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\"This book draws from both authors' extensive experience participating in community organizing efforts and teaching courses on community organizing to novices\"-- Provided by publisher.

Disinvestment (removal, reduction, or reallocation) of routinely provided health services can be difficult when there is little published evidence examining whether the services are effective or not. Evidence is required to understand if removing these services produces outcomes that are inferior to keeping such services in place. However, organisational imperatives, such as budget cuts, may force healthcare providers to disinvest from these services before the required evidence becomes available. There are presently no experimental studies examining the effectiveness of allied health services (e.g., physical therapy, occupational therapy, and social work) provided on weekends across acute medical and surgical hospital wards, despite these services being routinely provided internationally. The aim of this study was to understand the impact of removing weekend allied health services from acute medical and surgical wards using a disinvestment-specific non-inferiority research design. We conducted 2 stepped-wedge cluster randomised controlled trials between 1 February 2014 and 30 April 2015 among patients on 12 acute medical or surgical hospital wards spread across 2 hospitals. The hospitals involved were 2 metropolitan teaching hospitals in Melbourne, Australia. Data from n = 14,834 patients were collected for inclusion in Trial 1, and n = 12,674 in Trial 2. Trial 1 was a disinvestment-specific non-inferiority stepped-wedge trial where the 'current' weekend allied health service was incrementally removed from participating wards each calendar month, in a random order, while Trial 2 used a conventional non-inferiority stepped-wedge design, where a 'newly developed' service was incrementally reinstated on the same wards as in Trial 1. Primary outcome measures were patient length of stay (proportion staying longer than expected and mean length of stay), the proportion of patients experiencing any adverse event, and the proportion with an unplanned readmission within 28 days of discharge. The 'no weekend allied health service' condition was considered to be not inferior if the 95% CIs of the differences between this condition and the condition with weekend allied health service delivery were below a 2% increase in the proportion of patients who stayed in hospital longer than expected, a 2% increase in the proportion who had an unplanned readmission within 28 days, a 2% increase in the proportion who had any adverse event, and a 1-day increase in the mean length of stay. The current weekend allied health service included physical therapy, occupational therapy, speech therapy, dietetics, social work, and allied health assistant services in line with usual care at the participating sites. The newly developed weekend allied health service allowed managers at each site to reprioritise tasks being performed and the balance of hours provided by each professional group and on which days they were provided. Analyses conducted on an intention-to-treat basis demonstrated that there was no estimated effect size difference between groups in the proportion of patients staying longer than expected (weekend versus no weekend; estimated effect size difference [95% CI], p-value) in Trial 1 (0.40 versus 0.38; estimated effect size difference 0.01 [-0.01 to 0.04], p = 0.31, CI was both above and below non-inferiority margin), but the proportion staying longer than expected was greater with the newly developed service compared to its no weekend service control condition (0.39 versus 0.40; estimated effect size difference 0.02 [0.01 to 0.04], p = 0.04, CI was completely below non-inferiority margin) in Trial 2. Trial 1 and 2 findings were discordant for the mean length of stay outcome (Trial 1: 5.5 versus 6.3 days; estimated effect size difference 1.3 days [0.9 to 1.8], p < 0.001, CI was both above and below non-inferiority margin; Trial 2: 5.9 versus 5.0 days; estimated effect size difference -1.6 days [-2.0 to -1.1], p < 0.001, CI was completely below non-inferiority margin). There was no difference between conditions for the proportion who had an unplanned readmission within 28 days in either trial (Trial 1: 0.01 [-0.01 to 0.03], p = 0.18, CI was both above and below non-inferiority margin; Trial 2: -0.01 [-0.02 to 0.01], p = 0.62, CI completely below non-inferiority margin). There was no difference between conditions in the proportion of patients who experienced any adverse event in Trial 1 (0.01 [-0.01 to 0.03], p = 0.33, CI was both above and below non-inferiority margin), but a lower proportion of patients had an adverse event in Trial 2 when exposed to the no weekend allied health condition (-0.03 [-0.05 to -0.004], p = 0.02, CI completely below non-inferiority margin). Limitations of this research were that 1 of the trial wards was closed by the healthcare provider after Trial 1 and could not be included in Trial 2, and that both withdrawing the current weekend allied health service model and installing a new one may have led to an accommodation period for staff to adapt to the new service settings. Stepped-wedge trials are potentially susceptible to bias from naturally occurring change over time at the service level; however, this was adjusted for in our analyses. In Trial 1, criteria to say that the no weekend allied health condition was non-inferior to current weekend allied health condition were not met, while neither the no weekend nor current weekend allied health condition demonstrated superiority. In Trial 2, the no weekend allied health condition was non-inferior to the newly developed weekend allied health condition across all primary outcomes, and superior for the outcomes proportion of patients staying longer than expected, proportion experiencing any adverse event, and mean length of stay. Australian New Zealand Clinical Trials Registry ACTRN12613001231730 and ACTRN12613001361796.

In North Korea in the decade following the Korean War, labor became the defining means of state control and national unity. In pursuit of rapid industrial growth, the North Korean state stressed order and consistency in everyday life, at both work and home. In Heroes and Toilers, Cheehyung Harrison Kim offers an unprecedented account of life and labor in postwar North Korea that looks at both governance and popular resistance. Kim traces the state's pursuit of progress through industrialism and examines how ordinary people challenged the state every step of the way. More than coercion or violence, he argues, work was crucial to state control. Industrial labor was both mode of production and mode of governance, characterized by repetitive work, mass mobilization, labor heroes, and the insistence on convergence between living and working. At the same time, workers challenged and reconfigured state power to accommodate their circumstances - coming late to work, switching jobs, fighting with bosses, and profiting from the black market, as well as following approved paths to secure their livelihood, resolve conflict, and find happiness. Heroes and Toilers is a groundbreaking analysis of postwar North Korea that avoids the pitfalls of exoticism and exceptionalism to offer a new answer to the fundamental question of North Korea's historical development.

\"This study explores how firms shape labor markets and career paths using employee non-compete agreements. The sociology of work has overlooked non-competes, but data indicate that nearly half of technical professionals in the United States are asked to sign such employment contracts. Fearing loss of investments in talent and trade secrets, firms use non-competes to 'strike back' against technical professionals' increased mobility following the decline of internal labor markets. In-depth interviews with 52 randomly sampled patent holders in a single industry, coupled with a survey of 1,029 engineers across a variety of industries, reveal that ex-employees subject to non-competes are more likely to take career detours -- that is, they involuntarily leave their technical field to avoid a potential lawsuit. Moreover, firms strategically manage the process of getting workers to sign such contracts, waiting for workers' bargaining position to weaken. These findings inform our understanding of the social organization of work in the knowledge economy.\" (Author's abstract, IAB-Doku). Die Untersuchung enthält quantitative Daten. Forschungsmethode: empirisch; Befragung.

This topical reader provides a critical stock take of the state of user involvement and will be an important resource for students studying health and social care and social work researchers and user activists.

Objectives: We sought to determine whether interventions that target work organization or the psychosocial work environment are effective in preventing or reducing work-related musculoskeletal disorders (WMSD) compared to usual work. Methods: We systematically reviewed the 2000-2015 English- and French-language scientific literature, including studies evaluating the effectiveness of an organizational or psychosocial work intervention on incidence, prevalence or intensity of work-related musculoskeletal pain or disorders in the neck, shoulders, upper limbs and/or back or of work absence due to such problems, among non-sick-listed workers. We excluded rehabilitation and individual-level behavioral interventions and studies with ＞50% attrition. We analyzed medium- and high-quality studies and synthesized the evidence using the Grading of Recommendations Assessment, Development ＆ Evaluation (GRADE) approach. An analysis of key workplace intervention elements supplemented the interpretation of results. Results: We identified 884 articles; 28 met selection criteria, yielding 2 high-quality, 10 medium-quality and 16 low-quality studies. There was moderate evidence that supplementary breaks, compared to conventional break schedules, are effective in reducing symptom intensity in various body regions. Evidence was low-tovery- low quality for other interventions, primarily due to risk of bias related to study design, high attrition rates, co-interventions, and insensitive indicators. Most interventions lacked key intervention elements, such as work activity analysis and ergonomist guidance during implementation, but the relation of these elements to intervention effectiveness or ineffectiveness remains to be demonstrated. Conclusions: Targeting work–rest cycles may reduce WMSD. Better quality studies are needed to allow definitive conclusions to be drawn on the effectiveness of other work organizational or psychosocial interventions to prevent or reduce WMSD.

\"An insightful study in disaster anthropology, The Aftermath of the 2011 East Japan Earthquake and Tsunami takes as its focus the fishing town of Otsuchi in Japan's Iwate Prefecture, one of the worst damaged areas in the mammoth 2011 tsunami. Here,1,281 of the pre-tsunami population of 15,000 were killed and 60 percent of houses destroyed. To make matters worse, the town's administrative organs were completely obliterated and fire ravaged the downtown area for three days, blocking external rescue attempts. Complete with vivid and detailed witness testimony collected by the author, this book covers the eighteen months since the first day of the disaster through the subsequent months of community life in the evacuation centers and the struggles between the citizens and local governments in formulating reconstruction plans. It particularly addresses community interactions within the post-disaster context, assessing locals' varying degrees of success in organizing emergency committees to deal with such tasks as clearing rubble, hunting down food, obtaining fuel, and inquiring into the sociological reasons for these differences. It also casts new light on administrative failings that significantly augmented the loss of human lives in the diaster, and are threatening to bring further damage through insistence on reconstruction centered on enormous sea walls, agains local citizens' wishes\"--Back cover.

In recent years, the increasing concern about the labour market implications of technological change has led economists to look in more detail at the structure of work content and job tasks. Incorporating insights from other traditions of task analysis, in particular from the labour process approach, as well as from recent research on skills, work organisation and occupational change, in this paper we propose a comprehensive and detailed taxonomy of tasks. Going beyond existing broad classifications, our taxonomy aims at connecting the substantive content of work with its organisational context by answering two key questions: what do people do at work and how do they do their work? For illustrative purposes, we show how our approach allows a better understanding of the impact of new technologies on work, by accounting for relevant ongoing transformations such as the diffusion of artificial intelligence and the unfolding of digital labour platforms.

\"Discover the magical places of the Harry Potter films in one-of-a-kind 3-D scenes. Revisit the magic of Harry Potter through four intricate, multilayered dioramas that capture beloved locations from the films. From Hogwarts to Hogsmeade, Diagon Alley, and the Ministry of Magic, each paper scene is laser die-cut for precision and gorgeously detailed. Every scene is accompanied by essential information about these magical places and fun, behind-the-scenes facts from the films. Designed to thrill both seasoned Harry Potter fans and younger children, this volume is a treasured keepsake for the whole family.\"-- Publisher's description.

One of the great paradoxes of inequality in organizations is that even when organizations introduce new programs designed to help employees in traditionally disadvantaged groups succeed, employees who use these programs often suffer negative career consequences. This study helps to fill a significant gap in the literature by investigating how local employer practices can enable employees to successfully use the programs designed to benefit them. Using a research approach that controls for regulatory environment and program design, we analyze unique longitudinal personnel data from a large law firm to demonstrate that assignment to powerful supervisors upon organization entry improves career outcomes for individuals who later use a reduced-hours program. Additionally, we find that initial assignment to powerful supervisors is more important to positive career outcomes—that is, employee retention and performance-based pay—than are factors such as supervisor assignment at the time of program use. Initial assignment affects career outcomes for later program users through the mechanism of improved access to reputation-building work opportunities. These findings have implications for research on work-family programs and other employee-rights programs and for the role of social capital in careers.