To see the other types of publications on this topic, follow the link: Administrative evaluation after public notice.
Journal articles on the topic 'Administrative evaluation after public notice'
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 journal articles for your research on the topic 'Administrative evaluation after public notice.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.
1
BASE, Graciela. "Notice-and-Comment Rulemaking in Comparative Perspective: Some Conceptual and Practical Implications." Asian Journal of Comparative Law 15, no. 1 (May 18, 2020): 95–125. http://dx.doi.org/10.1017/asjcl.2020.6.
Full textAbstract:
AbstractPublic participation in administrative rulemaking is typically embodied in notice-and-comment procedures essentially mandating the publication of a proposed rule and an opportunity for the public to submit comments thereon prior to its adoption. This article presents a comparative analysis of the notice-and-comment regimes under the Philippine Administrative Code (PAC) and the United States’ Administrative Procedure Act (APA). In stark contrast to the Philippine legal framework which renders compliance with the notice-and-comment procedure practically discretionary on the part of the agency, the APA prescribes the conduct of notice-and-comment as a general rule, and courts rigorously police agencies’ compliance with the procedure. This article argues that the mandatory (or discretionary) nature of the notice-and-comment mechanism impinges on the efficacy of procedural challenges to administrative rules, the standard of judicial review applied to agency statutory interpretation, and the statutory creation of public norms. The article hopes to inspire a re-evaluation of the Philippine framework while providing valuable lessons to other jurisdictions with similar legal architectures.
2
Špaček, David. "Public Administration Reform in Czechia after 2000 – Ambitious Strategies and Modest Results ?" NISPAcee Journal of Public Administration and Policy 11, no. 1 (June 1, 2018): 155–82. http://dx.doi.org/10.2478/nispa-2018-0007.
Full textAbstract:
Abstract The chapter summarizes and discusses the main topics, developments and issues of Czech administrative reform, based on desk research, secondary literature on developments of administrative reform in the country and input obtained through mapping and analyzing ESF / ESIF support and interviews with employees of central bodies that are responsible for the coordination and evaluation of the use of ESF / ESIF support. It is based on findings prepared within the project European Public Administration Country Knowledge (EUPACK) that focused on researching dynamics of public administration in EU member states and the contribution of external support to improving public administration quality. The research indicates that partial results have been accomplished particularly in the following areas: openness and transparency, quality management implementation (by municipalities and regions) and e-government. Civil-service legislation has been consolidated rather recently, yet has changed various times, and this undermines every effort to evaluate its effects. A national PA evaluation system is being developed by the Ministry of the Interior but focuses (similarly to PA strategies and related operational programmes) on input indicators. This raises questions about possibilities to evaluate actual quality in PA and results of projects implemented within PA reforms.
3
Krosnick, Jon A., and Donald R. Kinder. "Altering the Foundations of Support for the President Through Priming." American Political Science Review 84, no. 2 (June 1990): 497–512. http://dx.doi.org/10.2307/1963531.
Full textAbstract:
The disclosure that high officials within the Reagan administration had covertly diverted to the Nicaraguan Contras funds obtained from the secret sale of weapons to Iran provides us with a splendid opportunity to examine how the foundations of popular support shift when dramatic events occur. According to our theory of priming, the more attention media pay to a particular domain—the more the public is primed with it—the more citizens will incorporate what they know about that domain into their overall judgment of the president. Data from the 1986 National Election Study confirm that intervention in Central America loomed larger in the public's assessment of President Reagan's performance after the Iran-Contra disclosure than before. Priming was most pronounced for aspects of public opinion most directly implicated by the news coverage, more apparent in political notices' judgments than political experts', and stronger in the evaluations of Reagan's overall performance than in assessments of his character.
4
Billings, Stephen B., and Kevin T. Schnepel. "Life after Lead: Effects of Early Interventions for Children Exposed to Lead." American Economic Journal: Applied Economics 10, no. 3 (July 1, 2018): 315–44. http://dx.doi.org/10.1257/app.20160056.
Full textAbstract:
Lead pollution is consistently linked to cognitive and behavioral impairments, yet little is known about the benefits of public health interventions for children exposed to lead. This paper estimates the long-term impacts of early life interventions (e.g., lead remediation, nutritional assessment, medical evaluation, developmental surveillance, and public assistance referrals) recommended for lead-poisoned children. Using linked administrative data from Charlotte, NC, we compare outcomes for children who are similar across observable characteristics but differ in eligibility for intervention due to blood lead test results. We find that the negative outcomes previously associated with early life exposure can largely be reversed by intervention. (JEL I12, I18, I21, J13, J24, Q51)
5
Sadioğlu, Uğur, Kadir Dede, and Volkan Göçoğlu. "Regional Development Agencies in Turkey on the Scope of Governance and Local Elites: An Evaluation after 10-years-experience." Lex localis - Journal of Local Self-Government 18, no. 2 (April 27, 2020): 371–94. http://dx.doi.org/10.4335/18.2.371-394(2020).
Full textAbstract:
Under the influence of globalization and the European Union membership accession process, important administrative reform initiatives have been taken in Turkey in the 2000s in the framework of economic, social, political, cultural and technological needs. In this process, central government agencies and administrations, public financial management, local governments and similar public organizations have undergone important transitions. The most important initiative taken to achieve regional governance is the establishment of Regional Development Agencies (RDAs). The present study performs a 10-year longitudinal analysis of RDAs in Turkey in the context of governance and local elites. The first phase of the study was conducted in 2010, and the second phase was conducted in 2019. The aim of the study is to evaluate whether RDAs have realized their potential in local democracy, sustainable development and decentralization, as well as to define the characteristics of policies to be pursued in line with further development of these agencies. Consequently, it has been observed that maintaining a centralized state tradition, along with institutional deficiencies, has transformed RDAs into an apparatus of the central government.
6
Hyde, Albert C. "The New Environment for Compensation and Performance Evaluation in the Public Sector." Public Personnel Management 17, no. 4 (December 1988): 351–58. http://dx.doi.org/10.1177/009102608801700401.
Full textAbstract:
“The question comes to mind as to whether or not many civil service agencies have been facing the facts of life. The place of the agency in the administrative structure of government tends to insulate it against many types of problems, but any deficiencies in pay policy may not be so explained. The current difficulties resulting from such deficiencies may be attributed in part to a situation which the agency itself probably helped create—the mores of public personnel administration. One of these mores is that various classes of employees should work for less money in the public service than they might be able to command elsewhere… The actual amount of compensation paid is generally a major determinent of whether or not a governmental unit attracts high-grade applicants and retains them in service after employment. Therefore, it is time that greater attention be given to rates of pay prevailing in the sources of recruitment for the public service. It is time that more consideration be given to the salaries paid by competitors for the services of trained employees. It is time that programs be inaugurated which translate such facts into action, that removes inequities from public pay schedules”
7
Klingemann, Harald, Arne Scheuermann, Kurt Laederach, Birgit Krueger, Eric Schmutz, Simon Stähli, Minou Afzali, and Vero Kern. "Public art and public space – Waiting stress and waiting pleasure." Time & Society 27, no. 1 (July 27, 2015): 69–91. http://dx.doi.org/10.1177/0961463x15596701.
Full textAbstract:
The study presented here applies from an interdisciplinary perspective the “temporal know-how” of art and communication design as well as the social sciences to the exploration of the impact of two types of holistic artistic waiting room transformations on waiting experience and behaviour. The quasi-experiment was conducted in a hospital and in an administrative setting. Contrary to current information centred types of waiting management stressing ‘clock-time’ only and attempting to reduce objective waiting times, the artistic intervention follows a holistic concept by appealing to all the senses influencing felt time and social time. It comprises visual, acoustic, tactile/haptic and olfactory elements (fragrance management). The “observation-oriented” artistic intervention uses contemplative video works, ornamentation, relaxing fragrances and a corresponding seating design. The “action-oriented” room climate promotes communication and stimulating object and surface design, coupled with a subliminally stimulating fragrance environment. After a simultaneous one-week baseline measurement in both organizations, follow-up measures were conducted during one week of each type of intervention. Results are based on 482 personal interviews and 1950 observations of waiting clients: Perceived waiting time and objective waiting time correlated only moderately (rp = 56) and expected waiting time was overestimated. In both waiting room settings, room transformations – compared to baseline measures – reduced waiting stress behaviour (however not perceived stress) and increased both positive overall room perception and the evaluation of specific room characteristics among clients/patients. Differences between the two room climates were not significant and effects appear to be stronger in the administrative space. The relatively short waiting times (16–20 min) and high levels of waiting satisfaction at baseline might have limited the effect size of the holistic interventions. At the same time observed positive outcomes can be plausibly expected in waiting zones with much longer waiting times.
8
Liu, Zhimin, Aftab Ahmed Memon, Woubshet Negussie, and Haile Ketema. "Interpreting the Sustainable Development of Human Capital and the Sheepskin Effects in Returns to Higher Education: Empirical Evidence from Pakistan." Sustainability 12, no. 6 (March 19, 2020): 2393. http://dx.doi.org/10.3390/su12062393.
Full textAbstract:
According to poststructuralists, workers with higher level of education and possession of potential experience are supposed to have higher wages. Yet, there are plausible questions that arise as to what levels of education or work history are needed for the enhancement of wage discrimination. Additionally, the outcomes arising from rehashing years of schooling are worth considering. We used a several methods, employing the administrative Household Integrated Economic Survey (HIES) data from Pakistan without ignoring environmental effects. Our estimated results support the conventional assumptions of linearity of log-wage. First, we found substantial returns for postgraduate diploma holders in both public and private sectors, even after controlling the individual’s heterogeneity. Second, we did notice a significant divergence in return to low-level education (LLE) and job history. Third, rehashing years of education may create suspiciousness regarding the lack of competence. Our results suggest that continuous investment in human capital toward postgraduate diploma may result in higher premiums.
9
Longley, Ashley T., Kashmira Date, Stephen P. Luby, Pankaj Bhatnagar, Adwoa D. Bentsi-Enchill, Vineet Goyal, Rahul Shimpi, et al. "Evaluation of Vaccine Safety After the First Public Sector Introduction of Typhoid Conjugate Vaccine—Navi Mumbai, India, 2018." Clinical Infectious Diseases 73, no. 4 (January 27, 2021): e927-e933. http://dx.doi.org/10.1093/cid/ciab059.
Full textAbstract:
Abstract Background In December 2017, the World Health Organization (WHO) prequalified the first typhoid conjugate vaccine (TCV; Typbar-TCV). While no safety concerns were identified in pre- and postlicensure studies, WHO’s Global Advisory Committee on Vaccine Safety recommended robust safety evaluation with large-scale TCV introductions. During July–August 2018, the Navi Mumbai Municipal Corporation (NMMC) launched the world’s first public sector TCV introduction. Per administrative reports, 113 420 children 9 months–14 years old received TCV. Methods We evaluated adverse events following immunization (AEFIs) using passive and active surveillance via (1) reports from the passive NMMC AEFI surveillance system, (2) telephone interviews with 5% of caregivers of vaccine recipients 48 hours and 7 days postvaccination, and (3) chart abstraction for adverse events of special interest (AESIs) among patients admitted to 5 hospitals using the Brighton Collaboration criteria followed by ascertainment of vaccination status. Results We identified 222/113 420 (0.2%) vaccine recipients with AEFIs through the NMMC AEFI surveillance system: 211 (0.19%) experienced minor AEFIs, 2 (0.002%) severe, and 9 serious (0.008%). At 48 hours postvaccination, 1852/5605 (33%) caregivers reported ≥1 AEFI, including injection site pain (n = 1452, 26%), swelling (n = 419, 7.5%), and fever (n = 416, 7.4%). Of the 4728 interviews completed at 7 days postvaccination, the most reported AEFIs included fever (n = 200, 4%), pain (n = 52, 1%), and headache (n = 42, 1%). Among 525 hospitalized children diagnosed with an AESI, 60 were vaccinated; no AESIs were causally associated with TCV. Conclusions No unexpected safety signals were identified with TCV introduction. This provides further reassurance for the large-scale use of Typbar-TCV among children 9 months–14 years old.
10
Grayson, Deborah, Ann Marie Dale, Paula Bohr, Laurie Wolf, and Bradley Evanoff. "Ergonomic Evaluation: Part of a Treatment Protocol for Musculoskeletal Injuries." AAOHN Journal 53, no. 10 (October 2005): 450–57. http://dx.doi.org/10.1177/216507990505301006.
Full textAbstract:
Ergonomic analyses and interventions are used as primary prevention methods to reduce physical stressors in the workplace and to prevent work-related musculoskeletal disorders (WMSDs). These methods can also be used for the treatment of injured employees. In this study, 103 employees with WMSDs resulting in more than 5 days away from usual work received an ergonomic evaluation which consisted of observation of usual work tasks, recommendations to minimize identified stressors, and case coordination. The goal of the intervention was to make simple job changes that would assist employees to return safely to usual job duties. The process for implementing this protocol for health care, airline, and university employees is described. The results show that after ergonomic evaluations were performed, the majority of recommendations were fully or partially (89%) implemented. Behavior changes were more likely to occur than administrative and equipment changes (p < .001). Occupational health nurses can use a similar program to enhance treatment plans for clients with WMSDs.
11
Nørholm, Morten. "Outlining a theory of the social and symbolic function of evaluations of education." Praxeologi – Et kritisk refleksivt blikk på sosiale praktikker 1 (May 21, 2019): e1467. http://dx.doi.org/10.15845/praxeologi.v1i0.1467.
Full textAbstract:
AbstractThe article presents the results of a research project focusing on evaluations of education as a part of a New Public Management in the area of education.The empirical material consists of:- 8 state-sanctioned evaluations of the formal training programs for the positions in a medical field- various texts on evaluations- various examples of Danish evaluation research.A field of producers of Danish evaluation research is constructed as part of a field of power: analogous to the analysed evaluations, Danish evaluation research forms a discourse legitimizing socially necessary administrative interventions. The evaluations and the evaluation research are constructed as parts of a mechanism performing and legitimizing a sorting to an existing social order. The theoretical starting point is from theories, primarily by Émile Durkheim, Pierre Bourdieu and Ulf P. Lundgren.Keywords: evaluation, evaluation of education, social reproduction, New Public Management, societies after the Modern, meritocracy
12
Khozin, Muhammad, Gerry Katon Mahendra, and Anike Febriyani Nugraha. "Evaluation Of Public Service Standart (Case Study At The Education And Training Agency Of Yogyakarta Special Region)." ARISTO 8, no. 2 (June 1, 2020): 225. http://dx.doi.org/10.24269/ars.v8i2.2445.
Full textAbstract:
Improvement and quality assurance of public services is very needed, therefore the Government through Law Number 25 of 2009 concerning Public Services and Minister of Administrative Reform and Bureaucratic Reform Number 15 of 2014 concerning Guidelines for Service Standards requires that every public service provider be obliged to establish and apply Public Service Standards for each type of service that it provides. One of them is the Yogyakarta Education and Training Agency as a public service provider in the form of education, training, and competency development for the State Civil Apparatus. Public service standard documents that have been prepared by the Yogyakarta Education and Training Agency in 2017 need to be evaluated because they allegedly did not meet the method in the preparation process. The research conducted is a literature review with data mining techniques using observation techniques, interviews, mini focus group discussions and public hearings. Based on the research results it is known that the public service standard documents that have been owned by the Yogyakarta Education and Training Agency are still not comprehensive, but this solution is then obtained after an analysis and discussion with stakeholders at the Yogyakarta Education and Training Agency has also successfully identified various types of services that need to be it is prioritized to develop public service standards.
13
Khozin, Muhammad, Gerry Katon Mahendra, and Anike Febriyani Nugraha. "Evaluation Of Public Service Standart (Case Study At The Education And Training Agency Of Yogyakarta Special Region)." ARISTO 8, no. 2 (June 1, 2020): 239. http://dx.doi.org/10.24269/ars.v8i2.2457.
Full textAbstract:
Improvement and quality assurance of public services is very needed, therefore the Government through Law Number 25 of 2009 concerning Public Services and Minister of Administrative Reform and Bureaucratic Reform Number 15 of 2014 concerning Guidelines for Service Standards requires that every public service provider be obliged to establish and apply Public Service Standards for each type of service that it provides. One of them is the Yogyakarta Education and Training Agency as a public service provider in the form of education, training, and competency development for the State Civil Apparatus. Public service standard documents that have been prepared by the Yogyakarta Education and Training Agency in 2017 need to be evaluated because they allegedly did not meet the method in the preparation process. The research conducted is a literature review with data mining techniques using observation techniques, interviews, mini focus group discussions and public hearings. Based on the research results it is known that the public service standard documents that have been owned by the Yogyakarta Education and Training Agency are still not comprehensive, but this solution is then obtained after an analysis and discussion with stakeholders at the Yogyakarta Education and Training Agency has also successfully identified various types of services that need to be it is prioritized to develop public service standards.
14
Vutivoradit, Suebsawad, Keratiwan Kalayanamitra, and Sunhanat Jakkapattarawong. "ADMINISTRATIVE INNOVATION IN LOCAL GOVERNMENT BUREAUCRACIES: CASE STUDY OF THESABAN, PHETCHABUN PROVINCE, THAILAND." EUrASEANs: journal on global socio-economic dynamics, no. 3(16) (June 25, 2019): 25–31. http://dx.doi.org/10.35678/2539-5645.3(16).2019.25-31.
Full textAbstract:
Thai public sector always described as a highly centralized system, with an inflexible hierarchical structure and high levels of formal relationships channeling its communications through public enterprises and institutions. Even establishing the local administration system as an approach of decentralization, is still highly connected and governed by the central government. On the other hand, innovation in public sector studies and application in last two decades gained much interest from scholars, practitioners and even leaders and policy makers as an approach to enhance public sector efficiency and effectiveness. Accordingly, this study aims to explore innovation in the public sector in Thesaban Mueang Phetchabun Thailand.
It can represent the public sector in Thailand on a larger scale. The study evaluates the laws, structures and dynamics that constitute the framework of the local administration system. Furthermore, it explores the main constraints on innovation within the system. To develop and support the argument, which emerges from the literature review, this study employs qualitative research methods, namely interviews, as a method to collect data from various informants working in and/or with the public sector.
The results of the study indicated that the innovative administration implemented by local administrative organization was distinct and different from each other based on its own main mission. Specifically, while the top-down innovation was implemented by big local administrative organizations. The initiating process comprised three steps. First, there were meetings among involved personnel. After that, there was an attempt to network with external organizations. Finally, there were processes of monitoring and follow-up evaluation as well as the establishment of learning center. Concerning factors in relation to initiating processes, they comprised six factors which included leadership for change, corporate culture, knowledge and competency of practitioners, public participation, supports from external organizations, and social capitals.
15
Eaglehouse, Yvonne L., Matthew W. Georg, Patrick Richard, Craig D. Shriver, and Kangmin Zhu. "Cost-Efficiency of Breast Cancer Care in the US Military Health System: An Economic Evaluation in Direct and Purchased Care." Military Medicine 184, no. 9-10 (March 6, 2019): e494-e501. http://dx.doi.org/10.1093/milmed/usz025.
Full textAbstract:
Abstract Introduction With the rising costs of cancer care, it is critical to evaluate the overall cost-efficiency of care in real-world settings. In the United States, breast cancer accounts for the largest portion of cancer care spending due to high incidence and prevalence. The purpose of this study is to assess the relationship between breast cancer costs in the first 6 months after diagnosis and clinical outcomes by care source (direct or purchased) in the universal-access US Military Health System (MHS). Materials and Methods We conducted a retrospective analysis of data from the Department of Defense Central Cancer Registry and MHS Data Repository administrative records. The institutional review boards of the Walter Reed National Military Medical Center and the Defense Health Agency reviewed and approved the data linkage. We used the linked data to identify women aged 40–64 who were diagnosed with pathologically-confirmed breast cancer between 2003 and 2007 with at least 1 year of follow-up through December 31, 2008. We identified cancer treatment from administrative data using relevant medical procedure and billing codes and extracted costs paid by the MHS for each claim. Multivariable Cox proportional hazards models estimated hazards ratios (HR) and 95% confidence intervals (CI) for recurrence or all-cause death as a function of breast cancer cost in tertiles. Results The median cost per patient (n = 2,490) for cancer care was $16,741 (interquartile range $9,268, $28,742) in the first 6 months after diagnosis. In direct care, women in the highest cost tertile had a lower risk for clinical outcomes compared to women in the lowest cost tertile (HR 0.58, 95% CI 0.35, 0.96). When outcomes were evaluated separately, there was a statistically significant inverse association between higher cost and risk of death (p-trend = 0.025) for women receiving direct care. These associations were not observed among women using purchased care or both care sources. Conclusions In the MHS, higher breast cancer costs in the first 6 months after diagnosis were associated with lower risk for clinical outcomes in direct care, but not in purchased care. Organizational, institutional, and provider-level factors may contribute to the observed differences by care source. Replication of our findings in breast and other tumor sites may have implications for informing cancer care financing and value-based reimbursement policy.
16
Asim, Salman. "The Public School System in Sindh: Empirical Insights." LAHORE JOURNAL OF ECONOMICS 18, Special Edition (September 1, 2013): 49–66. http://dx.doi.org/10.35536/lje.2013.v18.isp.a3.
Full textAbstract:
This paper presents descriptive statistics on the government school education system in Sindh. The data are obtained from the latest administrative annual school census in Sindh (2011/12). The province’s schooling system comprises 48,932 schools of which 47,000 are primary, middle, and elementary schools, giving Sindh one of the densest public schooling systems in the world with almost 1.8 schools for every 1,000 people in rural Sindh. The functional schooling capacity, however, is low, with less than 15 percent of these schools having at least two teachers and access to basic facilities such as toilets, drinking water, electricity, and boundary walls. Against this backdrop, we examine key trends in education outcomes using the Pakistan Living Standards and Measurement surveys for 2004/05 and 2010/11. We find that the net enrollment rates (NERs) at primary, middle, and secondary level in Sindh stagnated, at best, during 2007–11 after a sharp increase registered in 2006; this trend is similar to that of the rest of Pakistan. Gains in NER vary significantly across districts with some performing exceptionally better than others. Finally, we cross-validate these statistics using independent household- and school-level census data on 300 communities, collected as part of an ongoing impact evaluation study in three districts of rural Sindh.
17
Csatlós, Erzsébet. "The European Competition Network in the European Administrative System: Theoretical Concerns." Yearbook of Antitrust and Regulatory Studies 11, no. 17 (2018): 53–74. http://dx.doi.org/10.7172/1689-9024.yars.2018.11.17.3.
Full textAbstract:
The public administration of the European Union (EU) is a sui generis multi-level structure under constant development. After five decades of successful functioning, the European Union still lacks a coherent and comprehensive set of codified rules of administrative procedure at all levels. The existing acquis related to European administration and administrative procedures is fragmented, sector specific and although it is based on the constitutional principles of the democratic traditions of its Member States, such coincidence is often insufficient for the present requirements of good administration. The EU basically relies on indirect administration, while a growing number of cooperation forms exists of the competent authorities that aims to ensure efficacy of execution and to overcome diversity of non-harmonised legal areas. The aim of this paper is to place the European Competition Network (ECN) in this structure, explore and examine its legal nature as it is probably the most advanced example for such cooperation. The ECN incorporates and reveals the major procedural law questions of European administration; it is a rather successful form of cooperation, and although its core issues fail to correspond to the fundamental requirements of European administrative procedures, there seem to be positive changes in the evaluation of soft law and the functioning of the system.
18
Schensul, Stephen, Lisa LoBianco, and Christina Lombardo. "Youth Participatory Action Research (Youth PAR) in Public Schools: Opportunities and Challenges in an Inner-City High School." Practicing Anthropology 26, no. 2 (April 1, 2004): 10–14. http://dx.doi.org/10.17730/praa.26.2.06r3v534h2377531.
Full textAbstract:
The public school system, the central institution for the formal education of youth in nations throughout the world, provides great potential for the implementation of the principles and methods of Youth Participatory Action Research (Youth PAR). Governmental school systems utilize formal curricula which are reviewed and revised regularly, a professionally trained teaching staff to implement curricula a majority of youth who attend school at least until the legally required age, an annual budget, parental involvement, societal standards and evaluation protocols, and an administrative infrastructure. In contrast to non-standardized, decentralized after-school and other specialized programs, public schools offer innovative programs such as Youth PAR the opportunity to "go-to-scale" to institutionalize the program, to involve teachers in implementation, to build and establish formal curriculum, and to engage large numbers of students on a required, rather than voluntary, basis.
19
Smith, Donald P. "Hand Held Technology; Its Place In a Environmental Compliance Monitoring System." International Oil Spill Conference Proceedings 2017, no. 1 (May 1, 2017): 2017195. http://dx.doi.org/10.7901/2169-3358-2017.1.000195.
Full textAbstract:
This abstract will examine the elements of a field deployable inspection application designed to support the U S Environmental Protection Agency's (USEPA) field mission assignment, through the use of hand held technology. The system is designed to mimic a typical inspection through the use of software applications that replicate hard copy inspection forms. The primary elements of the program are in support of the Spill Prevention Control and Countermeasures (SPCC) regulations codified in Title 40 Code of Federal Regulations Part 112. These regulations govern prevention related activities, Facility Response Plans (FRPs) reviews and Government Initiated Unannounced Exercises (GIUEs). Accordingly, digital inspection/evaluation forms were created utilizing File Maker Pro development software. The forms have been deployed on Apple's IPAD tablets which allow for the integration of locational attributes of Google maps and the tablet's built in digital camera. A typical inspection will consist of an Administrative Form, Notice of Inspection (NOI), SPCC Inspection checklist, FRP Review checklist, FRP Field checklist, FRP Approval Letters and when applicable a GIUE evaluation forms. These files combine to form a complete inspection folder where it is either closed out as compliant or submitted to enforcement for further deliberation. A typical inspection begins with general inspection data being entered into the Administrative Form. Data entered here auto populates each corresponding inspection form. As an added enhancement, each inspection form can be pre- populated with consistently recorded values. This is generally the case when conducting multiple inspection where the company remains the same and/or the consultant has prepared plans in a uniform/standardized manner. Consequently, both latitudinal/longitudinal attributes are automatically embedded within the application along with photographic data. Upon completion of the inspection, the data is then synchronized with a GoZync Application with File Maker Pro server via WIFI or cellular connection. After file completion and administrative review, the report can be emailed to the recipient in a PDF format. To date, field trials have been completed on a local level with the expectation that Branch wide deployment will commence in late FY 16. The Agency recently made a nationwide buy of Apple tablets for On Scene Coordinators (OSCs) as well as inspection personnel within the response program. This helped pave the way for new application development and bringing to fruition the Agency's desired mission to perform its duties in a digital environment.
20
Pryor, Erica, Emily Heck, Linda Norman, Betsy Weiner, Rick Mathews, James Black, and Thomas Terndrup. "Integrated Decision-Making in Response to Weapons of Mass Destruction Incidents: Development and Initial Evaluation of a Course for Healthcare Professionals." Prehospital and Disaster Medicine 21, no. 01 (February 2006): 24–30. http://dx.doi.org/10.1017/s1049023x00003289.
Full textAbstract:
AbstractIntroduction:Standardized, validated training programs for teaching administrative decision-making to healthcare professionals responding to weapons of mass destruction (weapons of mass destruction) incidents have not been available. Therefore, a multidisciplinary team designed, developed, and offered a four-day, functional exercise, competency-based course at a national training center.Objective:This report provides a description of the development and initial evaluation of the course in changing participants' perceptions of their capabilities to respond to weapons of mass destruction events.Methods:Course participants were healthcare professionals, including physicians, nurses, emergency medical services administrators, hospital administrators, and public health officials. Each course included three modified tabletop and/or real-time functional exercises. A total of 441 participants attended one of the eight course offerings between March and August 2003. An intervention group only, pre-post design was used to evaluate change in perceived capabilities related to administrative decision-making for weapons of mass destruction incidents. Paired evaluation data were available on 339 participants (81.9%). Self-ratings for each of 21 capability statements were compared before and after the course. A 19-item total scale score for each participant was calculated from the pre-course and post-course evaluations. Pairedt-tests on pre- and postcourse total scores were conducted separately for each course.Results:There was consistent improvement in self-rated capabilities after course completion for all 21 capability statements. Pairedt-tests of pre- and postcourse total scale scores indicated a significant increase in mean ratings for each course (allp<0.001).Conclusion:The tabletop/real-time-exercise format was effective in increasing healthcare administrators' self-rated capabilities related to weapons of mass destruction disaster management and response. Integrating the competencies into training interventions designed for a specific target audience and deploying them into an interactive learning environment allowed the competency-based training objectives to be accomplished.
21
Puntillo, Pina. "Analyzing the potentiality of the government budget in the framework of public accountability." Corporate Ownership and Control 11, no. 1 (2013): 243–58. http://dx.doi.org/10.22495/cocv11i1c2art3.
Full textAbstract:
The main aim of this paper is to analyze how the yearly budget of public entities may be used as a tool of social accountability. The interest in researching this topic roots in a change in management style, from a bureaucratic kind, based on the formulation of rules and limitations, and on the more formal than substantial control of the civil servants’ compliance with the former, to a “post-bureaucratic” kind of management (Maroy, 2005), essentially founded on the evaluation of how efficiently resources are exploited. In this context, the term “accountability” refers to the set of techniques which may be used to measure and evaluate the results delivered by the administrative bodies, as well as the impacts on the community (Patton, 1992). The process of accountability confers to the subjects in question the legitimization of their own behaviour. After exploring the concept of social accountability, the paper will focus on the aspects of the public budget which make it a suitable tool of social accountability, showing how the shift from the New Public Management (NPM) paradigm to the Public Governance paradigm has strengthened and more clearly defined said role.
22
Gimenes de Sena, Carla Cristina Reinaldo, and Barbara Gomes Flaire Jordão. "Evaluation of adapted books and the use of Tactile Cartography at public schools in the State of São Paulo, Brazil." Proceedings of the ICA 1 (May 16, 2018): 1–6. http://dx.doi.org/10.5194/ica-proc-1-47-2018.
Full textAbstract:
Brazil adopts an educational inclusion policy, which is based on the insertion of students with special needs in the elementary and high school. In the State of São Paulo, Brazil, visually impaired students, who attend public schools, receive books adapted for blind and low sighted individuals, so they can participate on Geography classes. This paper presents the results of the analysis of the enlarged material adapted to braille used at the elementary school. The analysis was based on the principle of the graphical semiology developed by ALMEIDA (2015), which discusses the use of alternative materials in order to represent areas, lines and dots with different heights, textures and shapes. The results were obtained through interviews, surveys and evaluation of teachers and students, who somehow experience the specificities of the visually impaired students daily. We observed that the adapted books do not bring all information contained in the original versions of the books and some of the exercises are not presented. Furthermore we could notice that the teachers and other students do not have any level of proficiency in understanding braille, which can hamper the interaction between visually impaired and the other students. After the observations, we adapted 22 maps using colored materials and handcraft techniques taking in-to account the different needs of the low sighted audience. The materials used are easy to be found and purchased, since they have a low cost. Using this alternative material we achieved a learning that was representative to all students and to the teachers, providing the socialization of the acquired knowledge.
23
West, John. "Data, democracy and school accountability: Controversy over school evaluation in the case of DeVasco High School." Big Data & Society 4, no. 1 (May 16, 2017): 205395171770240. http://dx.doi.org/10.1177/2053951717702408.
Full textAbstract:
Debate over the closure of DeVasco High School shows that data-driven accountability was a methodological and administrative processes that produced both transparency and opacity. Data, when applied to a system of accountability, produced new capabilities and powers, and as such were political. It created second-hand representations of important objects of analysis. Using these representations administrators spoke on behalf of the school, the student and the classroom, without having to rely on the first-person accounts of students, teachers or principals. They empowered one group—central city administrators—over another—teachers and principals. After analyzing the form these policies took, this article concludes that it is necessary to rethink the processes that create visibility and invisibility. Public data obscured the voices, experiences and collective traumas of students and faculty within the school. A narrow focus on activities within the schools rendered invisible the structural decisions made by the Department of Education in New York City—to favor small schools over large, comprehensive ones. In order to create understanding, and a sense of common purpose, those who are spoken for in simplified data must also be given the opportunity to debate the representations of their performance and quality.
24
James, J., J. Thomas, N. Dileep, and A. Viswanath. "A Retrospective Study on the Benefits of Magical Remedy to Counter Adverse Effects of COVID-19 Infection." European Journal of Clinical Medicine 2, no. 4 (August 16, 2021): 10–13. http://dx.doi.org/10.24018/clinicmed.2021.2.4.106.
Full textAbstract:
Background: Natural products are the base for modern medicines. Among the natural medicines, honey and turmeric are the unreplaceable natural medicines in Indian culture and worldwide. Even though mono therapy of each is highly beneficial in resolving infections and inflammations, combination therapy will work faster and resolving the medical issues. Objective: The study was conducted during the Coronavirus Disease 2019 (COVID 19) pandemic situation to evaluate the effect of turmeric and honey in treating the symptoms and aftereffects of corona virus infection as most of the people get switched to natural remedies to fight against this situation as there are no exact drugs available for complete cure.Method: The study was conducted worldwide, and different states were participated in this study. Study was carried with a questionnaire; the questions help to find the knowledge of public about the effects of honey and turmeric and also it explains the way of administration of the mix for those who do not know.Result: Study was conducted and concluded from the responses of survey questionnaire from 4 different countries. After the completion of the study and on evaluating the responses, the study concluded that most of the people participated in this survey were taking this ‘magic remedy mixture’ of honey and turmeric on a daily basis for getting immunity and also noticed that most of those who were taking this mix on a regular basis were not affected by the corona virus and few of them get affected but resolved as early as when comparing with those people who were not taking the honey and turmeric mix.Discussion: The medicinal property of honey has been studied for thousands of years. Antiseptic and antimicrobial properties are the most widely published uses of honey at that time. But now more uses of honey was invented and till now many studies are under progress.
25
Plante, Celine, Audrey Smargiassi, Francine Hubert, and Sophie Goudreau. "Implementation and Evaluation of a Communication Strategy to Control Ragweed Pollen." Environment and Pollution 5, no. 1 (April 28, 2016): 87. http://dx.doi.org/10.5539/ep.v5n1p87.
Full textAbstract:
The common ragweed (<em>Ambrosia artemisiifolia</em>) is widespread in southwestern areas of Quebec, Canada. It is known to release large quantities of pollen from July through September, triggering allergic reactions such as rhinitis and generating significant costs for public health. The objective of this study was to implement and evaluate a communication intervention aimed at decreasing ragweed pollen. Selected lands with potential ragweed presence were visited twice, before and after the intervention, on three seasons in the East of the Montreal Island, Quebec. At the first visit done in 2010, 2011, and 2012, ragweed plots were located and measured; at the second visit in 2012, the measures were redone. Various numbers of communications were sent to owners of ragweed-infested lands that included explanations of health impacts of ragweed pollen and the importance of mowing. Mixed logistic regressions were used to test the effect of the number of communications on the mow. In the group that received four notices, a statistically significant three-fold increase in the proportion of land owners that had cut ragweed plots (OR = 3.20; 95 %CI: 1.16-8.84) was noted, compared to the group that received only one notice. For owners of vacant lands, the effect was somewhat more pronounced (OR = 3.82; 95%CI: 1.23-11.67). Nonetheless, the change from one to three communications showed no increase of mowing. In conclusion, the results of the present study suggest that communications and reminders of the importance of ragweed cut to landowners could be an effective measure to limit ragweed pollen.
26
McLane, Patrick, Ken Scott, Zainab Suleman, Karen Yee, Brian R. Holroyd, Kathryn Dong, S. Monty Ghosh, et al. "Multi-site intervention to improve emergency department care for patients who live with opioid use disorder: A quantitative evaluation." CJEM 22, no. 6 (September 14, 2020): 784–92. http://dx.doi.org/10.1017/cem.2020.438.
Full textAbstract:
ABSTRACTBackgroundOpioid use disorder is a major public health crisis, and evidence suggests ways of better serving patients who live with opioid use disorder in the emergency department (ED). A multi-disciplinary team developed a quality improvement project to implement this evidence.MethodsThe intervention was developed by an expert working group consisting of specialists and stakeholders. The group set goals of increasing prescribing of buprenorphine/naloxone and providing next day walk-in referrals to opioid use disorder treatment clinics. From May to September 2018, three Alberta ED sites and three opioid use disorder treatment clinics worked together to trial the intervention. We used administrative data to track the number of ED visits where patients were given buprenorphine/naloxone. Monthly ED prescribing rates before and after the intervention were considered and compared with eight nonintervention sites. We considered whether patients continued to fill opioid agonist treatment prescriptions at 30, 60, and 90 days after their index ED visit to measure continuity in treatment.ResultsThe intervention sites increased their prescribing of buprenorphine/naloxone during the intervention period and prescribed more buprenorphine/naloxone than the controls. Thirty-five of 47 patients (74.4%) discharged from the ED with buprenorphine/naloxone continued to fill opioid agonist treatment prescriptions 30 days and 60 days after their index ED visit. Thirty-four patients (72.3%) filled prescriptions at 90 days.ConclusionsEmergency clinicians can effectively initiate patients on buprenorphine/naloxone when supports for this standardized evidence-based care are in place within their practice setting and timely follow-up in community is available.
27
Kelly, Cheryl, Dick Carpenter, Timothy K. Behrens, Julaine Field, Carmen Luna, Elizabeth Tucker, and Whitney M. Holeva-Eklund. "Increasing Physical Activity in Schools: Strategies for School Health Practitioners." Health Promotion Practice 20, no. 5 (June 25, 2019): 697–702. http://dx.doi.org/10.1177/1524839919857983.
Full textAbstract:
Background. Colorado passed House Bill 11-1069 in 2011 requiring all public elementary schools to provide students with a minimum of 30 minutes of physical activity (PA) per school day (Physical Activity Expectation in Schools, 2011). The purpose of this article is to describe the results of a 3-year initiative to increase opportunities for PA and to provide recommendations for school health practitioners implementing similar programming. Intervention. In 2014, 13 school districts were funded to increase student PA during school hours and before and after school hours. Intervention activities spanned all components of the Comprehensive School Physical Activity Program framework. An evaluation was conducted to estimate the number of schools providing at least 30 minutes of PA a day. A mixed methods evaluation design was implemented that included tracking the number of minutes of PA provided before, during, and after school and semistructured interviews with school health coordinators. Results. In Year 1, an average of 48 minutes of PA were provided per day. By the end of year 3, the average minutes of PA doubled to 90 minutes per day. Teachers and staff identified professional development and administrator support as key components to incorporating more PA throughout the school day. Conclusions. Health promotion interventions in schools can increase access to PA opportunities for students. Sustainability of PA efforts in schools is dependent on funding to support professional development for teachers and staff and building administrative support for school-based PA.
28
Valencia, Omaira, Gilberto Lopes, Patricia Sánchez Quintero, Lizbeth Acuña, Jaime Gonzalez, Diego Lopera, Daniel Uribe, and Diana Pulido. "Disease-management indicators to improve gastric and colorectal cancer control in the Colombian National Health System." Journal of Clinical Oncology 35, no. 15_suppl (May 20, 2017): e18288-e18288. http://dx.doi.org/10.1200/jco.2017.35.15_suppl.e18288.
Full textAbstract:
e18288 Background: Gastric (GC) and colorectal cancer (CRC) are major health problems worldwide due to their high incidence and lethality associated with late presentation. The aim of this study was to develop a set of clinical, quality and administrative measures, for gastric and colorectal cancer based on evidence to assist health care insurers, providers and policy makers in controlling these diseases in Colombia. Methods: A systematic evidence-based literature search was performed to identify the initial list of indicators, which were then selected and developed using an adaptation of the RAND/UCLA appropriateness method by a panel of multidisciplinary expert panels with expertise in CRC and GC care, quality and public health. The following institutions participated in the study: The Ministry of Health and its High Cost Disease Office, medical professional societies, National Health Institute, Institute of evaluation of technologies in health, health care insurers and providers. A total of 1589 cases of GC and 2025 of CRC from the national administrative cancer registry, representing all new cases of these diseases in the country in 2015, were used to define the viability of the proposed measures, which the involved parties developed taking in consideration the whole disease spectrum from diagnosis to treatment. Results: After reviewing relevant articles and holding an in-person expert discussion the panel generated an initial proposed set of 45 disease-management indicators. A total of 15 disease-management measures for CRC and 16 for GC were developed and approved by the expert panel after two rounds of discussion and voting; these are related to opportunities to improve time between diagnoses to treatment and also include measures assessing clinical outcomes and administrative processes. Conclusions: We developed disease-management indicators for GC and CRC in a consensus with healthcare system stakeholders that are feasible and applicable in Colombia. In time, through continuous efforts towards improving the quality of care provided, these will allow all parties to monitor and decrease the burden of GC and CRC in the country and may serve as a model to other low and middle income countries.
29
Doucet, Mariève, Louis Rochette, and Denis Hamel. "Incidence, Prevalence, and Mortality Trends in Chronic Obstructive Pulmonary Disease over 2001 to 2011: A Public Health Point of View of the Burden." Canadian Respiratory Journal 2016 (2016): 1–10. http://dx.doi.org/10.1155/2016/7518287.
Full textAbstract:
Background. An increase of chronic obstructive pulmonary disease (COPD) prevalence was reported in Canada despite the decline of the main risk factor.Objectives. To estimate incidence, prevalence, and mortality of COPD from 2001 to 2011 and establish the COPD burden by the evaluation of the age-period-cohort effects on incidence trends and the comorbidities prevalence estimations.Methods. A retrospective population-based cohort was built using Quebec health administrative data. Change in trends was measured by relative percentage of changes and by joinpoint regression. After a descriptive analysis of the trends, an age-period-cohort analysis was performed on incidence rates.Results. Overall increase in prevalence along with a decrease of incidence and all-cause mortality was observed. Over time, all age-standardized trends were higher in men than women. Despite higher rates, the number of incident and prevalent cases in women exceeds men since 2004. The curve analysis by age groups showed over time a downshift for both sexes in incidence and all-cause mortality. Further analysis showed the presence of a cohort effect in women.Conclusion. The burden of COPD has risen over time. Women younger than 65 years old have been identified as at-risk group for healthcare planning.
30
Magura, Stephen, Andrew Rosenblum, Carla Lewis, and Herman Joseph. "The Effectiveness of In-Jail Methadone Maintenance." Journal of Drug Issues 23, no. 1 (January 1993): 75–99. http://dx.doi.org/10.1177/002204269302300106.
Full textAbstract:
Process and outcome evaluation results are reported for a unique in-jail methadone maintenance program in New York City with three thousand admissions annually. The main study examined inmates who were not enrolled in methadone at arrest. Eighty percent were drug injectors (usually both heroin and cocaine) who admitted committing an average of 117 property crimes and nineteen violent crimes in the six months before jail. Methadone program participants' post-release outcomes were compared with outcomes for similar addicts who received seven-day heroin detoxification in jail. Multivariate analyses indicated that program participants were more likely than controls to apply for methadone or other drug abuse treatment after release and to be in treatment at a 6.5-month follow-up. Moreover, being in treatment at follow-up was associated with lower drug use and crime, but rates of retention in community treatment after release were modest. KEEP participants have more chronic and severe social and personal deficits than other addicts applying for treatment. The in-jail program was most effective in maintaining post-release continuity of methadone treatment for inmates already enrolled in methadone at arrest. The process evaluation yielded several recommendations to help overcome client-centered, administrative, and systemic obstacles to improved outcomes for this difficult-to-treat population of criminally-involved addicts.
31
Nghiem, Son, Jonathan Williams, Clifford Afoakwah, Quan Huynh, Shu-kay Ng, and Joshua Byrnes. "Can Administrative Health Data Improve the Gold Standard? Evidence from a Model of the Progression of Myocardial Infarction." International Journal of Environmental Research and Public Health 18, no. 14 (July 10, 2021): 7385. http://dx.doi.org/10.3390/ijerph18147385.
Full textAbstract:
Background: Myocardial infarction (MI), remains one of the leading causes of death and disability globally but publications on the progression of MI using data from the real world are limited. Multistate models have been widely used to estimate transition rates between disease states to evaluate the cost-effectiveness of healthcare interventions. We apply a Bayesian multistate hidden Markov model to investigate the progression of MI using a longitudinal dataset from Queensland, Australia. Objective: To apply a new model to investigate the progression of myocardial infarction (MI) and to show the potential to use administrative data for economic evaluation and modeling disease progression. Methods: The cohort includes 135,399 patients admitted to public hospitals in Queensland, Australia, in 2010 treatment of cardiovascular diseases. Any subsequent hospitalizations of these patients were followed until 2015. This study focused on the sub-cohort of 8705 patients hospitalized for MI. We apply a Bayesian multistate hidden Markov model to estimate transition rates between health states of MI patients and adjust for delayed enrolment biases and misclassification errors. We also estimate the association between age, sex, and ethnicity with the progression of MI. Results: On average, the risk of developing Non-ST segment elevation myocardial infarction (NSTEMI) was 8.7%, and ST-segment elevation myocardial infarction (STEMI) was 4.3%. The risk varied with age, sex, and ethnicity. The progression rates to STEMI or NSTEMI were higher among males, Indigenous, or elderly patients. For example, the risk of STEMI among males was 4.35%, while the corresponding figure for females was 3.71%. After adjustment for misclassification, the probability of STEMI increased by 1.2%, while NSTEMI increased by 1.4%. Conclusions: This study shows that administrative health data were useful to estimate factors determining the risk of MI and the progression of this health condition. It also shows that misclassification may cause the incidence of MI to be under-estimated.
32
Huber, Martin, Michael Lechner, Conny Wunsch, and Thomas Walter. "Do German Welfare-to-Work Programmes Reduce Welfare Dependency and Increase Employment?" German Economic Review 12, no. 2 (May 1, 2011): 182–204. http://dx.doi.org/10.1111/j.1468-0475.2010.00515.x.
Full textAbstract:
Abstract During the last decade, many Western economies reformed their welfare systems with the aim of activating welfare recipients by increasing welfare-to-work programmes (WTWP) and job-search enforcement. We evaluate the short-term effects of three important German WTWP implemented after a major reform in January 2005 (‘Hartz IV’), namely short training, further training with a planned duration of up to three months and public workfare programmes (‘One-Euro-Jobs’). Our analysis is based on a combination of a large-scale survey and administrative data that is rich with respect to individual, household, agency level and regional information. We use this richness of the data to base the econometric evaluation on a selection-on-observables approach. We find that short-term training programmes, on average, increase their participants’ employment perspectives. There is also considerable effect heterogeneity across different subgroups of participants that could be exploited to improve the allocation of welfare recipients to the specific programmes and thus increase overall programme effectiveness.
33
Filonenko, Yu, and O. Filonenko. "On the question of administrative-territorial reform." Bulletin of Taras Shevchenko National University of Kyiv. Geography, no. 64 (2016): 57–60. http://dx.doi.org/10.17721/1728-2721.2016.64.9.
Full textAbstract:
The necessity and urgency of administrative-territorial reform in Ukraine are underlined. The main factors which should be taken into account during the changing of administrative-territorial structure of the state are named. The most actual questions, related to conducting administrative-territorial reform, are named and shortly analyzed. From the point of view of the authors, some measures which could quickly improve financial state of now existing rural communities and their management before the full implementation in life of proposed by the power reforms are suggested. In the transition from administrative-command to market economy there was a significant reduction in production or full stop of existing enterprises in small settlements. This has resulted in a sharp decrease in revenues to the local budgets, total unemployment and a significant reduction in the population. In such circumstances, life itself dictates necessity of changes and the question of effective management of administrative and territorial units and preservation of their infrastructure becomes extremely important. The most important thing is to determine, what changes are needed and which improvements in the life of communities they are able to provide in the short term. On the one hand, the radical changes envisaged by the new legislation should be made or the regions should be eliminated, and after enlargement of districts, counties should be created together with eliminating regional and district administrations. On the other hand, existing rural communities should be enabled to control the resources which belong to them but, due to various reasons, are not controlled by them. In our opinion, reforming the administrative-territorial structure should take into account the natural, economic, historical, ethnic, cultural, social and other factors, which are currently affecting the socio-economic development of the existing communities and which will seriously influence the socio-economic life of the newly formed associations of citizens in the future. Works of many professionals in the fields of social and economic geography, public administration, regional economics, etc. are dedicated to the research of characteristics of administrative-territorial reform of our country. Processing of these publications has shown that many of the problems associated with reform are not investigated enough and this issue will be extremely important for the government, academics and citizens of Ukraine for a long time. The purpose of this research aims to highlight the specific characteristics and problems of administrative-territorial reform in Ukraine. The objective is connected with implementation of the following tasks: evaluation of socio-economic situation of the currently existing rural communities; identification and analysis of the most appropriate for the citizens and government conditions of communities’ formation; studying the opportunities for citizens to obtain material and financial resources. Reforms of administrative-territorial structure have already been conducted in many European countries. Our country is also facing this problem: being a part of the former USSR, its administrative-territorial structure has been repeatedly changing (some administrative-territorial units disappeared, the new ones appeared; boundaries of regions and districts changed as well as their number). Inefficiency of administration in Ukrainian regions is so obvious, that immediate and decisive actions are required. The question is how reformation will be conducted and how positive would it be from the point of view of state and regional management and social-economic life of communities. Of course, the country’s leadership insists on “voluntary” radical changes. To make these changes there are a necessary legislative framework, agreement on financing, the orders of the government and regional administrations, etc. But there is another way, for example, to eliminate regions, to enlarge districts, to create counties, to shorten the apparatus in rural councils and to keep only the heads of these councils. Those persons who apply for the position of the head of the council, should be at the same time registrated as a candidates for deputies of the county council. In the case of election, they would lead the community and represent them at the district level. In addition, all the resources which belong to now existing rural communities, but are not controlled by them because of different reasons, should be immediately transmitted to their disposal. It will create conditions for their financial independence. To sum up, a conclusion is obvious, that the main problem is not about the area and structure of administrative and territorial units, but about the effectiveness of management in communities and counties as well as about efficiency of their economic activities. There is every reason to believe, that even now, before the complete implementation of administrative-territorial reform, on condition of reduction of staff working in rural councils, empowering heads (village elders) with powers of district (county) deputies and transmission of real financial sources to the hands of the community, there are all possibilities to improve the financial condition of existing rural communities significantly.
34
Cappellini, Elena, Marialuisa Maitino, Valentina Patacchini, and Nicola Sciclone. "Are traineeships stepping-stones for youth working careers in Italy?" International Journal of Manpower 40, no. 8 (November 4, 2019): 1389–410. http://dx.doi.org/10.1108/ijm-03-2018-0099.
Full textAbstract:
PurposeThe purpose of this paper is to provide an evaluation of traineeships as an active labour policy for young people in Italy. The role of traineeships as a formative experience for improving youth employment is stated by law and the specific evaluation of the regional Quality Traineeships Programme allowed for a more in-depth analysis of the role quality criteria plays in traineeship implementation.Design/methodology/approachSuch evaluation relies on administrative data, while a counterfactual approach was used to compare trainees to unemployed young people registered with Public Employment Services. The impact of traineeships on youth careers was measured in terms of employment probability, but innovatively, the actual placement was measured in terms of both hiring and along a “quality” metric with respect to entry in the labour market. It is reasonable to assume that young people are interested in traineeships as an investment towards a more satisfying career (not just as a gateway to recruitment). At last, the authors introduce a persistency analysis of the effects on youth employment rates.FindingsThe results show that traineeships hinder rapid transition to work, but they are effective stepping-stones for young people seeking a quality career. A benefit of 7 percentage points was estimated on the probability of finding a quality job after completing the traineeship and a long-lasting effect on trainees’ employment rate is demonstrated by the persistency analysis. These benefits are strengthened for participants in the Quality Traineeships Programme, confirming the relevance of desirable learning and contractual conditions in supporting the effectiveness of internships in Italy.Originality/valueAs far as the authors know, this paper is the first study that specifically refers to traineeships as an active policy in Italy and the questions resulting from the research suggest new trends in the debate over the role of policies for supporting youth employment. The administrative archives used in the analysis and the persistence effects on youth employment rates are further innovations to the empirical literature on the effectiveness of Italy’s training programmes.
35
Mo Costabella, Luca. "Do high school graduates benefit from intensive vocational training?" International Journal of Manpower 38, no. 5 (August 7, 2017): 746–64. http://dx.doi.org/10.1108/ijm-01-2016-0008.
Full textAbstract:
Purpose Decades of impact evaluation of vocational training have produced very heterogeneous findings. If heterogeneity can be ascribed to the diversity in contents and target population, it can be reduced analyzing specific subprograms. The purpose of this paper is to focus on Italian “Post Diploma” training, which consists of intensive courses for unemployed holding a high school degree. Evidence on the benefits for different types of workers is provided, distinguishing in particular between common unemployed and those who attend training as a further investment in human capital after finishing their schooling. Design/methodology/approach The evaluation is based on a non-experimental control group design. Exploiting extremely rich administrative data, impact estimates are obtained via propensity score matching. The robustness of results is checked through extensive sensitivity analysis. Findings The results suggest a positive impact on the employment probability, also in the long run. Training is particularly effective for people who attend it just after finishing high school. Cost-benefit analysis yields a positive rate return on public investment only after more than five years. Originality/value The study focuses on a limited and homogeneous segment of training in order to provide more exploitable evidence for program design purposes. Due to its specific characteristics and aims, Post Diploma training represents an example of intervention which, unlike many programs for unemployed, works better for the youngest. The conclusions stress the general need for evaluations that properly account for the cost of an intervention and its effectiveness in the long run.
36
Yazdanpanah, Behrouz, Mitra Safari, Farahosadat Bahreini, Farzad Vafaei, Mohsen Salari, Mehran Yosefi, Masood Rezaei, et al. "Health Companion Project: A community-based participatory research model for health promotion in Iran." Action Research 16, no. 2 (January 4, 2017): 152–72. http://dx.doi.org/10.1177/1476750316678914.
Full textAbstract:
A 4-year (2008–2011) community-based participatory research was implemented in the Kohgiloyeh and Boyerahmad province, Iran. A steering committee was established from academics, policy makers, health officials, and representatives of health sectors. This committee selected six regions within Boyerahmad and Dena counties based on administrative divisions. Health companions consisting of stakeholders, academics, local leaders, health providers, and public representatives were established to guide the project in each region. The health companion groups were enabled by attending workshops dealing with need assessment, priority setting, and research methodology. Health companion groups adopted a Planned Approach to Community Health (PATCH) methodology including community mobilization for data collection, health priority setting, developing of a comprehensive intervention plan, and evaluation. A list of main health issues and their priorities for each region was provided. Subsequently, research topics were determined and six surveys and intervention programs were planned and implemented. After intervention most of top priority health risk factors were decreased and the preventive programs that targeted risk factors were increased significantly. This project is found to be an effective approach for building stronger partnerships between researchers and community members for the development of effective solutions for local health concerns and promote public health.
37
Oh, Y., A. Hennessey, L. Young, D. Yates, and C. Barrett. "OP0274-PARE EVALUATION OF PATIENT SATISFACTION FOR TELEHEALTH (PHONE AND VIDEO) IN RHEUMATOLOGY OUTPATIENTS DURING COVID-19 PANDEMIC." Annals of the Rheumatic Diseases 80, Suppl 1 (May 19, 2021): 166.1–167. http://dx.doi.org/10.1136/annrheumdis-2021-eular.2885.
Full textAbstract:
Background:Telehealth via phone (TPhone) or video conference (TVideo) in rheumatology has been a topic of interest for many years. Its use was rapidly expanded due to the international public health emergency of coronavirus disease-19 (COVID-19) outbreak in 2020. Australian Medicare Benefits Schedule (MBS) swiftly enabled temporary MBS telehealth items on 13 March 2020, currently extended until 31 March 20211. In the early phase of the COVID-19 pandemic, Antony et al. conducted a single-centre public survey to assess patient perception of rheumatology telehealth. Their results showed that 98.4% of patients consider telehealth acceptable during the pandemic2. It is unclear, however, whether this positive perception persists after patients experience a telehealth. In addition, a survey data in 2019 suggested more than half of Australian rheumatologists work in private practice3. Therefore, inclusion of private patients will better represent patient perception of telehealth.Objectives:The aim of this study was to evaluate patient satisfaction with telehealth during the COVID-19 pandemic. This would determine its feasibility to be integrated in future rheumatology outpatient model.Methods:A questionnaire containing 30 questions was sent to rheumatology patients who attended telehealth appointments at a level 2 public hospital and a local private clinic between April and May 2020. The questionnaires aimed to obtain information on baseline demographics (sex, age, public or private patient, employment status, visual or auditory impairment), appointment details (TPhone or TVideo, usual arrangement for face-to-face (F2F) appointment, cost effectiveness) and appointment satisfaction using a 5-point Likert scale. Descriptive statistical analysis was conducted.Results:The questionnaire was sent to 1452 patients, of which 494 patients responded (34%). Female predominance (77.1%) and a higher proportion of TPhone (79.1%) was seen in the respondents. A majority of patients were existing patients known to the services (90.9%). More than 70% of responses indicated overall satisfaction in specialist care via telehealth, and 88.7% perceived this suitable during a pandemic. Of all respondents, 21.7% were prescribed new medication, and the majority of these patients were confident in taking the new medication after the telehealth appointment. Future acceptability for TPhone was significantly lower in private patients compared to public patients (p= 0.01). Subgroup analysis revealed that higher telehealth satisfaction was associated with needing to take time off work to attend face-to-face appointment (p= 0.02), perception of cost effectiveness (p<0.001) and TVideo (p=0.03).Conclusion:This is the first study which included both public and private rheumatology patients to evaluate patient satisfaction for telehealth during the COVID-19 pandemic. Overall high level of satisfaction was seen in telehealth most notably associated with its cost effectiveness. A higher percentage of patients who had TVideo compared to TPhone were receptive to future telehealth via TVideo, supportive of the importance of visual cues. This in turn will have significant administrative and technological burdens to coordinate in comparison to a F2F or TPhone review. This qualitative study provides valuable insight of patient perception of telehealth, which has the potential to compliment the traditional rheumatology outpatient model of care following the pandemic.References:[1]COVID-19 Temporary MBS Telehealth Services 2020 [Available from: http://www.mbsonline.gov.au/internet/mbsonline/publishing.nsf/Content/Factsheet-TempBB.[2]Antony A, Connelly K, De Silva T, Eades L, Tillett W, Ayoub S, et al. Perspectives of Patients With Rheumatic Diseases in the Early Phase of COVID-19. Arthritis Care & Research. 2020;72(9):1189-95.[3]Association AR. Workforce Survey Exective Summary 2019 2019 [Available from: https://rheumatology.org.au/members/documents/WorkforceSurveyExecutiveSummary-websiteMay2019.pdf.Acknowledgements:University of QueenslandNursing staff at Redcliffe Hospital and Administration officers at Redcliffe & Northside RheumatologyDisclosure of Interests:None declared
38
Semjén, András, Marcell Le, and Zoltán Hermann. "The Goals and Consequences of the Centralization of Public Education in Hungary." Acta Educationis Generalis 8, no. 3 (December 1, 2018): 9–34. http://dx.doi.org/10.2478/atd-2018-0015.
Full textAbstract:
AbstractIntroduction: A robust process of centralization in education administration and school finance has taken place in Hungary in the course of the present decade. The governance, control, and funding of schools has been taken from local government by the state, and the autonomy of headmasters and teachers has diminished. However, neither the objectives of, nor the motives behind this centralization seem to be completely clear. This paper aims to contribute to the clarification of these objectives and motives, and explores whether the reform has been successful in achieving its declared objectives.Methods: The clarification of the objectives and motives relies not only on an analysis of the existing literature, but on the textual analysis of various legal texts, together with the use of structured research interviews and press interviews with education policy makers and people working in education administration. Simple statistical methods (including inequality measures and concentration indicators) are employed to determine the impact of the centralization process via the analysis of administrative data on school finances, teacher earnings and student performance.Results: It was found that while the declared objectives of the centralization included the reduction of inequalities in resource availability and teachers’ wages, and an improvement in equality of educational opportunity, in the first two post-reform years there was a significant drop in the level of resources per student, resulting in a slight increase of inequality of resources. A drop in expenditure may in principle indicate a growth in efficiency, but in this instance this seems actually to have been achieved at the expense of shortages and other school-level problems with a negative effect on the quality of education.Discussion: The usual requirements to be observed in public sector governance reforms were deliberately neglected, and the reform was carried through in the absence of any pilot study or systematic impact assessment. This is all the more problematic as the recent literature on the experience of other countries does not provide unanimous support for centralization. Further, given the declared objectives of the reforms, it is rather remarkable that no systematic monitoring of results was put into place.Limitations: The analysis offered here is confined to the short term effects of the reform. A more complete evaluation of the reform will only be possible later, when the longer term effects of the process become clear. The relatively short time since the reform does not allow the definitive identification and evaluation of the effects of the centralization on student performance. However, the short-term effects on inequalities in school finances and teacher salaries are worth investigating at this point. The limited availability of school budget data from the pre-reform period restricts somewhat the reliability of the analysis of the effects of the reform on school expenditure. A further limitation is that the statistical analysis presented here is restricted to basic schools2 only, in the interests of simplifying comparisons. However, a preliminary analysis of secondary schools showed very similar patterns.Conclusions: The empirical results are to a certain degree inconclusive. As far as school funding is concerned, the inequality of funding increased right after the centralization, then stagnated and started to diminish significantly only after 2015. At the same time, from the perspective of school funding per student on the basis of the income of various local authorities, the results seem somewhat more satisfactory, and it is possible to identify some positive effects in this respect.
39
Taylor, Kimberly A., Deborah McQuilkin, and Ronda G. Hughes. "Medical Scribe Impact on Patient and Provider Experience." Military Medicine 184, no. 9-10 (February 27, 2019): 388–93. http://dx.doi.org/10.1093/milmed/usz030.
Full textAbstract:
Abstract Introduction The electronic health record (EHR) has created additional administrative burdens on providers to perform data entry while trying to engage with the patient during the health care visit. Providers have become frustrated and distracted with the documentation requirements which further hindered connectivity, and communication with the patient. The utilization of medical scribes in the outpatient clinical setting was a strategy shown to enhance patient and provider interaction, decrease clinician’s administrative tasks, and promote satisfaction among providers and patients. This was an innovative quality improvement pilot project to improve the patient and provider experience using scribes in an outpatient setting. Materials and Methods Two providers, to include one Family Medicine doctor and one Internal Medicine physician, and four hospital corpsmen participated in this pilot project. The four hospital corpsmen received a 2-week training of the fundamentals of the EHR and their role as scribes prior to the start of the project. Two corpsmen were designated for each provider and worked with their provider throughout the 12-week project period. The two primary aspects evaluated during the implementation of the scribes were the patient experience, and provider experience. Navy Medicine and the University of South Carolina Institutional Review Boards (IRB) considered this project exempt from full IRB review. Results The experience questionnaire results indicated a slight mean decrease, but did not negatively impact patient satisfaction or overall patient experience. The local Medical Treatment Facility patient satisfaction, obtained through the Interactive Customer Evaluation, and the Joint Outpatient Experience Survey, indicated that there was no decrease in patient satisfaction or overall experience during the project period. The providers’ experience improved with an average 50% decrease in time spent after hours documenting in the EHR, enhanced engagement with patient, staff, and ancillary team members, and improved work life balance. Additional findings of improved clinic efficiencies, completion of notes for both providers and positive qualitative comments from the scribes were identified. Conclusion In multiple settings, documentation requirements burden providers. The consideration of scribes could foster work life balance, retention, and wellness. The patient and provider experience was strengthened through the utilization of medical scribes, so future research centered on the provider and patient experience could be beneficial to organizations. Further study of the scribe’s experience, especially considering the positive comments from the hospital corpsmen that participated as scribes during the project, could provide beneficial outcomes. Navy Medicine is advancing every opportunity to strengthen clinical and operational readiness, health and partnerships to provide the highest quality care and promote wellness for our patients. This type of quality improvement initiative could positively support readiness, quality and wellness for our organization, providers, and patients.
40
Zittleman, Linda, Kristen Curcija, Christin Sutter, L. Miriam Dickinson, John Thomas, Dionisia de la Cerda, Donald E. Nease, and John M. Westfall. "Building Capacity for Medication Assisted Treatment in Rural Primary Care Practices: The IT MATTTRs Practice Team Training." Journal of Primary Care & Community Health 11 (January 2020): 215013272095372. http://dx.doi.org/10.1177/2150132720953723.
Full textAbstract:
Objectives: In response to rural communities and practice concerns related to opioid use disorder (OUD), the Implementing Technology and Medication Assisted Treatment Team Training in Rural Colorado study (IT MATTTRs) developed a training intervention for full primary care practice (PCP) teams in MAT for OUD. This evaluation reports on training implementation, participant satisfaction, and impact on perceived ability to deliver MAT. Methods: PCPs in the High Plains Research Network and Colorado Research Network were randomized to receive team training either in-person or through virtual tele-mentoring. Training attendance logs recorded the number of participants and their roles. Participants completed a survey within one month of the last training session to evaluate satisfaction and ability to deliver components of MATs. Results: 441 team members at 42 PCPs were trained, including 22% clinicians, 47% clinical support staff, 24% administrative support staff. Survey respondents reported high levels of satisfaction, including 82% reporting improved understanding of the topic, and 68% identifying actions to apply information. Self-rated ability was significantly higher after training for all items ( P < .0001), including ability to identify patients for MAT and to manage patients receiving MAT. Mean change scores, adjusted for role, were significantly greater for all measures ( P < .001) in SOuND practices compared to ECHO practices. Conclusions: The IT MATTTRs Practice Team Training successfully engaged PCP team members in diverse roles in MAT for OUD training and increased self-efficacy to deliver MAT. Results support the training as a resource for a team-based approach to build rural practices’ capacity to deliver MAT.
41
Roberts, Emmert, James C. Doidge, Katie L. Harron, Matthew Hotopf, Jonathan Knight, Martin White, Brian Eastwood, and Colin Drummond. "National administrative record linkage between specialist community drug and alcohol treatment data (the National Drug Treatment Monitoring System (NDTMS)) and inpatient hospitalisation data (Hospital Episode Statistics (HES)) in England: design, method and evaluation." BMJ Open 10, no. 11 (November 2020): e043540. http://dx.doi.org/10.1136/bmjopen-2020-043540.
Full textAbstract:
ObjectivesThe creation and evaluation of a national record linkage between substance misuse treatment, and inpatient hospitalisation data in England.DesignA deterministic record linkage using personal identifiers to link the National Drug Treatment Monitoring System (NDTMS) curated by Public Health England (PHE), and Hospital Episode Statistics (HES) Admitted Patient Care curated by National Health Service (NHS) Digital.Setting and participantsAdults accessing substance misuse treatment in England between 1 April 2018 and 31 March 2019 (n=268 251) were linked to inpatient hospitalisation records available since 1 April 1997.Outcome measuresUsing a gold-standard subset, linked using NHS number, we report the overall linkage sensitivity and precision. Predictors for linkage error were identified, and inverse probability weighting was used to interrogate any potential impact on the analysis of length of hospital stay.Results79.7% (n=213 814) people were linked to at least one HES record, with an estimated overall sensitivity of between 82.5% and 83.3%, and a precision of between 90.3% and 96.4%. Individuals were more likely to link if they were women, white and aged between 46 and 60. Linked individuals were more likely to have an average length of hospital stay ≥5 days if they were men, older, had no fixed residential address or had problematic opioid use. These associations did not change substantially after probability weighting, suggesting they were not affected by bias from linkage error.ConclusionsLinkage between substance misuse treatment and hospitalisation records offers a powerful new tool to evaluate the impact of treatment on substance related harm in England. While linkage error can produce misleading results, linkage bias appears to have little effect on the association between substance misuse treatment and length of hospital admission. As subsequent analyses are conducted, potential biases associated with the linkage process should be considered in the interpretation of any findings.
42
Ashu, Richard E. A., and Dewald Van Niekerk. "Building national and local capacity for disaster risk management in Cameroon." Disaster Prevention and Management: An International Journal 29, no. 4 (October 21, 2019): 457–70. http://dx.doi.org/10.1108/dpm-06-2019-0176.
Full textAbstract:
Purpose A new framework to support the national and local capacity building plan for disaster risk management (DRM) in Cameroon is presented. For the past 30 years, after the general re-organisation of the civil protection department, capacity building programmes for DRM has been solely carried out for and by the Ministry of Territorial Administration and the Department of Civil Protection. The exclusion of businesses, civil society and community participation, among others, has been the main obstacle to capacity building programmes undertaken for DRM. The paper aims to discuss these issues. Design/methodology/approach Based on interviews conducted among 200 informants by means of a process of participatory monitoring and evaluation as well as a duo capacity building workshop for DRM held in August 2017 in Yaoundé, this paper evaluated existing capacity building programmes for DRM in Cameroon. Findings Findings show that the greater portion of government representatives within the public administration lack capacity to address DRM initiatives at the local and national levels of governance. While recommending DRM programmes as a necessity for integration within civil administrative curriculum, this paper proposes six elements to address capacity building gaps for DRM in Cameroon. Originality/value The results demonstrate critical gaps in capacity building aimed at DRM, especially where single ministry or department monopolises DRM. The findings provide the government with a useful tool to review its national strategy for a disaster reduction policy and the drawing up of a national intervention plan.
43
HARFOUF, SOULAIMAN. "Sport and Physical Education at Abdelmalek Essaâdi University: State of the Art." International Journal of Information Technology and Applied Sciences (IJITAS) 3, no. 2 (May 25, 2021): 94–102. http://dx.doi.org/10.52502/ijitas.v3i2.40.
Full textAbstract:
This research deals with the issue of Physical Education (PE) and Sport at Abdelmalek Essaâdi University, Tetouan, Morrocco. It adopts a problem related to the diagnosis and development of the Physical Education/sport system in this Moroccan institution of public higher education. After verifying whether certain factors are responsible for the dysfunction of this system at the UAE, this study subsequently makes proposals that could contribute to improving its performance. The results of this study show that the PE/sport system in the UAE suffers from a more or less significant lack, in number and quality, of human, financial, material and infrastructural resources. On the other hand, a deficient and non-functional organization, the absence of management strategies, the omission of regular evaluation of the system, the low motivation and the lack of commitment of the administrative and associative actors mark the managerial approach of the sports sector in the majority of schools and faculties of the UAE. Consequently, we conclude that all of these elements are responsible for the dysfunctional situation that PE and sport are currently experiencing in the UAE. Also, the conclusions of this study reveal the way in which the leaders in this university represent the importance of sport activities among the educational, academic and para-academic offer. All of them are in favor of developing sports in their institutions, but without being really determined and equipped to make it happen.
44
Yang, D. Y., T. Mullie, H. Sun, L. Russell, B. Roach, K. Wong, W. Zhang, and D. H. Kao. "A91 ECONOMIC EVALUATION OF A FECAL MICROBIOTA TRANSPLANTATION PROGRAM FOR RECURRENT CLOSTRIDIOIDES DIFFICILE INFECTION IN ALBERTA." Journal of the Canadian Association of Gastroenterology 4, Supplement_1 (March 1, 2021): 63–65. http://dx.doi.org/10.1093/jcag/gwab002.089.
Full textAbstract:
Abstract Background Fecal microbiota transplantation (FMT) is the most effective therapy for recurrent C. difficile infection. Although studies using statistical modeling have shown FMT to be cost-effective, real-world data is lacking. Aims To assess the impact of FMT program on the healthcare cost of recurrent C. difficile infections using real-world data from Alberta’s public healthcare system. Methods C. difficile infection patients were identified through provincial laboratory database with positive C. difficile results in Edmonton, Alberta between 2009–16. If an initial positive test was followed by ≧2 positive tests within 183 days, an individual was categorized as recurrent C. difficile infection (RCDI). Otherwise, non-recurrent C. difficile infection (non-RCDI) was assigned. Since the Edmonton FMT program was established in 2013, patients were further divided into pre-FMT (2009–12) and post-FMT (2013–16) eras. This divided patients into four study groups as outlined in Table 1. Administrative data, including inpatient stays, ambulatory or emergency room visits, outpatient prescriptions, and physician billings, were extracted. A cost of $389 was assigned to each FMT procedure to account for cost of donor screening and sample preparation. A difference in differences (DID) approach, a tool which estimates the effect of a treatment by comparing outcome difference between treatment group and control group over time, was used to analyze the impact of FMT program on the cost of RCDI. Non-RCDI patients were used as control group to account for changes in treatment costs over time. Ordinary least squares regression, with log-transformed healthcare cost as the dependent variable, was used for the analysis. Results 4717 non-RCDI and 548 RCDI patients were identified and divided into the 4 groups (Table 1). RCDI patients were significantly older than non-RCDI patients (71.13 vs 62.49; P < 0.001). After adjusting for differences in age, sex, and baseline healthcare utilization, cost for RCDI patients were significantly lower relative to costs for non-RCDI patients in the post-FMT era. Cost of non-RCDI increased by $5,300.08 between the pre- and post-FMT eras, while the cost of RCDI decreased by $7,654.92 in the same time frame (Table 2). FMT program was estimated to have saved $12,954 annually for RCDI patients at mean age, sex, and baseline cost of our overall sample. Conclusions Our data suggest that the healthcare cost of RCDI has decreased with the introduction of an FMT program. Funding Agencies Alberta Health Services, University of Alberta Hospital Foundation
45
JARAEPRAPAL, Urai, and Puangrat JINPON. "Database System Development for the Care of Elders in the Community." Walailak Journal of Science and Technology (WJST) 17, no. 5 (July 22, 2018): 412–22. http://dx.doi.org/10.48048/wjst.2020.4052.
Full textAbstract:
This participatory action research aimed to develop a database system for the care of elders in the community, Pak Poon sub-district, Nakhon Si Thammarat, Thailand. The key informants were composed of public health officers, community leaders, representatives of the Local Administrative Organization, elders and their families, and lecturers and nursing students of Walailak University. Research instruments included interview questions, an elderly health assessment form, a developed elderly health database system as an experimental tool, and a usability evaluation form. Data collection was conducted by survey, interview, group discussion, and observation. Quantitative data analysis was conducted by frequency distribution and percentage; the validity and reliability of the questionnaire were confirmed with experts for Cronbach’s alpha. The qualitative data revealed content analysis. The results show that the database system consists of, elder health assessment, comprising general information, prior illness and treatment, functionality, mental health risk, risk for fall, and environment, the required features to support achievement of the goal for well-being, consistent with their life style, social capital, and local wisdom. In addition, the database could be used to reduce early risk factors to protect from chronic illness, injury, and decline in physical and psychosocial function. The reporting requirement comprised frequency distribution in terms of capital, problems, and need. Perception of the system and its effectiveness were evaluated using a questionnaire after participants had had an approximately one month period of experience of using the system. The responses to the questionnaire were positive about the system features and system process. From executives and health officers and elders using the database system, it has been improved, based on feedback continuum.
46
Kisilevzky, Nestor Hugo, Henrique Elkis, and Francielle Aparecida Gusmao. "A mobile interventional radiology unit: innovation and social responsibility." Einstein (São Paulo) 8, no. 1 (March 2010): 75–79. http://dx.doi.org/10.1590/s1679-45082010ao1468.
Full textAbstract:
ABSTRACT Objective: To present the preliminary results of a feasibility study performed to determine the value of a mobile interventional radiology unit used to promote a uterine embolization program for low-income patients. Methods: Forty patients with symptomatic fibroids were treated with uterine embolization. Procedures were performed in four public hospitals in the metropolitan area of Sao Paulo. This study was approved by the institutional research ethics committee and all patients signed an informed consent form. A mobile interventional radiology unit, named ANGIOMOVEL, was conceived and implemented utilizing a small truck to transport one mobile C arm, one radiological table, protection aprons and a small trolley containing specific supplies for the procedures. The ANGIOMOVEL team consisted of two interventional radiologists, one nurse, one driver and one assistant. The unit visited one hospital per week during a three-month period. Patient inclusion was contingent upon several factors, such as evaluation by a trained gynecologist, completion of a pelvic MRI, routine serological laboratory tests and completion of a quality of life questionnaire (QOL). Outcomes, MRI and QOL were evaluated. Data obtained after 12 weeks were collected and analyzed. Results: Technical success was achieved in 100% of cases, with a mean procedure time of 43 minutes and a mean fluoroscopic time of 24 minutes. The mean hospital stay was 1.07 day and the mean time for recovery and return to normal activities was 10 days. After 12 weeks, 36 (90%) of patients noticed improvement of their symptoms and 4 (10%) did not notice any improvement. Thirty-eight patients (95%) were satisfied or very satisfied and 39 (97.5%) said they would recommend the procedure. Pre- and post-procedure magnetic resonance imaging analysis showed that complete fibroid ischemia was achieved in 92.5% of cases with a mean uterine volume reduction of 38% and a mean fibroid volume reduction of 52%. Health-related quality of life scores showed improvement, increasing from 39.30 before the treatment to 79.62 points after therapy. Conclusions: The initial results indicate that using a Mobile Interventional Radiology Unit is feasible, efficient and safe to develop a successful uterine fibroid embolization program providing care to the underserved patient community.
47
Kaaria Kiugu, Dr David, Dr Tarsilla Kibaara, and Dr Rebecca Wachira. "EXAMINATION OF THE ADEQUACY OF RESOURCES PREPAREDNESS FOR IMPLEMENTATION OF INTEGRATION OF DIGITAL LEARNING IN PUBLIC PRIMARY SCHOOLS IN MERU COUNTY, KENYA." African Journal of Education and Practice 7, no. 2 (April 14, 2021): 50–76. http://dx.doi.org/10.47604/ajep.1264.
Full textAbstract:
Purpose: Digital learning integration (DLI) in schools has positive implications for the education systems. DLI programme was rolled out in Meru County alongside other 46 counties in Kenya in 2016 after several postponements. However, DLI programme adoption is attributed to preparation challenges. This study examined the adequacy of resources on implementation of DLI programme in public primary schools in Meru County.
Methodology: The study was guided by Roger’s diffusion of innovation theory and Boum’s project management cycle. The study used descriptive survey design and adopted mixed method approach. The study targeted 710 public primary schools in 9 sub-counties. Data was provided by 710 head teachers, 7032 teachers, 2004 Parent Teachers Association (PTA) executive members, and 25,720 grade 3 DLI programme pioneer pupils. A 10% sample of schools was considered sufficient which was obtained using simple random sampling technique. As a result, 71 head teachers and 703 teachers were obtained. Purposive judgmental sampling technique was used to get 201 PTA members. Further, Sloven’s formula was used to get a sample size of 396 pupils that formed Focus Group Discussion (FGD) each consisting of 8 learners, and 9 SCDEs were purposively sampled. Questionnaires were used to collect data from head teachers, teachers and PTA while interview schedules and FGDs were used to get data from SCDEs and from learners respectively. Observational schedule was also used to provide guide for focusing observation and recording data. The research tools were pre-tested for validity and reliability. The quantitative data was analyzed using IBM SPSS Statistics for Windows version 22. The data was analyzed, interpreted and reported using percentages, measures of central tendency. Univariate regression analysis was used to test hypothesis. Qualitative data was analyzed according to themes based on study objective and reported in narratives.
Findings: Through computation of Pearson product moment correlation coefficients confirmed that there is significant positive correlation (r = 0.825) between variable adequacy of digital learning resources against DLI at 0.05 level of significance. Resources such as tablets, internet connectivity, computer laboratory and electricity were noted to be inadequate. Learners who were introduced to DLI appreciated and were always eager to learn using the available digital technology resources. In addition, there was no monitoring or evaluation of the digital programme after roll out by quality assurance and standards officers as per the policy guidelines. The study concluded that preparations for digital programme were inadequate. The findings will be useful to educationists, parents, teachers, and policy makers.
Unique contribution to theory, practice and policy: The study recommended that MoE should go back to the drawing board and come up with proactive measures on provision of digital learning resources. Adequate resources such as tablets, desks, computer laboratories, network connectivity and electricity among others should be availed to all schools. Tablets available are too few to be distributed to pupils during this period of COVID-19 pandemic leading to resource wastage. MoE should own the innovation and facilitate its full adoption by coming up with apt monitoring and control systems. Political objectives should not be allowed to overshadow policy structures such as planning, management and administrative processes.
48
Scheifele, David W., Kim Marty, Carol LaJeunesse, Shu Yu Fan, Gordean Bjornson, Joanne M. Langley, and Scott A. Halperin. "Strategies for successful rapid trials of influenza vaccine." Clinical Trials 8, no. 6 (September 7, 2011): 699–704. http://dx.doi.org/10.1177/1740774511419868.
Full textAbstract:
Background In contrast to the gradual pace of conventional vaccine trials, evaluation of influenza vaccines often must be accelerated for use in a pandemic or for annual re-licensure. Descriptions of how best to design studies for rapid completion are few. Purpose In August, 2010, we conducted a rapid trial with a seasonal influenza vaccine for 2010–2011 given to persons vaccinated with an adjuvanted H1N1 vaccine in 2009, to determine whether re-exposure to the H1N12009 component of the seasonal vaccine would cause increased reactions. We describe the strategies that we believe were responsible for success in meeting the desired timeline. Methods The key means for expediting the study were: use of a few experienced, well-staffed centers; efficient completion of administrative approvals; advance recruitment of volunteers; synchronized start among centers with rapid completion (≤1 week) of first visits; rapid data assembly via the Internet; and a well-prepared data analysis plan. We chose to use a randomized, blinded, cross-over design to allow estimation of vaccine-attributable adverse event rates, with sufficient power (320 participants) to detect events occurring at true rates ≥1% with ≥90% probability. Results Planned enrollment numbers, center synchronization, and timelines, including review by a safety board prior to the cross-over step (second doses), were achieved. A detailed safety report was delivered to federal health officials just 32 days after study initiation and was used to fine-tune public messaging prior to the mass vaccination programs across Canada. Limitations This aggressive timeline could not have been met without opportunities for careful planning and the prior existence of a network of experienced, collaborating trial centers. Conclusions The means used to accelerate this study timeline were successful and could be used in other urgent situations but the mechanics of collaborative trials must be well rehearsed as a precondition.
49
Karakuş, Özlem. "Evaluating the vocational thoughts of university students about the departments they are studying." Journal of Human Sciences 14, no. 3 (September 7, 2017): 2643. http://dx.doi.org/10.14687/jhs.v14i3.4696.
Full textAbstract:
The aim of this study is to reveal the vocational thoughts of university students about departments they are studying. The sample of the study consists of 1040 students; 608 (60,6%) of them are female, and 396 (39,4%) of them are male students who are studying in the different faculties of the Selçuk University (Health Sciences, Law, Veterinary, Collage of Science, Faculty of Letters, Communication, Agriculture, Faculty of Economics and Administrative Sciences, Engineering),and they selectedby random sampling method. The average of age of the students is varying between 19 and 39. The average of age is 22. During the data collection phrase “Demographic Information Form”; during the evaluation of the data frequency polygon is used.At the end of the study it is detected that 743 (74%) of the students are willingly, and 261 (26%) of the students are unwillingly came to the department they are studying. Also; the uneasiest situation for the students’ future is to not find a job for 492 (49,0%) of them, financial difficulties for 282 (28,1%) of them, mate selection for 230 (22,9%) of them. At the same time, it is confirmed that 679 (67,6%) of the students want to work in public sector, and 325 (32,4%) of them want to work in private sector after graduation. It is seen that 198 (19,7%) of the students define unemployment as not to find a job in public sector, and 806 (80,3%) of them define unemployment as not to earn income. 458 (45,6%) of the students who participated to study are pleased with the employment opportunities, but 546 (54,4%) of them are not. It is detected that students of the departments of Social Work, English Language and Literature, Civil and Mechanical Engineering are pleased with employment opportunities after graduation, but the students of the departments of Statistic, Biology, Chemistry, History of Art, Sociology are not. Also, 395 (39,3%) of the students stated that they think they will be unemployed when they graduated, 609 (60,7%) of them do not think they are going to be an unemployed; departments of Social Work, English Language and Literature, Civil and Mechanical Engineering students stated that they are not going to become unemployed when they graduated,but the students of the departments of Statistic, Biology, Chemistry, History of Art, Sociology stated that they are going to become unemployed.Most of the university students choose their departments willingly. What makes university students anxious most is being unemployed. Students want to work in public sector when they graduate. For the unemployment anxiety that students are experiencing, state has to develop new policies related with employment. In order to make students believe that they would find job easily, apart from the departments they enroll in, alternative ways for career development can be provided.
50
Fantini, G., G. Tibaldi, P. Rucci, D. Gibertoni, M. Vezzoli, L. Cifarelli, R. Tiraferri, and C. Munizza. "Quality of care indicators for schizophrenia: determinants of observed variations among Italian Departments of Mental Health. Results from the ETAS DSM study." Epidemiology and Psychiatric Sciences 26, no. 3 (March 28, 2016): 299–313. http://dx.doi.org/10.1017/s204579601600010x.
Full textAbstract:
Aims.The primary aim of this study is to analyse the conformance of usual care patterns for persons with schizophrenia to treatment guidelines in three Italian Departments of Mental Health (DMHs). The secondary aim is to examine possible organisational and structural reasons accounting for variations among DMHs.Methods.Within the framework of the Evaluation of Treatment Appropriateness in Schizophrenia (ETAS) project, 20 consensus quality of care indicators were developed. Ten concerned pharmacological treatment and ten encompassed general care and psychosocial rehabilitation interventions. Indicators were calculated using data from a stratified random sample of 458 patients treated at three DMHs located in North-Eastern, North-Western and Southern Italy. Patients’ data were collected by combining information from medical charts and from a survey carried out by the health care professionals in charge of the patients. Data on the structural and organisational characteristics of the DMHs were retrieved from administrative databases. For each indicator, the number and percentage of appropriate interventions with and without moderators were calculated. Appropriateness was defined as the percentage of eligible patients receiving an intervention conformant with guidelines. Moderators, i.e., reasons justifying a discrepancy between the interventions actually provided and that recommended by guidelines were recorded. Indicators based on a sufficient number of eligible patients were further explored in a statistical analysis to compare the performance of the DMHs.Results.In the overall sample, the percentage of inappropriate interventions ranged from 11.1 to 59.3% for non-pharmacological interventions and from 5.9 to 66.8% for pharmacological interventions. Comparisons among DMHs revealed significant variability in appropriateness for the indicators ‘prevention and monitoring of metabolic effects’, ‘psychiatric visits’, ‘psychosocial rehabilitation’, ‘family involvement’ and ‘work’. After adjusting the patient's gender, age and functioning, only the indicators ‘Prevention and monitoring of metabolic effects’, ‘psychiatric visits’ and ‘work’ continued to differ significantly among DMHs. The percentage of patients receiving appropriate integrated care (at least one appropriate non-pharmacological intervention and one pharmacological intervention) was significantly different among the three DMHs and lower than expected.Conclusions.Our results underscore discrepancies among Italian DMHs in indicators that explore key aspects of care of patients with schizophrenia. The use of quality indicators and improved guideline adherence can address suboptimal clinical outcomes, and has the potential to reduce practice variations and narrow the gap between optimal and routine care.