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Journal articles on the topic 'Health systems typologies'
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Burau, Viola, and Robert H. Blank. "Comparing health policy: An assessment of typologies of health systems." Journal of Comparative Policy Analysis: Research and Practice 8, no. 1 (March 2006): 63–76. http://dx.doi.org/10.1080/13876980500513558.
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Katuu, Shadrack. "Healthcare systems: typologies, framework models, and South Africa’s health sector." International Journal of Health Governance 23, no. 2 (June 4, 2018): 134–48. http://dx.doi.org/10.1108/ijhg-10-2017-0054.
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Purpose A healthcare system in any country is rarely the product of one logical policy-making experience, but rather a manifestation of many years of historical development. The purpose of this paper is to examine the characteristics, components, and variables of South Africa’s healthcare system in the context of global patterns. It leverages a dynamic period in South Africa since 1994, and applies a comparative health systems analysis to explain where the country’s healthcare system is, and where it is potentially going. Design/methodology/approach This paper reviews literature related to South Africa’s healthcare system, outlines its historical development, and discusses three fundamental challenges experienced in the country. This paper also reviews the literature on healthcare system typologies and identifies three framework models that have been used to categorise national healthcare systems since the 1970s. This paper then discusses the categorisation of South Africa’s healthcare system in these models, in comparison to Canada and the USA. Findings This paper finds that the framework models are useful tools for comparative analysis of healthcare systems. However, any use of such typologies should be done with the awareness that national healthcare systems are not isolated entities because they function within a larger context. They are not static, since they are constantly evolving with many nuances, even with very similar healthcare system categorisations. Originality/value This paper charts the trajectory of change in the South African healthcare system, and demonstrates that the change process must keep internal conditions in mind if the outcome is to be successful. Imitating policies of countries with well-functioning systems, without regard to local realities, may not work, as the government attempts to usher in changes within a short span of time.
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Connolly, Marie, and Ilan Katz. "Typologies of Child Protection Systems: An International Approach." Child Abuse Review 28, no. 5 (September 2019): 381–94. http://dx.doi.org/10.1002/car.2596.
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Elling, Ray H. "Theory and Method for the Cross-National Study of Health Systems." International Journal of Health Services 24, no. 2 (April 1994): 285–309. http://dx.doi.org/10.2190/7jkx-rdcd-v6f0-87m3.
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The comparison of nations' health systems requires some way of categorizing them. As distinct from the typologies of Roemer, Maxwell, and others, which offer no apparent theoretical derivation, the schema suggested here derives from theory of the capitalist political economic world-system as put forth by Wallerstein and others. With the worldwide division of labor entailed in this perspective (core, semi-periphery, and periphery), combined with the strengths of workers' movements, five types of nations' health systems are identified, and illustrative comparisons are made using the contrasting case studies method. The author also discusses seeming exceptions to the general rule of capitalist dependencies with weak workers' movements having inequitous inadequate health systems.
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Maaria Askola, Kreetta, Helena Känsäkoski, and Maija-Leena Huotari. "Knowing and actional information in web based weight maintenance services." Journal of Documentation 70, no. 5 (September 2, 2014): 759–81. http://dx.doi.org/10.1108/jd-08-2012-0102.
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Purpose – The purpose of this paper is to increase understanding of the role of information and knowledge in the context of health behaviour change. Design/methodology/approach – As internet use in Finland is among the highest in Europe, two Finnish web-based weight management services were analysed regarding their weight maintenance information by using a theoretical approach constructed for the purpose. The approach combines the elements of web-based weight maintenance information and the typologies of knowing and actional information. The approach was tested by examining the services deductively with theory-based content analysis. Findings – The approach indicated differences between the profiles of the two analysed information environments, which focus on factual and tailored information and their relation to pragmatic, provisional and contested knowing and the initiation, maintenance and recovery of actional information. Both services support weight maintenance; the other slightly more due to its rich social features. Research limitations/implications – The examination was focused on the free content of two Finnish weight management services. Further research should include the role of socially interactive information and further testing of the approach with more services. Practical implications – The proposed approach sheds light on the relationship between the types of weight maintenance information and the dimensions of the typologies of knowing and actional information. The approach has the potential to be applied when designing the information environment of new web-based weight management services. Social implications – The approach has potential to be applied when designing the information content of new web-based weight management services to support health behaviour change. The approach could be elaborated further by focusing on enabling social support required in long-term weight maintenance. Originality/value – The study adopted a novel approach to studying typologies of knowing and actional information, thus providing new viewpoints in both information behaviour and organisational knowledge. The study enables further research on weight maintenance information use by proposing a theoretical background.
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Crupi, V., E. Guglielmino, and G. Milazzo. "Neural-Network-Based System for Novel Fault Detection in Rotating Machinery." Journal of Vibration and Control 10, no. 8 (August 2004): 1137–50. http://dx.doi.org/10.1177/1077546304043543.
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The purpose of this research is the realization of a method for machine health monitoring. The rotating machinery of the Refinery of Milazzo (Italy) was analyzed. A new procedure, incorporating neural networks, was designed and realized to evaluate the vibration signatures and recognize the fault presence. Neural networks have replaced the traditional expert systems, used in the past for the fault diagnosis, because they are a dynamic system and thus adaptable to continuously variable data. The disadvantage of common neural networks is that they need to be trained by real examples of different fault typologies. The innovative aspect of the new procedure is that it allows us to diagnose faults, which are not considered in the training set. This ability was demonstrated by our analysis; the net was able to detect the presence of imbalance and bearing wear, even if these typologies of faults were not present in the training data set.
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Ash, J., M. Berg, and E. Coiera. "The Unintended Consequences of Health Information Technology Revisited." Yearbook of Medical Informatics 25, no. 01 (August 2016): 163–69. http://dx.doi.org/10.15265/iy-2016-014.
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Summary Introduction: The introduction of health information technology into clinical settings is associated with unintended negative consequences, some with the potential to lead to error and patient harm. As adoption rates soar, the impact of these hazards will increase. Objective: Over the last decade, unintended consequences have received great attention in the medical informatics literature, and this paper seeks to identify the major themes that have emerged. Results: Rich typologies of the causes of unintended consequences have been developed, along with a number of explanatory frameworks based on socio-technical systems theory. We however still have only limited data on the frequency and impact of these events, as most studies rely on data sets from incident reporting or patient chart reviews, rather than undertaking detailed observational studies. Such data are increasingly needed as more organizations implement health information technologies. When outcome studies have been done in different organizations, they reveal different outcomes for identical systems. From a theoretical perspective, recent advances in the emerging discipline of implementation science have much to offer in explaining the origin, and variability, of unintended consequences. Conclusion: The dynamic nature of health care service organizations, and the rapid development and adoption of health information technologies means that unintended consequences are unlikely to disappear, and we therefore must commit to developing robust systems to detect and manage them.
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Domingues, J. P. T., P. Sampaio, and P. M. Arezes. "Analysis of certified occupational health and safety management systems in Portugal." International Journal of Occupational and Environmental Safety 1, no. 1 (September 1, 2017): 11–28. http://dx.doi.org/10.24840/2184-0954_001.001_0002.
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The systematic assurance of the occupational health, safety and wellbeing of the employees may be accomplished through the implementation (and certification) of standardized occupational health and safety management systems in accordance with the requirements listed in the BS OHSAS 18001 standard. In Portugal the certification of occupational health and safety management systems is usually carried out against the requirements of the BS OHSAS 18001 and the NP 4397 standard which is a national adaptation of the former. The purpose of this paper is to "snapshot" the diffusion of the certified occupational health and safety management systems in Portugal dissecting the following features: regional geographic location, integration phenomenon, evolution throughout the years, more involved activity sectors, more often found integrated management systems typologies and the most relevant and active certification bodies. To address this research goal a thorough, in-depth and comprehensive analysis of the data available in a Portuguese periodical publication (Barómetro da Certificação) was carried out. Results show that a great deal of the certified occupational health and safety management systems (96.3%) is integrated (in the sense that encompasses a multiple certification scheme). However the occupational health and safety management system is not typically the primordial subsystem of an integrated management system. In our view these results provide insights to the companies' top management. On one hand, it seems that a patterned and "logical" path is pursued by the companies that seek organizational excellence- management systems integration. On the other hand, it seems that previously implemented subsystems, such as the quality management system, facilitate a "smoother" integration process encompassing the occupational health and safety management system.
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Leikas, Jaana, Helena Launiainen, Minna Kulju, Pertti Saariluoma, and Kari Bäckman. "Activity typologies as a design model for the ubiquitous detection of daily routines." Finnish Journal of eHealth and eWelfare 10, no. 1 (March 8, 2018): 79–88. http://dx.doi.org/10.23996/fjhw.65165.
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Emerging technologies open up new visions and business potential for systems design and development in the areas of wellbeing and health. New technologies enable the detection of human performance and early changes in physical and cognitive functioning, making it possible to monitor an older person’s wellbeing. This kind of technology or service sets significant requirements for design, as design concepts must be able to capture the complexity of people’s daily lives in terms of activities and environments. Technology itself is “blind” unless designers can adapt it to human life. There is thus a distinct need for comprehensive design and development models that generate adequate human requirements for such design. Activity typologies described in this paper are an example of such life-based design relevant knowledge. They allow the detection of signals in daily routines that would predict a decline in the target person’s functioning, and feed this data into design processes. They can be used to create a model for human requirements specification for such ubiquitous services that are grounded on the idea of detecting changes in human activity. The model presented in this paper is created in BeWell project and based on the theoretical frameworks of Life-Based Design and International Classification of Functioning, Disability and Health.
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Bronisch, Thomas. "The Typology of Personality Disorders — Diagnostic Problems and Their Relevance for Suicidal Behavior." Crisis 17, no. 2 (March 1996): 55–58. http://dx.doi.org/10.1027/0227-5910.17.2.55.
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Personality disorders (PD) play an important role in clinical psychiatry. The typologies of personality disorders (PDs) found in different classification systems, such as the Diagnostic and Statistical Manual of Mental Disorders (DSM) and the International Classification of Diseases (ICD), are quite congruent. There are many methodological problems with reliability and validity of the diagnosis of PD. However, having a typology seems to be very helpful. Recent psychological autopsy studies reported that about one third of suicide victims met the criteria for a PD. Antisocial PD, borderline PD, narcissistic PD, and depressive PD in particular were often clinically associated with suicidal behavior.
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da Costa Leite Borges, Danielle, and Caterina Francesca Guidi. "Rights of access to healthcare for undocumented migrants: understanding the Italian and British national health systems." International Journal of Human Rights in Healthcare 11, no. 4 (September 10, 2018): 232–43. http://dx.doi.org/10.1108/ijhrh-01-2018-0006.
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Purpose The purpose of this paper is to analyse the levels of access to healthcare available to undocumented migrants in the Italian and British health systems through a comparative analysis of health policies for this population in these two national health systems. Design/methodology/approach It builds on textual and legal analysis to explore the different meanings that the principle of universal access to healthcare might have according to literature and legal documents in the field, especially those from the human rights domain. Then, the concept of universal access, in theory, is contrasted with actual health policies in each of the selected countries to establish its meaning in practice and according to the social context. The analysis relies on policy papers, data on health expenditure, legal statutes and administrative regulations and is informed by one research question: What background conditions better explain more universal and comprehensive health systems for undocumented migrants? Findings By answering this research question the paper concludes that the Italian health system is more comprehensive than the British health system insofar it guarantees access free of charge to different levels of care, including primary, emergency, preventive and maternity care, while the rule in the British health system is the recovering of charges for the provision of services, with few exceptions. One possible legal explanation for the differences in access between Italy and UK is the fact that the right to health is not recognised as a fundamental constitutional right in the latter as it is in the former. Originality/value The paper contributes to ongoing debates on Universal Health Coverage and migration, and dialogues with recent discussions on social justice and welfare state typologies.
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Bond, Virginia, Fredrick Ngwenya, Emma Murray, Nothando Ngwenya, Lario Viljoen, Dumile Gumede, Chiti Bwalya, et al. "Value and Limitations of Broad Brush Surveys Used in Community-Randomized Trials in Southern Africa." Qualitative Health Research 29, no. 5 (December 17, 2018): 700–718. http://dx.doi.org/10.1177/1049732318809940.
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We describe and reflect on a rapid qualitative survey approach called “Broad Brush Survey” (BBS) used in six community-randomized trials (CRTs)/studies in Zambia and South Africa (2004–2018) to document, compare, classify, and communicate community features systematically for public health and multidisciplinary research ends. BBS is based on a set sequence of participatory qualitative methods and fieldwork carried out prior to a CRT intervention and/or research by social scientists to generate rapid community profiles using four key indicators: physical features, social organization, networks, and community narratives. Profiling makes apparent similarities and differences, enabling comparison across communities and can be facilitated by an ideal model of open-closed systems. Findings have provided practical outputs (e.g., community profiles) and academic opportunities (e.g., community typologies). The BBS approach enables complex social landscapes to be incorporated in CRTs. This method has proven to be useful, adaptable and to have multidisciplinary appeal.
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Janssen, Mark, Ruben Walravens, Erik Thibaut, Jeroen Scheerder, Aarnout Brombacher, and Steven Vos. "Understanding Different Types of Recreational Runners and How They Use Running-Related Technology." International Journal of Environmental Research and Public Health 17, no. 7 (March 27, 2020): 2276. http://dx.doi.org/10.3390/ijerph17072276.
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This study aims to help professionals in the field of running and running-related technology (i.e., sports watches and smartphone applications) to address the needs of runners. It investigates the various runner types—in terms of their attitudes, interests, and opinions (AIOs) with regard to running—and studies how they differ in the technology they use. Data used in this study were drawn from the standardized online Eindhoven Running Survey 2016 (ERS2016). In total, 3723 participants completed the questionnaire. Principal component analysis and cluster analysis were used to identify the different running types, and crosstabs obtained insights into the use of technology between different typologies. Based on the AIOs, four distinct runner types were identified: casual individual, social competitive, individual competitive, and devoted runners. Subsequently, we related the types to their use of sports watches and apps. Our results show a difference in the kinds of technology used by different runner types. Differentiation between types of runners can be useful for health professionals, policymakers involved in public health, engineers, and trainers or coaches to adapt their services to specific segments, in order to make use of the full potential of running-related systems to support runners to stay active and injury-free and contribute to a healthy lifestyle.
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Gad, Mohamed, J. Kazibwe, E. Quirk, A. Gheorghe, Z. Homan, and M. Bricknell. "Civil–military cooperation in the early response to the COVID-19 pandemic in six European countries." BMJ Military Health 167, no. 4 (March 30, 2021): 234–43. http://dx.doi.org/10.1136/bmjmilitary-2020-001721.
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BackgroundThe COVID-19 pandemic has presented many countries with significant health system and economic challenges. The role of civil–military cooperation in a health crisis of the magnitude presented by COVID-19 remains virtually unexplored. This review aims to detect and identify typologies, if any, of associations between security or military systems and the national response measures during the COVID-19, as adopted by six European countries during the early phase of the outbreak (January to March 2020).MethodsWe designed a structured qualitative literature review (qualitative evidence synthesis), primarily targeting open-source grey literature using a customised Google web search. Our target countries were UK, France, Spain, Italy, Belgium and Sweden. We employed a ‘best fit’ framework synthesis approach in qualitative analysis of the result records.ResultsA total of 277 result records were included in our qualitative synthesis, with an overall search relevance yield of 46%. We identified 19 distinct descriptive categories of civil–military cooperation extending across seven analytical themes. Most prominent themes included how military support was incorporated in the national COVID-19 response, including support to national health systems, military repatriation and evacuation, and support to wider public systems.ConclusionFindings of this review show the significance of military systems in supporting an expansive response during the COVID-19 pandemic, and our proposed methodological approach for capturing military health data in a reproducible manner and providing a comparative view on common types of interventions provided by civil–military cooperation to inform lessons from the use of military capacities during current COVID-19 outbreak.
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Gili, Piero, Marco Civera, Rinto Roy, and Cecilia Surace. "An Unmanned Lighter-Than-Air Platform for Large Scale Land Monitoring." Remote Sensing 13, no. 13 (June 28, 2021): 2523. http://dx.doi.org/10.3390/rs13132523.
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The concept and preliminary design of an unmanned lighter-than-air (LTA) platform instrumented with different remote sensing technologies is presented. The aim is to assess the feasibility of using a remotely controlled airship for the land monitoring of medium sized (up to 107 m2) urban or rural areas at relatively low altitudes (below 1000 m) and its potential convenience with respect to other standard remote and in-situ sensing systems. The proposal includes equipment for high-definition visual, thermal, and hyperspectral imaging as well as LiDAR scanning. The data collected from these different sources can be then combined to obtain geo-referenced products such as land use land cover (LULC), soil water content (SWC), land surface temperature (LSC), and leaf area index (LAI) maps, among others. The potential uses for diffuse structural health monitoring over built-up areas are discussed as well. Several mission typologies are considered.
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Piccinini, Filippo, Giovanni Martinelli, and Antonella Carbonaro. "Accuracy of Mobile Applications versus Wearable Devices in Long-Term Step Measurements." Sensors 20, no. 21 (November 5, 2020): 6293. http://dx.doi.org/10.3390/s20216293.
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Fitness sensors and health systems are paving the way toward improving the quality of medical care by exploiting the benefits of new technology. For example, the great amount of patient-generated health data available today gives new opportunities to measure life parameters in real time and create a revolution in communication for professionals and patients. In this work, we concentrated on the basic parameter typically measured by fitness applications and devices—the number of steps taken daily. In particular, the main goal of this study was to compare the accuracy and precision of smartphone applications versus those of wearable devices to give users an idea about what can be expected regarding the relative difference in measurements achieved using different system typologies. In particular, the data obtained showed a difference of approximately 30%, proving that smartphone applications provide inaccurate measurements in long-term analysis, while wearable devices are precise and accurate. Accordingly, we challenge the reliability of previous studies reporting data collected with phone-based applications, and besides discussing the current limitations, we support the use of wearable devices for mHealth.
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Ribeiro, Ana Isabel, and Henrique Barros. "Affordable, Social, and Substandard Housing and Mortality: The EPIPorto Cohort Study, 1999–2019." American Journal of Public Health 110, no. 7 (July 2020): 1060–67. http://dx.doi.org/10.2105/ajph.2020.305661.
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Objectives. To examine the association between residence in different housing typologies and all-cause and cause-specific mortality, and to compare with the 25 × 25 risk factors defined by the World Health Organization. Methods. We used data from EPIPorto cohort (Porto, Portugal; n = 2485). We georeferenced and matched participants to a housing type—conventional, affordable, social, or substandard housing (locally called ilhas). We used Poisson regression models to estimate mortality rates and associations. Results. Age- and sex-adjusted mortality rates (per 100 000 person-years) were 713 (95% confidence interval [CI] = 584, 863) for individuals residing in conventional housing, and 1019 (95% CI = 637, 1551), 1200 (95% CI = 916, 1551), and 1239 (95% CI = 839, 1772) for individuals residing in affordable housing, social housing, and ilhas, respectively. After further adjustment, the associations between mortality and residence in social housing (rate ratio [RR] = 1.59; 95% CI = 1.22, 2.06) and in ilhas (RR = 1.64; 95% CI = 1.12, 2.33) remained. The association between disadvantaged housing and mortality was stronger than that observed for well-established risk factors such as hypertension, sedentariness, heavy drinking, manual occupation, or obesity. Conclusions. Disadvantaged housing is a major risk factor for mortality that should be accounted for by health policies and surveillance systems.
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VanderZanden, Amelia, Etienne V. Langlois, Abdul Ghaffar, Asaf Bitton, Jocelyn Fifield, and Lisa R. Hirschhorn. "It takes a community: a landscape analysis of global health research consortia." BMJ Global Health 4, Suppl 8 (August 2019): e001450. http://dx.doi.org/10.1136/bmjgh-2019-001450.
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BackgroundThe increased recognition of the core role of effective primary healthcare has identified large gaps in the knowledge of components of high-quality primary healthcare systems and the need for resources positioned to better understand them. Research consortia are an effective approach to generate evidence needed to address knowledge and evidence gaps and accelerate change. However, the optimal design of consortia and guidance on design decisions is not well studied. We report on a landscape analysis to understand global health research consortium models and major design decisions that inform model choice.MethodsWe conducted a landscape analysis to identify health-related research consortia typologies and explore decision processes leading to their design and implementation. We identified and reviewed 195 research consortia, extracted data on organisation, characteristics and operations for 115 and conducted 14 key informant interviews representing 13 consortia. We analysed interviews using thematic content analysis using results to develop categories of major design choices and research consortia models, structures and processes.ResultsAcross a wide range of research consortia, the structure and function were determined by nine key design decisions that were mapped to three domains: scope: including mission and area of focus; organisational structure: including role and location of the core entity, choice of leader, governance and membership eligibility and responsibility; and funding decisions: including the funding source for research consortia operations and the funding sources and process for consortium research.DiscussionResearch consortia showed important heterogeneity across the nine decision points studied and based on their goals, needs and resources. These decisions and the three emerging domains (scope, organisation and funding) offer a potential framework for new research consortia and inform the design of a proposed primary health care research consortium intended to accelerate research to improve primary health care in LMICs.
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Olivito, Renato S., Saverio Porzio, Carmelo Scuro, Domenico Luca Carnì, and Francesco Lamonaca. "Inventory and monitoring of historical cultural heritage buildings on a territorial scale: a preliminary study of structural health monitoring based on the CARTIS approach." ACTA IMEKO 10, no. 1 (March 31, 2021): 57. http://dx.doi.org/10.21014/acta_imeko.v10i1.820.
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Earthquakes induce dynamic stresses in structures, and past seismic events have demonstrated that existing heritage buildings are highly vulnerable. This vulnerability applies to both reinforced-concrete and masonry buildings, which are concentrated in historic centres throughout Italy. Significant variations in construction account for the inadequacy of existing structures to withstand seismic actions, such as the materials used and the construction details, which can be neglected in building practices. This work focuses on the analysis of heritage buildings through an inventory using the <em>Caratterizzazione TIpologica Strutturale</em> (CARTIS) form developed by the Seismic Engineering University Laboratories Network in conjunction with the Civil Protection Department. On knowing a building framework, structural health monitoring (SHM) systems can be applied on the town compartments (TCs) that are prone to the highest vulnerabilities. A priority criticalities scale can be devised starting from the building inventory by identifying the TCs through the CARTIS-based data. This approach can be used to determine a safety threshold obtained via structural parametrical analysis using commercial software (VEMnl) with different building typologies. The next stage consists of the implementation of appropriate SHM to provide important information regarding the structural integrity of the buildings. The proposed methodology is outlined in this paper with reference to the suggested SHM system<span lang="EN-US">.</span>
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Mathews, Ben, and Delphine Collin-Vézina. "Child Sexual Abuse: Toward a Conceptual Model and Definition." Trauma, Violence, & Abuse 20, no. 2 (November 2, 2017): 131–48. http://dx.doi.org/10.1177/1524838017738726.
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The problem of defining “child sexual abuse” (CSA), and the need to define this concept, has been recognized by major policy bodies and leading researchers since the 1970s. Recent demands for a more theoretically robust, explicit definition of CSA show this challenge remains urgent. In this article, we identify problems caused by variance in definitions of CSA for five domains: research and knowledge formation, legal frameworks and principles, prevention efforts, policy responses, and the establishment of social norms. We review and analyze definitions used in leading international epidemiological studies, national and international policy documents, social science literature, and legal systems in the United States, Canada, and Australia to demonstrate the continuing use of different concepts of CSA and identify key areas of conceptual disagreement. Informed by our literature review, we use a methodology of conceptual analysis to develop a conceptual model of CSA. The purpose of this model is to propose a more robust, theoretically sound concept of CSA, which clarifies its defining characteristics and distinguishes it from other concepts. Finally, we provide operational examples of the conceptual model to indicate how it would translate to a classificatory framework of typologies of acts and experiences. A sound conceptual model and classificatory system offers the prospect of more appropriate and effective methods of research, response, regulation, and prevention. While total consensus is unattainable, this analysis may assist in developing understanding and advancing more coherent approaches to the conceptual foundation of CSA and its operationalization.
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Rogers, E. Sally. "Peer support services: state of the workforce-state of the field in the USA." Mental Health and Social Inclusion 21, no. 3 (June 12, 2017): 168–75. http://dx.doi.org/10.1108/mhsi-03-2017-0015.
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Purpose Peer support and other consumer-provided services have burgeoned within the USA during the past 30 years and are now a central component of mental health services nationally. However, their growth has been uneven and somewhat dependent on state initiatives, policies, and funding. Recent programs have matured along myriad paths, resulting in a variety of program typologies, service structures, and funding streams, but with common values, missions, and principles. The paper aims to discuss these issues. Design/methodology/approach The landscape of peer specialist services in the USA, as well as innovations afoot, is reviewed. The empirical information that speaks to the efficacy of peer support and the need to better understand the mechanisms by which it is effective is described. Findings Although peer support has grown exponentially across the USA, its growth has been uneven. Evidence suggests that peer specialists experience role ambiguity within many existing programs and systems. Though the empirical evidence for peer services has grown, research has been most favorable for manualized, group interventions. There is still a need to better understand how individual peer support is beneficial and effective, and how individual peer support can best be utilized to promote the best outcomes for those served. Research limitations/implications In order for the workforce of peer support specialists to continue to grow and for services to be responsive and innovative, we need to better understand the mechanisms by which peer support is beneficial and how it can be structured and delivered to promote the best outcomes for those served. The “core conditions” of helping relationships promulgated decades ago by Rogers along with research on self-disclosure may be useful frameworks for understanding and researching the effectiveness of peer support. Practical implications More research is needed to better understand the effectiveness of peer support services and how best to insure that they are well-integrated into the mental health programs and systems in which they serve. Originality/value There is a need to understand why peer support is effective and how best to sustain peer specialists in their roles within the mental health system.
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Palmer, Jennifer J., Caroline Jones, Elizeous I. Surur, and Ann H. Kelly. "Understanding the Role of the Diagnostic ‘Reflex’ in the Elimination of Human African Trypanosomiasis." Tropical Medicine and Infectious Disease 5, no. 2 (April 1, 2020): 52. http://dx.doi.org/10.3390/tropicalmed5020052.
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To successfully eliminate human African trypanosomiasis (HAT), healthcare workers (HCWs) must maintain their diagnostic acuity to identify cases as the disease becomes rarer. HAT experts refer to this concept as a ‘reflex’ which incorporates the idea that diagnostic expertise, particularly skills involved in recognising which patients should be tested, comes from embodied knowledge, accrued through practice. We investigated diagnostic pathways in the detection of 32 symptomatic HAT patients in South Sudan and found that this ‘reflex’ was not confined to HCWs. Indeed, lay people suggested patients test for HAT in more than half of cases using similar practices to HCWs, highlighting the importance of the expertise present in disease-affected communities. Three typologies of diagnostic practice characterised patients’ detection: ‘syndromic suspicion’, which closely resembled the idea of an expert diagnostic reflex, as well as ‘pragmatic testing’ and ‘serendipitous detection’, which depended on diagnostic expertise embedded in hospital and lay social structures when HAT-specific suspicion was ambivalent or even absent. As we approach elimination, health systems should embrace both expert and non-expert forms of diagnostic practice that can lead to detection. Supporting multidimensional access to HAT tests will be vital for HCWs and lay people to practice diagnosis and develop their expertise.
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Porras Soriano, Rocío, Behnam Mobaraki, José Antonio Lozano-Galant, Santos Sanchez-Cambronero, Federico Prieto Muñoz, and Juan José Gutierrez. "New Image Recognition Technique for Intuitive Understanding in Class of the Dynamic Response of High-Rise Buildings." Sustainability 13, no. 7 (March 26, 2021): 3695. http://dx.doi.org/10.3390/su13073695.
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In the last years, more and more studies have highlighted the advantages of complementing traditional master classes with additional activities that improve students’ learning experience. This combination of teaching techniques is specially advised in the field of structural engineering, where intuition of the structural response it is of vital importance to understand the studied concepts. This paper deals with the introduction of a new (and more encouraging) educational tool to introduce students intuitively to the dynamic response of structures excited with an educational shaking table. Most of the educational structural health monitoring systems use sensors to determine the dynamic response of the structure. The proposed tool is based on a radically different approach, as it is based on low-cost image-recognition techniques. In fact, it only requires the use of an amateur camera, a black background, and a computer. In this study, the effects of both the camera location and the image quality are also evaluated. Finally, to validate the applicability of the proposed methodology, the dynamic response of small-scale buildings with different typologies is analyzed. In addition, a series of surveys were conducted in order to evaluate the activity based on student´s satisfaction and the actual acquisition and strengthening of knowledge.
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Alam, Md Khairul, Richard W. Bell, Mirza Hasanuzzaman, N. Salahin, M. H. Rashid, Nadia Akter, S. Akhter, et al. "Rice (Oryza sativa L.) Establishment Techniques and Their Implications for Soil Properties, Global Warming Potential Mitigation and Crop Yields." Agronomy 10, no. 6 (June 22, 2020): 888. http://dx.doi.org/10.3390/agronomy10060888.
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Rice-based intensive cropping systems require high input levels making them less profitable and vulnerable to the reduced availability of labor and water in Asia. With continuous conventional puddled rice transplanting, the situation is exacerbated by damaged soil structure, declining underground water and decreasing land and water productivity. To minimize these negative effects a range of new crop establishment practices have been developed (zero tillage, dry direct seeding, wet direct seeding, water seeding, strip planting, bed planting, non-puddled transplanting of rice, mechanical transplanting of rice crop and combinations thereof) with varying effects on soil health, crop productivity, resource saving and global warming mitigation potential. Some of these allow Conservation Agriculture (CA) to be practiced in the rice-based mono-, double- and triple cropping systems. Innovations in machinery especially for smallholder farms have supported the adoption of the new establishment techniques. Non-puddling establishment of rice together with increased crop residue retention increased soil organic carbon by 79% and total N (TN) in soil by 62% relative to conventional puddling practice. Rice establishment methods (direct seeding of rice, system of rice intensification and non-puddled transplanting of rice) improve soil health by improving the physical (reduced bulk density, increased porosity, available water content), chemical (increased phosphorus, potassium and sulphur in their available forms) and biological properties (microbiome structure, microbial biomass C and N) of the soil. Even in the first year of its practice, the non-puddled transplanting method of rice establishment and CA practices for other crops increase the productivity of the rice-based cropping systems. Estimates suggest global warming potential (GWP) (the overall net effect) can be reduced by a quarter by replacing conventional puddling of rice by direct-seeded rice in the Indo-Gangetic Plains for the rice-based cropping system. Moreover, non-puddled transplanting of rice saves 35% of the net life cycle greenhouse gases (GHGs) compared with the conventional practice by a combination of decreasing greenhouse gases emissions from soil and increasing soil organic carbon (SOC). Though the system of rice intensification decreases net GHG emission, the practice releases 1.5 times greater N2O due to the increased soil aeration. There is no single rice establishment technology that is superior to others in all circumstances, rather a range of effective technologies that can be applied to different agro-climates, demography and farm typologies.
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Geletta, Simon. "Measuring patient satisfaction with medical services using social media generated data." International Journal of Health Care Quality Assurance 31, no. 2 (March 12, 2018): 96–105. http://dx.doi.org/10.1108/ijhcqa-12-2016-0183.
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Purpose The purpose of this paper is to discuss the results of an effort to use social media generated data for measuring patient satisfaction with medical care services. Traditionally, scientifically designed patient satisfaction surveys are used to provide such measurements. The goal here is to evaluate the possibility of supplementing patient satisfaction surveys with social media generated patient satisfaction measurements such that the later can be used either as validation or replacement for the former. Although surveys are scientifically designed to yield dependable results, recent studies have revealed multiple factors relating to the methods currently used for survey data collection, that may be contributing to the limitations of many survey results. In light of such criticisms, this study explored the possibility of using the increasing popular and proactively generated consumer ratings through the pervasive social media as data source for satisfaction measurement. The average satisfaction scores created from such data are then used to compare levels of satisfaction among five types of health service businesses. Design/methodology/approach The data used in this research are garnered from the consumer review social media site called “Yelp!”. Ratings and reviews that are related to health and medical services were extracted from the “Yelp!” database. The types of services that are identified by consumers are standardized to typologies that are traditionally used in health service research. Five types of services were targeted – general practice physician offices, physician specialty services, dentists, hospitals and physical therapy services. The “five-star” rating systems were re-coded to form a five-point ordinal scale variable to represent “satisfaction score”. Findings The Yelp! data-based measurement of patient satisfaction produced an overall satisfaction score of 3.8 (SD=1.7) for the sampled services. The average satisfaction score per type of service ranged from 3.16 (SD=1.83) for specialty physicians to 4.52 (SD=1.57) for physical therapists. In general, dentists and physical therapists received higher average satisfaction scores as compared to the other medical services. Research limitations/implications Because this study was meant to evaluate the utility of social media generated data to measure satisfaction, in general, the estimates cannot be construed as representative of any underlying geographically defined population. They, however, do have a “cohort” interpretability. This limitation is not inherent to the use of the data source. If some geographically identifiable representation of the measurement data is desired, identifiable business data can be generated from the Yelp! system to specifically target relevant populations following the method that are tested in this study. Practical implications Under certain circumstances, such as the size and maturity of the gathered data, social media generated data can be a useful as a “fortuitous” alternative to satisfaction surveys for evaluating patient satisfaction with medical care. This is propitious as there have been some indication by studies that the advent of communication media in the twenty-first century may be undermining the reliability of scientifically designed surveys. Originality/value The use of social media generated data as “alternative” or “secondary” data source for research use is currently being widely investigated. To the author’s knowledge, this is the only paper that evaluated the use of “Yelp!” data as a possible source for population-based formal satisfaction measurement for healthcare services.
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Tocci, Roberto, and Clara Sargentini. "Meat quality of Maremmana young bulls." Acta Scientiarum. Animal Sciences 42 (September 30, 2019): e46515. http://dx.doi.org/10.4025/actascianimsci.v42i1.46515.
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Maremmana is a local Italian breed reared in southern Tuscany and northern Latium. Twenty-two young bulls were reared in pasture system with concentrate supply (PSCS), whereas 20 young bulls were reared in feedlot intensive system (IS) in order test differences between meat typologies. The bulls were slaughtered at 18 months old. The performances at slaughtering were similar between finishing systems. IS bull meat has shown higher cooking loss than PSCS bull meat (p < 0.001), higher moisture content (p < 0.01), and fat (p < 0.001), and lower crude protein (p < 0.001). The SFA, MUFA and PUFA percentage were similar between meat typologies; whereas if considered in mg per 100 gr of muscle MUFA and SFA content was higher in PSCS meat (p < 0.05). Among the Healthy Indices, C18:2/C18:3 was higher in IS System (14.08 vs. 9.77; p < 0.001); the results of the PCA (Principal Component Analysis) of fatty acids composition showed that PSCS meat was characterized by MUFA and SFA, while IS meat was identified by C18:2/C18:3, and ω6/ ω3.
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Marichal, Jose, and Richard Neve. "Antagonistic bias: developing a typology of agonistic talk on Twitter using gun control networks." Online Information Review 44, no. 2 (November 25, 2019): 343–63. http://dx.doi.org/10.1108/oir-11-2018-0338.
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Purpose The purpose of this paper is to apply Connolly’s (2003) concept of agonistic respect to develop a typology of agonistic/antagonistic discourses on Twitter. To develop the typology, this study examines 2,236 Tweets containing the hashtag #guncontrol and uses NodeXL (Smith et al., 2010) to create a network map from which the 75 most influential accounts are derived. Using constant-comparative analysis (Glaser and Strauss, 1967), the authors identify seven categories of discourse style based on Connoly’s (2001) notion of ressentiment and “good faith presentations” of opposing arguments: furtive/secretive, cravenly opportunistic, willfully ignorant, irrational sentimental, misunderstanding/misguided, contingently wrong and reciprocal inquiry. The typology provides a useful and unique way to operationalize agonistic democratic theory and serves as the possible basis for training a machine learning classifier to detect antagonistic discourses on social media platforms. Design/methodology/approach To determine the level of agonism on Twitter, the authors examine tweets that employed the hashtag #guncontrol on March 12, 2018, one month after the shooting at the Marjory Stoneman Douglass High School in Parkland, Florida on February 14. The authors used the NodeXL excel add-on to collect and map 2,236 tweets. Using grounded theory/constant-comparative analysis (Glaser and Strauss, 1967), the authors develop a typology of seven types of discourses ordered from most antagonistic to most agonistic using Connolly’s (1993) concept of agonistic respect. Findings After examining the top 75 most shared tweets and using constant-comparative analysis to look for patterns of similarity and dissimilarity, the authors identified seven different ways in which individuals present their opponents’ value positions on Twitter on the issue of gun control. The authors were guided by agonistic theory in the authors’ inquiry. The authors looked at how Twitter users expressed their opponent’s faith/value positions, how pluralistic the discourse space was in the comment threads and how much the “talk” was likely to elicit ressentiment from adversaries. Research limitations/implications Because the authors intended to engage in theory building, the authors limited the analysis to a selected number of tweets on one particularly salient topic, on one day. The intent of this was to allow for a close reading of the tweets in that specific network for the purposes of creating a useful typology that can be applied to a broader range of cases/issues/platforms. Practical implications The authors hope that typology could serve as a potential starting point for Twitter to think about how it could design its algorithms toward agonistic talk. The typology could be used as a classification scheme to differentiate agonistic from antagonistic threads. An algorithm could be trained to spot threads overwhelmingly populated by antagonistic discourse and instructed to insert posts from other threads that represent agonistic responses like “contingently wrong” or “reciprocal inquiry.” While generous presentations or deeper, more nuanced presentations of the opponent’s value position are not a panacea, they could serve to change the orientation by which users engage with policy issues. Social implications Social media platforms like Twitter have up to now been left alone to make markets and establish profitability off of public sphere conversations. The result has been a lack of attention to how discourse on these platforms affects users mental well-being, community health and democratic viability. Recently, Twitter’s CEO has indicated a need to rethink the ways in which it promotes “healthy discourse.” The utilitarian presumption that, left to our own devices, we will trial and error our way to the collective good does not account for the importance of others in refining one’s preferences, arguments and world views. Without an “other” to vet ideas and lead us toward becoming wiser, we are left with a Wyly antagonism that moves discourse further and further away from agonistic respect and toward antagonistic virtual struggle. Platforms that allow antagonistic talk that breeds ressentiment run the risk of irrevocably damaging democracy through poisoning its public sphere. Originality/value This paper is unique in providing a typology/framework for thinking about the types of “political talk” that exists on Twitter. By using agonistic political theory as a framework, the authors are able to establish some guiding principles for “good political talk” that acknowledges the incommensurability of value positions on issues like gun control. The typology’s emphasis on agonistic respect, ressentiment and generosity in the presentation of alternative value positions provides a starting point from which to map and catalog discourse on Twitter more generally and offers a normative model for changing algorithmic design.
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"Comparing health policy: An assessment of typologies of health systems." SALUTE E SOCIETÀ, no. 2 (July 2010): 185–201. http://dx.doi.org/10.3280/ses2010-su1012.
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Typologies have been central to the comparative turn in public policy and this paper contributes to the debate by assessing the capacity of typologies of health systems to capture the institutional context of health care and to contribute to explaining health policies across countries. Using a recent comparative study of health policy and focusing on the concept of the health care state the paper suggests three things. First, the concept of the health care state holds as a set of ideal types. Second, as such the concept of the health care state provides a useful springboard for analyzing health policy, but one which needs to be complemented by more specific institutional explanations. Third, the concept of the health care state is less applicable to increasingly important, non-medical areas of health policy. Instead, different aspects of institutional context come into play and they can be combined as part of a looser ‘‘organizing framework''.
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de Carvalho, Gabriela, Achim Schmid, and Johanna Fischer. "Classifications of health care systems: Do existing typologies reflect the particularities of the Global South?" Global Social Policy, November 3, 2020, 146801812096931. http://dx.doi.org/10.1177/1468018120969315.
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Typologies are a useful and widely employed instrument in comparative research, including the study of health care systems. This study analyses the effectiveness of extant classifications in representing health care systems globally, examining whether existing literature adequately helps to understand health care systems of the Global South. To this end, the study highlights key elements of health care systems in the Global South, in particular limited resources, segmentation and the involvement of non-domestic/international actors. In a further step, we conduct a systematic literature review of typological scholarship on health care systems, in which 42 classifications are identified and analysed regarding regional coverage, methods, as well as the criteria and categories they include. The results point to major limitations: First, there is a general lack of representation and systematic classification of health care systems of the Global South. Second, there is a bias as criteria for classification are developed inductively based upon health care systems of the Global North. Consequently, existing typologies mostly fail to take into account the particularities of the countries beyond high-income economies. The study concludes by putting forth recommendations for developing a more comprehensive, globally applicable typological framework.
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Mfoafo-M’Carthy, Magnus, Festus Moasun, Gabriela Novotna, and Darren Christensen. "The Typologies of Mental Health, Addiction, and Problem Gambling Systems Integration in Ontario." International Journal of Mental Health and Addiction, June 22, 2021. http://dx.doi.org/10.1007/s11469-021-00551-w.
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Trick, William E., Fred Rachman, Keiki Hinami, Jennifer C. Hill, Craig Conover, Lisa Diep, Howard S. Gordon, et al. "Variability in comorbidites and health services use across homeless typologies: multicenter data linkage between healthcare and homeless systems." BMC Public Health 21, no. 1 (May 13, 2021). http://dx.doi.org/10.1186/s12889-021-10958-8.
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Abstract Background Homelessness is associated with substantial morbidity. Data linkages between homeless and health systems are important to understand unique needs across homeless populations, identify homeless individuals not registered in homeless databases, quantify the impact of housing services on health-system use, and motivate health systems and payers to contribute to housing solutions. Methods We performed a cross-sectional survey including six health systems and two Homeless Management Information Systems (HMIS) in Cook County, Illinois. We performed privacy-preserving record linkage to identify homelessness through HMIS or ICD-10 codes captured in electronic medical records. We measured the prevalence of health conditions and health-services use across the following typologies: housing-service utilizers stratified by service provided (stable, stable plus unstable, unstable) and non-utilizers (i.e., homelessness identified through diagnosis codes—without receipt of housing services). Results Among 11,447 homeless recipients of healthcare, nearly 1 in 5 were identified by ICD10 code alone without recorded homeless services (n = 2177; 19%). Almost half received homeless services that did not include stable housing (n = 5444; 48%), followed by stable housing (n = 3017; 26%), then receipt of both stable and unstable services (n = 809; 7%). Setting stable housing recipients as the referent group, we found a stepwise increase in behavioral-health conditions from stable housing to those known as homeless solely by health systems. Compared to those in stable housing, prevalence rate ratios (PRR) for those without homeless services were as follows: depression (PRR = 2.2; 95% CI 1.9 to 2.5), anxiety (PRR = 2.5; 95% CI 2.1 to 3.0), schizophrenia (PRR = 3.3; 95% CI 2.7 to 4.0), and alcohol-use disorder (PRR = 4.4; 95% CI 3.6 to 5.3). Homeless individuals who had not received housing services relied on emergency departments for healthcare—nearly 3 of 4 visited at least one and many (24%) visited multiple. Conclusions Differences in behavioral-health conditions and health-system use across homeless typologies highlight the particularly high burden among homeless who are disconnected from homeless services. Fragmented and high use of emergency departments for care should motivate health systems and payers to promote housing solutions, especially those that incorporate substance use and mental health treatment.
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Auma, Carolyn I., Rebecca Pradeilles, Megan K. Blake, David Musoke, and Michelle Holdsworth. "Factors influencing dietary practices in a transitioning food environment: a cross-sectional exploration of four dietary typologies among rural and urban Ugandan women using Photovoice." Nutrition Journal 19, no. 1 (November 25, 2020). http://dx.doi.org/10.1186/s12937-020-00634-9.
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Abstract Background Healthy and sustainable dietary practices offer a possible solution to competing tensions between health and environmental sustainability, particularly as global food systems transition. To encourage such dietary practices, it is imperative to understand existing dietary practices and factors influencing these dietary practices. The aim of this study was to identify multi-level factors in lived rural and urban Ugandan food environments that influence existing dietary practices among women of reproductive age (WRA). Methods A mixed methods study was conducted. Multiple correspondence analysis followed by hierarchical cluster analysis were performed on dietary data collected among a sample (n = 73) of Ugandan WRA in Kampala (urban) and Wakiso (rural) districts to elicit dietary clusters. Dietary clusters, which were labelled as dietary typologies based on environmental impact and nutrition transition considerations, were reflective of dietary practices. Following this, a smaller sample of WRA (n = 18) participated in a Photovoice exercise and in-depth interviews to identify factors in their social, physical, socio-cultural and macro-level environments influencing their enactment of the identified dietary typologies, and therefore dietary practices. Results Four dietary typologies emerged: ‘urban, low-impact, early-stage transitioners’, ‘urban, medium-impact, mid-stage transitioners’, ‘rural, low-impact, early-stage transitioners’ and ‘rural, low-impact, traditionalists’. Although experienced somewhat differently, the physical environment (access, availability and cost), social networks (parents, other family members and friends) and socio-cultural environment (dietary norms) were cross-cutting influences among both urban and rural dietary typologies. Seasonality (macro-environment) directly influenced consumption of healthier and lower environmental impact, plant-based foods among the two rural dietary typology participants, while seasonality and transportation intersected to influence consumption of healthier and lower environmental impact, plant-based foods among participants in the two urban dietary typologies. Conclusion Participants displayed a range of dietary typologies, and therefore dietary practices. Family provides an avenue through which interventions aimed at encouraging healthier and lower environmental impact dietary practices can be targeted. Home gardens, urban farming and improved transportation could address challenges in availability and access to healthier, lower environmental impact plant-based foods among urban WRA.
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van Buuren, L. P. G., and M. Mohammadi. "Dementia-Friendly Design: A Set of Design Criteria and Design Typologies Supporting Wayfinding." HERD: Health Environments Research & Design Journal, September 14, 2021, 193758672110435. http://dx.doi.org/10.1177/19375867211043546.
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Objectives, purpose, or aim: This study aims to gain insights into the implementation of theoretical knowledge on dementia-friendly design into practice to (1) identify key design criteria stimulating spatial orientation and wayfinding for seniors with dementia and (2) determine the optimal design for this purpose. Background: Spatial orientation problems of seniors with dementia can be counteracted by the design of the physical environment of inpatient care facilities. Research has been conducted about design features supporting wayfinding skills for this target group, however, not on their implementation. Methods: Fourteen floor plans of the living group of built projects have been evaluated on 14 design criteria supporting wayfinding skills for the target group and measurable in floor plans by the performance of a comparative floorplan analysis and multicriteria assessment. Results: Although one third of the evaluated design criteria are properly implemented, all floor plans of the selected projects had some gaps in fulfilling all design criteria. Five typological floor plans—based on the circulation systems of the cases—were distinguished: one straight corridor structured by two walls, one corridor with corners, two corridors separated from each other by the living room, a continuous loop corridor, and a corridor framed by a wall and interior elements (e.g., cabinets). The majority of the cases was based on a linear system with one straight corridor. Conclusions: Based on this study, three of the five discovered typological floor plans work well for stimulating wayfinding. Furthermore, special attention need to be given to the configuration of the floor plans, shape, and daylight in the corridor.
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Kuhlmann, E., V. Burau, M. Falkenbach, K. Klasa, and E. Pavolini. "Migrant carers in Europe: double jeopardy of labour market exploitation and hostile environments." European Journal of Public Health 30, Supplement_5 (September 1, 2020). http://dx.doi.org/10.1093/eurpub/ckaa165.107.
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Abstract Background Many health systems have responded to growing population needs and expanded long-term care services for older people (LTC). However, no country managed to adequately increase the human resources for health. A large group of transnationally mobile migrant carers fill the gaps and mitigate policy failure. This study aims to explore the connections between health labour markets, migrant care workers and populism and to reveal blind spots in the governance of the LTC workforce. Methods An explorative comparative approach was applied, which draws on a rapid review of the literature, public statistics and document analysis. A novel analytical framework was developed, which is informed by transsectoral governance and combines four major dimensions: LTC system (e.g. cash benefits, public responsibility), health labour market situation (supply-demand) in the LTC sector, labour migration policies relevant for LTC, and the role of populist parties. Five EU countries were selected which represent different conditions in LTC: Austria, Denmark, Germany, Italy and Poland. Results Typologies of sending and receiving countries are no longer sustainable, but transnational mobility flows still impact differently in healthcare systems and national labour markets. Undersupply coupled with cash-benefits and a culture of family responsibility are predicting high inflows of migrant carers, who are channelled in low-level positions or in the informal care sector. These conditions can often be observed in countries with strong populist movements. Conclusions Health labour markets, LTC systems, culture and political factors combine to create a double jeopardy for migrant carers, exploited as labour market subjects and exposed to hostile social environments as individual citizens. Action has to be taken to improve public health advocacy for migrant carers and to establish effective European health labour market regulation and transnational health workforce governance.
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Easton, Lynn, Scott Adam, Trish Durnan, and Lorraine McLeod. "Identifying and Classifying User Typologies Within a United Kingdom Hospital Library Setting: A Case Study." Evidence Based Library and Information Practice 11, no. 4 (December 15, 2016). http://dx.doi.org/10.18438/b8v33p.
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Objective – To identify available health library user typology classifications and, if none were suitable, to create our own classification system. This is to inform effective future library user engagement and service development due to changes in working styles, information sources and technology.
Methods – No relevant existing user typology classification systems were identified; therefore, we were required to create our own typology classification system. The team used mixed methods research, which included literature analysis, mass observation, visualization tools, and anthropological research. In this case study, we mapped data across eleven library sites within NHS Greater Glasgow and Clyde Library Network, a United Kingdom (U.K.) hospital library service.
Results – The findings from each of the NHS Greater Glasgow and Clyde Library Network’s eleven library sites resulted in six user typology categories: e-Ninjas, Social Scholars, Peace Seekers, Classic Clickers, Page Turners and Knowledge Tappers.
Each physical library site has different profiles for each user typology. The predominant typology across the whole service is the e-Ninjas (28%) with typology characteristics of being technically shrewd, IT literate and agile – using the library space as a touch down base for learning and working.
Conclusions – We identified six distinct user types who utilize hospital library services with distinct attributes based on different combinations of library activity and medium of information exchange. The typologies are used to identify the proportional share and specific requirements, within the library, of each user type to provide tailored services and resources to meet their different needs.
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Coughlan, H., N. Humphries, M. C. Clarke, C. Healy, and M. Cannon. "Psychotic-like experiences? Trajectories and typologies of hallucinations and delusions from early adolescence to early adulthood in a population-based sample of Irish youth." Irish Journal of Psychological Medicine, May 10, 2021, 1–16. http://dx.doi.org/10.1017/ipm.2021.31.
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Objectives: Hallucinations and delusions that occur in the absence of a psychotic disorder are common in children and adolescents. Longitudinal phenomenological studies exploring these experiences are notably lacking. The objective of the current paper was to explore the phenomenology and characteristics of hallucinations and delusions from early adolescence to early adulthood. Methods: Participants were 17 young people aged 18–21 years from the general population, all of whom had a history of childhood hallucinations and/or delusions. Longitudinal data on the phenomenological characteristics and attributions of reported hallucinatory and delusional phenomena spanning nine years were explored using content analysis. Results: Hallucinatory and delusional phenomena were transient for two-thirds of the sample. The remaining one-third reported reoccurring hallucinatory and delusional phenomena into early adulthood. In those, two typologies were identified: (1) Paranormal typology and (2) Pathological typology. The former was characterised by hallucinatory and delusional phenomena that were exclusively grounded in subcultural paranormal or spiritual belief systems and not a source of distress. The latter was characterised by delusion-like beliefs that were enmeshed with individuals’ mood states and a source of distress. The perceived source, the subcultural context and how young people appraised and integrated their experiences differentiated the Paranormal and Pathological typologies. Conclusions: Not all hallucinatory and delusion-like experiences are psychotic-like in nature. To reliably differentiate between pathological and non-pathological hallucinations and delusions, assessments need to explore factors including the phenomenology of individuals’ experiences, how people make sense and appraise them, and the subcultural contexts within which they are experienced.
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Bennett, Sara, Nasreen Jessani, Douglas Glandon, Mary Qiu, Kerry Scott, Ankita Meghani, Fadi El-Jardali, Daniel Maceira, Dena Javadi, and Abdul Ghaffar. "Understanding the implications of the Sustainable Development Goals for health policy and systems research: results of a research priority setting exercise." Globalization and Health 16, no. 1 (January 9, 2020). http://dx.doi.org/10.1186/s12992-019-0534-2.
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Abstract Background Given the paradigmatic shift represented by the Sustainable Development Goals (SDGs) as compared to the Millennium Development Goals - in particular their broad and interconnected nature - a new set of health policy and systems research (HPSR) priorities are needed to inform strategies to address these interconnected goals. Objectives To identify high priority HPSR questions linked to the achievement of the Sustainable Development Goals. Methods We focused on three themes that we considered to be central to achieving the health related SDGs: (i) Protecting and promoting access to health services through systems of social protection (ii) Strengthening multisectoral collaborations for health and (iii) Developing more participatory and accountable institutions. We conducted 54 semi-structured interviews and two focus group discussions to investigate policy-maker perspectives on evidence needs. We also conducted an overview of literature reviews in each theme. Information from these sub-studies was extracted into a matrix of possible research questions and developed into three domain-specific lists of 30–36 potential priority questions. Topic experts from the global research community then refined and ranked the proposed questions through an online platform. A final webinar on each theme sought feedback on findings. Results Policy-makers continue to demand HPSR for many well-established issues such as health financing, human resources for health, and service delivery. In terms of service delivery, policy-makers wanted to know how best to strengthen primary health care and community-based systems. In the themes of social protection and multisectoral collaboration, prioritized questions had a strong emphasis on issues of practical implementation. For participatory and accountable institutions, the two priority questions focused on political factors affecting the adoption of accountability measures, as well as health worker reactions to such measures. Conclusions To achieve the SDGs, there is a continuing need for research in some already well established areas of HPSR as well as key areas highlighted by decision-makers. Identifying appropriate conceptual frameworks as well as typologies of examples may be a prerequisite for answering some of the substantive policymaker questions. In addition, implementation research engaging non-traditional stakeholders outside of the health sector will be critical.
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Capolongo, S., M. Buffoli, D. D'Alessandro, G. M. Fara, L. Appolloni, and C. Signorelli. "How to foster cities resilient to the COVID-19 pandemic through Urban Health strategies." European Journal of Public Health 30, Supplement_5 (September 1, 2020). http://dx.doi.org/10.1093/eurpub/ckaa165.427.
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Abstract Background The ongoing pandemic of COVID-19, which nowadays has exceeded 2.5 million notified infections in the world and about 200,000 deaths, is a strong reminder that urbanization has changed the way that people and communities live, work, and interact, and it's necessary to make the systems and local capacities resilient to prevent the spread of infectious diseases. How we can re-design the concept of Public Health in relation to the built environment and the contemporary cities? Methods According to the previous statements and scenario, aim of this paper is to integrate the Urban Health strategic objectives, focusing the possible responses, both immediate and medium-long term, to the current environmental, social, and economic aspects of the “period” of physical distancing. Results Immediate Actions are 01. program the flexibility of city schedules; 02. plan a smart and sustainable mobility network; 03. define a neighborhood services' plan; 04. develop a digitization of the urban context, promoting the smart communities; 05. re-think the accessibility to the places of culture and tourism. Medium-long term Actions are 06. design the indoor flexibility of domestic living spaces; 07. re-think building typologies, fostering the presence of semi-private or collective spaces; 08. renovate the basic care services' network; 09. integrate the existing environmental emergency plans, with those related to the health emergencies; 10. improve stakeholders' awareness of the factors affecting Public Health in the cities. Conclusions The Decalogue of Public Health opportunities may provide a useful basis for Designers (Architects and Urban Planners), Policy Makers, Public Health experts and Local Health Agencies, in promoting actions and policies aimed to transform our cities in healthier and Salutogenic living environments. Key messages The strategies described in this paper are at the basis of a social and infrastructural rethinking of the city, careful to the Welfare and Public Health needs. The physical distancing imposed, may have amplified population's social and health inequalities.
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Keller, B., T. Russo, F. Rembold, Y. Chauhan, P. Battilani, A. Wenndt, and M. Connett. "The potential for aflatoxin predictive risk modelling in sub-Saharan Africa: a review." World Mycotoxin Journal, August 31, 2021, 1–18. http://dx.doi.org/10.3920/wmj2021.2683.
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This review presents the current state of aflatoxin risk prediction models and their potential for value actors throughout the food chain in sub-Saharan Africa, with a specific focus on improving smallholder farmer management practices. Several empirical and mechanistic models have been developed either in academic research or by private sector aggregators and processors in high-income countries including Australia, the USA, and Southern Europe, but these models have been only minimally applied in sub-Saharan Africa, where there is significant potential and increasing need due to climate variability. Predictions can be made based on historic occurrence data using either a mechanistic microbiological framework for aflatoxin accumulation or an empirical model based on statistical correlations with climate conditions and local agronomic factors. Model results can then be distributed to smallholders through private, public, or mobile extension services, used by policymakers for strategy or policy, or utilised by private sector institutions for management decisions. Specific agricultural advice can be given during the three most critical points in the phenological cycle: preseason insight including sowing timing and crop varieties, preharvest advice about management and harvest timing, and postharvest optimal practices including storage, drying, and market information. Model development for sub-Saharan Africa is limited by a dearth of georeferenced aflatoxin occurrence data and real-time high resolution climate data; the wide diversity of farm typologies each with significant information and technology gaps; a prevalence of informal market structures and lack of economic incentives systems; and general lack of awareness around aflatoxins and best management practices to mitigate risk. Given advancements towards solving these challenges, predictive aflatoxin models can be integrated into decision support platforms to focus on optimisation of value for smallholders by minimising yield and nutritional losses, which can propagate value throughout the production and postharvest phases.
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De Siqueira, Gustavo, and Amal Al Balushi. "Co-designing the pedestrian revolution in Muscat." City, Territory and Architecture 7, no. 1 (September 21, 2020). http://dx.doi.org/10.1186/s40410-020-00119-6.
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Abstract Rapid growth coupled with the prevailing land allocation system in Oman led to a shift from compact dwellings typologies to detached single-family houses, arranged in monofunctional zoning systems that exclusively rely on cars. Due to the sprawled transformation, authorities are unable to provide new neighborhoods with basic infrastructure and attractive open spaces. Consequently, the level of non-communicable diseases is increasing, making urban regeneration programs promoting active lifestyles in built environments a matter of public health. In our research we explore participative-planning strategies to enhance pedestrian activity within existing neighborhoods and regenerate public spaces. We conducted a quantitative survey using a standard walkability scale and physical maps to identify barriers to pedestrian activity. Subsequently, we employed the data to frame culturally sensitive co-creation workshops, gaining in-depth knowledge to guide future redesign proposals. We found that mosques are walking magnets yet engender contrasting views with regard to walkability; finding solutions to the spatial problems could develop them into walkable cores. We also observed that residents were aware of health problems caused by lack of physical activity and how that links with the built environment they inhabit. They were eager to discuss solutions, including alternative governance models, as long as the process was short and produced immediate small interventions with high-level impact on their surroundings. We employed a fine-grained combination of methods to address site-specific challenges. Its quantitative data allows the insertion in a broader discourse and the linkage to a large body of research in walkability. Co-creation workshops, especially city games, proved to be a powerful tool to initiate dialogue on complex spatial negotiation, even in societies where participatory approaches do not have a well-established tradition.
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Manyweathers, Jennifer, Yiheyis Maru, Lynne Hayes, Barton Loechel, Heleen Kruger, Aditi Mankad, Gang Xie, Rob Woodgate, and Marta Hernandez-Jover. "Using a Bayesian Network Predictive Model to Understand Vulnerability of Australian Sheep Producers to a Foot and Mouth Disease Outbreak." Frontiers in Veterinary Science 8 (June 11, 2021). http://dx.doi.org/10.3389/fvets.2021.668679.
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To maintain and strengthen Australia's competitive international advantage in sheep meat and wool markets, the biosecurity systems that support these industries need to be robust and effective. These systems, strengthened by jurisdictional and livestock industry investments, can also be enhanced by a deeper understanding of individual producer risk of exposure to animal diseases and capacity to respond to these risks. This observational study developed a Vulnerability framework, built from current data from Australian sheep producers around behaviors and beliefs that may impact on their likelihood of Exposure and Response Capacity (willingness and ability to respond) to an emergency animal disease (EAD). Using foot and mouth disease (FMD) as a model, a cross-sectional survey gathered information on sheep producers' demographics, and their practices and beliefs around animal health management and biosecurity. Using the Vulnerability framework, a Bayesian Network (BN) model was developed as a first attempt to develop a decision making tool to inform risk based surveillance resource allocation. Populated by the data from 448 completed questionnaires, the BN model was analyzed to investigate relationships between variables and develop producer Vulnerability profiles. Respondents reported high levels of implementation of biosecurity practices that impact the likelihood of exposure to an EAD, such as the use of appropriate animal movement documentation (75.4%) and isolation of incoming stock (64.9%). However, adoption of other practices relating to feral animal control and biosecurity protocols for visitors were limited. Respondents reported a high uptake of Response Capacity practices, including identifying themselves as responsible for observing (94.6%), reporting unusual signs of disease in their animals (91.0%) and daily/weekly inspection of animals (90.0%). The BN analysis identified six Vulnerability typologies, with three levels of Exposure (high, moderate, low) and two levels of Response Capacity (high, low), as described by producer demographics and practices. The most influential Exposure variables on producer Vulnerability included adoption levels of visitor biosecurity and visitor access protocols. Findings from this study can guide decisions around resource allocation to improve Australia's readiness for EAD incursion and strengthen the country's biosecurity system.
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Taconet, Paul, Angélique Porciani, Dieudonné Diloma Soma, Karine Mouline, Frédéric Simard, Alphonsine Amanan Koffi, Cedric Pennetier, Roch Kounbobr Dabiré, Morgan Mangeas, and Nicolas Moiroux. "Data-driven and interpretable machine-learning modeling to explore the fine-scale environmental determinants of malaria vectors biting rates in rural Burkina Faso." Parasites & Vectors 14, no. 1 (June 29, 2021). http://dx.doi.org/10.1186/s13071-021-04851-x.
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Abstract Background Improving the knowledge and understanding of the environmental determinants of malaria vector abundance at fine spatiotemporal scales is essential to design locally tailored vector control intervention. This work is aimed at exploring the environmental tenets of human-biting activity in the main malaria vectors (Anopheles gambiae s.s., Anopheles coluzzii and Anopheles funestus) in the health district of Diébougou, rural Burkina Faso. Methods Anopheles human-biting activity was monitored in 27 villages during 15 months (in 2017–2018), and environmental variables (meteorological and landscape) were extracted from high-resolution satellite imagery. A two-step data-driven modeling study was then carried out. Correlation coefficients between the biting rates of each vector species and the environmental variables taken at various temporal lags and spatial distances from the biting events were first calculated. Then, multivariate machine-learning models were generated and interpreted to (i) pinpoint primary and secondary environmental drivers of variation in the biting rates of each species and (ii) identify complex associations between the environmental conditions and the biting rates. Results Meteorological and landscape variables were often significantly correlated with the vectors’ biting rates. Many nonlinear associations and thresholds were unveiled by the multivariate models, for both meteorological and landscape variables. From these results, several aspects of the bio-ecology of the main malaria vectors were identified or hypothesized for the Diébougou area, including breeding site typologies, development and survival rates in relation to weather, flight ranges from breeding sites and dispersal related to landscape openness. Conclusions Using high-resolution data in an interpretable machine-learning modeling framework proved to be an efficient way to enhance the knowledge of the complex links between the environment and the malaria vectors at a local scale. More broadly, the emerging field of interpretable machine learning has significant potential to help improve our understanding of the complex processes leading to malaria transmission, and to aid in developing operational tools to support the fight against the disease (e.g. vector control intervention plans, seasonal maps of predicted biting rates, early warning systems). Graphical abstract