A Dynamic Approach to Stakeholder Theory: A Case Study of Labor - Management Relations at General Motors

The purpose of this thesis is to identify areas for improvement in the current stakeholder management literature. The current stakeholder management theories were analyzed to determine their benefits and detriments. To determine how these theories work in a corporation, General Motors was selected as a single-case study to determine the patterns of stakeholder management over time. These patterns demonstrated the need for dynamic stakeholder management over time, with an emphasis on collaboration and the necessity of recognizing the greater stakeholder network surrounding the corporation. Proper stakeholder management in the early years of General Motors would have prevented its failure, while the organizational culture as a path-dependent variable made it difficult for General Motors to alter long-standing stakeholder relationships.

Oral misoprostol for third stage of labor: a randomized placebo-controlled trial

OBJECTIVE: To investigate whether orally administered misoprostol during the third stage of labor is efficient in reducing postpartum blood loss. METHODS: In a double-masked trial, during vaginal delivery women were randomly assigned to receive a single oral dose of misoprostol (600 microg) or placebo in third stage of labor, immediately after cord clamping. The third stage of labor was managed routinely by early cord clamping and controlled cord traction; oxytocin was administered only if blood loss seemed more than usual. Blood loss was estimated by the delivering physician and differences in hematocrit were measured before and after delivery. RESULTS: Mean (+/- standard error of the mean) estimated blood loss (345 +/- 19.5 mL versus 417 +/- 25.9 mL, P = .031) and hematocrit difference (4.5 +/- 0.9% versus 7.9 +/- 1.2%, P = .014) were significantly lower in women who received misoprostol than those who received placebo. Fewer women in the misoprostol group had postpartum hemorrhage (blood loss of at least 500 mL), but that difference was not statistically significant (7% versus 15%, P = .43). Additional oxytocin before or after placental separation was used less often in the misoprostol group (16% versus 38%, P = .047). There were no differences in the length of third stage of labor (8 +/- 0.9 minutes versus 9 +/- 1 minutes, P = .947). There were no differences in pain during third stage of labor, postpartum fever, or diarrhea, but shivering was more frequent in the misoprostol group. CONCLUSION: Oral misoprostol administered in the third stage of labor reduced postpartum blood loss and might be effective in reducing incidence of postpartum hemorrhage.

A comparison of labor and delivery management activities in two settings

Similarities and differences in management activities and patient health outcomes between a traditional physician staffed labor and delivery setting and a certified nurse-midwife staffed Birth Center within the same hospital were described. The 950 study subjects, low income, minority women, were classified as low obstetrical risk by a POPRAS score of 25 points or less at time of admission for labor and delivery. The study subjects were similar in demographic, antepartum and intrapartum characteristics; the labor course was problem free for the majority in both settings. There were no remarkable differences in health outcomes between the groups. Management activities varied between settings; these variations were policy related rather than health related. The POPRAS rating system was an accurate predictor for 93% of BC subjects and 85% of LDU subjects. Charge for service was approximately $600 less for BC women; length of stay did not contribute to the difference in charge. Overall, BC respondents to the attitude survey were more satisfied with their labor and delivery experience than L\&DU women. ^

Surface sediment samples from several fore-arc basins west and southwest of the Indonesian Archipelago, analyzed by planktonic foraminifera, stable oxygen and carbon isotopic signals and opal and CaCO3 contents in bulk sediment

A total of 69 surface sediment samples from several fore-arc basins located west and southwest of the Indonesian Archipelago was analyzed with respect to the faunal composition of planktonic foraminifera, the stable oxygen and carbon isotopic signal of a surface-dwelling (Globigerinoides ruber) and a thermocline-dwelling (Neogloboquadrina dutertrei) species, and the opal and CaCO3 contents in bulk sediment. Our results show that the distribution pattern of opal in surface sediments corresponds well to the upwelling-induced chlorophyll concentration in the upper water column and thus, represents a reliable proxy for marine productivity in the coastal upwelling area off S and SW Indonesia. Present-day oceanography and marine productivity are also reflected in the tropical to subtropical and upwelling assemblages of planktonic foraminifera in the surface sediments, which in part differ from previous studies in this region probably due to different coring methods and dissolution effects. The average stable oxygen isotopic values (d18O) of G. ruber in surface sediments vary between 2.9 per mill and 3.2 per mill from basin to basin and correspond to the oceanographic settings during the SE monsoon (July-October) off west Sumatra, whereas off southern Indonesia, they reflect the NW monsoon (December-March) or annual average conditions. The d18O values of N. dutertrei show a stronger interbasinal variation between 1.6 per mill and 2.2 per mill and correspond to the upper thermocline hydrology in July-October. In addition, the difference between the shell carbon isotopic values (d13C) of G. ruber and N. dutertrei (Delta d13C) appears to be an appropriate productivity recorder only in the non-upwelling areas off west Sumatra. Consequently, joint interpretation of the isotopic values of these species is distinctive for different fore-arc basins W and SW of Indonesia and should be considered in paleoceanographic studies.

Decent employment and subjectivity in the workplace : Notes for an agenda of labor policies in citizenship terms

Retomando los problemas contemporáneos del trabajo en términos de sus actores, se examinan los aspectos en los cuales la psicología de trabajo puede producir contribuciones y reflexiones. El problema del diagnóstico así como el de la comprensión y la elucidación de los límites y alcance que las políticas de empleo implican diseños diferentes para procesos ligados a los aspectos psicosociales del trabajo, que exceden a los determinados desde el punto de vista del empleo decente.

Decent employment and subjectivity in the workplace : Notes for an agenda of labor policies in citizenship terms

Retomando los problemas contemporáneos del trabajo en términos de sus actores, se examinan los aspectos en los cuales la psicología de trabajo puede producir contribuciones y reflexiones. El problema del diagnóstico así como el de la comprensión y la elucidación de los límites y alcance que las políticas de empleo implican diseños diferentes para procesos ligados a los aspectos psicosociales del trabajo, que exceden a los determinados desde el punto de vista del empleo decente.

Decent employment and subjectivity in the workplace : Notes for an agenda of labor policies in citizenship terms

Retomando los problemas contemporáneos del trabajo en términos de sus actores, se examinan los aspectos en los cuales la psicología de trabajo puede producir contribuciones y reflexiones. El problema del diagnóstico así como el de la comprensión y la elucidación de los límites y alcance que las políticas de empleo implican diseños diferentes para procesos ligados a los aspectos psicosociales del trabajo, que exceden a los determinados desde el punto de vista del empleo decente.

Mineral composition of 0.1-0.05 mm grain size fraction from the surface layer of bottom sediments in the West European province of the Atlantic Ocean

Rock material sampled from the Mir manned deep-sea submersibles and by dradges, grabs, and sediment cores over a vast area of the North Atlantic was analyzed to show that this material is of continental origin, unlike original rocks of the ocean floor. It is proved to be related to iceberg rafting during Quaternary glaciations. Independent data on distribution and composition of sandy and silty grains in sediment cores also support this relation to the recent glaciation. New criteria for identification of iceberg rock matter in pelagic sediments are presented on the base of analysis of all available data.