Ergonomic recommendations and their role in cardiac sonography

Musculoskeletal disorders (MSDs) have been recognized as a serious hazard to the health and safety of sonographers. Recommendations have been made on ways to reduce and prevent the frequency and severity of these disorders. The purpose of this study was to ascertain the impact ergonomics has had on the prevalence of MSDs among cardiac sonographers. Three hundred randomly selected Registered Diagnostic Cardiac Sonographers were surveyed. Eighty-one respondents completed the survey. The majority of the sample population was female with an average age of 40 and job tenure between 6-15 years. Ninety percent of respondents reported musculoskeletal pain/discomfort while scanning. Seventy-three percent of respondents perceived a need for ergonomic interventions. The majority of respondents were aware of previously recommended ergonomic interventions and had implemented what was feasible. Still, the experience of pain and discomfort, and incidence of MSDs remains exceptionally high for this occupation. It appears that recommended ergonomic interventions have not had a significant impact on improving the health and safety of cardiac sonographers.     

Beyond enmeshment: evidence for the independence of intrusiveness and closeness-caregiving in married couples

In a 1996 article on family theory, we (Green & Werner) proposed that family enmeshment should not be equated with high cohesion and that the construct of enmeshment fails to discriminate between two distinct relationship processes: Closeness-caregiving and intrusiveness. In this study, our model of these two independent dimensions of family connectedness was tested by assessing spouses from 264 couples, using the California Inventory for Family Assessment (CIFA). The CIFA scales showed acceptable reliability. Significant interspouse validity correlations also were obtained. As predicted by our theory, factor analyses distinguished dimensions of intrusiveness (blurring of boundaries) from dimensions of closeness-caregiving (such as warmth and nurturance). On all but two factors, behaviors of only one spouse (but not of both) had interpretable loadings. That is, in most areas, the two spouses' behaviors did not load together to form meaningful factors. The latter finding suggests that family systems theory--with its central notion of reciprocally contingent behaviors between family members--may be useful in understanding only a few dimensions of spouses' behavior (such as reciprocal aggression) whereas personality-in-context theories may be better for understanding most other dimensions (such as warmth and nurturance).     

The extended enterprise-a context for manufacturing

Today's manufacturing enterprises face tremendous competitive pressures. Global competition, together with market demands for customized products delivered just in time, place tremendous pressures on manufacturers. The emerging global economy is rapidly replacing local markets. The emergence of open markets, reductions in trade barriers, and improvements in transportation and communications links have led to a situation where local competition and markets operate in the context of global standards. This open infrastructure allows manufacturers to respond to these challenges by working more closely with their suppliers and customers, and by building extended enterprises across the whole value chain. Such extended enterprises present great challenges in terms of redesigning business processes to create a competitive advantage from the linkages they include. This paper describes the manufacturing philosophies currently in vogue. Any manufacturing or related business will need to use them, albeit tailored to its own circumstances, in one form or the other, to ensure its prosperity.     

Enabling SMEs to take full advantage of e-business

Electronic business is rapidly changing the relationships between supply chain partners. This paper looks at what is needed to allow SMEs to participate fully in supply chain integration. First, current trends in supply chain integration, electronic commerce, and Internet support are examined. Next, the goals and results of a study are presented which addressed SME needs in fast moving consumer goods supply chains. These concepts are then integrated to determine a way forward for SMEs to participate in e-business. It is found that current Virtual Markets (web-sites or on-line communities that facilitate finding a buyer or seller and track orders) address some customer - supplier relationships but need many enhancements before they can support fully integrated supply chains.     

'You have neither neighbours nor privacy' : ambiguities in the experience of emotional well being of women in farming families

This paper explores findings from an ethnographic study of relations of dependency within agricultural communities in the Northern region. Using a life course perspective it focuses on the cultural strategies which women draw upon to deal with the changing constraints, emotional stresses and loneliness of marrying into a farming family. Accounts from women occupying different generational positions demonstrate how they manage to achieve personal wellbeing through creative resolution of the different ambiguities involved in being a‘country girl', a ‘farmer's wife’ and a‘gran'.     

Gone Missing? Disabled children living away from their families

Many disabled children spend most of their childhood in 'care', but not formally 'in care'. Research concerning disabled children has been dominated by a medical model of disability and by a failure to include the subjective reality of children themselves. There is also inadequate statistical information available concerning children who spend most of their time away from a family setting. The article looks at what we do know about such experiences, identifying some issues for future research.     

Reclaiming the Mother-daughter Relationship after Sexual Abuse

This paper seeks to provide direction to therapists working with mothers and daughters after a disclosure of father-daughter sexual abuse. The importance of the mother's belief in and support for the child's recovery is highlighted, as are some of the cultural assumptions about mothers and daughters which negatively impact on the relationship. Despite paying lip service to offender responsibility, there continues to be a culture of mother blaming in the child sexual abuse and family therapy literature on incest. Current research findings challenge some of the prevalent myths about mothers’ responses to their children's disclosures. Few clinical sources have addressed this issue, and therapists who reject the mother blaming literature are therefore left with little guidance as to how to work more effectively with mothers and daughters. Consequently they may unwittingly further undermine the relationship. Work with mothers and daughters as they recover from intrafamilial sexual abuse is discussed, and key therapeutic themes and guidelines for practice presented. We explore the significant theme of the rebuilding of trust between mothers and daughters and facilitate a process whereby the woman is able to bear witness to and acknowledge the trauma experienced by her daughter.     

Looking inside the bag of tools: creating research encounters with parents with an intellectual disability

This paper examines the development of fieldwork methodology in a study that investigated the parenting experiences and parent support needs of a group of parents with an intellectual disability. It considers the ways in which the original planning for the project changed as the fieldwork unfolded, requiring adaptations to our methodological expectations and in the process deepening our understanding of the phenomena we were studying and reinforcing for us the importance of relationships in fieldwork‐based research. Three themes in particular are considered that became central to this research: research relationships; safety for participants/positioning of the researcher; suspending assumptions about impairment and disability and influences on life experiences.