Letteratura scientifica selezionata sul tema "Home in literature"

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Articoli di riviste sul tema "Home in literature"

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Elameer, M. S. "Literature search from home". Psychiatric Bulletin 17, n. 9 (settembre 1993): 554–55. http://dx.doi.org/10.1192/pb.17.9.554.

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British Medical Association members are now able to use a new service to doctors which, until recently, has been largely exlusive to libraries in big hospitals and other institutions. At the time of writing, the BMA Library Dial-Up Medline Project has just completed its pilot stage and is due to be launched formally at the beginning of June. Trials started in November 1992 and the system is now up and running.
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Traps, Yevgeniya. "At Home in Literature". American Book Review 29, n. 4 (2008): 12. http://dx.doi.org/10.1353/abr.2008.0080.

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Guo, Xiao, Zhenjiang Shen, Yajing Zhang e Teng Wu. "Review on the Application of Artificial Intelligence in Smart Homes". Smart Cities 2, n. 3 (2 agosto 2019): 402–20. http://dx.doi.org/10.3390/smartcities2030025.

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Smart home and artificial intelligence technologies are developing rapidly, and various smart home products associated with artificial intelligence (AI) improved the quality of living for occupants. Although some studies discussed the application of artificial intelligence in smart homes, few publications fully considered the integration of literature and products. In this paper, we aim to answer the research questions of “what is the trend of smart home technology and products” and “what is the relationship between literature and products in smart homes with AI”. Literature reviews and product reviews are given to define the functions and roles of artificial intelligence in smart homes. We determined the application status of artificial intelligence in smart home products and how it is utilized in our house so that we could understand how artificial intelligence is used to make smart homes. Furthermore, our results revealed that there is a delay between literature and products, and smart home intelligent interactions will become more and more popular.
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Bhagwat, Harshal, e Kaustubh Akhade. "Literature Review on Stay Off Stealers SOS Home Security System". International Journal of Trend in Scientific Research and Development Volume-1, Issue-6 (31 ottobre 2017): 1055–58. http://dx.doi.org/10.31142/ijtsrd5742.

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STOICOV, Ionela, e Laurențiu ȚÎRU. "TELEWORK AND ITS MAIN DETERMINANTS. A REVIEW OF LITERATURE". Bulletin of the Transilvania University of Braşov Series VII Social Sciences • Law 14(63), n. 2 (20 gennaio 2021): 337–44. http://dx.doi.org/10.31926/but.ssl.2021.14.63.2.16.

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Even though home-working and teleworking are very common words used often nowadays, they do not name a new phenomenon. Working from people's homes was a common practice in the pre-industrial era, because many people worked primarily close to their homes in various craft workshops. The actual context of COVID-19 associated with contact restrictions has influenced many companies to allow their employees to work from home to reduce the possibility of infections, so it can be seen as a significant change in this perspective. Analyzing both new and old studies on the subject, it is clear that the phenomenon has evolved and its most significant changes have occurred in the last period, in addition to providing a broad perspective on this type of work. The study focuses on the effects of teleworking on productivity, attitudes toward home-based telework and traditional office work, work-life balance, hybrid work mechanisms, and environmental benefits.
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O'Connor, Teresa F. "Home Again, Home Again". Antioch Review 44, n. 4 (1986): 458. http://dx.doi.org/10.2307/4611659.

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Ramadhani, Fairuz Haniyah. "Literature Review: Healthy Home as The New Normal for Covid19 Prevention". JURNAL KESEHATAN LINGKUNGAN 12, n. 1si (30 settembre 2020): 1. http://dx.doi.org/10.20473/jkl.v12i1si.2020.1-10.

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Introduction: The SARS-CoV-2 virus has 2 pathways of spread which are direct (through droplets) and indirect (through the surface of objects affected by droplets or through air). Therefore, social distancing by staying in home is one of the key to prevent the spread of Covid19. However, the transmission of SARS-CoV-2 is increasingly common in family level. The risk of family members getting infected is higher because they begin to move outside the house during new normal. Accordingly, a good home environment is needed to improve its residents’ health. This study aims to determine the benefits of implementing healthy home as the new normal in preventing the spread of Covid19 at family level. Discussion: This study was a literature review using literature research as the data source. The literature used were in the form of research journals and articles on Covid19 and healthy home. The data used were research studies conducted from January 2016 to June 2020. There was 9 articles, about benefit healthy home on SARS-CoV-2 transmission, that selected in this study. Healthy home was the idea of homes that have fulfilled the health standards with adequate sanitation. Healthy home was purposively built to make the residents feel comfortable and stay healthy at all times. The components of healthy home were: good ventilation; natural lighting of the house; occupancy density; residents’ behavior; and waste management. Conclusion: The application of healthy home principle had many benefits for its residents and was closely related to Covid19 prevention.
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Malik, Neha, e Yogita Bodwade. "Literature Review on Home Automation System". IJARCCE 6, n. 3 (30 marzo 2017): 733–37. http://dx.doi.org/10.17148/ijarcce.2017.63173.

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FLEEMAN, N. D. "ALCOHOL HOME DETOXIFICATION: A LITERATURE REVIEW". Alcohol and Alcoholism 32, n. 6 (1 novembre 1997): 649–56. http://dx.doi.org/10.1093/oxfordjournals.alcalc.a008315.

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Saad al-sumaiti, Ameena, Mohammed Hassan Ahmed e Magdy M. A. Salama. "Smart Home Activities: A Literature Review". Electric Power Components and Systems 42, n. 3-4 (5 febbraio 2014): 294–305. http://dx.doi.org/10.1080/15325008.2013.832439.

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Tesi sul tema "Home in literature"

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Mirze, Z. Esra. "Disorientation : "home" in postcolonial literature/". abstract and full text PDF (free order & download UNR users only), 2005. http://0-wwwlib.umi.com.innopac.library.unr.edu/dissertations/fullcit/3209125.

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Thesis (Ph. D.)--University of Nevada, Reno, 2005.
"August 2005." Includes bibliographical references (leaves 229-239). Online version available on the World Wide Web. Library also has microfilm. Ann Arbor, Mich. : ProQuest Information and Learning Company, [2005]. 1 microfilm reel ; 35 mm.
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McIntosh, Malachi. ""Home" : emigration, identity and modern Caribbean literature". Thesis, University of Warwick, 2010. http://wrap.warwick.ac.uk/35526/.

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Caribbean writing is an emigrant tradition. The first waves of native-born authors from the region all spent significant portions of their lives abroad and, almost without exception, built their fame upon the desires of metropolitan audiences for knowledge of their colonies. Accordingly, the famous names of Lamming, Naipaul, Selvon, Césaire and Glissant are all stamped with a slightly less famous departure date. While many critics have noted these facts, there has been little sustained analysis of how the unique social positions and preoccupations of emigrants have affected the works of these five writers or their peers. This thesis is an attempt to address this issue. Its argument is that Caribbean emigrant authors spoke from unique social and conceptual loci. Through detailed, comparative readings of these five authors’ first major works, alongside considerations of their self-assessments, critical opinion on their oeuvres, Pierre Bourdieu’s theory of the literary field and Antonio Gramsci’s theory of the organic intellectual, the argument advanced is that although these authors actively positioned themselves, and were positioned by their readers, in such a way that their emigrant status has had its importance elided, that status is present and potent in their post-emigration works. While the concerns of these writers all altered over the course of their careers, their early experiences of emigration shaped some of their most widely read texts and resulted in a harmony between them that transcends the authors’ differing islands of origin and their later thematic and political preoccupations.
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Griffin, Philip George. "The middle-class home in Edwardian literature". Thesis, Loughborough University, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.359658.

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Song, KeyLyn. "Home". Thesis, Southern Illinois University at Edwardsville, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1551106.

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Boyle, Elizabeth. "'Home - or a hole in the ground'? : spaces of possibility in African American literature". Thesis, University of Sheffield, 2008. http://etheses.whiterose.ac.uk/14920/.

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This thesis argues for a unique relationship between African American literature and liminal space, predicated on the historical facts of North American slavery. While recent critics of African American literature have argued for the importance of historical and civic space in shaping racialised discourse, the· role of liminal space has not been well examined. This thesis examines texts by three African American writers - Harriet Jacobs, Ralph Ellison and John Edgar Wideman - and one Canadian Caribbean author, Nalo Hopkinson, to argue that their literary representations of liminality perform two functions: firstly, symbolising the experience of slavery and its attendant experiences of incarceration; and secondly, problematising mainstream categories of race and identity. By investigating the narrative construction of these liminal spaces, this thesis will extend the categories of 'African American' and the 'novel' in two important directions: towards the future and into the 'black Atlantic'. The following five chapters will address how the symbolic use of narrative liminality enables black writers to resist or appropriate the cultural and ideological structures imposed by white Europeans in the New World and also those structures later developed within a rapidly urbanising society. Firstly, Harriet Jacobs's slave narrative addresses the restrictive architecture of slavery and domesticity and, through Linda Brent's attic hideaway, Jacobs expresses a ·concern with endurance and female authority. The Ralph Ellison chapter examines the shifting nature of liminality and subjectivity in the post-slavery migration environment; Invisible Man's cellar engages with racialised tropes of deterrito'rialisation and desire. John Edgar Wideman addresses ideas of race and artistic responsibility in his treatment of a contemporary suburban bombsite, assessing the difficulty of achieving spaces of possibility in the face of racialised urban decay. Jhe concluding chapter uses Nalo Hopkinson's speculative fiction to challenge the essentialist construction of an African American liminal aesthetic by enacting its subversive qualities across the geographical boundaries of the black Atlantic. Hopkinson's projection of a racialised underground onto the new spaces of technology also disturbs traditional models of genre and discourse.
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Anderson, Christina. "Exploring the effect of literature circles on reading comprehension and motivation /". Full text available online, 2005. http://www.lib.rowan.edu/home/research/articles/rowan_theses.

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Mondok, Larisse. "About Home". Cleveland State University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=csu1556055157714489.

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Zdanowicz, Kimberly V. Burns E. Jane. "Are we there yet? migration and home in literature /". Chapel Hill, N.C. : University of North Carolina at Chapel Hill, 2006. http://dc.lib.unc.edu/u?/etd,222.

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Thesis (M.A.)--University of North Carolina at Chapel Hill, 2006.
Title from electronic title page (viewed Oct. 10, 2007). "... in partial fulfillment of the requirements for the degree of Master of the Arts in the Curriculum of Comparative Literature." Discipline: Comparative Literature; Department/School: Comparative Literature.
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Giuliana, Chiara. "Negotiating home spaces : spatial practices in Italian postcolonial literature". Thesis, University of St Andrews, 2015. http://hdl.handle.net/10023/9764.

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Wilson, Danielle. ""Maybe home is an uneasy place": Dionne Brand's uneasy home-spaces". Thesis, University of Ottawa (Canada), 2009. http://hdl.handle.net/10393/28364.

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When contemporary Caribbean-Canadian writer Dionne Brand encounters home, she is confronted by social norms - domestic and national - that may exclude her based on race, gender, sexuality and birthplace, or that may include her on the conditional denial of any one of these identifications. Reading her memoir and three novels, this study examines Brand's conceptualization of home and her attempts to uncover its failings, dismantle its borders, and ultimately refigure the concept of home as what I term Brand's uneasy homespaces - sites where provisional reterritorializations sign and enable agency, open the possibility of connection through negotiation, and retain uneasiness as a reminder of necessary provisionality. Through prolonged attention to the difference between the theoretically empowering and the materially destructive, Brand resists utopian fantasies of cosmopolitan global citizenship and the metaphorization of homelessness, while also countering, in her later work, easy dismissals of the nation-state by presenting a community that gains agency through identification with the city and nation even as it actively critiques the state.
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Libri sul tema "Home in literature"

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David, Marshall. My home, your home. London: Macdonald, 1987.

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Murray, Julie. Home. Edina, Minn: ABDO Pub. Co., 2009.

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Marzollo, Jean. Home sweet home. New York: Scholastic Inc., 1998.

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Emberley, Ed. Home. Boston: Little, Brown, 1987.

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Rotner, Shelley. Home. Minneapolis: Millbrook Press, 2011.

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Rotner, Shelley. Home. Minneapolis: Millbrook Press, 2011.

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Titzer, Robert C. Home. Carlsbad, Calif: Penton Overseas, 2008.

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Geoffrey, Kain, a cura di. Ideas of home: Literature of Asian migration. East Lansing: Michigan State University Press, 1997.

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Berne, Emma Carlson. My Home, Your Home, Our Homes. Cantata Learning, 2018.

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Berne, Emma Carlson. My Home, Your Home, Our Homes. Cantata Learning, 2018.

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Capitoli di libri sul tema "Home in literature"

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Forrester, Kathleen. "Making Home". In Children’s Literature in Place, 113–21. New York: Routledge, 2024. http://dx.doi.org/10.4324/9781003355502-17.

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Eastwood, Alexander. "Home and Trans Literature". In The Routledge Handbook of Trans Literature, 40–50. New York: Routledge, 2024. http://dx.doi.org/10.4324/9781003365938-5.

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Sutphin, Christine. "Victorian Childhood. Reading Beyond the ‘Innocent Title’: Home Thoughts and Home Scenes". In Children's Literature, 51–77. London: Palgrave Macmillan UK, 2004. http://dx.doi.org/10.1057/9780230523777_3.

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Warren, Nagueyalti. "Home". In The Routledge Companion to Literature of the U.S. South, 61–64. New York: Routledge, 2022. http://dx.doi.org/10.4324/9781003009924-17.

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Rosello, Mireille. "Rudimentariness as Home". In A Companion to Comparative Literature, 312–31. Chichester, UK: John Wiley & Sons, Ltd, 2011. http://dx.doi.org/10.1002/9781444342789.ch20.

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Ainsworth, Elizabeth, Tammy Aplin, Louise Gustafsson e Desleigh de Jonge. "Literature Review". In An Occupational Therapist’s Guide to Home Modification Practice, 313–35. 2a ed. New York: Routledge, 2024. http://dx.doi.org/10.4324/9781003525264-14.

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Ní Bhroin, Ciara. "Home, Childhood, and Children’s Literature". In Discourses of Home and Homeland in Irish Children’s Fiction 1990-2012, 21–69. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-73395-7_2.

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Iyer, Pico, e Caryl Phillips. "Another Home". In The Palgrave Handbook of European Migration in Literature and Culture, 303–16. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-30784-3_21.

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Wiesinger, Justine. "The Nuclear Home and the Alien Village". In Literature After Fukushima, 91–108. London: Routledge, 2023. http://dx.doi.org/10.4324/9781003285328-8.

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Talaue-Arogo, Antonette. "Bringing Theory Home". In The Routledge Companion to Literature and Social Justice, 153–65. London: Routledge, 2023. http://dx.doi.org/10.4324/9781003246428-14.

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Atti di convegni sul tema "Home in literature"

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Issaoui, Brahim, Issam Zidi, Eric Marcon, Frederique Laforest e Khaled Ghedira. "Literature review: Home health care". In 2015 15th International Conference on Intelligent Systems Design and Applications (ISDA). IEEE, 2015. http://dx.doi.org/10.1109/isda.2015.7489163.

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Rahman, NKD Tristiantari, Zakaria e Resi Yugafiati. "Learning from Home". In 4th International Conference on Language, Literature, Culture, and Education (ICOLLITE 2020). Paris, France: Atlantis Press, 2020. http://dx.doi.org/10.2991/assehr.k.201215.094.

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Sivapriyan, R., K. Manisha Rao e M. Harijyothi. "Literature Review of IoT based Home Automation System". In 2020 Fourth International Conference on Inventive Systems and Control (ICISC). IEEE, 2020. http://dx.doi.org/10.1109/icisc47916.2020.9171149.

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Shan, Yuyang. "Research on Home Consciousness in Japanese Language and Literature". In 4th International Conference on Management Science, Education Technology, Arts, Social Science and Economics 2016. Paris, France: Atlantis Press, 2016. http://dx.doi.org/10.2991/msetasse-16.2016.266.

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NASCIMENTO, DÉBORA ROSA, SANDRA ROLIM ENSSLIN e JONATHAN GUMZ. "Performance Evaluation of Smart Home: A systematic analysis of literature". In IJCIEOM 2020 - International Joint Conference on Industrial Engineering and Operations Management. IJCIEOM 2020 - International Joint Conference on Industrial Engineering and Operations Management, 2020. http://dx.doi.org/10.14488/ijcieom2020_full_0005_37393.

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Faroom, Saeed, Muhammad Nauman Ali, Sheraz Yousaf e Shamsa Umer Deen. "Literature review on home automation system for physically disabled peoples". In 2018 International Conference on Computing, Mathematics and Engineering Technologies (iCoMET). IEEE, 2018. http://dx.doi.org/10.1109/icomet.2018.8346397.

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Zhang, Yuan, e Yongxiang Wu. "Factors Influencing Households' Transition to Home Ownership: A Review of Literature". In International Conference on Construction and Real Estate Management 2013. Reston, VA: American Society of Civil Engineers, 2013. http://dx.doi.org/10.1061/9780784413135.105.

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Kaur, Ranjeeta, Prashant Vats, Manju Mandot, Siddhartha Sankar Biswas e Rajkumar Garg. "Literature Survey for IoT-based Smart Home Automation: A Comparative Analysis". In 2021 9th International Conference on Reliability, Infocom Technologies and Optimization (Trends and Future Directions) (ICRITO). IEEE, 2021. http://dx.doi.org/10.1109/icrito51393.2021.9596421.

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Melyani, Meyliana, Harjanto Prabowo, Achmad N. Hidayanto e Ford L. Gaol. "Smart Home Component using Orange Technology for Elderly people: A Systematic Literature". In 2018 Indonesian Association for Pattern Recognition International Conference (INAPR). IEEE, 2018. http://dx.doi.org/10.1109/inapr.2018.8626998.

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Polonskaya, Alina O. "The Concept Of “Home” In Russian-Language Literature Of Russia And Kazakhstan". In X International Conference “Word, Utterance, Text: Cognitive, Pragmatic and Cultural Aspects”. European Publisher, 2020. http://dx.doi.org/10.15405/epsbs.2020.08.170.

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Rapporti di organizzazioni sul tema "Home in literature"

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Knight, Ruth, e Sari Rossi. Children in out-of-home care and their educational outcomes: a literature review. Queensland, Australia: Queensland University of Technology, ottobre 2018. http://dx.doi.org/10.5204/rep.eprints.122389.

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Taylor, Christopher R., e Frank C. Gentner. After Action Review (AAR) Take-Home Package (THP) Evaluation. Volume 2. Literature Search. Fort Belvoir, VA: Defense Technical Information Center, gennaio 1999. http://dx.doi.org/10.21236/ada367848.

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Roy, Dianne E., e Roslyne C. McKechnie. Non-regulated Home Support Worker role in medication support and administration: A scoping review of the literature prepared for the Home & Community Health Association. Unitec ePress, settembre 2017. http://dx.doi.org/10.34074/rsrp.metro22017.

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The aim of this literature review is to identify and critique literature relating to current policy, guidelines and practice of non-regulated caregivers in relation to medication while they are working with clients in their own homes. The scope of this review comprises medication administration and medication support, which includes medication prompting and assisting the client to take their medication. Out of scope in this review is medication management. The review draws on relevant Aotearoa New Zealand statutes, standards and practice guidelines related to medication support and administration, District Health Board (DHB) policies, and education and training recommended and/ or available to Home Support Workers (HSWs). Relevant published research and international guidelines are also included.
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Oliveira, Lélia, Larissa Pedreira, Ana Paula Jesus, Flávia Ferreira, Ivana Pinto, Jeferson Santos e Catarina Araújo. Hospital-home transitional care and support for home caregivers of elderly people with functional dependence: a scoping review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, marzo 2022. http://dx.doi.org/10.37766/inplasy2022.3.0143.

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Review question / Objective: The review questions of this scoping are: 1. How does hospital-home transitional care support home caregivers of functionally dependent elderly people? 2. How is hospital-home transitional care applied to support home caregivers of elderly people with functional dependence? 3. What experiences of transitional hospital-home care were successful in supporting home caregivers of elderly people with functional dependence? The objective of this scoping review is to identify the hospital-home transitional care offered as support to the home caregiver of elderly people with functional dependence. Information sources: Medline/Pubmed, CINAHL, Scopus, Web of Science, LILACS and Embase will be used. As gray literature, the CAPES Digital Library of Theses and Dissertations and the OpenGrey platform will be evaluated.
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Less, Brennan, Iain Walker e Nuria Casquero-Modrego. Emerging Pathways to Upgrade the US Housing Stock: A Review of the Home Energy Upgrade Literature. Office of Scientific and Technical Information (OSTI), febbraio 2021. http://dx.doi.org/10.2172/1777979.

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Ravindranath, Divya, Antara Rai Chowdhury, Aditi Surie e Gautam Bhan. Effects of Social Protection for Women in Informal Work on Maternal and Child Health Outcomes: A Systematic Literature Review. Indian Institute for Human Settlements, 2021. http://dx.doi.org/10.24943/espwiwmcho01.2021.

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The International Labour Organization estimates that, globally, approximately two billion people are employed in the informal economy. Of this, 740 million are female workers [1]. In Asia and Africa, a large proportion of non-agricultural female workforce is employed in the informal economy in urban areas. Women workers are concentrated in sectors such as domestic work, street vending, waste picking and home-based work [2,3].
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Kain, Dylan, Nathan M. Stall, Vanessa Allen, Gerald A. Evans, Jessica Hopkins, Fiona G. Kouyoumdjian, Allison McGeer et al. Routine Asymptomatic SARS-CoV-2 Screen Testing of Ontario Long-Term Care Staff After COVID-19 Vaccination. Ontario COVID-19 Science Advisory Table, marzo 2021. http://dx.doi.org/10.47326/ocsat.2021.02.15.1.0.

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SARS-CoV-2 screen testing is routine serial testing of asymptomatic individuals outside of outbreak or known exposure settings to identify staff infectious with SARS-CoV-2 and exclude them from work. Routine asymptomatic screen testing of staff has been proposed as a potential mitigating strategy to reduce SARS-CoV-2 introduction and transmission in long-term care (LTC) homes. A rapid review of the literature found no real-world evidence to either support or refute screen testing in preventing LTC home COVID-19 outbreaks. There are several direct harms associated with screen testing, as well as opportunity costs, including exacerbating LTC staffing shortages. On the basis of the evidence reviewed, and given the high rates of protection of COVID-19 vaccines against symptomatic and asymptomatic SARS-CoV-2 infection, the potential harms and costs of screen testing among vaccinated LTC home staff likely outweigh the benefits.
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Birchall, Jenny. Intersectionality and Responses to Covid-19. Institute of Development Studies (IDS), marzo 2021. http://dx.doi.org/10.19088/cc.2021.003.

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There is a small but growing body of literature that discusses the benefits, challenges and opportunities of intersectional responses to the socioeconomic impacts of the Covid-19 pandemic. There is a strong body of evidence pointing to the disproportionate impact of Covid-19 borne by women, who have suffered record job losses, been expected to take on even greater unpaid care burdens and home schooling responsibilities, and faced a “shadow pandemic” of violence against women and girls. However, gender inequalities cannot be discussed in isolation from other inequalities. Emerging literature stresses the importance of a Covid-19 recovery plan that addresses how gender intersects with class, race, disability, age, sexual orientation, geography, immigration status and religion or belief, and other factors such as employment, housing (and homelessness) and environmental and political stressors.
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Eberle, Caitlyn, Oscar Higuera Roa, Amy Newsom e Samara Polwatta. Technical Report: Wandering elephants. United Nations University - Institute for Environment and Human Security (UNU-EHS), agosto 2022. http://dx.doi.org/10.53324/iemf6334.

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From March 2020 to September 2021, a herd of approximately 15 Asian elephants left their home in Xishuangbanna National Nature Reserve. Along their journey, the herd broke into homes, damaged buildings and infrastructure, and destroyed crops, totaling estimated damage of over $1 million. The migration coincided with a severe drought in the region, indicating that the elephant’s habitat was likely unable to support them. As elephant populations have grown in southern China, habitat size and suitability has been reduced, increasing the likelihood of human-elephant conflict. As pressures such as climate change and population growth further push people and wildlife into shared spaces, management approaches must be tailored to the concept of coexistence. This technical background report for the 2021/2022 edition of the Interconnected Disaster Risks report analyses the root causes, drivers, impacts and potential solutions for the wandering elephants through a forensic analysis of academic literature, media articles and expert interviews.
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Saleem, Athary, Saqer Alenezi, Nimer Al-Shadidi e Khaleel Mohammad. Pyogenic Hepatic Abscess Formation after Roux-En-Y Gastric Bypass: A Case Report and Literature Review of an Infrequently Encountered Postoperative Complication. Science Repository, aprile 2024. http://dx.doi.org/10.31487/j.ajscr.2024.01.03.

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Abstract (sommario):
Introduction and Importance: Pyogenic liver abscess (PLA) is an uncommon postoperative complication of Roux-en-Y gastric bypass (RYGB). Radiological investigations such as abdominal ultrasonography (USG) and computed tomography (CT) are crucial to evaluate and diagnose intra-abdominal abscesses, especially hepatic collections. Case Presentation: A 66-year-old female patient with multiple comorbidities, including urticaria requiring monoclonal antibody therapy (humera). She underwent an uneventful RYGB to treat her weight regain and reflux after a prior sleeve gastrectomy and presented with diffuse abdominal pain. This occurred on postoperative day 23 after the patient was discharged home. Patient evaluation was initiated by physical examination, laboratory investigations, and radiological diagnostic tools. Chest and abdominal X-rays together with abdominal ultrasonography were unremarkable. Then, abdominal computed tomography (CT) scans with IV contrast were done, and a liver abscess was detected. Image-guided percutaneous transhepatic liver abscess drainage through pigtail drain placement was performed. The patient’s response was evaluated by serial abdominal CT scans. The liver abscess was successfully treated by percutaneous drainage for 5 weeks and IV antibiotic therapy. Clinical Discussion: PLA is a rare entity that might occur after gastro-intestinal surgery such as Roux-en-Y gastric bypass. Patients with a history of immunosuppressive therapy may be at increased risk of this complication. This life-threatening complication can be prevented by treating liver abscesses early on by utilizing imaging-guided drainage and intravenous antibiotics. Conclusion: Due to the unusual etiologic origin of hepatic abscess post-RYGB, we report the case of a 66-year-old female with diffuse abdominal pain, which was found to be caused by PLA.
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