Academic literature on the topic 'Peer consultant'
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Journal articles on the topic "Peer consultant"
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Yoong, Andrel, Navin Mukundu Nagesh, Dupinderjit Singh Rye, and Vikram Devaraj. "Consultant led peer assisted learning model." Clinical Teacher 16, no. 5 (December 2, 2018): 502–6. http://dx.doi.org/10.1111/tct.12970.
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Ford-Dunn, Suzanne, and David Barclay. "How to provide consultant peer support – the south coast new consultants group." BMJ Supportive & Palliative Care 2, Suppl 1 (March 2012): A79.3—A80. http://dx.doi.org/10.1136/bmjspcare-2012-000196.232.
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Mason, Rebecca, and Helen Hayes. "Telephone peer supervision and surviving as an isolated consultant." Psychiatric Bulletin 31, no. 6 (June 2007): 215–17. http://dx.doi.org/10.1192/pb.bp.106.011569.
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Mentoring for newly appointed consultants in all specialties is recognised and established as offering important and essential support in the early years after appointment to a consultant post (Connor et al, 2000; Roberts et al, 2002; Waters, 2002; Dosani, 2006). In some regions this is now formalised and is in line with recommendations of the Royal College of Psychiatrists (Dean, 2002, 2003).
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Wilkie, Grant, and Derek Raffaelli. "In at the deep end: making the transition from SpR to consultant." Advances in Psychiatric Treatment 11, no. 2 (March 2005): 107–14. http://dx.doi.org/10.1192/apt.11.2.107.
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The first few years of a consultant's professional life can be difficult for all concerned. In this article we argue that the tasks facing the newly appointed consultant are in part instrumental, but that there are also important emotional and development challenges to be faced before the individual psychiatrist can truly fill out the consultant role. For the past 2 years we have been running a group, which we have called the transition group, for specialist registrars and newly appointed consultants working in the West of Scotland. The aim of this group is to provide peer support during this transitional process. Here we draw on our experience in this group to explore the development of professional identity, the exercise of personal authority and how this process can be supported by a group such as ours.
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Clark, Karlene T., Holly M. Gabriel, and Kristen Borysewicz. "Development, implementation and importance of an undergraduate peer research consultant program at the University of North Dakota’s Chester Fritz Library." Reference Services Review 48, no. 4 (October 26, 2020): 579–600. http://dx.doi.org/10.1108/rsr-05-2020-0036.
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Purpose This paper aims to describe both the development of a peer research consultant program – using student assistants to staff the reference desk with minimal supervision while providing high-quality research assistance to their undergraduate peers, and the steps taken to create buy-in for the program from campus and librarians. Design/methodology/approach The authors provide a description of peer reference services and describe how a remodel of the library building facilitated a redesign of services. The paper covers the process of developing program guidelines, securing funding, expectations of peer research consultants, the training process and lessons learned from a medium-sized academic library. Findings The findings after the first year demonstrate that undergraduates are highly skilled at providing high-quality reference services when provided with quality training and support. In addition, undergraduate students are now seeking out peer researchers for assistance with research items such as topic formation, keyword development in databases and proper citations. Research limitations/implications No formal research or assessment of the program has been completed as of this time. Practical implications Well-trained Peer Research Consultants (PRCs) provide valued assistance to librarians in freshman composition classes, at the Ask Us reference desk, and to their peers. The program has allowed librarians to provide more outreach to their subject areas. Social implications Students prefer going to their peers for research assistance rather than a professional librarian when given the choice. The training the PRCs are provided by librarians provides credibility and trust, which encourages undergraduate students to approach PRCs for assistance. Originality/value This paper draws on multiple iterations of peer reference models to create an original program, involving training student employees to provide reference services at a paraprofessional level, as well as providing the methodology for other academic libraries to develop and launch a similar program.
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Bamrah, J. S., D. A. Gray, N. Purandare, and S. Merve. "Continuing professional development for psychiatrists: surveying current practice in the UK." Psychiatrist 35, no. 4 (April 2011): 151–54. http://dx.doi.org/10.1192/pb.bp.110.031922.
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Aims and methodThe Royal College of Psychiatrists recommends that all psychiatrists undertake continuing professional development (CPD) as part of their personal development plan (PDP) and that, for quality assurance, all CPD activity is approved by their peer groups. We conducted a regional survey (Survey I) of consultant psychiatrists attending a regional conference of the College to assess their current CPD practice, and a more detailed national survey (Survey II) into sessional time for CPD and peer group activity of all consultant psychiatrists and staff grade, associate specialist and specialty (SASS) doctors.ResultsThe surveys showed some similarities. Survey I (n = 36) showed that 83% of consultants had a current CPD certificate and that consultants experienced significantly more difficulty in achieving their ‘internal’ compared with ‘external’ CPD requirements (39% v. 20%). Survey II (n = 2632) showed that 98% of our sample thought CPD was important for revalidation. Despite this, over 50% had difficulty accessing CPD time regularly in their timetable. In total, 97.4% of consultants and 85.7% of SASS doctors were in peer groups.Clinical implicationsA revised CPD policy must give credit to peer group meetings and set out more clearly the distinction between the types of CPD activity psychiatrists undertake. We recommend more robust job planning to enable psychiatrists to fulfil their CPD requirements in the face of competing demands on their clinical time and reducing resource.
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Beer, Francisca, Christina M. Hassija, Arturo Covarrubias-Paniagua, and Jeffrey M. Thompson. "A Peer Research Consultant Program: Feasibility and Outcomes." Council on Undergraduate Research Quarterly 2, no. 3 (April 1, 2019): 4–13. http://dx.doi.org/10.18833/spur/2/3/4.
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Yuan, Zhou-min. "Identity rhetoric in Chinese radio-mediated medical consultation." East Asian Pragmatics 5, no. 1 (March 31, 2020): 41–65. http://dx.doi.org/10.1558/eap.39001.
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While previous studies highlight the dynamic feature of identity construction, little attention has been paid to the identity work within the overall structure of a conversation and to the interrelations between different aspects of identity constructed. Drawing on a sizable recording of radio-mediated medical consultations (RMMC), this study aims to explore the various aspects of medical consultants' identities and the dynamic shift among the different aspects. It is found that the consultants construct three prominent aspects of identity, namely, a consultant with medical expertise, a consultant with peer friendships, and a consultant as a sales representative, each manifesting some variability in terms of pragma-linguistic realisations and occurrences in different stages of the overall structure of RMMCs. By intermingling the three aspects and using each at appropriate times, the consultants skilfully direct the conversation to what they want. Thus, they demonstrate what might be termed as identity rhetoric in constructing, performing, and deploying their identities to achieve some communicative needs.
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Mitchell, Paul, Jennifer Soon, Joanne Kenny, and Katherine Simons. "What do doctors value about attending multi-disciplinary cancer case discussions?" Journal of Clinical Oncology 37, no. 15_suppl (May 20, 2019): e18324-e18324. http://dx.doi.org/10.1200/jco.2019.37.15_suppl.e18324.
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e18324 Background: Discussion of cancer cases at multi-disciplinary meetings (MDMs) for treatment planning is expected standard care in Australia. There has been rapid uptake of MDMs in the last 10 - 15 years and in the state of Victoria approximately 70% of cancer cases are discussed. MDMs have strong support from medical staff and we investigated their motivation in attending MDMs. Methods: Over 12 months, Austin Health in Melbourne, Victoria, hosted 452 cancer MDMs discussing 5943 patients. MDMs covered 15 tumour areas: 11 solid tumour, one lymphoma and three haematological. Over a 4-week period, medical staff attending MDMs were surveyed and asked to rank what they valued most about cancer MDMs, over and above the benefits for patients. Results: Responses were received from 84% of the 285 medical staff surveyed, which included consultants as well as trainees (registrars and fellows). For 75% of respondents the highest ranking was given to multi-disciplinary communication, 9% gave the highest ranking to quality assurance and governance, 5% ongoing learning for consultants, 5% collegiate relationships, 2% learning and teaching for non-consultant staff, 2% peer support 1% job satisfaction and 1% clinical trials engagement. Similar results were obtained for consultant staff and for registrars / fellows. For consultant medical staff, if multidisciplinary communication was excluded, 44% of respondents gave the highest ranking to quality assurance and governance, 23% to collegiate relationships, 20% ongoing learning for consultants, 10% peer support and 3% clinical trials engagement. Conclusions: When we asked doctors what they valued most about attending cancer MDMs, besides the benefits for patients, communication between disciplines was clearly the most valued aspect. The benefits for quality and governance was the next most valued, then collegiate relationships and peer support, and ongoing learning.
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Welgemoed, C. "Role development for therapy radiographers in breast planning: a case study and discussion of influencing factors." Journal of Radiotherapy in Practice 7, no. 01 (March 2008): 47–57. http://dx.doi.org/10.1017/s1460396907006267.
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AbstractPurpose:The purpose of this case study is to discuss factors that have an influence on the process of role development in radiotherapy breast planning.Key themes:This article describes the process of development as experienced by the author and discusses factors that hindered the process of role development. These factors include development of a career plan, professional issues, resources, organisational structures, support from consultants, managers, multi-disciplinary, and professional colleagues and peer resistance.Conclusion:The author makes recommendations that may contribute to improving the role development strategy in the profession and aid successful implementation of advanced practitioner and consultant roles for those radiographers who aspire to the consultant radiographer role in future. The article concludes that there is a need to identify, standardise and coordinate role development for therapy radiographers nationally to increase the appointment of more consultant radiographers.
Dissertations / Theses on the topic "Peer consultant"
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Soriano, Maria Lynn. "Student-Consultant Continuum: Incorporating Writing Center Techniques of Peer Review Into the Composition Classroom." John Carroll University / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=jcu1288706104.
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Knight, Paula Jean. "Teachers as leaders : a descriptive study of the peer assistance and review consultant teacher leaders /." The Ohio State University, 1990. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487685204966912.
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Coban, (esen) Aysel. "The Effect Of Structured Peer Consultation Program On Different Dimensions Of School Counselor Burnout." Phd thesis, METU, 2004. http://etd.lib.metu.edu.tr/upload/579060/index.pdf.
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The purpose of this study was to investigate the effect of Structured Peer Consultation Program on different dimensions of school counselors'burnout, namely, emotional exhaustion, depersonalization, and personal accomplishment. Pretest and posttest experimental control group design was used to investigate the effect of the Structured peer Consultation Program on different dimensions of burnout. To determine the percipients of the experimental and control groups Maslach Burnout Inventory was administered 55 out of a total 96 school counselors in gaziantep. 8 counselors who had higher than means score in the different dimensions of burnout participated voluntarily in the Structured Peer Consultation program as an experimental group. 8 counselors were selected as a control group. While the program was being applied to the experimental group, the control group did not receive any treatment. The Structured Peer Consultation Program continued for five weeks. In the program the meetings were held once a week and lasted for 90 minutes. One-way analysis of Covariance (ANCOVA) was used to test for significant treatment effect of the Structured Peer Consultation Program on different dimensions of burnout. The result of ANCOVA indicated that ANCOVAs examining treatment effect were significant on dimensions of emotional exhaustion, depersonalization, and personal accomplishment of burnout. It seems that there was a significant improvement in the experimental group'
s burnout level compared to the control group'
s burnout level. At the end of the study the findings were discussed with the relevant studies and recommendations were presented.
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Kocayoruk, Ercan. "The Effects Of Father Involvement Training (fit) On Family Functioning And Peer Relationships Of 9th Grade High School Students." Phd thesis, METU, 2007. http://etd.lib.metu.edu.tr/upload/3/12608600/index.pdf.
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The purpose of the present study was twofold: (a) to design and determine the effect of Father Involvement Training (FIT), which is based on social-cognitive theory principals, on family functioning in father-adolescent relationships, and (b)
to examine the effect of Father Involvement Training (FIT) on the quality of the peer relationships of 9th grade high school students, whose fathers participated in the study. The sample composed of twenty- six 9th grade students&rsquofathers. The 2x3 experimental design examined pre-training, post-training and six-month follow-up measurements of an experimental group and control group. Experimental group received a ten-week father involvement training which was developed by the researcher while the control group did not receive any training. Parent Success Indicator (PSI) was used to assess family functioning of fathers and Parent Adolescent Relationship Scale (PARS) was used to assess family functioning of children whose fathers participated in the study. In order to assess peer relationships of children, Peer Relationship Scale (PRS) was used. Data were analyzed by employing Mann Whitney U Test, Friedman Test, and Wilcoxon Sign Rank Test. The results revealed that the Father Involvement Training had significant effects on the father-child relationship and family functioning of experimental group&rsquo
s fathers. The experimental group&rsquo
s fathers had gained higher total scores both at the end of the study and at the follow-up measures in PSI. The adolescents, whose fathers participated in the experimental group, improved in close-relationship and sensitivity dimensions at the end of the study. However, the improvements were not maintained after the six months follow-up measurements. In addition, ratings of the children, whose fathers participated in the experimental group, decreased from pretest to follow-up measures on meeting expectations dimension of the PARS. Lastly, there was a significant improvement in trust and identification dimension of peer relationship levels of children whose fathers received the training compared to children whose fathers did not receive the training. The experimental group fathers&rsquo
evaluation reports indicated that fathers perceived improvement in different dimensions such as father child communication, behavioral changes in relationship with their children.
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Costa, Leandro Rincon [UNESP]. "Roteamento de consultas em banco de dados peer-to-peer utilizando colônias de formigas e ontologias." Universidade Estadual Paulista (UNESP), 2009. http://hdl.handle.net/11449/98662.
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Sistemas baseados em redes peer-to-peer come caram a se popularizar nos anos 90 e, desde então, grandes avan cos e novas aplicações têm sido desenvolvidas aproveitando as caracter sticas deste tipo de rede de computadores. Inicialmente, tais redes eram utilizadas apenas em aplicações simples como o compartilhamento de arquivos, hoje, por em, encontram-se em aplicaçãoes com grau de complexidade cada vez maior. Dentre estes sistemas mais recentes, destaca-se o compartilhamento de informações armazenadas em bancos de dados, um segmento em franco desenvolvimento. Em bancos de dados peer-to-peer, cria-se uma base de conhecimento rica e amplamente distribu da, baseada no compartilhamento de informações semanticamente relacionadas, por em sintaticamente heterogêneas. Um dos desa os desta categoria de aplicações e garantir uma forma e ciente para a busca de informações sem comprometer a autonomia de cada n o e a exibilidade da rede. Neste trabalho explora-se este desafio e apresenta-se uma proposta de suporte as buscas por meio da otimização dos caminhos, buscando reduzir o n umero de mensagens enviadas na rede sem afetar significativamente o n umero de respostas obtidas por consulta. Para tal tarefa propõe-se uma estrat egia baseada em conceitos do algoritmo de colônia de formigas e classicação das informações utilizando ontologias. Com isso foi possível adicionar o suporte semântico como facilidade na execução do processo de busca em bancos de dados peer-to-peer, al em de reduzir o tráfego de mensagens e permitir inclusive que mais resultados sejam alcan cados sem comprometer o desempenho da rede.
In the 90s, peer-to-peer systems became more popular and, since then, major advances and new applications have been developed based on the features of this kind of computer network. Initially they were used only in simple applications as le sharing, but now they have been implemented in increasingly more complex applications. Among these novel systems, it pointed out the database information sharing, which is developing rapidly. In peer-to-peer database, a very rich and widely distributed knowledge base is created, based on the sharing of semantically related but syntactically heterogeneous information. One of the challenges of such an application is to ensure an e cient way to search for information with no jeopardy either to the individual nodes autonomy or to the network exibility. The work herein explores this challenge aiming at a proposal to support the searches through paths optimization, looking for reducing the number of messages sent in network without a ecting the number of each query's answers. To do this work, it proposes a strategy based both on ant colony algorithm concepts and information classi cation by ontologies. This way, it has been possible to add the semantic support in order to ease the search process in peer-to-peer database, while reducing the message tra c and allowing even to reach more results without compromising the network performance.
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Costa, Leandro Rincon. "Roteamento de consultas em banco de dados peer-to-peer utilizando colônias de formigas e ontologias /." São José do Rio Preto : [s.n.], 2009. http://hdl.handle.net/11449/98662.
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Orientador: Carlos Roberto ValêncioBanca: Pedro Luiz Pizzigatti Corrêa
Banca: Rogéria Cristiane Gratão de Souza
Resumo: Sistemas baseados em redes peer-to-peer come caram a se popularizar nos anos 90 e, desde então, grandes avan cos e novas aplicações têm sido desenvolvidas aproveitando as caracter sticas deste tipo de rede de computadores. Inicialmente, tais redes eram utilizadas apenas em aplicações simples como o compartilhamento de arquivos, hoje, por em, encontram-se em aplicaçãoes com grau de complexidade cada vez maior. Dentre estes sistemas mais recentes, destaca-se o compartilhamento de informações armazenadas em bancos de dados, um segmento em franco desenvolvimento. Em bancos de dados peer-to-peer, cria-se uma base de conhecimento rica e amplamente distribu da, baseada no compartilhamento de informações semanticamente relacionadas, por em sintaticamente heterogêneas. Um dos desa os desta categoria de aplicações e garantir uma forma e ciente para a busca de informações sem comprometer a autonomia de cada n o e a exibilidade da rede. Neste trabalho explora-se este desafio e apresenta-se uma proposta de suporte as buscas por meio da otimização dos caminhos, buscando reduzir o n umero de mensagens enviadas na rede sem afetar significativamente o n umero de respostas obtidas por consulta. Para tal tarefa propõe-se uma estrat egia baseada em conceitos do algoritmo de colônia de formigas e classicação das informações utilizando ontologias. Com isso foi possível adicionar o suporte semântico como facilidade na execução do processo de busca em bancos de dados peer-to-peer, al em de reduzir o tráfego de mensagens e permitir inclusive que mais resultados sejam alcan cados sem comprometer o desempenho da rede.
Abstract: In the 90s, peer-to-peer systems became more popular and, since then, major advances and new applications have been developed based on the features of this kind of computer network. Initially they were used only in simple applications as le sharing, but now they have been implemented in increasingly more complex applications. Among these novel systems, it pointed out the database information sharing, which is developing rapidly. In peer-to-peer database, a very rich and widely distributed knowledge base is created, based on the sharing of semantically related but syntactically heterogeneous information. One of the challenges of such an application is to ensure an e cient way to search for information with no jeopardy either to the individual nodes autonomy or to the network exibility. The work herein explores this challenge aiming at a proposal to support the searches through paths optimization, looking for reducing the number of messages sent in network without a ecting the number of each query's answers. To do this work, it proposes a strategy based both on ant colony algorithm concepts and information classi cation by ontologies. This way, it has been possible to add the semantic support in order to ease the search process in peer-to-peer database, while reducing the message tra c and allowing even to reach more results without compromising the network performance.
Mestre
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Marcellan, Martina. "Lean office per il miglioramento dei processi transazionali: sviluppo per Fischer Consulting Italia." Master's thesis, Alma Mater Studiorum - Università di Bologna, 2019.
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Il presente elaborato ha come obiettivo la realizzazione di un corso di formazione “Learning by Doing” sul tema della gestione snella dei processi transazionali, siano essi svolti come core business delle aziende o a supporto delle attività produttive. Il lavoro è stato svolto durante un tirocinio presso l’azienda fischer Consulting, consociata del gruppo multinazionale tedesco fischer, conosciuto principalmente per essere leader nella produzione e progettazione di sistemi di fissaggio.
Il corso si compone di una sessione di teoria sui temi del Lean Thinking e di una simulazione di un verosimile processo d’ufficio, come occasione di apprendimento attraverso l’esperienza di strumenti e metodi volti al miglioramento continuo. Il processo simulato viene analizzato e riprogettato dai partecipanti, guidandoli affinché possano acquisire un metodo strutturato per la risoluzione autonoma dei problemi e un approccio logico al miglioramento delle attività.
È stato svolto inoltre il test di una delle possibili soluzioni della simulazione in collaborazione con alcuni studenti dell’università di Bologna e con il relatore di questa tesi, professor M. Bortolini.
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Freire, Crishane Azevedo. "Uma abordagem para roteamento de consultas em PDMS baseada em aspectos semânticos e de qualidade." Universidade Federal de Pernambuco, 2014. https://repositorio.ufpe.br/handle/123456789/12080.
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Os Peer Data Management Systems (PDMS) são sistemas que permitem o gerenciamento de dados estruturados e semiestruturados em ambientes Ponto-a-Ponto (P2P). Nestes sistemas, cada ponto corresponde a uma fonte de dados cujo esquema representa os dados que se deseja compartilhar na rede. Pontos estão conectados por meio de mapeamentos (correspondências semânticas entre os esquemas dos pontos) estabelecendo uma vizinhança semântica entre eles. O processamento de consultas é reconhecido como o principal serviço que um PDMS pode prover. Uma etapa importante deste processo está relacionada ao roteamento da consulta, ou seja, a habilidade do sistema de identificar, selecionar e fazer o encaminhamento da consulta ao melhor conjunto de pontos capazes de respondê-la. A cada encaminhamento a consulta precisa ser reformulada, ou seja, reescrita de acordo com o esquema do ponto destino. Na reformulação, termos (conceitos e/ou propriedades utilizados na formulação da consulta) podem ser perdidos por não possuírem correspondentes exatos no esquema do ponto destino. Neste caso, estratégias de reformulação que usam expansão buscam melhorar a consulta adicionando novos termos com o objetivo de tornar a consulta mais abrangente e evitar a ausência de resultados. Ao longo do roteamento, termos perdidos ou adicionados, a cada reformulação, podem levar à perda semântica da consulta original. Neste trabalho apresentamos a SemRouting, uma abordagem para o roteamento de consultas em PDMS baseada no uso de aspectos semânticos e de qualidade. A abordagem SemRouting compreende uma estratégia para identificação e seleção do melhor conjunto de pontos, um modelo para representação das informações semânticas e de qualidade e uma estratégia para análise e preservação da semântica da consulta original durante o roteamento. Para avaliação da abordagem, experimentos foram realizados e os resultados discutidos e apresentados. A análise dos resultados produzidos nos experimentos mostra que as estratégias adotadas na abordagem SemRouting confirmam as hipóteses levantadas nesta tese em relação à preservação semântica da consulta e à seleção do melhor conjunto de pontos durante o roteamento da consulta. Palavras-chave: Roteamento Semântico de Consulta. Informação Semântica. Qualidade da Informação. Peer Data Management System.
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Pacho, Pacho Cristina. "Impacte d’una consulta de suport a l’ingrés per insuficiència cardíaca." Doctoral thesis, Universitat Autònoma de Barcelona, 2019. http://hdl.handle.net/10803/668202.
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La insuficiència cardíaca s’associa a taxes molt elevades de reingrés durant els 30 dies posteriors a l’alta hospitalària. Les estratègies dissenyades per disminuir els reingressos mostren generalment resultats modestos, sobretot en pacients ancians i fràgils amb predomini d’una fracció d’ejecció preservada. A més, en aquesta població la predicció del risc de reingrés i mort és especialment difícil i existeix poca informació sobre dades pronòstiques amb l’ús de biomarcadors. Amb la finalitat de disminuir els reingressos i realitzar una avaluació pronòstica de risc, es va dissenyar una Consulta de Suport a l’Ingrés per Insuficiència (STOP-HF-Clinic).
Aquest estudi prospectiu va reclutar de manera consecutiva a pacients donats d’alta per insuficiència cardíaca, fonamentalment de les plantes de Medicina Interna i Geriatria. La intervenció va consistir en una visita precoç durant els 7 dies posteriors a l’alta i incloïa l’aplicació de múltiples mesures mèdiques, educatives, diagnòstiques, terapèutiques i transicionals. En van obtenir mostres de sang per analitzar biomarcadors, incloent els nivells circulants d’ST2, NT-proBNP, CA125 i TnI-us. Els pacients van ser visitats de manera successiva i amb la freqüència necessària, durant un seguiment de 30 dies.
Es van incloure 518 pacients consecutius amb una edat mitjana de 82 anys i un percentatge del dones del 57,1%. El risc calculat de reingrés (CORE-HF) va ser del 26,5%. El percentatge de reingrés per qualsevol causa als 30 dies va ser del 13,9% (reducció del 47,5% del risc relatiu) i el percentatge de reingrés per insuficiència cardíaca va ser del 7,5%. La intervenció va aconseguir una reducció significativa del percentatge de reingressos a 30 dies dins de l’àrea de referència de la STOP-HF-Clinic en el període posterior a la intervenció (2014-2015) comparat amb el període previ (2012-2013), fonamentalment a expenses de la disminució de reingressos per insuficiència cardíaca, segons les dades del CatSalut. L’objectiu combinat (mort o reingrés per insuficiència cardíaca) va estar present en el 8,6% dels pacients als 30 dies i en el 38,5% a l’any. En un anàlisis multivariable, l’ST2 va ser l’únic biomarcador predictiu a 30 dies, mentre que a 1 any, tant l’ST2 com el NT-proBNP van resultar significatius. Afegint l’ST2 i l’NT-proBNP a un model predictiu clínic, es va incrementar de manera significativa la seva capacitat de discriminació (l’AUC va augmentar de 0,70 a 0,75 a 30 dies (p = 0,02) i de 0,71 a 0,74 a 1 any (p < 0,05). Per la mort per qualsevol causa a 1 any, l’ST2 i el CA125 van romandre predictors independents en l’anàlisi multivariable. Afegint l’ST2 i el CA125 a un model predictiu clínic, novament va incrementar-se la discriminació (AUC de 0,74 a 0,78 (p = 0,03). Pel que fa als reingressos per insuficiència cardíaca, l’ST2 va ser l’únic biomarcador predictiu en els anàlisis multivariables tant a 30 dies com a un any.
En conclusió, l’STOP-HF-Clinic és una intervenció valuosa per reduir la càrrega global de reingressos en la població pluripatològica i d’edat avançada amb insuficiència cardíaca. En aquesta població comòrbida amb predomini d’insuficiència cardíaca amb fracció d’ejecció preservada, l’ST2 com a marcador subrogat d’inflamació i fibrosi, va superar l’NT-proBNP per la predicció del risc de mort per qualsevol causa o reingrés per insuficiència cardíaca.Heart failure is associated with a high rate of readmissions within 30 days postdischarge. Strategies designed to lower readmission rates generally show modest results, especially in elderly and frail patients with mainly preserved ejection fraction. Moreover, assessing death and readmission risks is difficult in this high-risk population, and prognostic data including biomarkers are scarce. In order to reduce readmission rates and to assess risk, we developed a STructured multidisciplinary outpatient clinic for Old and frail Postdischarge patients hospitalized for heart failure (STOP-HF-Clinic). This prospective all-comers study enrolled consecutive patients discharged mainly from internal medicine or geriatric wards after heart failure hospitalization. The intervention involved an early visit within 7 days, with several medical, educational, diagnostic, therapeutic and transitional actions. Blood samples were obtained to analyze biomarkers, including circulating levels of ST2, NT-proBNP, CA125, and hs-TnI. Patients were followed in successive visits as freqüently as needed, during a 30-day follow up. 518 consecutive patients were included with an average age of 82 years-old, 57,1% were women. The CORE-HF 30-day readmission risk was 26,5%. The observed all-cause 30-day readmission rate was 13,9% (47,5% relative risk reduction) and the observed heart failure-related 30-day readmission rate was 7,5%. The 30-day readmission rate was significantly reduced in the STOP-HF-Clinic Referral Area after the intervention (2014-2015 period) compared with pre-intervention period (2012-2013) mainly driven by fewer heart failure-related readmissions. The composite endpoint (death or heart failure readmission) ocurred in 8,6% patients at 30 days and in 38,5% at 1 year. In multivariable analysis, ST2 was the only predictive biomarker at 30 days; at 1 year, both ST2 and NT-proBNP remained significant. The addition of ST2 and NT-proBNP into a clinical predictive model increased the AUC from 0,70 to 0.75 at 30 days (p = 0,02) and from 0,71 to 0,74 at 1 year (p < 0,05). For all-cause death at 1 year, ST2 and CA125 remained independent predictors in multivariable analysis. The addition of ST2 and CA125 into a clinical predictive model increased the AUC from 0,74 to 0,78 (p = 0,03). For HF-related hospitalizations, ST2 was the only predictive biomarker in multivariable analyses, both at 30 days and at 1 year. In conclusion, the STOP-HF-Clinic is a valuable intervention for reducing the global burden of early readmissions among elder and vulnerable patients with heart failure. In such a comorbid and elderly population with heart failure with preserved ejection fraction, ST2 as a surrogate marker of inflammation and fibrosis outperformed NT-proBNP for predicting the risk of all-cause mortality or heart failure-related rehospitalization.
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Lake, Suzette. "A Consultant’s Analysis of Bond Public Relations and Brand Strategy." ScholarWorks@UNO, 2014. http://scholarworks.uno.edu/aa_rpts/162.
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In order to demonstrate the knowledge and skills acquired during her tenure in the Arts Administration graduate program, the consultant works four hundred and eighty hours as a Social Media and PR intern at Bond Public Relations and Brand Strategy in New Orleans, Louisiana. The following body of work is a consultant’s report written from the perspective of a professional Arts Administrator, and includes the following items: host company profile; description of internship activities; consultant’s contributions and gains; summation of company and industry best practices; host company’s strengths, weaknesses, opportunities, and threats – both internal and external; and the consultant’s recommendations for improvement.
Books on the topic "Peer consultant"
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United States. National Park Service. Archeological Assistance Division, ed. The peer review of public archeology projects: A procedure developed by the Departmental Consulting Archeologist. [Washington, D.C.]: U.S. Dept. of the Interior, National Park Service, Cultural Resources, Departmental Consulting Archeologist, Archeological Assistance, 1993.
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Drucker, Peter F. Adventures of a bystander. New Brunswick, N.J., U.S.A: Transaction Publishers, 1994.
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Drucker, Peter F. Adventures of a bystander. New York, N.Y: HarperCollins Publishers, 1991.
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Grieder, Stefan. Die Frage der Vereinbarkeit von Prüfung und Beratung. Basel: Helbing & Lichtenhahn, 2004.
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Malita, Laura, and Vanna Boffo, eds. Digital Storytelling for Employability. Florence: Firenze University Press, 2010. http://dx.doi.org/10.36253/978-88-6453-181-6.
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This publication results from the research work undertaken by the partner institutions involved in the KA3-ICT Project Transversal Lifelong Learning Programme, Learn about finding jobs from digital storytelling(143429-2008-LLP-RO-KA3-KA3MP), with the main purpose of enhancing graduates' employability possibilities. For graduating students looking for a job it is perhaps harder than ever to meet success on the job market. They must use every tool they know to express themselves and to reflect their knowledge, competences and skills. The book aims to explain the main aspects of using digital storytelling as a method for employability, career development, reflection, assessment, consultancy, presentation and communication. Through digital storytelling, students begin to comprehend how all the elements of writing a narrative work together and how to manipulate them for the best effects in readers and viewers. Also, sharing and evaluating digital stories among peers is an excellent way to foster self-expression and tolerance and to create an engaged community of learners.
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Aoyagi, Mark, Artur Poczwardowski, and Jamie L. Shapiro. Peer Guide to Applied Sport Psychology for Consultants in Training. Taylor & Francis Group, 2016.
Find full textBook chapters on the topic "Peer consultant"
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Hynds, James A. "Ethics Consultation, Professional Praxis, and What it Means to Be a “Consultant”." In Peer Review, Peer Education, and Modeling in the Practice of Clinical Ethics Consultation: The Zadeh Project, 85–97. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-90955-4_6.
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Lin, Yu-Tzu, and Morten Hertzum. "Service Designers’ Information Seeking: Consulting Peers Versus Documenting Designs." In Communications in Computer and Information Science, 41–48. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-23522-2_6.
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de Groot, R. A. "Vermindert een telefonisch spreekuur en een inloopspreekuur het aantal consulten per dag?" In Vademecum permanente nascholing huisartsen, 566–67. Houten: Bohn Stafleu van Loghum, 2006. http://dx.doi.org/10.1007/978-90-313-8808-0_293.
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Oeste-Reiß, Sarah, Sofia Schöbel, Matthias Söllner, and Jan Marco Leimeister. "Chunking Big Journeys into Smaller Trips: Combining Peer Creation and Gamification to Design a Continuing Education Concept for Energy Consultants." In Progress in IS, 229–59. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-46781-4_10.
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Day, Michela, and Cathy Hampton. "The words to say it: student-led exploration of students’ written responses to the year abroad experience." In Perspectives on the year abroad: a selection of papers from YAC2018, 77–86. Research-publishing.net, 2020. http://dx.doi.org/10.14705/rpnet.2020.39.1053.
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This chapter examines a student-led internship project to repurpose a Residence Abroad (RA) reflective survey in order to achieve better meta-cognitive self-analysis and more productive communication between outgoing and returning students and staff. Evidence from the project and from scholarships pointed to the limitations of free-text reflective reports in prompting effective articulation of lifelong learning skills, despite the RA being viewed as transformational. The interns, recent RA returnees, became peer researchers, analysing survey data and consulting staff experts (a careers consultant, learning technologist, RA co-ordinators, and pastoral care co-ordinators) to produce a more user-friendly and pedagogically-helpful questionnaire. The project permitted an effective two-way sharing of stakeholder needs and allowed the voice of student experience (itself becoming progressively insightful in the course of the project) to critique staff assumptions. New, more cognitively-demanding question sets tied explicitly to employability, wellbeing, intercultural awareness, and personal motivation are now producing much more usable data for staff and students.
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Garriott, Deidre Anne Evans. "Expanding Pedagogies: The Productive Tensions of ePortfolio Pedagogies and Peer Consultant Specialists in the Twenty-first Center Writing Center." In ePortfolios@edu: What We Know, What We Don�t Know, and Everything In-Between, 81–101. The WAC Clearinghouse; University Press of Colorado, 2020. http://dx.doi.org/10.37514/pra-b.2020.1084.2.05.
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Davidson, Deborah, and Libby Kinneen. "Integrating mindsets: a story of a role consultation between peers." In Mind-Ful Consulting, 135–58. Routledge, 2018. http://dx.doi.org/10.4324/9780429477287-8.
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Hein, Michael, Richard G. Moffett, and Yoshie Nakai. "University-Based Consulting Centers as Part of an Industrial-Organizational Master’s Program." In Mastering Industrial-Organizational Psychology, 115–30. Oxford University Press, 2020. http://dx.doi.org/10.1093/oso/9780190071141.003.0007.
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This chapter details key considerations for starting and maintaining a consulting center. University-based consulting centers provide unique out-of-classroom training opportunities for students in industrial-organizational psychology master’s programs to develop professional skills. Students work in groups with faculty and peers to provide services to organizational clients. Through the centers, students gain applied experience in project management, proposal writing, and business communications. Key considerations for establishing and maintaining a university-based consulting center include evaluating the needs and readiness of the stakeholders, aligning the centers with the objectives of the program and university, creating the center’s infrastructure to meet the administrative responsibilities, and networking with existing and potential clients.
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Anderson, Dana McCoy, and Shirley A. Ritter. "Training District Personnel as Peer Consultants and Inservice Leaders: Implementation and Evaluation of a Training Program." In Leadership and Supervision in Special Services: Promising Ideas and Practices, 77–94. Routledge, 2020. http://dx.doi.org/10.4324/9781315791623-6.
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Uy, Michael Sy. "Defining Excellence, Quality, and Style." In Ask the Experts, 21–44. Oxford University Press, 2020. http://dx.doi.org/10.1093/oso/9780197510445.003.0002.
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This chapter analyzes several definitions and understandings of expertise, as well as its relational and social aspects. It investigates the role of artists and arts managers as “contributory experts.” Grantmaking institutions invited consultants and panelists to help them make cultural policy. One Rockefeller vice president referred to his music advisory committee as his “wise men” who guided the foundation in “the most creative and promising direction.” These experts, in turn, determined and defined artistic excellence and quality, deciding the fate of hundreds of millions of dollars in music. They chose which kinds of music and which composers and performers received foundation and government money. Experts evaluated criteria they believed to be objective, such as budgets and project feasibility, while also expressing their own subjective tastes and preferences. Peer and expert review provided a system of legitimization and authority while concentrating power in a remarkably small and overlapping network of artists.
Conference papers on the topic "Peer consultant"
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Kiefner, John. "Peer Review of the Plausible Profiles Corrosion Assessment Model." In 2020 13th International Pipeline Conference. American Society of Mechanical Engineers, 2020. http://dx.doi.org/10.1115/ipc2020-9254.
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Abstract An enhanced corrosion assessment model has been developed by TC Energy. The new model is called the “Plausible Profiles Model for Corrosion Assessment” or “Psqr” for short and is described in three IPC 2020 papers1,2,3. The Psqr model uses a probabilistic approach for creating a number of plausible profiles along a corroded area. The predicted failure pressure for each plausible profile is calculated using RSTRENG, resulting in a probabilistic distribution of predicted failure pressures. The predicted failure pressure for the corroded area is taken to be the lower 5th percentile value of the distribution. TC Energy requested that PRCI sponsor an independent review of the Psqr model by subject matter experts (SMEs). The PRCI Corrosion Technical Committee and TC Energy jointly selected a team of SMEs to conduct the review. The team was comprised of the following individuals: • Maher Nessim — C-FER Technologies • Ming Gao — Blade Energy Partners • Ravi Krishnamurthy — Blade Energy Partners • Phil Hopkins — Independent Consultant • Andrew Cosham — Ninth Planet Engineering • Michael Rosenfeld — RSI Pipeline Solutions • Bruce Nestleroth — Kiefner and Associates, Inc. • John Kiefner — RSI Pipeline Solutions This paper describes the work carried out by the SMEs and presents their findings and conclusions. Basically, they found that the model is more accurate and exhibits less scatter than existing models such as RSTRENG, B31G, and Modified B31G4. They recommended that the Psqr Model be implemented in conjunction with a high-quality corrosion management plan such as that outlined in TC Energy’s technical report5, and they recommended specific minimum Psqr-predicted failure stress levels for use on pipelines being operated at maximum stress levels ranging from 40% of SMYS to 80% of SMYS.
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Grzyb, David W., and Michael F. Hallihan. "Study of High Vapour Pressure Pipeline Safety." In 2002 4th International Pipeline Conference. ASMEDC, 2002. http://dx.doi.org/10.1115/ipc2002-27375.
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The Alberta Energy and Utilities Board (EUB) recently initiated a study to examine and evaluate whether existing regulations and standards adequately ensure the safe operation of High Vapour Pressure (HVP) pipelines in Alberta. An engineering consultant was contracted to review the performance history of HVP pipelines, determine the predominant failure modes and causes, compare Alberta performance against other jurisdictions, and provide a report containing recommendations for improvements. The consultant concluded that the predominant cause of HVP pipeline failures has been interference from outside parties, followed equally by material deficiencies and corrosion. The report also concluded that HVP pipelines in Alberta have been operating at a failure frequency approximately 30 per cent less than the failure frequency of hazardous liquids pipelines in the United States. The paper first provides a brief description of the role of the EUB in Alberta, followed by a summary of HVP pipeline performance. A description of the methodology used to conduct the study follows, along with the conclusions and recommendations made by the consultant. A process for the verification of the proposed changes by the affected stakeholders is then described, followed finally by a description of how any proposed regulatory changes may be completed.
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De La Montaña Santos Carrasco, Isabel, Joana Isabel Gonçalves Cerejeira, Guillermo Guerra Valera, Maria Queipo de Llano de la Viuda, Abril Gonzaga, Carmen Capella Meseguer, Eva Rodríguez Vázquez, et al. "¿PUEDE EL LITIO FOMENTAR EL INICIO DE CONSUMO DE ALCOHOL EN PACIENTES CON TRATORNO BIPLAR I?: A PROPÓSITO DE UN CASO." In 22° Congreso de la Sociedad Española de Patología Dual (SEPD) 2020. SEPD, 2020. http://dx.doi.org/10.17579/sepd2020p117.
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1. INTRODUCCIÓN Y OBJETIVOS A pesar de la relación observada entre trastorno bipolar y alcohol, la causa subyacente sigue siendo desconocida. La comorbilidad entre estas dos condiciones predispone a los pacientes a un riesgo elevado de resultados adversos, incluida la hospitalización y el suicidio. Pocos ensayos realizados han podido identificar intervenciones prometedoras para estos pacientes. 2. MÉTODOS Se realiza una revisión de la literatura existente a propósito de un caso clínico. 3. RESULTADOS Se presenta el caso de una mujer de 58 años, diagnosticada de Trastorno Bipolar tipo I hace 4 años. Acude de manera irregular a consultas de Psiquiatría, rechazando tratamiento estabilizador. Hasta hace unos meses trabajaba de comercial. No antecedentes de consumo de tóxicos. En consulta de revisión, la paciente se encuentra peor de ánimo, con apatía, anhedonia y tendencia a la clinofilia. Abandono de sus actividades a nivel laboral, social y familiar. La paciente, en este momento, accede a iniciar tratamiento con Litio. Unos días más tarde, comienza a beber alcohol en cantidades elevadas, sufriendo caídas e intoxicaciones con pérdida de conocimiento en vía pública, siendo recogida por Servicios de Emergencia. En Urgencias la paciente está parcialmente desorientada. Signos de intoxicación etílica: fetor enólico, disartria e inyección conjuntival. Dificultad para mantener la atención. Actitud adecuada y tranquila. Confusa y reiterativa en sus razonamientos. Minimiza consumo de alcohol y los problemas derivados de este. No alteraciones en la esfera psicótica. Resto no valorable. El análisis de orina es positivo para etanol. Litemia 0.31 4. CONCLUSIONES A pesar de que la literatura existente habla de la utilización del litio como estabilizador en el trastorno bipolar asociado al consumo de alcohol, en nuestro caso no podemos descartar que el inicio del litio haya sido meramente una coincidencia en tiempo con el inicio del consumo de alcohol.
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Parr, Corhyn. "Collaborative ReTek Exchange: An Innovative Solution to the Skills and Resource Shortage in the Nuclear Industry." In ASME 2009 12th International Conference on Environmental Remediation and Radioactive Waste Management. ASMEDC, 2009. http://dx.doi.org/10.1115/icem2009-16396.
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A Different Approach to the Skills and Resource Shortage The Nuclear Industry has for many years been concerned about a skills and resource shortage. This has been due to a poor perception of the industry by those on the outside, highly competitive industries vying for the same resource pool, a steep retirement curve for highly qualified staff and a lack of graduates entering industry. Here in the UK the creation of the National Skill Academy for Nuclear (NSAN) has put in place a framework to record skills and look to accredit the training providers in the nuclear industry to ensure that the correct skills for the future are available. This has gone some way to solving the skills problem and developing a well recognised accredited system but what about resource — where are the additional qualified resources going to be found? Part of the Solution – A Resource Exchange. How do we solve the skills shortage? We come together as an industry and share the available resource through a collaborative resource exchange. It has been done before in the IT industry when rates for specialists hit £1500 per day and recruitment agencies were charging extortionate fees for providing temporary resource. ReTek Consulting have developed the ReTek Resource Exchange to provide a neutral collaborative platform across the supply chain; from large scale infrastructure companies and joint venture platforms through to small companies and independent consultants. Using the ReTek Exchange permanent staff are made available to work for others during periods of underutilisation. Links with similar highly regulated industries enable further management of peaks and troughs and a growth in experienced nuclear professionals through focused training and development. The Benefits of the ReTek Exchange are: • Increased utilisation of your current workforce. • Shared cost of permanent staff. • Speedy access to staff available in your region. • Reduced need for contract or agency staff. • Access to wider skills & experience. • Retention of key staff through personal development. • Knowledge and experience transfer. Now is the time in the industry to make the most of the available resource and work together to ensure the required growth through training and development of all workers. The infrastructure required to make this resource exchange possible is available and proven many times. This paper will talk through the story of the development of the ReTek Exchange in the UK and how the same system can be used elsewhere in the world.
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Cane, Terrance L. "VIC’S CHALLENGE CROP CONSULTANTS WORKING IN PARTNERSHIP WITH GROWERS TO DEMONSTRATE CHANGES IN THEIR PRACTICES THAT WILL IMPROVE RECOVERABLE SUGAR PER ACRE." In 37th Biennial Meeting of American Society of Sugarbeet Technologist. ASSBT, 2013. http://dx.doi.org/10.5274/assbt.2013.5.
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Jardine, Fiona. "When online support groups prevail: the information experience of chest/breastfeeders who only express their milk." In ISIC: the Information Behaviour Conference. University of Borås, Borås, Sweden, 2020. http://dx.doi.org/10.47989/irisic2013.
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Introduction. Exclusive pumpers only express their milk and do not feed directly from their breast/chest. Rates of exclusive pumping are increasing, yet information on it is scant. Consequently, exclusive pumpers turn to the internet and online support groups for information and support. This paper examines the information needs of exclusive pumpers, the sources they use, and how useful these sources are. Combined with open-ended responses, this paper provides an insight into exclusive pumpers’ information experiences and its impact on their overall lived experience. Method. A cross-sectional, self-report, mixed-methods survey was administered online to a convenience sample of current and/or former exclusive pumpers (N = 2, 005). Analysis. Survey questions pertaining to information experience were analysed quantitatively in SPSS. Inductive thematic analysis of qualitative data was performed in Atlas.ti. Results. Online sources, particularly online support groups, were the most popular and most useful sources of exclusive pumping information and also provided much-needed support. Having poor information experiences were associated with poorer physical and affective outcomes. Conclusions. To meet their information needs, exclusive pumpers turn to online support groups and peer-provided information. Healthcare professionals, especially lactation consultants, need to provide improved exclusive pumping information.
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Shabat, Dan. "Closure of the City of Key West, Southernmost Waste to Energy Facility." In 12th Annual North American Waste-to-Energy Conference. ASMEDC, 2004. http://dx.doi.org/10.1115/nawtec12-2208.
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The Southernmost Waste-to-Energy Facility, is a 150 ton per day, stoker fired, mass burn facility located on Stock Island in the City of Key West, Florida. The facility is owned and operated by the City of Key West and is categorized as a Small MWC, Class II facility under the Emission Guidelines for Existing Small Municipal Waste Combustors, 40 CFR 60 subpart BBBB. In order to reliably comply with the requirements of the small MWC regulations, the facility air pollution control trains were required to be retrofitted to include acid gas control and improved particulate control through the installation of scrubbers and baghouses. Additional controls for metals including mercury may have been added in order to assure compliance with these regulations. Other facility upgrades including combustion enhancements may have been required to assure compliance with allowable carbon monoxide limitations of the Small MWC regulations. The need for the air pollution control retrofit project represented a major expenditure for the City of Key West. Faced with a decision regarding its long term future waste handling and disposal methods, the City examined various options for future solid waste handling and disposal including the option to proceed with retrofitting the waste-to-energy facility and relying on waste-to-energy as a long-term major component of Key West’s solid waste handling and disposal plans. Alternatively, the City explored the option of building a transfer station, either privately or publicly operated, and contracting the hauling and disposal of the City’s waste to a private firm. The transfer station option would require a conversion of the waste-to-energy facility to a transfer station through a major demolition and reconstruction project. The City also considered available alternative technologies such as gasification for example. In order to help the City sort through the many issues associated with the solid waste handling and disposal options, a Technical Advisory Committee was formed consisting of engineering and legal consultants, City commission members, and other City representatives. Dvirka and Bartilucci Consulting Engineers, as a member of the Technical Advisory Committee, was responsible for estimating the costs associated with the design, construction and operation of a waste-to-energy facility air pollution control retrofit project. This paper describes the facility and discusses the decision making process of the technical advisory committee and the ultimate decision of the City Commission to close the Southernmost Waste to Energy Facility. The paper includes the requirements for closure of the facility and discusses how the City arrived at its final decision.
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Golubeva, Tatyana, Lyudmila Tropina, and Arina Nifontova. "On Identifying Customer Needs when Selecting Service Enterprise Optimisation Techniques." In The Public/Private in Modern Civilization, the 22nd Russian Scientific-Practical Conference (with international participation) (Yekaterinburg, April 16-17, 2020). Liberal Arts University – University for Humanities, Yekaterinburg, 2020. http://dx.doi.org/10.35853/ufh-public/private-2020-56.
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The article covers the controversial issue on embracing the client-focused approach with regards to implementing optimisation procedures. The stages highlighted by business consultants are demonstrated and attention is drawn to the lack of a stage for identifying client attitudes towards optimisation measures. The opinion of business consultants is presented: upon the fulfillment of non-standard orders, the profitability of the business decreases. There is a contradiction between the need to optimise business operations to increase profits and the mission of the service enterprise; to satisfy the needs of the target customer group. In order to resolve the contradiction, it is proposed to introduce a customer needs identification phase into the optimisation process to inform the choice of optimisation techniques. The example of a catering company in Ekaterinburg shows the feasibility of selecting optimisation techniques based on an analysis of the reasons why customers refuse services. The following optimisation techniques were chosen: service format modification (the study was run prior to the pandemic outbreak), the optimisation of service assortment and personnel activities. As a result, new varieties of the catering service for the company were selected; menu options for different price ranges and target purposes were proposed; the introduction of additional services was justified. In optimising staff activities, it was decided to abandon hourly pay by linking it to the number of customers served, the complexity of the menu items, master classes, work at an offsite/stationary event, and the number of staff per shift. A new position has been added to the staffing table, allowing the company’s core staff to focus on the quality of their duties. The example illustrates the resolution of the contradiction between the optimisation goal of increasing profits and the principle of customer focus.
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Adan, Ana, Julia Elena Marquez-Arrico, Laura Río-Martínez, José Francisco Navarro, Gemma Prat, and Diego A. Forero. "INFLUENCIA DEL TRASTORNO MENTAL COMÓRBIDO (ESQUIZOFRENIA Y DEPRESIÓN MAYOR) DE PACIENTES DUALES EN EL CURSO CLÍNICO Y RECAÍDAS A UN AÑO DE SEGUIMIENTO." In 22° Congreso de la Sociedad Española de Patología Dual (SEPD) 2020. SEPD, 2020. http://dx.doi.org/10.17579/sepd2020o028.
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El presente trabajo explora el curso clínico y las recaídas en una muestra de 223 pacientes varones, con seguimientos a los 3, 6 y 12 meses y un diseño no estudiado previamente. Éstos se distribuyeron en tres grupos: 80 con patología dual (PD; 37 con esquizofrenia y 43 con depresión mayor), 80 con trastorno por uso de sustancias (TUS) y 63 con trastorno mental severo (TMS; 32 con esquizofrenia y 31 con depresión mayor). Los grupos PD y TMS mostraron más adherencia al tratamiento que el TUS a los 6 (p = 0,035) y 12 meses (p = 0,008). Los intentos de suicidio no difirieron entre grupos a los 3 meses, pero sí a los 6 (p = 0.040) y 12 meses (p = 0.007) con una mayor tasa de intentos en los grupos PD y TUS. Los pacientes PD y TMS con depresión mayor fueron quienes sumaron mayor casuística en los intentos de suicido durante el seguimiento. El 21,8% de pacientes PD tuvieron un intento de suicidio durante el seguimiento. En todos los seguimientos, el grupo PD presentó el mayor número de consultas médicas externas al tratamiento principal, el grupo SUD mostró el menor número y el grupo TMS una posición intermedia (p <0,001, en todos los casos). Las recaídas a los 3, 6 y 12 meses fueron superiores en los grupos PD y TUS, con una tasa de aproximadamente del 50% al año de seguimiento. El mayor número de recaídas en los pacientes PD se explica principalmente por aquellos con diagnóstico comórbido de depresión mayor. Los datos confirman la presencia de más complicaciones clínicas asociadas a peor pronóstico y respuesta al tratamiento en PD (adherencia al tratamiento, intentos de suicidio, consultas médicas, recaídas), siendo éstas mayores en pacientes con depresión mayor comórbida respecto a aquellos con esquizofrenia.
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Liang, Tao, and Larry J. Leifer. "Learning From Experience of Peers: An Empirical Study of Knowledge Sharing in a Product Design Community." In ASME 2000 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2000. http://dx.doi.org/10.1115/detc2000/dtm-14576.
Full textAbstract:
Abstract In this paper, we describe usage patterns of a design information database observed from four years of data, and discuss issues of learning through social and technology mediated interactions in a product design community. From the period of 1994 to 1999, an increasing amount of the design information in a project-based course at Stanford University has been captured in electronic format. This design information consists of design notes, drawings, reports, slide presentations, emails, vendor references, and even, in some cases, summaries of phone conversations, meeting minutes, and the like. The large corpus of captured information was made available to the project teams during each academic year on the assumption that one would be able to achieve better performance by building on and learning from experiences of peers. Because the data was all made available over a webserver, we were able to collect information on access to it We have thus had a chance to learn from studying the usage of a large body of captured design information. Preliminary analysis on the first two years of data was reported in DETC conference in 1998 (Liang, Cannon et al. 1998). Results from our current analysis show some interesting patterns of file utilization. Those patterns includes a surprising high ratio of access to process-related files, as opposed to product-related files; a temporal access pattern that closely matches project deliverables and milestones; and, an increased correlation between database usage and team-based performance over time. The results from quantitative data analysis are augmented with qualitative user interviews. When interviewed, all engineers agreed that there could be a lot of benefits from learning from peer experiences. Nevertheless, physical and psychological barriers often prevent one from doing so. Physical barriers include distance, time, and organizational distance. Some psychological barriers include the perceived value of the archived information, and perceived effort of finding useful information. These pragmatic organizational learning issues arise from the fact that the teams were working on diverse projects and are all pressured by time and resources. We hypothesize that these real-world constraints of time and resources prohibited many learning opportunities to occur which would otherwise have been very productive and effective. This tension between learning and working is the backdrop of this learning experiment. We suggest that the patterns reported in this paper will be typical of a small product design consulting firm that has many fast-paced projects running in parallel.