Reinterpreting the Hospital Corridor: “Wasted Space” or Essential for Quality Multidisciplinary Clinical Care?

2008 ◽  
Vol 2 (1) ◽  
pp. 17-29 ◽  
Author(s):  
Jane Carthey
Keyword(s):  
Care Delivery ◽  
New South ◽  
Clinical Care ◽  
Health Facilities ◽  
Health Capital ◽  
Australian Health ◽  
South Wales ◽  
Necessary Evil ◽  
Asset Managers

The planning of New South Wales (NSW) and other Australian health facilities is guided by the Australasian Health Facility Guidelines (AHFG), which prescribe allowances for circulation (corridors and similar areas for movement between spaces) of between 10% and 40% of functional floor areas. A further allowance of up to 28% for Travel and Engineering is then assumed (University of NSW & Health Capital Asset Managers' Consortium, 2005). Therefore the “circulation” and “travel” space manifested as the corridors and similar movement spaces within health facilities is both extensive and expensive. Consequently, such space often becomes regarded as a necessary evil and, in the name of efficiency, is often minimized wherever possible. This paper revisits the view that corridor space allocations (circulation) must always be minimized to achieve design or functional efficiencies. Minimizing circulation or travel inevitably assumes that the realized space savings will then be reallocated to “more important” areas of the facility. Yet the corridors and other movement spaces also are very important to the functioning of multidisciplinary clinical teams and the quality of care delivery. Ultimately, inflexibly reducing the space allocated to such spaces may be regarded as a false economy.

Evaluation of postharvest infiltration of calcium to delay the ripening of avocados

1988 ◽  
Vol 28 (6) ◽  
pp. 801 ◽  
Author(s):  
RBH Wills ◽  
S Sirivatanapa ◽  
Sirivatanapa Somjate
Keyword(s):  
New South ◽  
New South Wales ◽  
Vacuum Infiltration ◽  
Average Increase ◽  
Significant Delay ◽  
Average Delay ◽  
Ripening Time ◽  
South Wales

Postharvest vacuum infiltration of calcium into mature but unripe Hass and Fuerte avocados obtained from 80 growers in the 3 major growing districts in Australia over 2 seasons delayed the time to ripen compared with untreated fruit; but the magnitude of the response varied. Hass fruit from 66% of growers in the Murray Valley showed a significant delay in ripening and the average increase in fruit from all growers was 45% over that of untreated fruit. The response of Fuerte fruit was similar between districts, with an average delay in ripening time of about 30% and with fruit from 60% of growers having a significant increase. Hass fruit from North Queensland and northern New South Wales gave the lowest average delay in ripening of about 10% and an increased delay was significant for fruit from 25% of growers. The quality of ripe Hass fruit was not affected by calcium infiltration, whereas a slight decrease in the quality of Fuerte fruit was observed.

Prevalence of chronic disease risk factors in 35- to 44-year-old humanitarian arrivals to New South Wales (NSW), Australia

2019 ◽  
Vol 25 (1) ◽  
pp. 19 ◽  
Author(s):  
Meena Chandra ◽  
Anthea Duri ◽  
Mitchell Smith
Keyword(s):  
Risk Factors ◽  
Chronic Disease ◽  
Disease Risk ◽  
New South ◽  
New South Wales ◽  
Indigenous Populations ◽  
Indigenous Australian ◽  
Australian Health ◽  
Chronic Disease Risk ◽  
South Wales

The aim of this study is to compare the prevalence of chronic disease risk factors in humanitarian arrivals to Sydney, New South Wales (NSW) with the Australian Indigenous and non-Indigenous populations aged 35–44 years. Data on risk factors collected from 237 refugees presenting to the NSW Refugee Health Service (RHS) from January 2015 to August 2016 were retrospectively analysed and compared with data from the Australian Health Surveys, 2011–13 for the Indigenous and non-Indigenous Australian populations. This study found significantly higher levels of triglycerides (z=3; 95% CI, 0.16–0.26); hypertension (z=3.2; 95% CI, 0.17–0.29); and smoking (z=3.5; 95% CI, 0.27–0.33) in refugees compared with the general Australian population. The Indigenous population had significantly higher levels of triglycerides (z=4; 95% CI, 0.16–0.26); body mass indexes (BMIs) (z=3.3; 95% CI 0.58–0.72); and smoking (z=5.4; 95 CI 0.27–0.33) compared with refugees. Based on the study findings, screening for chronic disease risk factors from age 35 years may be warranted in all humanitarian arrivals to Australia, along with dietary and lifestyle advice.

scholarly journals “The Good, the Bad, and the Ugly Weed”: How Consumers in Four Different Policy Settings Define the Quality of Illicit Cannabis

2020 ◽  
Vol 47 (1) ◽  
pp. 43-62
Author(s):  
Vendula Belackova
Keyword(s):  
New South ◽  
Self Regulation ◽  
Production Location ◽  
South Wales ◽  
Experience Good ◽  
Cultivation Process ◽  
Proxy Indicators ◽  
Cultivation Techniques ◽  
Depth Interviews

With proliferating efforts to regulate the quality of cannabis on legalized markets, and recent discussions about drug quality assessment by darknet buyers, it seems timely to explore definitions of the quality of cannabis among consumers. An inductive analysis of in-depth interviews with people who had used cannabis in the past 12 months was conducted, which focused on the respondents’ subjective definitions and assessments of the quality of cannabis. The data are drawn from convenience samples in four localities (Florida [United States], Czechia, Spain, and New South Wales [Australia]) where cannabis was illegal or decriminalized. The findings suggest that the respondents across all four localities used a range of visual and sensory indicators to assess the quality of cannabis. For many respondents, these were independent indicators of the quality of cannabis suggesting that cannabis was not merely an “experience” good. For others, visual and sensory assessments were used as indirect indicators of quality in that they represented the effect of the cannabis. The desired effect was more complex than simple potency (strength) and several respondents preferred mild and not-sedating cannabis. Across the four localities, the respondents also included “proxy” indicators of the safety of cannabis in their definitions of quality. In other words, high-quality cannabis was defined as not causing excessive intoxication or physical harm. Altogether, cannabis was a specific “credence” good when its quality was seen as a result of cultivation techniques, production location, or producers’ (profit) motivations - depending on the locality. These findings suggest that cannabis policies that regulate the cultivation process can be relevant to people who use cannabis. Given that consumers take the safety of cannabis into consideration when assessing its quality, their involvement in the development of quality standards is warranted. Consumer-led self-regulation should also be considered in policies that seek to regulate cannabis supply.

Evaluation of Fsub(1) hybrids incorporating the rin (ripening inhibitor) gene to improve the storage life and fruit quality of fresh market tomatoes (Lycopersicon esculentum Mill.)

1991 ◽  
Vol 31 (3) ◽  
pp. 407 ◽  
Author(s):  
VQ Nguyen ◽  
WJ Ashcroft ◽  
KH Jones ◽  
WB McGlasson
Keyword(s):  
New South ◽  
Storage Life ◽  
F1 Hybrids ◽  
Fresh Market ◽  
Heterozygous Condition ◽  
South Wales ◽  
Ripening Inhibitor ◽  
Tomato Cultivars ◽  
Ripe Stage

Four new F1 hybrids which incorporate the ripening inhibitor (rin) tomato mutation were compared with standard commercial tomato cultivars, including Flora-Dade, for the fresh market in New South Wales and Victoria. The rin gene, in the heterozygous condition, delayed the start of ripening by a few days, increased the interval between breaker and full ripe from 5 to 7 days compared with commercial cultivars, and increased the storage life of ripe fruits from 28 to 40 days at 20�C. There were no significant differences between the level of red colour developed by the rin hybrids and reference tomatoes; however, the rin hybrid fruits took 4 days longer to reach full red colour. The fruits of rin hybrid were as firm as the reference tomatoes when picked at breaker and stored at 20�C for 6 days. However, rin hybrid fruits were significantly (P<0.05) firmer than those of reference tomatoes when harvested at a full ripe stage. Of the 4 rin hybrids tested, HRAS 87-70, which showed the most promise, was released in February 1990 as 'Red Centre'.

Responses by hospital complaints managers to recommendations for systemic reforms by health complaints commissions

2017 ◽  
Vol 41 (5) ◽  
pp. 527
Author(s):  
Jennifer Smith-Merry ◽  
Merrilyn Walton ◽  
Judith Healy ◽  
Coletta Hobbs
Keyword(s):  
New South ◽  
Qualitative Interviews ◽  
Service Improvement ◽  
Health Complaints ◽  
Quality Improvements ◽  
Specific Context ◽  
System Failures ◽  
Australian Health ◽  
South Wales ◽  
Systemic Quality

Objective This paper explores how hospital complaints managers react to recommendations for systemic quality reforms by health complaints commissions in response to complaints by patients in Queensland and New South Wales. Methods Semi-structured qualitative interviews were conducted with complaints managers in 17 hospitals. Interview transcripts were then thematically analysed and data on responses to health complaint commissions was organised in relation to Valerie Braithwaite’s typology of motivational postures. Results Respondents supported involvement by an independent authority where patients had serious complaints about the services they received in hospital, but wanted more negotiation with commissions on service improvement recommendations. Conclusions Hospital complaints managers mostly responded as virtuous or rational actors to the symbolic power of complaints commissions. This may be context dependent because Australian health commissions operate within a pro-reform context as a result of recent publicity around health system failures. What is known about the topic? Little is known about regulatory relationships between complaints commissions and hospitals. There has been no Australian research considering how complaints managers respond to commission recommendations for quality improvements and reforms to hospital services. What does the paper add? The paper uses a novel theoretical framework based on regulatory theory to understand and describe the reactions of complaints managers to commission recommendations. What are the implications for practitioners? Commissions should seek commentary from complaints managers through open dialogue before making final recommendations. This will ease the progress of reforms and make recommendations more acceptable and ‘genuine’ in the specific context of the hospital.

Performance of breeding ewes on lucerne-subterranean clover pastures

1985 ◽  
Vol 25 (4) ◽  
pp. 758 ◽  
Author(s):  
DG Hall ◽  
EC Wolfe ◽  
BR Cullis
Keyword(s):  
New South ◽  
Subterranean Clover ◽  
Early Summer ◽  
Late Winter ◽  
Wagga Wagga ◽  
Pasture Production ◽  
South Wales ◽  
Sheep Production ◽  
Lamb Growth

Pasture production, ewe and lamb growth, ewe wool production and diet quality were studied on lucerne-subterranean clover pastures at Wagga Wagga, New South Wales. Lucerne was sown at rates of 0.75 to 3.0 kg/ha, and the pastures were rotationally grazed with Border Leicester x Merino ewes at 9.6 or 12.7 sheep/ha, the ewes lambing in August- September. Lucerne density declined by 45% over the 3 years on all treatments. The clover cultivar sown, Woogenellup, had low persistence, particularly at 12.7 sheep/ha. The density of lucerne had little effect on annual wool and lamb production, although the ewes grew faster on the denser lucerne in summer and the sparser lucerne in winter. At 12- 7 sheep/ha, there was an extra 19% total lamb weight by the end of November and an extra 22% of finer wool (1 �m) annually, but the fleeces had a higher proportion of wool tenderness. The major limitations of the lucerne-subterranean clover pastures to sheep production were the low quality of the diet in early summer, and low pasture production in late winter. In early summer the lucerne was rapidly consumed, leaving only moderate quality clover and grass residues, which limited lamb growth, while in winter pregnancy toxaemia occurred, fleeces were tender and wool growth was low, particularly during a drought in 1976.

Nature Conservation in Rangelands: Lessons From Research on Reserve Selection in New South Wales.

1992 ◽  
Vol 14 (2) ◽  
pp. 214 ◽  
Author(s):  
RL Pressey
Keyword(s):  
Conservation Planning ◽  
New South ◽  
Full Range ◽  
New South Wales ◽  
Reserve Selection ◽  
South Wales ◽  
Land Systems ◽  
The Difference ◽  
Selection Of

Information on the features to be protected in a system of conservation reserves is an obvious requirement. The quality of the data base will primarily determine the effectiveness of conservation planning in protecting the full range of natural features in a region. However, the way in which data are used to make decisions on the locations of protected areas is also critical. Rigorous procedures for reserve selection can make the difference between achieving reservation goals or not. Research on reserve selection in New South Wales over recent years has concerned both data bases and procedures for guiding decisions. Reserve planning in many regions is based largely on some form of land classification like vegetation types or land systems. There are good reasons for using such land classes to guide the selection of reserves and to judge their representativeness. Nevertheless, they can have considerable limitations as a basis for protecting all the species in a region. These limitations are reviewed with references to more detailed discussions of particular issues. The paper also reviews a variety of procedures for selecting reserves which have been tested and applied in New South Wales. Some of the recent procedures are conceptually simple but very useful in identifying the requirements of reservation goals and demonstrating the options available to planners for representing particular features. Three principles are proposed which should underpin any attempt at systematic conservation planning.

Aborigines and Their Central Schools: Part I

1989 ◽  
Vol 17 (4) ◽  
pp. 11-20 ◽  
Author(s):  
Bob Hill
Keyword(s):  
Rural Communities ◽  
Research Study ◽  
New South ◽  
Department Of Education ◽  
Quality Of Education ◽  
Western Region ◽  
Major Research ◽  
South Wales ◽  
The Western Region

Central Schools in New South Wales administratively combine primary and secondary schools on a single site. They are normally located in small, relatively isolated, rural communities. In the Western Region of the NSW Department of Education there are 19 Central Schools varying in size from 88 to 557 students. At the time of this study eight of the Central Schools catered for students from kindergarten to Year 12, the remaining eleven catered for kindergarten to Year 10.In 1987/88 Mitchell CAE, in collaboration with the Department of Education in the Western Region, undertook a major research study into the perceptions of Central Schools held by those most closely involved (Sinclair 1988). Prior to the study much of the knowledge of how Central Schools were perceived was anecdotal and impressionistic. This study aimed at gathering comparative data from all Western Region Central Schools about how those who taught, studied, or sent their children there perceived the quality of education provided by Central Schools.

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