Дисертації з теми "Rural and remote"

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1

White-Davison, Patricia A. M. "Rural Views: Schooling in Rural/Remote Communities." Thesis, Griffith University, 1999. http://hdl.handle.net/10072/367842.

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Анотація:
This study is based on data collected for a large project that investigated social literacies and various aspects of the literacy culture of members of three rural communities in Queensland. This study draws on ideas from current critical literacy theory and research and post-structural writings. It reports a distinctive set of observations which aim to contribute to social and educational knowledge in respect of centre-margin relationships, literacy-empowerment relationships, the changing socio-economic and political landscape in rural Australia, and the need for a new conceptual landscape to define the foundations of a 'postprogressive pedagogy'. This study delineates some of the distinctive features of rural communities, and investigates the connections that people construct between schooling and economic change and the future, and between literacy and schooling and various aspects of the culture of the community. It interprets how schooling and literacy are socially constructed by members of the rural communities studied. One hundred and fifty-eight residents of three rural/remote communities were interviewed and their responses recorded and analysed. The residents represented the full range of ages and occupations. A selection of data from these interviews is taken for this study, based on themes and issues emerging from the data. A theoretical and empirical framework for the study is provided by reviewing current literature on rurality and rural living, on communities and schooling and cultural practices; literature on qualitative research methodology, specifically ethnomethodology, methods of interview analysis and the application of these methods, is also reviewed. Ethnomethodology is used for this study and the specific analytic procedures of Membership Categorisation Analysis. This specific type of qualitative research methodology is chosen because of its power to take the everyday conversations of community members and, through analytical procedures, to make explicit in those members accounts the interaction of their experiences with the organisational and social forces (the social realities) which permeate their relationships with one another and with the context of the community where they live, work and recreate. This study makes use of recent systematic procedures developed for interrogating interview data. It adds to the research literature on ideologies of family and community literacies and social practices in Australian rural communities. The study provides information relevant to rural development planners, and education policy developers and curriculum writers, for the purpose of enhancing schooling for rural students and better understanding of rural lifestyles. This study's focus on rural communities has highlighted the complexities and diversities of the rural communities that are studied. The different approaches and debates about 'defining rural' must continue, and researchers must avoid promoting a unidimensional category of 'rural'. The changing and developing nature of the rural communities has also been prominent in this study. The implications of these complexities and changes are that rural communities should be studied regularly so that the effects of the changes can be traced and documented. There is a varied set of understandings among rural dwellers about education. For some, education is bringing knowledge and skills to life in the rural location and enabling residents to avail themselves of the urban offerings that may enhance their occupations and leisure activities thus utilising the benefits of two cultures to their best advantage. For others, there are the expectations that education will enable them to move away from the rural areas, to go to the city, to take up other careers, to lead a different lifestyle. Hypotheses and generalisations that express negative approaches to rural cultures and to rural education must be reduced and the positive aspects promoted. Any centre-margin discourse must be scrutinised for its relevance and the feasibility of the assumptions on which it is based. Education policy developers, social researchers and rural policy planners need to re-evaluate the philosophical premises on which the current concept of success is based: success for the individual school student, success for education and schooling, and success in adult life. A number of recommendations are developed in an attempt to make a vision of excellence in rural education a central part of rural agenda. Curriculum in rural schools needs to be matched to rural resources and rural occupations and lifestyles, and to encourage enterprise. While education remains a centralised provision, it needs to provide a context for training in the communication skills that shape rural people's views of their communities. Rural secondary students may be disadvantaged by not having access to a wide range of curriculum offerings, and at tertiary level by inequities (mostly financial) of access, but technology could be used to assist in broadening the range of offerings at secondary level, and library resources across the country could be better utilised. Social and education research could benefit from further studies using this methodology, for example, studies in mining communities, rural ethnic communities, rural tourist communities.
Thesis (Masters)
Master of Philosophy (MPhil)
School of Cognition, Language and Special Education
Arts, Education and Law
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2

Porter, Suzette Adela Tindal. "Dental effectiveness in rural and remote Queensland." Thesis, Queensland University of Technology, 2000. https://eprints.qut.edu.au/35843/1/35843_Digitised%20Thesis.pdf.

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This research was stimulated by the knowledge that dental services to rural and remote consumers in Australia are unpredictable and will remain so into the future. Rural and remote consumers are disadvantaged in their access to dental services due to distance, scarcity of dentists, lack of choice· and variable quality of treatment and facilities. Nonetheless, it is clear that some rural and remote consumers are able to achieve sound oral health. This study examined these dental consumers in order to identify characteristics which may contribute to their success. Providing appropriate and adequate dental services to rural and remote towns is predicted to become more difficult and require greater travel due to both a reduction in the number of dentists and a smaller population base. Encouraging rural residents to become more effective as dental consumers may result in improved preventive practices, more positive attitudes to oral health and better dental status. Dental effectiveness is improved when the dentist-patient relationship is sound and when there is a source of routine and continuing dental care, features which should form part of public health policies and training of rural dentists.
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3

Taylor, Frances M. "Remote sensing of water leaks from rural aqueducts." Thesis, University of Edinburgh, 2003. http://hdl.handle.net/1842/27514.

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The development of techniques for the detection of water leaks from underground pipelines is seen as a high profile activity by water companies and regulators. This is due to increasing water demands and problems with current leak detection methods. In this thesis optical reflectance and microwave backscatter were used to identify optimal indices for detecting water leaks amongst a variety of different land cover types at different growth stages. Ground-based surveys and modelling techniques were used to establish optimal wavelengths for detection. Results from these studies suggested that in the optical domain visible/middle infrared ratios show potential for leak detection for a wide range of leak types, under a variety of vegetation canopies at different growth stages. Given the sensitivity of L-band radar to moisture, and the ability to separate contributions from canopy and ground surface, it is possible to detect surface water beneath a range of vegetation canopies. The optimal leak detection indices were then used to idenitfy leaks on airborne image data. The available image data was L - band fully polarimetric E-SAR data, and 126 channel HYMAP hyperspectral airborne data which were acquired over an 8km section of the Vrynwy aqueduct (UK), which included a high concentration of leaks. Four of the five leaks were identifiable on the optical image data and none of the leaks were detectable on the microwave data. However the E-SAR data was obtained under unfavourable conditions. The results of both approaches are used to infer limits of detection in terms of season and meteorological conditions for a range of land covers. Preliminary findings suggest that leaks may be optimally detected when canopy height is low, surrounding soil is dry after a period of no rain, and the leak has been present for at least 2 days. The results from this work suggest that remote sensing is both an effective and feasible tool for leak identification.
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4

Taneka, D. "Estimating the performance of rural roads in remote areas." Thesis, Queensland University of Technology, 1996.

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5

Johnston, Catherine. "Improving access to pulmonary rehabilitation in rural and remote Australia." Thesis, The University of Sydney, 2014. http://hdl.handle.net/2123/11738.

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Pulmonary rehabilitation, consisting of exercise training and education, is one of the most effective strategies for improving the health outcomes of people with chronic obstructive pulmonary disease (COPD) and reducing associated healthcare costs. Prior to the work presented in this thesis a description of the structure and content of pulmonary rehabilitation programs in Australia had not been published. In addition, whether existing programs met Australian recommendations for practice such as those contained in the Pulmonary Rehabilitation Toolkit, was unknown. Despite the significant benefits for both individuals with COPD and the community, access to pulmonary rehabilitation is limited, particularly for those in rural and remote regions. A lack of adequately trained healthcare professionals may contribute to difficulties with establishing and maintaining pulmonary rehabilitation. However, the effect of healthcare professional training on the availability of pulmonary rehabilitation had not been previously investigated. There were no published reports documenting existing knowledge and skill levels, evaluating training strategies to up-skill rural/remote healthcare professionals or evaluating the impact of such training on the delivery of pulmonary rehabilitation. The aims of the studies presented in this thesis were to: describe the current provision of pulmonary rehabilitation in Australia and the alignment of these pulmonary rehabilitation programs with evidence-based recommendations; determine the level of knowledge and skills of rural and remote healthcare professionals in the management of people with chronic lung disease; investigate the ability of an educational training program for healthcare professionals to improve knowledge and confidence and improve the availability and delivery of pulmonary rehabilitation in rural and remote regions and explore the attitudes, opinions and concerns of healthcare professionals regarding the delivery of pulmonary rehabilitation. The first study (Chapter 2) was a cross sectional, observational study using a purpose designed anonymous paper-based survey. The national database of pulmonary rehabilitation programs, maintained by Lung Foundation Australia (LFA), was used to identify known programs in all states and territories of Australia. All pulmonary rehabilitation programs listed on the database at that time were included (n=193). Healthcare professionals who coordinated pulmonary rehabilitation were invited to participate. This study had a response rate of 83% (n=163) and all states and territories in Australia were represented. The responses enabled the structure and content of Australian pulmonary rehabilitation programs to be elucidated. Most Australian pulmonary rehabilitation programs broadly met recommendations for practice contained in the Pulmonary Rehabilitation Toolkit in terms of included components (exercise training and education), program length, patient assessment and exercise training (duration, frequency and mode). Many respondents were not aware of major evidence-based practice guidelines (including the Pulmonary Rehabilitation Toolkit). Interestingly, despite not being aware of guidelines, most respondents indicated that they perceived a gap between current evidence and their practice in terms of exercise prescription and training. The studies presented in Chapters 4-7 were undertaken as individual components of a mixed methods study to evaluate the impact of the Breathe Easy Walk Easy (BEWE) program on healthcare professional knowledge and confidence, service delivery and patient outcomes in rural and remote Australian regions. The BEWE program was an interactive education and training program related to providing components of assessment and management (in particular pulmonary rehabilitation) for people with chronic respiratory disease. The BEWE program consisted of a training workshop, access to online resources, provision of community awareness-raising materials and ongoing telephone/email support. Details of the development of the BEWE program are presented in Chapter 1. Further information regarding the content and structure of the BEWE program along with relevant methods for the studies contained in Chapters 4-7, are presented in Chapter 3. The evaluation process was conducted by a researcher (the PhD candidate) who was independent of the development and delivery of the BEWE program. The study presented in Chapter 4 was a descriptive cross-sectional, observational survey design using a written anonymous questionnaire. Participants were healthcare professionals (n=31) who registered to attend the BEWE program initial workshop in either one rural or one remote Australian region. The main outcomes were participant attitudes, objective knowledge (case vignette-based) and self-rated experience, training, and levels of confidence. Participants were from a variety of professional backgrounds (allied health, medical, nursing) but were predominantly nurses (n=13) or physiotherapists (n=9). The main findings of this study were that that rural and remote healthcare professionals had low levels of experience, training, knowledge and confidence in providing components of management for people with COPD. Most participants reported that they had minimal or no experience or training in this area of practice. The scores in the measured knowledge quiz were generally poor, with mean knowledge score (number of correct answers out of 19) being 8.5 (SD=4.5). There were higher numbers of correct responses for questions relating to COPD disease pathophysiology and diagnosis than for questions relating specifically to pulmonary rehabilitation. In addition, most participants reported particularly low confidence in the delivery of pulmonary rehabilitation. Based on the findings of the study, the need for an education and training program for rural and remote healthcare professionals in the evidence-based management of people with COPD with an emphasis on pulmonary rehabilitation was evident. The effects of the delivery of an education and training program on healthcare professional knowledge and confidence in the management of people with COPD and on the availability of pulmonary rehabilitation were investigated and are presented in Chapter 5. This study was a quasi-experimental, before and after repeated measures design. Healthcare professionals (n=33) from various backgrounds who participated in the BEWE program were eligible to participate. The BEWE program was delivered in one rural and one remote region. Participant knowledge, confidence and attitudes were assessed via anonymous written questionnaire before, immediately after and at three and 12 months following the BEWE workshop. Participation in the BEWE program resulted in significant improvements in participants’ self-rated knowledge and confidence immediately after the workshop, and at three and 12 month follow-up. Measured knowledge (case vignette score out of 19) improved significantly immediately after the workshop compared to before (mean difference 7.6 correct answers, 95% CI 5.8 to 9.3). At 12-month follow-up, three locally run pulmonary rehabilitation programs had been established in participating regions. The availability of pulmonary rehabilitation following delivery of the BEWE program, as well as patient outcomes and the factors contributing to the change in service delivery were further explored and results are presented in Chapter 6. Data were collected regarding the provision of pulmonary rehabilitation services before and after delivery of the BEWE program and patient outcomes (six-minute walk test and health related quality of life) before and after pulmonary rehabilitation. Pulmonary rehabilitation was not available in any of the participating sites before the BEWE program. At 12-month follow-up three sites had established locally-run pulmonary rehabilitation programs which had a structure and content broadly meeting Australian practice recommendations for pulmonary rehabilitation. Initial patient outcome data for the six-minute walk test and the St George’s Respiratory Questionnaire demonstrated evidence of the effectiveness of these pulmonary rehabilitation programs in improving functional exercise capacity and health related quality of life. Providing targeted specific training, the retention of key staff and strong local healthcare organisational support were important factors which contributed to the successful establishment of pulmonary rehabilitation. A study involving interviews with key healthcare professionals involved in the delivery of pulmonary rehabilitation in rural and remote regions was conducted and is presented in Chapter 7. Those healthcare professionals who participated in the BEWE program and who were identified as key informants, were invited to participate in semi-structured interviews. The purpose of the interviews was to gain a deeper understanding of the participants’ attitudes and opinions regarding developing, establishing and delivering pulmonary rehabilitation in rural and remote regions. This study was designed to add perspective to the quantitative data rather than to inform the design of the evaluation process. Interviews occurred at three and 12 months following the BEWE workshop in the remote region and at 12 months following the BEWE workshop in the rural region. Interviews were recorded and transcribed verbatim. A process of thematic analysis was used to analyse the transcripts. Healthcare professional staffing levels, time and case load constraints, knowledge and confidence, ensuring sustainability, individual and community attitudes, and practical issues related to the setting, structure and content of pulmonary rehabilitation were identified as the main concerns of informants. The results of this study indicate that dedicated funding to support additional healthcare professional staffing and to assist with providing specific education and training may facilitate the availability and delivery of pulmonary rehabilitation in rural and remote regions. The body of work contained in this thesis has contributed to a greater knowledge of the practice and availability of pulmonary rehabilitation in the Australian rural and remote context and has provided evidence that the provision of a training program for healthcare professionals can facilitate the delivery of effective pulmonary rehabilitation in rural and remote Australian regions.
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6

Lawford, Karen. "First Nations Women's Evacuation During Pregnancy from Rural and Remote Reserves." Thèse, Université d'Ottawa / University of Ottawa, 2011. http://hdl.handle.net/10393/20356.

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Pregnant First Nations women who live on reserves in rural and remote regions of Canada are routinely evacuated to urban cities to await labour and birth; this is commonly referred to as Health Canada’s evacuation policy. I produced two stand alone papers to investigate this policy. In the first, I investigated the development and implementation of the Canadian government’s evacuation policy. Archival research showed that the evacuation policy began to take shape in 1892 and was founded on Canada’s goals to assimilate and civilize First Nations. My second paper employed First Nations feminist theory to understand why the evacuation policy does not result in good health, especially for First Nations women. Because the evacuation policy is incongruent with First Nations’ epistemologies, it compromises First Nations’ health. I offer policy recommendations to promote First Nations health in a way that is consistent with First Nations’ epistemologies and goals towards self-determination and self-governance.
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Leibovitch, Randazzo Michael. "Land-Based Food Initiatives in Two Rural and Remote Indigenous Communities." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/35714.

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The purpose of this thesis is to describe the harvesting and dietary practices of two rural and remote Indigenous communities. The ethnographic methods of participant observations and semi-structured interviews availed an abundance of rich and detailed data that allowed for a clear understanding of the barriers these two communities face when accessing food. This is an articled-based thesis containing three parts. Part one is composed of a literature review that describes the barriers that have contributed to food insecurity problems in Indigenous communities. It finishes with a chapter dedicated to defining the postcolonial theoretical perspective and describing how and why it was employed during this research process. The postcolonial perspective was chosen to best understand the historical forces that caused food insecurity in Indigenous communities and justify my position as a non-indigenous researcher in the field of Indigenous health. The second part of the thesis is made up of two articles. Article one will describe the current situation of food access challenges and responses in Canada, more specifically in two rural and remote First Nations communities. The article illustrates how both First Nations are experiencing challenges obtaining healthy food from the market and from the land. The article describes what is involved in acquiring food in both communities, and the responses each community is taking to increase food access. The article concludes by pointing out how these initiatives are building more than just food capacity and why they deserve greater external support. The second article is focused solely in the community of Wapekeka, and is entitled The Cost of Local Food Procurement in One Northern Rural and Remote Indigenous Community. The purpose of the article is to provide a specific example of building local food capacity as strategy to address food insecurity. It documents the costs associated with traditional food procurement and compares these costs against the price of food available in the store. The final component of the thesis is the overall conclusion, highlighting the belief that the findings presented in this thesis will promote and emphasize the importance of land-based food initiatives as a way to foster positive health outcomes for all Indigenous peoples.
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8

Dwyer, Anna I. "Understanding police-Indigenous relations in remote and rural Australia: Police perspectives." Thesis, Queensland University of Technology, 2018. https://eprints.qut.edu.au/121455/2/Anna_Dwyer_Thesis.pdf.

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This thesis examined police and Indigenous relations in rural and remote contexts in Australia which historically and in contemporary times have often been contentious. Using a grounded theory approach, the police participants of this qualitative research provided insight as to how social factors such as ecological, organizational and occupational culture influenced their responses in discrete Indigenous communities. The findings revealed that ecological factors such as community dynamics and Indigenous culture heavily influenced police in how they responded to situations, more so than the influence of organizational and occupational culture. It found that ecological factors played a large role in shaping policing responses in discrete Indigenous communities.
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Prior, Maria E. "Added-value roles and remote communities an exploration of the contribution of health services to remote communities and of a method for measuring the contribution of institutions and individuals to community stocks of capital /." Thesis, Available from the University of Aberdeen Library and Historic Collections Digital Resources, 2009. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?application=DIGITOOL-3&owner=resourcediscovery&custom_att_2=simple_viewer&pid=33408.

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10

Husband, Laurie. "Place attachment among older adults living in northern remote communities in Canada /." Burnaby B.C. : Simon Fraser University, 2005. http://ir.lib.sfu.ca/handle/1892/2362.

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11

Ramirez, Ricardo. "Rural and remote communities harnessing information and communication technology for community development." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/NQ56291.pdf.

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12

Mort, Alasdair. "Novel electronic physiologic monitor potential in remote and rural search and rescue." Thesis, University of Aberdeen, 2010. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=158403.

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This thesis evaluates novel electronic physiologic monitor potential in remote and rural search and rescue. Casualties are often located a considerable distance away from definitive care. Their rescue involves a variety of groups, including volunteer rescue teams. Rescuers manage a wide range of medical problems, from minor issues to more serious, life-threatening conditions. However, casualty monitoring is restricted by steep terrain and extreme environmental conditions. Evidence indicated that novel electronic physiologic monitors were in development. Some were lightweight and wireless – it was hypothesised that such technology could facilitate health monitoring, conferring benefits to casualties and their carers. Novel physiologic monitor potential was explored using a multi-method approach, involving four methodologically distinct pieces of research. This included a reverseengineering approach to define the rescue context. A thematic review of remote and rural casualty rescues identified a potential worldwide demand for a novel monitor, although only a small proportion of casualties had severe injury. A longitudinal analysis of UK remote and rural casualties confirmed a consistent mountain rescue casualty demand for monitoring. Injury was more frequent than illness and a majority of injury involved suspected fracture to the lower extremity. A qualitative study identified evidence of support for novel monitors amongst rescuer groups. However, some felt that the environment and the variety of rescuer first-aid and medical training could negate monitor potential. A laboratory-function study evaluated the performance of an example of a novel monitor under simulated rescue conditions. There was little effect of several layers of clothing and a mountain rescue casualty bag on data accuracy. Taking all the evidence gathered into consideration, it was concluded that novel electronic physiologic monitors did have potential in remote and rural search and rescue. A concept design for a rescue-specific physiologic monitor was proposed, including software, hardware and architecture for future use.
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13

Roberts, Emyr Gordon. "Deprivation in a remote rural area : a case study in mid-Wales." Thesis, Aberystwyth University, 1988. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.334828.

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14

Trias-Sanz, Roger. "Semi-automatic rural land cover classification from high resolution remote sensing images." Paris 5, 2006. http://www.theses.fr/2006PA05S005.

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Cette thèse présente un chaine d'analyse d'image qui, à partir d'images numériques à haute résolution et à trois ou quatre canaux (50 cm, couleur et, dans certains cas, proche infrarouge), mais aussi en s'appuyant sur le parcellaire cadastral, rend une segmentation des images en parcelles agraires (champs, forêts, vignes,. . . ) et une classification de celles-ci, avec une très haute fiabilité, et attribue à chaque segment classifié une mesure qui indique la confiance que le système a en cette classification. Elle inclut une étude sur l'intérêt de la texture et les espaces de couleur pour la segmentation et la classification, deux méthodes de recalage de graphes sur une image, un modèle de probabilité novateur et ses algorthmes de classification par régions associées, et un éstimateur très précis de la période et de l'orientation
This thesis presents a complete image analisys system which, from high-resolution 3 or 4-channel digital images (50 cm, colour and optionally near infrared), and using the cadastre database, segments the images into agriculturally-homogeneous regions, (fields, forests, vines, and so on) and classifies these regions, tagging each classified region with a confidence measure which indicates the system's confidence in each classification. It includes a study of the value of texture features and transformed colour spaces for segmentation and classification, two methods for registering a graph onto an image, a novel probability model and associated per-region classification algorithms, and a high precision period and orientation estimator
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15

McCarthy, Michael. "An exploration of parental choice of school by rural and remote parents." Thesis, Australian Catholic University, 2013. https://acuresearchbank.acu.edu.au/download/a652c905bc7bf12420e12c8c8114ed7e68ad1465436d786e0aef9fa7bb1f9d71/3567032/64985_downloaded_stream_210.pdf.

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The parental choice of school process is a complex undertaking for parents. This complexity is evident when considered from the nuanced perspective of school choice by Indigenous and non-Indigenous parents living in rural and remote areas. The social and geographic contexts of these parents give rise to unique challenges which shape the ways in which they choose a boarding for their children. The parental choice of school process consists of psychical constructions and processes which help parents define their understandings of 'good' schools and with which they engage in the boarding school choice process. The purpose of this research is to explore the ways in which Indigenous and non-Indigenous parents select a boarding school for their children. This will illuminate the reasons for changing enrolment patterns at a Catholic boarding school in north-west Queensland. The following research questions emerged from a synthesis of the literature. These research questions framed the research process: How does rurality/remoteness influence parental choice of boarding school? How do parents living in rural and remote areas inform their choice of boarding school for their child? How does school culture influence rural and remote parents' boarding school choice? How does race influence the boarding school choice process for rural and remote parents? Given that this study focuses on the ways in which parents engage with the boarding school choice process, an interpretive approach has been adopted. A constructionist epistemology underpins the study, and symbolic interactionism and Indigenous methodology are the theoretical perspectives. The methodology for this research is case study. Data were collected from a total of 36 participants (Indigenous/Non-Indigenous parents living in rural and remote locations; Principals of the research site school; Indigenous Support Personnel at the system level) using focus groups and one-on-one semi-structured interviews.
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16

Page, Tara. "Conceptions of senior visual art programs in a rural remote high school." Thesis, Queensland University of Technology, 2002.

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This study reveals how a rural and remote school community conceptualizes senior visual art programs. The study was based on interviews with students, parents and teachers, these interviews were transcribed and analysed according to the adopted phenomenographic structure. Photographs taken by the participants of the cultural context were included and explained by them as a part of the interview. The study identified conceptions of place as well as four conceptions of senior visual art programs. The four conceptions focus on cognitive abilities and expression, the enjoyment of practical tasks, employment for girls and the lack of/existence of theory within the visual art programs. The initial impetus for this study was the low number of students electing visual art as a subject in their senior studies at a rural and ~emote high school. The researcher while teaching visual art in a rural and remote community experienced this trend. The decision making processes in the selection of school subjects became the focus for this research and the vehicle for identifying held conceptions. The reasons for choosing, or not choosing, visual art as a subject revealed the immediate and embedded conceptions of visual art programs that ultimately shape the decision making process. The school community's conceptions of visual art programs focused on the intrinsic and/or extrinsic qualities of senior visual art programs. These conceptions can be applied to better understand and meet the needs of visual art education in a rural and remote cultural context. The findings from this research can be significant to teachers, teacher educators, administrators, curriculum writers and researchers involved in visual art education and rural and remote education. This research has provided insights into the understanding and experiences of visual art education in a rural and remote cultural context. This suggests that further study in this area would be useful to those interested in visual art education in the wider context of rural and remote education.
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17

Nimegeer, Amy. "Considering community engagement for remote and rural healthcare design in Scotland : exploring the journey from rhetoric to reality." Thesis, University of the Highlands and Islands, 2013. https://pure.uhi.ac.uk/portal/en/studentthesis/considering-community-engagement-for-remote-and-rural-healthcare-design-in-scotland(9418ba56-720c-41b6-b97f-f345cfad0ffa).html.

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The way healthcare services are delivered in remote and rural Scottish communities is in a state of reconfiguration. At the same time the NHS faces pressure to plan these new services in partnership with communities themselves. Evidence, however, suggests that this is not necessarily being done well. This study considered the contextual aspects of remote and rural Scottish communities that may impact on healthcare-related engagement, and examined current understanding of what constitutes a ‘good’ engagement process. It then went on to consider a two-year action research project (RSF) that took place in four remote and rural Scottish communities to engage local residents in an anticipatory process co-designing their own future healthcare services. Finally, this study examined ways in which individuals were able to wield power within the engagement described in the RSF project, by using a combination of participant observation and Foucauldian Discourse Analysis. As well as making a number of practical recommendations for future engagement practice in a remote and rural context, this study makes three key contributions. Firstly, it contributes further contextual knowledge about the challenges of engaging with remote and rural Scottish communities for local healthcare service design; a topic about which little has been written. Secondly, it contributes a novel method for anticipatory healthcare budgeting aimed at a remote and rural Scottish context, namely the RSF Game. Thirdly, it draws the conclusion that individual (non-elite) community members have the ability to use French and Raven’s bases of social power to impact the engagement process at all stages, and also posits that discourse can be used within rural engagement as a new ‘base of power’, which contributes to the debate around individual power and agency within remote and rural community engagement for healthcare, which few studies have examined.
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18

Lamb, Maxwell, Sean Vinh, Chandler Parris, Emily K. Flores, and KariLynn Dowling-McClay. "Impact on Student Attitudes through Participation in Interprofessional Student Teams at a Remote Area Medical Event in Rural Appalachia." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/asrf/2020/presentations/18.

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Interprofessional teamwork is being adopted as the best way to care for patients, but it is also important to determine how future healthcare providers view this model of patient care. What are their attitudes and beliefs after having the opportunity to work in an interprofessional team? The primary objective of this study was to determine changes in health profession students’ attitudes toward interprofessional collaboration through participation in a Remote Area Medical (RAM) event in rural Appalachia. Researchers hypothesized that working in interprofessional teams positively impacts students’ attitudes toward interprofessional practice. To explore these variables, RedCap was utilized to collect demographic information, generate a pre/post survey matching code, and administer previously validated interprofessional education (IPE) questionnaires to RAM clinic student volunteers (representing five ETSU health sciences colleges and various undergraduate programs) before and after the event. Students were allowed to voluntarily complete the pre-survey online prior to participating in the event or at sign-in and the post-survey at sign-out or online after the event. The Student Perceptions of Interprofessional Clinical Education-Revised Instrument, Version 2 (SPICE-R2), which is validated for use in pre- and post-surveys, utilized 5-point Likert-type questions (strongly disagree to strongly agree) to evaluate students’ perceptions of their role on the team and the team’s impact on healthcare and patient outcomes. The Interprofessional Collaborative Competency Attainment Scale-Revised (ICCAS-R), which is only validated for use in post-surveys, required students to simultaneously evaluate their ability to perform tangible interprofessional team skills before and after the event using 5-point Likert-type questions (poor to excellent). At the event, students were placed into interprofessional teams to provide care to patients. Faculty members from a variety of professions provided leadership to the teams and guidance as needed. The pre-survey had 107 responses and the post-survey had 108 responses. However, after matching the pre- and post-surveys with student-generated codes, there were 70 valid matched responses. Data analysis was conducted using SPSS version 25. There were no statistically significant changes in SPICE-R2 IPE constructs from the pre-survey to post-survey. However, high pre-survey scores indicated that this student cohort already had a high level of appreciation for interprofessional teams, with mean scores of 4.5 out of 5 for teamwork, 4 out of 5 for roles and responsibilities, and 4.36 out of 5 for healthcare outcomes. The mean overall composite score on the ICCAS-R increased from 3.65 out of 5 on the pre-event portion to 4.03 out of 5 on the post-event portion (p < 0.001) , indicating that students increased their self-evaluated ability to perform tangible skills used in the interprofessional team through participation in the RAM clinic. Findings of this research may allow educators in both classroom and healthcare settings to better understand how hands-on IPE experiences influence students’ interprofessional attitudes and beliefs.
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19

Rabbitt, Elaine. "Kimberley Women : Their Experiences of Making a Remote Locality Home." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2004. https://ro.ecu.edu.au/theses/1677.

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In previous histories of Western Australia, pre-dominantly written from a male Eurocentric viewpoint, scant attention has been drawn to the everyday lives of country women. The study described in this dissertation explores the responses of women to the challenges of relocation and settlement within a remote locality in the Kimberley region of Western Australia.
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20

McFarlane, Andrew Ian. "Aged Electricity Distribution Asset Replacement." Thesis, University of Canterbury. Engineering Management, 2014. http://hdl.handle.net/10092/8941.

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Major segments of the Marlborough Lines Ltd (MLL) 11kV electricity distribution network are positioned within remote areas of the Marlborough region including the Marlborough Sounds, the Awatere and Wairau Valleys and the North Eastern cost of the South Island. The majority of these remote rural lines are due for replacement within the coming 20 years in order to maintain safety and reliability. The increased maintenance costs of operating rural electricity lines and the number of customers they serve often results in the line being uneconomic to operate. This investigation determines the current economical efficiency of the Sounds Feeder, a segment of line in the Marlborough Sounds. The financial, social and regulatory implications of the continued operation of this section of the network after performing distribution renewals are assessed in order to define the likely impacts of wide spread asset renewal to MLL and its customers across the coming 20 years.
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21

Melvin, Roberta M. "Investigating Connectivity Challenges and Available Mitigation for Communication in Rural and Remote Environments." ACM, 2012. http://hdl.handle.net/1993/23723.

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While workers in an urban environment typically enjoy full speed, always available, broadband access, those in rural and remote environments do not necessarily have the same level of service. The goal of this thesis is to investigate positive and negative rural and remote work experiences, looking for novel ways to leverage available strengths in mitigating productivity challenges. An exploratory qualitative study suggests increasing reliance on networked technology by participants, to accomplish work. Larger human networks are common, where members have diverse levels of network access. Search Connected, a prototype tool, looks to leverage this human network to mitigate challenges that might be experienced during work in remote locations, improving search productivity. A preliminary study evaluating the tool suggests that participants see value in the tool and further research be pursued to find a tipping point between added communication overhead and search speed improvement.
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22

Coulson, Guy. "Measurements of physical and chemical characteristics of aerosols in remote and rural regions." Thesis, University of Essex, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.426013.

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23

Onwe, Christian Akaraka. "Modelling and assessment of renewable energy systems for remote rural areas in Nigeria." Thesis, University of Dundee, 2017. https://discovery.dundee.ac.uk/en/studentTheses/ad464fe8-7241-4dfa-8ff5-e04099711ac3.

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Energy production over the years has depended largely on carbon-dense fossil fuels, and these reserves are depleting. Carbon per se is associated with pollution and one of the consequences of over-dependence on this for energy is the observed environmental imbalance causing climate change. There are opportunities to address this situation through widespread adoption of renewable energy (RE), which is a largely environmentally benign means of energy production. Though it has its limitations, RE systems are developing rapidly to tackle these energy and environment issues head-on. RE systems, especially those involving solar and wind energy, depend strongly on weather conditions, and as such they can produce highly variable power outputs. However, due to the limitations, it is crucial that at early RE design stages, that a proper prior study is done to estimate the energy characteristics of the system for the selected location. To do this, it is possible to utilise a computer model and or data monitoring processes. In this research, two RE monitoring and data collection processes have been carried out. From the monitored data, the dynamic system performance characteristics were analysed. A software tool (SOHYSIMO) that can be utilised to simulate, size and estimate the energy performances of a solar-hydrogen system was developed, and this integrated a new approach for calculating the operating and maintenance costs of the system over the lifetime of the project. During abundance solar resource, overproduction usually occurs and the excess energy can be utilised to produce hydrogen as an energy storage medium, which can subsequently produce electricity through a fuel cell or H2 Genset. Alternatively (or additionally) this hydrogen can be efficiently used to meet a cooking demand. For this reason, and unlike other models, the developed software tool integrates a novel loading which goes beyond the realm of electrical load and includes a hydrogen cooking load facility, as an efficient means of utilising the hydrogen produced, and as a means for displacing current unsustainable fuels such as firewood and kerosene. SOHYSIMO has been validated using two relevant and widely used tools, HOMER and iHOGA. A typical village in Nigeria was selected as case study to evaluate the solarhydrogen cooking. The idea of utilising a DC micro-grid system instead of the prevalent AC type was also investigated, and the technical challenges inherent in AC grids in an existing RE system with an AC micro-grid network was assessed, and DC micro-grids appear to present a significant opportunity for efficient future renewable power system integration.
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24

MacLean, Catherine. "Migration and social change in remote rural areas : a Scottish Highland case study." Thesis, University of Edinburgh, 1998. http://hdl.handle.net/1842/28505.

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The thesis draws on research carried out in a small village on the west coast of the Scottish Highlands, anonymised here as Bailemor in the parish of Beulach. Whilst there have been considerable numbers of community studies carried out in the Highlands and Islands, the thesis is unusual in its methodological approach, combining a long fieldwork period of participant observation, taped interviews, and the use of data such as the Census Small Area Statistics and Register of Sasines. Furthermore, the thesis deals with issues previously often examined only by means of survey data, principally the process of migration and especially 'rural renaissance'. It is argued that quantitative data alone does not examine these processes adequately, often creating a two dimensional 'snapshot in time'. Instead, the thesis draws upon rich fieldwork data to show how participant observation can add to understanding, and through fieldnotes and qualitative interviews presents the complexities and subtleties of migration in and out of the parish. The thesis consists of a literature review, methodology chapter and descriptive chapter which form the context for the four main data chapters. The central focus of migration provides empirical evidence of demographic and historical change, which is used to analyse the experience of 'rural renaissance' in one small community, leading to the argument that such communities have a critical 'viability threshold'. Examining migration also gives scope for theoretical discussion of 'belonging' and social interaction. Migration decisions over time and social change in the parish are looked at through family history interviews. Contentious issues of belonging and localness are analysed in depth, linked to the gossip, humour and conflict of everyday life. One crofting township is examined in detail as a microcosm of all issues involved. The thesis makes a significant contribution to the field both in its methodological discussion, and in the research findings and associated analysis. As an in-depth micro-level study, it helps to fill an identified gap in the literature. Key findings include that incomer/local statuses are not a dichotomy, nor even simply the more subtle 'continuum' of recent writing. Rather, they are mobilised and deployed selectively, in specific contexts. The thesis also highlights the significance of personal relationships, both in terms of 'belonging' and as the crucial factor underpinning many migration decisions. This aspect of social change and migration has been neglected so far in the literature. Countering the common-sense perception of Highland in-migration, and earlier research into similar communities, the thesis finds that Bailemor is relatively open to newcomers, and that despite the erosion of cross-cutting ties of mutual interdependence, practices such as gossip and nicknaming have survived in social interaction. While the thesis is a community study insofar as it is grounded in a substantial period of fieldwork in one area, it is a study of sociological issues in a community, rather than simply a study of a particular place. It is argued in the conclusion that the future of community studies lies in this direction, and there is much potential for further research building on the work of the current thesis.
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25

Wright, Graeme L. "Multiscale remote sensing for assessment of environmental change in the rural-urban fringe." Thesis, Curtin University, 2000. http://hdl.handle.net/20.500.11937/1110.

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The objective of this study was to investigate the application of multiscale satellite remote sensing data for assessment of land cover change in the rural-urban fringe. Inherent in this assessment process was the interpretation of multispectral data collected by several medium resolution satellite systems and evaluation of the quality of the resulting change information. Each dataset was acquired for a single date and classified at two levels of detail using standard classification algorithms. The optimum classification approach for each date was identified and the changes in land cover evaluated in several ways. The contribution of spatial and thematic errors and their propagation through the analysis process was investigated.Data for this research were acquired over an area approximately 4.5 km square located in the southern metropolitan area of Perth, Western Australia. At the time of the initial data acquisition in 1972 the area was predominantly rural and comprised mostly dense pine plantations, however by the final stages of data acquisition in 1991, the area was almost completely given over to urban residential land use. Changes were interpreted from classified Landsat Multispectral Scanner (MSS), Landsat Thematic Mapper (TM) and SPOT (System Pour l'Observation de la Terre) High Resolution Visible (HRV) multispectral data, and were compared to reference maps compiled from medium scale aerial photographs. The geometric properties of high resolution panchromatic IRS1-D data were also evaluated to test the geometric potential of high resolution satellite data.Supervised and unsupervised classification algorithms were used for derivation of land cover maps from each multispectral dataset at two levels of detail. Data were classified onto four general levels at the broadest (Level I) classification, and into nine levels at the finest (Level II) classification. The Kappa statistic and its variance were used to determine the optimum classification approach for each dataset and at each level of detail. No significant differences were observed between classification techniques at Level I, however at Level II the supervised classification approach produced significantly better results for the Landsat TM and SPOT HRV data. Classification at the more general Level I did not produce substantially higher classification rates compared to the same data at Level II. Additionally, higher spatial resolution data did not provide increased accuracy, however this was due mainly to a much greater complexity of land covers present at the time the higher resolution Landsat TM and SPOT HRV data were recorded.Land cover changes were assessed separately at Level I for all datasets, and also between Landsat TM and SPOT HRV data at Level II. Integrated multiscale assessment of land cover change was undertaken using classified Landsat MSS data at Level I and Landsat TM data at Level 11. This enabled the continuity of change to be established across classification levels and sensor systems, even though there were variations in the level of detail extracted from each image.The sources of spatial and thematic errors in the data were investigated and their effects on change assessment analysed. The evaluation of high resolution panchromatic satellite data emphasised the contribution to the analysis of spatial errors contained within the reference data. The multiscale data also indicated that combined propagation of spatial and thematic errors requires investigation using appropriate simulation modelling to establish the influence of data uncertainty on classification and change assessment results.This research provides useful results for demonstrating a process for the integration of information derived from remotely sensed data at different measurement scales. Availability of data from an increasing range of remote sensing platforms and uncertainty of long term data availability emphasises the need to develop flexible interpretation and analysis approaches. This research adds value to the existing data archive by demonstrating how historical data may be integrated regardless of the spectral and spatial characteristics of the sensors.
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26

Wright, Graeme L. "Multiscale remote sensing for assessment of environmental change in the rural-urban fringe." Curtin University of Technology, School of Spatial Sciences, 2000. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=10384.

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Анотація:
The objective of this study was to investigate the application of multiscale satellite remote sensing data for assessment of land cover change in the rural-urban fringe. Inherent in this assessment process was the interpretation of multispectral data collected by several medium resolution satellite systems and evaluation of the quality of the resulting change information. Each dataset was acquired for a single date and classified at two levels of detail using standard classification algorithms. The optimum classification approach for each date was identified and the changes in land cover evaluated in several ways. The contribution of spatial and thematic errors and their propagation through the analysis process was investigated.Data for this research were acquired over an area approximately 4.5 km square located in the southern metropolitan area of Perth, Western Australia. At the time of the initial data acquisition in 1972 the area was predominantly rural and comprised mostly dense pine plantations, however by the final stages of data acquisition in 1991, the area was almost completely given over to urban residential land use. Changes were interpreted from classified Landsat Multispectral Scanner (MSS), Landsat Thematic Mapper (TM) and SPOT (System Pour l'Observation de la Terre) High Resolution Visible (HRV) multispectral data, and were compared to reference maps compiled from medium scale aerial photographs. The geometric properties of high resolution panchromatic IRS1-D data were also evaluated to test the geometric potential of high resolution satellite data.Supervised and unsupervised classification algorithms were used for derivation of land cover maps from each multispectral dataset at two levels of detail. Data were classified onto four general levels at the broadest (Level I) classification, and into nine levels at the finest (Level II) classification. The ++
Kappa statistic and its variance were used to determine the optimum classification approach for each dataset and at each level of detail. No significant differences were observed between classification techniques at Level I, however at Level II the supervised classification approach produced significantly better results for the Landsat TM and SPOT HRV data. Classification at the more general Level I did not produce substantially higher classification rates compared to the same data at Level II. Additionally, higher spatial resolution data did not provide increased accuracy, however this was due mainly to a much greater complexity of land covers present at the time the higher resolution Landsat TM and SPOT HRV data were recorded.Land cover changes were assessed separately at Level I for all datasets, and also between Landsat TM and SPOT HRV data at Level II. Integrated multiscale assessment of land cover change was undertaken using classified Landsat MSS data at Level I and Landsat TM data at Level 11. This enabled the continuity of change to be established across classification levels and sensor systems, even though there were variations in the level of detail extracted from each image.The sources of spatial and thematic errors in the data were investigated and their effects on change assessment analysed. The evaluation of high resolution panchromatic satellite data emphasised the contribution to the analysis of spatial errors contained within the reference data. The multiscale data also indicated that combined propagation of spatial and thematic errors requires investigation using appropriate simulation modelling to establish the influence of data uncertainty on classification and change assessment results.This research provides useful results for demonstrating a process for the integration of information derived from remotely sensed data at different measurement ++
scales. Availability of data from an increasing range of remote sensing platforms and uncertainty of long term data availability emphasises the need to develop flexible interpretation and analysis approaches. This research adds value to the existing data archive by demonstrating how historical data may be integrated regardless of the spectral and spatial characteristics of the sensors.
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27

Carroll, John. "Coastal superquarries in Scotland : critical issues of development in remote coastal areas." Thesis, University of Sheffield, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.370036.

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28

Heaney, David. "Organisational change and remote and rural health care delivery : identifying the attributes of successful innovation." Thesis, University of Aberdeen, 2013. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=211425.

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Aims To investigate the impact of organisational change on the delivery of health services in remote and rural Scotland using, as an example, changes in the organisation of out of hours primary care, and to identify the attributes of successful innovation in remote and rural health provision. Methods The thesis comprised a thematic literature review; in depth interviews with key stakeholders, and case studies based in remote communities. Results The literature review identified recurring attributes of successful innovation. Interviews with remote and rural GPs showed that working out of hours had been, or still was, an integral part of life as a GP. Most agreed there had been an impact on family life. Advantages and challenges of remote and rural working were identified; many GPs could not envisage a better way of delivering services. This was contested by managers. There were divergent views of the 2004 GMS contract. The GPs who opted out of 24 hour responsibility experienced a transformational change in working life. All in all, there was a lack of understanding, and trust, between organisations. NHS 24 and Scottish Ambulance Service were criticised. There had been little change in out of hours service delivery since 2005, and the present configuration was seen as expensive and unsustainable. Despite these acknowledged difficulties, the view was that difficult decisions had been avoided, and a long-term solution that fits the area was required. The case studies added detail and contextual understanding of delivery of services. This could vary even within a practice area. Service delivery on islands was different, with a stronger tie between community and practice, governed by transport logistics, and difficult to understand from an outside perspective. Conclusions. The delivery of out of hours services in remote and rural Scotland has been a difficult and contested issue. Context can have different impacts, even within a very small area. Failure to innovate was associated with lack of collaboration, lack of strategy, lack of understanding of local context, and avoidance of difficult decisions. The organisational change literature demonstrated that receptive contexts for change were not present.
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29

Barker, McKayla, Angela Chrisman, Mason Johnson, Matthew Gouge, and Emily K. Flores. "I.M.P.A.C.T. of Interprofessional Student Teams at a Remote Area Medical Clinic in Rural Appalachia." Digital Commons @ East Tennessee State University, 2021. https://dc.etsu.edu/asrf/2021/presentations/26.

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Introduction: Remote Area Medical (RAM), a non-profit organization serving underserved populations, partnered with East Tennessee State University to provide a unique learning opportunity for student volunteers at a clinic in rural Appalachia. Interprofessional student teams were established with undergraduate and graduate students in multiple professions. This study examined the impact on attitudes of students who participated and the impact of student teams on the event, hypothesizing that a positive impact would be seen on both. COVID-19 adjustments made were also evaluated. Methods: Surveys of student participants were conducted electronically utilizing REDCap before and after participation in the event. Surveys included demographic questions, validated surveys, and open-ended questions. Demographic questions gauged personal background, level of education, and history of interprofessional education or events. The previously validated surveys utilized were the Interprofessional Collaborative Competency Attainment Scale-Revised (ICAAS-R) and the Student Perceptions of Interprofessional Clinical Education-Revised Instrument Version 2 (SPICE-R2). Quantitative data was analyzed with SPSS version 25. Qualitative data was analyzed with deductive coding. Interventions were tallied by student teams during the event. Results: Eighty-nine students participated logging 1,213 interventions and 84 completed portions of the survey (94% response rate). ICAAS-R (n=79) displayed mean increases from 4.19 out of 5 in the pre-survey to 4.58 in the post-survey (p Conclusion: Statistically significant quantitative findings and qualitative themes supported the hypothesis that working in interprofessional teams at a RAM event would positively impact student attitudes towards interprofessional practice, and that student teams would have a positive impact on the event. COVID-19 adjustments made were well perceived. Findings can be summarized with the I.M.P.A.C.T. neumonic.
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30

Clark, Michael Antony. "Telematics and home-based self-employment : the emergence of teleworking in rural Britain." Thesis, University of Bristol, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.245367.

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31

Shakespeare, Louise. "Lymphoedema in a remote and rural area : an investigation into the prevalence of lymphoedema and its effect on daily living and quality of life in a remote and rural area in the far north of Scotland." Thesis, University of the Highlands and Islands, 2012. https://pure.uhi.ac.uk/portal/en/studentthesis/lymphoedema-in-a-remote-and-rural-area(86565f97-7da4-490a-9d74-a76d3d5a64e2).html.

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Background to the study: The long term maintenance of lymphoedema depends on a daily regime of these physical therapies, which lend themselves to self-management by those with the condition (Lymphoedema Framework, 2006). It has been widely recognised in the literature for many years, e.g. Rose et al (1991) to Fu (2010), that achieving a reduction in volume of the lymphoedema and ensuring the ongoing maintenance of the condition is dependent upon knowledgeable healthcare professionals and patients, who are aware of the importance of self care and self management in the long term maintenance of the condition. The challenges for effective lymphoedema management may be exacerbated when the person lives in a very remote and rural area. It has been recognised by policymakers that sparsely populated and geographically remote areas need different healthcare solutions as many of the healthcare policies designed for urban areas are not applicable or sustainable in these areas (British Medical Association, 2005). Estimating the prevalence of the condition and considering the experience of a sample of people with lymphoedema who live in a very remote and rural area will contribute to the knowledge of the requirements for a lymphoedema service to be effective in such an area. Aims: To estimate the prevalence of lymphoedema/chronic oedema and to investigate the characteristics of the condition in a very remote and rural area of Scotland and to explore the experience of a sample of people living with the condition in that area. Methods: A mixed methods research strategy was used. An initial survey of GP practices was undertaken to estimate the prevalence of lymphoedema/chronic oedema and to generate a sample for the other two stages of the study. A postal questionnaire was used to collect quantitative and qualitative information from the initial sample, and to generate a smaller sample to participate in individual semi-structured qualitative interviews exploring the experience of living with and self-managing lymphoedema/chronic oedema in a very remote and rural area in the north of Scotland. Results: The estimated prevalence rate, based on GP report, was higher than that noted in prevalence studies in large urban areas. Based on questionnaire responses, 53% of participants stated their lymphoedema made no difference to how they felt about themselves. However, interviews revealed that frustration and anger was present despite acceptance of the situation; in particular, lack of information and effective treatment was a source of frustration. Many of the sample effectively self-managed their condition, based on their own commonsense experience. However, this resort to commonsense measures seemed to be as result of an apparent lack of awareness and intervention from health care professionals. Conclusions: The findings suggest that early recognition and even minimal support from a knowledgeable source at that early stage could help to maintain the lymphoedema and reduce the need for specialist treatments. Suggestions for the ways of improving early recognition of the condition and access to self-management support in a very remote and rural area are offered.
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32

Vinh, Sean, Rebecca Maloney, Addison Lawson, and Emily K. Flores. "Impact of Interprofessional Healthcare Student Teams at a Remote Area Medical Event in Rural Appalachia." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/79.

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Interprofessional collaboration in healthcare is vital to the nation’s health and interprofessional education is of significant interest in the current academic climate and practice environment. Remote Area Medical is a non-profit healthcare organization that partners with community hosts to provide dental, vision, and medical services to medically underserved patients in remote areas of the United States and abroad. RAM mobile clinics have served over 785,000 people since their founding in 1985, providing vital healthcare services free of charge through the volunteer services of healthcare professionals. RAM mobile clinics provide an excellent opportunity for interprofessional collaboration and interprofessional education as learners partner with volunteer professionals to serve the community. The RAM mobile clinic in Gray, Tennessee was first established in 2017 and implemented the innovate utilization of undergraduate and graduate health professional students from the East Tennessee State University Academic Health Sciences Center in student teams. Interprofessional student teams along with precepting faculty are flexible in location and services offered to best serve the needs of the mobile clinic at any given time. Interprofessional student teams work to improve patient utilization of services offered at the event and assist with medication histories and health screens while growing student interprofessional patient care skills in the process. The objective of this research is to describe the impact of interprofessional student teams on patient care at the Gray, Tennessee RAM mobile clinic during the first two years. Data was collected from the years 2017 and 2018 by the student volunteer coordinator then analyzed by student researchers. The interprofessional student teams consisted of 87 student volunteers that were training in Clinical and Rehabilitative Sciences, Medicine, Nursing, Public Health, or Pharmacy over the course of the three-day mobile clinic in 2017 and 109 different student volunteers in 2018. Student teams were precepted by interprofessional faculty and logged 2,332 interventions in 2017 and 1,130 interventions in 2018. The top two interventions in 2017 were Medication Histories and Blood Glucose Screens while the top two interventions in 2018 were Medication Histories and Health Screens. Variation in number of interventions logged and type of interventions logged can be explained by event characteristics that differed between the two years. Student participants commented positively on their engagement with one another and discussions they had to better understand each other’s professions between patient encounters. This research attempts to demonstrate that the impact of interprofessional student teams at a RAM mobile clinic is worth the investment of faculty resources in planning and execution to engage student learning while benefitting the patient population being served. This research also provided a hypothesis for additional research to be conducted around the 2019 Gray, Tennessee RAM mobile clinic.
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33

Baeza, Angela. "Indigenous education in rural and remote areas in Chile: Exploring teacher and community experiences." Thesis, Queensland University of Technology, 2022. https://eprints.qut.edu.au/228738/1/Angela_Baeza_Thesis.pdf.

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This qualitative study aimed to understand what skills and knowledge teachers need to teach in Indigenous rural schools. This study contributes to giving voice to those under the colonisation umbrella, who have been marginalised and silenced under the dominant culture. Interviews with teachers, Indigenous community members, and local authorities were the primary source of information. Data of this research allowed the development of a model for identifying the factors influencing teachers' identity in rural Indigenous schools [FITIRIS]. The study's findings could lead to future improvements in teacher education and training to perform adequately in a rural Indigenous setting.
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34

Johns, Lise. "Exploring Psychosocial Care Provision for Palliative Clients Living in a Rural and Remote Context." Thesis, Griffith University, 2014. http://hdl.handle.net/10072/365244.

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Despite being one of the most avoided topics of all time, death is a guaranteed eventuality for us all. However, good psychosocial care as death approaches is not. Where people reside is likely to impact their accessibility to quality psychological, emotional, social, spiritual and cultural support. This thesis will explore this issue, seeking to ascertain how psychosocial care provision is being undertaken in rural and remote areas of Queensland, Australia as well as illuminating social work’s role within this context. Thirty-eight rural participants were interviewed comprised of health practitioners, community workers, palliative care clients and carers. A five week research expedition was undertaken visiting twenty-four rural towns across Queensland, resulting in rich, qualitative data from which pertinent themes were derived. The results revealed that psychosocial needs for palliative clients in these country towns are currently being met in an ad-hoc, inconsistent manner, pending largely on the availability and perceived proficiency of health professionals.
Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Human Services and Social work
Griffith Health
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35

Lester, Nita Clare. "Small School Leadership in Remote Rural Settings: A Matter of Collaboration and Community Acceptance." Thesis, Griffith University, 2010. http://hdl.handle.net/10072/365198.

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Nearly four in ten state school principals in Queensland are teaching principal. They work alone or with one other teacher in schools. Yet these teaching principals, located in isolated country areas attract limited attention in research into school leadership. They seem absent in theoretical models of educational leadership built from analyses of principals in large urban schools. In effect, smaller schools are viewed as ‘scaled down’ versions of larger schools, underpinning a false assumption that leadership and managerial approaches in small remote schools are similar to those in larger urban schools. Or the problem is dismissed. If there is only one full-time staff member—the teaching principal—is leadership possible and if so, what influences it? The purpose of this study was to examine teaching principal leadership as a particular phenomenon of school leadership. This was done by exploring the experiential accounts of teaching principals in one-teacher schools in remote rural Queensland settings. Their accounts describe their experiences and perceptions of the leadership practice needed to lead their schools, the influences upon this practice, their reactions to those influences and what constituted success in leadership. A case study design was used, guided by the theoretical underpinnings of the symbolic interactionist, who argues that meaning is to be found in the interactions between social actors. Qualitative data were derived from six beginning teaching principals’ perceptions of experiences related to practice. Data were analysed using grounded theory methods, especially with the use of constant comparison. A cross case comparison showed a number of consistent influences on leadership. Findings from the study extend recent reconceptualisations of school leadership particularly, understanding the importance of relationship building. Relationship building in the remote rural settings studied occurred at various levels: professional, school-based, personal, and community-wide. Principals who understand the importance of relationship building—especially its personal and community-wide facets—who take the initiative in establishing and nurturing relationships and improving them through reflection over time, are more successful at motivating, inspiring, and aligning country people to facilitate change. The acquisition of supportive relationships is presented as a possible precursor to school leadership in small remote rural school settings.
Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Education and Professional Studies
Arts, Education and Law
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36

Block, Corey, Kim Bulkeley, and Michelle Lincoln. "Occupational Therapy with Australian Indigenous children and their families: A rural and remote perspective." Thesis, Discipline of Occupational Therapy, 2016. http://hdl.handle.net/2123/14325.

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Background/aim: Occupational therapy service delivery must be adapted when working with Indigenous communities, as there is a diversity of beliefs, values and customs. There are currently no evidence-based models of therapy service delivery to rural and remote Indigenous children and their families. This study aims to explore occupational therapy service delivery to rural and remote Indigenous children and their families. Methods: Semi-structured telephone interviews were conducted with seven occupational therapists with experience with Australian rural and remote Indigenous children and their families. A thematic analysis was conducted on each interview with constant comparison to refine themes across interviews. Results: A total of six service delivery themes emerged from the data gathered in the interviews; flexible and accessible services; tailored services; culturally sensitive therapist; culturally inclusive services; occupational therapy awareness; and collaboration. These results linked with the need for long-term solutions, as the limited access to occupational therapy within these communities is a social injustice. Conclusion: The findings demonstrate that each Indigenous community is unique. Therapists work in collaboration with the community and use their critical reasoning skills to adjust practice accordingly. Significance of the study: This study contributes to growing knowledge about occupational therapy service provision in rural and remote Indigenous communities with children and their families. The findings will assist therapist in these communities to provide culturally aligned services. They also advocate for these communities by emphasising the basic human right violations that Indigenous communities are experiencing by not having access to consistent and culturally appropriate occupational therapy services.
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37

Vosloo, Arno. "Agent-based energy management system for remote community microgrid." Thesis, Cape Peninsula University of Technology, 2015. http://hdl.handle.net/20.500.11838/1188.

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thesis submitted in partial fulfilment of the requirements for the degree: Master of Technology: Electrical Engineering in the Faculty of Electrical Engineering at the Cape Peninsula University of Technology
Rural communities are often unable to access electrical energy due to their distant location away from the national grid. Renewable energy sources (RESs) make it possible to provide electrical energy to these isolated areas. Sustainable generation is possible at a local level and is not dependant on connection to a national power grid. Microgrids are small scale, stand-alone electricity networks that harness energy at its geographical location, from natural resources. These small scale power grids are either connected to a national grid or operate separately by obtaining their power from an RES. Microgrids are becoming increasingly popular because they can provide electricity, independently of the national grid. The size of microgrid systems are dependent on the amount of energy that needs to be drawn and the amount of energy that has to be stored. Mechanical and electrical system component sizes become bigger due to increased operational energy requirements. Increases in component sizes are required on growing power networks when higher current levels are drawn. Energy management of microgrids must thus be introduced to prevent overloading the power grid network and to extend the operational life of the storage batteries. Energy management systems consist of different components which are seen as operational units. Operational units are responsible for measurement, communication, decision–making and power supply switching control, to manipulate the power output to meet the energy demands. Due to the increasing popularity of DC home appliances, it is important to explore the possibility of keeping these microgrids on a DC voltage basis. Electrical generation equipment such as photovoltaic panels can be used to generate DC at designed voltage levels. The energy management system connects the user loads and generation units together to form the microgrid. The aim of this study was to carry out the design of an agent–based energy management system for rural and under-developed communities. It investigates how the control of the output of the energy management system can be carried out to service the loads. The simulations were done using the following software packages: Simulink, Matlab, and SimPowerSystems. PV sources, energy management system (EMS) and user load parameters are varied in the simulation software to observe how the control algorithm executes load shedding. A stokvel-type charge share concept is dealt with where the state-of-charge (SOC) of batteries and user consumption will determine how grid loads are managed. Load shedding within the grid is executed by monitoring energy flow and calculating how much energy is allowed to be used by each consumer. The energy management system is programmed to always provide the largest amount of energy to the consumer with the lowest energy consumption for each day. The batteries store surplus electrical energy during the day. Load shedding starts at 18:00 each day. Users will be disconnected from the grid whenever their allotted energy capacity were depleted.
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38

Silva, Raquel Radde da. "Aplicação de imagens orbitais de alta resolução espacial no cadastro técnico rural multifinalitário." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2007. http://hdl.handle.net/10183/11285.

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Comprovada a importância do uso de imagens de satélite de alta resolução como ferramenta em muitas áreas, permitindo agilidade, qualidade e baixo custo aos usuários, torna-se importante também, o estudo da aplicação destas imagens no cadastro técnico rural multifinalitário, visto que a informação cadastral precisa e atualizada, obtida de forma rápida, com qualidade e relação custo-benefício atrativa, é um componente essencial ao processo de tomada de decisão por parte dos órgãos competentes. Além do cadastro ambiental, com a regulamentação da Lei 10.267/2001, que trata do georreferenciamento de imóveis rurais, o cadastro técnico rural geométrico vem merecendo atenção especial devido às grandes discussões e dúvidas geradas em torno deste tema. O objetivo deste trabalho, portanto, é investigar a aplicabilidade das imagens de alta resolução espacial do Sensor QuickBird II no cadastro técnico rural multifinalitário de uma área rural com relevo levemente ondulado e comparar as recomendações da Norma Técnica para Georreferenciamento de Imóveis Rurais do INCRA, principalmente no tocante às medições de limites naturais (drenagens), com os resultados obtidos através da imagem. Para tanto, utilizou-se uma imagem orbital do referido sensor nos modos pancromático e multiespectral, em seu estado bruto, isto é, sem nenhum tipo de tratamento. A partir da imagem bruta, realizou-se uma técnica de fusão, de forma a permitir trabalhar com uma imagem de alta resolução espectral e espacial ao mesmo tempo. A seguir realizou-se a correção geométrica planimétrica da imagem (registro) e o georreferenciamento, utilizando-se 19 pontos de controle medidos em campo com tecnologia GPS, seguindo da geração de um MDT através de curvas-denível de 10 em 10 metros da cartografia sistemática brasileira. De posse deste MDT, bem como do MDT da SRTM, com pixel de 90 metros, gerou-se duas orto-imagens por meio do processo de ortorretificação (correção geométrica altimétrica). A partir das orto-imagens, gerou-se os vetores correspondentes ao limite da Estação Experimental Agronômica da UFRGS, gleba Sul, área piloto de estudo. Após gerados os três vetores correspondentes, respectivamente, à carta topográfica de escala 1:25.000, à imagem ortorretificada através das curvas-de-nível e à imagem ortorretificada através do MDT da SRTM, comparou-se os resultados com o limite medido por técnicas de topografia convencional, o qual foi tomado como referência. Para atingir os objetivos do trabalho, avaliou-se separadamente os limites secos e o limite natural, respeitando suas particularidades. Após analisados os resultados, conclui-se que o melhor produto éoriundo da imagem ortorretificada pelo MDT da SRTM, com exatidão de 1,90 metros e recomenda-se a utilização deste, numa escala de referência máxima de 1:8.000, atendendo em grande parte as necessidades da administração de uma propriedade rural, bem como o planejamento e gerenciamento de um projeto florestal. Com relação à determinação de limites naturais (drenagens), conclui-se que a imagem orbital ortorretificada pelo MDT da SRTM é 3,5 vezes mais exata que a cartografia existente, recomendada pela Norma Técnica do INCRA.
Clear the importance of the use of satellite imagery of high resolution as a tool in many areas, allowing agility, quality and low cost to users, it is also important, the study of the application of these images in the multipurpose rural technical cadaster, since the information cadastral accurate and updated, obtained quickly, with quality and attractive cost-benefit, is a key component to the decision-making process by the competent agencies. Besides the environmental cadaster with the regulations of Law 10.267/2001, which is the georreferencing of rural property, the geometric rural technical cadaster comes deserving special attention because of the big discussions and doubts generated around this theme. The goal of this study, therefore, is to investigate the applicability of the images of high spatial resolution of the sensor QuickBird II in the multipurpose rural technical cadaster of an rural area with relief slightly wavy and compare the recommendations of the Technical Standard for georreferencing of rural property of the INCRA, mainly regarding measurements of natural limits (drainings), with the results gotten the image. For this, was used an image of the related orbital sensor in pancromatic and multispectral modes, in its raw state, that is, without any kind of treatment. From the raw image, there was a technique of merger, in order to work with an image of high spectral and spatial resolution at the same time. To follow it was become the planimetric geometric correction image (register) and the georreferencing, using 19 measured points of control in field with GPS technology, following the generation of a MDT through curves-of-level of 10 in 10 meters the Brazilian systematic mapping. Of ownership of this MDT, as well as of the MDT's SRTM with pixel of 90 meters, generated two ortho-images through the process of orthorrectification (altimetric geometric correction). From ortho-images, has been the corresponding vectors to the limit of the Experimental Station Agronomic of UFRGS, soil South, pilot area of study. After the three vectors generated corresponding, respectively, to the topographical map of scale 1:25.000, the image orthorrectificated through curves-of-level and image orthorrectificated through MDT's SRTM, compared themselves with the results measured by the limit conventional techniques of topography, which was taken as a reference. To reach the goals of the work, is evaluated separately the limit dried and the natural limit, respecting its particularities. After analyzed the results, concluded that the best product comes from the image orthorrectificated by MDT of the SRTM, with accuracy of 1.90 meters and it isrecommended to use this, on a scale of reference maximum of 1:8.000, given largely the needs of the administration of a rural property, as well as the planning and management of a forestry project. With regard to the determination of natural limits (drainingss), it is concluded that the orbital image orthorrectificated by MDTof the SRTM is 3,5 times more accurate that the existing mapping, recommended by the Norm of INCRA.
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39

van, Vuuren Catharina Cornelia Maria (Kitty), and n/a. "Community Participation in Australian Community Broadcasting: A Comparative Study of Rural, Regional and Remote Radio." Griffith University. School of Arts, Media and Culture, 2004. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20040720.153812.

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Анотація:
This study investigates the relationship between media and democracy with a particular focus on Australian community broadcasting. I put forward the thesis that the value and purpose of community broadcasting are located in its community development function, rather than in its ability to transmit alternative information. This suggests that an analysis should emphasise community rather than media. Community development promotes the empowerment of ordinary people so that they can confidently participate in management and decision-making - that is, the procedures and norms that underpin democratic practices. In the case of community media, the relationship between democracy and media is located primarily in its volunteers. To understand this relationship, I link together concepts of the public sphere and social capital. The public sphere is understood as multiple and diverse and linked to other publics via the web of relationships forged among people with shared interests and norms. I argue that a community public sphere should be understood as a cultural resource and managed as a common property. The public sphere is thus conceived to have a more or less porous boundary that serves to regulate membership. Understood as a bounded domain, the public sphere can be analysed in terms of its ideological structure, its management practices and its alliances with other publics. This approach also allows for a comparison with other similar public spheres. The study identifies two main ideological constellations that have shaped the development of Australian community broadcasting - professionalism and community development, with the former gaining prominence as the sector expands into rural and regional communities. The ascendancy of professional and quasi-commercial practices is of concern as it can undermine the community development potential of community broadcasting, a function that appears to be little understood and one which has attracted little research. The study presents a case study of three regional and remote rural community radio stations and compares them from a social capital perspective. Social capital is a framework for understanding the relationship between the individual and the community and explores this relationship in terms of participation in networks, reciprocal benefits among groups and individuals and the nature of active participation. Demographic and organisational structures of the three stations are also compared. By taking this approach, each station's capacity for community development and empowerment is addressed. The results of the fieldwork reveal that the success of a community radio station is related to 'community spirit' and demographic structure. They reveal that the community radio station in the smallest community with the lowest per capita income was best able to meet the needs of its community and its volunteers.
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40

Clarke, Kaila-Lea. "Climate-related Stresses on Human Health in a Remote and Rural Region of Ontario, Canada." Thèse, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/23296.

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This thesis examines the susceptibility of human health to climate-related stresses in the rural municipality of Addington Highlands, Ontario. Human health is sensitive to climatic variations and change, and public health systems play a role in managing climate-related risks. Canada is generally deemed to have considerable capacity to adapt to vulnerabilities associated with climate change, yet there is variability among communities in their exposure and ability to manage health risks. This thesis examines the health-related vulnerability of the community of Addington Highlands. Drawing upon data gained from key informant interviews and newspaper articles, as well as other secondary data sources, the thesis documents climate-related health risks, outlines the programs and services available to deal with those risks, and assesses the capacity of the community to adapt to future climate conditions and risks. Conditions such as storms, heat stress and forest fires currently present health risks in the area, and they are expected to become more prevalent with climate change. The health risks of Lyme disease, West Nile virus and algal blooms are likely to increase in the future as the climate continues to change. Adaptation to these risks is evident in several of Addington Highlands public health and emergency management programs. The community’s adaptive capacity is strengthened by its social networks and institutional flexibility, but it is constrained by its aging population, limits to the availability and access to health care services, and challenges relating to the retention of service providers. An important strategy to assist adaptation to climate change risks to health is the promotion of public awareness, a strategy to which this research contributes. This thesis research serves to identify and better understand vulnerabilities, and help stimulate actions toward preparing Addington Highlands for possible future climate-related risks.
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41

Chambers, Therese Victorene. "Generation planning for small rural remote communities with the inclusion of PV and wind resources." Thesis, University of Manchester, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.489507.

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Rural electrification has centred mainly on the extension of grid supplies. However, grid extensions are not always viable for some communities due to either their smals size or location. Developments in renewable energy systems have lead to increased of renewable-diesel hybrid systems to provide power to small remote communities where grid connections are not viable. The selection of the rural hybrid energy system is influenced by the load, availability of renewable resources and system operating costs.
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42

Gibbon, Hugh. "Using remote sensing techniques for rural development planning in Kenya : a study in Meru District." Thesis, University of Nottingham, 1987. http://eprints.nottingham.ac.uk/29107/.

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The thesis sets out to examine the utility of remote sensing techniques in helping to define recommendation domains relatively homogeneous agricultural areas - to act as foci for agricultural development planning in lower Meru, Kenya. Recommendation domains are used in farming systems research (FSR) for agricultural research and development initiatives enabling greater participation from rural producers within the development process. Recommendation domains are defined by agricultural potential (agro-ecological zones) and farming systems (agro-economic groupings). A multilevel approach incorporating Landsat MSS data, 1:50,000 stereo panchromatic air photography, large scale aerial colour slide photography and ground surveys is used to collect data on the farming systems of the study area. Relatively homogeneous farming patterns are identified and mapped using a number of different computer software packages. These patterns are related to previously identified zones of agricultural potential (agro-ecological zones) to define recommendation domains for new agricultural development initiatives in the area. Several domains are identified for specific attention. Recommendations are made which are relevant to both national and district level agricultural planning in Kenya. It is suggested that future development programmes should focus on areas undergoing population movement and cultivation change since without careful planning these changes are likely to detrimentally affect the local farming systems and natural environment.
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43

Koko, S. P., K. Kusakana, and H. J. Vermaak. "Techno-economic analysis of an off-grid micro-hydrokinetic river system for remote rural electrification." Interim : Interdisciplinary Journal, Vol 13, Issue 3: Central University of Technology Free State Bloemfontein, 2013. http://hdl.handle.net/11462/311.

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Published Article
This study investigates the use of off-grid micro-hydrokinetic river system as a cost-effective and sustainable electricity supply option for remote rural residents in close proximity to flowing water and not having access to grid electricity. This hydrokinetic technology is still in the development stage and there is a lack of application especially in rural areas with reasonable water resource. This study will present the economic and environmental benefits of the proposed system. A mathematical model is developed to simulate the system performance as submitted to different solicitations. A test prototype will also be used in order to validate the simulation results.
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44

Kentoffio, Katherine. "Health Systems Reconstruction Among Remote Populations: Trends From Rural Liberia Prior to the Ebola Epidemic." Thesis, Harvard University, 2015. http://nrs.harvard.edu/urn-3:HUL.InstRepos:17295911.

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Background: The weak health network in post-war Liberia is likely a primary contributor to the unprecedented 2014 Ebola outbreak in West Africa. This paper seeks to assess gaps in the health system prior to the epidemic by evaluating changes in access to maternal and child health services in a remote region compared to rural averages from 2007-2013. Methods: We conducted a two-staged cluster survey in 2012 in the remote district of Konobo, Liberia. Our primary outcomes of interest were access to prenatal, peri-natal and postnatal care, and access to sick child services. We compared results from our survey to the rural sub-samples from the Demographic and Health Survey (DHS) in 2007 and 2013 to assess for differential service utilization in remote regions. Results: Although most child and maternal health indicators improved in the DHS rural sub-sample from 2007 to 2013, this progress was not reflected in the remote Konobo population. Fewer women received 4+ antenatal care visits (OR 0.28, P< 0.001) and any postnatal care (OR 0.25, P<0.001) in Konobo as compared to the 2013 DHS. Similarly, fewer children received professional care for common childhood illnesses, including acute respiratory infection (9% vs 52%, P<0.001) and diarrhea (11% vs. 46%, P< 0.001). Conclusions: Even before the Ebola epidemic, residents in remote areas of Liberia had severely limited access to basic services. Most indicators remain below 2013 levels, despite the overall progress seen elsewhere in rural Liberia from 2007-2013. As attention turns to rebuilding the healthcare infrastructure in Liberia, a specific focus on remote areas will be crucial.
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45

van, Vuuren Catharina Cornelia Maria (Kitty). "Community Participation in Australian Community Broadcasting: A Comparative Study of Rural, Regional and Remote Radio." Thesis, Griffith University, 2004. http://hdl.handle.net/10072/366371.

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Анотація:
This study investigates the relationship between media and democracy with a particular focus on Australian community broadcasting. I put forward the thesis that the value and purpose of community broadcasting are located in its community development function, rather than in its ability to transmit alternative information. This suggests that an analysis should emphasise community rather than media. Community development promotes the empowerment of ordinary people so that they can confidently participate in management and decision-making - that is, the procedures and norms that underpin democratic practices. In the case of community media, the relationship between democracy and media is located primarily in its volunteers. -- To understand this relationship, I link together concepts of the public sphere and social capital. The public sphere is understood as multiple and diverse and linked to other publics via the web of relationships forged among people with shared interests and norms. I argue that a community public sphere should be understood as a cultural resource and managed as a common property. The public sphere is thus conceived to have a more or less porous boundary that serves to regulate membership. Understood as a bounded domain, the public sphere can be analysed in terms of its ideological structure, its management practices and its alliances with other publics. This approach also allows for a comparison with other similar public spheres. -- The study identifies two main ideological constellations that have shaped the development of Australian community broadcasting - professionalism and community development, with the former gaining prominence as the sector expands into rural and regional communities. The ascendancy of professional and quasi-commercial practices is of concern as it can undermine the community development potential of community broadcasting, a function that appears to be little understood and one which has attracted little research. -- The study presents a case study of three regional and remote rural community radio stations and compares them from a social capital perspective. Social capital is a framework for understanding the relationship between the individual and the community and explores this relationship in terms of participation in networks, reciprocal benefits among groups and individuals and the nature of active participation. Demographic and organisational structures of the three stations are also compared. By taking this approach, each station's capacity for community development and empowerment is addressed. -- The results of the fieldwork reveal that the success of a community radio station is related to 'community spirit' and demographic structure. They reveal that the community radio station in the smallest community with the lowest per capita income was best able to meet the needs of its community and its volunteers.
Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Arts, Media and Culture
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46

Gwynne, Kylie. "Applying collective impact to improve health services for Aboriginal people in rural and remote communities." Thesis, The University of Sydney, 2017. http://hdl.handle.net/2123/16942.

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Title Applying collective impact to improve health services for Aboriginal people in rural and remote communities. Aim The aim of this thesis was to examine whether utilising a collective impact model of design, implementation and evaluation improves effectiveness and efficiency of health care services for Aboriginal Australians. Background Colonisation had a devastating impact on the culture, health, population and wellbeing of Aboriginal Australians. The impacts of colonisation are complex, long standing, entrenched and wide ranging. Collective Impact is a structured five-stage and three-phase process which facilitates community engagement in resolving highly complex or wicked problems. The purpose of this research is to determine the efficacy of utilising collective impact in the design, implementation and evaluation of health care services for Aboriginal people in Australia. Methods Mixed methods are utilised in this research including: systematic reviews; interviewer assisted surveys; semi-structured interviews; and retrospective comparison of two data sets. The data is analysed descriptively and thematically; and the retrospective comparative data is analysed quantitatively. Results and discussion Quantitative and qualitative evidence is provided in this research to support the finding that collective impact is efficacious in engaging Aboriginal people in the design, implementation and evaluation of health care services intended for them. The collective impact approach is demonstrated to result in successful, well designed programs and increase the efficacy of health services. Conclusions Collective impact is a suitable tool for health care policy makers, managers and funders to utilise to expedite progress with improving health outcomes for Aboriginal Australians. Key words Aboriginal, health outcomes, collective impact, service design, workforce development, program evaluation.
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47

Johnson, Edward. "An exploration of person-centred allied health supports with rural and remote families in the context of the rollout of the National Disability Insurance Scheme in Australia." Thesis, The University of Sydney, 2021. https://hdl.handle.net/2123/27208.

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Australia has recently undergone a revolution in how people with disabilities access funding and choose supports – from supports administered or overseen by state/territory governments, to a national approach where individualised funding is allocated to people based on specific needs under the National Disability Insurance Scheme (NDIS). The power is now in the hands of the person with a disability, which has significant implications for consumers, clinicians and the business models of service providers. In rural and remote Australia, there has long been difficulty in accessing timely, person-centred disability supports and allied health services. Many families have continued to face these difficulties in the leadup to the NDIS transition, and following its implementation across Australia. The research undertaken in this thesis sought to understand family perspectives on past experiences of accessing allied health disability supports, their understanding of the language used to describe and deliver those services, and their expectations for the future given the sweeping changes in legislation and policy. Further, the research sought to use these data to inform at least one kind of solution – a solution which would make timely and person-centred allied health supports possible in rural and remote areas when there is a lack or shortage of existing local clinicians or clinical expertise. The research was carried out in two phases. In Phase 1, qualitative methods (semistructured interviews) were used to collect data from the parents or carers of children with intellectual disabilities in rural and remote Australia. The first study within this phase (Study 1) examined how families have experienced disability supports in the past and how they understood the principles applied in the design of those supports. The second study in this phase (Study 2) collected information regarding the families’ visions for the future. These data informed Phase 2 of the research. In Phase 2, four in-depth mixed methods case studies were carried out to examine the viability of delivering a person-centred allied health service to families in rural and remote Australia via a hybrid online and in person capacity-building approach (Study 3). Families identified a number of issues which affected their past experiences and expectations for the future. The in-depth case studies showed that a hybrid online and in-person capacity-building approach can be effective in some situations, and less effective in others, with one key factor of success including local key-worker support and expertise. With the expansion of digital service delivery models in 2020 as a result of the COVID- 19 pandemic, this research begins to build a foundation for further investigation of capacity-building approaches beyond a traditional one-to-one, in-person-only therapy delivery process. It has the potential to support policy and practice advancement in rural and remote communities across Australia and the world into the future.
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48

Scholes-Robertson, Nicole. "Improving access to kidney replacement therapy for rural Australians with chronic kidney disease." Thesis, The University of Sydney, 2022. https://hdl.handle.net/2123/28686.

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People with chronic kidney disease (CKD) living in rural communities have a higher risk of mortality, morbidity, hospitalisation, and decreased quality of life. They are less likely to access nephrology services and receive the recommended testing and education about CKD. Many barriers to accessing healthcare exist for rural patients with CKD, including geography and travel, particularly in large countries like Australia. This thesis aims to summarise existing evidence, generate new and comprehensive knowledge about the experiences, perspectives and needs of rural patients in accessing kidney replacement therapy in Australia, and to develop a practical, evidence-based, consumer-driven framework for improving access to healthcare for rural people with CKD. Chapter 2 provides synthesised evidence from multiple qualitative studies on patients’ and caregivers perspectives on access to kidney replacement therapy to generate comprehensive insights across rurally diverse geographical settings and populations. Chapters 3 to 5 is a suite of qualitative studies that describe in-depth perspectives of rural patients, caregivers, and clinicians on access to dialysis and transplant. Chapter 6 is a survey of the financial impact of CKD on families in rural Australia. Chapter 7 describes a series of workshops conducted with patients, caregivers, and health professionals on identifying roles and priorities of a rural patient navigator program for patients with CKD in rural settings. In conclusion, this thesis identifies a plethora of barriers and challenges in accessing dialysis and transplantation for rural people with CKD in Australia. The findings highlight the need for education, particularly regarding treatment options, financial support, psychosocial services, and support in navigating complex healthcare services.
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49

Sharplin, Elaine Denise. "Quality of worklife for rural and remote teachers : perspectives of novice, interstate and overseas-qualified teachers." University of Western Australia. Graduate School of Education, 2008. http://theses.library.uwa.edu.au/adt-WU2008.0211.

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[Truncated abstract] It is essential to attract, recruit and retain quality teachers in rural and remote schools for provision of quality education to rural and remote students. A robust body of research confirms that teacher quality contributes to quality of education (Darling-Hammond, 2000; Hay McBer, 2000; Kaplan & Owings, 2002; OECD, 2002; Ramsay, 2000). Staffing histories of rural and remote schools identify persistent difficulties in recruiting and retaining teachers, but previous research has failed to address the experiences and perspectives of rural and remote teachers from the earliest phases of appointment, tracking their experiences over time. In times and places of persistent teacher shortages, teacher quality of worklife issues are paramount. Factors impacting on teacher quality of worklife may impact on teacher retention, staffing levels and ultimately the quality of education for children. For these reasons, this study aimed to develop substantive theory about the experiences of teachers commencing appointments in rural and remote schools by investigating the perspectives of novice, interstate and overseas-qualified teachers. The study sought to develop understandings of rural and remote teachers quality of worklife. In order to achieve this aime, the experiences of 29 teachers were examined, in four categories of teachers likely to be appointed to rural and remote locations: young novices; mature-aged novices; interstate; and overseas-qualified teachers in a qualitative collective case study. ... Awareness of the variety of factors in multiple environments, and the complex interplay between them, helps to account for the diversity of perspectives and quality of worklife outcomes for rural and remote teachers. Two theories were generated from ten propositions. The first theory, Quality of Worklife for Rural and Remote Teachers: Person-Environment Fit to Multiple Environments, identified protective and risk factors associated with workrole, workplace, organisation, geographic and socio-cultural community environments. The theory recognises spillover between work and non-work life experiences, impacting on quality of teacher worklife; however, factors directly associated with worklife impacted most significantly on quality of worklife. The second theory, Processes of Adaptation to Multiple Rural and Remote Environments, identified processes (teacher expectations, evaluations of environments, responses to environments) and coping strategies (direct-action, palliative and avoidant) as leading to one of four outcomes: integration; resilient integration; disequilibrium; and withdrawal. The case study findings offer original understandings of experiences of teachers newly appointed to rural and remote schools, through the development of theory about multiple environments teachers encounter and processes of adaptation associated with their relocation to rural and remote areas. The findings have implications for theory, policy and practice, and contribute new dimensions to the general quality of worklife literature.
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Sallowm, Afraa Jalal. "ICT access and use in the remote rural town of Hatherleigh (Devon, UK) : towards citizen engagement?" Thesis, University of Plymouth, 2009. http://hdl.handle.net/10026.1/1674.

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Information communication technologies (ICTs) have reached into everyday life. This emphasises the increasing importance of understanding the relationship between ICTs and society (Giddens 1994; Castells 1996; Walsham 2001). Over the last few decades, ICTs have shaped many aspects of society, and the specific role that ICTs have played in influencing government and governance structures has received particular attention. Today, the term 'governance' is widely used and accepted amongst a variety of academics and practitioners. However, in recent years the processes by which rural areas are governed have changed remarkably. Many scholars accept the conceptual and theoretical debate concerning the actual and potential impact of ICTs as a powerful force shaping governance (Goodwin 1998; MacKinnon 2002), but few have attempted to support their argument by conducting detailed empirical analyses of the role and influence of ICTs for egovernance processes in rural communities. This thesis addresses this gap by analysing the linkages between ICT access and use in a remote rural area of the UK. The thesis presents an in-depth case study analysis of a rural market town (Hatherleigh) located in west Devon. It examines ICT access and use in Hatherleigh considering that individual levels of ICT adoption are uneven, depending on factors such as age, gender, employment and family composition (Ofcom 2006; Selg and Svensoon 2008). It follows a wider call in the area of rural and ICT studies that many remote rural areas face serious challenges in their efforts to benefit from the opportunities offered by ICTs (Woods 2005; Moseley and Owen 2008). The thesis particularly builds on Okot-Uma's (2001), Millard's (2003) and Odendaal's (2003) work on the impact of ICT on governance and potential changes in service delivery to rural areas. To understand the impact of ICTs on e-governance in rural areas more fully, specific emphasis is placed on how Hatherieigh residents use the internet for accessing on-line information and services and how they use the internet to engage with policy stakeholders within and beyond Hatherleigh. A specific focus is placed on analysing barriers affecting e-governance processes ranging from the local to the national scale. Ill The methodology used to collect empirical data is based on a multi-method approach, including questionnaires, interviews and participant observation to explore interactions between Hatherteigh residents and ICTs. The results suggest that ICT has changed the social landscape of rural communities such as Hatherleigh in terms of communication and job opportunities, and that it plays a key role in reducing feelings of distance and isolation. A key result is that the internet plays an important role for e-governance interactions at the regional/national level, but that it only plays a minor role at the local level. A key explanation for these different 'geographies of ICT use' is that remote mral locations such as Hatherleigh are (still) characterized by relatively close-knit communities where physical face-to-face interaction still plays an important role, thereby reducing the need for internet use to access local information. The study also suggests a typology of non-users in Hatherleigh, suggesting that non-users are a highly differentiated group in which some segments are relatively keen to use ICT in the future, while others continue to staunchly resist using ICTs. The latter are a particularly problematic group as they may be 'doubly' excluded by both living in a remote mral area that has lost some of its services (to some extent because of ICT availability) and by not being interested in using ICTs to overcome such disadvantages.
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