The impact of reduced working hours on surgical training in Australia and New Zealand

The Surgeon ◽  
2011 ◽  
Vol 9 ◽  
pp. S8-S9 ◽  
Author(s):  
Ian R. Gough
Author(s):  
J.G. Jago ◽  
M.W. Woolford

There is a growing shortage of labour within the dairy industry. To address this the industry needs to attract more people and/or reduce the labour requirements on dairy farms. Current milk harvesting techniques contribute to both the labour requirements and the current labour shortage within the industry as the process is labour-intensive and necessitates long and unsociable working hours. Automated milking systems (AMS) have been in operation, albeit on a small scale, on commercial farms in Europe for a decade and may have the potential to address labour issues within the New Zealand dairy industry. A research programme has been established (The Greenfield Project) which aims to determine the feasibility of automated milking under New Zealand dairying conditions. A Fullwoods MERLIN AMS has been installed on a protoype farmlet and is successfully milking a small herd of 41 cows. Progress from the prototype Greenfields system offers considerable potential for implementing AMS in extensive grazing systems. Keywords: automated milking systems, dairy cattle, grazing, labour


2020 ◽  
Vol 11 (05) ◽  
pp. 857-864
Author(s):  
Abdulrahman M. Jabour

Abstract Background Maintaining a sufficient consultation length in primary health care (PHC) is a fundamental part of providing quality care that results in patient safety and satisfaction. Many facilities have limited capacity and increasing consultation time could result in a longer waiting time for patients and longer working hours for physicians. The use of simulation can be practical for quantifying the impact of workflow scenarios and guide the decision-making. Objective To examine the impact of increasing consultation time on patient waiting time and physician working hours. Methods Using discrete events simulation, we modeled the existing workflow and tested five different scenarios with a longer consultation time. In each scenario, we examined the impact of consultation time on patient waiting time, physician hours, and rate of staff utilization. Results At baseline scenarios (5-minute consultation time), the average waiting time was 9.87 minutes and gradually increased to 89.93 minutes in scenario five (10 minutes consultation time). However, the impact of increasing consultation time on patients waiting time did not impact all patients evenly where patients who arrive later tend to wait longer. Scenarios with a longer consultation time were more sensitive to the patients' order of arrival than those with a shorter consultation time. Conclusion By using simulation, we assessed the impact of increasing the consultation time in a risk-free environment. The increase in patients waiting time was somewhat gradual, and patients who arrive later in the day are more likely to wait longer than those who arrive earlier in the day. Increasing consultation time was more sensitive to the patients' order of arrival than those with a shorter consultation time.


2021 ◽  
Vol 10 (1) ◽  
pp. 9
Author(s):  
Charlotte K. Marx ◽  
Mareike Reimann ◽  
Martin Diewald

Numerous studies have demonstrated the importance of work–life measures, which are designed to contribute to job quality and help reconcile employees’ work and personal lives. In our study, we asked whether such measures can also work as inducements to prevent employees from voluntarily leaving a firm. We considered flexible working hours and home-based teleworking as flexibility measures that are potentially attractive to all employees. To address the possible bias caused by sketchy implementation and their actual selective use, we chose to examine employees’ perceptions of the offer of these measures. We investigated the moderation of the effect by organizational culture and supervisor and coworker support. We controlled for several indicators of job quality, such as job satisfaction and perceived fairness, to isolate specific ways in which work–life measures contributed to voluntary employee exit, and checked for a selective attractiveness of work–life measures to parents and women as the main caregivers. Using a three-wave panel employer–employee survey, we estimated multilevel mixed-effects logistic regression models for 5452 employees at 127 large German establishments. Our results confirmed that both types of flexibility measures were associated with a lower probability of voluntarily exit. This applied more to men than to women, and the probability was reduced by a demanding organizational culture. Both measures seemed not to be specifically designed to accommodate main caregivers but were attractive to the whole workforce.


2021 ◽  
pp. 1-6
Author(s):  
Michele Connolly ◽  
Kalinda Griffiths ◽  
John Waldon ◽  
Malcolm King ◽  
Alexandra King ◽  
...  

The International Group for Indigenous Health Measurement (IGIHM) is a 4-country group established to promote improvements in the collection, analysis, interpretation and dissemination of Indigenous health data, including the impact of COVID-19. This overview provides data on cases and deaths for the total population as well as the Indigenous populations of each country. Brief summaries of the impact are provided for Canada and New Zealand. The Overview is followed by. separate articles with more detailed discussion of the COVID-19 experience in Australia and the US.


2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Peter Higgins ◽  
Cooper A Grace ◽  
Soon A Lee ◽  
Matthew R Goddard

Abstract Saccharomyces cerevisiae is extensively utilized for commercial fermentation, and is also an important biological model; however, its ecology has only recently begun to be understood. Through the use of whole-genome sequencing, the species has been characterized into a number of distinct subpopulations, defined by geographical ranges and industrial uses. Here, the whole-genome sequences of 104 New Zealand (NZ) S. cerevisiae strains, including 52 novel genomes, are analyzed alongside 450 published sequences derived from various global locations. The impact of S. cerevisiae novel range expansion into NZ was investigated and these analyses reveal the positioning of NZ strains as a subgroup to the predominantly European/wine clade. A number of genomic differences with the European group correlate with range expansion into NZ, including 18 highly enriched single-nucleotide polymorphism (SNPs) and novel Ty1/2 insertions. While it is not possible to categorically determine if any genetic differences are due to stochastic process or the operations of natural selection, we suggest that the observation of NZ-specific copy number increases of four sugar transporter genes in the HXT family may reasonably represent an adaptation in the NZ S. cerevisiae subpopulation, and this correlates with the observations of copy number changes during adaptation in small-scale experimental evolution studies.


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