scholarly journals A review of required monitoring and management of physical health parameters in patients being treated with clozapine

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S111-S111
Author(s):  
Louisa Ward ◽  
Charlotte Marriott ◽  
Giles Glass ◽  
Mariam Negm ◽  
Hannah Porter
Keyword(s):  
General Practice ◽  
Data Collection ◽  
Physical Health ◽  
Current Practice ◽  
Good Practice ◽  
Junior Doctors ◽  
Staff Members ◽  
Shared Data ◽  
Routine Monitoring ◽  
Data Source

AimsTo review available standards for physical health monitoring in people taking clozapine To audit current practice against standards To identify changes in practice and facilitate a re-audit to assess impact of any changesMethodStandard: CG178 Psychosis and Schizophrenia in Adults: Prevention and Management – NICE, February 2014Target:100%Exceptions: NoneSample: The original audit included all 58 patients from the Worcester clozapine clinic, as per October 2018. The re-audit reviewed a random sample of all patients attending the clozapine clinics in Worcester, Kidderminster and Redditch, as part of Worcestershire Health and Care NHS Trust, as per October 2019. A total of 66 patients were selected.Data Source: Carenotes and ICEResultAreas of good practice:Monitoring of HbA1c and FBC remains goodThere has been an improvement in monitoring alcohol use, substance misuse and side effectsAreas requiring improvement:There continues to be limited recording of respiratory rateThere has been a decline in recording temperature, BMI and concomitant therapiesPotential reasoning for missing data includes:Staff not knowing the monitoring requirements, which is more likely to be an issue when staff members running the clinics change frequentlyMonitoring being completed but not documentedPatients’ refusal of monitoringData being recorded in alternative locations including general practice, without communication between servicesPatients moving between teams or having inpatient stays may disrupt monitoring regimeConclusionLIMITATIONSThis audit assumes all patients involved to be on a stable dose of clozapine with routine monitoringSome patients may have been transferred between teams or inpatients during the period of data collectionThere is no scope to record when patients refuse monitoringWe may not have access to all notes such as those from general practice for data collectionRECOMMENDATIONSInduction programme for junior doctors to include education on clozapine monitoringTraining for staff involved in clozapine clinics to ensure better understanding of monitoring requirementsProcurement of ECG machines for each site and relevant training for nursing and medical staffCollaboration with GPs for shared dataRe-audit in 1 year

Workforce Race Equality Standard survey in general practice: Lewisham 2019

2020 ◽  
Vol 70 (suppl 1) ◽  
pp. bjgp20X711125
Author(s):  
Sebastian Kalwij
Keyword(s):  
General Practice ◽  
Response Rate ◽  
Zero Tolerance ◽  
Diverse Workforce ◽  
The Public ◽  
Staff Members ◽  
Zero Tolerance Policy ◽  
Minority Ethnic ◽  
Equality Standard ◽  
Improve Health

BackgroundThe NHS Workforce Race Equality Standard (WRES) was introduced in 2015 and is mandatory for NHS trusts. Nine indicators have been created to evaluate the experiences of black and minority ethnic (BME) staff compared with the rest of the workforce. The trust data published showed a poor experience of BME staff compared with non BME staff.AimTo introduce the concept of WRES into general practice and create a baseline from which improvement can be made. A diverse workforce will better serve its population and this will improve health outcomes.MethodWe conducted a survey among all general practice staff members, clinicians, and non-clinicians and asked open-ended questions built around four WRES indicators most applicable to general practice, over a 6-week period in August and September 2019.ResultsWe collected 151 responses out of a total workforce of around 550. The response rate between clinicians and non-clinicians was equal 50.6% versus 49.4%. The distribution of non BME staff 51% versus BME staff 49% mirrors the diverse population of Lewisham. 54% of BME staff experienced bullying from patients, their relatives, and members of the public. 25% experienced bullying from a colleague or staff member in the workplace and 22% of BME staff changed jobs as a result of this.ConclusionBME staff in general practice report high levels of racism, especially from service users. In 22% this led to a career change. A zero-tolerance policy needs to be enforced and a multi-pronged approach is required to address this.

KORESPONDENSI FONEMIS BAHASA SUNDA DAN BAHASA JAWA

IdeBahasa ◽  
2020 ◽  
Vol 2 (2) ◽  
pp. 121-132
Author(s):  
Shifa Nur Zakiyah ◽  
Susi Machdalena ◽  
Tb. Ace Fachrullah
Keyword(s):  
Data Analysis ◽  
Data Collection ◽  
Interview Techniques ◽  
Data Source ◽  
Historical Comparative ◽  
Linguistic Approach ◽  
The Relationship ◽  
Recording Techniques

This article discussed the phonemic correspondence in Sundanese and Javanese using a historical comparative linguistic approach. The problem to be examined in this study is the form of phonemic correspondence in Sundanese and Javanese. The purpose of this study was to determine the phonemic correspondence sets in the comparison between Sundanese and Javanese. The method used in this research to analyze the data is the phonemic correspondence method. The correspondence method is used to find the relationship between languages ​​in the field of language sounds (phonology). Phonemic correspondence is used to determine regular phonemic changes in the languages ​​being compared. Data collection used interview techniques, note techniques and recording techniques. After the data is collected, then the data is classified according to the problem being studied and grouped into more specifics. After that, conclusions will be made based on the results of the data analysis. The data source obtained comes from 200 swadesh vocabularies in Sundanese and Javanese. From 200 swadesh vocabulary data found 49 data included in phonemic correspondence which is divided into 12 correspondence sets. The results of this study include the formation of correspondences in Sundanese and Javanese, namely, (ɛ ~ i) and (i ~ ɛ), (a ~ ɔ) and (ɔ ~ a), (d ~ D), (t ~ T) , (ɤ ~ ə), (b ~ w), (ɔ ~ u) and (ɔ ~ U), (i ~ I), (ø ~ h) and (h ~ ø), (ø ~ m), and (a ~ ə).

METODE BIMBINGAN DAN KONSELING ISLAM DALAM MENANAMKAN KEDISIPLINAN SHOLAT DHUHA PADA ANAK HIPERAKTIF DI MI NURUL ISLAM NGALIYAN SEMARANG

2017 ◽  
Vol 36 (1) ◽  
pp. 1
Author(s):  
Hidayatul Khasanah ◽  
Yuli Nurkhasanah ◽  
Agus Riyadi
Keyword(s):  
Qualitative Research ◽  
Data Collection ◽  
Role Model ◽  
Hyperactive Child ◽  
Guidance And Counseling ◽  
Discipline Problems ◽  
Hyperactive Children ◽  
Data Source

<p>This research aimed to describe the characteristics of hyperactive children and analyze methods of Islamic guidance and counseling in instilling discipline of Duha prayer in hyperactive children in MI Nurul Islam Ngaliyan Semarang. This research is qualitative research. The data source is a teacher as well as a hyperactive child. Methods of data collection using interviews, observation, and documentation. The results showed that hyperactive children have discipline problems in implementing the Duha prayer in congregation. Islamic guidance and counseling methods used to embed discipline of Duha prayer for hyperactive children consisting of four methods: the method of habituation, role model, motivation and supervision.</p><p align="center"><strong>***</strong></p><p>Penelitian ini merupakan penelitian kualitatif yang bertujuan untuk mendiskripsikan karakteristik anak hiperaktif dan menganalisis metode bimbingan dan konseling Islam dalam menanamkan kedisiplinan shalat dhuha pada anak hiperaktif di MI Nurul Islam Ngaliyan Semarang. Jenis penelitian ini merupakan penelitian kualitatif. Sumber data penelitian ini adalah guru serta anak hiperaktif. Metode pengumpulan data menggunakan wawancara, observasi, dan dokumentasi. Hasil penelitian menunjukkan bahwa pertama anak hiperaktif memiliki problem kedisiplinan dalam melaksanakan shalat dhuha berjamaah. Kedua, metode bimbingan dan konseling Islam yang digunakan untuk menanamkan kedisiplian shalat dhuha bagi anak hiperaktif terdiri dari empat metode yaitu metode pembiasaan, metode tauladan, metode nasehat (motivasi), dan metode pengawasan ketika shalat dhuha berjamaah berlangsung.</p>

scholarly journals A comparative assessment of two tools designed to support patient safety culture in UK general practice

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Ian Litchfield ◽  
Kate Marsden ◽  
Lucy Doos ◽  
Katherine Perryman ◽  
Anthony Avery ◽  
...  
Keyword(s):  
General Practice ◽  
Patient Safety ◽  
Focus Group ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Patient Safety Culture ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Staff Members ◽  
Practice Team

Abstract Background The NHS has recognised the importance of a high quality patient safety culture in the delivery of primary health care in the rapidly evolving environment of general practice. Two tools, PC-SafeQuest and MapSaf, were developed with the intention of assessing and improving patient safety culture in this setting. Both have been made widely available through their inclusion in the Royal College of General Practitioners’ Patient Safety Toolkit and our work offerss a timely exploration of the tools to inform practice staff as to how each might be usefully applied and in which circumstances. Here we present a comparative analysis of their content, and describe the perspectives of staff on their design, outputs and the feasibility of their sustained use. Methods We have used a content analysis to provide the context for the qualitative study of staff experiences of using the tools at a representative range of practices recruited from across the Midlands (UK). Data was collected through moderated focus groups using an identical topic guide. Results A total of nine practices used the PC-SafeQuest tool and four the MapSaf tool. A total of 159 staff completed the PC-SafeQuest tool 52 of whom took part in the subsequent focus group discussions, and 25 staff completed the MapSaf tool all of whom contributed to the focus group discussions. PC-SafeQuest was perceived as quick and easy to use with direct questions pertinent to the work of GP practices providing useful quantitative insight into important areas of safety culture. Though MaPSaF was more logistically challenging, it created a forum for synchronous cross- practice discussions raising awareness of perceptions of safety culture across the practice team. Conclusions Both tools were able to promote reflective and reflexive practice either in individual staff members or across the broader practice team and the oversight they granted provided useful direction for senior staff looking to improve patient safety. Because PC SafeQuest can be easily disseminated and independently completed it is logistically suited to larger practice organisations, whereas the MapSaf tool lends itself to smaller practices where assembling staff in a single workshop is more readily achieved.

scholarly journals Getting Started Creating Data Dictionaries: How to Create a Shareable Data Set

2021 ◽  
Vol 4 (1) ◽  
pp. 251524592092800
Author(s):  
Erin M. Buchanan ◽  
Sarah E. Crain ◽  
Ari L. Cunningham ◽  
Hannah R. Johnson ◽  
Hannah Stash ◽  
...  
Keyword(s):  
Data Collection ◽  
Data Sharing ◽  
Search Engine ◽  
Web Applications ◽  
Data Sets ◽  
Data Dictionary ◽  
Data Set ◽  
Entire Process ◽  
Shared Data ◽  
Source Data

As researchers embrace open and transparent data sharing, they will need to provide information about their data that effectively helps others understand their data sets’ contents. Without proper documentation, data stored in online repositories such as OSF will often be rendered unfindable and unreadable by other researchers and indexing search engines. Data dictionaries and codebooks provide a wealth of information about variables, data collection, and other important facets of a data set. This information, called metadata, provides key insights into how the data might be further used in research and facilitates search-engine indexing to reach a broader audience of interested parties. This Tutorial first explains terminology and standards relevant to data dictionaries and codebooks. Accompanying information on OSF presents a guided workflow of the entire process from source data (e.g., survey answers on Qualtrics) to an openly shared data set accompanied by a data dictionary or codebook that follows an agreed-upon standard. Finally, we discuss freely available Web applications to assist this process of ensuring that psychology data are findable, accessible, interoperable, and reusable.

scholarly journals Adapting federated cyberinfrastructure for shared data collection facilities in structural biology

2012 ◽  
Vol 19 (3) ◽  
pp. 462-467 ◽  
Author(s):  
Ian Stokes-Rees ◽  
Ian Levesque ◽  
Frank V. Murphy ◽  
Wei Yang ◽  
Ashley Deacon ◽  
...  
Keyword(s):  
Data Collection ◽  
Structural Biology ◽  
Shared Data

How do junior doctors spend their time in an Acute Medical Unit?

2015 ◽  
Vol 14 (2) ◽  
pp. 57-60
Author(s):  
Eirini V Kasfiki ◽  
◽  
Mamoon Yusaf ◽  
Jivendra Gosai ◽  
Makani Purva ◽  
...  
Keyword(s):  
General Practice ◽  
Hospital Admission ◽  
Postgraduate Training ◽  
Junior Doctors ◽  
Bed Occupancy ◽  
Medical Unit ◽  
Admission Rates ◽  
The Past ◽  
Acute Medical Unit ◽  
The Uk

In the UK, postgraduate training for doctors has undergone significant changes over the past decade general practice, etc. During this period, hospital admission rates and bed occupancy have also increased.

ETHICAL ISSUES IN PRIVATE COMMERCIAL BANKS IN PAKISTAN

2012 ◽  
Vol 01 (07) ◽  
pp. 72-82
Author(s):  
Nanik Ram ◽  
Immamuddin Khoso ◽  
Muhammad Bachal Jamali ◽  
Faiz.M. Shaikh
Keyword(s):  
Data Collection ◽  
Commercial Banks ◽  
Ethical Issues ◽  
Validity And Reliability ◽  
Basic Tool ◽  
Cross Sectional ◽  
Staff Members

This research addressed the ethical issues in Private Commercial Banks in Pakistan. Data were collected from 500 respondents/Customers from cross sectional data by using simple random technique and data were analyses by using SPSS-18 version. A structural questionnaire was used as basic tool for data collection, analysis, validity and reliability. It was revealed that private commercial banks are not caring for the customers specially, four old Banks UBL, HBL, MCB, ABL. It was further concluded that most of the staff members who interact with the customers is non MBAs so that’s why their attitude towards the customers are not friendly.

Effect of multi-level and multi-scale spectral data source on vineyard state assessment via spectral vegetation indices

2021 ◽  
Author(s):  
Antonello Bonfante ◽  
Arturo Erbaggio ◽  
Eugenia Monaco ◽  
Rossella Albrizio ◽  
Pasquale Giorio ◽  
...  
Keyword(s):  
Climate Change ◽  
Data Collection ◽  
State Estimation ◽  
Spectral Data ◽  
Spatial Resolution ◽  
Spectral Region ◽  
Vegetation Indices ◽  
Plant Management ◽  
Spectral Vegetation Indices ◽  
Data Source

&lt;p&gt;Currently, the main goal of agriculture is to promote the resilience of agricultural systems in a sustainable way through the improvement of use efficiency of farm resources, increasing crop yield and quality, under climate change conditions. Climate change is one of the major challenges for high incomes crops, as the vineyards for high-quality wines, since it is expected to drastically modify plant growth, with possible negative effects especially in arid and semi-arid regions of Europe. In this context, the reduction of negative environmental impacts of intensive agriculture (e.g. soil degradation), can be realized by means of high spatial and temporal resolution of field crop monitoring, aiming to manage the local spatial variability.&lt;/p&gt;&lt;p&gt;The monitoring of spatial behaviour of plants during the growing season represents an opportunity to improve the plant management, the farmer incomes and to preserve the environmental health, but it represents an additional cost for the farmer.&lt;/p&gt;&lt;p&gt;The UAS-based imagery might provide detailed and accurate information across visible and near infrared spectral regions to support monitoring (crucial for precision agriculture) with limitation in bands and then on spectral vegetation indices (Vis) provided. VIs are a well-known and widely used method for crop state estimation. The ability to monitor crop state by such indices is an important tool for agricultural management. While differences in imagery and point-based spectroscopy are obvious, their impact on crop state estimation by VIs is not well-studied. The aim of this study was to assess the performance level of the selected VIs calculated from reconstructed high-resolution satellite (Sentinel-2A) multispectral imagery (13 bands across 400-2500nm with spatial resolution of &lt;2m) through Convolutional Neural Network (CNN) approach (Brook et al., 2020), UAS-based multispectral (5 bands across 450-800nm spectral region with spatial resolution of 5cm) imagery and point-based field spectroscopy (collecting 600 wavelength across&amp;#160; 400-1000nm spectral region with a surface footprint of 1-2cm) in application to crop state estimation.&lt;/p&gt;&lt;p&gt;The test site is a portion of vineyard placed in southern Italy cultivated on Greco cultivar, in which the soil-plant and atmosphere system has been monitored during the 2020 vintage also through ecophysiological analyses. The data analysis will follow the methodology presented in a recently published paper (Polinova et al., 2018).&lt;/p&gt;&lt;p&gt;The study will connect the method and scale of spectral data collection with in vivo plant monitoring and prove that it has a significant impact on the vegetation state estimation results. It should be noted that each spectral data source has its advantages and drawbacks. The plant parameter of interest should determine not only the VIs type suitable for analysis but also the method of data collection.&lt;/p&gt;&lt;p&gt;The contribution has been realized within the CNR BIO-ECO project.&lt;/p&gt;

Using the Health and Retirement Study for Disability Policy Research: A Review

2017 ◽  
Vol 20 (2) ◽  
Author(s):  
Jody Schimmel Hyde ◽  
David C. Stapleton
Keyword(s):  
Data Collection ◽  
Policy Research ◽  
The Body ◽  
Disability Policy ◽  
Health And Retirement Study ◽  
Research Experience ◽  
Large Share ◽  
Body Of Knowledge ◽  
Data Source ◽  
Retirement Study

Abstract The Health and Retirement Study (HRS) is a preeminent data source for research related to the experiences of workers nearing retirement, including the large share of those workers who experience a health shock or disability onset after age 50. In this article, we highlight key information collected from HRS respondents that benefits disability policy research and the body of knowledge that has resulted from this information. Our main goal is to identify from this research experience potential improvements in data collection and documentation that would further strengthen the HRS as a data source for disability policy researchers.

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