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Academic literature on the topic 'Committee on Dispensary Development'

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Published: 25 July 2024
Last updated: 26 July 2024

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Journal articles on the topic "Committee on Dispensary Development"

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Dessau, M. I., S. L. Nikolaenko, and D. A. Lioznov. "The effectiveness of treatment depending on an adherence to dispensary observation and antiretroviral therapy in patients with HIV infection." HIV Infection and Immunosuppressive Disorders 16, no. 1 (April 17, 2024): 36–44. http://dx.doi.org/10.22328/2077-9828-2024-16-1-36-44.

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Aim. Determination of the causes of deaths and analysis of the survival of people living with HIV, depending on an adherence to dispensary observation and treatment. Materials and methods. The analysis of socio-demographic characteristics and clinical and laboratory data of 284 adult HIV patients observed in 1999–2011 at the Lomonosov Interdistrict Hospital named after I. N. Yudchenko was carried out. Patients who followed the prescribed monitoring regimen (at least 2 times a doctor’s visit during the year) were considered committed to dispensary supervision. Patients who observed the regularity and continuity of monitoring and receiving antiretroviral therapy (ART) were considered committed to treatment. Among the patients included in the study, 115 people were committed to treatment or follow-up and 169 patients were non-committed. Objective (biological) indicators of adherence and effectiveness of treatmentwere the number of CD4 lymphocytes and the level of HIV viral load. Based on the method of comparing survival curves, factors related to the life expectancy of HIV patients were assessed, taking into account the gender of patients, their adherence to monitoring and treatment, indicators of HIV viral load and the number of CD4 lymphocytes and the outcome of the disease from the moment of registration at the dispensary and over the next 120 months (after 3 months, 6 months, 1.5 years, 2 years, 5, 7 and 10 years). Results and discussion. Significant differences were found in the survival curves of patients who received and did not receive ART (117.9 and 91.4 months, p<0.005) and patients who were committed and non-committed to therapy (116.9 and 83.8 months, p<0.005). Regardless of adherence to outpatient follow-up and therapy, the survival time of women compared to men for the entire follow-up period was longer (105.0 and 92.4 months, respectively, p<0.005). Among those committed to treatment, 21% of patients died due to concomitant somatic pathology, 5% from injuries incompatible with life. In the group of those committedto follow–up, the causes of deaths in 12% were various somatic pathology, brain lymphoma — in 1% and injuries incompatible with life — in 3% of cases. The highest mortality rates were recorded among patients who were not exposed to ART (71%) and the routine of follow-up (52%). Almost half of these patients (49%) died from secondary HIV infections, of which 85% of cases were posthumously diagnosed with tuberculosis, mainly the pulmonary form of the disease. The second most common cause of death was violent death, including drug poisoning. Conclusion. Regular dispensary observation, timely initiation of ART and adherence to therapy make it possible to control the disease, prevent the development of opportunistic pathology, and improve the quality and life expectancy of patients with HIV infection. Despite the increased availability of ART and strategies for active involvement and retention of patients in dispensary care, issues of patient adherence to therapy remain key in the management of HIV patients.
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Buchkova, T. N., N. I. Zriachkin, G. I. Chebotareva, and O. V. Tihnenko. "CASE OF NEUROFIBROMATOSIS TYPE I WITH ASTROCYTOMA OF THE BRAIN IN THE PRACTICE OF PEDIATRICIAN." Journal of Volgograd State Medical University 75, no. 3 (September 30, 2020): 138–44. http://dx.doi.org/10.19163/1994-9480-2020-3(75)-138-144.

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The relevance of the topic is due to insufficient awareness of doctors about neurofibromatosis, which leads to a delay in diagnosis and the development of complications. The diagnostic criteria characteristic of this disease, features of the clinical course, possible complications, methods of treatment, features of dispensary observation are described. A clinical case of neurofibromatosis type I with astrocytoma of the brain is described. The diagnosis of neurofibromatosis type I (NFI) was established in a patient aged 4 years 3 months. The peculiarity of the manifestations of this clinical case is the absence of family history; the combination of cutaneous manifestations, multiple lesions of the nervous system, complicated by chronic subdural hematoma, endocrine disorders and extra-cutaneous manifestations (eye symptoms, hearing and speech disorders); the absence of significant positive dynamics despite repeated surgical treatment and long-term polyochemotherapy. Despite the stabilization of clinical manifestations of the disease, this patient has an unfavorable prognosis with possible progression of the pathological process. For early clinical detection of patients with NFI, using for this purpose diagnostic criteria recommended by the International Committee of experts on neurofibromatosis, continuity of management and adequate measures of primary and secondary prevention of complications of NFI is important knowledge of this pathology by primary health care physicians, including pediatricians, district and family doctors, neurologists, dermatologists, ophthalmologists and surgeons.
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Akpysharov, N. "Improving Mental Health Care as the Most Pressing Public Health Issue." Bulletin of Science and Practice 6, no. 5 (May 15, 2020): 184–94. http://dx.doi.org/10.33619/2414-2948/54/22.

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Mental disorders are an acute public health problem in the WHO European region, affecting 25% the entire population every year. WHO activities in the area of mental health promotion at the level of individuals and society as a whole are aimed at improving human mental well-being, preventing mental disorders, protecting human rights and caring for people with mental disorders. The WHO European Conference on Mental Health (2005), 66th Session of the World Health Assembly (2013), 63rd Session of the WHO European Regional Committee (2013) have focused on mental health. In the Kyrgyz Republic, the State policy to change the system of assistance to persons with mental disabilities, to establish a unified mental health service and to change the attitude of society towards mental health and the mentally ill is reflected in the National Program Mental health of the population of the Kyrgyz Republic for 2001–2010, the National Health Reform Program of the Kyrgyz Republic Den Sooluk for 2012–2018, for the Sustainable Development Goals up to 2030, adopted at the Summit by UN members, the Program for Mental Health Protection of the Population of the Kyrgyz Republic for 2018-2030. Given the negative trends in the mental health care system, an important element in addressing the shortcomings is the increased use of new institutional forms of mental health care, such as the Medical Rehabilitation Unit, Intensive Mental Health Care Unit, Psychiatric Dispensaries and Outpatient Psychiatric Rooms, in dispensary monitoring. Priority in the further development of psychiatric care should be given to the most effective and less costly forms of its provision, ahead of the development of outpatient level, inter-agency interaction and integration of psychiatric service with other levels of regional health and social protection.
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Piskur, Z. I., L. I. Pylypiv, O. M. Shvets, O. P. Kostyk, and M. I. Sakhelashvili. "The profile of drug resistance of Mycobacterium tuberculosis and clinical features of extrapulmonary resistant tuberculosis among children living in Lviv region, Ukraine." Modern pediatrics. Ukraine, no. 6(126) (October 29, 2022): 16–22. http://dx.doi.org/10.15574/sp.2022.126.16.

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Pediatric tuberculosis (TB) is a serious infectious disease that affects many children worldwide and is more likely to be extrapulmonary than adult TB. The purpose - to analyze the profile of drug resistance of Mycobacterium tuberculosis and clinical features of extrapulmonary resistant (EPR) TB among children from Lviv region, Ukraine. Materials and methods. We analyzed all cases of EPR TB (n=23) and extrapulmonary sensitive (EPS) TB (n=24) among 478 medical charts of children, who were hospitalized in the Lviv Anti-TB hospital during 2013-2020. Results. It was found out that EPR TB was diagnosed significantly more often at the age of 1 year and up to 3 years old than EPS TB and significantly less often - among children aged 4-7 years. The children with EPR TB were significantly more likely to live in rural areas and they were significantly more likely to be from families with less than 2 children, compared to EPS TB. The children with EPR TB were more often diagnosed with meningeal and central nervous system (CNS) TB, less often - with TB of the bones and joints, only they had TB of the intestine, compared to EPS TB. Miliary pulmonary TB and the predominance of bilateral process were more common at EPR TB. Among children with EPR TB, rifampicin-resistant TB was significantly more common found than the risk of multidrug-resistant TB (MDR-TB) and monoresistant TB. The resistance profile of MDR-TB showed that 17.4% are resistant to the combination of HR (H-isoniazid, R-rifampicin), 8.6% - to HRES (E-ethambutol, S-streptomycin), 4.3% - to НRS. Among 43.5% of children with EPR TB the contact with a TB patient was not established. At the same time, only a third of children who had came into contact with bacterial exсretors were under dispensary observation and only about 9% received chemoprophylaxis. Conclusions. In order to prevent the development of EPR TB, it is necessary to improve TB prevention measures among the most vulnerable segments of the population. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of all participating institutions. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors.
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Simakhodsky, Anatoly S., Ludmila D. Sevostyanova, Yulia V. Lukashоva, Natalya V. Petrova, and Oleg A. Simakhodsky. "Dynamics of Some Medical and Demographic Indicators in St. Petersburg During the Period from 2018 to 2023." Current Pediatrics 23, no. 3 (July 12, 2024): 168–73. http://dx.doi.org/10.15690/vsp.v23i3.2758.

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Background. There have been negative trends in the birth rate and population growth decline in recent years. Forecasts from demographers are also not so encouraging as the next generation of childbearing age is one from the end of the last century which is characterized by low birth rate. Population mortality exceeded the birth rate during the years of challenging and questionable economic reforms. Moreover, there was a high level of chronic morbidity in child population, and physical development had the trend to retardation. Meanwhile under these circumstances, the President of Russian Federation and the Government adopted regulatory documents (decrees, dedicated programs) that determined the directions of state social policy on improving the situation with children in Russian Federation until 2000.Objective. The aim of the study is to evaluate the dynamics of several medical and social indicators of 2018–2023 characterizing demographic trends direction, with proposals on improving medical care in the maternal and child health care system.Methods. The study has covered reporting form No. 19 of Russian Federal State Statistics Service (Rosstat) for children’s outpatient clinics, form No. 14 for children’s hospitals, form No. 030/у “Check-list of dispensary observation”. The study has used the materials of the Presidential Coordination board meeting from November 15, 2016. Statistical data was obtained from the “Office of the Federal State Statistics Service for St. Petersburg and the Leningrad Region” (Petrostat) and the Center for Analysis and Forecast of Mother and Child Health at Health Committee of St. Petersburg, Medical Information and Analytical Center (“Major results in the field of health care in St. Petersburg”, 2019, 2020, 2021, 2022). Statistical processing was carried out via variational statistics methods (Pearson’s criterion, Fisher’s angular transformation criterion) and data from the automated system of prophylactic medical examination, registration certificate FSR No. 2009/05279, corresponding to the order of the Ministry of Health of Russian Federation No. 514н dated August 10, 2017.Results. The analysis of study results confirms the negative demographic patterns in St. Petersburg like the all-Russian. Increase assisted reproductive technologies was noted alongside with birth rate decrease. There are still high rates of stillbirth and perinatal mortality, as well as increased infant mortality rate. The correlation of depopulation processes with children’s health worsening and increasing disability is emphasized.Conclusion. The problems raised in this paper do not have an straightforward solution and require multimodal approach.
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Pinfield, A., K. Lai, and S. Jones. "Initial observations on the impact of implementation of automated dispensing cabinets for Human Normal Immunoglobulin on data and inventory management." International Journal of Pharmacy Practice 31, Supplement_2 (November 30, 2023): ii44—ii45. http://dx.doi.org/10.1093/ijpp/riad074.054.

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Abstract Introduction Human Normal Immunoglobulin (HNIg) is a plasma-derived blood product used to treat a variety of diseases. Global supply problems1 have increased focus on HNIg stewardship, including mandatory recording of HNIg usage on the National Immunoglobulin Database2 (NIgD). This is a dispensary-based process and determines HNIg stock allocation and remuneration. Departmental audits identified significant delays and inconsistencies in data uploaded to NIgD. Inventory management issues caused a number of stock losses in the last financial year. A paper-based HNIg recording system was replaced with the use of Automated Dispensing Cabinets (ADCs). This enabled the development of an electronic ADC batch number report, from dispensing data, that matched fields required for electronic upload to NIgD, making the process more robust and proficient. Aim To measure the impact of implementation of ADCs for HNIg on data and inventory management. Objectives included identifying: Percentage of HNIg dispensed uploaded accurately to NIgD within one month of dispensing; Number of HNIg stock adjustments; Staff time required for activities associated with HNIg management. Methods Approval was obtained from the Trust Pharmacy Research and Audit Committee. The need for ethical submission was waived. Pre-implementation (May-July 2022) and post-implementation (February-April 2023) HNIg dispensing data was compared to the data uploaded to the NIgD for discrepancies. Electronic inventory reports were generated to identify the number of unexplained stock adjustments made. Time and motion methods were used to observe staff time associated with dispensing, stock management of HNIg in ADCs and data upload activities. Results Pre-implementation: 20.7% (3762.5g/18,217g) of HNIg (23.7% of dispensing episodes; 66/279) were inaccurately uploaded or absent on the NIgD and three stock adjustments were made. Post-implementation: 12% (2325g/19,347g) of HNIg (10.8% of dispensing episodes; 31/286) were inaccurately uploaded or absent on the NIgD and zero stock adjustments were observed; Mean time for dispensing HNIg reduced from 17 minutes/prescription to 8 minutes/prescription; Time spent uploading data to NIgD reduced from 5 hours to 1.75 hours/month. Discussion/Conclusion The use of ADCs has improved accuracy and completeness of data upload to NIgD. Direct observations have cited unregistered or finished patient episodes, dispensing procedural compliance, and user familiarity with the system as common reasons for incomplete data uploads to NIgD. Training is vital in assuring data quality and completeness. The new ADC process had unexpected consequences of forcing dispensing procedure compliance to improve uploads, whilst reducing dispensing times. It led to improved stock control and removed upload burden from dispensers. ADC stock discrepancy alerts allowed staff to proactively resolve discrepancies in real time. Time taken for additional processes to support management of stocks in ADCs, including monthly cycle counts, were important considerations for implementation. The key advantage of using ADC batch number reports is being able to upload as a single batch monthly without having to log into individual patient records on the system. It facilitates early identification of failed upload attempts, supporting resolution. Further work focusing on fully aligning naming conventions to NIgD should deliver additional efficiencies; minimising manipulations currently required prior to upload. References 1. Solís-Díez G, Turu-Pedrola M, Roig-Izquierdo M, Zara C, Vallano A, Pontes C. Dealing With Immunoglobulin Shortages: A Rationalization Plan From Evidence-Based and Data Collection. Front Public Health. 2022, 10:893770. 2. NHS England, The National Immunoglobulin Database, Medical Data Services and Solutions, 2023, Available at: https://igd.mdsas.com/ig-database/
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Kosovtsova, G. V., S. I. Turchina, and Т. P. Коstenko. "Prediction of the course of hypoandrogenism in adolescent boys." Modern pediatrics. Ukraine, no. 6(126) (October 29, 2022): 37–41. http://dx.doi.org/10.15574/sp.2022.126.37.

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The most pathological conditions that adversely affect the reproductive function in men of mature age is formed precisely in adolescence as a result from hypoandrogenism (HA), - a decrease in the production of male sex hormones (androgens) below the age norm. Therefore, the ability to predict the course of HA in adolescent boys allows to prevent serious health problems in the future. Purpose - to determine significant prognostic criteria for adverse course of HA in adolescent boys with delayed sexual development. Materials and methods. Were examined 157 boys 14-17 years old with signs of androgen deficiency, the degree of which was based on the assessment of total testosterone (TT). The levels of gonadotropic hormones, estradiol, their ratios were studied by enzyme-linked immunosorbent assay, and the content of thyroid-stimulating hormone and free thyroxine, their ratio was determined. The lipid spectrum of blood was studied. On the basis of X-rays of the non-dominant hand and wrist determined bone age and ossification deficiency. Сonditionally unfavorable course of HA was formed in adolescent boys with severe androgen deficiency (HA 3 degree) at the level of total testosterone <4 nmol/l. Favorable course of HA was considered to be the presence of clinical signs of hypoandrogenism in adolescents with normal TT, levels more than 12 nmol/l (HA 0 degree). Results. Based on the study was identified the most informative features and calculated their prognostic coefficient. It is proved that significant informative signs of HA in adolescent boys are such as body mass index abnormalities, bone age deficit, levels and ratios of gonadotropic hormones, estradiol values and testosterone / estradiol, testosterone / luteinizing hormone ratios, thyroid stimulating hormone / free thyroxine, changes in lipid profile. To the most prognostically significant negative prognostic criteria for adverse HA in adolescent boys are excess body weight by body mass index level, significant deficit of bone age (more than 3 years), decreased luteinizing hormone levels, decreased luteinizing hormone / follicle stimulating hormone ratio, hyperestrogenism, pronounced androgenic-estrogenic disbalance, the presence of minimal thyroid dysfunction, disorders of the lipid profile. Conclusions. The developed prognostic criteria for adolescent boys with HA will make it possible to predict the further course of the disease (in the early stages of its formation pathology), what will carry out timely treatment and rehabilitation measures in adolescent boys, and this will help to improve their health. Teens with HA, who show prognostically unfavorable signs, need more careful dispensary observation of an endocrinologist. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of all participating institutions. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors.
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Kostenko, Natalya A., Igor V. Bukhtiyarov, Evgenij V. Zhovnerchuk, Vasilij V. Serikov, and Dmitrij E. Khatin. "Working conditions, medical support and morbidity of stress-related neurotic disorders among Russian Railways employees." Russian Journal of Occupational Health and Industrial Ecology 63, no. 6 (June 12, 2023): 379–85. http://dx.doi.org/10.31089/1026-9428-2023-63-6-379-385.

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Introduction. Shift work, as the main stress factor, leads to the development of desynchronosis and other neurotic diseases. The production necessity with such a work schedule requires increased provision of mental health specialists. The study aims to analyze the long-term dynamics of morbidity of employees of JSC "Russian Railways" with neurotic diseases associated with stress and somatoform disorders, depending on the intensity of work, availability of specialists responsible for psychoprophylactic work. Materials and methods. Scientists investigated the working conditions and their influence on the functional state of employees of JSC "Russian Railways". The authors have carried out a retrospective analysis of information from the Unified Medical Information and Analytical System from 2012–2021 for JSC "Russian Railways" and the Ministry of Health of Russian Federation. The analysis of morbidity in mental pathology included nosological units assigned by ICD-10 to F40–F48. Results. Work in the system of JSC "Russian Railways" is associated with the impact of a complex of unfavorable production factors, the key of which are psycho-emotional stress and shift work schedule — work in night shifts. Railway transport workers face various stressful factors on a daily basis, such as: desynchronosis due to shift work schedules, waiting for an emergency situation with a "system call", "broken" schedules, and related difficulties. The psychogenic factor, which is an etiological factor in the occurrence of neurotic disorders, constantly affects railway transport workers. Based on the analyzed data, it can be assumed that professionally conditioned factors of the working environment contribute to the formation of occupational stress and the formation of neurotic disorders among this category of workers. There is a connection with the growth of neurotic diseases and the annual trend of declining positions of psychologists and psychotherapists in the system of JSC "Russian Railways". There was a significant increase in the incidence of railway transport workers (p=0.043) and a decrease in specialists associated with the prevention of neuropsychiatric diseases for ten years (p=0.0001). Limitations. Limitations are presented in the form of a small sample of employees of JSC "Russian Railways", insufficient depth of study of materials of foreign literature on the issue under study. Conclusions. Neurotic disorders in persons who are under dispensary supervision in the system of JSC "Russian Railways" have a pronounced, statistically significant growth trend. There is a significant decrease in the number of medical specialists engaged in the diagnosis, treatment and prevention of psychogenic diseases of workers. Based on the results of the study, we have revealed a link between the growth of neurotic diseases of railway transport workers and the annual decline trend of psychologists and psychotherapists in JSC "Russian Railways". Ethics. This study was carried out in accordance with the rules of good clinical practice and the Helsinki Declaration and did not require the conclusion of the ethics committee.
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Salter, Amber, Gary Cutter, Ruth Ann Marrie, Kathryn Nichol, Joshua R. Steinerman, Karry M. J. Smith, and Robert J. Fox. "Sources of Cannabis Information and Medical Guidance for Neurologic Use." Neurology: Clinical Practice 12, no. 2 (January 20, 2022): 102–12. http://dx.doi.org/10.1212/cpj.0000000000001155.

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Background and ObjectivesAs cannabis products become increasingly accessible across the United States, understanding how patients obtain medical information on cannabis and view the role of their health care provider in providing information is important.MethodsParticipants with multiple sclerosis (MS) from the North American Research Committee on Multiple Sclerosis registry completed a supplemental survey on Δ9-tetrahydrocannabinol-containing cannabis use between March and April 2020. Participants reported dialogue with health care providers regarding cannabis use, information sources used to make product decisions, and expenditure on cannabis. Findings are reported using descriptive statistics.ResultsOverall, 3,249 participants responded (47% response rate), of whom 31% ever used cannabis and 20% currently used cannabis for MS. To determine presumed cannabis contents, respondents who had ever used cannabis (ever users) most often used dispensary-provided information (39%), word of mouth/dealer/friend (29%), and unregulated product labels (24%). For general information on cannabis for MS, ever users most often used dispensary staff (38%) and friends (32%). The primary source of medical guidance among ever users was most often “nobody or myself” (48%), followed by a dispensary professional (21%); only 12% relied on their MS physician, although 70% had discussed cannabis with their MS physician. Most current users (62%) typically sourced their cannabis from a dispensary. The most common factor in selecting a cannabis product was perceived quality and safety (70%).DiscussionParticipants most often received information on cannabis for MS from dispensaries, unregulated product labels, and friends; only a small proportion used health care providers. Evidence-based patient and physician education is needed.
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Sljapic, Ziva, and Miljana Sljapic-Roganovic. "Child care in Vrsac and its development." Medical review 55, no. 9-10 (2002): 431–35. http://dx.doi.org/10.2298/mpns0210431s.

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Documents concerning history of medicine during the Turkish reign (1552-1716) are very rare. However, there is evidence of plague epidemic in 18th century and cholera epidemic in the 19th century. The first medical institutions: The German Communal Hospital, The Serbian Hospital and the Pharmacy were founded in the second half of the 18th century. In the year 1803, children were vaccinated against variola. The first Serbian book about child care ? "Cadoljub" was written by Dr. Gavrilo Pekarovic (1812-1851) during his studies of medicine in Budapest. In 1927 the city founded a dispensary for the newborn. The Polyclinic for schoolchildren was established as a part of the Health Center in 1934. After World War II, Children's Department was opened in the Health Center, later on it was turned into Mother and Child Center. At the beginning of 1955, a provisional children's ward with 18 beds was established in the former sanatorium, whereas till the end of the year it had 49 beds. In May 1965, it was moved into a new hospital building. After integration of Hospital and the Health Center into a Medical Center in 1967, a department for children was founded and it consisted of the emergency center and a hospital. Parents counseling, dispensary for children and dispensary for schoolchildren were founded in August 1971. .
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Dissertations / Theses on the topic "Committee on Dispensary Development"

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Boswell, Brent R. (Brent Ryan), Jared M. Darby, Jessica L. Iacobucci, and Bennett M. Wilson. "Improvement of prescription medicine adherence through the development of an intelligent pill organization and dispensary system "Claire"." Thesis, Massachusetts Institute of Technology, 2012. http://hdl.handle.net/1721.1/86270.

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Thesis: S.B., Massachusetts Institute of Technology, Department of Mechanical Engineering, June 2012.
Thesis: S.B., Massachusetts Institute of Technology, Department of Mechanical Engineering, February 2013.
Boswell, Iacobucci and Wilson graduated June 2012. -- Darby graduated February 2013. Cataloged from PDF version of thesis.
Includes bibliographical references (page 75).
Incorrect medication adherence is one of the costliest problems in the United States. In addition to the thousands of people who die each year due to accidental drug administration, the nation spends over $100 billion annually on health care costs directly related to incorrect medication adherence. Most medication non-adherence is caused by unintentional mistakes, especially among the elderly (65+ years old) with multiple regular prescriptions. This thesis describes the design process, preliminary design and test mockups, a preliminary business model associated with a new product concept developed for this costly problem, "Claire." Claire is a Compact, Low-cost, Accurate, Intuitive, Reliable, Easy medication management system that automatically sorts, dispenses, and tracks pills. By simplifying the pill-taking process, Claire will improve medication adherence among elderly patients with multiple prescriptions and reduce anxiety among their caretakers.
by Brent R. Boswell, Jared M. Darby, Jessica L. Iacobucci, and Bennett M. Wilson.
S.B.
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Weiss, Katherine. "A Communication Scholarship Showcase – Research Development Committee Joint Workshop." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/2278.

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Fountain, Philip Michael. "Translating Service: An Ethnography of the Mennonite Central Committee." Phd thesis, Canberra, ACT : The Australian National University, 2011. http://hdl.handle.net/1885/8640.

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This thesis examines the work of the Mennonite Central Committee (MCC) in Indonesia. In describing the inner workings of MCC it draws on a diverse range of historical and contemporary sources as well twenty-two months of ethnographic field research. The argument focuses on two themes. First, it explores the ways in which the practices of MCC are informed by the Anabaptist-Mennonite Christian religious tradition in North America. The influences of Mennonite vernacular theologies, identities and practices are far-reaching. Particularly important is the idea of service, which constitutes a distinctive Mennonite paradigm of development. Second, the thesis analyses processes of translation. MCC is an interstitial organisation located between different socio-cultural milieux. The factors propelling North American Mennonite donor participation in MCC must be translated into Indonesian contexts. Because translation involves both transference and transforma tion, MCC's work is dynamic and unpredictable. Therefore, while Mennonite religion is deeply influential, actual practice in Indonesia involves collaborations with a range of actors who come from different positions. In exploring the practices of translation in MCC the thesis pays attention to the place of individuals and relationships. In doing so, it highlights the agency of people in the midst of wider networks and processes. The thesis interrogates the debate regarding the place of religion in the international development system. It argues that the historical expulsion of religion by mainstream development actors and also much of the interest in the current resurgence of religion are examples of an artificial bounding of religion as separate from a supposedly neutral secular domain. Rather than assuming a universal and essentialised definition of religion, the thesis is grounded in the particularities of how a specific religious tradition informs one particular actor. The influences of Mennonite religion on MCC are traced through time and in interconnections across cultural difference. The 'friction' of these cross-cultural encounters is profoundly generative. This necessitates close and detailed studies rather than simplistic generalisations. By examining the diverse ways in which Mennonite religion permeates throughout MCC's work in Indonesia the thesis challenges those who continue to question whether religion has a legitimate place in development activity.
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McShane, Ian, and n/a. ""Balanced development" a study of the Murray Committee on Australian Universities." University of Canberra. Education, 1995. http://erl.canberra.edu.au./public/adt-AUC20050509.161344.

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This thesis is a study of the work of the Committee on Australian Universities of 1957, usually called the Murray Committee after its chairman. Interpretations of the Murray Committee's work usually focus on its achievement in securing funding increases for Australian universities at a time of great financial need, and establishing an arms-length grants body that assisted what was referred to as the "balanced development" of the sector. In this thesis I look at the context of the inquiry and the text of the committee's report to place this outcome within what I consider to be the broader scope and intent of the committee's work. I argue that the committee was anxious to secure the position of the universities at the top of an educational hierarchy in a period of change and challenge. The committee responded to the Commonwealth Government's request that the future pattern of university development be in the best interests of the nation by defending what they saw as the traditional role and purpose of the university. I argue that this response is one that has at various times been put foward by universities to demands for change, a response that, to paraphrase a view popular in university circles at the time, seeks to give government what it needs rather than what it wants. In this instance the committee looked to an English model of a residential university as the "traditional" template on which Australian institutions should be fashioned. The committee argued for the value of a broad, liberal education as emblematic of university pedagogy in an era of increasing knowledge specialisation and increasing confusion of purpose in the tertiary education system. It considered that a residential university conducted on liberal principles was the best institutional representation of its ideal of a community of scholars. The committee set down in its report a range of strategies by which the ideal might be realised, or at least approached, in the Australian context. It paid particular attention to the incorporation of first year students - the newest and most vulnerable members of the community. I also argue that in setting down its ideas on the institutional form and pedagogy of the university, the committee made assumptions about the personal characteristics of "the scholar", and I analyse these assumptions. In redefining the university in the Australian context the committee also engaged in a process of defining the roles and purposes of other tertiary education institutions. The committee took a hierarchical view of social organisation to their work, and viewed the education system in this light. The committee charged the universities with oversight of the Australian education system and intellectual guardianship of the Australian community. University graduates, in the committee's view, were the natural leaders of Australian society, and their education should prepare them to undertake properly this role. In redefining the university the committee members engaged in a process of boundarysetting, consolidating an institutional hierarchy in what they saw as a confused and uncoordinated system. However, they sought to incorporate a commitment to meritocracy and expansion of education opportunity within this perspective and urged the creation of pathways between the institutions. To characterise the committee's work I extend the concept of "balanced development" to the various areas in which the committee made recommendations. The concept of balanced development can be seen to refer to the proper development of the individual in the university system (the production of a balanced personality, or the education of the whole person); to the balanced development and co-ordination of the university sector; to the development of the tertiary education system as a whole and its proper articulation with the labour market; and to the process of reconciling the needs of the universities with the demands of government
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Hartnett, William J. "The pursuit of sustainable development as a duty of states under international law." Thesis, Massachusetts Institute of Technology, 1996. http://hdl.handle.net/1721.1/16530.

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Martin, Janet Miriam Wilson. "A study of the City of Adelaide Development Committee and residential transformation /." Title page, table of contents and abstract only, 1993. http://web4.library.adelaide.edu.au/theses/09AR/09arm381.pdf.

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Yip, Tak-kuen Eric. "A study of the development of tenant involvement strategies in Hong Kong : future development of estate management of Estate Management Advisory Committee Scheme /." Hong Kong : University of Hong Kong, 2001. http://sunzi.lib.hku.hk/hkuto/record.jsp?B24533385.

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Owe, Masumi. "Collective action in global governance : the case of the OECD Development Assistance Committee." Thesis, University of Warwick, 2014. http://wrap.warwick.ac.uk/67287/.

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This thesis examines the achievements and limitation of collective action in the Development Assistance Committee (DAC) of the Organisation for Economic Cooperation and Development (OECD). With particular focus on two specific issues of ‘aid untying’ and ‘aid effectiveness’ between late 1990s and early 2010s, and two member countries namely the UK and Japan, the thesis first assesses the indicators (existence, forms and level) of collective action. It then explores the conditions (factors that account for the indicators) for collective action in the DAC. As literature on the OECD and the DAC is scarce, this thesis fills knowledge gaps by providing a detailed analysis of the DAC and offering insights into stronger global governance through the lens of collective action. Using primary evidence drawing on extensive interviews as well as OECD archival documents, the thesis advances four main findings. First, the DAC has achieved collective action only to some extent – it has successfully (if sometimes slowly) reached agreements, but implementation processes reveal more shortcomings. Second, successful agreement has resulted largely from leadership of the UK in the DAC together with work by the DAC Secretariat to build trust relationships as well as to nurture feelings of fairness among the members. The DAC’s limited membership and closed, homogenous nature encouraged this atmosphere. Third, DAC members’ motivations and incentives for collective action can be identified both at individual and institutional (government) levels, ranging between rationality and social/global norms, that are often intertwined and complex, making collective action challenging to understand. Fourth, the DAC is now in transition due to the rising influence of emerging countries and the growth of an additional locus of collective action at recipient country level. All this presents increasing challenges if the DAC is to maintain a reputation for collective action in the future.
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Finlayson, John M. "The cabinet committee system and the development of British colonial policy, 1951-1964." Thesis, University of Leeds, 2002. http://etheses.whiterose.ac.uk/774/.

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This thesis has a dual focus: the British Cabinet committee system and British colonial policy. Its primary interest is the functioning of the Cabinet committee system and in order to investigate this colonial policy will be analysed. This policy area has been chosen both for its intrinsic interest and because it provides an ideal vehicle for a full analysis of the workings of the committee system and the impact it had on policy development. Chapter One provides a critique of studies of British government and an outline of the main debates in the literature on colonial policy. It then outlines the nature, aims, hypotheses and aims of this study and the topics that will be studied. The second chapter provides an account of the development and workings of the Cabinet committee system. A brief account of the period up to the end of the Second World War is followed by a more detailed account of the elaboration and consolidation of the system under Attlee and then by an account of how the system fared under the Conservatives. Chapter Three examines the interrelationship between colonial policy and external policy. It first examines the various policy studies of the period and then examines three case studies: the Southern Cameroons, Malaysia and Aden. It concludes that sometimes colonial policy was entirely determined by strategic considerations, that the many external policy studies had little influence on the development of policy and that the committee system functioned erratically, had a conservative influence on policy-making and was poor at getting to grips with the big issues such as decline. The fourth chapter deals with colonial constitutional development. An analysis of the various long-term timetables for constitutional development precedes a brief account of the committee structure for this subject. Two geographical areas are then analysed, the Caribbean and Africa. This chapter concludes that the timetables for independence were of little value, highlights the difficulty Britain had in relinquishing control of the smaller colonies, and concludes that there was no coordinated policy for Africa and that there was no planned process of decolonization. The penultimate chapter deals with all aspects of policy for Malta, including its attempt to become part of the United Kingdom, and serves as a recapitulation of the various themes of this study and highlights the extent to which various policy areas were inextricably intertwined. It demonstrates the problems of constitutional advance in a strategically valuable colony and argues that the committee system did little to provide policy alternatives. This study concludes that the Cabinet committee system was anything but a neutral piece of government machinery. It had a significant impact on policy, but that was because of its many failings, not least its failure to coordinate policy. What was designed to give cohesion and control frequently produced confusion and incoherence. Overall a flawed policy process produced a flawed outcome.
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Mapitse, Thobo Gloria. "The management of community development projects by the District Development Committee : a case of Mahalapye Sub District in Botswana." Thesis, University of Limpopo (Turfloop Campus), 2009. http://hdl.handle.net/10386/527.

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Thesis (MPA) --University of Limpopo, 2009
The Mahalapye sub District Development Committee is the most significant organization in the sub district as it sets overall goals, direction and priorities with which all development initiatives within the district should conform to. The membership of the committee includes all heads of central and local government departments, government planners, heads of Parastatals, and representatives of Non Governmental Organisations (NGOs). Effective management of projects requires collective consciousness, effort and will and it is important that members of the sub District Development Committee work as a team to ensure that all projects are implemented within the set time frames and limited resources. The development challenges facing Mahalapye sub district are complex. These challenges are not peculiar to the sub district, but are also a challenge to other districts in Botswana. These challenges include the need to implement village infrastructure projects in a cost effective manner in that the projects are completed within the estimated budget and time schedule. The research findings are that indeed the problem of project cost and time overruns is a problem in Mahalapye sub District and that the problem is attributed to the way the projects are managed, in particular, by the sub District Development Committee. A number of recommendations have been provided to help overcome the problem
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Books on the topic "Committee on Dispensary Development"

1

Helm, Peyton R. The development committee. Washington, DC: Association of Governing Boards of Universities and Colleges, 2012.

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Botswana. Ministry of Local Government., ed. Village/ward development committee guidelines. [Gaborone]: Govt. Printer, 2001.

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Lunde, Joyce Povlacs. Doing faculty development by committee. Stillwater, OK: Professional and Organizational Development Network in Higher Education, 1991.

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New York (State). Legislature. Senate. Committee on Finance. Committee meeting. New York: s.n., 2010.

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Caritas Zambia. Economic Justice Programme. Decentralisation through the District Development Coordinating Committee (DDCC) and Provincial Development Coordinating Committee (PDCC). Lusaka: Economic Justice Programme, 2007.

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Great Britain. Parliament. House of Commons. International Development Committee. International Development Committee Annual Report 2003. London: Stationery Office, 2004.

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Council, Liverpool. Report to Economic Development Committee [on] 1996/97 Economic Development Plan. Liverpool: City of Liverpool, 1996.

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Conference, New England Governors Eastern Canadian Premiers. Sustainable economic development: Report of the Committee on Sustainable Economic Development. Montebello, Quebec: The Committee, 1989.

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Issues, Colorado General Assembly Interim Committee on Rural Economic Development. Interim Committee on Rural Economic Development Issues. Denver, Colo: Colorado Legislative Council, 2005.

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Ontario. Standing Committee on the Legislative Assembly, ed. Standing committee on resources development: Mining safety. S.l: Legislative Assembly of Ontario, 1988.

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Book chapters on the topic "Committee on Dispensary Development"

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Gutterman, Alan S. "Compensation and Organizational Development Committee." In Sustainability and Corporate Governance, 65–77. New York City : Taylor and Francis, 2020.: Routledge, 2020. http://dx.doi.org/10.4324/9781003091622-6.

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Muenzenmaier, Kristina, Gillian Stephens Langdon, Mara Conan, Toshiko Kobayashi, and Joseph Battaglia. "Development of a Trauma Committee." In Developing Trauma Informed Services for Psychosis, 64–75. London: Routledge, 2023. http://dx.doi.org/10.4324/9781003055914-6.

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Marquand, Judith. "Tomsk Oblast Ecological Committee, 1998–9." In Development Aid in Russia, 137–59. London: Palgrave Macmillan UK, 2009. http://dx.doi.org/10.1057/9780230233621_8.

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Mahon, Rianne. "Gendering Development: The OECD’s Development Assistance Committee, 1981–2000." In The OECD and the International Political Economy Since 1948, 335–56. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-60243-1_14.

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Ridley, Stanley E. "Faculty development and retraining: Some committee recommendations." In Ethnic minority perspectives on clinical training and services in psychology., 165–68. Washington: American Psychological Association, 1991. http://dx.doi.org/10.1037/10102-027.

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Andrusevych, Andriy, and Caroline Jo. "Sustainable development concerns at the Aarhus Convention Compliance Committee." In Sustainable Development Principles in the Decisions of International Courts and Tribunals, 723–37. Abingdon, Oxon ; New York, NY : Routledge,2017. | Series: Routledge research in international environmental law: Routledge, 2017. http://dx.doi.org/10.4324/9781315769639-31.

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Freess, Daniel. "Committee Participation and the Development of Policies and Procedures." In An Emergency Physician’s Path, 253–58. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-47873-4_37.

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Baehr, Peter R. "Human Rights, Development, and Dutch Foreign Policy: the Role of an Advisory Committee." In Human Rights and Development, 154–70. London: Palgrave Macmillan UK, 1989. http://dx.doi.org/10.1007/978-1-349-19967-9_10.

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Hannan, Abdul. "An Introspection of ‘District Green Leaf Price Monitoring Committee’ (DGLPMC)." In The Smallholder Tea Economy and Regional Development, 115–39. Cham: Springer International Publishing, 2024. http://dx.doi.org/10.1007/978-3-031-51812-6_6.

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Sohn, Myongsei. "Bioethics in East Asia: Development and Issues." In Global Bioethics: The Impact of the UNESCO International Bioethics Committee, 185–95. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-22650-7_17.

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Conference papers on the topic "Committee on Dispensary Development"

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Longo, Gabrielle, Frida de Luna, and Mahnoor Ahmad. "Health warnings on cannabis dispensary websites." In 2021 Virtual Scientific Meeting of the Research Society on Marijuana. Research Society on Marijuana, 2022. http://dx.doi.org/10.26828/cannabis.2022.01.000.22.

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Cannabis users are increasingly turning towards the Internet for information about cannabis, especially medicinal patients, who generally have low to moderate knowledge of important aspects of cannabis like medicinal effectiveness. Potential for misuse of cannabis is much higher when there is a lack of accurate information (Kruger et al., 2020). Overuse of cannabis can be associated with discontinued enrollment in school, trouble dealing with anxiety and stress, and an increased risk of schizotypy (Blavos et al., 2017). Cannabinoid exposure during pregnancy has been shown to have negative effects on the fetal immune system (Dong et al., 2019), is associated with low birth weight, stunted development (Gusstafson & Jacobsson, 2019), and cognitive impairment (Grant et al., 2018). Cannabis dispensary employees have been found to make health suggestions without proper qualifications (Dickson 2018), and advertising on dispensary websites often suggests strains for specific medical conditions, despite the lack of empirical evidence supporting these claims (Kruger et al., 2020; Luc 2020). This increasing medicalization of cannabis by those unqualified to do so is concerning in such a fast-growing field. The present study assesses the presence of health warnings on cannabis dispensary websites, specifically (a) the presence of facts or warnings about potential psychological consequences (e.g., paranoia, increased vulnerability to psychosis), (b) facts or warnings about use in pregnant women, and (c) general dosage warnings. Dispensaries were selected at random in all states that have legal cannabis. 15 dispensaries were selected from each state. If the state had less than 15, all dispensaries in the state were included in coding, for a total of 389 dispensary websites. Dispensaries were identified via informal cannabis websites like leafly.com and potguides.com, as the purpose of the study was to identify dispensary websites that the average person would find when searching the Internet. Previous studies have utilized state agency lists and informal lists (Cavazos-Rehg et al., 2019). Three trained research assistants coded each website for the relevant information. 30% of websites coded had psychological consequence warnings (n = 111), 21.53% had gynecological health warnings, and 45.65% had general use warnings. Three separate logistic regression analyses were performed with the three types of health warnings as the binary outcome variable (the information is either present = 1, or not present = 0) and legality status as the predictor. Legality status had no impact on the presence of psychological consequence information (OR = .737, SE = .174, p = .196) or general dosage information (OR = .786, SE = .479, p = .279), but legality did have a significant influence on the presence of gynecological consequences (OR = .499, SE = .129, p = .007), indicating that when cannabis was recreationally legal, the state was less likely to have information about gynecological health consequences on their dispensary websites. This is troubling, because cannabis is much more easily accessible in states with recreational legalization than medicinal, and the consequences of cannabis use during pregnancy can be severe.
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Dmitriieva, Nikol. "METHOD OF PHYSICAL THERAPY OF PERSONS WHO HAVE SUFFERED A MYOCARDIAL INFARCTION AT THE DISPENSARY-POLYCLINIC STAGE." In Scientific Development of New Eastern Europe. Publishing House “Baltija Publishing”, 2019. http://dx.doi.org/10.30525/978-9934-571-89-3_81.

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Yashchenko, A. S. "Improving organization of nursing activities in a medical organization providing specialized medical care." In VIII Information school of a young scientist. Central Scientific Library of the Urals Branch of the Russian Academy of Sciences, 2020. http://dx.doi.org/10.32460/ishmu-2020-8-0015.

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The most important part of the modern health care system is nursing. Nurses are a huge human resource with real potential opportunities in the context of modernizing the domestic healthcare. This article presents the results of a survey of nurses of the regional narcological dispensary. Analysis of a time-based study of the main types of functional responsibilities of outpatient nurses in the dispensary Department. This study may affect organizational activities of a specialized drug treatment nurse. The purpose of this study is to improve the organization of the nursing activities in a medical organization that provides specialized medical care. Proper organization of the nurses’ work contributes to high involvement in the treatment process, improving the quality of medical care, and motivation for active professional development. Effective professional activity of the nursing staff is aimed to meeting the needs of patients in affordable and acceptable medical care.
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"Experience Reports Committee." In Agile Development Conference. IEEE, 2004. http://dx.doi.org/10.1109/adevc.2004.14.

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"Research Program Committee." In Agile Development Conference. IEEE, 2004. http://dx.doi.org/10.1109/adevc.2004.18.

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"Organizing Committee." In 2020 IEEE Secure Development (SecDev). IEEE, 2020. http://dx.doi.org/10.1109/secdev45635.2020.00007.

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"Program Committee." In 2020 IEEE Secure Development (SecDev). IEEE, 2020. http://dx.doi.org/10.1109/secdev45635.2020.00008.

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"Steering Committee." In 2020 IEEE Secure Development (SecDev). IEEE, 2020. http://dx.doi.org/10.1109/secdev45635.2020.00009.

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"Organizing Committee." In 2019 IEEE Secure Development (SecDev). IEEE, 2019. http://dx.doi.org/10.1109/secdev.2019.00006.

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"Steering Committee." In 2019 IEEE Secure Development (SecDev). IEEE, 2019. http://dx.doi.org/10.1109/secdev.2019.00007.

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Reports on the topic "Committee on Dispensary Development"

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Steel, William F. Key Lessons from Donor Committee Conference on Business Development Services for Small Enterprises. Inter-American Development Bank, March 1999. http://dx.doi.org/10.18235/0006801.

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The Conference gave impetus to the changing paradigm for assistance to small enterprises: away from the direct provision of business development services by governments and donor agencies toward the development of markets for BDS appropriate to the needs of small enterprises. By facilitating the provision of services by private providers and stimulating the demand for services by small enterprise clients, donors and governments can increase the outreach, sustainability and cost-effectiveness of these services and increase their impact on small enterprise competitiveness.
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Zinin, A. Cooperative Agreement Between the ISOC/IETF and ISO/IEC Joint Technical Committee 1/Sub Committee 6 (JTC1/SC6) on IS-IS Routing Protocol Development. RFC Editor, July 2003. http://dx.doi.org/10.17487/rfc3563.

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Araujo, María Caridad. Summary Notes: First Meeting of the Advisory Committee on Early Childhood Development: August, 2010. Inter-American Development Bank, August 2010. http://dx.doi.org/10.18235/0008066.

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The Inter-American Development Bank has launched a significant, multi-year program of analytical work on Early Childhood Development (ECD) in Latin America and the Caribbean. The objective of this program is to substantially increase the knowledge of ECD in the region, and to improve IDB's ability to give good advice to governments and others who work in this area. As part of this effort, IDB invited a group of international experts recognized for their contributions to the field to form part of IDB's Advisory Committee on ECD. This Advisory Committee convened for the first time in order to discuss with its members the main topics in IDB's analytic agenda and seek their guidance on what they saw as the most relevant areas of focus and priorities. This document provides a summary of this discussion as well as recommendations for the future and the next steps for the Committee.
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Author, Not Given. A Plan for the Development of Fusion Energy (Final Report to Fusion Energy Sciences Advisory Committee, Fusion Development Path Panel). Office of Scientific and Technical Information (OSTI), March 2003. http://dx.doi.org/10.2172/1178807.

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Lamichhane, Nabina, Sangita Dandekhya, Krity Shrestha, and Rajendra Shrestha. Springshed research: A study from Charghare Village Development Committee in the mid-hills of Nepal. Kathmandu, Nepal: International Centre for Integrated Mountain Development (ICIMOD), 2020. http://dx.doi.org/10.53055/icimod.778.

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Lamichhane, Nabina, Sangita Dandekhya, Krity Shrestha, and Rajendra Shrestha. Springshed research: A study from Charghare Village Development Committee in the mid-hills of Nepal. Kathmandu, Nepal: International Centre for Integrated Mountain Development (ICIMOD), 2020. http://dx.doi.org/10.53055/icimod.778.

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Hayter, J. Fiscal year 1991 basic energy science budget: Testimony before the Subcommittee on Energy Research and Development, Committee on Science, Space, and Technology. Office of Scientific and Technical Information (OSTI), March 1990. http://dx.doi.org/10.2172/7160128.

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Villavicencio, Xuzel. Project updates for Climate, Environment and Education Adaptation Research (CLEEAR) Tanzania Steering Committee. Open Development & Education, November 2023. http://dx.doi.org/10.53832/opendeved.1032.

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Villavicencio, Xuzel, Björn Haßler, and Eunice Jengo. Project updates for Climate, Environment and Education Adaptation Research (CLEEAR) Tanzania Steering Committee. Open Development & Education, April 2024. http://dx.doi.org/10.53832/opendeved.1130.

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Lank and Mudge. L51785 Development of Long Range Ultrasonic Methods of Assessing Pipeline Condition. Chantilly, Virginia: Pipeline Research Council International, Inc. (PRCI), January 1997. http://dx.doi.org/10.55274/r0010654.

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The purpose of this phase of the work was to establish the performance of the technique with regard to defect detection, so that its application as a field inspection tool could be assessed. To this end, trials were conducted at the GRI West Jefferson Pipeline Simulation Facility near Columbus, Ohio, on a 24in. diameter specimen, situated in the pull rig, containing 128 controlled, well documented metal loss defects, used primarily to assess resolution of internal inspection tools. : An extensive study was carried out on this specimen, which enabled firm conclusions to be drawn about the defect detection capabilities of the technique. In addition to this specimen, the flow loop at West Jefferson enabled the performance and achievable test range of the 24in. transducer, which was produced to be assessed. Both the flow loop and the defect specimen were coated with fusion bonded epoxy, which enabled the concerns of the NDT Supervisory Committee about the effect of such coatings on the long range ultrasonic technique to be addressed.
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