representing 615 nursing homes and 410 home health agencies, and 1,091 low-income participants aged 40+ in Operation ABLE…

Medical augmentation of labor and the risk of ADHD in offspring: a population-based study.

PubMed

Henriksen, Lonny; Wu, Chun Sen; Secher, Niels Jørgen; Obel, Carsten; Juhl, Mette

2015-03-01

Oxytocin for labor augmentation is widely used in obstetric care in Western countries. Two recent, smaller studies found opposing results regarding the association between prenatal exposure to oxytocin for labor augmentation and attention-deficit/hyperactivity disorder (ADHD). In Denmark, oxytocin is the medication used for nearly all medical augmentations of labor, and we examined the association between medical augmentation of labor and ADHD in a large cohort study based on national register data. All singletons born after spontaneous onset of labor in Denmark between 2000 and 2008 (N = 546 146) were included in the study. Data from the Danish Medical Birth Registry on medical augmentation of labor (yes/no) were used to identify exposed children. ADHD was defined based on the diagnostic codes of International Classification of Diseases, 10th Revision, for hyperkinetic disorder and information on dispensed ADHD medication. A multivariate proportional hazards regression model was used to test the association. Among 546 146 deliveries, 26% included medical augmentation of labor, and 0.9% of the children were identified as having ADHD (n = 4617). We found no association between augmentation of labor and ADHD in the offspring (hazard ratio: 1.05 [95% confidence interval: 0.98-1.13]). Our study does not support an association between medical augmentation of labor and ADHD in the child. Copyright © 2015 by the American Academy of Pediatrics.

Solar project cost report

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hale, H.J.

1978-01-01

This report provides detailed cost information for the Reedy Creek Utilities solar space heating, cooling and service water heating project located in Walt Disney World, Florida. The solar energy system cools, heats and supplies service hot water for approximately 5625 ft/sup 2/ of office space in a general office building. The system was designed as an integral part of the building at the time the building was designed. The construction costs of this solar project are presented in this report. Category costs are listed by materials, direct labor, and subcontract costs. The subcontract costs include both materials, labor, overhead andmore » profit for electrical, control and other minor subcontractors.« less

Pilot Study of Physiologic Partograph Use Among Low-Risk, Nulliparous Women With Spontaneous Labor Onset.

PubMed

Neal, Jeremy L; Lowe, Nancy K; Nacht, Amy S; Koschoreck, Kate; Anderson, Jessica

2016-01-01

Neal and Lowe developed a physiologic partograph to give clinicians an evidence-based, uniform approach to assessing active labor progress and diagnosing dystocia in high-resource settings. The aim of this pilot study was to examine the feasibility of implementing the Neal and Lowe partograph for in-hospital labor assessment. A descriptive study of low-risk, nulliparous women with spontaneous labor onset was performed at an academic medical center. Eight certified nurse-midwives from a single practice used the Neal and Lowe partograph for the assessment of labor progress. Descriptive statistics were used to summarize characteristics, interventions, and outcomes for women with partograph-assessed labors. Labors assessed by nurse-midwives (n = 83) or obstetricians (n = 75) using their usual assessment strategies were also described for the year prior to partograph introduction to contextualize partograph-assessed labor findings. Inferential statistical tests were not performed. Thirty-one of 34 (91.2%) partographs were used correctly. Seventy-one percent (n = 22) of these women progressed to complete dilatation within expected physiologic time frames while the remaining women (n = 9) experienced labor dystocia. Similar proportions of women in the partograph and usual labor assessment groups received oxytocin during labor. The cesarean rate was lower in the partograph group than in the usual care groups. No cesareans were performed for dystocia in active labor for women whose labors were assessed via partograph. Implementation of the Neal and Lowe partograph for in-hospital labor assessment is feasible. Incorrect plotting and/or interpretation of the partograph may be further minimized by providing clinicians opportunities for ongoing partograph training after implementation or through partograph software development. The Neal and Lowe partograph may assist clinicians in safely and significantly decreasing primary cesarean births performed for active labor dystocia in high-resource settings. Larger scale, hypothesis-testing studies of partograph implementation are now warranted. © 2016 by the American College of Nurse-Midwives.

Anthropometric characteristics of female smallholder farmers of Uganda--Toward design of labor-saving tools.

PubMed

Mugisa, Dana J; Katimbo, Abia; Sempiira, John E; Kisaalita, William S

2016-05-01

Sub-Saharan African women on small-acreage farms carry a disproportionately higher labor burden, which is one of the main reasons they are unable to produce for both home and the market and realize higher incomes. Labor-saving interventions such as hand-tools are needed to save time and/or increase productivity in, for example, land preparation for crop and animal agriculture, post-harvest processing, and meeting daily energy and water needs. Development of such tools requires comprehensive and content-specific anthropometric data or body dimensions and existing databases based on Western women may be less relevant. We conducted measurements on 89 women to provide preliminary results toward answering two questions. First, how well existing databases are applicable in the design of hand-tools for sub-Saharan African women. Second, how universal body dimension predictive models are among ethnic groups. Our results show that, body dimensions between Bantu and Nilotic ethnolinguistic groups are different and both are different from American women. These results strongly support the need for establishing anthropometric databases for sub-Saharan African women, toward hand-tool design. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

Gender Dynamics in Mexican American Families: Connecting Mothers’, Fathers’, and Youths’ Experiences

PubMed Central

Lam, Chun Bun; McHale, Susan M.; Updegraff, Kimberly A.

2013-01-01

Study goals were to examine the conditions under which congruent and incongruent patterns of parents’ division of household labor and gender role attitudes emerged, and the implications of these patterns for youth gender development. Questionnaire and phone diary data were collected from mothers, fathers, and youths from 236 Mexican American families in the southwestern US. Preliminary cluster analysis identified three patterns: Traditional divisions of labor and traditional attitudes, egalitarian divisions of labor and egalitarian attitudes, and an incongruent pattern, with a traditional division of labor but egalitarian attitudes. MANOVAs, and follow-up, mixed- and between-group ANOVAs, revealed that these groups of families differed in parents’ time constraints, socioeconomic resources, and cultural orientations. Mothers in the congruent egalitarian group worked more hours and earned higher incomes as compared to mothers in the congruent traditional and incongruent groups, and the emergence of the incongruent group was grounded in within-family, inter-parental differences in work hours and incomes. Parents’ patterns of gendered practices and beliefs were linked to their youths’ housework participation, time with mothers versus fathers, and gender role attitudes. Youths in the congruent traditional group had more traditional gender role attitudes than those in the congruent egalitarian and incongruent groups, and gender atypical housework participation and time with parents were only observed in the congruent egalitarian group. Findings demonstrate the utility of a within-family design to understand complex gendered phenomena, and highlight the multidimensional nature of gender and the importance of contextualizing the study of ethnic minorities. PMID:23641122

A Fully Automated Drosophila Olfactory Classical Conditioning and Testing System for Behavioral Learning and Memory Assessment

PubMed Central

Jiang, Hui; Hanna, Eriny; Gatto, Cheryl L.; Page, Terry L.; Bhuva, Bharat; Broadie, Kendal

2016-01-01

Background Aversive olfactory classical conditioning has been the standard method to assess Drosophila learning and memory behavior for decades, yet training and testing are conducted manually under exceedingly labor-intensive conditions. To overcome this severe limitation, a fully automated, inexpensive system has been developed, which allows accurate and efficient Pavlovian associative learning/memory analyses for high-throughput pharmacological and genetic studies. New Method The automated system employs a linear actuator coupled to an odorant T-maze with airflow-mediated transfer of animals between training and testing stages. Odorant, airflow and electrical shock delivery are automatically administered and monitored during training trials. Control software allows operator-input variables to define parameters of Drosophila learning, short-term memory and long-term memory assays. Results The approach allows accurate learning/memory determinations with operational fail-safes. Automated learning indices (immediately post-training) and memory indices (after 24 hours) are comparable to traditional manual experiments, while minimizing experimenter involvement. Comparison with Existing Methods The automated system provides vast improvements over labor-intensive manual approaches with no experimenter involvement required during either training or testing phases. It provides quality control tracking of airflow rates, odorant delivery and electrical shock treatments, and an expanded platform for high-throughput studies of combinational drug tests and genetic screens. The design uses inexpensive hardware and software for a total cost of ~$500US, making it affordable to a wide range of investigators. Conclusions This study demonstrates the design, construction and testing of a fully automated Drosophila olfactory classical association apparatus to provide low-labor, high-fidelity, quality-monitored, high-throughput and inexpensive learning and memory behavioral assays. PMID:26703418

A fully automated Drosophila olfactory classical conditioning and testing system for behavioral learning and memory assessment.

PubMed

Jiang, Hui; Hanna, Eriny; Gatto, Cheryl L; Page, Terry L; Bhuva, Bharat; Broadie, Kendal

2016-03-01

Aversive olfactory classical conditioning has been the standard method to assess Drosophila learning and memory behavior for decades, yet training and testing are conducted manually under exceedingly labor-intensive conditions. To overcome this severe limitation, a fully automated, inexpensive system has been developed, which allows accurate and efficient Pavlovian associative learning/memory analyses for high-throughput pharmacological and genetic studies. The automated system employs a linear actuator coupled to an odorant T-maze with airflow-mediated transfer of animals between training and testing stages. Odorant, airflow and electrical shock delivery are automatically administered and monitored during training trials. Control software allows operator-input variables to define parameters of Drosophila learning, short-term memory and long-term memory assays. The approach allows accurate learning/memory determinations with operational fail-safes. Automated learning indices (immediately post-training) and memory indices (after 24h) are comparable to traditional manual experiments, while minimizing experimenter involvement. The automated system provides vast improvements over labor-intensive manual approaches with no experimenter involvement required during either training or testing phases. It provides quality control tracking of airflow rates, odorant delivery and electrical shock treatments, and an expanded platform for high-throughput studies of combinational drug tests and genetic screens. The design uses inexpensive hardware and software for a total cost of ∼$500US, making it affordable to a wide range of investigators. This study demonstrates the design, construction and testing of a fully automated Drosophila olfactory classical association apparatus to provide low-labor, high-fidelity, quality-monitored, high-throughput and inexpensive learning and memory behavioral assays. Copyright © 2015 Elsevier B.V. All rights reserved.

30 CFR 27.20 - Quality of material, workmanship, and design.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Quality of material, workmanship, and design. 27.20 Section 27.20 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS METHANE-MONITORING SYSTEMS Construction and Design...

30 CFR 27.20 - Quality of material, workmanship, and design.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Quality of material, workmanship, and design. 27.20 Section 27.20 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS METHANE-MONITORING SYSTEMS Construction and Design...

Hygroscopic dilators vs balloon catheter ripening of the cervix for induction of labor in nulliparous women at term: Retrospective study

PubMed Central

Shindo, Ryosuke; Yonemoto, Naohiro; Yamamoto, Yuriko; Kasai, Junko; Kasai, Michi; Miyagi, Etsuko

2017-01-01

Objective To compare the efficacy and safety of hygroscopic dilators and balloon catheters for ripening of the cervix in induction of labor. Study design This retrospective, observational study used data from the Successive Pregnancy Birth Registry System of the Japan Society of Obstetrics and Gynecology from 2012 to 2014. Nulliparous women in whom labor was induced by mechanical methods of cervical ripening at term were enrolled. The eligible women were divided into dilator, balloon <40 mL, balloon ≧40 mL, and overlapping groups. Results The groups included 4645, 4100, 6615, and 1992 women, respectively. In the overlapping group, which included the women in whom delivery was most difficult, the vaginal delivery rate was lower and the intrauterine infection and neonatal mortality rates were higher than those in the dilator group. No difference in the vaginal delivery rate was observed among the dilator, balloon <40 mL, and balloon ≧40 mL groups (74.6%, 72.3%, and 73.8%, respectively; p>0.05). The vaginal instrumental delivery rate was higher in the two-balloon groups than in the dilator group. The volume of intrapartum hemorrhage was lowest in the dilator group. No significant difference in the frequencies of uterine rupture and intrauterine infection were observed among the dilator and two-balloon groups. With regard to neonatal outcomes, the frequency of a low Apgar score was statistically significantly lower in the dilator group than in the two-balloon groups. Moreover, the frequency of neonatal death tended to be lower in the dilator group than in the two-balloon groups. Conclusion With regard to cervical ripening for labor induction in nulliparous women at term, the vaginal delivery rate on using a dilator and on using a balloon seems to be equivalent. Concerning maternal complications and neonatal outcomes, cervical ripening with hygroscopic dilators in labor induction might be safer. PMID:29272277

Do training programs help AFDC recipients leave the welfare rolls? An evaluation of New York City's BEGIN (Begin Employment Gain Independence Now) program.

PubMed

Angelo, L; March, J A

1997-01-01

Guided by the Federal Family Support Act of 1988 and the Job Opportunity and Basic Skills Program (JOBS), welfare reform initiatives on state and local levels were designed to foster employability among the public assistance population. Reform has focused on enhancing the supply of labor rather than the demand for labor as a route to labor force participation for the public assistance population. Program reforms assume that, by providing job training, educational services, and training-related expenses, labor market entry of the participating clientele would be facilitated while caseloads and public expenditures would decline. To date, analysis of similar programs in many states indicates that the impact of such programs in reducing public assistance caseloads is marginal. In New York City, despite the large investment of public funds in such programs, prior to this study the outcome of program implementation remained largely unknown. This study evaluates New York City's BEGIN program outcome target defined as the ability of the program to move welfare clients off public assistance and into the labor market. While the results of the study indicate that New York City's BEGIN program does not improve client's odds of leaving welfare, when compared to the odds of a non-participation client, there are several significant findings. The impact of program participation can be distinguished among distinct age groups. While older clients responded positively to BEGIN participation, access to day care was the only factor that significantly improved the probability that clients younger than 36 years of age would leave the welfare rolls within a two-year period. In response to the findings, the researchers suggest that future welfare reform efforts should grant localities broader flexibility to determine their own target population so that resources can be allocated to those groups that are most likely to benefit from specific programs.

Spontaneous labor curves in women with pregnancies complicated by diabetes.

PubMed

Timofeev, Julia; Huang, Chun-Chih; Singh, Jasbir; Driggers, Rita W; Landy, Helain J

2012-01-01

To test the hypothesis that the first stage of labor will be longer in nulliparous and multiparous women with diabetes compared to non-diabetic counterparts. A retrospective analysis was performed from 228,668 deliveries between 2002-2008 from the Consortium of Safe Labor (National Institute of Child Health and Human Development, National Institutes of Health). Patients with spontaneous onset of labor from 37 0/7-41 6/7 weeks gestation were included (71,282) and classified as nulliparous or multiparous. Pregnancies were further subdivided regarding presence of preexisting diabetes (preDM) or gestational diabetes (GDM) and normal controls. Labor curves were created matching for body mass index (BMI) and neonatal birth weight. Statistical analysis was performed on descriptive variables using χ(2) with significance designated as p < 0.05. Among nulliparous patients, there were 118 women with preDM and 475 women with GDM; 25,771 patients served as normal controls. Among multiparous women, there were 311 with preDM, 1,079 with GDM and 43,528 in the control group. Although differences in dilatation rates were observed in nulliparous and multiparous women with and without diabetes, labor progression was similar between the subgroups when matched for maternal BMI and birth weight. Labor curves of women with preDM and GDM approximate those of non-diabetics, regardless of BMI, birth weight, or parity.

Spontaneous labor curves in women with pregnancies complicated by diabetes

PubMed Central

Timofeev, Julia; Huang, Chun-Chih; Singh, Jasbir; Driggers, Rita W.; Landy, Helain J.

2013-01-01

Objective To test the hypothesis that the first stage of labor will be longer in nulliparous and multiparous women with diabetes compared to non-diabetic counterparts. Methods A retrospective analysis was performed from 228,668 deliveries between 2002–2008 from the Consortium of Safe Labor (NICHD, NIH). Patients with spontaneous onset of labor from 37 0/7 – 41 6/7 weeks gestation were included (71,282) and classified as nulliparous or multiparous. Pregnancies were further subdivided regarding presence of preexisting diabetes (preDM) or gestational diabetes (GDM), and normal controls. Labor curves were created matching for body mass index (BMI) and neonatal birth weight. Statistical analysis was performed on descriptive variables using χ2 with significance designated as p<0.05. Results Among nulliparous patients, there were 118 women with preDM and 475 women with GDM; 25,771 patients served as normal controls. Among multiparous women, there were 311 with preDM and 1,079 with GDM and 43,528 in the control group. Although differences in dilatation rates were observed in nulliparous and multiparous women with and without diabetes, labor curves were similar between the subgroups when matched for maternal BMI and birth weight. Conclusions Labor curves of women with preDM and GDM approximate those of non-diabetics, regardless of BMI, birth weight, or parity. PMID:21955108

Effect of dance labor on the management of active phase labor pain & clients' satisfaction: a randomized controlled trial study.

PubMed

Abdolahian, Somayeh; Ghavi, Fatemeh; Abdollahifard, Sareh; Sheikhan, Fatemeh

2014-03-30

There are a wide variety of non- pharmacologic pain relief techniques for labor which include pelvic movement, upright position, back massage and partner support during the first stage of labor. The effectiveness of dance labor- which is a combination of these techniques- has not been evaluated. This study aimed to evaluate the effectiveness of dance labor in pain reduction and woman's satisfaction during the first stage of labor. 60 primiparous women aged 18-35 years old were randomly assigned to dance labor and control groups. In the dance labor group, women were instructed to do standing upright with pelvic tilt and rock their hips back and forth or around in a circle while their partner massaged their back and sacrum for a minimum of 30 minutes. In the control group, the participants received usual care during physiologic labor. Pain and satisfaction scores were measured by Visual Analogue Scale. Data were analyzed by using the t. test and Chi-square. Mean pain score in the dance labor group was significantly lower than the control group (P < 0.05). The mean satisfaction score in the dance labor group was significantly higher than in the control group (P < 0.05). Dance labor which is a complementary treatment with low risk can reduce the intensity of pain and increase mothers, satisfaction with care during the active phase of labor.

Development of Questionnaire on Emotional Labor among Primary and Secondary School Teachers

ERIC Educational Resources Information Center

Liu, Yanling; Zhang, Dajun

2015-01-01

In this study, based on the analysis of existing definitions of emotional labor, operational definition of teachers' emotional labor is given and questionnaire on emotional labor among primary and secondary school teachers is developed. Research results: exploratory factor analysis shows that teacher's emotional labor involves three dimensions…

Labor induction and cesarean delivery: A prospective cohort study of first births in Pennsylvania, USA.

PubMed

Kjerulff, Kristen H; Attanasio, Laura B; Edmonds, Joyce K; Kozhimannil, Katy B; Repke, John T

2017-09-01

Mode of delivery at first childbirth largely determines mode of delivery at subsequent births, so it is particularly important to understand risk factors for cesarean delivery at first childbirth. In this study, we investigated risk factors for cesarean delivery among nulliparous women, with focus on the association between labor induction and cesarean delivery. A prospective cohort study of 2851 nulliparous women with singleton pregnancies who attempted vaginal delivery at hospitals in Pennsylvania, 2009-2011, was conducted. We used nested logistic regression models and multiple mediational analyses to investigate the role of three groups of variables in explaining the association between labor induction and unplanned cesarean delivery-the confounders of maternal characteristics and indications for induction, and the mediating (intrapartum) factors-including cervical dilatation, labor augmentation, epidural analgesia, dysfunctional labor, dystocia, fetal intolerance of labor, and maternal request of cesarean during labor. More than a third of the women were induced (34.3%) and 24.8% underwent cesarean delivery. Induced women were more likely to deliver by cesarean (35.9%) than women in spontaneous labor (18.9%), unadjusted OR 2.35 (95% CI 1.97-2.79). The intrapartum factors significantly mediated the association between labor induction and cesarean delivery (explaining 76.7% of this association), particularly cervical dilatation <3 cm at hospital admission, fetal intolerance of labor, and dystocia. The indications for labor induction only explained 6.2%. Increased risk of cesarean delivery after labor induction among nulliparous women is attributable mainly to lower cervical dilatation at hospital admission and higher rates of labor complications. © 2017 Wiley Periodicals, Inc.

Comparison the Effects of Health Indicators on Male and Female Labor Supply, Evidence from Panel Data of Eastern Mediterranean Countries 1995-2010

PubMed Central

HOMAIE RAD, Enayatollah; HADIAN, Mohamad; GHOLAMPOOR, Hanie

2014-01-01

Abstract Background Skilled labor force is very important in economic growth. Workers become skilled when they are healthy and able to be educated and work. In this study, we estimated the effects of health indicators on labor supply. We used labor force participation rate as the indicator of labor supply. We categorized this indicator into 2 indicators of female and male labor force participation rates and compared the results of each estimate with the other. Methods This study was done in eastern Mediterranean countries between 1995 and 2011. We used a panel cointegration approach for estimating the models. We used Pesaran cross sectional dependency, Pesaran unit root test, and Westerlund panel cointegration for this issue. At the end, after confirmation of having random effect models, we estimated them with random effects. Results Increasing the fertility rate decreased the female labor supply, but increased the male labor supply. However, public health expenditures increased the female labor supply, but decreased the male labor supply because of substitution effects. Similar results were found regarding urbanization. Gross domestic product had a positive relationship with female labor supply, but not with male labor supply. Besides, out of pocket health expenditures had a negative relationship with male labor supply, but no significant relationships with female labor supply. Conclusion The effects of the health variables were more severe in the female labor supply model compared to the male model. Countries must pay attention to women’s health more and more to change the labor supply. PMID:26060746

Community involvement in constructing village health buildings in Uganda and Sierra Leone.

PubMed

Mitchell, M

1995-11-01

Three public health projects in Uganda and Sierra Leone are used to illustrate a new approach to construction of health buildings in villages. Emphasis is placed on community involvement. The health projects were comprehensive and relied on health education, employment of local village health workers, and establishment of village health committees. The objective of community involvement was described as encouragement of people to change their own diets and living conditions. This approach to primary health care is considered to be a strong basis for sustainable social development. Each of the three communities initiated the building projects slightly differently. There was a range of structures: traditional meeting halls, simple rooms with imported materials and a pit latrine, new buildings combining local and imported materials and labor, new nontraditional buildings, rehabilitated existing nontraditional buildings with imported labor and materials, and temporary mobile clinics. Community involvement was at different levels. All three projects were the result of a combined effort of national governments or mission hospitals, nongovernmental organizations, and the host community. The following should be considered before beginning construction: a suitable site, appropriate staff accommodation, the likely motivation of the host community, seasonality, local materials available, availability of skilled labor, and design. A plan of work during construction should include a building design, site supervision, transportation of local and non-local materials, unskilled labor, and skilled labor. Village health committees with or without government help would be responsible for maintenance of buildings after construction. A key feature of this approach is the assessment of the community's ability and capacity to contribute.

The Effects of Hydrotherapy on Anxiety, Pain, Neuroendocrine Responses, and Contraction Dynamics During Labor

PubMed Central

Benfield, Rebecca D.; Hortobágyi, Tibor; Tanner, Charles J.; Swanson, Melvin; Heitkemper, Margaret M.; Newton, Edward R.

2013-01-01

Background Hydrotherapy (immersion, or bathing) is used worldwide to promote relaxation and decrease parturient anxiety and pain in labor, but the psychophysiological effects of this intervention remain obscure. Design A pre-test post-test design with repeated measures was used to examine the effects of hydrotherapy on maternal anxiety and pain, neuroendocrine responses, plasma volume shift and uterine contractions during labor. Correlations among variables were examined at three time points (pre-immersion and twice during hydrotherapy). Methods Eleven term women (mean age 24.5 years) in spontaneous labor were immersed to the xiphoid in 37°C water for 1 hr. Blood samples and measures of anxiety and pain were obtained under dry baseline conditions and repeated at 15 and 45 min of hydrotherapy. Uterine contractions were monitored telemetrically. Results Hydrotherapy was associated with decreases in anxiety, vasopressin and oxytocin levels at 15 and 45 min (all p < .05). There were no significant differences between pre-immersion and immersion pain or cortisol levels. Pain decreased more for women with high baseline pain than for women with low baseline levels at 15 and 45 min. Cortisol levels decreased twice as much at 15 min of hydrotherapy for women with high baseline pain as for those with low baseline pain. Beta-endorphin levels increased at 15 min but did not differ between baseline and 45 min. During immersion, uterine-contraction frequency decreased. A positive plasma volume shift at 15 min was correlated with contraction duration. Conclusions Hydrotherapy during labor affects neuroendocrine responses that modify psychophysiological processes. PMID:20453024

NGOs and gender policy: some issues from the south Indian silk-reeling industry.

PubMed

Mayoux, L

1993-10-01

In India, silk reeling, the middle stage in silk production, is potentially very profitable, and the silk industry has been required to adopt gender-aware policies such as appointing female staff and introducing gender sensitization training. To date, policies designed to encourage women's entrepreneurship in the reeling industry have been unsuccessful. Men have appropriated credit issued in women's names, and no women's cooperatives are currently in operation. The policies designed to encourage female entrepreneurship in reeling woefully overlooked the complexity of this work which involves a substantial investment of capital and significant risk. Women and girls continue to work as unpaid family workers and wage laborers without the benefits of governmental policies to protect their interests. In fact, attempts to introduce labor legislation to protect women have been blocked on the national level by the powerful Reelers' Association. Policies which address gender issues in the family and in the wider context of the silk industry are also lacking, and there is a wide variation in how women are able or unable to manipulate their positions to their advantage. Women's inabilities are the root cause of their inability to become entrepreneurs and improve their labor status. Nongovernmental organizations can enhance entrepreneurship and cooperative development by improving training in all aspects of running a business and in group formation. Women laborers must organize to improve wages and working conditions, and women must be able to increase their control over income and resources and their access to the outside world even as they decrease the time spent on unpaid reproductive labor.

29 CFR 1607.8 - Cooperative studies.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 4 2010-07-01 2010-07-01 false Cooperative studies. 1607.8 Section 1607.8 Labor... EMPLOYEE SELECTION PROCEDURES (1978) General Principles § 1607.8 Cooperative studies. A. Encouragement of cooperative studies. The agencies issuing these guidelines encourage employers, labor organizations, and...

29 CFR 1607.8 - Cooperative studies.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 4 2011-07-01 2011-07-01 false Cooperative studies. 1607.8 Section 1607.8 Labor... EMPLOYEE SELECTION PROCEDURES (1978) General Principles § 1607.8 Cooperative studies. A. Encouragement of cooperative studies. The agencies issuing these guidelines encourage employers, labor organizations, and...

Active Coping Reduces Reports of Pain from Childbirth.

ERIC Educational Resources Information Center

Leventhal, Elaine A.; And Others

1989-01-01

Examined pain and negative moods during labor in relation to instructions to monitor labor contractions and LaMaze class attendance. In Study 1, pain and negative moods showed sharp decline at Stage 2 (active labor) for women who monitored and LaMaze participants; in Study 2, LaMaze participants reported decline in pain during active labor and…

The Impact of Pell Grant Eligibility on Community College Students' Financial Aid Packages, Labor Supply, and Academic Outcomes. Appendices A, B, C, D, E, and F. A CAPSEE Working Paper

ERIC Educational Resources Information Center

Park, Rina Seung Eun; Scott-Clayton, Judith

2017-01-01

This document was designed as a companion to the full report entitled "The Impact of Pell Grant Eligibility on Community College Students' Financial Aid Packages, Labor Supply, and Academic Outcomes." Provided here are the appendices to the full report as follows: (1) Methods for Choosing Optimal Bandwidths; (2) Gerard, Rokkanen, and…

The Impact of Magnesium Sulfate Therapy on Angiogenic Factors in Preeclampsia

PubMed Central

VADNAIS, Mary A.; RANA, Sarosh; QUANT, Hayley S.; SALAHUDDIN, Saira; DODGE, Laura E.; LIM, Kee-Hak; KARUMANCHI, S. Ananth; HACKER, Michele R.

2011-01-01

Objective The objective was to evaluate whether intravenous magnesium sulfate (magnesium) alters levels of angiogenic factors in women with preeclampsia. Study Design This was a prospective cohort study comparing women with preeclampsia treated with magnesium for seizure prophylaxis to those who were not. Serum levels of angiogenic factors, soluble fms-like tyrosine kinase 1, soluble endoglin and placental growth factor, were measured at the time of diagnosis and approximately 24 hours later. Secondary analysis compared women receiving magnesium for preeclampsia to women receiving magnesium for preterm labor. Analysis of covariance was used to compare levels at 24 hours, adjusting for levels at enrollment and potential confounders. Results Angiogenic factor levels did not differ between preeclampsia groups with and without magnesium or between preeclampsia and preterm labor groups treated with magnesium (all P > 0.05). Conclusion Magnesium likely decreases seizure risk in preeclampsia by a mechanism other than altering angiogenic factor levels. PMID:22247820

The Impact of Magnesium Sulfate Therapy on Angiogenic Factors in Preeclampsia.

PubMed

Vadnais, Mary A; Rana, Sarosh; Quant, Hayley S; Salahuddin, Saira; Dodge, Laura E; Lim, Kee-Hak; Karumanchi, S Ananth; Hacker, Michele R

2012-01-01

OBJECTIVE: The objective was to evaluate whether intravenous magnesium sulfate (magnesium) alters levels of angiogenic factors in women with preeclampsia. STUDY DESIGN: This was a prospective cohort study comparing women with preeclampsia treated with magnesium for seizure prophylaxis to those who were not. Serum levels of angiogenic factors, soluble fms-like tyrosine kinase 1, soluble endoglin and placental growth factor, were measured at the time of diagnosis and approximately 24 hours later. Secondary analysis compared women receiving magnesium for preeclampsia to women receiving magnesium for preterm labor. Analysis of covariance was used to compare levels at 24 hours, adjusting for levels at enrollment and potential confounders. RESULTS: Angiogenic factor levels did not differ between preeclampsia groups with and without magnesium or between preeclampsia and preterm labor groups treated with magnesium (all P > 0.05). CONCLUSION: Magnesium likely decreases seizure risk in preeclampsia by a mechanism other than altering angiogenic factor levels.

Assistance Received by Employed Caregivers and Their Care Recipients: Who Helps Care Recipients when Caregivers Work Full Time?

ERIC Educational Resources Information Center

Scharlach, Andrew E.; Gustavson, Kristen; Dal Santo, Teresa S.

2007-01-01

Purpose: This study examined the association among caregiver labor force participation, employees' caregiving activities, and the amount and quality of care received by care recipients. Design and Methods: Telephone interviews were conducted with 478 adults who were employed full time and 705 nonemployed adults who provided care to a family member…

DETERMINATION OF THE EDUCATIONAL NEEDS OF AGRICULTURAL ENGINEERING TECHNICIANS IN OHIO, A DIGEST OF A PH.D. DISSERTATION. RESEARCH SERIES IN AGRICULTURAL EDUCATION.

ERIC Educational Resources Information Center

BENDER, RALPH E.; HALTERMAN, JERRY J.

THIS STUDY WAS DESIGNED TO DEVELOP CURRICULUMS NEEDED IN TRAINING PROGRAMS FOR AGRICULTURAL ENGINEERING TECHNICIANS IN OHIO. A QUESTIONNAIRE TO INVENTORY THE LABOR FORCE WAS ADMINISTERED TO INDIVIDUALS, FIRMS, BUSINESSES, AND AGENCIES EMPLOYING PERSONS IN AREAS REQUIRING AGRICULTURAL ENGINEERING AND FARM MECHANICS. ANOTHER TO COLLECT INFORMATION…

Does Greater Accessibility to Higher Education Reduce Wage Inequality? The Case of the Arab Minority in Israel

ERIC Educational Resources Information Center

Yirmiyahu, Albert; Rubin, Ofir D.; Malul, Miki

2017-01-01

Many studies assessing national policy reforms in education focus on the likelihood of acquiring an advanced education and the associated returns in the labor market. In this paper, the authors investigate the impact of the Israeli Academic Colleges Law that was designed to promote the acquisition of higher education among all segments of the…

Illinois Higher Education in the 21st Century. Identifying and Responding to the Educational Needs in Lake County: A Committee Report.

ERIC Educational Resources Information Center

Illinois State Board of Higher Education, Springfield.

This report presents the findings of a pilot study conducted in Lake County (Illinois) that was designed to identify higher educational needs and to develop recommendations to respond to those needs. Several methodologies were employed: public hearings; market research; analyses of census, labor, economic, and educational data; consultations with…

The Community at the Bargaining Table. A Report on the Community's Role in Collective Bargaining in the Schools.

ERIC Educational Resources Information Center

Institute for Responsive Education, Boston, MA.

The Institute for Responsive Education and its study team are looking at ways to widen the scope of collective bargaining to provide room for communities to participate in policy formulation in their schools. The traditional management-labor approach was designed to resolve differences about wages, fringe benefits, and the rules, rights, and…

Ground Operations and ASRS

NASA Technical Reports Server (NTRS)

Connell, Linda; Wichner, David; Jakey, Abegail Marie

2013-01-01

The Aviation Safety Reporting System (ASRS) in a partnership between the National Aeronautics and Space Administration (NASA), the Federal Aviation Administration (FAA), participating carriers, and labor organizations. It is designed to improve the National Airspace System by collecting and studying reports detailing unsafe conditions and events in the aviation industry. Employees are able to report safety issues or concerns with confidentiality and without fear of discipline

26 CFR 301.6103(l)(2)-2 - Disclosure of returns and return information to Department of Labor for purposes of research and...

Code of Federal Regulations, 2010 CFR

2010-04-01

... Department of Labor for purposes of research and studies. 301.6103(l)(2)-2 Section 301.6103(l)(2)-2 Internal... returns and return information to Department of Labor for purposes of research and studies. (a) General... Department of Labor for purposes of, but only to the extent necessary in, conducting research and studies...

26 CFR 301.6103(l)(2)-2 - Disclosure of returns and return information to Department of Labor for purposes of research and...

Code of Federal Regulations, 2011 CFR

2011-04-01

... Department of Labor for purposes of research and studies. 301.6103(l)(2)-2 Section 301.6103(l)(2)-2 Internal... returns and return information to Department of Labor for purposes of research and studies. (a) General... Department of Labor for purposes of, but only to the extent necessary in, conducting research and studies...

Sonographic landmarks to differentiate "false labor" and "early true labor" as a possible new application of ultrasound in labor ward.

PubMed

Bouzid, A; Kehila, M; Trabelsi, H; Abouda, H S; Ben Hmid, R; Chanoufi, M B

2017-04-01

To evaluate discrimination of clinical parameters and ultrasound examination to differentiate "false labor" and "true labor". In a prospective study during a period of 6 months, a total of 178 patients in term (37-41 weeks) consulting our obstetric unit for uterine contraction, were enrolled. Patients were examined separately by a midwife and a resident and separated into "true labor group" and "false labor group". The clinical characteristics of true versus false labor patients were compared. ROC curves were developed to determine an optimal cervical length and uterocervical angle for prediction of true labor. The prevalence of real labor was 57.3%. Patients who were in true labor had more painful and more frequent contractions. The "true labor" group had shorter cervical length and larger uterocervical angle. The optimal CL cut-off was 1.4mm with a specificity of 73% (RR 4.3, sensibility 63%, PPV 14%, NPV 95%). The optimal UCA cut off was 123° (RR 6.7, sensitivity 50%, specificity of 83%, PPV 10%, NPV 96%). The best performance was demonstrated by combined testing, yielding LHR+ that rich 13. In this study, we reported a new application of ultrasound to identify false labor and avoid unnecessary hospitalization with obstetric and adverse economic impacts. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

Effect of Dance Labor on the Management of Active Phase Labor Pain & Clients’ Satisfaction: A Randomized Controlled Trial Study

PubMed Central

Abdolahian, Somayeh; Ghavi, Fatemeh; Abdollahifard, Sareh; Sheikhan, Fatemeh

2014-01-01

Background: There are a wide variety of non- pharmacologic pain relief techniques for labor which include pelvic movement, upright position, back massage and partner support during the first stage of labor. The effectiveness of dance labor- which is a combination of these techniques- has not been evaluated. Aim: This study aimed to evaluate the effectiveness of dance labor in pain reduction and woman’s satisfaction during the first stage of labor. Methods: 60 primiparous women aged 18-35 years old were randomly assigned to dance labor and control groups. In the dance labor group, women were instructed to do standing upright with pelvic tilt and rock their hips back and forth or around in a circle while their partner massaged their back and sacrum for a minimum of 30 minutes. In the control group, the participants received usual care during physiologic labor. Pain and satisfaction scores were measured by Visual Analogue Scale. Data were analyzed by using the t. test and Chi-square. Findings: Mean pain score in the dance labor group was significantly lower than the control group (P < 0.05). The mean satisfaction score in the dance labor group was significantly higher than in the control group (P < 0.05). Conclusion: Dance labor which is a complementary treatment with low risk can reduce the intensity of pain and increase mothers, satisfaction with care during the active phase of labor. PMID:24762366

Duration of labor and the risk of severe postpartum hemorrhage: A case-control study

PubMed Central

Stray-Pedersen, Babill; Forsén, Lisa; Vangen, Siri

2017-01-01

Objective Our main objective was to investigate the association between duration of active labor and severe postpartum hemorrhage. We examined the effect of the total duration of active labor, the effect of each stage of active labor, and the gradient effect of duration of labor on severe postpartum hemorrhage. Methods A case-control study was generated from a source population of all women admitted for delivery at Oslo University Hospital and Drammen Hospital in Buskerud municipality during the time period January 1, 2008 to December 31, 2011. The study population included all cases of severe postpartum hemorrhage (n = 859) and a random sample of controls (n = 1755). Severe postpartum hemorrhage was defined as postpartum blood loss ≥1500 mL or need for blood transfusion. Prolonged labor was defined as duration of active labor >12 hours according to the definition of the World Health Organization. We used logistic multivariable regression in the analysis. Results We observed a significantly longer mean duration of labor in women who experienced severe postpartum hemorrhage compared to controls (5.4 versus 3.8 hours, p<0.001). Women with severe postpartum hemorrhage also had a longer duration of all stages of active labor compared to controls. The association between the duration of active labor and severe postpartum changed from a linear dose-response association to a threshold association after adjusting for augmentation with oxytocin, induction of labor, primiparity, and fever during labor. Compared to controls, women with severe postpartum hemorrhage were more likely to have a prolonged labor >12 hours (adjusted odds ratio = 2.44, 95% confidence interval: 1.69–3.53, p< 0.001). Conclusion Prolonged active labor (duration >12 hours) was associated with severe postpartum hemorrhage. Increased vigilance seems required when the labor is prolonged to reduce the risk of severe postpartum hemorrhage. PMID:28384337

Fragment Bb in Amniotic Fluid: Evidence for complement activation by the alternative pathway in women with Intra-amniotic Infection/Inflammation

PubMed Central

Vaisbuch, Edi; Romero, Roberto; Erez, Offer; Tovi, Shali Mazaki; Pedro, Kusanovic Juan; Soto, Eleazar; Gotsch, Francesca; Dong, Zhong; Chaiworapongsa, Tinnakorn; Kim, Sun Kwon; Mittal, Pooja; Pacora, Percy; Yeo, Lami; Hassan, Sonia S.

2013-01-01

Objective Fragment Bb is an activator of the alternative pathway of the complement system. Recently, increased first trimester maternal plasma concentrations of this fragment were reported in patients destined to have a spontaneous preterm delivery before 34 weeks of gestation. The aim of this study was to determine whether the amniotic fluid (AF) concentrations of fragment Bb change with gestational age, spontaneous labor (term and preterm), and in the presence of intra-amniotic infection/ inflammation (IAI). Study design This cross-sectional study included patients in the following groups: 1) midtrimester (n=64); 2) term in spontaneous labor (n=70); 3) term not in labor (n=43); 4) spontaneous preterm labor (PTL) who delivered at term (n=76); 5) PTL without IAI who delivered preterm (n=73); 6) PTL with IAI (n=76); 7) prelabor rupture of the membranes (preterm PROM) without IAI (n=71); and 8) preterm PROM with IAI (n=71). Fragment Bb concentration in amniotic fluid was determined by an enzyme-linked immunoassay. Non-parametric statistics were used for analyses. Results 1) Fragment Bb was detected in all AF samples (n=544); 2) The median AF concentration of fragment Bb in patients at term not in labor was significantly higher than that of those in the mid-trimester [2.42 μg/mL, interquartile range (IQR) 1.78-3.22 vs. 1.64 μg/mL, IQR 1.06-3.49; p<0.001]; 3) Among patients with PTL, those with IAI had a higher median AF fragment Bb concentration than that of woman without IAI who delivered preterm (4.82 μg/mL, IQR 3.32-6.08 vs. 3.67 μg/mL, IQR 2.35-4.57; p<0.001) and than that of women with an episode of PTL who delivered at term (3.21 μg/mL, IQR 2.39-4.16; p<0.001); 4) Similarly, among patients with preterm PROM, the median AF fragment Bb concentration was higher in individuals with IAI than in those without IAI (4.24 μg/mL, IQR 2.58-5.79 vs. 2.79 μg/mL, IQR 2.09-3.89; p<0.001). 5) Among patients at term, the median AF fragment Bb concentration did not differ between women with spontaneous labor and those without labor (term in labor: 2.47 μg/mL, IQR 1.86-3.22; p=0.97). Conclusions 1) Fragment Bb, an activator of the alternative complement pathway, is a physiologic constituent of the amniotic fluid, and its concentration increases with advancing gestational age; 2) Amniotic fluid concentrations of fragment Bb are higher in pregnancies complicated with IAI; and 3) Labor at term is not associated with changes in the amniotic fluid concentrations of fragment Bb. These findings suggest a role for fragment Bb in the host immune response against IAI. PMID:19603351

Nitrous oxide for the management of labor pain: a systematic review.

PubMed

Likis, Frances E; Andrews, Jeffrey C; Collins, Michelle R; Lewis, Rashonda M; Seroogy, Jeffrey J; Starr, Sarah A; Walden, Rachel R; McPheeters, Melissa L

2014-01-01

We systematically reviewed evidence addressing the effectiveness of nitrous oxide for the management of labor pain, the influence of nitrous oxide on women's satisfaction with their birth experience and labor pain management, and adverse effects associated with nitrous oxide for labor pain management. We searched the MEDLINE, EMBASE, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases for articles published in English. The study population included pregnant women in labor intending a vaginal birth, birth attendees or health care providers who may be exposed to nitrous oxide during labor, and the fetus/neonate. We identified a total of 58 publications, representing 59 distinct study populations: 2 studies were of good quality, 11 fair, and 46 poor. Inhalation of nitrous oxide provided less effective pain relief than epidural analgesia, but the quality of studies was predominately poor. The heterogeneous outcomes used to assess women's satisfaction with their birth experience and labor pain management made synthesis of studies difficult. Most maternal adverse effects reported in the literature were unpleasant side effects that affect tolerability, such as nausea, vomiting, dizziness, and drowsiness. Apgar scores in newborns whose mothers used nitrous oxide were not significantly different from those of newborns whose mothers used other labor pain management methods or no analgesia. Evidence about occupational harms and exposure was limited. The literature addressing nitrous oxide for the management of labor pain includes few studies of good or fair quality. Further research is needed across all of the areas examined: effectiveness, satisfaction, and adverse effects.

The relationship between emotional labor status and workplace violence among toll collectors.

PubMed

Joo, Yosub; Rhie, Jeongbae

2017-01-01

This study aimed to identify the emotional labor and workplace violence status among toll collectors by assessing and comparing the same with that in workers in other service occupation. It also aimed to analyze the relationship between emotional labor and workplace violence. This study examined emotional labor and workplace violence status in 264 female toll collectors from August 20 to September 4, 2015. The emotional labor was assessed using the Korean Emotional Labor Scale (K-ELS), and a questionnaire was used to examine the presence or absence, and type and frequency of workplace violence experienced by the subjects. A linear regression analysis was also performed to analyze the relationship between workplace violence and emotional labor. The scores on "emotional demanding and regulation ( p  < 0.001)," "overload and conflict in customer service ( p  = 0.005)," "emotional disharmony and hurt ( p  < 0.001)," and "organizational surveillance and monitoring ( p  < 0.001)" among the sub-categories of emotional labor were significantly high and indicated "at-risk" levels of emotional labor in those who experienced workplace violence, whereas they were "normal" of emotional labor in those who did not. Even after being adjusted in the linear regression analysis, the emotional labor scores for the above 4 sub-categories were still significantly high in those who experienced workplace violence. On comparing the present scores with 13 other service occupations, it was found that toll collectors had the highest level in "emotional disharmony and hurt," "organizational surveillance and monitoring," and "organizational supportive and protective system". This study found that the toll collectors engaged in a high level of emotional labor. Additionally, there was a significant relationship between emotional labor and the experience of workplace violence among the toll collectors.

Cost consideration for aircraft configuration changes, 1

NASA Technical Reports Server (NTRS)

Tumlinson, R. R.

1975-01-01

The costs of improvements in aircraft drag reduction design changes are outlined in the context of production decisions. A drag reduction design with increased airframe weight requires cost increases for direct labor, overhead and direct expenses, plus general and administrative expenses.

Less-Restrictive Food Intake During Labor in Low-Risk Singleton Pregnancies: A Systematic Review and Meta-analysis.

PubMed

Ciardulli, Andrea; Saccone, Gabriele; Anastasio, Hannah; Berghella, Vincenzo

2017-03-01

To evaluate benefits and harms of food intake during labor. Electronic databases such as MEDLINE and ClinicalTrials.gov were searched from their inception until October 2016. We included randomized trials comparing a policy of less-restrictive food intake with a policy of more restrictive food intake during labor. The primary outcome was the mean duration of labor. Meta-analysis was performed using the random-effects model of DerSimonian and Laird to produce summary treatment effects in terms of either a relative risk or a mean difference with 95% confidence interval (CI). Ten trials, including 3,982 laboring women, were included. All the studies involved laboring singletons considered at low risk because they had no obstetric or medical complications that would increase the likelihood of cesarean delivery. In three studies, women were allowed to select from a low-residue diet throughout the course of labor. One study had honey date syrup as the allowed food intake. Five studies had carbohydrate drinks as food intake in labor. The last one was the only trial that allowed unrestrictive food intake. In the included studies, all women in the intervention group were allowed the assigned food intake until delivery, whereas women in a control group were allowed only ice chips, water, or sips of water until delivery. A policy of less-restrictive food intake was associated with a significantly shorter duration of labor (mean difference -16 minutes, 95% CI -25 to -7). No other benefits or harms in obstetric or neonatal outcome were noticed. Regurgitation during general anesthesia and Mendelson syndrome did not occur in either group. Women with low-risk singleton pregnancies who were allowed to eat more freely during labor had a shorter duration of labor. A policy of less-restrictive food intake during labor did not influence other obstetric or neonatal outcomes nor did it increase the incidence of vomiting. Operative delivery rates were similar.

Energy conservation and the demand for labor: evidence from aggregate data. Final report Oct 80-May 81

DOE Office of Scientific and Technical Information (OSTI.GOV)

Morgenstern, R.; Vroman, W.

1981-05-01

The objective of this study was to explore the relationship between aggregate employment and output, with special reference to the 1979-1980 experience. An indirect relationship was posited between energy price shocks and the occupational mix. Specifically, it was hypothesized that the energy price shocks of 1978-1979 (and possibly 1973-1974) may have created new investment opportunities for simple, short term energy conservation type investments which may, in turn, have increased the demand for blue collar labor. A framework for viewing the problem is described and the basic hypothesis tested by estimating a time series model of occupational/industrial employment patterns. Included inmore » the model is a set of variables designed to measure the energy price shocks.« less

Association of Labor Induction With Offspring Risk of Autism Spectrum Disorders

PubMed Central

Oberg, Anna Sara; D’Onofrio, Brian M.; Rickert, Martin E.; Hernandez-Diaz, Sonia; Ecker, Jeffrey L.; Almqvist, Catarina; Larsson, Henrik; Lichtenstein, Paul; Bateman, Brian T.

2017-01-01

IMPORTANCE Induction of labor is a frequently performed obstetrical intervention. It would thus be of great concern if reported associations between labor induction and offspring risk of autism spectrum disorders (ASD) reflected causal influence. OBJECTIVE To assess the associations of labor induction with ASD, comparing differentially exposed relatives (siblings and cousins discordant for induction). DESIGN, SETTING, AND PARTICIPANTS Follow-up of all live births in Sweden between 1992 and 2005, defined in the Medical Birth Register. The register was linked to population registers of familial relations, inpatient and outpatient visits, and education records. Diagnoses of ASD were from 2001 through 2013, and data were analyzed in the 2015–2016 year. EXPOSURES Induction of labor. MAIN OUTCOMES AND MEASURES Autism spectrum disorders identified by diagnoses from inpatient and outpatient records between 2001 and 2013. Hazard ratios (HRs) quantified the association between labor induction and offspring ASD. In addition to considering a wide range of measured confounders, comparison of exposure-discordant births to the same woman allowed additional control for all unmeasured factors shared by siblings. RESULTS The full cohort included 1 362 950 births, of which 22 077 offspring (1.6%) were diagnosed with ASD by ages 8 years through 21 years. In conventional models of the full cohort, associations between labor induction and offspring ASD were attenuated but remained statistically significant after adjustment for measured potential confounders (HR, 1.19; 95% CI, 1.13–1.24). When comparison was made within siblings whose births were discordant with respect to induction, thus accounting for all environmental and genetic factors shared by siblings, labor induction was no longer associated with offspring ASD (HR, 0.99; 95% CI, 0.88–1.10). CONCLUSIONS AND RELEVANCE In this nationwide sample of live births we observed no association between induction of labor and offspring ASD within sibling comparison. Our findings suggest that concern for ASD should not factor into the clinical decision about whether to induce labor. PMID:27454803

30 CFR 57.12041 - Design of switches and starting boxes.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Design of switches and starting boxes. 57.12041 Section 57.12041 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND... Electricity Surface and Underground § 57.12041 Design of switches and starting boxes. Switches and starting...

30 CFR 57.12041 - Design of switches and starting boxes.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Design of switches and starting boxes. 57.12041 Section 57.12041 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND... Electricity Surface and Underground § 57.12041 Design of switches and starting boxes. Switches and starting...

30 CFR 57.12041 - Design of switches and starting boxes.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Design of switches and starting boxes. 57.12041 Section 57.12041 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND... Electricity Surface and Underground § 57.12041 Design of switches and starting boxes. Switches and starting...

30 CFR 57.12041 - Design of switches and starting boxes.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Design of switches and starting boxes. 57.12041 Section 57.12041 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND... Electricity Surface and Underground § 57.12041 Design of switches and starting boxes. Switches and starting...

30 CFR 57.12041 - Design of switches and starting boxes.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Design of switches and starting boxes. 57.12041 Section 57.12041 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND... Electricity Surface and Underground § 57.12041 Design of switches and starting boxes. Switches and starting...

Danger and Dignity: Immigrant Day Laborers and Occupational Risk.

PubMed

Rathod, Jayesh M

2016-01-01

The plight of immigrant workers in the United States has captured significant scholarly attention in recent years. Despite the prevalence of discourses regarding this population, one set of issues has received relatively little attention: immigrant workers' exposure to unhealthy and unsafe working conditions, and their corresponding susceptibility to workplace injuries and illnesses. Researchers have consistently found that immigrant workers suffer disproportionately from occupational injuries and fatalities, even when controlling for industry and occupation. Why, then, are foreign-born workers at greater risk for workplace injuries and fatalities, when compared with their native-born counterparts? This Article seeks to develop answers to that question with the aid of empirical research and to build upon a growing interdisciplinary literature. This Article presents findings from a qualitative research study designed to explore the factors that shape occupational risks for immigrants. The study, conducted over several months in 2014, centered on in-depth interviews of eighty-four immigrant day laborers seeking employment in different parts of Northern Virginia. The workers' responses present a complex picture of the immigrant worker experience, reflecting persistent dangers alongside powerful expressions of worker dignity: while the Virginia day laborers continue to encounter significant occupational risks, many comfortably asserted their rights, complicating standard narratives of immigrant worker subordination and vulnerability. The results of the study also point to ongoing economic insecurities, and regulatory failures relating to the provision of training, use of protective equipment, and oversight of smaller worksites. The findings also signal the need for a more holistic approach to workplace regulation that concomitantly examines a range of workplace concerns, including wage violations, hostile work environments, and health and safety risks. Finally, the day laborers' experiences reveal that worker centers are well positioned to insulate immigrant workers from workplace risks, by promoting transparency and accountability in the employer-employee relationship.

Measuring rural women's work and class position.

PubMed

Deere, C D; León de Leal, M

1979-01-01

On the basis of experience gained in researching the economic roles of rural women in a national level study in Colombia and in a regional level study in Peru, some of the methodological problems of measuring rural women's economic participation by sample survey are considered. The specific objective of the sample surveys was to quantify the existing sexual division of labor among the peasant population. The rural household was the unit of analysis, and the focus of measurement was the division of labor by sex in such activities as daily maintenance, household production, and income-generating activitives pursued outside the household. The focus of the survey questionnaire is on the sexual division of labor, but it necessarily must be related to another series of socioeconomic or cultural variables for analysis. The selection of these variables needs to be derived from the hypotheses guiding the study, yet much attention must be given to narrowing the range of inquiry. The time constraint on the length of the questionnaire requires that certain choices be made in terms of the complementary variables to be included. The most important problem in the design of a representative sample survey is the selection of the population to be sampled. The choice of population needs to be compatible with the theoretical framework. Since the interest was to measure the sexual division of labor in terms of class formation, the sample had to be representative of the different class strata in the rural areas. The measurement of access to means of production ideally should be quantitative and qualitative. The choice of the population to be sampled is also constrained by the available data base, a particular problem in rural areas.

Risk of mental health and nutritional problems for left-behind children of international labor migrants.

PubMed

Wickramage, Kolitha; Siriwardhana, Chesmal; Vidanapathirana, Puwalani; Weerawarna, Sulochana; Jayasekara, Buddhini; Pannala, Gayani; Adikari, Anushka; Jayaweera, Kaushalya; Peiris, Sharika; Siribaddana, Sisira; Sumathipala, Athula

2015-03-06

One-in-ten Sri Lankans are employed abroad as International Labor Migrants (ILM), mainly as domestic maids or low-skilled laborers. Little is known about the impact their migration has on the health status of the children they 'leave behind'. This national study explored associations between the health status of 'left-behind' children of ILM's with those from comparative non-migrant families. A cross-sectional study design with multi-stage random sampling was used to survey a total of 820 children matched for both age and sex. Socio-demographic and health status data were derived using standardized pre-validated instruments. Univariate and multivariate analyses were used to estimate the differences in mental health outcomes between children of migrant vs. non-migrant families. Two in every five left-behind children were shown to have mental disorders [95%CI: 37.4-49.2, p < 0.05], suggesting that socio-emotional maladjustment and behavioural problems may occur in absence of a parent in left-behind children. Male left-behind children were more vulnerable to psychopathology. In the adjusted analyses, significant associations between child psychopathological outcomes, child gender and parent's mental health status were observed. Over a quarter (30%) of the left-behind children aged 6-59 months were 'underweight or severely underweight' compared to 17.7% of non-migrant children. Findings provide evidence on health consequences for children of migrant worker families in a country experiencing heavy out-migration of labour, where remittances from ILM's remain as the single highest contributor to the economy. These findings may be relevant for other labour 'sending countries' in Asia relying on contractual labor migration for economic gain. Further studies are needed to assess longitudinal health impacts on the children left-behind.

Outcomes of Nulliparous Women with Spontaneous Labor Onset Admitted to Hospitals in Pre-active versus Active Labor

PubMed Central

NEAL, Jeremy L.; LAMP, Jane M.; BUCK, Jacalyn S.; LOWE, Nancy K.; GILLESPIE, Shannon L.; RYAN, Sharon L.

2014-01-01

Introduction The timing of when a woman is admitted to the hospital for labor care following spontaneous contraction onset may be among the most important decisions that labor attendants make as it can influence care patterns and birth outcomes. The aims of this study were to estimate the percentage of low-risk, nulliparous women at term who are admitted to labor units prior to active labor and to evaluate the effects of the timing of admission (i.e., pre-active versus active labor) on labor interventions and mode of birth. Methods Obstetrics data from low-risk, nulliparous women with spontaneous labor onset at term gestation (N = 216) were merged from two prospective studies conducted at three large, Midwestern hospitals. Baseline characteristics, labor interventions, and outcomes were compared between groups using Fisher’s exact and Mann-Whitney U tests, as appropriate. Likelihoods for oxytocin augmentation, amniotomy, and cesarean delivery were assessed by logistic regression. Results Of the sample of 216 low-risk nulliparous women, 114 (52.8%) were admitted in pre-active labor and 102 (47.2%) were admitted in active labor. Women admitted in pre-active labor were more likely to undergo oxytocin augmentation (84.2% and 45.1%, respectively; odds ratio (OR) 6.5, 95% confidence interval (CI) 3.43–12.27) but not amniotomy (55.3% and 61.8%, respectively; OR 0.8, 95% CI 0.44–1.32) when compared to women admitted in active labor. The likelihood of cesarean delivery was higher for women admitted before active labor onset (15.8% and 6.9%, respectively; OR 2.6, 95% CI 1.02–6.37). Discussion Many low-risk nulliparous women with regular, spontaneous uterine contractions are admitted to labor units before active labor onset, which increases their likelihood of receiving oxytocin and being delivered via cesarean section. An evidence-based, standardized approach for labor admission decision-making is recommended to decrease inadvertent admissions of women in pre-active labor. When active labor cannot be diagnosed with relative certainty, observation before admission to the birthing unit is warranted. PMID:24512265

Enhancing the competitiveness of skilled construction workers through collaborative education and training

NASA Astrophysics Data System (ADS)

Dardiri, Ahmad; Sutrisno, Kuncoro, Tri; Ichwanto, Muhamad Aris; Suparji

2017-09-01

Professionalism of construction workers is one of the keys to the success of infrastructure development projects. The professionalism of the workforce is demonstrated through the possession of expertise competence certificate (SKA) and/or certificates of skills (SKT) issued formally through competency tests by the National Construction Cervices Development Agency (LPJKN). The magnitude of the national skilled manpower needs has not been able to meet the availability of professional workforce. Strategies to develop the quality of resources require sufficient information on the characteristics of the resources themselves, facilities, constraints, stakeholder support, regulations, and socioeconomic as well as cultural conditions. The problems faced by Indonesia in improving the competitiveness of skilled construction workers are (1) how the level of professionalism of skill workers in construction field, (2) what the constrains on improving the quality of skilled construction workers,and(3) how the appropriate model of education and training skillfull construction work. The study was designed with quantitative and qualitative approaches. Quantitative methods were used to describe the profile of sklill constructions worker. Qualitative methods were used toidentify constraintsin improving the qualityof skilled labor, as well as formulate a viable collaborative education and training model for improving the quality of skill labor. Data were collected by documentation, observation, and interview. The result of the study indicate theat (1) the professionalism knowledge of skilled constructions worker are in still low condition, (2) the constrain faced in developing the quality of skilled construction labor cover economic and structural constrains, and (3) collaborative eduction and training model can improve the quality ods skilld labor contructions.

Employment of Asian/Pacific American Women in Chicago. Report of a Conference Sponsored by the Women's Bureau, U.S. Department of Labor (Chicago, Illinois, March 22, 1980).

ERIC Educational Resources Information Center

Kumata, Ruth; Murata, Alice

This report presents the proceedings of a Chicago conference and other information acquired as part of a project designed to increase the access of Asian and Pacific American women to U.S. Department of Labor programs. The first part of the report describes the Chicago conference and includes several articles: (1) a history of Asian women in…

Education and Training for American Competitiveness Act. Committee on Education and Labor Report Together with Supplemental Views to Accompany H.R. 4728. House of Representatives, Ninety-Ninth Congress, Second Session.

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. House Committee on Education and Labor.

This report presents the findings and recommendations of the Committee on Education and Labor, to which was referred the bill, H.R. 4728, to establish programs of education and training designed to improve the competitiveness of American workers in international trade. An explanation of the bill first provides committee feelings regarding Title I,…

Employment & Retirement: A Management-Labor Dialogue. Proceedings of an Industry Conference on Employment and Retirement; A Pre-White House Conference on Aging Activity (Annapolis, Maryland, May 18-20, 1980).

ERIC Educational Resources Information Center

Knatz, Hilary Fleming, Ed.

This publication contains proceedings of a pre-White House Conference on Aging Activity held in May, 1980. The meeting was designed to (1) provide a labor/management forum for review and discussion of problems and issues arising out of a progressively aging population and workforce; (2) explore practical matters which can be resolved by employers…

Data Mining CMMSs: How to Convert Data into Knowledge.

PubMed

Fennigkoh, Larry; Nanney, D Courtney

2018-01-01

Although the healthcare technology management (HTM) community has decades of accumulated medical device-related maintenance data, little knowledge has been gleaned from these data. Finding and extracting such knowledge requires the use of the well-established, but admittedly somewhat foreign to HTM, application of inferential statistics. This article sought to provide a basic background on inferential statistics and describe a case study of their application, limitations, and proper interpretation. The research question associated with this case study involved examining the effects of ventilator preventive maintenance (PM) labor hours, age, and manufacturer on needed unscheduled corrective maintenance (CM) labor hours. The study sample included more than 21,000 combined PM inspections and CM work orders on 2,045 ventilators from 26 manufacturers during a five-year period (2012-16). A multiple regression analysis revealed that device age, manufacturer, and accumulated PM inspection labor hours all influenced the amount of CM labor significantly (P < 0.001). In essence, CM labor hours increased with increasing PM labor. However, and despite the statistical significance of these predictors, the regression analysis also indicated that ventilator age, manufacturer, and PM labor hours only explained approximately 16% of all variability in CM labor, with the remainder (84%) caused by other factors that were not included in the study. As such, the regression model obtained here is not suitable for predicting ventilator CM labor hours.

29 CFR 1601.74 - Designated and notice agencies.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Human Rights Louisville and Jefferson County (KY) Human Relations Commission Madison (WI) Equal... Relations Commission Wisconsin Equal Rights Division, Department of Industry, Labor and Human Relations Wisconsin State Personnel Commission 12 12 The Wisconsin State Personnel Commission is being designated as a...

29 CFR 1601.74 - Designated and notice agencies.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Human Rights Louisville and Jefferson County (KY) Human Relations Commission Madison (WI) Equal... Relations Commission Wisconsin Equal Rights Division, Department of Industry, Labor and Human Relations Wisconsin State Personnel Commission 12 12 The Wisconsin State Personnel Commission is being designated as a...

Rising Wage Inequality: The 1980s Experience in Urban Labor Markets.

ERIC Educational Resources Information Center

Hyclak, Thomas

The rising wage inequality in U.S. urban labor markets during the 1980s was examined in a study of 20 metropolitan area labor markets. The study's perspective differs from the prevailing perspective on the problem in three ways: (1) it focuses on changes in the wage structure in a sample of local labor markets; (2) it examines changes in the…

Cost studies for commercial fuselage crown designs

NASA Technical Reports Server (NTRS)

Walker, T. H.; Smith, P. J.; Truslove, G.; Willden, K. S.; Metschan, S. L.; Pfahl, C. L.

1991-01-01

Studies were conducted to evaluate the cost and weight potential of advanced composite design concepts in the crown region of a commercial transport. Two designs from each of three design families were developed using an integrated design-build team. A range of design concepts and manufacturing processes were included to allow isolation and comparison of cost centers. Detailed manufacturing/assembly plans were developed as the basis for cost estimates. Each of the six designs was found to have advantages over the 1995 aluminum benchmark in cost and weight trade studies. Large quadrant panels and cobonded frames were found to save significant assembly labor costs. Comparisons of high- and intermediate-performance fiber systems were made for skin and stringer applications. Advanced tow placement was found to be an efficient process for skin lay up. Further analysis revealed attractive processes for stringers and frames. Optimized designs were informally developed for each design family, combining the most attractive concepts and processes within that family. A single optimized design was selected as the most promising, and the potential for further optimization was estimated. Technical issues and barriers were identified.

The Development of Indonesian Labour Market Information System (LMIS) for Vocational Schools and Industries

NASA Astrophysics Data System (ADS)

Parinsi, M. T.; Palilingan, V. R.; Sukardi; Surjono, H. D.

2018-02-01

This paper is aim to developing Information system for the labor market which specifically linking vocational schools (SMK) graduates and industries. The methods of this application using Research and Development (R&D) from Borg and Gall conducting in North Sulawesi Province in Indonesia. The result are reliable and acceptable for the graduate students. The Labor Market Information system (LMIS) can help the industries to find a labor/graduates that matched with the company requirement at a real time. SMK may have a benefit by extracting the Information from the application, they can prepare their students for the specific work in the industries. The next development of the application will designed to be available not only for the SMK graduate students.

Emotion regulation in the workplace: a new way to conceptualize emotional labor.

PubMed

Grandey, A A

2000-01-01

The topic of emotions in the workplace is beginning to garner closer attention by researchers and theorists. The study of emotional labor addresses the stress of managing emotions when the work role demands that certain expressions be shown to customers. However, there has been no overarching framework to guide this work, and the previous studies have often disagreed on the definition and operationalization of emotional labor. The purposes of this article are as follows: to review and compare previous perspectives of emotional labor, to provide a definition of emotional labor that integrates these perspectives, to discuss emotion regulation as a guiding theory for understanding the mechanisms of emotional labor, and to present a model of emotional labor that includes individual differences (such as emotional intelligence) and organizational factors (such as supervisor support).

How poor are women in rural India?

PubMed

Rajuladevi, A K

1992-07-01

The assessment of poor women in India as dependent and exploited regardless of poverty focused strategies is reflected in this review of relevant literature. The scholarly approaches to the problems of poor women involve redirection and expansion of resources to women (increase bank credit) through policy and institutional changes, and involve improving women's welfare through changes in class and gender hierarchies; both pertain to restructuring power groups. A little ascribed to belief is that the organization of women's numbers will empower women; the constraints are stated. There is also some argument over whether to design women-specific programs or integrate women into existing programs; some examples are given of successes and difficulties. The regionalization of poverty in eastern and central India is discussed. The growth of the poor has been among the landless, wage-dependent households. 9.6% of households (7.5 million) are headed by women. Women work fewer hours and at lower wage scales and have fewer employment opportunities. Lower earnings are coupled with differentials in demand for female and male labor in agriculture and a crowded labor market. There is a concentration of women in less visible, nonmonetary subsistence production and domestic work. Women are undercounted in employment studies. Women predominate in agricultural activity. Women's status is influenced by economic status, caste, and ethnic background. Domestic work increases status for women and households. The poorer households have greater labor force participation, particularly as wage laborers rather than unpaid family workers. Regional factors affecting rural household strategies are factors affecting the economy (topography, rainfall, climate) and the degree of development, plus sociocultural variables (kinship and religious beliefs which affect the social domain of women), and the degree of dependence on hired vs. family labor. There are sharp contrasts in the value and survival of women regionally. Female labor force participation is low in all regions; the nature and distribution of agricultural laborers is discussed followed by examples from 3 different regions (east, south, and north). The gender inequalities in access to basic needs are reviewed for sex ratio, mortality, and nutrition, and education. The preference is for gender-based policies targeting women.

Maternal and Perinatal Outcomes by Mode of Delivery in Senegal and Mali: A Cross-Sectional Epidemiological Survey

PubMed Central

Briand, Valérie; Dumont, Alexandre; Abrahamowicz, Michal; Sow, Amadou; Traore, Mamadou; Rozenberg, Patrick; Watier, Laurence; Fournier, Pierre

2012-01-01

Objective In the context of rapid changes regarding practices related to delivery in Africa, we assessed maternal and perinatal adverse outcomes associated with the mode of delivery in 41 referral hospitals of Mali and Senegal. Study Design Cross-sectional survey nested in a randomised cluster trial (1/10/2007–1/10/2008). The associations between intended mode of delivery and (i) in-hospital maternal mortality, (ii) maternal morbidity (transfusion or hysterectomy), (iii) stillbirth or neonatal death before Day 1 and (iv) neonatal death between 24 hours after birth and hospital discharge were examined. We excluded women with immediate life threatening maternal or fetal complication to avoid indication bias. The analyses were performed using hierarchical logistic mixed models with random intercept and were adjusted for women's, newborn's and hospitals' characteristics. Results Among the 78,166 included women, 2.2% had a pre-labor cesarean section (CS) and 97.8% had a trial of labor. Among women with a trial of labor, 87.5% delivered vaginally and 12.5% had intrapartum CS. Pre-labor CS was associated with a marked reduction in the risk of stillbirth or neonatal death before Day 1 as compared with trial of labor (OR = 0.2 [0.16–0.36]), though we did not show that maternal mortality (OR = 0.3 [0.07–1.32]) and neonatal mortality after Day 1 (OR = 1.3 (0.66–2.72]) differed significantly between groups. Among women with trial of labor, intrapartum CS and operative vaginal delivery were associated with higher risks of maternal mortality and morbidity, and neonatal mortality after Day 1, as compared with spontaneous vaginal delivery. Conclusions In referral hospitals of Mali and Senegal, pre-labor CS is a safe procedure although intrapartum CS and operative vaginal delivery are associated with increased risks in mothers and infants. Further research is needed to determine what aspects of obstetric care contribute to a delay in the provision of intrapartum interventions so that practices may be made safer when they are needed. PMID:23056633

Case studies on employment-related health inequalities in countries representing different types of labor markets.

PubMed

Kim, Il-Ho; Muntaner, Carles; Chung, Haejoo; Benach, Joan

2010-01-01

The authors selected nine case studies, one country from each cluster of their labor market inequalities typology, to outline the macro-political and economic roots of employment relations and their impacts on health. These countries illustrate variations in labor markets and health, categorized into a global empirical typology. The case studies illustrated that workers' health is significantly connected with labor market characteristics and the welfare system. For a core country, the labor market is characterized by a formal sector. The labor institutions of Sweden traditionally have high union density and collective bargaining coverage and a universal health care system, which correlate closely with positive health, in comparison with Spain and the United States. For a semi-periphery country, the labor market is delineated by a growing informal economy. Although South Korea, Venezuela, and El Salvador provide some social welfare benefits, a high proportion of irregular and informal workers are excluded from these benefits and experience hazardous working conditions that adversely affect their health. Lastly, several countries in the global periphery--China, Nigeria, and Haiti--represent informal work and severe labor market insecurity. In the absence of labor market regulations, the majority of their workers toil in the informal sector in unsafe conditions with inadequate health care.

Horticultural, systems-engineering and economic evaluations of short-term plant storage techniques as a labor management tool for vegetable grafting nurseries

PubMed Central

Son, Young-Jun; Lewis, Myles; Spalholz, Hans; Tronstad, Russell

2017-01-01

This transdisciplinary study has a three-fold systems approach in evaluating a horticultural technology: 1) horticultural evaluations, 2) economic and resource analyses, and 3) systems engineering analyses, using low temperature storage as an example technology. Vegetable grafting is a technique to produce value-added seedlings but requires labor intensive nursery operations. Low temperature storage of seedlings for a short period of time can reduce peak production, but has not been evaluated at the extent demonstrated in this paper. Seedlings of 22 genotypes of Cucurbitaceae (cucurbit family) and Solanaceae (nightshade family) were evaluated for storability under selected temperatures and photosynthetic photon flux. Storability of Cucurbitaceous seedlings varied between 2 to 4 weeks at 12°C and 13 μmol m-2 s-1. Solanaceous seedlings were generally storable for 4 weeks at 12°C and 13 μmol m-2 s-1, but tomato seedlings could be stored for 4 weeks at 10°C and 5 μmol m-2 s-1. Capital and weekly operational costs of a low temperature storage system with a design that meets environmental requirements were estimated as $671 to $708 per m2 footprint and $0.79 to $2.21 per m2 footprint per week, respectively. Electricity costs per plant was less than 0.1 cents for 2 to 4 weeks of storage. Using a schedule-optimization heuristic and a logistics simulator previously developed for grafting nursery operations, six production scenarios consisting of two crops (tomato or watermelon) and three production peak patterns were examined to evaluate the impact of including low temperature storage. While the overall average costs of grafting labor were not significantly different, maximum labor demand and grafting labor cost during the peak production week were reduced by 31% to 50% and 14% to 30% by using storage, respectively. Therefore, low temperature storage can be an effective means to address the issue of labor management in grafting nurseries. PMID:28182757

78 FR 18629 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Work-Study...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-27

... for OMB Review; Comment Request; Work-Study Program of the Child Labor Regulations ACTION: Notice... information collection request (ICR) titled, ``Work-Study Program of the Child Labor Regulations,'' to the... school-supervised and school-administered Work-Study Program (WSP) of the Child Labor Regulations. This...

29 CFR 570.37 - Work-study program.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 3 2011-07-01 2011-07-01 false Work-study program. 570.37 Section 570.37 Labor Regulations... (Child Labor Reg. 3) § 570.37 Work-study program. (a) This section varies the provisions contained in... employed pursuant to a school-supervised and school-administered work-study program that meets the...

Using Conjoint Analysis to Estimate Employers Preferences for Key Competencies of Master Level Dutch Graduates Entering the Public Health Field

ERIC Educational Resources Information Center

Biesma, R. G.; Pavlova, M.; van Merode, G. G.; Groot, W.

2007-01-01

This paper uses an experimental design to estimate preferences of employers for key competencies during the transition from initial education to the labor market. The study is restricted to employers of entry-level academic graduates entering public health organizations in the Netherlands. Given the changing and complex demands in public health,…

QR Codes as Mobile Learning Tools for Labor Room Nurses at the San Pablo Colleges Medical Center

ERIC Educational Resources Information Center

Del Rosario-Raymundo, Maria Rowena

2017-01-01

Purpose: The purpose of this paper is to explore the use of QR codes as mobile learning tools and examine factors that impact on their usefulness, acceptability and feasibility in assisting the nurses' learning. Design/Methodology/Approach: Study participants consisted of 14 regular, full-time, board-certified LR nurses. Over a two-week period,…

The impact of labor-saving technology on first birth intervals in rural Ethiopia.

PubMed

Gibson, Mhairi; Mace, Ruth

2002-02-01

Across the developing world labor-saving technologies introduce considerable savings in the time and energy that women allocate to work. Hormonal studies on natural fertility populations indicate that such a reduction in energetic expenditure (rather than improved nutritional status alone) can lead to increased ovarian function. Other qualitative studies have highlighted a link between labor-saving technology and behavioral changes affecting subsequent age at marriage, which may affect fertility. This biodemographic study was designed to investigate whether these physiological and behavioral changes affect fertility at a population level by focusing on a recent water development scheme in Southern Ethiopia. The demographic consequences of a reduction in women's workload following the installation of water points, specifically the variation in length of first birth interval (time lapsed between marriage and first birth), are investigated. First birth interval length is closely associated with lifetime fertility in populations that do not practice contraception, longer intervals being associated with lower fertility. Using life tables and multivariate hazard modeling techniques a number of significant predictors of first birth interval length are identified. Covariates such as age at marriage, season of marriage, village ecology, and access to improved water supply have significant effects on variation in first birth intervals. When entered into models as a time-varying covariate, access to a water tap stand is associated with an immediate reduction in length of first birth intervals.

Uterine overdistention induces preterm labor mediated by inflammation: observations in pregnant women and nonhuman primates

PubMed Central

Waldorf, Kristina M. Adams; Singh, Natasha; Mohan, Aarthi R.; Young, Roger C.; Ngo, Lisa; Das, Ananya; Tsai, Jesse; Bansal, Aasthaa; Paolella, Louis; Herbert, Bronwen R.; Sooranna, Suren R.; Gough, G. Michael; Astley, Cliff; Vogel, Keith; Baldessari, Audrey E.; Bammler, Theodor K.; MacDonald, James; Gravett, Michael G.; Rajagopal, Lakshmi; Johnson, Mark R.

2015-01-01

OBJECTIVE Uterine overdistention is thought to induce preterm labor in women with twin and multiple pregnancies, but the pathophysiology remains unclear. We investigated for the first time the pathogenesis of preterm birth associated with rapid uterine distention in a pregnant nonhuman primate model. STUDY DESIGN A nonhuman primate model of uterine overdistention was created using preterm chronically catheterized pregnant pigtail macaques (Macaca nemestrina) by inflation of intraamniotic balloons (N = 6), which were compared to saline controls (N = 5). Cesarean delivery was performed due to preterm labor or at experimental end. Microarray, quantitative reverse transcriptase polymerase chain reaction, Luminex (Austin, TX), and enzyme-linked immunosorbent assay were used to measure messenger RNA (mRNA) and/or protein levels from monkey (amniotic fluid, myometrium, maternal plasma) and human (amniocytes, amnion, myometrium) tissues. Statistical analysis employed analysis of covariance and Wilcoxon rank sum. Biomechanical forces were calculated using the law of Laplace. RESULTS Preterm labor occurred in 3 of 6 animals after balloon inflation and correlated with greater balloon volume and uterine wall stress. Significant elevations of inflammatory cytokines and prostaglandins occurred following uterine overdistention in an “inflammatory pulse” that correlated with preterm labor (interleukin [IL]-1β, tumor necrosis factor [TNF]-α, IL-6, IL-8, CCL2, prostaglandin E2, prostaglandin F2α, all P < .05). A similar inflammatory response was observed in amniocytes in vitro following mechanical stretch (IL1β, IL6, and IL8 mRNA multiple time points, P < .05), in amnion of women with polyhydramnios (IL6 and TNF mRNA, P < .05) and in amnion (TNF-α) and myometrium of women with twins in early labor (IL6, IL8, CCL2, all P < .05). Genes differentially expressed in the nonhuman primate after balloon inflation and in women with polyhydramnios and twins are involved in tissue remodeling and muscle growth. CONCLUSION Uterine overdistention by inflation of an intraamniotic balloon is associated with an inflammatory pulse that precedes and correlates with preterm labor. Our results indicate that inflammation is an early event after a mechanical stress on the uterus and leads to preterm labor when the stress is sufficiently great. Further, we find evidence of uterine tissue remodeling and muscle growth as a common, perhaps compensatory, response to uterine distension. PMID:26284599

7 CFR 1470.24 - Payments.

Code of Federal Regulations, 2010 CFR

2010-01-01

... participant associated with planning, design, materials, installation, labor, management, maintenance, or..., construction, or maintenance of animal waste storage or treatment facilities or associated waste transport or...

Transitions between states of labor-force participation among older Israelis.

PubMed

Achdut, Leah; Tur-Sinai, Aviad; Troitsky, Rita

2015-03-01

The study examines the labor-force behavior of Israelis at older ages, focusing on the determinants of the transitions between states of labor-force participation between 2005 and 2010. The study uses panel data from the first two waves of the SHARE-Israel longitudinal survey. A multinomial logit model is used to examine the impact of sociodemographic characteristics, health state, and economic resources on labor-force transitions of people aged 50-67. The results emphasize the role of age and poor health in "pushing" older people out of the labor force or "keeping" them there. Spouse's participation is found to encourage individuals to leave the labor force or to refrain from joining it. However, living with a participating spouse is negatively associated with staying out of the labor force, consistent with the dominance of the complementarity of leisure effect found in the literature. Wealth as an economic resource available to individuals for retirement is also found to encourage individuals to leave the labor force or to refrain from joining it.

The personnel economics approach to public workforce research.

PubMed

Gibbs, Michael

2009-11-01

This article argues that the relatively new field of personnel economics (PE) holds strong potential as a tool for studying public sector workforces. This subfield of labor economics is based on a strong foundation of microeconomics, which provides a robust theoretical foundation for studying workforce and organizational design issues. PE has evolved on this foundation to a strong practical emphasis, with theoretical insights designed for practical use and with strong focus on empirical research. The field is also characterized by creative data entrepreneurship. The types of datasets that personnel economists use are described. If similar datasets can be obtained for public sector workforces, PE should be a very useful approach for studying them.

36 CFR 222.1 - Authority and definitions.

Code of Federal Regulations, 2011 CFR

2011-07-01

..., such as survey and design, equipment, labor and material (or contract) costs, and on-the-ground... 16 contiguous western States. (21) Range Improvement means any activity or program designed to... such as: dams, ponds, pipelines, wells, fences, trails, seeding, etc. (B) Temporary which are short...

Cell-free DNA, inflammation, and the initiation of spontaneous term labor.

PubMed

Herrera, Christina A; Stoerker, Jay; Carlquist, John; Stoddard, Gregory J; Jackson, Marc; Esplin, Sean; Rose, Nancy C

2017-11-01

Hypomethylated cell-free DNA from senescent placental trophoblasts may be involved in the activation of the inflammatory cascade to initiate labor. To determine the changes in cell-free DNA concentrations, the methylation ratio, and inflammatory markers between women in labor at term vs women without labor. In this prospective cohort study, eligible participants carried a nonanomalous singleton fetus. Women with major medical comorbidity, preterm labor, progesterone use, aneuploidy, infectious disease, vaginal bleeding, abdominal trauma, or invasive procedures during the pregnancy were excluded. Maternal blood samples were collected at 28 weeks, 36 weeks, and at admission for delivery. Total cell-free DNA concentration, methylation ratio, and interleukin-6 were analyzed. The primary outcome was the difference in methylation ratio in women with labor vs without labor. Secondary outcomes included the longitudinal changes in these biomarkers corresponding to labor status. A total of 55 women were included; 20 presented in labor on admission and 35 presented without labor. Women in labor had significantly greater methylation ratio (P = .001) and interleukin-6 (P < .001) on admission for delivery than women without labor. After we controlled for body mass index and maternal age, methylation ratio (adjusted relative risk, 1.38; 95% confidence interval, 1.13 to 1.68) and interleukin-6 (adjusted relative risk, 1.12, 95% confidence interval, 1.07 to 1.17) remained greater in women presenting in labor. Total cell-free DNA was not significantly different in women with labor compared with women without. Longitudinally, total cell-free DNA (P < .001 in labor, P = .002 without labor) and interleukin-6 (P < .001 in labor, P = .01 without labor) increased significantly across gestation in both groups. The methylation ratio increased significantly in women with labor from 36 weeks to delivery (P = .02). Spontaneous labor at term is associated with a greater cell-free DNA methylation ratio and interleukin-6 compared with nonlabored controls. As gestation advances, total cell-free DNA concentrations and interleukin-6 levels increase. A greater methylation ratio reflects a greater maternal contribution (vs placental) in women with labor, likely resulting from greater levels of neutrophils, lymphocytes, and uterine activation proteins at the time of labor. Although not significant, women in labor had a greater total cell-free DNA concentration and thus could theoretically have more hypomethylated DNA available for interaction with the inflammatory cascade. Larger studies are needed to investigate this theory. Published by Elsevier Inc.

Pushing in labor: performance and not endurance.

PubMed

Buhimschi, Catalin S; Buhimschi, Irina A; Malinow, Andrew M; Kopelman, Jerome N; Weiner, Carl P

2002-06-01

It is believed that delivery is faster if women are instructed to voluntarily bear down in synchrony with their uterine contractions. Confronted by the large variance in the duration of the second stage of labor, many clinicians attribute a "fast" or a "short" expulsion time solely to the patient's willingness to cooperate or to the strength of epidural anesthesia if it is a factor. Yet, knowledge of pushing performance and the factors affecting it remain limited. We investigated the maternal, fetal, and labor characteristics that influence the maternal "pushing performance" and sought to design a predictive index that prospectively identified "high" versus "low" pushing performers. Intrauterine pressure (IP) was prospectively measured during the second stage of labor in 52 women recruited at one North American hospital. Recordings were begun after documentation of full cervical dilatation and descent of the fetal head to +2 station (on a -3/+3 scale). Each woman acted as her own control, received epidural anesthesia, and was alert and responsive throughout the study. Pushing (closed glottis technique) was performed in a standardized fashion. Multivariate analysis with linear regression was applied to identify significant associations between maternal, fetal, or labor characteristics as the independent variables and the percent increase in IP consequent to active pushing as the dependent variable. Women in labor increase their IP 62% by actively pushing with a contraction during the second stage. A scattergram of the individual percent increase above the baseline IP integral revealed that for some women, pushing more readily increased their IP than it did for others (range, 0% to 192%). The percent increase was best calculated by a linear combination of myometrial thickness, estimated fetal weight, the maternal body mass index, and the obstetric need for labor augmentation (P =.007, r = 0.52, power = 0.975). A 66% change in IP provided the best separation between high and low pushing performance. Myometrial thickness provided the single strongest contribution to the regression equation's predictive value (P =.01, r = -0.36). A myometrial thickness of 6 mm had a specificity of 88% (but only 53% sensitivity) for the identification of women able to increase their IP by 66% over baseline. In women in labor who have received epidural anesthesia, the efficiency with which maternal expulsive efforts are converted into increased IP is directly related to the patient's body mass index but inversely related to myometrial thickness, the sonographic estimate of fetal weight, and the need for labor augmentation.

Variation in Cesarean Birth Rates by Labor and Delivery Nurses.

PubMed

Edmonds, Joyce K; O'Hara, Michele; Clarke, Sean P; Shah, Neel T

To examine variation in the cesarean birth rates of women cared for by labor and delivery nurses. Retrospective cohort study. One high-volume labor and delivery unit at an academic medical center in a major metropolitan area. Labor and delivery nurses who cared for nulliparous women who gave birth to term, singleton fetuses in vertex presentation. Data were extracted from electronic hospital birth records from January 1, 2013 through June 30, 2015. Cesarean rates for individual nurses were calculated based on the number of women they attended who gave birth by cesarean. Nurses were grouped into quartiles by their cesarean rates, and the effect of these rates on the likelihood of cesarean birth was estimated by a logit regression model adjusting for patient-level characteristics and clustering of births within nurses. Seventy-two nurses attended 3,031 births. The mean nurse cesarean rate was 26% (95% confidence interval [23.9, 28.1]) and ranged from 8.3% to 48%. The adjusted odds of cesarean for births attended by nurses in the highest quartile was nearly 3 times (odds ratio = 2.73, 95% confidence interval [2.3, 3.3]) greater than for births attended by nurses in the lowest quartile. The labor and delivery nurse assigned to a woman may influence the likelihood of cesarean birth. Nurse-level cesarean birth data could be used to design practice improvement initiatives to improve nurse performance. More precise measurement of the relative influence of nurses on mode of birth is needed. Copyright © 2017 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses. Published by Elsevier Inc. All rights reserved.

Blood SC5b-9 complement levels increase at parturition during term and preterm labor.

PubMed

Segura-Cervantes, Enrique; Mancilla-Ramirez, Javier; Zurita, Luis; Paredes, Yuriria; Arredondo, José Luis; Galindo-Sevilla, Norma

2015-06-01

We explored the hypothesis that complement, an innate and adaptive immune effector, is active in the plasma of parturient women and is deposited on fetal membranes collected after delivery. A cross-sectional study was designed to evaluate complement activity at parturition. Pregnant women (n = 97) between 15 and 41 years of age were enrolled in a hospital protocol during the perinatal period to assess both SC5b-9 complement activity in blood and complement deposition on fetal membranes during parturition. Soluble SC5b-9 complement activity in plasma fractions was measured using a standard enzyme-linked immunosorbent assay (ELISA) that included specific anti-complement antibodies. Complement deposition on membranes was analyzed using immuno-dot blots and immunohistochemistry. Soluble SC5b-9 complement complex levels were increased in the plasma of women during term labor (TL; median 3361; range 1726-5670 ng/mL), preterm labor (PL; median 2958; range 1552-7092 ng/mL), and preterm premature rupture of membranes (PPROM; median 2272; range 167-6540 ng/mL) compared with pregnant women who were not in labor (P; median 1384; range 174-4570 ng/mL; P < 0.001, Kruskal-Wallis test). Active complement, as assessed by the C9 neo-antigen in C5b-9 complexes, was deposited on fetal membranes, with no difference between term and preterm delivery. The deposition of active complement on fetal membranes was confirmed by immunohistochemistry. Women who underwent non-labor-indicated Cesarean sections did not exhibit complement deposition. Soluble SC5b-9 complement complex levels increased in the plasma of women during parturition, and complement C5b-9 complexes were deposited on fetal membranes. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

77 FR 67399 - Hewlett-Packard Company, Design Delivery Organization (DDO), Including On-Site Leased Workers...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-09

... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-81,739; TA-W-81,739A] Hewlett-Packard Company, Design Delivery Organization (DDO), Including On-Site Leased Workers From Manpower, Synova Inc., and Pinnacle Technical Resources, Corvallis, OR; Hewlett-Packard Company, Ink Jet & Web Services, World Wide Design Group, Vancouver, WA;...

7 CFR Exhibit I to Subpart A of... - Guidelines for Seasonal Farm Labor Housing

Code of Federal Regulations, 2013 CFR

2013-01-01

... convertible to year-round occupancy; however, the living units shall be designed for the intended type of... is important that the design of the LH site and buildings will help to create a pleasing lifestyle...—Compliance is required with National, state and local codes or regulations affecting design, construction...

Designing primary health care teams for developing countries.

PubMed Central

Reisman, A; Duran, L

1983-01-01

A time-honored industrial engineering technique, job evaluation, which was developed to set rates for manual labor, was used in the design of new teams for delivering primary health care in Latin America. The technique was used both in writing job descriptions for new allied health personnel and in designing the curriculums needed to train the personnel. PMID:6856744

Anthropometrical data of middle-aged Japanese women for industrial design applications.

PubMed

Ashizawa, K; Okada, A; Kouchi, M; Horino, S; Kikuchi, Y

1994-06-01

Despite the growing importance of human interface design, and despite the growing number of working women, no considerations have been given to women's working spaces and tools. Their designs are based on men's anthropometrical data, and this does not assure safety and amenity of women's working environments. Moreover, few data on women's body measurements are available. The Research Institute of Human Engineering for Quality Life is carrying out an ergonomic anthropometrical study on a large number of Japanese people to create a database for industrial use. The fee for the use of these data is, however, making it very difficult to profit from their acquisition. Therefore, we conducted an anthropometrical study for industrial design use on middle-aged female subjects, who are in the most difficult age group to access. This report should be useful in designing working spaces and tools for women as laborers as well as users.

Importance of Labor in Adoption of a Modern Farm Input.

ERIC Educational Resources Information Center

Ndiaye, Serigne; Sofranko, Andrew J.

1988-01-01

Explores relationship between farm technology and labor availability in Africa. Studies introduction of high-yielding maize variety in Zambia and resulting effects on labor availability/mobilization. Shows shift to hybrids requires additional labor, including available children. Illustrates need for adoption research taking broader farming…

Observing position and movements in hydrotherapy: a pilot study.

PubMed

Stark, Mary Ann; Rudell, Barb; Haus, George

2008-01-01

To observe and describe the positions and movements women choose while immersed in water during the first stage of labor. Descriptive, observational pilot study. A rural community hospital that provided hydrotherapy in labor. Women (N = 7) who intended to use hydrotherapy in labor were recruited prenatally from a midwife-managed practice. For 15 minutes of each hour during the first stage of labor, position and movements of the participants were observed and recorded on a laptop computer. The observational tool was developed for this study from a review of the literature and interviews with nursing experts; 435 observations were recorded. Women were free to choose when and how long to use hydrotherapy and had no restriction on their positions and movements. Only 3 of the 7 participants labored in the tub. Women demonstrated a greater range of positions and movements in the tub than in bed, both throughout labor and during late first-stage labor (7-10 cm of dilatation). Women had more contractions and made more rhythmic movements while in the tub than in bed. Hydrotherapy may encourage upright positions and movements that facilitate labor progress and coping, helping women avoid unnecessary interventions.

Testing the Birth Unit Design Spatial Evaluation Tool (BUDSET) in Australia: a pilot study.

PubMed

Foureur, Maralyn J; Leap, Nicky; Davis, Deborah L; Forbes, Ian F; Homer, Caroline E S

2011-01-01

To pilot test the Birth Unit Design Spatial Evaluation Tool (BUDSET) in an Australian maternity care setting to determine whether such an instrument can measure the optimality of different birth settings. Optimally designed spaces to give birth are likely to influence a woman's ability to experience physiologically normal labor and birth. This is important in the current industrialized environment, where increased caesarean section rates are causing concerns. The measurement of an optimal birth space is currently impossible, because there are limited tools available. A quantitative study was undertaken to pilot test the discriminant ability of the BUDSET in eight maternity units in New South Wales, Australia. Five auditors trained in the use of the BUDSET assessed the birth units using the BUDSET, which is based on 18 design principles and is divided into four domains (Fear Cascade, Facility, Aesthetics, and Support) with three to eight assessable items in each. Data were independently collected in eight birth units. Values for each of the domains were aggregated to provide an overall Optimality Score for each birth unit. A range of Optimality Scores was derived for each of the birth units (from 51 to 77 out of a possible 100 points). The BUDSET identified units with low-scoring domains. Essentially these were older units and conventional labor ward settings. The BUDSET provides a way to assess the optimality of birth units and determine which domain areas may need improvement. There is potential for improvements to existing birth spaces, and considerable improvement can be made with simple low-cost modifications. Further research is needed to validate the tool.

Change in risk status during labor in a large Norwegian obstetric department: a prospective study.

PubMed

Lippert, Tonje; Nesje, Ellen; Koss, Karen Sofie; Oian, Pål

2013-06-01

This study aimed to observe risk status on admission to hospital and change in risk status during labor. A prospective observational study allocating all women into low-risk and high-risk groups on admittance to hospital and during labor based on prespecified risk criteria. Department of Obstetrics and Gynecology in a district hospital. All 6406 deliveries from 2 May 2004 to 30 September 2006. A special form was filled out for all women admitted to the department in labor classifying them as either low or high risk. A change in risk status during labor was also recorded. Risk status (low and high risk) on admittance to hospital and change in risk status during first stage of labor. On admittance, 67% of women with an intended vaginal delivery were low risk. During the first stage of labor, 41% of the low-risk women changed risk status. Use of epidural anesthesia gave rise to 73% of the risk changes during the first stage of labor and use of oxytocin caused 12%. Two-thirds of the women were low risk before labor, and 39% of these remained low-risk at the end of the first stage of labor. The main reason for a change of risk status in the obstetric department was the use of epidural anesthesia. © 2013 The Authors Acta Obstetricia et Gynecologica Scandinavica © 2013 Nordic Federation of Societies of Obstetrics and Gynecology.

Oversight Hearing on the Job Training Partnership Act (Part 1). Hearing before the Subcommittee on Employment Opportunities of the Committee on Education and Labor, House of Representatives, Ninety-Ninth Congress, First Session (Washington, DC, May 2, 1985).

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. House Committee on Education and Labor.

This document is a transcript of an oversight hearing on the Job Training Partnership Act (JTPA). It is the first in a series designed by the House Subcommittee on Employment Opportunities, Committee on Education and Labor, to evaluate the program. In his introduction, the subcommittee chairman voiced his concern about proposed budget cuts in…

Technical Solution for Mitigating Radio-Frequency (RF) Interference to Air Traffic Control Communications

DTIC Science & Technology

2013-09-01

the fiber-optic receiver. When electrical power was restored by reinserting the plug, there could be no guarantee that all of the relays within the...useable set of coded instructions was expected to take approximately 3 man-months to develop and would incur costs, in labor , much greater than the...man-hour labor load was expected to be only about a month, the inability to quickly verify a “final” circuit design represented the highest risk

Student Loan Assistance Amendments of 1982. Hearing Before the Subcommittee on Education, Arts and Humanities of the Committee on Labor and Human Resources, United States Senate. Ninety-Seventh Congress, Second Session on S. 2655.

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. Senate Committee on Labor and Human Resources.

Hearings of the Committee on Education and Labor on the proposed Student Loan Assistance Amendments of 1982 are presented. The bill (S. 2655) is designed to provide increased maximum limitations for student loans under Part B of Title IV of the Higher Education Act of 1965 for certain students who lost benefits under the Social Security Act as a…

The Application of Design to Cost and Life Cycle to Aircraft Engines.

DTIC Science & Technology

1980-05-01

appearing in both columns include AGE (common and peculiar), transportation, management, and training. These cost elements are not usually large in...Proc. of install engine X CIP x Spare engine X Spare parts (base/depot) X Depot labor X Base labor X ECPs-mod/retro X X AGE (peculiar/common) X X...introduits de maniere aleatoire dans le cadre j’hypotheses. En outre les moteurs ou les sous-ensembles, compte tenu du suivi de leur age et de leur

Are there differences in the first stage of labor between Black and White women?

PubMed

Tuuli, Methodius G; Odibo, Anthony O; Caughey, Aaron B; Roehl, Kimberly; Macones, George A; Cahill, Alison G

2015-02-01

The objective of this study was to determine whether the duration and progress of the first stage of labor are different in black compared with white women. Retrospective cohort study of labor progress among consecutive black (n = 3,924) and white (n = 921) women with singleton term pregnancies (≥ 37 weeks) who completed the first stage of labor. Duration of labor and progression from 1 cm to the next was estimated using interval-censored regression. Labor duration and progress among black and white women in the entire cohort, and stratified by parity, were compared in multivariable interval-censored regression models. Repeated-measures analysis with 9th-degree polynomial modeling was used to construct average labor curves. There were no significant differences in duration of the first stage of labor in black compared with white women (median, 4-10 cm: 5.1 vs. 4.9 hours [p = 0.43] for nulliparous and 3.5 vs. 3.9 hours [p = 0.84] for multiparous women). Similarly, there were no significant differences in progression in increments of 1 cm. Average labor curves were also not significantly different. Duration and progress of the first stage of labor are identical in black and white women. This suggests similar standards may be applied in the first stage of labor. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Ultrasound cervical length measurement in prediction of labor induction outcome.

PubMed

Kehila, M; Abouda, H S; Sahbi, K; Cheour, H; Chanoufi, M Badis

2016-05-17

Induction of labor is one of the most common procedures in modern obstetrics, with an incidence of approximately 20% of all deliveries. Not all of these inductions result in vaginal delivery; some lead to cesarean sections, either for emergency reasons or for failed induction. That's why, It seems necessary to outline strategies for the improvement of the success rate of induced deliveries. Traditionally, the identification of women in whom labor induction is more likely to be successful is based on the Bishop score. However, several studies have shown it to be subjective, with high variation and a poor predictor of the outcome of labor induction. Transvaginal sonography for cervical measurement can be a more objective criterion in assessing the success of labor induction. Many studies have been done recently to compare cervical measurement and Bishop Score in labor induction.This paper reviewed the literature that evaluated sonographic cervical length measurement to predict induction of labor outcome.

The Uptake of Integrated Perinatal Prevention of Mother-to-Child HIV Transmission Programs in Low- and Middle-Income Countries: A Systematic Review

PubMed Central

Tudor Car, Lorainne; Brusamento, Serena; Elmoniry, Hoda; van Velthoven, Michelle H. M. M. T.; Pape, Utz J.; Welch, Vivian; Tugwell, Peter; Majeed, Azeem; Rudan, Igor; Car, Josip; Atun, Rifat

2013-01-01

Background The objective of this review was to assess the uptake of WHO recommended integrated perinatal prevention of mother-to-child transmission (PMTCT) of HIV interventions in low- and middle-income countries. Methods and Findings We searched 21 databases for observational studies presenting uptake of integrated PMTCT programs in low- and middle-income countries. Forty-one studies on programs implemented between 1997 and 2006, met inclusion criteria. The proportion of women attending antenatal care who were counseled and who were tested was high; 96% (range 30–100%) and 81% (range 26–100%), respectively. However, the overall median proportion of HIV positive women provided with antiretroviral prophylaxis in antenatal care and attending labor ward was 55% (range 22–99%) and 60% (range 19–100%), respectively. The proportion of women with unknown HIV status, tested for HIV at labor ward was 70%. Overall, 79% (range 44–100%) of infants were tested for HIV and 11% (range 3–18%) of them were HIV positive. We designed two PMTCT cascades using studies with outcomes for all perinatal PMTCT interventions which showed that an estimated 22% of all HIV positive women attending antenatal care and 11% of all HIV positive women delivering at labor ward were not notified about their HIV status and did not participate in PMTCT program. Only 17% of HIV positive antenatal care attendees and their infants are known to have taken antiretroviral prophylaxis. Conclusion The existing evidence provides information only about the initial PMTCT programs which were based on the old WHO PMTCT guidelines. The uptake of counseling and HIV testing among pregnant women attending antenatal care was high, but their retention in PMTCT programs was low. The majority of women in the included studies did not receive ARV prophylaxis in antenatal care; nor did they attend labor ward. More studies evaluating the uptake in current PMTCT programs are urgently needed. PMID:23483887

The uptake of integrated perinatal prevention of mother-to-child HIV transmission programs in low- and middle-income countries: a systematic review.

PubMed

Tudor Car, Lorainne; Brusamento, Serena; Elmoniry, Hoda; van Velthoven, Michelle H M M T; Pape, Utz J; Welch, Vivian; Tugwell, Peter; Majeed, Azeem; Rudan, Igor; Car, Josip; Atun, Rifat

2013-01-01

The objective of this review was to assess the uptake of WHO recommended integrated perinatal prevention of mother-to-child transmission (PMTCT) of HIV interventions in low- and middle-income countries. We searched 21 databases for observational studies presenting uptake of integrated PMTCT programs in low- and middle-income countries. Forty-one studies on programs implemented between 1997 and 2006, met inclusion criteria. The proportion of women attending antenatal care who were counseled and who were tested was high; 96% (range 30-100%) and 81% (range 26-100%), respectively. However, the overall median proportion of HIV positive women provided with antiretroviral prophylaxis in antenatal care and attending labor ward was 55% (range 22-99%) and 60% (range 19-100%), respectively. The proportion of women with unknown HIV status, tested for HIV at labor ward was 70%. Overall, 79% (range 44-100%) of infants were tested for HIV and 11% (range 3-18%) of them were HIV positive. We designed two PMTCT cascades using studies with outcomes for all perinatal PMTCT interventions which showed that an estimated 22% of all HIV positive women attending antenatal care and 11% of all HIV positive women delivering at labor ward were not notified about their HIV status and did not participate in PMTCT program. Only 17% of HIV positive antenatal care attendees and their infants are known to have taken antiretroviral prophylaxis. The existing evidence provides information only about the initial PMTCT programs which were based on the old WHO PMTCT guidelines. The uptake of counseling and HIV testing among pregnant women attending antenatal care was high, but their retention in PMTCT programs was low. The majority of women in the included studies did not receive ARV prophylaxis in antenatal care; nor did they attend labor ward. More studies evaluating the uptake in current PMTCT programs are urgently needed.

Korean Emotional Laborers' Job Stressors and Relievers: Focus on Work Conditions and Emotional Labor Properties.

PubMed

Lee, Garam

2015-12-01

The present study aims to investigate job stressors and stress relievers for Korean emotional laborers, specifically focusing on the effects of work conditions and emotional labor properties. Emotional laborers are asked to hide or distort their real emotions in their interaction with clients. They are exposed to high levels of stress in the emotional labor process, which leads to serious mental health risks including burnout, depression, and even suicide impulse. Exploring job stressors and relieving factors would be the first step in seeking alternatives to protect emotional laborers from those mental health risks. Using the third wave data of Korean Working Conditions Survey, logistic regression analysis was conducted for two purposes: to examine the relations of emotional labor and stress, and to find out job stressors and relievers for emotional laborers. The chances of stress arousal are 3.5 times higher for emotional laborers; emotional laborers experience double risk-burden for stress arousal. In addition to general job stressors, emotional laborers need to bear burdens related to emotional labor properties. The effect of social support at the workplace is not significant for stress relief, unlike common assumptions, whereas subjective satisfaction (wage satisfaction and work-life balance) is proven to have relieving effects on emotional laborers' job stress. From the results, the importance of a balanced understanding of emotional labor for establishing effective policies for emotional laborer protection is stressed.

Interface cloning and sharing: Interaction designs for conserving labor and maintaining state across 24X7 sensor operations teams

NASA Astrophysics Data System (ADS)

Ganter, John H.; Reeves, Paul C.

2017-05-01

Processing remote sensing data is the epitome of computation, yet real-time collection systems remain human-labor intensive. Operator labor is consumed by both overhead tasks (cost) and value-added production (benefit). In effect, labor is taxed and then lost. When an operator comes on-shift, they typically duplicate setup work that their teammates have already performed many times. "Pass down" of state information can be difficult if security restrictions require total logouts and blank screens - hours or even days of valuable history and context are lost. As work proceeds, duplicative effort is common because it is typically easier for operators to "do it over" rather than share what others have already done. As we begin a major new system version, we are refactoring the user interface to reduce time and motion losses. Working with users, we are developing "click budgets" to streamline interface use. One basic function is shared clipboards to reduce the use of sticky notes and verbal communication of data strings. We illustrate two additional designs to share work: window copying and window sharing. Copying (technically, shallow or deep object cloning) allows any system user to duplicate a window and configuration for themselves or another to use. Sharing allows a window to have multiple users: shareholders with read-write functionality and viewers with read-only. These solutions would allow windows to persist across multiple shifts, with a rotating cast of shareholders and viewers. Windows thus become durable objects of shared effort and persistent state. While these are low-tech functions, the cumulative labor savings in a 24X7 crew position (525,000 minutes/year spread over multiple individuals) would be significant. New design and implementation is never free and these investments typically do not appeal to government acquisition officers with short-term acquisition-cost concerns rather than a long-term O and M (operations and maintenance) perspective. We share some successes in educating some officers, in collaboration with system users, about the human capital involved in operating the systems they are acquiring.

Pajaro River Basin UVAS - Carnadero Creek, Santa Clara County, California. General Design Memorandum. Phase I. Main Report and Environmental Statement.

DTIC Science & Technology

1981-07-01

hills and nine wineries are located in the study area. Most agricultural land in the study area is irrigated by groundwater. Labor Force and...Vineyards in the hills supply nine wineries located in the study area. Most of the agricultural land in the study area is irrigated by pumped ground water... wineries located in the study area. Some pasture and grain are grown around the fringes of the valley floor. 4.39 There are 60 manufacturing plants in

Implantation of Louisiana Electric Cone Penetrometer System (LECOPS) for design of transportation facilities : executive summary.

DOT National Transportation Integrated Search

1994-03-01

For several decades, the Louisiana Department of Transportation and Development (LDOTD) has been able to rely on an ample supply of labor with appropriate equipment to provide soil design data. Budget cutbacks have forced reduction in personnel and e...

A role for CXCL13 (BCA-1) in pregnancy and intra-amniotic infection/inflammation

PubMed Central

Nhan-Chang, Chia-Ling; Romero, Roberto; Kusanovic, Juan Pedro; Gotsch, Francesca; Edwin, Samuel S.; Erez, Offer; Mittal, Pooja; Kim, Chong Jai; Kim, Mi Jeong; Espinoza, Jimmy; Friel, Lara A.; Vaisbuch, Edi; Than, Nandor Gabor; Mazaki-Tovi, Shali; Hassan, Sonia S.

2011-01-01

Objective CXCL13 is a potent chemokine, produced by mature and recently recruited macrophages to sites of inflammation, which has anti-microbial and anti-angiogenic properties. The purpose of this study was to determine whether CXCL13 is present in maternal serum, umbilical cord blood and amniotic fluid (AF); if AF concentration changes with intra-amniotic infection/inflammation (IAI); and localize the production of CXCL13 in chorio-amniotic membranes and umbilical cord. Study design A cross-sectional study on maternal serum was performed including patients in the following groups: 1) non-pregnant women (n=20); 2) normal pregnant women (n=49); 3) patients at term not in labor (n=30); and 4) patients in spontaneous labor at term (n=29). Umbilical cord blood was collected from term neonates with (n=30) and without labor (n=28). Amniotic fluid was attained from patients in the following groups: 1) midtrimester (n=65); 2) term not in labor (n=22); 3) term in labor (n=47); 4) preterm labor (PTL) with intact membranes leading to term delivery (n=70); and 5) PTL leading to preterm delivery with IAI (n=79) and without IAI (n=60). CXCL13 concentrations were determined by ELISA. Chorio-amniotic membranes and umbilical cords were examined with immunohistochemistry. Non-parametric statistics were used for analysis. Results 1) CXCL13 was present in 100% of serum and cord blood samples, and 99% of AF samples (339/343); 2) Serum CXCL13 concentration was significantly higher in pregnant women when compared to non-pregnant women [median 313.3 pg/mL (IQR: 197.2–646.9) vs. 40.5 pg/mL (IQR: 29.5–93.5), respectively; p<0.001]; 3) Serum CXCL13 concentration decreases with advancing gestational age (Spearman’s rho = −0.424; p<0.001); 4) There were no significant differences in the median serum CXCL13 concentration between women at term with and without labor [371.6 pg/mL (IQR: 194.3–614.3) vs. 235.1 pg/mL (IQR: 182.8–354.7), respectively; p=0.6]; 5) The concentration of CXCL13 in AF did not change with gestational age (p=0.11); 6) Patients with PTL and delivery with IAI had a significantly higher median concentration of CXCL13 than those without IAI [median 513.2 pg/mL (199.7–2505.5) vs 137.3 pg/mL (96.7–209.6), respectively; p<0.001] and those who delivered at term [133.7 pg/mL (97.8–174.8); p<0.001]; 7) Spontaneous labor did not result in a change in the median AF concentration of CXCL13 [labor: 86.9 pg/mL (55.6–152) vs no labor: 77.8 pg/mL (68–98); p=0.75]; 8) CXCL13 was immunolocalized to macrophages in fetal membranes and umbilical vein. Conclusions 1) We report for the first time the presence of CXCL13 in AF; 2) AF CXCL13 concentrations are dramatically increased in intra-amniotic infection/inflammation; 3) Unlike other chemokines, AF and serum CXCL13 concentrations did not change with spontaneous parturition. PMID:19031272

Space Operations for a New Era of Exploration Launch Vehicles

NASA Technical Reports Server (NTRS)

Davis, Daniel J.

2010-01-01

Since 2005, Ares has made substantial progress on designing, developing, and testing the Ares I crew launch vehicle and has continued its in-depth studies of the Ares V cargo launch vehicles. The combined Ares I/Ares V architecture was designed to reduce the complexity and labor intensity of ground operations for America s next journeys beyond low-Earth orbit (LEO). The Ares Projects goal is to instill operability as part of the vehicles requirements development, design, and operations. Since completing the Preliminary Design Review in 2008, work has continued to push the Ares I beyond the concept phase and into full vehicle development, while tackling fresh engineering challenges and performing pathfinding activities related to vehicle manufacturing and ground operations.

Labour Studies Units.

ERIC Educational Resources Information Center

Holmes, Eric; And Others

The nine units highlight the history, activities, values, and aspirations of the Canadian labor force. The program's purpose is to help secondary school social studies students develop a more objective appreciation of labor and of labor's role in Canadian social history. The first unit, "Union Today," analyzes contemporary union activity…

Induction of labor in grand multiparous women with previous cesarean delivery: how safe is this?

PubMed

Chibber, Rachana; Al-Harmi, Jehad; Foda, Mohamed; Mohammed K, Zeinab; Al-Saleh, Eyad; Mohammed, Asiya Tasneem

2015-02-01

To compare the outcome of induced and spontaneous labor in grand multiparous women with one previous lower segment cesarean section (CS), so that the safety of labor induction could be assessed. In 102 women (study group), labor was induced and the outcome was compared with 280 women (control group) who went into spontaneous labor. All 382 women were grand multiparous and had one previous CS. There were no significant difference in oxytocin augmentation, CS, scar dehiscence, fetal birth weight or apgar scores between groups. There was one neonatal death, two still births, one early neonatal death and one congenital malformation in the study group and this was not significant. There was no significant difference in vaginal birth in the study (80.9%) and the control group (83.8%). In this moderate-sized study, induction of labor may be a safe option in grand multiparous women, if there is no absolute induction for repeating CS.

An economic model of the benefits of professional doula labor support in Wisconsin births.

PubMed

Chapple, Will; Gilliland, Amy; Li, Dongmei; Shier, Emily; Wright, Emily

2013-04-01

The purpose of this study is to estimate the immediate cost savings per delivery with in-hospital professional doula labor support in Wisconsin. This is the first study that calculates the estimated cost savings of professional doula labor support specific to Wisconsin. This analysis used results presented in and derived from the Cochrane Review of continuous labor support to estimate procedure reduction and cost savings in Wisconsin using birth statistics from 2010. The delivery outcomes included were cesarean deliveries, instrumental deliveries, and regional analgesia use. To accurately reflect published studies on labor support, only low-risk deliveries were used for intervention reduction calculations. For 2010 data, estimated savings of 28,997,754.80 dollars could have been achieved if every low-risk birth were attended in-hospital by a professional doula. A professional doula providing only in-hospital labor support would yield an estimated cost savings of 424.14 dollars per delivery or 530.89 dollars per low-risk delivery. A system-based change in how laboring mothers are supported would be an innovative step that would put Wisconsin at the forefront of cost-effective health care, reducing interventions while improving outcomes. It is recommended that Wisconsin insurers consider reimbursing for professional doula labor support. It is also recommended that pilot programs be implemented in Wisconsin that can better assess the implementation of professional doula labor support services.

Welfare Reform and Labor Force Exit by Young, Low-Skilled Single Males.

PubMed

Groves, Lincoln H

2016-04-01

While the labor market woes of low-skilled male workers in the United States over the past several decades have been well documented, the academic literature identifying causal factors leading to declines in labor force participation (LFP) by young, low-skilled males remains scant. To address this gap, I use the timing and characteristics of welfare-reform policies implemented during the 1990s and fixed-effects, instrumental variable regression modeling to show that policies seeking to increase LFP rates for low-skilled single mothers inadvertently led to labor force exit by young, low-skilled single males. Using data from the Current Population Survey and a bundle of work inducements enacted by states throughout the 1990s as exogenous variation in a quasi-experimental design, I find that the roughly 10 percentage point increase in LFP for low-skilled single mothers facilitated by welfare reform resulted in a statistically significant 2.8 percentage point decline in LFP for young, low-skilled single males. After conducting a series of robustness checks, I conclude that this result is driven entirely by white males, who responded to welfare-reform policies with a 3.7 percentage point decline in labor supply. Young black males, as well as other groups of potentially affected workers, appear to be uninfluenced by the labor supply response of less-educated single mothers to welfare reform. Impacts on young, single white males are large and economically significant, suggesting that nearly 150,000 males departed the formal labor market in response to directed welfare-reform policies.

Attachment styles, pain, and the consumption of analgesics during labor: a prospective observational study.

PubMed

Costa-Martins, José Manuel; Pereira, Marco; Martins, Henriqueta; Moura-Ramos, Mariana; Coelho, Rui; Tavares, Jorge

2014-03-01

Individuals with less secure attachment styles have been shown to experience more pain than people with more secure attachment styles; however, attachment styles have not yet been examined in the context of labor pain and analgesic consumption. The purpose of this prospective observational study was to assess the influence of the mother's attachment style on the perception of labor pain, as assessed by a visual analog scale and analgesic consumption. Eighty-one pregnant women with a mean age of 32 years (standard deviation = 5.1) were assessed during the third trimester of pregnancy and during labor. The physical predictors of labor pain were recorded, and the adult attachment style was assessed with the Adult Attachment Scale-Revised. For labor analgesia, a low dose of patient-controlled epidural analgesia protocol (ropivacaine .6 mg/mL plus sufentanil .5 μg/mL) was used. Women with a secure attachment style reported significantly less labor pain (P < .001) and a significantly lower analgesic consumption during labor (P < .001) than insecurely attached women. These findings suggest that women's attachment style was associated with labor pain and analgesic consumption and support the relevance of the attachment theory as a promising conceptual framework for understanding labor pain. This study showed that women with an insecure attachment style were more likely to report higher pain before patient-controlled epidural analgesia and higher analgesic consumption and to request supplemental analgesia during labor. The assessment of adult attachment has the potential to identify women at high risk of poorly coping with pain during childbirth. Copyright © 2014 American Pain Society. Published by Elsevier Inc. All rights reserved.

A randomized, double-blinded, controlled trial of the effects of fluid rate and/or presence of dextrose in intravenous fluids on the labor course of nulliparas.

PubMed

Fong, Alex; Serra, Allison E; Caballero, Deysi; Garite, Thomas J; Shrivastava, Vineet K

2017-08-01

Prolonged labor has been demonstrated to increase adverse maternal and neonatal outcome. A practice that may decrease the risk of prolonged labor is the modification of fluid intake during labor. Several studies demonstrated that increased hydration in labor as well as addition of dextrose-containing fluids may be associated with a decrease in length of labor. The purpose of our study was to characterize whether high-dose intravenous fluids, standard-dose fluids with dextrose, or high-dose fluids with dextrose show a difference in the duration of labor in nulliparas. Nulliparous subjects with singletons who presented in active labor were randomized to 1 of 3 groups of intravenous fluids: 250 mL/h of normal saline, 125 mL/h of 5% dextrose in normal saline, or 250 mL/h of 2.5% dextrose in normal saline. The primary outcome was total length of labor from initiation of intravenous fluid in vaginally delivered subjects. Secondary outcomes included cesarean delivery rate and length of second stage of labor, among other maternal and neonatal outcomes. In all, 274 subjects who met inclusion criteria were enrolled. There were no differences in baseline characteristics among the 3 groups. There was no difference in the primary outcome of total length of labor in vaginally delivered subjects among the 3 groups. First stage of labor duration, second stage of labor duration, and cesarean delivery rates were also equivalent. There were no differences identified in other secondary outcomes including clinical chorioamnionitis, postpartum hemorrhage, blood loss, Apgar scores, or neonatal intensive care admission. There is no difference in length of labor or delivery outcomes when comparing high-dose intravenous fluids, addition of dextrose, or use of high-dose intravenous fluids with dextrose in nulliparous women who present in active labor. Copyright © 2017 Elsevier Inc. All rights reserved.

Using in situ simulation to identify and resolve latent environmental threats to patient safety: case study involving operational changes in a labor and delivery ward.

PubMed

Hamman, William R; Beaudin-Seiler, Beth M; Beaubien, Jeffrey M; Gullickson, Amy M; Orizondo-Korotko, Krystyna; Gross, Amy C; Fuqua, Wayne; Lammers, Richard

2010-01-01

Since the publication of "To Err Is Human" in 1999, health care professionals have looked to high-reliability industries such as aviation for guidance on improving system safety. One of the most widely adopted aviation-derived approaches is simulation-based team training, also known as crew resource management training. In the health care domain, crew resource management training often takes place in custom-built simulation laboratories that are designed to replicate operating rooms or labor and delivery rooms. Unlike these traditional crew resource management training programs, "in situ simulation" occurs on actual patient care units, involves actual health care team members, and uses actual organization processes to train and assess team performance. During the past 24 months, our research team has conducted nearly 40 in situ simulations. In this article, we present the results from 1 such simulation: a patient who experienced a difficult labor that resulted in an emergency caesarian section and hysterectomy. During the simulation, a number of latent environmental threats to safety were identified. This article presents the latent threats and the steps that the hospital has taken to remedy them.

Facilitators and barriers of independent decisions by midwives during labor and birth.

PubMed

Everly, Marcee C

2012-01-01

The purpose of this study was to explore the factors that affect labor management decisions of midwives in hospitals and freestanding birth centers. A qualitative study was conducted using one-on-one tape recorded interviews of midwives who had experience managing labor and birth in both hospitals and freestanding birth centers. Ten interviews consisting of several open-ended questions were conducted, coded, and analyzed in a stepwise fashion to identify codes, categories, and themes. Seven participants reviewed the final framework and confirmed credibility and trustworthiness. Four overall themes were identified: trust birth, the woman, the environment, and the labor team. When making labor management decisions, midwives are affected by their trust in birth, the woman, the health care team, and the birth environment. Midwives report more resistance when making labor management decisions in hospitals. The findings of this study provide insight into both the decision making of midwives and how factors in different environments, in this case hospitals and freestanding birth centers, influence the ability of midwives to make independent labor management decisions. © 2011 by the American College of Nurse-Midwives.

[Active management of labor].

PubMed

Ruiz Ortiz, E; Villalobos Román, M; Flores Murrieta, G; Sotomayor Alvarado, L

1991-01-01

Eighty three primigravidae patients at the end of latency labor, erased cervix, 3 cm dilation, vertex presentation and adequate pelvis, were studied. Two groups were formed: 53 patients in the study group, who received active management of labor, and 30 patients in the control group, treated in the traditional way. In all the patients a graphic recording of labor, was carried out; it included all the events, and as labor advanced, a signoidal curve of cervical dilatation, was registered, as well as the hyperbolic one for presentation descent. The study group received the method in a systematized manner, as follows: 1. Peridular block. 2. Amniotomy. 3. IV oxytocin one hour after amniotomy. 4. FCR monitoring. 5. Detection of dystocia origin. Materno-fetal morbidity was registered in both groups, as well as cesarean section rate, instrumental delivery and its indications, labor duration, and time of stay in labor room. Diminution of above intems and opportune detection of dystocia, were determined. It was concluded that a constructive action plan, starting at hospital admission in most healthy women, allows a normal delivery of brief duration.

The Computer Aided Aircraft-design Package (CAAP)

NASA Technical Reports Server (NTRS)

Yalif, Guy U.

1994-01-01

The preliminary design of an aircraft is a complex, labor-intensive, and creative process. Since the 1970's, many computer programs have been written to help automate preliminary airplane design. Time and resource analyses have identified, 'a substantial decrease in project duration with the introduction of an automated design capability'. Proof-of-concept studies have been completed which establish 'a foundation for a computer-based airframe design capability', Unfortunately, today's design codes exist in many different languages on many, often expensive, hardware platforms. Through the use of a module-based system architecture, the Computer aided Aircraft-design Package (CAAP) will eventually bring together many of the most useful features of existing programs. Through the use of an expert system, it will add an additional feature that could be described as indispensable to entry level engineers and students: the incorporation of 'expert' knowledge into the automated design process.

Quantitative comparison of entropy analysis of fetal heart rate variability related to the different stages of labor.

PubMed

Lim, Jongil; Kwon, Ji Young; Song, Juhee; Choi, Hosoon; Shin, Jong Chul; Park, In Yang

2014-02-01

The interpretation of the fetal heart rate (FHR) signal considering labor progression may improve perinatal morbidity and mortality. However, there have been few studies that evaluate the fetus in each labor stage quantitatively. To evaluate whether the entropy indices of FHR are different according to labor progression. A retrospective comparative study of FHR recordings in three groups: 280 recordings in the second stage of labor before vaginal delivery, 31 recordings in the first stage of labor before emergency cesarean delivery, and 23 recordings in the pre-labor before elective cesarean delivery. The stored FHR recordings of external cardiotocography during labor. Approximate entropy (ApEn) and sample entropy (SampEn) for the final 2000 RR intervals. The median ApEn and SampEn for the 2000 RR intervals showed the lowest values in the second stage of labor, followed by the emergency cesarean group and the elective cesarean group for all time segments (all P<0.001). Also, in the second stage of labor, the final 5 min of 2000 RR intervals had a significantly lower median ApEn (0.49 vs. 0.44, P=0.001) and lower median SampEn (0.34 vs. 0.29, P<0.001) than the initial 5 min of 2000 RR intervals. Entropy indices of FHR were significantly different according to labor progression. This result supports the necessity of considering labor progression when developing intrapartum fetal monitoring using the entropy indices of FHR. Copyright © 2013 Elsevier Ltd. All rights reserved.

PROMOTE Study: Safety of Osteopathic Manipulative Treatment During the Third Trimester by Labor and Delivery Outcomes.

PubMed

Hensel, Kendi L; Roane, Brandy M; Chaphekar, Anita Vikas; Smith-Barbaro, Peggy

2016-11-01

Few quality data exist on the safety of osteopathic manipulative treatment (OMT) during pregnancy. The Pregnancy Research on Osteopathic Manipulation Optimizing Treatment Effects (PROMOTE) study was a randomized controlled clinical trial that studied the application of an OMT protocol to manage pain and dysfunction in pregnant patients during their third trimester. To evaluate the safety of an OMT protocol applied during the third trimester of pregnancy by analyzing incidence of high-risk status and labor and delivery outcomes. In the PROMOTE study, 400 pregnant patients were randomly assigned to 1 of 3 study groups: usual care plus OMT (OMT), usual care plus placebo ultrasound treatment (PUT), or usual care only (UCO). The incidence of high-risk status of participants and outcomes of labor and delivery, including length of labor, fever in mother during labor, operative vaginal delivery, conversion to cesarean delivery, need for forceps or vacuum device, need for episiotomy, incidence of perineal laceration, meconium-stained amniotic fluid, and infants' Apgar scores, were analyzed. Data from 380 participants were studied. High-risk status was less likely to develop in participants who received OMT (95% CI, 0.16-0.91; P=.03). The OMT protocol also did not increase risk of precipitous labor, operative vaginal delivery, conversion to cesarean delivery, need for forceps or vacuum device, need for episiotomy, incidence of perineal laceration, or meconium-stained amniotic fluid when compared with participants in the other 2 groups (P>.05). Of all other maternal outcomes examined, no difference was reported among the 3 treatment groups with the exception of incidence of prolonged labor in the OMT group. Participants receiving OMT had longer durations of labor than participants in the other groups (P=.002). These results suggest that the OMT protocol given during the third trimester of pregnancy as applied in the PROMOTE study is safe with regard to labor and delivery outcomes. The increased duration in labor in the OMT group needs further study. (ClinicalTrials.gov number NCT00426244).

Child Labor and School Attendance in Kenya

ERIC Educational Resources Information Center

Moyi, Peter

2011-01-01

Sub-Saharan Africa has the highest incidence of child labor in the world and estimates show that it continues to grow. This paper examines the causes and magnitude of child labor in Kenya. Unlike previous studies that examined child labor as only an economic activity, this paper includes household chores. Including household chores is important…

The Effect of Income Taxation on Labor Supply in the United States.

ERIC Educational Resources Information Center

Triest, Robert K.

1990-01-01

A study used an econometric model to examine the effect of income taxation on labor supply of married women and men. Male labor supply was found to be relatively invariant to income. Impact on married women depended upon the method used to estimate the labor supply function. (SK)

Fear during labor: the impact of sexual abuse in adult life.

PubMed

Eberhard-Gran, Malin; Slinning, Kari; Eskild, Anne

2008-12-01

Our aim was to study the occurrence of extreme fear during labor and its association with previous sexual abuse in adult life. All postpartum women (n = 414) in two municipalities in Norway participated in a questionnaire study. Self-reported fear during labor was categorized as "no fear/some fear/extreme fear". Sexual abuse was measured by the Abuse Assessment Screen (AAS). Three percent of the women reported extreme fear during labor, 13% some fear and 84% no fear. In total, 12% had been sexually abused as an adult. Among the women with extreme fear during labor, however, one third had a history of sexual abuse in adult life (crude odds ratio 3.7; 95% CI: 1.0-3.7). When controlling for depression in pregnancy, duration of labor and mode of delivery, the adjusted odds ratio for extreme fear during labor was 4.9 (95% CI: 1.2-19.1). The results suggest that women with a history of sexual abuse in adult life have an increased risk of extreme fear during labor.

Novel Composites for Wing and Fuselage Applications. Task 1; Novel Wing Design Concepts

NASA Technical Reports Server (NTRS)

Suarez, J. A.; Buttitta, C.; Flanagan, G.; DeSilva, T.; Egensteiner, W.; Bruno, J.; Mahon, J.; Rutkowski, C.; Collins, R.; Fidnarick, R.;

Africans and the myth of rural retirement in South Africa, ca 1900-1950.

PubMed

MacKinnon, Aran S

2008-06-01

The South African mining industry relied upon a massive African migrant workforce from the rural areas. Rural transformations in this migrant labor system form an important part of the story of developing capitalism in industrializing South Africa. Yet, recent historical studies on southern African migrant and rural wage labor have paid little attention to life adjustments made by the elderly and those 'burned out' by the mines and forced to leave formal wage employment in the urban areas. The South African segregationist state's rhetoric implied that 'retired' Africans could find economic security in their designated rural reserves. Indeed, legislation sought to prohibit Africans who were not employed from remaining in the 'white' urban areas. By the 1930s, however, the reserves were rapidly deteriorating. Many elderly Africans could not retire and were forced to seek wage labor. This raises significant questions about how retirement came to be defined and experienced by Africans in South Africa during a critical period of dramatic economic decline in the 1930s and 40s, and what the underlying material circumstances of African South Africans were with regard to adaptations to employment and ageing-related life changes. In many cases, elderly Africans were forced to forgo retirement, and find wage labor, usually in the most poorly paid, least sought-after or dangerous fields of employment. This article thus seeks to illuminate critical generational dimensions of the impact of segregation and racism in South Africa prior to the formal articulation of Apartheid.

Antenatal education and the birthing experience of Brazilian women: a qualitative study

PubMed Central

2013-01-01

Background Information is still scarce on the birthing experience of women who participate in antenatal systematic education programs. The objective of the study was to report the experience of labor as described by nulliparous women who participated and who did not in a systematic Birth Preparation Program (BPP). Method A qualitative study was conducted with eleven women who participated in a BPP and ten women attending routine prenatal care selected through purposeful sampling. The BPP consisted of systematized antenatal group meetings structured to provide physical exercise and information on pain prevention during pregnancy, the role of the pelvic floor muscles, the physiology of labor, and pain relief techniques. A single, semi-structured interview was conducted with each participant. All interviews were recorded, transcribed verbatim and thematic analyses performed. The relevant themes were organized in the following categories of analysis: control of labor, positions adopted during labor, and satisfaction with labor. Results Women who participated in the systematic educational activities of the BPP reported they maintained self-control during labor and used breathing exercises, exercises on the ball, massage, baths and vertical positions to control pain. Also they reported satisfaction with their birthing experience. Women who did not participate in systematic educational activities referred to difficulties in maintaining control during labor and almost half of them reported lack of control. Also they were more likely to report dissatisfaction with labor. Conclusions Women who participated in the BPP reported self-control during labor and used non-pharmacological techniques to control pain and facilitate labor and expressed satisfaction with the birthing experience. PMID:24007540

The Effectiveness of Hypnosis Intervention for Labor: An Experimental Study.

PubMed

Beevi, Zuhrah; Low, Wah Yun; Hassan, Jamiyah

2017-10-01

Hypnosis has been shown to help pregnant women experience improved labor and postpartum periods. The present study compares the differences between experimental (n = 23) and control groups (n = 22) on specific variables measured both during labor and 24 hr postpartum. The participants in the experimental group received the hypnosis intervention at weeks 16, 20, 28, and 36 of pregnancy, while those in the control group received only routine antenatal care. The data collected at the labor stage describe the length of the labor stage, pain relief used during labor, the method of delivery, and the type of assisted vaginal delivery. Within 24 hr of delivery, data on neonatal birth weight, neonatal Apgar scores, and self-reported pain were obtained. The labor stage results showed no significant differences in the length of the second and third stages of labor. Although the participants in the experimental group reported higher pain levels immediately prior to, during, and immediately after delivery, their use of pethidine during labor was significantly lower than the control group participants. None of the experimental group participants opted for an epidural, and they had a greater number of assisted vaginal deliveries than the control group participants. The 24 hr postpartum results showed that the neonates of the experimental group participants had nonsignificantly higher Apgar scores than those of the women in the control group. Group differences in neonatal weight were not significant. The results of the present study indicate that hypnosis is useful for assisting pregnant women during labor and the postpartum period.

Korean Emotional Laborers' Job Stressors and Relievers: Focus on Work Conditions and Emotional Labor Properties

PubMed Central

Lee, Garam

2015-01-01

Background The present study aims to investigate job stressors and stress relievers for Korean emotional laborers, specifically focusing on the effects of work conditions and emotional labor properties. Emotional laborers are asked to hide or distort their real emotions in their interaction with clients. They are exposed to high levels of stress in the emotional labor process, which leads to serious mental health risks including burnout, depression, and even suicide impulse. Exploring job stressors and relieving factors would be the first step in seeking alternatives to protect emotional laborers from those mental health risks. Methods Using the third wave data of Korean Working Conditions Survey, logistic regression analysis was conducted for two purposes: to examine the relations of emotional labor and stress, and to find out job stressors and relievers for emotional laborers. Results The chances of stress arousal are 3.5 times higher for emotional laborers; emotional laborers experience double risk-burden for stress arousal. In addition to general job stressors, emotional laborers need to bear burdens related to emotional labor properties. The effect of social support at the workplace is not significant for stress relief, unlike common assumptions, whereas subjective satisfaction (wage satisfaction and work-life balance) is proven to have relieving effects on emotional laborers' job stress. Conclusion From the results, the importance of a balanced understanding of emotional labor for establishing effective policies for emotional laborer protection is stressed. PMID:26929847

The best encouraging persons in labor: A content analysis of Iranian mothers' experiences of labor support

PubMed Central

Fathi Najafi, Tahereh; Latifnejad Roudsari, Robab; Ebrahimipour, Hossein

2017-01-01

Background and aims The process of giving birth is very stressing for the mother. Meanwhile, maternity ward staff’s lack of awareness of mothers’ fears make mothers feel lonely and helpless. This study aimed to explore women’s perceptions of labor support during vaginal delivery. Materials and methods This exploratory qualitative study used qualitative content analysis to explore Iranian mothers’ experiences of labor support. Data were collected using observations and semi-structured interviews with 25 individuals. The participants were recruited through a purposive sampling method. Results Three categories, including “involvement of the spouse in the labor process”, “asking for a companion during labor”, and “mother’s self-care to cope with labor pain”, emerged during data analysis. These categories were merged to form the main theme of “trying to comply with the labor process”. Conclusion Women believed that the presence of a companion, e.g. their husband, a family member, or a doula, during labor helped them better deal with the labor process, particularly when they felt lonely. Health care providers are expected to consider the needs of mothers and try to provide holistic support for mothers during labor pain. Implications for practice It seems that some mothers adopted particular coping strategies without receiving any relevant training. It is noteworthy that although mothers may make every effort to minimize their pain, health professionals should also practice medical approaches to help them through the process of labor. PMID:28683112

30 CFR 33.6 - Application procedures and requirements.

Code of Federal Regulations, 2010 CFR

2010-07-01

.... Department of Labor, Mine Safety and Health Administration, Approval and Certification Center, 765 Technology... the electrical parts of units designed to operate as face equipment (see § 33.38) in accordance with... combination unit that includes electrical parts, and is designed to operate as electric face equipment, as...

The Domains for the Multi-Criteria Decisions about E-Learning Systems

ERIC Educational Resources Information Center

Uysal, Murat Pasa

2012-01-01

Developments in computer and information technologies continue to give opportunities for designing advanced E-learning systems while entailing objective and technical evaluation methodologies. Design and development of E-learning systems require time-consuming and labor-intensive processes; therefore any decision about these systems and their…

30 CFR 33.20 - Design and construction.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Design and construction. 33.20 Section 33.20 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS DUST COLLECTORS FOR USE IN CONNECTION WITH ROCK DRILLING IN COAL MINES Dust...

30 CFR 33.20 - Design and construction.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Design and construction. 33.20 Section 33.20 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS DUST COLLECTORS FOR USE IN CONNECTION WITH ROCK DRILLING IN COAL MINES Dust...

30 CFR 33.20 - Design and construction.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Design and construction. 33.20 Section 33.20 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS DUST COLLECTORS FOR USE IN CONNECTION WITH ROCK DRILLING IN COAL MINES Dust...

30 CFR 33.20 - Design and construction.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Design and construction. 33.20 Section 33.20 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS DUST COLLECTORS FOR USE IN CONNECTION WITH ROCK DRILLING IN COAL MINES Dust...

30 CFR 33.20 - Design and construction.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Design and construction. 33.20 Section 33.20 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS DUST COLLECTORS FOR USE IN CONNECTION WITH ROCK DRILLING IN COAL MINES Dust...

30 CFR 56.12041 - Design of switches and starting boxes.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Design of switches and starting boxes. 56.12041 Section 56.12041 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-SURFACE METAL AND NONMETAL MINES Electricity...

30 CFR 56.12041 - Design of switches and starting boxes.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Design of switches and starting boxes. 56.12041 Section 56.12041 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-SURFACE METAL AND NONMETAL MINES Electricity...

30 CFR 56.12041 - Design of switches and starting boxes.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Design of switches and starting boxes. 56.12041 Section 56.12041 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-SURFACE METAL AND NONMETAL MINES Electricity...

30 CFR 56.12041 - Design of switches and starting boxes.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Design of switches and starting boxes. 56.12041 Section 56.12041 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-SURFACE METAL AND NONMETAL MINES Electricity...

30 CFR 56.12041 - Design of switches and starting boxes.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Design of switches and starting boxes. 56.12041 Section 56.12041 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-SURFACE METAL AND NONMETAL MINES Electricity...

30 CFR 22.11 - Instructions on handling future changes in design.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Instructions on handling future changes in design. 22.11 Section 22.11 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS PORTABLE METHANE DETECTORS § 22.11 Instructions on...

20 CFR 628.405 - Service delivery areas.

Code of Federal Regulations, 2010 CFR

2010-04-01

... serves a substantial portion of a labor market area. In making such designations, the Governor shall...)(A) of the Act, and making any qualified discretionary designations under section 101(a)(4)(B) of the..., Washington, DC 20210, Attention: ASET. A copy of the appeal shall simultaneously be provided to the Governor...

The Blueprint for Life/Work Designs.

ERIC Educational Resources Information Center

Jarvis, Phil; Richardt, Joan

The "Blueprint" is a common framework of career development competencies that students and adults anywhere in Canada or the United States need to master in order to be successful and self-reliant in planning and managing their careers in a rapidly changing, knowledge-age labor market. A practical resource designed for career…

School Food Service -- Three Points of View.

ERIC Educational Resources Information Center

Flambert, Richard

A food-systems consultant and designer advises school districts that want prosperous food service programs to adopt big-business methods. Successful commercial operations hire top food-service consultants and designers to get the most from their space, equipment, and labor. Commercial enterprises are concerned with efficient utilization of plant…

Managerial Occupations; Commercial Cooking and Baking: 9193.24.

ERIC Educational Resources Information Center

Dade County Public Schools, Miami, FL.

Especially designed for students who show management potential, this course is designed to teach effective management and control of the food service area of an establishment. Emphasis is placed on labor control, supplies (other than food), utilities, laundry, and uniforms. Course content includes goals, specific objectives, management, labor…

29 CFR Appendix A to Part 4050 - Examples of Designated Benefit Determinations for Missing Participants Under § 4050.5 in Plans...

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 9 2011-07-01 2011-07-01 false Examples of Designated Benefit Determinations for Missing... PLAN TERMINATIONS MISSING PARTICIPANTS Pt. 4050, App. A Appendix A to Part 4050—Examples of Designated Benefit Determinations for Missing Participants Under § 4050.5 in Plans With Deemed Distribution Dates on...

29 CFR Appendix A to Part 4050 - Examples of Designated Benefit Determinations for Missing Participants Under § 4050.5 in Plans...

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 9 2014-07-01 2014-07-01 false Examples of Designated Benefit Determinations for Missing... PLAN TERMINATIONS MISSING PARTICIPANTS Pt. 4050, App. A Appendix A to Part 4050—Examples of Designated Benefit Determinations for Missing Participants Under § 4050.5 in Plans With Deemed Distribution Dates on...

29 CFR Appendix A to Part 4050 - Examples of Designated Benefit Determinations for Missing Participants Under § 4050.5 in Plans...

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 9 2012-07-01 2012-07-01 false Examples of Designated Benefit Determinations for Missing... PLAN TERMINATIONS MISSING PARTICIPANTS Pt. 4050, App. A Appendix A to Part 4050—Examples of Designated Benefit Determinations for Missing Participants Under § 4050.5 in Plans With Deemed Distribution Dates on...

29 CFR Appendix A to Part 4050 - Examples of Designated Benefit Determinations for Missing Participants Under § 4050.5 in Plans...

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 9 2013-07-01 2013-07-01 false Examples of Designated Benefit Determinations for Missing... PLAN TERMINATIONS MISSING PARTICIPANTS Pt. 4050, App. A Appendix A to Part 4050—Examples of Designated Benefit Determinations for Missing Participants Under § 4050.5 in Plans With Deemed Distribution Dates on...

Efficacy of aromatherapy for reducing pain during labor: a randomized controlled trial.

PubMed

Tanvisut, Rajavadi; Traisrisilp, Kuntharee; Tongsong, Theera

2018-05-01

Many strategies for labor pain management have been studied, including aromatherapy, which is a noninvasive, alternative medicine used as an adjunct for labor pain control. Nevertheless, the results were contradictory. Therefore, we conducted this study to determine the effectiveness of aromatherapy for reducing pain during labor. A randomized controlled trial was carried out on Thai laboring primigravidae who were a low-risk singleton pregnancy undergoing vaginal delivery. All participants, both study and control group, received standard obstetric care. Aromatherapy was only provided to the study group during the first stage of labor. The women rated their pain intensity by rating scales at different stages of labor. The primary outcome was pain scores and the secondary outcomes were necessity of painkiller usage, labor time, aromatherapy-associated complications, route of delivery, and Apgar scores. A total of 104 women were recruited, 52 in each group. Baseline characteristics and baseline pain scores were comparable. The median pain score of latent and early active phase was lower in the aromatherapy group, 5 vs 6 and 7 vs 8, respectively. The mean differences of pain scores between latent and early active phase and the baseline were significantly lower in the aromatherapy group, 1.88 vs 2.6 (p = 0.010) and 3.82 vs 4.39 (p = 0.031), respectively. Late active phase pain scores and other perinatal outcomes were not significantly different. Aromatherapy is helpful in reducing pain in latent and early active phase, and can probably be used as an adjunctive method for labor pain control without serious side effects.

The Effects of Intrapartum Supportive Care on Fear of Delivery and Labor Outcomes: A Single-Blind Randomized Controlled Trial.

PubMed

İsbir, Gözde Gökçe; Serçekuş, Pinar

2017-04-01

Supportive care during labor, the primary role of intrapartum nurses and midwives, provides comfort to prepartum women and helps facilitate a positive labor experience. It has been argued that supportive care during labor reduces fear and anxiety as well as the resultant side effects. However, evidence supporting this argument is insufficient. The aim of this study was to assess the effects of intrapartum supportive care on fear of delivery and on the key parameters of the labor process. This study used a single-blind randomized controlled trial approach. Randomized block assignment was used to assign 72 participants to either the intervention group (n = 36) or the control group (n = 36). Three women in the intervention group and six in the control group were later excluded from the study because they received emergency cesarean delivery. The intervention group received continuous supportive care, and the control group received routine hospital care. No significant differences were identified between the two groups at baseline. The intervention group reported less fear of delivery during the active and transient phases of labor, higher perceived support and control during delivery, lower pain scores during the transient phase of labor, and a shorter delivery period than the control group (p < .05). However, no significant difference in the use of oxytocin during delivery between the two groups was reported. The results of this evidence-based study suggest that continuous support during labor has clinically meaningful benefits for women and that all women should receive this support throughout their labor and delivery process.

Effects of Job Burnout and Emotional Labor on Objective Structured Clinical Examination Performance Among Interns and Residents in Taiwan.

PubMed

Wang, Chen-Yu; Chen, Jen-De; Wang, Chih-Hung; Wang, Jong-Yi; Tai, Chih-Jaan; Hsieh, Tsu-Yi; Chen, Der-Yuan

2017-01-01

Medical education faces challenges concerning job burnout and emotional labor among junior physicians, which poses a potential threat to the quality of medical care. Although studies have investigated job burnout and emotional labor among physicians, empirical research on the association between job burnout, emotional labor, and clinical performance is lacking. This study investigated the effects of job burnout and emotional labor on clinical performance by using the objective structured clinical examination (OSCE) scores of interns and residents. Specifically, this cross-sectional study utilized the Maslach Burnout Inventory and the Emotional Labor Questionnaire as measurement instruments. A total of 225 interns and residents in central Taiwan answered structured questionnaires before beginning their OSCE. The major statistical analysis method employed was logistic regression. After adjustment for covariates, first-year residents were less likely than other residents to obtain high OSCE scores. The odds of high OSCE performance among interns and residents with high interaction component scores in emotional labor were significantly higher than those with low interaction scores. A high score in the interaction dimension of emotional labor was associated with strong clinical performance. The findings suggest that interventions which motivate positive attitudes and increase interpersonal interaction skills among physicians should receive higher priority.

Farm Labor Research Bibliography. California Agricultural Studies, 91-4.

ERIC Educational Resources Information Center

Brown, Cheryl L.; And Others

This annotated bibliography is a printed version of the automated bibliography available through the Labor Market Division of the California State Department of Employment Development. The database focuses on farm labor issues and includes 1,611 sources of information including bibliographies, research studies, trade journals, and books published…

Labor and the Schools.

ERIC Educational Resources Information Center

American Federation of Labor and Congress of Industrial Organizations, Washington, DC.

Recent studies confirm that organized labor's role in society does not get fair treatment in the social studies and American history courses of the nation's schools. The report covers the first stage of AFL-CIO efforts in dealing with this problem, bringing together concerned persons in labor and education. Following the opening of the conference…

Effect of Transcranial Direct Current Stimulation of the Medial Prefrontal Cortex on the Gratitude of Individuals with Heterogeneous Ability in an Experimental Labor Market

PubMed Central

Wang, Pengcheng; Wang, Guangrong; Niu, Xiaofei; Shang, Huiliang; Li, Jianbiao

2017-01-01

Gratitude is an important aspect of human sociality, which benefits mental health and interpersonal relationships. Thus, elucidating the neural mechanism of gratitude, which is only now beginning to be investigated, is important. To this end, this study specifies the medial prefrontal cortex (mPFC) involved in the gratitude of heterogeneous individuals using the transcranial direct current stimulation (tDCS) technique. Previous neural studies have shown the involvement of mPFC in social cognition and value evaluation, which are closely related to gratitude. However, the causal relationship between this neural area and gratitude has not been fully examined and the effect of individual social heterogeneity has been ignored. Meanwhile, behavioral economics studies have proposed that the abilities of employees in the labor market would affect their gratitude and emotional response. Thus, we designed an experiment based on gift exchange game to investigate the relationship between mPFC and gratitude of heterogeneous employees. Before the experiment, participants were asked to perform self-cognition of their abilities through an appropriately difficult task. We then used the effort of participants to imply their gratitude and analyzed the effort levels of employees with different abilities under anodal, cathodal, and sham stimulations. The results showed that employees under anodal stimulation were significantly likely to increase their effort than those under sham stimulation, and employees under cathodal stimulation ranked at the bottom of the list. Moreover, the effort levels of low-ability employees were obviously higher than those of high-ability employees. The cathodal stimulation of mPFC significantly reduced the effort levels of low-ability employees, whereas its anodal tDCS stimulation increased the effort levels of high-ability employees. These outcomes verify the relationship between mPFC and gratitude using tDCS and provided one of the first instances of neural evidence for the incentive mechanism design in the labor market to a certain extent. PMID:29209179

Effect of Transcranial Direct Current Stimulation of the Medial Prefrontal Cortex on the Gratitude of Individuals with Heterogeneous Ability in an Experimental Labor Market.

PubMed

Wang, Pengcheng; Wang, Guangrong; Niu, Xiaofei; Shang, Huiliang; Li, Jianbiao

2017-01-01

Gratitude is an important aspect of human sociality, which benefits mental health and interpersonal relationships. Thus, elucidating the neural mechanism of gratitude, which is only now beginning to be investigated, is important. To this end, this study specifies the medial prefrontal cortex (mPFC) involved in the gratitude of heterogeneous individuals using the transcranial direct current stimulation (tDCS) technique. Previous neural studies have shown the involvement of mPFC in social cognition and value evaluation, which are closely related to gratitude. However, the causal relationship between this neural area and gratitude has not been fully examined and the effect of individual social heterogeneity has been ignored. Meanwhile, behavioral economics studies have proposed that the abilities of employees in the labor market would affect their gratitude and emotional response. Thus, we designed an experiment based on gift exchange game to investigate the relationship between mPFC and gratitude of heterogeneous employees. Before the experiment, participants were asked to perform self-cognition of their abilities through an appropriately difficult task. We then used the effort of participants to imply their gratitude and analyzed the effort levels of employees with different abilities under anodal, cathodal, and sham stimulations. The results showed that employees under anodal stimulation were significantly likely to increase their effort than those under sham stimulation, and employees under cathodal stimulation ranked at the bottom of the list. Moreover, the effort levels of low-ability employees were obviously higher than those of high-ability employees. The cathodal stimulation of mPFC significantly reduced the effort levels of low-ability employees, whereas its anodal tDCS stimulation increased the effort levels of high-ability employees. These outcomes verify the relationship between mPFC and gratitude using tDCS and provided one of the first instances of neural evidence for the incentive mechanism design in the labor market to a certain extent.

LOW-COST PERSONNEL DOSIMETER.

DTIC Science & Technology

specification was achieved by simplifying and improving the basic Bendix dosimeter design, using plastics for component parts, minimizing direct labor, and making the instrument suitable for automated processing and assembly. (Author)

Identification of first-stage labor arrest by electromyography in term nulliparous women after induction of labor.

PubMed

Vasak, Blanka; Graatsma, Elisabeth M; Hekman-Drost, Elske; Eijkemans, Marinus J; Schagen van Leeuwen, Jules H; Visser, Gerard H A; Jacod, Benoit C

2017-07-01

Worldwide induction and cesarean delivery rates have increased rapidly, with consequences for subsequent pregnancies. The majority of intrapartum cesarean deliveries are performed for failure to progress, typically in nulliparous women at term. Current uterine registration techniques fail to identify inefficient contractions leading to first-stage labor arrest. An alternative technique, uterine electromyography has been shown to identify inefficient contractions leading to first-stage arrest of labor in nulliparous women with spontaneous onset of labor at term. The objective of this study was to determine whether this finding can be reproduced in induction of labor. Uterine activity was measured in 141 nulliparous women with singleton term pregnancies and a fetus in cephalic position during induced labor. Electrical activity of the myometrium during contractions was characterized by its power density spectrum. No significant differences were found in contraction characteristics between women with induced labor delivering vaginally with or without oxytocin and women with arrested labor with subsequent cesarean delivery. Uterine electromyography shows no correlation with progression of labor in induced labor, which is in contrast to spontaneous labor. © 2017 Nordic Federation of Societies of Obstetrics and Gynecology.

[Multicenter randomized trial of amnioinfusion].

PubMed

Fraser, W; Marcoux, S; Prendiville, W; Petrou, S; Hofmeyr, J; Reinharz, D; Goulet, C; Ohlsson, A

2000-05-01

Meconium staining of the amniotic fluid in labor is a frequent problem that is associated with an increase in the risk of neonatal and maternal morbidity. Amnioinfusion is a simple technique that is designed to prevent neonatal and maternal morbidity associated with meconium. Preliminary studies indicate that amnioinfusion is a promising approach to the prevention of such complications of labor. However, further research is required. The primary objective of this multi-centre randomized controlled study is to determine if amnioinfusion for thick meconium stained amniotic fluid results in a reduction in perinatal death or moderate to severe meconium aspiration syndrome. We will also assess the effects of amnioinfusion on other indicators of neonatal morbidity and on cesarean section. The study includes an evaluation of womens views on their childbirth experience and an economic evaluation of a policy of amnioinfusion The study will be achieved with the collaboration of approximately 50 obstetrical centres from across Canada, US, Europe, South America and South Africa. This multicentre trial will provide urgently needed information on the efficacy and effectiveness of amniofusion for the indication of meconium stained amniotic fluid.

Labor patterns in women attempting vaginal birth after cesarean with normal neonatal outcomes.

PubMed

Grantz, Katherine L; Gonzalez-Quintero, Victor; Troendle, James; Reddy, Uma M; Hinkle, Stefanie N; Kominiarek, Michelle A; Lu, Zhaohui; Zhang, Jun

2015-08-01

We sought to describe labor patterns in women with a trial of labor after cesarean (TOLAC) with normal neonatal outcomes. In a retrospective observational study at 12 US centers (2002 through 2008), we examined time interval for each centimeter of cervical dilation and compared labor progression stratified by spontaneous or induced labor in 2892 multiparous women with TOLAC (second delivery) and 56,301 nulliparous women at 37 0/7 to 41 6/7 weeks of gestation. Analyses were performed including women with intrapartum cesarean delivery, and also limiting only to women who delivered vaginally. Labor was induced in 23.4% of TOLAC and 44.1% of nulliparous women (P < .001). Cesarean delivery rates were 57.7% in TOLAC vs 19.0% in nulliparous women (P < .001). Oxytocin was used in 52.4% of TOLAC vs 64.3% of nulliparous women with spontaneous labor (P < .001) and 89.8% of TOLAC vs 91.6% of nulliparous women with induced labor (P = .099); however, TOLAC had lower maximum doses of oxytocin compared to nulliparous women: median (90th percentile): 6 (18) mU/min vs 12 (28) mU/min, respectively (P < .001). Median (95th percentile) labor duration for TOLAC vs nulliparous women with spontaneous labor from 4-10 cm was 0.9 (2.2) hours longer (P = .007). For women who entered labor spontaneously and achieved vaginal delivery, labor patterns for TOLAC were similar to nulliparous women. For induced labor, labor duration for TOLAC vs nulliparous women from 4-10 cm was 1.5 (4.6) hours longer (P < .001). For women who achieved vaginal delivery, labor patterns were slower for induced TOLAC compared to nulliparous women. Labor duration for TOLAC was slower compared to nulliparous labor, particularly for induced labor. By improved understanding of the rates of progress at different points in labor, this new information on labor curves in women undergoing TOLAC, particularly for induction, should help physicians when managing labor. Published by Elsevier Inc.

Labor Dystocia and the Risk of Uterine Rupture in Women with Prior Cesarean.

PubMed

Vachon-Marceau, Chantale; Demers, Suzanne; Goyet, Martine; Gauthier, Robert; Roberge, Stéphanie; Chaillet, Nils; Laroche, Jasmin; Bujold, Emmanuel

2016-05-01

Objective The objective of this study was to evaluate the association between labor dystocia and uterine rupture. Methods We performed a secondary analysis of a multicenter case-control study that included women with single, prior, low-transverse cesarean section who experienced complete uterine rupture during a trial of labor (TOL). For each case, three women who underwent a TOL without uterine rupture were selected as controls. Data were collected on cervical dilatations from admission to delivery. We evaluated the relationship between uterine rupture and labor dystocia according to several criteria, including the World Health Organization's (WHO's) partogram. Results Data were available for 90 cases and 260 controls. Compared with the controls, uterine rupture was associated with less cervical dilatation on admission, slower cervical dilatation in the first stage of labor and longer second stage of labor (all with p < 0.05). Performing cesarean when the labor curve crossed the ACTION line of WHO's partogram or when the second stage was greater than 2 hours could have (1) prevented up to 56% of uterine rupture and (2) reduced the duration of labor in 57% of women with failed TOL. Conclusion Labor dystocia is a significant risk factor for uterine rupture. Labor progression should be assessed regularly in women with prior cesarean. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Study Mission to the Soviet Union, West Germany, and Greece, June 28, 1981-July 3, 1981. Report of the Subcommittee on Postsecondary Education, Committee on Education and Labor. House of Representatives, Ninety-Seventh Congress, Second Session.

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. House Committee on Education and Labor.

A 7-day study mission by the House Subcommittee on Postsecondary Education, to Moscow, Kiev, Bonn, and an interim stop in Athens is reported. The mission was designed to gather information regarding the current state of higher education, especially on financing and curriculum, in West Germany and the U.S.S.R. The delegation was especially…

Labor progress indices and dynamics of the individual uterine contraction during the active stage of labor.

PubMed

Ophir, Ella; Bornstein, Jacob; Odeh, Marwan; Kaminsky, Svetlana; Shnaider, Oleg; Megel, Yuri; Barnea, Ofer

2014-03-01

To obtain and study new data on the dynamics of the labor process and to develop a contraction-based index of labor progress. This study was carried out at the Delivery Room, Department of Obstetrics and Gynecology, Western Galilee Hospital, Nahariya, Israel, using a new device (Birth Track). We continuously monitored cervical dilatation (CD) and head descent (HD) in 30 nulliparaous women during active labor with (augmented group) and without (study group) oxytocin augmentation. This led to the development and validation of progress indices based on features extracted from continuous monitoring. There were no significant differences between the average of each parameter in the study and augmented groups, except for HD velocity. Average HD velocity was faster in the study group. Linear regression analyses demonstrated that head station (HS) amplitude and Toco amplitude were the best parameters for predicting HD velocity in both groups. In the study group, average HD velocity was also significantly related to Toco rate and contraction efficiency. In the augmented group, only a weak correlation with Toco rate was seen, and no correlation with contraction efficiency. With the assistance of the Birth Track device, we can obtain continuous data on the labor process and indices to estimate the labor progress process without the use of vaginal (manual) examination. © 2013 The Authors. Journal of Obstetrics and Gynaecology Research © 2013 Japan Society of Obstetrics and Gynecology.

Labor Force Participation, Employment, and Earnings of Married Women: A Comparison of Military and Civilian Wives

DTIC Science & Technology

1990-07-01

Participation of Married Women: A Study of Labor Supply," in NBER, Aspects of Labor Economics , Princeton: Princeton University Press. 8. (1975). "The...Carolina. 11. Rosen, Sherwin (1977). "Human Capital: A Survey of Empirical Research," in Ehrenberg, R., ed., Research in Labor Economics , Vol. 1

Dignity in the Workplace: A Student Guide to Labor Unions. Connections. School and Work Transitions.

ERIC Educational Resources Information Center

Merz, Harold E.; Bhaerman, Robert D.

This student guide provides instructional materials for seven units in the area of labor studies. Unit topics are introduction to labor unions, who labor in America is, collective bargaining: democracy in the workplace, preserving workers' rights: safeguards in the system, partners in education and training, partners in public service: labor…