Payroll employment rose a more-than-expected 228,000 in November. The largest increases occurred in health care, professional services and manufacturing. Gains in health care and professional hires were concentrated in low-wage areas, which include support staff and non-doctor health care providers. That marks a shift from earlier in the year when much of the hiring in professional services was for new college graduates who are higher on the wage scale. The increase in administrative help reflects the expansion of offices; this is an area where employment agencies have reported shortages.