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Journal articles on the topic 'Organisation in liaison'
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1
Lachapelle, René. "La fonction de liaison en organisation communautaire." Service social 60, no. 2 (2015): 115–29. http://dx.doi.org/10.7202/1027995ar.
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Les organisateurs et organisatrices communautaires (OC) exercent une fonction de liaison qui s’est transformée au fil des diverses périodes de mise en oeuvre de l’approche communautaire et territoriale depuis les CLSC (Centres locaux de service communautaire) jusqu’aux Centres de santé et de services sociaux (CSSS). Avec la multiplication des approches intersectorielles et des métiers du développement dont les pratiques relèvent aussi de l’organisation communautaire, cette fonction s’est aussi diversifiée. Les fonctions, dont la liaison, constituent un angle mort de la littérature québécoise et nord-américaine sur l’organisation communautaire. La recherche a mis en évidence l’importance du contexte politique dans lequel est mise en oeuvre la fonction de liaison et permis de montrer qu’elle repose sur l’exercice de compétences pratiques : connaître le milieu, mobiliser les acteurs, garantir la cohésion du système local d’action, démocratiser les rapports au pouvoir et rendre accessibles les ressources.
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Walker, Andrew, Jessica Rose Barrett, William Lee, et al. "Organisation and delivery of liaison psychiatry services in general hospitals in England: results of a national survey." BMJ Open 8, no. 8 (2018): e023091. http://dx.doi.org/10.1136/bmjopen-2018-023091.
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ObjectivesTo describe the current provision of hospital-based liaison psychiatry services in England, and to determine different models of liaison service that are currently operating in England.DesignCross-sectional observational study comprising an electronic survey followed by targeted telephone interviews.SettingAll 179 acute hospitals with an emergency department in England.Participants168 hospitals that had a liaison psychiatry service completed an electronic survey. Telephone interviews were conducted for 57 hospitals that reported specialist liaison services additional to provision for acute care.MeasuresData included the location, service structures and staffing, working practices, relations with other mental health service providers, policies such as response times and funding. Model 2-based clustering was used to characterise the services. Telephone interviews identified the range of additional liaison psychiatry services provided.ResultsMost hospitals (141, 79%) reported a 7-day service responding to acute referrals from the emergency department and wards. However, under half of hospitals had 24 hours access to the service (78, 44%). One-third of hospitals (57, 32%) provided non-acute liaison work including outpatient clinics and links to specialist hospital services. 156 hospitals (87%) had a multidisciplinary service including a psychiatrist and mental health nurses. We derived a four-cluster model of liaison psychiatry using variables resulting from the electronic survey; the salient features of clusters were staffing numbers, especially nursing; provision of rapid response 24 hours 7-day acute services; offering outpatient and other non-acute work, and containing age-specific teams for older adults.ConclusionsThis is the most comprehensive study to date of liaison psychiatry in England and demonstrates the wide availability of such services nationally. Although all services provide an acute assessment function, there is no uniformity about hours of coverage or expectation of response times. Most services were better characterised by the model we developed than by current classification systems for liaison psychiatry.
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Case, Dan. "Leveraging student groups to transform corporate donors into major gift partners." Journal of Education Advancement & Marketing 9, no. 4 (2025): 336. https://doi.org/10.69554/aads8768.
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This paper focuses on the Rochester Institute of Technology’s (RIT) utilisation of student groups to create broad corporate partnerships resulting in multiyear, major gift commitments. It includes an overview of the process of converting companies into dedicated university partners, strategies for positioning oneself as the liaison between companies and student organisations, and success stories of the university’s programme. The process described can be applied to any organisation with student groups that companies seek to use as a recruitment pool.
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Swift, Geraldine, and Else Guthrie. "Liaison psychiatry continues to expand: developing services in the British Isles." Psychiatric Bulletin 27, no. 09 (2003): 339–41. http://dx.doi.org/10.1017/s0955603600002981.
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Aims and Method A postal survey of consultants in liaison psychiatry was carried out in the spring of 2002 to document the current state of liaison psychiatry in the UK and the Republic of Ireland. Information was collected on post specifications, clinical organisation and plans for further local development. Results Ninety-three liaison consultants were identified. Seventy-seven posts were full-time or half-time, compared with 43 such posts in 1996. During the same time period, specialist registrar training posts have doubled from 30 to 61. A third of respondents anticipated further consultant posts in their region. Clinical Implications Despite the increase in the number of liaison consultants since 1996, the numbers still fall below that recommended by the Royal College of Psychiatrists. Liaison consultants need to improve links with primary care and continue to develop specialised services to demonstrate the qualitative and financial benefits that liaison psychiatry has to offer to a wide range of patients.
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Swift, Geraldine, and Else Guthrie. "Liaison psychiatry continues to expand: developing services in the British Isles." Psychiatric Bulletin 27, no. 9 (2003): 339–41. http://dx.doi.org/10.1192/pb.27.9.339.
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Aims and MethodA postal survey of consultants in liaison psychiatry was carried out in the spring of 2002 to document the current state of liaison psychiatry in the UK and the Republic of Ireland. Information was collected on post specifications, clinical organisation and plans for further local development.ResultsNinety-three liaison consultants were identified. Seventy-seven posts were full-time or half-time, compared with 43 such posts in 1996. During the same time period, specialist registrar training posts have doubled from 30 to 61. A third of respondents anticipated further consultant posts in their region.Clinical ImplicationsDespite the increase in the number of liaison consultants since 1996, the numbers still fall below that recommended by the Royal College of Psychiatrists. Liaison consultants need to improve links with primary care and continue to develop specialised services to demonstrate the qualitative and financial benefits that liaison psychiatry has to offer to a wide range of patients.
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Selim, Monique. "Mobilités sociales et symboliques : ethnologie d'une entreprise bangladeshie." Sociétés contemporaines 2, no. 2 (1990): 133–46. http://dx.doi.org/10.3917/soco.p1990.2n1.0133.
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Résumé Résumé : Cet article a pour objet l'analyse des rapports sociaux internes à une organisation bangladeshie. Cette organisation se fixe pour but le "développement" en particulier de la santé, dans une conjoncture générale de dénuement réel. Employant plus de 1500 personnes, cette organisation, de renommée internationale, est aussi une entreprise, avec une usine très moderne de fabrication de médicaments essentiels et depuis 1989, une unité de production des matière premières destinées aux antibiotiques. L'investigation ethnologique qui a été menée dans cette organisation, en étant ciblée sur l'usine, permet d'appréhender la complexité des rapports hiérarchiques enjeu dans cette entreprise d'un type particulier et les contradictions quelle affronte en liaison avec son propre développement.
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Baron, Helen. "International news." OP Matters 1, no. 6 (2010): 6. http://dx.doi.org/10.53841/bpsopm.2010.1.6.6.
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The internationalisation of organisations and economic processes are commonplace. As occupational psychologists the implications of this needs to be incorporated into much of our work, whether it is considering the availability of translated versions when making decisions regarding assessment instruments or bearing in mind cultural norms in coaching a manager. The professional organisation of occupational psychologists is also increasingly international and it is one of the roles of the International Liaison Group of the DOP to monitor what is happening both in Europe and around the world for DOP members. This is a brief round-up of some things that have happened or are in progress that you may find it useful to know.
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Golse, Bernard. "La dialectique organisation/désorganisation comme recherche ou reflet d'un équilibre entre pulsions de vie et pulsions de mort." Psychologie clinique et projective 6, no. 1 (2000): 7–13. http://dx.doi.org/10.3406/clini.2000.1147.
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Après quelques rappels sur les notions de formation de la psyché, d'évolution et de structure, ce travail offre quelques exemples d'oscillation dialectique entre organisation et désorganisation choisis dans des champs différents (accordage affectif, positions kleiniennes, fusion et défusion, processus tertiaires). Après quoi, il envisage la question de la continuité et de la discontinuité au regard des nouveaux modèles du développement précoce de l'enfant, la continuité ne se situant peut-être pas du côté que l'on croit. Mots-clés : Organisation - Désorganisation - Liaison - Déliaison - Structure - Bébé - Continuité - Discontinuité - Développement précoce.
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Lloyd, Geoffrey G., and Richard A. Mayou. "Liaison psychiatry or psychological medicine?" British Journal of Psychiatry 183, no. 1 (2003): 5–7. http://dx.doi.org/10.1192/bjp.183.1.5.
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Liaison psychiatry has been recognised in many countries as a special interest or sub-speciality of psychiatry concerned with the management of general hospital patients with psychological problems. However, despite increasing awareness of the emotional and behavioural aspects of illness, it has yet to achieve substantial influence within psychiatry and, more importantly, has had only modest effects on the delivery of medical care by physicians and other specialists. Recognition of its potential by planners and commissioners has been disappointing. Regrettably, in the UK and elsewhere, recent changes in the organisation of health care could hinder its development. This paper argues that in order to make substantial progress there is a compelling need to solve a fundamental obstacle – the separation between psychiatric and general medical care. This requires:(a) convincing the psychiatric profession that consultation-liaison is a distinct sub-speciality;(b) continuing efforts by liaison psychiatrists to define their special expertise and to demonstrate that their services are effective and acceptable to medical colleagues and to patients;(c) persuading those who organise health care that liaison psychiatry services need to be provided and administered as an integral component of comprehensive medical care.
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Russell, Vincent, MacDara McCauley, John MacMahon, Sheila Casey, Heather McCullagh, and Jillian Begley. "Liaison psychiatry in rural general practice." Irish Journal of Psychological Medicine 20, no. 2 (2003): 65–68. http://dx.doi.org/10.1017/s0790966700007667.
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AbstractThe recent government health strategy document described the integration between primary and secondary care in Ireland as often poor and outlined plans to redress this deficit. In mental health care, the gradual shift away from institutions over the past four decades has resulted in the GP becoming the most frequent professional contact for people with mental disorders. However, access to specialist opinion is usually available only for the fraction of psychiatric presentations which are formally referred to the psychiatric service.On-site psychiatric liaison to primary care is commonly practised in other countries but not in Ireland. Research in the area suggests possible advantages for approaches which aim to enhance GPs' psychiatric skills while selectively encouraging referral of more serious disorders. This model has been adopted by GPs and psychiatrists in east Cavan and may be relevant to other similar settings, especially in the context of forthcoming changes in the organisation of primary care services.
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Foster, Paul. "Working in consultation-liaison psychiatry in the USA." Psychiatric Bulletin 13, no. 3 (1989): 123–26. http://dx.doi.org/10.1192/pb.13.3.123.
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Consultation-liaison psychiatry had its inception in North America, the term making its first appearance in the 1930s to describe the department at Colorado General Hospital in Denver. As Mayou (1987) points out, when comparing British and American liaison services, the role, boundaries, and organisation of this subspecialty are very different in the two countries. Money and resources do not exist in Britain within the National Health Service to provide the extent of involvement liaison psychiatry now enjoys with the general wards of many American hospitals. Thomas (1985) refers to basic differences between the countries. He points out that few British district general hospitals have consultation psychiatric units now in place and that the theoretical background of psychiatrists in the two countries are different. In addition, he suggests that there may well be differences in the referral patterns and expectations with regard to psychiatric consultation requirements of general hospital doctors in the two health care systems.
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MANZANERA, C., and J. SENON. "Psychiatrie de liaison en milieu pénitentiaire : organisation, moyens, psychopathologies et réponses thérapeutiques." Annales Médico-psychologiques, revue psychiatrique 162, no. 8 (2004): 686–99. http://dx.doi.org/10.1016/s0003-4487(04)00170-2.
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Manzanera, C., and J. L. Senon. "Psychiatrie de liaison en milieu pénitentiaire : organisation, moyens, psychopathologies et réponses thérapeutiques." Annales Médico-psychologiques, revue psychiatrique 162, no. 8 (2004): 686–99. http://dx.doi.org/10.1016/j.amp.2004.07.011.
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Jost, Madeleine. "Sanctuaires publics et sanctuaires privés." Ktèma : civilisations de l'Orient, de la Grèce et de Rome antiques 23, no. 1 (1998): 301–6. http://dx.doi.org/10.3406/ktema.1998.2740.
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Les sanctuaires relèvent essentiellement d’une organisation «publique». Mais l’existence de sanctuaires privés, liés à des dévotions personnelles, à la persistance des génè ou à la présence d’étrangers, et l’attestation de pratiques privées en liaison avec la démarche publique invitent à conjuguer les deux notions en matière de sanctuaires. Rares sont les lieux sacrés qui n’ont pas, d’une manière ou de l’autre, un lien avec la vie publique.
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Aggarwal, Pritti, Sally Ross, and Adam Fraser. "GP–consultant liaison Southampton 2018." British Journal of General Practice 69, suppl 1 (2019): bjgp19X703709. http://dx.doi.org/10.3399/bjgp19x703709.
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BackgroundCollaborative working across primary and secondary care is crucial to providing quality, safe care.AimImprove professional understanding, foster deeper partnership, ignite opportunities for innovation and quality improvement (QI) with co-owned local solutions.MethodFifty-nine consultants and GPs were strategically paired to enhance working relationships. Pairs hosted and visited each other’s workplace. Anonymous reflections were analysed for common themes and celebrated in an evening of shared learning where the focus was on compassionate leadership and next steps.ResultsFeedback from 71 (60%) participants was scaled from 1 (least likely) to 6 (most likely). Individuals supported a regular primary–secondary care forum; weighted average score of 5.25, found the scheme useful (4.59), likely to take part again (4.83), consider new ways of working (3.85). Production of leaflets on psychological support for patients in hospital consequent to insight obtained from primary care were produced, directories of primary care secretary’s were shared and outpatient clinic letters to state ‘For Information Only’ or ‘GP Action Required’ were restructured resulting in substantial time and cost savings. The liaison improved morale and insight and built better relationships. Common themes from reflections revolved around compassion, collaboration, complexity, efficiency, and education.ConclusionThis scheme was an easy and enjoyable way to reconnect individuals and allowed professionals to learn about challenges we face within the NHS. As QI activity, the scheme resulted in simple local solutions for patients. It is a low-cost intervention that can be replicated within any organisation in the NHS. It needs a motivated and persistent individual driving the project forward.
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Sagot, J., M. F. Collières, and E. Maurel. "Une démarche communautaire à partir de soins infirmiers." La prise en charge communautaire de la santé, no. 1 (January 28, 2016): 67–78. http://dx.doi.org/10.7202/1034823ar.
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L’Union nationale des Associations de centres de soins a été créée en 1974 pour s’opposer à la fois au contrôle étatique et aux pratiques de soins libérales. Il s’agit de « promouvoir une nouvelle organisation des soins, en liaison avec l’animation sociale et culturelle du quartier et avec la participation directe des usagers ». Tous les centres adhérents à l’UNACS ont un conseil d’administration où les usagers sont majoritaires; les financeurs (Caisse maladies, Mairies) n’ont aucun siège de droit. Les usagers appartiennent généralement à des organisations syndicales ou politiques de « gauche », non-communistes à tendance auto-gestionnaire. Les Centres de soins fraient la voie à des rapports sociaux nouveaux : en remettant en cause les rapports soignant-soigné, dominant-dominé, en permettant l’interpénétration du champ professionnel et du champ politique, en modifiant les rapports de travail et de pouvoir entre les partenaires en présence. On présente deux exemples concrets de centres de soins (soins infirmiers et aides-ménagères).
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Raimondi, Vittoria, Francesco Ciccarese, and Vincenzo Ciminale. "Oncogenic pathways and the electron transport chain: a dangeROS liaison." British Journal of Cancer 122, no. 2 (2019): 168–81. http://dx.doi.org/10.1038/s41416-019-0651-y.
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AbstractDriver mutations in oncogenic pathways, rewiring of cellular metabolism and altered ROS homoeostasis are intimately connected hallmarks of cancer. Electrons derived from different metabolic processes are channelled into the mitochondrial electron transport chain (ETC) to fuel the oxidative phosphorylation process. Electrons leaking from the ETC can prematurely react with oxygen, resulting in the generation of reactive oxygen species (ROS). Several signalling pathways are affected by ROS, which act as second messengers controlling cell proliferation and survival. On the other hand, oncogenic pathways hijack the ETC, enhancing its ROS-producing capacity by increasing electron flow or by impinging on the structure and organisation of the ETC. In this review, we focus on the ETC as a source of ROS and its modulation by oncogenic pathways, which generates a vicious cycle that resets ROS levels to a higher homoeostatic set point, sustaining the cancer cell phenotype.
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Pawlaczyk, Ewelina. "Działalność kobiet w Polskiej Organizacji Wojskowej." Studia i Materiały Centralnej Biblioteki Wojskowej, no. 16 (December 31, 2021): 41–54. https://doi.org/10.5281/zenodo.5720193.
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The Polish Military Organisation (Polska Organizacja Wojskowa) was founded shortly after the outbreak of World War I to prepare cadres for service in the Polish Army to regain Polish independence. From the very beginning, there was a female unit in the organization. Focused on selected examples, the article aims to demonstrate the involvement of women in the fight for the rebirth of the motherland. Female members of the Polish Military Organisation showed great resourcefulness, dedication, courage and fortitude. They collaborated with men as couriers and liaison officers taking care of food supplies and transporting weapons. Moreover, they proved to be very skilled at gathering intelligence. In the interwar Poland, some of them served as members of Sejm and Senat, the two chambers of the Polish Parliament. Many worked socially or for charity after the war. The author intends to compare women’s participation in the struggle for independence in other countries which appeared on the map of Europe at the beginning of the 20th century.
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Seizelet, Éric. "Processus, organisation et fonctionnement des relations nippo-nord-coréennes. Essai d'interprétation." Études internationales 30, no. 1 (2005): 67–83. http://dx.doi.org/10.7202/703993ar.
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La normalisation des relations entre le Japon et la Corée du Nord, en dépit des efforts déployés depuis le début des années 1990, demeure un objectif lointain et incertain. En plus des contentieux bilatéraux, la marge de manoeuvre du gouvernement nippon est bridée à la fois par des considérations extérieures liées au rapport de force à l'intérieur de la péninsule, sur lesquels il n'a guère de prise et l'impact limité des réseaux d'une diplomatie officieuse susceptible de faire progresser des dossiers ponctuels, mais incapable de peser durablement sur le processus de décision. La politique nord-coréenne du Japon, longtemps tributaire des contacts privilégiés entretenus par le parti socialiste japonais avec Pyongyang, a également souffert des querelles de préséance entre les politiques et le ministère des Affaires étrangères concernant le pilotage du dossier de la normalisation. La participation d'un parti socialiste affaibli à des majorités composites entre 1993 et 1997 n'a pas été marquée par de réels progrès sur la question nord-coréenne, en raison des divisions persistantes au sein des coalitions successives, à la faveur desquelles les libéraux-démocrates et le Gaimushô sont parvenus à faire prévaloir une ligne dure, en liaison étroite avec Séoul et Washington.
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Saunders, Mary. "Remarks by Mary Saunders." Proceedings of the ASIL Annual Meeting 112 (2018): 281–83. http://dx.doi.org/10.1017/amp.2019.51.
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The International Organization for Standardization (ISO) is an independent, non-governmental, not-for-profit organization that develops and publishes fully consensus-based International Standards. ISO members are national standards bodies (NSBs), which may be government, private, or public-private entities. 163 NSBs are members of ISO. The ISO standards portfolio numbers more than 20,000 standards. ISO also has a large network of liaison organizations—which can participate in the ISO process but do not vote. These include many treaty organizations, including the World Health Organization, Codex, the International Labour Organization (ILO), the Organisation for Economic Co-operation and Development (OECD), and so on; as well as numerous other international organizations.
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Mehnert, Anja, Corinna Petersen, and Uwe Koch. "Empfehlungen zur Psychoonkologischen Versorgung im Akutkrankenhaus." Zeitschrift für Medizinische Psychologie 12, no. 2 (2003): 77–84. https://doi.org/10.3233/zmp-2003-12_2_06.
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Seit Anfang der 90er Jahre bestehen in Deutschland verstärkt Initiativen, wissenschaftlich begründete Leitlinien für Diagnostik und Therapie in verschiedenen Bereichen der Medizin zu entwickeln und zu etablieren. Im Rahmen der psychoonkologischen Versorgung beziehen sich die Zielsetzungen der Etablierung von Leitlinien auf die Sicherstellung und Verbesserung einer angemessenen Betreuung von onkologischen Patienten. Trotz der Relevanz des Gegenstandes wurden bisher nur wenige Leitlinien entwickelt. In einem mehrstufigen Prozess wurden Empfehlungen zur psychosozialen Betreuung von Krebspatienten im Rahmen von Liaison- und Konsiliardiensten im Akutkrankenhaus konzipiert. Insgesamt wurden 12 Experten in die Entwicklung einbezogen und 42 Empfehlungen formuliert, die sich in fünf Bereiche gliedern: Definition der Psychoonkologie, Grundprinzipien der Psychoonkologischen Versorgung, Organisation und Struktur Psychoonkologischer Dienste, Psychoonkologische Versorgungskonzepte und Interventionen, Qualitätssicherung, Schulung und Weiterbildung sowie Forschung und Evaluation. Die Bereitstellung einer grund-legenden Rahmenkonzeption soll Mitarbeiter psychosozialer Dienste und andere Fachgruppen in ihrer Arbeit unterstützen und einen Beitrag zur Sicherung und Verbesserung der psychoonkologischen Betreuung in Deutschland leisten. In Germany, for more than ten years scientific guidelines for diagnostic and therapeutic purposes have been implemented in various medical fields. In psycho-oncology, however, there is still a lack of adequate guidelines. Therefore, in a multistage process we developed rec-ommendations for the psychosocial care of oncology patients in acute care who are treated in the context of liaison-consultation services. A total of 12 experts evaluated 42 recommendations structured in five categories: (1) definition of psycho-oncology, (2) basic principles of psycho-oncology care, (3) organisation and structure of psycho-oncological services, (4) psycho-oncological concepts of care and interventions, quality assurance, training and education and (5) research and evaluation. As a consequence, we expect a better support of psychosocial services as well as the assurance and improvement of the quality of psycho-oncology in Germany.
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Sendall, C., P. Wright, and R. Downes. "39 Care Home Liaison Role- Bridging the Gap Between Acute Hospitals and Care Homes." Age and Ageing 49, Supplement_1 (2020): i11—i13. http://dx.doi.org/10.1093/ageing/afz185.02.
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Abstract Introduction There are over 400,000 people over 65 in UK care homes, three times the number than that in acute hospitals. They are amongst the frailest in our community, with average life expectancy of 15months once in the home. Their needs are often complex and challenging, which when unmet, often result in unwanted and unnecessary hospital admissions. Imperial College Healthcare Trust (ICHT), along with funding from Health Education England (HEE), have introduced a care home liaison nurse. The aim is to bridge the boundaries, making a significant difference to cross organisation communication and support. Methods The care home liaison nurse manages a frailty liaison service with the largest local nursing care home. This home has 140 residents with complex needs. The care home liaison nurse provides a point of contact for advice, guidance and support for individual patient pathways, she provides face to face assessment and treatment or verbal advice. In addition, the nurse supports discharge from the acute setting. This direct contact allows rapid access to specialist advice, and aims to build confidence both within the care home team and within the acute team, that the patients’ needs can be met in their own surroundings. Results The preliminary data demonstrates a positive impact this role is having both to the acute trust and most importantly patient’s experience. Comparing ICHT data from April-May 2018 to April-May 2019 it showing that the number of avoidable admissions has decreased from 54.3% to 37.5%, length of stay when patients are admitted has decreased from 11.7 days to 6.5 days, and the number of patients with an advanced care plan has risen 14.9%. Feedback from nursing staff at the care centre as well as that from patients and families has been overwhelmingly positive. Conclusions The role is still in the pilot phase. Given the already positive impact it is hoped that it will continue and expand into other care homes and extra sheltered accommodations.
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Owoundi, Fouda. "Accès au crédit bancaire, développement du système informel et mobilisation de l’épargne en Afrique." Articles 68, no. 4 (2009): 665–96. http://dx.doi.org/10.7202/602090ar.
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RÉSUMÉ La compréhension du développement du système informel d’épargne et de prêts constitue pour l’auteur un préalable à toute politique de mobilisation de l’épargne informelle par les institutions officielles dans les pays d’Afrique noire. L’article montre que c’est essentiellement l’existence de nombreuses barrières à l’accès au crédit bancaire à un moment où les populations en ont grand besoin qui, en marginalisant certains agents économiques, les pousserait à innover et à s’organiser par eux-mêmes. La défaillance et l’inadaptation concomitantes des structures officielles de collecte de l’épargne encourageraient en quelque sorte ces agents en laissant entre leurs mains de la monnaie grâce à laquelle leur organisation se développe librement. Cette organisation consistera à créer et à offrir un système avec une liaison très forte entre incitation ou contrainte à l’épargne et possibilité ou certitude d’obtenir automatiquement un prêt. L’auteur pense que le système informel constitue un système de transition devant déboucher sur des systèmes financiers homogènes ayant leur visage propre. Un soutien dont les moyens possibles sont préconisés faciliterait une telle évolution.
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Ellis, David, and Simon Lewis. "Psychiatric presentations to an A&E department." Psychiatric Bulletin 21, no. 10 (1997): 627–30. http://dx.doi.org/10.1192/pb.21.10.627.
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A survey is described of people presenting with psychiatric problems to a north London accident and emergency (A&E) department over three months. Forty per cent presented with deliberate self-harm and 25% of these left before being assessed. Twenty per cent of those with problems compatible with a diagnosis of severe mental illness also left before being seen by a doctor. Differences between presentations ‘out-of-hours' and ‘in-hours' are described. Factors predicting admission were: previous psychiatric admission, symptoms of a psychotic or affective disorder and non-permanent accommodation. The survey has implications for the process of triage in A&E departments and the organisation of mental health liaison services.
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Gligić, Ljubinka. "Status of Development and Implementation of Medical Laboratories Accreditation in Serbia." Journal of Medical Biochemistry 27, no. 2 (2008): 144–47. http://dx.doi.org/10.2478/v10011-008-0007-2.
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Status of Development and Implementation of Medical Laboratories Accreditation in SerbiaThrough the release of the SRPS ISO 15189:2008 standard entitled >>Medicinske laboratorije: posebni zahtevi za kvalitet i kompetentnost<< conditions have been created for medical laboratory accreditation in Serbia. The application of the ISO 15189:2007 standard is an accepted mechanism for improvement of the quality of medical laboratory services throughout EU today. In that way, different approaches to the quality improvement of medical laboratories have been harmonized. Functional organisation of the accreditation process of medical laboratories in most European countries is mainly carried out in cooperation with national accreditation bodies, medical experts appointed by scientist associations and health departments. This type of collaboration has proven successful in the United Kingdom, Germany, Hungary, France, Finland, Croatia, etc. The experiences of the Accreditation Board of Serbia (ABS) in medical laboratory accreditation according to the SRPS ISO/IEC 17025:2006 standard (5 laboratories have been accredited) and the positive experiences of European countries in accreditation process constitute the basis for the development of the program for medical laboratory accreditation in Serbia. The first step in this direction is the set-up of the Committee consisting of experts from different medical fields, ABS experts and representatives of the competent Ministry, as well as the definition of their tasks, such as: preparation of the necessary documentation, set-up and preparation of qualification criteria and training programs for assessors, participation in the development of the external quality assessment scheme through interlaboratory testing, liaison with the European organisations for accreditation, organisation of mutual assessments with national and international assessors, participation in decision making on accreditation and accreditation maintenance.
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Cann, Johnathon, Reece Barter, Joseph Battle, Jonas Schwenck, and Raymond Anakwe. "Patients presenting to an acute general hospital with acute mental health needs: a retrospective observational cohort study." BMJ Open 12, no. 3 (2022): e059102. http://dx.doi.org/10.1136/bmjopen-2021-059102.
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ObjectivesTo examine the numbers and patterns of patients presenting to an urban acute general hospital with acute mental health presentations and to further investigate any variation related to the COVID-19 pandemic.DesignRetrospective observational cohort study.SettingAn urban acute general hospital in London, UK, comprising of five sites and two emergency departments. The hospital provides tertiary level general acute care but is not an acute mental health services provider. There is an inpatient liaison psychiatry service.Participants358 131 patients attended the emergency departments of our acute general hospital during the study period. Of these, 14 871 patients attended with an acute mental health presentation. A further 14 947 patients attending with a physical illness were also noted to have a concurrent recorded mental health diagnosis.ResultsLarge numbers of patients present to our acute general hospital with mental health illness even though the organisation does not provide mental health services other than inpatient liaison psychiatry. There was some variation in the numbers and patterns of presentations related to the COVID-19 pandemic. Patient numbers reduced to a mean of 9.13 (SD 3.38) patients presenting per day during the first ‘lockdown’ compared with 10.75 (SD 1.96) patients per day in an earlier matched time period (t=3.80, p<0.01). Acute mental health presentations following the third lockdown increased to a mean of 13.84 a day.ConclusionsLarge numbers of patients present to our acute general hospital with mental health illness. This suggests a need for appropriate resource, staffing and training to address the needs of these patients in a non-mental health provider organisation and subsequent appropriate transfer for timely treatment. The COVID-19 pandemic and the resulting lockdowns have resulted in variation in the numbers and patterns of patients presenting with acute mental health illness but these presentations are not new. Considerable work is still needed to provide integrated care which addresses the physical and mental healthcare needs of patients presenting to acute and general hospitals.
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Barwell, J. R., J. Deacon, M. Taylor, C. Wakely, K. R. Poskitt, and M. R. Whyman. "A Modern Leg Ulcer Service." Phlebology: The Journal of Venous Disease 16, no. 1 (2001): 24–28. http://dx.doi.org/10.1177/026835550101600107.
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Aim: To define the components and organization of a modern leg ulcer service that is acceptable to patients cost effective and produces high quality outcomes. Method: Analysis of data from published literature as well as experience from the organisation of a leg ulcer service in Gloucestershire. Synthesis: Assessment of leg ulcers requires the services of a vascular laboratory to assess the venous and arteria systems. Effective systems of compression must be employed. Staff and patients must be educated to understand the principals behind their use. For some patients pinch-grafting may be appropriate. Where arterial disease is present in the lower limb, reconstructive surgery should be used for the lower limb vessels The organisation of such a service must ensure good liaison between General Practitioners, community nurses and hospital specialists. Many patients may be managed in community leg ulcer clinics. In some cases, the advice of specialists such as rheumatologists and dermatologists may be required. Conclusions: A national framework for leg ulceir management is needed within which resources are made available in a way that satisfy local needs. Such a framework must be based on management protocols derived from evidence-based practices that have been developed through the experiences of modern leg ulcer services.
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Broun, K., and T. Harper. "A Whole-Organisation Approach to Increasing Bowel Screening Participation Rates." Journal of Global Oncology 4, Supplement 2 (2018): 147s. http://dx.doi.org/10.1200/jgo.18.26400.
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Background and context: Australia has one of the highest rates of bowel cancer in the world, yet if detected early more than 90% of cases can be successfully treated. The Australian government's National Bowel Cancer Screening Program (NBCSP) send a free at-home iFOBT to all eligible people aged 50-74. Current uptake of the program is low (∼40%). Increasing bowel screening is a key focus of Cancer Council Victoria's (CCV) strategic plan (2017-2021). Aim: CCV aims to increase NBCSP participation rates in the state of Victoria, Australia to 50% by 2021. Strategy/Tactics: In 2017, CCV implemented its first ever television-led bowel screening campaign. A whole-organization approach was adopted to develop, implement and evaluate the campaign. Program/Policy process: A whole-organization approach included working with CCVs behavioral researchers to understand barriers and motivating factors to screen, collaboration with the epidemiology center to identify evidence to target campaign delivery, stakeholder liaison with clinicians engaged with the organization, engagement with the organization's support services to respond to calls as a result of the campaign, working with the fundraising team to develop strategies to engage supporters, and leveraging our flagship Daffodil Day initiative with a focus on bowel cancer. Outcomes: Adopting a whole-organization approach enabled all facets of the organization to be involved in a common goal. This resulted in shared ownership of campaign deliverables, greater engagement of staff across the organization in bowel screening and the identification of innovative strategies that wouldn't have been possible had this approach not been adopted. Importantly, CCV’s campaign led to greater numbers of eligible people participating in bowel screening. What was learned: The identification of bowel screening as a CCV priority was critical for enabling cross-organizational collaboration. Taking a whole-organization approach resulted in the identification of existing programs and services to leverage the campaign, strengthening its reach and overall impact.
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Marcellini, Anne. "Institutions sportives, idéologies et modalités de pratique." STAPS 12, no. 25 (1991): 67–76. http://dx.doi.org/10.3406/staps.1991.1222.
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Le développement de structures d'accueil sportives de plus en plus nombreuses et diverses s'accompagne d'une diversité des idéologies et des pratiques sportives institutionnelles actuelles en France. L'étude menée est qualitative et porte sur neuf structures sportives du département de l’Hérault, choisies à partir d'un critère de diversité statutaire (type d'organisation administrative). Les résultats mettent l'accent sur la cohérence existant, du point de vue idéologique et du point de vue des modalités de pratique, à l'intérieur de chaque groupement sportif. Cette cohérence est construite autour des positions dirigeantes, qui sont dans la majorité des cas déterminantes. Une analyse en composantes principales permet en outre la construction d'un espace signifiant autour de deux axes dominants, au sein duquel on a positionné les différents groupements étudiés : -modalités de pratiques nouvelles ou traditionnelles, -prise en charge ou auto-organisation des pratiquants en liaison avec un fonctionnement de type individualiste ou groupal.
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Firebrace, Shirley, Melinda Hammond, Barbara Bell, Peggy Mathison, Anne Watson, and Bruce Hurley. "Improving Koori Access to Darebin Community Health Service." Australian Journal of Primary Health 7, no. 1 (2001): 120. http://dx.doi.org/10.1071/py01021.
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While Koori Liaison positions have existed in tertiary health settings in Victoria for some time, the employment of a Koori worker in a broad-based primary health care service is a relatively new initiative. The advantages of locating a Koori access worker in a community health service are numerous: the worker is well positioned to work very closely with the local Koori community at a grass-roots level, with multi-disciplinary health professionals within the organisation, and also with external agencies, both Aboriginal and non-Aboriginal. The role of the access worker is to advocate for improved Koori access to Darebin Community Health services, local health and welfare agencies and local general practitioners. An early emphasis of the position was to establish a strong relationship with the local Koori community and to build effective working relationships with and referral pathways to health care providers.
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MODICOM, Pierre-Yves. "Organisation périodique, narrativité et topologie de l’énoncé en germanique à la fin du xvie siècle." Cahiers d’études germaniques 86 (2024): 95–106. http://dx.doi.org/10.4000/12rdc.
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L’objet de cet article est de caractériser l’état de la période dans un corpus parallèle haut-allemand/ danois de prose narrative de la fin des années 1580. D’une part, la question de la période n’a pas encore été envisagée du point de vue du danois moderne précoce ; d’autre part, la prose narrative du XVIe siècle est parfois réputée rétive à la période, qui à cette époque serait encore une caractéristique des genres oratoires. La prose narrative, en français de la Renaissance, se caractériserait plutôt par un autre type de syntaxe, la « phrase liée », qui ne présente ni la même composition binaire, ni la même clôture, ni les mêmes stratégies formelles de liaison transphrastique. L’étude du corpus conduit à distinguer deux niveaux d’organisation périodique : un niveau discursif, relevant de la dispositio des côla, et un niveau grammatical reposant sur le recours à un arsenal formel restreint, où la corrélation occupe une place centrale. La comparaison des deux langues montre l’équivalence fonctionnelle entre le marquage corrélatif en danois et des stratégies essentiellement topologiques en allemand : l’ordre des constituants et le jeu sur la place du verbe agissent comme des signaux de clôture susceptible de marquer une composition périodique des côla, même là où les marques formelles sont celles de la phrase liée. Les deux notions ne sont donc pas strictement antithétiques dans une langue comme l’allemand. Dans un dernier temps, on étend l’analyse aux phénomènes d’ellipse et d’anaphore pour montrer en quoi eux aussi participent d’une organisation périodique des ruptures et des continuités discursives.
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Mogyoródi, Gergely. "Selection of Police in Europe: Comparing the Hungarian and Polish Systems." Internal Security 12, no. 2 (2020): 44–45. http://dx.doi.org/10.5604/01.3001.0014.6698.
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Over the past few years, due to the growing needs of personnel, the Hungarian police has faced recruitment challenges. Although there is a high demand for new recruits, the standards of the entry requirements are relatively strict and difficult to meet. The question is whether the requirements are still serving the needs of the organisation. The objective of this study was to learn a different practice by comparing the Hungarian and Polish selection methods to assist in improving and to find applicable methods for the selection procedure of the Hungarian police.There are many similarities between the two countries, and following from this, it was assumed that the selection of police is also similar, and therefore the attributes could be compared. To analyse the topic, for contextual purposes, as they determine the mentioned characteristics, both the organisational and the educational attributes were studied as well. Researching the topic, the relevant literature was analysed. Data that could not be collected from the literature was collected by a questionnaire sent to Cepol and to a liaison officer, and an interview was also performed with a Polish police officer who volunteered for the study. The research indicates that both forces apply physical, medical and psychological requirements in the same regard, but with territorial and policing-cultural specifics. It was found that Poland and Hungary struggle with the number of fit applicants, but neither country uses modern selection methods that could have a positive effect on selecting the new recruits.
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Fühles-Ubach, Simone. "Mittendrin oder nur dabei?" Bibliothek Forschung und Praxis 42, no. 3 (2018): 403–10. http://dx.doi.org/10.1515/bfp-2018-0050.
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ZusammenfassungKundenorientierung ist in den vergangenen Jahren in der Literatur zum Bibliotheksmanagement immer wichtiger geworden, wohingegen der Beitrag von Bibliotheken zur übergeordneten Gesamtstrategie ihrer Trägereinrichtungen eine eher untergeordnete Rolle einnimmt. Ein sichtbarer und nachweisbarer Beitrag der Bibliothek prägt jedoch die Wahrnehmung durch das Management der Institution. In diesem Kontext werden die verschiedenen Kommunikationsebenen betrachtet, die ein modernes Bibliotheksmanagement abdecken muss. In einer empirischen Untersuchung werden Strategiepapiere europäischer Bibliotheken auf ihre Verbindung zur Trägerorganisation hin untersucht. Die Untersuchung basiert auf der Grundannahme, dass bei einer engen Verzahnung im Sinne eines klaren Beitrags zur Gesamtstrategie der Trägerorganisation, die Wahrnehmung und Integration der Bibliothek im organisationalen Kontext klarer und fester verankert sein dürfte. Anschließend werden drei Modelle zur Strategie-Entwicklung vorgestellt, die in Öffentlichen Bibliotheken zum Einsatz kommen. Diese werden auf ihre Verbindung zum Träger hin untersucht. Gebraucht werden nicht nur „embedded“ oder „liaison librarians“, sondern eine insgesamt im Zentrum der Organisation verankerte „embedded library“ mit entsprechender Bedeutung für die zukünftige Entwicklung der Gesamtinstitution, d. h. der Kommune, der Hochschule oder der Forschungseinrichtung.
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Mattingly, David. "Natural Resources and Cultural Heritage of the Libyan Desert: report on a conference held in Libya 14-21 December 2002." Libyan Studies 34 (2003): 183–90. http://dx.doi.org/10.1017/s0263718900003502.
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The Society for Libyan Studies (SLS), in concert with the Libyan Environment Agency (EGA), the Biruni Remote Sensing Agency, the British Council and the British Embassy, Tripoli, organised a major international and interdisciplinary conference on the Sahara desert, held in Tripoli and southern Libya in December 2002. This marked the culmination of two years' planning and preparation after the idea was initiated by David Mattingly, whilst Chair of the SLS. On the Libyan side, the organising committee was chaired by Dr Ehtuish F. Ehtuish (Secretary of Natural Resources, Environment and Urban Planning), with the main organisational work being carried out by Dr Khaled Gadgood and Dr Ahmed Tawangi of the EGA, along with Dr Yahya al-Fasatwi of the Biruni Remote Sensing Centre. The conference received strong backing from successive British Ambassadors, Richard Dalton and Anthony Layden, and the role of Tony Jones, British Council Director in Tripoli was crucial in finalising all the practical arrangements. Anthony and Josephine Layden kindly hosted a reception to welcome conference delegates on 14th December. The British Council and British Embassy also provided financial support towards travel costs of external speakers and the hire of facilities in Tripoli. Additional sponsorship for the conference was received from Shell, BAE Systems, the Arab-British Chamber of Commerce. British Council staff worked tirelessly during the conference to ensure close liaison with our Libyan hosts. The southern tour (see below) received considerable practical support from the local government agencies (shaʿabiyāt) in Fazzan. The general organisation of the conference was superb, for which our Libyan hosts were much congratulated.
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Pateman, John. "Information for Social Change Issue 4 Editorial." Information for Social Change, no. 4 (September 1, 1996): 1–2. https://doi.org/10.5281/zenodo.4619933.
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This journal now has an ISSN and ISC has become an organisation in liaison with the Library Association. This will allow ISC to: book accommodation at LAHQ at a reduced rate; place news, calendar items and adverts in the LAR; buy LAP publications at a discount; receive copies of LA Council papers; apply for grants of up to £500. ISC has already submitted a funding application to: help pay for this journal; issue a new "Radical Booksellers Directory" and other publications; pay for publicity, travel and other expenses; and subsidise future ISC conferences and events. ISC has become involved in three campaigns recently. One of these is to defend two small bookshops who are threatened with a libel action for stocking ''Searchlight". The second campaign ISC is supporting is to get the LA to establish a Black Library Workers Group with its own funding, conference. newsletter, seats on Council etc. The third ISC campaign is in support of the Muckdonald Two. The continuing McDonalds libel trial is all about the freedom to publish and distribute information about the activities of an unpleasant multinational. There are articles on libraries in China and Vietnam by Kathleen Ladizesky and Len Aldis. These papers were presented at the ISC/ Link conference "Better Read Than Dead". There is a short history of the Commonweal Collection by Sylvia Barlow and a piece by Sara Lobman on the culture war against the use of public libraries in America. Our regular features include book reviews (a riot to read), other organisations (fellow travellers) and Christopher Merrett's letter from South Africa.
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Riyadh Khudhair Lafta and Saja Abdusattar Mohammed. "A profile of emergency departments in Baghdad hospitals." Journal of the Pakistan Medical Association 74, no. 10 (Supple-08) (2024): S67—S71. http://dx.doi.org/10.47391/jpma-bagh-16-16.
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Objectives: To assess the structure as well as availability of essential equipment and medicine at emergency departments. Method: The descriptive, cross-sectional study was conducted from March to June 2021 after approval from the ethics review committee pf the College of Medicine, Mustansiriyah University, Baghdad, Iraq, and comprised emergency departments of general and teaching hospitals in the city. Evaluations were done using the World Health Organisation checklist and the guidelines of the Australasian College for Emergency Medicine related to Emergency Department Design. Results: Of the 26 secondary care hospitals in Baghdad, 13(50%) were evaluated. Triage was not available in 8(62%) hospitals, resuscitation room in 10(77%) and waiting room in all the 13(100%). An obvious shortage of medicines and vaccines was noted in 11(85%) hospitals. Coronary care unit and intensive care unit were not close to the emergency department in 7(54%) hospitals, and liaison psychiatry and social work links were not available in all 13(100%) hospitals. Conclusion: There is a need to improve service delivery at emergency departments functioning at hospitals in Baghdad. Key Words: Coronary Care, Emergency, World Health Organization, Social Work, Psychiatry, Vaccines
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Vetter, Dániel. "Experience of the Europol cooperation." Belügyi Szemle 72, no. 9 (2024): 1685–97. http://dx.doi.org/10.38146/bsz-ajia.2024.v72.i9.pp1685-1697.
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Aim: The aim of the article is to present the practical experience of cooperation between Europol, which plays a key role in international criminal cooperation, and Hungary. Methodology: The author collected knowledge about the operation of Europol and its investigative support services by studying the available EU legislation, and by working as the Head of the Hungarian Liaison Bureau at Europol, as well as by carrying out the tasks of the former expert in the cyber-attacks priority and the deputy national EMPACT coordinator. Findings: Europol’s system of cooperation with the Member States and operational and strategic partners provides the law enforcement agencies of the countries concerned with an opportunity that no other agency, institution or organisation can offer. In addition to supporting specific investigations, the institutional system also provides countries with IT, strategic and financial support. Value: The article aims to provide a practical and comprehensive overview of the state of cooperation with Europol, to give a deeper insight into the day-to-day work of the law enforcement and judicial authorities and to provide the interested reader with contextualised insights into the steps and processes involved.
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Vetter, Dániel. "Az Europol-együttműködés tapasztalatai." Belügyi Szemle 72, no. 9 (2024): 1575–88. http://dx.doi.org/10.38146/bsz-ajia.2024.v72.i9.pp1575-1588.
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Aim: The aim of the article is to present the practical experience of cooperation between Europol, which plays a key role in international criminal cooperation, and Hungary. Methodology: The author collected knowledge about the operation of Europol and its investigative support services by studying the available EU legislation, and by working as the Head of the Hungarian Liaison Bureau at Europol, as well as by carrying out the tasks of the former expert in the cyber-attacks priority and the deputy national EMPACT coordinator. Findings: Europol’s system of cooperation with the Member States and operational and strategic partners provides the law enforcement agencies of the countries concerned with an opportunity that no other agency, institution or organisation can offer. In addition to supporting specific investigations, the institutional system also provides countries with IT, strategic and financial support. Value: The article aims to provide a practical and comprehensive overview of the state of cooperation with Europol, to give a deeper insight into the day-to-day work of the law enforcement and judicial authorities and to provide the interested reader with contextualized insights into the steps and processes involved.
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Jennifer, Hosty, Bunn Jonathan, Bainbridge Rachel, Dunn Geoffrey, Endean Keith, and Harkness Kirsty. "WED 260 Time to scan: barriers to imaging outside normal working hours." Journal of Neurology, Neurosurgery & Psychiatry 89, no. 10 (2018): A37.2—A37. http://dx.doi.org/10.1136/jnnp-2018-abn.129.
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SSNAP measures quality and organisation of stroke care. Domain 1.1 looks at the number of patients scanned within 1 hour of arrival at hospital; local trust performance is 57.4% (national average 51.3%), with the specialist stroke unit at 79.2%. This is in part related to ‘direct to scan protocols’ in extended working hours, but we currently lack equivalent medical staffing and radiographer support during this time. We aimed to explore which factors impacted on scanning time out of hours. An initial consecutive 14 day sample identified delays in approval of scan request by the duty radiologist. A new Standard Operating Procedure allowed specialist stroke nurse practitioners (SNPs) to request CT head scans directly with the duty radiographer, eliminating need for liaison with the radiologist. A repeat 14 day analysis identified additional factors resulting in delays, including delays in scan request and in-hospital competing emergency clinical scanning requirements, meaning no significant improvement in percentage of patients scanned within 1 hour was observed. The mean time from arrival to scan performance was 52 min, but 21.8% of patients did not undergo a CT head within 1 hour of arrival. Further strategies are required to maximise patients meeting this target.
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Kebiat, Mukuze, Ndhlovu Pilot, and Mukwasi Ruth. "An exploration of strategies to restore morale in non-academic staff in the higher education sector: A case of Chinhoyi University of Technology." International Journal of economics business and human behaviour 2, no. 4 (2022): 54–63. https://doi.org/10.5281/zenodo.5894665.
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The study sought to explore strategies to restore morale in non academic staff in higher education sector with specific reference to Chinhoyi University of Technology. In February and March 2021, the study was conducted using a qualitative research approach and a case study research design. The data gathering tools used were an in-depth interview guide and document review, with a sample size of twenty (20) participants. The absence of upward mobility and management's inconsistent approach were determined to be the main reasons of employee demoralization in the study.Wage differentials negatively affected many employees in the organisation and morale was low, it results in lack of job satisfaction,less employee engagement and causes labour turnover.Some strategies to restore morale among non-academic staff employees were suggested.They include employee recognition programmes and transparent job evaluation to reduce wage inequalities.The recommendations were that university authorities in liaison with the parent ministry of higher and tertiary education should carry out fair and transparent job evaluations such that the grading system for employees is not tilted to one side. Conditions of service for employees should be negotiated unlike just imposing as evidenced by documentary evidence.
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Hood, C., A. Morris, O. Corrado, et al. "116 Impact of COVID 19 Pandemic on Hospital Care For People with Dementia—Feedback From Hospital Leads and Carers." Age and Ageing 50, Supplement_1 (2021): i12—i42. http://dx.doi.org/10.1093/ageing/afab030.77.
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Abstract Introduction The National Audit of Dementia (NAD) is funded by the Healthcare Quality Improvement Partnership to collect data from acute general hospital in England and Wales. In June 2020 NAD circulated optional surveys to leads for dementia in acute hospitals and carers asking about the impact of the pandemic on the organisation and provision of hospital care. Methods Anonymous survey links were sent to hospital dementia leads directly and circulated to carers of people with dementia via social media and representative organisations. Dementia Leads’ questions included whether they and/or their team had been redeployed during the pandemic and whether wards had access to specialist services. Carers’ questions included whether patients’ needs were discussed, whether they were permitted to visit/how this was communicated, any measures to facilitate communication with their loved ones, and whether they were updated about progress and discharge. Results 53 dementia hospital leads completed the questionnaire. 32% had been redeployed to other clinical areas during the pandemic, 45% said the same for members of the dementia team. Specialist support for people with dementia on both Covid and Non-Covid wards was significantly compromised. 32 carers completed the questionnaire. 48% were not asked about the needs of the patient they cared for, 90% not allowed to visit, 43% were not given any explanation about visiting and 48% not given support to keep in touch with their loved one. Conclusions Clinical priorities inevitably meant redeployment of dementia specialist staff, and changes to visiting. However, continuation of specialist support is a requirement for people with dementia admitted to hospital. Liaison with carers/families must be a priority, including facilitating remote support. Hospitals should take note of NHS guidance permitting carer visits to support a person with dementia experiencing distress.
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Russo, Sophie. "L’expertise sous contrainte." Gouvernement et action publique VOL. 12, no. 3 (2023): 53–76. http://dx.doi.org/10.3917/gap.233.0053.
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Cet article interroge les effets de la pluralisation des acteurs du maintien de l’ordre sur le déploiement de l’action publique en matière de sécurité. À partir de la trajectoire du Citizens-Police Liaison Committee (CPLC), une organisation fondée en 1989 par des hommes d’affaires de Karachi (Pakistan) pour prêter main-forte à la police et dont les membres sont désormais reconnus comme des « experts » de la sécurité, l’article analyse les effets de l’implication d’acteurs économiques dans la formulation et la mise en œuvre des politiques publiques de sécurité. Quelles ressources des acteurs économiques peuvent-ils mobiliser pour se faire une place durable dans le champ de la sécurité ? Dans quelle mesure peuvent-ils ensuite influer sur l’action publique, et notamment sur le travail des forces de police ? La thèse de cet article est que, lorsque la seule mobilisation de capital économique ou social s’avère insuffisante pour assurer une place durable aux acteurs privés dans le champ de la sécurité, la constitution de savoirs experts, elle, peut permettre d’atteindre cet objectif. Dans le même temps, il montre, à partir de la notion de « situation d’expertise », que l’expertise fonde la participation d’acteurs privés à la sécurité tout en limitant leur capacité à orienter significativement l’action policière.
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Wand, Timothy, Natalie D'Abrew, Catherine Barnett, Louise Acret, and Kathryn White. "Evaluation of a nurse practitioner-led extended hours mental health liaison nurse service based in the emergency department." Australian Health Review 39, no. 1 (2015): 1. http://dx.doi.org/10.1071/ah14100.
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Objective To evaluate a nurse practitioner (NP)-led extended hours mental health liaison nurse (MHLN) service based in the emergency department (ED) of an inner city teaching hospital in Sydney and to explicate a model of care that is transferable across a broad range of ED settings, both in metropolitan and rural contexts. Methods This mixed-methods evaluation encompassed descriptive data on ED mental health presentations, quantifying waiting times for MHLN involvement and interviews with MHLN team members at the commencement of the evaluation and 12 months later. Interviews were also conducted with a snapshot of ED patients, and a sample of ED and psychiatry staff. Results The expanded MHLN service was rapidly incorporated into the ED structure, enthusiastically endorsed by ED patients and highly valued by staff and the organisation. The MHLN team saw 55% of referred patients within the first hour of arrival (frequently before medical assessment), thereby initiating and expediting co-ordination of care at an early stage of the ED process. Conclusions An NP-led extended hours MHLN team based in the ED provides prompt and effective access to specialised mental health care for people with ‘undifferentiated health problems’, and removes a significant workload from nursing and medical staff. Embedding the NP-led MHLN service within the ED structure was pivotal to the success and sustainability of this model of care. What is known about the topic? Mental health liaison nurse (MHLN) services have existed in emergency departments (EDs) in Australia and internationally for many years. However, there is great variation in the way these services are structured and no standardised model of care has been explicated. What does this paper add? Findings from this evaluation indicate that a nurse practitioner-led extended hours MHLN service integrated within the ED team structure provides prompt access to specialised mental health care to people with undifferentiated health problems, and removes a significant workload from ED nursing and medical staff. What are the implications for practitioners? Mental health nurse-led service provision based in the ED is a safe, flexible and effective method of enhancing access to health care that is adaptable to broad range of settings. ED ownership of this model of care is pivotal to the successful implementation and sustainability of MHLN services.
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Brennan, Ailbhe, Jack Hubbett, Rosalyn Buckland, and Hugh Grant-Peterkin. "Providing Mental Health First Aid Training to Hatzola." BJPsych Open 8, S1 (2022): S18. http://dx.doi.org/10.1192/bjo.2022.112.
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AimsHackney is home to the largest Charedi Orthodox Jewish community in Europe. According to the Census 2011, 7% of the population of Hackney are Charedi. Hatzola is a non-profit, volunteer organisation established in 1979 to provide pre-hospital emergency medical response and transportation to acute hospitals at no cost, to those living in and around the North London Charedi community. Given the large Charedi population served by Homerton University Hospital it is a common occurrence for psychiatry liaison staff to work side by side with Hatzola in delivering care to those in mental health crisis. Our aim was to create and nurture a professional relationship between Homerton University Hospital Psychiatry Liaison Service and Hatzola ambulance. We wanted to gain an understanding of the perception of mental illness within the Charedi community, and identify issues faced by members of Hatzola when working with those with mental illness. We wanted to identify the learning needs of Hatzola around psychiatric illness as well as increasing confidence within team members when called to manage mental health crises.MethodsWe scheduled an initial meeting with Hatzola to gain an understanding of their service. We used questionnaires to ascertain their level of knowledge on managing mental health patients. We set out to provide teaching sessions to address Hatzola's learning needs.We designed interactive teaching sessions based on providing mental health first aid, discussing case studies, considering the legal framework around emergency mental health. We ensured coverage of working with both adults and children with mental health difficulties. We delivered these teaching sessions in person over four consecutive weekly meetings, with the sessions being recorded to serve as an educational resource.ResultsWe gathered qualitative evidence reflecting the impact of our intervention. We were able to compare levels of confidence among Hatzola members before and after our teaching programme.ConclusionOur training programme was well received by Hatzola, and it was an excellent opportunity to develop links with members of the community.We have learned that mental health is a taboo subject for members of the Charedi community, and have identified a need for more support to Hatzola in coping with the emotional toll working with mental health patients can take. There may be scope for providing further training on developing reflective practice and more emotional support for Hatzola members in future.
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Monika M. Dass. "A solution-based review paper on special needs/special education for schools in India." GSC Advanced Research and Reviews 19, no. 3 (2024): 182–90. http://dx.doi.org/10.30574/gscarr.2024.19.3.0225.
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Education is a powerful instrument of social change, and often initiates upward movement in the social structure. In the 1970s, the government launched the Centrally Sponsored Scheme of Integrated Education for Disabled Children (IEDC, 1974). The scheme aimed at providing educational opportunities to learners with disabilities in regular schools, and to facilitate their achievement and retention. A cardinal feature of the scheme was the liaison between regular and special schools to reinforce the integration process. The enrolment ratio per 1000 disabled persons between the ages of 5 to18 years in ordinary schools is higher in the rural areas (475) than it is in the urban areas (444), (National Sample Survey Organisation (NSSO), 2002). The Office of the Chief Commissioner of Persons with Disabilities (NHRC, 2021) stated that not more than 4% of children with disabilities have access to education. A discussion on what can we do to help these children throws some light on some helpful factors. All students would gain if this led to smaller classes and better instruction. To ensure inclusiveness, all programs - regardless of level of education - must make appropriate teacher preparation, awareness of and attitudes towards disabilities, retention of exceptional children, etc. mandatory. For inclusive education programmes to be successful, the problems discussed need to be addressed. It is only by listening, observation, and clear action to resolve these challenges that we can move forward in truly achieving the inclusion of all learners, particularly those with disabilities.
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Monika, M. Dass. "A solution-based review paper on special needs/special education for schools in India." GSC Advanced Research and Reviews 19, no. 3 (2024): 182–90. https://doi.org/10.5281/zenodo.13622359.
Full textAbstract:
Education is a powerful instrument of social change, and often initiates upward movement in the social structure. In the 1970s, the government launched the Centrally Sponsored Scheme of Integrated Education for Disabled Children (IEDC, 1974). The scheme aimed at providing educational opportunities to learners with disabilities in regular schools, and to facilitate their achievement and retention. A cardinal feature of the scheme was the liaison between regular and special schools to reinforce the integration process. The enrolment ratio per 1000 disabled persons between the ages of 5 to18 years in ordinary schools is higher in the rural areas (475) than it is in the urban areas (444), (National Sample Survey Organisation (NSSO), 2002). The Office of the Chief Commissioner of Persons with Disabilities (NHRC, 2021) stated that not more than 4% of children with disabilities have access to education. A discussion on what can we do to help these children throws some light on some helpful factors. All students would gain if this led to smaller classes and better instruction. To ensure inclusiveness, all programs - regardless of level of education - must make appropriate teacher preparation, awareness of and attitudes towards disabilities, retention of exceptional children, etc. mandatory. For inclusive education programmes to be successful, the problems discussed need to be addressed. It is only by listening, observation, and clear action to resolve these challenges that we can move forward in truly achieving the inclusion of all learners, particularly those with disabilities.
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Smallbone, Chris. "Serbia's national welding capability (NWC) and its significance to the UN sustainable development goals (SDGs)." Zavarivanje i zavarene konstrukcije 67, no. 1 (2022): 27–31. http://dx.doi.org/10.5937/zzk2201027s.
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The International Institute of Welding (IIW) through its IIW Board of Directors Working Group Regional Activities and Liaison with Developing Countries (WGRA) introduced in 1994 the unique IIW WeldCare Programme to assist developing countries to improve their national welding capabilities particularly through the establishment and/or growth of a not-for-profit national welding organisation. Since then, IIW WGRA has assisted many countries freely through the holding of IIW technology innovation workshops, governance workshops and International Congresses as well as providing them with information, experiences and documentation on successful activities particularly from experiences in South Africa, Australia and globally. As an extension and expansion of the IIW WeldCare Programme through IIW WGRA, a project "Establishing a National Welding Capability (NWC)" was created and managed by the author. Several very successful NWC workshops have been held since then to assist not only developing countries but also developed countries which could utilise them to improve their national welding capabilities. These have included Romania, Bulgaria, Serbia, Greece, Hungary, South Africa, India, New Zealand and Thailand amongst others. Based on feedback from the workshops and International Congresses held, the need for 11 comprehensive guidance notes with links to a knowledge resource bank were identified. Improving a country's National Welding Capability can make a significant contribution to, and have a very positive effect on, many national and international programmes including the United Nations Sustainable Development Goals (SDGs). When one considers the networks which the IIW, its 50 Member countries, universities, colleges, research organisations and companies involved in welding have, bringing all the available welding resources to assist in achieving the SDGs can have a remarkable positive effect globally on all countries. UNESCO published a report titled "Engineering for Sustainable Development: Delivering on the Sustainable Development Goals". There is no reason why a similar initiative could not be undertaken for the welding field. This paper can serve as a catalyst, and the National Welding Capability Project as the basis, for such a report. It is hoped that this paper will stimulate ideas amongst the international welding community for feedback to the author and dissemination into countries to improve their SDGs.
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Tomlinson, Serena Rose Louisa, Peter McGill, Nick Gore, and Jessie Humphreys. "Trends in the provision of residential educational placements available for young people with learning disabilities/autism in England." Tizard Learning Disability Review 22, no. 4 (2017): 222–29. http://dx.doi.org/10.1108/tldr-07-2017-0028.
Full textAbstract:
Purpose Little is known about the characteristics of residential educational settings for young people with intellectual or developmental disabilities (IDD) in England. Previous research has focussed on the characteristics and experiences of the young people attending such settings rather than the setting itself; therefore, an overview of national provision is needed. The paper aims to discuss these issues. Design/methodology/approach As part of a larger project, data were collected for all residential schools and colleges in England. Data relate to settings offering residential provision for at least 4 nights per week for 30 weeks per year, either at the school/college itself, or in an associated residential home. Due to the remit of the main project, settings offering placements only to young people aged under 16 were excluded. Data were collected from a range of sources, including school/college websites, Ofsted and Department for Education resources, and liaison directly with the setting. Findings In total, 342 residential educational settings were identified with 57 of these offering post-16 provisions only. A range of data is presented about these settings, including location, placement numbers and types available, age range catered for, special educational needs categories registered for, governance arrangements (e.g. LA maintained, privately owned, and charitable organisation), and Ofsted educational ratings. Originality/value These data provide a national overview of residential educational settings for young people with IDD. This enables a clearer picture of the location and type of provision offered and allows comparisons both within and between areas.
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Petrushkin, Harry, Jed Boardman, and Emilio Ovuga. "Psychiatric disorders in HIV-positive individuals in urban Uganda." Psychiatric Bulletin 29, no. 12 (2005): 455–58. http://dx.doi.org/10.1192/pb.29.12.455.
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Aims and MethodThe study examined the prevalence of psychiatric disorders in people with HIV/AIDS attending the AIDS Support Organisation (TASO) clinic at Mulago Hospital, Kampala, Uganda and the preparedness of AIDS counsellors to deal with mental disorders. Forty-six patients were interviewed using the Mini International Psychiatric Interview to ascertain DSM–IV diagnoses. All 15 counsellors working at the clinic were interviewed.ResultsThe total prevalence of psychiatric disorder was 82.6 (38 out of 46 patients). Depressive and anxiety disorders were common. Non-affective psychoses were present in eight patients (17.4%), bipolar affective disorder in eight (17.4%) and major depression with melancholic features in five (10.9%); 8 (13%) had current suicidal thoughts. None of the people with psychiatric disorders were receiving mental health treatment. The prevalence of disorder as estimated by the counsellors ranged from 0 to 33%. Only one counsellor had received any formal training in mental disorders and only two thought that they could deal with these if they arose. The attitudes of counsellors towards people with mental disorders were mixed, but most believed that they should be trained to provide care.Clinical ImplicationsThere is a need to provide additional mental health services to the TASO clinic through appropriate training of TASO counsellors to improve their awareness of psychiatric disorders, delivery of some psychological therapies and liaison with the psychiatric services at Mulago Hospital, in addition to public mental health education. The psychiatric disorders experienced by those attending the clinic might put them at greater risk of contracting HIV/AIDS.
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Nenonen, S., S. Lavy, M. Graça, R. Crepaldi, and N. Sandström. "Future of the Facilities Management profession." IOP Conference Series: Earth and Environmental Science 1176, no. 1 (2023): 012008. http://dx.doi.org/10.1088/1755-1315/1176/1/012008.
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Abstract The focus of facility managers used to be mostly about buildings and services. In this new post-Covid world, facility managers play an important role related to people and services. As organizations make significant transitions to hybrid and remote work, facilities management can ensure by its behalf that employees have productive and fulfilling relationships with their co-workers, their organizations, and their workplaces. The purpose of this paper is to identify short-, medium- and long-term professional challenges to facilities management profession caused by an increase in multilocational work. The short-term challenges may be temporary by nature, and they are based on the explorations of multilocational work. The medium-term challenges are based on a more permanent and stable situation. Long-term challenges are more fundamental by nature reflecting the constant transformation of people, processes, and buildings. The qualitative data were gathered from focus group discussions with Facilities Management professionals from five different continents. The data were organized in three different analyses. The short-term, medium-term, and long-term challenges were identified. The findings indicate that the role of a facility manager is becoming more prominent, and the facility manager should perceive this crisis as an opportunity to step up and support the organisation in its strategic policy. Facilities managers should position themselves as the liaison between the physical and the digital worlds so that they are valuable stakeholders in this emerging virtual space. The results of this study contribute to the development of facilities management training and professional development and shed light on future research needs for the profession.