Leadership, adequate staffing and material resources, and collegial nurse–physician relationships promote better patients, professionals and institutions outcomes

Author(s):  
Renata Cristina Gasparino ◽  
Thelen Daiana Mendonça Ferreira ◽  
Henrique Ceretta Oliveira ◽  
Daniela Fernanda dos Santos Alves ◽  
Alexandre Pazetto Balsanelli
Author(s):  
Kriti Jain ◽  
Chirag Shah

The increasing volume and complexity of waste associated with the modern economy as due to the ranging population, is posing a serious risk to ecosystems and human health. Every year, an estimated 11.2 billion tonnes of solid waste is collected worldwide and decay of the organic proportion of solid waste is contributing about 5 per cent of global greenhouse gas emissions (UNEP). Poor waste management - ranging from non-existing collection systems to ineffective disposal causes air pollution, water and soil contamination. Open and unsanitary landfills contribute to contamination of drinking water and can cause infection and transmit diseases. The dispersal of debris pollutes ecosystems and dangerous substances from waste or garbage puts a strain on the health of urban dwellers and the environment. India, being second most populated country of the world that too with the lesser land area comparatively, faces major environmental challenges associated with waste generation and inadequate waste collection, transport, treatment and disposal. Population explosion, coupled with improved life style of people, results in increased generation of solid wastes in urban as well as rural areas of the country. The challenges and barriers are significant, but so are the opportunities. A priority is to move from reliance on waste dumps that offer no environmental protection, to waste management systems that retain useful resources within the economy [2]. Waste segregation at source and use of specialized waste processing facilities to separate recyclable materials has a key role. Disposal of residual waste after extraction of material resources needs engineered landfill sites and/or investment in waste-to-energy facilities. This study focusses on the minimization of the waste and gives the brief about the various initiations for proper waste management system. Hence moving towards the alternatives is the way to deal with these basic problems. This paper outlines various advances in the area of waste management. It focuses on current practices related to waste management initiatives taken by India. The purpose of this article put a light on various initiatives in the country and locates the scope for improvement in the management of waste which will also clean up the unemployment.


2019 ◽  
Vol 28 (1) ◽  
pp. 52-66
Author(s):  
Julie Bates

Happy Days is contemporaneous with a number of seminal contributions to the concept of the everyday in postwar France. This essay suggests that the increasingly constrained verbal and physical routines performed by its protagonist Winnie constitute a portrait of the everyday, and goes on to trace the affinities between Beckett's portrait and several formulations of the concept, with particular emphasis on the pronounced gendering of the everyday in many of these theories. The essay suggests the aerial bombings of the Second World War and methods of torture during the Algerian War as potential influences for Beckett's play, and draws a comparison with Marlen Haushofer's 1963 novel The Wall, which reimagines the Romantic myth of The Last Man as The Last Woman. It is significant, however, that the cataclysmic event that precedes the events of Happy Days remains unnamed. This lack of specificity, I suggest, is constitutive of the menace of the play, and has ensured that the political as well as aesthetic power of Happy Days has not dated. Indeed, the everyday of its sentinel figure posted in a blighted landscape continues to articulate the fears of audiences, for whom the play may resonate today as a staging of twenty-first century anxiety about environmental crisis. The essay concludes that in Happy Days we encounter an isolated female protagonist who contrives from scant material resources and habitual bodily rhythms a shelter within a hostile environment, who generates, in other words, an everyday despite the shattering of the social and temporal framework that conventionally underpin its formation. Beckett's play in this way demonstrates the political as well as aesthetic power of the everyday in a time of crisis.


Author(s):  
Chrysanthi S. Leon ◽  
Corey S. Shdaimah

Expertise in multi-door criminal justice enables new forms of intervention within existing criminal justice systems. Expertise provides criminal justice personnel with the rationale and means to use their authority in order to carry out their existing roles for the purpose of doing (what they see as) good. In the first section, we outline theoretical frameworks derived from Gil Eyal’s sociology of expertise and Thomas Haskell’s evolution of moral sensibility. We use professional stakeholder interview data (N = 45) from our studies of three emerging and existing prostitution diversion programs as a case study to illustrate how criminal justice actors use what we define as primary, secondary, and tertiary expertise in multi-agency working groups. Actors make use of the tools at their disposal—in this case, the concept of trauma—to further personal and professional goals. As our case study demonstrates, professionals in specialized diversion programs recognize the inadequacy of criminal justice systems and believe that women who sell sex do so as a response to past harms and a lack of social, emotional, and material resources to cope with their trauma. Trauma shapes the kinds of interventions and expertise that are marshalled in response. Specialized programs create seepage that may reduce solely punitive responses and pave the way for better services. However empathetic, they do nothing to address the societal forces that are the root causes of harm and resultant trauma. This may have more to do with imagined capacities than with the objectively best approaches.


2010 ◽  
Vol 4 (1-2) ◽  
pp. 97-111
Author(s):  
Abdulrazaq Kilani

The menace of cultism in Nigeria society in general and our educational institutions in particular has reached an alarming stage that requires affirmative actions from all stakeholders. The scourge of cultism has claimed many lives of our youths and no serious authority can fold its arms and allow it to continue. It appears that the various efforts at curbing the menace have yielded no result. The corruption in most facets of our national life has finally subdued the educational institutions, which used to be the pride of place in the past. Most families are astonished to find out that children sent to school to learn and become better human beings in the society have initiated themselves into cult groups. The emergency of secret cultism has been characterized by some violent activities which include, physical torture of new recruits, maiming and killing of rival cult members and elimination of real and perceived enemies. Nigeria, Africa's most populous country, is composed of more than 250 ethnic groups with 36 states and one federal territory (Abuja). There are three major religions namely Islam (50%), Christianity (40%), and Africa Indigenous Religions (10%). The effect of globalization is also making other new religious movements to be making inroads into Nigeria. Nigeria has a population of about 141 million people (2006 census). Nigeria which is rich in both human and material resources is a country that is facing a lot of developmental challenges in almost all sectors due to poor leadership. The menace of cultism especially among youths and some influential people in the society represents one of the distortion facing the popular ‘giant’ of Africa. The aim of this chapter is to bring into the fore the menace of cultism in modern Nigeria as a brand of terrorism mind not the fact that there are even religious cults in both the developed and developing societies. The paper also adopted an Islamic lens to provide an analysis of the terror of cultism in contemporary Nigeria.


1996 ◽  
Vol 24 (2) ◽  
pp. 119-131
Author(s):  
F. Lux ◽  
H. Stumpf

Abstract Current demands by the consumer, the automobile industry, and the environment have determined the basis of this investigation. In the past, the requirements—ever faster, ever sportier—were accepted as decisive parameters for the development of our study. In the future, rational and safety-related tire characteristics as well as environmental consciousness will increase, whereas purely performance-related parameters will diminish in their importance. Through our light-weight tire project, we have paved the way for future tire generations. The first priority is the minimal use of material resources; this means a reduction of materials and energy in tire production by using advanced design and production methods without sacrificing performance standards. This benefits the consumer—the final judge of all of our activities—by considerably reducing the rolling resistance, leading to lower fuel consumption. Further design targets include the improvement of rolling behavior and increased comfort by reducing tire weight, and therefore a reduction in unsprung masses on the vehicle.


Author(s):  
D.Y. Bolgova ◽  
◽  
N.A. Tarasenko ◽  
Z.S. Mukhametova ◽  
◽  
...  

Nutrition is an important factor that affects human health. The use of plant proteins as various additives in food production has now been actively developed. The rich chemical composition of pea grains determines the possibility of application in the food industry. Peas are characterized by good assimilability and degree of digestion.


2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Mashkoor Ahmad Lone ◽  
Dr. P. Ganesan

The practice of placing deprived children having least or no emotional and material resources, in orphanages has since long been prevailing in socio -economically poor Asian countries. A sample of 30 children residing in orphanage in district Anantnag in the age group of 13-18 years was selected for the present study. Most of the children were found socially and psychologically disturbed. As per Indian Academy Paediatrics (IAP) classification with respect to weight for age the condition was not bad that as approximately 67% percent of the children were found to be normal. In the same way height for age as per Waterloo’s classification shown that more than half of the children were normal. On clinical examination approximately 47% of children were normal, while as rest were suffering from dispigmentation of hair, moon face, xerosis of skin cheilosis, magenta tongue, spongy bleeding gums, oedema, conjuctival xerosis, and mottled dental enamel. The findings indicated that nutritional intake was deficient for all nutrients when compared to, Recommended Daily Allowances Chart (RDA) for all age groups which may be linked to poor planning of menus in orphanages.


2020 ◽  
Vol 2 (7) ◽  
pp. 32-38
Author(s):  
S. S. BUDARIN ◽  
◽  
Yu. V. EL’BEK ◽  
V. O. VATOLIN ◽  
◽  
...  

In the context of the Moscow healthcare reform that has been carried out in recent years, the issues of evaluating the effectiveness of financing the healthcare system and the performance of medical organizations in providing medical care to the population are particularly relevant. Given the limited public resources allocated to the health sector, the quality of management of available financial, human and material resources is becoming more important. The article considers the application of the method of assessing the quality of resource management, introduced in Moscow since 2016, and its results in terms of evaluating the effectiveness of financial resources. It is revealed that the effectiveness of financial resources management is influenced by certain indicators that characterize the organization of management of the main activities of a medical organization.


Author(s):  
V. Makhankov ◽  
A. Maltsev ◽  
A. Kupriniuk ◽  
V. Obertas

The current stage of reforming the Armed Forces of Ukraine (AF) confirms that the crisis in the country's economy has significantly affected the system of logistics of troops, which ensures its main task – to maintain the combat readiness of military units and ensure their livelihood in peacetime. The war in the east of the country and the existing state of providing troops showed the need to improve the organization and management of the process of logistical (technical, rear and medical) provision of training and combat use of the Armed Forces of Ukraine, which is currently in the phase of perspective changes and necessitates the development of a new concept of military information management and logistical flows, which will be implemented by a new, more efficient structure, called the "military logistics system". The purpose of the article is to determine the directions for the creation and accumulation of an optimal nomenclature of stocks of material resources in peacetime and their rational separation at the tactical, operational and strategic levels of management. The article describes the contents of the concepts of "logistics", "echelon", "stocking", "operational accounting". Important tasks of modern conditions of process of creation and management of stocks in the course of reforming of the Armed Forces of Ukraine are systematized; variants of the offered models of inventory management are outlined. The goal is achieved through theoretical and experimental research on volume optimization and material separation at all levels of management, which is one of the key problems of military logistics.


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