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This article has been withdrawn as it was published elsewhere and accidentally duplicated. The original article can be seen here: 10.1108/09526869710189315. When citing the article, please cite: Rebecca Haines, Alan Blair, Michael Osborn, (1997), “The challenges of assessing outcome in chronic pain”, International Journal of Health Care Quality Assurance, Vol. 10 Iss: 4, pp. 149 - 152.

Clinicians in chronic pain services are facing the need to develop meaningful and methodologically adequate measures, not only to evaluate the effectiveness of interventions and to assure quality, but also to support the continued funding and future development of such services. Explores the problems inherent in assessing outcomes in chronic pain. These include the complexity of the chronic pain syndrome itself, the multidimensional nature of interventions and the challenges of defining outcomes in the chronic illness syndrome. The complexity and challenges of assessing outcomes may lead to some reticence in facing the challenges but it is the responsibility of the clinicians to continue developing measures and to communicate to purchasers and other stakeholders the complexity of assessing outcomes in chronic pain.

Two perspectives provide alternative insights into household composition in contemporary Eastern Europe. The first stresses that individuals have relatively fixed preferences about living arrangements and diverge from them only when they cannot attain their ideal. The second major approach, the adaptive strategies perspective, predicts that individuals have few preferences. Instead, they use household composition to cope with economic hardship, deploy labor, or care for children or the elderly. This article evaluates these approaches in five post‐socialist East‐European countries, Bulgaria, Hungary, Poland, Romania, and Russia, using descriptive statistics and logistic regression. The results suggest that household extension is common in these countries and provide the most evidence for the adaptive strategies perspective. In particular, the results show that variables operationalizing the adaptive strategies perspective, including measures of single motherhood, retirement status, agricultural cultivation, and poverty, increase the odds of household extension.

We develop theoretical and conceptual insights into a social movement’s strategic articulation, through an examination of the relationships among the conservative, moderate and radical organizations within a movement field before, during and after a wave of contention. Definitions for conservative, moderate and radical organizations that have been lacking in the literature are provided. Three U.S. cases are employed including the Civil Rights Movement, the Animal Rights Movement, and the AIDS Movement to illustrate/apply our concepts and test our theoretical assertions. We find a distinct conservative flank in movements which facilitates linkages to state officials. Moderates have a unique role as the bridge between the radical and conservative flanks. A lack of formal organization among radicals appears to incite state repression. The radical flank, or strong ties between the radial flank and moderates or conservatives, does not have a positive effect prior to or at the peak of a wave of contention when there is significant state repression. In the absence of state repression and after concessions or the peak of activism, moderates and conservatives benefit by distancing from the radical flank. Moderate organizations marginally institutionalize except when conservative movement organizations are absent; then full incorporation occurs.

In some settings, sharecropping is associated with large extended families, high fertility, and early age of marriage. These demographic practices are often considered to be labor strategies for working extensive share‐tenancies. Where agricultural production is primarily labor intensive, landlords can increase their income, within certain limits, by maximizing the number of adult workers. If landlords hold considerable power over their tenants, they may have a large influence on demographic practices. Although this relationship between sharecropping and some of these demographic practices is found throughout much of history in northern Italy, the evidence is less clear for fifteenth‐century Tuscany. Herlihy and Klapisch‐ Zuber's study of the Catasto of 1427, a set of tax declarations, found no relation between household structure and land tenure. Some of their work suggested that fertility was higher among sharecroppers, but this relationship was not specified in detail. They did not consider the relationship between land tenure and age of marriage. This paper reconsiders the relationship between land tenure, household structure, fertility, and age of marriage. To try to correct for problems with Herlihy and Klapisch‐Zuber's land tenure variable, their data were aggregated to the administrative unit of analysis. The aggregated data show that sharecropping in rural Tuscany in 1427 was associated with household extension, high fertility, and early age of marriage, although the magnitude of this relationship was not large. Possible reasons for this weak relationship are discussed.

The aim of this case study is to present one library's experiences consulting with a usability expert during the design and implementation phases of a new academic library website and the lessons learned during the process.

The library staff worked with the consultant so that he understood the work of the librarians and goals for the website. Together the consultant and library staff developed a series of tests to measure the usability of the site. The librarians implemented the tests, gradually taking the leadership role in the process.

The study confirms the value of usability testing as a tool to bring to light some of the ambiguities and complexities of a library website for users. The study demonstrates that librarians have developed an expertise and knowledge base that transfers well to the evaluation of websites and online resources. The experience of the University of Michigan AAE Library reveals that usability testing should be an ongoing exercise so that the website remains relevant to the users.

This study advises librarians of the value of testing and that, on the one hand, test results confirm what one imagines about the users' experiences, but on the other hand they reveal the unexpected strategies and understandings of the users.

This case study provides a useful example of the value of working with a usability expert, a discussion of what to expect during the process, and advice about the role of the librarian in such an endeavor.

The purpose of this paper is to explore the pressing issues facing health and health systems governance in the Anthropocene – a new geological time period that marks the age of colossal and rapid human impacts on Earth’s systems.

The viewpoint illustrates the extent of various human induced global ecological changes such as climate change and biodiversity loss and explores the social forces behind the new epoch. It draws together current scientific evidence and expert opinion on the Anthropocene’s health and health system impacts and warns that many these are yet unknown and likely to interact and compound each other.

Despite this uncertainty, health systems have four essential roles in the Anthropocene from adapting operations and preparing for future challenges to reducing their own contribution to global ecological changes and an advocacy role for social and economic changes for a healthier and more sustainable future.

To live up to this challenge, health services will need to expand from a focus on health governance to one on governance for health with a purpose of achieving equitable and sustainable human development.

As cities and local governments work to create more healthy, just and sustainable communities in the years ahead, health systems need to join with them as partners in that process, both as advocates and supporters and – through their own action within the health sector – as leading proponents and models of good practice.

What is it about academia anyway? We profess to hate it, spend endless amounts of time complaining about it, and yet we in academia will do practically anything to stay. The pay may be low, job security elusive, and in the end, it's not the glamorous work we envisioned it would be. Yet, it still holds fascination and interest for us. This is an article about American academic fiction. By academic fiction, I mean novels whosemain characters are professors, college students, and those individuals associated with academia. These works reveal many truths about the higher education experience not readily available elsewhere. We learn about ourselves and the university community in which we work.

The paper aims to consider whether social enterprise, who are growing in number and seemingly a politically popular alternative to mainstream employment are a potential conduit for social change. Discussions relating to the value of (stable) employment in reducing and preventing (re)offending are not new. For many ex-offenders, a multitude of barriers stand between them and access to the labour market. As a potential conduit for social change, social enterprises are a growing and seemingly politically popular alternative to mainstream employment.

Focusing on the qualitative lived experiences of young people (aged between 16 and 18) with criminal convictions enrolled in one such enterprise, this paper examines the extent to which work-integrated social enterprise can assist in overcoming existing barriers to the labour market.

The paper highlights the value of social enterprise(s) in addressing the complex needs and precarities of criminalised youths, promoting social inclusion and assisting with progression into future employment. The paper also discusses the limitations of social enterprise(s) in overcoming external structural barriers to meaningful employment for those with an offending history and the implications for young people who aspire to more than precariat work.

Justice-orientated social enterprises are allowing young people with criminal records the opportunity to build social capita and access precarious work, previously unattainable for many. By focusing on the concept of “precarity”, this paper builds upon existing research on the collateral consequences of criminal convictions offering insights into the various challenges facing criminalised youths attempting to build a positive pro-social work identity within contemporary labour markets

At the 2019 United Nations Climate Action Summit, the Club of Rome in collaboration with a network of global contributors issued a statement calling for nations to declare a planetary emergency. The statement calls for urgent action to prevent a global crisis due to the impact of human activity on the stability of the Earth’s life-support systems. Implications of the planetary emergency pose intriguing challenges for how managers address paradoxical sustainability challenges across spatial and temporal scales. In this chapter, the authors have two aims. First, the authors show that the planetary emergency is inherently paradoxical. To do this, the authors build an embedded view of the planetary emergency and argue that it is paradoxical due to key dynamics that emerge across organizational, economic, social, and environmental systems over time. Second, the authors advance paradox theory by exploring the paradoxical nature of the planetary emergency and propose a three-sequence framework for collective action including: (1) building a view of the planetary emergency across spatial and temporal scales, (2) collectively making sense of the planetary emergency, and (3) levering a paradoxical view of the planetary emergency to ensure effective action.