Dissertations / Theses on the topic 'Safe management'
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 dissertations / theses for your research on the topic 'Safe management.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse dissertations / theses on a wide variety of disciplines and organise your bibliography correctly.
Makin, Anne-Marie Safety Science Faculty of Science UNSW. "Applying the "safe place, safe person, safe systems" framework to improve OHS management: a new integrated approach." Publisher:University of New South Wales. Safety Science, 2009. http://handle.unsw.edu.au/1959.4/43636.
Full textShin, Hwayeon Helene, and helene shin@abs gov au. "Institutional safe space and shame management in workplace bullying." The Australian National University. Research School of Social Sciences, 2006. http://thesis.anu.edu.au./public/adt-ANU20061114.142503.
Full textShin, Hwayeon Helene. "Institutional safe space and shame management in workplace bullying /." View thesis entry in Australian Digital Thesis Program, 2005. http://thesis.anu.edu.au/public/adt-ANU20061114.142503/index.html.
Full textSykes, Catherine Illman. "An Exploration of Registered Nurse Preparation for Safe Medication Management." Thesis, The University of North Carolina at Greensboro, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10262190.
Full textThis descriptive study examined the perceptions of new graduate registered nurses (RNs) about medication error identification, causes, and reporting; as well as the nursing education and workplace orientation experiences they believed prepared them to safely manage medications. The study also explored how prelicensure RN nursing education and hospital orientation programs in North Carolina (NC) prepared nurses to manage medications safely. The theory of situated cognition provided the organizing framework. Data were collected from the three participant groups (new graduate RNs, schools of nursing, and hospitals) using online surveys, and respondents included 131 new graduate RNs, 35 schools of nursing, and 20 hospitals/hospital systems in NC.
Descriptive analyses of data from the modified Gladstone scale revealed that nurses were confident in their ability to identify and report a medication error, but inconsistently identified or reported errors when presented with medication management scenarios. Distinct differences were found between the content topics, teaching strategies, activities, and equipment used by nursing education and workplace orientation programs to teach or review medication management and what was identified as effective preparation experiences by new graduate RNs.
An opportunity for improvement in nurse preparation for safe medication management was identified based on the differences between nurse-reported effective experiences for safe medication management preparation and what is being provided by nursing education and orientation programs. Implementing teaching strategies students identified as effective, such as increasing interactive experiences, use of real-world case scenarios, and clinical problem-solving, into the classroom may create a better fit with current student learning styles and ultimately safer nursing care.
Barrère, Cambrún Martín. "Vulnerability management for safe configurations in autonomic networks and systems." Thesis, Université de Lorraine, 2014. http://www.theses.fr/2014LORR0048/document.
Full textOver the last years, the massive deployment of computing devices over disparate interconnected infrastructures has dramatically increased the complexity of network management. Autonomic computing has emerged as a novel paradigm to cope with this challenging reality. By specifying high-level objectives, autonomic computing aims at delegating management activities to the networks themselves. However, when changes are performed by administrators and self-governed entities, vulnerable configurations may be unknowingly introduced. Nowadays, vulnerabilities constitute the main entry point for security attacks. Therefore, vulnerability management mechanisms are vital to ensure safe configurations, and with them, the survivability of any autonomic environment. This thesis targets the design and development of novel autonomous mechanisms for dealing with vulnerabilities, in order to increase the security of autonomic networks and systems. We first present a comprehensive state of the art in autonomic computing and vulnerability management. Afterwards, we present our contributions which include autonomic assessment strategies for device-based vulnerabilities and extensions in several dimensions, namely, distributed vulnerabilities (spatial), past hidden vulnerable states (temporal), and mobile security assessment (technological). In addition, we present vulnerability remediation approaches able to autonomously bring networks and systems into secure states. The scientific approaches presented in this thesis have been largely validated by an extensive set of experiments which are also discussed in this manuscript
Björklund, Olof. "KeySafe The platform-independent password safe with external security." Thesis, Uppsala universitet, Institutionen för informationsteknologi, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-246213.
Full textAshcraft, Adrienne D. D. "Keeping the Tree Care Industry Safe when Management is not Present." Ohio University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1619089448849247.
Full textДовга, Любов Вікторівна, Любовь Викторовна Довга, and Liubov Viktorivna Dovha. "Current trends and management features of the regions ecologicaly safe development." Thesis, Sumy State University, 2016. http://essuir.sumdu.edu.ua/handle/123456789/45312.
Full textHýža, David. "Stock market panics, safe havens and implications for the portfolio management." Master's thesis, Vysoká škola ekonomická v Praze, 2012. http://www.nusl.cz/ntk/nusl-199200.
Full textCarstens, Hendrik Andries. "The management of a safe and cost effective conscious sedation unit." University of the Western Cape, 2016. http://hdl.handle.net/11394/5276.
Full textConscious sedation or moderate sedation and analgesia is an effective and popular alternative option for procedures outside the operating theater. If conscious sedation is a viable alternative to general anaesthesia then we as sedation practitioners must use safe sedation techniques in facilities that meet all the requirements for safe practice. Three studies were done to determine the safety and efficacy of conscious sedation outside the operating theatre. In the first study post sedation satisfaction in one hundred children aged 3-9 years was evaluated. It was extremely important to determine whether the combination of midazolam, ketamine and propofol, called an advanced sedation technique (SASA, 2015), can be safely used for paediatric sedation outside the operating theatre. The incidence of side-effects after conscious sedation using multiple drugs were documented. It is clear that intravenous sedation with midazolam, ketamine and propofol is safe and effective to use. There may be side effects but they are not long lasting and usually not life-threatening. In the second study intravenous sedation was administered to 447 adults (aged 18 years and older) using fentanyl (sublimazeR), ketamine (ketalar), midazolam (dormicum) and propofol (Diprivan) (FKMP) called an advanced sedation technique. Post sedation satisfaction, post sedation recovery on arrival home, and the relationship between side effects and different dental procedures were evaluated. The results of the study show that side effects are possible, and can be expected, when we use sedative and analgesic drugs for sedation. However, we report a low incidence of side effects when we compare it with other studies in literature as mentioned. It is known that the use of combinations of drugs may cause unforeseen synergistic pharmacological effects which can be lifethreatening. Our results show that the drugs used can be safely used for advanced sedation techniques. In trying to demonstrate the safety of sedative and analgesic agents used during sedation we looked at the haemodynamic parameters, duration of sedation, pulse rate and systolic blood pressure, in the third study. The sedation records of 335 patients for dental surgery were assessed for the period 2010 – 2011. Our results show the mean Duration of sedation is substantially and statistically significantly greater with combination FKMP than with the other combinations. The mean duration of sedation is not significantly different between ketamine and propofol (KP) and fentanyl, ketamine and propofol (FKP) (Figure 10). The use of polypharmacy regarding the combination of drugs, specifically FKMP, will cause a longer duration of sedation. This has implications for safety, as well as the side effect profile during and after sedation. When we use combinations of drugs patients were more comfortable which shows that we do not yet have a single drug that has all the characteristics of an ideal drug for sedation. Different combinations of drugs are used by other practitioners with a higher incidence of side effects. It is difficult to explain the higher values of blood pressures when all four drugs were used. It may have been a ketamine effect, although one would not expect this when using propofol with ketamine. In clinical terms the higher blood pressures are no reason for concern as all our patients were classified as ASA I and II. Our research study support the view that ketamine can be used safely outside the operating theatre with exciting possibilities for Third World countries for procedures outside the operating theatre. Sedation can be considered a reasonable alternative to general anaesthesia for certain surgical procedures in the Third World. Sedation will be an attractive option not only as far as costs are involved but also the availability of sedation providers. The important lesson from all the results is that sedation providers must be trained in procedural sedation as defined by all international sedation guidelines. We proved in this research study that sedation can be done safely, however we need to make a contribution to train sedation providers. Sedation will become an attractive alternative to general anaesthesia because of the low side-effect profile and high patient satisfaction. It is interesting that few studies are available that looked at this aspect of sedation. It is clear that a high side-effect profile can contribute to an unsafe sedation technique. Severe nausea and vomiting can cause numerous haemodynamic disturbances and dehydration. Our research study support the findings of the study by Lapere et al., (2015) that there is a high rate of patient satisfaction, and a low side-effect profile during and after sedation. This is an extremely important research study and the results are crucial as far as an option for healthcare in developing countries. Sub-Saharan Africa is a densely populated and resource poor subcontinent that provides unique challenges in patient care. These challenges include a lack of facilities and staff for the performance of operative as well as non-operative procedures. In conclusion, we feel that we are part of Sub-Saharan Africa with all the problems mentioned as far as provision of healthcare is concerned. This research study can make a crucial contribution to safe and cost-effective management of healthcare in Africa for procedures outside the operating theatre.
Owens, Georgann E. "Psychiatric Medical Care and Safe Housing for Mentally ill Homeless." Thesis, Walden University, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=13808549.
Full textDue to the deinstitutionalization movement, many mentally ill individuals have left asylum treatment centers and have had no safe housing. The purpose of this grounded theory study was to explore the attitudes and opinions of homeless, mentally ill people regarding the community resources they consume and how they perceive and navigate those resources. The research questions focused on homeless, mentally ill individuals' shared experiences accessing health care, psychiatric care, and housing services as well as, barriers that impacted homeless, mentally ill individuals' use of these services, and their needs to address these barriers. Data were collected using face to face, semi structured interviews with 12 homeless individuals. The thematic analysis consisted of open and axial coding. Axial coding was used to assign and like categories and subcategories of codes according to their properties and dimensions. Emergent patterns were identified from the data to explain the lived experiences of mentally ill homeless people and their opinion and attitudes towards navigating of mentally ill homeless programs. The responses expressed the needs that were unmet: lack of mental health assistance, food needs, hygiene needs, safety concerns and survival needs. In order to make positive social change outreach predicated on increasing clear communication between outreach workers and the homeless mentally ill allows for developing a trusting relationship necessary in establishing contact and credibility in providing on going impactful treatment for the homeless mentally ill population.
Jooste, Kritzman Phillip. "A load management system for fixed appliances in a safe DC RDP house." Thesis, Cape Peninsula University of Technology, 2017. http://hdl.handle.net/20.500.11838/2634.
Full textThis dissertation represents the design and development of a load management system for fixed appliances in a safe direct current (DC) Reconstruction and Development Programme (RDP) house. A combination of valley filling, load shifting and peak clipping load management techniques were employed to assist in reducing the peaks observed in the RDP house load profile during peak hours. A DC RDP house laboratory model was developed. The study is based on the assumption that the normally 220 V alternative current (AC) grid is replaced by a 350 V DC grid. The assumption is thus that 350 V DC is available at the distribution box in the RDP house laboratory model. All theoretical work was based on a 350 V DC system, but due to the lack of a laboratory 350 V DC supply, all physical tests were conducted by making use of a 300 V DC supply which was available. Consequently all calculations were thus based on 300 V DC as well. The geyser was the main fixed appliance focused on since it contributes to a significant portion of the power used. An AC geyser was successfully modified in order to be used in the DC network. Safety of the system was considered in order to interrupt the power in case of overcurrent or to isolate the power. Electronic switches were also developed and implemented to ensure that the DC power could be safely switched on and off and that the low power DC was isolated from the high power DC. LabVIEW allowed all other appliances in the DC RDP house to be virtually represented so that a holistic view of the power use of the house could be represented. This also allowed the system to be successfully simulated before any physical work was conducted. The load management system was successfully implemented by making use of power line communication. This proved to be a cost effective means to apply the load management algorithm. The algorithm consisted mainly of power on / off instructions that were executed during peak and off-peak times. It follows the normal use of timers used in the AC system to help reduce demand. It was found that the load management system successfully reduced the demand during peak hours without compromising the basic needs of the user. The power line communication modem proved to be very reliable in implementing the load management algorithm.
Purbashree, Sarmah. "Mechanical and leaching characterization of inert waste landfills for safe and sustainable management." Kyoto University, 2020. http://hdl.handle.net/2433/259083.
Full textWetzel, Eric Michael. "The Use of a BIM-Based Framework to Support Safe Facility Management Processes." Diss., Virginia Tech, 2016. http://hdl.handle.net/10919/73414.
Full textPh. D.
Leslie, Rebekah. "A Functional Approach to Memory-Safe Operating Systems." PDXScholar, 2011. https://pdxscholar.library.pdx.edu/open_access_etds/499.
Full textSchlegelmilch, Barret William. "A framework for safe system design in space launch vehicles." Thesis, Massachusetts Institute of Technology, 2018. http://hdl.handle.net/1721.1/117986.
Full textThesis: S.M., Massachusetts Institute of Technology, Department of Aeronautics and Astronautics, in conjunction with the Leaders for Global Operations Program at MIT, 2018.
Cataloged from PDF version of thesis.
Includes bibliographical references (page 65).
A hazard analysis for the test firing of NASA's Space Launch System core stage is performed using a systems-based alternative to the traditional reliability-based method. The method used, Systems-Theoretic Process Analysis (STPA), is shown to be a versatile and powerful tool in this application and by extension the development of future space launch vehicles. The Boeing Company has been selected by NASA as the prime contractor for the Space Launch System (SLS) cryogenic stages. As such, they are working with NASA to develop a comprehensive hazard analysis for core stage test firing and eventual launch operations. Developing, testing, and launching rockets is an inherently complex and high risk endeavor. Preceding the launch itself, one of the highest risk times in the operation of a rocket is the static fire testing, also called a hot fire. Hundreds of parameters need to be monitored in real time in order to ensure the system is operating nominally and equipment damage (and possible injury or death) will not occur. Depending on the point of the testing and the resultant speed at which events are occurring, different levels of automatic safing conditions and operator actions are required to protect the vehicle. Traditionally, the way these safing conditions are derived is through the evaluation of hazard reports, which are themselves based on a "reliability" model: hazards are seen to arise from the failure of individual components and are thus primarily mitigated through increasing component reliability or adding in redundancy. With the level of complexity and required safety of today's launch systems, it is beneficial to evaluate a new approach to identifying the underlying hazards in a system, including ones that arise from unsafe component interactions and not simply failures
by Barret William Schlegelmilch.
M.B.A.
S.M.
Koskela, Niklas, and Carolina Aspfjäll. "Agile Risk Management." Thesis, Högskolan i Halmstad, Akademin för informationsteknologi, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-44975.
Full textJoseph, Mackington. "Transformational Leadership and Safe Driving Performance in the U.S. Electric Utility Industry." Thesis, Walden University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3685944.
Full textTransformational leadership (TL) has been found popular in many industries in the United States and abroad for the perceived transformational leaders' effectiveness in improving occupational safety. There is a lack of empirical evidence to confirm these claims for safe occupational driving. This phenomenological study attempted to fill this knowledge gap in the electric utility industry where employees must drive in all weather conditions to restore power to customers. The conceptual framework for the study was based on leadership and motivation theories of Burns and Maslow. The research questions explored the influence of (a) TL on safe driving performance improvement in organizations and (b) emotional intelligence (EI) on leaders' efficiency to improve safe driving performance in organizations. These questions were addressed using a 14-item in-depth, open-ended interview questionnaire by a convenience sample of 18 management and 12 union-represented personnel drawn from 5 U.S. electric utility companies using the snowball method. Data were analyzed using NVivo 10 software and were interpreted using the methodological framework of Leedy and Ormrod, and Maxwell. The findings suggested that (a) TL influenced safe driving performance through these leaders' idealized influence, inspirational motivation, and intellectual stimulation; and (b) EI ineffectively and unreliably influenced safe driving improvement, but it improved organizational trust through the leaders' empathy and drivers' empowerment. Individualized consideration, while acknowledged as desirable, was least important and was widely lacking. The implications for positive social change include promoting TL style in other industries, raising employees' commitment and contribution to safe driving performance improvement, and improving organizational trust as well as public safety.
Mohan, Naveen. "Architecting Safe Automated Driving with Legacy Platforms." Licentiate thesis, KTH, Mekatronik, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-223687.
Full textEfterfrågan på nya funktioner leder till en ständigt ökande komplexitet i moderna fordon, speciellt i de inbyggda datorsystemen. Införande av autonoma fordon utgör inte bara det mest aktuella exemplet på detta, utan medför också en av de största förändringar som fordonsbranschen sett. Föraren, som ”back-up” för att hantera oväntade situationer och fel, finns inte längre där vid höggradig automation, och motsvarande funktioner måste realiseras i de inbyggda system vilket ger en drastisk komplexitetsökning. Detta ställer systemarkitekter för stora utmaningar för att se till att nuvarande nivå av funktionssäkerhet bibehålls. Detta forskningsarbete har utförts i nära samarbete med Scania CV AB i det Vinnova (FFI)-finansierade projektet ARCHER. Denna licentiatavhandling har som mål att ta fram en metodik för konceptutveckling av arkitekturer, förankrat i industriell praxis och principer, omfattande bl.a. de som beskrivs i funktionssäkerhetsstandards som ISO 26262. Avhandlingen presenterar resultat inom två områden. Det första området, del A, redovisar, (i) en analys av utmaningar inom arkitekturutveckling för autonoma fordon, vilket också ger en motivering för resterande del av avhandlingen. Det andra området, del B, redovisar, (ii) en definition av en ”perspektivmodell” (en s.k. ”viewpoint” enligt ISO 42010) för funktionssäkerhet, (iii) en metod för att systematiskt utvinna information från existerande komponenter, och (iv) en process som tar fram en arbetsprodukt för ISO 26262 – Preliminära Arkitektur-Antaganden (PAA). Denna process använder sig av information från existerande komponenter – resultat (iii) och förenklar hantering av avsaknad/osäker information under arkitekturarbetet. Resultaten från del B utgör tillsammans en metodik för att ta fram en PAA. En utmaning i forskning är att finna en balans mellan idealisering och praktisk tillämpbarhet. Metodiken i del B har utvärderats i flertalet industriella fallstudier på Scania i samverkan med seniora arkitekter från industrin, och har av dessa bedömts som relevant och praktiskt tillämpningsbar. Erfarenheterna visar att metodiken stödjer framtagandet av PAA’s av lämplig kvalitet och ger ett systematiskt sätt att hantera osäkerhet under arkitekturutvecklingen. Specifikt så gjorde metoden det möjligt att identifiera komponent-felmoder där arkitekturen inte var tillräcklig för åstadkomma önskad riskreducering, begränsningar som inte hade upptäckts med tidigare metoder. Ett prototypverktyg för att stödja metodiken har utvecklats och börjat användas på Scania i projekt relaterade till autonoma fordon. Metodiken kommer sannolikt att kunna förfinas ytterligare när dessa projekt går mot sitt slut och mer erfarenheter finns tillgängliga. Arbetet i del B har vidare lett till två patentansökningar avseende koncept som framkommit genom fallstudierna. Dessa koncept relaterar till referensarkitekturer som utökats med policies för personsäkerhet (Eng. ”safety”) för att hantera detekterbara felfall, och pekar ut en riktning för framtida forskning. För att stödja verifiering av dessa koncept har arbete inletts för att identifiera kritiska scenarios för autonom körning. En flexibel simuleringsplattform håller också på att designas för att kunna testa kritiska scenarios.
Vinnova-FFI funded Project ARCHER
Molander, Linda. "Chemicals in consumer products : Towards a safe and sustainable use." Licentiate thesis, KTH, Filosofi, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-104826.
Full textQC 20121119
Gustavsson, Anna, and Maria Sundström. "Utvärdering av utbildningen Kommunbaserat säkerhetsarbete : Evaluation of the course in municipal risk management, Safe Community." Thesis, Karlstad University, Division for Social Sciences, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-844.
Full textNyckelord:
Riskhantering, samhällssäkerhet
Lag om skydd mot olyckor
Säker och trygg kommun
Utvärdering
Intervjumetod
Hälsofrämjande vs skadeprevention
Styrkor hos utbildningen Kommunbaserat säkerhetsarbete
Vi kan ändå vara säkra på vår sak när vi drar slutsatsen att i det stora hela har det uppfattats som en bra utbildning med stora kvalitéer. Med en blick framåt tror vi att den här typen av utbildning kommer att ges fortsättningsvis och att den kommer att utvecklas i takt med nya erfarenheter och ändringar i lagstiftning och samhällsstruktur. Om man ska lyfta fram den främsta styrkan i utbildningen, är det möjligheten att kunna påverka innehållet när det gäller valet av studieobjekt i projektarbetet. Även enkelheten och den basala nivån i metoderna har framträtt som ett ”vinnande koncept” av den anledningen att det har gått att direkt implementera och anpassa metodiken ute i verksamheterna.
Förväntningarna på utbildningens användbarhet motsvarades för att man fick metoder och systematiska verktyg att börja jobba med. Mönster som har framträtt i intervjuerna är att upplägget av momenten har varit som en stege, med naturlig ordningsföljd. Det som man lärde sig i början gav förståelse för det som följde i kommande steg.
Sammansättningen av deltagarna är också till utbildningens fördel, både när det gäller personerna och vilka deras yrkesområden är, samt kommunsammansättningen. Det har setts som en bra och givande sammansättning att det har varit personer med från både politiska poster, chefer, tjänstemän samt från polis- respektive räddningstjänst. Flertalet av deltagarna fick med sig en mer nyanserad bild av andras yrkesroller än vad de hade innan kursen.
Ibrahim, Shire Mohammed. "Participatory system dynamics modelling approach to safe and efficient staffing level management within hospital pharmacies." Thesis, Loughborough University, 2018. https://dspace.lboro.ac.uk/2134/34790.
Full textOza, Pratham Rajan. "A Real-Time Server Based Approach for Safe and Timely Intersection Crossings." Thesis, Virginia Tech, 2019. http://hdl.handle.net/10919/89670.
Full textMaster of Science
Safe and efficient traffic control remains a challenging task with the continued increase in the number of vehicles, especially in urban areas. This manuscript focuses on traffic control at intersections, since urban roads with closely spaced intersections are often prone to congestion that blocks other intersection upstream, which disrupt traffic flows across the entire network. While various intelligent traffic control solutions exist for autonomous systems, they are not applicable to or ineffective against human-operated vehicles or mixed traffic. On the other hand, existing approaches to manage intersections with human-operated vehicles, cannot adequately adjust to dynamic traffic conditions. This work presents a technologyagnostic adaptive approach to dynamically determine signal timings at an intersection based on changing traffic conditions and queue lengths (i.e., wait times) to minimize, if not eliminate, spillbacks without unnecessarily increasing delays associated with intersection crossings. We also provide theoretical bounds to guarantee the performance of our approach in terms of the travel delays that may incur on the vehicles in the system, hence making our approach more dependable and predictable. The proposed approach was validated in simulations and on a realistic hardware testbed which uses robots to mimic human driving behaviour in an urban environment. Comparisons with widely deployed and state-of-the-art traffic control techniques show that our approach is able to minimize spillbacks as well as improve on the average crossing delay in most cases.
Eduful, Michael K. "Access to Safe Water Supply: Management of Catchment for the Protection of Source Water in Ghana." Scholar Commons, 2018. https://scholarcommons.usf.edu/etd/7501.
Full textVambe, Debrah. "A study of KAP of circumcirsed men towards safe sex in Manakayabe District in Swaziland." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/79956.
Full textENGLISH ABSTRACT: World Health Organisation (WHO) and UNAIDS named male circumcision as a key intervention in halting the spread of HIV in Africa. Several countries in sub-Saharan Africa with low levels of male circumcision (MC) and high HIV prevalence are scaling up MC services, Swaziland being one of them. Despite the circumcisions done in Swaziland it seems there is no significant decrease in HIV prevalence which might be due to various reasons. One of the reasons noted was the behaviour of men after circumcision because of the belief of total of immunity. This has led to an increase in high risk behaviour, increased promiscuity, multiple partners, more unsafe sex and failure to use condoms, thereby defeating the own stated purpose. Objectives: 1) To identify the knowledge, attitude and practices (KAP) of circumcised men towards safe sex. 2) To establish the existing knowledge of the relationship between circumcision and HIV prevention. 3) To establish whether men in Swaziland take part in riskier sexual behaviour after or before being circumcised. 4) To make recommendations for the counseling programme. Methodology: A cross-sectional analytical study whereby both qualitative and quantitative methods of data collection was used. Simple random sampling was used to select circumcised men from Mankayane hospital, Mankayane and Holy Rosary high schools and a total of 90(60 adults and 30 teenagers) filled in self- administered questionnaires and also took part in focus group discussions. Purposive sampling was used to choose the MC Counsellors and in-depth interviews were done to complement the information on knowledge, attitudes and practices of men towards safe sex before, during and after circumcision. An observation checklist was also used to check what they included in their counselling sessions. Results: The responses solicited from the men who participated in this study show that there is basic knowledge with regards to safe sex and the value of MC in the prevention of HIV. The pattern in the data however shows that those that were the most recent to undergo medical circumcision had the most varied opinions on the extent to which MC protect one from HIV. There was mixed attitude towards safe sex after circumcision, some wanting to maximise their satisfaction without using protection. The data also points to a pattern were the men have a high relationship turnover and this was more discernible among the teenagers who suggest that the relationships are not built on commitment but possible experimentation. While the study did not have control that tracked uncircumcised men for comparative purposes, the findings point to inconsistent use of condoms among men which heightens the risk of HIV transmission. The results point to a well-structured programme of counseling followed by MC counselors. Conclusion: The study was able to satisfy the aim and objectives. The research process was designed to collect the necessary data and be analysed in a manner that answered the research question. The research target population and subsequent sample represented the geographical scope of the study. The research tools were designed to be easy for the respondents to use. The distribution and collection method was designed to give the respondents less hassle as possible. This had a positive impact on the response rate, which increased the validity of the data collected. Both the literature review and primary research findings affirm that MC without behaviour change is not the panacea for prevention of HIV.
AFRIKAANSE OPSOMMING: Die Wêreldgesondheidsorganisasie (WGO) en UNAIDS het manlike besnydenis as ’n belangrike intervensie uitgewys om die verspreiding van MIV in Afrika te stuit. Verskeie lande in Afrika suid van die Sahara met lae vlakke van manlike besnydenis (MB) en hoë vlakke van MIV is tans besig om MB-dienste uit te brei, en Swaziland is geen uitsondering nie. Ondanks die besnydenis wat in Swaziland gedoen word, blyk daar egter geen beduidende afname in MIV te wees nie. Dít kan aan verskillende redes toegeskryf word. Een daarvan is mans se gedrag ná besnyding vanweë hul oortuiging dat hul geheel en al immuun is. Dit het tot ’n toename in hoërisikogedrag, meer promiskuïteit, veelvuldige bedmaats, meer onveilige seks en ’n gebrek aan kondoomgebruik gelei, wat uiteraard die doel verydel. Oogmerke: 1) Om besnyde mans se kennis, houdings en praktyke met betrekking tot veilige seks te bepaal. 2) Om bestaande kennis oor die verband tussen besnydenis en MIV-voorkoming te bepaal. 3) Om vas te stel of mans in Swaziland voor of ná besnyding geneig is tot meer riskante seksuele gedrag. 4) Om aanbevelings te doen vir die MB-beradingsprogram. Metodologie: ’n Deursnee- analitiese studiebenadering met sowel kwalitatiewe as kwantitatiewe datainsamelingsmetodes is gevolg. Met behulp van eenvoudige ewekansige steekproefneming is mans van Mankayane-hospitaal en tienerseuns van Mankayane- en Holy Rosary-hoërskool gekies. Altesaam 90 respondente (60 volwassenes en 30 tieners) het vraelyste op hul eie ingevul en ook aan fokusgroepbesprekings deelgeneem. Doelbewuste steekproefneming is gebruik om ’n groep MB-beraders te kies, met wie daar diepteonderhoude gevoer is om die inligting oor mans se kennis, houdings en praktyke met betrekking tot veilige seks voor, gedurende en ná besnyding aan te vul. ’n Waarnemingskontrolelys is ook gebruik om af te merk wat die beraders by hul beradingsessies insluit. Resultate: Die antwoorde van die mans wat aan hierdie studie deelgeneem het, toon basiese kennis met betrekking tot veilige seks en die waarde van MB in die voorkoming van MIV. Die patroon in die data toon egter dat diegene wat mees onlangs mediese besnydenis ondergaan het, die mees uiteenlopende menings het oor die mate waarin MB jou teen MIV beskerm. Daar is ’n gemengde houding oor veilige seks ná besnyding: Party mans jaag eenvoudig so veel moontlik bevrediging na, sonder enige beskerming. Die data dui ook op ’n patroon van ’n hoë verhoudingsomset onder die respondente. Dít was veral waarneembaar onder die tieners, wat te kenne gee dat hul verhoudings nie op toewyding gegrond is nie, maar eerder moontlike eksperimentasie. Hoewel die studie geen kontrolegroep met onbesnyde mans vir vergelykende doeleindes gehad het nie, dui die bevindinge op inkonsekwente kondoomgebruik onder mans, wat op sy beurt die risiko van MIV-oordrag verhoog. Die resultate dui voorts daarop dat MB-beraders ’n goed gestruktureerde beradingsprogram volg. Gevolgtrekking: Die studie het in sy doel en oogmerke geslaag. Die navorsingsproses was ontwerp om die nodige data in te samel en te ontleed ten einde die navorsingsvraag te beantwoord. Die navorsing steikenpopulasie en gevolglike steekproef was verteenwoordigend van die geografiese studiebestek. Die navorsingsinstrumente was ontwerp vir maklike gebruik deur respondente. Die verspreidings- en insamelingsmetode is gekies om so min moontlik moeite vir respondente te veroorsaak. Dít het ’n positiewe impak op die reaksiesyfer gehad, wat weer die geldigheid van die ingesamelde data verhoog het. Sowel die literatuuroorsig as die primêre navorsingsbevindinge bevestig dat MB sonder gedragsverandering allermins ’n ‘wondermiddel’ vir MIV-voorkoming is.
Ali, Ali Salim. "Male circumcision managers' attitudes toward safe male circumcision program implementation and scale up in Botswana." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/79949.
Full textENGLISH ABSTRACT: Background: Safe Male circumcision (SMC) divides people for or against it, depending upon their attitudes. The Ministry of health (MOH) has built capacity in the country for rapid scale up of the program since 2009. However, despite the efforts, the number of men circumcised is lagging behind set targets. We do not know to what extent attitudes of the managers at national and district levels do influence this underperformance? The effectiveness of the managers at workplace at large will depend on their attitudes towards SMC. Managers with positive attitudes bring at workplace energy, creativity and momentum to fulfill the work objectives and goals. Objectives: The objectives of the study were to; 1) establish the current situation of SMC implementation in Botswana, 2) establish the required attitudes for managers towards SMC program, 3) establish the attitudes of SMC managers at all levels toward SMC program, 4) determine the gap between the required attitudes and SMC managers’ current attitudes toward SMC, and 5) Provide recommendation for reinforcing positive attitudes toward SMC program. Methods: The study used an explorative qualitative design. It was carried out at the Ministry of health headquarters and in ten districts in Botswana. A total of 26 SMC program managers were interviewed using a semi-structured interview guide. Results: The study found that the managers were confirming to positive attitudes toward the program as prescribed by the MOH’s standards. Data revealed a positive trend in scaling up of the program albeit lagging behind set targets. Conclusion: This study looked at the desired attitudes of SMC managers should posses and the level of attitudes currently have towards the program. It was not easy to link attitude and performance of individuals. High turnover rate of SMC officers was a worrisome finding that calls for further study.
AFRIKAANSE OPSOMMING: Agtergrond: Na gelang van hul houdings, is die meeste mense hetsy sterk ten gunste van of heftig gekant teen veilige manlike besnydenis (VMB). Die Ministerie van Gesondheid is reeds sedert 2009 besig met vermoëbou-inisiatie we om die VMB-program vinnig uit te brei. Ondanks hierdie pogings, is die aantal mans wat ingevolge dié program besny word egter veel minder as die vasgestelde teikens. Dit is nie bekend in watter mate die houdings van VMB-programbestuurders op nasionale en distriksvlak hierdie onderprestasie beïnvloed nie. Die algehele doeltreffendheid waarmee dié bestuurders die program in werking stel, sal immers grootliks afhang van hul houdings jeens VMB. Bestuurders met ’n positiewe houding sal energie, kreatiwiteit en stukrag aan die werkplek verleen ten einde die programoogmerke en -doelwitte te verwesenlik. Oogmerke: Die oogmerke van die studie was: 1) om die huidige stand van VMB-inwerkingstelling in Botswana te bepaal; 2) om te bepaal watter houdings bestuurders behóórt te hê jeens die VMB-program; 3) om te bepaal watter houdings bestuurders op alle vlakke wél het jeens die VMB-program; 4) om vas te stel in watter mate bestuurders se vereiste houdings en huidige houdings jeens VMB verskil; en 5) om aanbevelings te doen vir die versterking van positiewe houdings jeens die VMB-program. Metode: Die studie het van ’n verkennende kwalitatiewe ontwerp gebruik gemaak. Dit is by die hoofkantoor van die Ministerie van Gesondheid sowel as in tien gesondheidsdistrikte in Botswana onderneem. Onderhoude aan die hand van ’n semigestruktureerde onderhoudsgids is met altesaam 26 VMB-programbestuurders gevoer. Resultate: Die studie bevind dat die bestuurders wél positiewe houdings jeens die program toon soos wat die standaarde van die Ministerie van Gesondheid vereis. Data dui op ’n positiewe tendens in die uitbreiding van die program, al word die vasgestelde teikens nie bereik nie.
Firth, Samuel. "A Golden Opportunity: An Analysis of Gold and the VIX as Safe Haven Assets." Scholarship @ Claremont, 2017. http://scholarship.claremont.edu/cmc_theses/1697.
Full textKarmacharya, Binab. "Population Dynamics of Northern Cardinal and Carolina Wren in an Urban Forest Fragment| Safe Refuge or Ecological Trap?" Thesis, University of Louisiana at Lafayette, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10002466.
Full textConserving bird populations in urban landscapes often depends on interactions between extinction, recolonization, and survival in remnant habitat patches such as small nature preserves. Thus, determining the ecological value of small nature preserves to birds is a necessary step towards an informed conservation strategy. As such, I conducted a year round capture-mark-recapture study from April 2010 to March 2014 to examine population dynamics of Northern Cardinals (Cardinalis cardinalis) and Carolina Wrens ( Thryothorus ludovicianus) in a 41.7-ha nature preserve embedded in an urban matrix. More specifically, we examined variation in survival, recruitment, and realized population growth rates relative to year, season, sex, age, and wing length (as a proxy for body size) to investigate attributes that affect individual survival and to assess whether the reserve served as a population source or sink. The overall annual apparent survival rate of Northern Cardinals (0.520 ± SE 0.050) was higher than that of the Carolina Wrens (0.349 ± 0.050), and estimates in both species were similar to regional baseline estimates. The survival rates for adults were significantly higher than for immatures in both species, with body size having a positive influence on survival. Seasonal variation in survivorship was evident only in Northern Cardinals, being highest in the winter and lowest during the breeding season. Average annual population growth rate was slightly greater than 1.0 for both species, indicating stable or perhaps modestly increasing populations. These results represent the first published full annual cycle estimates of survival and population growth relative to age, sex, and body size for non-migratory passerines. Our results suggest that urban forests can provide the necessary resources to sustain growing populations of locally common birds. Furthermore, our demographic estimates derived from two healthy bird populations can serve as target values for other species of conservation concern within human-modified landscapes.
Kilanko-Oluwasanya, Grace Olutope. "Better safe than sorry : towards appropriate water safety plans for urban self supply systems." Thesis, Cranfield University, 2009. http://dspace.lib.cranfield.ac.uk/handle/1826/4453.
Full textHarris, Kathryn Joy. "Optimizing emergency egress to safe zones : planning for a major earthquake at the University of Oregon /." Connect to title online (Scholars' Bank), 2008. http://hdl.handle.net/1794/7861.
Full textGhosal, Tusar Kanti. "Bio-ecology of pulse beetle, callosobruchus spp (coleoptera: Bruchidae) and potentiality of their safe management in storage at Terai agro-climatic conditions." Thesis, University of North Bengal, 2003. http://hdl.handle.net/123456789/1008.
Full textDanti, Ntomboxolo. "Critical assessment of right to safe water and sanitation in a South African informal settlement: a case study of Marikana, Cape Town." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/27876.
Full textFas, Millán Miguel Ángel. "ConOps for a safe integration of multi-RPAS operations in civil airspace." Doctoral thesis, Universitat Politècnica de Catalunya, 2019. http://hdl.handle.net/10803/667999.
Full textLa integración de los sistemas aéreos pilotados de forma remota (RPAS) en espacio aéreo civil será una realidad una vez se resuelvan los temas legales pendientes o las particularidades en lo referente al control del tráfico aéreo. Esto supondrá el pistoletazo de salida a una amplia gama de servicios, con una demanda que probablemente se enfrentará a una carestía de pilotos, situación que ya se da en el caso de los vuelos tripulados. Las operaciones multi-RPAS, implementadas de forma correcta, podrían paliar este problema. La tesis propone un marco operativo para la viabilidad, a nivel de factores humanos, de que cada piloto o tripulación pueda controlar simultáneamente varios RPAS en espacio aéreo no segregado. Dicha viabilidad implica que estas operaciones sean seguras y no interfieran en el trabajo de los controladores debido a retardos o errores asociados al hecho de pilotar varios aviones. Por ello, se sugiere un conjunto de herramientas y medidas que incluyen la predicción y balanceo de la carga de trabajo, monitoreo de acciones y una adecuada usabilidad de la interfaz. La gestión de la carga de trabajo toma en cuenta los perfiles cognitivos de los pilotos para determinar sus limitaciones y tiempo de ejecución de las tareas. Basándose en estos, se busca una asignación de vuelos con un margen seguro de carga de trabajo total pero también flexibilidad en la estrategia elegida para lidiar con las tareas concurrentes. El balanceo de la carga de trabajo entre los pilotos requiere la predicción del flujo de tareas; esta se basará en tantas fuentes de información como estén disponibles: telemetría, tareas planificadas, partes o un sugerido mapa de factores de carga de trabajo. La monitorización se justifica porque controlar distintos vuelos de forma concurrente puede llevar a confusiones. El sistema cotejará pues las acciones, en una suerte de primer oficial. La usabilidad es clave en el caso multi-RPAS, donde es imperativo una interfaz que permita una respuesta y acceso a la información rápidos, con una clara descripción del estado de las operaciones. Pese a que el principal objetivo del concepto es el aumento de la productividad de los pilotos, este ofrecería beneficios aun cuando a cada piloto se asignase un único vuelo, por sus medidas de seguridad complementarias, o la posibilidad de que la operatividad concurrente se traslade a otros roles de la tripulación. Para ilustrar su potencial, se implementó un prototipo con el que se llevó a cabo experimentos con pseudo-pilotos para comprobar la efectividad de algunas medidas. Estos mostraron una reducción en el número de errores, olvidos y estrés subjetivo, y sirvieron para inspirar mejoras. Algunas piezas del sistema pueden ser útiles fuera de este. Por ejemplo, se explota el potencial de las comunicaciones mediante enlace de datos (CPDLC), anticipándose a su futura implementación y uso extendidos y se diseñó una interfaz CPDLC que redujese el lento manejo de las actuales, con un estado más claro de las comunicaciones. Esta, de forma aislada, podría utilizarse para entrenar a pilotos y controladores en las reglas de composición, o como inspiración a futuros diseños. El software utilizado permite la simulación de escenarios de calidad del enlace, que permitirían practicar los procedimientos asociados a los problemas que pueden surgir en estos. Y el mapa de factores de carga de trabajo que se sugiere, podría ser utilizado para analizar la integración RPAS. Las medidas propuestas fueron positivamente evaluadas por los pilotos y controladores encuestados, aun cuando algunas suponían comprobaciones redundantes, ya presentes en herramientas de control de tráfico aéreo. La interfaz CPDLC, en principio orientada a pilotos, gustó también a controladores por intuitiva, de rápido manejo, y con la información accesible. Finalmente, el procedimiento de migración de control sugerido fue considerado interesante para evitar los errores que surgen durante el proceso de migración de control
Kam, Chi-kit Charles. "The exploration of a multi-dimensional safe behaviour model for construction workers in Hong Kong : a structural equation modelling approach." Thesis, University of Hull, 2002. http://hydra.hull.ac.uk/resources/hull:3553.
Full textChauke, Tinyiko Lourence. "The impact of cardinal rules on employee safety behaviour at power stations in Mpumalanga / Chauke, T.L." Thesis, North-West University, 2011. http://hdl.handle.net/10394/7007.
Full textThesis (MBA)--North-West University, Potchefstroom Campus, 2012.
Sandin, Per. "Better safe than sorry : applying philosophical methods to the debate on risk and the precautionary principle /." Doctoral thesis, Stockholm : Philosophy Unit, Royal Institute of Technology, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-90.
Full textMoreira, Miguel Alexandre Ribeiro. "Assessing the balance between biodiversity conservation and coastal and estuarine management of the Sado Estuary Natural Reserve, Portugal, using BIO-SAFE." Master's thesis, Faculdade de Ciências e Tecnologia, 2010. http://hdl.handle.net/10362/4987.
Full textCoastal and Estuarine management is one emergent topic nowadays. Physical reconstruction and management plans are currently being executed where the major goals are flood risk reduction,ecological rehabilitation and economic development. The ecological consequences of these measures must be evaluated in a way that ensures attuning of policy goals concerning conservation of biodiversity. The estuarine systems are important for the conservation and restoration of biodiversity, since they are one of the most productive ecosystems on the planet. Recently, a novel Spreadsheet Application For Evaluation of impacts of physical reconstruction measures on BIOdiversity (i.e. BIO-SAFE) in riverine habitats has been developed (Lenders et al., 2001, De Nooij et al., 2004, De Nooij, 2006). In this study, BIO-SAFE has been adapted to the Portuguese Sado River Estuary, with the direct application on the Natural Reserve of the cited estuarine area. BIO-SAFE is a policy and legislation based assessment model that quantifies biodiversity values in riverine areas for several taxonomic groups and landscape ecological units (ecotopes) on the basis of the policy status and habitat demands of riverine characteristic species. The model uses data on presence of species and riverine landscape ecological units for different levels of spatial scale. In this study, a new version of the model was developed for the Sado Estuary Natural Reserve (RNES), called BIO-SAFE Sado. To develop the Sado version, it was necessary to adapt the three main components of the conceptual framework of BIO-SAFE. These comprise (1) a database with the relevant policy and/or legislation RNES indigenous species, (2) a specific ecotope typology for the RNES area and (3) a weighted set of policy and legislation based valuation criteria for biodiversity. In addition to these research activities, the model has been implemented in the MS Excel spreadsheet. After implementation of these three components and the programming of the different types of indices and algorithms in MS Excel, the program calculated all relevant indexes and scores. The BIOSAFE Sado model was used for two types of analysis: (a) valuations of ecotopes (potential situation)and transitions between ecotopes and (b) valuation of the actual situation. Both approaches were made on the level of species individually and taxonomic groups at two scale levels (ecotopes and levels). The taxonomic groups higher plants, birds, fish and mammals are amongst the most important taxa regarding endangered and protected biodiversity in the study area. The ecotope valuation show that the most important ecotope types regarding protected and endangered biodiversity in the RNES are the Waterlines for the aquatic ecotope types and the Dune bushes and the indigenous forestry ecotope types Pinewood and Cork oak system for the terrestrial systems. The valuation of the actual situation shows the same results for the most important taxa and ecotopes present in the RNES, which was expected since the saturation indices showed high values, indicating that most of the potential species are actually present on the area.
Forero, Ilenia Anneth. "The Water Culture Beliefs of Embera Communities and Maternal and Child Health in the Republic of Panama." Scholar Commons, 2013. http://scholarcommons.usf.edu/etd/4673.
Full textStinson, Jill D. "Safe Offender Strategies and the Role of Self-Regulation in Sex Offender Treatment: Characteristics, Needs, and Outcomes for Sex Offender Management & Treatment." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/7990.
Full textIberraken, Dimia. "Safe Trajectories and Sequential Bayesian Decision-Making Architecture for Reliable Autonomous Vehicle Navigation." Thesis, Université Clermont Auvergne (2017-2020), 2020. http://www.theses.fr/2020CLFAC043.
Full textRecent advances in Autonomous Vehicles (AV) driving raised up all the importance to ensure the complete reliability of AV maneuvers even in highly dynamic and uncertain environments/situations. This objective becomes even more challenging due to the uniqueness of every traffic situation/condition. To cope with all these very constrained and complex configurations, AVs must have appropriate control architecture with reliable and real-time Risk Assessment and Management Strategies (RAMS). These targeted RAMS must lead to reduce drastically the navigation risks (theoretically, lower than any human-like driving behavior), with a systemic way. Consequently, the aim is also to reduce the need for too extensive testing (which could take several months and years for each produced RAMS without at the end having absolute prove). Hence the goal in this Ph.D. thesis is to have a provable methodology for AV RAMS. This dissertation addresses the full pipeline from risk assessment, path planning to decision-making and control of autonomous vehicles. In the first place, an overall Probabilistic Multi-Controller Architecture (P-MCA) is designed for safe autonomous driving under uncertainties. The P-MCA is composed of several interconnected modules that are responsible for: assessing the collision risk with all observed vehicles while considering their trajectories' predictions; planning the different driving maneuvers; making the decision on the most suitable actions to achieve; control the vehicle movement; aborting safely the engaged maneuver if necessary (due for instance to a sudden change in the environment); and as last resort planning evasive actions if there is no other choice. The proposed risk assessment is based on a dual-safety stage strategy. The first stage analyzes the actual driving situation and predicts potential collisions. This is performed while taking into consideration several dynamic constraints and traffic conditions that are known at the time of planning. The second stage is applied in real-time, during the maneuver achievement, where a safety verification mechanism is activated to quantify the risks and the criticality of the driving situation beyond the remaining time to achieve the maneuver. The decision-making strategy is based on a Sequential Decision Networks for Maneuver Selection and Verification (SDN-MSV) and corresponds to an important module of the P-MCA. This module is designed to manage several road maneuvers under uncertainties. It utilizes the defined safety stages assessment to propose discrete actions that allow to: derive appropriate maneuvers in a given traffic situation and provide a safety retrospection that updates in real-time the ego-vehicle movements according to the environment dynamic, in order to face any sudden hazardous and risky situation. In the latter case, it is proposed to compute the corresponding low-level control based on the Covariance Matrix Adaptation Evolution Strategy (CMA-ES) that allows the ego-vehicle to pursue the advised collision-free evasive trajectory to avert an accident and to guarantee safety at any time.The reliability and the flexibility of the overall proposed P-MCA and its elementary components have been intensively validated, first in simulated traffic conditions, with various driving scenarios, and secondly, in real-time with the autonomous vehicles available at Institut Pascal
Scott, Gordon Livingstone Stanley. "An assessment of health and safety management in selected rural hospitals / Gordon Livingstone Stanley Scott." Thesis, North-West University, 2011. http://hdl.handle.net/10394/8437.
Full textThesis (MBA)--North-West University, Potchefstroom Campus, 2012
Okten, Sebnem. "Investigation Of The Safe And Sustainable Yields For The Sandy Complex Aquifer System In Ergene River Basin." Master's thesis, METU, 2004. http://etd.lib.metu.edu.tr/upload/12605152/index.pdf.
Full textIssa, Mubdir. "Performance Impact of Migrating a Mining Traffic Management System To Docker." Thesis, Karlstads universitet, Institutionen för matematik och datavetenskap (from 2013), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-86037.
Full textRåssjö, Eva-Britta. "Sexual Behaviour and Sexually Transmitted Infections Among Urban Ugandan Youth – Perceptions, Attitudes and Management." Doctoral thesis, Uppsala University, Department of Women's and Children's Health, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-6264.
Full textThe aims of this thesis were to expand the knowledge about sexual and reproductive health among urban Ugandan youths, living in a slum, and to evaluate the national flow-chart for management of the abnormal vaginal discharge (AVD) syndrome in adolescent girls. Data collection included individual interviews, focus-group discussions and clinical investigations with tests for chlamydia trachomatis (CT), neisseria gonorrhoea (NG), trichomonas vaginalis (TV), syphilis, and HIV infection. Poverty, peer pressure and gender power imbalance were obstacles to safe sexual practices: to abstain from sex, be faithful or to use condoms. Prevalence among the 199 female and 107 male adolescents for CT, NG, TV, syphilis and HIV was 4.5%, 9.0%, 8.0%, 4.0% and 15.2% for females and 4.7%, 5.7%, 0%, 2.8% and 5.8% for males. The national AVD flow-chart had a sensitivity of 61%, a specificity of 38.5% and a positive predictive value (PPV) of 11.6%. A flow-chart using risk factors, rather than symptoms, implicated a sensitivity/specificity and PPV of 82.6%/47% and 17.3% respectively. Socially disadvantaged females had a high risk to be HIV infected and HIV infection was associated to other STIs. Females were more likely than males to have any of the infections studied. Voluntary counselling and testing (VCT) for HIV was considered as helpful in preventing the spread of HIV. Obstacles for testing were: lack of time and money, fear of stigmatisation and fear that the knowledge of HIV positive status could shorten someone's life. An alternative flow-chart for management of AVD among adolescent girls should be evaluated. Girl's opportunities for education and income generating work should be a priority. VCT services for young people should be made accessible in terms of cost, time and quality of counselling.
Nilsson, Towe. "A Transparent Agile Change : Predicting a Transparent Organizational Change from Change Recipients’ Beliefs and Trust in Management." Thesis, Linnéuniversitetet, Institutionen för psykologi (PSY), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-95495.
Full textWilson, Jessica P. "Source Water Protection Planning in Ohio: Assessing the Integration of Land Use Planning and Water Management for Safe and Sustainable Public Drinking Water Sources." The Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu1593616149140822.
Full textWithanachchi, Sisira Saddhamangala [Verfasser]. "Sustainable Water Resource Management for a Safe Food System in Georgia: A study of Water Quality Governance, focusing the Mashavera River Basin / Sisira Saddhamangala Withanachchi." Kassel : Universitätsbibliothek Kassel, 2018. http://d-nb.info/117036134X/34.
Full textTrafford, Sean Michael. "The impact of the diversity of cultures upon the implementation of the international management code for the safe operation of ships and for pollution prevention." Thesis, University of Bedfordshire, 2006. http://hdl.handle.net/10547/581263.
Full textWithanachchi, Sisira S. [Verfasser]. "Sustainable Water Resource Management for a Safe Food System in Georgia: A study of Water Quality Governance, focusing the Mashavera River Basin / Sisira Saddhamangala Withanachchi." Kassel : Universitätsbibliothek Kassel, 2018. http://nbn-resolving.de/urn:nbn:de:hebis:34-2018092556441.
Full textVieux, Micah Steven. "AN INTERNSHIP IN WATER UTILITY STAKEHOLDER RELATIONS." Miami University / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=miami1368017965.
Full text