Academic literature on the topic 'Will we come back again'
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Journal articles on the topic "Will we come back again"
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Sundbo, Jon. "From service quality to experience – and back again?" International Journal of Quality and Service Sciences 7, no. 1 (March 16, 2015): 107–19. http://dx.doi.org/10.1108/ijqss-01-2015-0009.
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Purpose – This paper aims to analyse the movement in the focus on customers within service management and marketing theories and service research that has taken place during the past three decades. The paper addresses the question: How did we, in service research, change from emphasizing quality to emphasizing experience? Design/methodology/approach – The paper analyses developments in service and experience theories. Experience has come onto the theoretical agenda, both in its own right and as a concept within service marketing and management theory. Findings – Experience has increasingly been a concept that has replaced quality in service marketing theories. However, an independent experience economy paradigm has also emerged. Recently, the societal emphasis on productivity may lead back to functional quality re-emerges in theories; however, it will most likely be in a new version. Originality/value – This analysis is a profound theory-critical analysis of the actually very widely used concept experience in service theories. The analysis present an understanding of what experience means in these theories and how it relates to the quality concept. This is an original contribution to a deeper understanding of service marketing and service quality theories.
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Woosley, John M., Rachelle F. Cope, Robert F. Cope III, and David C. Wyld. "Motor Carrier Regulation and Last Mile Delivery: Have we Come Full-Circle with Carrier Practices?" International Journal of Managing Value and Supply Chains 13, no. 4 (December 30, 2022): 11–20. http://dx.doi.org/10.5121/ijmvsc.2022.13402.
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The focus of logistics has been to deliver products to customers as quickly and consistently as possible without a severe loss in profit. The growth of multichannel retailing in connection with the recent surge in on-line ordering, has forced the logistics industry to evaluate current transportation practices and make innovative adjustments. In our work, we reflect on the changes to motor carrier transportation over time through the lens of regulation. Concerns about rates, entry to markets, and the safety of carriers were common around the Great Depression. Policy makers took notice and imposed economic and social regulation. Motor carrier strategies changed to meet these new policies and the motor carrier industry settled into decades of stability. Midway through the 20th century many began to question the efficiency of the industry. Entry was difficult, rates were considered high, but safety issues were of little concern at the time. Deregulation became widely popular with policy makers, and the industry changed its strategies again to comply with deregulated policies. Today, technology has become a prominent tool for all. Together, e-Commerce, Omni-Channel Distribution, Last Mile Delivery and Gig Delivery are poised to change motor carrier practices again. So, where does the industry go from here? Some think that it is headed back to economic and social regulation policies of the past. We examine the impact of previous legislation on the transportation industry, specifically motor carriers, which led to deregulation of motor carriers in the 1990’s. Considering the growth of on-line sales, we attempt to look forward, using the past, to hypothesize how they may operate in the future.
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Jaiswal, Sandeep S. "Lesser of Men Than Our Fathers, No Men in A Few Decades, Human’s Become Extinct After." International Journal of Advanced Medical Sciences and Technology 4, no. 2 (February 28, 2024): 1–3. http://dx.doi.org/10.54105/ijamst.b3047.04020224.
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This paper proves that the ever decreasing testosterone levels in men will eventually be compounded by the ever increasing causals which along with genetic changes from the past generations will eventually make the men incapable of procreating, creating new life and lead to the end of human life on earth, the complete extinction in the next decades. We are lesser of a men than our father due to such reasons and will never become father’s again for the next father’s to come. The only way to save mankind is by reversing the causals back to the normal again and ever surpassing them to create real heaven on earth.
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Asche, Helmut. "Down to Earth Again: The Third Stage of African Growth Perceptions." Africa Spectrum 50, no. 3 (December 2015): 123–38. http://dx.doi.org/10.1177/000203971505000306.
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Research on African economies has arrived at the third stage of perceptions in recent times – after “Africa's growth tragedy” and “Emerging Africa,” we have now come back down to earth. An analysis of five stylised facts contributes to the sobering account: per capita income levels rising only moderately; “hyperglobalisation” or “peak trade” in the world economy likely coming to an end; African economies exhibiting limited structural change; employment and labour productivity trends going somewhat in the wrong direction and at the expense of manufacturing; and industrialisation peaking earlier in global development and at lower levels of employment, rendering an industry-led development path for Africa even more difficult than previously thought. By analysing these trends, we are better able to pinpoint the challenges that governments, parliaments, and the private sector will face in terms of defining policies to sustain the impressive record of the growth period in Africa which began in the mid-1990s and continues today. As the continent's growth was, despite inflated figures on African middle classes, not inclusive enough, sympathy for all sorts of cash transfer programmes, including unconditional transfers, is rising in formerly reticent quarters. Fresh excitement over social subsidies in Africa should, however, not come at the expense of smart productive subsidies, which have the potential to tackle the agro-industrial root causes of the limited structural change recorded.
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McGowan, Philip. "What We Imagine Knowledge to Be." JAAAS: Journal of the Austrian Association for American Studies 1, no. 1 (August 31, 2020): 53–70. http://dx.doi.org/10.47060/jaaas.v1i1.72.
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This essay looks back to 1947, the year that the Salzburg seminar was inaugurated, as well as looking at contemporary issues in American studies to chart where we have come from to date and where the field is heading. Its main argument examines the poems "Ésthetique du Mal" by Wallace Stevens from his 1947 collection Transport to Summer and "At the Fishhouses" by Elizabeth Bishop, first published in 1947, and explores common themes of knowledge, pain, loss, and history. As the Western world experiences again a moment of political and cultural uncertainty brought to the center stage of US and European discourse in 2016 by the election of Donald Trump and the UK vote to leave the European Union, Stevens and Bishop offer routes forward through such moments of heightened politicization. American studies, as a field of interconnected disciplines, continually confronts the difficult aspects of twentieth- and twenty-first-century life. As the rise of the Black Lives Matter and #MeToo movements have indicated, the open ruptures within American society will continue to pour forth debates requiring urgent critical attention and discussion. Incidents of racial hatred, of right-wing extremism, and of abusive misogynistic sexism, dormant to varying degrees prior to Trump's election, have come to the surface of a nation increasingly riven by what the reality of his Presidency means for America. Our job, as researchers and teachers, is to engage each and every aspect of this moment in history, however contested or controversial they may be.
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Vučković, Vojko. "CUSTOMER RETENTION ANALYSIS - AN EXAMPLE OF A FITNESS CENTER." Kinesiologia Slovenica 28, no. 2 (August 8, 2022): 162–70. http://dx.doi.org/10.52165/kinsi.28.2.162-170.
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In present research we attempted to find out what influences fitness centre users' decisions to prolong fitness membership. We called users whose tickets had expired (n=57). We were interested in what factors influence a user to purchase a membership again and whether we could influence this decision with a phone call. Using logistic regression, we found that user age and experience with the receptor did not influence the decision to retain and repurchase. We found that we can influence a user's intention to repurchase if we call them less than 30 days after the membership expires. After 30 days, there is a good chance that the user has already purchased a ticket at another sports centre and will not return it. Users who were called and confirmed over the phone that they would come back and purchase the ticket again did so. We recommend that sports centre managers create a customer loyalty program and call them when the membership expires.
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Novikova, Elena L., and Milana A. Kulakova. "There and Back Again: Hox Clusters Use Both DNA Strands." Journal of Developmental Biology 9, no. 3 (July 15, 2021): 28. http://dx.doi.org/10.3390/jdb9030028.
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Bilaterian animals operate the clusters of Hox genes through a rich repertoire of diverse mechanisms. In this review, we will summarize and analyze the accumulated data concerning long non-coding RNAs (lncRNAs) that are transcribed from sense (coding) DNA strands of Hox clusters. It was shown that antisense regulatory RNAs control the work of Hox genes in cis and trans, participate in the establishment and maintenance of the epigenetic code of Hox loci, and can even serve as a source of regulatory peptides that switch cellular energetic metabolism. Moreover, these molecules can be considered as a force that consolidates the cluster into a single whole. We will discuss the examples of antisense transcription of Hox genes in well-studied systems (cell cultures, morphogenesis of vertebrates) and bear upon some interesting examples of antisense Hox RNAs in non-model Protostomia.
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Dickson, Caroline, and Kate Sanders. "We are creative – are you?" International Practice Development Journal 11, no. 1 (May 19, 2021): 1–2. http://dx.doi.org/10.19043/ipdj.111.001.
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When thinking about this editorial, we knew we wanted to say something about creativity. Working creatively is a valuable means of accessing embodied knowledge and new insights about ourselves, our practice and our workplace cultures that can be used to inform development and transformation. However, being new to writing editorials, we first decided to have a look back through the journal’s editorial archives and seek the wisdom of previous authors. In doing so, it was interesting to see that our first Academic Editor, Professor Jan Dewing, had written an editorial about being creative back in May 2012; we encourage you to have a look. Jan began: ‘Yet again I recently heard someone saying they weren’t a creative person... ’and this is something we both experience when working with others. Is this because the word creativity is perceived to refer to the arts – for example, crafting, painting, movement and music – rather than a broader understanding, as suggested by the dictionary definition below: ‘The ability to transcend traditional ideas, rules, patterns, relationships, or the like, and to create meaningful new ideas, forms, methods, interpretations, etc.; originality, progressiveness, or imagination ’(dictionary.com). Taking this more expansive perspective opens up the possibility for us all to perceive ourselves as inherently creative. It could be argued that this creativity has come to the fore as we have adapted to new ways of living and working during the Covid-19 pandemic. While this crisis has brought huge uncertainty and challenge right across the complex mix of health and social care services, what has been remarkable is the ability people have shown to change their ways of working, to seek solutions – and to do so at pace. We believe this reflects the creative nature of human beings/persons. Oliver (2009) argues that creativity is everywhere, as humans and the world are constantly engaged in a process of making. He contends that we should view creativity as ‘openness’, which is person-oriented (Massey and Munt, 2009). In this way, we create the possibility for participatory exploration of the social, cultural and embodied context, and for improvisation and transformation, by engaging in people’s ‘interests, curiosities and passions ’(Massey and Munt, 2009, p 305).
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Modleski, Tania. "Omissão histórica e repressão psíquica em Boogie Nights de Paul Thomas Anderson." Matrizes 10, no. 2 (August 31, 2016): 25. http://dx.doi.org/10.11606/issn.1982-8160.v10i2p25-44.
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Exquisitely filmed in Altmanesque style and drawing on scenes from the films of Martin Scorsese and Quentin Tarantino, Boogie Nights continues to this day to be proclaimed an ultra hip and daring look at the so-called Golden Age of pornography set of the 1970s. In this essay I attempt to document what this film leaves out of the historical record, and to show how historical suppression dovetails with psychic repression. Instead of history we are presented with melodrama. Instead of a historical document, Boogie Nights gives us, again, Oedipus. Like most elegies, the negative or undesirable aspects of the subject are minimized or omitted, although they come back to haunt the text.
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Cook, Michael, and Simon Colton. "From Mechanics to Meaning and Back Again: Exploring Techniques for the Contextualisation of Code." Proceedings of the AAAI Conference on Artificial Intelligence and Interactive Digital Entertainment 9, no. 2 (June 30, 2021): 2–6. http://dx.doi.org/10.1609/aiide.v9i2.12584.
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Code generation is a promising new area for the automatic production of mechanics and systems in games. Generated code alone is not sufficient for inclusion in a rich, fully-designed game, however - it lacks context to bind the functionality of code to the metaphorical setting of the game. In this paper we explore potential solutions to this problem, both in terms of creative systems which co-operate with human content, and the possibility for contextual meaning in autonomous, human-free creative systems as well.
Dissertations / Theses on the topic "Will we come back again"
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Lavaniegos, Sandra. "We love you, but don't come back." Thesis, Konstfack, Grafisk design & illustration, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:konstfack:diva-6987.
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Munck, Eva-Maria. "What would we come back to? : Decision-making about return and repatriation by Burmese migrants and refugees in Northern Thailand." Thesis, Uppsala universitet, Teologiska institutionen, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-360069.
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This research focuses on the special considerations and reasons for Burmese migrants and refugees from Burma living in Mae Sot, Tak province, Northern Thailand to stay in Thailand or return to Burma/Myanmar. The researcher has more than three-years of experience of living and working in Northern Thailand. During the thesis process, the researcher lived and worked in Mae Sot. A multi-method approach was applied to compile the experiences, knowledge, opinions and feelings of migrants and refugees from Burma. The research presented in this thesis shows that, even though the push factors from leading a life in Thailand are increasing in terms of obtaining legal documents, the pull factors towards return or repatriation to Burma remain few for refugees and migrants. In terms of the labour situation, migrants can earn more money and get more value for their money in Thailand. In addition, access to affordable education and health care is much greater in Thailand than in Burma, mostly due to initiatives by international non-governmental actors. In Burma, poverty continues to be an endemic challenge: there are difficulties for families to sustain their livelihoods and obtain access to quality healthcare and education. The findings from the research explain that migrants from Burma, many of which represent a marginalized minority in terms of ethnicity and religion, do not consider a future in Burma for themselves or their families if not forced to leave Thailand. In particular, the Myanmar Muslim subpopulation and those with lower education possess experiences or have perceived discrimination of a potential future in Burma, largely related to issues with identification documents and registration. In addition, lack of land ownership remains a large obstacle for migrant workers and refugees in the consideration of where to live and work in the future.
Books on the topic "Will we come back again"
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Mahapatra, Manorama. They'll come back as clouds again. Calcutta: P. Lal, 1992.
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Mahāpātra, Manoramā Biśvāḷa. They'll come back as clouds again. Calcutta: Writers Workshop, 1992.
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Brandeis, Dana Rosenthal. Navo la-ḳaḥat otakh: We will come back for you. Tel Aviv: Kerikhah, 2020.
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Farquhar, Carolyn R. Middle managers are back: How companies have come to value their middle managers again. Ottawa: Conference Board of Canada, 1998.
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Dawes, Stephen B. Come back, Moses, we need you: Some jottings on twelve Psalms, Isaiah 1-12 [and] Exodus 34:5-7. Truro: Southleigh, 1998.
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Friedman, Thomas L. That used to be us: How America fell behind in the world it invented and how we can come back. New York: Farrar, Straus and Giroux, 2011.
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Friedman, Thomas L. That used to be us: How America fell behind in the world it invented and how we can come back. Detroit: Large Print Press/Gale,Cengage Learning, 2012.
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Friedman, Thomas L. That used to be us: How America fell behind in the world it invented and how we can come back. Waterville, Me: Thorndike Press, 2011.
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Set up moment. siyasetci2010, 2010.
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Sulser, Anita. We Come Back. Independently Published, 2017.
Find full textBook chapters on the topic "Will we come back again"
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Goss, W. M., Claire Hooker, and Ronald D. Ekers. "Overseas Again: Jodrell Bank and IAU, August 1955." In Historical & Cultural Astronomy, 393–406. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-07916-0_26.
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AbstractThe Pawseys had been hopeful of spending much of 1955 in the USA and Canada. But late in 1954 Lenore’s ill health threatened that plan. Greenstein wrote on 12 January 1955: “I hope your projected visit to the [US in 1955] will come off; and that we will see you.”
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Patten, H. "Come back again." In Reading Religion and Spirituality in Jamaican Reggae Dancehall Dance, 73–97. London: Routledge, 2022. http://dx.doi.org/10.4324/9781003083887-4.
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Chow, Yiu Fai, Jeroen de Kloet, and Leonie Schmidt. "Forbidden Love, Forgetting Gender." In Contemporary East Asian Visual Cultures, Societies and Politics, 109–36. Singapore: Springer Nature Singapore, 2024. http://dx.doi.org/10.1007/978-981-99-6710-0_4.
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AbstractSince their inception, Tat Ming Pair has been famous, or in some circles, notorious, for their gender and sexuality politics. It is of an advantage that when spoken, the Chinese language makes no distinction between “he” or “she,” thus allowing for more gender ambivalence. This ambivalence extents to sexuality; in their campy, extravagant performances, the duo exudes a queer aesthetics, without ever coming out as such—what Helen Leung calls Hong Kong’s “queer undercurrent” (2008). But then, as an unexpected blast that cracks open the undercurrents of queer invisibility and unrepresentability, reality overtook theory, and surprised and challenged it, in the year 2012. The coming out of Anthony Wong during a Tat Ming Pair live performance marked the turning point. This act was soon followed by similar acts of coming out of other pop stars. Chapter 4 investigates the articulation between sexuality and popular music, in particular Tat Ming, in the context of Hong Kong and mainland China. In doing so, we will trace the emergence of a Chinese movement to find indigenous ways of understanding sexual diversity. Interwoven with such resistance against dominant Western theories and practices, particularly the politics of visibility, is a local cultivation of ambivalence and invisibility, itself a complex manifestation of the ongoing interaction between queer identity and Hong Kong identity. Reflecting upon the events in 2012, we will come back to—and try to make sense of—the disruptive surprise of public figures coming out, apparently in accordance with Western models and in contrast to earlier local sexual politics of ambivalence and invisibility. However, as we will finally show, in the years following 2012, the potentiality of this disruptive surprise has shifted and has been, sadly, pushed back. First, by national policies against effeminate masculinities and sexuality- and gender-related activism at large. Second, by increasingly strict policies towards NGOs and social movements. Paradoxically, and again sadly, the political activities of Anthony Wong in and after the Umbrella Movement may have further jeopardised the potentialities of queer politics. Ironically, these political developments may well inspire a strategic move back towards a politics of invisibility and ambivalence.
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Modisane, Litheko. "From Africa to America, and Back Again: Come Back, Africa (1959)." In South Africa’s Renegade Reels, 25–69. New York: Palgrave Macmillan US, 2013. http://dx.doi.org/10.1057/9781137027030_2.
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Okazaki, Shintaro, Ángeles Navarro, and Sara Campo. "Will They Come Back Again? Assessing the Effectiveness of QR Code Campaign." In Advances in Advertising Research (Vol. III), 209–17. Wiesbaden: Gabler Verlag, 2012. http://dx.doi.org/10.1007/978-3-8349-4291-3_16.
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Dahan Katz, Leora. "Private, Public, and Punitive Blame." In From Morality to Law and Back Again, 109—C7N54. Oxford University PressOxford, 2023. http://dx.doi.org/10.1093/oso/9780198860594.003.0007.
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Abstract This chapter addresses a broad trend in the literature on blame, taken up in John Gardner’s later work, which suggests that if blame is to be endorsed it must be safely divorced from punishment, its brutal brother-in-arms. The chapter examines Gardner’s particular defence of blame and blaming, and its accompanying rejection of reproach and punishment. It suggests that the position Gardner motions towards—in defence of private, attitudinal blame and in opposition to public blame—is an unstable one. It proposes that we can nonetheless make sense of Gardner’s attraction to the suggested view if we recognize the essentially punitive nature of public blame despite efforts in the literature to deny this. The chapter argues, however, that accepting the punitivity of blame does not mean we should come out against public blame, as intimated by Gardner. Rather, attending to the excesses and pathologies of public blame, we can proceed with the necessary caution with respect to blaming practices while defending not only the significance of private blame, but that of public blame as well. The chapter suggests that Gardner would thus have done well to push his reconsidered position even further, in defence not only of private blame, but of public blame as well.
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Ehrenfeld, David. "The Overmanaged Society." In Beginning Again, 49–64. Oxford University PressNew York, NY, 1993. http://dx.doi.org/10.1093/oso/9780195078121.003.0006.
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Abstract We shall have to refer it right and left; and when we refer it anywhere, then you’ll have to look it up. When it comes back to us at any time, then you had better look us up. When it sticks anywhere, you’ll have to try to give it a jog Try the thing and see how you like it. It will be in your power to give it up at any time if you don’t like it. You had better take a lot of forms away with you. Give him a lot of forms! There is an extraordinary proliferation of managers in our society, an ever-increasing percentage of people who control events but do not themselves produce anything real or useful. The problem of the growth of management and its influence penetrates nearly every area of modem life. Yet after decades of pervasive overmanagement, comparatively few people understand it as a widespread destructive force.
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Bartlett, Howard. "Kindergarten, Again." In Learning Together. Oxford University Press, 2001. http://dx.doi.org/10.1093/oso/9780195097535.003.0026.
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Just because I was going back to kindergarten at the age of 42 was no reason to be nervous. After all, I had breezed through kindergarten 37 years earlier, or so my mother assured me with a warm smile as she leaned in the bathroom doorway watching me shave. “So you’re going co-oping,” my mother said. I stopped my razor at the end of its dull and somewhat painful passage up the length of my neck. I replied with a tentative yes. “What does a co-oper do?” My newly widowed mother had moved out of New England during the summer to help with the raising of our son, Bartie. She was a Yankee down to the depths of her crusty soul, suspicious, sure of what she knew, forever ready to take on the world with a mixture of honesty and determination that left little room for doubt that she would do her best to stick around forever to ensure that her own would have a safe passage through the world. “Co-opers help out in the classroom,” I replied, rinsing my razor under a brief stream of water. I knew that my reply was too short. My mother already should have known. My wife, Leslee, had been teaching in the OC for 10 years. I had written many letters home explaining the philosophy of placing the child at the center of the learning experience. “Help out? How do you help out?” Mother shifted restlessly in the doorway. I knew her well. She was concerned that this unusual school might not be good enough for her grandson. Questions she already knew the answers to were her own way of being nervous. Like all the first-time parents, she was letting a piece of herself go that morning. A school with no desks, no grades: How could she be sure that her grandson would get the basics? The idea of communication and understanding before competition sounds good. Childhood is a journey, not a race. That sounded good, too. But still... “We come up with learning centers or activities, or we help students problem solve when there is a dispute. Or we might go through stories children have just written and help them ‘book spell’ the words they spelled their own way.
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Greasley, Kate. "Rape Trauma and Rape’s Wrongness." In From Morality to Law and Back Again, 172—C11N47. Oxford University PressOxford, 2023. http://dx.doi.org/10.1093/oso/9780198860594.003.0011.
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Abstract In a widely discussed article co-authored with Stephen Shute, John Gardner offered a persuasive argument to the effect that the core wrongness of rape is not, as it seems, a function of the harmfulness of rape, but of something else: the rapist’s sheer sexual use of the victim, which is potentially harmless. In subsequent writing, partly in response to criticisms, Gardner sought to restate and clarify his view about the role of rape trauma in rape’s wrongness. A guiding thought in both his earlier and his later work is that the reasonableness of distress and anguish as a response to rape suggests that those reactions respond to and evaluate a prior, harm-independent wrong, thus revealed as the more basic wrong of rape. More strongly, he argued, we must agree that rape trauma is only epiphenomenal to, or derivative of, rape’s basic wrongness, if we are to affirm the rationality of rape victims. In this reappraisal, I focus most attention on this intriguing argument. Drawing on a comparison with the wrong of emotional abuse, I interrogate this argument about reasonable reactions and consider how to soften the choice it presents between affirming the rationality of rape victims and allowing some role for rape trauma in grounding the distinctive wrongness of rape.
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Casey, Steven. "Planning Germany’s Future JUNE I 944 TO APRIL I 945." In Cautious Crusade, 162–210. Oxford University PressNew York, NY, 2001. http://dx.doi.org/10.1093/oso/9780195139600.003.0006.
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Abstract On June 6, 1944, as Allied troops poured onto the Normandy beaches to open the eagerly awaited second front,Franklin Roosevelt led the nation in prayer. “Our sons ... this day have set upon a mighty endeavor,” the president began in his calm, measured, patrician voice, “a struggle to preserve our republic, our religion, and our civilization, and to set free a suffering humanity.” “Their road will be long and hard,” he continued. “For the enemy is strong. He may hurl back our forces. Success may not come with rushing speed, but we shall return again and again; and we know that by Thy grace, and by the righteousness of our cause, our sons will triumph.”‘
Conference papers on the topic "Will we come back again"
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Fujime, Hiroyuki, Shinji Abe, Kazuya Yamaji, Daisuke Sato, and Hideki Matsumoto. "Evaluation Technique With MCNP for Temperature Dependent Problems." In 18th International Conference on Nuclear Engineering. ASMEDC, 2010. http://dx.doi.org/10.1115/icone18-29252.
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Monte Carlo calculation has come to be used as reference solutions instead of experiments in nuclear design code validation and verification (V&V), although comparisons with measurements are still indispensable for V&V in nuclear design. MCNP [1] is one of the most famous Monte Carlo codes widely used in the world. Many reference results are given for the analyses of critical experiments. When using the use MCNP calculations for validations of commercial design codes, we will face to a problem of lacking temperature dependent cross-sections. The cross-sections can be generated by the NJOY code [2]. However, if the model has complex temperature distribution, many NJOY calculations are necessary. Besides, if the temperature profile changes with fuel power and so on, many NJOY calculations have to be performed again and again. These back and forth procedures make us give up using MCNP for commercial LWR calculations. In order to solve this problem, we propose an easy approximation to solve the temperature problems using MCNP. Note that our technique does not require any code modifications.
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Henter, Ramona. "LIFE-LONG LEARNING BASED ON SELF IMPROVEMENT BLOGS." In eLSE 2014. Editura Universitatii Nationale de Aparare "Carol I", 2014. http://dx.doi.org/10.12753/2066-026x-14-176.
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As life-long learning has become a reality of our lives, people try to find new ways of learning, without any major interference in their everyday life. Also, nowadays people explore new ways of training, from self-teaching to MOOCs, as a modern alternative for the classical library. As it is much easier to publish a manuscript on-line, thus being reduced the difficulties of working with a publishing house, there is a new wave of authors whose books you can order only as an e-book or, even easier, as a pdf document. They attract much of their clients with blogs where from sometimes you can download these books for free. Also, some send free newsletters on certain topics, related to those referred to in larger volumes. Although some may regard these products as unreliable, their public is larger than one would consider at a first glance. We tried to identify some of such authors and their blogs and electronic books in order to analyze them, establish their main topics and the public they write for. We tried to find out their background, as a foundation for what they offer in the virtual learning area. We also investigated internet users' opinion about the most visited blogs and the products offered by their owners. Another key point was the age of those interested in improving certain aspects of their personal or professional lives by using blogs or other on-line materials. The paper ends with a discussion about what makes a blog more attractive and more appealing and its readers to come back again and again to it.
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Huang, Liming, Bin Liu, Wenchao Hu, and Jing Tu. "The Neutronic Transmutation Characteristics of Tc-99 in PWR." In 2013 21st International Conference on Nuclear Engineering. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/icone21-15301.
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We conducted a systematic study on neutronic characteristics of Tc-99 transmutation in pressurized water reactor (PWR) in this paper. We divided the core into three zones. The U-235 enrichment is 1.8%, 2.4% and 3.1% respectively. The loading patterns of Tc-99 include homogeneous loading and heterogeneous loading. In the homogeneous pattern, the mass fraction of Tc-99 raises from 0 to 2% stepped by 0.25%. The calculation result shows that the keff of the core decreases significantly when the Tc-99 mass fraction reaches 2%. In the practical situation, the Tc-99 mass should not exceed 2% in a homogeneous pattern. We choose the Tc-99 coating of fuel pellet as the transmutation rod form in the heterogeneous pattern, which can reduce the self-shielding effects. There are 44 transmutation rods per assembly, replacing part of fuel rods directly. We evaluate the effect of the arrangement of transmutation rods on the characteristic values such as keff and neutron spectrum of the core. In both homogeneous and heterogeneous patterns, the assembly flux near the outer edge of the core has an increasing trend. Our further study shows that much more epithermal neutrons and fast neutrons enter the reflecting layer and bounce back to the core again after moderation and reflection.
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"Factors Affecting Decision Making Come Back to Use the Service Again Shabushi Shop, Sukhaphiban 3." In Summer 2024 International Conferences ProceedingsBack BHSSE-24, BBEMS-24, ASET-24, ACBEMS-24 & AHS2-24. Higher Education and Innovation Group, 2024. http://dx.doi.org/10.17758/heaig16.ed0524414.
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Beighton, Christian, and Alison Blackman. "Pedagogies of Academic Writing in Teacher Education: from Epistemology to Practice and back again." In Third International Conference on Higher Education Advances. Valencia: Universitat Politècnica València, 2017. http://dx.doi.org/10.4995/head17.2017.5082.
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TThis paper discusses barriers to the development of academic writing, in the area of teacher education in UK higher education . We first situate these issues in a higher education context increasingly defined by new technologies and diverse cohorts of higher education students. Drawing on empirical data obtained from interviews with both students and teachers (N=21), we then critically examine a range of perspectives on the definition, role and function of academic literacy in this contemporary context. Findings include useful insights into the development of writing skills and teacher identity, but they also reveal fundamental differences in the epistemological presuppositions of those teaching academic writing. These accounts are reflected in significant differences in pedagogy, and raise important questions for practice which, although potentially irresolvable, may help to explain some of the difficulties which emerge when trying to teach academic writing. Such fundamental issues, we argue, need to be at least recognized if teachers hope to develop the writing capacity of trainee teachers in an academic context.
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Nomeer, Mohamed. "Intelligent Energy Platform." In International Petroleum Technology Conference. IPTC, 2021. http://dx.doi.org/10.2523/iptc-21252-ms.
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Abstract Turning an organization to an effective data driven decision making is vital factor to have and achieve digital transformation journey smoothly and successfully in the Energy sector, in which the energy industry has been trying to achieve the complete cycle Listen, Understand, effect and Decide rightly and quickly across the whole value chain such as HR, Finance, legal and contracts, operations, etc. since several decades where the software solutions were not in the priority list of the industry special the operations for many reasons, which created a serious of concequences which the industry is suffering from now such as listening carefully to the operations, understand the exact needs no matter how much we might save even if it’s 1 USD or 1 minute but do it correctly first time will save hours and millions later, silos in the organizations, distracted technologies not integrated, limitation of the technologies capabilities, people skills and compenetencies and the expectation the has been always set wrongly didn't support the industry to have organization reliance, security, safety, service quality and loyalty and reduce time and cost. With the current unprecedented crisis which are the COVID-19 and the massive oil crisis bundled together have created disturbance across the whole Energy industry which impacted the whole value chain not only for the Energy industry not the rest of the industries dramatically. The Panademic affect the whole key processes that the people used to for the last several decades, but the most important thing is change management process or manage to change process approach which is completely changed and from my opinion since years came true. Having the disruptive technologies will support the whole industry to come back much stronger than before as proven in other industries such as Aerospace and Defense, Telecome, Automative, Banking etc. The Intelligent Energy Platform focus on achieving what they couldn't achieve in the last decades through unique a approach towards the whole complete cycle Listen, Understand, effect and Decide, through developing and design a subway map for the whole workflows across the whole industry value chain integrating all the data sources together, by studying and remapping the whole processes, answering key four questions for each process, activity and tasks who, where, what and why, empowered machine learning with algorithms that will achieve the automation through digitizing and standardizing over a cognitive environment. There are several key pillars to get the digital transformation journey successfully and smoothly happening from my experience in the field operations, engineering, business, marketing and sales; Know and be clear on the end goal, which the Intelligent Energy Platform will include; select the right team from all the key stakholders, felexible and adoptable to change during the journey, tackle the exact needs for every process, activity and tasks, the power to change and update the solution at any given time, strong learning system, etc. In addition there are complimentary and network tool which is empowering the Intelligent Energy Platform that will expedite and support the journey massively, which is an advanced Infinity unique communication tool which is empower by all disruptive technology that will allow as an example all field engineers and management to be in one free Infinity business communication ' chatting' constructive and organize powered by disruptive solution where an example the engineer in a field and the operations has stopped for spare parts, equipment, machine, tool, etc. so he/she will send a normal message over our Infinity chatting app through the mobile or tablet and automatically this app will do a quick research in the back system, and display where it's available if it's within the country in another field, company, workshop, hence the engineer will click on the intended target, then automatically will go to the right approvals to approve on fly though the mobile or tablet, this will impact the performance of the operations massively and drop the non-productive time heavily by 20-30% and generate new business revenue in which few companies who are not utilizing all there equipment can rent to other sister companies and get revenue out of instead of just being in the workshop without any useful usage or productivity, it won’t stop by that only but will go to the contracts, legal, HR, etc. After implementing the solution and look to our demand graph, this free, perfect and instant unique communication app will allow the company immediately to see huge improvement on organization resilience which will reduce the time taken for any such request mentioned above from months to few days, organization will be more efficient, reduce cost by millions and millions meanwhile generate new business revenue by millions a well, enhance service customers loyalty and experience, improve decision making process, safety and security. this will impact directly the consumer surplus where the consumers who will be in this case the engineers will be willing to pay the gap based on the market preference and also avoiding the dead loss where the company will be financially and operationally more efficient. Not only that also transforming on people how they are communication through exchanging quickly photos expressing what they want to say, getting the attention quickly, make things faster in terms of decision that need to be taken through friends, families, and sometimes business as well with limitation. Digital is the only recourse and last hope for this industry to get out of its repeated pitfalls in the last decade and Intelligent Energy Platform will allow the industry and the whole value chain to be effectively integrated, tackle all the needs and requirements through Listen, understand, effect and decide to achieve a significant results, generate new jobs and roles and also will allow the industry to upturn again quickly and be able to face the upcoming expected and unexpected crisis. It's clear that the big players in the Energy industry are struggling because of several reasons but the most important factor is the digital path and develop digital solutions and one of the main issues is setting the right expectation which is related to the organizations, expectation and the experience across the whole ecosystem such operators, partners, vendors, etc. our Intelligent Energy Platform is focus on introducing an end-to-end platform solution focus on organization resilience, integrated technology, and completely agile complement by free, profit and instant app such as an infinity unique secured communication app, sharing experience business app, that focus on getting more and more networks to attract thousands and thousands of users and regain the trust and loyalty again in the industry. The unique secured communication app within the Intelligent Energy Platform which is n-sided with the engineers, service companies, management and business team will be zero-price quite close to the YouTube approach in terms of pricing strategy where it will be connecting n-sided with zero price and when it will expand it might be with negative price as well in which will allow 2/ 3 sided and even more to attract more users within the industries and enhance the service loyalty and quality, achieve one of the complex objective organization reliance, optimize performance, decision making and turn to data drive organization successfully and smoothly. Developing the Intelligent energy platform will allow our team to lead the platform approach in the Energy industry differently through free, profit and instant approach which will attract huge number of users who are looking for opportunities to gain the trust, loyalty again and feel secured. this will upturn the companies not only to find their ways throught the right approach but creating and developing new jobs and roles across the whole industry accompaniment significant contribution to the market revenue and profit.
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Bellotti Lyft, Victoria. "From Meconomy to Weconomy and Back Again: Why the Sharing Economy Ultimately Just Merged with the Mainstream Economy." In XVII Simpósio Brasileiro de Fatores Humanos em Sistemas Computacionais. Sociedade Brasileira de Computação (SBC), 2018. http://dx.doi.org/10.5753/ihc.2018.4167.
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Human economic behavior arises from primal instincts for survival and, despite our higher aspirations, it seems we just can't escape this fact. History shows that ideologically inspired experiments in egalitarian economic systems have always stalled or utterly failed. Nevertheless, after the financial market crash of 2008, many tech entrepreneurs were bewitched with the captivating and viral idea that technology could eradicate the barriers between individuals who wanted to share the resources they had. This led to the sudden much-hyped explosion of so-called "sharing economy" marketplace start-ups around 2010. However, research that I led showed that idealistic entrepreneurs misunderstood or forgot the basics of human economic behavior and my team's findings predicted the demise of all but the companies that were able to compete on classical economic terms (better value for money). I joined one such company, Lyft, because I shared the founders' vision for more sustainable transportation. Nevertheless, Lyft and the other rideshare and disruptive transportation companies must all compete fiercely to survive. It's a challenging road ahead, with many obstacles to overcome, but the destination is one I remain deeply committed to; I am still an idealist at heart!
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Chatterjee, Sayan, Ching Louis Liu, Gareth Rowland, and Tim Hogarth. "The Impact of AI Tool on Engineering at ANZ Bank an Empirical Study on GitHub Copilot within Corporate Environment." In 10th International Conference on Software Engineering. Academy & Industry Research Collaboration Center, 2024. http://dx.doi.org/10.5121/csit.2024.140702.
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The increasing popularity of AI, particularly Large Language Models (LLMs), has significantly impacted various domains, including Software Engineering. This study explores the integration of AI tools in software engineering practices within a large organization. We focus on ANZ Bank, which employs over 5000 engineers covering all aspects of the software development life cycle. This paper details an experiment conducted using GitHub Copilot, a notable AI tool, within a controlled environment to evaluate its effectiveness in real-world engineering tasks. Additionally, this paper shares initial findings on the productivity improvements observed after GitHub Copilot was adopted on a large scale, with about 1000 engineers using it. ANZ Bank's six-week experiment with GitHub Copilot included two weeks of preparation and four weeks ofactive testing. The study evaluated participant sentiment and the tool's impact on productivity, code quality, and security. Initially, participants used GitHub Copilot for proposed use-cases, with their feedback gathered through regular surveys. In the second phase, they were divided into Control andCopilot groups, each tackling the same Python challenges, and their experiences were again surveyed. Results showed a notable boost in productivity and code quality with GitHub Copilot, though its impact on code security remained inconclusive. Participant responses were overall positive, confirming GitHub Copilot's effectiveness in large-scale software engineering environments. Early data from 1000 engineers also indicated a significant increase in productivity and job satisfaction.
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Eman, Katja, Damir Ivančič, and Dejan Bagari. "Nezakoniti prehodi državne meje na območju Policijske uprave Murska Sobota." In Varnost v ruralnih in urbanih okoljih: konferenčni zbornik. Univerzitetna založba Univerze v Mariboru, 2020. http://dx.doi.org/10.18690/978-961-286-404-0.3.
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t Slovenia is again facing security challenges due to illegal migration in 2019 and 2020. The police are usually the first that come into contact with illegal migrants, so they are doing vital work to ensure internal stability and security in the country. This paper analysed statistical data on illegal border crossings in the Police Directorate Murska Sobota area in 2010–2020. We mapped them on the Pomurje region map and identified hotspots that are interesting for migrants, mainly due to the ease of crossing the green border. In addition to enhanced state border control and protection, police chiefs must solve staff shortages and carry out all (lengthy) procedures related to foreigners' treatment. To successfully respond to the raised issue, we also propose the increased use of modern night-vision devices. Local police should not forget about rural communities' residents and their problems due to illegal migration.
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Young, W. C., and L. Curtis. "Single-Mode Fiber Switch with Simultaneous Loop-Back Feature." In Photonic Switching. Washington, D.C.: Optica Publishing Group, 1987. http://dx.doi.org/10.1364/phs.1987.thc3.
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As applications for lightwave systems expand, new challenges for photonic switches are constantly evolving and some of these challenges can be satisfied by moving-fiber type switches. In the case of optical fiber networks having many regenerative nodes, it is necessary to bypass those nodes that are not in use and to ensure that in-operative nodes are not permitted to enter the network and cause a total network failure.1 In this paper, we report on a moving-fiber-array switch that provides these important switching functions in evolving single-mode fiber (SMF) networks. In particular, the switch is designed to provide the bypass function through only one SMF butt-joint; therefore, it exhibits very low insertion loss and permits networks to be designed that have a large number of off-line nodes for a large percentage of the time. A second feature of this switch is that while in the bypass position the switch establishes an optical loop-back circuit, for the regenerative node (a receiver/transmitter combination), permitting self-testing of the node. If the self-test is negative, due to an in-operative node, then the switching function (switching to the on-line position) can be blocked thereby avoiding a total network failure. In the event a node failure occurs after switching, the actuator is de-energized and the switch returns to the normal position (bypass position). In the on-line position the optical path through the switch uses low loss single-mode fiber to multimode fiber (SMF/MMF) "photon-bucket" type joints between the line input and the node’s receiver, and again only one SMF/SMF joint between the node’s transmitting SMF and the network’s SMF. Solenoid actuation is used for achieving the on-line position and a compression spring is used to return and hold the switch in the bypass position.
Reports on the topic "Will we come back again"
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Josefien Breedvelt, Josefien Breedvelt. What can we do to prevent depression from coming back again? Experiment, January 2017. http://dx.doi.org/10.18258/8878.
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Lees, Adrienne, and Doris Akol. There and Back Again: The Making of Uganda’s Mobile Money Tax. Institute of Development Studies (IDS), July 2021. http://dx.doi.org/10.19088/ictd.2021.012.
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This paper evaluates the appropriateness of the tax policymaking process that led to the introduction, and the later adaptation, of a tax on mobile money transactions in Uganda in 2018. We examine the unusual source of the proposal, how this particular tax diverged from the usual tax policymaking process, and whether certain key stakeholders were excluded. We argue that weaknesses in the tax policymaking process undermined the quality of policy design, and resulted in a period of costly, and avoidable, policy adjustment. This case study is relevant for Uganda as well as for other low-income countries which could be exposed to similar challenges in designing effective taxes for the mobile money industry.
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Bernad, Ludovic, Yves Nsengiyumva, Benjamin Byinshi, Naphtal Hakizimana, and Fabrizio Santoro. Digital Merchant Payments as a Medium of Tax Compliance. Institute of Development Studies, March 2023. http://dx.doi.org/10.19088/ictd.2023.011.
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Consumers in Africa increasingly pay for their purchases through mobile money, especially since the pandemic. These transactions are known as digital merchant payments. Rwandan consumers can choose between using standard mobile money services or a specific service only for digital merchant payments – MoMo Pay. Digital payments of any kind have the potential to improve tax compliance, because they imply digital data trails and better record keeping. How far is this potential being realised in Rwanda? In collaboration with the Rwanda Revenue Authority, we collected survey data from 1,100 merchants country-wide and were able to correlate this with tax administrative data, i.e. the tax records of the interviewees held by the revenue authority. We also conducted focus group discussions with 15 merchants. We found that the great majority of payments are still made in cash. Larger, more knowledgeable and financially included merchants opt for MoMo Pay as opposed to standard mobile money, the latter being preferred by female and less educated and equipped merchants. At the start of the pandemic, in March 2020, for a period of 18 months, all fees on MoMo Pay transactions were waived to foster digital payments through the service. In September 2021, fees were then reintroduced. The waiver led to a significant rise in the use of MoMo Pay relative to cash. When the MoMo Pay fee was reintroduced, there was a significant shift back to cash from both MoMo Pay and standard mobile money services, even if the latter were not affected by the fee. Lastly, we measure whether the adoption of digital payments correlates with merchants’ tax perceptions and compliance behaviour. First, we show that merchants using MoMo Pay tend to disagree with the obligation of paying taxes in order to receive public services, a measure of fiscal reciprocity. Such negative correlation is probably due to the fee imposed on MoMo Pay. Furthermore, standard mobile money usage improves the perceived ease of complying with taxes, while that is not the case for MoMo Pay. Again, the fact that fees on MoMo Pay are not clearly identifiable in MoMo Pay statements complicates merchants’ reporting and reconciliation of their activity for tax purposes. When it comes to compliance behaviour with VAT, the adoption of digital payments by merchants only improves their reported VAT sales and inputs, and only in the short term, while final VAT liability does not change. This hints at perverse compensating strategies to avoid taxes. We recommend that the tax administration better understand the adoption patterns of digital payments and incentivise usage among less equipped categories of taxpayers. The tax administration would also benefit from getting access to mobile money data to better monitor and enforce merchants’ compliance.
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Knaepen, Hanne. Looking back at the 5th European Climate Change Adaptation Conference (ECCA 2021). European Centre for Development Policy Management, January 2022. http://dx.doi.org/10.55317/casc019.
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The European Climate Change Adaptation (ECCA) Conference, organised bi-annually since 2013, offers a platform to exchange knowledge on climate adaptation strategies and policies between scientists, policy-makers and practitioners. The aim is to drive innovation and come forward with actionable solutions. The theme of the 5th ECCA edition in 2021 was ‘Bringing adaptation solutions to life: inspiring climate adaptation action for a resilient future’. Four overarching messages were a common thread throughout the conference: (1) We need to leave behind ‘business-as-usual’ and focus on change in time of increasing risks; (2) Cooperation across and between various governance scales is a key enabler; (3) Empowering people and communities through a bottom-up approach and ensuring inclusivity is crucial for a just transition; and, (4) Science and policy should make uncertainty manageable, by taking a long-term approach and balance trade-offs across development objectives. Climate adaptation is a global goal, going beyond Europe. Therefore, the EU Green Deal, and related policies like the EU Adaptation Strategy, have important international dimensions. The EU can help partner countries to adapt to negative climate impacts in three ways, by (1) taking a collaborative approach to adaptation and integrating climate risk management measures into its wider group of policies; (2) raising the financing bar to support adaptation in Africa’s most vulnerable countries and communities; (3) rebuilding trust with Africa via climate diplomacy to advance the adaptation agenda.
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Kelsey, Tom. When Missions Fail: Lessons in ‘High Technology’ From Post-War Britain. Blavatnik School of Government, December 2023. http://dx.doi.org/10.35489/bsg-wp_2023/056.
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The idea that national security and economic prosperity stem from being at the technological frontier (‘techno-nationalism’) is once again a dominant feature of global politics. The post-war United States has emerged as the key model in these discussions, with the ‘moonshot’ seen as an outstanding example of how to direct state resources towards technological breakthroughs, while the capacity of the American government is praised more generally for its ability to sponsor ground-breaking technology. This paper, however, suggests that the United States was the exception, not the rule, and that the failures of post-war Britain highlight the limitations of ‘techno-nationalism’ with vivid clarity. During the 1950s and 1960s, the British state took long-term bets on securing a leading role in the world’s technological future, specifically in the areas of supersonic flight via Concorde and nuclear power generation. The result, however, was not export glory but industrial calamity. These long-running programmes were eventually cut back in the 1970s, when it became accepted in Whitehall that Britain should no longer try to be the Science and Tech Superpower, attempting to leapfrog the United States to technological glory. Understanding this trajectory in Britain dislodges the sense that focusing on emerging technology and the long term is a silver bullet in policymaking. We must appreciate that the realities of technological power matter, and grasp that the post-war US was an unrepresentative case: no country today will have the relative level of industrial and technological might that it enjoyed at that time. While my arguments will resonate in other national contexts, my focus is on ensuring that any strategy for ‘high technology’ in the UK today continues to learn the lessons from the errors of the post-war period. It must be wary of expert capture within the state. It must also think about industrial strategy in an integrated way, across national security, economics, and foreign policy, with a policymaking machinery set up to deal with this level of complexity. Moreover, despite the attention afforded to national state funding, the UK should continue to see forging alliances as essential alongside working with international business and be clear-eyed about where it does and does not need to sustain national capabilities.
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McLure, Hamish, Samantha Shinde, Nancy Redfern, Jane Marshall, Zaid Al Najjar, Steve Bree, Paula Keats, Smita Oswal, Victoria McCormack, and Blandina Blackburn. Return to work. Association of Anaesthetists, 2024. http://dx.doi.org/10.21466/g.rtw.2024.
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Work is important. For most, it provides a host of positive emotions as well as the opportunity for social contact and the financial support that enables us to enrich our lives in other ways. If we can no longer work due to ill health, requirement to look after a loved one or following capability or conduct proceedings, the personal impact can be devastating. Even when taking time out of the workplace for positive life enhancing reasons, such as having a baby or a career break to pursue another interest, there can still be a negative impact on knowledge, skills, self-esteem, confidence and finances. An absence of 3 months or more is likely to significantly affect skills and knowledge, and an absence of 2 years or more is generally accepted as a period when formal retraining will be required. Returning to work after a prolonged period away is often greeted with a mixture of eagerness and anxiety for the clinician returning and the manager facilitating the process. For anaesthetists, there are additional concerns compared with some other specialties because anaesthesia requires a comprehensive medical knowledge-base, advanced technical skills to be immediately available and the ability to cope with multiple stimuli as well as the stamina to remain vigilant during long quiet periods. Anaesthesia is an intellectually, physically and emotionally demanding specialty. In this high-risk environment, an underperforming anaesthetist may easily harm a patient. Such high stakes mandate a thoughtful and carefully planned return. Even senior colleagues will require support, supervision, assessment, and in some cases further training. Returning colleagues may have obvious physical scars, but there may also be psychological injuries that are hidden. Good communication is key, but sharing important information must be balanced with confidentiality. If the return is tailored to the individual and managed well, colleagues will come back as healthy, safe and productive doctors. If it is done badly, there is the potential for significant harm to both patients and colleagues.
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MacFarlane, Andrew. 2021 medical student essay prize winner - A case of grief. Society for Academic Primary Care, July 2021. http://dx.doi.org/10.37361/medstudessay.2021.1.1.
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As a student undertaking a Longitudinal Integrated Clerkship (LIC)1 based in a GP practice in a rural community in the North of Scotland, I have been lucky to be given responsibility and my own clinic lists. Every day I conduct consultations that change my practice: the challenge of clinically applying the theory I have studied, controlling a consultation and efficiently exploring a patient's problems, empathising with and empowering them to play a part in their own care2 – and most difficult I feel – dealing with the vast amount of uncertainty that medicine, and particularly primary care, presents to both clinician and patient. I initially consulted with a lady in her 60s who attended with her husband, complaining of severe lower back pain who was very difficult to assess due to her pain level. Her husband was understandably concerned about the degree of pain she was in. After assessment and discussion with one of the GPs, we agreed some pain relief and a physio assessment in the next few days would be a practical plan. The patient had one red flag, some leg weakness and numbness, which was her ‘normal’ on account of her multiple sclerosis. At the physio assessment a few days later, the physio felt things were worse and some urgent bloods were ordered, unfortunately finding raised cancer and inflammatory markers. A CT scan of the lung found widespread cancer, a later CT of the head after some developing some acute confusion found brain metastases, and a week and a half after presenting to me, the patient sadly died in hospital. While that was all impactful enough on me, it was the follow-up appointment with the husband who attended on the last triage slot of the evening two weeks later that I found completely altered my understanding of grief and the mourning of a loved one. The husband had asked to speak to a Andrew MacFarlane Year 3 ScotGEM Medical Student 2 doctor just to talk about what had happened to his wife. The GP decided that it would be better if he came into the practice - strictly he probably should have been consulted with over the phone due to coronavirus restrictions - but he was asked what he would prefer and he opted to come in. I sat in on the consultation, I had been helping with any examinations the triage doctor needed and I recognised that this was the husband of the lady I had seen a few weeks earlier. He came in and sat down, head lowered, hands fiddling with the zip on his jacket, trying to find what to say. The GP sat, turned so that they were opposite each other with no desk between them - I was seated off to the side, an onlooker, but acknowledged by the patient with a kind nod when he entered the room. The GP asked gently, “How are you doing?” and roughly 30 seconds passed (a long time in a conversation) before the patient spoke. “I just really miss her…” he whispered with great effort, “I don’t understand how this all happened.” Over the next 45 minutes, he spoke about his wife, how much pain she had been in, the rapid deterioration he witnessed, the cancer being found, and cruelly how she had passed away after he had gone home to get some rest after being by her bedside all day in the hospital. He talked about how they had met, how much he missed her, how empty the house felt without her, and asking himself and us how he was meant to move forward with his life. He had a lot of questions for us, and for himself. Had we missed anything – had he missed anything? The GP really just listened for almost the whole consultation, speaking to him gently, reassuring him that this wasn’t his or anyone’s fault. She stated that this was an awful time for him and that what he was feeling was entirely normal and something we will all universally go through. She emphasised that while it wasn’t helpful at the moment, that things would get better over time.3 He was really glad I was there – having shared a consultation with his wife and I – he thanked me emphatically even though I felt like I hadn’t really helped at all. After some tears, frequent moments of silence and a lot of questions, he left having gotten a lot off his chest. “You just have to listen to people, be there for them as they go through things, and answer their questions as best you can” urged my GP as we discussed the case when the patient left. Almost all family caregivers contact their GP with regards to grief and this consultation really made me realise how important an aspect of my practice it will be in the future.4 It has also made me reflect on the emphasis on undergraduate teaching around ‘breaking bad news’ to patients, but nothing taught about when patients are in the process of grieving further down the line.5 The skill Andrew MacFarlane Year 3 ScotGEM Medical Student 3 required to manage a grieving patient is not one limited to general practice. Patients may grieve the loss of function from acute trauma through to chronic illness in all specialties of medicine - in addition to ‘traditional’ grief from loss of family or friends.6 There wasn’t anything ‘medical’ in the consultation, but I came away from it with a real sense of purpose as to why this career is such a privilege. We look after patients so they can spend as much quality time as they are given with their loved ones, and their loved ones are the ones we care for after they are gone. We as doctors are the constant, and we have to meet patients with compassion at their most difficult times – because it is as much a part of the job as the knowledge and the science – and it is the part of us that patients will remember long after they leave our clinic room. Word Count: 993 words References 1. ScotGEM MBChB - Subjects - University of St Andrews [Internet]. [cited 2021 Mar 27]. Available from: https://www.st-andrews.ac.uk/subjects/medicine/scotgem-mbchb/ 2. Shared decision making in realistic medicine: what works - gov.scot [Internet]. [cited 2021 Mar 27]. Available from: https://www.gov.scot/publications/works-support-promote-shared-decisionmaking-synthesis-recent-evidence/pages/1/ 3. Ghesquiere AR, Patel SR, Kaplan DB, Bruce ML. Primary care providers’ bereavement care practices: Recommendations for research directions. Int J Geriatr Psychiatry. 2014 Dec;29(12):1221–9. 4. Nielsen MK, Christensen K, Neergaard MA, Bidstrup PE, Guldin M-B. Grief symptoms and primary care use: a prospective study of family caregivers. BJGP Open [Internet]. 2020 Aug 1 [cited 2021 Mar 27];4(3). Available from: https://bjgpopen.org/content/4/3/bjgpopen20X101063 5. O’Connor M, Breen LJ. General Practitioners’ experiences of bereavement care and their educational support needs: a qualitative study. BMC Medical Education. 2014 Mar 27;14(1):59. 6. Sikstrom L, Saikaly R, Ferguson G, Mosher PJ, Bonato S, Soklaridis S. Being there: A scoping review of grief support training in medical education. PLOS ONE. 2019 Nov 27;14(11):e0224325.
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MGR Quarterly Infographics Report: April – June, 2024. Microgovernance Research Initiative (MGR), July 2024. http://dx.doi.org/10.57189/mgrinfq6aj24.
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MGR recorded 3827 violent incidents during April to June 2024, mostly triggered by politics, access to resources, and other socio-economic factors. More than 770 deaths and 4356 injuries have been recorded from these incidents. The highest number of violent incidents have been recorded in the form of clashes and attacks (1318). Some 746 incidents are directly political violence, protests and arrests which resulted in 92 deaths. Geographically, Dhaka (895) scores the highest number of violence followed by Chittagong (890), Rajshahi (650) and Barishal (484). There were 199 protests and demonstrations and only 67 of protests were triggered by politics. While some 20.36% of political violence contributed by Bangladesh Awami League & affiliates, Bangladesh Nationalist Party (BNP) scored only 1.70% of political violence in this quarter. Activists of independent election candidates conducted 27.27% of political violence. Intra-party violence within the Awami League showed a surge in this quarter during the election, a count of 74. Whereas 74% political incidents were rural, 26% political violence incidents took place in urban areas. In this quarter, student violence started to increase again with a total of 138 cases reported across different regions as students have come back to the campus after election. After the election, the Bangladesh Nationalist Party (BNP) experienced a noticeable decrease in its active involvement, mainly due to the government's strengthened control over state mechanisms. In addition, recent activities of Kuki Chin National Front, a rebel group in Chittagong Hill Tracts raised both regional and national security concerns. MGR data team has come across upazila local elections and post-election violence. Supporters and candidates were beaten, assault, injured and killed during elections and post-election time. Some 259 electoral violence and irregularities has been recorded from all over the Bangladesh.
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Monthly Infographics Report: February 2024. Microgovernance Research Initiative (MGR), March 2024. http://dx.doi.org/10.57189/mgrinffeb24.
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MGR recorded 1366 violent incidents during February 2024, mostly triggered by politics, access to resources, and other socio-economic factors. More than 251 deaths and 1201 injuries have been recorded from these incidents. The highest number of violent incidents have been recorded in the form of clashes and attacks (423). Some 176 incidents are directly political violence, protests and arrests which resulted in 25 deaths. Geographically, Chittagong (312) scores the highest number of violence followed by Rajshai (264), Dhaka (247) and Barishal (188). There were 91 protests and demonstrations and only 26 of protests were triggered by politics. While some 33.10% of political violence contributed by Bangladesh Awami League & affiliates, Bangladesh Nationalist Party (BNP) scored no political violence in the month of February. Activists of independent election candidates conducted 6.21% of political violence. Intra-party violence within the Awami League showed a small count of 16. Whereas 62% incidents were rural, 38% violence incidents took place in urban areas. In this month, student violence started to increase again with a total of 43 cases reported across different regions as students have come back to the campus after election. Following the election, there has been a marked decline in the operational engagement of the Bangladesh Nationalist Party (BNP), a trend attributed to the renewed assertiveness of governmental control over state apparatuses.
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MGR Quarterly Infographics Report: January – March, 2024. Microgovernance Research Initiative (MGR), April 2024. http://dx.doi.org/10.57189/mgrinfq5jm24.
Full textAbstract:
MGR recorded 4439 violent incidents during January to March 2024, mostly triggered by politics, access to resources, and other socio-economic factors. More than 710 deaths and 4831 injuries have been recorded from these incidents. The highest number of violent incidents have been recorded in the form of clashes and attacks (1523). Some 1067 incidents are directly political violence, protests and arrests which resulted in 75 deaths. Geographically, Chittagong (1058) scores the highest number of violence followed by Dhaka (863), Rajshahi (683) and Barishal (655). There were 297 protests and demonstrations and only 125 of protests were triggered by politics. While some 28.32% of political violence contributed by Bangladesh Awami League & affiliates, Bangladesh Nationalist Party (BNP) scored only 6.11% of political violence in this quarter. Activists of independent election candidates conducted 12.57% of political violence. Intra-party violence within the Awami League showed a surge in this month during the election, a count of 107. Whereas 61% political incidents were rural, 38% political violence incidents took place in urban areas. In this quarter, student violence started to increase again with a total of 88 cases reported across different regions as students have come back to the campus after election. In the election week (January 1-7), a total of 423 instances of electoral violence and irregularities occurred, leading to 599 non-lethal casualties, 7 fatalities, 177 arrests, and 232 cases of property destruction. On the day of the election, the country witnessed 90 incidents of electoral violence and 44 cases of electoral irregularities.