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de Vos, Henny, Timber Haaker, Marije Teerling, and Mirella Kleijnen. "Consumer Value of Context Aware and Location Based Mobile Services." International Journal of E-Services and Mobile Applications 1, no. 4 (October 2009): 36–50. http://dx.doi.org/10.4018/jesma.2009070803.
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Context aware services have the ability to utilize information about the user’s context and adapt services to a user’s current situation and needs. In this article the authors consider users’ perceptions of the added value of location awareness and presence information in mobile services. The authors use an experimental design, where stimuli comprising specific bundles of mobile services were presented to groups of respondents. The stimuli showed increasing, manipulated, levels of context-awareness, including location of the user and location and availability of buddies as distinct levels. Their results indicate that simply adding context aware features to mobile services does not necessarily provide added value to users, rather the contrary. The potential added value of insight in buddies’ location and availability is offset by people’s reluctance to share location information with others. Although the average perceived value overall is rather low there exists a substantial minority that does appreciate the added context aware features. High scores on constructs like product involvement, social influence and self-expressiveness characterize this group. The results also show that context aware service bundles with utilitarian elements have a higher perceived value than bundles with hedonic elements. On the basis of the different results some guidelines for designing context aware mobile services are formulated.
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Dubé, Catherine, Christine Cserti-Gazdewich, Gord Tait, and Jacob Pendergrast. "Preparing for Platelet Shortages: Which Surgeries Should be Cancelled?" Blood 136, Supplement 1 (November 5, 2020): 23–24. http://dx.doi.org/10.1182/blood-2020-138917.
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Introduction: Due to their short shelf-life, platelet concentrates are particularly susceptible to the product shortages which may result from shortfalls in donor collections or disruptions to the manufacturing and supply chain. Mechanisms to address shortages are particularly important in light of the ongoing COVID-19 pandemic. Canadian Blood Services (CBS), the national blood center serving Canada except Quebec, called a national Green Advisory Phase from May to June 2020 on platelet products and O negative red blood cells, requesting daily hospital inventory reports. When such shortages occur, it may be challenging to identify which surgical procedures are likely to require platelet transfusion support and should therefore be rescheduled. Methods: Information systems maintained by the Blood Transfusion Service (Wellsky®) and the Department of Surgical Services (ORSOS®) were cross-referenced for the 2019 calendar year at a large adult teaching hospital in Toronto with active cardiovascular and transplant programs. Only procedures that were performed more than 25 times during this period were included in the analysis. Average platelet consumption on the day of surgery, 1 week post-operatively and 30 days post-operatively was calculated. Results: 50 procedures with a potential for requiring intra-operative platelet transfusion support were identified, with the greatest demand being those involving cardiopulmonary bypass (CBP) support (27% of cases transfused, median of 2.7 units per case) and heart, liver and lung transplantation (24% of cases transfused, median of 4.2 units per case). Although spinal surgery as a group was not a high platelet consumer (4% of cases transfused, median of 0.3 units per case), certain complex procedures such as thoracic-lumbar laminectomy and thoracic-lumbar decompression and fusion were more at risk of requiring platelet support during and in the post-operative period. Due to their frequency, procedures on CPB created the highest demand in platelets with close to 4500 units distributed during the year. Standard deviations for many procedures was large, up to 10 units in the intra-operative period. Other procedures with low-risk of intra-operative platelet transfusion support but a possibility of requiring platelet transfusion in the 30-day post-operative period included renal transplantation and neurosurgical procedures. Interestingly, renal transplant patients generally did not require transfusion support during surgery or in the immediate post-operative period but only when looking at 30-day requirements. For most patients, these procedures would therefore be at risk only in the setting of very prolonged shortages. Conclusion: Data-driven demand forecasting for intra-operative and post-operative platelet transfusion support may be of value in risk-benefit analysis of proceeding with specific surgical procedures in the setting of platelet shortages. However, some of the procedures with the highest platelet consumption serve the sickest patients and cannot be postponed. Disclosures No relevant conflicts of interest to declare.
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Ratnakar, Velip Resha, Sunil M. B., and Vani K. "Effectiveness of Model Based Training on Competence Regarding Intra Uterine Contraceptive Device (IUCD) Insertion among Nursing Students at Selected Nursing College." International Journal of Health Sciences and Research 11, no. 7 (July 22, 2021): 257–64. http://dx.doi.org/10.52403/ijhsr.20210735.
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Background of the study: Intrauterine contraceptive devices IUCD are a safe and cost-effective contraceptive method. Despite this, the utilisation rate for IUCDs is relatively low in many countries. Provision of training regarding IUCDs to nurses, is one approach to overcome some of the barriers that may prevent wider uptake of IUCDs. Objectives: To assess the competence of nursing students regarding IUCD insertion. To evaluate the effectiveness of model based training on competence regarding IUCD insertion among nursing students and to find out an association between pre test competence scores of nursing students with their selected socio demographic variables. Methodology: An evaluative study was conducted among 30 final year B.Sc Nursing students of KLES’ Institute of Nursing Sciences, Hubballi. The research design used for the study was Pre-experimental; one group pre-test, post-test design. OSCE based checklist of interval IUCD insertion procedure was used for obtaining the level of competence. Results: The study results revealed that majority of the subjects 20 (66.7%) were females and 14 (46.6%) had previous knowledge regarding IUCD insertion. With respect to competence scores, majority of the subjects in pre-test 24 (80%) had unsatisfactory competence, 6 (20%) had satisfactory competence. In post-test 25 (83.33%) had satisfactory competence, 05 (16.66%) had unsatisfactory competence. After model based training on competence regarding interval IUCD insertion, there was a significant gain in competence i.e 41.4%. The calculated paired ‘t’ value (tcal = 24.44*) was greater than the tabulated value (ttab = 2.045). This indicates that the gain in competence score was statistically significant at 0.05 level of significance. Conclusion: The study concludes that model based training on competence regarding interval IUCD insertion was effective in upgrading the skills of final year B.Sc nursing students. Hence, it is recommended to re-address & improve pre-service nursing education pertaining to the family planning services. Key words: IUCD, competence, OSCE, nursing students, model based training.
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Nirwana, Nirwana, and Haliah Haliah. "Determinant factor of the quality of financial statements and performance of the government by adding contextual factors." Asian Journal of Accounting Research 3, no. 1 (August 6, 2018): 28–40. http://dx.doi.org/10.1108/ajar-06-2018-0014.
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Purpose The purpose of this paper is to re-test the determinant factors of the quality of financial statements and performance of the government by adding contextual factors, such as personal factor, system/administrative factor and political factor, that may affect the quality of financial statement information and performance of the government. Personal factor is proxied to the competencies that affect the quality of financial statements and performance. Social administrative factor is proxied on the regulations and presentation of quality financial statements. Design/methodology/approach The analysis unit in this study was conducted at the organizational level. The research object was in South Sulawesi Province. This was a descriptive and verificative research with survey technique. Based on the objectives of the research, this is an explanatory research. The research method used was explanatory survey with quantitative approach. The population of this research was proxied to the Regional Unit Organization (Organisasi Perangkat Desa) which compiled the financial statements in South Sulawesi Provincial Government consisted of 803 units of Local Government Agencies (Satuan Kerja Perangkat Daerah). The purposive sampling technique was chosen under the following criteria: the regional government whose financial statement has been audited by Badan Pemeriksa Keuangan; the regional government whose financial accountability report has been evaluated by Indonesia’s Agency for Financial and Development Supervision (Badan Pengawasan Keuangan dan Pembangunan). In line with the criteria mentioned above, the minimum samples required for 26 observations/indicators are 5×26=130 respondents. The sample size met the minimum sample requirement of 5 for each group (cell) (Hair et al., 2006, p. 112). Findings Personal factors competence affects the financial statements quality. The high personal factors competence will affect on the high financial statements quality. System/administration factors regulation affect the financial statement quality. The high system/administration factors regulation will affect on the high financial statements quality. Political factors affect the financial statements quality. The high political factors will affect on the high financial statements quality. Personal factor competence has no direct effect on the performance. The high personal factor competence will not affect the high or low of the performance. However, there is a significant indirect effect between personal factor competence on performance through the financial statements quality which means that higher personal factor competence will lead to higher performance through financial statements quality. System/administration factor regulation is not directly affects the performance. The high system/administration factor regulation will not affect on the high or low of the performance. However, there is a significant indirect effect between system/administration factor regulation on performance through the financial statements quality which means that higher the system/administration factor regulation will lead to higher performance through financial statements quality. Political factors is not directly affects the performance. The high political factors will not affect the high or low of the performance. However, there is a significant indirect effect between political factors on performance through the financial statements quality which means that the higher the political factor, it will leads to higher performance through the financial statements quality. Financial statements quality affects the performance. The high financial statements will affect on the performance. Originality/value The research issues raised are the increasing public demands for the government services and accountability, while on the other hand the government is faced with the report and financial quality that are below the expectation. This issue is a national strategic issue, leading this research to aim at providing guidelines that can help the regional government to formulate operational policies and strategies of the quality improvement of financial statement and performance of the regional government.
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Aamer, Fauzia. "Frequency of Various Bleeding Disorders Among Gynecological and Obstetric Patients Presenting with Bleeding." Proceedings of Shaikh Zayed Medical Complex Lahore 33, no. 4 (December 2, 2019): 1–6. http://dx.doi.org/10.47489/p000s334z7281-6mc.
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Introduction: Bleeding issues specific to women and adolescent females are common across the world. These issues can present either due to gynecological causes or obstetric one; however these can result in significant morbidity and work up needs to be done to rule out any underlying bleeding diathesis. Aims & Objectives: To determine frequency of various bleeding disorders among gynecological and obstetric patients presenting with bleeding. Place and duration of study: It is a cross sectional study which was conducted in the Hematology Department, Services Institute of Medical Sciences, Lahore. The duration of study was 6 months i.e from 21st Oct, 2018 to 30th April, 2019. Material & Methods: Females with age range of 15 to 50 years irrespective of pregnancy presenting as menorrhagia, metrorrhagia or obstetrical bleeding were included. Results: In the present study there were total 140 cases with mean age of 30.14±9.59 years. There were 98 (70%) cases that were pregnant. There were 35 (25%) cases presented with PPH (Post Partum Hemorrhage), 42 (30%) with IPH (Intra Partum Hemorrhage), 49 (35%) with menorrhagia and 14 (10%) with metrorrhagia. HELLP (Hemolysis, Elevated Liver enzymes and Low Platelet count) syndrome was seen in 13 (9.29%) cases, DIC (Disseminated Intravascular Coagulation) in 2 (1.43%), gestational thrombocytopenia in 7 (5%), while factor deficiency in 34 (24.29%) cases; and 84 (60%) of cases revealed none of the bleeding disorder. Out of total 34 cases of factor deficiencies, vWD was the most common, seen in 20 (58.82%) cases. There was none of the cases seen having deficiency of factor II, VII, VIII, XI, XII. HELLP syndrome was seen in 11 (84.62%) of the cases with age group 15 to 32 years and similarly both cases of DIC were seen in same age group; but the difference in both the age groups regarding these bleeding disorders was not statistically significant with p= 0.38. There was no significant difference in terms of pregnancy; however, both cases of DIC were seen in pregnancy with insignificant p value of 0.51. HELLP syndrome was more seen in IPH affecting 5 (38.40%), factor deficiency in menorrhagia affecting 13 (38.2%) with p value of 0.61. vWD and factor V Leiden presented in 44.4% cases each with PPH, and vWD affected 87.5% of cases in IPH without any significant difference with p= 0.42. Conclusion: Bleeding disorders are not uncommon in gynecological and obstetric conditions. Factor deficiency were the most common causes and amongst these vWD was the most deficient factor. There was no significant association with any confounding variable; however, DIC was only seen in obstetrical conditions. Key words: Bleeding, menorrhagia, HELLP, DIC, IPH, PPH
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Hochgraeber, Iris, Milena von Kutzleben, Sabine Bartholomeyczik, and Bernhard Holle. "Low-threshold support services for people with dementia within the scope of respite care in Germany – A qualitative study on different stakeholders’ perspective." Dementia 16, no. 5 (October 12, 2015): 576–90. http://dx.doi.org/10.1177/1471301215610234.
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Low-threshold support services are provided within the basket of services of German long-term care insurance as a part of respite care to support family carers and people with dementia. This study investigates various stakeholders’ (providers, coordinators, volunteers, family carers and people with dementia) perspectives on low-threshold support service regarding its organisation and conceptualisation as well as how stakeholders and users value low-threshold support service using a qualitative approach. Twelve guided interviews and group discussions were conducted with 31 participants. Organisation and conceptualisation are characterised by the lowness of the service thresholds, which is perceived to be quick and simple forms of support with no user requirements. Multiple barriers such as the challenging behaviour of people with dementia and their initial refusal as well as their holding low-threshold support service in low esteem can hinder the utilisation of these services. Low-threshold support service within the scope of the long-term care insurance law can be separated into two types: low-cost (non-professional) services and high-cost services with comprehensive training for ‘employed’ volunteers (professional). Both types are constantly developing within the landscape of the German long-term care system, and low-threshold support service appears to be adapted to diverse needs. Therefore, it is important to avoid replacing non-professional services with professional services.
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Purbaningrum, Pratiwi, Iswari Hariastuti, and Arief Wibowo. "Factor Analysis of the Low Use of Intra Uterine Device (IUD) Contraception in East Java in 2015." Jurnal Biometrika dan Kependudukan 8, no. 1 (July 17, 2019): 52. http://dx.doi.org/10.20473/jbk.v8i1.2019.48-57.
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Intrauterine Device (IUD) is one type of contraceptives that is made from flexible plastic and implanted in the uterus. The IUD is included as a long-term contraception which is very effective in regulating the distance of pregnancy, is reversible, and can be worn by women of all reproductive ages. Therefore, the government is doing all kinds of effort to the number of IUD users. Surprisingly, the number of women using the IUD has kept decreasing every year. This study aims to analyze the factors affecting the low use of IUD contraception in East Java in 2015. The data were obtained from the Mid-term Development Plan Survey in 2015 by taking a sample from all the women who were willing to be interviewed in the Mid-term Development Plan Survey in East Java Province with the following characteristics: being 15–49 years of age, being married, not getting pregnant, and were still using contraceptions. There were 1,220 respondents who could be interviewed. The result of binary regression testing with a significant degree of 5% yielded three significant variables, namely age (P-value = 0.002), education (P-value = 0.000), and birth control service (P-value = 0.000). Healthy women who were around 15–19 years old, had low education, and had limitted access to private birth control services tended to avoid the IUD contraception more. Therefore, it is expected that the government is making cooperation with the related sectors in an attempt to increase the use of IUD contraceptives in the East Java Province in 2015 with more emphases on age, education and birth control service locations.
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Purbaningrum, Pratiwi, Iswari Hariastuti, and Arief Wibowo. "Factor Analysis of the Low Use of Intra Uterine Device (IUD) Contraception in East Java in 2015." Jurnal Biometrika dan Kependudukan 8, no. 1 (July 17, 2019): 52. http://dx.doi.org/10.20473/jbk.v8i1.2019.52-61.
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Intrauterine Device (IUD) is one type of contraceptives that is made from flexible plastic and implanted in the uterus. The IUD is included as a long-term contraception which is very effective in regulating the distance of pregnancy, is reversible, and can be worn by women of all reproductive ages. Therefore, the government is doing all kinds of effort to the number of IUD users. Surprisingly, the number of women using the IUD has kept decreasing every year. This study aims to analyze the factors affecting the low use of IUD contraception in East Java in 2015. The data were obtained from the Mid-term Development Plan Survey in 2015 by taking a sample from all the women who were willing to be interviewed in the Mid-term Development Plan Survey in East Java Province with the following characteristics: being 15–49 years of age, being married, not getting pregnant, and were still using contraceptions. There were 1,220 respondents who could be interviewed. The result of binary regression testing with a significant degree of 5% yielded three significant variables, namely age (P-value = 0.002), education (P-value = 0.000), and birth control service (P-value = 0.000). Healthy women who were around 15–19 years old, had low education, and had limitted access to private birth control services tended to avoid the IUD contraception more. Therefore, it is expected that the government is making cooperation with the related sectors in an attempt to increase the use of IUD contraceptives in the East Java Province in 2015 with more emphases on age, education and birth control service locations.
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Chien, Ling-Chen, Yiing-Jenq Chou, Yu-Chin Huang, Yi-Jung Shen, and Nicole Huang. "Reducing low value services in surgical inpatients in Taiwan: Does diagnosis-related group payment work?" Health Policy 124, no. 1 (January 2020): 89–96. http://dx.doi.org/10.1016/j.healthpol.2019.10.005.
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Kwak, Min-Kyu, JeungSun Lee, and Seong-Soo Cha. "Senior Consumer Motivations and Perceived Value of Robot Service Restaurants in Korea." Sustainability 13, no. 5 (March 4, 2021): 2755. http://dx.doi.org/10.3390/su13052755.
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This research empirically tested a theoretical model by defining senior customers’ intentions to use robot service restaurants emerging in South Korea. Non-face-to-face services have become increasingly important for seniors. Therefore, restaurant marketers should cater to senior customers’ needs by sustaining robot service restaurants. The study analyzed 243 questionnaires to verify the reliability and validity of the measurement items. The research hypotheses were examined using structural equation modeling (SEM). The suggested model comprised three stages: motivated consumer innovativeness (MCI), perceived value, and planned behavior (attitude, intention to use). The results revealed that senior customers’ perceived values positively influenced attitude and were enhanced by hedonically MCI (hMCI) and socially MCI. Moreover, the hedonic and social elements of motivation improved the attitude and usage intentions of robot service restaurants for senior customers. However, these relationships differed in terms of the income level of the customer groups. For the low-income senior-level group, hMCI was more influential on the perceived value. This study is meaningful because it analyzes the effect of MCI of seniors on the perceived value of robot service restaurants, which are growing rapidly in South Korea. It has empirically proved the moderating effect of different income groups, providing practical implications.
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Völlm, Birgit, Shaz Majid, and Rachel Edworthy. "English vs Dutch high secure hospitals: service user perspectives." Journal of Forensic Practice 20, no. 2 (May 14, 2018): 112–21. http://dx.doi.org/10.1108/jfp-12-2016-0054.
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Purpose The purpose of this paper is to describe service users’ perspectives on the difference between high secure long-stay forensic psychiatric services in the Netherlands and high secure forensic psychiatric care in England. These perspectives are relevant in considering the benefits of a similar long-stay service in England. Design/methodology/approach A current in-patient detained in a high secure hospital in England and other mental health service users and carers with experience in forensic-psychiatric settings were asked to watch a documentary on a Dutch high secure long-stay service. Then they were invited to make comparisons between this service and high secure care in England. These perspectives were gained in the context of their membership of the Service User Reference Group of an externally funded study on long-stay in forensic-psychiatric settings in England. Findings The small group of participants highlighted the importance of relational security, meaningful occupation, autonomy, positive therapeutic relationships with staff and a homely environment for those with lengthy admissions and perceived these to be better met in the Dutch service. These factors might contribute to improved quality of life that services should strive to achieve, especially for those with prolonged admissions. Practical implications Perspectives of service users with lived experience of long-stay in forensic settings are important in informing service developments. Lessons can be learnt from initiatives to improve the quality of life in long-stay services in other countries and consideration be given on how to best manage this unique group. Originality/value To the authors’ knowledge this is the first study asking service users about their view on forensic services in other countries. The findings suggest that service users have valuable contributions to make to aid service developments and should be involved in similar such exercises in the future.
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Haliah, Haliah, and Nirwana Nirwana. "The development of good governance model for performance improvement." International Journal of Excellence in Government 1, no. 1 (June 10, 2019): 21–36. http://dx.doi.org/10.1108/ijeg-09-2018-0004.
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Purpose The purpose of this paper is to re-test the determinant factors of the quality of financial statements and performance of the government by adding contextual factors, such as the personal factor, system/administrative factor and political factor, that may affect the quality of financial statement information and performance of the government. The personal factor is proxied to the competencies that affect the quality of financial statements and performance. The social administrative factor is proxied on the regulations and presentation of quality financial statements. Design/methodology/approach The analysis unit in this study was conducted at the organizational level. The research object was in the South Sulawesi Province. This was a descriptive and verificative research with a survey technique. Based on the objectives of the research, this is an explanatory study. The research method used was an explanatory survey with a quantitative approach. The population of this research was proxied to the Regional Unit Organization (Organisasi Perangkat Desa/OPD) which compiled the financial statements in the South Sulawesi Provincial Government and consisted of 803 units of local government agencies (Satuan Kerja Perangkat Daerah or SKPD). The purposive sampling technique was chosen under the following criteria: the regional government whose financial statement has been audited by the BPK, the regional government whose financial accountability report has been evaluated by Indonesia’s Agency for Financial, and Development Supervision (Badan Pengawasan Keuangan dan Pembangunan or BPKP). In line with the criteria mentioned above, the minimum samples required for 26 observations/indicators are 5 × 26 = 130 respondents. The sample size met the minimum sample requirement of five for each group (cell) (Hair et al., 2006, p. 112). Findings The personal factor “competence” affects the financial statements’ quality. The high personal factor “competence” will affect the high financial statements’ quality. The system/administration factor “regulation” affects the financial statement quality. The high system/administration factor “regulation” will affect the high financial statements’ quality. Political factors affect the financial statements’ quality. The high political factors will affect the high financial statements’ quality. The personal factor “competence” has no direct effect on the performance. The high personal factor “competence” will not affect the high or low of the performance. However, there is a significant indirect effect between the personal factor “competence” on performance through the financial statements’ quality, which means that the higher personal factor “competence” will lead to higher performance through financial statements’ quality. The system/administration factor “regulation” does not directly affect the performance. The high system/administration factor “regulation” will not affect the high or low of the performance. However there is a significant indirect effect between the system/administration factor “regulation” on performance through the financial statements’ quality which means that higher system/administration factor “regulation” will lead to higher performance through financial statements’ quality. The political factor does not directly affect the performance. The high political factors will not affect the high or low of the performance. However there is a significant indirect effect between political factors on performance through the financial statements’ quality which means that the higher political factor will lead to higher performance through the financial statements’ quality. Financial statements’ quality affects the performance. The high financial statements will affect the performance. Originality/value The research issues raised are the increasing public demands for the government services and accountability, while on the other hand, the government is faced with the report and financial quality that are below the expectation. This issue is a national strategic issue, leading this research to aim at providing guidelines that can help the regional government to formulate operational policies and strategies for the quality improvement of financial statement and performance of the regional government.
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Nwankwo, Chidebe Matthew, and Collins Chikodili Ajibo. "Liberalizing Regional Trade Regimes Through AfCFTA: Challenges and Opportunities." Journal of African Law 64, no. 3 (September 4, 2020): 297–318. http://dx.doi.org/10.1017/s0021855320000194.
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AbstractThe ratification of the African Continental Free Trade Agreement (AfCFTA) marked a landmark event in the quest to achieve intra-African free trade. AfCFTA is poised to represent the largest free trade area outside the World Trade Organization. Although AfCFTA aspires to liberalize intra-African trade in goods and services to foster socio-economic development, there are concerns that capacity constraints may stultify the underlying goals. AfCFTA is expected to build on the considerable successes already achieved by Africa's regional economic communities. However, it fails to clarify how the overlapping regimes will be reconciled and harmonized. Nevertheless, the agreement is laudable for its quest to facilitate intra-African trade, foster regional value chains that can facilitate integration into the global economy, and energize industrialization, competitiveness and innovation. This article examines the celebrated AfCFTA to understand its potential amid local realities and the possible implications for the multilateral trading system.
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M., Rajabhushanam, Sunil Kumar K., Syed Ali Aasim, and Venkatesh S. "A comparative study of low doses of intrathecal ketamine and midazolam with bupivacaine for postoperative analgesia in infraumbilical surgeries." International Journal of Advances in Medicine 6, no. 2 (March 25, 2019): 197. http://dx.doi.org/10.18203/2349-3933.ijam20190963.
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Background: Infra-umbilical surgeries may be performed under local, regional (spinal or epidural) or general anaesthesia, spinal block is still a first choice, because of its rapid onset, high quality of blockade, lack of catheter related infection, less failure rate and also cost effective but the duration of block and postoperative analgesia is limited. The purpose of study was to compare the efficacy of adding ketamine to 0.5% hyperbaric bupivacaine with midazolam to 0.5% hyperbaric bupivacaine in elective infraumbilical procedures.Methods: A randomized, single blinded, clinical study. 60 subjects were enrolled from the patients presenting for elective infraumbilical surgeries after following the inclusion and exclusion criteria laid down for the study. Sixty ASA Grade I and II patients undergoing infra umbilical surgeries were randomly divided into one of the two equal groups (n=30).Results: Total 60 patients were included in this study. The mean time to achieve T10 sensory level and modified bromage scale III was prolonged in group M (4.33±1.09, 6.66±1.26 min) as compared to group K (3.3±0.7, 4.96±1.21 min) which was statistically significant (P value <0.05).Conclusions: The present study concludes that addition of intrathecal midazolam to hyperbaric bupivacaine provide very good and prolonged post-operative analgesia without significant intra-operative and post-operative side effects compared to intrathecal ketamine.
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Elsegood, Kelly J., Lucinda Anderson, and Rachel Newton. "Introducing the recovery inspiration group: promoting hope for recovery with inspirational recovery stories." Advances in Dual Diagnosis 11, no. 4 (November 19, 2018): 137–46. http://dx.doi.org/10.1108/add-03-2018-0004.
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Purpose The purpose of this paper is to undertake a preliminary evaluation of a novel intervention – Recovery Inspiration Group, which uses recovery stories to promote hope and inspiration for recovery among people with complex mental health difficulties. Design/methodology/approach The Recovery Inspiration Group was delivered to women on a specialist personality disorder inpatient unit, who were concurrently participating in a dialectical behaviour therapy (DBT) Programme. In total, 12 service users participated in the RIG and as part of the intervention, wrote down key reflections after hearing each recovery story. A thematic analysis of these reflections formed the primary basis of the evaluation. Descriptive statistics derived from a service user feedback survey (n=6) supplemented the qualitative findings. Findings Three themes were identified in the qualitative data, suggesting that participants had engaged with recovery-oriented reflections and experiences: recovery stories as validating and inspiring; Generalisation of DBT skills; shifting perspectives of recovery: doing better rather than being better. The survey results unanimously endorsed the RIG as a worthwhile and validating experience, which participants would recommend to other service users. Practical implications Recovery Inspiration Group appears to be a low-cost and easily replicable intervention with the potential to promote hope and inspiration for recovery among people with complex mental health difficulties. Originality/value Recovery Inspiration Group is a novel approach to harnessing the wisdom of people with lived experience of mental health difficulties, to foster hope among users of mental health inpatient services.
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Gardner-Elahi, Catherine, and Sannam Zamiri. "Collective narrative practice in forensic mental health." Journal of Forensic Practice 17, no. 3 (August 10, 2015): 204–18. http://dx.doi.org/10.1108/jfp-10-2014-0034.
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Purpose – Narrative Therapy offers thinking and practices which can support the development of narratives of desistance and recovery. The purpose of this paper is to discuss the two ways in which collective narrative practice has been used in a Low Secure Forensic Recovery Service: The Tree of Life and the Knowledge Group, including the evaluation of the Knowledge Group. Design/methodology/approach – The therapeutic approach taken was collective narrative practice. The evaluation design for the Knowledge Group was service user led, resulting in a qualitative approach: a focus group that was thematically analysed. Findings – Collective narrative practice offered service users the opportunity to enhance their narratives of strength and desistance, and to contribute socially by sharing this with others. This encouraged the development of identities beyond the “patient” and “offender” identities. It gave service users the opportunity to take a position of expertise and power where they were listened to and respected. Research limitations/implications – There is a wide range of possibility for the creative use of these strategies in forensic settings. They are a useful addition to the forensic practitioner’s toolkit. Practical implications – There is a wide range of possibility for the creative use of these strategies in forensic settings. They are a useful addition to the forensic practitioner’s toolkit. Social implications – Collective narrative practice positions service users as taking social action, for example sharing their experiences with other services users, in educational contexts and for wider social understanding. Originality/value – The therapeutic interventions described offer a promising approach which has not yet been fully exploited for use in forensic mental health services, including a novel approach to collective narrative practice.
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Hina Affandi and Qaisar Ali Malik. "Financial Inclusion and Financial Literacy in Low Income Group in Emerging Economy." Journal of Accounting and Finance in Emerging Economies 6, no. 4 (December 4, 2020): 1001–8. http://dx.doi.org/10.26710/jafee.v6i4.1451.
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Purpose: Financial institutions engage in performing imperative part in the economic development of an economy through circulation of funds that resulting in employment and fair distribution of limited resources. Financial literacy results in usage of financial product and services provided by financial institutions that lead to pervasive growth of an economy. Financial inclusion takes into loop the excluded segment of a developing country to attain the desired financial and economic outcomes. Recognizing the importance of financial inclusion, this study is executed to investigate the impact of financial literacy on financial inclusion in street vendors.
Design/methodology/approach: This study was conducted in twin cities Islamabad and Rawalpindi. Snowball and purposive sampling technique has been used in this study. Primary data has been collected from street vendors through semi structure interviews and questionnaire. Participatory action research design is used in this study. Deductive approach has been used for qualitative data analysis.
Findings: The results of this study found that street vendors only name financial institutions. They don’t have knowledge about financial products and services provided by those financial institutions. Because of inadequate knowledge, majority of the street vendors do not use financial products and services which are available to them. A very small number of street vendors are using financial products and services. The expected outcomes of this study set a direction for policy makers of financial institutions about how to increase financial inclusion by considering the observed relations in this study.
Practical implications: The results will help policy makers in formulating effective strategies to bring into the net that excluded segment, which if included will not only improve their quality of life but also augment to the sustainability and growth of economy through financial inclusion.
Originality/value: As suggested by the recent relevant literature, the study is an attempt to identify those antecedents of financial inclusion, which has not been explored earlier in context of Pakistan, to extend the earlier findings through qualitative research method and to establish how financial inclusion can be made a success in achieving its desired outcomes in a developing economy.
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Weldegebriel, Shishay Kiros, and Kumelachew Yeshitela. "Measuring the Semi-Century Ecosystem-Service Value Variation in Mekelle City Region, Northern Ethiopia." Sustainability 13, no. 18 (September 7, 2021): 10015. http://dx.doi.org/10.3390/su131810015.
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The Mekelle city region is facing severe ecosystem degradation. The study area has experienced unprecedented land-use dynamics over the past 47 years, but the effect of these dynamics on ecosystem-service values remains unknown. Estimating the various ecosystem services from a city region perspective has not been attempted so far. The rationale of this study was to estimate the spatial–temporal ecosystem-service value variations. The methodology employed was land-use/land-cover (LULC) datasets of remotely sensed datasets of the years 1972, 1984, 2001, 2012, and 2019, and ecosystem service value coefficient, expert focus group discussion, and document review were used. The digital satellite images were processed, classified, and analyzed using Earth Resource Development Assessment System (ERDAS) Imagine. Computations of changes in the land-use categories were made using Arc GIS 10.5.1, Eviews for time series data analysis, and XLSTAT analytical tools were used. Over the whole study period from 1972 to 2019, a loss of USD 128.6 million was observed, which is a reduction of 501.9%. The study shows that due to land-use changes, the total ecosystem service value is decreasing annually, suggesting that much more severe ecosystem degradation is due to occur. The results are relevant to policy development and indicate that ecological restoration is the best option in the study area.
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Vaughan, Adam, Kathryn E. Wuschke, Ashley N. Hewitt, Tarah Hodgkinson, Martin A. Andresen, Patricia Brantingham, and Simon Verdun-Jones. "Variations in Mental Health Act calls to police: an analysis of hourly and intra-week patterns." Policing: An International Journal 41, no. 1 (February 12, 2018): 58–69. http://dx.doi.org/10.1108/pijpsm-10-2016-0153.
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Purpose Investigating the day of week and hour of day temporal patterns of crime typically show that (late) nights and weekends are the prime time for criminal activity. Though instructive, mental-health-related calls for service are a significant component of police service to the community that have not been a part of this research. The purpose of this paper is to analyze calls for police service that relate to mental health, using intimate partner/domestic related calls for police service for context. Design/methodology/approach Approximately 20,000 mental health related and 20,000 intimate partner/domestic related calls for police service are analyzed. Intra-week and intra-day temporal patterns are analyzed using circular statistics. Findings Mental-health-related calls for police service have a distinct temporal pattern for both days of the week and hours of the day. Specifically, these calls for police service peak during the middle of the week and in the mid-afternoon. Originality/value This is the first analysis regarding the temporal patterns of police calls for service for mental health-related calls. The results have implications for police resourcing and scheduling, especially in the context of special teams for addressing mental health-related calls for police service.
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Kullgren, Jeffrey Todd, Erin Krupka, Abigail Schachter, Ariel Linden, Jacquelyn Miller, Yubraj Acharya, James Alford, Richard Duffy, and Julia Adler-Milstein. "Precommitting to choose wisely about low-value services: a stepped wedge cluster randomised trial." BMJ Quality & Safety 27, no. 5 (October 24, 2017): 355–64. http://dx.doi.org/10.1136/bmjqs-2017-006699.
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BackgroundLittle is known about how to discourage clinicians from ordering low-value services. Our objective was to test whether clinicians committing their future selves (ie, precommitting) to follow Choosing Wisely recommendations with decision supports could decrease potentially low-value orders.MethodsWe conducted a 12-month stepped wedge cluster randomised trial among 45 primary care physicians and advanced practice providers in six adult primary care clinics of a US community group practice.Clinicians were invited to precommit to Choosing Wisely recommendations against imaging for uncomplicated low back pain, imaging for uncomplicated headaches and unnecessary antibiotics for acute sinusitis. Clinicians who precommitted received 1–6 months of point-of-care precommitment reminders as well as patient education handouts and weekly emails with resources to support communication about low-value services.The primary outcome was the difference between control and intervention period percentages of visits with potentially low-value orders. Secondary outcomes were differences between control and intervention period percentages of visits with possible alternate orders, and differences between control and 3-month postintervention follow-up period percentages of visits with potentially low-value orders.ResultsThe intervention was not associated with a change in the percentage of visits with potentially low-value orders overall, for headaches or for acute sinusitis, but was associated with a 1.7% overall increase in alternate orders (p=0.01). For low back pain, the intervention was associated with a 1.2% decrease in the percentage of visits with potentially low-value orders (p=0.001) and a 1.9% increase in the percentage of visits with alternate orders (p=0.007). No changes were sustained in follow-up.ConclusionClinician precommitment to follow Choosing Wisely recommendations was associated with a small, unsustained decrease in potentially low-value orders for only one of three targeted conditions and may have increased alternate orders.Trial registration numberNCT02247050; Pre-results.
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Wooster, Leah, Jane McCarthy, and Eddie Chaplin. "Outcomes of an inner city forensic intellectual disability service." Journal of Intellectual Disabilities and Offending Behaviour 9, no. 1 (March 12, 2018): 1–8. http://dx.doi.org/10.1108/jidob-08-2017-0016.
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Purpose National policy in England is now directed towards keeping patients with intellectual disability (ID) presenting with forensic problems for time-limited treatment. The result is that secure hospital services are expected to work much more proactively to discharge patients to community-based services. However, there is little evidence in recent years on the outcome of discharged patients with ID from secure hospitals. The purpose of this paper is to describe the outcomes of a patient group discharged from a specialist forensic ID service in London, England. Design/methodology/approach This is a descriptive retrospective case note study of patients with ID admitted to and discharged from a secure service with both low and medium secure wards, over a six-year period from 2009 to 2016. The study examined patient demographic, clinical and outcome variables, including length of stay, pharmacological treatment on admission and discharge, offending history and readmissions to hospital and reoffending following discharge. Findings The study identified 40 male patients, 29 of which were admitted to the medium secure ward. In all, 27 patients (67.5 per cent) were discharged into the community with 14 patients having sole support from the community ID services and 4 from the community forensic services. In total, 20 per cent of patients were readmitted within the study period and 22.2 per cent of patients received further convictions via the Criminal Justice System following discharge. Originality/value This was a complex group of patients with ID discharged into the community with a number at risk of requiring readmission and of reoffending. Community-based services providing for offenders with ID must have sufficient expertise and resourcing to manage the needs of such a patient group including the ongoing management of risks. The national drive is significantly to reduce the availability of specialist inpatient services for this group of patients but this must occur alongside an increase in both resources and expertise within community services.
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Wijaya, Rasman Sastra, Unhaluddin Thalib Kurniawan, and Risma Irmayana. "Efektivitas Bimbingan Kelompok Teknik Modelling Simbolis untuk Meningkatkan Efikasi Diri Siswa IX SMP Negeri 3 Baubau." Psychocentrum Review 2, no. 1 (March 27, 2020): 22–36. http://dx.doi.org/10.26539/pcr.2195.
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The purpose of this study was to examine the effectiveness of group counseling services for effective symbolic modeling techniques to improve the self-efficacy of class IX students of SMP Negeri 3 Baubau. The experimental design used in this study was a one-group pretest and posttest design. The population in this study were 72 class IX students of SMP Negeri 3 Baubau, totaling 72 people consisting of 3 classes. The sample in this study was grade IX students of SMP Negeri 3 Baubau who had low self-efficacy as many as 13 students who were used as a sample of a treatment effectiveness test. Testing the validity of the self-efficacy scale using the Analyze Correlate Bivariate test through the help of a computer program statistics product and service solution (SPSS) 16.0 for windows. Known value of Z -3,185 with Asymp. Sig (2-tailed) value of 0.001 in this study is smaller than ˂ 0.05, it can be concluded that the Guidance Services Group of symbolic modeling techniques is effective to improve the self-efficacy of class IX students of SMP Negeri 3 Baubau which is done successfully significantly or effectively to be carried out , this means, the hypothesis is accepted
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Zhang, H., W. Huang, and J. Yang. "DESIGN AND IMPLEMENTATION OF REAL-TIME LOG ANALYSIS SYSTEM OF MAP WORLD PLATFORM." ISPRS - International Archives of the Photogrammetry, Remote Sensing and Spatial Information Sciences XLII-4 (September 19, 2018): 745–49. http://dx.doi.org/10.5194/isprs-archives-xlii-4-745-2018.
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<p><strong>Abstract.</strong> In the big data era, real-time log data analysis is becoming the important demands for Internet enterprises, behind these data hiding big value. Map Word, the National Platform for Common GeoSpatial Information Services in China, is a one-stop website providing geospatial information services to personal users, enterprises, professional agencies and governments. After 7 years’ development of the platform, the traffic increased significantly, reaching 200 million service requests per day. But due to the lack of effective analysis and processing technology, the log data did not play its value, which lead to disconnection between the top-level design of national common geospatial information services and the actual demands of the users in a way. Now, the geospatial information service in China is trying to shift from the data production driven to the demand driven actively, and how to understand the demands of users became one imperious issue for research. In addition, the access behaviour of group users to common geospatial information services has a social nature and there is a certain group access behaviour pattern. This mode has high intensity of access aggregation and spontaneity, and determines the demand of common geospatial information services for cloud computing resources. Parts of the above demands can be analysed from the log data. Therefore, how to develop a log analysis system for unified real-time collection, real-time analysis, centralized storage, and graphical display is the key to support the demands. Flume, Kafka, Storm, Redis and HBase have been integrated to design and implement a distributed real-time log analysis system supporting online and offline log analysis. The system is composed of log collection module, asynchronous communication module, real time analysis and calculation module, data cashing and storage module, and visualization module. The system was release and integrated with Map World in June 2017 successfully, and the implementation of the system indicates that it can efficiently solve the problems of real-time log data collection, real-time analysis, real-time storage, real-time query, massive data storage, offline analysis, etc. It played an important role in map data update, policy making, product decisions, online server load prediction, resource allocation optimization, Internet security improvement and operation funs evaluation.</p>
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Dhital, Pankaj Raj. "AGRICULTURAL EXTENSION IN NEPAL: EXPERIENCES AND ISSUES." JOURNAL OF ADVANCES IN AGRICULTURE 7, no. 3 (September 7, 2017): 1071–82. http://dx.doi.org/10.24297/jaa.v7i3.6287.
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A detail study on the experience of agricultural extension in Nepal was done by discussion with experts, academicians and involved agricultural officers of Nepal along with review of different documents, books and articles on the subject matter. Since from the first effort of extension service, Training and visit, Integrated Rural Development Approach, Tuki Approach, Farming System Research and Extension Approach, Block Production Program were the approaches used in the past. Conventional Educational Approach, Pocket Package Approach, Projectization Approach, Farmers Group Approach, Farmers Field School Approach, Partnership Approach are the approaches being followed presently in agricultural extension in Nepal. The extension efforts in the country are guided by the National Agricultural Extension Strategy. Department of agriculture under ministry of agricultural development is responsible for providing public extension service via District Agriculture Development Office (DADO), Agriculture Service Centre, Contact Centre, Model Agriculture Service Centre and Community Agriculture Service Centre at the farmers level. Farmers Group and cooperatives, International and National Nongovernmental organizations, Community Based Organizations and few private entities are providing the private extension services. major issues found in public extension systems are lack of motivation among the rural youths, farmers; natural resource degradation and climate change and sustainability issues; inadequate number of the extension workers and their qualification and skills; inadequate infrastructure and capacity for use of ICTs among the ground level extension workers; lack of monitoring and assessment of impact of extension activities in rural farmers; low level of need based extension coverage particularly for small farmers; ineffective and weak linkages between stakeholders at different levels; low level of education of farmers; insufficient budget and investment for extension activities; domination of supply driven approaches rather than demand driven; inadequate extension services in parts of value addition and market exposure.
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Dharmayana, I. Wayan, and Meita Pratami. "Pengaruh Layanan Konseling Kelompok terhadap Self-Efficacy Siswa yang Mengalami Kesulitan Belajar." Indonesian Journal of Educational Counseling 3, no. 3 (August 5, 2019): 253–60. http://dx.doi.org/10.30653/001.201933.106.
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THE EFFECT OF GROUP COUNSELING SERVICES ON SELF-EFFICACY OF THE STUDENT WITH LEARNING DIFFICULTIES. A student with learning difficulties tends to have low self-efficacy in the learning process. The student should be encouraged to have high self-efficacy. Higher self-efficacy shows a more persistent attitude, engage in learning, not worry, and not experience pressure in dealing with problems. This study aims to describe the effect of group counseling services on the self-efficacy of students with learning difficulties in students in Junior High School. This research is a quasi-experimental with one group pre-test-post-test design. The subjects of this were eight students in class VIII. Data collected by AUM PTSDL to found the student with a Learning difficulty and self-efficacy questionnaires to measure the self-efficacy of the student. The results showed that the students' self-efficacy in learning difficulties increased after treatment with the group counseling service. It has shown from the results of differences test between pretest and postest with Wilcoxon Signed Rank Test (Z test) value = -2, 527 (p < 0,05). This means that there was a significant differences self-efficacy of students with learning difficulties before and after group counseling services treatment to the subject. Self-efficacy of the student increase after treatment. This result then was discussed.
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Zafar, Yasmin. "Princely Jets (Pvt) Ltd – the air ambulance." Emerald Emerging Markets Case Studies 4, no. 8 (November 26, 2014): 1–34. http://dx.doi.org/10.1108/eemcs-11-2013-0223.
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Subject area Marketing: New Service Launch; Relationship Marketing; Direct Marketing. Study level/applicability This case could be taught in marketing management, services marketing or strategy courses, in the product development or service launch modules at the graduate level; alternatively it could also be used in the promotion module for the illustration of direct marketing (DM) tool application; and it could also be used as a capstone case for the introductory Principles of Marketing course at the undergraduate level. Case overview The case examines the launch of a new air ambulance service in Karachi, Pakistan; a venture of Akbar Group Jet services; Princely Jets (Pvt) Ltd. The case describes the first mover advantage of the service and the marketing strategy recommended by the Chief Executive Officer (CEO), Mr Ghouse Akbar. The major concern is whether the strategy is forceful and compelling enough to secure approval from the board. The major issues include the role of DM processes and relationship marketing tools to encourage a value-added premium service which had no precedence of demand and practice. Concepts to thrash out in class also include customer profiling and segmentation along with how best to create awareness and generate a sustainable basket of customers for the high-price value-added low-use service. Expected learning outcomes Discuss and illustrate the importance and benefit of market research information for making a decision; how to create awareness and customer recognition and cultivate demand for a new and unsolicited service; identify appropriate and effective promotion tools to achieve required customer demand, brand recognition and customer value; how to launch a premium priced unsolicited service in a niche market?; and exhibit the synthesis of the four P's in a new product launch marketing strategy. Supplementary materials Teaching notes are available for educators only. Please contact your library to gain login details or email support@emeraldinsight.com to request teaching notes.
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Jajja, M. Shakeel S., and Syed Zahoor Hassan. "SIL: Value Chain and Strategic Choices." Asian Journal of Management Cases 15, no. 1 (December 26, 2017): 59–81. http://dx.doi.org/10.1177/0972820117737169.
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Prior to 2011, Service Industries Limited’s (SIL) production for the Pakistani market was sold through the marketing and retailing network of Service Sales Corporation (SSC), as both SIL and SSC were owned by the Service Group. However, in 2011, the companies parted ways based on two main conditions. First, SSC would continue to buy shoes worth at least PKR 3.8 billion from SIL till 2021. Second, SIL would give exclusive license to SSC to use Servis brand for the shoe business till 2021. Omar Saeed, CEO of SIL, is reflecting on the previous four years’ performance for the shoe business division. It has not met the sales target for 2014, domestic sales are dependant on SSC and Klara (SIL’s own brand of wholesale), the European market is presurizing SIL to reduce prices as well as provide high variety and low volume orders, and more efforts need to be made to utilize SIL’s manufacturing facilities. Omar has to make SIL’s strategy for 2021, when SSC may not be there to give business worth PKR 3.8 billion, as well as plan the necessary roadmap. SIL’s top management wants to see SIL as a global player in its line of business.
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Rifki, Muhamad Sazeli. "THE INFLUE OF PUSH-UP AND BA-SLAMS EXERCISE ON FLOATING SERVICE CAPABILITY IN VOLLEY BALL GAME AT SEMEN PADANG CLUB ATHLETES." Sporta Saintika 4, no. 1 (April 21, 2019): 66. http://dx.doi.org/10.24036/sporta.v4i1.99.
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Abstract :The problem in this study is the low ability of service floating in volleyball games at Semen Padang Club Athletes and not yet seen by players in the match. This study aims to determine how much influence the push-up and ball slams exercise has on the ability of floating services in volleyball games in the athletes of Semen Padang club. This type of research is a quasi-experimental study design with one group pre-test and post-test design. The population in this study is athlete volleyball club Semen Padang as many as 45 people. Sampling using purposive sampling technique with a sample of 20 people. The hypothesis proposed in this research is the significant influence of push-up and ball slams exercises on the ability of floatin service in volleyball game at club athlete Semen Padang. The results showed that in the group given push-up training obtained t count value > t table (7.73 > 1.833). This means that the influence of training Push-Up Against the Ability of Service Floating Volleyball Athlete Club Semen Padang. In the group were given ball slam training
Tcount > t tabel (11.67 > 1.833). This means that there is an effect of Ball Slam training on the ability to service Floating Semen Padang Volleyball Club Athletes. To see the difference of Push-up practice and Ball Slam training on the ability of Service Floating Volleyball Athlete Club Semen Padang with value tcount > t table (16.68 > 1.833). It can be concluded that there are differences in the practice of Push-ups and Ball Slam exercises on the ability to service Floating Semen Padang Volleyball Club athletes. Where the highest average score is found in push-up exercises
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Davies, Laura. "Are young fathers “hard to reach”? Understanding the importance of relationship building and service sustainability." Journal of Children's Services 11, no. 4 (December 19, 2016): 317–29. http://dx.doi.org/10.1108/jcs-03-2016-0007.
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Purpose This paper explores service provision for young fathers through analysis of data from the three-year ESRC funded project Following Young Fathers. The purpose of this paper is to explore the idea that young fathers are a “hard to reach” group. It begins with a discussion of literature and research evidence on this theme. The empirical discussion draws on data collected in interviews and focus groups with practitioners, service managers and those working to develop and deliver family support services. Design/methodology/approach The ESRC Following Young Fathers study used qualitative longitudinal methods to research the perspectives of fathers under the age of 25, mapping the availability of services to support them and investigating professional and policy responses to their needs. The strand reported on here focussed on the perspectives of a range of practitioners, service managers and those involved in developing and commissioning services. Findings The research findings, and those of other projects discussed in the paper, challenge the idea that young fathers are “hard to reach”, suggesting that we should, conversely, consider that many services are actually hard to access. Thus, increasing young fathers’ engagement requires better understanding of their often complex needs and a reshaping of service design and delivery to account for them. The paper highlights how the configuration, funding and delivery of services can inhibit young fathers’ use of them, and identifies ways in which they could be made more accessible. Originality/value The ESRC Following Young Fathers Study filled an important gap in knowledge about the lives of young fathers, developing understandings of their experiences and support needs. The strand reported on here draws on research with practitioners to provide an in-depth discussion of how services currently support young fathers, and how they could be better configured to address their often complex and diverse needs.
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Lu, Hui, Wei Wang, Ling Xu, Zhenhong Li, Yan Ding, Jian Zhang, and Fei Yan. "Healthcare seeking behaviour among Chinese elderly." International Journal of Health Care Quality Assurance 30, no. 3 (April 18, 2017): 248–59. http://dx.doi.org/10.1108/ijhcqa-10-2015-0132.
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Purpose The Chinese population is rapidly ageing before they are rich. The purpose of this paper is to describe healthcare seeking behaviour and the critical factors associated with healthcare seeking behaviour. Design/methodology/approach Using a purposive sampling method, the authors recruited 44 adults aged 60 years or older from three provinces, representing the developed (Shanghai), undeveloped (Ningxia) regions and the regions in between (Hubei). From July to September 2008, using a semi-structured guide, the authors interviewed participants in focus group discussions. Findings The healthcare needs for chronic and catastrophic diseases were high; however, the healthcare demands were low and healthcare utilizations were even lower owing to the limited accessibility to healthcare services, particularly, in underdeveloped rural areas. “Too expensive to see a doctor” was a prime complaint, explaining substantial discrepancies between healthcare needs, demands and use. Care seeking behaviour varied depending on insurance availability, perceived performance, particularly hospital services, and prescription medications. Participants consistently rated increasing healthcare accessibility as a high priority, including offering financial aid, and improving service convenience. Improving social security fairness was the first on the elderly’s wish list. Originality/value Healthcare demand and use were lower than needs, and were influenced by multiple factors, primarily, service affordability and efficiency, perceived performance and hospital service quality.
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Khamitova, R. Ya. "Estimation of group professional risk and damage to health of workers." Kazan medical journal 79, no. 2 (March 25, 1998): 150–53. http://dx.doi.org/10.17816/kazmj63882.
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The traditional medicosocial criteria of group professional risk and damage (professional disease level etc.) are of little information in conditions of different- level multifactor effects of low and average intensity changing during shift and length of service. It is recommended to use the adaptometry data and to take into account the combined polynozology spreading value. The estimation of labour conditions should be carried out by integral indices.
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Ayu, Putri Chandra. "COMMUNITY SERVICE ACTIVITY TO HOUSEWIFE GROUP IN KAMPUNG LADANG BAMBU, MEDAN TUNTUNGAN." Journal of Saintech Transfer 3, no. 2 (November 4, 2020): 93–99. http://dx.doi.org/10.32734/jst.v3i2.4002.
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Purple sweet potato is one of the agricultural products that has several advantages such as attractive color, high content of antioxidant, fiber and carbohydrate compounds and has a low glycemic index value. However, similar to the other agricultural products, the availability of purple sweet potatoes is seasonal, perishable, moldy and rotten. Proper processing with equipment or simple expertise can increase the economic value of purple sweet potato, so that it can be done by any group of people from either upper, middle or bottom. The purpose of this community service activities was to provide the technical guidance on processing the purple sweet potato into food products, namely noodles and sponge to open new business opportunities for group of housewives in the area of community service partners namely Kampung Ladang Bambu, Medan Tuntungan. The expected outcome of this community service activity is the formation of a new business by a group of housewives to be able to increase the community income in Ladang Bambu Village, Medan Tuntungan.
Keyword:, noodle, purple sweet potato, sponge
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Xie, Miaomiao, Manyu Li, Zhaoyang Li, Meng Xu, Yan Chen, Ran Wo, and De Tong. "Whom Do Urban Agriculture Parks Provide Landscape Services to and How? A Case Study of Beijing, China." Sustainability 12, no. 12 (June 18, 2020): 4967. http://dx.doi.org/10.3390/su12124967.
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An urban agriculture park (UAP) is a mixture of various kinds of urban agriculture and has a group of administrators to plan and manage its landscapes. Thus, the relationships between users and the ability of the UAPs to provide services are crucial. This study investigated the user profiles of three kinds of UAPs in Beijing, China. Investigation of 345 interviewees suggested that most of the users have an upper-middle level income and are well educated. Social connections vary across different types of UAPs. An assessment matrix of landscape services was introduced for a pioneer of UAP, Little Donkey Farm, based on questionnaires, a field survey, and indicators of landscape patterns. Pearson correlations between service demands and users’ characters showed age, companions, and education level were significantly correlated to the needs of scenery and education services. The landscape with the highest supply value was the vegetable plots planted by members. The scenery service was not adequately supplied, and 31.5% of the areas did not meet the demand. Based on the budgets of supply and demand, six types of landscape should be optimized. This study provides an approach to understand the path of landscape service provision in UAP and supports basic knowledge on how to better involve urban agriculture in sustainable development.
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Duff, Simon, Nick Wakefield, Aimee Croft, Lorraine Perry, Sophie Valavanis, and Lisa Wright. "A service for non-offending partners of male sexual offenders." Journal of Forensic Practice 19, no. 4 (November 13, 2017): 288–95. http://dx.doi.org/10.1108/jfp-02-2017-0004.
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Purpose The purpose of this paper is to present a case study of a novel service for the non-offending partners (NOPs) of men who have sexually offended against children. Design/methodology/approach The paper examines the rationale for the current service and the preliminary qualitative data that reflect how NOPs experience the group innovations. Findings Interviews and previous qualitative analyses demonstrate both the positive changes that the NOP programme supports regarding child protections skills and the value that NOPs perceive in incorporating male therapists and male offenders into the process. Research limitations/implications Given these recent changes to the NOP group, and the small group sizes, the ability to examine how the NOPs perceive these innovations, the personal impact they have on change in NOPs, and more importantly, the impact on recidivism and reduction of further harm to children are yet to be fully investigated and these are central questions for the service to ensure that it offers a valid and reliable intervention programme and limits the extent to which the programme can be generalised. Further research will plug this gap. Practical implications The service offers new challenges for NOPs with the aim of making them better understand offending against children, their role in protecting children, and ultimately the protection of children in general. This may act as a model for the development of future services for these individuals. Originality/value There are few programmes aimed at providing support and intervention for an often marginalised group of individuals, the female NOPs of men who have sexually offended against children. This programme includes new approaches to working with the women providing them with new sources of support and insight.
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Shkvarchuk, L., and R. Slav`yuk. "HOUSEHOLD DEMAND FOR FINANCIAL SERVICES: REGIONAL ASPECT." Journal of Lviv Polytechnic National University. Series of Economics and Management Issues 4, no. 2 (November 10, 2020): 106–14. http://dx.doi.org/10.23939/semi2020.02.106.
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The purpose of this paper is to evaluate the features of the regional distribution of households demand for financial services and identification of factors and characteristics of such distribution. The authors undertook to fulfill this aim by dividing all regions in Ukraine into regions with household-donors and household-recipients. First of them are characterized by the predominance of household demand for financial services, which provide an increase in their financial costs. In Ukraine, 2/3 of the regions belong to the group of donor households. The rest belong to the group of regions with recipient households. In these regions, the demand for financial services, which causes an increase in financial resources of households, prevails. The analysis is based on data from the State Statistics Service of Ukraine and encompasses the period of 2017-2018. The k-means method was used to cluster the regions. The cluster, which brings together regions with a low overall description of households demand for financial services, is the largest. This place includes 14 (58.33%) of regions. The smallest is the cluster, which brings together regions with high household demand for financial services. It includes only 1 (4.17%) region of Ukraine. Based on this, the authors concluded that household demand for financial services was generally low. The authors tested the hypothesis about the type of distribution. It is proved that the demand of households for financial services in the regional context is distributed according to Poisson's law. According it high and very high demand per household is typical for only 8% of regions. The annual volume of financial services in the amount of UAH 245.88 is considered sufficient for most households in Ukraine, regardless of the region. The authors calculated the correlation coefficients between the volume of financial services used by households and the level of their income. Correlation coefficients were also calculated between the volume of household demand for financial services in a particular region and the value of gross regional product. Based on these calculations, the authors concluded that the volume of household demand for financial services does not depend on the level of household income or the level of gross regional product. This indicates the presence of certain non-economic factors that determine the distribution of regions according to the level of household demand for financial services. This indicates the presence of certain non-economic factors that determine the distribution of regions according to the level of household demand for financial services.
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Suriatie, Mimi. "Upaya Meningkatkan Hubungan Sosial Siswa melalui Layanan Bimbingan Kelompok." Suluh: Jurnal Bimbingan dan Konseling 4, no. 1 (August 30, 2018): 39–43. http://dx.doi.org/10.33084/suluh.v4i1.539.
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The purpose of this study is to obtain empirical data about improving social relations through group guidance services. The research plan used in this study was pre-experimental research using the pretest-posttest. The population in this study were students of class XI IPS, and the sampling technique used in this study was purposive sampling. The sample in this study were students who reflected a low level of social relations compared to other students, namely ten students � the method of power collection in this study using a questionnaire with a Likert scale. Before obtaining group guidance services, the level of social relations of students was in the low category with a percentage score of 486 with low criteria. Whereas after obtaining guidance services for social relations groups students receive an average rating of 812 with high standards. From the t-test obtained (t) count of 21.44 and the value (t) of the table at a significant level of 5% and N-1 (10-1) = 9 obtained (t) table of 2.262 thus, it can be concluded that group guidance services can improve student social relations. the conclusion is that there is a significant increase in students' social relationships after being given group guidance services
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Lee, Yong-Ki, Sally Y. Kim, Namho Chung, Kwanghoon Ahn, and Jong-Won Lee. "When social media met commerce: a model of perceived customer value in group-buying." Journal of Services Marketing 30, no. 4 (July 11, 2016): 398–410. http://dx.doi.org/10.1108/jsm-04-2014-0129.
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Purpose Social commerce using social media has been on the rapid increase. Among various social commerce models, group-buying has become the mainstream. There is a paucity of research related to how customers perceive value in group-buying situations. This paper aims to examine and analyze various factors that influence perceived customer value in group-buying. Design/methodology/approach Data were collected using a survey on customers who had purchased a restaurant service deal on a group-buying site. A partial least squares technique was used to estimate the model. Findings Results show that perceived customer value affects customers’ group buying intentions and that all four antecedents of perceived value (low price, valence of experience, trust in social media and reputation of the group-buying site) have a significant influence. Implications and further research directions are discussed at the end of the paper. Originality/value This study provides valuable strategic implications for social commerce firms.
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Rahmatullah, Satrio Wibowo, Ika Maulida Nurrahma, and Adnan Syahrizal. "PENGARUH PEMBERIAN PELAYANAN INFORMASI OBAT DAN KONSELING TERHADAP TINGKAT KEPATUHAN MINUM OBAT PADA PASIEN DIABETES MELITUS DENGAN HIPERTENSI DI RUMAH SAKIT DAERAH IDAMAN BANJARBARU." Jurnal Ilmiah Ibnu Sina (JIIS) Ilmu Farmasi dan Kesehatan 5, no. 2 (October 27, 2020): 240–49. http://dx.doi.org/10.36387/jiis.v5i2.462.
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Compliance to achieve treatment success can be improved by providing drug information services (PIO) and counseling to improve understanding of treatment instructions. The general objective of this study was to determine the effect of drug information service and counseling on the level of medication adherence in patients with diabetes mellitus (DM) with hypertension in the Banjarbaru Regional Hospital. This study uses a quasi experimental method with a cross sectional approach and takes patient data prospectively. The results of this study indicate that the group given PIO and counseling showed a high level of adherence as many as 20 respondents (100%). Whereas in the group that was not given PIO and the counseling level of adherence was low, there were 4 respondents (20%). Based on the mann-whitney analysis p-value = 0,000 (<α = 0.05) so that there are differences in the group with PIO and counseling with groups without PIO and counseling, while the chi square analysis p-value = 0.004 (<α = 0 , 05) so that PIO and counseling have a significant effect on the level of adherence to taking medication in patients with DM with hypertension at the Banjarbaru Regional Hospital.
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Vaalavuo, Maria. "Use of public health and social care services among the elderly in Finland: An under-examined mechanism of redistribution." Journal of European Social Policy 30, no. 2 (November 22, 2019): 176–89. http://dx.doi.org/10.1177/0958928719879283.
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The opportunity to use public services supports older people’s livelihoods, although out-of-pocket fees can be a burden, especially for low-income pensioners. In this article, we analyse the use of health and social care services among the elderly in Finland. The objectives are two-fold: first, to study the distribution of public spending on services across income groups, and second, to investigate the related costs to the service-user. The article contributes to the debate on the welfare states’ redistributive function. The study is based on register data covering the total Finnish population in 2015. In our descriptive analysis, we focus on the distribution of the cost of production (based on detailed unit costs), user fees (calculated based on legislation) as well as reimbursements by social insurance and out-of-pocket payments for medicine, private services and travel costs. The results show that the amount of in-kind benefits is the largest in the two bottom income quintiles both in absolute and relative terms. We also see that the related costs to the client are small in relation to the monetary value of the service, although they amount to 9% of the disposable income in the lowest income quintile. It is noteworthy that benefits are highly concentrated on a small group of individuals. Public services create an important context for the evaluation of adequacy of cash income. Likewise, when we want to understand economic conditions of elderly people in a more comprehensive way, studying the share of disposable income going to health and social care is one important dimension. However, we also argue that we need to be cautious when making claims about redistribution through public services.
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Brophy, Peter. "Evaluating the Joint Information Systems Committee's Information Environment: the EDNER and EDNER+ projects." VINE 34, no. 4 (December 1, 2004): 143–47. http://dx.doi.org/10.1108/03055720410699928.
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Purpose. Reports on findings of work concerning the use of the JISC information environment by students, considering how information environments are related to the working environments of their users. Design/methodology/approach. CERLIM at Manchester Metropolitan University, partnered by CSALT (the Centre for Studies in Advanced Learning Technologies) at Lancaster University, has brought to bear perspectives from both information management and educational research. During 2003 to 2004 the scope of the evaluation was broadened to include all of the JISC development activity in the information environment area and has been extended to the further education sector: this is known as EDNER+. Findings. The use of quality attributes approaches can provide clues as to what it is about a service which is creating dissatisfaction among the users. Research limitations/implications. Coupled with other findings about “satisficing” behaviours, the findings are suggestive of some of the key areas which need to be given attention. They also support a finding from this and other work in EDNER/EDNER+, namely that to students internet search engines in general and Google in particular represent a benchmark of “good”. Practical implications. Given that use of bibliographic services is uniformly low among undergraduate students, and that the use of OPACs is variable, IE service developers will have to work very hard to produce services which gain acceptance among this group of users. Since IE includes further education students among its target user groups, it will be critical to address the full range of attributes against the needs of this group, as well as the higher education group, in future service design. Originality/value. Using a wide range of methodologies the team has explored the outcomes of a large number of projects funded by the JISC, as well as examining the architecture and rollout of the information environment itself.
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Ollár, Anita, Paula Femenías, Ulrike Rahe, and Kaj Granath. "Foresights from the Swedish Kitchen: Four Circular Value Opportunities for the Built Environment." Sustainability 12, no. 16 (August 8, 2020): 6394. http://dx.doi.org/10.3390/su12166394.
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This paper examines the kitchen as one relevant part of the home that is highly affected by frequent replacements, renovations, and a short service life. The aim is to discern circular value opportunities for the built environment by examining stakeholder activities and the value proposition associated with Swedish kitchens. The paper answers the research question ‘Which aspects in stakeholders’ value proposition of kitchens might contribute to future circular housing design?’. The empirical material was collected through a workshop, interviews, and a focus group session. The data were analysed using qualitative content analysis while applying value mapping as an analytical framework. Four opportunities for circularity were identified: (1) aligning spatial and product design for a circular economy, (2) considering end-user perspectives and demands, (3) formulating regulations informed by research, and (4) developing circular products and services through collaboration. While some of these opportunities have already been emphasised in previous literature, the most distinct contribution of this paper is that it reveals the importance of spatial parameters when transitioning towards a circular housing design. The methods and results of this paper may be adapted to various building components to create a system-level circular economy in the built environment.
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Fish, Matthew, and Olivia Fakoussa. "Towards culturally inclusive mental health: learning from focus groups with those with refugee and asylum seeker status in Plymouth." International Journal of Migration, Health and Social Care 14, no. 4 (December 10, 2018): 361–76. http://dx.doi.org/10.1108/ijmhsc-12-2017-0050.
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Purpose Pre- and post-immigration trauma and stress make refugees a particularly vulnerable group in terms of mental health and well-being. The purpose of this paper is to describe a listening project undertaken in Plymouth, UK, which sought the views of 17 service users (n=12) and staff (n=5) from four local support organisations, for people with refugee and asylum seeker status and those with diverse cultural backgrounds. Aims of the project were to expand Western-centric understandings regarding beneficial support and the promotion of good mental health and well-being in this population. Design/methodology/approach Responses were subjected to thematic analysis, co-conducted with a service user. Participants were asked about their personal understandings of mental health and well-being and what supports or hinders well-being. Findings The findings enabled the development of a model incorporating 10 threads which support and 9 holes that can hinder well-being. Research limitations/implications The relatively small numbers of participants compared with the numbers of asylum seekers and refugees in Plymouth may not be fully representative of the general population in Plymouth and the UK. Originality/value Despite increasing cultural diversity within the UK population, available mental health services exist mainly as developed from a Western psychological model of mental distress and treatment. This research provides services with a more informed understanding of mental health for asylum seekers and refugees. As such it is of value towards future service design in Plymouth and the UK. Findings also contributed to a successful funding bid to set up a peer-led support project in the city.
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Kherad, Omar, Kevin Selby, Myriam Martel, Henrique da Costa, Yann Vettard, Philippe Schaller, and Marc-André Raetzo. "Physician Assessment and Feedback During Quality Circle to Reduce Low-Value Services in Outpatients: a Pre-Post Quality Improvement Study." Journal of General Internal Medicine 36, no. 9 (February 8, 2021): 2672–77. http://dx.doi.org/10.1007/s11606-021-06624-9.
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Abstract Background The impact of the Choosing Wisely (CW) campaign is debated as recommendations alone may not modify physician behavior. Objective The aim of this study was to assess whether behavioral interventions with physician assessment and feedback during quality circles (QCs) could reduce low-value services. Design and Participants Pre-post quality improvement intervention with a parallel comparison group involving outpatients followed in a Swiss-managed care network, including 700 general physicians (GPs) and 150,000 adult patients. Interventions Interventions included performance feedback about low-value activities and comparison with peers during QCs. We assessed individual physician behavior and healthcare use from laboratory and insurance claims files between August 1, 2016, and October 31, 2018. Main Measures Main outcomes were the change in prescription of three low-value services 6 months before and 6 months after each intervention: measurement of prostate-specific antigen (PSA) and prescription rates of proton pump inhibitors (PPIs) and statins. Key Results Among primary care practices, a QC intervention with physician feedback and peer comparison resulted in lower rates of PPI prescription (pre-post mean prescriptions per GP 25.5 ± 23.7 vs 22.9 ± 21.4, p value<0.01; coefficient of variation (Cov) 93.0% vs 91.0%, p=0.49), PSA measurement (6.5 ± 8.7 vs 5.3 ± 6.9 tests per GP, p<0.01; Cov 133.5% vs 130.7%, p=0.84), as well as statins (6.1 ± 6.8 vs 5.6 ± 5.4 prescriptions per GP, p<0.01; Cov 111.5% vs 96.4%, p=0.21). Changes in prescription of low-value services among GPs who did not attend QCs were not statistically significant over this time period. Conclusion Our results demonstrate a modest but statistically significant effect of QCs with educative feedback in reducing low-value services in outpatients with low impact on coefficient of variation. Limiting overuse in medicine is very challenging and dedicated discussion and real-time review of actionable data may help.
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Tan, Candace, Deborah T. Juarez, Stacy Haumea, and Charlotte Grimm. "Impact of Pharmacist Care in a Shared Medical Appointment Model for the Management of Type 2 Diabetes in a Micronesian Population." Californian Journal of Health Promotion 12, no. 2 (September 1, 2014): 13–21. http://dx.doi.org/10.32398/cjhp.v12i2.2146.
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More than 25 million people have diabetes in the United States and its complications make it a leading cause of death. Pacific Islanders, specifically Micronesians, experience even higher rates of diabetes, and pharmacist care for these individuals may improve health outcomes. Objective: To better address health disparities in this population, a health center serving Hawaii Island added clinical pharmacy services into their shared medical appointment program for diabetes management. Methods: Standard care (n= 21) consisted of weekly education sessions for patients provided by a multi-disciplinary team, after which patients had one-on-one appointments with a primary care provider if they met threshold clinical criteria. The intervention group (n=36) received the same services, plus a medication management service provided by a pharmacist during the one-on-one appointments. Results: There was no statistically significant difference between the pharmacist care and standard care groups on clinical measures including glycosylated hemoglobin, low density lipoprotein and blood pressure at the end of the eighteenmonth intervention period. Conclusion: Pacific Islanders face unique health care challenges including low socioeconomic status, language barriers and differences in cultural perceptions of health care. The value of clinical pharmacy has been well-documented in the literature but further study of the role and impact of these services is warranted for high-risk populations.
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Thompson, Kate, Pippa Brown, and Stephanie Vieira. "Health, happiness and your future: using a “men’s group” format to work with homeless men in London." International Journal of Migration, Health and Social Care 13, no. 4 (December 11, 2017): 403–18. http://dx.doi.org/10.1108/ijmhsc-07-2016-0025.
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Purpose The purpose of this paper is to describe an intervention with a group of homeless men from the Horn of Africa, service users of the Horn of Africa Health and Wellbeing Project in London. The group was conceived by the second author who noted the presence of significant psychosocial issues for her clients, but equally their reluctance to access mainstream mental health or social care services. Design/methodology/approach Designing the group and introducing it to the men involved threw up some challenges which are explored, and the impact of the group on participants is evaluated. Findings Overall both the participants and the facilitators evaluated the group positively and it appeared to have led to lasting change for some of the group members, and this is described. The authors argue that this sort of group may be a more acceptable way to work on psychosocial issues than something more directly focused on mental health intervention. The group protocol is outlined along with suggestions for future work in this area. Originality/value This intervention represents a creative alternative to more mainstream psychological interventions for homeless or exiled men.
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Sinnett, E. Robert, Michael C. Holen, and Michael C. Heil. "Does the Mmpi Ptsd-Pk Scale Measure Robustness?" Psychological Reports 79, no. 1 (August 1996): 211–17. http://dx.doi.org/10.2466/pr0.1996.79.1.211.
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Research evaluating the diagnostic value of the MMPI PK scale for determining Posttraumatic Stress Disorder has been consistendy positive. Various cutoff points have been suggested, depending on the population studied. The current study, involving a select group of police candidates from middle-sized midwestern towns, suggests that low PK scores may represent robustness. These subjects as a group made low use of health and mental health services and obtained very low PK scores ( T=41), although they made average scores on the clinical scales.
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Vandaele, Bieke, Kenneth Chambaere, and Ignaas Devisch. "The Strengths and Challenges of Palliative Day-Care Centers." Journal of Palliative Care 32, no. 2 (April 2017): 55–60. http://dx.doi.org/10.1177/0825859717733833.
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Background: Palliative day-care centers are a marginal service within the palliative care landscape. Relevant research on the potential and added value of this service model is lacking, and it may therefore be underappreciated. Aim: To examine how representatives of Belgian palliative day-care centers perceive their strengths and added value, as well as the biggest challenges to their survival. Design: Qualitative study of individual interviews and an overarching focus group. Data collection was performed from December 2014 to April 2015. Inductive coding was used to extract relevant themes from the verbatim transcripts. Setting/Participants: Participants were professional representatives of all 5 Flemish palliative day-care centers: 7 participants for the individual interviews and 6 participants for the focus group. Results: Five strengths were identified: (1) unique care model, (2) contact with peers in a nonclinical environment, (3) a reliable and competent multiprofessional team, (4) care tailored to the individual, and (5) respite for family caregivers. The most significant challenges were (1) optimizing government funding and (2) achieving sufficiently high occupancy and referral. According to interviewees, this latter challenge was due to the low visibility of the service to professionals and the public, unclear referral criteria, and the psychological threshold for referral among patients and professionals. Conclusions: Palliative day-care centers strive to provide unique services for patients with advanced illness. However, negotiating adequate funding and raising referral by changing current perceptions are paramount to unlocking their potential. Scientific analysis of cost utility and patient outcomes associated with their use is necessary.
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Pathirathna, Ravindra, Pamila S. Adikari, Chanaka Liyanage, and Pradeep Ratnasekare. "Performance Assessment of Sri Lankan Pre-Hospital Ambulance Service." Recent Advances in Biology and Medicine 6, no. 3 (August 28, 2020): 1–6. http://dx.doi.org/10.18639/rabm.2020.1135536.
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Ischemic heart disease is the leading cause of mortality that raised the demand for pre-hospital emergency care in Sri Lanka. Understanding the performance of Sri Lanka's 1990 Suwa Seriya ambulance service is essential to improve its quality and to reduce morbidity and mortality associated with the disease. This study aims to describe socio-demographic characteristics and evaluate the clinical assessment and management process of patients presenting with acute chest pain of cardiac in origin. A descriptive study was conducted in Gampaha District of the Western Province of Sri Lanka. A total of 154 records of patients with acute chest pain who rang the 1990 call centre over a 3-month period were selected. Composite values for treatment and examinations as a percentage were plotted on run charts to assess the performance and its variations over the study period. About 47.4% of the study group were in 35–65 age group, 53.2% were males, and 81.8% had a typical presentation. The median for composite value for examination as a percentage was 89.5%, indicating substantial control and alignment with the reference package with normal cause variation. The median composite value for treatment as a percentage was 9.96%, a low value with normal cause variation. A good control of the processes of clinical examination and treatment is apparent. A higher median for composite value for examination as a percentage attributed to the formal training process of the ambulance staff. Although a low median was obtained for the composite value for treatment as a percentage, it was stable and pointed room for improvement.
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Nagi, Claire, Jason Davies, and Laura Shine. "Group treatment in a male low secure mental health service: a treatment description and descriptive evaluation." Journal of Forensic Practice 16, no. 2 (May 6, 2014): 139–55. http://dx.doi.org/10.1108/jfp-01-2013-0006.
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Purpose – The purpose of this paper is to describe the development, content and structure of an intensive group-based intervention designed to address a range of needs common to individuals within low secure forensic mental health settings. Additionally, the feasibility, acceptability, resource implications and levels of participation and understanding are evaluated. Design/methodology/approach – This paper describes the development, content and structure of an intensive group-based intervention designed to address a range of needs common to individuals within low secure forensic mental health settings. Additionally, the feasibility, acceptability, resource implications and levels of participation and understanding are evaluated. Findings – Analysis showed that the intervention was well received by staff and participants and that those with low self-report knowledge at the start showed large improvements. Recorded levels of participation and understanding were lower than expected. Research limitations/implications – Group-based interventions in low secure settings can be developed from existing “what works” information. Such treatments can feasibly be delivered although participants may need support – something which is not reported in many intervention studies. Research is now needed to assess the impact of the General Treatment & Recovery Programme (GTRP) intervention on participants. Originality/value – The development of treatment programmes for offending behaviour within low secure forensic mental health settings is still in its infancy. This paper outlines and describes the development of such an intervention, namely the GTRP.
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Mianji, Fahimeh, Jann Tomaro, and Laurence J. Kirmayer. "Linguistic and cultural barriers to access and utilization of mental health care for Farsi-speaking newcomers in Quebec." International Journal of Migration, Health and Social Care 16, no. 4 (November 23, 2020): 495–510. http://dx.doi.org/10.1108/ijmhsc-08-2019-0074.
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Purpose In light of the growing number of refugees and immigrants in Canada, this paper aims to identify barriers to mental health services for newcomer immigrants and refugees in Quebec and to examine how mental health services can be improved for these populations. Design/methodology/approach In this qualitative study, semi-structured individual interviews with Farsi-speaking health professionals and focus group interviews with participants from community organizations in Quebec were conducted. Findings Participants, both health-care professionals and community members, reported that mental health services are not readily accessible to Farsi-speaking immigrants and refugees. Structural barriers, language barriers, cultural safety and stigma were identified as obstacles to accessing care. Recommended strategies for improving access to mental health care are discussed. Originality/value Multiple studies have found that language and cultural barriers are associated with health inequalities and under-utilization of mental health services among linguistic and ethnic minorities. However, there are limited data on many groups and contexts, and a need to better understand how language barriers affect health outcomes, service utilization, patient satisfaction or overall costs to the health system or to society. In response to this gap, the present study explores how access to mental health services for Farsi-speaking newcomers may be limited by structural and linguistic barriers and cultural differences and as well as to identify strategies that can reduce the identified barriers.