What impact has tendering had on trainees? Results of a national survey by British Association for Sexual Health and HIV Trainees’ Collaborative for audit, research and quality improvement projects

2017 ◽  
Vol 29 (1) ◽  
pp. 38-43
Author(s):  
Helen Wiggins ◽  
Anna Hartley ◽  
Emily Clarke ◽  
Elizabeth Foley ◽  
Rak Nandwani ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Sexual Health ◽  
Negative Impact ◽  
British Association ◽  
Electronic Survey ◽  
Training Standards ◽  
Management Experience ◽  
Genitourinary Medicine ◽  
The Impact ◽  
Variable Impact

In April 2013, local authorities gained responsibility for commissioning sexual health services in England. With many services going out to tender and resultant change in services or service provider, there is anecdotal evidence that this has impacted on the education, training and morale of genitourinary medicine (GUM) trainees. The aim of this study was to evaluate the impact of tendering on GUM trainees. An electronic survey designed by the British Association for Sexual Health and HIV Trainees’ Collaborative for Audit, Research and Quality Improvement Projects (T-CARQ) was distributed to GUM trainees and newly appointed consultants. Eighty-two individuals responded (74% GUM trainees, 25% newly appointed consultants, 1% locum appointed for service). Sixty-three per cent (45/72) had experience of training within a service which was being tendered. Of these, 59% (24/41) felt their training was not considered during the tendering process and 20% (8/41) felt that it was. Forty-four per cent (18/41) felt adequately supported. Thirty per cent (12/40) reported active participation in the tendering process. On a scale of 0 (no impact) to 5 (major impact), the median score for impact of tendering on training was 2. The positive/negative impact of tendering on different training elements was rated: other than management experience the overall impact on all parameters was negative, namely morale, senior support and education. In conclusion, this survey describes the variable impact of service tendering on GUM training. Our recommendations for maintaining training standards despite tendering include actively involving trainees and education partners, inclusion of specialist GUM training in service specifications, development of guidance for commissioners and services for the management of GUM training within tendering.

scholarly journals Legal aspects of the resolutions determining the acceptable types and quality of fuels under Polish legislation

2019 ◽  
Vol 30 (3) ◽  
pp. 23-28
Author(s):  
Kinga Makuch
Keyword(s):  
Air Pollution ◽  
Quality Improvement ◽  
Air Quality ◽  
Human Health ◽  
Negative Impact ◽  
Legal Aspects ◽  
Local Authorities ◽  
Air Quality Improvement ◽  
The Impact

Abstract The article focuses on the selected aspects of introducing a resolution by a self-government of a province, which allows to determine the acceptable types and quality of fuels. The impact of polluted air on human health is significant. The actions carried out by the local authorities should be aimed on seeking effective air protection remedies; nonetheless, the scale of these activities seems to be still insignificant. One of the legal mechanisms is introducing resolutions determining the acceptable types and quality of fuels by a self-government of a province in order to protect the health of Polish residents and reduce the negative impact of air pollution on the environment. The question, however, is whether such resolutions could be audited with respect to the execution of such a resolution and whether they effectively lead to air quality improvement.

scholarly journals It is not just about sex: viewpoints of men with inflammatory arthritis on the overall impact of the disease on their sexual health

RMD Open ◽  
2021 ◽  
Vol 7 (3) ◽  
pp. e001821
Author(s):  
Luis Fernando Perez-Garcia ◽  
Esther Röder ◽  
Hester Pastoor ◽  
Johanna M Bolt ◽  
Job van Exel ◽  
...  
Keyword(s):  
Sexual Health ◽  
Inflammatory Arthritis ◽  
Q Methodology ◽  
Negative Impact ◽  
Well Being ◽  
Negative Influence ◽  
Mixed Methods Approach ◽  
Adult Men ◽  
Social Components ◽  
The Impact

ObjectivesSexual health is defined as a state of physical, emotional, mental and social well-being in relation to sexuality. The impact of inflammatory arthritis (IA) on male sexual health has been mainly studied focusing on erectile function, one of the physical components of sexual health. Our objective was to describe the viewpoints among men with IA in the Netherlands on the overall impact of IA on their sexual health.MethodsQ-methodology, a mixed methods approach to systematically study subjectivity was used. Adult men diagnosed with IA ranked 34 opinion statements about potential impacts of IA on their sexual health and were interviewed. By-person factor analysis was used to identify common patterns in the rankings, which were interpreted as viewpoints. Data from the interviews were used to verify and adjust the interpretations.Results30 men (22–77 years) with IA were included. The analysis revealed three viewpoints. Men with the viewpoint ‘Arthritis negatively affects my sexual health’ experience a dramatic impact on all components of sexual health. In viewpoint ‘I am keeping up appearances’, IA negatively impacts sexual health but a distinguishing coping mechanism could mask a more serious negative impact. Men with the viewpoint ‘I am satisfied with my sexual health’' experience no significant impact of IA on their sexual health.ConclusionsWe identified three viewpoints on the impact of IA on male sexual health, two revealed a negative influence that goes beyond the physical act of sex. IA can severely affect the emotional, mental and social components of sexual health.

scholarly journals OP0303-HPR IT IS NOT JUST ABOUT THE SEX: VIEWPOINTS OF DUTCH ADULT MEN WITH INFLAMMATORY ARTHRITIS REGARDING THE IMPACT OF THE DISEASE ON THEIR SEXUAL HEALTH

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 186-186
Author(s):  
L. F. Perez-Garcia ◽  
E. Röder ◽  
H. Pastoor ◽  
H. Bolt ◽  
J. Van Exel ◽  
...  
Keyword(s):  
Sexual Health ◽  
Inflammatory Arthritis ◽  
Q Methodology ◽  
Negative Impact ◽  
Negative Influence ◽  
Future Research ◽  
Adult Men ◽  
Self Confidence ◽  
The Impact ◽  
Counseling Approach

Background:Sexual health (SH) can be impaired in men with inflammatory arthritis (IA) (1). In addition to biological factors, such as inflammation, subjective factors such as personal beliefs can also impair SH. The Q methodology combines aspects of qualitative and quantitative approaches to systematically study subjectivity, and has been applied successfully in other medical fields.Objectives:To describe the viewpoints of adult men with IA on the impact of IA on their SH using the Q methodology.Methods:Men, 18 years and older, diagnosed with RA or JIA were invited by their rheumatologist. Participants ranked 34 opinion statements about potential impacts of IA on their SH on an agreement scale. A by-person factor analysis identified common patterns in the rankings. These patterns represent the different viewpoints among the men. Data from interviews, in which the men explained their ranking, was used to further interpret the viewpoints. A Q-methodology study usually consists of 30-40 participants.Results:30 men with IA were included. Their mean age was 43.2 (range 22–77) years. The analysis revealed three viewpoints:1.“I am satisfied with my sex life”Men with viewpoint 1 experience no significant impact of IA on their SH. However, most men indicated that when their disease was active, IA had a negative impact on their SH.2.“Arthritis has a negative influence on my sex life”Men with viewpoint 2 experience a dramatic impact, due to pain, fatigue and gloom. Their relationship worsened and they feel guilty towards their partner. Discussing their problems is not difficult.3.“I am keeping up appearances”Men with viewpoint 3 experience SH impairment mainly as a result of pain. IA impairs them physically, makes them feel less of a man, less attractive and reduces their self-confidence. Due to problems with accepting their disease and communicating their problems, these men tend to hide their problems.Conclusion:We identified 3 viewpoints on the impact of IA on male SH, 2 of them revealing a negative influence that goes beyond the physical act of sex. IA can also affect relationships, self-confidence and manhood. Future research will focus on identifying men with SH problems in the clinic and the best counseling approach.References:[1]Perez-Garcia LF, Te Winkel B, Carrizales JP, Bramer W, Vorstenbosch S, van Puijenbroek E, et al. Sexual function and reproduction can be impaired in men with rheumatic diseases: A systematic review. Semin Arthritis Rheum. 2020;50(3):557-73.Disclosure of Interests:Luis Fernando Perez-Garcia Consultant of: Galapagos, Esther Röder: None declared, Hester Pastoor: None declared, Hanneke Bolt: None declared, Job van Exel: None declared, Radboud Dolhain Speakers bureau: Abbvie, UCB, Genzyme, Consultant of: Galapagos, Grant/research support from: UCB.

scholarly journals Discrimination of residents during neurosurgical training in Mexico: Results of a survey prior to SARS-CoV-2

2021 ◽  
Vol 12 ◽  
pp. 618
Author(s):  
B. A. Sandoval-Bonilla ◽  
María F. De la Cerda-Vargas ◽  
Martin N. Stienen ◽  
Bárbara Nettel-Rueda ◽  
Alma G. Ramírez-Reyes ◽  
...  
Keyword(s):  
Response Rate ◽  
Negative Impact ◽  
Neurosurgical Training ◽  
Electronic Survey ◽  
Mexican Society ◽  
Place Of Origin ◽  
Neurological Surgery ◽  
Global Training ◽  
The Impact ◽  
Made In

Background: Recent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic represents an important negative impact on global training of neurosurgery residents. Even before the pandemic, discrimination is a challenge that neurosurgical residents have consistently faced. In the present study, we evaluated discriminatory conditions experienced by residents during their neurosurgical training in Mexico before the SARS-CoV-2 pandemic. Methods: An electronic survey of 18 questions was sent among residents registered in the Mexican Society of Neurological Surgery (MSNS), between October 2019 and July 2020. Statistical analysis was made in IBM SPSS Statistics 25. The survey focused on demographic characteristics, discrimination, personal satisfaction, and expectations of residents. Results: A response rate of 50% (132 of 264 residents’ members of MSNS) was obtained and considered for analysis. Median age was 30.06 ± 2.48 years, 5.3% (n = 7) were female and 16.7% (n = 22) were foreigners undergoing neurosurgical training in Mexico. Approximately 27% of respondents suffered any form of discrimination, mainly by place of origin (9.1%), by gender (8.3%) or by physical appearance (6.1%). About 42.9% (n = 3) of female residents were discriminated by gender versus 6.4% (n = 8) of male residents (P = 0.001); while foreign residents mentioned having suffered 10 times more an event of discrimination by place of origin compared to native Mexican residents (36.4% vs. 3.6%, P < 0.001). Conclusion: This manuscript represents the first approximation to determine the impact of discrimination suffered by residents undergoing neurosurgical training in Mexico before the SARS-CoV-2 pandemic.

Assessment of the impact of the London Olympics 2012 on selected non-genitourinary medicine clinic sexual health services

2014 ◽  
Vol 26 (5) ◽  
pp. 329-335 ◽  
Author(s):  
A Hartley ◽  
R Foster ◽  
MG Brook ◽  
JA Cassell ◽  
CH Mercer ◽  
...  
Keyword(s):  
Health Services ◽  
Sexual Health ◽  
Medicine Clinic ◽  
Genitourinary Medicine ◽  
London Olympics ◽  
The Impact

Urbanization of fauna on the example of marsh frog (Pelophylax ridibundus)

2015 ◽  
Vol 26 (3-4) ◽  
pp. 116-123
Author(s):  
A. P. Korzh ◽  
T. V. Zahovalko
Keyword(s):  
Urban Areas ◽  
Cognitive Modeling ◽  
Negative Impact ◽  
Natural Populations ◽  
Cellular Level ◽  
Anthropogenic Factors ◽  
Migration Routes ◽  
Corrective Effect ◽  
The Impact ◽  
The City

Recently, the number of published works devoted to the processes of synanthropization of fauna, is growing like an avalanche, which indicates the extreme urgency of this theme. In our view, the process of forming devices to coexist with human and the results of his life reflects the general tandency of the modern nature evolution. Urbanization is characteristic for such a specific group of animals like amphibians, the evidence of which are numerous literature data. Many researchers use this group to assess the bioindicative quality of the environment. For this aim a variety of indicators are used: from the cellular level of life of organization up to the species composition of the group in different territories. At the same time, the interpretation of the results is not always comparable for different areas and often have significantly different interpretations by experts. Urban environment, primarily due to the contamination is extremely aggressive to amphibians. As a consequence, the urban populations of amphibians may be a change in the demographic structure, affecting the reproductive ability of the population, the disappearance of the most sensitive species or individuals, resizing animals, the appearance of abnormalities in the development, etc. At the same time play an important amphibians in the ecosystems of cities, and some species in these conditions even feel relatively comfortable. Therefore, it is interesting to understand the mechanisms of self-sustaining populations of amphibians in urban environments. To assess the impact of natural and anthropogenic factors on the development of amphibian populations were used cognitive modeling using the program Vensim PLE. Cognitive map of the model for urban and suburban habitat conditions were the same. The differences concerned the strength of connections between individual factors (migration, fertility, pollution) and their orientation. In general, factors like pollution, parasites, predators had negative impact on the population, reducing its number. The birth rate, food and migration contributed to raising number of individuals. Some of the factors affected on the strength to of each other as well: the majority of the factors affected the structure of the population, had an influence on the fertility. Thanks to it the model reflects the additive effect of complex of factors on the subsequent status of the population. Proposed and analyzed four scenarios differing strength and duration of exposure. In the first scenario, a one-time contamination occurs and not subsequently repeated. The second and third scenario assumes half board contamination, 1 year (2 scenario) and two years (scenario 3). In the fourth scenario, the pollution affected the population of amphibians constantly. In accordance with the results of simulation, much weaker than the natural populations respond to pollution - have them as an intensive population growth and its disappearance at constant pollution is slow. Changes to other parameters of the model showed that this pollution is the decisive factor -only the constant action leads to a lethal outcome for the populations. All other components of the model have a corrective effect on the population dynamics, without changing its underlying trand. In urban areas due to the heavy impact of pollution maintaining the population is only possible thanks to the migration process – the constant replenishment of diminishing micropopulations of natural reserves. This confirms the assumption that the form of existence metapopulations lake frog in the city. In order to maintain the number of amphibians in urban areas at a high level it is necessary to maintain existing migration routes and the creation of new ones. Insular nature of the placement of suitable habitats in urban areas causes the metapopulation structure of the types of urbanists. Therefore, the process of urbanization is much easier for those species whicht are capable of migration in conditions of city. In the initial stages of settling the city micropopulationis formed by selective mortality of the most susceptible individuals to adverse effects. In future, maintaining the categories of individuals is provided mainly due to migration processes metapopulisation form of the species of existence is supported). It should be noted that the changes in the previous levels are always saved in future. In the case of reorganizations of individuals we of morphology can assume the existence of extremely adverse environmental conditions that threaten the extinction of the micropopulations. 

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