scholarly journals Internet-based self-sampling for Chlamydia trachomatis testing: a national evaluation in Sweden

2020 ◽  
Vol 96 (3) ◽  
pp. 160-165 ◽  
Author(s):  
Joakim Söderqvist ◽  
Karolina Gullsby ◽  
Lisa Stark ◽  
Maria Wikman ◽  
Roger Karlsson ◽  
...  

ObjectiveInternet-based testing for Chlamydia trachomatis (CT) with self-sampling at home has gradually been implemented in Sweden since 2006 as a free-of-charge service within the public healthcare system. This study evaluated the national diagnostic outcome of this service.MethodsRequests for data on both self-sampling at home and clinic-based sampling for CT testing were sent to the laboratories in 18 of 21 counties. Four laboratories were also asked to provide data on testing patterns at the individual level for the years 2013–2017.ResultsThe proportion of self-sampling increased gradually from 2013, comprising 22.0% of all CT tests in Sweden in 2017. In an analysis of 14 counties (representing 83% of the population), self-sampling increased by 115% between 2013 and 2017 for women, compared with 71% for men, while test volumes for clinic-based sampling were fairly constant for both sexes (1.8% increase for women, 15% increase for men). In 2017 self-sampling accounted for 20.3% of all detected CT cases, and the detection rate was higher than, but similar to, clinic-based testing (5.5% vs 5.1%). The proportion of self-sampling men was also higher, but similar (33.7% vs 30.8%). Analysis of individual testing patterns in four counties over 5 years showed a higher proportion of men using self-sampling only (67%, n=10 533) compared with women (40%, n=8885).ConclusionsSelf-sampling has increased substantially in recent years, especially among women. This service is at least as beneficial as clinic-based screening for detection of CT, and self-sampling reaches men more than clinic-based testing.

2021 ◽  
pp. 103530462110555
Author(s):  
Sue Williamson ◽  
Linda Colley ◽  
Meraiah Foley

Before the COVID-19 pandemic forced large sections of the workforce to work from home, the uptake of working from home in the public sector had been limited and subject to the discretion or ‘allowance decisions’ of individual managers. Allowance decisions are influenced by factors at the organisational, group and individual levels. This research examines managers’ allowance decisions on working from home at each of these levels. It compares two qualitative datasets: one exploring managerial attitudes to working from home in 2018 and another dataset collected in mid-2020, as Australia transitioned out of the initial pandemic lockdown. The findings suggest a change in the factors influencing managers’ allowance decisions. We have identified a new factor at the organisational level, in the form of local organisational criteria. At the group level, previous concerns about employee productivity largely vanished, and managers experienced an epiphany that working from home could be productive. At the individual level, a new form of managerial discretion emerged as managers attempted to reassert authority over employees working remotely. These levels intersect, and we conclude that allowance decisions are fluid and not made solely by managers but are the result of the interactions between the organisational, group and individual levels. JEL Codes J81, J32


2018 ◽  
Vol 62 (6) ◽  
pp. 796-815 ◽  
Author(s):  
Lorenzo Zamponi ◽  
Lorenzo Bosi

Alternative action organizations (AAOs) are collective bodies engaged in carrying out alternatives to dominant socioeconomic and cultural practices through actions that aim to provide people with alternative ways of enduring day-to-day difficulties and challenges in hard economic times. They are often interpreted as merely “philanthropic” actors, although it is not rare to see them go beyond the provision of direct services to people in need and end up pursuing political goals through political means. This article focuses on the process of politicization, that is, the transition of issues from the private to the public sphere and thus the use of public forms of contention (e.g., protest) proposing public solutions at the collective level instead of private solutions at the individual level. We argue for the role of the crisis in the politicization of AAOs. In particular, we show that the appropriation of the context as a context of economic crisis in the discourse of AAOs has a visible effect on their politicization, in terms of both repertoire of actions and goals. Furthermore, we show that social solidarity organizations, those that are not inherently politicized, are the main protagonists of this crisis-triggered transition. The article draws on statistical analysis of the data collected through the coding of AAOs’ websites in Greece, Italy, and Spain.


MEDIASI ◽  
2021 ◽  
Vol 2 (2) ◽  
pp. 100-107
Author(s):  
Shania Shaufa ◽  
Thalitha Sacharissa Rosyidiani

This article explains about online media iNews.id in implementing gatekeeping function. This study aims to find out how gatekeeping efforts iNews.id in the production process on the issue of preaching restrictions on worship in mosques during Ramadan in 2020. During the Covid-19 pandemic, the current media situation, especially in the midst of a crisis, encourages the public to become heavily dependent on media coverage. With a qualitative approach, researchers analyzed five levels of influence on the gatekeeping process in online media iNews.id. The results of this study show that factors that influence the way iNews.id in the production process of preaching restrictions on worship in mosques due to the Covid-19 pandemic are the individual level of media workers, the level of media routine, the organizational level, the extramedia level, and the social system level. The conclusions of this study state the most dominant levels is the organization level and the media routine level in the iNews.id.


2017 ◽  
Vol 54 (4) ◽  
pp. 574-590 ◽  
Author(s):  
Sophie Lewis ◽  
Fran Collyer ◽  
Karen Willis ◽  
Kirsten Harley ◽  
Kanchan Marcus ◽  
...  

This article reports on a discourse analysis of the representation of healthcare in the print news media, and the way this representation shapes perspectives of healthcare. We analysed news items from six major Australian newspapers over a three-year time period. We show how various framing devices promote ideas about a crisis in the current public healthcare system, the existence of a precarious balance between the public and private health sectors, and the benefits of private healthcare. We employ Bourdieu’s concepts of field and capital to demonstrate the processes through which these devices are employed to conceal the power relations operating in the healthcare sector, to obscure the identity of those who gain the most from the expansion of private sector medicine, and to indirectly increase health inequalities.


2020 ◽  
pp. 159101992096537
Author(s):  
Luis A Lemme Plaghos

Brief commentary about implications of the Pilot Study of Mechanical Thrombectomy in the Public Healthcare System of Chile.


2020 ◽  
Vol 7 (9) ◽  
pp. 201095 ◽  
Author(s):  
K. M. Ariful Kabir ◽  
Jun Tanimoto

The unprecedented global spread of COVID-19 has prompted dramatic public-health measures like strict stay-at-home orders and economic shutdowns. Some governments have resisted such measures in the hope that naturally acquired shield immunity could slow the spread of the virus. In the absence of empirical data about the effectiveness of these measures, policymakers must turn to epidemiological modelling to evaluate options for responding to the pandemic. This paper combines compartmental epidemiological models with the concept of behavioural dynamics from evolutionary game theory (EGT). This innovation allows us to model how compliance with an economic lockdown might wane over time, as individuals weigh the risk of infection against the certainty of the economic cost of staying at home. Governments can, however, increase spending on social programmes to mitigate the cost of a shutdown. Numerical analysis of our model suggests that emergency-relief funds spent at the individual level are effective in reducing the duration and overall economic cost of a pandemic. We also find that shield immunity takes hold in a population most easily when a lockdown is enacted with relatively low costs to the individual. Our qualitative analysis of a complex model provides evidence that the effects of shield immunity and economic shutdowns are complementary, such that governments should pursue them in tandem.


Author(s):  
Annie Rajoria ◽  
Amit Khandelwal ◽  
Narendra Kohli

<p>In today's world, with the rapid growth in industries in every sector, the environment is at stake without the implementation<br />of environment friendly practices. However, with the rising prices and climate change, the public and corporate companies<br />are keen to follow eco friendly measures which will not only conserve energy but also help to sustain balance in the<br />environment. In this paper, we have presented such measures to be practiced at the individual level. Green computing<br />refers to the ways in which energy consumption can be reduced, more recyclable products can be manufactured and the<br />adverse impact on the environment can be diminished. The study and practice of using computing resources efficiently by<br />the individuals or computer users can be termed as 'individual green computing'. The key to 'individual green computing' is<br />the creation of awareness at the student as well as the college level about the significance of their pivotal role in this eco<br />friendly initiative.</p>


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