Sample records for non-negligible cohabitational unions

  1. Marriage or dissolution? Union transitions among poor cohabiting women.

    PubMed

    Lichter, Daniel T; Qian, Zhenchao; Mellott, Leanna M

    2006-05-01

    The objective of this paper is to identify the incentives and barriers to marriage among cohabiting women, especially disadvantaged mothers who are targets of welfare reform. We use the newly released cohabitation data from the National Longitudinal Survey of Youth (1979-2000), which tracks the partners of cohabiting women across survey waves. Our results support several conclusions. First, cohabiting unions are short-lived--about one-half end within one year, and over 90% end by the fifth year. Unlike most previous research, our results show that most cohabiting unions end by dissolution of the relationship rather than by marriage. Second, transitions to marriage are especially unlikely among poor women; less than one-third marry within five years. Cohabitation among poor women is more likely than that among nonpoor women to be a long-term alternative or substitute for traditional marriage. Third, our multinomial analysis of transitions from cohabitation into marriage or dissolution highlights the salience of economically disadvantaged family backgrounds, cohabitation and fertility histories, women's economic resources, and partner characteristics. These results are interpreted in a policy environment that increasingly views marriage as an economic panacea for low-income women and their children.

  2. Cohabitation, Post-Conception Unions, and the Rise in Nonmarital Fertility

    PubMed Central

    Lichter, Daniel T.; Sassler, Sharon; Turner, Richard N.

    2015-01-01

    The majority of U.S. nonmarital births today are to cohabiting couples. This study focuses on transitions to cohabitation or marriage among pregnant unmarried women during the period between conception and birth. Results using the newly-released 2006–2010 National Survey of Family Growth show that nonmarital pregnancy is a significant precursor to cohabitation before childbirth (18 percent), exceeding transitions to marriage (5 percent) by factor of over three. For pregnant women, the boundaries between singlehood, cohabitation, and marriage are highly fluid. The results also reveal substantial variation in post-conception cohabiting and marital unions; e.g., disproportionately low percentages of black single and cohabiting women transitioned into marriage, even when conventional social and economic risk factors are controlled. The multivariate analyses also point to persistent class differences in patterns of family formation, including patterns of cohabitation and marriage following conception. Poorly educated women, in particular, are much more likely to become pregnant as singles living alone or as partners in cohabiting unions. But compared with college-educated women, pregnancies are less likely to lead to either cohabitation or marriage. This paper highlights the conceptual and technical challenges involved in making unambiguous interpretations of nonmarital fertility during a period of rising nonmarital cohabitation. PMID:24913950

  3. The Economic Foundations of Cohabiting Couples' Union Transitions.

    PubMed

    Ishizuka, Patrick

    2018-04-01

    In recent decades, cohabitation has become an increasingly important relationship context for U.S. adults and their children, a union status characterized by high levels of instability. To understand why some cohabiting couples marry but others separate, researchers have drawn on theories emphasizing the benefits of specialization, the persistence of the male breadwinner norm, low income as a source of stress and conflict, and rising economic standards associated with marriage (the marriage bar). Because of conflicting evidence and data constraints, however, important theoretical questions remain. This study uses survival analysis with prospective monthly data from nationally representative panels of the Survey of Income and Program Participation from 1996-2013 to test alternative theories of how money and work affect whether cohabiting couples marry or separate. Analyses indicate that the economic foundations of cohabiting couples' union transitions do not lie in economic specialization or only men's ability to be good providers. Instead, results for marriage support marriage bar theory: adjusting for couples' absolute earnings, increases in wealth and couples' earnings relative to a standard associated with marriage strongly predict marriage. For dissolution, couples with higher and more equal earnings are significantly less likely to separate. Findings demonstrate that within-couple earnings equality promotes stability, and between-couple inequalities in economic resources are critical in producing inequalities in couples' relationship outcomes.

  4. Sexual Frequency and the Stability of Marital and Cohabiting Unions

    ERIC Educational Resources Information Center

    Yabiku, Scott T.; Gager, Constance T.

    2009-01-01

    Prior research found that lower sexual frequency and satisfaction were associated with higher rates of divorce, but little research had examined the role of sexual activity in the dissolution of cohabiting unions. We drew upon social exchange theory to hypothesize why sexual frequency is more important in cohabitation: (a) cohabitors' lower costs…

  5. The Formation and Dissolution of Second Unions: Marriage and Cohabitation in Sweden and Norway.

    ERIC Educational Resources Information Center

    Blanc, Ann Klimas

    1987-01-01

    Using recent survey data from Sweden and Norway and life table techniques, examined rate at which women formed second unions and type of union they chose (marriage or cohabitation) as well as how this process has changed over time. The results showed that nonmarital cohabitation was preferred type of second union in both Sweden and Norway.…

  6. The effects of marriage and separation on the psychotropic medication use of non-married cohabiters: a register-based longitudinal study among adult Finns.

    PubMed

    Metsä-Simola, Niina; Martikainen, Pekka

    2014-11-01

    Non-marital cohabitation has become increasingly common and is suggested to offer similar mental-health benefits as marriage does. We studied levels and changes in cohabiters' mental health five years before and five years after entering into marriage or separating, and compared long-term non-married and married cohabiters. We analysed changes in the three-month prevalence of psychotropic medication use (psycholeptics and psychoanaleptics, excluding medication for dementia) by proximity to non-marital transition and gender, using register data on 189,394 Finns aged 25 to 64. Similar levels of psychotropic-medication use were found among individuals in long unions that continued throughout the follow-up and were non-marital, marital, or changed from non-marital to marital. Among men and women who separated from longer cohabiting unions of more than five years, however, an increase in medication prevalence was observed immediately before separation, followed by a similar decline after separation. At the time of separation the level of medication use was 9.9 per cent (95% CI = 8.7 - 11.3) among men and 15.7 per cent (95% CI = 14.2 - 17.4) among women compared to 4.3 per cent (95% CI = 3.7 - 5.0) and 8.0 per cent (95% CI = 7.2 - 9.0), respectively, among those who cohabited continuously. No changes in medication use were observed before or after separation among those leaving shorter cohabiting unions of less than five years. Among those marrying following shorter cohabiting unions a positive effect of approaching marriage was observed only among women. Compared to continuous cohabiters, the level of medication use was higher among men and women separating from both short-term and long-term cohabiting unions five years before separation. This selective effect suggests that cohabiters with mental-health problems might benefit from relationship counselling. In a long-term stable union it seems to matter little for mental health whether the union is marital or non

  7. Trends in Cohabitation Outcomes: Compositional Changes and Engagement Among Never-Married Young Adults

    PubMed Central

    Guzzo, Karen Benjamin

    2015-01-01

    Cohabitation is now the modal first union for young adults, and most marriages are preceded by cohabitation even as fewer cohabitations transition to marriage. These contrasting trends may be due to compositional shifts among cohabiting unions, which are increasingly heterogeneous in terms of cohabitation order, engagement, and the presence of children, as well as across socioeconomic and demographic characteristics. The author constructs 5-year cohabitation cohorts for 18- to 34-year-olds from the 2002 and 2006–2010 cycles of the National Survey of Family Growth (n = 17,890 premarital cohabitations) to examine the outcomes of cohabitations over time. Compared to earlier cohabitations, those formed after 1995 were more likely to dissolve, and those formed after 2000 were less likely to transition to marriage even after accounting for the compositional shifts among individuals in cohabiting unions. Higher instability and decreased chances of marriage occurred among both engaged and non-engaged individuals, suggesting society-wide changes in cohabitation over time. PMID:26778851

  8. Earnings and Expenditures on Household Services in Married and Cohabiting Unions

    ERIC Educational Resources Information Center

    Treas, Judith; de Ruijter, Esther

    2008-01-01

    Despite the rise in women's paid employment, little is known about how women and their partners allocate money to outsource domestic tasks, especially in unmarried unions. Tobit analyses of 6,170 married and cohabiting couples in the 1998 Consumer Expenditure Survey test hypotheses that recognize gender inequality between partners, gender typing…

  9. Union Quality Comparisons between Long-Term Heterosexual Cohabitation and Legal Marriage

    ERIC Educational Resources Information Center

    Willetts, Marion C.

    2006-01-01

    A longitudinal analysis is conducted on the union quality of long-term cohabiting and legally married couples using data from both waves of the National Survey of Families and Households. An analysis of racially homogamous (Anglo-American and African American) couples indicates that the cohabitors and marrieds do not differ significantly with…

  10. The Stability of Same-Sex Cohabitation, Different-Sex Cohabitation, and Marriage

    ERIC Educational Resources Information Center

    Lau, Charles Q.

    2012-01-01

    This study contributes to the emerging demographic literature on same-sex couples by comparing the level and correlates of union stability among 4 types of couples: (a) male same-sex cohabitation, (b) female same-sex cohabitation, (c) different-sex cohabitation, and (d) different-sex marriage. The author analyzed data from 2 British birth cohort…

  11. The Relationship Context of Premarital Serial Cohabitation

    PubMed Central

    Cohen, Jessica; Manning, Wendy

    2011-01-01

    Even though serial cohabitation is on the rise, it has not been integrated into recent family research. We analyze the National Survey of Family Growth (NSFG) cycle 6 to explore the relationship context of serial cohabitation for women throughout emerging adulthood (N=3,397). We provide a relationship context for serial cohabitation by examining the age at first cohabitation, duration of cohabiting unions, marital expectations and transitions, as well as premarital sexual histories. Furthermore, we examine the change in these relationship indicators across women’s birth cohorts. We find that serial cohabitors’ co-residential unions are about the same duration as single-instance cohabiting unions. Serial cohabitors start cohabiting younger, report lower marital expectations than single-instance cohabitors and a smaller proportion marry before age 30. Women who have more premarital sex partners have significantly greater odds of serial cohabiting. These findings indicate that women face increasingly complex relationship trajectories during emerging adulthood. PMID:24381370

  12. He Says, She Says: Gender and Cohabitation*

    PubMed Central

    Huang, Penelope M.; Smock, Pamela J.; Manning, Wendy D.; Bergstrom-Lynch, Cara A.

    2010-01-01

    Cohabitation has become the modal path to marriage in the United States. However, little is known about what cohabitation means to young adults today. Drawing on data from 18 focus groups (N=138) and 54 in-depth interviews with young adults, this exploratory study investigates motivations to cohabit, and examines potential gender differences in those motivations and the meanings attached to them. We find that primary motives to cohabit include spending time together, sharing expenses, and evaluating compatibility. Strong gender differences emerge in how respondents discuss these themes and how they characterize the drawbacks of cohabitation, with men more concerned about loss of freedom and women with delays in marriage. Overall, our findings suggest that gendered cultural norms governing intimate relationships extend to cohabiting unions, and point to gender differences in the perceived role of cohabitation in union formation processes. PMID:21643456

  13. The Effect of Union Status at First Childbirth on Union Stability: Evidence from Eastern and Western Germany.

    PubMed

    Schnor, Christine

    2014-01-01

    It is often assumed that cohabitation is much less stable than marriage. If cohabitation becomes more common among parents, children may be increasingly exposed to separation. However, little is known about how the proportion of cohabiting parents relates to their separation behavior. Higher shares of childbearing within cohabitation might reduce the proportion of negatively selected couples among cohabiting parents, which could in turn improve their union stability. This study focuses on parents who were cohabiting when they had their first child. It compares their union stability within a context in which they represent the majority or the minority. The German case is well-suited to this research goal because non-marital childbearing is common in eastern Germany (60 %) but not in western Germany (27 %). The data came from the German Family Panel (pairfam), and include 1,844 married and cohabiting mothers born in 1971-1973 and 1981-1983. The empirical results suggest that the union stability of cohabiting mothers is positively related to their prevalence: survival curves showed that eastern German cohabiting mothers had a greater degree of union stability than their western German counterparts. This difference increased in the event-history model, which accounted for the particular composition of eastern German society, including the relatively low level of religious affiliation among the population. Controlling for unobserved heterogeneity did not change this result. In sum, these findings indicate that context plays an important role in the union stability of cohabiting parents.

  14. Cohabitational and marital histories of adults in Great Britain.

    PubMed

    Haskey, J

    1999-01-01

    This article presents findings on cohabitation-derived from cohabitation and marriage histories collected in a specially designed module of the ONS Omnibus Survey. It examines the sequence of types of partnerships, and how this sequence varies by birth cohort of respondents. Also compared is the relative stability of cohabiting unions and married partnerships. Finally, the reasons for converting a cohabiting union into a marriage are analysed--separately for men and women, and separately according to whether the marriage continued or ended.

  15. Financial Issues and Relationship Outcomes among Cohabiting Individuals

    ERIC Educational Resources Information Center

    Dew, Jeffrey

    2011-01-01

    Few studies have examined how financial relationship issues are associated with cohabiting individuals' risk of union dissolution or marriage. Competing-risks Cox regressions using the cohabiting data in the National Survey of Families and Households (N = 483) found that financial disagreements predicted union dissolution, whereas disagreements…

  16. Investments in Marriage and Cohabitation: The Role of Legal and Interpersonal Commitment

    ERIC Educational Resources Information Center

    Poortman, Anne-Rigt; Mills, Melinda

    2012-01-01

    Cohabiters have been shown to invest less in their relationship than married couples. This study investigated the role of legal and interpersonal commitment by examining heterogeneity within marital and cohabiting unions. Going beyond the dichotomy of cohabitation versus marriage, different union types were distinguished by their level of legal…

  17. Cohabitation, Marriage, and 'Sexual Monogamy' in Nairobi

    PubMed Central

    Klein, Megan

    2007-01-01

    The current study investigates the extent to which sexual exclusivity—the restriction of one’s sexual engagements to a single partner—prevails across various marital status, union type, and co-residence categories among Nairobi's poorest residents, slum dwellers. This question is central to the spread of HIV in the increasingly urban and poor, high prevalence countries of sub-Saharan Africa, where transmission is primarily via heterosexual sex. In many circles, sexual exclusivity is considered a prominent feature of the marriage institution. Yet, marriage and cohabitation are often not easily distinguishable in sub-Saharan Africa, meaning that the frequent use, as a proxy, of the "in union" category, which includes married as well as cohabiting persons can, at best, be considered tenuous. Using the 2000 Nairobi Cross-Sectional Slum Survey (NCSS), this paper confirms that marriage is associated with higher reports of sexual exclusivity even in settings where poverty provokes risky behavior. The finding, here, is of lower risk of HIV infection for married respondents, with a smaller effect observed among non-married cohabiters. Converse to the implied benefits of marriage, though, women with co-wives are more likely to report multiple partners. The implications of these findings are discussed. PMID:17123680

  18. Cohabitation: parents following in their children's footsteps?

    PubMed

    McClain, Lauren Rinelli

    2011-01-01

    As cohabitation has risen dramatically in the past few decades among adults of all ages, it is possible that middle-and older-aged parents are “learning” cohabitation from their young adult children. The present study uses this theory as a guiding framework to determine if parents are more likely to cohabit themselves following the start of a young adult child’s cohabitation. Using three waves of the National Survey of Families and Households (N = 275), results show that union formation patterns are influenced by young adult children among parents who are single at their child’s 18th birthday. Parents are less likely to marry than remain single and are much more likely to cohabit than marry if they have a young adult child who cohabits. These results show support for the hypotheses.

  19. The Economic Consequences of the Dissolution of Cohabiting Unions

    ERIC Educational Resources Information Center

    Avellar, Sarah; Smock, Pamela J.

    2005-01-01

    Although the economic effects of divorce have been well studied, a similar exploration of cohabitation has not been conducted. For this analysis, we use a sample from the National Longitudinal Survey of Youth (N=2,372) documenting changes in economic well-being at the end of a cohabiting relationship and comparing these results to a sample of…

  20. First premarital cohabitation in the United States: 2006-2010 National Survey of Family Growth.

    PubMed

    Copen, Casey E; Daniels, Kimberly; Mosher, William D

    2013-04-04

    This report provides an updated description of trends and patterns in first premarital cohabitations among women aged 15-44 in the United States using the National Survey of Family Growth (NSFG). Trends in pregnancies within first premarital cohabiting unions and differences by Hispanic origin and race, and education are also presented. Data for 2006-2010 were collected through in-person interviews with 22,682 women and men aged 15-44 in the household population of the United States. This report is based primarily on the sample of 12,279 women interviewed in 2006-2010, and is supplemented by data from the 1995 and 2002 NSFGs. Forty-eight percent of women interviewed in 2006-2010 cohabited with a partner as a first union, compared with 34% of women in 1995. Between 1995 and 2006-2010, the percentage of women who cohabited as a first union increased for all Hispanic origin and race groups, except for Asian women. In 2006-2010, 70% of women with less than a high school diploma cohabited as a first union, compared with 47% of women with a bachelor's degree or higher. First premarital cohabitations were longest for foreign-born Hispanic women (33 months) and shortest for white women (19 months). In 2006-2010, 40% of first premarital cohabitations among women transitioned to marriage by 3 years, 32% remained intact, and 27% dissolved. Nearly 20% of women experienced a pregnancy in the first year of their first premarital cohabitation.

  1. Cohabitation in the Philippines: Attitudes and Behaviors among Young Women and Men

    ERIC Educational Resources Information Center

    Williams, Lindy; Kabamalan, Midea; Ogena, Nimfa

    2007-01-01

    We examine data from a national survey of 15-27 year olds in the Philippines to assess attitudes toward marriage and cohabitation, and we analyze the marital and nonmarital union experiences of 25-27 year olds. We find that attitudes toward cohabitation remain quite conservative among young Filipinos, although men view cohabitation more favorably…

  2. Bound by Children: Intermittent Cohabitation and Living Together Apart

    PubMed Central

    Cross-Barnet, Caitlin; Cherlin, Andrew; Burton, Linda

    2014-01-01

    In this article, we examine variations in low-income mothers' patterns of intermittent cohabitation and the voluntary and involuntary nature of these unions. Intermittent cohabitation involves couples living together and separating in repeating cycles. Using Three-City Study ethnographic data, we identified 45 low-income mothers involved in these arrangements, 18 of whom resided with their children's fathers occasionally while saying that they were not in a cohabiting relationship. We term such relationships living together apart (LTA). Data analysis revealed that distinct patterns of voluntary and involuntary separations and reunifications characterized intermittent cohabitation and LTA and that these relationships were shaped by the bonds that shared parenting created and the economic needs of both parents. We argue that these dimensions may explain some disparate accounts of cohabitation status in low-income populations. They also demonstrate previously unexplored diversity in cohabiting relationships and suggest further questioning contemporary definitions of families. PMID:25435641

  3. Negligence claims following non-union and malunion of long bone fractures: An analysis of 15 years of data.

    PubMed

    Metcalfe, C W; Harrison, W D; Nayagam, S; Narayan, B

    2016-10-01

    Non-unions and malunions are recognised to be complications of the treatment of long bone fractures. No previous work has looked at the implications of these complications from a medicolegal perspective. A complete database of litigation claims in Trauma and Orthopaedic Surgery was obtained from the NHS Litigation Authority. Two separate modalities of the treatment of long bone fractures were examined i) non-union and ii) acquired deformity. The type of complaint, whether defended or not, and costs were analysed. There were claims of which 97 related to non-union and 32 related to postoperative limb deformity. The total cost was £8.2 million over a 15-year period in England and Wales. Femoral and tibial non-unions were more expensive particularly if they resulted in amputation. Rotational deformity cost nearly twice as much as angulation deformities. The cosmetic appearances of rotational malalignment and amputation results in higher compensation; this reinforces an outward perception of outcome as being more important than harmful effects. Notwithstanding the limitations of this database, there are clinical lessons to be gained from these litigation claims. Crown Copyright © 2016. Published by Elsevier Ltd. All rights reserved.

  4. Cohabitation among older adults: a national portrait.

    PubMed

    Brown, Susan L; Lee, Gary R; Bulanda, Jennifer Roebuck

    2006-03-01

    Older adults are increasingly likely to experience cohabitation, or living together unmarried in an intimate, heterosexual union. In order to begin building a conceptual framework, we provide a descriptive portrait of older adult cohabitors, emphasizing how they compare to older remarrieds and unpartnereds. We used data from both Census 2000 and the 1998 Health and Retirement Study ( HRS; Health and Retirement Study, 1998) to estimate the size and composition of the cohabiting population aged 51 and older. Also, using HRS data, we estimated multinomial logistic regression models to identify the correlates associated with cohabitation and remarriage (vs being unpartnered) among women and men who were previously married. More than 1 million older adults, composing 4% of the unmarried population, currently cohabit. About 90% of these individuals were previously married. We identify significant differences among cohabitors, remarrieds, and unpartnereds across several dimensions, including sociodemographic characteristics, economic resources, physical health, and social relationships. Cohabitors appear to be more disadvantaged than remarrieds, and this is especially evident for women. Older cohabitors differ from individuals of other marital statuses, and therefore future work on marital status should explicitly incorporate cohabitation.

  5. Relationship-Specific Investments, Family Chaos, and Cohabitation Dissolution Following a Nonmarital Birth

    ERIC Educational Resources Information Center

    Kamp Dush, Claire M.

    2011-01-01

    Predictors of two types of cohabitation dissolution, dissolution with a continued romantic relationship and without (i.e., breakup), were examined using data from mothers cohabiting at the time of a nonmarital birth in the Fragile Families and Child Wellbeing Study (N = 1,624). Life tables indicated 64% of unions dissolved within 5 years; of…

  6. Marital and Cohabitation Dissolution and Parental Depressive Symptoms in Fragile Families

    PubMed Central

    Kamp Dush, Claire M.

    2013-01-01

    The consequences of divorce are pronounced for parents of young children, and cohabitation dissolution is increasing in this population and has important implications. The mental health consequences of union dissolution were examined, by union type and parental gender, using the Fragile Families and Child Wellbeing Study (n = 1,998 for mothers and 1,764 for fathers). Overall, cohabitation and marital dissolution were both associated with increased maternal and paternal depressive symptoms, though for married mothers, depressive symptoms returned to predissolution levels with time. Difference-in-difference estimates indicated no differences in the magnitude of the increase in depressive symptoms by type of dissolution, though pooled difference models suggested that married fathers increased in depressive symptoms more than cohabiting fathers. Potential time-variant mediators did not account for these associations, though greater family chaos was associated with increased maternal depressive symptoms, and decreased social support and father – child contact were associated with increased paternal depressive symptoms. PMID:23671351

  7. Debt, cohabitation, and marriage in young adulthood.

    PubMed

    Addo, Fenaba R

    2014-10-01

    Despite growing evidence that debt influences pivotal life events in early and young adulthood, the role of debt in the familial lives of young adults has received relatively little attention. Using data from the NLSY 1997 cohort (N = 6,749) and a discrete-time competing risks hazard model framework, I test whether the transition to first union is influenced by a young adult's credit card and education loan debt above and beyond traditional educational and labor market characteristics. I find that credit card debt is positively associated with cohabitation for men and women, and that women with education loan debt are more likely than women without such debt to delay marriage and transition into cohabitation. Single life may be difficult to afford, but marital life is un-affordable as well. Cohabitation presents an alternative to single life, but not necessarily a marital substitute for these young adults.

  8. Marital and Cohabitation Dissolution and Parental Depressive Symptoms in Fragile Families

    ERIC Educational Resources Information Center

    Kamp Dush, Claire M.

    2013-01-01

    The consequences of divorce are pronounced for parents of young children, and cohabitation dissolution is increasing in this population and has important implications. The mental health consequences of union dissolution were examined, by union type and parental gender, using the Fragile Families and Child Wellbeing Study ("n" = 1,998 for mothers…

  9. Relationship Quality in Marital and Cohabiting Unions across Europe

    ERIC Educational Resources Information Center

    Wiik, Kenneth Aarskaug; Keizer, Renske; Lappegard, Trude

    2012-01-01

    In this study, the authors used data from the first wave of the Generations and Gender Survey to investigate relationship quality among currently married and cohabiting individuals ages 18 to 55 (N = 41,760) in 8 European countries (Bulgaria, France, Germany, Hungary, Norway, Romania, Russia, and The Netherlands). They expected to find fewer…

  10. Trends in the economic consequences of marital and cohabitation dissolution in the United States.

    PubMed

    Tach, Laura M; Eads, Alicia

    2015-04-01

    Mothers in the United States use a combination of employment, public transfers, and private safety nets to cushion the economic losses of romantic union dissolution, but changes in maternal labor force participation, government transfer programs, and private social networks may have altered the economic impact of union dissolution over time. Using nationally representative panels from the Survey of Income and Program Participation (SIPP) from 1984 to 2007, we show that the economic consequences of divorce have declined since the 1980s owing to the growth in married women's earnings and their receipt of child support and income from personal networks. In contrast, the economic consequences of cohabitation dissolution were modest in the 1980s but have worsened over time. Cohabiting mothers' income losses associated with union dissolution now closely resemble those of divorced mothers. These trends imply that changes in marital stability have not contributed to rising income instability among families with children, but trends in the extent and economic costs of cohabitation have likely contributed to rising income instability for less-advantaged children.

  11. Effects of Union Type on Division of Household Labor: Do Cohabiting Men Really Perform More Housework?

    ERIC Educational Resources Information Center

    Davis, Shannon N.; Greenstein, Theodore N.; Marks, Jennifer P. Gerteisen

    2007-01-01

    Using data from 17,636 respondents in 28 nations, this research uses multilevel modeling to compare the reported division of household labor and factors affecting it for currently married and currently cohabiting couples. Cohabiting men report performing more household labor than do married men, and cohabiting women report performing less…

  12. Gender and time allocation of cohabiting and married women and men in France, Italy, and the United States.

    PubMed

    Bianchi, Suzanne; Lesnard, Laurent; Nazio, Tiziana; Raley, Sara

    2014-07-11

    Women, who generally do more unpaid and less paid work than men, have greater incentives to stay in marriages than cohabiting unions, which generally carry fewer legal protections for individuals that wish to dissolve their relationship. The extent to which cohabitation is institutionalized, however, is a matter of policy and varies substantially by country. The gender gap in paid and unpaid work between married and cohabiting individuals should be larger in countries where cohabitation is less institutionalized and where those in cohabiting relationships have relatively fewer legal protections should the relationship dissolve, yet few studies have explored this variation. Using time diary data from France, Italy, and the United States, we assess the time men and women devote to paid and unpaid work in cohabiting and married couples. These three countries provide a useful diversity in marital regimes for examining these expectations: France, where cohabitation is most "marriage like" and where partnerships can be registered and carry legal rights; the United States, where cohabitation is common but is short-lived and unstable and where legal protections vary across states; and Italy, where cohabitation is not common and where such unions are not legally acknowledged and less socially approved than in either France or the United States. Cohabitating men's and women's time allocated to market and nonmarket work is generally more similar than married men and women. Our expectations about country differences are only partially borne out by the findings. Greater gender differences in the time allocated to market and nonmarket work are found in Italy relative to either France or the U.S.

  13. Better Parents, More Stable Partners: Union Transitions among Cohabiting Parents

    ERIC Educational Resources Information Center

    McClain, Lauren Rinelli

    2011-01-01

    Data from the Fragile Families and Child Wellbeing Study (N = 1,702 couples) are employed to examine the association between mother- and father-reported parenting characteristics (father involvement and coparenting) and transitions out of cohabitation through marriage or separation in the 5 years after a child is born. Father involvement and…

  14. Gender and time allocation of cohabiting and married women and men in France, Italy, and the United States

    PubMed Central

    Bianchi, Suzanne; Lesnard, Laurent; Nazio, Tiziana; Raley, Sara

    2014-01-01

    BACKGROUND Women, who generally do more unpaid and less paid work than men, have greater incentives to stay in marriages than cohabiting unions, which generally carry fewer legal protections for individuals that wish to dissolve their relationship. The extent to which cohabitation is institutionalized, however, is a matter of policy and varies substantially by country. The gender gap in paid and unpaid work between married and cohabiting individuals should be larger in countries where cohabitation is less institutionalized and where those in cohabiting relationships have relatively fewer legal protections should the relationship dissolve, yet few studies have explored this variation. OBJECTIVE Using time diary data from France, Italy, and the United States, we assess the time men and women devote to paid and unpaid work in cohabiting and married couples. These three countries provide a useful diversity in marital regimes for examining these expectations: France, where cohabitation is most “marriage like” and where partnerships can be registered and carry legal rights; the United States, where cohabitation is common but is short-lived and unstable and where legal protections vary across states; and Italy, where cohabitation is not common and where such unions are not legally acknowledged and less socially approved than in either France or the United States. RESULTS Cohabitating men’s and women’s time allocated to market and nonmarket work is generally more similar than married men and women. Our expectations about country differences are only partially borne out by the findings. Greater gender differences in the time allocated to market and nonmarket work are found in Italy relative to either France or the U.S. PMID:25404866

  15. Cigarette Smoking in Same-Sex and Different-Sex Unions: The Role of Socioeconomic and Psychological Factors

    PubMed Central

    Liu, Hui; Brown, Dustin

    2014-01-01

    Cigarette smoking has long been a target of public health intervention because it substantially contributes to morbidity and mortality. Individuals in different-sex marriages have lower smoking risk (i.e., prevalence and frequency) than different-sex cohabiters. However, little is known about the smoking risk of individuals in same-sex cohabiting unions. We compare the smoking risk of individuals in different-sex marriages, same-sex cohabiting unions, and different-sex cohabiting unions using pooled cross-sectional data from the 1997–2010 National Health Interview Surveys (N = 168,514). We further examine the role of socioeconomic status (SES) and psychological distress in the relationship between union status and smoking. Estimates from multinomial logistic regression models reveal that same-sex and different-sex cohabiters experience similar smoking risk when compared to one another, and higher smoking risk when compared to the different-sex married. Results suggest that SES and psychological distress factors cannot fully explain smoking differences between the different-sex married and same-sex and different-sex cohabiting groups. Moreover, without same-sex cohabiter’s education advantage, same-sex cohabiters would experience even greater smoking risk relative to the different-sex married. Policy recommendations to reduce smoking disparities among same-sex and different-sex cohabiters are discussed. PMID:25346559

  16. Family Transitions in Cohabiting Families: a Longitudinal Investigation of the Role of Parent Depressive Symptoms in Youth Problem Behaviors.

    PubMed

    Parent, Justin; Peisch, Virginia D; Forehand, Rex; Golub, Andrew; Reid, Megan

    2017-05-01

    Cohabiting family structures are becoming increasingly prevalent in the United States but are less stable than married family unions. In this longitudinal study we examine the change in psychosocial adjustment of adolescents when a non-biologically related male cohabiting partner (MCP) transitions out of the family home. Of particular interest, the role of maternal and MCP depressive symptoms was examined as a moderator. At wave 1, the sample was comprised of 111 low-income urban Black families, consisting of an adolescent (42.3 % male; Mage = 13), a biological mother, and a non-biologically-related male cohabiting partner (MCP). Wave 2 and 3 assessments occurred over the course of the subsequent 29 months, with 38 % of MCPs transitioning out of the home. We used latent growth curve modeling to characterize trajectories of youth internalizing and externalizing symptom change across the 3 waves. Both maternal and MCP depressive symptoms interacted with whether a transition occurred, consistent with the notion that adolescent problem behaviors are shaped by the dynamic interplay of individual- and family-characteristics.

  17. Family Transitions in Cohabiting Families: A Longitudinal Investigation of the Role of Parent Depressive Symptoms in Youth Problem Behaviors

    PubMed Central

    Parent, Justin; Peisch, Virginia D.; Forehand, Rex; Golub, Andrew; Reid, Megan

    2018-01-01

    Cohabiting family structures are becoming increasingly prevalent in the United States but are less stable than married family unions. In this longitudinal study we examine the change in psychosocial adjustment of adolescents when a non-biologically related male cohabiting partner (MCP) transitions out of the family home. Of particular interest, the role of maternal and MCP depressive symptoms was examined as a moderator. At wave 1, the sample was comprised of 111 low-income urban Black families, consisting of an adolescent (42.3% male; Mage= 13), a biological mother, and a non-biologically-related male cohabiting partner (MCP). Wave 2 and 3 assessments occurred over the course of the subsequent 29 months, with 38% of MCPs transitioning out of the home. We used latent growth curve modeling to characterize trajectories of youth internalizing and externalizing symptom change across the 3 waves. Both maternal and MCP depressive symptoms interacted with whether a transition occurred, consistent with the notion that adolescent problem behaviors are shaped by the dynamic interplay of individual- and family-characteristics. PMID:27581704

  18. Economic well-being among elderly couples in marriage and cohabitation in Mexico

    PubMed Central

    Camacho, Gilbert Brenes

    2015-01-01

    In Latin America, the proportion of people in middle and late age who are cohabiting is higher than in industrialized countries. Some scholars consider cohabitation as an “incomplete” institution, where couples fare worse in economic and social well-being compared to marriage. The paper’s goal is to analyze whether cohabiting couples in old age face a different economic situation than married couples, and whether this difference is due to the fact that cohabiters might be a selected group from the general population. The analysis focuses on Mexican couples where at least one of the partners was older than 49, by using the first wave of the Mexican Health and Aging Survey (MHAS) 2001 dataset, and part of the 2003 second wave. After controlling for compositional variables (related to selection into consensual unions), the paper finds no significant difference in net worth, change in net worth (from 2001 to 2003), and perceived financial situation between married and cohabiting couples, but there is on the likelihood of owning a house. PMID:25717288

  19. Economic well-being among elderly couples in marriage and cohabitation in Mexico.

    PubMed

    Camacho, Gilbert Brenes

    In Latin America, the proportion of people in middle and late age who are cohabiting is higher than in industrialized countries. Some scholars consider cohabitation as an "incomplete" institution, where couples fare worse in economic and social well-being compared to marriage. The paper's goal is to analyze whether cohabiting couples in old age face a different economic situation than married couples, and whether this difference is due to the fact that cohabiters might be a selected group from the general population. The analysis focuses on Mexican couples where at least one of the partners was older than 49, by using the first wave of the Mexican Health and Aging Survey (MHAS) 2001 dataset, and part of the 2003 second wave. After controlling for compositional variables (related to selection into consensual unions), the paper finds no significant difference in net worth, change in net worth (from 2001 to 2003), and perceived financial situation between married and cohabiting couples, but there is on the likelihood of owning a house.

  20. Partner Caregiving in Older Cohabiting Couples

    PubMed Central

    2011-01-01

    Objectives. Despite the rapidly increasing prevalence of cohabitation among older adults, the caregiving literature has exclusively focused on formally married individuals. Extending prior work on intra-couple care, this study contrasts frail cohabitors’ patterns of care receipt from a partner to that of frail spouses. Methods. Using nationally representative panel data from the Health and Retirement Study (2000, 2002, 2004, and 2006), we estimate random effects cross-sectional times series models predicting frail cohabitors’ likelihood of receiving partner care compared with their married counterparts’. Conditional on the receipt of intra-couple care, we also examine differences in marital and nonmarital partners’ caregiving hours and caregiving involvement relative to other helpers. Results. Net of sociodemographic, disability, and comorbidity factors, we find that cohabitors are less likely to receive partner care than married individuals. However, caregiving nonmarital partners provide as many hours of care as spouses while providing a substantially larger share of disabled respondents’ care than marital partners. Discussion. Cohabitation and marriage have distinct implications for older adults’ patterns of partner care receipt. This study adds weight to a growing body of research emphasizing the importance of accounting for older adults’ nontraditional union forms and of examining the ramifications of cohabitation for older adults’ well-being. PMID:21482588

  1. Health behaviors and union dissolution among parents of young children: Differences by marital status

    PubMed Central

    Meyer, Jess M.

    2017-01-01

    Previous research finds that marriage is associated with better health and lower mortality, and one of the mechanisms underlying this association is health-related selection out of marriage. Using longitudinal survey data from 2,348 couples from the Fragile Families and Child Wellbeing Study, we examine whether certain health behaviors—smoking and binge drinking—are associated with risk of union dissolution among couples with young children. We use discrete time hazard models to test whether associations between health behaviors and union dissolution differ between married and cohabiting parents. We find no statistically significant association between binge drinking and union dissolution for either cohabiting or married couples. Parental smoking, however, is associated with union dissolution. On average, married and cohabiting couples in which both parents smoke have a higher risk of union dissolution than couples in which neither parent smokes. Additionally, father’s smoking (in couples in which the mother does not smoke) is associated with union dissolution, but only for married couples. These findings illustrate the importance of considering the health behaviors of both partners and provide further evidence of differences in union dissolution dynamics between married and cohabiting couples. PMID:28796826

  2. Health behaviors and union dissolution among parents of young children: Differences by marital status.

    PubMed

    Meyer, Jess M; Percheski, Christine

    2017-01-01

    Previous research finds that marriage is associated with better health and lower mortality, and one of the mechanisms underlying this association is health-related selection out of marriage. Using longitudinal survey data from 2,348 couples from the Fragile Families and Child Wellbeing Study, we examine whether certain health behaviors-smoking and binge drinking-are associated with risk of union dissolution among couples with young children. We use discrete time hazard models to test whether associations between health behaviors and union dissolution differ between married and cohabiting parents. We find no statistically significant association between binge drinking and union dissolution for either cohabiting or married couples. Parental smoking, however, is associated with union dissolution. On average, married and cohabiting couples in which both parents smoke have a higher risk of union dissolution than couples in which neither parent smokes. Additionally, father's smoking (in couples in which the mother does not smoke) is associated with union dissolution, but only for married couples. These findings illustrate the importance of considering the health behaviors of both partners and provide further evidence of differences in union dissolution dynamics between married and cohabiting couples.

  3. Waiting to Be Asked: Gender, Power, and Relationship Progression Among Cohabiting Couples

    PubMed Central

    Sassler, Sharon; Miller, Amanda J.

    2012-01-01

    The majority of young married Americans lived with their spouses before the wedding, and many cohabited with partners they did not wed. Yet little is known about how cohabitating relationships progress or the role gender norms play in this process. This article explores how cohabiting partners negotiate relationship progression, focusing on several stages where couples enact gender. Data are from in-depth interviews with 30 working-class couples (n = 60). The women in this sample often challenged conventional gender norms by suggesting that couples move in together or raising the issue of marriage. Men played dominant roles in initiating whether couples became romantically involved and progressed to a more formal status. Although women and men contest how gender is performed, cohabiting men remain privileged in the arena of relationship progression. The findings suggest that adherence to conventional gender practices even among those residing in informal unions perpetuates women’s secondary position in intimate relationships. PMID:22791929

  4. Military Service, Race, and the Transition to Marriage and Cohabitation

    ERIC Educational Resources Information Center

    Teachman, Jay

    2009-01-01

    Using data from the 1979 National Longitudinal Study of Youth, the author investigates the relationship between military service and the transition to the first intimate union. The author argues that active-duty military service promotes marriage over cohabitation. The results are consistent with this argument, showing that active-duty members of…

  5. Marriage and separation risks among German cohabiters: Differences between types of cohabiter.

    PubMed

    Hiekel, Nicole; Liefbroer, Aart C; Poortman, Anne-Rigt

    2015-01-01

    We propose a typology of different meanings of cohabitation that combines cohabiters' intentions to marry with a general attitude toward marriage, using competing risk analyses to examine whether some cohabiters are more prone than others to marry or to separate. Using data (N = 1,258) from four waves of the German Family Panel (PAIRFAM) and a supplementary study (DEMODIFF), we compared eastern and western German cohabiters of the birth cohorts 1971-73 and 1981-83. Western Germans more frequently view cohabitation as a step in the marriage process, whereas eastern Germans more often cohabit as an alternative to marriage. Taking into account marital attitudes reveals that cohabiters without marriage plans differ from those with plans in their relationship careers, and also shows that cohabiters who plan to marry despite holding a less favourable view of marriage are less likely to realize their plans than cohabiters whose intentions and attitudes are more congruent.

  6. Classification of non-union.

    PubMed

    Megas, Panagiotis; Panagiotis, Megas

    2005-11-01

    A substantial number of experimental and clinical studies have established that the cornerstones for successful bone-healing are biomechanical stability and biological vitality of the bone, as they both provide an environment in which new bone can be formed. Non-union of long bones is a significant consequence in treating fractures. Many approaches to prevent fracture non-union have been proposed. Depending on the type and location of the non-union, treatment options include various types of bone fixation, with or without supplemental bone graft or other biophysical enhancements.

  7. Union Type and Depressive Symptoms among Mexican Adults

    ERIC Educational Resources Information Center

    Schmeer, Kammi K.; Kroeger, Rhiannon A.

    2011-01-01

    Diversity in union type is increasing around the world as cohabitation and higher order unions become more prevalent in developing and developed countries. This necessitates a more nuanced understanding of how different union types relate to individual well-being across social settings. In this study, the authors analyze nationally-representative…

  8. A Multistate Life Table Analysis of Union Regimes in the United States: Trends and Racial Differentials, 1970–2002

    PubMed Central

    Morgan, S. Philip; Wang, Zhenglian; Gu, Danan; Yang, Chingli

    2013-01-01

    We estimate trends and racial differentials in marriage, cohabitation, union formation and dissolution (union regimes) for the period 1970–2002 in the United States. These estimates are based on an innovative application of multistate life table analysis to pooled survey data. Our analysis demonstrates (1) a dramatic increase in the lifetime proportions of transitions from never-married, divorced or widowed to cohabiting; (2) a substantial decrease in the stability of cohabiting unions; (3) a dramatic increase in mean ages at cohabiting after divorce and widowhood; (4) a substantial decrease in direct transition from never-married to married; (5) a significant decrease in the overall lifetime proportion of ever marrying and re-marrying in the 1970s to 1980s but a relatively stable pattern in the 1990s to 2000–2002; and (6) a substantial decrease in the lifetime proportion of transition from cohabiting to marriage. We also present, for the first time, comparable evidence on differentials in union regimes between four racial groups. PMID:24179311

  9. Poverty among Cohabiting Gay and Lesbian, and Married and Cohabiting Heterosexual Families

    ERIC Educational Resources Information Center

    Prokos, Anastasia H.; Keene, Jennifer Reid

    2010-01-01

    Using a subsample ( N = 1,365,145) of the 2000 Census 5% Public Use Microdata Sample, the authors investigate explanations for differing poverty chances of cohabiting gay and lesbian, and married and cohabiting heterosexual families. Gay and lesbian couples fare worse than married couples, but better economically than cohabiting heterosexuals.…

  10. Cohabitation, marriage, divorce, and remarriage in the United States.

    PubMed

    Bramlett, Matthew D; Mosher, William D

    2002-07-01

    This report presents national estimates of the probabilities of marital and cohabitation outcomes for women 15-44 years of age in 1995, by a wide variety of individual- and community-level characteristics. The life-table analysis in this report takes a life cycle approach to estimate the probabilities that: a woman will marry for the first time, an intact first cohabitation will make the transition to marriage, a first cohabitation will end in separation, a first marriage will end in separation or divorce, a disrupted first marriage will be followed by a new cohabitation, a separation from first marriage will result in divorce, a divorce from first marriage will be followed by remarriage, and a second marriage will end in separation or divorce. The life-table estimates presented here are based on a nationally representative sample of women 15-44 years of age in the United States in 1995 from the National Survey of Family Growth, Cycle 5. The analyses show that various individual and community-level characteristics are related to the marital and cohabitational outcomes examined in this report. The results consistently demonstrate that the cohabitations and marriages of non-Hispanic black women are less stable than those of non-Hispanic white women. An analysis of trends over time suggests that differences by race/ethnicity are becoming more pronounced in recent years. Racial differences observed are associated with individual characteristics and with the characteristics of the communities in which the women live.

  11. Married and Cohabiting Parents' Relationship Stability: A Focus on Race and Ethnicity

    ERIC Educational Resources Information Center

    Osborne, Cynthia; Manning, Wendy D.; Smock, Pamela J.

    2007-01-01

    We draw on three waves of the Fragile Families Study (N = 2,249) to examine family stability among a recent birth cohort of children. We find that children born to cohabiting versus married parents have over five times the risk of experiencing their parents' separation. This difference in union stability is greatest for White children, as compared…

  12. The Impact of Rational Considerations and Perceived Opinions on Young Adults' Union Formation Intentions.

    ERIC Educational Resources Information Center

    Liefbroer, Aart C.; Gierveld, Jenny De Jong

    1993-01-01

    Found that plans of representative sample of young adults in Netherlands concerning choice between cohabitation and marriage were predicted by rational evaluation of difference between marriage and cohabitation and by perceived opinions of significant others. Effects of family background and social status variables on union formation intentions…

  13. Measuring cohabitation and family structure in the United States: assessing the impact of new data from the Current Population Survey.

    PubMed

    Kennedy, Sheela; Fitch, Catherine A

    2012-11-01

    In 2007, the Current Population Survey (CPS) introduced a measure that identifies all cohabiting partners in a household, regardless of whether they describe themselves as "unmarried partners" in the relationship to householder question. The CPS now also links children to their biological, step-, and adoptive parents. Using these new variables, we analyze the prevalence of cohabitation as well as the demographic and socioeconomic characteristics of different-sex cohabiting couples during the years 2007-2009. Estimates of cohabitation produced using only unmarried partnerships miss 18 % of all cohabiting unions and 12 % of children residing with cohabiting parents. Although differences between unmarried partners and most newly identified cohabitors are small, newly identified cohabitors are older, on average, and are less likely to be raising shared biological or adopted children. These new measures also allow us to identify a small number of young, disadvantaged couples who primarily reside in households of other family members, most commonly with parents. We conclude with an examination of the complex living arrangements and poverty status of American children, demonstrating the broader value of these new measures for research on American family and household structure.

  14. [The study of unions in demography: from categories to process].

    PubMed

    Burch, T K; Belanger, D

    1999-01-01

    For centuries, illegitimate children, those born outside of civil marriage or a marriage conducted within the church, were systematically accorded second-class status by both the law and religion. This attitude toward such children frustrates efforts to change legislation, social structure, and our understanding of new types of union outside of marriage. In Canada, no common term even exists in the two official languages to designate the cohabitation of an unmarried couple. Such unions simply fall through the net of classical demography. Even the more dynamic approaches, such as those seen in multistate models, follow only the movements of individuals in traditional categories. One must understand that the formation of couples is a multidimensional process and that a multidimensional approach to such unions could lead to the creation of a new group of nonethnocentric categories applicable to a number of different societies. The authors also consider the notion of process, in which marriage and cohabitation are merely two states in a range of possible states through which an individual will move during the course of his or her life. Cohabiting situations vary in importance depending upon one¿s states. Better demographic analyses can lead to greater understanding of the human couple and its sexual and reproductive behaviors.

  15. Offending, Substance Use, and Cohabitation in Young Adulthood*

    PubMed Central

    Lonardo, Robert A.; Manning, Wendy D.; Giordano, Peggy C.; Longmore, Monica A.

    2010-01-01

    Over half of young adults have cohabited, but relatively little is known about the role delinquency and substance use play in youths’ odds of cohabiting as well as the implications of cohabitation for early adult offending and substance use. This study focuses on the reciprocal relationship between cohabitation during late adolescence and young adulthood and self-reported offending and substance use. Using longitudinal data, we find that net of traditional predictors delinquency involvement is associated with increased odds of cohabitation and cohabiting at younger ages while substance use is not related to cohabiting during early adulthood. Further analysis indicates that cohabitation is associated with lower reports of substance use. However, cohabitation is not associated with self-reported offending. The results help to unravel the connection between cohabitation experience, offending and substance use, and early adult outcomes. PMID:21359092

  16. Management of tibial non-unions according to a novel treatment algorithm.

    PubMed

    Ferreira, Nando; Marais, Leonard Charles

    2015-12-01

    Tibial non-unions represent a spectrum of conditions that are challenging to treat. The optimal management remains unclear despite the frequency with which these diagnoses are encountered. The aim of this study was to determine the outcome of tibial non-unions managed according to a novel tibial non-union treatment algorithm. One hundred and eighteen consecutive patients with 122 uninfected tibial non-unions were treated according to our proposed tibial non-union treatment algorithm. All patients were followed-up clinically and radiologically for a minimum of six months after external fixator removal. Four patients were excluded because they did not complete the intended treatment process. The final study population consisted of 94 men and 24 women with a mean age of 34 years. Sixty-seven non-unions were stiff hypertrophic, 32 mobile atrophic, 16 mobile oligotrophic and one true pseudoarthrosis. Six non-unions were classified as type B1 defect non-unions. Bony union was achieved after the initial surgery in 113/122 (92.6%) tibias. Nine patients had failure of treatment. Seven persistent non-unions were successfully retreated according to the tibial non-union treatment algorithm. This resulted in final bony union in 120/122 (98.3%) tibias. The proposed tibial non-union treatment algorithm appears to produce high union rates across a diverse group of tibial non-unions. Tibial non-unions however, remain difficult to treat and should be referred to specialist units where advanced reconstructive techniques are practiced on a regular basis. Copyright © 2015 Elsevier Ltd. All rights reserved.

  17. The Child Health Disadvantage of Parental Cohabitation

    ERIC Educational Resources Information Center

    Schmeer, Kammi K.

    2011-01-01

    This study uses Fragile Families data (N = 2,160) to assess health differences at age 5 for children born to cohabiting versus married parents. Regression analyses indicate worse health for children born to cohabiting parents, including those whose parents stably cohabited, dissolved their cohabitation, and married, than for children with stably…

  18. Non-monogamy and risk of infection with Chlamydia trachomatis and Trichomonas vaginalis among young adults and their cohabiting partners in Peru.

    PubMed

    Canchihuaman, Fredy A; Carcamo, Cesar P; Garcia, Patricia J; Aral, Sevgi O; Whittington, William L H; Hawes, Stephen E; Hughes, James P; Holmes, King K

    2010-12-01

    To determine how patterns of non-monogamy influence prevalences of sexually transmitted infections (STIs) in individuals and their cohabitating sex partners. METHODS A 2002 survey in 24 Peruvian cities enrolled men and women aged 18-29 years from random household samples. The cohabiting sex partner of each enrolee was also enrolled until approximately 100 couples per city were recruited. Men provided urine and women vaginal swabs or urine for molecular testing for Chlamydia trachomatis and Trichomonas vaginalis; both genders provided blood for serological testing. Among 2099 females and 2052 males providing specimens and behavioural data, 18.2% of males and 2.5% of females reported non-monogamy during the past year. C trachomatis was detected in 121 females (5.8%) and 80 males (4.1%) and T vaginalis in 87 females (4.2%) and 26 males (1.3%). Multivariate analyses showed that C trachomatis infection in females was significantly associated with her male partner's non-monogamy (OR 2.02, CI 1.32 to 3.08) but not significantly with her own non-monogamy; T vaginalis was associated with her own non-monogamy (OR 3.11, CI 1.25 to 7.73) and with her partner's non-monogamy (OR 2.07, CI 1.26 to 3.42). For males, both C trachomatis (OR 2.17, CI 1.29 to 3.69) and T vaginalis (OR 2.49, CI 1.06 to 5.87) were significantly associated only with his own non-monogamy. Among cohabiting couples, male non-monogamy was common and was associated with C trachomatis and T vaginalis infection in himself and in his female partner, whereas female non-monogamy was reported infrequently and was significantly associated only with her own T vaginalis infection. Patterns of non-monogamy may guide public health interventions.

  19. Commitment and Cohabitation Cohesion.

    ERIC Educational Resources Information Center

    Montgomery, Jason

    Because cohabitation generally begins casually with no explicit understanding and because there are few outside pressures holding the couple together, it would seem that this type of living arrangement would be characterized by brevity; this is not the case. Since cohabitation arrangements are generally not brief but long lasting, their…

  20. Contemporary Work and Family Issues Affecting Marriage and Cohabitation Among Low-Income Single Mothers.

    PubMed

    Joshi, Pamela; Quane, James M; Cherlin, Andrew J

    2009-12-01

    In this paper, we advance and test an integrative model of the effects of employment status, nonstandard work schedules, male employment, and women's perceptions of economic instability on union formation among low-income single mothers. Based on longitudinal data from 1,299 low-income mothers from the 3-city Welfare Study, results indicate that employment status alone is not significantly associated with whether women marry or cohabit. We find that nonemployed mothers and mothers working nonstandard schedules were less likely to marry compared to those working standard schedules. Mothers' perceptions of economic well-being were associated with marriage at Wave 2. In contrast, cohabitation outcomes were not explained by economic factors, but were related to the perception of child care support. The policy implications of these results are discussed, in particular, as they relate to welfare reform's work and family goals.

  1. Serial Cohabitation and the Marital Life Course

    ERIC Educational Resources Information Center

    Lichter, Daniel T.; Qian, Zhenchao

    2008-01-01

    Using cohort data from the National Longitudinal Survey of Youth, this paper tracks the experiences of "serial cohabitors." Results indicate that only a minority of cohabiting women (about 15%-20%) were involved in multiple cohabitations. Serial cohabitations were overrepresented among economically disadvantaged groups, especially those with low…

  2. He Says, She Says: Gender and Cohabitation

    ERIC Educational Resources Information Center

    Huang, Penelope M.; Smock, Pamela J.; Manning, Wendy D.; Bergstrom-Lynch, Cara A.

    2011-01-01

    Cohabitation has become the modal path to marriage in the United States. However, little is known about what cohabitation means to young adults today. Drawing on data from 18 focus groups (N = 138) and 54 in-depth interviews with young adults, this exploratory study investigates motivations to cohabit and examines potential gender differences in…

  3. The Effect of Union Type on Work-Life Conflict in Five European Countries

    ERIC Educational Resources Information Center

    Kasearu, Kairi

    2009-01-01

    This paper explores the strategies for reconciling family and work in different union types. The focus here is on investigating how cohabiting and married individuals perceive the work-life conflict in different European countries. To test the union type impact on work-life balance in the context of different societal conditions, this paper draws…

  4. Contemporary Work and Family Issues Affecting Marriage and Cohabitation Among Low-Income Single Mothers

    PubMed Central

    Joshi, Pamela; Quane, James M.; Cherlin, Andrew J.

    2015-01-01

    In this paper, we advance and test an integrative model of the effects of employment status, nonstandard work schedules, male employment, and women’s perceptions of economic instability on union formation among low-income single mothers. Based on longitudinal data from 1,299 low-income mothers from the 3-city Welfare Study, results indicate that employment status alone is not significantly associated with whether women marry or cohabit. We find that nonemployed mothers and mothers working nonstandard schedules were less likely to marry compared to those working standard schedules. Mothers’ perceptions of economic well-being were associated with marriage at Wave 2. In contrast, cohabitation outcomes were not explained by economic factors, but were related to the perception of child care support. The policy implications of these results are discussed, in particular, as they relate to welfare reform’s work and family goals. PMID:26478647

  5. Reassessing Differences in Work and Income in Cohabitation and Marriage

    ERIC Educational Resources Information Center

    Kuperberg, Arielle

    2012-01-01

    Are cohabiters different than married couples who cohabited before marriage? This study used the 2002 wave of the National Survey of Families and Households to determine how work behavior might differ for 4 relationship types: (a) cohabiters with uncertain marriage plans, (b) cohabiters with definite marriage plans, (c) premarital cohabiters who…

  6. A Population-Based Study of Alcohol Use in Same-Sex and Different-Sex Unions

    PubMed Central

    Reczek, Corinne; Liu, Hui; Spiker, Russell

    2014-01-01

    The present study advances research on union status and health by providing a first look at alcohol use differentials among different-sex and same-sex married and cohabiting individuals using nationally representative population-based data (National Health Interview Surveys 1997–2011, N = 181,581). The results showed that both same-sex and different-sex married groups reported lower alcohol use than both same-sex and different-sex cohabiting groups. The results further revealed that same-sex and different-sex married individuals reported similar levels of alcohol use, whereas same-sex and different-sex cohabiting individuals reported similar levels of alcohol use. Drawing on marital advantage and minority stress approaches, the findings suggest that it is cohabitation status—not same-sex status—that is associated with elevated alcohol rates. PMID:24860195

  7. Older Adults' Attitudes Toward Cohabitation: Two Decades of Change.

    PubMed

    Brown, Susan L; Wright, Matthew R

    2016-07-01

    Our study tracks cohort change in the attitudes of adults aged 50 and older toward cohabitation from 1994 to 2012. We used data from the 1994, 2002, and 2012 waves of the General Social Survey to examine the roles of cohort replacement and intracohort change in the trend toward favorable cohabitation attitudes and to examine sociodemographic variation in patterns of support for cohabitation. Support for cohabitation accelerated over time with nearly half (46%) of older adults reporting favorable attitudes toward cohabitation in 2012 versus just 20% in 1994. This shift in older adults' attitudes largely reflected cohort replacement rather than intracohort change. Some of the factors associated with later life cohabitation experience were linked to supportive attitudes. Cohort succession is fueling the growing acceptance of cohabitation among older adults and coincides with the rapid growth in later life cohabitation that has occurred in recent decades. © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  8. The Latin American cohabitation boom, 1970–2007.

    PubMed

    Esteve, Albert; Lesthaeghe, Ron; López-Gay, Antonio

    2012-01-01

    The article describes the rise of unmarried cohabitation in Latin American countries during the last 30 years of the twentieth century, both at the national and regional levels. It documents that this major increase occurred in regions with and without traditional forms of cohabitation alike. In addition, the striking degree of catching up of cohabitation among the better-educated population segments is illustrated. The connections between these trends and economic (periods of high inflation) and cultural (reduction of stigmas in ethical domains) factors are discussed. The conclusion is that the periods of inflation and hyperinflation may have been general catalysts, but no clear indications of correlation were found between such economic factors and the rise in cohabitation. The shift toward more tolerance for hitherto stigmatized forms of conduct (e.g., homosexuality, euthanasia, abortion, singleparent household) is in line with the rise of cohabitation in regions of Argentina, Chile, and Brazil where cohabitation used to be uncommon. Further rises in cohabitation during the first decade of the twenty-first century are expected in a number of countries (e.g., mexico) despite conditions of much lower inflation.

  9. Revisiting Jane Austen's Theory of Marriage Timing: Changes in Union Formation among American Men in the Late 20th Century

    ERIC Educational Resources Information Center

    Sassler, Sharon; Goldscheider, Frances

    2004-01-01

    This article examines union entrance among never-married young men, focusing on whether the importance of a man's being economically established to marry has decreased in this new era of cohabitation and working wives. The authors test this assumption by examining marriage and cohabitation as competing risks to see whether the importance of…

  10. Natural tibialization of fibula in non-union tibia: Two cases.

    PubMed

    Prabhat, Vinay; Vargaonkar, Gauresh S; Mallojwar, Sunil R; Kumar, Ramesh

    2016-01-01

    Non-union of tibia is known to be a common complication after fracture both bones of leg treated conservatively. During the course of natural healing, fibula usually unites early as it had more soft tissue attachment and vascular supply. Due to early union of fibula and absence of axial force across the tibia, it undergoes non-union. Two cases, a 32-year-old male and 65-year-old female treated conservatively for fracture both bones of leg long years back, presented to us with mild calf pain on and off. On radiological examination, there was non-union of tibia along with compensatory fibular hypertrophy to the extent that fibula became main weight bearing bone. In both the cases, we observed gross fibular hypertrophy in presence of non-union of tibia. In conservatively treated cases of fracture, both bones of leg, non-union of tibia may coexist with compensatory hypertrophy of fibula to the extent that, it becomes main weight bearing bone of the leg. We are presenting here two cases of natural tibialization of fibula along with nonunion tibia. Our article supports the theory of Wolff's law.

  11. A Geography of Unmarried Cohabitation in the Americas1

    PubMed Central

    López-Gay, Antonio; Esteve, Albert; López-Colás, Julian; Permanyer, Iñaki; Turu, Anna; Kennedy, Sheela; Laplante, Benoît; Lesthaeghe, Ron

    2014-01-01

    BACKGROUND In the context of increasing cohabitation and growing demand for understanding the driving forces behind the cohabitation boom, most analyses have been carried out at a national level, not accounting for regional heterogeneity within countries. OBJECTIVE This paper presents the geography of unmarried cohabitation in the Americas. We offer a large-scale, cross-national perspective together with small-area estimates of cohabitation. We decided to produce this map because: (i) geography unveils spatial heterogeneity and challenges explanatory frameworks that may work at the international level but have low explanatory power in regard to intra-national variation. (ii) we argue that historical pockets of cohabitation can still be identified by examining the current geography of cohabitation. (iii) our map is a first step toward understanding whether the recent increase in cohabitation is an intensification of pre-existing traditions or whether it has different roots that also imply a new geography. METHODS Census microdata from 39 countries and 19,000 local units have been pulled together to map the prevalence of cohabitation among women. RESULTS The results show inter- and intra-national regional contrasts. The highest rates of cohabitation are found in areas of Central America, the Caribbean, Colombia and Peru. The lowest rates are mainly found in the United States and Mexico. In all countries the spatial autocorrelation statistics indicates substantial spatial heterogeneity. CONCLUSIONS Our results raise the question as to which forces have shaped these patterns and remind us that such forces need to be taken into account to understand recent patterns, particularly increases, in cohabitation. PMID:26161036

  12. Young Adults' Perceived Purposes of Emerging Adulthood: Implications for Cohabitation.

    PubMed

    Rogers, Adam A; Willoughby, Brian J; Nelson, Larry J

    2016-01-01

    The authors investigated associations between young adults' perceived purposes of emerging adulthood and their attitudes toward and participation in cohabitation. In a sample of 775 never married individuals, ages 18-29 (69% female, 69% white) from the United States, young people's perceptions of this period of life were associated with their acceptance of cohabitation, their reasoning for accepting cohabitation, and the likelihood of cohabiting. Results showed that the perception that emerging adulthood is a time to prepare for future family roles was negatively associated with acceptance of cohabitation whereas the perception that emerging adulthood is a time to take risks was positively associated with acceptance of cohabitation. The perception that emerging adulthood is a time to prepare for future family roles was associated with an increased likelihood of having cohabited while the perception that emerging adulthood is a time of possibilities was associated with a decreased likelihood of having cohabited. Implications for future research are discussed.

  13. Adolescent Violent Victimization and Precocious Union Formation.

    PubMed

    C Kuhl, Danielle; Warner, David F; Wilczak, Andrew

    2012-11-01

    This article bridges scholarship in criminology and family sociology by extending arguments about "precocious exits" from adolescence to consider early union formation as a salient outcome of violent victimization for youths. Research indicates that early union formation is associated with several negative outcomes; yet the absence of attention to union formation as a consequence of violent victimization is noteworthy. We address this gap by drawing on life course theory and data from the National Longitudinal Study of Adolescent Health (Add Health) to examine the effect of violent victimization ("street" violence) on the timing of first co-residential union formation-differentiating between marriage and cohabitation-in young adulthood. Estimates from Cox proportional hazard models show that adolescent victims of street violence experience higher rates of first union formation, especially marriage, early in the transition to adulthood; however, this effect declines with age, as such unions become more normative. Importantly, the effect of violent victimization on first union timing is robust to controls for nonviolent delinquency, substance abuse, and violent perpetration. We conclude by discussing directions for future research on the association between violent victimization and coresidential unions with an eye toward the implications of such early union formation for desistance.

  14. Health consequences of same and opposite-sex unions: partnership, parenthood, and cardiovascular risk among young adults.

    PubMed

    Frech, Adrianne; Lynch, Jamie L; Barr, Peter

    2016-02-01

    We use the National Longitudinal Survey of Adolescent to Adult Health to examine union and parenthood differences across same and opposite-sex couples in systolic and diastolic blood pressure (SBP and DBP), C-reactive protein (CRP), and abdominal adiposity (waist circumference) among partnered (dating, cohabiting, married) young adults ages 25-33. Relative to women dating men, women cohabiting with women reported lower DBP and were less likely to have high CRP. Mothers reported lower SBP and DBP than non-mothers, but were more likely to have high waist circumference if they lived with a biological or step-child. Among men, nonresidential fathers reported higher DBP than nonfathers, and married men were more likely to have high waist circumference than men dating an opposite-sex partner. Same-sex cohabitation was neither a risk factor nor a health resource for men. Although the sample sizes for same-sex couples are quite small compared with those for opposite-sex couples, this study provides initial insight that occupying a sexual minority status while partnered is associated with some health benefits and few or no health risks relative to those who are dating an opposite sex partner.

  15. Nonmarital Childbearing, Union History, and Women's Health at Midlife*

    PubMed Central

    Williams, Kristi; Sassler, Sharon; Frech, Adrianne; Addo, Fenaba; Cooksey, Elizabeth

    2011-01-01

    Despite high rates of nonmarital childbearing in the U.S., little is known about the health of women who have nonmarital births. We use data from the NLSY79 to examine differences in age 40 self-assessed health between women who had a premarital birth and those whose first birth occurred within marriage. We then differentiate women with a premarital first birth according to their subsequent union histories and estimate the effect of marrying or cohabiting versus remaining never-married on midlife self-assessed health, paying particular attention to the paternity status of the mother's partner and the stability of marital unions. To partially address selection bias, we employ multivariate propensity score techniques. Results suggest that premarital childbearing is negatively associated with midlife health for white and black (but not Hispanic) women. We find no evidence that these negative health consequences of nonmarital childbearing are mitigated by either marriage or cohabitation for black women. For other women, only enduring marriage to the biological father is associated with better health than remaining unpartnered. PMID:22199398

  16. Re-Examining the Case for Marriage: Union Formation and Changes in Well-Being

    PubMed Central

    Musick, Kelly; Bumpass, Larry

    2011-01-01

    This article addresses open questions about the nature and meaning of the positive association between marriage and well-being, namely, the extent to which it is causal, shared with cohabitation, and stable over time. We relied on data from the National Survey of Families and Households (N = 2,737) and a modeling approach that controls for fixed differences between individuals by relating union transitions to changes in well-being. This study is unique in examining the persistence of changes in well-being as marriages and cohabitations progress (and potentially dissolve) over time. The effects of marriage and cohabitation are found to be similar across a range of measures tapping psychological well-being, health, and social ties. Where there are statistically significant differences, marriage is not always more advantageous. Overall, differences tend to be small and appear to dissipate over time, even when the greater instability of cohabitation is taken into account. PMID:22611285

  17. Can Marriage Education Mitigate the Risks Associated with Premarital Cohabitation?

    PubMed Central

    Rhoades, Galena K.; Stanley, Scott M.; Markman, Howard J.; Allen, Elizabeth S.

    2015-01-01

    This study tested whether relationship education (i.e., the Prevention and Relationship Education Program; PREP) can mitigate the risk of having cohabited before making a mutual commitment to marry (i.e., “pre-commitment cohabitation”) for marital distress and divorce. Using data from a study of PREP for married couples in the U.S. Army (N = 662 couples), we found that there was a significant association between pre-commitment cohabitation and lower marital satisfaction and dedication before random-assignment to intervention. After intervention, this pre-commitment cohabitation effect was only apparent in the control group. Specifically, significant interactions between intervention condition and cohabitation history indicated that for the control group, but not the PREP group, pre-commitment cohabitation was associated with lower dedication as well as declines in marital satisfaction and increases in negative communication over time. Further, those with pre-commitment cohabitation were more likely to divorce by the two-year follow up only in the control group; there were no differences in divorce based on premarital cohabitation history in the PREP group. These findings are discussed in light of current research on cohabitation and relationship education; potential implications are also considered. PMID:25938709

  18. Cohabitation promotes high diversity of clownfishes in the Coral Triangle

    PubMed Central

    De Brauwer, Maarten; Dumbrell, Alex J.; Smith, David J.

    2016-01-01

    Global marine biodiversity peaks within the Coral Triangle, and understanding how such high diversity is maintained is a central question in marine ecology. We investigated broad-scale patterns in the diversity of clownfishes and their host sea anemones by conducting 981 belt-transects at 20 locations throughout the Indo-Pacific. Of the 1508 clownfishes encountered, 377 fish occurred in interspecific cohabiting groups and cohabitation was almost entirely restricted to the Coral Triangle. Neither the diversity nor density of host anemone or clownfish species alone influenced rates of interspecific cohabitation. Rather cohabitation occurred in areas where the number of clownfish species exceeds the number of host anemone species. In the Coral Triangle, cohabiting individuals were observed to finely partition their host anemone, with the subordinate species inhabiting the periphery. Furthermore, aggression did not increase in interspecific cohabiting groups, instead dominant species were accepting of subordinate species. Various combinations of clownfish species were observed cohabiting (independent of body size, phylogenetic relatedness, evolutionary age, dentition, level of specialization) in a range of anemone species, thereby ensuring that each clownfish species had dominant reproductive individuals in some cohabiting groups. Clownfishes are obligate commensals, thus cohabitation is an important process in maintaining biodiversity in high diversity systems because it supports the persistence of many species when host availability is limiting. Cohabitation is a likely explanation for high species richness in other obligate commensals within the Coral Triangle, and highlights the importance of protecting these habitats in order to conserve unique marine biodiversity. PMID:27030417

  19. Cohabitation promotes high diversity of clownfishes in the Coral Triangle.

    PubMed

    Camp, Emma F; Hobbs, Jean-Paul A; De Brauwer, Maarten; Dumbrell, Alex J; Smith, David J

    2016-03-30

    Global marine biodiversity peaks within the Coral Triangle, and understanding how such high diversity is maintained is a central question in marine ecology. We investigated broad-scale patterns in the diversity of clownfishes and their host sea anemones by conducting 981 belt-transects at 20 locations throughout the Indo-Pacific. Of the 1508 clownfishes encountered, 377 fish occurred in interspecific cohabiting groups and cohabitation was almost entirely restricted to the Coral Triangle. Neither the diversity nor density of host anemone or clownfish species alone influenced rates of interspecific cohabitation. Rather cohabitation occurred in areas where the number of clownfish species exceeds the number of host anemone species. In the Coral Triangle, cohabiting individuals were observed to finely partition their host anemone, with the subordinate species inhabiting the periphery. Furthermore, aggression did not increase in interspecific cohabiting groups, instead dominant species were accepting of subordinate species. Various combinations of clownfish species were observed cohabiting (independent of body size, phylogenetic relatedness, evolutionary age, dentition, level of specialization) in a range of anemone species, thereby ensuring that each clownfish species had dominant reproductive individuals in some cohabiting groups. Clownfishes are obligate commensals, thus cohabitation is an important process in maintaining biodiversity in high diversity systems because it supports the persistence of many species when host availability is limiting. Cohabitation is a likely explanation for high species richness in other obligate commensals within the Coral Triangle, and highlights the importance of protecting these habitats in order to conserve unique marine biodiversity. © 2016 The Author(s).

  20. Minimally invasive plate augmentation in the treatment of long-bone non-unions.

    PubMed

    Park, Ki-Chul; Oh, Chang-Wug; Kim, Joon-Woo; Park, Kyeong-Hyeon; Oh, Jong-Keon; Park, Il-Hyung; Kyung, Hee-Soo; Heo, Jeong

    2017-11-01

    Exchange nailing is most acceptable for treating hypertrophic non-union of the long bones, requiring the removal of previously fixed implant. However, its main effect of mechanical stabilization is controversial in non-isthmal area. We hypothesized that minimally invasive plate augmentation over the non-union site may have a better option, without the need of bone grafting or removing pre-existing implants. Seventeen patients with hypertrophic non-union of the long bones between 2010 and 2014 on radiography who previously underwent intramedullary (IM) nailing or plate osteosynthesis for long-bone fractures were included. A locking compression plate was inserted with at least three mono- or bicortical screws at each proximal and distal segment. Broken or loosened interlocking screws of IM nail were simultaneously re-fixed. Fracture site exposure, pre-fixed implant removal, and bone grafting were not performed. We investigated whether union occurred and analyzed functional outcomes and complications. Eleven femoral and six tibial non-unions were prospectively included. In the pre-existing implants, 13 nails and 4 plates were found. All cases achieved union at a mean 22.7 weeks. One case of superficial infection was managed with oral antibiotics. Deep infection or implant failure did not occur. Minimally invasive plate augmentation can achieve additional stability and promote healing of hypertrophic non-union of the long bones. When indicated, this technique is the least invasive alternative to exchange nailing and reduces surgical risks in the treatment of diaphyseal non-union.

  1. Mate Selection among Married and Cohabiting Couples.

    ERIC Educational Resources Information Center

    Blackwell, Debra L.; Lichter, Daniel T.

    2000-01-01

    Examines comparative patterns of educational and racial assortative mating or homogany among married and cohabiting couples, and evaluates whether women and men trade in socioeconomic status and racial caste prestige. Lists several findings, including married/cohabiting couples are highly homogenous with respect to race and education. Suggests…

  2. Using Marital Attitudes in Late Adolescence to Predict Later Union Transitions

    ERIC Educational Resources Information Center

    Willoughby, Brian J.

    2014-01-01

    Using a sample of 982 late adolescents and tracking them throughout young adulthood, this study investigated whether marital attitudes held during the last year of high school were predictive of union transitions to both cohabitation and marriage during young adulthood. Results using both logistic regression and discrete event history models found…

  3. Trends of non-union and prescriptions for non-steroidal anti-inflammatory drugs in the United States, 1993-2012.

    PubMed

    Wang, Zhong; Bhattacharyya, Timothy

    2015-01-01

    Surgical care and pain management for patients with fractures have evolved over the years. We wanted to ascertain if there were any changes in the incidence of non-unions and, if so, whether the use of non-steroidal anti-inflammatory drugs (NSAIDs), including COX-2 selective inhibitors, might have an effect. We used the National Inpatient Sample (NIS) to estimate the annual number of patients hospitalized for surgical treatment of a non-union between 1993 and 2012, and calculated age-adjusted rates of non-union. We estimated the prevalence of prescriptions for NSAIDs from 1996 through 2012 using the Medical Expenditure Panel Survey (MEPS). The interrupted time-series analysis was used to relate quarterly rates of non-union to changes in prescriptions for NSAIDs between 1996 and 2009. The annual estimate of non-unions in the USA declined 30% from 25,634 in 1993 to 17,815 in 2012 (p < 0.001). Specifically, the age-adjusted rate of non-unions decreased by 44% from 8.6 per 10(5) persons in 1996 to 4.8 per 10(5) persons in 2012 (p < 0.001). However, there was an 8% increase in the incidence rate of non-unions (p = 0.003) between 2000 and 2004, when certain COX-2 selective inhibitors were on the market and their prescriptions were prevalent at around 6% among those with fractures. A drop in non-union estimates from 22,321 in 2010 to 18,789 in 2011 (p = 0.04) also coincided with a marked decrease in prescriptions for NSAIDs in patients with fractures, from 22% to 14% (p = 0.02). Non-unions in the USA declined substantially between 1993 and 2012, but this was interrupted by changes in prescriptions for NSAIDs, with sustained increases between 2000 and 2004 followed by transient decreases in 2005 and 2011.

  4. External fixators in the treatment of midshaft clavicle non-unions: a systematic review.

    PubMed

    Barlow, Tim; Upadhyay, Piyush; Barlow, David

    2014-02-01

    Non- or mal-union of the clavicle is reported to occur in up to 15 % of conservatively treated fractures: the purpose of this systematic review is to examine the evidence for the use of external fixation in the treatment of clavicular non-union. We performed a search of MEDLINE and Embase, including all papers using external fixators for the treatment of clavicular non-union. Four papers satisfied our eligibility criteria: three case series and one case-control study. Level of evidence and quality assessment scoring were performed using published methods. Due to the heterogeneity of the study populations and interventions, no attempt at meta-analysis was made. External fixation in hypertrophic non-union of the clavicle, but not atrophic non-union, appears to be a reasonable treatment option. A pragmatic, multicentre, randomised controlled trial comparing external fixation and open reduction internal fixation in the treatment of hypertrophic non-union of the clavicle would be valuable.

  5. Same-sex cohabiting elders versus different-sex cohabiting and married elders: effects of relationship status and sex of partner on economic and health outcomes.

    PubMed

    Baumle, Amanda K

    2014-01-01

    In this article, I use pooled data from the 2008-2010 American Community Surveys to examine outcomes for different-sex married, different-sex cohabiting, and same-sex cohabiting elders across several key economic and health indicators, as well as other demographic characteristics. The findings suggest that elders in same-sex cohabiting partnerships differ from those in different-sex marriages and different-sex cohabiting relationships in terms of both financial and health outcomes, and that women in same-sex cohabiting partnerships fare worse than men or women in other couple types. The results indicate that financial implications related to the sex of one's partner might be more predictive of economic and health outcomes in old age, rather than solely access to legal marriage. Nonetheless, findings suggest that individuals in same-sex cohabiting partnerships might experience worse outcomes in old age as a result of cumulative effects across the life course from both the sex of their partner (in the case of female couples) as well as their lack of access to benefits associated with marriage. Accordingly, these findings demonstrate that persons in same-sex cohabiting partnerships require unique policy considerations to address health and economic concerns in old age. Copyright © 2013 Elsevier Inc. All rights reserved.

  6. Effectiveness of exchange K-nail and augmented plating in aseptic femoral diaphyseal non-union.

    PubMed

    Sancheti, K H; Pradhan, Chetan; Patil, Atul; Puram, Chetan; Bharti, Parkalp; Sancheti, Parag; Shyam, Ashok

    2017-08-01

    Femoral diaphyseal non-unions present difficult scenario to manage. There are multiple options but most of them still report varying incidences of failure. We combined the principles of augmented plating and exchange nailing and aim to study the effectiveness of this technique. A retrospective study at a tertiary trauma centre was conducted. Seventy patients (60 men, 10 women), average age 40.7±15.27 years (range 18-81 years) with diaphyseal femoral fracture non-unions treated between July 2010 and January 2015 were reviewed. The average interval between first and the last surgery was 18.07±17.65 months (range 4-96 months). Forty six patients had hypertrophic non-union and 24 patients had atrophic non-union. Twenty one patients had undergone a prior surgery for non-union, 13 dynamisation, 4 bone grafting, 1 augmented plating and 3 exchange nailing. Non-unions were treated with implant removal, freshening of bone edges and exchange K-nailing and augmented plating. Autologous bone grafting and raising of osteoperiosteal flaps was done in all cases. Outcome measures were radiographic evidence of fracture union at minimum three out of four cortices, knee range of motion as compared to opposite knee, and study of complications. All patients demonstrated radiographic evidence of fracture union with an average time of 16.77±2.38 weeks (range 12-26 weeks). Mean knee range of motion of unaffected limb was 126±9.76° (range 90-140°) while in operated limb it was 121.1±11.36° (range 80-140°), p>0.01. Patients with hypertrophic non-unions, prior surgery for non-union and supra- or infra-isthmal non-unions had shorter union time. Two patients had superficial infection which was managed by superficial debridement and two patients had pain at proximal nail tip site which was managed by anti-inflammatory medication. None of the patients required additional surgery for implant removal. Exchange K nailing with Bone graft and additional plating technique for non-union

  7. Persistent non-union of the humeral shaft treated by plating and autologous bone grafting.

    PubMed

    Pollon, Tristan; Reina, Nicolas; Delclaux, Stéphanie; Bonnevialle, Paul; Mansat, Pierre; Bonnevialle, Nicolas

    2017-02-01

    Surgical treatment of persistent non-union of the humeral shaft is a complex situation because of the risk of failure and surgery-related complications. The primary objective of this study was to evaluate clinical and radiological results of a continuous series of persistent non-union treated with plating and bone grafting. The secondary objective was to expose factors contributing to the failure of prior bone union attempts. Sixteen patients (average age of 52 years) were treated for persistent non-union of the humeral shaft in our department; six of these patients had predisposing comorbidities or addictions. The persistent non-union was treated by plating with autologous bone graft from the iliac crest in a single-stage procedure in 12 cases and a two-stage procedure in three cases; one case was treated with plating and vascularized fibula graft. At a minimum follow-up of 12 months (average 78 months), four (25 %) failed to heal. The 12 other patients had bone union after an average of eight months. The average QuickDASH score was 48 points (18-72). A retrospective analysis of the prior attempts to treat the non-union revealed three cases of unstable fixation, four cases with no osteogenic supply and seven cases of positive microbiological cultures at the non-union site. Plating and autologous bone grafting resulted in union in only 75 % of persistent non-union of the humeral shaft. The persistent nature of the humeral shaft non-union could be attributed to deviating from validated rules for surgical treatment and/or the presence of a surgical site infection.

  8. Distal tibial fractures and non-unions treated with shortened intramedullary nail.

    PubMed

    Megas, P; Zouboulis, P; Papadopoulos, A X; Karageorgos, A; Lambiris, E

    2003-01-01

    We reviewed 18 patients, 14 with acute fractures and four with non-union of the distal tibia, treated between 1990 and 2001 with a shortened, reamed intramedullary nail. The mean follow-up was 38 (8-144) months. The fractures united at an average of 16 (12-18) weeks and the non-unions at 20 (12-30) weeks. Two patients required nail dynamization. No limb shortening nor material failures were seen. All patients returned to normal daily activities. Although technically demanding, intramedullary nailing for distal tibial fractures and non-unions with a shortened nail represents a safe and reliable method.

  9. The Influence of Parental Education on Timing and Type of Union Formation: Changes Over the Life Course and Over Time in the Netherlands.

    PubMed

    Mooyaart, Jarl E; Liefbroer, Aart C

    2016-08-01

    Family background shapes young adults' decisions in their transition to adulthood, and the outcomes of these decisions lay the foundation for their subsequent life course. This study examines the influence of parental education on their children's union formation. We examine the timing of entry into a first union (a married or a cohabiting union), the choice between marriage and cohabitation, and the timing of first marriage. Data from eight nationally representative surveys conducted in the Netherlands are pooled (N = 39,777), with respondents being born between 1930 and 1990, to examine not only the effect of parental education on union formation but also whether this effect changes over birth cohorts, periods, and the life course, and varies by gender. Results from discrete-time hazard analyses show little change in the effect of parental education across cohorts and periods but strong life-course effects. Gender differences in the effect of parental education are relatively small.

  10. Same-Sex and Different-Sex Cohabiting Couple Relationship Stability

    PubMed Central

    Manning, Wendy; Brown, Susan; Stykes, Bart

    2016-01-01

    Relationship stability is a key indicator of well-being, but most U.S.-based research has been limited to different-sex couples. The 2008 panel of the Survey of Income and Program Participation (SIPP) provides an untapped data resource to analyze relationship stability of same-sex cohabiting, different-sex cohabiting, and different-sex married couples (n = 5,701). The advantages of the SIPP data include the recent, nationally representative, and longitudinal data collection; a large sample of same-sex cohabitors; respondent and partner socioeconomic characteristics; and identification of a state-level indicator of a policy stating that marriage is between one man and one woman (i.e., DOMA). We tested competing hypotheses about the stability of same-sex versus different-sex cohabiting couples that were guided by incomplete institutionalization, minority stress, relationship investments, and couple homogamy perspectives (predicting that same-sex couples would be less stable) as well as economic resources (predicting that same-sex couples would be more stable). In fact, neither expectation was supported: results indicated that same-sex cohabiting couples typically experience levels of stability that are similar to those of different-sex cohabiting couples. We also found evidence of contextual effects: living in a state with a constitutional ban against same-sex marriage was significantly associated with higher levels of instability for same- and different-sex cohabiting couples. The level of stability in both same-sex and different-sex cohabiting couples is not on par with that of different-sex married couples. The findings contribute to a growing literature on health and well-being of same-sex couples and provide a broader understanding of family life. PMID:27383844

  11. Same-Sex and Different-Sex Cohabiting Couple Relationship Stability.

    PubMed

    Manning, Wendy D; Brown, Susan L; Stykes, J Bart

    2016-08-01

    Relationship stability is a key indicator of well-being, but most U.S.-based research has been limited to different-sex couples. The 2008 panel of the Survey of Income and Program Participation (SIPP) provides an untapped data resource to analyze relationship stability of same-sex cohabiting, different-sex cohabiting, and different-sex married couples (n = 5,701). The advantages of the SIPP data include the recent, nationally representative, and longitudinal data collection; a large sample of same-sex cohabitors; respondent and partner socioeconomic characteristics; and identification of a state-level indicator of a policy stating that marriage is between one man and one woman (i.e., DOMA). We tested competing hypotheses about the stability of same-sex versus different-sex cohabiting couples that were guided by incomplete institutionalization, minority stress, relationship investments, and couple homogamy perspectives (predicting that same-sex couples would be less stable) as well as economic resources (predicting that same-sex couples would be more stable). In fact, neither expectation was supported: results indicated that same-sex cohabiting couples typically experience levels of stability that are similar to those of different-sex cohabiting couples. We also found evidence of contextual effects: living in a state with a constitutional ban against same-sex marriage was significantly associated with higher levels of instability for same- and different-sex cohabiting couples. The level of stability in both same-sex and different-sex cohabiting couples is not on par with that of different-sex married couples. The findings contribute to a growing literature on health and well-being of same-sex couples and provide a broader understanding of family life.

  12. 76 FR 79531 - Corporate Credit Unions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-22

    ... exclude CLF stock subscriptions, based on the asset's negligible credit risk and to facilitate corporate... removing paragraphs (c)(3) and (f)(4) and adding paragraph (h) to read as follows: Sec. 704.6 Credit risk... NATIONAL CREDIT UNION ADMINISTRATION 12 CFR Part 704 RIN 3133-AD95 Corporate Credit Unions AGENCY...

  13. Asymptomatic non-union of capitate 14 years postfracture

    PubMed Central

    Hamed, Yosef; Ashwood, Neil; Fogg, Quentin; Galanopoulos, Ilias

    2013-01-01

    We report the unusual complication of non-union 14 years following a capitate fracture in a right-hand dominant man. Our patient fell and sustained an injury to his left wrist 14 years ago. At that time he had a swollen painful left wrist. His symptoms subsequently settled and he went back to his normal activities. He lost some power for bench-pressing and had slightly restricted range of motion but remained essentially pain-free. He presented 14 years later with another wrist injury when the original non-union was revealed. PMID:23761606

  14. CHILDREN’S UNION STATUS AND CONTACT WITH MOTHERS: A CROSS-NATIONAL STUDY

    PubMed Central

    Yahirun, Jenjira J.; Hamplová, Dana

    2015-01-01

    BACKGROUND In North America and Europe, population aging challenges the institutions responsible for elder care. In these environments, older individuals rely on offspring to provide social, instrumental and financial support. However, reliance on offspring, and offspring’s provision of support, depend on several factors. OBJECTIVE In this paper, we examine how offspring’s union status is associated with maternal contact and distinguish between offspring who are married, cohabiting or single. METHODS We use data from the U.S. Health and Retirement Survey and the Survey of Health, Aging, and Retirement in Europe to compare the association between adult children’s union status and contact with mothers. Our sample consists of 9,779 mothers and 20,795 of their adult children across 15 countries. We employ multi-level analyses to account for variation in contact across and within family units and country contexts. RESULTS We find that across all countries, cohabiting offspring have the least contact with mothers compared to married or single offspring. However, the effects of marriage are not universal and vary greatly across countries. In some countries, marriage is associated with less contact with mothers; in others, marriage binds generations together and intergenerational contact is greater than when offspring are single. Differences between married and cohabiting offspring also vary across contexts. We interpret these findings in light of cross-national variation in norms of parental obligations, public support for the elderly and kin relationships in weak versus strong family systems. PMID:26664290

  15. Technical considerations to avoid delayed and non-union.

    PubMed

    McMillan, Tristan E; Johnstone, Alan J

    2017-06-01

    For many years intramedullary nails have been a well accepted and successful method of diaphyseal fracture fixation. However, delayed and non unions with this technique do still occur and are associated with significant patient morbidity. The reason for this can be multi-factorial. We discuss a number of technical considerations to maximise fracture reduction, fracture stability and fracture vascularity in order to achieve bony union. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

  16. Marital and cohabitation status as predictors of mortality: a 10-year follow-up of an Italian elderly cohort.

    PubMed

    Scafato, Emanuele; Galluzzo, Lucia; Gandin, Claudia; Ghirini, Silvia; Baldereschi, Marzia; Capurso, Antonio; Maggi, Stefania; Farchi, Gino; For The Ilsa Working Group

    2008-11-01

    The relationship between mortality and marital status has long been recognized, but only a small number of investigations consider also the association with cohabitation status. Moreover, age and gender differences have not been sufficiently clarified. In addition, little is known on this matter about the Italian elderly population. The aim of this study is to examine differentials in survival with respect to marital status and cohabitation status in order to evaluate their possible predictive value on mortality of an Italian elderly cohort. This paper employs data from the Italian Longitudinal Study on Aging (ILSA), an extensive epidemiologic project on subjects aged 65-84 years. Of the 5376 individuals followed-up from 1992 to 2002, 1977 died, and 1492 were lost during follow-up period. The baseline interview was administered to 84% of the 5376 individuals and 65% of them underwent biological and instrumental examination. Relative risks of mortality for marital (married vs. non-married) and cohabitation (not living alone vs. living alone) categories are estimated through hazard ratios (HR), obtained by means of the Cox proportional hazards regression model, adjusting for age and several other potentially confounding variables. Non-married men (HR=1.25; 95% CI: 1.03-1.52) and those living alone (HR=1.42; 95% CI: 1.05-1.92) show a statistically significant increased mortality risk compared to their married or cohabiting counterparts. After age-adjustment, women's survival is influenced neither by marital status nor by cohabitation status. None of the other covariates significantly alters the observed differences in mortality, in either gender. Neither marital nor cohabitation status are independent predictors of mortality among Italian women 65+, while among men living alone is a predictor of mortality even stronger than not being married. These results suggest that Italian men benefit more than women from the protective effect of living with someone.

  17. The impact of alcohol consumption on patterns of union formation in Russia 1998–2010: An assessment using longitudinal data

    PubMed Central

    Keenan, Katherine; Kenward, Michael G.; Grundy, Emily; Leon, David A.

    2014-01-01

    Using data from the Russian Longitudinal Monitoring Survey, 1998–2010, we investigated the extent to which patterns of alcohol consumption in Russia are associated with the subsequent likelihood of entry into cohabitation and marriage. Using discrete-time event history analysis we estimated for 16–50 year olds the extent to which the probabilities of entry into the two types of union were affected by the amount of alcohol drunk and the pattern of drinking, adjusted to allow for social and demographic factors including income, employment, and health. The results show that individuals who did not drink alcohol were less likely to embark on either cohabitation or marriage, that frequent consumption of alcohol was associated with a greater chance of entering unmarried cohabitation than of entering into a marriage, and that heavy drinkers were less likely to convert their relationship from cohabitation to marriage. PMID:25320843

  18. Maternal Cohabitation and Child Well-Being among Kindergarten Children

    ERIC Educational Resources Information Center

    Artis, Julie E.

    2007-01-01

    Using data collected from 10,511 kindergarten children and their parents from the Early Childhood Longitudinal Study-Kindergarten Cohort, this study examines child well-being across cohabiting 2-biological-parent families; cohabiting stepfamilies; married stepfamilies; and married 2-biological-parent families. Findings indicate no differences in…

  19. Negligent exposures to hand-transmitted vibration.

    PubMed

    Griffin, Michael J

    2008-04-01

    If the negligence of an employer results in the disability in an employee, the employer is responsible, in whole or in part, for the disability. The employer is wholly responsible when the worker would not have developed the disability if the employer had taken all reasonable preventative measures. The employer is only partly responsible if the worker would probably have developed some disability even if the employer had taken all reasonable precautions. The employer's responsibility may be estimated from the difference between the actual disability of the worker and the disability that the worker would have suffered if the employer had taken all reasonable preventative measures. This paper considers alternative ways of apportioning negligent and non-negligent exposures to hand-transmitted vibration. The equivalent daily vibration exposure, A(8), used in current EU Directives is shown to be unsuitable for distinguishing between the consequences of negligent and non-negligent exposures because the risks of developing a disorder from hand-transmitted vibration also depend on the years of exposure. Furthermore, daily exposures take no account of individual susceptibility or the practicality of reducing exposure. The consequences of employer negligence may be estimated from the delay in the onset and progression of disorder that would have been achieved if the employer had acted reasonably, such as by reducing vibration magnitude and exposure duration to the minimum that was reasonably achievable in the circumstances. This seems to be fair and reasonable for both employers and employees and indicates the consequences of negligence-the period of the worker's life with disease as a result of negligence and the period for which their employment opportunities may be restricted as a result of the onset of the disorder due to negligence. The effects of negligence may be estimated from the delay in the onset of disease or disability that would have occurred if the employer

  20. Commitment across the Transition to Parenthood among Married and Cohabiting Couples

    PubMed Central

    Kamp Dush, Claire M.; Rhoades, Galena K.; Sandberg-Thoma, Sara E.; Schoppe-Sullivan, Sarah J.

    2014-01-01

    Commitment has long been hypothesized to increase across the transition to parenthood, even though much research has found that relationship functioning declines during this period. We examined change in interpersonal commitment, measured as personal dedication and relationship confidence, and constraint commitment, measured as felt constraint, across the transition to parenthood. We tested for marital status differences in the change in commitment across the transition among three groups: cohabitation, marriage preceded by cohabitation, and direct marriage. Data came from the New Parents Project, a community sample of 173 married and cohabiting couples. Difference-in-difference estimates indicated that cohabiting fathers, in comparison to married fathers, dropped further in personal dedication and relationship confidence and increased more in felt constraint across the transition to parenthood. No significant differences across the transition were found between cohabiting and married mothers. Further research on the transition to parenthood among unmarried couples is suggested. PMID:25506512

  1. A Longitudinal Investigation of Commitment Dynamics in Cohabiting Relationships

    ERIC Educational Resources Information Center

    Rhoades, Galena K.; Stanley, Scott M.; Markman, Howard J.

    2012-01-01

    This longitudinal study followed 120 cohabiting, opposite-sex couples over 8 months to test hypotheses derived from commitment theory about how two types of commitment (dedication and constraint) operate during cohabitation. In nearly half the couples, there were large differences between partners in terms of dedication. These differences were…

  2. Typologies of Cohabitation: Implications for Clinical Practice and Research

    ERIC Educational Resources Information Center

    Gold, Joshua M.

    2012-01-01

    This article will explore the current evolution in the practice of cohabitation. The intent of this literature- and web-based article is to acquaint counselors with three typologies of cohabitation. These categories can be utilized in the development of psychoeducational and remedial interventions and in the identification of areas of future…

  3. The legality of designating a union representative as the miners` walkaround representative at a non-unionized mine

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

    NONE

    Reflecting the need for miner participation in maintaining safe conditions in the nation`s mines, current federal law gives miners at each mining operation the right to appoint a representative to accompany federal inspectors on periodic mine inspections. The Federal Mine Safety and Health Act (Mine Act) grants the miners the right to choose this {open_quotes}walkaround{close_quotes} representative, and provides that the walkaround representative shall be given an opportunity to accompany a federal agent during an inspection of a mine for the purposes of aiding the inspection. The issue of the propriety of a non-employee union walkaround representative at a non-union minemore » was recently addressed in Kerr-McGee Coal Corp. v. Federal Mine Safety & Health Review Commission (Kerr-McGee) and Thunder Basin Coal Co. v. Federal Mine Safety & Health Review Commission (Thunder Basin). This Note is devoted to a discussion of Kerr-McGee and Thunder Basin. However, it is important to first briefly review the provision of the federal statutes that give rise to the controversy. The Note then explains how the statutes were interpreted by the Kerr-McGee and Thunder Basin courts. A reading of the two decisions makes it apparent that any group of employees of a non-unionized mine are free to select a non-employee union agent as their walkaround representative. Finally, the Note discusses the ramifications of the conclusions reached in Kerr-McGee and Thunder Basin on the future duties and behavior of mine operators, organized labor, and those designated as walkaround representatives.« less

  4. How Do Cohabiting Couples with Children Spend Their Money? JCPR Working Paper.

    ERIC Educational Resources Information Center

    DeLeire, Thomas; Kalil, Ariel

    Cohabitation is an increasingly prevalent living arrangement in the United States. Although the effects of living in a cohabiting arrangement on child wellbeing are not fully understood, the literature on children growing up in cohabiting families suggests that they have poorer developmental outcomes than do those growing up in married-parent…

  5. Waiting to Be Asked: Gender, Power, and Relationship Progression among Cohabiting Couples

    ERIC Educational Resources Information Center

    Sassler, Sharon; Miller, Amanda J.

    2011-01-01

    The majority of young married Americans lived with their spouses before the wedding, and many cohabited with partners they did not wed. Yet little is known about how cohabitating relationships progress or the role gender norms play in this process. This article explores how cohabiting partners negotiate relationship progression, focusing on…

  6. Is Your Love in Vain? Another Look at Premarital Cohabitation and Divorce

    ERIC Educational Resources Information Center

    Svarer, Michael

    2004-01-01

    In this paper we provide an empirical investigation of the association between premarital cohabitation and subsequent risk of divorce. Theoretically couples who cohabit before marriage should have a lower subsequent risk of divorce since cohabitation enables you to gather information about the match quality, and only good matches evolve into…

  7. How Do Cohabiting Couples with Children Spend Their Money?

    ERIC Educational Resources Information Center

    Deleire, Thomas; Kalil, Ariel

    2005-01-01

    Increasing rates of cohabitation in the United States raise important questions about how cohabitation fits in with the definition of family. Answers to this question depend in part upon the extent to which cohabitors behavior differs from that of other family types. Using data from the Consumer Expenditure Survey, we compare the expenditure…

  8. Partner Killing by Men in Cohabiting and Marital Relationships

    ERIC Educational Resources Information Center

    Shackelford, Todd K.; Mouzos, Jenny

    2005-01-01

    Using a national-level U.S. database, T. K. Shackelford (2001) calculated rates of uxoricide (the murder of a woman by her romantic partner) by relationship type (cohabiting or marital), by ages of the partners, and by the age difference between partners. Women in cohabiting relationships were 9 times more likely to be killed by their partner than…

  9. Dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) for the prediction of non-union consolidation.

    PubMed

    Fischer, Christian; Nissen, Mareike; Schmidmaier, Gerhard; Bruckner, Thomas; Kauczor, Hans-Ulrich; Weber, Marc-André

    2017-02-01

    Non-union perfusion can be visualized with dynamic contrast-enhanced (DCE) MRI. This study evaluated DCE-MRI to predict non-union consolidation after surgery and detect factors that affect bone healing. Between 2010 and 2015 non-union perfusion was prospectively quantified in 205 patients (mean age, 51.5 years, 129 men, 76 women) before intervention and at 6, 12, 26, 52 and more weeks follow-up. DCE-MRI results were related to the osseous consolidation, the ability to predict successful outcome was estimated by ROC analysis. The relevance of the body mass index (BMI) and the non-union severity score (NUSS) to the healing process was assessed. Tibial (n=99) and femoral (n=76) non-unions were most common. Consolidation could be assessed in 169 patients, of these 103 (61%) showed eventual healing and demonstrated higher perfusion than in failed consolidation at 6 (p=0.0226), 12 (p=0.0252) and 26 (p=0.0088) weeks follow-up. DCE-MRI at 26 weeks follow-up predicted non-union consolidation with a sensitivity of 75% and a specificity of 87% (false classification rate 19%). Higher BMI (p=0.041) and NUSS (p<0.0001) were associated with treatment failure. DCE-MRI perfusion analysis after non-union surgery predicts successful outcome and could facilitate the decision of early intervention. NUSS and BMI are important prognostic factors concerning consolidation. Copyright © 2017 Elsevier Ltd. All rights reserved.

  10. A Longitudinal Investigation of Commitment Dynamics in Cohabiting Relationships

    PubMed Central

    Rhoades, Galena K.; Stanley, Scott M.; Markman, Howard J.

    2012-01-01

    This longitudinal study followed 120 cohabiting couples over 8 months to test hypotheses derived from commitment theory about how two types of commitment (dedication and constraints) operate during cohabitation. In nearly half the couples, there were large differences between partners in terms of dedication. These differences were associated with lower relationship adjustment, even controlling for overall level of dedication. Further, among couples who believed in the institution of marriage, cohabiting women were, on average, more dedicated than their partners. Additionally, there was evidence that constraints (e.g., signing a lease, having a joint bank account) may make it less likely that couples will break-up, regardless of relationship dedication. This finding was strongest for women and for those with higher income levels. PMID:22736881

  11. Pathways into Marriage: Cohabitation and the Domestic Division of Labor

    ERIC Educational Resources Information Center

    Baxter, Janeen; Haynes, Michele; Hewitt, Belinda

    2010-01-01

    Does time spent in a cohabiting relationship prior to marriage lead to more egalitarian housework arrangements after marriage? Previous research has shown that housework patterns within cohabiting relationships are more egalitarian than in marital relationships. But do these patterns remain when couples marry? The findings from previous studies…

  12. Cohabitation with farm animals in urban households with and without occupational farm work: associations between participation in educational activities and good hygiene practices in at-risk households cohabiting with farm animals.

    PubMed

    Somphou, Phoupasong; Takano, Takehito; Nakamura, Keiko

    2008-11-01

    This study was performed to investigate patterns of cohabitation with farm animals in urban households in Vientiane, Lao People's Democratic Republic, with regard to animal-to-human disease transmission. We also investigated the association between participation in hygiene-related educational activities and good hygiene practices in households with or without cohabitation with animals. A survey regarding cohabitation with animals, socioeconomic characteristics and participation in educational activities was conducted among 1,497 households randomly sampled from urban districts of Vientiane in 2001. Rates of satisfactory performance of recommended good hygiene practices according to a program commencing in 1996 were compared among households cohabiting with animals with or without participation in educational activities (reference group). Even among households not engaged in agriculture as a major source of income, 54.4, 34.9, 7.9, 3.1 and 35.7% cohabited with chickens, ducks, cattle, buffaloes and dogs, respectively. The percentage of households fulfilling the recommendations for good hygiene practices was 56.7%. The rates of satisfactory hygiene practices among households participating in health education and cohabitating with chickens, ducks or cattle were greater than those in the reference group (OR = 1.7, 95%CI = 1.2, 2.3; OR = 2.0, 95%CI = 1.3, 3.0; OR = 2.3, 95%CI = 1.0, 4.9) regardless of socioeconomic factors. Households cohabiting with animals showed poorer rates of satisfactory hygiene practices than those without animals. Cohabitation with farm animals is common in urban Vientiane regardless of household involvement in agriculture. Further effort is required to improve hygiene conditions, despite some positive effects of health education even in households cohabiting with animals.

  13. Premarital Cohabitation and Marital Dissolution: An Examination of Recent Marriages

    ERIC Educational Resources Information Center

    Manning, Wendy D.; Cohen, Jessica A.

    2012-01-01

    An ongoing question remains for family researchers: Why does a positive association between cohabitation and marital dissolution exist when one of the primary reasons to cohabit is to test relationship compatibility? Drawing on recently collected data from the 2006-2008 National Survey of Family Growth, the authors examined whether premarital…

  14. Children's Economic Well-Being in Married and Cohabiting Parent Families

    ERIC Educational Resources Information Center

    Manning, Wendy D.; Brown, Susan

    2006-01-01

    Increasingly, children are living with cohabiting parents. Prior work on the material well-being of children living in cohabiting families is extended by including the biological relationship of children to adults, examining the racial and ethnic variations, and investigating the multiple indicators of material well-being. We draw on the 1999…

  15. Intramedullary nailing for the treatment of aseptic femoral shaft non-unions after plating failure: effectiveness and timing.

    PubMed

    Megas, Panagiotis; Syggelos, Spyros A; Kontakis, Georgios; Giannakopoulos, Andreas; Skouteris, Georgios; Lambiris, Elias; Panagiotopoulos, Elias

    2009-07-01

    This retrospective, multicentre study aimed to evaluate reamed intramedullary nailing (IMN) for the treatment of 30 cases of aseptic femoral shaft non-union after plating failure. Following nailing, 29 non-unions had healed by a mean 7.93 months. In one case a hypertrophic non-union required renailing after 8 months, using a nail of greater diameter, and united within five further months. Healing times were not related to whether the fracture was open or closed, the type non-union or the type of fracture. The delay from the initial plating to intramedullary nailing had a statistically significant effect on healing time and final outcome. This treatment is cost effective and should be implemented as soon as the non-union is diagnosed.

  16. Maternal Cohabitation and Educational Success

    ERIC Educational Resources Information Center

    Raley, R. Kelly; Frisco, Michelle L.; Wildsmith, Elizabeth

    2005-01-01

    Despite the dramatic increase in children's experiences in cohabiting families, little is known about how living in such families affects children's academic success. Extrapolating from two theoretical frameworks that have been commonly used to explain the association between parental divorce and educational outcomes, the authors constructed…

  17. Cohabitation and Intimate Partner Violence during Emerging Adulthood: High Constraints and Low Commitment.

    PubMed

    Manning, Wendy D; Longmore, Monica A; Giordano, Peggy C

    2018-03-01

    In recent years, a majority of young adults experience cohabitation. Nevertheless, cohabitation is a risk factor for intimate partner violence (IPV). Drawing on social exchange and commitment theory we analyzed young adults' IPV experiences using the recently collected (2011-2012) Toledo Adolescent Relationships Study data (n = 926). We found that sociodemographic characteristics, relationship commitment, quality, and constraints as well as prior experience with violence (in prior relationships and family of origin) were associated with IPV, but did not explain the association between cohabitation and IPV. We examined variation among individuals in cohabiting relationships to determine which cohabitors face the greatest risk of intimate partner violence. Serial cohabitors along with cohabitors who experienced both low commitment and high relational constraints experienced the greatest risk of IPV. These findings provided insights into the implications of cohabitation for the well-being of young adults.

  18. Cohabitants' perspective on housing adaptations: a piece of the puzzle.

    PubMed

    Granbom, Marianne; Taei, Afsaneh; Ekstam, Lisa

    2017-12-01

    As part of the Swedish state-funded healthcare system, housing adaptations are used to promote safe and independent living for disabled people in ordinary housing through the elimination of physical environmental barriers in the home. The aim of this study was to describe the cohabitants' expectations and experiences of how a housing adaptation, intended for the partner, would impact their everyday life. In-depth interviews were conducted with cohabitants of nine people applying for a housing adaptation, initially at the time of the application and then again 3 months after the housing adaptation was installed. A longitudinal analysis was performed including analysis procedures from Grounded Theory. The findings revealed the expectations and experiences in four categories: partners' activities and independence; cohabitants' everyday activities and caregiving; couples' shared recreational/leisure activities; and housing decisions. A core category putting the intervention into perspective was called 'Housing adaptations - A piece of the puzzle'. From the cohabitants' perspective, new insights on housing adaptations emerged, which are important to consider when planning and carrying out successful housing adaptations. © 2017 Nordic College of Caring Science.

  19. Couples’ Reasons for Cohabitation: Associations with Individual Well-Being and Relationship Quality

    PubMed Central

    Rhoades, Galena K.; Stanley, Scott M.; Markman, Howard J.

    2009-01-01

    This study used a new measure to examine how different types of reasons for cohabitation were associated with individual well-being and relationship quality in a sample of 120 cohabiting heterosexual couples (N = 240). Spending more time together and convenience were the most strongly endorsed reasons. The degree to which individuals reported cohabiting to test their relationships was associated with more negative couple communication and more physical aggression as well as lower relationship adjustment, confidence, and dedication. Testing the relationship was also associated with higher levels of attachment insecurity and more symptoms of depression and anxiety. Men were more likely than women to endorse testing their relationships and less likely to endorse convenience as a reason for cohabiting. PMID:19756225

  20. Reassessing the Link Between Premarital Cohabitation and Marital Instability

    PubMed Central

    REINHOLD, STEFFEN

    2010-01-01

    Premarital cohabitation has been found to be positively correlated with the likelihood of marital dissolution in the United States. To reassess this link, I estimate proportional hazard models of marital dissolution for first marriages by using pooled data from the 1988, 1995, and 2002 surveys of the National Survey of Family Growth (NSFG). These results suggest that the positive relationship between premarital cohabitation and marital instability has weakened for more recent birth and marriage cohorts. Using multiple marital outcomes for a person to account for one source of unobserved heterogeneity, panel models suggest that cohabitation is not selective of individuals with higher risk of marital dissolution and may be a stabilizing factor for higher-order marriages. Further research with more recent data is needed to assess whether these results are statistical artifacts caused by data weaknesses in the NSFG. PMID:20879685

  1. Diverse bacterial communities exist on canine skin and are impacted by cohabitation and time.

    PubMed

    Torres, Sheila; Clayton, Jonathan B; Danzeisen, Jessica L; Ward, Tonya; Huang, Hu; Knights, Dan; Johnson, Timothy J

    2017-01-01

    It has previously been shown that domestic dogs and their household owners share bacterial populations, and that sharing of bacteria between humans is facilitated through the presence of dogs in the household. However, less is known regarding the bacterial communities of dogs, how these communities vary by location and over time, and how cohabitation of dogs themselves influences their bacterial community. Furthermore, the effects of factors such as breed, hair coat length, sex, shedding, and age on the canine skin microbiome is unknown. This study sampled the skin bacterial communities of 40 dogs belonging to 20 households longitudinally across three seasons (spring, summer, and winter). Significant differences in bacterial community structure between samples were identified when stratified by season, but not by dog sex, age, breed, hair type, or skin site. Cohabitating dogs were more likely to share bacteria of the skin than non-cohabitating dogs. Similar to human bacterial microbiomes, dogs' microbiomes were more similar to their own microbiomes over time than to microbiomes of other individuals. Dogs sampled during the same season were also more similar to each other than to dogs from different seasons, irrespective of household. However, there were very few core operational taxonomic units (OTUs) identified across all dogs sampled. Taxonomic classification revealed Propionibacterium acnes and Haemophilus sp. as key members of the dog skin bacterial community, along with Corynebacterium sp. and Staphylococcus epidermidis . This study shows that the skin bacterial community structure of dogs is highly individualized, but can be shared among dogs through cohabitation.

  2. The Relationship of Cohabitation and Mental Health: A Study of a Young Adult Cohort.

    ERIC Educational Resources Information Center

    Horwitz, Allan V.; White, Helene Raskin

    1998-01-01

    Uses a cohort of unmarried young adults who were sampled when they were 18, 21, or 24 years old and resampled seven years later. Results indicate no differences between cohabitators and married couples in levels of depression. Cohabitating men report more alcohol problems than married and single men; cohabitating women reported more alcohol…

  3. Marital Status, Duration of Cohabitation, and Psychosocial Well-Being Among Childbearing Women: A Canadian Nationwide Survey

    PubMed Central

    O’Campo, Patricia J.; Ray, Joel G.

    2013-01-01

    Objectives. We examined the joint associations of marital status and duration of cohabitation on self-reported intimate partner violence, substance use, and postpartum depression among childbearing women. Methods. We analyzed data from the 2006–2007 Canadian Maternity Experiences Survey, a cross-sectional nationwide sample of 6421 childbearing women. Cohabiting women were married or nonmarried women living with a partner; noncohabiters were single, divorced, or separated women. We further categorized cohabiters by their duration of cohabitation (≤ 2, 3–5, or > 5 years). We used logistic regression to generate adjusted odds ratios and 95% confidence intervals. Results. About 92% of women were cohabiters. Compared with married women living with a husband more than 5 years, unmarried women cohabiting for 2 years or less were at higher odds of intimate partner violence (adjusted odds ratio [AOR] = 4.64; 95% confidence interval [CI] = 2.85, 7.56), substance use (AOR = 5.36; 95% CI = 3.06, 9.39), and postpartum depression (AOR = 1.87; 95% CI = 1.25, 2.80); these risk estimates declined with duration of cohabitation. Conclusions. Research on maternal and child health would benefit from distinguishing between married and unmarried cohabiting women, and their duration of cohabitation. PMID:23237180

  4. Late recurrent peripheral upper limb ischemia after non-union of a clavicle fracture.

    PubMed

    Stella, Marco; Santolini, Emmanuele; Briano, Stefania; Santolini, Federico

    2015-12-01

    A 74-year-old woman was referred to our hospital due to recurrent episodes of upper limb ischemia. Her past medical history included a clavicle non-union developed after a clavicle midshaft fracture that had occurred 30 years previously. After a long asymptomatic period, she started showing symptoms of chronic ischemia to the left arm that were misdiagnosed. Thoracic outlet syndrome (TOS) is a rare but possible complication of mal-union and non-union of clavicle fractures; symptoms related to arterial involvement (ATOS) amount to less than 1% of all existing forms of thoracic outlet syndrome. In case of clavicle non-union, local instability plays a key role in determining the initial injury to the vessels and the recurrence of symptoms. Restoration of local bone stability and anatomy, obtained by compression plating and autologous bone grafting, combined with an appropriate vascular surgery, is essential to achieve a clinical resolution of symptoms and to avoid the recurrence of symptomatology as seen in the herein case. Copyright © 2015 Elsevier Ltd. All rights reserved.

  5. Predisposing factors and outcome of treatment of non-union of long-bone fractures in Ibadan, Nigeria.

    PubMed

    Ogunlade, S O; Omololu, A B; Alonge, T O; Diete, S T; Obawonyi, J E

    2011-03-01

    This study was done to find out factors that contribute to development of Non-union of long bone fractures in this environment and the outcome of operative intervention. This is a prospective hospital based study. All patients with Non-union of long bone fracture that presented in the hospital since January 1997 were recruited into the study. The data included causative factors, treatment given before presenting in the hospital, type of surgical procedure and result of treatment. The study was completed in December, 2005. 78 patients presented with 87 Non-union of long bones. A male, female ratio of 1.6:1 was encountered while 69.2 per cent of the patients were below the age 55years. Road Traffic Accident accounted for 68 fractures (78.2 per cent) while duration of injury before presentation varies from 6 months to 22 months. Atrophic non-union occurred in 60 cases (69.0 per cent) and hypertrophic non-union in 21 cases. Non-union of the femur occurred in 33 cases (37.9 per cent) humerus in 24 cases (27.6 per cent), tibia in 16 cases (18.4 per cent), radius and ulna in 14 cases (16.1 per cent). The initial treatments of the fresh fracture in the 78 patients with nonunion were by the traditional bonesetters in 51 patients (65.4 per cent) while the remaining fractures were treated by plaster of paris in hospital. Open reduction and internal fixation using plate and screws with bone grafting was the most common procedure for treating the non-union in most cases. Union was achieved in the entire patients following surgical intervention. Important factor that appears to contribute to non-union of long bone in this environment is soft tissue interposition between the fracture ends of the bone, which is found in all fractures with more than one diameter displacement. Another factor is interference with periosteal blood supply from disruption of soft tissue envelope as a result of high energy injuries which is also responsible for the displacements that were observed in

  6. 38 CFR 3.53 - Continuous cohabitation.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2014-07-01 2014-07-01 false Continuous cohabitation. 3.53 Section 3.53 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS ADJUDICATION Pension, Compensation, and Dependency and Indemnity Compensation Relationship § 3.53 Continuous...

  7. 38 CFR 3.53 - Continuous cohabitation.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2012-07-01 2012-07-01 false Continuous cohabitation. 3.53 Section 3.53 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS ADJUDICATION Pension, Compensation, and Dependency and Indemnity Compensation Relationship § 3.53 Continuous...

  8. 38 CFR 3.53 - Continuous cohabitation.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2013-07-01 2013-07-01 false Continuous cohabitation. 3.53 Section 3.53 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS ADJUDICATION Pension, Compensation, and Dependency and Indemnity Compensation Relationship § 3.53 Continuous...

  9. Modeling Staphylococcus epidermidis-Induced Non-Unions: Subclinical and Clinical Evidence in Rats

    PubMed Central

    Lovati, Arianna Barbara; Romanò, Carlo Luca; Bottagisio, Marta; Monti, Lorenzo; De Vecchi, Elena; Previdi, Sara; Accetta, Riccardo; Drago, Lorenzo

    2016-01-01

    S. epidermidis is one of the leading causes of orthopaedic infections associated with biofilm formation on implant devices. Open fractures are at risk of S. epidermidis transcutaneous contamination leading to higher non-union development compared to closed fractures. Although the role of infection in delaying fracture healing is well recognized, no in vivo models investigated the impact of subclinical low-grade infections on bone repair and non-union. We hypothesized that the non-union rate is directly related to the load of this commonly retrieved pathogen and that a low-grade contamination delays the fracture healing without clinically detectable infection. Rat femurs were osteotomized and stabilized with plates. Fractures were infected with a characterized clinical-derived methicillin-resistant S. epidermidis (103, 105, 108 colony forming units) and compared to uninfected controls. After 56 days, bone healing and osteomyelitis were clinically assessed and further evaluated by micro-CT, microbiological and histological analyses. The biofilm formation was visualized by scanning electron microscopy. The control group showed no signs of infection and a complete bone healing. The 103 group displayed variable response to infection with a 67% of altered bone healing and positive bacterial cultures, despite no clinical signs of infection present. The 105 and 108 groups showed severe signs of osteomyelitis and a non-union rate of 83–100%, respectively. The cortical bone reaction related to the periosteal elevation in the control group and the metal scattering detected by micro-CT represented limitations of this study. Our model showed that an intra-operative low-grade S. epidermidis contamination might prevent the bone healing, even in the absence of infectious signs. Our findings also pointed out a dose-dependent effect between the S. epidermidis inoculum and non-union rate. This pilot study identifies a relevant preclinical model to assess the role of subclinical

  10. The Role of Romantic Partners, Family, and Peer Networks in Dating Couples' Views about Cohabitation

    ERIC Educational Resources Information Center

    Manning, Wendy D.; Cohen, Jessica A.; Smock, Pamela J.

    2011-01-01

    Emerging adults are increasingly cohabiting, but few studies have considered the role of social context in the formation of their views of cohabitation. Drawing on 40 semistructured interviews with dating couples, we explored the role of romantic partners, family, and peers on evaluations of cohabitation. In couples where each member had a…

  11. [Medical negligence].

    PubMed

    Zipper, St G

    2016-06-01

    Medical negligence is a matter of growing public interest. This review outlines various aspects of medical negligence: epidemiology, taxonomy, and the risks, causes, psychology, management and prevention of errors.

  12. Cohabitation and Children’s Externalizing Behavior in Low-Income Latino Families

    PubMed Central

    Fomby, Paula; Estacion, Angela

    2011-01-01

    We consider the association of cohabitation experience with externalizing behavior among children of Latina mothers whose ethnic origin is in Mexico, Puerto Rico, or the Dominican Republic. Data were drawn from three waves of the Three-City Study (N=656 mother-child pairs). Children of Mexican-origin mothers had higher externalizing problems in childhood and adolescence when their mothers were born in the United States or immigrated as minors. For children of Caribbean-origin mothers, being born to a cohabiting or married mother had a statistically equivalent association with externalizing behavior when mothers were born outside the mainland United States (Dominican and island-born Puerto Rican mothers). Children of mainland-born Puerto Rican mothers had more behavior problems when their mothers cohabited at birth. PMID:21927505

  13. Maxillary post-traumatic outcome correction literature review and our experience. Part I: maxillary bone non-unions-"poor bone positioning".

    PubMed

    D'Agostino, A; Toffanetti, G; Scala, R; Trevisiol, L; Ferrari, F

    2004-04-01

    Still today, there is no classification of non-unions in maxillofacial traumatology. There is a broad spectrum of definitions that simultaneously describe the pathological conditions and functional implications determined by the anatomical location of the fractures and the time factor. In this article the authors describe a literature review about bone non-union classification. Weber, in 1973, introduced the term "pseudo-arthrosis" to describe an altered process of bone healing characterised by the presence of fibrous tissue interposed between the fracture segments, that was lined with cartilaginous tissue and joined by a capsule; Spiessl, in 1988, used the term "non-union" to define any alteration of the bone healing process after a time period of more than 6 months from the initial traumatic event; Rosen, in 1990, proposed a new classification of the modes of altered bone healing in fractures, distinguishing 5 categories: delayed consolidation, non-union, non-union vascular, non union avascular, pseudoarthrosis. The authors also talk about "poor bone positioning". This factor describes the incorrect anatomical position of the bone fragments despite perfectly normal healing according to Gruss. In this article they also discuss about the treatment of non-unions and the treatment of occlusal alterations caused by poor post-traumatic bone positioning.

  14. Couples' Reasons for Cohabitation: Associations with Individual Well-Being and Relationship Quality

    ERIC Educational Resources Information Center

    Rhoades, Galena K.; Stanley, Scott M.; Markman, Howard J.

    2009-01-01

    This study uses a new measure to examine how different types of reasons for cohabitation are associated with individual well-being and relationship quality in a sample of 120 cohabiting heterosexual couples (N = 240). Spending more time together and convenience are the most strongly endorsed reasons. The degree to which individuals report…

  15. The Timing of Cohabitation and Engagement: Impact on First and Second Marriages

    ERIC Educational Resources Information Center

    Stanley, Scott M.; Rhoades, Galena K.; Amato, Paul R.; Markman, Howard J.; Johnson, Christine A.

    2010-01-01

    Using a multistate sample of marriages that took place in the 1990s, this study examined associations between premarital cohabitation history and marital quality in first (N = 437) and second marriages (N = 200) and marital instability in first marriages (intact N = 521, divorced N = 124). For first marriages, cohabiting with the spouse without…

  16. Introduction of African swine fever into the European Union through illegal importation of pork and pork products.

    PubMed

    Costard, Solenne; Jones, Bryony Anne; Martínez-López, Beatriz; Mur, Lina; de la Torre, Ana; Martínez, Marta; Sánchez-Vizcaíno, Fernando; Sánchez-Vizcaíno, Jose-Manuel; Pfeiffer, Dirk Udo; Wieland, Barbara

    2013-01-01

    Transboundary animal diseases can have very severe socio-economic impacts when introduced into new regions. The history of disease incursions into the European Union suggests that initial outbreaks were often initiated by illegal importation of meat and derived products. The European Union would benefit from decision-support tools to evaluate the risk of disease introduction caused by illegal imports in order to inform its surveillance strategy. However, due to the difficulty in quantifying illegal movements of animal products, very few studies of this type have been conducted. Using African swine fever as an example, this work presents a novel risk assessment framework for disease introduction into the European Union through illegal importation of meat and products. It uses a semi-quantitative approach based on factors that likely influence the likelihood of release of contaminated smuggled meat and products, and subsequent exposure of the susceptible population. The results suggest that the European Union is at non-negligible risk of African swine fever introduction through illegal importation of pork and products. On a relative risk scale with six categories from negligible to very high, five European Union countries were estimated at high (France, Germany, Italy and United Kingdom) or moderate (Spain) risk of African swine fever release, five countries were at high risk of exposure if African swine fever were released (France, Italy, Poland, Romania and Spain) and ten countries had a moderate exposure risk (Austria, Bulgaria, Germany, Greece, Hungary, Latvia, Lithuania, Portugal, Sweden and United Kingdom). The approach presented here and results obtained for African swine fever provide a basis for the enhancement of risk-based surveillance systems and disease prevention programmes in the European Union.

  17. Individual monitoring of immune responses in rainbow trout after cohabitation and intraperitoneal injection challenge with Yersinia ruckeri.

    PubMed

    M Monte, Milena; Urquhart, Katy; Secombes, Christopher J; Collet, Bertrand

    2016-08-01

    Yersinia ruckeri, the causative agent of enteric red mouth disease (ERM), is a widely studied pathogen in disease models using rainbow trout. This infection model, mostly based on intraperitoneally injection or bath immersion challenges, has an impact on both components (innate and adaptive) of the fish immune system. Although there has been much attention in studying its host-pathogen interactions, there is still a lack of knowledge regarding the impact of a cohabitation challenge. To tackle this we used a newly established non-lethal sampling method (by withdrawing a small amount of blood) in rainbow trout which allowed the individual immune monitoring before (non-infected) and after infection with Yersinia ruckeri either by intraperitoneal (i.p.) injection or by cohabitation (cohab). A range of key immune genes were monitored during the infection by real-time PCR, and results were compared between the two infection routes. Results indicated that inflammatory (IL-1β1 and IL-8) cytokines and certain antimicrobial peptides (cathelicidins) revealed a different pattern of expression between the two infected groups (i.p. vs cohab), in comparison to adaptive immune cytokines (IL-22, IFN-γ and IL-4/13A) and β-defensins. This suggests a different involvement of distinct immune markers according to the infection model, and the importance of using a cohabitation challenge as a more natural disease model that likely simulates what would occur in the environment. Copyright © 2016. Published by Elsevier Ltd.

  18. 38 CFR 3.53 - Continuous cohabitation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... through fault of either party, will not break the continuity of the cohabitation. (b) Findings of fact. The statement of the surviving spouse as to the reason for the separation will be accepted in the... reason which did not show an intent on the part of the surviving spouse to desert the veteran, the...

  19. 76 FR 54991 - Corporate Credit Unions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-06

    ... believes the credit risk of carrying this asset is negligible and warrants such treatment, as CLF stock is... credit union excludes the consolidated assets of such programs from risk-weighted assets pursuant to... paragraphs (c)(3) and (f)(4) and adding new p(h) to read as follows: Sec. 704.6 Credit risk management...

  20. The Intergenerational Transmission of Smoking Across Three Cohabitant Generations: A Count Data Approach.

    PubMed

    Escario, José-Julián; Wilkinson, Anna V

    2015-10-01

    This paper examines the extent to which parent and grandparent smoking influences adolescent smoking and its quantitative implications for tobacco control. It extends similar prior studies by investigating the effects on the probability of becoming a smoker and on the number of cigarettes smoked. Count regressions were used to assess the intergenerational transmission of smoking across three cohabitant generations, simultaneously, using data from the 2010 survey "Encuesta Estatal Sobre Uso De Drogas en Estudiantes de Enseñanzas Secundarias". This survey, of 32,234 students, constitutes a representative sample of Spanish students between 14 and 18 years of age. Living with a mother who smokes, a father who smokes, or a grandparent who smokes reduces the odds of being a non-smoker by 36.1% (OR 0.639), 26.1% (OR 0.739) and 20.3% (OR 0.797), respectively. Parental smoking increases cigarette consumption levels among adolescents. Having a cohabitant mother who smokes increases the number of cigarettes smoked by children by around 18.7% (IRR 1.187), while having a cohabitant father who smokes increases the number by around 12.1% (IRR 1.121). Estimates support the hypothesis that visibility of smoking among parents and grandparents is a strong predictor of smoking among adolescents. Accordingly, quitting smoking by parents and grandparents before children become adolescents appears to be a powerful means to both reduce smoking rates among adolescents and the number of cigarettes smoked by smokers; such decisions appear to exert a stronger influence on the prevalence of smoking and consumption levels than exposure to smoking prevention campaigns at school.

  1. Marital Quality and Divorce Decisions: How Do Premarital Cohabitation and Nonmarital Childbearing Matter?

    ERIC Educational Resources Information Center

    Tach, Laura M.; Halpern-Meekin, Sarah

    2012-01-01

    This study used the 1979 cohort of the National Longitudinal Survey of Youth (N = 3,481) to test whether the association between marital quality and divorce is moderated by premarital cohabitation or nonmarital childbearing status. Prior research identified lower marital quality as a key explanation for why couples who cohabit or have children…

  2. The compositional and institutional sources of union dissolution for married and unmarried parents in the United States.

    PubMed

    Tach, Laura; Edin, Kathryn

    2013-10-01

    Unmarried parents have less stable unions than married parents, but there is considerable debate over the sources of this instability. Unmarried parents may be more likely than married parents to end their unions because of compositional differences, such as more disadvantaged personal and relationship characteristics, or because they lack the normative and institutional supports of marriage, thus rendering their relationships more sensitive to disadvantage. In this article, we evaluate these two sources of union instability among married, cohabiting, and dating parents following the birth of a shared child, using five waves of longitudinal data from the Fragile Families and Child Wellbeing Study. Using discrete-time event history models, we find that demographic, economic, and relationship differences explain more than two-thirds of the increased risk of dissolution for unmarried parents relative to married parents. We also find that differential responses to economic or relationship disadvantage do not explain why unmarried parents are more likely to end their unions than married parents.

  3. Poverty and union formation among never-married single mothers in the Netherlands, 1989-2005.

    PubMed

    Kalmijn, Matthijs; Monden, Christiaan

    2010-11-01

    Using panel data from Dutch tax records linked to the municipality registry, we investigate how the partner status of never-married single mothers changes in the years after the birth of their first child. To explore a possible accumulation of financial problems, we study the effects of income on the chances of entering a marital or cohabiting union. We also examine the effects of finding a partner on income for never-married single mothers. Finding a partner substantially improves income. We find that about half of the never-married single mothers marry or start cohabiting within 10 years of the first birth, but that these are usually mothers with average and higher incomes. Not only are never-married single mothers more likely to be poor at the time of first birth, the poor are also more likely to remain single. There seems to be an accumulation of disadvantage in this special group in Dutch society.

  4. Dental negligence.

    PubMed

    Tay, C S

    2000-02-01

    Medical and dental errors and negligence are again in the spotlight in recent news report. Dead because of doctor's bad handwriting Prescribing drug overdoses Germ-infested soap pumps--infections in hospitals This articles explains dental negligence including dental duty of care and the standard of care expected of dentists in relation to the Bolam principle.

  5. The role of electromagnetic stimulation in the management of established non-union of long bone fractures: what is the evidence?

    PubMed

    Griffin, X L; Warner, F; Costa, M

    2008-04-01

    Non-union following long bone fractures is a cause of significant morbidity to the patient. The management of this condition has proved difficult for the orthopaedic surgeon. Much research has been carried out on the use of electromagnetic stimulation in the healing of non-union. The objective of this review is to determine what evidence exists to support electromagnetic stimulation in the management of established non-union of long bone fractures. A systematic search was carried out of the peer-reviewed English language literature to identify all studies investigating electromagnetic stimulation in the treatment of non-union of fractures of long bones. Three of the articles reviewed were randomised clinical trials. Forty-six other studies were also included in the review. There is a consensus that electromagnetic stimulation is an effective adjunct to conventional therapy when used in the management of non-union of long bone fractures.

  6. Negligence, genuine error, and litigation

    PubMed Central

    Sohn, David H

    2013-01-01

    Not all medical injuries are the result of negligence. In fact, most medical injuries are the result either of the inherent risk in the practice of medicine, or due to system errors, which cannot be prevented simply through fear of disciplinary action. This paper will discuss the differences between adverse events, negligence, and system errors; the current medical malpractice tort system in the United States; and review current and future solutions, including medical malpractice reform, alternative dispute resolution, health courts, and no-fault compensation systems. The current political environment favors investigation of non-cap tort reform remedies; investment into more rational oversight systems, such as health courts or no-fault systems may reap both quantitative and qualitative benefits for a less costly and safer health system. PMID:23426783

  7. Augmentation plating in hypertrophic non-union after nail fixation of femoral shaft fracture compared with exchange plating.

    PubMed

    Jiang, Liangjun; Pan, Zhijun; Zheng, Qiang

    2014-01-01

    Augmentation plating has been used successfully to treat hypertrophic non-union after nail fixation. This study compared the efficacy of augmentation plating and exchange plating for treating hypertrophic non-union of femoral shaft fracture after intramedullary nail fixation. A total of 12 patients received augmentation plating and 15 patients received exchange plating as treatment for femoral shaft hypertrophic non-union. The procedures were conducted at our medical centre between January 2005 and January 2012. Clinical follow-up was conducted at 2 weeks, 1 month and then monthly until union was achieved to compare union time, operation time, bleeding and complications between the two groups. All patients underwent follow-up examinations until fracture union was achieved. The average length of follow-up time after the second treatment was (18.37 ± 3.28) months. The time needed for union was (4.17 ± 0.94) months in the augmentation plating group and (5.33 ± 1.72) months in the exchange plating group. The operation time was (90.00 ± 17.58) minutes in the augmentation plating group and (160.00 ± 25.35) minutes in the exchange plating group. The amount of blood loss during the operation was (270.00 ± 43.32) ml in the augmentation plating group and (530.00 ± 103.65) ml in the exchange plating group. Both groups showed significant difference (P < 0.05) in their results. No complications were reported after the second operation. Augmentation plating after nail fixation could remove local rotation instability, facilitate simple operation, create minimal damage and enable exercise for early functional recovery. Therefore, augmentation plating is excellent for treating hypertrophic non-union after nail fixation in femoral shaft fracture.

  8. Surgical treatment for non-union of the mid-shaft clavicle using a reconstruction plate: scapular malposition is related to poor results.

    PubMed

    Huang, Teng-Le; Lin, Feng-Huei; Hsu, Horng-Chaung

    2009-03-01

    A retrospective study was performed to evaluate the use of an AO reconstruction plate in open reduction and internal fixation for non-union of the mid-shaft clavicle, examining the relationship between the position of the scapula and final functional results and whether perioperative variables such as clavicular reconstruction ratio and period of non-union influence the position of the scapula. From January 1998 to January 2005, data on 21 people with symptomatic non-union of the mid-shaft clavicle were collected; 17 non-unions were atrophic and 4 were hypertrophic. Initially, treatment was conservative with a figure-of-eight bandage in 19 cases, and cerclage wire fixation in 2 cases. The follow-up period was 65.7 (24-108) months. Outcome analyses included standard clinical follow-up, plain radiography, the Constant-Murley scoring and subjective assessment. All non-unions united well in 13.6 (11-27) weeks. All patients were satisfied with their surgical results. Greater age and longer period of non-union resulted in a larger amount of scapular malposition, which related to poor functional results.

  9. Acute peg in hole docking in the management of infected non-union of long bones.

    PubMed

    Dhar, Shabir Ahmed; Mir, Mohammed Ramzan; Ahmed, Molvi Sajjad; Afzal, Suhail; Butt, Mohammed Farooq; Badoo, A R; Dar, Irshad Tabasum; Hussain, Anwar

    2008-08-01

    The Ilizarov method has been studied extensively in the management of non-union of long bones. In most cases this involves filling of defects present primarily or after débridement by bone transport. Acute docking over gaps longer than 2 cm has not been adequately studied, however. The purpose of this paper is to report the efficacy of acute peg in hole docking as a bone graft-sparing modality in the management of infected non-union of long bones.

  10. Acute peg in hole docking in the management of infected non-union of long bones

    PubMed Central

    Mir, Mohammed Ramzan; Ahmed, Molvi Sajjad; Afzal, Suhail; Butt, Mohammed Farooq; Badoo, A. R.; Dar, Irshad Tabasum; Hussain, Anwar

    2007-01-01

    The Ilizarov method has been studied extensively in the management of non-union of long bones. In most cases this involves filling of defects present primarily or after débridement by bone transport. Acute docking over gaps longer than 2 cm has not been adequately studied, however. The purpose of this paper is to report the efficacy of acute peg in hole docking as a bone graft-sparing modality in the management of infected non-union of long bones. PMID:17387474

  11. Evaluation of RugbySmart: a rugby union community injury prevention programme.

    PubMed

    Gianotti, Simon M; Quarrie, Ken L; Hume, Patria A

    2009-05-01

    RugbySmart, a rugby union injury prevention programme, was launched in New Zealand in 2001. It was compulsory for all coaches and referees to complete RugbySmart requirements annually in order to continue coaching or refereeing. After 5 years of implementation the programme partners, Accident Compensation Corporation and New Zealand Rugby Union, evaluated RugbySmart to determine its effectiveness in reducing injuries. The purpose was to evaluate the effect of RugbySmart on reducing injury rates per 100,000 players and resulting injury prevention behaviours. The RugbySmart programme was associated with a decrease in injury claims per 100,000 players in most areas the programme targeted; the programme had negligible impact on non-targeted injury sites. The decrease in injury claims numbers was supported by results from the player behaviour surveys pre- and post-RugbySmart. There was an increase in safe behaviour in the contact situations of tackle, scrum and ruck technique.

  12. Asymptotic density and effective negligibility

    NASA Astrophysics Data System (ADS)

    Astor, Eric P.

    In this thesis, we join the study of asymptotic computability, a project attempting to capture the idea that an algorithm might work correctly in all but a vanishing fraction of cases. In collaboration with Hirschfeldt and Jockusch, broadening the original investigation of Jockusch and Schupp, we introduce dense computation, the weakest notion of asymptotic computability (requiring only that the correct answer is produced on a set of density 1), and effective dense computation, where every computation halts with either the correct answer or (on a set of density 0) a symbol denoting uncertainty. A few results make more precise the relationship between these notions and work already done with Jockusch and Schupp's original definitions of coarse and generic computability. For all four types of asymptotic computation, including generic computation, we demonstrate that non-trivial upper cones have measure 0, building on recent work of Hirschfeldt, Jockusch, Kuyper, and Schupp in which they establish this for coarse computation. Their result transfers to yield a minimal pair for relative coarse computation; we generalize their method and extract a similar result for relative dense computation (and thus for its corresponding reducibility). However, all of these notions of near-computation treat a set as negligible iff it has asymptotic density 0. Noting that this definition is not computably invariant, this produces some failures of intuition and a break with standard expectations in computability theory. For instance, as shown by Hamkins and Miasnikov, the halting problem is (in some formulations) effectively densely computable, even in polynomial time---yet this result appears fragile, as indicated by Rybalov. In independent work, we respond to this by strengthening the approach of Jockusch and Schupp to avoid such phenomena; specifically, we introduce a new notion of intrinsic asymptotic density, invariant under computable permutation, with rich relations to both

  13. Teen Mothers: Marriage, Cohabitation, and Educational Achievement

    ERIC Educational Resources Information Center

    Eshbaugh, Elaine M.

    2008-01-01

    This study examines the proportions of ethnically diverse low-income teen mothers who are cohabitating and/or married to the father of their child(ren) at approximately 14, 24, and 36 months after birth of their child. In addition, the relationship between marital status and education among teen mothers is explored. At 36 months after giving…

  14. The effect of shock wave therapy on gene expression in human osteoblasts isolated from hypertrophic fracture non-unions

    NASA Astrophysics Data System (ADS)

    Hofmann, A.; Ritz, U.; Rompe, J.-D.; Tresch, A.; Rommens, P. M.

    2015-01-01

    Shock wave therapy has been increasingly evaluated as a non-invasive alternative for the treatment of delayed fracture healing and non-unions. Although several clinical studies showed a beneficial effect especially for the hypertrophic type of non-union, little is known about the biological mechanism of its osteogenic effect. To identify the molecular background for the positive effect of shock waves on healing of fracture non-unions, we have analyzed the changes of the global gene expression in human osteoblasts after exposure to shock waves of different energy flux densities. Human osteoblasts were isolated from five patients at non-union sites, treated with 500 impulses of energy flux densities of 0.06 and , and cultured for 96 h. HG-U133A microarrays were used for the analysis of the shock wave-regulated mRNA-transcripts. Differential gene expression was verified by reverse transcriptase polymerase chain reactions. We identified 47 transcripts that showed differential expression after and 45 transcripts after energy treatment. Most intriguing was the up-regulation of neprilysin, calmegin, osteoglycin, asporin, and interleukin-13 receptor-. Eighteen identified genes were previously described to fulfill an important function in bone growth and metabolism. Our study provides the first molecular profile of shock wave-induced gene expression changes in human osteoblasts from patients with hypertrophic fracture non-unions, and it offers a possible molecular explanation for the positive effects of shock waves in patients ridden with this disease.

  15. Cohabiting family members share microbiota with one another and with their dogs.

    PubMed

    Song, Se Jin; Lauber, Christian; Costello, Elizabeth K; Lozupone, Catherine A; Humphrey, Gregory; Berg-Lyons, Donna; Caporaso, J Gregory; Knights, Dan; Clemente, Jose C; Nakielny, Sara; Gordon, Jeffrey I; Fierer, Noah; Knight, Rob

    2013-04-16

    Human-associated microbial communities vary across individuals: possible contributing factors include (genetic) relatedness, diet, and age. However, our surroundings, including individuals with whom we interact, also likely shape our microbial communities. To quantify this microbial exchange, we surveyed fecal, oral, and skin microbiota from 60 families (spousal units with children, dogs, both, or neither). Household members, particularly couples, shared more of their microbiota than individuals from different households, with stronger effects of co-habitation on skin than oral or fecal microbiota. Dog ownership significantly increased the shared skin microbiota in cohabiting adults, and dog-owning adults shared more 'skin' microbiota with their own dogs than with other dogs. Although the degree to which these shared microbes have a true niche on the human body, vs transient detection after direct contact, is unknown, these results suggest that direct and frequent contact with our cohabitants may significantly shape the composition of our microbial communities. DOI:http://dx.doi.org/10.7554/eLife.00458.001.

  16. Cohabiting family members share microbiota with one another and with their dogs

    PubMed Central

    Song, Se Jin; Lauber, Christian; Costello, Elizabeth K; Lozupone, Catherine A; Humphrey, Gregory; Berg-Lyons, Donna; Caporaso, J Gregory; Knights, Dan; Clemente, Jose C; Nakielny, Sara; Gordon, Jeffrey I; Fierer, Noah; Knight, Rob

    2013-01-01

    Human-associated microbial communities vary across individuals: possible contributing factors include (genetic) relatedness, diet, and age. However, our surroundings, including individuals with whom we interact, also likely shape our microbial communities. To quantify this microbial exchange, we surveyed fecal, oral, and skin microbiota from 60 families (spousal units with children, dogs, both, or neither). Household members, particularly couples, shared more of their microbiota than individuals from different households, with stronger effects of co-habitation on skin than oral or fecal microbiota. Dog ownership significantly increased the shared skin microbiota in cohabiting adults, and dog-owning adults shared more ‘skin’ microbiota with their own dogs than with other dogs. Although the degree to which these shared microbes have a true niche on the human body, vs transient detection after direct contact, is unknown, these results suggest that direct and frequent contact with our cohabitants may significantly shape the composition of our microbial communities. DOI: http://dx.doi.org/10.7554/eLife.00458.001 PMID:23599893

  17. Shape change in the atlas with congenital midline non-union of its posterior arch: a morphometric geometric study.

    PubMed

    Ríos, Luis; Palancar, Carlos; Pastor, Francisco; Llidó, Susana; Sanchís-Gimeno, Juan Alberto; Bastir, Markus

    2017-10-01

    The congenital midline non-union of the posterior arch of the atlas is a developmental variant present at a frequency ranging from 0.7% to 3.9%. Most of the reported cases correspond to incidental findings during routine medical examination. In cases of posterior non-union, hypertrophy of the anterior arch and cortical bone thickening of the posterior arches have been observed and interpreted as adaptive responses of the atlas to increased mechanical stress. We sought to determine if the congenital non-union of the posterior arch results in a change in the shape of the atlas. This study is an analysis of the first cervical vertebrae from osteological collections through morphometric geometric techniques. A total of 21 vertebrae were scanned with a high-resolution three-dimensional scanner (Artec Space Spider, Artec Group, Luxembourg). To capture vertebral shape, 19 landmarks and 100 semilandmarks were placed on the vertebrae. Procrustes superimposition was applied to obtain size and shape data (MorphoJ 1.02; Klingenberg, 2011), which were analyzed through principal component analysis (PCA) and mean shape comparisons. The PCA resulted in two components explaining 22.32% and 18.8% of the total shape variance. The graphic plotting of both components indicates a clear shape difference between the control atlas and the atlas with posterior non-union. This observation was supported by statistically significant differences in mean shape comparisons between both types of vertebra (p<.0001). Changes in shape were observed in the superior and inferior articular facets, the transverse processes, and the neural canal between the control and non-union vertebrae. Non-union of the posterior arch of the atlas is associated with significant changes in the shape of the vertebra. Copyright © 2017 Elsevier Inc. All rights reserved.

  18. Social forces can impact the circadian clocks of cohabiting hamsters.

    PubMed

    Paul, Matthew J; Indic, Premananda; Schwartz, William J

    2014-03-22

    A number of field and laboratory studies have shown that the social environment influences daily rhythms in numerous species. However, underlying mechanisms, including the circadian system's role, are not known. Obstacles to this research have been the inability to track and objectively analyse rhythms of individual animals housed together. Here, we employed temperature dataloggers to track individual body temperature rhythms of pairs of cohabiting male Syrian hamsters (Mesocricetus auratus) in constant darkness and applied a continuous wavelet transform to determine the phase of rhythm onset before, during, and after cohabitation. Cohabitation altered the predicted trajectory of rhythm onsets in 34% of individuals, representing 58% of pairs, compared to 12% of hamsters single-housed as 'virtual pair' controls. Deviation from the predicted trajectory was by a change in circadian period (τ), which tended to be asymmetric-affecting one individual of the pair in nine of 11 affected pairs-with hints that dominance might play a role. These data implicate a change in the speed of the circadian clock as one mechanism whereby social factors can alter daily rhythms. Miniature dataloggers coupled with wavelet analyses should provide powerful tools for future studies investigating the principles and mechanisms mediating social influences on daily timing.

  19. A Walking Method for Non-Decomposition Intersection and Union of Arbitrary Polygons and Polyhedrons

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

    Graham, M.; Yao, J.

    We present a method for computing the intersection and union of non- convex polyhedrons without decomposition in O(n log n) time, where n is the total number of faces of both polyhedrons. We include an accompanying Python package which addresses many of the practical issues associated with implementation and serves as a proof of concept. The key to the method is that by considering the edges of the original ob- jects and the intersections between faces as walking routes, we can e ciently nd the boundary of the intersection of arbitrary objects using directional walks, thus handling the concave casemore » in a natural manner. The method also easily extends to plane slicing and non-convex polyhedron unions, and both the polyhedron and its constituent faces may be non-convex.« less

  20. Perturbed Newtonian description of the Lemaître model with non-negligible pressure

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

    Yamamoto, Kazuhiro; Marra, Valerio; Mukhanov, Viatcheslav

    2016-03-01

    We study the validity of the Newtonian description of cosmological perturbations using the Lemaître model, an exact spherically symmetric solution of Einstein's equation. This problem has been investigated in the past for the case of a dust fluid. Here, we extend the previous analysis to the more general case of a fluid with non-negligible pressure, and, for the numerical examples, we consider the case of radiation (P=ρ/3). We find that, even when the density contrast has a nonlinear amplitude, the Newtonian description of the cosmological perturbations using the gravitational potential ψ and the curvature potential φ is valid as longmore » as we consider sub-horizon inhomogeneities. However, the relation ψ+φ=O(φ{sup 2})—which holds for the case of a dust fluid—is not valid for a relativistic fluid, and an effective anisotropic stress is generated. This demonstrates the usefulness of the Lemaître model which allows us to study in an exact nonlinear fashion the onset of anisotropic stress in fluids with non-negligible pressure. We show that this happens when the characteristic scale of the inhomogeneity is smaller than the sound horizon and that the deviation is caused by the nonlinear effect of the fluid's fast motion. We also find that ψ+φ= [O(φ{sup 2}),O(c{sub s}{sup 2φ} δ)] for an inhomogeneity with density contrast δ whose characteristic scale is smaller than the sound horizon, unless w is close to −1, where w and c{sub s} are the equation of state parameter and the sound speed of the fluid, respectively. On the other hand, we expect ψ+φ=O(φ{sup 2}) to hold for an inhomogeneity whose characteristic scale is larger than the sound horizon, unless the amplitude of the inhomogeneity is large and w is close to −1.« less

  1. Isolated displaced non-union of a triquetral body fracture: a case report.

    PubMed

    Rasoli, Sonia; Ricks, Matthew; Packer, Greg

    2012-02-10

    Fractures of the body of the triquetral bone are the second most common carpal fractures, and these fractures can be missed on plain X-ray. Although non-union of triquetral body fractures is very rare, such cases are associated with considerable morbidity and reduction in functional activity. We report the case of a 29-year-old Caucasian British man who sustained an isolated displaced triquetral body fracture that resulted in non-union, who was treated surgically. We describe an original operative management for this debilitating injury. An open reduction and internal fixation using double headed compression screws was performed, without bone grafting, and with early immobilization of the wrist. We propose this novel approach and advocate early clinical suspicion of triquetral body fractures in patients with a history of fall on an outstretched hand and ulnar sided wrist pain. We recommend evaluation using computed tomography or magnetic resonance imaging scanning.

  2. Is dynamic contrast-enhanced MRI useful for assessing proximal fragment vascularity in scaphoid fracture delayed and non-union?

    PubMed

    Ng, Alex W H; Griffith, James F; Taljanovic, Mihra S; Li, Alvin; Tse, W L; Ho, P C

    2013-07-01

    To assess dynamic contrast-enhanced magnetic resonance imaging (DCE MRI) as a measure of vascularity in scaphoid delayed-union or non-union. Thirty-five patients (34 male, one female; mean age, 27.4 ± 9.4 years; range, 16-51 years) with scaphoid delayed-union and non-union who underwent DCE MRI of the scaphoid between September 2002 and October 2012 were retrospectively reviewed. Proximal fragment vascularity was classified as good, fair, or poor on unenhanced MRI, contrast-enhanced MRI, and DCE MRI. For DCE MRI, enhancement slope, Eslope comparison of proximal and distal fragments was used to classify the proximal fragment as good, fair, or poor vascularity. Proximal fragment vascularity was similarly graded at surgery in all patients. Paired t test and McNemar test were used for data comparison. Kappa value was used to assess level of agreement between MRI findings and surgical findings. Twenty-five (71 %) of 35 patients had good vascularity, four (11 %) had fair vascularity, and six (17 %) had poor vascularity of the proximal scaphoid fragment at surgery. DCE MRI parameters had the highest correlation with surgical findings (kappa = 0.57). Proximal scaphoid fragments with surgical poor vascularity had a significantly lower Emax and Eslope than those with good vascularity (p = 0.0043 and 0.027). The sensitivity, specificity, positive and negative predictive value and accuracy of DCE MRI in predicting impaired vascularity was 67, 86, 67, 86, and 80 %, respectively, which was better than that seen with unenhanced and post-contrast MRI. Flattened time intensity curves in both proximal and distal fragments were a feature of protracted non-union with a mean time interval of 101.6 ± 95.5 months between injury and MRI. DCE MRI has a higher diagnostic accuracy than either non-enhanced MRI or contrast enhanced MRI for assessing proximal fragment vascularity in scaphoid delayed-union and non-union. For proper interpretation of contrast-enhanced studies in scaphoid

  3. Training volume and soft tissue injury in professional and non-professional rugby union players: a systematic review.

    PubMed

    Ball, Shane; Halaki, Mark; Orr, Rhonda

    2017-07-01

    To investigate the relationship between training volume and soft tissue injury incidence, and characterise soft tissue injury in rugby union players. A systematic search of electronic databases was performed. The search strategy combined terms covering: training volume and injury, and rugby union, and players of all levels. Medline, SPORTDiscus, Web of Science, Embase, PubMed. Studies were included if they reported: male rugby union players, a clear definition of a rugby union injury, the amount of training volume undertaken by participants, and epidemiological data for soft-tissue injuries including the number or incidence. 15 studies were eligible for inclusion. Overall match and training injury incidence ranged from 3.3 to 218.0 injuries/1000 player match hours and 0.1-6.1 injuries/1000 player training hours, respectively. Muscle and tendon as well as joint (non-bone) and ligament injuries were the most frequently occurring injuries. The lower limb was the most prevalent injury location. Injury incidence was higher in professional rugby union players than non-professional players. Contact events were responsible for the greatest injury incidence. For non-contact mechanisms, running was responsible for the highest injury incidence. Inconsistent injury definitions hindered reliable comparison of injury data. The lack of reporting training volumes in hours per player per week limited the ability to investigate associations between training volume and injury incidence. A higher level of play may result in higher match injury incidence. Muscle and tendon injuries were the most common type of soft tissue injury, while the lower limb was the most common location of injury in rugby union players, and running was responsible for the highest injury incidence during non-contact events. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  4. Non-union of the trapezium: rare consequence of a rare injury

    PubMed Central

    Samson, Deepak; Jones, Matthew; Mahon, Andrew

    2018-01-01

    Abstract Fractures of the trapezium are rare and easily missed. As these injuries are often imperceptible on plain radiographs, diagnosis in the ED setting is challenging. We report a case of an isolated fracture of the trapezium which was picked up as a non-union 5 months after the injury following persistence of symptoms. PMID:29765589

  5. MOTHERS’ UNION HISTORIES AND THE MENTAL AND PHYSICAL HEALTH OF ADOLESCENTS BORN TO UNMARRIED MOTHERS

    PubMed Central

    Williams, Kristi; Sassler, Sharon; Frech, Adrianne; Addo, Fenaba; Cooksey, Elizabeth

    2014-01-01

    As nonmarital childbearing becomes a dominant pathway to family formation, understanding its long-term consequences for children’s well-being is increasingly important. Analysis of linked mother-child data from the NLSY79 indicates a negative association of having been born to a never-married mother with adolescent self-assessed health, but not with depressive symptoms. We also consider the role of mothers’ subsequent union histories in shaping the adolescent health outcomes of youth born to unmarried mothers. With two exceptions, unmarried mothers’ subsequent unions appear to have little consequence for the health of their offspring during adolescence. Adolescents whose mothers subsequently married and remained with their biological fathers reported better health, yet adolescents whose mothers continuously cohabited with the biological father without subsequent marriage reported worse adolescent mental health when compared with adolescents whose mothers remained continually unpartnered. PMID:23956357

  6. Isolated displaced non-union of a triquetral body fracture: a case report

    PubMed Central

    2012-01-01

    Introduction Fractures of the body of the triquetral bone are the second most common carpal fractures, and these fractures can be missed on plain X-ray. Although non-union of triquetral body fractures is very rare, such cases are associated with considerable morbidity and reduction in functional activity. Case presentation We report the case of a 29-year-old Caucasian British man who sustained an isolated displaced triquetral body fracture that resulted in non-union, who was treated surgically. We describe an original operative management for this debilitating injury. An open reduction and internal fixation using double headed compression screws was performed, without bone grafting, and with early immobilization of the wrist. Conclusions We propose this novel approach and advocate early clinical suspicion of triquetral body fractures in patients with a history of fall on an outstretched hand and ulnar sided wrist pain. We recommend evaluation using computed tomography or magnetic resonance imaging scanning. PMID:22325450

  7. Effects of third fragment size and displacement on non-union of femoral shaft fractures after locking for intramedullary nailing.

    PubMed

    Lee, J R; Kim, H-J; Lee, K-B

    2016-04-01

    The femoral shaft fractures with large fragments makes anatomical reduction challenging and often results in non-union. In some studies, the degree of fragment displacement was reported to have affected non-union, but the association between the one fragment size and degree of displacement has not been fully clarified. Therefore we performed a retrospective study to assess: (1) the more influential factor of non-union: the degree of fragment displacement, or the fragment size? (2) the non-union rates according to different sizes and degrees of displacement. The degree of displacement is the more potent factor of non-union than the third fragment size in femoral shaft fractures. We assessed retrospectively 64 cases, which could be followed up for longer than one year. Fragments were divided according to the length of their long axis into three groups: group A (0-3.9cm), (n=21); group B (4-7.9cm), (n=22); group C (8cm or more), (n=21). Fragment displacement was also assessed in the proximal (P) or distal (D) end to the nearest cortex of the femoral shaft, and divided into the following groups: group P1 (n=44) or D1 (n=47), (0-9mm); group P2 (n=10) or D2 (n=11), (10-19mm); group P3 (n=7) or D3 (n=3), (20-29mm); and group P4 (n=3) or D4 (n=3), (30mm or more). The bone union rate was 86% in the small (less than 8cm) fragment groups and 71% in the large (8cm or more) fragment group (P=0.046). With respect to the degree of displacement, the union rate was lower (P=0.001) and the average union time was longer (P=0.012) in the 20mm or more group for both the proximal fragment part and the distal fragment part (P=0.002, P=0.014). A logistic regression analysis underlined the displacement in the proximal site (OR: 0.298, 95% CI: 0.118-0.750) as in the distal site (OR: 0.359, 95% CI: 0.162-0.793) as a larger effect on union rate than the fragment size that as no effect in logistic regression (OR 3.8, 95% CI: 0.669-21.6). Non-union develops significantly more frequently in

  8. Big wigs and small wigs: Time, sex, size and shelter affect cohabitation in the maritime earwig (Anisolabis maritima).

    PubMed

    Hack, Nicole L; Iyengar, Vikram K

    2017-01-01

    Animal aggregations can occur for a variety of abiotic factors, such as resource limitation, or biotic factors, including group foraging and protection from predators. In our study, we examined whether time, sex, body size or shelter availability affected aggregation behavior of the maritime earwig, Anisolabis maritima (Order Dermaptera), an insect found globally at high densities under driftwood. Specifically, we monitored the distribution of two individuals in arenas with either two shelters (no habitat limitation) or one shelter (habitat limitation) to determine their propensity for cohabitation at times of peak activity and times of quiescence. Females, whose high levels of aggression are often associated with maternal care, were particularly averse to cohabitation, whereas males were generally more tolerant of other earwigs. Females initially preferred not to cohabitate when placed with a male, but were more tolerant of cohabitation later, regardless of the number of shelters. Same-sex pairs, on the other hand, were less likely to cohabitate with only one shelter present, but males were again more tolerant of conspecifics than females regardless of habitat limitation. When competition for one shelter did not lead to cohabitation, the lone occupant was more likely to be the larger individual in same-sex trials and females in mixed-sex trials. Understanding the tolerance for close proximity under these varying conditions may provide insight into aggregative behavior and spatial distribution patterns in the maritime earwig.

  9. The relationship between labor unions and safety in US airlines: Is there a "union effect?"

    NASA Astrophysics Data System (ADS)

    Zapf, Renee Catherine

    Every airline union claims to work for safety and presents anecdotes where greater airline safety has been achieved through union efforts. The effect unionization has on safety outcomes in U.S. commercial airlines, however, wasn't found to be previously tested. Studies have shown that in industries such as coal mining, retail, and construction, unionization does lead to an increase in safety. This study evaluated the safety rates of 15 major US commercial airlines to compare the difference between unionized and non-unionized airlines. These safety rates were compared based on if and how long each airline's pilots and flight attendants have been unionized, to determine if unionization had an effect on safety outcomes. The 15 airlines included in the study identified as operating most of the years between 1990 and 2013, with annual departures averaging over 130,000, available through the Bureau of Transportation Statistics. Accident and Incident information was acquired through the National Transportation Safety Board database. The number of accident and incidents divided by the total departures at each airline was used as the safety rate. Union websites provided information on unionization at the airlines. Due to the complex nature of the aviation industry, a number of confounding factors could have affected the tests, including mergers, route structures, and legislation. To help control for these confounding factors, this study was limited to airlines with a stable presence in the industry over time, which limited the number of airlines included. No significant difference was found between unionized and non-unionized airlines in this study, though the mean safety rate of unionized airlines was found be better than non-unionized airlines. This study did not take into account safety improvements that were union-backed and eventually required at all airlines, regardless of unionization. Due to the large sample size of the small population the difference in safety rate

  10. Surgical interventions for treating acute fractures or non-union of the middle third of the clavicle.

    PubMed

    Lenza, Mário; Faloppa, Flávio

    2015-05-07

    This review covers two conditions: acute clavicle fractures and non-union resulting from failed fracture healing. Clavicle (collarbone) fractures account for around 4% of all fractures. While treatment for these fractures is usually non-surgical, some types of clavicular fractures, as well as non-union of the middle third of the clavicle, are often treated surgically. This is an update of a Cochrane review first published in 2009. To evaluate the effects (benefits and harms) of different methods of surgical treatment for acute fracture or non-union of the middle third of the clavicle. We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (27 June 2014), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2014, Issue 5), MEDLINE (1966 to June week 3 2014), EMBASE (1988 to 2014 week 25), LILACS (1982 to 27 June 2014), trial registries and reference lists of articles. We applied no language or publication restrictions. We considered randomised and quasi-randomised controlled trials evaluating any surgical intervention for treating people with fractures or non-union of the middle third of the clavicle. The primary outcomes were shoulder function or disability, pain and treatment failure (measured by the number of participants who had undergone or were being considered for a non-routine secondary surgical intervention for symptomatic non-union, malunion or other complications). Two review authors selected eligible trials, independently assessed risk of bias and cross-checked data. Where appropriate, we pooled results of comparable trials. We included seven trials in this review with 398 participants. Four trials were new in this update.The four new trials (160 participants) compared intramedullary fixation with open reduction and internal fixation with plate for treating acute middle third clavicle fractures in adults. Low quality evidence from the four trials indicated that intramedullary fixation did not

  11. A comparison of intimate partner violence and associated physical injuries between cohabitating and married women: a 5-year medical chart review.

    PubMed

    Wong, Janet Yuen-Ha; Choi, Anna Wai-Man; Fong, Daniel Yee-Tak; Choi, Edmond Pui Hang; Wong, John Kit-Shing; So, Fung Ling; Lau, Chu-Leung; Kam, Chak-Wah

    2016-11-29

    Cohabitation, referring to a co-residential romantic relationship between two intimate partners without a marriage license, has become widely accepted in contemporary societies. It has been found that cohabitating women have a higher risk of experiencing intimate partner violence (IPV) than married women. However, as yet, no studies have investigated the level and pattern of IPV-associated physical injuries and its mental health impact on cohabitating women. Therefore, we aim to compare IPV-associated physical injuries between cohabitating and married women by conducting a review of 5-year medical records from the emergency departments of two major public hospitals in Hong Kong. This is a retrospective cohort study. Using two computerized systems, we identified the medical charts of 1011 women who had experienced IPV and presented at emergency departments between 2010 and 2014, of which, 132 were cohabitating and 833 were married. Cohabitating women were significantly younger (p-value < .0001) and had obtained a higher educational level (p-value = .008) than married women. After adjusting for those two variables, the logistic regression models showed that cohabitating women were approximately 2.1 times more likely than married women to present with head, neck, or facial injuries (OR = 2.1, 95% CI = 1.30-3.40, p = .002), and the risk of having multiple injuries in different locations (head, neck, face, torso, limbs) was almost twice that for cohabitating women compared with married women (OR = 1.82, 95% CI = 1.25-2.65, p = .001). Furthermore, cohabitating women were almost two times as likely as married women to experience more than one method of physical violence (OR = 1.72, 95% CI = 1.18-2.51, p = .005). There were no significant differences regarding mental health, police reporting, and discharge plans. Owing to recent social changes to the family structure, including the growing acceptance of cohabitation, it is

  12. Negligent Liability of College Counselors

    ERIC Educational Resources Information Center

    Sampson, James P., Jr.

    1977-01-01

    Discusses college counselors' liability for negligence in the performance of their duties, citing the only two court decisions involving college counselor negligence. Summarizes the circumstances in which college counselors may or may not be held negligent, and identifies present and future trends in counselor liability. (JG)

  13. Correlates of male cohabiting partner's involvement in child-rearing tasks in low-income urban Black stepfamilies.

    PubMed

    Forehand, Rex; Parent, Justin; Golub, Andrew; Reid, Megan

    2014-06-01

    Cohabitation is a family structure experienced by many Black children. This study examines the link between family relationships (child relationship with mother and the cohabiting partner; parent and cohabiting partner relationship) and involvement of biologically unrelated male cohabiting partners (MCP) in child rearing. The participants were 121 low-income urban Black families consisting of a single mother, MCP, and an adolescent (56% female, M age = 13.7). Assessments were conducted individually with mothers, MCPs, and adolescents via measures administered by interview. MCPs were involved in both domains of child rearing assessed (daily child-related tasks and setting limits) and those identified as coparents by the mother were more involved in child-rearing tasks than those not identified as coparents. Using structural equation modeling (SEM), the mother-MCP relationship (both support and conflict) and the adolescent-MCP relationship were related to MCP's involvement in both domains of child rearing. The findings indicate that MCPs are actively involved in child rearing and family relationship variables are associated with their involvement in these tasks. PsycINFO Database Record (c) 2014 APA, all rights reserved.

  14. 46 CFR 5.29 - Negligence.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Negligence. 5.29 Section 5.29 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY PROCEDURES APPLICABLE TO THE PUBLIC MARINE INVESTIGATION REGULATIONS-PERSONNEL ACTION Definitions § 5.29 Negligence. Negligence is the commission of an act which a reasonable...

  15. Management of septic non-union of the tibia by the induced membrane technique. What factors could improve results?

    PubMed

    Siboni, Renaud; Joseph, Etienne; Blasco, Laurent; Barbe, Coralie; Bajolet, Odile; Diallo, Saïdou; Ohl, Xavier

    2018-06-07

    Management of septic non-union of the tibia requires debridement and excision of all infected bone and soft tissues. Various surgical techniques have been described to fill the bone defect. The "Induced Membrane" technique, described by A. C. Masquelet in 1986, is a two-step procedure using a PMMA cement spacer around which an induced membrane develops, to be used in the second step as a bone graft holder for the bone graft. The purpose of this study was to assess our clinical and radiological results with this technique in a series managed in our department. Nineteen traumatic septic non-unions of the tibia were included in a retrospective single-center study between November 2007 and November 2014. All patients were followed up clinically and radiologically to assess bone union time. Multivariate analysis was used to identify factors influencing union. The series comprised 4 women and 14 men (19 legs); mean age was 53.9 years. Vascularized flap transfer was required in 26% of cases before the first stage of treatment. All patients underwent a two-step procedure, with a mean interval of 7.9 weeks. Mean bone defect after the first step was 52.4mm. The bone graft was harvested from the iliac crest in the majority of cases (18/19). The bone was stabilized with an external fixator, locking plate or plaster cast after the second step. Mean follow-up was 34 months. Bony union rate was 89% (17/19), at a mean 16 months after step 2. Eleven patients underwent one or more (mean 2.1) complementary procedures. Severity of index fracture skin opening was significantly correlated with union time (Gustilo III vs. Gustilo I or II, p=0.028). A trend was found for negative impact of smoking on union (p=0.06). Bone defect size did not correlate with union rate or time. The union rate was acceptable, at 89%, but with longer union time than reported in the literature. Many factors could explain this: lack of rigid fixation after step 2 (in case of plaster cast or external fixator

  16. Planned Parenthood?: Fertility Intentions and Experiences among Cohabiting Couples

    ERIC Educational Resources Information Center

    Sassler, Sharon; Miller, Amanda; Favinger, Sarah M.

    2009-01-01

    Most research on nonmarital births focuses on disadvantaged populations. This study examined the childbearing expectations and experiences of a working-class sample, drawing on in-depth interviews with 30 cohabiting couples. Few couples in the sample were attempting to conceive; most desired to defer parenting. Three responses emerged to how a…

  17. Marriage, cohabitation and incidence trends of invasive penile squamous cell carcinoma in Denmark 1978-2010.

    PubMed

    Ulff-Møller, Constance J; Simonsen, Jacob; Frisch, Morten

    2013-09-01

    Few population-based studies have investigated the relation between living arrangements and risk of invasive penile squamous cell carcinoma (iP-SCC). Using long-term national cancer registry data in Denmark we examined incidence trends of iP-SCC. Furthermore, we examined the relation between marital status, cohabitation status and risk of iP-SCC using hazard ratios (HRs) with 95% confidence intervals (CIs) obtained in Cox proportional hazards regression analyses as our measure of relative risk. Overall, 1,292 cases of iP-SCC were identified during 65.6 million person-years of observation between 1978 and 2010. During this period, the WHO world age-standardized incidence remained relatively stable (p-trend = 0.41) with an average incidence of 1.05 cases per 100,000 person-years. When compared to married men, those who were unmarried (HR 1.37; 95% CI: 1.13-1.66), divorced (HR 1.49; 95% CI: 1.24-1.79) or widowed (HR 1.36; 95% CI: 1.13-1.63) were at increased risk of iP-SCC. Regarding cohabitation status, single-living men were at increased risk of iP-SCC compared to men in opposite-sex cohabitation (HR 1.43; 95% CI: 1.26-1.62). Risk increased with increasing numbers of prior opposite-sex (p-trend = 0.02) and same-sex (p-trend < 0.001) cohabitations. In conclusion, single-living Danish men and men who are not currently married are at increased risk of iP-SCC, and the risk increases with the number of prior cohabitations, perhaps reflecting less stable sexual relations in these subgroups. Copyright © 2013 UICC.

  18. Systemic Negligence: Why It Is Morally Important for Developing World Bioethics.

    PubMed

    Chakraborti, Chhanda

    2015-12-01

    In the context of clinical and non-clinical biomedical practices, negligence is usually understood as a lapse of a specific professional duty by a healthcare worker or by a medical facility. This paper tries to delineate systemic negligence as another kind of negligence in the context of health systems, particularly in developing countries, that needs to be recognized and addressed. Systemic negligence is not just a mere collection of stray incidences of medical errors and system failures in a health system, but is proposed in this paper as a more pervasive kind of neglect. Several non-medical factors, such as lack of social and political will, also contribute to it and hence is more difficult to address in a health system. This paper argues that recognizing systemic negligence and including it research agenda have special moral importance for researchers in developing world bioethics, public health ethics and for health activists in the developing world. For, it can be a potent health system barrier, and can seriously impair efforts to ensure patient safety, particularly in the weaker health systems. As it erodes accountability in a health system, addressing it is also important for the twin goals of ensuring patient safety and improving health system performance. Above all, it needs to be addressed because the tolerance of its persistence in a health system seems to undervalue health as a social good. © 2014 John Wiley & Sons Ltd.

  19. How Does Premarital Cohabitation Affect Trajectories of Marital Quality?

    ERIC Educational Resources Information Center

    Tach, Laura; Halpern-Meekin, Sarah

    2009-01-01

    We investigate the link between premarital cohabitation and trajectories of subsequent marital quality using random effects growth curve models and repeated measures of marital quality from married women in the NLSY-79 (N = 3,598). We find that premarital cohabitors experience lower quality marital relationships on average, but this is driven by…

  20. Effects of Divorce and Cohabitation Dissolution on Preschoolers' Literacy

    ERIC Educational Resources Information Center

    Fagan, Jay

    2013-01-01

    Using data from the Early Childhood Longitudinal Survey--Birth cohort ("N" = 6,450), the present study hypothesized that 48-month-old children of divorced mothers would score lower on emerging literacy than the children of formerly cohabiting mothers, compared with the children of mothers in stable marriage. The children of mothers who…

  1. Negligence and Athletic Events.

    ERIC Educational Resources Information Center

    Mawdsley, Ralph D.

    2001-01-01

    Although athletic events generate their share of negligence lawsuits, the relatively small number, compared with other education areas, suggests that defenses (like assumption or risk and contributory negligence) have a better fit in athletics. Implications of newer litigation trends involving coaches' misconduct and interpretation of state…

  2. Outcome Analysis following Operative Skeletal Stabilization in Established Non Unions of Malleolar Fractures - A Series of 11 Cases.

    PubMed

    Balasubramanian, Navin; Babu, Ganesh; Prakasam, Sindhuja

    2015-01-01

    Established non-unions pose a real nightmare for even the most accomplished surgeon. The variations in anatomy due to extensive fibrous tissue growth, soft tissue contractures around the fracture site and bony alterations like smoothening and sclerosis of the fracture ends must each be addressed as a whole if good outcome is to be expected. Here we present a series of 11 patients who had bimalleolar fracture of the ankle following which they had native splinting. These patients presented to us with established non-union. There were 7 males and 4 females in the study. The average age was 44.63 years. Ten out of the 11 patients went on to union (90.1%) following internal fixation with or without immobilization in a plaster cast at an average of 13.8 weeks (range 12-17 weeks). The remaining patient did not progress to union and was advised revision fixation but she refused. She was put on an ankle foot orthoses and mobilized with satisfactory results. There was no infection in any of the patients. Two patients had delayed wound healing with delayed suture removal at 18 days. Weight bearing was started at the end of 16 weeks in all the patients. All patients were assessed using the Karlsson and Peterson functional score for the ankle. Six patients had excellent outcome, 3 had good outcome, 2 had fair with one patient having poor functional result. We conclude that open reduction internal fixation +/- bone grafting provides excellent union rates and good functional results in even the most established non unions of bimalleolar fractures of the ankle.

  3. Comparative study suggests that human bone morphogenetic proteins have no influence on the outcome of operative treatment of aseptic clavicle non-unions.

    PubMed

    von Rüden, Christian; Morgenstern, Mario; Friederichs, Jan; Augat, Peter; Hackl, Simon; Woltmann, Alexander; Bühren, Volker; Hierholzer, Christian

    2016-11-01

    The purpose of this study was to evaluate the clinical and radiological outcome following compression plate fixation in combination with autologous bone grafting, with and without additional application of recombinant human bone morphogenetic protein (rhBMP) for treatment of aseptic clavicle non-union. Between April 2004 and April 2015, 82 patients were treated for clavicle fracture and had developed aseptic clavicle non-union. Seventy-three out of 82 patients were available for follow-up at least one year after revision surgery; among them, 27 women and 46 men, with a median age of 49 (range, 19-86) years. Forty-five patients received compression plate osteosynthesis with autologous bone grafting, and 28 patients obtained compression plate fixation with autologous bone grafting and additional application of rhBMP-2 (3/28 patients) or rhBMP-7 (25/28 patients). Seventy out of 73 non-unions (96 %) healed within 12 months after revision surgery. Functional outcome according to the DASH Outcome Measure (with rhBMP, 33.16 ± 1.17 points; without rhBMP, 30.58 ± 2.12 points [mean ± SEM]; p = 0.81), non-union healing (p = 0.86), time interval between revision surgery and bone healing (p = 0.37), as well as post-operative complications, did not demonstrate relevant differences between the treatment groups and were not age-dependent. Functional and radiological results demonstrate that successful healing of aseptic clavicle non-union is dependent on radical resection of non-union tissue, restoration of length of the shoulder girdle and application of stable locking-plate osteosynthesis in combination with autologous bone grafting, but not dependent on application of additional rhBMP.

  4. Physical activity and cohabitation status moderate the link between diabetes mellitus and cognitive performance in a community-dwelling elderly population in Germany

    PubMed Central

    Buchmann, Nikolaus; Tegeler, Christina; Steinhagen-Thiessen, Elisabeth

    2017-01-01

    Aims/Hypothesis The increasing number of people with dementia and cognitive impairments makes it essential to detect and prevent modifiable risk factors of dementia. This study focuses on type 2 diabetes mellitus, especially on undiagnosed cases and their increased risk of cognitive impairment. Furthermore, the potential of physical activity and social integration to moderate the relation between diabetes and cognitive impairment is assessed. Methods We used cross-sectional data from 1299 participants of the Berlin Aging Study II (BASE-II) aged between 60 to 84 years and performed logistic regression models to analyze the association of diabetes status, physical activity, and cohabitation status with poor cognitive performance. Cognitive performance was measured with the Consortium to Establish a Registry for Alzheimer's Disease (CERAD)-Plus test battery. Results Undiagnosed diabetes (odds ratio (OR) = 2.12, p = 0.031), physical inactivity (OR = 1.43, p = 0.008) and non-cohabiting (OR = 1.58, p = 0.002) were associated with an increased likelihood of poor cognitive performance. The highest odds were observed in participants who suffered from undiagnosed or insulin-dependent diabetes and, in addition, were inactive (undiagnosed diabetes: OR = 3.44, p = 0.003; insulin-dependent diabetes: OR = 6.19, p = 0.019) or lived alone (undiagnosed diabetes: OR = 4.46, p = 0.006; insulin-dependent diabetes: OR = 6.46 p = 0.052). Physical activity and cohabiting appeared to be beneficial. Conclusions/Interpretation Physical activity and cohabitation status moderate the link between diabetes mellitus and cognitive performance. Special attention should be paid to undiagnosed and insulin-dependent diabetes cases, which have a particularly high risk of poor cognitive performance. PMID:29073237

  5. The use of bone morphogenic protein-7 (OP-1) in the management of resistant non-unions in the upper and lower limb.

    PubMed

    Papanna, M C; Al-Hadithy, N; Somanchi, B V; Sewell, M D; Robinson, P M; Khan, S A; Wilkes, R A

    2012-07-01

    The aim of the present study was to investigate the safety and efficacy of local implantation of BMP-7 for the treatment of resistant non-unions in the upper and lower limb. Fifty-two patients (30 males, mean age 52.8 years; range 20-81) were treated with local BMP-7 implantation in a bovine bone-derived collagen paste with or without revision of fixation. Thirty-six patients had closed injuries, ten had open injuries and six had infected non-unions. Patients had undergone a mean of 2 (1-5) operations prior to implantation of BMP-7. Clinical and radiological union was achieved in 94% at a mean time of 5.6 months (3-19). Two patients with subtrochanteric femoral fractures failed to achieve union secondary to inadequate fracture stabilisation, persistent unfavourable biological environment and systemic co-morbidities. One patient developed synostosis attributed to the BMP-7 application. This study demonstrates BMP-7 implanted in a bovine-derived collagen paste is an effective adjunctive treatment for resistant non-unions in the upper and lower limb. Copyright © 2012 Elsevier Ltd. All rights reserved.

  6. Why do intimate partners live apart? Evidence on LAT relationships across Europe

    PubMed Central

    Liefbroer, Aart C.; Poortman, Anne-Rigt; Seltzer, Judith A.

    2015-01-01

    BACKGROUND Most research asks whether or not cohabitation has come to rival marriage. Little is known about the meaning of living apart together (LAT) relationships, and whether LAT is an alternative to marriage and cohabitation or a dating relationship. OBJECTIVE We examine across Europe: (1) the prevalence of LAT, (2) the reasons for LAT, and (3) the correlates of (a) LAT relationships vis-à-vis being single, married, or cohabiting, and (b) different types of LAT union. METHODS Using Generations and Gender Survey data from ten Western and Eastern European countries, we present descriptive statistics about LATs and estimate multinominal logistic regression models to assess the correlates of being in different types of LAT unions. RESULTS LAT relationships are uncommon, but they are more common in Western than Eastern Europe. Most people in LAT unions intend to live together but are apart for practical reasons. LAT is more common among young people, those enrolled in higher education, people with liberal attitudes, highly educated people, and those who have previously cohabited or been married. Older people and divorced or widowed persons are more likely to choose LAT to maintain independence. Surprisingly, attitudinal and educational differences are more pronounced in Eastern Europe than in Western Europe. CONCLUSIONS A tentative conclusion is that LAT is more often a stage in the union formation process than an alternative to marriage and cohabitation. Yet some groups do view LAT as substituting for marriage and cohabitation, and these groups differ between East and West. In Eastern Europe a cultural, highly educated elite seems to be the first to resist traditional marriage norms and embrace LAT (and cohabitation) as alternative living arrangements, whereas this is less the case in Western Europe. In Western Europe, LAT unions are mainly an alternative for persons who have been married before or had children in a prior relationship. PMID:26085812

  7. Bone morphogenetic proteins: a powerful osteoinductive compound with non-negligible side effects and limitations.

    PubMed

    Oryan, Ahmad; Alidadi, Soodeh; Moshiri, Ali; Bigham-Sadegh, Amin

    2014-01-01

    Healing and regeneration of large bone defects leading to non-unions is a great concern in orthopedic surgery. Since auto- and allografts have limitations, bone tissue engineering and regenerative medicine (TERM) has attempted to solve this issue. In TERM, healing promotive factors are necessary to regulate the several important events during healing. An ideal treatment strategy should provide osteoconduction, osteoinduction, osteogenesis, and osteointegration of the graft or biomaterials within the healing bone. Since many materials have osteoconductive properties, only a few biomaterials have osteoinductive properties which are important for osteogenesis and osteointegration. Bone morphogenetic proteins (BMPs) are potent inductors of the osteogenic and angiogenic activities during bone repair. The BMPs can regulate the production and activity of some growth factors which are necessary for the osteogenesis. Since the introduction of BMP, it has added a valuable tool to the surgeon's possibilities and is most commonly used in bone defects. Despite significant evidences suggesting their potential benefit on bone healing, there are some evidences showing their side effects such as ectopic bone formation, osteolysis and problems related to cost effectiveness. Bone tissue engineering may create a local environment, using the delivery systems, which enables BMPs to carry out their activities and to lower cost and complication rate associated with BMPs. This review represented the most important concepts and evidences regarding the role of BMPs on bone healing and regeneration from basic to clinical application. The major advantages and disadvantages of such biologic compounds together with the BMPs substitutes are also discussed. © 2014 International Union of Biochemistry and Molecular Biology.

  8. Application of Local Vibrations in Delayed and Non-Union Fractures: a Case Study

    NASA Astrophysics Data System (ADS)

    Trombetta, Chiara; Abundo, Paolo; Foti, Calogero; Rosato, Nicola

    2011-02-01

    The aim of the study was to assess the efficacy of local vibration treatments (LV) in delayed-union and non-union fractures, through therapeutic exercise vibration (TEV) practice, analysing the radiological trend. The Medical Engineering Service of the Fondazione Policlinico Tor Vergata in collaboration with the Chair-Department of Rehabilitation Medicine of the University of Rome Tor Vergata and the Boscosystem company, is developing a device dedicated to LV application, to favour bone regeneration and muscle strengthening. This case report analyses the bone activity of a male patient presenting a right tibial fracture, treated with TEV. At the end of the TEV program, clinical results confirmed independent ambulation with disappearance of perimalleolar edema, while radiographic images revealed the presence of bone repair activity around the fracture line.

  9. A Dyadic Analysis of Relationships and Health: Does Couple-Level Context Condition Partner Effects?

    PubMed Central

    Barr, Ashley B.; Simons, Ronald L.

    2014-01-01

    Adding to the growing literature explicating the links between romantic relationships and health, this study examined how both couple-level characteristics, particularly union type (e.g. dating, cohabiting, or marriage) and interracial pairing, and interpersonal characteristics (e.g. partner strain and support) predicted young adults’ physical and mental health. Using dyadic data from a sample of 249 young, primarily African American couples, we hypothesized and found support for the importance of couple-level context, partner behavior, and their interaction in predicting health. Interracial couples (all Black/non-Black pairings) reported worse health than monoracial Black couples. Union type, however, did not directly predict health but was a significant moderator of partner strain. That is, the negative association between partner strain and self-reported health was stronger for cohabiting and married couples versus their dating counterparts, suggesting that coresidence more so than marital status may be important for understanding partner effects on physical health. For psychological distress, however, partner support proved equally beneficial across union types. PMID:25090254

  10. A dyadic analysis of relationships and health: does couple-level context condition partner effects?

    PubMed

    Barr, Ashley B; Simons, Ronald L

    2014-08-01

    Adding to the growing literature explicating the links between romantic relationships and health, this study examined how both couple-level characteristics, particularly union type (e.g., dating, cohabiting, or marriage) and interracial pairing, and interpersonal characteristics (e.g., partner strain and support), predicted young adults' physical and mental health. Using dyadic data from a sample of 249 young, primarily Black couples, we hypothesized and found support for the importance of couple-level context, partner behavior, and their interaction in predicting health. Interracial couples (all Black/non-Black pairings) reported worse health than monoracial Black couples. Union type, however, did not directly predict health but was a significant moderator of partner strain. That is, the negative association between partner strain and self-reported health was stronger for cohabiting and married couples versus their dating counterparts, suggesting that coresidence, more so than marital status, may be important for understanding partner effects on physical health. For psychological distress, however, partner support proved equally beneficial across union types.

  11. Negligence in Defamation before "Gertz."

    ERIC Educational Resources Information Center

    Stevens, George E.

    1979-01-01

    Discusses negligence in defamation cases before the United States Supreme Court's decision in "Gertz v Robert Welch, Inc."; shows that courts have varied in what actions by reporters and editors they have considered negligent. (GT)

  12. Does the Situational Couple Violence-Intimate Terrorism Typology Explain Cohabitors' High Risk of Intimate Partner Violence?

    ERIC Educational Resources Information Center

    Brownridge, Douglas A.

    2010-01-01

    This study examines M. P. Johnson's assertion that violence in marital unions is more likely to be intimate terrorism (IT) and violence in cohabiting unions is more likely to be situational couple violence (SCV). Having overcome limitations of the data on which Johnson based his assertion, the results show that cohabiting and married victims of…

  13. Carryover negligibility and relevance in bioequivalence studies.

    PubMed

    Ocaña, Jordi; Sanchez O, Maria P; Carrasco, Josep L

    2015-01-01

    The carryover effect is a recurring issue in the pharmaceutical field. It may strongly influence the final outcome of an average bioequivalence study. Testing a null hypothesis of zero carryover is useless: not rejecting it does not guarantee the non-existence of carryover, and rejecting it is not informative of the true degree of carryover and its influence on the validity of the final outcome of the bioequivalence study. We propose a more consistent approach: even if some carryover is present, is it enough to seriously distort the study conclusions or is it negligible? This is the central aim of this paper, which focuses on average bioequivalence studies based on 2 × 2 crossover designs and on the main problem associated with carryover: type I error inflation. We propose an equivalence testing approach to these questions and suggest reasonable negligibility or relevance limits for carryover. Finally, we illustrate this approach on some real datasets. Copyright © 2015 John Wiley & Sons, Ltd.

  14. 7 CFR 276.3 - Negligence or fraud.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 4 2010-01-01 2010-01-01 false Negligence or fraud. 276.3 Section 276.3 Agriculture... Negligence or fraud. (a) General. If FNS determines that there has been negligence or fraud on the part of..., pay to FNS a sum equal to the amount of coupons issued as a result of such negligence or fraud. (b...

  15. Medical negligence and the law.

    PubMed

    Murthy, K K S R

    2007-01-01

    After the Consumer Protection Act, 1986, came into effect, a number of patients have filed cases against doctors. This article presents a summary of legal decisions related to medical negligence: what constitutes negligence in civil and criminal law, and what is required to prove it.

  16. Relationship characteristics and contraceptive use among dating and cohabiting young adult couples.

    PubMed

    Wildsmith, Elizabeth; Manlove, Jennifer; Steward-Streng, Nicole

    2015-03-01

    Contraceptive decision making occurs in the context of relationships. Although many individual-level characteristics have been linked to youths' contraceptive use, less is known about associations between contraceptive use and relationship-level characteristics. Data from the 2001-2002 romantic pair subsample of the National Longitudinal Study of Adolescent Health were used to describe characteristics of 322 dating relationships and 406 cohabiting relationships among young adults aged at least 18 years. Logistic regression was employed to assess associations between these characteristics and hormonal or long-acting contraceptive use and condom use. Data from both partners allowed discordance in reports between partners in some measures to be examined. Cohabiting couples were less likely than dating couples to have used condoms (19% vs. 37%) and hormonal or long-acting methods (40% vs. 57%) at last sex. In dating relationships, couples reporting discordant levels of intimacy and couples in which neither partner reported a high level of intimacy had greater odds of condom use than couples in which both partners reported high intimacy (odds ratios, 4.5 and 3.3, respectively); mistrust and male problem drinking were negatively associated with condom use (0.3 for each). For cohabiting couples, frequency of sex was negatively associated with condom use and hormonal method use (0.8 for each). At least for dating couples, contraceptive use is linked to multiple dimensions of relationships, particularly measures reflecting relationship quality-both positive and negative. Copyright © 2015 by the Guttmacher Institute.

  17. Cultural practices, gender inequality and inconsistent condom use increase vulnerability to HIV infection: narratives from married and cohabiting women in rural communities in Mpumalanga province, South Africa.

    PubMed

    Madiba, Sphiwe; Ngwenya, Nomsa

    Women in sub-Saharan Africa bear the brunt of the human immunodeficiency virus (HIV) epidemic, and older married women and those in cohabiting relationships are regarded as the largest HIV risk group. Although preventing HIV infection in married or stable relationships is an international HIV prevention priority, little is known about the influence of sociocultural contexts on safe-sex practice by women, particularly older women in rural communities in South Africa. This study aimed to examine how older women in a rural patriarchal society negotiate safer sex within marital and long-term cohabitation relationships, and their perceptions and experiences of barriers that influence condom use. Focus group discussions were conducted with married and cohabiting women aged 40-60 years recruited from primary health facilities in a rural district in Mpumalanga province, South Africa. A thematic analysis approach was used to analyse the data. We found that although women reported negotiating safe sex in their relationships, they dreaded the possible consequences of suggesting condom use with their partners. Many factors made negotiating safe sex complex for these women: living in a patriarchal society where women play no part in sexual decision making, the fear of possible consequences of insisting on condom use, women's inferior social position in marital relationships, cultural practices such as bride price, and gender inequality were the main barriers to practising safer sex. Older married and cohabiting women dreaded negotiating safer sex in this patriarchal society where women's subordination is legitimized. The findings suggest that the women were at high risk of HIV infection because of their inability to negotiate condom use, or to reject forced sex and non-consensual sex. There is a need for interventions targeting older married and cohabiting couples and key stakeholders within communities to create awareness about cultural practices and beliefs that undermine

  18. Community Services Counseling through Labor Unions.

    ERIC Educational Resources Information Center

    Vega, Anthony

    A community services counseling project was provided through a program for assisting unemployed union and non-union workers. At least 25 local unions in Middlesex County, New Jersey, participated in the effort. Thirty unemployed workers were screened and given an intensive training course in personal skills development, the role of the union…

  19. Non-union in 3 of 15 osteotomies of the distal radius without bone graft

    PubMed Central

    Scheer, Johan H; Adolfsson, Lars E

    2015-01-01

    Background and purpose Open-wedge osteotomies of the distal radius create a void that is usually filled with either iliac crest bone graft or bone substitute. Previous studies have suggested that this is unnecessary. We investigated the safety of omitting the filling procedure. Patients and methods We included 15 patients with a dorsal malunion of a distal radius fracture. A palmar approach and angle-stable plates were used. The patients were followed until there was radiographic and clinical healing. Results Non-union occurred in 3 of the 15 patients. The study, which had been planned to include 25 patients, was then discontinued. 6 osteotomies created a trapezoid void (no cortical contact); 3 of these did not unite after the index procedure (p = 0.04), but did subsequently, after autogenous bone grafting. A trapezoid void was significantly associated with non-union (p = 0.04). Interpretation When a trapezoid defect is created, one should consider bone substitute or autogenous bone graft. This has been shown to be safe in other studies. PMID:25619425

  20. Longitudinal Patterns of Women’s Marital Quality: The Case of Divorce, Cohabitation, and Race-Ethnicity

    PubMed Central

    James, Spencer

    2014-01-01

    Previous work on marital quality has compared average levels of marital quality by demographic characteristics, such as cohabitation, divorce, or race-ethnicity. Less work has examined whether such differences persist over time. To begin to answer this question, this paper uses multigroup latent growth curves to examine changes in marital quality over time in addition to measuring differences in levels of reported marital quality among cohabitors vs. non-cohabitors, divorced vs. stably married women, and members of different racial-ethnic groups. Although many of the differences are small and statistically insignificant, the results show that non-normative and traditionally disadvantaged groups experience not only lower levels of marital quality but that these differences also persist throughout the life course. I also show that using marital instead of relationship duration for cohabitors has substantive implications when interpreting the results. PMID:25530643

  1. Marriage, Cohabitation, and Happiness: A Cross-National Analysis of 27 Countries

    ERIC Educational Resources Information Center

    Lee, Kristen Schultz; Ono, Hiroshi

    2012-01-01

    The authors investigated how the reported happiness of married and cohabiting individuals varies cross-nationally with societal gender beliefs and religious context. They used the 2002 International Social Survey Programme data from 27 countries (N = 36,889) and specified hierarchical linear models with macro-micro level interactions in order to…

  2. Cohabiting Couple, Filing Jointly? Resource Pooling and U.S. Poverty Policies

    ERIC Educational Resources Information Center

    Kenney, Catherine

    2004-01-01

    Social policy in the United States is inconsistent in its treatment of cohabiting-parent households. For example, although welfare policy generally assumes that marital status should not affect the extent to which children benefit from each adult's income, tax policy and the poverty classification assume income pooling among married but not…

  3. Reduced rates of non-union with modified periacetabular osteotomy using peracetic-acid sterilized cancellous allografts.

    PubMed

    Wassilew, Georgi I; Janz, Viktor; Renner, Lisa; Perka, Carsten; Pruss, Axel

    2016-12-01

    The objective of the present study was to analyze the clinical and radiological results of periacetabular osteotomies (PAO) using Kirschner wire fixation and an allogeneic cancellous bone graft. This retrospective cohort study included 73 patients (85 PAOs). The allografts were processed from distal femur of cadaveric donors, defatted, sterilized with a peracetic-acid ethanol solution and freeze-dried. The clinical outcome, as measured by the Harris Hip Scores (HHS), the complication rate and the acetabular correction, as measured by radiological parameters, were compared. The postoperative femoral head coverage and HSS were significantly improved. Major complications occurred in five cases (6 %), but in no case did we observe a non-union or a graft-associated adverse effect. Fixation of the acetabular fragment with Kirschner wires in combination with an allogeneic cancellous bone graft is a safe method, with a low complication rate, no loss of correction and can prevent the occurrence of non-union with a high degree of probability.

  4. Safety Tips: Avoiding Negligence Suits in Chemistry Teaching.

    ERIC Educational Resources Information Center

    Gerlovich, Jack A.

    1983-01-01

    Discusses various aspects related to negligence on the part of chemistry teachers. Areas addressed include negligence in tort law, avoiding negligence suits, proper instructions, proper supervision, equipment maintenance, and other considerations such as sovereign immunity, and contributory versus comparative negligence. (JN)

  5. Sociodemographic characteristics and attitudes towards motherhood among single women compared with cohabiting women treated with donor semen - a Danish multicenter study.

    PubMed

    Salomon, Maria; Sylvest, Randi; Hansson, Helena; Nyboe Andersen, Anders; Schmidt, Lone

    2015-05-01

    To examine sociodemographic characteristics, family backgrounds, reproductive histories, and attitudes towards motherhood in single vs. cohabiting women seeking treatment with donor semen. Baseline data collection in a multicenter cohort study. All nine public fertility clinics in Denmark. In total n = 311 childless women initiating assisted reproduction using donor semen. Self-reported questionnaire responses from n = 184 single women seeking treatment by using donor semen were compared with responses from n = 127 cohabiting women. Sociodemographic characteristics, family backgrounds, reproductive histories, attitudes towards motherhood. Single women were 3.5 years older on average when initiating treatment compared with cohabiting women. No significant differences were found regarding sociodemographic characteristics, previous long-term relationships, previous pregnancies, or attitudes towards motherhood between single women and cohabiting women. The vast majority of single women wanted to achieve parenthood with a partner, 85.8% wished to have a partner in the future, and approximately half of them preferred for a partner to take parental responsibilities. In this study single women seeking treatment with donor semen in the public health system did not differ from cohabiting women, except that they were older. To be a single mother by choice is not their preferred way of parenthood, but a solution they needed to accept. © 2015 Nordic Federation of Societies of Obstetrics and Gynecology.

  6. Non-random mating and convergence over time for alcohol consumption, smoking, and exercise: the Nord-Trøndelag Health Study.

    PubMed

    Ask, Helga; Rognmo, Kamilla; Torvik, Fartein Ask; Røysamb, Espen; Tambs, Kristian

    2012-05-01

    Spouses tend to have similar lifestyles. We explored the degree to which spouse similarity in alcohol use, smoking, and physical exercise is caused by non-random mating or convergence. We used data collected for the Nord-Trøndelag Health Study from 1984 to 1986 and prospective registry information about when and with whom people entered marriage/cohabitation between 1970 and 2000. Our sample included 19,599 married/cohabitating couples and 1,551 future couples that were to marry/cohabitate in the 14-16 years following data collection. All couples were grouped according to the duration between data collection and entering into marriage/cohabitation. Age-adjusted polychoric spouse correlations were used as the dependent variables in non-linear segmented regression analysis; the independent variable was time. The results indicate that spouse concordance in lifestyle is due to both non-random mating and convergence. Non-random mating appeared to be strongest for smoking. Convergence in alcohol use and smoking was evident during the period prior to marriage/cohabitation, whereas convergence in exercise was evident throughout life. Reduced spouse similarity in smoking with relationship duration may reflect secular trends.

  7. Race-Ethnic Differences in the Non-marital Fertility Rates in 2006-2010.

    PubMed

    Kim, Yujin; Raley, R Kelly

    2015-02-01

    Research in the 1980s pointed to the lower marriage rates of blacks as an important factor contributing to race differences in non-marital fertility. Our analyses update and extend this prior work to investigate whether cohabitation has become an important contributor to this variation. We use data from the 2006-2010 National Survey of Family Growth (NSFG) and to identify the relative contribution of population composition (i.e. percent sexually active single and percent cohabiting) versus rates (pregnancy rates, post-conception marriage rates) to race-ethnic variation in non-marital fertility rates (N=7,428). We find that the pregnancy rate among single (not cohabiting) women is the biggest contributor to race-ethnic variation in the non-marital fertility rate and that contraceptive use patterns among racial minorities explains the majority of the race-ethnic differences in pregnancy rates.

  8. Contributory Negligence. Law and the School Principal

    ERIC Educational Resources Information Center

    Walden, John C.

    1974-01-01

    One of the most frequently used legal defenses against the charge that a school employee or district has been negligent is contributory negligence. Contributory negligence means that the injured person failed to exercise the required standard of care for his own safety and, therefore, contributed to his own injury. (Author/WM)

  9. An Update on Negligence. A Legal Memorandum.

    ERIC Educational Resources Information Center

    Gluckman, Ivan

    This newsletter defines common law negligence, discusses recent trends in common law negligence, cites litigation, and establishes guidelines to assist school administrators in the avoidance of such tort action. The success or failure of a negligence suit most commonly turns on one of three factors: duty, breach of that duty, and proximate cause…

  10. Parasites or Cohabitants: Cruel Omnipresent Usurpers or Creative “Éminences Grises”?

    PubMed Central

    Vannier-Santos, Marcos A.; Lenzi, Henrique L.

    2011-01-01

    This paper presents many types of interplays between parasites and the host, showing the history of parasites, the effects of parasites on the outcome of wars, invasions, migrations, and on the development of numerous regions of the globe, and the impact of parasitic diseases on the society and on the course of human evolution. It also emphasizes the pressing need to change the look at the parasitism phenomenon, proposing that the term “cohabitant” is more accurate than parasite, because every living being, from bacteria to mammals, is a consortium of living beings in the pangenome. Even the term parasitology should be replaced by cohabitology because there is no parasite alone and host alone: both together compose a new adaptive system: the parasitized-host or the cohabitant-cohabited being. It also suggests switching the old paradigm based on attrition and destruction, to a new one founded on adaptation and living together. PMID:21785696

  11. Educational Negligence Suits.

    ERIC Educational Resources Information Center

    Tracy, Destin Shann

    1980-01-01

    Reviews recent cases on educational malpractice, examines the case a student would have to make to succeed in court, reviews three policy factors that limit the effectiveness of negligence claims, and proposes limitations on an educational malpractice cause of action. (IRT)

  12. Parental Mindfulness and Dyadic Relationship Quality in Low-income Cohabiting Black Stepfamilies: Associations with Parenting Experienced by Adolescents

    PubMed Central

    Parent, Justin; Clifton, Jessica; Forehand, Rex; Golub, Andrew; Reid, Megan; Pichler, Emily R.

    2014-01-01

    Cohabitation is a family structure experienced by many Black children; yet, we have limited understanding of how personal and interpersonal processes operate within these families to influence the parenting provided to these children. Informed by both family systems theory and the spillover hypothesis and utilizing a model to account for the interdependence of the mother and her partner, the current study sought to understand the direct and indirect associations among parental mindfulness, the mother-partner relationship quality, and firm parenting practices in a sample of 121 Black cohabiting low-income stepfamilies. Assessment consisted of standardized measurements of maternal and male cohabiting partner reports on mindfulness (i.e., acting with awareness) and relationship quality (i.e., relationship satisfaction, ability to resolve conflict, and coparenting conflict) as well as adolescent report on parenting (i.e., parent’s firm control). Mindfulness was directly related to each individual’s own perceptions of relationship quality and some support emerged for a cross-informant link (e.g., mother’s mindfulness related to partner report of relationship quality). Furthermore, maternal perceptions of relationship quality, as well as mindfulness operating through relationship quality, were related to youth reports of maternal firm parenting. The results suggest that both mindfulness and the relationship quality of adults are variables deserving attention when studying the parenting received by children in cohabiting stepfamilies. Clinical implications of the findings are considered. PMID:25544936

  13. Cultural practices, gender inequality and inconsistent condom use increase vulnerability to HIV infection: narratives from married and cohabiting women in rural communities in Mpumalanga province, South Africa

    PubMed Central

    Madiba, Sphiwe; Ngwenya, Nomsa

    2017-01-01

    ABSTRACT Background: Women in sub-Saharan Africa bear the brunt of the human immunodeficiency virus (HIV) epidemic, and older married women and those in cohabiting relationships are regarded as the largest HIV risk group. Although preventing HIV infection in married or stable relationships is an international HIV prevention priority, little is known about the influence of sociocultural contexts on safe-sex practice by women, particularly older women in rural communities in South Africa. Objectives: This study aimed to examine how older women in a rural patriarchal society negotiate safer sex within marital and long-term cohabitation relationships, and their perceptions and experiences of barriers that influence condom use. Methods: Focus group discussions were conducted with married and cohabiting women aged 40–60 years recruited from primary health facilities in a rural district in Mpumalanga province, South Africa. A thematic analysis approach was used to analyse the data. Results: We found that although women reported negotiating safe sex in their relationships, they dreaded the possible consequences of suggesting condom use with their partners. Many factors made negotiating safe sex complex for these women: living in a patriarchal society where women play no part in sexual decision making, the fear of possible consequences of insisting on condom use, women’s inferior social position in marital relationships, cultural practices such as bride price, and gender inequality were the main barriers to practising safer sex. Conclusions: Older married and cohabiting women dreaded negotiating safer sex in this patriarchal society where women’s subordination is legitimized. The findings suggest that the women were at high risk of HIV infection because of their inability to negotiate condom use, or to reject forced sex and non-consensual sex. There is a need for interventions targeting older married and cohabiting couples and key stakeholders within communities to

  14. Unilateral lag screw fixation of isolated non-union atlas lateral mass fracture: a new technical note.

    PubMed

    Farrokhi, Majid Reza; Kiani, Arash; Rezaei, Hamid

    2018-01-15

    We describe a novel and new technique of posterior unilateral lag screw fixation of non-union atlas lateral mass fracture. A 46-year-old man presented with cervical pain and tenderness after a vehicle turn over accident and he was diagnosed to have left atlas lateral mass fracture. He was initially treated by immobilization using Minerva orthosis. About 2 months later, he developed severe neck pain and limitation of motion and thus he was scheduled for operation due to non-union atlas lateral mass fracture. A 28 mm lag screw was inserted under anterior-posterior and lateral fluoroscopic views. The entrance point was at the dorsal aspect of left atlas posterior arc at its junction to the lateral mass, and by using the trajectory of 10 degrees medial and 22 degrees cephalad fracture reduction was achieved. Unilateral lag screw fixation of atlas fractures is an appropriate, safe and effective surgical technique for the management of unilateral atlas fractures.

  15. [Risk factors associated with mother negligence in child care].

    PubMed

    Vargas-Porras, Carolina; Villamizar-Carvajal, Beatriz; Ardila-Suárez, Edinson Fabian

    2016-01-01

    To determine the factors associated with the risk of negligence in child care during the first year of rearing in adolescent and adult mothers. This was cross-sectional correlation study with a non-probabilistic sample composed of 250 mothers during their first year of child rearing. The information was collected through the Parenting Inventory for Teenagers and Adults. 88 teenager mothers and 162 adult mothers participated in this study. In general low scores were found in all dimensions in both adolescent mothers group and adult mother group, which indicate the existence of deficiencies in the adequate maternal behavior and risk of negligent care to their children. In the group of teenage mothers there was an evident and significant correlation between the factors: maternal age and occupation dimension belief in punishment and occupation with inappropriate expectations dimension. The group of adult mothers showed significant correlation between: educational level with the dimensions of role reversal, belief in punishment and lack of empathy; socioeconomic dimension with the belief in punishment and age of the child with the lack of empathy dimension. Child rearing expectations of mothers show a high risk of negligence in child care. Therefore, nurses should promote the strengthening of the maternal role. Copyright © 2016. Published by Elsevier España, S.L.U.

  16. Bone morphogenetic protein 7 and autologous bone graft in revision surgery for non-union after lumbar interbody fusion.

    PubMed

    Werle, Stephan; AbuNahleh, Kais; Boehm, Heinrich

    2016-08-01

    Potential adverse and unknown long-term effects as well as additional costs limit the use of BMPs (Bone morphogenetic proteins) in primary fusion procedures. However, the proven osteoinductive properties render BMPs attractive for the attempt to reach fusion of symptomatic non-unions. The aim of this study is to evaluate the fusion rate and potential disadvantages of eptotermin alfa (rhBMP-7) used with autologous bone graft in revision procedures for lumbar pseudoarthrosis. At our institution, rhBMP-7 has been used to improve fusion rates in revision surgery for symptomatic pseudoarthrosis during the past 10 years. Eighty-four fusion procedures using rhBMP-7 between 08/2003 and 07/2011 were revisions due to symptomatic lumbar pseudoarthrosis. The surgical approach was posterior in three and combined anterior-posterior in 71 patients. Of those, 74 patients had either reached fusion or had follow-up of at least 39.5 months (range 21-80 months) in the case of pseudoarthrosis. These 74 patients have been included in a retrospective follow-up study. In 60 patients (81.1 %) the rhBMP-7 procedure was successful. In 14 patients, pseudoarthrosis persisted or fusion was questionable. Of those patients 12 accounted for persisting L5-S1 non-union. Persisting non-unions were found in 26.7 % of the study after four or more segment instrumentations compared to the 16.9 % after mono-, bi-, or three-segment instrumentation, and in four of 14 patients with spondylodesis of three or more levels above a pseudoarthrotic lumbosacral junction. Adverse effects related to the use of eptotermin alfa were rare in this group with symptomatic ectopic bone formation in one patient. Using rhBMP-7 with autologous bone graft in revisions for lumbar pseudoarthrosis via an anterior approach is safe and can lead to fusion even under unfavorable biomechanical conditions. However, successful outcome depends on the individual constellation. Treatment of non-unions of the lumbosacral junction

  17. Disparities in Health and Disability Among Older Adults in Same-Sex Cohabiting Relationships

    PubMed Central

    Gonzales, Gilbert; Henning-Smith, Carrie

    2014-01-01

    Objectives The present study compared indicators of impaired health and disability between older adults in same-sex cohabiting relationships and their peers in opposite-sex cohabiting relationships. Methods Data were obtained on men (n=698) and women (n=630) aged 50 years and older and in self-reported same-sex relationships from the National Health Interview Survey. Multiple regression analyses were conducted to estimate differences in physical health, mental health and disability status. Results Compared to their peers in married opposite-sex relationships, older men in same-sex relationships exhibited greater odds of psychological distress, and older women in same-sex relationships experienced elevated odds of poor/fair health, needing help with ADLs and IADLs, functional limitations, and psychological distress. Discussion This study adds to the limited information on health and disability among older lesbian, gay and bisexual adults. As this population grows, gerontologists must develop a better understanding of the unique issues and challenges facing them and their families. PMID:25253727

  18. Involvement in Childrearing and Firm Control Parenting by Male Cohabiting Partners in Black Low-income Stepfamilies: Forecasting Adolescent Problem Behaviors

    PubMed Central

    Forehand, Rex; Parent, Justin; Golub, Andrew; Reid, Megan; Lafko, Nicole

    2018-01-01

    Cohabitation is a family structure that is rapidly increasing in the United States. The current longitudinal study examined the interplay of involvement in a youth’s daily activities and firm control parenting by male cohabiting partners (MCPs) on change in adolescents’ internalizing and externalizing problems. In a sample of 111 inner-city African American families, adolescents reported on involvement and parenting by MCPs at wave 1 and biological mothers reported on adolescent problem behaviors at waves 1 and 2. A significant interaction indicated that low involvement and low firm control by MCPs at wave 1 were associated with the highest level of internalizing problems at wave 2. An interaction did not emerge when externalizing problems served as the outcome. The findings indicate that male partners play an important role in parenting adolescents in cohabiting families and should be considered as potential participants in prevention and intervention programs. PMID:26007695

  19. [Medical negligence in surgery: 112 cases retrospective analysis].

    PubMed

    Xiang, Jian; Chang, Lin; Wang, Xu; Zhang, Feng-Qin

    2013-06-01

    To explore the general characteristics of medical negligence in surgery in order to provide the reference for forensic practices. One hundred and twelve cases of medical negligence in surgical department were retrospectively analyzed in Fada Institute of Forensic Medicine and Science from 2008 to 2010. The common types of medical negligence cases in the surgery were improper operation procedure (28.57%), failure of consent (26.79%), and inadequate monitoring (22.32%). The results of complications included disability or functional impairment (61.61%), death (31.25%) and transient impairment with no obvious adverse reactions (7.14%). The most common roles played by the medical negligence cases were minor role (26.79%), equal role (19.64%), and slight role (14.29%). Significant attention should be paid to the operation procedure, consent, and monitoring. It should be cautious to not make assessment on involvement degree of medical negligence.

  20. Mutatis Mutandis? The Court of Justice of the European Union Rules that Member States May Be Allowed to Impose Non-Resident Student Quotas

    ERIC Educational Resources Information Center

    Observatory on Borderless Higher Education, 2010

    2010-01-01

    Earlier this month, the Court of Justice of the European Union (the Court), ruled that European Union (EU) member states can impose non-resident student quotas in certain circumstances. The Court, whose job is to ensure that all EU member states interpret and apply EU legislation in the same way, recently made the ruling in response to a…

  1. Reported reasons for breakdown of marriage and cohabitation in Britain: Findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3).

    PubMed

    Gravningen, Kirsten; Mitchell, Kirstin R; Wellings, Kaye; Johnson, Anne M; Geary, Rebecca; Jones, Kyle G; Clifton, Soazig; Erens, Bob; Lu, Michelle; Chayachinda, Chenchit; Field, Nigel; Sonnenberg, Pam; Mercer, Catherine H

    2017-01-01

    Breakdown of marriage and cohabitation is common in Western countries and is costly for individuals and society. Most research on reasons for breakdown has focused on marriages ending in divorce and/or have used data unrepresentative of the population. We present prevalence estimates of, and differences in, reported reasons for recent breakdown of marriages and cohabitations in Britain. Descriptive analyses of data from Britain's third National Survey of Sexual Attitudes and Lifestyles (Natsal-3), a probability sample survey (15,162 people aged 16-74 years) undertaken 2010-2012, using computer-assisted personal interviewing. We examined participants' reported reasons for live-in partnership breakdown in the past 5 years and how these varied by gender and partnership type (married vs. cohabitation). Overall, 10.9% (95% CI: 9.9-11.9%) of men and 14.1% (13.2-15.0%) of women reported live-in partnership breakdown in the past 5 years. Mean duration of men's marriages was 14.2 years (95% CI: 12.8-15.7) vs. cohabitations; 3.5 years (3.0-4.0), and for women: 14.6 years (13.5-15.8) vs. 4.2 years (3.7-4.8). Among 706 men and 1254 women reporting experience of recent breakdown, the reasons 'grew apart' (men 39%, women 36%), 'arguments' (27%, 30%), 'unfaithfulness/adultery' (18%, 24%, p<0.05), and 'lack of respect/appreciation' (17%, 25%, p<0.05) were the most common, irrespective of partnership type. A total of 16% of women vs. 4% of men cited domestic violence. After adjusting for age at interview and duration of partnership, there were no significant differences in reasons given for breakup by partnership type, except that men more commonly cited 'moving due to changing circumstances' as a reason for a cohabitation ending than for a marriage (AOR = 3.78, 95% CI: 1.08-13.21); and among women, 'not sharing housework' (0.54, 0.35-0.83) and 'sexual difficulties' (0.45, 0.25-0.84) were less commonly cited as reasons for cohabitation ending than marriage. These representative

  2. Suing for Negligent Teaching: An Australian Perspective.

    ERIC Educational Resources Information Center

    Williams, Peter

    1996-01-01

    Discusses, from an Australian perspective, the context of, and the legal framework for, suing in educational negligence. Examines the decision of the English Court of Appeal. Explores some of the issues an Australian court might face when confronted with a claim in educational negligence. (80 footnotes) (MLF)

  3. HBV and HCV infection among non-European Union immigrants in North-East Italy.

    PubMed Central

    Chiaramonte, M.; Pupo, A.; Menegon, T.; Baldo, V.; Malatesta, R.; Trivello, R.

    1998-01-01

    The status of hepatitis B virus (HBV) and hepatitis C virus (HCV) infection among non-European Union (non-EU) immigrants in North-East Italy was evaluated. Among the 1683 individuals tested the prevalence of HBsAg was 8.9% (150 subjects) and of HBV antibodies (anti-HBc with/without anti-HBs) was 38.9% (654 subjects). The distribution of HBV serological markers showed significant differences according to region of origin; the highest prevalence of infection (76.9%) and carriage (16.1%) was found in immigrants from sub-Saharan Africa. Among the 933 individuals screened for HCV infection, prevalence of antibody was much lower (0.9%) than that observed in the Italian general population (3.2-12.6%). The large number of HBV carriers among immigrants could increase the number of new adult infections due to life-style habits or professional risks in the host population. In contrast, the risk of HCV spread from non-EU immigrants is very low. PMID:9747770

  4. The Enduring Significance of Skin Tone: Linking Skin Tone, Attitudes Toward Marriage and Cohabitation, and Sexual Behavior

    PubMed Central

    Landor, Antoinette M.; Halpern, Carolyn Tucker

    2016-01-01

    Past evidence has documented that attitudes toward marriage and cohabitation are related to sexual behavior in adolescence and young adulthood. This study extends prior research by longitudinally testing these associations across racial/ethnic groups and investigating whether culturally relevant variations within racial/ethnic minority groups, such as skin tone (i.e., lightness/darkness of skin color), are linked to attitudes toward marriage and cohabitation and sex. Drawing on family and public health literatures and theories, as well as burgeoning skin tone literature, it was hypothesized that more positive attitudes toward marriage and negative attitudes toward cohabitation would be associated with less risky sex, and that links differed for lighter and darker skin individuals. The sample included 6872 respondents (49.6 % female; 70.0 % White; 15.8 % African American; 3.3 % Asian; 10.9 % Hispanic) from the National Longitudinal Study of Adolescent to Adult Health. The results revealed that marital attitudes had a significantly stronger dampening effect on risky sexual behavior of lighter skin African Americans and Asians compared with their darker skin counterparts. Skin tone also directly predicted number of partners and concurrent partners among African American males and Asian females. We discuss theoretical and practical implications of these findings for adolescence and young adulthood. PMID:26979445

  5. The Enduring Significance of Skin Tone: Linking Skin Tone, Attitudes Toward Marriage and Cohabitation, and Sexual Behavior.

    PubMed

    Landor, Antoinette M; Halpern, Carolyn Tucker

    2016-05-01

    Past evidence has documented that attitudes toward marriage and cohabitation are related to sexual behavior in adolescence and young adulthood. This study extends prior research by longitudinally testing these associations across racial/ethnic groups and investigating whether culturally relevant variations within racial/ethnic minority groups, such as skin tone (i.e., lightness/darkness of skin color), are linked to attitudes toward marriage and cohabitation and sex. Drawing on family and public health literatures and theories, as well as burgeoning skin tone literature, it was hypothesized that more positive attitudes toward marriage and negative attitudes toward cohabitation would be associated with less risky sex, and that links differed for lighter and darker skin individuals. The sample included 6872 respondents (49.6 % female; 70.0 % White; 15.8 % African American; 3.3 % Asian; 10.9 % Hispanic) from the National Longitudinal Study of Adolescent to Adult Health. The results revealed that marital attitudes had a significantly stronger dampening effect on risky sexual behavior of lighter skin African Americans and Asians compared with their darker skin counterparts. Skin tone also directly predicted number of partners and concurrent partners among African American males and Asian females. We discuss theoretical and practical implications of these findings for adolescence and young adulthood.

  6. Educators' Negligence: What, Why, and Who's Responsible?

    ERIC Educational Resources Information Center

    Dunklee, Dennis R.; Shoop, Robert J.

    1988-01-01

    The authors define negligence and cite specific examples where teachers were found accountable for their negligent actions related to their profession. They report results of an informal study of teacher knowledge of tort liability that indicate educators should be more knowledgeable about education law. Recommendations are included. (CH)

  7. Medical negligence--prevention and management.

    PubMed

    Chao, T C

    1987-04-01

    The rising spate of malpractice cases against doctors appearing in the press and annual reports of medical insurance companies causes concern. Are our doctors more careless or is the public more conscious of litigation? A well publicized malpractice case can ruin the doctor's career and practice. It is well worth a doctor's while to know the pitfalls and learn how to prevent them, and if a mistake happens, how to manage it. Not all mistakes amount to negligence. How will the court view these cases? Some local cases are cited to illustrate the difference between misadventure and negligence. They will serve as guidelines for good medical practice.

  8. Hospital union election activity, 1974-85

    PubMed Central

    Becker, Edmund R.; Rakich, Jonathon S.

    1988-01-01

    This study, using National Labor Relations Board data and American Hospital Association data, reports on the status of union election activity in the hospital industry for a 65-month period, January 1980-May 1985, and contrasts it with earlier data for a similar 65-month time period (1974-79). Together these data provide a comprehensive overview of union election activity in non-Federal, nongovernment hospitals since the passage of the 1974 Nonprofit Hospital Amendments to the Taft-Hartley Act. The study analyzes union, election, hospital, and environmental characteristics. Comparisons over the two time periods show that, while union victory rates in hospital elections have remained constant, the total number of elections has declined dramatically in the hospital industry. PMID:10312518

  9. Applying Negligence Doctrine to the Teaching Profession.

    ERIC Educational Resources Information Center

    Collingsworth, Terrence P.

    1982-01-01

    The author first reviews the current cases on teacher negligence and attempts to isolate the reasoning behind the courts' refusal to recognize a cause of action for educational malpractice, then develops a hypothetical case to illustrate that ordinary principles of negligence can be applied to an educational malpractice case. (Author/MLF)

  10. 78 FR 18798 - Amendment of Class E Airspace; West Union, IA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-28

    ...-1434; Airspace Docket No. 11-ACE-27] Amendment of Class E Airspace; West Union, IA AGENCY: Federal... West Union, IA. Decommissioning of the West Union non-directional beacon (NDB) at George L. Scott... Federal Register a notice of proposed rulemaking (NPRM) to amend Class E airspace for the West Union, IA...

  11. Genetic factors responsible for long bone fractures non-union.

    PubMed

    Szczęsny, Grzegorz; Olszewski, Waldemar L; Zagozda, Małgorzata; Rutkowska, Joanna; Czapnik, Zanetta; Swoboda-Kopeć, Ewa; Górecki, Andrzej

    2011-02-01

    Approximately 10-15% of all fractures of long bones heal with delay, prolonged immobilization and repetitive operative interventions. Despite intense investigations, the pathomechanism of impaired healing of skeletal tissue remains unclear. An important role in the pathomechanism of mal-union of close fractures plays subclinically proceeding infections. The question arises whether colonization and proliferation of bacteria in the fracture gap could be related to the mutation of genes for factors regulating local antimicrobial response, such as pathogen recognizing receptors (PRR), cytokines and chemokines. We carried out studies in patients with delayed long bone fractures estimating the frequency of mutation of genes crucial for pathogen recognition (TLR2, TLR4 and CD14), and elimination (CRP, IL-6, IL-1ra), as well as wound healing (TGF-β). The molecular milieu regulating healing process (IGF-1, COLL1a, TGF-β, BMP-2, and PDGF) was validated by Western blot analysis of the gap tissue. Microbiological investigations showed the presence of viable bacterial strains in 34 out of 108 gaps in patients with non-healing fractures (31.5%) and in 20 out of 122 patients with uneventful healing (16.4%) (P < 0.05). The occurrence of mutated TLR4 1/W but not 2/W gene was significantly higher (P < 0.05) in the non-healing infected than sterile group. In the non-healing infected group 1/W mutated gene frequency was also higher than in healing infected. In the TGF-β codon 10 a significantly higher frequency of mutated homozygote T and heterozygote C/T in the non-healing infected versus non-healing sterile subgroup was observed (P < 0.05). Similar difference was observed in the non-healing infected versus healing infected subgroup (P < 0.05). The CRP (G1059C), IL1ra (genotype 2/2), IL-6 (G176C), CD14 (G-159T), TLR2 (G2259A) and TLR4/2 (Thr399Ile) polymorphisms did not play evident role in the delay of fracture healing. Individuals bearing the mutant TLR 4 gene 1/W (Asp299Gly

  12. For Better or for Worse? The Consequences of Marriage and Cohabitation for Single Mothers

    ERIC Educational Resources Information Center

    Williams, Kristi; Sassler, Sharon; Nicholson, Lisa M.

    2008-01-01

    This study examines whether the mental and physical health of single mothers benefit from marriage or cohabitation compared to childless women who marry. Results indicate that marrying is associated with similar declines in psychological distress for single mothers and childless women, but only when that marriage endures. Single mothers do not…

  13. 19 CFR 181.62 - Commercial samples of negligible value.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Commercial samples of negligible value. 181.62... Returned After Repair or Alteration § 181.62 Commercial samples of negligible value. (a) General. Commercial samples of negligible value imported from Canada or Mexico may qualify for duty-free entry under...

  14. Reported reasons for breakdown of marriage and cohabitation in Britain: Findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3)

    PubMed Central

    Mitchell, Kirstin R.; Wellings, Kaye; Johnson, Anne M.; Geary, Rebecca; Jones, Kyle G.; Clifton, Soazig; Erens, Bob; Lu, Michelle; Chayachinda, Chenchit; Field, Nigel; Sonnenberg, Pam; Mercer, Catherine H.

    2017-01-01

    Objectives Breakdown of marriage and cohabitation is common in Western countries and is costly for individuals and society. Most research on reasons for breakdown has focused on marriages ending in divorce and/or have used data unrepresentative of the population. We present prevalence estimates of, and differences in, reported reasons for recent breakdown of marriages and cohabitations in Britain. Methods Descriptive analyses of data from Britain’s third National Survey of Sexual Attitudes and Lifestyles (Natsal-3), a probability sample survey (15,162 people aged 16–74 years) undertaken 2010–2012, using computer-assisted personal interviewing. We examined participants’ reported reasons for live-in partnership breakdown in the past 5 years and how these varied by gender and partnership type (married vs. cohabitation). Results Overall, 10.9% (95% CI: 9.9–11.9%) of men and 14.1% (13.2–15.0%) of women reported live-in partnership breakdown in the past 5 years. Mean duration of men’s marriages was 14.2 years (95% CI: 12.8–15.7) vs. cohabitations; 3.5 years (3.0–4.0), and for women: 14.6 years (13.5–15.8) vs. 4.2 years (3.7–4.8). Among 706 men and 1254 women reporting experience of recent breakdown, the reasons ‘grew apart’ (men 39%, women 36%), ‘arguments’ (27%, 30%), ‘unfaithfulness/adultery’ (18%, 24%, p<0.05), and ‘lack of respect/appreciation’ (17%, 25%, p<0.05) were the most common, irrespective of partnership type. A total of 16% of women vs. 4% of men cited domestic violence. After adjusting for age at interview and duration of partnership, there were no significant differences in reasons given for breakup by partnership type, except that men more commonly cited ‘moving due to changing circumstances’ as a reason for a cohabitation ending than for a marriage (AOR = 3.78, 95% CI: 1.08–13.21); and among women, ‘not sharing housework’ (0.54, 0.35–0.83) and ‘sexual difficulties’ (0.45, 0.25–0.84) were less

  15. Negligence in Visitor Security.

    ERIC Educational Resources Information Center

    Dwyer, William O.; Murrell, Dan S.

    1985-01-01

    The park administrator's responsibility in providing security for park visitors through prevention strategies and law enforcement is discussed. Types of negligence are indicated, practice recommendations are made, and evaluative criteria for personnel selection and training are offered. Reference is made to the General Accounting Office Report and…

  16. 77 FR 71361 - Proposed Amendment of Class E Airspace; West Union, IA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-30

    ...-1434; Airspace Docket No. 11-ACE-27] Proposed Amendment of Class E Airspace; West Union, IA AGENCY... action proposes to amend Class E airspace at West Union, IA. Decommissioning of the West Union non... instrument approach procedures at George L. Scott Municipal Airport, West Union, IA. Airspace reconfiguration...

  17. Children in Civil Law: The Tort of Negligence.

    ERIC Educational Resources Information Center

    Sheehy, N. P.; Chapman, A. J.

    1984-01-01

    Examines judgments involving children under the tort of negligence, using All England Law Reports for 1939 to 1983 and some cases from other countries. Discusses "contributory negligence,""parental liability,""responsibility,""allurement," and "res-ipsa loquitur." Suggests more use of developmental…

  18. Beyond Linguistic Policy: The Soviet Union Versus Estonia.

    ERIC Educational Resources Information Center

    Rannut, Mart

    1991-01-01

    Discussion of the role of non-Russian languages in the Soviet Union (USSR) focuses on the history of ethnic group languages and language policy in Estonia since the collapse of totalitarianism. A historical overview of Soviet Union language policy is offered, with attention given to the ideological goals influencing policy, and their realization…

  19. Testing the economic independence hypothesis: the effect of an exogenous increase in child support on subsequent marriage and cohabitation.

    PubMed

    Cancian, Maria; Meyer, Daniel R

    2014-06-01

    We examine the effects of an increase in income on the cohabitation and marriage of single mothers. Using data from an experiment that resulted in randomly assigned differences in child support receipt for welfare-receiving single mothers, we find that exogenous income increases (as a result of receiving all child support that was paid) are associated with significantly lower cohabitation rates between mothers and men who are not the fathers of their child(ren). Overall, these results support the hypothesis that additional income increases disadvantaged women's economic independence by reducing the need to be in the least stable type of partnerships. Our results also show the potential importance of distinguishing between biological and social fathers.

  20. Transitions to Engagement among Low-Income Cohabiting African American Couples: A Family Perspective for Policy

    ERIC Educational Resources Information Center

    Chaney, Cassandra; Monroe, Pamela

    2011-01-01

    With passage of the Welfare Reform Law of 1996, various national, state, and local programs were created to encourage marriage, particularly among low-income African American cohabiting couples with children. However, policy makers know little about the deterrents to marriage for members of this group. More specifically, there is a lack of data…

  1. Correlates of Attitudes toward Cohabitation: Looking at the Associations with Demographics, Relational Attitudes, and Dating Behavior

    ERIC Educational Resources Information Center

    Willoughby, Brian J.; Carroll, Jason S.

    2012-01-01

    The present study examines how demographics, attitudes toward marriage, attitudes toward sexual activity, sexual behaviors, and dating experience are associated with three different attitudes toward cohabitation among never-married young adults. Results from a sample of 1,036 young adult college students suggest that the endorsement of…

  2. The use of low-intensity pulsed ultrasound in treating delayed union of fifth metatarsal fractures.

    PubMed

    Teoh, Kar Hao; Whitham, Robert; Wong, Jenny F; Hariharan, Kartik

    2018-01-31

    There are no studies looking at the success rate of low-intensity pulsed ultrasound (LIPUS) in fifth metatarsal fracture delayed unions to our knowledge. The aim of this study is to investigate the use of LIPUS treatment for delayed union of fifth metatarsal fractures. A retrospective review of patients who were treated with LIPUS following a delayed union of fifth metatarsal fracture was conducted over a three-year period. There were thirty patients (9 males, 21 females) in this cohort. The average age was 39.3 years. Type 2 fractures made up 43% of our cohort. Twenty-seven (90%) patients went on to progress to union clinically and radiologically following LIPUS treatment. Smoking (p=0.014) was predictive of non-union. Assuming that there were 10 delayed unions a year and 6 went on to non-union as previously suggested by a systematic review, the cost savings of using LIPUS (90% success rate; 10 LIPUS machine and surgery for 1 non-union) vs operative intervention (surgery for 6 non-union) equates to a cost saving of £7765 a year. There is a role for the use of LIPUS in delayed union of fifth metatarsal fractures and can serve as an adjunct prior to consideration of surgery. The findings of this study also suggest the use of LIPUS to be a cost effective treatment modality compared to surgical management. Level 4. Copyright © 2018 Elsevier Ltd. All rights reserved.

  3. Common phenotypic and genotypic antimicrobial resistance patterns found in a case study of multiresistant E. coli from cohabitant pets, humans, and household surfaces.

    PubMed

    Martins, Liliana Raquel Leite; Pina, Susana Maria Rocha; Simões, Romeo Luís Rocha; de Matos, Augusto José Ferreira; Rodrigues, Pedro; da Costa, Paulo Martins Rodrigues

    2013-01-01

    The objective of the study described in this article was to characterize the antimicrobial resistance profiles among E. coli strains isolated from cohabitant pets and humans, evaluating the concurrent colonization of pets, owners, and home surfaces by bacteria carrying the same antimicrobial-resistant genes. The authors also intended to assess whether household surfaces and objects could contribute to the within-household antimicrobial-resistant gene diffusion between human and animal cohabitants. A total of 124 E. coli strains were isolated displaying 24 different phenotypic patterns with a remarkable percentage of multiresistant ones. The same resistance patterns were isolated from the dog's urine, mouth, the laundry floor, the refrigerator door, and the dog's food bowl. Some other multiresistant phenotypes, as long as resistant genes, were found repeatedly in different inhabitants and surfaces of the house. Direct, close contact between all the cohabitants and the touch of contaminated household surfaces and objects could be an explanation for these observations.

  4. Social evaluation of intentional, truly accidental, and negligently accidental helpers and harmers by 10-month-old infants.

    PubMed

    Woo, Brandon M; Steckler, Conor M; Le, Doan T; Hamlin, J Kiley

    2017-11-01

    Whereas adults largely base their evaluations of others' actions on others' intentions, a host of research in developmental psychology suggests that younger children privilege outcome over intention, leading them to condemn accidental harm. To date, this question has been examined only with children capable of language production. In the current studies, we utilized a non-linguistic puppet show paradigm to examine the evaluation of intentional and accidental acts of helping or harming in 10-month-old infants. In Experiment 1 (n=64), infants preferred intentional over accidental helpers but accidental over intentional harmers, suggestive that by this age infants incorporate information about others' intentions into their social evaluations. In Experiment 2 (n=64), infants did not distinguish "negligently" accidental from intentional helpers or harmers, suggestive that infants may find negligent accidents somewhat intentional. In Experiment 3 (n=64), we found that infants preferred truly accidental over negligently accidental harmers, but did not reliably distinguish negligently accidental from truly accidental helpers, consistent with past work with adults and children suggestive that humans are particularly sensitive to negligently accidental harm. Together, these results imply that infants engage in intention-based social evaluation of those who help and harm accidentally, so long as those accidents do not stem from negligence. Copyright © 2017 Elsevier B.V. All rights reserved.

  5. Negligence: What Is It? How Can It Be Avoided?

    ERIC Educational Resources Information Center

    Carpenter, Linda Jean; Acosta, R. Vivian

    1982-01-01

    The physical educator or athletic coach needs to be aware of negligence in relation to the possible athletic injuries of students. The four legal components of negligence--duty, breach, cause, and harm--are discussed. (JN)

  6. Positive Parenting of Young Adolescents by Male Cohabiting Partners: The Roles of Coparenting Conflict and Support

    ERIC Educational Resources Information Center

    Forehand, Rex; Parent, Justin; Golub, Andrew; Reid, Megan

    2016-01-01

    Fathers have often been ignored in the parenting literature. The current study focused on male cohabiting partners (MCPs) who can serve as "social stepfathers" and examined the association of coparent support and conflict with their positive parenting behavior (i.e., acceptance, firm control, and monitoring) of adolescents. Participants…

  7. Pan-Genomic Analysis Permits Differentiation of Virulent and Non-virulent Strains of Xanthomonas arboricola That Cohabit Prunus spp. and Elucidate Bacterial Virulence Factors

    PubMed Central

    Garita-Cambronero, Jerson; Palacio-Bielsa, Ana; López, María M.; Cubero, Jaime

    2017-01-01

    acquisition of pathogenicity and host specificity in X. arboricola. Finally, based in the genomic differences observed between the virulent and the non-virulent strains isolated from Prunus, a sensitive and specific real-time PCR protocol was designed to detect and identify Xap strains. This method avoids miss-identifications due to atypical strains of X. arboricola that can cohabit Prunus. PMID:28450852

  8. Transmission of feline immunodeficiency virus (FIV) among cohabiting cats in two cat rescue shelters.

    PubMed

    Litster, Annette L

    2014-08-01

    Conflicting accounts have been published in the veterinary literature regarding transmission of feline immunodeficiency virus (FIV) between cohabiting cats in mixed households, and the mechanics of possible casual transmission, if it occurs, are poorly understood. Similarly, there are conflicting reports of vertical transmission of FIV. The aim of the present study was to document the FIV serological status of cats taken into two rescue shelters. At rescue shelter 1 (Rescue 1), cats cohabited in a multi-cat household of FIV-negative and naturally-infected, FIV-positive cats. A study was performed that combined a retrospective review of records of FIV serological status at intake (Test 1) and prospective FIV serological testing (Tests 2 and 3). Retrospective records were analyzed at rescue shelter 2 (Rescue 2), where FIV-positive queens with litters of nursing kittens were taken into the shelter, before being rehomed. FIV serology was performed on all kittens after weaning. Initial test results (Test 1) for 138 cohabiting cats from Rescue 1 showed that there were 130 FIV-negative cats and eight FIV-positive cats (six male neutered and two female spayed). A second test (Test 2), performed in 45 of the FIV-negative and five of the FIV-positive cats at median 28 months after Test 1 (range, 1 month to 8.8 years) showed that results were unchanged. Similarly, a third test (Test 3), performed in four of the original FeLV-negative cats and one remaining FIV-positive cat at median 38 months after Test 1 (range, 4 months to 4 years), also showed that results were unchanged. These results show a lack of evidence of FIV transmission, despite years of exposure to naturally-infected, FIV-positive cats in a mixed household. At Rescue 2, records were available from five FIV-positive queens with 19 kittens. All 19 kittens tested FIV-negative, suggesting that vertical transmission had not occurred. Copyright © 2014 Elsevier Ltd. All rights reserved.

  9. Negligent hiring liability--a primer for healthcare administrators.

    PubMed

    Bates, Norman D

    2008-01-01

    Healthcare institutions are particularly vulnerable to negligent hiring liability which holds employers responsible for their employees' improper conduct. Several methods are simple and inexpensive yet many employers neglect to employ them effectively, the author, an attorney and security management consultant, points out. In this article, he spells out what can be done to screen applicants to avoid and/or better defend against negligent hiring lawsuits.

  10. Progesterone transfer among cohabitating female big brown bats (Eptesicus fuscus).

    PubMed

    Greville, Lucas J; Pollock, Tyler; Salter, Joseph C; Faure, Paul A; deCatanzaro, Denys

    2017-06-01

    Experiments using female mice and bats have demonstrated that tritium-labeled 17β-estradiol ( 3 H-E 2 ) can be absorbed via cutaneous and intranasal routes and distributed to reproductive and neural tissues. Radioactivity has also been measured in tissues of untreated females after 48h cohabitation with 3 H-E 2 injected males. The present study was designed to quantify steroid transfer among female bats. Radioactive quantification via liquid scintillation counting revealed absorption of tritium-labeled progesterone ( 3 H-P 4 ) in adult females 1h after cutaneous and intranasal application (10μCi). Subsequently, pairs of mature females were each housed for 48h with a single mature female that had been administered 3 H-P 4 (50μCi) via intraperitoneal injection. Radioactivity was observed in all collected tissues of all non-injected females at levels significantly greater than the control group. Following the same paradigm, radioactivity was not observed in the tissues of untreated female bats that were housed with stimulus females treated with 3 H-E 2 (50μCi). Enzyme immunoassays revealed measurable levels of unconjugated progesterone and estradiol in the urine of female bats, suggesting urine as a vector for steroid transfer. Given that bats of this species live in predominantly female roosts in very close contact, progesterone transfer among individuals is likely to occur in natural roosts. Copyright © 2017 Elsevier Inc. All rights reserved.

  11. Negligence: What You Need To Know To Avoid Liability.

    ERIC Educational Resources Information Center

    Russo, Charles J.; Fericks, Donald J.

    1996-01-01

    To help educators understand their legal responsibilities when supervising students, this article reviews the elements of negligence (duty, breach, injury, and causation) an injured party must prove to hold an educator or school system legally accountable. The article also reviews basic defenses to negligence: immunity, comparative/contributory…

  12. 78 FR 4875 - Office of Small Credit Unions (OSCUI) Loan Program Access for Credit Unions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-23

    ... credit union's marketing strategy to reach members and the community; and include financial projections... required to obtain matching funds. However, each Applicant should address in the Application its strategy...) Matching Funds: A narrative describing its strategy for raising matching funds from non-federal sources if...

  13. Negligence--When Is the Principal Liable? A Legal Memorandum.

    ERIC Educational Resources Information Center

    Stern, Ralph D., Ed.

    Negligence, a tort liability, is defined, discussed, and reviewed in relation to several court decisions involving school principals. The history of liability suits against school principals suggests that a reasonable, prudent principal can avoid legal problems. Ten guidelines are presented to assist principals in avoiding charges of negligence.…

  14. Preschoolers' Understanding of Lies and Innocent and Negligent Mistakes.

    ERIC Educational Resources Information Center

    Siegal, Michael; Peterson, Candida C.

    1998-01-01

    Examined preschoolers' ability to distinguish innocent and negligent mistakes from lies. Found that, when asked to identify a mistake or lie about a food's contact with contaminants and identify a bystander's reaction, children distinguished mistakes from lies; they could also discriminate between lies and both negligent mistakes that generate…

  15. From the Oracles of the Temple of Janus: "Chicago Teachers Union v. Hudson."

    ERIC Educational Resources Information Center

    Vieira, Edwin, Jr.

    1986-01-01

    Examines "Chicago Teachers Union v. Hudson," a United States Supreme Court decision guaranteeing non-union government workers specific protections of procedural due process that certain educational and teacher unions had failed to recognize. Decries the "Hudson" decision for separating labor law from laws governing the rest of…

  16. Delayed union and nonunions: epidemiology, clinical issues, and financial aspects.

    PubMed

    Hak, David J; Fitzpatrick, Daniel; Bishop, Julius A; Marsh, J Lawrence; Tilp, Susanne; Schnettler, Reinhard; Simpson, Hamish; Alt, Volker

    2014-06-01

    Fracture healing is a critically important clinical event for fracture patients and for clinicians who take care of them. The clinical evaluation of fracture healing is based on both radiographic findings and clinical findings. Risk factors for delayed union and nonunion include patient dependent factors such as advanced age, medical comorbidities, smoking, non-steroidal anti-inflammatory use, various genetic disorders, metabolic disease and nutritional deficiency. Patient independent factors include fracture pattern, location, and displacement, severity of soft tissue injury, degree of bone loss, quality of surgical treatment and presence of infection. Established nonunions can be characterised in terms of biologic capacity, deformity, presence or absence of infection, and host status. Hypertrophic, oligotrophic and atrophic radiographic appearances allow the clinician to make inferences about the degree of fracture stability and the biologic viability of the fracture fragments while developing a treatment plan. Non-unions are difficult to treat and have a high financial impact. Indirect costs, such as productivity losses, are the key driver for the overall costs in fracture and non-union patients. Therefore, all strategies that help to reduce healing time with faster resumption of work and activities not only improve medical outcome for the patient, they also help reduce the financial burden in fracture and non-union patients. Copyright © 2014 Elsevier Ltd. All rights reserved.

  17. Can You Be Charged with Negligence?

    ERIC Educational Resources Information Center

    Robinson, Joseph C.

    1982-01-01

    Ten questions regarding classroom and shop safety are presented for the teacher and school administrator to test themselves and guard against a ruling of negligence and legal liability in the performance of their jobs. (CT)

  18. The Reproductive Context of Cohabitation in the United States: Recent Change and Variation in Contraceptive Use

    ERIC Educational Resources Information Center

    Sweeney, Megan M.

    2010-01-01

    Drawing on data from 2 waves of the National Survey of Family Growth (N = 11,065), the current research addressed 2 overarching questions about the reproductive context of cohabitation in the United States. First, did patterns of contraceptive use among cohabitors change during the last 2 decades of the 20th century? Second, did patterns of…

  19. Negligible Sex Differences in General Intelligence.

    ERIC Educational Resources Information Center

    Colom, Roberto; Juan-Espinosa, Manuel; Abad, Francisco; Garcia, Luis F.

    2000-01-01

    Studied sex differences in general intelligence in 10,475 adults taking cognitive test batteries. Results suggest a negligible difference in general intelligence, a finding consistent with findings from quite different test batteries and subject samples. (SLD)

  20. L-form bacteria cohabitants in human blood: significance for health and diseases.

    PubMed

    Markova, Nadya D

    2017-05-01

    From a historical perspective, intriguing assumptions about unknown "live units" in human blood have attracted the attention of researchers, reflecting their desire to define a new class of microorganisms. Thus, the concept of "blood microbiota" brings about many questions about the nature, origin, and biological significance of the "unusual microbial cohabitants" in human blood. In contrast to current views that bloodstream in healthy humans is sterile, the hypothesis about the existence of microbes as L-forms (cell wall deficient bacteria) in human blood has evolved on the basis of known facts about their unique biology, as observed in our studies and those of other authors. Recently, we reported that bacterial L-forms persist in the human blood and that filterable, self-replicating bodies with a virus-like size of 100 nm are able to cross the maternal-fetal barrier by vertically transmitted pathway, then enter fetus blood circulation and colonize newborns. Subjects discussed here include the following: Is the existence of L-form bacteria in human blood a natural phenomenon? Are L-form bacteria commensal cohabitants in the human body? Since blood is an unfavorable compartment for the classical bacteria and their propagation, how do L-forms survive in blood circulation? How does L-form microbiota in blood influence the host immune system and contribute to systemic inflammatory, autoimmune, and tumor diseases? The current commentary presents the topic of "human microbiota and L-form bacteria" in its microcosm. It contains details of the hypothesis, supporting evidence and important implications.

  1. Dues and Deep Pockets: Public-Sector Unions' Money Machine. Civic Report. No. 67

    ERIC Educational Resources Information Center

    DiSalvo, Daniel

    2012-01-01

    At first glance, public-sector labor unions are just one of many types of organizations that participate in the political process. However, these unions differ significantly from other interest groups made up of individual citizens or non-labor organizations. Because their members' interests are tied to government policy, these unions are more…

  2. Does reimportation reduce price differences for prescription drugs? Lessons from the European Union.

    PubMed

    Kyle, Margaret K; Allsbrook, Jennifer S; Schulman, Kevin A

    2008-08-01

    To examine the effect of parallel trade on patterns of price dispersion for prescription drugs in the European Union. Longitudinal data from an IMS Midas database of prices and units sold for drugs in 36 categories in 30 countries from 1993 through 2004. The main outcome measures were mean price differentials and other measures of price dispersion within European Union countries compared with within non-European Union countries. We identified drugs subject to parallel trade using information provided by IMS and by checking membership lists of parallel import trade associations and lists of approved parallel imports. Parallel trade was not associated with substantial reductions in price dispersion in European Union countries. In descriptive and regression analyses, about half of the price differentials exceeded 50 percent in both European Union and non-European Union countries over time, and price distributions among European Union countries did not show a dramatic change concurrent with the adoption of parallel trade. In regression analysis, we found that although price differentials decreased after 1995 in most countries, they decreased less in the European Union than elsewhere. Parallel trade for prescription drugs does not automatically reduce international price differences. Future research should explore how other regulatory schemes might lead to different results elsewhere.

  3. Crossing Boundaries: Nativity, Ethnicity, and Mate Selection

    PubMed Central

    Qian, Zhenchao; Glick, Jennifer E.; Baston, Christie

    2016-01-01

    The influx of immigrants has increased diversity among ethnic minorities and indicates that they may take multiple integration paths in American society. Previous research on ethnic integration often focuses on panethnic differences and few have explored ethnic diversity within a racial or panethnic context. Using 2000 U.S. census data for Puerto Rican, Mexican, Chinese, and Filipino origin individuals, we examine differences in marriage and cohabitation with whites, with other minorities, within a panethnic group, and within an ethnic group by nativity status. Ethnic endogamy is strong and, to a less extent, so is panethnic endogamy. Yet, marital or cohabiting unions with whites remain an important path of integration but differ significantly by ethnicity, nativity, age at arrival, and educational attainment. Meanwhile, ethnic differences in marriage and cohabitation with other racial or ethnic minorities are strong. Our analysis supports that unions with whites remain a major path of integration, but other paths of integration also become viable options for all ethnic groups. PMID:22350840

  4. Gender differences in the association between cohabitation with parents and stress among married adults: A propensity score-matched analysis from the Korean National Health and Nutrition Examination Survey (KNHANES).

    PubMed

    Kim, Dae-Hwan; Mak, Kwok-Kei

    2016-01-01

    This study examined the gender-specific associations between cohabitation with parents and stress using an econometric approach. A total of 13,565 (41.7% men and 58.3% women) Korean adults aged 20-59 years from the Korean National Health and Nutrition Examination Survey (KNHANES) 2008 to 2011 were pooled. They reported their gender, age, marital status, education level, employment status, income, home ownership, and cohabitation status with their parents. The association of living with parents and stress, as well as the gender difference in the association, was investigated using propensity score matching and the average treatment effect on the treated. Adults with higher education and income, not owning a house, or living in larger cities were less likely to live with parents. Stress was associated with having children and participating in the labor market for both married men and women. Moreover, living with parents was a protective factor for stress among husbands, but a risk factor for wives in Korea. Gender differences existed in the association between cohabitation with parents and stress. Greater stress was related to cohabiting with parents and working for married women.

  5. Does the situational couple violence- intimate terrorism typology explain cohabitors' high risk of intimate partner violence?

    PubMed

    Brownridge, Douglas A

    2010-07-01

    This study examines M. P. Johnson's assertion that violence in marital unions is more likely to be intimate terrorism (IT) and violence in cohabiting unions is more likely to be situational couple violence (SCV). Having overcome limitations of the data on which Johnson based his assertion, the results show that cohabiting and married victims of violence are equally likely to report experiencing SCV and IT. Moreover, cohabitors have higher odds of experiencing SCV and IT compared to their counterparts living in a marital union. These marital status differences are explained by selection and relationship factors theorized to account for them. Although the SCV- IT typology does appear to shed light on gender differences, the results of this study suggest that, where relevant, researchers using this typology should not neglect risk factors derived from theories for understanding intimate partner violence (IPV).

  6. Telling patients about medical negligence.

    PubMed Central

    Warner, E.

    1983-01-01

    A 7-year-old boy, diagnosed as having croup, develops an upper airway obstruction due to epiglottitis during the therapy, resulting in cerebral anoxia. Pediatricians to whom the boy is referred feel that failure to consider epiglottitis in the original diagnosis constitutes negligence. The parents suspect nothing. What should the pediatricians say or do? Images p367-a p368-a PMID:6871805

  7. Unions, Vitamins, Exercise: Unionized Graduate Students

    ERIC Educational Resources Information Center

    Dewberry, David R.

    2005-01-01

    After the turbulent labor history of America in the early to mid twentieth century, there has been a general decline of unions. Nevertheless, many graduate school teaching assistants are unionizing in attempts to gain better pay and benefits and remove themselves from an "Ivory Sweatshop." This article discusses a history of unions…

  8. Attitudes towards family formation in cohabiting and single childless women in their mid- to late thirties.

    PubMed

    Birch Petersen, Kathrine; Sylvest, Randi; Nyboe Andersen, Anders; Pinborg, Anja; Westring Hvidman, Helene; Schmidt, Lone

    2016-04-01

    This study aimed to explore attitudes towards family formation in single or cohabiting childless women of advanced age. The design comprised semi-structured qualitative interviews of 20 women aged 34-39 years attending the Fertility Assessment and Counselling Clinic, Rigshospitalet, Copenhagen. A sample of 10 single women and 10 cohabiting women was chosen with equal distribution of postgraduate education length. Data were analysed using content analysis following the method of Graneheim and Lundman and consolidated criteria for reporting qualitative research (COREQ). The general attitude towards family formation was characterized by a fear of the consequences of choosing motherhood on one hand, and a 'ticking biological clock' and a wish to establish a nuclear family on the other. The women idealized the perception of perfect mothering in terms of uncompromising expectations of child rearing and showed an increasing awareness of solo motherhood as a possible solution to advanced age, the wish of a child and single status compared to earlier studies. Our study contributes to knowledge and understanding of personal considerations related to childbearing in nullipara women in their mid- to late 30s and may be useful in a fertility assessment and counselling setting.

  9. Negligent Liability and the Foreseeability Factor: A Critical Issue for School Counselors.

    ERIC Educational Resources Information Center

    Henderson, Donald H.

    1987-01-01

    Notes that negligent liability suits involving school counselors seem to be increasing. Cites cases, most of which involved defendant's alleged negligence emanating from failure to provide reasonable care to individuals who were later injured or killed. Emphasizes role of foreseeability in determining outcome of negligence cases. Indicates areas…

  10. Understanding the legal duty of care in the course of negligence.

    PubMed

    Tingle, John

    The first article in this series gave an introduction to clinical negligence (Vol 11(15): 1033-1035). This article begins with a discussion of the law of negligence within the context of the law generally. What must be established in order to bring a legal claim for compensation in negligence is also discussed along with the important concept of owing a legal duty of care. The duty of care concept is illustrated through two cases.

  11. Chemistry, Courtrooms, and Common Sense. Part I: Negligence and Duty.

    ERIC Educational Resources Information Center

    Gass, J. Ric

    1990-01-01

    Discussed are concepts involved in legal liability for laboratory accidents. The focus of this article is on negligence, duty, and responsibility issues. Highlighted are the basis of a lawsuit, negligent tort, duty and breech of duty, and cause and harm. Thirty-one cases are cited. (CW)

  12. Does Reimportation Reduce Price Differences for Prescription Drugs? Lessons from the European Union

    PubMed Central

    Kyle, Margaret K; Allsbrook, Jennifer S; Schulman, Kevin A

    2008-01-01

    Objective To examine the effect of parallel trade on patterns of price dispersion for prescription drugs in the European Union. Data Sources Longitudinal data from an IMS Midas database of prices and units sold for drugs in 36 categories in 30 countries from 1993 through 2004. Study Design The main outcome measures were mean price differentials and other measures of price dispersion within European Union countries compared with within non-European Union countries. Data Collection/Extraction Methods We identified drugs subject to parallel trade using information provided by IMS and by checking membership lists of parallel import trade associations and lists of approved parallel imports. Principal Findings Parallel trade was not associated with substantial reductions in price dispersion in European Union countries. In descriptive and regression analyses, about half of the price differentials exceeded 50 percent in both European Union and non-European Union countries over time, and price distributions among European Union countries did not show a dramatic change concurrent with the adoption of parallel trade. In regression analysis, we found that although price differentials decreased after 1995 in most countries, they decreased less in the European Union than elsewhere. Conclusions Parallel trade for prescription drugs does not automatically reduce international price differences. Future research should explore how other regulatory schemes might lead to different results elsewhere. PMID:18355258

  13. Medical negligence liability under the consumer protection act: A review of judicial perspective.

    PubMed

    Joga Rao, S V

    2009-07-01

    It is important to know what constitutes medical negligence. A doctor owes certain duties to the patient who consults him for illness. A deficiency in this duty results in negligence. A basic knowledge of how medical negligence is adjudicated in the various judicial courts of India will help a doctor to practice his profession without undue worry about facing litigation for alleged medical negligence.

  14. Medical negligence liability under the consumer protection act: A review of judicial perspective

    PubMed Central

    Joga Rao, S. V.

    2009-01-01

    It is important to know what constitutes medical negligence. A doctor owes certain duties to the patient who consults him for illness. A deficiency in this duty results in negligence. A basic knowledge of how medical negligence is adjudicated in the various judicial courts of India will help a doctor to practice his profession without undue worry about facing litigation for alleged medical negligence. PMID:19881133

  15. Strategies Courtside. Perfect or Perilous: When Is a Teacher Negligent?

    ERIC Educational Resources Information Center

    Carpenter, Linda Jean

    1994-01-01

    In today's society, teachers are more apt to be sued than ever before; it is important, therefore, that they know exactly what negligence means to themselves and their students. The framework of a negligence case (duty, breach, cause, and harm) is explained, and a teacher self-test is provided. (SM)

  16. 26 CFR 1.6662-3 - Negligence or disregard of rules or regulations.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 26 Internal Revenue 13 2010-04-01 2010-04-01 false Negligence or disregard of rules or regulations... Penalties § 1.6662-3 Negligence or disregard of rules or regulations. (a) In general. If any portion of an... Internal Revenue Code that is required to be shown on a return is attributable to negligence or disregard...

  17. Learning and Adapting for Organisational Change: Researching Union Education in Australia

    ERIC Educational Resources Information Center

    Brown, Tony; Yasukawa, Keiko

    2010-01-01

    The last quarter century saw a restructuring of employment, production and trade and a dramatic decline in union membership and density levels. There are many explanations for this, including the hostile industrial relations framework imposed by many governments, but there have been other factors such as the growth of new non-unionized industries…

  18. Resource partitioning in relation to cohabitation of Lactobacillus species in the mouse forestomach

    PubMed Central

    Tannock, Gerald W; Wilson, Charlotte M; Loach, Diane; Cook, Gregory M; Eason, Jocelyn; O'Toole, Paul W; Holtrop, Grietje; Lawley, Blair

    2012-01-01

    Phylogenetic analysis of gut communities of vertebrates is advanced, but the relationships, especially at the trophic level, between commensals that share gut habitats of monogastric animals have not been investigated to any extent. Lactobacillus reuteri strain 100–23 and Lactobacillus johnsonii strain 100–33 cohabit in the forestomach of mice. According to the niche exclusion principle, this should not be possible because both strains can utilise the two main fermentable carbohydrates present in the stomach digesta: glucose and maltose. We show, based on gene transcription analysis, in vitro physiological assays, and in vivo experiments that the two strains can co-exist in the forestomach habitat because 100–23 grows more rapidly using maltose, whereas 100–33 preferentially utilises glucose. Mutation of the maltose phosphorylase gene (malA) of strain 100–23 prevented its growth on maltose-containing culture medium, and resulted in the numerical dominance of 100–33 in the forestomach. The fundamental niche of L. reuteri 100–23 in the mouse forestomach can be defined in terms of ‘glucose and maltose trophism'. However, its realised niche when L. johnsonii 100–33 is present is ‘maltose trophism'. Hence, nutritional adaptations provide niche differentiation that assists cohabitation by the two strains through resource partitioning in the mouse forestomach. This real life, trophic phenomenon conforms to a mathematical model based on in vitro bacterial doubling times, in vitro transport rates, and concentrations of maltose and glucose in mouse stomach digesta. PMID:22094343

  19. Modern negligence law: Contribution of the medical cases.

    PubMed

    Hodgson, John

    The law on medical negligence is part of the law of negligence generally. It has played a significant part in developing two key aspects of the law. There are special rules to determine the standard of care expected of experts when advising and solving problems, and medical cases have largely shaped the law. Although cases on causation may arise in any area, several of the key cases happen to be medical ones. They are particularly likely to assist where there are alternative causes, as it is often difficult to distinguish the effects of disease from those of inappropriate treatment.

  20. Medical negligence- meaning and scope in India.

    PubMed

    Kumar, L; Bastia, B K

    2011-01-01

    It is a principle recognized by our as well as by other legal systems that ignorance of the law is no excuse for violating it. The rule is also expressed in the form of a legal presumption that everyone knows the law. It is the duty of every man to know that part of it which concerns him. A doctor, in particular, is conclusively presumed to know the law, and is dealt with as if he did know it, because in general he can and ought to know it. In the matter of professional liability, the medical profession differs from other occupations for the reason that the former operates in spheres where success cannot be achieved in every case and very often success or failure depends upon factors beyond a medical man's control. Due to the increasing awareness of the rights of a patient in present day society, a medical man has become more vulnerable to being sued by a litigation suit of any kind, civil or criminal. The basis of a medical negligence suit is still alien to the majority of the practicing doctors in our country. Hence, the present article aims at discussing the various aspects of negligence, like the meaning and types of negligence, and the concept of duty of care, degree of care, and standard of care, as considered by the law.

  1. Medical negligence: Indian legal perspective.

    PubMed

    Agrawal, Amit

    2016-10-01

    A basic knowledge of how judicial forums deal with the cases relating to medical negligence is of absolute necessity for doctors. The need for such knowledge is more now than before in light of higher premium being placed by the Indian forums on the value of human life and suffering, and perhaps rightly so. Judicial forums, while seeking to identify delinquents and delinquency in the cases of medical negligence, actually aim at striking a careful balance between the autonomy of a doctor to make judgments and the rights of a patient to be dealt with fairly. In the process of adjudication, the judicial forums tend to give sufficient leeway to doctors and expressly recognize the complexity of the human body, inexactness of medical science, the inherent subjectivity of the process, genuine scope for error of judgment, and the importance of the autonomy of the doctors. The law does not prescribe the limits of high standards that can be adopted but only the minimum standard below which the patients cannot be dealt with. Judicial forums have also signaled an increased need of the doctors to engage with the patients during treatment, especially when the line of treatment is contested, has serious side effects and alternative treatments exist.

  2. Beyond the standard of care: a new model to judge medical negligence.

    PubMed

    Brenner, Lawrence H; Brenner, Alison Tytell; Awerbuch, Eric J; Horwitz, Daniel

    2012-05-01

    The term "standard of care" has been used in law and medicine to determine whether medical care is negligent. However, the precise meaning of this concept is often unclear for both medical and legal professionals. Our purposes are to (1) examine the limitations of using standard of care as a measure of negligence, (2) propose the use of the legal concepts of justification and excuse in developing a new model of examining medical conduct, and (3) outline the framework of this model. We applied the principles of tort liability set forth in the clinical and legal literature to describe the difficulty in applying standard of care in medical negligence cases. Using the concepts of justification and excuse, we propose a judicial model that may promote fair and just jury verdicts in medical negligence cases. Contrary to conventional understanding, medical negligence is not simply nonconformity to norms. Two additional concepts of legal liability, ie, justification and excuse, must also be considered to properly judge medical conduct. Medical conduct is justified when the benefits outweigh the risks; the law sanctions the conduct and encourages future conduct under similar circumstances. Excuse, on the other hand, relieves a doctor of legal liability under specific circumstances even though his/her conduct was not justified. Standard of care is an inaccurate measure of medical negligence because it is premised on the faulty notion of conformity to norms. An alternative judicial model to determine medical negligence would (1) eliminate standard of care in medical malpractice law, (2) reframe the court instruction to jurors, and (3) establish an ongoing consensus committee on orthopaedic principles of negligence.

  3. The 'Negligence' Buck Stops with You!

    ERIC Educational Resources Information Center

    Stern, James

    1982-01-01

    The owner or operator of a public swimming pool is legally responsible for the health and safety of patrons who use the pool. Legal cases resulting from negligence include judgements against the owner due to: lack of lifeguard training, inattentiveness on the part of lifeguards, improper depth markings, water containing infectious organisms, and…

  4. [Differences between married and unmarried cohabiting women in the Netherlands].

    PubMed

    Swinkels, H

    1985-03-01

    An analysis of consensual unions in the Netherlands is presented. Particular attention is given to differences between the characteristics of those in consensual unions and those who marry. Data are from the Netherlands Fertility Survey of 1982. Factors considered include attitudes toward marital roles, sexuality, and individualism; religion; political attitudes; educational status; geographic differences; urban or rural residence; and differential fertility. (summary in ENG)

  5. New Roles for Teachers Unions? Reform Unionism in School Decentralization

    ERIC Educational Resources Information Center

    Donaldson, Morgaen L.; Mayer, Anysia P.; Cobb, Casey D.; LeChasseur, Kimberly; Welton, Anjale

    2013-01-01

    Of late, teachers unions have worked together with district management in new and notable ways. This paper examines the role of teachers unions in shaping the Together Initiative (TI), which seeks to increase autonomy and broaden decision making in urban schools in one northeastern state. In general, state-level union leaders have taken more…

  6. Medical homicide and extreme negligence.

    PubMed

    Duncanson, Emily; Richards, Virginia; Luce, Kasey M; Gill, James R

    2009-03-01

    Deaths that occur during medical care for the treatment of a disease are rarely certified as homicides. Some "medical" deaths, however, have been criminally prosecuted for manslaughter, reckless endangerment, or reckless homicide. We describe 5 deaths due to medical complications that underwent criminal prosecution. Three of the deaths were certified as homicides. Deaths certified as homicides due to the actions (or inactions) of a caregiver occur in 3 circumstances. The first is when the medical caregiver intentionally causes the death of the patient. The second is a death due to treatment by an unlicensed fraud or quack. The final circumstance is due to extreme medical negligence that involves a gross and wanton disregard for the well-being of the patient and is the most controversial in the medical community. The law defines reckless endangerment as the conscious disregard of a known substantial likelihood of injury to the patient. Criminal neglect typically is defined as the failure to provide timely, safe, adequate, and appropriate services, treatment, and/or care to a patient. In instances of extreme medical negligence, a homicide manner of death is appropriate because the fatality is due to the criminal acts (or inactions) of another. It also furthers one of the major goals of the medicolegal death investigation system, which is to safeguard the public health.

  7. State of the Unions

    ERIC Educational Resources Information Center

    Blair, Julie

    2004-01-01

    This article discusses the corrupt leadership of two big-city teachers' unions, the Washington Teachers Union (WTU) and its Miami cousin, United Teachers of Dade (UTD), that took both unions to the brink of despair and financial ruin. While the feds were rifling through union files to build extensive criminal investigations, congress called Sandra…

  8. Effects of relationship duration, cohabitation, and marriage on the frequency of intercourse in couples: Findings from German panel data.

    PubMed

    Schröder, Jette; Schmiedeberg, Claudia

    2015-07-01

    Research into the changes in the frequency of sexual intercourse is (with few exceptions) limited to cross-sectional analyses of marital duration. We investigate the frequency of intercourse while taking into account relationship duration as well as the duration of cohabitation and marriage, effects of parenthood, and relationship quality. For the analysis we apply fixed effects regression models using data from the German Family Panel (pairfam), a nationwide randomly sampled German panel survey. Our findings imply that the drop in sex frequency occurs early in the relationship, whereas neither cohabitation nor marriage affects the frequency of intercourse to a significant extent. Sex frequency is reduced during pregnancy and as long as the couple has small children, but becomes revived later on. Relationship quality is found to play a role as well. These results are contrary to the honeymoon effect found in earlier research, but indicate that in times of postponed marriage an analogous effect may be at work in the initial period of the relationship. Copyright © 2015 Elsevier Inc. All rights reserved.

  9. The Underlying Ecological Processes of Gut Microbiota Among Cohabitating Retarded, Overgrown and Normal Shrimp.

    PubMed

    Xiong, Jinbo; Dai, Wenfang; Zhu, Jinyong; Liu, Keshao; Dong, Chunming; Qiu, Qiongfen

    2017-05-01

    Increasing evidence of tight links among the gut microbiota, obesity, and host health has emerged, but knowledge of the ecological processes that shape the variation in microbial assemblages across growth rates remains elusive. Moreover, inadequately control for differences in factors that profoundly affect the gut microbial community, hampers evaluation of the gut microbiota roles in regulating growth rates. To address this gap, we evaluated the composition and ecological processes of the gut bacterial community in cohabitating retarded, overgrown, and normal shrimps from identically managed ponds. Gut bacterial community structures were distinct (P = 0.0006) among the shrimp categories. Using a structural equation modeling (SEM), we found that changes in the gut bacterial community were positively related to digestive activities, which subsequently affected shrimp growth rate. This association was further supported by intensified interspecies interaction and enriched lineages with high nutrient intake efficiencies in overgrown shrimps. However, the less phylogenetic clustering of gut microbiota in overgrown and retarded subjects may offer empty niches for pathogens invasion, as evidenced by higher abundances of predicted functional pathways involved in disease infection. Given no differences in biotic and abiotic factors among the cohabitating shrimps, we speculated that the distinct gut community assembly could be attributed to random colonization in larval shrimp (e.g., priority effects) and that an altered microbiota could be a causative factor in overgrowth or retardation in shrimp. To our knowledge, this is the first study to provide an integrated overview of the direct roles of gut microbiota in shaping shrimp growth rate and the underlying ecological mechanisms.

  10. Use of autologous human mesenchymal stromal cell/fibrin clot constructs in upper limb non-unions: long-term assessment.

    PubMed

    Giannotti, Stefano; Trombi, Luisa; Bottai, Vanna; Ghilardi, Marco; D'Alessandro, Delfo; Danti, Serena; Dell'Osso, Giacomo; Guido, Giulio; Petrini, Mario

    2013-01-01

    Tissue engineering appears to be an attractive alternative to the traditional approach in the treatment of fracture non-unions. Mesenchymal stromal cells (MSCs) are considered an appealing cell source for clinical intervention. However, ex vivo cell expansion and differentiation towards the osteogenic lineage, together with the design of a suitable scaffold have yet to be optimized. Major concerns exist about the safety of MSC-based therapies, including possible abnormal overgrowth and potential cancer evolution. We examined the long-term efficacy and safety of ex vivo expanded bone marrow MSCs, embedded in autologous fibrin clots, for the healing of atrophic pseudarthrosis of the upper limb. Our research work relied on three main issues: use of an entirely autologous context (cells, serum for ex vivo cell culture, scaffold components), reduced ex vivo cell expansion, and short-term MSC osteoinduction before implantation. Bone marrow MSCs isolated from 8 patients were expanded ex vivo until passage 1 and short-term osteo-differentiated in autologous-based culture conditions. Tissue-engineered constructs designed to embed MSCs in autologous fibrin clots were locally implanted with bone grafts, calibrating their number on the extension of bone damage. Radiographic healing was evaluated with short- and long-term follow-ups (range averages: 6.7 and 76.0 months, respectively). All patients recovered limb function, with no evidence of tissue overgrowth or tumor formation. Our study indicates that highly autologous treatment can be effective and safe in the long-term healing of bone non-unions. This tissue engineering approach resulted in successful clinical and functional outcomes for all patients.

  11. Applicability of the theory of customs unions to the case of the cooperation council for the Arab States of the Gulf (The GCC)

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

    As-Sudais, A.A.S.

    1985-01-01

    In 1981, six Arab Gulf states formed the Gulf Cooperation Council (GCC). These states are Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates (UAE). One of the main stated objectives of the GCC is regional economic integration. This objective was expressed in the GCC Unified Economic Agreement which called for gradual creation of the GCC common market and cooperation and coordination in all economic fields at all levels. The GCC has chosen to approach economic integration in a gradual manner. The first step taken was the formation of a customs union. This study investigates the applicability ofmore » the theory of customs unions to this particular group at this time. The economies of the GCC members exhibit similar characteristics such as reliance on the export of a single nonrenewable commodity (oil), similar large-scale industrial projects (mainly petrochemicals), lack of complementarity of economic resource endowment, and little diversity in industrial production. The main conclusion of the study is that the possible gains suggested by the theory of customs unions are not expected to be realized to a significant extent as a result of forming the GCC customs union. Trade effects (if any) will be negligible due to various factors including low-pre-union tariff levels.« less

  12. On the Firing Line: Negligence in Physical Education

    ERIC Educational Resources Information Center

    Drowatzky, John N.

    1977-01-01

    Discusses teachers' vulnerability to tort actions for negligence in physical education classes, and suggests guidelines for proper teacher behavior, based on analysis of court cases in various states. (JG)

  13. Teacher Unionism in Changing Times: Is This the Real "New Unionism"?

    ERIC Educational Resources Information Center

    Stevenson, Howard

    2015-01-01

    This article provides a case study of union change in an environment in which radical school restructuring is taking place, and active strategies to weaken and marginalize organized teachers are being pursued by the state. The case study union is the National Union of Teachers in England. The article explores a number of different strategies open…

  14. 75 FR 17083 - Fiduciary Duties at Federal Credit Unions; Mergers and Conversions of Insured Credit Unions...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-05

    ... Credit Unions; Mergers and Conversions of Insured Credit Unions; Correction AGENCY: National Credit Union... Federal credit unions and mergers and conversions of insured credit unions. The proposed rule as published... Conversions of Insured Credit Unions) in the e-mail subject line.'' [[Page 17084

  15. Gender relations, sexual behaviour, and risk of contracting sexually transmitted infections among women in union in Uganda.

    PubMed

    Nankinga, Olivia; Misinde, Cyprian; Kwagala, Betty

    2016-05-26

    Sexually transmitted infections (STIs) are a major reproductive and public health concern, especially in the era of HIV/AIDS. This study examined the relationship between sexual empowerment and STI status of women in union (married or cohabiting) in Uganda, controlling for sexual behaviour, partner factors, and women's background characteristics. The study, based on data from the 2011 Uganda Demographic and Health Survey (UDHS), analysed 1307 weighted cases of women age 15-49 in union and selected for the domestic violence module. Chi-squared tests and multivariate logistic regressions were used to examine the predicators of STI status. The main explanatory variables included sexual empowerment, involvement in decision making on own health, experience of any sexual violence, condom use during last sex with most recent partner, number of lifetime partners and partner control behaviours. Sexual empowerment was measured with three indicators: a woman's reported ability to refuse sex, ability to ask her partner to use a condom, and opinion regarding whether a woman is justified to refuse sex with her husband if he is unfaithful. Results show that 28 % of women in union reported STIs in the last 12 months. Sexual violence and number of lifetime partners were the strongest predictors of reporting STIs. Women's sexual empowerment was a significant predictor of their STI status, but, surprisingly, the odds of reporting STIs were greater among women who were sexually empowered. Reporting of STIs was negatively associated with a woman's participation in decision-making with respect to her own health, and was positively associated with experience of sexual violence, partner's controlling behaviour, and having more than one life partner. Our findings suggest that, with respect to STIs, sexual empowerment as measured in the study does not protect women who have sexually violent and controlling partners. Interventions promoting sexual health must effectively address negative

  16. The changing face of medical negligence law: from Bolam to Bolitho.

    PubMed

    Sooriakumaran, Prasanna

    2008-06-01

    The Bolam test was the standard by which medical negligence cases were judged. However, recently, the Bolitho case has resulted in a shift away from Bolam, with significant effects for all future negligence suits. Doctors need to have a thorough understanding of these issues in order to practice successfully in the current litiginous climate.

  17. The effect of unions on the distribution of wages of hospital-employed registered nurses in the United States.

    PubMed

    Spetz, Joanne; Ash, Michael; Konstantinidis, Charalampos; Herrera, Carolina

    2011-01-01

    We estimate the impact of unionisation on the wage structure of hospital-employed registered nurses in the USA. We examine whether unions have an effect on wage differences associated with race, gender, immigration status, education and experience, as well as whether there is less unexplained wage variation among unionised nurses. In the past decade, there has been resurgence in union activity in the health care industry in the USA, particularly in hospitals. Numerous studies have found that unions are associated with higher wages. Unions may also affect the structure of wages paid to workers, by compressing the wage structure and reducing unexplained variation in wages. Cross-sectional analysis of pooled secondary data from the United States Current Population Survey, 2003-2006. Multivariate regression analysis of factors that predict wages, with models derived from labour economics. There are no wage differences associated with gender, race or immigration status among unionised nurses, but there are wage penalties for black and immigrant nurses in the non-union sector. For the most part, the pay structures of the union and non-union sectors do not significantly differ. The wage penalty associated with diploma education for non-union nurses disappears among unionised nurses. Unionised nurses receive a lower return to experience, although the difference is not statistically significant. There is no evidence that unexplained variation in wages is lower among unionised nurses. While in theory unions may rationalise wage-setting and reduce wage dispersion, we found no evidence to support this hypothesis. The primary effect of hospital unions is to raise wages. Unionisation does not appear to have other important wage effects among hospital-employed nurses. © 2010 Blackwell Publishing Ltd.

  18. Craniofacial Surgery and Adverse Outcomes: An Inquiry Into Medical Negligence.

    PubMed

    Svider, Peter F; Eloy, Jean Anderson; Folbe, Adam J; Carron, Michael A; Zuliani, Giancarlo F; Shkoukani, Mahdi A

    2015-07-01

    This study aimed to evaluate factors contributing to medical negligence relevant to craniofacial surgery. Retrospective analysis of verdict and settlement reports on the Westlaw legal database for outcome, awards, physician defendants, and other specific factors raised in malpractice litigation. Of 42 verdicts and settlement reports included, 52.4% were resolved with either an out-of-court settlement or plaintiff verdict, with aggregate payments totaling $50.1M (in 2013 dollars). Median settlements and jury-awarded damages were $988,000 and $555,000, respectively. Payments in pediatric cases ($1.2M) were significantly higher. Plastic surgeons, oral surgeons, and otolaryngologists were the most commonly named defendants. The most common alleged factors included intraoperative negligence (69.0%), permanent deficits (54.8%), requiring additional surgery (52.4%), missed/delayed diagnosis of a complication (42.9%), disfigurement/scarring (28.6%), postoperative negligence (28.6%), and inadequate informed consent (20.6% of surgical cases). Failure to diagnose a fracture (19.0%) and cleft-reparative procedures (14.3%) were the most frequently litigated entities. Medical negligence related to craniofacial surgery involves plaintiffs in a wide age range as well as physician defendants in numerous specialties, and proceedings resolved with settlement and plaintiff verdict involve substantial payments. Cases with death, allegedly permanent injuries, and pediatric plaintiffs had significantly higher payments. © The Author(s) 2015.

  19. Interaction of ectoparasites in cohabitating colonies of pond bats Myotis dasycneme (Boie, 1825) and species of genus Pipistrellus from northern Poland.

    PubMed

    Orlova, Maria V; Zapart, Aneta

    2012-01-01

    The article presents data on ectoparasites of pond bat (rare in Europe bat species) in northern Poland region. We discuss the species composition and relationship between ectoparasites of several bat species in mixed colonies. Temporary ectoparasites of pipistrelle bats suppress permanent ectoparasites of pond bats it the cohabitating colonies.

  20. Risk factors for dating violence versus cohabiting violence: Results from the third generation of the Cambridge Study in Delinquent Development.

    PubMed

    Theobald, Delphine; Farrington, David P; Ttofi, Maria M; Crago, Rebecca V

    2016-10-01

    Dating violence is an important problem. Evidence suggests that women are more likely to perpetrate dating violence. The present study investigates the prevalence of dating violence compared with cohabiting violence in a community sample of men and women and assesses to what extent child and adolescent explanatory factors predict this behaviour. A secondary aim is to construct a risk score for dating violence based on the strongest risk factors. The Cambridge Study in Delinquent Development is a prospective longitudinal survey of 411 men (generation 2) born in the 1950s in an inner London area. Most recently, their sons and daughters [generation 3 (G3)] have been interviewed regarding their perpetration of dating and cohabiting violence, utilising the Conflict Tactics Scale. Risk factors were measured in four domains (family, parental, socio-economic and individual). A larger proportion of women than men perpetrated at least one act of violence towards their dating partner (36.4 vs 21.7%). There was a similar pattern for cohabiting violence (39.6 vs 21.4%). A number of risk factors were significantly associated with the perpetration of dating violence. For G3 women, these included a convicted father, parental conflict, large family size and poor housing. For G3 men, these included having a young father or mother, separation from the father before age 16, early school leaving, frequent truancy and having a criminal conviction. A risk score for both men and women, based on 10 risk factors, significantly predicted dating violence. Risk factors from four domains were important in predicting dating violence, but they were different for G3 men and women. It may be important to consider different risk factors and different risk assessments for male compared with female perpetration of dating violence. Early identification and interventions are recommended. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  1. Negligence and the legal standard of care: what is 'reasonable' conduct?

    PubMed

    Miola, José

    Medical negligence has become a big issue for medical practitioners. Fear of the law, and of litigation, has led to claims of defensive medical practice among doctors and nurses. At the heart of this lies the legal definition of the standard of care, where the law seeks to determine when conduct is 'reasonable' (and thus not negligent), or 'unreasonable' (and thus a breach of the legal duty of care and potentially negligent). In this article the author clarifies what the law means by 'reasonableness' with respect to nurses, drawing on both the law and the NMC Code. Furthermore, the article shall demonstrate that the law is not something to be fearful of but, rather, demands a standard no higher than that of the NMC.

  2. Negligent Hiring and Retaining of Sexually Abusive Teachers.

    ERIC Educational Resources Information Center

    Regotti, Terri L.

    1992-01-01

    Explores negligent hiring, supervision, and retention of teachers who sexually abuse students. Examines the issue of defamation and suggests school policy that will work toward eradication of sexual abuse of students by teachers. (33 references) (MLF)

  3. Ischiofemoral impingement and hamstring dysfunction as a potential pain generator after ischial tuberosity apophyseal fracture non-union/malunion.

    PubMed

    Spencer-Gardner, Luke; Bedi, Asheesh; Stuart, Michael J; Larson, Christopher M; Kelly, Bryan T; Krych, Aaron J

    2017-01-01

    The purpose of this study was to describe the occurrence of ischiofemoral impingement (IFI) and hamstring dysfunction following malunion or non-union of ischial tuberosity apophyseal avulsion fractures and report the short-term outcomes of surgical treatment with regard to alleviating symptomatic extra-articular impingement. All patients who underwent surgery for recalcitrant hip and buttock pain in the setting of prior ischial tuberosity avulsion fracture at three tertiary-level hip preservation centres were included for this review. A total of ten patients met our inclusion criteria and underwent sciatic neurolysis, resection of the ischial tuberosity fragment and hamstring reattachment. Clinical outcomes scores were collected post-operatively including the Modified Harris Hip Score (mHHS) and the Hip Outcomes Score (HOS). Ten patients with a mean age of 18 years (range 14-28) underwent surgery for symptomatic ischiofemoral impingement after ischial tuberosity avulsion fracture. At a mean of 2.2-year follow-up (range 1.7-3.5), the median post-operative mHHS was 89.7 (65.7-96.8) and HOS ADL and Sport subscales were 90 % or greater in all cases. Five patients (50 %) rated their hip as normal, and five patients (50 %) rated their hip as near normal. Malunion or non-union following ischial tuberosity apophyseal fracture can lead to IFI and hamstring dysfunction. Clinically, the resultant pain and dysfunction is often chronic, and can be debilitating. In select cases, a reliable surgical technique is presented to improve hamstring function and correct ischiofemoral impingement in this setting with good-to-excellent outcomes in the majority of cases at short-term follow-up. IV.

  4. Medical teams and the standard of care in negligence.

    PubMed

    Sappideen, Carolyn

    2015-09-01

    Medical teams are essential to the delivery of modern, patient-centred health care in hospitals. A collective model of responsibility envisaged by team care is inconsistent with common law tort liability which focuses on the individual rather than the team. There is no basis upon which a team can be liable as a collective at common law. Nor does the common law'countenance liability for the conduct of other team members absent some form of agency, vicarious liability or non-delegable duty. Despite the barriers to the adoption of a team standard of care in negligence, there is scope for team factors to have a role in determining the standard of care so that being a team player is part and parcel of what it is to be a competent professional. If this is the case, the skill set, and the standard of care expected of the individual professional, includes skills based on team models of communication, cross-monitoring and trust.

  5. Beyond negligence: avoidability and medical injury compensation.

    PubMed

    Kachalia, Allen B; Mello, Michelle M; Brennan, Troyen A; Studdert, David M

    2008-01-01

    Disenchantment with the tort system and negligence standard in the United States is fueling interest in alternate compensation systems for medical injury. One possibility is experimentation with administrative "health courts," through which specialized adjudicators would utilize neutral experts to render compensability determinations. Compensation would be based not on negligence, but rather on a broader avoidable medical injury (avoidability) standard. Although considerable interest in health courts exists, stakeholders frequently express uncertainty about the meaning and operation of an avoidability standard. Three nations-Sweden, Denmark, and New Zealand-have long operated administrative schemes. We conducted interviews with administrators and stakeholders in these systems. Our goal was to garner lessons on how to operate a health court, and specifically, how to develop and apply alternate compensation criteria such as avoidability. This article reports our findings on the origins and operations of the systems, the evolution of their compensation criteria, and how these criteria are actually applied. We found that all three systems had their primary genesis in ensuring compensation for the injured, as opposed to sanctioning providers. All have abandoned the negligence standard. The Nordic systems use an avoidability standard, principally defined as injury that would not occur in the hands of the best practitioner. Their experience demonstrates that this definition is feasible to apply. New Zealand's recent move to a no-fault system sheds light on the benefits and drawbacks of a variety of compensation standards. Key lessons for successfully applying an alternate standard, such as avoidability, include a strict adherence to national precedent, the use of neutral and experienced experts, and a block on routine transfer of information from compensation investigations to disciplinary authorities. Importantly, all three nations are harnessing their systems' power to

  6. Negligence in securing informed consent and medical malpractice.

    PubMed

    Perry, C

    1988-01-01

    The doctrine of informed consent requires that the patient must act voluntarily and in the light of adequate information in order to give legally valid consent to medical care. Different models have been developed by various courts to determine whether the informational requirement, what the physician must disclose to the patient about the potential risks of the proposed treatment, has been met under the tort theory of negligence. To prevail, the patient plaintiff must show that a particular jurisdiction's disclosure standard has been breached, that harm has resulted, and that the defendant physician's negligent failure to discuss certain risks was causally responsible for the patient's failure to withhold consent. Perry discusses possible problems of redundancy or inconsistency concerning the relationship between different models for disclosure and causality, and notes that these problems may have serious implications for patient autonomy.

  7. 7 CFR 1.51 - Claims based on negligence, wrongful act or omission.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false Claims based on negligence, wrongful act or omission. 1.51 Section 1.51 Agriculture Office of the Secretary of Agriculture ADMINISTRATIVE REGULATIONS Claims § 1.51 Claims based on negligence, wrongful act or omission. (a) Authority of the Department...

  8. Health technology assessment of medical devices: a survey of non-European union agencies.

    PubMed

    Ciani, Oriana; Wilcher, Britni; Blankart, Carl Rudolf; Hatz, Maximilian; Rupel, Valentina Prevolnik; Erker, Renata Slabe; Varabyova, Yauheniya; Taylor, Rod S

    2015-01-01

    The aim of this study was to review and compare current health technology assessment (HTA) activities for medical devices across non-European Union HTA agencies. HTA activities for medical devices were evaluated from three perspectives: organizational structure, processes, and methods. Agencies were primarily selected upon membership of existing HTA networks. The data collection was performed in two stages: stage 1-agency Web-site assessment using a standardized questionnaire, followed by review and validation of the collected data by a representative of the agency; and stage 2-semi-structured telephone interviews with key informants of a sub-sample of agencies. In total, thirty-six HTA agencies across twenty non-EU countries assessing medical devices were included. Twenty-seven of thirty-six (75 percent) agencies were judged at stage 1 to have adopted HTA-specific approaches for medical devices (MD-specific agencies) that were largely organizational or procedural. There appeared to be few differences in the organization, process and methods between MD-specific and non-MD-specific agencies. Although the majority (69 percent) of both categories of agency had specific methods guidance or policy for evidence submission, only one MD-specific agency had developed methodological guidelines specific to medical devices. In stage 2, many MD-specific agencies cited insufficient resources (budget, skilled employees), lack of coordination (between regulator and reimbursement bodies), and the inability to generalize findings from evidence synthesis to be key challenges in the HTA of medical devices. The lack of evidence for differentiation in scientific methods for HTA of devices raises the question of whether HTA needs to develop new methods for medical devices but rather adapt existing methodological approaches. In contrast, organizational and/or procedural adaptation of existing HTA agency frameworks to accommodate medical devices appear relatively commonplace.

  9. Labor unions and safety climate: perceived union safety values and retail employee safety outcomes.

    PubMed

    Sinclair, Robert R; Martin, James E; Sears, Lindsay E

    2010-09-01

    Although trade unions have long been recognized as a critical advocate for employee safety and health, safety climate research has not paid much attention to the role unions play in workplace safety. We proposed a multiple constituency model of workplace safety which focused on three central safety stakeholders: top management, ones' immediate supervisor, and the labor union. Safety climate research focuses on management and supervisors as key stakeholders, but has not considered whether employee perceptions about the priority their union places on safety contributes contribute to safety outcomes. We addressed this gap in the literature by investigating unionized retail employee (N=535) perceptions about the extent to which their top management, immediate supervisors, and union valued safety. Confirmatory factor analyses demonstrated that perceived union safety values could be distinguished from measures of safety training, workplace hazards, top management safety values, and supervisor values. Structural equation analyses indicated that union safety values influenced safety outcomes through its association with higher safety motivation, showing a similar effect as that of supervisor safety values. These findings highlight the need for further attention to union-focused measures related to workplace safety as well as further study of retail employees in general. We discuss the practical implications of our findings and identify several directions for future safety research. 2009 Elsevier Ltd. All rights reserved.

  10. Surveillance and laboratory detection for non-polio enteroviruses in the European Union/European Economic Area, 2016

    PubMed Central

    Harvala, Heli; Jasir, Aftab; Penttinen, Pasi; Pastore Celentano, Lucia; Greco, Donato; Broberg, Eeva

    2017-01-01

    Enteroviruses (EVs) cause severe outbreaks of respiratory and neurological disease as illustrated by EV-D68 and EV-A71 outbreaks, respectively. We have mapped European laboratory capacity for identification and characterisation of non-polio EVs to improve preparedness to respond to (re)-emerging EVs linked to severe disease. An online questionnaire on non-polio EV surveillance and laboratory detection was submitted to all 30 European Union (EU)/European Economic Area (EEA) countries. Twenty-nine countries responded; 26 conducted laboratory-based non-polio EV surveillance, and 24 included neurological infections in their surveillance. Eleven countries have established specific surveillance for EV-D68 via sentinel influenza surveillance (n = 7), typing EV-positive respiratory samples (n = 10) and/or acute flaccid paralysis surveillance (n = 5). Of 26 countries performing non-polio EV characterisation/typing, 10 further characterised culture-positive EV isolates, whereas the remainder typed PCR-positive but culture-negative samples. Although 19 countries have introduced sequence-based EV typing, seven still rely entirely on virus isolation. Based on 2015 data, six countries typed over 300 specimens mostly by sequencing, whereas 11 countries characterised under 50 EV-positive samples. EV surveillance activity varied between EU/EEA countries, and did not always specifically target patients with neurological and/or respiratory infections. Introduction of sequence-based typing methods is needed throughout the EU/EEA to enhance laboratory capacity for the detection of EVs. PMID:29162204

  11. Surveillance and laboratory detection for non-polio enteroviruses in the European Union/European Economic Area, 2016.

    PubMed

    Harvala, Heli; Jasir, Aftab; Penttinen, Pasi; Pastore Celentano, Lucia; Greco, Donato; Broberg, Eeva

    2017-11-01

    Enteroviruses (EVs) cause severe outbreaks of respiratory and neurological disease as illustrated by EV-D68 and EV-A71 outbreaks, respectively. We have mapped European laboratory capacity for identification and characterisation of non-polio EVs to improve preparedness to respond to (re)-emerging EVs linked to severe disease. An online questionnaire on non-polio EV surveillance and laboratory detection was submitted to all 30 European Union (EU)/European Economic Area (EEA) countries. Twenty-nine countries responded; 26 conducted laboratory-based non-polio EV surveillance, and 24 included neurological infections in their surveillance. Eleven countries have established specific surveillance for EV-D68 via sentinel influenza surveillance (n = 7), typing EV-positive respiratory samples (n = 10) and/or acute flaccid paralysis surveillance (n = 5). Of 26 countries performing non-polio EV characterisation/typing, 10 further characterised culture-positive EV isolates, whereas the remainder typed PCR-positive but culture-negative samples. Although 19 countries have introduced sequence-based EV typing, seven still rely entirely on virus isolation. Based on 2015 data, six countries typed over 300 specimens mostly by sequencing, whereas 11 countries characterised under 50 EV-positive samples. EV surveillance activity varied between EU/EEA countries, and did not always specifically target patients with neurological and/or respiratory infections. Introduction of sequence-based typing methods is needed throughout the EU/EEA to enhance laboratory capacity for the detection of EVs.

  12. Union Agitators

    ERIC Educational Resources Information Center

    Honawar, Vaishali

    2006-01-01

    A decade has passed since a few union leaders formed the network known as Teacher Union Reform Network (TURN) to search for innovative ways to enhance education. Selling their message has not always been easy. Created in 1995, TURN was the brain child of Adam Urbanski, the president of the Rochester (N.Y.) Teachers Association for the past 25…

  13. Learning from malpractice claims about negligent, adverse events in primary care in the United States

    PubMed Central

    Phillips, R; Bartholomew, L; Dovey, S; Fryer, G; Miyoshi, T; Green, L

    2004-01-01

    Background: The epidemiology, risks, and outcomes of errors in primary care are poorly understood. Malpractice claims brought for negligent adverse events offer a useful insight into errors in primary care. Methods: Physician Insurers Association of America malpractice claims data (1985–2000) were analyzed for proportions of negligent claims by primary care specialty, setting, severity, health condition, and attributed cause. We also calculated risks of a claim for condition-specific negligent events relative to the prevalence of those conditions in primary care. Results: Of 49 345 primary care claims, 26 126 (53%) were peer reviewed and 5921 (23%) were assessed as negligent; 68% of claims were for negligent events in outpatient settings. No single condition accounted for more than 5% of all negligent claims, but the underlying causes were more clustered with "diagnosis error" making up one third of claims. The ratios of condition-specific negligent event claims relative to the frequency of those conditions in primary care revealed a significantly disproportionate risk for a number of conditions (for example, appendicitis was 25 times more likely to generate a claim for negligence than breast cancer). Conclusions: Claims data identify conditions and processes where primary health care in the United States is prone to go awry. The burden of severe outcomes and death from malpractice claims made against primary care physicians was greater in primary care outpatient settings than in hospitals. Although these data enhance information about error related negligent events in primary care, particularly when combined with other primary care data, there are many operating limitations. PMID:15069219

  14. Users and Union Catalogues

    ERIC Educational Resources Information Center

    Hartley, R. J.; Booth, Helen

    2006-01-01

    Union catalogues have had an important place in libraries for many years. Their use has been little investigated. Recent interest in the relative merits of physical and virtual union catalogues and a recent collaborative project between a physical and several virtual union catalogues in the United Kingdom led to the opportunity to study how users…

  15. Benchmarking Helps Measure Union Programs, Operations.

    ERIC Educational Resources Information Center

    Mann, Jerry

    2001-01-01

    Explores three examples of benchmarking by college student unions. Focuses on how a union can collect information from other unions for use as benchmarking standards for the purposes of selling a concept or justifying program increases, or for comparing a union's financial performance to other unions. (EV)

  16. Not Married, but not Single--Contrasting the Socio-Economic Experiences of Cohabiting Community College Students with Single, Divorced and Married Students

    ERIC Educational Resources Information Center

    Howard, Lahoma J.

    2005-01-01

    This paper is part of a larger study that focuses on how today's community college students are paying for their education. Analysis of the data collected for this study shows that students who cohabit display distinctly different characteristics than single, divorced and married students. These include such things as being more likely to have no…

  17. Non-negligible Contributions to Thermal Conductivity From Localized Modes in Amorphous Silicon Dioxide

    PubMed Central

    Lv, Wei; Henry, Asegun

    2016-01-01

    Thermal conductivity is important for almost all applications involving heat transfer. The theory and modeling of crystalline materials is in some sense a solved problem, where one can now calculate their thermal conductivity from first principles using expressions based on the phonon gas model (PGM). However, modeling of amorphous materials still has many open questions, because the PGM itself becomes questionable when one cannot rigorously define the phonon velocities. In this report, we used our recently developed Green-Kubo modal analysis (GKMA) method to study amorphous silicon dioxide (a-SiO2). The predicted thermal conductivities exhibit excellent agreement with experiments and anharmonic effects are included in the thermal conductivity calculation for all the modes in a-SiO2 for the first time. Previously, localized modes (locons) have been thought to have a negligible contribution to thermal conductivity, due to their highly localized nature. However, in a-SiO2 our results indicate that locons contribute more than 10% to the total thermal conductivity from 400 K to 800 K and they are largely responsible for the increase in thermal conductivity of a-SiO2 above room temperature. This is an effect that cannot be explained by previous methods and therefore offers new insight into the nature of phonon transport in amorphous/glassy materials. PMID:27767082

  18. ["The severe degree of negligence" and its application in the settle of medical malpractice].

    PubMed

    Wang, You-Min; Zhang, Qin-Chu

    2006-04-01

    To found the quantifiable index of "The severe degree of negligence" in describing the general severity degree of medical malpractice or medical dispute. "The severe degree of negligence" can be calculated by the way of multiplying the coefficient of medical malpractice's grade by the coefficient of responsibility degree. There are 15 grades of "The severe degree of negligence" through calculation, from the severest degree of 1 to the lightest degree of 20. "The severe degree of negligence" can give an order of severe degree to different grade and different responsibility of medical malpractice. According to this order, the operation of medical malpractice and medical dispute settle will be easier and more rationality.

  19. PLANNING AND OPERATING COLLEGE UNION BUILDINGS.

    ERIC Educational Resources Information Center

    BUTTS, PORTER

    THIS MONOGRAPH IS A DISCUSSION OF FOUR ASPECTS OF STUDENT UNIONS. PART ONE DISCUSSES THE NATURE AND PURPOSE OF A UNION AND THE UNION AS A CAMPUS CENTER. PART TWO DEALS WITH THE PLANNING OF UNION BUILDINGS AND GIVES PROCEDURES, PRINCIPLES AND CAUTIONS. UNION FACILITIES AND SERVICES ARE LISTED. PART THREE DISCUSSES THE ORGANIZATION AND ACTIVITIES OF…

  20. Establishing breach of the duty of care in the tort of negligence.

    PubMed

    Tingle, John

    This article, the third in a series on clinical negligence, looks at the law surrounding breach of the duty of care in negligence. It shows some of the principles that judges and lawyers use in order to decide whether a person has broken his/her duty of care in the tort of negligence. It will be seen that the principles are contained in decided court cases, some of which are quite old but are still relevant today. The focus of this article is on the rule that courts, in deciding the issue of a breach of duty of care, would judge the defendant's conduct by the standard of what the hypothetical, 'reasonable person' would have done in the circumstances of the case.

  1. Analysis of clinical negligence claims following tonsillectomy in England 1995 to 2010.

    PubMed

    Mathew, Rajeev; Asimacopoulos, Eleni; Walker, David; Gutierrez, Tatiana; Valentine, Peter; Pitkin, Lisa

    2012-05-01

    We determined the characteristics of medical negligence claims following tonsillectomy. Claims relating to tonsillectomy between 1995 and 2010 were obtained from the National Health Service Litigation Authority database. The number of open and closed claims was determined, and data were analyzed for primary injury claimed, outcome of claim, and associated costs. Over 15 years, there were 40 claims of clinical negligence related to tonsillectomy, representing 7.7% of all claims in otolaryngology. There were 34 closed claims, of which 32 (94%) resulted in payment of damages. Postoperative bleeding was the most common injury, with delayed recognition and treatment of bleeding alleged in most cases. Nasopharyngeal regurgitation as a result of soft palate fistulas or excessive tissue resection was the next-commonest cause of a claim. The other injuries claimed included dentoalveolar injury, bums, tonsillar remnants, and temporomandibular joint dysfunction. Inadequate informed consent was claimed in 5 cases. Clinical negligence claims following tonsillectomy have a high success rate. Although postoperative bleeding is the most common cause of negligence claims, a significant proportion of claims are due to rare complications of surgery. Informed consent should be tailored to the individual patient and should include a discussion of common and serious complications.

  2. DSM-IV 12-month and lifetime major depressive disorder and romantic relationships among African Americans.

    PubMed

    Taylor, Robert Joseph; Chae, David H; Chatters, Linda M; Lincoln, Karen D; Brown, Edna

    2012-12-15

    This brief report examines the association between marital and relationship status and 12-month and lifetime prevalence of major depressive disorder (MDD) among African Americans. Previous work has found that adults with major depressive disorder are less likely to be married or in a cohabiting relationship. This report extends previous research by investigating whether unmarried, non-cohabiting African Americans with depression are also less likely to be involved in a romantic relationship. Data are from the African American sub-sample (n=3570) of the National Survey of American Life (NSAL; 2001-2003). The DSM-IV World Mental Health Composite International Diagnostic Interview was used to assess 12-month and lifetime MDD. Weighted logistic regression was used. The findings indicate that for both 12-month and lifetime major depressive disorder, African Americans who are depressed are not only less likely to be married; they are also significantly less likely to be involved in a romantic relationship. This is particularly the case for 12-month depression. Due to limitations in the number of cohabiting respondents, currently married and cohabiting respondents were combined into a single category. The findings of this brief report highlight the importance of changes in marital and relationship circumstances of the U.S. population for research and practice on depression and other psychiatric disorders. Our study provides evidence for a more nuanced approach in which examining marital and romantic relationship status together promotes a better understanding of the impact of major depression on romantic unions. Copyright © 2012 Elsevier B.V. All rights reserved.

  3. [Unionization on Campus].

    ERIC Educational Resources Information Center

    Douglas, Joel M., Ed.

    1982-01-01

    This newsletter issue considers in separate articles: (1) unionization in 1981 among college faculty in the United States; (2) unionization at the California State University and College System (CSU) (by Lisa Flanzraich); (3) multi-year agreements; (4) contract size; (5) and, in "Yeshivawatch," developments pertaining to the National…

  4. 32 CFR 536.128 - Effect of disciplinary action, voluntary restitution, or contributory negligence for claims under...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... restitution, or contributory negligence for claims under the UCMJ. 536.128 Section 536.128 National Defense... action, voluntary restitution, or contributory negligence for claims under the UCMJ. (a) Disciplinary... claimant. (c) Contributory negligence. A claim otherwise cognizable and meritorious is payable whether or...

  5. Parenting across Racial and Class Lines: Assortative Mating Patterns of New Parents Who Are Married, Cohabiting, Dating or No Longer Romantically Involved

    ERIC Educational Resources Information Center

    Goldstein, Joshua R.; Harknett, Kristen

    2006-01-01

    We examine the assortative mating patterns of new parents who are married, cohabiting, romantically involved and no longer romantically involved. Using data from the Fragile Families and Child Wellbeing study, we find that relationship status at the time of a birth depends mainly on father's race rather than on whether mother and father's…

  6. 75 FR 64785 - Corporate Credit Unions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-20

    ...NCUA is issuing final amendments to its rule governing corporate credit unions. The major revisions involve corporate credit union capital, investments, asset-liability management, governance, and credit union service organization (CUSO) activities. The amendments establish a new capital scheme, including risk-based capital requirements; impose new prompt corrective action requirements; place various new limits on corporate investments; impose new asset-liability management controls; amend some corporate governance provisions; and limit a corporate CUSO to categories of services preapproved by NCUA. In addition, this rulemaking contains conforming amendments to rules governing Prompt Corrective Action (for natural person credit unions); Investments and Deposit Activities (for federal credit unions); Administrative Actions, Adjudicative Hearings, Rules of Practice and Procedure, and Investigations; and Involuntary Liquidation of Federal Credit Unions and Adjudication of Creditor Claims Involving Federally Insured Credit Unions. These amendments will strengthen individual corporates and the corporate credit union system as a whole.

  7. Medical records and issues in negligence

    PubMed Central

    Thomas, Joseph

    2009-01-01

    It is very important for the treating doctor to properly document the management of a patient under his care. Medical record keeping has evolved into a science of itself. This will be the only way for the doctor to prove that the treatment was carried out properly. Moreover, it will also be of immense help in the scientific evaluation and review of patient management issues. Medical records form an important part of the management of a patient. It is important for the doctors and medical establishments to properly maintain the records of patients for two important reasons. The first one is that it will help them in the scientific evaluation of their patient profile, helping in analyzing the treatment results, and to plan treatment protocols. It also helps in planning governmental strategies for future medical care. But of equal importance in the present setting is in the issue of alleged medical negligence. The legal system relies mainly on documentary evidence in a situation where medical negligence is alleged by the patient or the relatives. In an accusation of negligence, this is very often the most important evidence deciding on the sentencing or acquittal of the doctor. With the increasing use of medical insurance for treatment, the insurance companies also require proper record keeping to prove the patient's demand for medical expenses. Improper record keeping can result in declining medical claims. It is disheartening to note that inspite of knowing the importance of proper record keeping it is still in a nascent stage in India. It is wise to remember that “Poor records mean poor defense, no records mean no defense”. Medical records include a variety of documentation of patient's history, clinical findings, diagnostic test results, preoperative care, operation notes, post operative care, and daily notes of a patient's progress and medications. A properly obtained consent will go a long way in proving that the procedures were conducted with the

  8. 77 FR 16267 - Community Development Revolving Loan Fund Access for Credit Unions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-20

    ... union's marketing strategy to reach members and the community; and include financial projections. 6. Non... Application its strategy for raising matching funds if NCUA determines matching funds are required (see 12 CFR... Funds: Submit a narrative describing its strategy for raising matching funds from non-federal sources if...

  9. Closed medical negligence claims can drive patient safety and reduce litigation.

    PubMed

    Pegalis, Steven E; Bal, B Sonny

    2012-05-01

    Medical liability reform is viewed by many physician groups as a means of reducing medical malpractice litigation and lowering healthcare costs. However, alternative approaches such as closed medical negligence claims data may also achieve these goals. We asked whether information gleaned from closed claims related to medical negligence could promote patient safety and reduce costs related to medical liability. Specifically, we investigated whether physician groups have examined such data to identify error patterns and to then institute specific patient treatment protocols. We searched for medical societies that have systematically examined closed medical negligence claims in their specialty to develop specific standards of physician conduct. We then searched the medical literature for published evidence of the efficacy, if any, related to the patient safety measures thus developed. Anesthesia and obstetric physician societies have successfully targeted costs and related concerns arising from medical malpractice lawsuits by using data from closed claims to develop patient safety and treatment guidelines. In both specialties, after institution of safety measures derived from closed medical negligence claims, the incidence and costs related to medical malpractice decreased and physician satisfaction improved. Tort reform, in the form of legislatively prescribed limits on damages arising from lawsuits, is not the only means of addressing the incidence and costs related to medical malpractice litigation. As the experience of anesthesia and obstetric physicians has demonstrated, safety guidelines derived from analyzing past medical malpractice litigation can achieve the same goals while also promoting patient safety.

  10. English in the Union Hall.

    ERIC Educational Resources Information Center

    Trebble, Maggi; Wallace, David

    1982-01-01

    A course developed by a college in conjunction with a major union focused entirely on English as a means of becoming more active in the union, understanding the collective bargaining agreement, and defending union member rights. Program development, material development, and teaching methods are discussed. (MSE)

  11. Virtual OPACs versus Union Database: Two Models of Union Catalogue Provision.

    ERIC Educational Resources Information Center

    Cousins, Shirley

    1999-01-01

    Considers some of the major technical and organizational issues involved in virtual-catalog production, contrasting them with the traditional union catalog approach exemplified by COPAC, an online public-access catalog composed of academic libraries in the United Kingdom. Suggest a method of integrating these two models of the union catalog.…

  12. Housing Dependence and Intimate Relationships in the Lives of Low-Income Puerto Rican Mothers*

    PubMed Central

    Clark, Sherri Lawson; Burton, Linda M.; Flippen, Chenoa A.

    2011-01-01

    Using longitudinal ethnographic data from the Three-City Study, we examined the relationship between sixteen low-income Puerto Rican mothers’ housing dependencies and their intimate partner relations. We traced mothers’ dependent housing arrangements and entrée to marital or cohabiting relationships from their teens through their procurement of independent housing while entering and maintaining intimate partner unions as adults. Findings indicated that various trigger factors led women out of their natal homes and into expedited cohabitation with romantic partners which frequently resulted in unstable unions in which mothers had little power and autonomy. As mothers became eligible for housing subsidies they obtained housing independent from their male partners, potentially increasing the propensity for greater relationship power. Housing independence, however, was not without problems. Spillover effects, such as shadowing partners, threatened housing stability and mothers’ independence. The relevance of these findings for future research is discussed. PMID:21785522

  13. An Examination of Negligence, Assumption of Risk, and Risk Management in Outdoor Recreation.

    ERIC Educational Resources Information Center

    Teague, Travis L.

    This paper stresses the outdoor recreation and education professionals should understand aspects of liability, negligence, and risk management. There are four elements that must be present if a person or organization is to be considered negligent: the presence of a legal duty of care, a breach of duty, proximate cause, and actual damages. When…

  14. Union Members Are Community Members

    ERIC Educational Resources Information Center

    Gray, David

    2013-01-01

    Unions serve their members' interests. But union members are also community members, and their interests go well beyond increasing pay and benefits. A local union president has found that his members are best served by participating in a community-wide coalition. Providing eyeglasses to needy students, promoting healthy eating, and increasing…

  15. Teacher Unions 101

    ERIC Educational Resources Information Center

    Koppich, Julia E.

    2012-01-01

    Teacher unions are hard to miss in the news lately. Newspapers, blogs, social media posts, magazine articles, and political speeches abound with talk of them. Teacher unions are a hot topic and one that probably was not covered in college classes. The noisy back-and-forth among partisans can be both mind-numbing and confusing, often creating a…

  16. How the contractualist account of preconception negligence undermines prenatal reproductive autonomy.

    PubMed

    Melanson, Glen

    2013-08-01

    Suppose a physician advises a woman to delay her planned pregnancy for a few months in order to significantly reduce the likelihood that her baby will suffer with Spina Bifida. If the woman chooses to ignore this advice and conceives soon after, I believe most people would consider it a matter of common sense that the child thus born is a victim of this woman's negligence, even if it is fortunate enough to not be burdened with Spina Bifida. This common sense judgement appeared to have been done in by the fact that the timing of conception can be identity-influencing, and so the child that is born only exists because of its mother's decision to ignore her physician's advice. However, recently, contemporary contractualist theories have been used to make sense of preconception negligence towards persons whose existence is a result of that same negligence. I will briefly discuss this interesting development and then show how this retrieval of the common sense judgement comes at a great cost to prenatal reproductive autonomy.

  17. The professional standard of care in clinical negligence.

    PubMed

    Tingle, John

    The general principle of law relating to breach of duty in the tort of negligence has been discussed during this series of articles. This article continues that discussion in relation to healthcare professionals such as nurses and doctors, and how the law affects their case. The issue of the expanded role of the nurse is also discussed.

  18. Unintended, but still blameworthy: the roles of awareness, desire, and anger in negligence, restitution, and punishment.

    PubMed

    Laurent, Sean M; Nuñez, Narina L; Schweitzer, Kimberly A

    2016-11-01

    Two experiments (Experiment 1 N = 149, Experiment 2 N = 141) investigated how two mental states that underlie how perceivers reason about intentional action (awareness of action and desire for an outcome) influence blame and punishment for unintended (i.e., negligent) harms, and the role of anger in this process. Specifically, this research explores how the presence of awareness (of risk in acting, or simply of acting) and/or desire in an acting agent's mental states influences perceptions of negligence, judgements that the acting agent owes restitution to a victim, and the desire to punish the agent, mediated by anger. In both experiments, awareness and desire led to increased anger at the agent and increased perception of negligence. Anger mediated the effect of awareness and desire on negligence rather than negligence mediating the effect of mental states on anger. Anger also mediated punishment, and negligence mediated the effects of anger on restitution. We discuss how perceivers consider mental states such as awareness, desire, and knowledge when reasoning about blame and punishment for unintended harms, and the role of anger in this process.

  19. Estimating the cost of compensating victims of medical negligence.

    PubMed Central

    Fenn, P.; Hermans, D.; Dingwall, R.

    1994-01-01

    The current system in Britain for compensating victims of medical injury depends on an assessment of negligence. Despite the sporadic pressure on the government to adopt a "no fault" approach, such as exists in Sweden, the negligence system will probably remain for the immediate future. The cost of this system was estimated to be 52.3m pounds for England 1990-1. The problem for the future, however, is one of forecasting accuracy at provider level: too high a guess and current patient care will suffer; too low a guess and future patient care will suffer. The introduction of a mutual insurance scheme may not resolve these difficulties, as someone will have to set the rates. Moreover, the figures indicate that if a no fault scheme was introduced the cost might be four times that of the current system, depending on the type of scheme adopted. PMID:8081145

  20. Genomics in rugby union: A review and future prospects.

    PubMed

    Heffernan, Shane M; Kilduff, Liam P; Day, Stephen H; Pitsiladis, Yannis P; Williams, Alun G

    2015-01-01

    This article introduces some aspects of sports genomics in a rugby union context, considers the rugby-specific genetic data in the published literature and outlines the next research steps required if the potential applications of genetic technology in rugby union, also identified here, are to become possible. A substantial proportion of the inter-individual variation for many traits related to rugby performance, including strength, short-term muscle power, VO2 max, injury susceptibility and the likelihood of being an elite athlete is inherited and can be investigated using molecular genetic techniques. In sports genomics, significant efforts have been made in recent years to develop large DNA biobanks of elite athletes for detailed exploration of the heritable bases of those traits. However, little effort has been devoted to the study of rugby athletes, and most of the little research that has focused on rugby was conducted with small cohorts of non-elite players. With steadily growing knowledge of the molecular mechanisms underpinning complex performance traits and the aetiology of injury, investigating sports genomics in the context of rugby is now a viable proposition and a worthwhile endeavour. The RugbyGene project we describe briefly in this article is a multi-institutional research collaboration in rugby union that will perform molecular genetic analyses of varying complexity. Genetic tests could become useful tools for rugby practitioners in the future and provide complementary and additional information to that provided by the non-genetic tests currently used.

  1. The Specter of Divorce: Views from Working- and Middle-Class Cohabitors

    ERIC Educational Resources Information Center

    Miller, Amanda J.; Sassler, Sharon; Kusi-Appouh, Dela

    2011-01-01

    Young Americans increasingly express apprehension about their ability to successfully manage intimate relationships. Partially in response, cohabitation has become normative over the past few decades. Little research, however, examines social class distinctions in how emerging adults perceive challenges to sustaining intimate unions. We examine…

  2. Children’s experiences of family disruption in Sweden: Differentials by parent education over three decades

    PubMed Central

    Kennedy, Sheela; Thomson, Elizabeth

    2010-01-01

    This paper examines the living arrangements of Swedish children from 1970 through 1999 using the Level of Living Survey. Sweden, with low levels of economic inequality and a generous welfare state, provides an important context for studying socioeconomic differentials in family structure. We find that, although differences by parent education in non-marital childbearing are substantial and persistent, cohabiting childbearing is common even among highly educated Swedish parents. Educational differences in family instability were small during the 1970s, but increased over time as a result of rising union disruption among less-educated parents (secondary graduates or less). Children in more advantaged families experienced substantially less change in family structure and instability over the study period. Although cohabiting parents were more likely to separate than parents married at the child’s birth, differences were greater for the less-educated. Data limitations precluded investigating these differences across time. We conclude that educational differences in children’s living arrangements in Sweden have grown, but remain small in international comparisons. PMID:21113397

  3. The high cost of clinical negligence litigation in the NHS.

    PubMed

    Tingle, John

    2017-03-09

    John Tingle, Reader in Health Law at Nottingham Trent University, discusses a consultation document from the Department of Health on introducing fixed recoverable costs in lower-value clinical negligence claims.

  4. Does anonymous sperm donation increase the risk for unions between relatives and the incidence of autosomal recessive diseases due to consanguinity?

    PubMed

    Serre, Jean-Louis; Leutenegger, Anne-Louise; Bernheim, Alain; Fellous, Marc; Rouen, Alexandre; Siffroi, Jean-Pierre

    2014-03-01

    In France gamete donation and notably sperm donation are anonymous. It has been claimed that anonymous artificial insemination by donor (AID) could highly contribute to an increase in the level of consanguinity and the incidence of autosomal recessive diseases, due to the unions between offspring of anonymous donors, unaware of their biological kinship, with the special case of unions between half-siblings. The actual incidence of consanguinity due to AID was compared with that resulting from the two other main sources of consanguinity and recessive diseases, i.e. voluntary unions between related individuals or inadvertent unions between the offspring of a common unknown male ancestor (false paternity). From these data, we estimated that expected unions in France between half sibs per year are 0.12 between offspring of sperm donors (1.2 every 10 years) and 0.5 between offspring of common male ancestors through false paternity (5 every 10 years). More generally, the inadvertent unions between false paternity offspring are roughly four times more frequent than those resulting from anonymous AID. We estimated that in the future, when AID has been in practice for several generations, out the 820 000 annual births in France, respectively, 6 and 25 births will be consanguineous through an unknown common ancestor related to anonymous AID and to a false paternity, both of which are negligible when compared with the 1256 children born from first-degree cousins. About 672 children per year are born with a recessive genetic disease due to the panmictic risk and additional affected cases due to consanguinity would be 34.54 for first-cousin offspring, 0.33 for offspring of individuals related due to false paternity and 0.079 for offspring of individuals related due to anonymous AID. Anonymous AID would therefore be responsible for 0.46% of consanguineous births and for 0.01% of recessive diseases. Therefore, the effect of anonymous AID on half-sibling unions, consanguinity and

  5. The impact of ART on union dissolution: a register-based study in Denmark 1994-2010.

    PubMed

    Martins, Mariana Veloso; Vassard, Ditte; Hougaard, Charlotte Ørsted; Schmidt, Lone

    2018-01-23

    Are couples initiating ART treatment at higher risk for future union dissolution compared to other couples? There is no effect of ART treatments in future marital dissolution over a period of 16 years when adjusting for all confounders. Findings regarding marital stability and infertility treatments have been sparse and controversial. While there is data showing higher divorce rates among women who go through infertility treatments, there is also some evidence of this experience bringing couples closer by forcing them to communicate more and to deal with the surrounding stigma. Using a population-based study and couple-level data, we investigated the extent to which ART treatment increases the risk for divorce/marital dissolution during up to 16 years of follow-up. Register-based national cohort study including all women registered with ART treatment in Denmark between 1 January 1994 and 30 September 2009 (n = 42 845). Marital/cohabiting status was confirmed by matching these women to partners who they were married to or shared an address with. To account for having a significant relationship at baseline (2 years), marital/cohabiting status was confirmed by accessing this variable before the establishment of the cohort back to 1 January 1992. A comparison group from the background population including five controls per case and matched to female age at baseline was prospectively sampled. Participants could change status during follow-up if they entered ART. The final sample had 148 972 couples, followed until marital dissolution, death of self/spouse, migration or until 31 December 2010. We used Cox regression models adjusting for female and male age, education, marriage, common child at baseline and live-born child during follow-up. At baseline, the majority of couples were married (69%). More non-ART couples opted for marriage (70% versus 64%; P < 0.0001) and already had common children at study entry (43% versus 9%; P < 0.0001). During the 16 years of follow

  6. The Unions and the Relaunching of European Social Policy

    ERIC Educational Resources Information Center

    Guasconi, Maria Eleonora

    2004-01-01

    The question of European trade unions' approach towards vocational training is an interesting example of a broader issue, involving both the role played by non-governmental actors in shaping the social dimension of the integration process, and the need to develop a social dialogue in the Community. In this context, the establishment of Cedefop in…

  7. Gender and Union Organizing.

    ERIC Educational Resources Information Center

    Crain, Marion

    1994-01-01

    Results of 196 usable surveys from and 22 interviews with union organizers showed that some service sector and pink-collar occupation organizers used different organizing styles in predominantly female occupations. Female organizers, especially in manufacturing unions, tended to be explicitly gender conscious. (SK)

  8. Determinants of fertility desire among married or cohabiting individuals in Rakai, Uganda: a cross-sectional study.

    PubMed

    Matovu, Joseph K B; Makumbi, Fredrick; Wanyenze, Rhoda K; Serwadda, David

    2017-01-10

    Recent trends in fertility rates indicate declines in total fertility rate (TFR) in some sub-Saharan African countries. However, countries such as Uganda continue to have a persistently high TFR partly attributed to strong preferences for large family sizes. We explored the factors that influence fertility desire among married or cohabiting individuals in Rakai, a rural district in southwestern Uganda. This cross-sectional study of fertility desire (desire to have another child) was nested in a cluster-randomized demand-creation intervention trial for the promotion of couples' HIV counseling and testing uptake among married or cohabiting individuals that was conducted in Rakai district between March 1 and April 30, 2015. A total of 1490 married or cohabiting individuals, resident in three study regions with differing background HIV prevalence, were enrolled into the study. Data were collected on socio-demographic, behavioral and fertility-related characteristics. We used a modified Poisson regression model to generate prevalence ratio (PR) as a measure of association for factors that were independently associated with fertility desire. We adjusted for clustering at community level and used STATA version 14.0 for all analyses. Overall, fertility desire was high (63.1%, n = 940); higher in men (69.9%, n = 489) than women (57.1%, n = 451). More than three-quarters (78.8%, n = 1174) had 3+ biological children while slightly more than two-thirds (68.5%, n = 1020) reported an ideal family size of 5+ children. Only 30% (n = 452) reported that they had attained their desired family size. After adjusting for potential and suspected confounders, the factors that were negatively associated with fertility desire were: age 30-39 (adjusted prevalence ratio [aPR] = 0.82, 95% CI: 0.78, 0.86) and 40+ years (aPR = 0.65, 95% CI: 0.60, 0.71); having six or more biological children (aPR = 0.88, 95% CI: 0.80, 0.97); being HIV-positive (aPR = 0

  9. Explaining cross-national differences in marriage, cohabitation, and divorce in Europe, 1990-2000.

    PubMed

    Kalmijn, Matthijs

    2007-11-01

    European countries differ considerably in their marriage patterns. The study presented in this paper describes these differences for the 1990s and attempts to explain them from a macro-level perspective. We find that different indicators of marriage (i.e., marriage rate, age at marriage, divorce rate, and prevalence of unmarried cohabitation) cannot be seen as indicators of an underlying concept such as the 'strength of marriage'. Multivariate ordinary least squares (OLS) regression analyses are estimated with countries as units and panel regression models are estimated in which annual time series for multiple countries are pooled. Using these models, we find that popular explanations of trends in the indicators - explanations that focus on gender roles, secularization, unemployment, and educational expansion - are also important for understanding differences among countries. We also find evidence for the role of historical continuity and societal disintegration in understanding cross-national differences.

  10. Partnering across the Life Course: Sex, Relationships, and Mate Selection

    ERIC Educational Resources Information Center

    Sassler, Sharon

    2010-01-01

    Marital delay, relationship dissolution and churning, and high divorce rates have extended the amount of time individuals in search of romantic relationships spend outside of marital unions. The scope of research on intimate partnering now includes studies of "hooking up," Internet dating, visiting relationships, cohabitation, marriage following…

  11. 48 CFR 3022.101-70 - Admittance of union representatives to DHS installations.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... working hours. (b) Whenever a non-employee labor union representative is denied entry to a work site, the..., if any, within two working days after the request for entry is denied. The report shall include the...

  12. Using the OCLC union listing component for a statewide health sciences union list of serials.

    PubMed

    Sutton, L S; Wolfgram, P A

    1986-04-01

    Union lists of serials are critical to the effective operation of interlibrary loan networks. The Michigan Health Sciences Libraries Association used the OCLC union list component to produce the Michigan Statewide Health Sciences Union List of Serials (MISHULS). MISHULS, which includes the serials holdings of ninety-three hospital health sciences libraries, is a subset of a statewide multi-type union list maintained on OCLC. The rationale for a statewide list and the criteria for choosing vendors are discussed. Typical costs are provided. Funding sources are identified and a unique approach to decentralized input is described. The benefits of resource sharing in a larger, multi-type library network are also explored.

  13. Single Stage Treatment of Non - Union of Transcervical Neck Femur Fracture with Shepherd Crook Deformity of Proximal Femur in A Case of Fibrous Dysplasia using Dynamic Hip Screw Fixation.

    PubMed

    Vk, Kandhari; Ss, Bava; Mm, Desai; Rn, Wade

    2015-01-01

    Fibrous dysplasia is a rare benign disorder of the skeletal system characterized by fibro osseous proliferation with intervening areas of normal or immature bone in the intramedullary region. It can either be a monostotic (involves one bone) or a polyostotic (involves more than one bone) presentation and usually occurs equally in males and females. Deformities like scoliosis and shepherd's crook deformity are frequently encountered in the polyostotic form. We report a rare managed case of bilateral non-union of the pathological fracture of femur neck with shepherd's crook deformity of the proximal femur in a case of polyostotic fibrous dysplasia. A 16 years old female case of polyostotic fibrous dysplasia had bilateral Shepherd's crook deformity of the proximal femur with bilateral non - union of pathological fracture of neck femur. We managed each side in one stage with two osteotomies. On the right side, first oblique osteotomy was done from just distal to the greater trochanter up to the level of the neck and the second; lateral closing wedge abduction osteotomy was done at the subtrochanteric level. 2 months later on the left side double lateral closing wedge abduction osteotomies were performed both at the subtrochanteric level. Fixation of both the sides was done using a 135° Dynamic Richard's screw with a long side plate to span the osteotomy sites and the lesion. Post - operatively we achieved a neck shaft angle of 135° on right side and 133° on the left side. Follow up imaging showed union at both the osteotomy sites bilaterally and also at the site of the pathological fracture of neck femur. Presently, at 18 months post - operatively, patient is walking full weight bearing without support and there are no signs of recurrence of lesions of fibrous dysplasia or the deformity. Double osteotomy is an easy and effective method to correct the shepherd's crook deformity and achieve correct mechanical alignment. Dynamic hip screw with long side plate is a

  14. Unions, Contractors and CTE

    ERIC Educational Resources Information Center

    Jarosz, Francesca

    2006-01-01

    Across Illinois, in places where unions thrive, construction industry professionals and career and technical education (CTE) teachers are working together in promoting work-based learning program to students. Likewise, the outreach program provides union-supported contractors with qualified candidates for future employment. Programs such as the…

  15. Sustainability in the Union

    ERIC Educational Resources Information Center

    Brown, Patrick; Taylor, John

    2012-01-01

    Operating as the center of student life, college unions have a central role to teach citizenship, social responsibility, and leadership. Unions can serve as locations for education and conversations about sustainability, as well as for organizations operationally and programmatically engaged in sustainable practices. In this chapter, the authors…

  16. Clinical negligence claims in pediatric surgery in England: pattern and trends.

    PubMed

    Thyoka, Mandela

    2015-02-01

    We hypothesized that there has been an increase in the number of successful litigation claims in pediatric surgery in England. Our aim was to report the incidence, causes, and costs of clinical negligence claims against the National Health Service (NHS) in relation to pediatric surgery. We queried the NHS Litigation Authority (NHSLA) on litigation claims among children undergoing pediatric surgery in England (2004-2012). We decided a priori to only examine closed cases (decision and payment made). Data included year of claim, year of payment of claim, payment per claim, paid-to-closed ratio, and severity of outcome of clinical incident. Out of 112 clinical negligence claims in pediatric surgery, 93 (83%) were finalized-73 (65%) were settled and damages paid to the claimant and 20 (18%) were closed with no payment, and 19 (17%) remain open. The median payment was £13,537 (600-500,000) and median total cost borne by NHSLA was £31,445 (600-730,202). Claims were lodged at a median interval of 2 (0-13) years from time of occurrence with 55 (75%) cases being settled within the 3 years of being received. The commonest reasons for claims were postoperative complications (n=20, 28%), delayed treatment (n=16, 22%), and/or diagnosis (n=14, 19%). Out of 73, 17 (23%) closed claims resulted in case fatality. Conclusion: Two-thirds of all claims in pediatric surgery resulted in payment to claimant, and the commonest reasons for claims were postoperative complications, delayed treatment, and/or diagnosis. Nearly a quarter of successful claims were in cases where negligence resulted in case fatality. Pediatric surgeons should be aware of common diagnostic and treatment shortfalls as high-risk areas of increased susceptibility to clinical negligence claims. Georg Thieme Verlag KG Stuttgart · New York.

  17. Using the OCLC union listing component for a statewide health sciences union list of serials.

    PubMed Central

    Sutton, L S; Wolfgram, P A

    1986-01-01

    Union lists of serials are critical to the effective operation of interlibrary loan networks. The Michigan Health Sciences Libraries Association used the OCLC union list component to produce the Michigan Statewide Health Sciences Union List of Serials (MISHULS). MISHULS, which includes the serials holdings of ninety-three hospital health sciences libraries, is a subset of a statewide multi-type union list maintained on OCLC. The rationale for a statewide list and the criteria for choosing vendors are discussed. Typical costs are provided. Funding sources are identified and a unique approach to decentralized input is described. The benefits of resource sharing in a larger, multi-type library network are also explored. PMID:3708192

  18. Litigation and Liabilities: Issues in Nonpublic Schools (Negligent Hiring and Retention and Employer Liability).

    ERIC Educational Resources Information Center

    Perrotta, Robert A.

    The torts of negligent hiring and negligent retention occur when an employer breaches a duty in hiring or retaining an employee who is incompetent or unfit for the job to which the employee is assigned; and consequently, the actions of that employee proximately cause injuries to a third party. This paper examines legal issues regarding negligent…

  19. UNION-SPONSORED RETRAINING PROGRAMS.

    ERIC Educational Resources Information Center

    HOOS, IDA R.

    UNION-SPONSORED TRAINING PROGRAMS WERE PROVIDED IN THE SAN FRANCISCO BAY AREA TO UPGRADE SKILLS OF MARINE COOKS AND STEWARDS, SHIPS' RADIO OPERATORS, JOURNEYMAN PLUMBERS AND GASFITTERS, AND MEMBERS OF THE INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS (IBEW). THESE PROGRAMS WERE THE ONLY COHESIVE UNION SPONSORED CURRICULA IN THAT AREA. MAJOR…

  20. Demographic Trends in the United States: A Review of Research in the 2000s

    ERIC Educational Resources Information Center

    Cherlin, Andrew J.

    2010-01-01

    Demographic trends in the 2000s showed the continuing separation of family and household because of factors such as childbearing among single parents, the dissolution of cohabiting unions, divorce, repartnering, and remarriage. The transnational families of many immigrants also displayed this separation, as families extended across borders. In…

  1. The gut eukaryotic microbiota influences the growth performance among cohabitating shrimp.

    PubMed

    Dai, Wenfang; Yu, Weina; Zhang, Jinjie; Zhu, Jinyong; Tao, Zhen; Xiong, Jinbo

    2017-08-01

    Increasing evidence has revealed a close interplay between the gut bacterial communities and host growth performance. However, until recently, studies generally ignored the contribution of eukaryotes, endobiotic organisms. To fill this gap, we used Illumina sequencing technology on eukaryotic 18S rRNA gene to compare the structures of gut eukaryotic communities among cohabitating retarded, overgrown, and normal shrimp obtained from identically managed ponds. Results showed that a significant difference between gut eukaryotic communities differed significantly between water and intestine and among three shrimp categories. Structural equation modeling revealed that changes in the gut eukaryotic community were positively related to digestive enzyme activities, which in turn influenced shrimp growth performance (λ = 0.97, P < 0.001). Overgrown shrimp exhibited a more complex and cooperative gut eukaryotic interspecies interaction than retarded and normal shrimp, which may facilitate their nutrient acquisition efficiency. Notably, the distribution of dominant eukaryotic genera and shifts in keystone species were closely concordant with shrimp growth performance. In summary, this study provides an integrated overview on direct roles of gut eukaryotic communities in shrimp growth performance instead of well-studied bacterial assembly.

  2. Open-Source Unionism: New Workers, New Strategies

    ERIC Educational Resources Information Center

    Schmid, Julie M.

    2004-01-01

    In "Open-Source Unionism: Beyond Exclusive Collective Bargaining," published in fall 2002 in the journal Working USA, labor scholars Richard B. Freeman and Joel Rogers use the term "open-source unionism" to describe a form of unionization that uses Web technology to organize in hard-to-unionize workplaces. Rather than depend on the traditional…

  3. INFLUENCE NETWORK AGENT EFFECTIVENESS IN PROMOTING COUPLES’ HIV COUNSELING AND TESTING IN KIGALI, RWANDA

    PubMed Central

    Wall, Kristin; Karita, Etienne; Nizam, Azhar; Bekan, Brigitte; Sardar, Gurkiran; Casanova, Debbie; Joseph, Dvora; De Clercq, Freya; Kestelyn, Evelyne; Bayingana, Roger; Tichacek, Amanda; Allen, Susan

    2013-01-01

    Objective To identify predictors of promotion of couples’ voluntary counseling and testing (CVCT) in Kigali, Rwanda Design Analysis of CVCT promotional agent (influential network leaders, INLs; influential network agents, INAs), and couple/invitation-level predictors of CVCT uptake. Methods Number of invitations and couples tested were evaluated by INL, INA, and couple/contextual factors. Multivariable logistic regression accounting for two-level clustering analyzed factors predictive of couples’ testing. Results 26 INLs recruited and mentored 118 INAs who delivered 24,991 invitations. 4,513 couples sought CVCT services after invitation. INAs distributed an average of 212 invitations resulting in an average of 38 couples tested/agent. Characteristics predictive of CVCT in multivariate analyses included the invitee and INA being socially acquainted (aOR=1.4;95%CI:1.2–1.6); invitations delivered after public endorsement (aOR=1.3;95%CI:1.1–1.5); and presence of a mobile testing unit (aOR=1.4;95%CI:1.0–2.0). In stratified analyses, predictors significant among cohabiting couples included invitation delivery to the couple (aOR=1.2;95%CI:1.0–1.4) in the home (aOR=1.3;95%CI:1.1–1.4), while among non-cohabiting couples predictors included invitations given by unemployed INAs (aOR=1.7;95%CI:1.1–2.7). Cohabiting couples with older men were more likely to test, while younger age was associated with testing among men in non-cohabiting unions. Conclusions Invitations distributed by influential people were successful in prompting couples to seek joint HIV testing, particularly if the invitation was given in the home to someone known to the INA, and accompanied by a public endorsement of CVCT. Mobile units also increased the number of couples tested. Country-specific strategies to promote CVCT programs are needed to reduce HIV transmission among those at highest risk for HIV in sub-Saharan Africa. PMID:22008653

  4. A Multi-Cultural Union

    ERIC Educational Resources Information Center

    Gotbaum, Victor

    1975-01-01

    This testimony, by the president of the Municipal Employees Union before a public hearing of the New York City Commission on Human Rights in May 1974, emphasizes that occupational categories segregate its membership and discusses the unions' efforts to relieve a segregation that imposes mainly upon black and Puerto Rican citizens the lowest…

  5. Teaching Assistant Unionization: Origins and Implications.

    ERIC Educational Resources Information Center

    Rogow, Robert; Birch, Daniel R.

    1984-01-01

    Teaching assistants are unionized at most large Ontario and British Columbia universities. The institutions tend to be urban, have large graduate enrollments, and have faced greater budgetary concerns at the time of unionization. Canada's public policy and labor relations decisions have favored unionization more than the United States's have. (MSE)

  6. Adolescent Violent Victimization and Precocious Union Formation*

    PubMed Central

    C. Kuhl, Danielle; Warner, David F.; Wilczak, Andrew

    2013-01-01

    This article bridges scholarship in criminology and family sociology by extending arguments about “precocious exits” from adolescence to consider early union formation as a salient outcome of violent victimization for youths. Research indicates that early union formation is associated with several negative outcomes; yet the absence of attention to union formation as a consequence of violent victimization is noteworthy. We address this gap by drawing on life course theory and data from the National Longitudinal Study of Adolescent Health (Add Health) to examine the effect of violent victimization (“street” violence) on the timing of first co-residential union formation—differentiating between marriage and cohabitation—in young adulthood. Estimates from Cox proportional hazard models show that adolescent victims of street violence experience higher rates of first union formation, especially marriage, early in the transition to adulthood; however, this effect declines with age, as such unions become more normative. Importantly, the effect of violent victimization on first union timing is robust to controls for nonviolent delinquency, substance abuse, and violent perpetration. We conclude by discussing directions for future research on the association between violent victimization and coresidential unions with an eye toward the implications of such early union formation for desistance. PMID:24431471

  7. 12 CFR 704.3 - Corporate credit union capital.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 12 Banks and Banking 6 2011-01-01 2011-01-01 false Corporate credit union capital. 704.3 Section... CORPORATE CREDIT UNIONS § 704.3 Corporate credit union capital. (a) Capital plan. A corporate credit union... activities, and the periodic review and reassessment of the capital position of the corporate credit union...

  8. This Union Cause: An Illustrated History of Labor Unions in America. Revised Edition.

    ERIC Educational Resources Information Center

    International Union, United Automobile, Aerospace and Agricultural Implement Workers of America, Detroit, MI.

    This pamphlet on labor history highlights some of labor's economic and political actions during the past 200 years. The purpose is to provide inspiration and motivation for greater participation in union work. The introduction explains the purpose of unions--to pursue economic independence and social stature for all individuals--for defenseless…

  9. [The prevalence and influencing factors of abuse and negligence against elderly in rural areas of Anhui province].

    PubMed

    Su, Pu-yu; Hao, Jia-hu; Xiong, Li-ming; Yu, Dan-dan; Cao, Yue-ting; Fang, Yun; Jiang, Xiu-ling; Qian, Qiao-xia; Tao, Fang-biao

    2011-02-01

    To investigate the prevalence and influencing factors related to abuse and negligence against the elderly in the rural areas. 975 elderly over 60 years from 41 counties in Anhui province were included. All participants completed an anonymous questionnaire including items as: educational background, marital condition, income, child-discipline, rude action to parents, daily activities, physical functions, having chronic illness, abuse and negligence against the elderly, etc. In the last year, rates of common physical abuse, serious physical abuse, emotional abuse, financial exploitation, negligence, overall abuse and negligence against the elderly were 4.5%, 1.5%, 26.9%, 4.9%, 7.2%, 29.9% respectively. Among the 281 victims, 80.4% reported that they were suffered more than 3 times of abuse and neglect episodes, and 34.9% reported that they were suffered more than 2 forms of abuse and negligence. The primary sadism was carried out by the daughter-in-law or son-in-law (43.2%) of the elderly. Low activity on daily life and having chronic illness were the risk factors causing common physical abuse while better education was the protective factor to it. Low ability in managing daily activity of living was the risk factor causing serious physical abuse. Less active on daily life and having rude action to parents were the risk factors to emotional abuse, but being strict with their children was the protective factor to emotional abuse. Less active on daily life, often beating their children and having rude action to parents were the risk factors related to financial exploitation. Less active on daily life, having rude action to parents and having bad physical functions were the risk factors causing negligence. Less active on daily life and having rude manner to parents were the risk factors of overall elderly abuse and negligence, but being strict with their children was protective factor to the abuse and negligence against the elderly. High prevalence on abuse and

  10. Single Stage Treatment of NonUnion of Transcervical Neck Femur Fracture with Shepherd Crook Deformity of Proximal Femur in A Case of Fibrous Dysplasia using Dynamic Hip Screw Fixation

    PubMed Central

    VK, Kandhari; SS, Bava; MM, Desai; RN, Wade

    2015-01-01

    Introduction: Fibrous dysplasia is a rare benign disorder of the skeletal system characterized by fibro osseous proliferation with intervening areas of normal or immature bone in the intramedullary region. It can either be a monostotic (involves one bone) or a polyostotic (involves more than one bone) presentation and usually occurs equally in males and females. Deformities like scoliosis and shepherd’s crook deformity are frequently encountered in the polyostotic form. We report a rare managed case of bilateral non-union of the pathological fracture of femur neck with shepherd’s crook deformity of the proximal femur in a case of polyostotic fibrous dysplasia. Case Report: A 16 years old female case of polyostotic fibrous dysplasia had bilateral Shepherd’s crook deformity of the proximal femur with bilateral nonunion of pathological fracture of neck femur. We managed each side in one stage with two osteotomies. On the right side, first oblique osteotomy was done from just distal to the greater trochanter up to the level of the neck and the second; lateral closing wedge abduction osteotomy was done at the subtrochanteric level. 2 months later on the left side double lateral closing wedge abduction osteotomies were performed both at the subtrochanteric level. Fixation of both the sides was done using a 135° Dynamic Richard’s screw with a long side plate to span the osteotomy sites and the lesion. Post – operatively we achieved a neck shaft angle of 135° on right side and 133° on the left side. Follow up imaging showed union at both the osteotomy sites bilaterally and also at the site of the pathological fracture of neck femur. Presently, at 18 months post – operatively, patient is walking full weight bearing without support and there are no signs of recurrence of lesions of fibrous dysplasia or the deformity. Conclusion: Double osteotomy is an easy and effective method to correct the shepherd’s crook deformity and achieve correct mechanical

  11. The Deinstitutionalization of American Marriage

    ERIC Educational Resources Information Center

    Cherlin, Andrew J.

    2004-01-01

    This article argues that marriage has undergone a process of deinstitutionalization - a weakening of the social norms that define partners' behavior - over the past few decades. Examples are presented involving the increasing number and complexity of cohabiting unions and the emergence of same-sex marriage. Two transitions in the meaning of…

  12. Evaluation of bone remodeling in regard to the age of scaphoid non-unions.

    PubMed

    Rein, Susanne; Hanisch, Uwe; Schaller, Hans-Eberhard; Zwipp, Hans; Rammelt, Stefan; Weindel, Stefan

    2016-07-18

    To analyse bone remodeling in regard to the age of scaphoid non-unions (SNU) with immunohistochemistry. Thirty-six patients with symptomatic SNU underwent surgery with resection of the pseudarthrosis. The resected material was evaluated histologically after staining with hematoxylin-eosin (HE), tartrate resistant acid phosphatase (TRAP), CD 68, osteocalcin (OC) and osteopontin (OP). Histological examination was performed in a blinded fashion. The number of multinuclear osteoclasts in the TRAP-staining correlated with the age of the SNU and was significantly higher in younger SNU (P = 0.034; r = 0.75). A higher number of OP-immunoreactive osteoblasts significantly correlated with a higher number of OC-immunoreactive osteoblasts (P = 0.001; r = 0.55). Furthermore, a greater number of OP-immunoreactive osteoblasts correlated significantly with a higher number of OP-immunoreactive multinuclear osteoclasts (P = 0.008; r = 0.43). SNU older than 6 mo showed a significant decrease of the number of fibroblasts (P = 0.04). Smoking and the age of the patients had no influence on bone remodeling in SNU. Multinuclear osteoclasts showed a significant decrease in relation to the age of SNU. However, most of the immunhistochemical findings of bone remodeling do not correlate with the age of the SNU. This indicates a permanent imbalance of bone formation and resorption as indicated by a concurrent increase in both osteoblast and osteoclast numbers. A clear histological differentiation into phases of bone remodeling in SNU is not possible.

  13. Evaluation of bone remodeling in regard to the age of scaphoid non-unions

    PubMed Central

    Rein, Susanne; Hanisch, Uwe; Schaller, Hans-Eberhard; Zwipp, Hans; Rammelt, Stefan; Weindel, Stefan

    2016-01-01

    AIM: To analyse bone remodeling in regard to the age of scaphoid non-unions (SNU) with immunohistochemistry. METHODS: Thirty-six patients with symptomatic SNU underwent surgery with resection of the pseudarthrosis. The resected material was evaluated histologically after staining with hematoxylin-eosin (HE), tartrate resistant acid phosphatase (TRAP), CD 68, osteocalcin (OC) and osteopontin (OP). Histological examination was performed in a blinded fashion. RESULTS: The number of multinuclear osteoclasts in the TRAP-staining correlated with the age of the SNU and was significantly higher in younger SNU (P = 0.034; r = 0.75). A higher number of OP-immunoreactive osteoblasts significantly correlated with a higher number of OC-immunoreactive osteoblasts (P = 0.001; r = 0.55). Furthermore, a greater number of OP-immunoreactive osteoblasts correlated significantly with a higher number of OP-immunoreactive multinuclear osteoclasts (P = 0.008; r = 0.43). SNU older than 6 mo showed a significant decrease of the number of fibroblasts (P = 0.04). Smoking and the age of the patients had no influence on bone remodeling in SNU. CONCLUSION: Multinuclear osteoclasts showed a significant decrease in relation to the age of SNU. However, most of the immunhistochemical findings of bone remodeling do not correlate with the age of the SNU. This indicates a permanent imbalance of bone formation and resorption as indicated by a concurrent increase in both osteoblast and osteoclast numbers. A clear histological differentiation into phases of bone remodeling in SNU is not possible. PMID:27458552

  14. History and Status of the CIS Customs Union

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

    Lawson, T.M.; Erickson, S.A.

    1999-08-31

    This report explores the history of the CIS Customs Union and the major obstacles the Union faces in its implementation. Investigation of the Customs Union is necessary as its implementation could effect the Second Line of Defense (SLD) Program. Russian Customs contends that radiation detectors should not be installed along the Customs Union members borders of as the borders will be dissolved when the Union is implemented.

  15. The decline of judicial deference to medical opinion in medical negligence litigation in Malaysia.

    PubMed

    Kassim, Puteri Nemie J

    2008-06-01

    The decision of the Federal Court of Malaysia in abandoning the Bolam principle in relation to doctor's duty to disclose risks has clearly marked the decline of judicial deference to medical opinion in medical negligence litigation in Malaysia. It is undeniable that the Bolam principle has acted as a gatekeeper to the number of claims against medical practitioners. This has always been seen as necessary to protect the society from unwanted effects of defensive medicine. However, will these changes contribute significantly to the growth of medical negligence cases in Malaysia? This article will trace the development of the Bolam principle in medical negligence litigation in Malaysia since 1965 and analyse the influence of selected Commonwealth cases on the development. The implications of the Federal Court ruling will also be discussed.

  16. Dissolution of first unions in Colombia, Panama, and Peru.

    PubMed

    Goldman, N

    1981-11-01

    An analysis of marital histories from World Fertility Survey data in Colombia, Panama, and Peru indicates a high level of union dissolution: the probabilities of a first union ending by separation within twenty years of the onset of union equal .27, .40, and .18 in the three countries respectively. Dissolution probabilities are especially high among women with young ages at first union and among women residing in urban areas. For all subgroups studied, consensual unions are characterized by several times the risk of separation of legal marriages. Consensual unions are especially frequent among women in rural areas, women with little education and women who enter unions at young ages. The different prevalence of consensual unions among the different subgroups affects the associations between union stability and various correlates so that it becomes essential to investigate the factors affecting union stability for both consensual unions and legal marriages. In spite of high dissolution rates, remarriage rates in all three countries are also high, as are the percentages of time spent in a union. Hence, the potential effects of voluntary disruption of unions on fertility appear to be modest.

  17. Trade Union Mergers: A Survey of the Literature.

    ERIC Educational Resources Information Center

    Michelson, Grant

    2000-01-01

    Examines trade union mergers highlighting merger forms, merger motivation, role played by union officers, and merger waves. Discusses the consequences of mergers on members and union performance and concludes that union merger activity has had little impact. (Contains 74 references.) (JOW)

  18. Power in a Union

    ERIC Educational Resources Information Center

    Johnson, Pam

    2009-01-01

    The work unions do in providing and supporting learning for their members rarely makes the news headlines, but it will be essential if people are to engage those workers who most need to acquire new and better skills to cope in the economic downturn. In this article, the author talks about the power in a union and describes UNISON, a comparatively…

  19. The African Union and Conflict Management

    DTIC Science & Technology

    2006-03-02

    USAWC STRATEGY RESEARCH PROJECT THE AFRICAN UNION AND CONFLICT MANAGEMENT by Lieutenant Colonel Flemming Mathiasen Royal Danish Army Colonel Patrick...AUTHOR: Lieutenant Colonel Flemming Mathiasen TITLE: The African Union and Conflict Management FORMAT: Strategy Research Project DATE: 2 March 2006...WORD COUNT: 5850 PAGES: 28 KEY TERMS: African Union, Africa, Conflict Management , Capabilities CLASSIFICATION: Unclassified Africa is a continent with a

  20. 75 FR 57820 - National Credit Union Administration Restoration Plan

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-22

    ... NATIONAL CREDIT UNION ADMINISTRATION National Credit Union Administration Restoration Plan AGENCY: National Credit Union Administration (NCUA). ACTION: Approval of National Credit Union Administration restoration plan. On September 16, 2010, the National Credit Union Administration (NCUA) implemented a...

  1. Fractures Due to Gunshot Wounds: Do Retained Bullet Fragments Affect Union?

    PubMed

    Riehl, John T; Connolly, Keith; Haidukewych, George; Koval, Ken

    2015-01-01

    Many types of projectiles, including modern hollow point bullets, fragment into smaller pieces upon impact, particularly when striking bone. This study was performed to examine the effect on time to union with retained bullet material near a fracture site in cases of gunshot injury. All gunshot injuries operatively treated with internal fixation at a Level 1 Trauma Center between March 2008 and August 2011 were retrospectively reviewed. Retained bullet load near the fracture site was calculated based on percentage of material retained compared to the cortical diameter of the involved bone. Analyses were performed to assess the effect of the lead-cortical ratio and amount of comminution on time to fracture union. Thirty-two patients (34 fractures) met the inclusion criteria, with an equal number of comminuted (17) and non-comminuted fractures (17). Seventeen of 34 fractures (50%) united within 4 months, 16/34 (47%) developed a delayed union, and 1/34 (3%) developed a nonunion requiring revision surgery. Sixteen of 17 fractures (94%) that united by 4 months had a cumulative amount of bullet fragmentation retained near the fracture site of less than 20% of the cortical diameter. Nine out of 10 fractures (90%) with retained fragments near the fracture site was equal to or exceeding 20% of the cortical diameter had delayed or nonunion. Fracture comminution had no effect on time to union. The quantity of retained bullet material near the fracture site was more predictive of the rate of fracture union than was comminution. Fractures with bullet fragmentation equal to or exceeding 20% of the cortical width demonstrated a significantly higher rate of delayed union/nonunion compared to those fractures with less retained bullet material, which may indicate a local cytotoxic effect from lead on bone healing. These findings may influence decisions on timing of secondary surgeries. Level III.

  2. Fractures Due to Gunshot Wounds: Do Retained Bullet Fragments Affect Union?

    PubMed Central

    Riehl, John T.; Connolly, Keith; Haidukewych, George; Koval, Ken

    2015-01-01

    Background Many types of projectiles, including modern hollow point bullets, fragment into smaller pieces upon impact, particularly when striking bone. This study was performed to examine the effect on time to union with retained bullet material near a fracture site in cases of gunshot injury. Methods All gunshot injuries operatively treated with internal fixation at a Level 1 Trauma Center between March 2008 and August 2011 were retrospectively reviewed. Retained bullet load near the fracture site was calculated based on percentage of material retained compared to the cortical diameter of the involved bone. Analyses were performed to assess the effect of the lead-cortical ratio and amount of comminution on time to fracture union. Results Thirty-two patients (34 fractures) met the inclusion criteria, with an equal number of comminuted (17) and non-comminuted fractures (17). Seventeen of 34 fractures (50%) united within 4 months, 16/34 (47%) developed a delayed union, and 1/34 (3%) developed a nonunion requiring revision surgery. Sixteen of 17 fractures (94%) that united by 4 months had a cumulative amount of bullet fragmentation retained near the fracture site of less than 20% of the cortical diameter. Nine out of 10 fractures (90%) with retained fragments near the fracture site was equal to or exceeding 20% of the cortical diameter had delayed or nonunion. Fracture comminution had no effect on time to union. Conclusions The quantity of retained bullet material near the fracture site was more predictive of the rate of fracture union than was comminution. Fractures with bullet fragmentation equal to or exceeding 20% of the cortical width demonstrated a significantly higher rate of delayed union/nonunion compared to those fractures with less retained bullet material, which may indicate a local cytotoxic effect from lead on bone healing. These findings may influence decisions on timing of secondary surgeries. Level of Evidence Level III PMID:26361445

  3. Earth Day at Union Station

    NASA Image and Video Library

    2013-04-22

    NASA's Earth Dome is seen at Union Station, Monday, April 22, 2013 in Washington. The Earth Dome housed two of NASA's Science Gallery exhibits as part of a NASA-sponsored Earth Day event at Union Station. Photo Credit: (NASA/Carla Cioffi)

  4. The Development of Trade Unionism.

    ERIC Educational Resources Information Center

    Parker, Ronald W.

    1979-01-01

    Traces the growth and evolution of the British labor union movement, troubles between the national officials and the local shop stewards, class differences and conflict between the artisans and laborers, violence between unions, and eventual transition to peaceful constitutionalism. (MF)

  5. 76 FR 13504 - Conversions of Insured Credit Unions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-14

    ... Conversions of Insured Credit Unions AGENCY: National Credit Union Administration (NCUA). ACTION: Final rule... phrase ``Regional Director'' in NCUA's rule on credit union to mutual savings bank conversions. For... for the review and approval of certain types of credit union conversions from the Regional Directors...

  6. How to model a negligible probability under the WTO sanitary and phytosanitary agreement?

    PubMed

    Powell, Mark R

    2013-06-01

    Since the 1997 EC--Hormones decision, World Trade Organization (WTO) Dispute Settlement Panels have wrestled with the question of what constitutes a negligible risk under the Sanitary and Phytosanitary Agreement. More recently, the 2010 WTO Australia--Apples Panel focused considerable attention on the appropriate quantitative model for a negligible probability in a risk assessment. The 2006 Australian Import Risk Analysis for Apples from New Zealand translated narrative probability statements into quantitative ranges. The uncertainty about a "negligible" probability was characterized as a uniform distribution with a minimum value of zero and a maximum value of 10(-6) . The Australia - Apples Panel found that the use of this distribution would tend to overestimate the likelihood of "negligible" events and indicated that a triangular distribution with a most probable value of zero and a maximum value of 10⁻⁶ would correct the bias. The Panel observed that the midpoint of the uniform distribution is 5 × 10⁻⁷ but did not consider that the triangular distribution has an expected value of 3.3 × 10⁻⁷. Therefore, if this triangular distribution is the appropriate correction, the magnitude of the bias found by the Panel appears modest. The Panel's detailed critique of the Australian risk assessment, and the conclusions of the WTO Appellate Body about the materiality of flaws found by the Panel, may have important implications for the standard of review for risk assessments under the WTO SPS Agreement. © 2012 Society for Risk Analysis.

  7. 76 FR 16235 - Corporate Credit Unions, Technical Corrections

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-23

    ... NATIONAL CREDIT UNION ADMINISTRATION 12 CFR Part 707 RIN 3133-AD58 Corporate Credit Unions... 2010, NCUA issued technical corrections to its corporate credit union rule, published in the Federal... October 2010, NCUA published a comprehensive overhaul to its corporate credit union rule, 12 CFR part 704...

  8. The conditional indirect effect model of women's union participation: the moderating effect of perceived union tolerance for sexual harassment.

    PubMed

    Mellor, Steven; Golay, Leslie M

    2014-01-01

    We tested a theoretically trimmed model of union participation presented by Tetrick, Shore, McClurg, and Vandenberg (2007), in which perceived union instrumentality is expected to influence participation through perceived union support. This testing was accomplished as a precursor to testing a conditional indirect effect model of women's participation--in which perceived union tolerance for sexual harassment was expected to moderate the influence of perceived support on willingness to participate in union activities. In a sample of 326 women from multiple unions, we found support for the conditional model; the influence of perceived instrumentality on willingness to participate through perceived support was moderated by perceived tolerance for harassment; specifically, the influence through perceived support was weak when perceived tolerance was high. The implications of our results are discussed in reference to need support and women's participation.

  9. Establishing breach of the duty of care in the tort of negligence: 2.

    PubMed

    Tingle, John

    This article discusses the law surrounding breach of the duty of care in negligence. A mistake or error does not necessarily mean legal fault and negligence. Judges look at risks and benefits in determining what would have been the appropriate standard of care to be exercised in the circumstances and may decide that the defendant's conduct was reasonable. There are a number of interrelated factors which judges have to balance and these can be categorized as foreseeability of harm, magnitude of risk, burden of taking precautions, utility of the defendant's conduct and common practice.

  10. Delictual Negligence of Educators in Schools: The Confusing Influence of the "in loco parentis" Doctrine

    ERIC Educational Resources Information Center

    Potgieter, Johan

    2004-01-01

    This article points out that the "in loco parentis" maxim is partly to blame for introducing the confusing "reasonable parent" doctrine as the test for delictual negligence of educators in the school context. It is argued that the standard of care exercised by parents over their children is not appropriate to determine the negligence of educators.…

  11. Prevalence of and interest in unionization among staff pharmacists.

    PubMed

    Zgarrick, David P; McHugh, Patrick P; Droege, Marcus

    2006-09-01

    Although the propensity for staff pharmacists to join a labor union has never been high, conditions in the profession and workplace have changed over the last decade. Some of these changes may result in staff pharmacists joining a labor union, as well as increased interest in staff pharmacists who are currently not union members to join. The objectives of this study were to (1) assess the degree of union membership among staff pharmacists in 6 states, (2) compare the practice settings, work activities and conditions, compensation, and demographic characteristics between union and nonunion staff pharmacists, (3) assess the level of interest in joining a union among nonunion staff pharmacists, and (4) compare the practice settings, work activities and working conditions, wages and benefits, and demographic characteristics between nonunion staff pharmacists interested in joining a union and nonunion staff pharmacists who were not interested in joining a union. A biennial pharmacist compensation study was conducted in 6 states (Florida, Iowa, Illinois, Minnesota, Tennessee, Wisconsin) in late 2003. Randomly selected pharmacists were mailed a self-administered questionnaire asking about their practice setting, work activities and conditions, wages and benefits, and demographic characteristics. Respondents were also asked to indicate current membership in a union and, if not a member, their desire to unionize their workplace. Compensation and unionization data were provided by 2,180 respondents (27% usable response rate), of which 1,226 (56%) were staff pharmacists. Eight percent of the staff pharmacists were union members, whereas 18% of nonunion members would vote to unionize their workplace. There were few statistically significant differences between union and nonunion staff pharmacists regarding work activities, working conditions, and hourly wages. However, the benefits provided to union staff pharmacists differed from those provided to nonunion staff pharmacists

  12. Labor unions: a public health institution.

    PubMed

    Malinowski, Beth; Minkler, Meredith; Stock, Laura

    2015-02-01

    Using a social-ecological framework, we drew on a targeted literature review and historical and contemporary cases from the US labor movement to illustrate how unions address physical and psychosocial conditions of work and the underlying inequalities and social determinants of health. We reviewed labor involvement in tobacco cessation, hypertension control, and asthma, limiting articles to those in English published in peer-reviewed public health or medical journals from 1970 to 2013. More rigorous research is needed on potential pathways from union membership to health outcomes and the facilitators of and barriers to union-public health collaboration. Despite occasional challenges, public health professionals should increase their efforts to engage with unions as critical partners.

  13. 12 CFR 704.3 - Corporate credit union capital.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 12 Banks and Banking 7 2012-01-01 2012-01-01 false Corporate credit union capital. 704.3 Section... CORPORATE CREDIT UNIONS § 704.3 Corporate credit union capital. (a) Capital requirements. (1) A corporate... percent or greater. (2) To ensure it meets its capital requirements, a corporate credit union must develop...

  14. 12 CFR 704.3 - Corporate credit union capital.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 12 Banks and Banking 7 2014-01-01 2014-01-01 false Corporate credit union capital. 704.3 Section... CORPORATE CREDIT UNIONS § 704.3 Corporate credit union capital. (a) Capital requirements. (1) A corporate... percent or greater. (2) To ensure it meets its capital requirements, a corporate credit union must develop...

  15. 12 CFR 704.3 - Corporate credit union capital.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 12 Banks and Banking 7 2013-01-01 2013-01-01 false Corporate credit union capital. 704.3 Section... CORPORATE CREDIT UNIONS § 704.3 Corporate credit union capital. (a) Capital requirements. (1) A corporate... percent or greater. (2) To ensure it meets its capital requirements, a corporate credit union must develop...

  16. Risk factors for invasive pneumococcal disease in a community with a high proportion of non vaccine serotypes.

    PubMed

    Ciruela, Pilar; Soldevila, Núria; Hernández, Sergi; Selva, Laura; de Sevilla, Mariona F; García-García, Juan José; Moraga, Fernando; Planes, Ana María; Muñoz-Almagro, Carmen; Domínguez, Angela

    2013-01-30

    The aim of this study was to investigate factors associated with vaccination with 7-pneumococcal conjugate vaccine (PCV7) and risk factors for invasive pneumococcal disease (IPD) and for penicillin-nonsusceptible strains in a community with intermediate vaccination coverage. We conducted a prospective, matched case-control study in children aged 3-59 months with IPD admitted to two hospitals in Catalonia. Three controls matched by hospital, age, sex, date of hospitalization and risk medical conditions were selected for each case. We calculated odds ratios for potential risk factors using logistic regression. Of the 1075 children included, 46.6% were considered fully vaccinated by age. 91.1% of cases were caused by non-PCV7 serotypes. Vaccination with PCV7 was positively associated with attending day care or school and negatively associated with age 24-59 months, >4 cohabitants and low social class. Attending day care or school and >4 cohabitants were risk factors for IPD. Previous antibiotic treatment in children aged 24-59 months was a protective factor for IPD; however, antibiotic use in the previous month and age <24 months were associated with penicillin-nonsusceptible IPD. In a community where IPD in children aged <5 years is caused mainly by non-PCV7 Streptococcus pneumoniae serotypes and where vaccine coverage is only intermediate, attending day care or school, age <24 months, >4 cohabitants and social class were associated with vaccination. Attending day care or school was a strong risk factor for IPD, while vaccination was protective in children aged <24 months. Age and antibiotic use in the previous month were associated with penicillin-nonsusceptible IPD. Copyright © 2012 Elsevier Ltd. All rights reserved.

  17. The First Attempts to Unionize the Faculty

    ERIC Educational Resources Information Center

    Cain, Timothy Reese

    2010-01-01

    Background/Context: Faculty unionization is an important topic in modern higher education, but the history of the phenomenon has not yet been fully considered. This article brings together issues of professionalization and unionization and provides needed historical background to ongoing unionization efforts and debates. Purpose/Objective/Research…

  18. Reexamining the Case for Marriage: Union Formation and Changes in Well-Being

    ERIC Educational Resources Information Center

    Musick, Kelly; Bumpass, Larry

    2012-01-01

    This article addresses open questions about the nature and meaning of the positive association between marriage and well-being, namely, the extent to which it is causal, shared with cohabitation, and stable over time. We relied on data from the National Survey of Families and Households (N = 2,737) and a modeling approach that controls for fixed…

  19. Unionizing: A Guide for Child Care Workers.

    ERIC Educational Resources Information Center

    Whitebook, Marcy; And Others

    Including excerpts from contracts protecting unionized child care workers, this booklet explains basic terminology and facts about unionizing and addresses child care workers' concerns. Section 1 answers commonly asked questions about unions and offers advice about how to answer parents' questions about workers' attempts to organize. Section 2…

  20. The Specter of Divorce: Views From Working- and Middle-Class Cohabitors

    PubMed Central

    Miller, Amanda J.; Sassler, Sharon; Kusi-Appouh, Dela

    2012-01-01

    Young Americans increasingly express apprehension about their ability to successfully manage intimate relationships. Partially in response, cohabitation has become normative over the past few decades. Little research, however, examines social class distinctions in how emerging adults perceive challenges to sustaining intimate unions. We examine cohabitors’ views of divorce and how these color their sentiments regarding marriage. Data are from in-depth interviews with 122 working- and middle-class cohabitors. More than two thirds of respondents mentioned concerns with divorce. Working-class women, in particular, view marriage less favorably than do their male and middle-class counterparts, in part because they see marriage as hard to exit and are reluctant to assume restrictive gender roles. Middle-class cohabitors are more likely to have concrete wedding plans and believe that marriage signifies a greater commitment than does cohabitation. These differences in views of marriage and divorce may help explain the bifurcation of cohabitation outcomes among working- and middle-class cohabitors. PMID:22822285

  1. Professional Employees Turn to Unions

    ERIC Educational Resources Information Center

    Chamot, Dennis

    1976-01-01

    White-collar and professional employees are increasingly turning to unions to combat their loss of independence as employees of large organizations. Managers should realize that they and professional employees have different viewpoints about job situations and that the current trend toward white-collar unionism is apt to continue. (JG)

  2. [A procedure for estimating the rate of occupational accidents in non-European-Union workers with irregular immigrant status].

    PubMed

    Marchiori, L; Marangi, G; Mazzoccoli, P; Scoizzato, L; Buja, Alessandra; Mastrangelo, G

    2008-01-01

    Statistics on occupational accidents provided by the Italian Institute for Occupational Diseases and Accidents (INAIL, Italian acronym) include only events that occurred in workers with regular employment status. The aim of the study was to establish a procedure in order to estimate the rate of occupational accidents in non-European-Union (non-EU) workers with irregular employment status and/or irregular immigrant status. The sources of data were the clinical records of the Emergency Department of San Bonifacio Hospital, and the population data of District 4 of Local Health Authority 20 of Verona, which was considered the catchment area of this hospital. Among 419 cases of accidents occurred in the numerator of the rate. The denominator of the rate was estimated by calculating: (1) the subjects of working age resident in District 4 (= 83714); (2) the total number of non-EU workers, assuming that the percentage was similar to that in San Bonifacio Municipality (= 0.115); the number of irregular non-EU workers, assuming that the percentage was similar to that in north-eastern Italy (= 0.103). Non-EU workers with irregular employment status and/or irregular immigrant status should, according to these calculations, be 992 (= 83714 x 0.115 x 0.103). The rate--147.2 (= 146/992) occupational accidents per 1000 irregular non-EU workers--is more than twice as high as that calculated in 2004 in Italy in regular non-EU workers (approximately 65 accidents per 1000). The difference can be explained by the fact that irregular workers find employment mainly in agriculture, building and the metallurgic industry, which have a high frequency of accidents, and are more willing to accept risky work and longer work shifts. On the assumption that the rate of occupational accidents in the 500,000 irregular workers living in Italy in 2004 was 147.2 per 1000 (as in the catchment area of the San Bonifacio Hospital), the number of accidents would be 73,600, against the 116,000 that occurred

  3. 76 FR 67583 - Community Development Revolving Loan Fund Access for Credit Unions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-02

    ... the finite resources of the Fund among qualifying credit unions. The proposed rule was intended to... elements in the first three sections of the previous rule. It also contains revised language regarding NCUA.... Accordingly, the final rule retains the non- government element of matching when required. In addition, the...

  4. The Woman's Voice in Andean Labor Unions.

    ERIC Educational Resources Information Center

    Greaves, Thomas C.

    1986-01-01

    Women have attained leadership roles in the struggle for improvements among workers in Peruvian and Bolivian unions. Three modalities of women's involvement are the following: (1) spouse of a union member; (2) minority unionist; and (3) union leader. Women's perceptions of their power and men's exclusionary attitudes influence these organizational…

  5. Delayed Union of a Sacral Fracture: Percutaneous Navigated Autologous Cancellous Bone Grafting and Screw Fixation

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

    Huegli, R. W.; Messmer, P.; Jacob, A. L.

    2003-09-15

    Delayed or non-union of a sacral fracture is a serious clinical condition that may include chronic pain, sitting discomfort, gait disturbances, neurological problems, and inability to work. It is also a difficult reconstruction problem. Late correction of the deformity is technically more demanding than the primary treatment of acute pelvic injuries. Open reduction, internal fixation (ORIF), excision of scar tissue, and bone grafting often in a multi-step approach are considered to be the treatment of choice in delayed unions of the pelvic ring. This procedure implies the risk of neurological and vascular injuries, infection, repeated failure of union, incomplete correctionmore » of the deformity, and incomplete pain relief as the most important complications. We report a new approach for minimally invasive treatment of a delayed union of the sacrum without vertical displacement. A patient who suffered a Malgaigne fracture (Tile C1.3) was initially treated with closed reduction and percutaneous screw fixation (CRPF) of the posterior pelvic ring under CT navigation and plating of the anterior pelvic ring. Three months after surgery he presented with increasing hip pain caused by a delayed union of the sacral fracture. The lesion was successfully treated percutaneously in a single step procedure using CT navigation for drilling of the delayed union, autologous bone grafting, and screw fixation.« less

  6. Are Charter School Unions Worth the Bargain?

    ERIC Educational Resources Information Center

    Price, Mitch

    2011-01-01

    About 12 percent of all charter schools have bargaining agreements. Why do charter schools unionize? What is in these charter school contracts? Can they be considered innovative or models for union reform? And how do they compare to traditional district/union teacher contracts? Center on Reinventing Public Education legal analyst Mitch Price…

  7. [Female nuptiality: the importance of consensual unions].

    PubMed

    Ojeda, N

    1988-01-01

    Mexico's National Demographic Survey of 1982 indicated that 58.4% of ever married women had been in marriages celebrated both civilly and religiously, 24.4% had been in civil marriages only, 3.0% had been in religious marriages only, and 14.2% had been in consensual unions. Transitions from 1 type of union to another by the same couple are very common, however. 53.6% of women began their conjugal lives in civil and religious marriages, 19.3% in civil marriages only, 2.3% in religious marriages only, and 24.6% in consensual unions. About 1/2 of consensual unions are eventually legalized, but the rate is lower in the less advantaged socioeconomic sectors which have a higher proportion of consensual unions. Corrected data show that only 7.5% of Mexican women remain single at the age of 45. The average age at 1st union is 21.4 years. Marriage patterns differ significantly in different social sectors. The proportion of women consensual unions varied from 16.1% for the new bourgeoisie, defined as administrators, technicians, high-level workers, and professional public officials, to over 30% for nonsalaried workers, peasants, and agricultural wage workers. Peasants, agricultural wage workers and nonagricultural nonsalaried workers had the lowest marriage ages and the highest proportion married by age 20. In the various proletarian groups, only 2.8-3.7% remained single at age 45, and 42.5%-51.3% were married or in union by age 20. Proletarian women had intermediate ages at 1st marriage. Women of the new bourgeoisie had the highest age at 1st union, 23 years, but the lowest proportion single at age 45, 1.8%. The traditional bourgeoisie and new bourgeoisie had the 2nd lowest age at 1st union, 21.9, and a proportion never married at age 45 that was similar to the national average. The proportion single at age 45 was highest among peasants and agricultural wage workers, reaching 11.3%.

  8. Adolescent Precursors of Early Union Formation among Asian American and White Young Adults

    ERIC Educational Resources Information Center

    Cheng, Yen-hsin Alice; Landale, Nancy S.

    2011-01-01

    Using a framework that emphasizes independent versus interdependent self-construals, this study investigates the relatively low rates of early marriage and cohabitation among Asian Americans compared with Whites. Data from Waves 1 and 3 of Add Health are used to test five hypotheses that focus on family value socialization and other precursors…

  9. Unions: Bread, Butter & Basic Skills.

    ERIC Educational Resources Information Center

    BCEL Newsletter for the Business Community, 1987

    1987-01-01

    Unions are natural providers of basic skills instruction. They are in daily workplace contact with their membership, are trusted to work on members' behalf, and speak the language of the worker. Unions are trying to address the needs of illiterate workers through collective bargaining arrangements in which employers contribute a percentage of…

  10. Teacher Union Contracts and High School Reform

    ERIC Educational Resources Information Center

    Price, Mitch

    2009-01-01

    Are teachers unions and collective bargaining agreements barriers to high school reform and redesign efforts in Washington, California, and Ohio? The short answer: sometimes, but not as often as many educators seem to think. Rather than wade into the pro- versus anti-union debate, this report instead aims to offer guidance for educators, unions,…

  11. Legislative and non-legislative regulations concerning Rx drug advertisement in the European Union and the United States--comparative analysis.

    PubMed

    Czerw, Aleksandra; Religioni, Urszula

    2012-01-01

    Drug advertising is one of the most popular forms of communication between pharmaceutical companies and prospect drug purchasers. In the face of strong competition on the pharmaceutical market on the one hand, and patient's high susceptibility to various forms of advertising on the other, drug producers try to reach as wide group of recipients as possible. However, proper medicine use requires not only doctor's wide knowledge and experience, but also patient's awareness of necessity of rational drug usage. Advertising activities related to this group of medicines are covered by rigorous law regulations, with taking into account above-mentioned issues, and other specific features of drugs available with prescription. The aim of this article is to present legislative and non-legislative regulations concerning Rx drugs, taking into consideration law regulations that are in force in the European Union and the United States. Ethic codes implemented by drug producers associations were also used.

  12. Family structure and income inequality in families with children, 1976 to 2000.

    PubMed

    Martin, Molly A

    2006-08-01

    Using 24 years of data from the March supplements to the Current Population Survey and detailed categories of family structure, including cohabiting unions, I assess the contribution of changes in family structure to the dramatic rise in family income inequality. Between 1976 and 2000, family structure shifts explain 41% of the increase in inequality, but the influence of family structure change is not uniform within this period or across racial-ethnic groups. In general, the estimated role of family structure change is inversely related to the magnitude of the changes in inequality. Furthermore, by including cohabitation, I find lower levels of total inequality and a weaker role for demographic shifts in family structure for trends in income inequality.

  13. Training the Front-Line Union Man

    ERIC Educational Resources Information Center

    Heier, W. D.

    1970-01-01

    A study report and recommendations for training shop stewards, with particular reference to the need for fuller cooperation between unions and management in program planning. A standardized union steward job model is included. (LY)

  14. Teacher Unionization in School Governance

    ERIC Educational Resources Information Center

    Jacoby, Dan

    2011-01-01

    The role of unions in school governance is reviewed to note that labor operates in a larger context of principal-agent relationships. As agents for teachers, unions articulate the concerns that must be addressed if teachers are to be successfully enlisted in the struggle to reduce achievement gaps among at-risk students. Transcending industrial…

  15. Planning a College Union Building.

    ERIC Educational Resources Information Center

    Berry, Chester Arthur

    This volume examines the background and characteristics of the college union and its buildings, discusses its purposes and the means by which they may be achieved, and considers the impact of these means on the building requirements. General planning principles are developed and applied to the union building and its various areas. The translation…

  16. Partnership Creates Centre for Union Studies

    ERIC Educational Resources Information Center

    Smart, Carol; Roman, Stephen

    1978-01-01

    A unique cooperative venture between the city of Coventry and local trade unions is establishing a library collection of books, periodicals, historical documents, tapes, and films dealing with unions, labor studies, and industrial problems. (JAB)

  17. Diverging Patterns of Union Transition among Cohabitors by Race-Ethnicity and Education: Trends and Marital Intentions

    PubMed Central

    Kuo, Janet Chen-Lan; Raley, R. Kelly

    2016-01-01

    The rise of cohabitation in family process among American young adults and declining rates of marriage among cohabitors are considered by some scholars as evidence for the importance of society-wide ideational shifts propelling recent changes in family. With data on two cohabiting cohorts from the NSFG 1995 and 2006–10, the current study finds that marriage rates among cohabitors have declined steeply among those with no college degree, resulting in growing educational disparities over time. Moreover, there are no differences in marital intentions by education (or race-ethnicity) among recent cohabitors. We discuss how findings of this study speak to the changes in the dynamics of social stratification system in the United States and suggest that institutional and material constraints are at least as important as ideational accounts in understanding family change and family behavior of contemporary young adults. PMID:27306763

  18. Community Centers and Student Unions.

    ERIC Educational Resources Information Center

    Sternberg, Eugene D.; Sternberg, Barbara E.

    An overview of the social and planning concepts which serve as a foundation for the location, programming, and operation of various types of community centers and student unions is offered in this book. Pointing up the vital role of these institutions in meeting current community needs, it takes a look at community centers and student unions from…

  19. Gender Differences in Attitudes toward Unions.

    ERIC Educational Resources Information Center

    Schur, Lisa A.; Kruse, Douglas L.

    1992-01-01

    A 1984 survey of 250 union members (86 women and 164 men) showed that most women, especially those in private sector white collar jobs, were interested in joining unions but face barriers such as family responsibilities. (SK)

  20. Are unions an anachronism?

    PubMed

    Schrank, R

    1979-01-01

    The labor movement in the United States has its roots deep in the soil of worker discontent over grueling working conditions, low pay, and indifference of bosses, who profited from others' sweaty labor. As more and more grubby jobs are replaced by technological innovations, as work becomes more abstract and everyone wears a white shirt, and as managers schooled in motivation theory and humane ideals of participation replace the owner-bosses of yesterday, what role will the unions have left to play? The author of this article, who has been in both the labor force and management, explores what the changes in the labor market will be in the future and what these changes will mean for labor-management relations. He does not conclude that there is no role for unions-only that it will be very different and that to survive unions will have to tackle new issues in the workplace. That adaptation will affect management's stance as well.

  1. 76 FR 10209 - Corporate Credit Unions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-24

    ... natural person credit unions (NPCUs) may wish to form new corporates. Previous corporate chartering... NCUA's standards for evaluating applications. It also included detailed timelines for processing... natural person representatives of natural person credit unions (NPCUs)--``the subscribers''--may charter a...

  2. 12 CFR 741.222 - Credit union service organizations.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Credit union service organizations. 741.222 Section 741.222 Banks and Banking NATIONAL CREDIT UNION ADMINISTRATION REGULATIONS AFFECTING CREDIT UNIONS..., including check cashing services, sale of negotiable checks, money orders, and electronic transaction...

  3. 75 FR 71526 - Corporate Credit Unions, Technical Corrections

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-24

    ... NATIONAL CREDIT UNION ADMINISTRATION 12 CFR Part 704 RIN 3133-AD58 Corporate Credit Unions... request for comments. SUMMARY: NCUA is issuing technical corrections to its corporate credit union rule... for submitting comments. NCUA Web site: http://www.ncua.gov/Resources/RegulationsOpinionsLaws/Proposed...

  4. A NEW LOOK AT CUSTOMS UNION THEORY,

    DTIC Science & Technology

    is the sole source of any gain in consumers ’ welfare that might result from a customs union. It accounts for both trade creation and the consumption...In the report the following points are discussed: (1) Analytically the welfare effect of a customs union -whether trade creating, trade diverting...effect. (3) Using as a point of reference an appropriate policy of nonpreferential protection, a customs union necessarily results in pure trade

  5. Sports physicians, ethics and antidoping governance: between assistance and negligence.

    PubMed

    Dikic, Nenad; McNamee, Michael; Günter, Heinz; Markovic, Snezana Samardzic; Vajgic, Bojan

    2013-07-01

    Recent positive doping cases and a series of mistakes of medical doctors of the International Federation of Basketball have reopened the debate about the role of medical doctor in elite sport. This study shows that some sports physicians involved in recent positive doping cases are insufficiently aware of the nuances of doping regulations and, most importantly, of the list of prohibited substances. Moreover, several team doctors are shown to have exercised poor judgement in relation to these matters with the consequence that athletes are punished for doping offences on the basis of doctors' negligence. In such circumstances, athletes' rights are jeopardised by a failure of the duty of care that (sports) physicians owe their athlete patients. We argue that, with respect to the World Anti Doping Code, antidoping governance fails to define, with sufficient clarity, the role of medical doctors. There is a need for a new approach emphasising urgent educational and training of medical doctors in this domain, which should be considered prior to the revision of the next World Anti Doping Code in 2013 in order to better regulate doctor's conduct especially in relation to professional errors, whether negligent or intentional.

  6. 75 FR 80678 - Conversions of Insured Credit Unions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-23

    ... Conversions of Insured Credit Unions AGENCY: National Credit Union Administration (NCUA). ACTION: Interim... of the phrase ``Regional Director'' in NCUA's rule on credit union to mutual savings bank conversions and to add the same revised definition of that phrase to NCUA's rule on conversions to nonfederal...

  7. Convergence: How Nursing Unions and Magnet are Advancing Nursing.

    PubMed

    Johnson, Joyce E; Billingsley, Molley

    2014-01-01

    Historically, unions and professional associations such as the American Nurses Association have been adversaries in the fight to represent the best interests of the nursing profession. We reviewed the literature on the evolution of nursing unions, nursing's historical unease about unions, the Magnet designation in nursing, the tensions between the unions and Magnet, the core values and commonalities they share, and the obligations of nursing as a profession. Refocusing on the advancement of our profession provides a positive pathway in which the collective efforts of nursing unions and professional initiatives such as the Magnet designation converge during these turbulent times for our profession. The single, central organizing idea of nursing-where nursing unions and Magnet converge-is the pivotal role of nurses in delivering high-quality patient care. The often-maligned dialectic between unions and Magnet has advanced and not hindered the nursing profession. © 2014 Wiley Periodicals, Inc.

  8. Compulsory Unionism, the NLRB, and the Courts: A Legal Analysis of Union Security Agreements. Labor Relations and Public Policy Series Report No. 15.

    ERIC Educational Resources Information Center

    Haggard, Thomas R.

    As used here, compulsory union or union security agreements are federally sanctioned contracts between a labor union and employer whereby the employer agrees to require his employees, as a condition of their employment, to affiliate with the union in some way. Right-to-work is usually construed to mean the liberty of the individual to have a job…

  9. Unions Striking Back at Bills to Curb Labor

    ERIC Educational Resources Information Center

    Sawchuk, Stephen

    2011-01-01

    Besieged by state proposals to eviscerate collective bargaining, eliminate teacher tenure, and make it harder to collect dues, teachers' unions are fighting back. Lawsuits supported by local union affiliates have for now blocked anti-union legislation in Alabama and Wisconsin. E-mail "blasts," phone banks, and rallies are also among the…

  10. 31 CFR 370.40 - Can I be held accountable if my negligence contributes to a forged signature?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Can I be held accountable if my negligence contributes to a forged signature? 370.40 Section 370.40 Money and Finance: Treasury Regulations... if my negligence contributes to a forged signature? (a) General. If your failure to exercise ordinary...

  11. 29 CFR 452.48 - Employees of union.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... employees from being candidates for union office, because of the potential conflict of interest arising from the employment relationship which could be detrimental to the union as an institution. ...

  12. What Do Unions Do for Women? Research-in-Brief.

    ERIC Educational Resources Information Center

    Braunstein, Jill; And Others

    Although union membership has been declining overall, the number of women union members continues to increase. Currently, 37 percent of union membership are women. The proportion of women workers who are union members increased from 16.3 percent in 1965 to 19.3 percent in 1975 and fell to 14 percent in 1990; 7.4 million women were represented by…

  13. Unionism in Catholic Schools. A Symposium.

    ERIC Educational Resources Information Center

    National Catholic Educational Association, Washington, DC.

    These 1976 symposium papers, presented by school administrators of the National Catholic Educational Association, concern unionism in Catholic schools. Some of the issues covered include theological perspectives of collective bargaining, pros and cons, religious and Catholic teacher unions, tenure problems, and effects on a community of faith. The…

  14. The Influence of Negligence, Intention, and Outcome on Children's Moral Judgments

    ERIC Educational Resources Information Center

    Nobes, Gavin; Panagiotaki, Georgia.; Pawson, Chris

    2009-01-01

    Piaget (1932) and subsequent researchers have reported that young children's moral judgments are based more on the outcomes of actions than on the agents' intentions. The current study investigated whether negligence might also influence these judgments and explain children's apparent focus on outcome. Children (3-8 years of age) and adults (N =…

  15. Worker Participation and American Unions. Threat or Opportunity?

    ERIC Educational Resources Information Center

    Kochan, Thomas A.; And Others

    This book reports results of a study of the efects of quality of worklife programs and related forms of worker participation on unions and the collective bargaining process. Chapter 1 describes the evolution of worker participation in unionized settings and summarizes basic propositions in models of joint union-management change. In chapter 2 five…

  16. Right-handers have negligibly higher IQ scores than left-handers: Systematic review and meta-analyses.

    PubMed

    Ntolka, Eleni; Papadatou-Pastou, Marietta

    2018-01-01

    The relationship between intelligence and handedness remains a matter of debate. The present study is a systematic review of 36 studies (totaling 66,108 individuals), which have measured full IQ scores in different handedness groups. Eighteen of those studies were further included in three sets of meta-analyses (totaling 20,442 individuals), which investigated differences in standardized mean IQ scores in (i) left-handers, (ii) non-right-handers, and (iii) mixed-handers compared to right-handers. The bulk of the studies included in the systematic review reported no differences in IQ scores between left- and right-handers. In the meta-analyses, statistically significant differences in mean IQ scores were detected between right-handers and left-handers, but were marginal in magnitude (d=-0.07); the data sets were found to be homogeneous. Significance was lost when the largest study was excluded. No differences in mean IQ scores were found between right-handers and non-right-handers as well as between right-handers and mixed-handers. No sex differences were found. Overall, the intelligence differences between handedness groups in the general population are negligible. Copyright © 2017 Elsevier Ltd. All rights reserved.

  17. The Foundation of the Turkish National Student Union and the Attendance of the International Student Union at the Second Warsaw Congress

    ERIC Educational Resources Information Center

    Batir, Betül

    2017-01-01

    In the early twentieth century many countries across the world established national student unions and sent representatives to the International Student Union. Believing this to be a fundamental need in a globalising world, the new Turkish state did not wait long before joining this union. In fact, several student associations in Turkey attended…

  18. Clinical Errors and Medical Negligence

    PubMed Central

    Oyebode, Femi

    2013-01-01

    This paper discusses the definition, nature and origins of clinical errors including their prevention. The relationship between clinical errors and medical negligence is examined as are the characteristics of litigants and events that are the source of litigation. The pattern of malpractice claims in different specialties and settings is examined. Among hospitalized patients worldwide, 3–16s% suffer injury as a result of medical intervention, the most common being the adverse effects of drugs. The frequency of adverse drug effects appears superficially to be higher in intensive care units and emergency departments but once rates have been corrected for volume of patients, comorbidity of conditions and number of drugs prescribed, the difference is not significant. It is concluded that probably no more than 1 in 7 adverse events in medicine result in a malpractice claim and the factors that predict that a patient will resort to litigation include a prior poor relationship with the clinician and the feeling that the patient is not being kept informed. Methods for preventing clinical errors are still in their infancy. The most promising include new technologies such as electronic prescribing systems, diagnostic and clinical decision-making aids and error-resistant systems. PMID:23343656

  19. Clinical errors and medical negligence.

    PubMed

    Oyebode, Femi

    2013-01-01

    This paper discusses the definition, nature and origins of clinical errors including their prevention. The relationship between clinical errors and medical negligence is examined as are the characteristics of litigants and events that are the source of litigation. The pattern of malpractice claims in different specialties and settings is examined. Among hospitalized patients worldwide, 3-16% suffer injury as a result of medical intervention, the most common being the adverse effects of drugs. The frequency of adverse drug effects appears superficially to be higher in intensive care units and emergency departments but once rates have been corrected for volume of patients, comorbidity of conditions and number of drugs prescribed, the difference is not significant. It is concluded that probably no more than 1 in 7 adverse events in medicine result in a malpractice claim and the factors that predict that a patient will resort to litigation include a prior poor relationship with the clinician and the feeling that the patient is not being kept informed. Methods for preventing clinical errors are still in their infancy. The most promising include new technologies such as electronic prescribing systems, diagnostic and clinical decision-making aids and error-resistant systems. Copyright © 2013 S. Karger AG, Basel.

  20. Factual causation in medical negligence.

    PubMed

    Manning, Joanna

    2007-12-01

    The conventional approach to causation in negligence is the "but for" test, decided on the balance of probabilities. Even when supplemented by the "material contribution" principle, satisfying the onus of proof of causation can be an insuperable obstacle for plaintiffs, particularly in medical cases. Yet, having found a breach of duty, a court's sympathies may gravitate toward the plaintiff at this point in the case. Accordingly, courts have sometimes accepted a relaxation of strict causation principles. The judicial devices are described: a special principle of causation in particular duties of care; a shifting burden of proof; "bridging the evidentiary gap" by drawing a robust inference of causation; treating a material increase in risk as sufficient proof of causation; and permitting causation to be established on the basis of the loss of a material chance of achieving a better outcome and discounting damages. In Accident Compensation Corp v Ambros [2007] NZCA 304 the New Zealand Court of Appeal recognised the need for a legal device to ameliorate the injustice sometimes caused by the strict rules of causation, and preferred the "inferential reasoning" approach favoured by the Canadian common law for use in the context of the accident compensation scheme. It is hoped that the New Zealand Supreme Court approves Ambros if the opportunity arises.

  1. When Care is a "Systematic Route of Torture": Conceptualizing the Violence of Medical Negligence in Resource-Poor Settings.

    PubMed

    Heckert, Carina

    2016-12-01

    Descriptions of patient mistreatment fill ethnographic accounts of healthcare in resource-poor settings. Often, anthropologists point to structural factors and the ways that the global political economy produces substandard care. This approach makes it difficult to hold parties accountable when there is blatant disregard for human life on the part of individuals providing care. In this article, I draw on the illness narrative of Magaly Chacón, the first HIV positive individual in Bolivia to file charges of medical negligence after failing to receive care to prevent mother-to-child transmission. Magaly's narrative demonstrates how structural conditions are often used to explain away poor patient outcomes, shifting attention away from and normalizing the symbolic violence that also perpetuates substandard care of marginalized patients. I use Magaly's accusations to interrogate how defining acts of mistreatment as medical negligence can be a productive exercise, even when it is difficult to disentangle structural constraints from blatant acts of negligence. Defining who is negligent in resource-poor settings is not easy, as Magaly's case demonstrates. However, Magaly's case also demonstrates that accusations of negligence themselves can demand accountability and force changes within the local structures that contribute to the systematic mistreatment of marginalized patients.

  2. Who Joins a University Faculty Union?

    ERIC Educational Resources Information Center

    Mac Vean, Donald S.

    Data on selected characteristics of union and nonunion members of the Western Illinois University faculty for the fall semester 1981 are presented and analyzed. For each department and college, information is presented on nonunion and union members as follows: number and percentage of faculty, sex, tenure status, term number, doctoral degree,…

  3. Women and Unions: Forging a Partnership.

    ERIC Educational Resources Information Center

    Cobble, Dorothy Sue, Ed.

    This book contains the views of 40 contributors on women and unions, organized into 15 chapters on six topics: Closing the Wage Gap; Meeting Family Needs; Temporary and Part-Time Work: Opportunity or Danger?; Homework; Developing a Realistic Approach; New Directions in Organizing and Representing Women; and Female Leadership and Union Cultures:…

  4. Living Together Apart in France and the United States

    PubMed Central

    Martin, Claude; Cherlin, Andrew; Cross-Barnet, Caitlin

    2014-01-01

    Union formation involves a number of stages, as does union dissolution, and new couples often spend an initial period in a non-cohabiting intimate relationship. Yet while certain couples never share the same dwelling, “living apart together”1 has not developed widely as a long-term lifestyle option. Claude Martin in France, and Andrew Cherlin and Caitlin Cross-Barnet in the United States have studied a symmetrical phenomenon, that of couples who continue to live together while considering themselves to be separated. In this article, they draw together their analyses to describe an arrangement which, while marginal, reveals situations where residential separation is not possible, either because of the need to keep up appearances, often for the children’s sake, or because total separation is too frightening or living in separate homes is unaffordable. Beyond the differences between the two countries and the two survey fields, the authors analyse the ways in which persons who “live together apart” describe their loveless relationship that has led to explicit conjugal separation within a shared home. PMID:25170338

  5. 12 CFR 704.11 - Corporate Credit Union Service Organizations (Corporate CUSOs).

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 12 Banks and Banking 7 2012-01-01 2012-01-01 false Corporate Credit Union Service Organizations (Corporate CUSOs). 704.11 Section 704.11 Banks and Banking NATIONAL CREDIT UNION ADMINISTRATION REGULATIONS AFFECTING CREDIT UNIONS CORPORATE CREDIT UNIONS § 704.11 Corporate Credit Union Service Organizations...

  6. 12 CFR 704.11 - Corporate Credit Union Service Organizations (Corporate CUSOs).

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 12 Banks and Banking 7 2014-01-01 2014-01-01 false Corporate Credit Union Service Organizations (Corporate CUSOs). 704.11 Section 704.11 Banks and Banking NATIONAL CREDIT UNION ADMINISTRATION REGULATIONS AFFECTING CREDIT UNIONS CORPORATE CREDIT UNIONS § 704.11 Corporate Credit Union Service Organizations...

  7. 12 CFR 704.11 - Corporate Credit Union Service Organizations (Corporate CUSOs).

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 12 Banks and Banking 7 2013-01-01 2013-01-01 false Corporate Credit Union Service Organizations (Corporate CUSOs). 704.11 Section 704.11 Banks and Banking NATIONAL CREDIT UNION ADMINISTRATION REGULATIONS AFFECTING CREDIT UNIONS CORPORATE CREDIT UNIONS § 704.11 Corporate Credit Union Service Organizations...

  8. [Liability of pediatric nurses for professional negligence in Taiwan: a case study].

    PubMed

    Huang, Hui-Man; Sun, Fan-Ko

    2014-04-01

    Liability attribution and professional negligence in pediatric nursing are topics that have been neglected in Taiwan. (1) Identify the definitions of related criminal activities in accordance with domestic criminal law; (2) Elucidate the facts and the dispute in a current case involving a pediatric nurse; (3) Elucidate the principle of 'no punishment without law'; (4) Explore the reasons why the pediatric nurse in the current case received a verdict of 'not guilty'. A literature review and case study approach were used to analyze a sentence reconsideration of the first instance No. 1 (2011) issued by the Taiwan high court, Kaohsiung branch court. The conditions for the scrutiny of criminal activity under Taiwan criminal law are statement of facts, illegality (justifiable cause), and liability (excuse). In this case, the pediatric nurse was accused of failing to prevent an infant from suffocation and of not discharging her obligations as a nurse. The pediatric nurse rebutted the charge of criminal negligence. The intervening behaviors of the pediatric nurse were found to be legal and not culpable. In this case, the High Court and Supreme Court made a final criminal judgment based on the presumption of innocence, and the pediatric nurse was pronounced innocent of the charge. This article intends to assist pediatric nurses understand their liabilities under Taiwan's criminal law. Pediatric nurses should gain a better understanding of the nature of liability for professional negligence in order to clarify how actions that may be illegal do not necessarily make nurses culpable.

  9. Medical Negligence Determinations, the "Right to Try," and Expanded Access to Innovative Treatments.

    PubMed

    Meyerson, Denise

    2017-09-01

    This article considers the issue of expanded access to innovative treatments in the context of recent legislative initiatives in the United Kingdom and the United States. In the United Kingdom, the supporters of legislative change argued that the common law principles governing medical negligence are a barrier to innovation. In an attempt to remove this perceived impediment, two bills proposed that innovating doctors sued for negligence should be able to rely in their defence on the fact that their decision to innovate was "responsible." A decision to innovate would be regarded as responsible if it followed a specified process. Although these changes to the law of medical negligence were not passed, this article argues that the idea of a process-based approach was sound. In the United States, a number of states have passed "Right to Try" laws that permit doctors to prescribe and companies to provide investigational products without the need for FDA approval. These laws do not purport to and nor are they able to alter the obligations of individuals and companies under federal law. They are consequently unlikely to achieve their stated aim of expanding access to investigational products. This article argues that they nevertheless have a cogent rationale in so far as they highlight the need for rights-based reform to federal regulations governing access.

  10. Why Union Activists Write Good Stories

    ERIC Educational Resources Information Center

    Worthen, Helena H.

    2013-01-01

    The representative structure of a union is a maze which, when travelled as a narrative, has drama at every turn. It sets up expectations, pits good against evil, involves many characters with different interests, keeps the clock ticking, and offers opportunities for happy endings (and disappointments) at every level. Union members who are not…

  11. Unions' Deals with Brokers Raise Issues

    ERIC Educational Resources Information Center

    Jacobson, Linda

    2006-01-01

    The New York state attorney general's office is close to announcing a settlement with the 525,000-member New York State United Teachers over a relationship between the union and ING Group, a large financial-services company based in the Netherlands. In that arrangement, the union's Member Benefits division--a separate trust that provides…

  12. 12 CFR 701.19 - Benefits for employees of Federal credit unions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Benefits for employees of Federal credit unions... CREDIT UNIONS ORGANIZATION AND OPERATION OF FEDERAL CREDIT UNIONS § 701.19 Benefits for employees of Federal credit unions. (a) General authority. A federal credit union may provide employee benefits...

  13. Public Employee Unions and the Post Commander.

    DTIC Science & Technology

    1982-04-01

    sector employees joining unions was addressed in June, 1981 while the author was a student in a graduate degree program . Then, as now, my bias was anti...AD-A116 168 ARMY WAR COLL CARLISLE BARRACKS PA F/6 5/1 PUBLIC EMPLOYEE UNIONS AND THE POST COMMANDER. (U) APR 82 E L DANIEL UNCLASSIFIED u mm um(u pp...COVERED Public Employee Unions and the Post Commander Student Essay 6. PERFORMING ORG. REPORT NUMBER 7. AUTHOR(s) 8. CONTRACT OR GRANT NUMBER(S) LTC

  14. Regional Utilization of the Union Catalog of Medical Periodicals System

    PubMed Central

    Sprinkle, Michael D.

    1969-01-01

    This paper describes regional utilization of the Union Catalog of Medical Periodicals system and data base in producing union lists outside Metropolitan New York, the area served by the Union Catalog. A basic introduction to the Medical Library Center of New York's UCMP system is set forth, demonstrating the system's value in the production of such medical and paramedical union lists throughout the country. Several applications are then described, showing how these union lists were produced. PMID:5789816

  15. Labor Unions: A Public Health Institution

    PubMed Central

    Malinowski, Beth; Stock, Laura

    2015-01-01

    Using a social–ecological framework, we drew on a targeted literature review and historical and contemporary cases from the US labor movement to illustrate how unions address physical and psychosocial conditions of work and the underlying inequalities and social determinants of health. We reviewed labor involvement in tobacco cessation, hypertension control, and asthma, limiting articles to those in English published in peer-reviewed public health or medical journals from 1970 to 2013. More rigorous research is needed on potential pathways from union membership to health outcomes and the facilitators of and barriers to union–public health collaboration. Despite occasional challenges, public health professionals should increase their efforts to engage with unions as critical partners. PMID:25521905

  16. Thrombolysis for acute ischaemic stroke with alteplase in an Asian population: results of the multicenter, multinational Safe Implementation of Thrombolysis in Stroke-Non-European Union World (SITS-NEW).

    PubMed

    Rha, Joung-Ho; Shrivastava, Vasantha Padma; Wang, Yongjun; Lee, Kim En; Ahmed, Niaz; Bluhmki, Erich; Hermansson, Karin; Wahlgren, Nils

    2014-10-01

    Safe Implementation of Thrombolysis in Stroke-Non-European Union World was a multinational, prospective, open, monitored, observational study of intravenous alteplase as thrombolytic therapy in clinical practice. Safe Implementation of Thrombolysis in Stroke-Non-European Union World was required to assess the safety of alteplase in an Asian population by comparison with results from the European Safe Implementation of Thrombolysis in Stroke-Monitoring Study and pooled results from randomized controlled trials. To evaluate the efficacy and safety of intravenous alteplase (0·9 mg/kg) as thrombolytic therapy within three-hours of onset of acute ischaemic stroke in an Asian population. The 591 patients included were treated at 48 centers in four countries (South Korea, China, India, and Singapore) between 2006 and 2008. Primary outcomes were symptomatic (deterioration in National Institutes of Health Stroke Scale score ≥4 or death within the first 24 h) intracerebral haemorrhage type 2 22-36 h after the thrombolysis and mortality at three-month follow-up. The secondary outcome was functional independence (modified Rankin Scale score 0-2) at three-months. Results were compared with those from Safe Implementation of Thrombolysis in Stroke-Monitoring Study (n = 6483) and pooled results of patients (n = 415) who received intravenous alteplase (0·9 mg/kg) zero- to three-hours from onset of stroke symptoms in four randomized controlled trials (National Institute of Neurological Disorders and Stroke A and B, Altephase Thrombolysis for Acute Noninterventional Therapy in Ischaemic Stroke, and European Cooperative Acute Stroke Study II). Results are presented as Safe Implementation of Thrombolysis in Stroke-Non-European Union World vs. Safe Implementation of Thrombolysis in Stroke-Monitoring Study vs. pooled randomized controlled trials. Median age was 64 vs. 68 vs. 70 years, National Institutes of Health Stroke Scale score at baseline was 12 vs. 12 vs. 13

  17. Ports modernization and its influence on trade unions.

    PubMed

    Maciel, Regina Heloisa; Lopes, Taise Araújo; Gonçalves, Rosemary Cavalcante

    2012-01-01

    The restructuring of production resulting from the Port Modernization Law (Law 8.630/90) caused significant changes in work organization of Brazilian Ports. In the case of Mucuripe (Fortaleza, Ceará), in particular, the changes were very intense as Mucuripe is an old port that, before the Law, had labor regulation being governed by Trade Unions. This paper aims to present the perceptions of Union Representatives on the changes brought about by the Law on work organization in the port of Fortaleza, its influence in the organization and in the way the Unions deal with this new reality. Open and exploratory interviews were conducted with representatives of occasional labor workers registered in the Port of Fortaleza OGMO (Orgão Gestor de Mão de Obra, Labor Regulation Management). The analysis of the collected material in the interviews was based on the technique of content analysis proposed by Bardin (1979). Trade Unions have undergone a great loss of power and it has reflected in a relative inability to perform its function and to fight for the rights of the workers. The obvious Trade Unions weakness - a reduction of strikes and less unionized workers - reflects the dominating ideology of capital.

  18. Loss of chance in medical negligence.

    PubMed

    Leslie, K; Bramley, D; Shulman, M; Kennedy, E

    2014-05-01

    Occasionally accidents and complications occur during anaesthesia and perioperative care that result in injury to the patient. Unfortunately, this is sometimes due to a breach in the anaesthetist's duty of care to the patient. Sometimes, rather than being the cause of immediate damage, the act or omission results in an alteration in the prognosis of the complaint or increased risk of complications related to the complaint. This avenue for a negligence action is known as 'loss of chance of a better outcome' and has been the subject of much legal argument in Australia in recent years. A recent High Court of Australia decision is widely seen as having 'closed the door' to, or at least made it difficult for the patient to succeed in, loss of chance cases. Many anaesthetists may not be familiar with the concept of 'loss of chance'. This review will explore the concept of loss of chance and the manner in which Australian courts have dealt with it before and after Tabet v Gett from the perspective of the anaesthetist.

  19. Clinical negligence and duty of candour.

    PubMed

    Shekar, Vinita; Singh, Mark; Shekar, Kishore; Brennan, Peter

    2011-12-01

    The Department of Health is considering imposing a legal duty of candour on health care providers to ensure that an apology and explanation are given to patients when errors occur during medical treatment. This aims to improve quality of care and reduce adverse events during medical treatment. We present the current system of clinical negligence and the future of medical ethics. We discuss relevant cases with regard to duty of candour, and highlight the existence of serious imbalances in which patients' rights and corresponding ethical duties of professionals predominate over the responsibilities of patients themselves. It is known that most adverse events arise because of multiple factors for which no individual should be blamed. To improve healthcare services there is a need for a system in which lessons can be learnt from mistakes, and services can be improved in the interest of patient safety, and for transparency in the broad principles on which the decisions are based within which clinical performance is supervised and monitored. Copyright © 2010 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  20. Counting the cost of negligence in neurosurgery: Lessons to be learned from 10 years of claims in the NHS.

    PubMed

    Hamdan, Alhafidz; Strachan, Roger D; Nath, Fredrick; Coulter, Ian C

    2015-04-01

    Despite substantial progress in modernising neurosurgery, the specialty still tops the list of medico-legal claims. Understanding the factors associated with negligence claims is vital if we are to identify areas of underperformance and subsequently improve patient safety. Here we provide data on trends in neurosurgical negligence claims over a 10-year period in England. We used data provided by the National Health Service Litigation Authority to analyse negligence claims related to neurosurgery from the financial years 2002/2003 to 2011/2012. Using the abstracts provided, we extracted information pertaining to the underlying pathology, injury severity, nature of misadventure and claim value. Over the 10-year period, the annual number of claims increased significantly. In total, there were 794 negligence claims (range 50-117/year); of the 613 closed cases, 405 (66.1%) were successful. The total cost related to claims during the 10 years was £65.7 million, with a mean claim per successful case of £0.16 million (total damages, defence and claimant costs of £45.1, £6.36 and £14.3 million, respectively). Claims related to emergency cases were more costly compared to those of elective cases (£209,327 vs. £112,627; P=0.002). Spinal cases represented the most frequently litigated procedures (350; 44.1% of total), inadequate surgical performance the most common misadventure (231; 29.1%) and fatality the commonest injury implicated in claims (102; 12.8%). Negligence claims related to wrong-site surgery and cauda equina syndrome were frequently successful (26/26; 100% and 14/16; 87.5% of closed cases, respectively). In England, the number of neurosurgical negligence claims is increasing, the financial cost substantial, and the burden significant. Lessons to be learned from the study are of paramount importance to reduce future cases of negligence and improve patient care.

  1. Progress in Medicine: Compensation and medical negligence in India: Does the system need a quick fix or an overhaul?

    PubMed Central

    Chandra, Meghana S.; Math, Suresh Bada

    2016-01-01

    In a recent judgment on medical negligence, the Supreme Court awarded compensation amounting to Rs. 11 crore to a victim, which was to be paid by the doctors and the private hospital deemed responsible for the wrongful death of a patient. This landmark decision was by far the largest compensation award in the history of Indian medical negligence litigation. Hence, the process of calculating compensation for medical negligence has received great attention and debate, largely due to the impact that it is going to have on the practice of medicine within the country, in the near future. However, the method of calculation of compensation is unpredictable as it varies hugely across different cases, courts and tribunals resulting, in a loss of faith in the system, protracted litigation, and frequent appeals. With over 80% of India's healthcare being provided by the private sector, predictability and uniformity in the regulation of compensation in medical negligence would benefit the victims and the doctors concerned. A basic knowledge of how medical negligence compensation is calculated and adjudicated in the judicial courts of India will aid a doctor in planning his/her professional indemnity insurance, as well as in practicing his/her profession without undue worry about facing litigation for alleged medical negligence. This article addresses the merits and demerits of large compensation awards, and also discusses whether the system is broken, needs a quick fix, or a massive overhaul. PMID:27891021

  2. Progress in Medicine: Compensation and medical negligence in India: Does the system need a quick fix or an overhaul?

    PubMed

    Chandra, Meghana S; Math, Suresh Bada

    2016-10-01

    In a recent judgment on medical negligence, the Supreme Court awarded compensation amounting to Rs. 11 crore to a victim, which was to be paid by the doctors and the private hospital deemed responsible for the wrongful death of a patient. This landmark decision was by far the largest compensation award in the history of Indian medical negligence litigation. Hence, the process of calculating compensation for medical negligence has received great attention and debate, largely due to the impact that it is going to have on the practice of medicine within the country, in the near future. However, the method of calculation of compensation is unpredictable as it varies hugely across different cases, courts and tribunals resulting, in a loss of faith in the system, protracted litigation, and frequent appeals. With over 80% of India's healthcare being provided by the private sector, predictability and uniformity in the regulation of compensation in medical negligence would benefit the victims and the doctors concerned. A basic knowledge of how medical negligence compensation is calculated and adjudicated in the judicial courts of India will aid a doctor in planning his/her professional indemnity insurance, as well as in practicing his/her profession without undue worry about facing litigation for alleged medical negligence. This article addresses the merits and demerits of large compensation awards, and also discusses whether the system is broken, needs a quick fix, or a massive overhaul.

  3. Leading the Local: Teachers Union Presidents Chart Their Own Course

    ERIC Educational Resources Information Center

    Johnson, Susan Moore; Donaldson, Morgaen L.; Munger, Mindy Sick; Papay, John P.; Qazilbash, Emily K.

    2009-01-01

    Teachers unions are among the most powerful, yet least studied, actors in public education today. Although public attention focuses on the influence of national unions, the policies that most affect teachers and schooling are bargained by local unions and school boards. Interviews with 30 recently elected local union presidents reveal that these…

  4. 12 CFR 702.302 - Net worth categories for new credit unions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Net worth categories for new credit unions. 702.302 Section 702.302 Banks and Banking NATIONAL CREDIT UNION ADMINISTRATION REGULATIONS AFFECTING CREDIT UNIONS PROMPT CORRECTIVE ACTION Alternative Prompt Corrective Action for New Credit Unions § 702.302 Net worth categories for new credit unions....

  5. Patterns of resistance and transgression in Eastern Indonesia: single women's practices of clandestine courtship and cohabitation.

    PubMed

    Bennett, Linda Rae

    2005-03-01

    This paper explores how single women in the regional Indonesian city of Mataram express sexual desire in a social, cultural and political climate that idealizes the confinement of female sexuality within marriage. It is based on 21 months of ethnographic fieldwork conducted with single women, their families and health care providers. Success for young women in negotiating sexual desire is dependent upon their ability to maintain a faultless public reputation and mediate between their desires and those of men. Many single women find ways to pursue their desires by bending the rules of courtship conventions, performing sexual purity in public, while resisting from within the hegemonic sexual culture. However, women who visibly transgress dominant sexual ideals (and in doing so offend the status quo) are stigmatized and ostracized. Single women's practice of resistance and sexual transgression in premarital relationships are represented using the examples of pacaran backstreet (clandestine courtship) and cohabitation prior to marriage.

  6. 12 CFR 741.222 - Credit union service organizations.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... credit union service organizations (CUSOs) and the requirement to maintain separate corporate identities... union service organizations (CUSOs), the requirement to maintain separate corporate identities, and...

  7. The Impact of Labor Unions on Construction Productivity.

    DTIC Science & Technology

    1984-01-01

    been characterized by much violence and many disagreements between labor and managemert as the legal power balance between them has swung like a...Act and the Wagner Act the balance of power shifted dramatically to the unions. Union membership grew significantly as did union action to force...favor of balancing the budget, but the individual members are not willing to risk reelection, by agreeing to cuts in their district, 24

  8. 7 CFR 1.51 - Claims based on negligence, wrongful act or omission.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 1 2013-01-01 2013-01-01 false Claims based on negligence, wrongful act or omission. 1.51 Section 1.51 Agriculture Office of the Secretary of Agriculture ADMINISTRATIVE REGULATIONS... Department of Agriculture (USDA) may, subject to the provisions of the FTCA and DOJ regulations, consider...

  9. European Union Students Studying in English Higher Education Institutions. DIUS Research Report 08-09

    ERIC Educational Resources Information Center

    Morris, Marian; Rutt, Simon

    2008-01-01

    This study aimed to identify the pathways, intentions and relevant perceptions of (non-UK) European Union (EU) students entering English higher education. It sought to identify why students wished to obtain an English HE qualification, their attitudes towards the uptake and repayment of tuition fee loans and their future career plans. Drawing on…

  10. Learning, Labour and Union Learning Representatives: Promoting Workplace Learning

    ERIC Educational Resources Information Center

    Ball, Malcolm

    2011-01-01

    The initiative by the Trades Union Congress (TUC) and affiliated trade unions in the UK to appoint trade union learning representatives (ULRs), to promote learning among their members, is a significant development in adult learning. Understandably, the initiative has attracted the attention of academic researchers, but primarily from the…

  11. Recent biological trends in management of fracture non-union

    PubMed Central

    Emara, Khaled M; Diab, Ramy Ahmed; Emara, Ahmed Khaled

    2015-01-01

    Bone regeneration is a complex, well-orchestrated physiological process of bone formation, which can be seen during normal fracture healing, and is involved in continuous remodelling throughout adult life. Currently, there is a plethora of different strategies to augment the impaired or “insufficient” bone-regeneration process, including the “gold standard” autologous bone graft, free fibula vascularised graft, allograft implantation, and use of growth factors, osteoconductive scaffolds, osteoprogenitor cells and distraction osteogenesis. Improved “local” strategies in terms of tissue engineering and gene therapy, or even “systemic” enhancement of bone repair, are under intense investigation, in an effort to overcome the limitations of the current methods, to produce bone-graft substitutes with biomechanical properties that are as identical to normal bone as possible, to accelerate the overall regeneration process, or even to address systemic conditions, such as skeletal disorders and osteoporosis. An improved understanding of the molecular and cellular events that occur during bone repair and remodeling has led to the development of biologic agents that can augment the biological microenvironment and enhance bone repair. Orthobiologics, including stem cells, osteoinductive growth factors, osteoconductive matrices, and anabolic agents, are available clinically for accelerating fracture repair and treatment of compromised bone repair situations like delayed unions and nonunions. A lack of standardized outcome measures for comparison of biologic agents in clinical fracture repair trials, frequent off-label use, and a limited understanding of the biological activity of these agents at the bone repair site have limited their efficacy in clinical applications. PMID:26396938

  12. "New and Improved" Teacher Unionism: But Will It Wash?

    ERIC Educational Resources Information Center

    Kerchner, Charles; Koppich, Julia; Weeres, Joseph

    1998-01-01

    Unions are increasingly advocating for teaching as an occupation and for public education as an American institution. New and improved unionism is replacing teachers as industrial workers with teachers as knowledge workers empowered to devise educational solutions from the classroom up. Unions' new vision will be organized around quality,…

  13. Trade Union Rights.

    ERIC Educational Resources Information Center

    Maier, Heribert; And Others

    1994-01-01

    Excerpts addresses from an international symposium regarding workers' education, human rights, labor standards and law, socioeconomic factors, trade unions, workers' rights, professionalism, and globalization. Includes a background paper, "Participation of Workers and Their Organizations in the Field of International Labour Standards and the…

  14. The Defense of Teachers' Trade Union Rights.

    ERIC Educational Resources Information Center

    Pepin, Luce

    1990-01-01

    The author sees cause for concern in the number of complaints to the International Labour Organisation alleging violations of teachers' union rights. She examines the right of public employees to organize and strike and government interference, concluding that greater protection for teachers' unions may be needed. (SK)

  15. Political Socialization of Youth in the Soviet Union: Its Theory, Use, and Results

    DTIC Science & Technology

    1993-06-01

    The political socialization of youth in the Soviet Union was recognized by the early Bolsheviks as critical to the future of the new socialist...continue the communist struggle. Later schools and political socialization became a matter of strict Communist Party control from the smallest...non-communist topics, such as a market economy and democracy, than they were by political socialization from the state.

  16. Three Decades of Nonmarital First Births Among Fathers Aged 15-44 in the United States.

    PubMed

    Martinez, Gladys M

    2015-06-01

    The percentage of fathers aged 15-44 whose first births were nonmarital was lower in the 2000s (36%) than in the previous 2 decades. Fathers with first births in the 2000s were more likely to be in a nonmarital cohabiting union (24%) than those in the 1980s (19%). The percentage of fathers with a nonmarital first birth over the past 3 decades has remained similar for Hispanic and non-Hispanic white men, but has declined for non-Hispanic black men (1980s, 77%; 2000s, 66%). Fathers with nonmarital first births in the 2000s were less likely to be non-Hispanic black men (21%) than Hispanic (33%) or non-Hispanic white (39%) men. Fathers with nonmarital first births in the 2000s were more likely to be older at the time of the birth (33%) than those in the previous 2 decades. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

  17. 12 CFR 704.17 - State-chartered corporate credit unions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... provided under the laws of the state in which it was chartered. (b) A state-chartered corporate credit... 12 Banks and Banking 6 2010-01-01 2010-01-01 false State-chartered corporate credit unions. 704.17... CORPORATE CREDIT UNIONS § 704.17 State-chartered corporate credit unions. (a) This part does not expand the...

  18. Bone union and remodelling of the non-ossified segment in thoracic ossification of the posterior longitudinal ligament after posterior decompression and fusion surgery.

    PubMed

    Koda, Masao; Furuya, Takeo; Okawa, Akihiko; Aramomi, Masaaki; Inada, Taigo; Kamiya, Koshiro; Ota, Mitsutoshi; Maki, Satoshi; Ikeda, Osamu; Takahashi, Kazuhisa; Mannoji, Chikato; Yamazaki, Masashi

    2015-11-01

    The motion at the non-ossified segment of the ossification of the posterior longitudinal ligament (OPLL) is thought to be highly correlated to aggravation of symptoms of myelopathy. The rationale for posterior decompression with instrumented fusion (PDF) surgery is to limit the motion of the non-ossified segment of OPLL by stabilization. The purpose of the present study was to elucidate the course of bone union and remodelling of the non-ossified segment of thoracic OPLL (T-OPLL) after PDF surgery. A total of 29 patients who underwent PDF surgery for T-OPLL were included in this study. We measured the thickness of the OPLLs by determining the thickest part of the OPLL in the sagittal multi-planer reconstruction CT images pre- and post-operatively. Five experienced spine surgeons independently performed CT measurements of OPLL thickness twice. Japanese Orthopaedic Association score for thoracic myelopathy was measured as clinical outcome measure. Non-ossified segment of OPLLs fused in 24 out of 29 (82.8 %) patients. The average thickness of the OPLL at its thickest segment was 8.0 mm and decreased to 7.3 mm at final follow-up. The decrease in ossification thickness was significantly larger in the patients who showed fusion of non-ossified segments of OPLL compared with that in the patients did not show fusion. There was no significant correlation between the clinical outcome and the decrease in thickness of the OPLLs. The results of this study showed that remodelling of the OPLLs, following fusion of non-ossified segment of OPLLs, resulted in a decreased OPLL thickness, with potential for a reduction of spinal cord compression.

  19. Home and Where the Heart Is: Marriage Timing and Joint Home Purchase

    PubMed Central

    Holland, Jennifer A.

    2011-01-01

    This article evaluates the relationship between the timing of marriage and the purchase of a jointly owned home among Swedish cohabiting couples. Data for this analysis come from the Swedish Housing and Life Course Cohort Study (N = 1,596 couples; 2,006 cohabiting spells). The author develops models to proxy for simultaneity and intentions and test hypotheses about positive and negative and long- and short-run relationships between the two life-course events. The author uses a novel modeling approach, allowing for differences in the risk before, concurrently and after the conditioning event. Results indicate a positive relationship between marriage and joint home purchase and suggest the possibility of an ordering of events: For some couples, formalizing their union through marriage may be a prerequisite for a joint home purchase. PMID:22581991

  20. The High Court's lost chance in medical negligence: Tabet v Gett (2010) 240 CLR 537.

    PubMed

    Faunce, Thomas; McEwan, Alexandra

    2010-12-01

    In 2010 the High Court of Australia in Tabet v Gett (2010) 240 CLR 537 determined an appeal in a medical negligence case concerning a six-year-old girl who had presented to a major paediatric hospital with symptoms over several weeks of headaches and vomiting after a recent history of chicken pox. The differential diagnosis was varicella, meningitis or encephalitis and two days later, after she deteriorated neurologically, she received a lumbar puncture. Three days later she suffered a seizure and irreversible brain damage. A CT scan performed at that point showed a brain tumour. As Australia does not have a no-fault system providing compensation to cover the long-term care required for such a condition, the girl (through her parents and lawyers) sued her treating physician. She alleged that, because a cerebral CT scan was not performed when clinically indicated after the diagnosis of meningitis or encephalitis and before the lumbar puncture, she had "lost the chance" to have her brain tumour treated before she sustained permanent brain damage. She succeeded at first instance, but lost on appeal. The High Court also rejected her claim, holding unanimously that there were no policy reasons to allow recovery of damages based on possible (less than 50%) "loss of a chance" of a better medical outcome. The court held that the law of torts in Australia required "all or nothing" proof that physical injury was caused or contributed to by a negligent party. The High Court, however, did not exclude loss of chance as forming the substance of a probable (greater than 50%) claim in medical negligence in some future case. In the meantime, patients injured in Australia as a result of possible medical negligence (particularly in the intractable difficult instances of late diagnosis) must face the injustice of the significant day-to-day care needs of victims being carried by family members and the taxpayer-funded public hospital system. The High Court in Tabet v Gett again provides

  1. Women in Trade Unions: Organizing the Unorganized.

    ERIC Educational Resources Information Center

    Martens, Margaret Hosmer, Ed.; Mitter, Swasti, Ed.

    This book contains a comparative survey of efforts to organize female workers in trade unions in both developing and industrialized nations and 19 case studies of efforts to organize female workers in selected occupations. The following papers are included: "A Comparative Survey" (Swasti Mitter); "The Union of Women Domestic…

  2. Role of trade unions in workplace health promotion.

    PubMed

    Johansson, Mauri; Partanen, Timo

    2002-01-01

    Since the 19th century, workers have organized in trade unions and parties to strengthen their efforts at improving workplace health and safety, job conditions, working hours, wages, job contracts, and social security. Cooperation between workers and their organizations and professionals has been instrumental in improving regulation and legislation affecting workers' health. The authors give examples of participatory research in occupational health in Denmark and Finland. The social context of workplace health promotion, particularly the role of unions and workers' safety representatives, is described in an international feasibility study. Health promotion is rife with fundamental political, socioeconomic, philosophical, ethical, gender- and ethnicity-related, psychological, and biological problems. Analysis of power and context is crucial, focusing on political systems nationally, regionally, and globally. The authors advocate defending and supporting workers and their trade unions and strengthening their influence on workplace health promotion. In the face of rapid capitalist globalization, unions represent a barricade in defense of workers' health and safety. Health promoters and related professionals are encouraged to support trade unions in their efforts to promote health for workers and other less privileged groups.

  3. The union doctor

    PubMed Central

    Bloor, D. U.

    1980-01-01

    The appointment, terms of service, and work of the Poor Law medical officer, the union doctor, is described to illustrate one of the roles of the mid-nineteenth century general practitioner. It was this role which laid the foundation of modern general practice. PMID:6997483

  4. Union Membership and Political Participation in the United States

    ERIC Educational Resources Information Center

    Kerrissey, Jasmine; Schofer, Evan

    2013-01-01

    This article examines the effect of union membership on civic and political participation in the late 20th century in the United States. We discuss why and how unions seek to mobilize their members and where mobilization is channeled. We argue that union membership affects electoral and collective action outcomes and will be larger for low…

  5. Labor union members play an OLG repeated game

    PubMed Central

    Kandori, Michihiro; Obayashi, Shinya

    2014-01-01

    Humans are capable of cooperating with one another even when it is costly and a deviation provides an immediate gain. An important reason is that cooperation is reciprocated or rewarded and deviations are penalized in later stages. For cooperation to be sustainable, not only must rewards and penalties be strong enough but individuals should also have the right incentives to provide rewards and punishments. Codes of conduct with such properties have been studied extensively in game theory (as repeated game equilibria), and the literature on the evolution of cooperation shows how equilibrium behavior might emerge and proliferate in society. We found that community unions, a subclass of labor unions that admits individual affiliations, are ideal to corroborate these theories with reality, because (i) their activities are simple and (ii) they have a structure that closely resembles a theoretical model, the overlapping generations repeated game. A detailed case study of a community union revealed a possible equilibrium that can function under the very limited observability in the union. The equilibrium code of conduct appears to be a natural focal point based on simple heuristic reasoning. The union we studied was created out of necessity for cooperation, without knowing or anticipating how cooperation might be sustained. The union has successfully resolved about 3,000 labor disputes and created a number of offspring. PMID:25024211

  6. 12 CFR Appendix A to Part 701 - Federal Credit Union Bylaws

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... union must explain the reasons for the denial in writing. Section 3. Maintenance of membership share... member who is disruptive to credit union operations may be subject to limitations on services and access to credit union facilities. A credit union that wishes to restrict services to members no longer...

  7. 12 CFR 708b.302 - Conversion of Insurance (Federal Credit Union).

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Conversion of Insurance (Federal Credit Union... CREDIT UNIONS MERGERS OF FEDERALLY-INSURED CREDIT UNIONS; VOLUNTARY TERMINATION OR CONVERSION OF INSURED STATUS Forms § 708b.302 Conversion of Insurance (Federal Credit Union). Unless the Regional Director...

  8. 12 CFR 708b.302 - Conversion of insurance (Federal Credit Union).

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 12 Banks and Banking 6 2011-01-01 2011-01-01 false Conversion of insurance (Federal Credit Union... CREDIT UNIONS MERGERS OF FEDERALLY-INSURED CREDIT UNIONS; VOLUNTARY TERMINATION OR CONVERSION OF INSURED STATUS Forms § 708b.302 Conversion of insurance (Federal Credit Union). Unless the Regional Director...

  9. Labor Unions and Political Parties in Belgium

    ERIC Educational Resources Information Center

    Lorwin, Val R.

    1975-01-01

    The balance of power inside the dominant socialist and Catholic blocs in Belgium, which were once incontestably led by the political elites, has been shifting toward the trade unions. Regionalism has fragmented the political system far more than the industrial relations system; the unions' political influence will continue in importance. (Author)

  10. Latin American astronomers and the International Astronomical Union

    NASA Astrophysics Data System (ADS)

    Torres-Peimbert, S.

    2017-07-01

    Selected aspects of the participation of the Latin American astronomers in the International Astronomical Union are presented: Membership, Governing bodies, IAU meetings, and other activities. The Union was founded in 1919 with 7 initial member states, soon to be followed by Brazil. In 1921 Mexico joined, and in 1928 Argentina also formed part of the Union, while Chile joined in 1947. In 1961 Argentina, Brazil, Chile, Mexico and Venezuela were already member countries. At present (October 2016) 72 countries contribute financially to the Union. The Union lists 12,391 professional astronomers as individual members; of those, 692 astronomers work in Latin America and the Caribbean, from 13 member states (Argentina, Bolivia , Brazil, Chile, Colombia, Costa Rica, Cuba, Honduras, Mexico, Panamá, Perú, Uruguay and Venezuela) as well as from Ecuador and Puerto Rico. This group comprises 5.58% of the total membership, a figure somewhat lower than the fraction of the population in the region, which is 8.6% of the world population. Of the Latin American members, 23.4% are women and 76.6% are men; slightly higher than the whole membership of Union, which is of 16.9%. In the governing bodies it can be mentioned that there have been 2 Presidents of the Union (Jorge Sahade and Silvia Torres-Peimbert), 7 VicePresidents (Guillermo Haro, Jorge Sahade, Manuel Peimbert Claudio Anguita, Silvia Torres-Peimbert, Beatriz Barbuy, and Marta G. Rovira). The IAU meetings held in the region, include 2 General Assemblies (the 1991 XXI GA took place in Buenos Aires, Argentina and the 2009 XXVIII GA, in Rio de Janeiro, Brazil), 15 Regional Meetings (in Argentina, Brazil, Chile, Colombia, Mexico, Venezuela and Uruguay), 29 Symposia (in Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru and Mexico), 5 Colloquia (in Argentina and Mexico), 8 International Schools for Young Astronomers (in Argentina, Brazil, Cuba, Honduras and Mexico), and 11 projects sponsored by the Office of Astronomy

  11. Negligence 10 Years after Gertz v. Welch. Journalism Monographs Number Ninety-Three.

    ERIC Educational Resources Information Center

    Hopkins, W. Wat

    The implications and shortcomings of court rulings on negligence in libel laws are explored in this paper. The paper first discusses the particulars of the 1974 landmark "Gertz versus Robert Welch, Inc." United States Supreme Court case, in which the court ruled that private persons as well as public figures would be required to prove…

  12. Physiological demands of women's rugby union: time-motion analysis and heart rate response.

    PubMed

    Virr, Jody Lynn; Game, Alex; Bell, Gordon John; Syrotuik, Daniel

    2014-01-01

    The aim of this study was to determine the physical demands of women's rugby union match play using time-motion analysis and heart rate (HR) response. Thirty-eight premier club level female rugby players, ages 18-34 years were videotaped and HRs monitored for a full match. Performances were coded into 12 different movement categories: 5 speeds of locomotion (standing, walking, jogging, striding, sprinting), 4 forms of intensive non-running exertion (ruck/maul/tackle, pack down, scrum, lift) and 3 discrete activities (kick, jump, open field tackle). The main results revealed that backs spend significantly more time sprinting and walking whereas forwards spend more time in intensive non-running exertion and jogging. Forwards also had a significantly higher total work frequency compared to the backs, but a higher total rest frequency compared to the backs. In terms of HR responses, forwards displayed higher mean HRs throughout the match and more time above 80% of their maximum HR than backs. In summary, women's rugby union is characterised by intermittent bursts of high-intensity activity, where forwards and backs have similar anaerobic energy demands, but different specific match demands.

  13. Injuries in Australian school-level rugby union.

    PubMed

    Leung, Felix T; Franettovich Smith, Melinda M; Hides, Julie A

    2017-11-01

    There is a high incidence of injuries in rugby union due to the physical nature of the game. In youth rugby union, there are large variations in injury rates reported. Our study investigated the rates of injuries in school-level rugby union players in Australia using the consensus statement for rugby union injuries. Injury surveillance was conducted on 480 rugby players from 1 school in Queensland, Australia. Injury data were collected using paper-based injury recording forms during the 8-week rugby season using a "medical-attention" injury definition. In total, 76 players sustained one or more injuries, with a total of 80 injuries recorded. The overall injury rate was 31.8 injuries/1000 match player hours (95% CI, 25.4-39.4). Concussion had an incidence rate of 6.0/1000 match player hours (95% CI, 3.5-9.6). The incidence of upper limb and lower limb injuries were 9.1 and 9.9/1000 match player hours, respectively (95% CI, 5.9-13.5 and 6.6-14.5). The older age divisions had higher injury rates and most injuries occurred while tackling or being tackled. The injury rates observed in this sample of Australian school rugby union players provides direction for future studies to enable informed decisions relating to development of injury prevention programmes at this level of rugby.

  14. 12 CFR 741.7 - Conversion to a state-chartered credit union.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Conversion to a state-chartered credit union. 741.7 Section 741.7 Banks and Banking NATIONAL CREDIT UNION ADMINISTRATION REGULATIONS AFFECTING... § 741.7 Conversion to a state-chartered credit union. Any federal credit union that petitions to convert...

  15. 12 CFR 741.7 - Conversion to a state-chartered credit union.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 12 Banks and Banking 6 2011-01-01 2011-01-01 false Conversion to a state-chartered credit union. 741.7 Section 741.7 Banks and Banking NATIONAL CREDIT UNION ADMINISTRATION REGULATIONS AFFECTING... § 741.7 Conversion to a state-chartered credit union. Any federal credit union that petitions to convert...

  16. Current Options for Determining Fracture Union

    PubMed Central

    2014-01-01

    Determining whether a bone fracture is healed is one of the most important and fundamental clinical determinations made in orthopaedics. However, there are currently no standardized methods of assessing fracture union, which in turn has created significant disagreement among orthopaedic surgeons in both clinical and research settings. An extensive amount of research has been dedicated to finding novel and reliable ways of determining healing with some promising results. Recent advancements in imaging techniques and introduction of new radiographic scores have helped decrease the amount of disagreement on this topic among physicians. The knowledge gained from biomechanical studies of bone healing has helped us refine our tools and create more efficient and practical research instruments. Additionally, a deeper understanding of the molecular pathways involved in the bone healing process has led to emergence of serologic markers as possible candidates in assessment of fracture union. In addition to our current physician centered methods, patient-centered approaches assessing quality of life and function are gaining popularity in assessment of fracture union. Despite these advances, assessment of union remains an imperfect practice in the clinical setting. Therefore, clinicians need to draw on multiple modalities that directly and indirectly measure or correlate with bone healing when counseling patients. PMID:26556422

  17. New "Right to Work" Laws Could Hobble Faculty Unions

    ERIC Educational Resources Information Center

    Schmidt, Peter

    2013-01-01

    Faculty unions outside Michigan have reason to be concerned with its passage of legislation barring unions from collecting fees from workers who do not join them. But the experiences of faculty unions in states that adopted such laws years ago suggest that while the measures can be a major hindrance to their work, they are not a death blow.…

  18. Hadean silicate differentiation revealed by anomalous 142Nd in the Réunion hotspot source

    NASA Astrophysics Data System (ADS)

    Peters, B. J.; Carlson, R.; Day, J. M.; Horan, M.

    2017-12-01

    Geochemical and geophysical data show that volcanic hotspots can tap ancient domains sequestered in Earth's deep mantle. Evidence from stable and long-lived radiogenic isotope systems has demonstrated that many of these domains result from tectonic and differentiation processes that occurred more than two billion years ago. Recent advances in the analysis of short-lived radiogenic isotopes have further shown that some hotspot sources preserve evidence for metal-silicate differentiation occurring within the first one percent of Earth's history. Despite these discoveries, efforts to detect variability in the lithophile 146Sm-142Nd (t1/2 = 103 Ma) system in Phanerozoic hotspot lavas have not yet detected significant global variation. We report 142Nd/144Nd ratios in Réunion Island basalts that are statistically distinct from the terrestrial Nd standard ranging to both higher and lower 142Nd/144Nd. Variations in 142Nd/144Nd, which total nearly 15 ppm on Réunion, are correlated with 3He/4He among both anomalous and non-anomalous samples. Such behavior implies that there were analogous changes in Sm/Nd and (U+Th)/3He that occurred during a Hadean silicate differentiation event and were not completely overprinted by the depleted mantle. Variations in the 142Nd-143Nd compositions of Réunion basalts can be explained by a single Hadean melting event producing enriched and depleted domains that partially re-mixed after 146Sm was no longer extant. Assuming differentiation occurred at pressures where perovskite is stable, anomalies of the magnitude observed in Réunion basalts require melting of at least 50% across a wide depth range, and up to 90% for melting at pressures near those of the deepest mantle. Models with best fits to Nd isotope data suggest this differentiation occurred around 4.40 Ga and mixing occurred after 4 Ga. This two-stage differentiation process nearly erased the ancient, anomalous 142Nd composition of the Réunion source and produced the relatively

  19. [The relationship between the State and workers' unions and its impacts in the union-based health coverage regime in Argentina: an historical and political analysis].

    PubMed

    De Fazio, Federico Leandro

    2013-12-01

    This paper aims at developing a political and historical reconstruction of the period spanning from the late nineteenth century to the present. In particular, this work investigates the relationship between the Argentine State and workers' unions and the impacts of that relationship in the establishment, consolidation and potential decline of the health coverage system administrated by unions, in Argentina called obras sociales. This work will also support the hypothesis that the financing obtained by union leaders through this health coverage system has been an efficient instrument for sustaining a centralized union model and has in some cases guaranteed the continued governance of both union leaders and different national governments.

  20. Highly Efficient Deep Blue Organic Light-Emitting Diodes Based on Imidazole: Significantly Enhanced Performance by Effective Energy Transfer with Negligible Efficiency Roll-off.

    PubMed

    Shan, Tong; Liu, Yulong; Tang, Xiangyang; Bai, Qing; Gao, Yu; Gao, Zhao; Li, Jinyu; Deng, Jian; Yang, Bing; Lu, Ping; Ma, Yuguang

    2016-10-26

    Great efforts have been devoted to develop efficient deep blue organic light-emitting diodes (OLEDs) materials meeting the standards of European Broadcasting Union (EBU) standard with Commission International de L'Eclairage (CIE) coordinates of (0.15, 0.06) for flat-panel displays and solid-state lightings. However, high-performance deep blue OLEDs are still rare for applications. Herein, two efficient deep blue emitters, PIMNA and PyINA, are designed and synthesized by coupling naphthalene with phenanthreneimidazole and pyreneimidazole, respectively. The balanced ambipolar transporting natures of them are demonstrated by single-carrier devices. Their nondoped OLEDs show deep blue emissions with extremely small CIE y of 0.034 for PIMNA and 0.084 for PyINA, with negligible efficiency roll-off. To take advantage of high photoluminescence quantum efficiency of PIMNA and large fraction of singlet exciton formation of PyINA, doped devices are fabricated by dispersing PyINA into PIMNA. A significantly improved maximum external quantum efficiency (EQE) of 5.05% is obtained through very effective energy transfer with CIE coordinates of (0.156, 0.060), and the EQE remains 4.67% at 1000 cd m -2 , which is among the best of deep blue OLEDs reported matching stringent EBU standard well.