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Item The arsenal of democracy drops a stitch : WWII industrial mobilization and the Real Silk Hosiery Mills of Indianapolis, Indiana(2013) Wilson, Carol Marie; Morgan, Anita A.; Robertson, Nancy Marie, 1956-; Cramer, KevinConventional interpretations of WWII hold that the war brought the United States out of the Great Depression and laid the path for future economic prosperity. However, this was not the case for all businesses and industries. During WWII, unprecedented production output was required of U.S. industries to supply the great “Arsenal of Democracy.” Industrial mobilization required the creation of new agencies and commissions to manage the nation’s resources. These organizations created policies that deeply impacted U.S. industries involved in war production. Policies governing such areas as the allocation of raw materials, transportation of finished goods, and distribution of war contracts created challenges for businesses that often resulted in lost productivity and in some cases, loss of profitability. Government regulation of the labor force and labor problems such as labor shortages, high absenteeism and turnover rates, and labor disputes presented further challenges for businesses navigating the wartime economy. Most studies of WWII industrial mobilization have focused on large corporations in high priority industries, such as the aircraft, petroleum, or steel industries, which achieved great success during the war. This thesis presents a case study of The Real Silk Hosiery Mills of Indianapolis, Indiana, a company that is representative of small and mid-sized companies that produced lower priority goods. The study demonstrates that the policies created by the military and civilian wartime agencies favored large corporations and had a negative affect on some businesses like Real Silk. As such,the economic boost associated with the war did not occur across the board.Item Assessing the Risk of Interfacility Transport in Pregnant Patients Due to Progression of Labor: Lessons From a Specialized Maternal-Fetal Transport Program(Springer Nature, 2024-09-30) Lardaro, Thomas; Balaji, Adhitya; Yang, David; Kuhn, Diane; Glober, Nancy; Brent, Christine M.; Couturier, Katherine; Breyre, Amelia; Vaizer, Julia; Hunter, Benton R.; Emergency Medicine, School of MedicineBackground: Pregnant laboring patients sometimes require interfacility transfer to a higher level of care. There is a paucity of evidence to inform when it is safe to transfer a laboring patient and when delivery may be too imminent to transfer. Methods: This is a retrospective study of pregnant patients undergoing interfacility transfer with a specialized obstetric transport team deployed from a large Midwest regional healthcare system. The primary outcome was delivery prior to or within one hour of arrival at the receiving institution due to progression of labor. Data collected included basic demographics, vital signs, gravidity, parity, gestational age, contraction frequency if contractions were present, and cervical dilation. We sought to define the association between these variables and the primary outcome to inform risk assessment for precipitous delivery among patients being considered for interfacility transfer. Results: Of the 370 pregnant patients for whom the specialized transfer team was requested, 11 (3%) met the primary outcome. Those with more advanced cervical dilation and those who did not receive regular prenatal care were more likely to meet the criteria for the primary outcome. For every centimeter of cervical dilation, the odds of meeting the primary outcome increased 2.3-fold (95% CI: 1.5-3.4). Conclusions: We identified risk factors for early delivery among pregnant patients for whom an interfacility transfer was requested and described patients who were high-risk for obstetric interfacility transport due to the progression of labor. Our results can help inform risk assessments for transferring potentially high-risk laboring patients.Item Chartists(Blackwell Publishing, 2009-04-20) Kelly, Jason M.Chartism was a massive, working-class political movement that became a prominent feature of British politics between 1837 and 1848. The name Chartist was a derivation from their petitioning activities, which culminated in the presentation of three People's Charters to parliament in 1838, 1842, and 1848. While unsuccessful in achieving their immediate goals, the group became a potent symbol of early working-class political agitation, for radicals and conservatives alike.Item Obesity, Second Stage Duration, and Labor Outcomes in Nulliparous Women(Thieme, 2021-03) Frolova, Antonina I.; Raghuraman, Nandini; Stout, Molly J.; Tuuli, Methodius G.; Macones, George A.; Cahill, Alison G.; Obstetrics and Gynecology, School of MedicineObjective: This study aimed to estimate second stage duration and its effects on labor outcomes in obese versus nonobese nulliparous women. Study design: This was a secondary analysis of a cohort of nulliparous women who presented for labor at term and reached complete cervical dilation. Adjusted relative risks (aRR) were used to estimate the association between obesity and second stage characteristics, composite neonatal morbidity, and composite maternal morbidity. Effect modification of prolonged second stage on the association between obesity and morbidity was assessed by including an interaction term in the regression model. Results: Compared with nonobese, obese women were more likely to have a prolonged second stage (aRR: 1.48, 95% CI: 1.18-1.85 for ≥3 hours; aRR: 1.65, 95% CI: 1.18-2.30 for ≥4 hours). Obesity was associated with a higher rate of second stage cesarean (aRR: 1.78, 95% CI: 1.34-2.34) and cesarean delivery for fetal distress (aRR: 2.67, 95% CI: 1.18-3.58). Obesity was also associated with increased rates of neonatal (aRR: 1.38, 95% CI: 1.05-1.80), but not maternal morbidity (aRR: 1.06, 95% CI: 0.90-1.25). Neonatal morbidity risk was not modified by prolonged second stage. Conclusion: Obesity is associated with increased risk of neonatal morbidity, which is not modified by prolonged second stage of labor.Item Tolkien and the machine(The Conversation US, Inc., 2015-01-06) Gunderman, Richard; Radiology and Imaging Sciences, School of Medicine