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The purpose of this paper is to establish the relationship between organisational culture and psychotropic medication use in residential care.

Cross-sectional analyses of staff and resident’s record survey in residential aged care facilities in Auckland, New Zealand (NZ). The competing values framework categorised organisational culture as clan, hierarchical, market driven or adhocracy and was completed by all staff. The treatment culture tool categorised facilities as having resident centred or traditional culture and was completed by registered nursing staff and general practitioners (GP). Functional and behavioural characteristics of residents were established by staff report and health characteristics and medications used were ascertained from the health record. Multiple regression was used to test for associations between measures of culture with psychotropic medication use (anxiolytics, sedatives, major tranquillisers).

In total 199 staff, 27 GP and 527 residents participated from 14 facilities. On average 8.5 medications per resident were prescribed and 42 per cent of residents received psychotropic medication. Having a diagnosis of anxiety or depression (odds ratio (OR) 3.18, 95 per cent confidence interval (CI) 1.71, 5.91), followed by persistent wandering (OR 2.53, 95 per cent CI 1.59, 4.01) and being in a dementia unit (OR 2.45, 95 per cent CI 1.17, 5.12) were most strongly associated with psychotropic use. Controlling for resident- and facility-level factors, health care assistants’ assignation of hierarchical organisational culture type was independently associated with psychotropic medication use, (OR 1.29, CI 1.08, 1.53) and a higher treatment culture score from the GP was associated with lower use of psychotropic medication (OR 0.95, CI 0.92, 0.98).

Psychotropic medication use remains prevalent in residential care facilities in NZ. Interventions aimed at changing organisational culture towards a less hierarchical and more resident-centred culture may be another avenue to improve prescribing in residential aged care.

“Welcome to the new world of banking, where the bank goes to the customer rather than waiting for the customer to come to the bank.”. Financial institutions are in the process of executing an unprecedented reconfiguration of the banking industry.

It appears quite likely that the worldwide demand for wine has been declining for over a decade now. While a number of reasons for this changing consumer behaviour have been advanced, no one really knows what factors are driving this market downward. This changing demand structure has very serious implications for Spanish wine makers because the fastest decline in demand is at the low priced end of the market. That is exactly the part of the market where Spanish wine makers have their strongest position. Four endgame strategies available to Spanish wine makers are presented and analyzed. Finally, a four step action program is outlined that is intended to give Spanish makers their best chance of surviving these new market conditions.

In 2002 when we began reviewing papers for possible inclusion in Advances in Gender Research volume 7: Gender Perspectives on Health and Medicine: Key Themes, and Volume 8: Gender Perspectives on Health and Medicine: Reproduction and Sexuality, the popular press was full of headlines about Hormone Replacement Therapy (HRT) (for references and extended and detailed discussion by researchers and physicians see the editorial by Ronald C. Hamdy, MD, FRCP, FACP (2002) and the letters to the editor (Mikhail, 2003) in the Southern Journal of Medicine).

In this chapter, we examine the unique and heightened negative impacts of the COVID-19 pandemic through tracing how the preexisting social conditions of exclusion and precarity in which many disabled people live, effected access to safe, affordable, and accessible housing in Canada. We then illustrate the reverberating impacts housing choices have on how people with disabilities lived, lived well, and how they faced barriers to living well during the COVID-19 pandemic.

Using an intersectional livelihoods approach, we analyzed semi-structured interviews and focus groups with 32 diverse people with disabilities, 12 key informant semi-structured interviews, as well as academic and community literature and a social media scan of key disability advocacy organizations in Canada.

Pandemic-related policies in Canada often excluded people with disabilities, either overlooking barriers to access and safety, which exacerbated the already precarious livelihoods of people with disabilities or over-emphasized the usefulness of social adaptions such as work from home. These exclusions had more profound consequences for people with disabilities from historically marginalized groups, as they often faced increased barriers to livelihoods pre-pandemic, and disability- or care-specific policies failed to consider intersectional experiences of discrimination. People with disabilities formed communities of care to meet their needs and those of their loved ones.

To achieve a responsive policy response that addresses the cascading impacts of risk and care, it is necessary for governments to engage, early and often, with people with disabilities, disability leaders and organizations in emergency planning and beyond.

The coming of Big Data is offered as a salve that will reduce global inequalities and grow national economies. The chapter pursues how notions of progress have traveled into schooling through technology and generate differences and exclusions in the past and present. The chapter explores how transnational school reforms during the colonial era were directed to adapting education to “the African,” which connected expertise in the U.S., UK, and Africa through a shared set of standards, principles, and values about what constituted civilization and development. In school reforms today, the “African” has disappeared today in favor of the “all”; however, residues of educational values and judgments that made up the African as a peculiar and pathological target of colonial schooling still haunt the present. The chapter argues that today’s transnational school reforms continue to presume target communities are passive, pathological objects whose transformation depends upon their learning to act rationally. Whereas in the past this was envisioned as individuals’ and communities’ assimilation through surveys and questionnaires, today rationality is managed through integration in systems and optimizing users’ choices through data mining and algorithms. The narrative of data as grounding rational thought and action is a seductive one that offers optimism to schooling; however, faith in the coming of technology impairs historical reflection and ethical reflexivity toward schooling’s values and judgments, and the differences and exclusions they generate.

An agreement has been announced between UMI and Dow Interactive Publishing by which UMI gains exclusive world‐wide rights to distribute Dow Jones publications online to academic, public and school library markets, and Dow Jones gains access to text and images from thousands of UMI publications.

At least three demographic trends in the twentieth century are having a tremendous impact on the patterns of women's lives. With increased life expectancy, reduced birth‐rate, and expanded occupational mobility, the life cycle of the American female has undergone great change. At midlife, many women today begin roles new to them—widow/divorcee, student, salaried employee, head‐of‐household are usually discussed. They may be confronted with new challenges—entering or reentering the labor force, returning to school, renewing old skills and roles—or may merely be struggling to survive. Rarely mentioned are the never‐married women and the fact that most people work because they must acquire the basics for themselves and/or for others.