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Martin, Dawn, Louise Nasmith, Susan Glover Takahashi und Bart J. Harvey. „Exploring the experience of residents during the first six months of family medicine residency training“. Canadian Medical Education Journal 8, Nr. 1 (24.02.2017): e22-35. http://dx.doi.org/10.36834/cmej.36679.
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Background: The shift from undergraduate to postgraduate education signals a new phase in a doctor’s training. This study explored the resident’s perspective of how the transition from undergraduate to postgraduate (PGME) training is experienced in a Family Medicine program as they first meet the reality of feeling and having the responsibility as a doctor.Methods: Qualitative methods explored resident experiences using interpretative inquiry through monthly, individual in-depth interviews with five incoming residents during the first six months of training. Focus groups were also held with residents at various stages of training to gather their reflection about their experience of the first six months. Residents were asked to describe their initial concerns, changes that occurred and the influences they attributed to those changes.Results: Residents do not begin a Family Medicine PGME program knowing what it means to be a Family Physician, but learn what it means to fulfill this role. This process involves adjusting to significant shifts in responsibility in the areas of Knowledge, Practice Management, and Relationships as they become more responsible for care outcomes.Conclusion: This study illuminated the resident perspective of how the transition is experienced. This will assist medical educators to better understand the early training experiences of residents, how these experiences contribute to consolidating their new professional identity, and how to better align teaching strategies with resident learning needs.
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Jevtić, Radoje. „Safety in residential buildings: Evacuation from residential buildings without fire escape stairs“. Vojnotehnicki glasnik 69, Nr. 1 (2021): 148–78. http://dx.doi.org/10.5937/vojtehg69-28170.
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Introduction/purpose: Safety in high residential buildings presents a very important and always actual task. In case of some unforeseen and dangerous occurrences, their residents must be evacuated. Fire, earthquakes, and terrorism are only some of such situations. The speed of evacuation from high residential buildings depends on many different factors. A particularly difficult and complex evacuation task concerns buildings without fire escape stairs. Methods: The modeling method was used in this paper. Based on a real object - a residential building, an appropriate simulation model was realized in appropriate simulation software. Results: The results of this paper have shown that, out of four scenarios, the fastest evacuation was for the evacuation speed of 1.75 m/s. The first two scenarios did not report any jams, unlike the third and fourth scenario; in the third scenario, the occupants' speeds were 0.75 m/s and 1.25 m/s while in the fourth scenario, the simulated occupants' speeds were from 0.75 m/s to 1.75 m/s. Conclusion:The usage of appropriate simulation software enables fast, precise, safe and cheap calculation of evacuation times and it can significantly improve evacuation procedures and evacuation strategies.
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Faisal, Shaha. „Orientation to finance (ORTOFIN) and its relationship with residential status“. Investment Management and Financial Innovations 14, Nr. 3 (06.10.2017): 74–81. http://dx.doi.org/10.21511/imfi.14(3).2017.07.
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The two of factors Orientation towards Finance (ORTOFIN) Scale tests the financial information and personal financial planning of the respondents. The Scale helps in identifying the personal financial management behavior of a general and non-specific nature. The present study was undertaken to test the relationship between status of residence and financial orientation using ORTOFIN Scale. Towards this the ORTOFIN scale was administered on 167 resident employed Indians and 62 expatriates working in Saudi Arabia. Since most of the expatriates work in unique situations that are often beset with risks, they have to face an uncertain future. This unique situation was hypothesized, would induce in them a different type of financial behavior, distinct from those who are settled and work in the home country. Results of the study, however, show that there is no relationship between the status of residence and financial orientation of the respondents. The results of the study are of great significance and of practical implication to those financial institutions with which expatriates are associated.
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Silva, Thais Maria de Souza, Carla Cristiane da Silva, Daniel Maciel Crespilho und Flávia Évelin Bandeira Lima. „Formação inicial docente durante a pandemia: um relato de experiência de uma residente a partir do Programa Residência Pedagógica em Educação Física“. Caderno de Educação Física e Esporte 19, Nr. 3 (01.09.2021): 1–7. http://dx.doi.org/10.36453/cefe.2021.n3.27496.
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INTRODUÇÃO: O Programa Residência Pedagógica objetiva aperfeiçoar a formação prática nos cursos de licenciatura, proporcionando uma imersão do acadêmico na escola de Educação Básica. OBJETIVO: Relatar as experiências vivenciadas por uma residente nos primeiros seis meses do Programa Residência Pedagógica de um curso de Educação Física, frente aos desafios da pandemia de COVID-19 para a formação inicial docente. MÉTODOS: O programa foi realizado em uma escola-campo na cidade de Ourinhos (SP) e contou com a participação de 10 residentes que desenvolveram atividades para alunos do 4º e 5º ano do Ensino Fundamental. O cronograma do primeiro módulo foi dividido em três etapas: (A) ambientação, (B) observação estruturada e (C) regência. RESULTADOS: A pandemia de COVID-19 resultou em um processo de regência através do ensino remoto, o que causou certa insegurança e a adaptação do ponto de vista da residente autora. Entretanto, a preparação das etapas de ambientação e observações auxiliaram de forma efetiva a construção do processo de regência. A regência foi dinâmica e encorajadora, e incentivou a atuação no âmbito da Educação Física Escolar. CONCLUSÃO: Apesar das dificuldades encontradas no ensino remoto, todas as experiências vivenciadas pela autora deste relato durante o primeiro módulo do programa contribuíram de forma crucial para a sua formação inicial. ABSTRACT. Initial teacher training during the pandemic: an experience report of a resident from the Pedagogical Residency Program in Physical Education.BACKGROUND: The Pedagogical Residency Program aims to improve practical training in undergraduate courses, providing academic immersion in the Basic Education school. OBJECTIVE: To report the experiences of a resident in the first six months of the Pedagogical Residency Program of a Physical Education course, facing the challenges of the COVID-19 pandemic for initial teacher training. METHODS: The program was carried out in a country school in the city of Ourinhos, SP, Brazil, and had the participation of 10 residents who developed activities for students from the 4th and 5th years of elementary school. The schedule of the first module was divided into three stages: (A) setting, (B) structured observation and (C) conducting. RESULTS: The COVID-19 pandemic resulted in a process of conducting through remote learning, which caused some insecurity and adaptation from the resident author’s point of view. However, the preparation of the stages of setting and observations effectively helped the construction of the conducting process. The regency was dynamic and encouraging, and encouraged action in the context of Physical Education at School. CONCLUSION: Despite the difficulties encountered in remote education, all the experiences lived by the author of this report during the first module of the program contributed crucially to her initial training.
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Smith, David W. E., Alison W. Brett, Jane K. Straker, Jennifer Snell, F. Wilson Jackson und Mary E. Ulmer. „A Study of Stairs in the Housing of Independently-Living Elderly People“. International Journal of Aging and Human Development 39, Nr. 3 (Oktober 1994): 247–56. http://dx.doi.org/10.2190/bb4b-4ykn-etcd-15e2.
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This survey study focuses on stairs in the homes of a substantial number of independently living elderly (60+) residents of a community in which there are mostly multistory houses and apartment buildings with stairs. While the majority could climb their stairs without problems, a substantial minority lived with stairs despite difficulty and even inability in climbing them. Most people were satisfied with their homes, and many were unwilling to admit that stairs were a present or potential problem. Most people, including most with stair problems, had no plans to move from their homes, however a majority was willing to concede under questioning that stair-free living in a presently unplanned next home would be desirable. There is a plea that stairs be of increased concern in the housing of elderly people, and that there be increased planning for stair-free homes.
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Bleiberg, Efrain. „Stages of Residential Treatment“. Residential Treatment For Children & Youth 6, Nr. 4 (Juli 1989): 7–28. http://dx.doi.org/10.1300/j007v06n04_03.
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Yadav, Sunil Kumar, und Arun Giri. „Assessment of Hand Hygiene Knowledge among Residents and Nursing staffs at Nobel Medical College Teaching Hospital, Biratnagar“. Journal of Nepal Paediatric Society 38, Nr. 2 (11.01.2019): 69–73. http://dx.doi.org/10.3126/jnps.v38i2.20547.
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Introduction: Hand hygiene is a very simple and cost-effective procedure to prevent cross-transmission of microorganisms. The compliance of residents and nursing staffs with hand hygiene guidelines seems to be vital in preventing disease transmission among patients. The objective of the study was to assess the knowledge of residents and nursing staffs with regard to hand hygiene.
Material and Methods: This was an institution based descriptive cross-sectional study conducted among 55 respondents (29 nursing staffs and 26 resident doctors) of department of paediatrics, Nobel Medical College in Biratnagar, Nepal. Knowledge was assessed using WHO hand hygiene questionnaire for health care workers. Chi square test was used to compare the percentage of correct responses between resident doctors and nursing staffs. A p value of <0.05 was considered significant.
Results: Among 26 resident doctors and 29 nursing staffs who participated in the study, 30.7% of resident doctors and 55.1% of nursing staffs had received formal training in hand hygiene in the last three years. Only 9% of participants (5 out of 55) had good knowledge regarding hand hygiene.
Conclusions: The knowledge regarding hand hygiene is limited among the study population. The study recommends the need for emphasizing hand hygiene component in the preservice as well as in-service training programs of doctors and nurses.
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Johani, Riany Ambonnari, Soni Akhmad Nulhaqim und Arie Surya Gutama. „CONFLICT STAGES BETWEEN PT KERETA API AND BANDUNG CITIZEN“. Prosiding Penelitian dan Pengabdian kepada Masyarakat 5, Nr. 2 (13.08.2018): 102. http://dx.doi.org/10.24198/jppm.v5i2.18359.
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ABSTRACTThe research background between PT KAI and citizen is due to densely populated area which is one of the citizen phenomena. The purpose of this research is to describe conflict stages that were occurred. This research used theory regarding conflict stages by Simon fisher which will be implicated toward social work and social worker’s role on conflict resolution. This qualitative descriptive research used study case technique in which informants are chosen based on purposive sampling such as public figure on society, governmental institution, and other party outside citizen and PT KAI. The research result reveal that pre-conflict firstly triggered by claiming of land by PT KAI toward area of resident on west station citizen. The confrontation started when PT KAI spread letter for land clearing toward West station residents. The situation became intense when PT KAI accompanied by police and soldiers came to residents for clearing of houses. It results into 53 families on west station street loss their home as places to shelter and food stall for living. After conflict, there were involvements of Bandung government, student sympathizers, and society organization for conflict resolution that support this problem to be carried out on legal path. The trial was won by residents of west station. This research suggest that there must be recovery program for residents that loss their home and involvement of parties that had crucial roles on society. ABSTRACTThe research background between PT KAI and citizen is due to densely populated area which is one of the citizen phenomena. The purpose of this research is to describe conflict stages that were occurred. This research used theory regarding conflict stages by Simon fisher which will be implicated toward social work and social worker’s role on conflict resolution. This qualitative descriptive research used study case technique in which informants are chosen based on purposive sampling such as public figure on society, governmental institution, and other party outside citizen and PT KAI. The research result reveal that pre-conflict firstly triggered by claiming of land by PT KAI toward area of resident on west station citizen. The confrontation started when PT KAI spread letter for land clearing toward West station residents. The situation became intense when PT KAI accompanied by police and soldiers came to residents for clearing of houses. It results into 53 families on west station street loss their home as places to shelter and food stall for living. After conflict, there were involvements of Bandung government, student sympathizers, and society organization for conflict resolution that support this problem to be carried out on legal path. The trial was won by residents of west station. This research suggest that there must be recovery program for residents that loss their home and involvement of parties that had crucial roles on society.
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Al-Busaidi, Ibrahim S., Sultan Z. Al-Shaqsi, Awatif K. Al-Alawi, Siham Al-Sinani und Ammar Al-Kashmiri. „Characteristics, Trends, and Factors Associated With Publication Among Residents of Oman Medical Specialty Board Programs“. Journal of Graduate Medical Education 11, Nr. 4s (01.08.2019): 104–9. http://dx.doi.org/10.4300/jgme-d-19-00259.
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ABSTRACT Background Research during residency is associated with better clinical performance, improved critical thinking, and increased interest in an academic career. Objective We examined the rate, characteristics, and factors associated with research publications by residents in Oman Medical Specialty Board (OMSB) programs. Methods We included residents enrolled in 18 OMSB residency programs between 2011 and 2016. Resident characteristics were obtained from the OMSB Training Affairs Department. In April 2018, MEDLINE and Google Scholar databases were searched independently by 2 authors for resident publications in peer-reviewed journals using standardized criteria. Results Over the study period, 552 residents trained in OMSB programs; 64% (351 of 552) were female, and the mean age at matriculation was 29.4 ± 2.2 years. Most residents (71%, 393 of 552) were in the early stages of specialty training (R ≤ 3) and 49% (268 of 552) completed a designated research block as part of their training. Between 2011 and 2016, 43 residents published 42 research articles (range, 1–5 resident authors per article), for an overall publication rate of 8%. Residents were the first authors in 20 (48%) publications. Male residents (odds ratio [OR] = 2.07; P = .025, 95% CI 1.1–3.91) and residents who completed a research block (OR = 2.57; P = .017, 95% CI 1.19–5.57) were significantly more likely to publish. Conclusions Research training during residency can result in tangible research output. Future studies should explore barriers to publication for resident research and identify interventions to promote formal scholarly activity during residency.
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Laksmitasari Rahayu, Rita, Huri Suhendri, Rimsa Rusmiland und Indah Yuliasari. „Correspondence Between Reliability of Rental Flat Building and Space Needs“. Journal of Innovation and Technology 1, Nr. 2 (30.10.2020): 18–24. http://dx.doi.org/10.31629/jit.v1i2.3168.
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Flats for rent need to be designed so that residents move comfortably and can save themselves in times of disaster. This research was conducted with the aim of knowing the spaces needed by the occupants by taking into account the reliability of the building-safety and comfort. Some aspects of building reliability are motion comfort and safety. Data was collected by an online questionnaire, which was distributed to residents using non-random sampling. The collected text data was analyzed by content analysis. From the results of the analysis revealed that residents tend to be comfortable moving in rental residential units. Residents need a secondary space that is a shelf and work space. Storage space represents the meaning of storage of small items. Work, study and storage of equipment represent the meaning of workspace needs. Residents need some secondary space in a residential unit that has aspects of motion comfort and security during disaster evacuation. Motion comfort mainly represents a little furniture, has storage space, and doesn't interfere with activities like sitting and watching television. The number of residents felt safe moving when disaster evacuation in vertical housing was almost the same as the number of residents who felt the evacuation route was not ideal. Easy access is achieved, wide circulation room, near the emergency stairs is represented by the meaning of feeling safe moving during a disaster evacuation. There is no special emergency ladder, narrow circulation space, the condition of a damaged staircase at the time of disaster evacuation is represented by meaning not ideal. This study found a significant relationship between the reasons for motion comfort and the presence of space requirements. There is no significant relationship between disaster evacuation security and secondary space requirements.
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WRIGHT, FAY. „Discrimination against self-funding residents in long-term residential care in England“. Ageing and Society 23, Nr. 5 (September 2003): 603–24. http://dx.doi.org/10.1017/s0144686x03001338.
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This paper reports the findings of research funded by The Nuffield Foundation on older people paying the full cost of their long-term residential or nursing home care in England. The research had three stages; a national postal survey directed at the senior finance officer in social services departments, follow-up telephone interviews with a sample of them, and interviews in five case study areas. Those interviewed included social services staff (including a legal adviser), care home providers, self-funding residents and relatives. These self-funding residents were commonly relatively physically independent on admission to the care home. Despite central government directives that needs assessments should be available regardless of a person's means, it is a common policy to encourage older people in this situation to admit themselves directly to care homes without a needs assessment. Wide variation was found in local authority practice in respect to being prepared to make a contract with a care-home provider for older people able to meet the full costs of care.
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Shippee, Tetyana P., Stephanie Jarosek, Xuanzi Qin und Mark Woodhouse. „RACIAL-ETHNIC DIFFERENCES IN NURSING HOME QUALITY OF LIFE FOR ALZHEIMER’S DISEASE AND DEMENTIA RESIDENTS“. Innovation in Aging 3, Supplement_1 (November 2019): S410. http://dx.doi.org/10.1093/geroni/igz038.1527.
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Abstract Nursing homes (NHs) are often racially segregated, and minority residents admitted to NHs usually have more advanced stages of dementia at the time of admission than their white counterparts, with different care needs. Previous work has shown that racial disparities in NH quality of life (QoL) were partially due to different case mix of white and minority residents; it is unclear if disparities persist when comparing residents with similar ADRD diagnoses. The 2011-2015 Minnesota Resident Quality of Life and Satisfaction with Care Survey data contain in-person resident responses from a random sample of residents of all Medicare/Medicaid certified NHs in the state, about 40% of whom have AD/ADRD. These data were linked to the Minimum Data Set (MDS) and facility characteristics data. The population consists of 25,039 White, 580 Black, 94 Hispanic, 229 Native Americans, and 99 Asian/Pacific Islander NH residents with ADRD residing in 376 NHs. Racial/ethnic minority residents reported significantly lower QoL scores compared to their white counterparts, with the largest disparities in the food and relationships domains. We adjusted for resident (age, marital status, education, sex, length of stay, anxiety/mood disorder, activities of daily living scores) and facility characteristics (proportion of minority residents, ownership, urban vs rural, size, and occupancy ratio) using a multivariate random intercept model. After adjustment, significant differences remained in total QoL score and several QoL domains for Black, Asian and Hispanic residents (no significant differences for Native American residents). Practice guidelines should consider different care needs of racial/ethnic minority NH residents with ADRD.
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Raman, Gururaghav, und Jimmy Chih-Hsien Peng. „Electricity consumption of Singaporean households reveals proactive community response to COVID-19 progression“. Proceedings of the National Academy of Sciences 118, Nr. 34 (18.08.2021): e2026596118. http://dx.doi.org/10.1073/pnas.2026596118.
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Understanding how populations’ daily behaviors change during the COVID-19 pandemic is critical to evaluating and adapting public health interventions. Here, we use residential electricity-consumption data to unravel behavioral changes within peoples’ homes in this period. Based on smart energy-meter data from 10,246 households in Singapore, we find strong positive correlations between the progression of the pandemic in the city-state and the residential electricity consumption. In particular, we find that the daily new COVID-19 cases constitute the most dominant influencing factor on the electricity demand in the early stages of the pandemic, before a lockdown. However, this influence wanes once the lockdown is implemented, signifying that residents have settled into their new lifestyles under lockdown. These observations point to a proactive response from Singaporean residents—who increasingly stayed in or performed more activities at home during the evenings, despite there being no government mandates—a finding that surprisingly extends across all demographics. Overall, our study enables policymakers to close the loop by utilizing residential electricity usage as a measure of community response during unprecedented and disruptive events, such as a pandemic.
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Kaplan, Jordan, Angela S. Volk, Janet R. Ashley, Shayan Izaddoost, Edward Reece und Sebastian Winocour. „A Systematic Review of Resident Aesthetic Clinic Outcomes“. Aesthetic Surgery Journal 39, Nr. 9 (23.01.2019): NP387—NP395. http://dx.doi.org/10.1093/asj/sjz020.
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Abstract Background Providing residents with comprehensive training in aesthetic surgery has proven challenging. Resident aesthetic clinics propose an educational value to trainees while providing successful patient outcomes. Objectives This study systematically reviewed the available literature regarding resident aesthetic clinic outcomes to determine the efficacy of the clinic in resident training, surgical results, and patient satisfaction. Methods An electronic database search was performed to identify literature reporting on resident aesthetic clinics. Studies were excluded if the resident clinic was not aesthetic in nature, if only nonsurgical aesthetic procedures were performed, and if clinic outcomes were not evaluated. Study quality was assessed using the Newcastle Ottawa Scale for nonrandomized studies. Results Ten of 148 identified studies met inclusion criteria; 2 utilized a survey, 3 were retrospective cohort studies, and 5 were retrospective cohort studies also utilizing a survey. Clinic schedules, surgical case volume, and surgical procedures performed all varied. One study received a Newcastle Ottawa Scale score of 7 of a possible 9 stars, 2 studies received 5 stars, 5 studies received 4 stars, and 2 could not be assessed using the scoring system. Six studies analyzed surgical results as a primary outcome, reporting acceptable complication and revision rates. Four studies evaluated patient opinions of the clinics and reported overall high satisfaction rates. Conclusions This systematic review suggests that resident aesthetic clinics enhance resident education while providing safe and successful surgical results to patients.
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Jester, Dylan J., Kathryn Hyer und John R. Bowblis. „Quality Concerns in Nursing Homes That Serve Large Proportions of Residents With Serious Mental Illness“. Gerontologist 60, Nr. 7 (31.05.2020): 1312–21. http://dx.doi.org/10.1093/geront/gnaa044.
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Abstract Background and Objectives Nursing homes (NHs) are serving greater proportions of residents with serious mental illness (SMI), and it is unclear whether this affects NH quality. We analyze the highest and lowest quartiles of NHs based on the proportion of residents with SMI and compare these NHs on facility characteristics, staffing, and quality stars. Research Design and Methods National Certification and Survey Provider Enhanced Reports data were merged with NH Compare data for all freestanding certified NHs in the continental United States in 2016 (N = 14,460). NHs were categorized into “low-SMI” and “high-SMI” facilities using the lowest and highest quartiles, respectively, of the proportion of residents in the NH with SMI. Bivariate analyses and logistic models were used to examine differences in organizational structure, payer mix, resident characteristics, and staffing levels associated with high-SMI NHs. Linear models examined differences in quality stars. Results High-SMI facilities were found to report lower direct-care staffing hours, have a greater Medicaid-paying resident census, were more likely to be for-profit, and scored lower on all NH Compare star ratings in comparison to all other NHs. Discussion and Implications As the SMI population in NHs continues to grow, a large number of residents have concentrated in a few NHs. These are uniquely different from typical NHs in terms of facility characteristics, staffing, and care practices. While further research is needed to understand the implications of these trends, public policymakers and NH providers need to be aware of this population’s unique—and potentially unmet—needs.
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Williams, Robert B., und Michael B. Swift. „Comments on a Process for Identifying Stages of Dementia in Residents of Nursing Facilities“. Psychological Reports 75, Nr. 2 (Oktober 1994): 743–46. http://dx.doi.org/10.2466/pr0.1994.75.2.743.
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This paper gives a description of how items of the Global Deterioration Scale's Brief Cognitive Rating Scale and Functional Assessment Staging can be verified by reviewing specific sections and items of the Minimum Data Set for Nursing Facility Resident Assessment and Care Screening which is completed annually and updated every three months or when significant changes in health occur. A likely outcome of such comparisons is improved understanding of the cognitive and functional status of residents with dementia and other medical conditions.
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Yaghmour, Nicholas A., Lauren J. Poulin, Elizabeth C. Bernabeo, Andem Ekpenyong, Su-Ting T. Li, Aimee R. Eden, Karen E. Hauer, Aleksandr M. Tichter, Stanley J. Hamstra und Eric S. Holmboe. „Stages of Milestones Implementation: A Template Analysis of 16 Programs Across 4 Specialties“. Journal of Graduate Medical Education 13, Nr. 2s (01.04.2021): 14–44. http://dx.doi.org/10.4300/jgme-d-20-00900.1.
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ABSTRACT Background Since 2013, US residency programs have used the competency-based framework of the Milestones to report resident progress and to provide feedback to residents. The implementation of Milestones-based assessments, clinical competency committee (CCC) meetings, and processes for providing feedback varies among programs and warrants systematic examination across specialties. Objective We sought to determine how varying assessment, CCC, and feedback implementation strategies result in different outcomes in resource expenditure and stakeholder engagement, and to explore the contextual forces that moderate these outcomes. Methods From 2017 to 2018, interviews were conducted of program directors, CCC chairs, and residents in emergency medicine (EM), internal medicine (IM), pediatrics, and family medicine (FM), querying their experiences with Milestone processes in their respective programs. Interview transcripts were coded using template analysis, with the initial template derived from previous research. The research team conducted iterative consensus meetings to ensure that the evolving template accurately represented phenomena described by interviewees. Results Forty-four individuals were interviewed across 16 programs (5 EM, 4 IM, 5 pediatrics, 3 FM). We identified 3 stages of Milestone-process implementation, including a resource-intensive early stage, an increasingly efficient transition stage, and a final stage for fine-tuning. Conclusions Residency program leaders can use these findings to place their programs along an implementation continuum and gain an understanding of the strategies that have enabled their peers to progress to improved efficiency and increased resident and faculty engagement.
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Rizzo, Riccardo, Seetharaman Parashuraman, Peppino Mirabelli, Claudia Puri, John Lucocq und Alberto Luini. „The dynamics of engineered resident proteins in the mammalian Golgi complex relies on cisternal maturation“. Journal of Cell Biology 201, Nr. 7 (17.06.2013): 1027–36. http://dx.doi.org/10.1083/jcb.201211147.
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After leaving the endoplasmic reticulum, secretory proteins traverse several membranous transport compartments before reaching their destinations. How they move through the Golgi complex, a major secretory station composed of stacks of membranous cisternae, is a central yet unsettled issue in membrane biology. Two classes of mechanisms have been proposed. One is based on cargo-laden carriers hopping across stable cisternae and the other on “maturing” cisternae that carry cargo forward while progressing through the stack. A key difference between the two concerns the behavior of Golgi-resident proteins. Under stable cisternae models, Golgi residents remain in the same cisterna, whereas, according to cisternal maturation, Golgi residents recycle from distal to proximal cisternae via retrograde carriers in synchrony with cisternal progression. Here, we have engineered Golgi-resident constructs that can be polymerized at will to prevent their recycling via Golgi carriers. Maturation models predict the progress of such polymerized residents through the stack along with cargo, but stable cisternae models do not. The results support the cisternal maturation mechanism.
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Wang, R., D. Moledina, V. Liberman, J. Zeidan, D. Strand, J. Mattana und S. Shirazian. „A Pilot Trial of a Computerized Renal Template Note to Improve Resident Knowledge and Documentation of Kidney Disease“. Applied Clinical Informatics 04, Nr. 04 (2013): 528–40. http://dx.doi.org/10.4338/aci-2013-07-ra-0048.
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SummaryBackground: Kidney disease is under-documented in physician notes. The use of template-guided notes may improve physician recognition of kidney disease early in training.Objective: The objective of this study was to determine whether a computerized inpatient renal template note with clinical decision support improves resident knowledge and documentation of kidney disease.Methods: In this prospective study, first year medical residents were encouraged to use the renal template note for documentation over a one-month period. The renal template note included an option for classification of acute kidney injury (AKI) and chronic kidney disease (CKD) categories with a link to standard classifications. Pre- and post-knowledge of AKI and CKD categories was tested with a quiz and surveys of resident experience with the intervention were conducted. Appropriate AKI and/or CKD classification was determined in 100 renal template notes and 112 comparable historical internal medicine resident progress notes from approximately one year prior.Results: 2,435 inpatient encounters amongst 15 residents who participated were documented using the renal template note. A significantly higher percent of residents correctly staged earlier stage CKD (CKD3) using the renal template note compared to historical notes (9/46 vs. 0/33, p<0.01). Documentation of AKI and more advanced CKD stages (CKD4 and 5) did not improve. Knowledge based on quiz scores increased modestly but was not significant. The renal template note was well received by residents and was perceived as helping improve knowledge and documentation of kidney disease.Conclusions: The renal template note significantly improved staging of earlier stage CKD (CKD3) with a modest but non-significant improvement in resident knowledge. Given the importance of early recognition and treatment of CKD, future studies should focus on teaching early recognition using template notes with supplemental educational interventions.Citation: Shirazian S, Wang R, Moledina D, Liberman V, Zeidan J, Strand D, Mattana J. A pilot trial of a computerized renal template note to improve resident knowledge and documentation of kidney disease. Appl Clin Inf 2013; 4: 528–540http://dx.doi.org/10.4338/ACI-2013-07-RA-0048
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Sanderson, Danielle Claire. „Winning tenants’ loyalty in the private rented sector“. Property Management 37, Nr. 3 (17.06.2019): 390–417. http://dx.doi.org/10.1108/pm-08-2018-0050.
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Purpose The purpose of this paper is to help landlords and property managers to understand what they can do to increase tenants’ satisfaction and propensity to renew their lease, and their willingness to recommend their landlord to other people. Design/methodology/approach This paper analyses almost 5,000 interviews with private rented sector (PRS) tenants in the UK, conducted over a four-year period, to investigate determinants of resident satisfaction, loyalty (lease renewal) and willingness to recommend their landlord. Statistical analysis is performed using respondents’ ratings of satisfaction with many aspects of their occupancy as explanatory variables. Comparisons are made between interviewees who renew their lease and those who do not renew. Findings The research finds that “ease of doing business” with their landlord is a strong predictor of residents’ satisfaction, loyalty and advocacy. Other key indicators for lease renewal include relationship management, rent collection and residents’ perception of receiving value for money. Tenants’ willingness to recommend their landlord depends mainly on their relationship with their landlord, how the landlord compares with tenants’ previous landlords and the property management service they receive. Research limitations/implications Limitations to this research include the fact that the residents have a single landlord and live on a single estate, one with particular cultural significance, therefore potentially restricting the general applicability of the findings. Although the sample size is large, the number of residents who have reached the end of their lease is relatively small, because the estate has only been occupied by PRS tenants since 2014. Practical implications Over the past five years, the PRS has become a significant asset class for institutional investors in the UK. This research should help to improve the landlord – tenant relationship in the PRS, and to increase occupancy rates without compromising rents. Originality/value The large sample size in this research, and the use of repeat interviews at various stages of a resident’s occupancy, highlight early signs of discontent that a landlord can act upon to reduce the risk of a tenant moving elsewhere.
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Yu, Yifan, Zheng Chen, Jiatian Bu und Qinglai Zhang. „Do Stairs Inhibit Seniors Who Live on Upper Floors From Going Out?“ HERD: Health Environments Research & Design Journal 13, Nr. 4 (15.07.2020): 128–43. http://dx.doi.org/10.1177/1937586720936588.
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Background: Walk-up buildings are common in China today since they were almost the only type of residential buildings constructed from the 1950s to the 1990s. Objectives: This study examined how a vertical mobility obstacle, that is, mandatory stair climbing in walk-up residential buildings, may impact whether seniors go outdoors. Methods: We collected and examined 1,608 valid data records from 64 Chinese senior participants in Shanghai wearing Fitbit HR wristbands that tracked their mobility and physical activity for 31 consecutive days. Multilevel mixed-effects logistic regressions were performed on the binary leaving-home-or-not probability by the level of vertical obstacles controlled for physical–demographic factors, socioeconomic factors, outdoor activity habits, and weather. Results: Our observations revealed that each floor above ground level reduced the likelihood of outdoor trips by approximately one third per floor. After controlling for the physical, demographic, and socioeconomic factors of the participants as well as weather and holidays, we found that significantly fewer going-out incidents were also associated with more frequent outdoor activities within the community, especially in paved areas, but no associations were observed with self-reported visit frequencies to green spaces, senior centers within the community, or other places outside the community. Conclusion: This study offered the in situ observation that seniors’ probability of leaving their homes is correlated with the degree of vertical circulation as a mobility barrier (i.e., the number of stairs between their living space and access to the outdoors), which may impact policy making for regulations concerning elevators in residential codes and renovations.
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Akhrani, Lusy Asa, Ika Herani und Alfrina Hany. „Empowerment Community: Pembentukan Komunitas Peduli Lingkungan Sebagai Upaya Peningkatan Kesadaran Bencana & Kesehatan Pada Warga Bantar Kali Di Kampung Payung Kertas, Malang“. Journal of Dedicators Community 5, Nr. 2 (27.07.2020): 159–81. http://dx.doi.org/10.34001/jdc.v5i2.1419.
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Payung Kertas Village located at Pandanwangi Village, on the bank of the Bango river. The preliminary research showed that the environmental care behavior of residents of the riverbank area is to be low considering. Many residents choose to throw garbage directly in the river, construction residential houses in the Kali Sari watershed, and several indicator of the lack of environmental awareness of watershed residents. Awareness-raising will be easier to do when activities are started, designed, and carried out by communities with social problems. The aims of this community service is to empower communities to solve social problems. The formation of environmentally conscious communities is carried out through a tiered process by encouraging active citizen involvement. The method used in the fomation rof environmental care communities is carried out with a social intervention approach that utilizes action research. Social change is carried out by emphasizing three stages namely the planning, implementation, and evaluation stages. As a result of this community service, a community caring for the environment was formed with the first movement in the form of sorting waste from inside the house, synergizing with waste transport officers, and periodically monitoring and evaluating the implementation of the environmental care movement.
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SMADYCH, I. „RESEARCH OF SOCIAL ACTIVITY OF INTERIOR SPACES IN ARCHITECTURAL SOLUTIONS OF RESIDENTIAL HOUSES“. Ukrainian Journal of Civil Engineering and Architecture, Nr. 2 (23.08.2021): 99–105. http://dx.doi.org/10.30838/j.bpsacea.2312.270421.99.756.
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Formulation of the problem. Social activity in the adjacent areas of multi-apartment residential buildings is one of the key elements of life in the city and an indicator of successful architectural and planning solutions. Despite the active growth in the sphere of housing construction in Ukraine and the improvement in the quality of architectural solutions for the courtyards of multi-apartment residential buildings, there is a different social activity of residents within the local area. The purpose of the article is to determine the parameters that affect the social activity and comfort of people in the courtyards of apartment buildings and ways to take them into account in design solutions. Conclusions. In the course of the analysis of scientific research on the subject of house spaces and social activity of city residents, it is highlighted that the issues of social activity of residents is a multifactorial task that is influenced by a whole variety of both architectural-spatial and socio-psychological characteristics. By comparative analysis of the adjacent territories of Ivano-Frankivsk with similar architectural and spatial indicators and different levels of social activity, it was determined that these courtyards differ in the general indicator of the time a person spends on their territory and the dispersion of people across the site. To assess individual indicators and formulate recommendations for the socio-psychological comfort and attractiveness of the courtyard, the method of constructing the McKinsey / General Electric matrix was used, which was interpreted to solve architectural problems. The main vectors for constructing this matrix are “socio-psychological comfort” and “attractiveness of architectural and spatial solutions”. Using the method of expert assessments, the location of each of the studied courtyards was determined on the general field of the matrix, namely: the courtyard area of the Kalinova Sloboda residential complex is located in the field “Effective design solution”; residential complex “Lipki”, in the field “Architectural solution requires improvement at all stages”, which confirms the difference in social activity in the adjacent areas of these courtyards. Therefore, this research algorithm can be applied even at the design stage to check the social comfort and attractiveness of design solutions.
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Izzati, Khoerul Izzati, und Wulan Adiarti. „Learning Program of National Vision Cultivation to Indonesian Children with Permanent Resident Status“. BELIA: Early Childhood Education Papers 9, Nr. 1 (05.06.2020): 13–19. http://dx.doi.org/10.15294/belia.v9i1.32515.
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Many conflicts that arise in Indonesia such as loss of humanity, love and respect for NKRI, recognition of the culture by other nations, causing division between regions, countries and nations. Therefore, it becomes an important thing to cultivate learning national vision into the nation's next-generation, especially from an early age. Various character values need to be applied to children, especially the character to love culture of the nation and country, which is grown through learning the cultivation of national vision. So, children know the origin of their birth and various cultures of their resident people. This study aims to determine the learning program for the cultivation of national vision in Indonesian children with permanent resident status (PR) at Little Stars Kindergarten, School of Indonesia (Singapore) Ltd. In addition, this study aims to see how the behavior of students after participating in the learning of national vision at Little Stars Kindergarten, School of Indonesia (Singapore) Ltd. The target of this study is Indonesian children with permanent resident (PR) status, aged 4-6 years at Little Stars Kindergarten, School of Indonesia (Singapore) Ltd. This study uses qualitative methods, with data collection through observation, interviews and documentation (triangulation). Permanent Resident is the legal status granted by a country so that it has the same position as a citizen. Almost all students at SIS Little Stars are permanent residents. The results of this study indicated that students with permanent residency (PR) status at Little Stars Kindergarten, Indonesia School (Singapore) Ltd, have diverse national perspectives. The national vision possessed by students includes: knowing the city or country of origin at birth, local languages, special foods, Indonesian national songs, some folk songs, and general knowledge about Indonesian culture. Students still have a national vision for Indonesian, even though they have long-lived and settled in Singapore. This is the output of the learning of national vision conducted by the teacher.
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Khairat, Saif, Gary Burke, Heather Archambault, Todd Schwartz, James Larson und Raj Ratwani. „Focus Section on Health IT Usability: Perceived Burden of EHRs on Physicians at Different Stages of Their Career“. Applied Clinical Informatics 09, Nr. 02 (April 2018): 336–47. http://dx.doi.org/10.1055/s-0038-1648222.
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Objective The purpose of this study was to further explore the effect of EHRs on emergency department (ED) attending and resident physicians' perceived workload, satisfaction, and productivity through the completion of six EHR patient scenarios combined with workload, productivity, and satisfaction surveys. Methods To examine EHR usability, we used a live observational design combined with post observation surveys conducted over 3 days, observing emergency physicians' interactions with the EHR during a 1-hour period. Physicians were asked to complete six patient scenarios in the EHR, and then participants filled two surveys to assess the perceived workload and satisfaction with the EHR interface. Results Fourteen physicians participated, equally distributed by gender (50% females) and experience (43% residents, 57% attendings). Frustration levels associated to the EHR were significantly higher for attending physicians compared with residents. Among the factors causing high EHR frustrations are: (1) remembering menu and button names and commands use; (2) performing tasks that are not straightforward; (3) system speed; and (4) system reliability. In comparisons between attending and resident physicians, time to complete half of the cases as well as the overall reaction to the EHR were statistically different. Conclusion ED physicians already have the highest levels of burnout and fourth lowest level of satisfaction among physicians and, hence, particular attention is needed to study the impact of EHR on ED physicians. This study investigated key EHR usability barriers in the ED particularly, the assess frustration levels among physicians based on experience, and identifying factors impacting those levels of frustrations. In our findings, we highlight the most favorable and most frustrating EHR functionalities between both groups of physicians.
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Thoma, Brent, Andrew K. Hall, Kevin Clark, Nazanin Meshkat, Warren J. Cheung, Pierre Desaulniers, Cheryl ffrench et al. „Evaluation of a National Competency-Based Assessment System in Emergency Medicine: A CanDREAM Study“. Journal of Graduate Medical Education 12, Nr. 4 (01.08.2020): 425–34. http://dx.doi.org/10.4300/jgme-d-19-00803.1.
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ABSTRACT Background In 2018, Canadian postgraduate emergency medicine (EM) programs began implementing a competency-based medical education (CBME) assessment program. Studies evaluating these programs have focused on broad outcomes using data from national bodies and lack data to support program-specific improvement. Objective We evaluated the implementation of a CBME assessment program within and across programs to identify successes and opportunities for improvement at the local and national levels. Methods Program-level data from the 2018 resident cohort were amalgamated and analyzed. The number of entrustable professional activity (EPA) assessments (overall and for each EPA) and the timing of resident promotion through program stages were compared between programs and to the guidelines provided by the national EM specialty committee. Total EPA observations from each program were correlated with the number of EM and pediatric EM rotations. Results Data from 15 of 17 (88%) programs containing 9842 EPA observations from 68 of 77 (88%) EM residents in the 2018 cohort were analyzed. Average numbers of EPAs observed per resident in each program varied from 92.5 to 229.6, correlating with the number of blocks spent on EM and pediatric EM (r = 0.83, P < .001). Relative to the specialty committee's guidelines, residents were promoted later than expected (eg, one-third of residents had a 2-month delay to promotion from the first to second stage) and with fewer EPA observations than suggested. Conclusions There was demonstrable variation in EPA-based assessment numbers and promotion timelines between programs and with national guidelines.
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Dalal, Rakesh, Kamal Bansal und Sapan Thapar. „Bridging the energy gap of India’s residential buildings by using rooftop solar PV systems for higher energy stars“. Clean Energy 5, Nr. 3 (19.07.2021): 423–32. http://dx.doi.org/10.1093/ce/zkab017.
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Abstract The residential-building sector in India consumes >25% of the total electricity and is the third-largest consumer of electricity; consumption increased by 26% between 2014 and 2017. India has introduced a star-labelling programme for residential buildings that is applicable for all single- and multiple-dwelling units in the country for residential purposes. The Energy Performance Index (EPI) of a building (annual energy consumption in kilowatt-hours per square metre of the building) is taken as an indicator for awarding the star label for residential buildings. For gauging the EPI status of existing buildings, the electricity consumption of residential buildings (in kWh/m2/year) is established through a case study of the residential society. Two years of electricity bills are collected for an Indian residential society located in Palam, Delhi, analysed and benchmarked with the Indian residential star-labelling programme. A wide EPI gap is observed for existing buildings for five-star energy labels. Based on existing electricity tariffs, the energy consumption of residential consumers and the Bureau of Energy Efficiency (BEE)’s proposed building ENERGY STAR labelling, a grid-integrated rooftop solar photovoltaic (PV) system is considered for achieving a higher star label. This research study establishes the potential of grid-connected rooftop solar PV systems for residential buildings in Indian cities through a case study of Delhi. Techno-economic analysis of a grid-integrated 3-kWp rooftop solar PV plant is analysed by using RETScreen software. The study establishes that an additional two stars can be achieved by existing buildings by using a grid-integrated rooftop solar PV plant. Payback for retrofit of a 3-kWp rooftop solar PV plant for Indian cites varies from 3 to 7 years. A case study in Delhi, India establishes the potential of grid-connected rooftop solar PV systems for residential buildings. Techno-economic analysis of grid integrated, 3 kWp rooftop solar systems estimates a payback period from 3 to 7 years.
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Cai, Fei, R. Nicholas Burns, Bridget Kelly und B. Star Hampton. „CREOGs Over Coffee: Feasibility of an Ob-Gyn Medical Education Podcast by Residents“. Journal of Graduate Medical Education 12, Nr. 3 (01.06.2020): 340–43. http://dx.doi.org/10.4300/jgme-d-19-00644.1.
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ABSTRACT Background Podcasts and other digital resources are increasingly popular among medical learners and allow the dissemination of research to larger audiences. Little is known about the feasibility of graduate medical education trainees developing podcasts for their own and others' learning. Objective We described the development and implementation of a medical education podcast series by residents for obstetrics and gynecology (Ob-Gyn) resident learning, and demonstrated feasibility, sustainability, and acceptance of this series. Methods We used the Council on Resident Education in Obstetrics and Gynecology (CREOG) educational guidelines to create a weekly study podcast for Ob-Gyn residents over 10 months. Costs and donations (for feasibility), downloads over time (for sustainability), and number of reviews on Apple iTunes and followers on Twitter (for acceptability) were measured. Results Sixty episodes were released from September 30, 2018, to July 28, 2019 (43 weeks). Initial costs included $3,150 startup and $29 monthly. Online donations through Patreon amounted to $200 a month, which covered 58% of startup costs at 10 months and are projected to cover full costs by 1.5 years. The podcast had 173 995 downloads as recorded through Podbean (39 a month in September, increased to 31 206 a month in July). It gained 644 followers on Twitter and 147 ratings on iTunes, with an average of 4.86 out of 5 stars. Conclusions Medical podcasts created by Ob-Gyn residents during their training appear feasible and highly acceptable over a sustained period.
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TABIYAR, DR JYOTSNA, DR SWARNA RASTOGI, DR MONARK VYAS und DR M. K. LALA DR. M K LALA. „A Study of Differentials in Fertility Indicators as Per Residential Status in District Ahemadabad of Gujarat State in India“. International Journal of Scientific Research 3, Nr. 2 (01.06.2012): 64–67. http://dx.doi.org/10.15373/22778179/feb2014/143.
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Boyle, Cynthia J. „Hiring Residents as Faculty Members: Dancing with the Stars“. American Journal of Pharmaceutical Education 76, Nr. 8 (12.10.2012): 143. http://dx.doi.org/10.5688/ajpe768143.
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Pepper, Victoria K., Arul Thirumoorthi, Amanda Munoz, Rosemary Vannix, Joanne Baerg, Barbara Hernandez und Edward Tagge. „Surgery Residents and Family Dynamics: Are Our Trainees Equipped to Handle Patient Care Beyond Disease?“ American Surgeon 84, Nr. 10 (Oktober 2018): 1551–54. http://dx.doi.org/10.1177/000313481808401002.
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Surgical trainees are expected to demonstrate family-centered care. However, it is unclear if residents know how to address psychosocial issues of pediatric patients and their families. Our aim was to evaluate surgical trainees’ knowledge of family dynamics. Over a six-month period, trainees (n = 16) were surveyed regarding their comfort and familiarity with the psychosocial aspects of patient care and family dynamics. Residents recorded their comfort level with managing various behaviors using a Likert scale, and indicated which family issues they felt least prepared to handle. Most trainees lacked knowledge of family adjustment phases (50%), relational triangles (78%), developmental stages of families (40%), ambiguous loss (75%), ABCX model of family stress (100%), and the SPIKES model (88%). Excluding anxiety and sadness, almost half of residents felt unprepared for dealing with a variety of challenging behaviors. Finally, trainees were least comfortable with breaking bad news. A Family Dynamics curriculum could potentially increase resident management skills and improve patient care.
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Flores-Funes, Diego, Enrique Pellicer-Franco, Benito Flores-Pastor, Matilde Moreno-Cascales, Miguel Ángel Fernández-Villacañas-Marín und José Luis Aguayo-Albasini. „Una experiencia de integración de la Formación Sanitaria Especializada con la Universitaria de Posgrado: Entrenamiento por etapas en cirugía laparoscópica.“ Revista Española de Educación Médica 1, Nr. 2 (27.11.2020): 82–89. http://dx.doi.org/10.6018/edumed.454671.
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Antecedentes: Diseño de un modelo de simulación para formación en cirugía laparoscópica. Métodos: Dentro del Máster Anatomía Aplicada a la Clínica se implementaron tres etapas de formación progresiva en médicos residentes. La etapa 1 se realizó en simulador con material no biológico: manejo de objetos, disección con pinza y tijera, y sutura laparoscópica. La etapa 2 utilizó material biológico (tubo digestivo en fresco) en simulador, para la práctica de sección intestinal y anastomosis intracorpórea. En la etapa 3 se realizaron técnicas laparoscópicas en cadáver en fresco (apendicectomía, colecistectomía, apertura de la transcavidad epiploica, hemicolectomías derecha e izquierda). Se añadió una encuesta de satisfacción a los participantes de la actividad. Resultados: El programa se impartió a 6 residentes de Cirugía General. Todos completaron los ejercicios de las etapas 1 y 2. En la etapa 3 se pudo realizar el neumoperitoneo sin dificultad y los tejidos presentaron una textura adecuada. Los residentes de primer año completaron la apendicectomía y la colecistectomía, pero procedimientos más complejos requirieron residentes con más experiencia. Los participantes encuestados reflejaron que el programa es adecuado y útil para el entrenamiento en laparoscopia. Conclusiones: El modelo propuesto es reproducible y adecuado en adquisición de competencias básicas en cirugía laparoscópica. Background: Design of a simulation model training in laparoscopic surgery for surgical residents. Methods: Three stages of progressive training were programmed within a Postgraduate Degree in Clinical Anatomy. Stage 1 was performed in a box-trainer with synthetic materials: managing small objects, dissection with clamp and scissors, and laparoscopic intracorporeal suture. Stage 2 used biological material (fresh digestive tract from a human corpse) in box-trainer, practicing section and intracorporeal anastomosis. In stage 3, laparoscopy was performed on a fresh corpse (appendectomy, cholecystectomy, lesser sac opening, right and left colectomy). A satisfaction survey was carried out to the participants. Results: Some six General and Digestive Surgery residents took the program. All of them completed the stage 1 and 2 exercises. In stage 3, the pneumoperitoneum could be performed without any complications, and tissues presented an adequate texture. First-year residents completed appendectomy and cholecystectomy, but more complex procedures required more experienced residents. The participants reflected that the program is adequate and useful to gain basic skills in laparoscopy. Conclusions: The proposed model is reproducible and adequate in acquisition of basic skills in laparoscopic surgery.
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Ogundipe, Esther, Knut Tore Sælør, Kenneth Dybdahl, Larry Davidson und Stian Biong. „“Come together”: a thematic analysis of experiences with belonging“. Advances in Dual Diagnosis 13, Nr. 3 (17.08.2020): 123–34. http://dx.doi.org/10.1108/add-03-2020-0002.
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Purpose The purpose of this paper is to explore, describe and interpret two research questions: How do persons with co-occurring mental health and substance abuse problems, living in supportive housing, experience belonging? How do residential support staff experience promoting a sense of belonging for persons with co-occurring mental health and substance abuse problems, living in a supportive housing? Design/methodology/approach Individual semi-structured interviews were conducted with five persons with co-occurring mental health and substance abuse problems living in supportive housing in a Norwegian district. In addition, one semi-structured focus group was conducted with nine residential support staff. All interviews were transcribed verbatim and analyzed using thematic analysis. Findings Analysis resulted in three main themes: “I do not go to sleep in my pajamas”, “Do I have a choice?” and “Be kind to each other”. Research limitations/implications More research on how inclusive practices that are commonly described in guidelines actually affect the experience of residents and residential support staff is needed. Practical implications Practices that incorporate a communal and contextual understanding when assigning supportive housing are warranted. Originality/value By paying attention to the components of social recovery, this paper provides a nuanced understanding of how persons with co-occurring mental health and substance abuse problems, living in supportive housing, experience belonging. In addition, residential support staffs’ experiences with promoting a sense of belonging for this group are explored.
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Sun, Yi Lin, Zhi Yi Huang und Ryuichi Kitamura. „Stability of Automobility across Lifecycle Stages over Time“. Advanced Materials Research 255-260 (Mai 2011): 3862–66. http://dx.doi.org/10.4028/www.scientific.net/amr.255-260.3862.
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This paper describes how automobility characteristics changed across lifecycle stages within different residential areas over time using statistical analyses. The results confirm that lifecycle is a useful classificatory variable in explaining automobility characteristics. Through analysis of four variances (including lifecycle stage, residential area, time, and age effects), the result suggests that residence area mainly determines the automobile ownership, but household members’ age is one of the main explainers for the fraction of auto trips and total auto travel time.
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Silverman, Robert Mark, Henry Louis Taylor Jr, Li Yin, Camden Miller und Pascal Buggs. „Place making as a form of place taking“. Journal of Place Management and Development 12, Nr. 4 (14.10.2019): 566–80. http://dx.doi.org/10.1108/jpmd-11-2018-0082.
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Purpose The purpose of this paper is to examine perceptions of institutional encroachment and community responses to it. Specifically, it focuses on residents’ perceived effects of hospital and university expansion and the role of place making on gentrification in core city neighborhoods. This study offers insights into the processes driving neighborhood displacement and the prospects for grassroots efforts to curb it. Design/methodology/approach Data were collected through focus groups with residents and other stakeholders in working class, minority neighborhoods which were identified as being in the early stages of gentrification. Nine focus groups were held across three neighborhoods experiencing institutional encroachment. The analysis was guided by standpoint theory, which focuses on amplifying the voices of groups traditionally disenfranchized from urban planning and policy processes. Findings The findings suggest that residents perceived institutional encroachment as relatively unabated and unresponsive to grassroots concerns. This led to heightened concerns about residential displacement and concomitant changes in the neighborhoods’ built and social environments. Experiences with encroachment also increased residents’ calls for greater grassroots control of development. Originality/value This analysis illuminates how gentrification and displacement results from both physical redevelopment activities of anchor institutions and their decisions related to place making. The conclusions highlight the importance of empowering disenfranchized groups in the place-making process to minimize negative externalities at the neighborhood level.
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Kim, Jung G., Carl G. Morris und Fred E. Heidrich. „A Tool to Assess Family Medicine Residents' Patient Encounters Using Secure Messaging“. Journal of Graduate Medical Education 7, Nr. 4 (01.12.2015): 649–53. http://dx.doi.org/10.4300/jgme-d-14-00558.1.
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ABSTRACT Background Secure messages exchanged between patients and family medicine residents via an electronic health record (EHR) could be used to assess residents' clinical and communication skills, but the mechanism is not well understood. Objective To design and test a secure messaging competency assessment for family medicine residents in a patient-centered medical home (PCMH). Methods Using the existing literature and evidence-based guidelines, we designed an assessment tool to evaluate secure messaging competency for family medicine residents training in a PCMH. Core faculty performed 2-stage validity and reliability testing (n = 2 and n = 9, respectively). A series of randomly selected EHR secure messages (n = 45) were assessed from a sample of 10 residents across all years of training. Results The secure message assessment tool provided data on a set of competencies and a framework for resident feedback. Assessment showed 10% (n = 2) of residents at the novice level, 50% (n = 10) as progressing, and 40% (n = 8) as proficient. The most common deficiencies for residents' secure messages related to communication rather than clinical competencies (n = 37 [90%] versus n = 4 [10%]). Interrater reliability testing ranged from 60% to 78% agreement and 20% to 44% disagreement. Disagreement centered on interpersonal communication factors. After 2 stages of testing, the assessment using residents' secure messages was incorporated into our existing evaluation process. Conclusions Assessing family medicine residents' secure messaging for patient encounters closed an evaluation gap in our family medicine program, and offered residents feedback on their clinical and communication skills in a PCMH.
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Schneible, Brigette K., Jay F. Gabriel und Joke Bradt. „Reflections on music therapy with older adults from an ethnographic perspective“. Quality in Ageing and Older Adults 22, Nr. 1 (26.06.2021): 26–39. http://dx.doi.org/10.1108/qaoa-03-2021-0031.
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Purpose Older adults often navigate periods of disruptive transition, such as rehousing, that can be understood in terms of ritual transformation, a concept that describes changes to the social self in terms of deconstruction, liminality and reconstruction. Music therapy can assist older adults’ movement through these stages. This paper aims to engage theoretical perspectives on ritual to consider the social and cultural transformation of these residents of a long-term care nursing home. Design/methodology/approach Ethnographic theory and literature on the ritual process are used to reflect on one music therapist’s (first author’s) experience providing music therapy to older adult residents of a long-term care nursing home. The therapist facilitated a collaborative “healing story” whose performative aspects engaged the residents in their own healing process. These experiences culminated in a group songwriting experience with a resident choir ensemble. Findings The healing narrative involved aspects of the person, selfhood, relationship and culture more than elements of physicality or functional abilities. Music therapists working with older adults may find this theoretical perspective informative in interpreting resident behaviors and needs, identifying and addressing therapeutic goals and fostering a healing narrative. Originality/value Care and interventions for older adults are often guided by the biomedical model of aging as an illness. While sociological and psychological theories of aging offer alternatives, these are not always prominent in interventions. This exploration of aging and transition as ritual transformation offers one such needed and insightful perspective to inform practice.
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Stutchbury, Bridget J., und Raleigh J. Robertson. „Signaling Subordinate and Female Status: Two Hypotheses for the Adaptive Significance of Subadult Plumage in Female Tree Swallows“. Auk 104, Nr. 4 (01.10.1987): 717–23. http://dx.doi.org/10.1093/auk/104.4.717.
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Abstract Delayed plumage maturation in males is relatively common among North American passerines, but the Tree Swallow (Tachycineta bicolor) is one of few species in which 1-yr-old females have a distinct subadult plumage. Although they are reproductively mature, most subadult females do not breed in their first year because of intense intrasexual competition for nesting sites. Early in the season, subadult female floaters explore for recently vacated nest sites. The subadult plumage of young females could be adaptive by communicating their low threat to residents, thereby decreasing the cost of this exploration. To determine whether resident aggression depends on intruder color, we observed live intrusions and conducted model presentations. When the resident female was out of sight or did not respond to intruders, resident males were significantly less aggressive toward subadult females than toward adult intruders in both the nest-building/egg-laying and incubation stages. Early in the season, resident females were equally aggressive toward subadult female and adult intruders. When presented simultaneously with adult and subadult female models, resident males were always more aggressive toward the adult model, whereas females were aggressive toward either model. We propose two hypotheses for the adaptive significance of subadult plumage in female Tree Swallows: subordinance signaling and sex signaling. Our results suggest that subadult females may reduce resident aggression by signaling their female status to resident males, rather than by signaling their subordinate status to resident females.
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Santana, Fábio Magno da Silva, William Severi, Caroline Vieira Feitosa und Maria Elisabeth de Araújo. „The influence of seasonality on fish life stages and residence in surf zones: a case of study in a tropical region“. Biota Neotropica 13, Nr. 3 (September 2013): 181–92. http://dx.doi.org/10.1590/s1676-06032013000300021.
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Resident fishes and their seasonal use of a surf zone were characterized and identified in the Jaguaribe beach, located on the Island of Itamaracá, state of Pernambuco, northeastern Brazil. Monthly towings (March 2006 to February 2007) with a beach seine net (20 m long, 1.5 m high, 5 mm mesh size) in different moon phases and periods of the day (day and night) were conducted. A total of 6,407 specimens, 35 families and 90 species were recorded. Seven species were considered as annual residents (Anchoa tricolor, Anchoviella lepidentostole, Bairdiella ronchus,Larimus breviceps, Lycengraulis grossidens, Polydactylus virginicus and Pomadasys corvinaeformis), three resident throughout the dry season (Conodon nobilis, Lile piquitinga andMenticirrhus americanus) and two resident species in the rainy period (Cathorops spixii and Nicholsina usta). Among these 12 species, concerning their life cycle, three of them (A. tricolor, C. spixii and L. piquitinga) showed only adult individuals, whileB. ronchus, M. americanus and N. usta were the only species represented exclusively by juvenile in both seasons. The surf zone of Jaguaribe beach presents a considerable ecological importance as it encompasses a great diversity of fishes, including species considered rare for this ecosystem, as well as species which are resident annually or seasonally. The distribution pattern of species found in this study shows that the ichthyofauna of the surf zone in Jaguaribe beach is rich, mainly dominated by small-sized individuals including juveniles of several species, with the presence of some species most commonly found in neighboring environments, such as seagrass beds, estuaries and reefs. As an integrated component of interconnected environments in coastal areas of Pernambuco, and owing to its function in the life cycle of coastal fishes, the surf zone of Jaguartibe beach presents an apparently common ecological pattern for tropical sandy beaches.
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YOSHIDA, Akira, Jun YOSHIKAWA, Noboru MURATA und Yoshiharu AMANO. „ICOPE-15-1025 Effects of a MIP start for solving weekly operational planning problem of a residential energy system“. Proceedings of the International Conference on Power Engineering (ICOPE) 2015.12 (2015): _ICOPE—15——_ICOPE—15—. http://dx.doi.org/10.1299/jsmeicope.2015.12._icope-15-_15.
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Samadikun, Budi Prasetyo. „Application of Bio-pore to Increase Rainwater Absorption in Residential Areas“. Jurnal Presipitasi : Media Komunikasi dan Pengembangan Teknik Lingkungan 16, Nr. 3 (26.11.2019): 126–32. http://dx.doi.org/10.14710/presipitasi.v16i3.126-132.
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Permata Tembalang Housing is located in Kramas Sub-district Tembalang District is one of the new residential areas which is located next to Diponegoro University. Along with the better economic condition of the family and the need of space, the plots that initially still have a a large open space gradually began to decrease, because residents have started to expand the land built in the plot of their house. In the end, not even a bit of land was left open for the absorption of rainwater into the ground. The purpose of this paper is to determine the level of public awareness of the importance of open space as a means of absorbing rainwater through the application of biopores. The method of applying biopori is carried out in several stages: coordination, socialization, implementation, and monitoring-evaluation. To find out the level of awareness of residents, observations and interviews were conducted with residents who had participated in socialization and applied biopori in their lots. The results of observations and interviews showed that theresidents were quite enthusiastic in implementing this biopori, as evidenced by the excellent response from the coordination stage to the monitoring-evaluation stage. The final results show that residents can early understand on the importance of open land as rain water infiltration, so that they have consciously begun to be moved and are also encouraged to apply biopori in their respective land plots.
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Margolis. „Resident Artist: Scraps, Stains, Epiphanies: The Legacy of Hannelore Baron“. Nashim: A Journal of Jewish Women's Studies & Gender Issues, Nr. 27 (2014): 159. http://dx.doi.org/10.2979/nashim.27.159.
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Engle, Ryann, A. Lynn Snow, Valerie Clark, Shibei Zhao, Christopher Gillespie und Christine Hartmann. „Whole-Person, Whole-Team Approach to Quality Improvement: Why Person-Centered Care Matters“. Innovation in Aging 4, Supplement_1 (01.12.2020): 267. http://dx.doi.org/10.1093/geroni/igaa057.855.
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Abstract The Department of Veterans Affairs (VA) began its culture transformation journey in 2006, supporting its nursing homes in providing high-quality, person-centered care in person-centered environments. We implemented a quality improvement intervention to support frontline staff from low-performing VA nursing homes in providing high-quality care using a whole-person, whole-team approach. The intervention consisted of a bundle with four components: 1) specialized frontline staff huddles that encouraged high-quality frontline staff communication and collaboration, 2) micro-root cause analyses and targeted interventions to promote resident sleep and reduce resident falls through individualized care, 3) in-depth frontline conversations regarding residents’ distress behaviors and mobility, and 4) targeted, team-based, person-centered performance improvement projects. The intervention was implemented at 8 low-performing VA nursing homes (August 2018 - April 2019) via in-person and virtual sessions and facilitated through CLC-based champions and intervention team-based coaches. We monitored the intervention’s impact using pre-post Centers for Medicare and Medicaid Services quality star ratings. We also conducted 17 post-intervention interviews with key informants at 7 participating nursing homes and conducted a content analysis of the data. Pre intervention, all 8 nursing homes had a history of being 1 or 2 stars in overall quality. Post intervention, 3 homes increased 1 star; 1 home increased 2 stars; 2 homes increased 3 stars; 2 homes increased 4 stars. Post intervention, participants perceived improved delivery of person-centered care (e.g., providing individualized sleep hygiene, de-implementing alarms). Our findings suggest a whole-person, whole-team intervention can effectively and efficiently improve both person-centered care and care quality.
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Jones, James M. „STAGES OF FAMILY INVOLVEMENT IN THE RESIDENTIAL TREATMENT OF ADOLESCENTS“. Journal of Marital and Family Therapy 11, Nr. 4 (Oktober 1985): 381–90. http://dx.doi.org/10.1111/j.1752-0606.1985.tb00031.x.
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Thoma, B., A. Hall, K. Clark, N. Meshkat, W. Cheung, P. Desaulniers, C. ffrench et al. „MP17: Evaluation of a national competency-based assessment system in emergency medicine: A CanDREAM study“. CJEM 22, S1 (Mai 2020): S48. http://dx.doi.org/10.1017/cem.2020.165.
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Introduction: In 2018, Canadian postgraduate specialist Emergency Medicine (EM) programs began implementing a competency-based medical education (CBME) assessment system. To support improvement of this assessment program, we sought to evaluate its short-term educational outcomes nationally and within individual programs. Methods: Program-level data from the 2018 resident cohort were amalgamated and analyzed. The number of Entrustable Professional Activity (EPA) assessments (overall and for each EPA) and the timing of resident promotion through program stages was compared between programs and to the guidelines provided by the national EM specialty committee. Total EPA observations from each program were correlated with the number of EM and pediatric EM rotations. Results: Data from 15 of 17 (88.2%) EM programs containing 9,842 EPA observations from 68 of the 77 (88.3%) Canadian EM specialist residents in the 2018 cohort were analyzed. The average number of EPAs observed per resident in each program varied from 92.5 to 229.6 and correlated strongly with the number of blocks spent on EM and pediatric EM (r = 0.83, p < 0.001). Relative to the guidelines outlined by the specialty committee, residents were promoted later than expected and with fewer EPA observations than suggested. Conclusion: We present a new approach to the amalgamation of national and program-level assessment data. There was demonstrable variation in both EPA-based assessment numbers and promotion timelines between programs and with national guidelines. This evaluation data will inform the revision of local programs and national guidelines and serve as a starting point for further reaching outcome evaluation. This process could be replicated by other national assessment programs.
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Mertens, Frits, und Michel Wimmers. „Life-style of Older People: Improvement or Threat to their Health?“ Ageing and Society 7, Nr. 3 (September 1987): 329–43. http://dx.doi.org/10.1017/s0144686x00012848.
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ABSTRACTThe transition from independent living to a residential home or to sheltered housing challenges the resilience of all elderly people. This paper reports a study which used longitudinal design, within which 455 Dutch people were interviewed twice a year over a five-year period. Drawn from five different groups, the sample represented people at different stages of independence, ranging from those who needed no assistance through to a group of new residents in an elderly persons' home. The focus was on preparedness for and the adaptation experience of relocation to a dependent setting. A battery of psychological, social and medical measures was employed to produce serial data which were subjected to discriminant analysis. The dominant finding is that attitudes to dependency are central to the maintenance of self-esteem and well-being.
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Lyon, T., und R. Ohle. „P087: Pilot project: Implementation of a peer support network for geographically distributed learners in the NOSM family medicine/emergency medicine residency program“. CJEM 21, S1 (Mai 2019): S95. http://dx.doi.org/10.1017/cem.2019.278.
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Innovation Concept: Residents bear an enormous burden of responsibility for patient care which can lead to stress and mental exhaustion, especially in the face-paced and acute environment of emergency medicine (EM). In addition to numerous demands faced by EM residents, being a member of a geographically distributive residency program presents many unique challenges from a support and wellness perspective. To address these issues we sought to implement a video conferenced peer support network in hopes to foster wellness in the NOSM Family Medicine/EM program, where learners are commonly separated for training. Methods: Participants completed a pre-pilot questionnaire that strongly showed interest for this type of novel network. Furthermore residents conveyed that they are reluctant to access formal services and commonly rely on co-residents for support. This pilot program intends to decrease barriers that geography and stigma create that negatively hinder seeking support throughout medical training. Keeping the network small, consisting of only co-residents maintains a collegial and confidential environment that enables colleagues to provide relevant help to one another. Offering this outlet allows the opportunity to debrief and share unique experiences, which can lead to improved knowledge and wellbeing. Curriculum, Tool or Material: Informal, co-resident run and easy to access sessions are held twice monthly and average one hour in length. Discussion topics commonly include residency issues, difficult patient encounters and challenging situations. These sessions are conducted via video conferencing making them easily accessible from a distance and also from a comfortable and convenient environment of the participants choosing. Residents have commented that this is a helpful platform to discuss important issues while providing and safe and confidential resource to help cope with residency challenges. Conclusion: Further data analysis is underway as we are in the initial stages of implementing the program. In the final stages (April 2018) a pending post-pilot questionnaire will be interpreted to explore barriers, limitations and to determine the role of the network going forward. If found to be effective it is something that can be implemented and adapted for future residents. Other programs can use this feasible model to increase wellness and foster the same supportive environment among residents, especially those separated geographically from peers who may benefit most.
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CIEŚLIŃSKI, Roman, Anna LOREK und Katarzyna JERECZEK-KORZENIEWSKA. „WYBRANE ASPEKTY REWITALIZACJI OSIEDLA STARY FORDON W BYDGOSZCZY – PROJEKTY I OPINIE MIESZKAŃCÓW“. Studia Miejskie, Nr. 32 (2018): 47–68. http://dx.doi.org/10.25167/sm2018.032.04.
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Palanza, P., L. Re, D. Mainardi, P. F. Brain und S. Parmigiani. „Male and Female Competitive Strategies of Wild House Mice Pairs (Mus Musculus Domesticus) Confronted With Intruders of Different Sex and Age in Artificial Territories“. Behaviour 133, Nr. 11-12 (1996): 863–82. http://dx.doi.org/10.1163/156853996x00288.
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Male and female aggression at different reproductive stages was investigated in pairs of wild mice. Fourteen pairs of laboratory-outbred wild mice were established, each pair living in a multiple set of cages, connected by runaways. Intruder tests were carried out at different stages of the reproductive cycle, i.e. 48 h after introduction, during pregnancy and lactation. In these stages, a female, a male and two pups were consecutively introduced in each territory (24 h separating each intrusion). Male residents were highly aggressive towards (and always intolerant of) male but not female intruders. Conversely, resident females preferentially attacked same sex intruders after colony establishment and during pregnancy, but they attacked either sex of intruder when nursing young. Seven out of 14 female intruders were tolerated 48 h after introduction of residents but tolerance of females decreased during pregnancy and lactation. Male and female residents were essentially responsible for the intolerance of same-sex intruders. Both males and females exhibited infanticide, but sex differences in the timing of attack on alien pups were observed. In the 7 colonies where the intruder female was tolerated (since that two females were present) only one female reproduced successfully. This suggests that, as in males, females of this stock compete for the opportunity to reproduce; they can be exclusively territorial or form a dominance hierarchy which probably determines reproductive success. While male competitive aggression appears to be mostly directed to other males, females seem largely responsible of the regulation of the reproductive potential of a deme unit throughout intrasexual aggression (intolerance towards other females), and possibly also inhibition of subordinate reproduction and killing of unrelated pups.
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Pero, Rebecca P., und Laura Marcotte. „Scaffolding for assessment success: using gradual release of responsibility to support resident transition to competency-based medical education“. Canadian Medical Education Journal 10, Nr. 3 (20.07.2019): e110-112. http://dx.doi.org/10.36834/cmej.61846.
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In competency-based medical education (CBME), assessment is learner-driven; learners may fail to progress if assessments are not completed. The General Internal Medicine (GIM) program at Queen’s University uses an educational technique known as scaffolding in its assessment strategy. The program applies this technique to coordinate early assessments with specific scheduled learning experiences and gradually releases the responsibility for assessment initiation to residents. Although outcomes of this innovation are still under investigation, we feel it has been valuable in supporting resident assessment capture and timely progression through stages of training. Other residency training programs could easily implement this technique to support the transition to Competency by Design.