scholarly journals Social prescribing in cardiology: rediscovering the nature within us

2019 ◽  
Vol 14 (8) ◽  
pp. 1-9 ◽  
Author(s):  
Michelle Howarth ◽  
Craig Lister
Keyword(s):  
Cardiovascular Disease ◽  
Decision Making ◽  
Social Prescribing ◽  
Fundamental Part ◽  
Novel Approach ◽  
Complementary Approach ◽  
What Matters

Personalised care is integral to the delivery of the NHS England Long Term Plan. Enabling choice and supporting patients to make decisions predicated on ‘what matters to them’, rather than ‘what is the matter with them’ is a fundamental part of the NHS vision. Social prescribing uses non-medical, asset-based, salutogenic approaches to promote this personalised paradigm, and places the patient central to decision making. This article discusses how personalised care can be used to help people with cardiovascular disease using socially prescribed ‘nature-based’ interventions to support the pre-habilitation and rehabilitation of patients with cardiovascular disease. The concept of personalised care outlined and the significance of salutogenic principles as a complementary approach to the pathogenic model is discussed. The authors argue that this seemingly novel approach to using nature-based interventions can help promote wellbeing for people with cardiovascular disease as part of the wider personalised agenda.

scholarly journals AIR QUALITY MONITORING AND DATA MANAGEMENT IN GERMANY – STATUS QUO AND SUGGESTIONS FOR IMPROVEMENT

2020 ◽  
Vol XLIV-4/W2-2020 ◽  
pp. 37-43
Author(s):  
L. Petry ◽  
H. Herold ◽  
G. Meinel ◽  
T. Meiers ◽  
I. Müller ◽  
...  
Keyword(s):  
Decision Making ◽  
Air Quality ◽  
Management Practices ◽  
System Development ◽  
Ground Level ◽  
Ground Level Ozone ◽  
Novel Approach ◽  
Depth Analysis ◽  
New Generation

Abstract. This paper proposes a novel approach to facilitate air quality aware decision making and to support planning actors to take effective measures for improving the air quality in cities and regions. Despite many improvements over the past decades, air pollutants such as particulate matter (PM), nitrogen dioxide (NO2) and ground-level ozone (O3) pose still one of the major risks to human health and the environment. Based on both a general analysis of the air quality situation and regulations in the EU and Germany as well as an in-depth analysis of local management practices requirements for better decision making are identified. The requirements are used to outline a system architecture following a co-design approach, i.e., besides scientific and industry partners, local experts and administrative actors are actively involved in the system development. Additionally, the outlined system incorporates two novel methodological strands: (1) it employs a deep neural network (DNN) based data analytics approach and (2) makes use of a new generation of satellite data, namely Sentinel-5 Precursor (Sentinel-5P). Hence, the system allows for providing areal and high-resolution (e.g., street-level) real-time and forecast (up to 48 hours) data to inform decision makers for taking appropriate short-term measures, and secondly, to simulate air quality under different planning options and long-term actions such as modified traffic flows and various urban layouts.

scholarly journals Social prescribing in practice: community-centred approaches

2019 ◽  
Vol 30 (7) ◽  
pp. 338-341
Author(s):  
Michelle Howarth ◽  
Liz Burns
Keyword(s):  
General Practice ◽  
Health Conditions ◽  
Unique Contribution ◽  
Physical And Mental Health ◽  
Practice Nurses ◽  
Health And Wellbeing ◽  
Social Prescribing ◽  
Care And Support ◽  
What Matters

More people are living longer with multimorbidities, many of which are handled in general practice. Michelle Howarth and Liz Burns highlight the contribution that general practice nurses can make to providing person-centred approaches to improving health and wellbeing The NHS Long Term Plan recognised the need to understand that ’what matters to someone’ is not the same as ‘what's the matter with someone’. Conversations that focus on what is the matter with someone typically draw out the patient's needs, with assessment and care planning based on classic principles of pathogenesis and accompanying clinical solutions. Conversations that consider what matters to someone draw out a person's individual assets and what is important to them, with personalised care and support planning based on principles of salutogenesis and non-medical solutions, such as social prescribing. This article explores the pivotal role that practice nurses have in maximising their impact on personalised care and population health for all, including for people living with long-term physical and mental health conditions. It highlights the unique contribution that practice nurses can make in strengthening community-centred approaches to health and wellbeing in primary care.

scholarly journals Evaluation of the Impact of Strategic Offers on the Financial and Strategic Health of the Company—A Soft System Dynamics Approach

Mathematics ◽  
2019 ◽  
Vol 7 (2) ◽  
pp. 208 ◽  
Author(s):  
Dariusz Banaś ◽  
Jerzy Michnik
Keyword(s):  
Decision Making ◽  
Decision Problems ◽  
Decision Making Process ◽  
Novel Approach ◽  
Essential Properties ◽  
Similarities And Differences ◽  
Nonlinear Gauge ◽  
The Impact

When analyzing the possibility of supporting the decision-making process, one should take into account the essential properties of economic entities (the system and its objects). As a result, the development of an effective business model ought to be based on rationality and the characteristics of the system being modeled. Such an approach implies the use of an appropriate analysis and modeling method. Since the majority of relationships in the model are described using the experts’ tacit knowledge, methods known as “soft” are more suitable than “hard” in those situations. Fuzzy cognitive mappings (FCM) are therefore commonly used as a technique for participatory modeling of the system, where stakeholders can convey their knowledge to the model of the system in question. In this study, we introduce a novel approach: the extended weighted influence nonlinear gauge system (WINGS), which may equally well be applied to the decision problems of this type. Appraisal of high-value and long-term offers in the sector of the telecommunication supplier industry serves as a real-world case study for testing the new method. A comparison with FCM provides a deeper understanding of the similarities and differences of the two approaches.

scholarly journals Asylum Seekers Arrived, Elites Occupied the Air

2018 ◽  
Vol 39 (2) ◽  
pp. 79-93
Author(s):  
Annu Perälä ◽  
Mari K. Niemi
Keyword(s):  
Decision Making ◽  
Cultural Diversity ◽  
Asylum Seekers ◽  
Large Scale ◽  
Humanitarian Crisis ◽  
Sources Of Knowledge ◽  
Novel Approach ◽  
Challenging Environment ◽  
The Media

Abstract In this study, we examine the choice of interviewees and discussion topics made by Finland’s national broadcasting company YLE during the so-called “asylum-seeker crisis” of 2015 and 2016. The rapid increase in asylum-seekers, combined with deepening political tensions regarding the situation and the entry of a populist anti-immigration party into government, created a challenging environment for the media. This was especially true for YLE, which is committed to political neutrality and cultural diversity. Our data shows that the “crisis” was framed as a crisis hitting Finland and European decision-making rather than as a humanitarian crisis. Despite long-term academic criticism of bias in expert interviewee selection (e.g. the underrepresentation of minority and female interviewees), the media continued to use traditional sources of knowledge. However, in a novel approach for Finland, the media engaged the large-scale involvement of politicians, and especially representatives of the populist Finns Party.

Issues of Capacity and Decision-Making in the Context of Delirium

2015 ◽  
Vol 24 (4) ◽  
pp. 140-145
Author(s):  
Kevin R. Patterson
Keyword(s):  
Decision Making ◽  
Patient Autonomy ◽  
Care Setting ◽  
Cognitive Change ◽  
Treatment Team ◽  
Precipitating Factors ◽  
Term Care ◽  
Decision Making Capacity ◽  
Fundamental Consideration

Decision-making capacity is a fundamental consideration in working with patients in a clinical setting. One of the most common conditions affecting decision-making capacity in patients in the inpatient or long-term care setting is a form of acute, transient cognitive change known as delirium. A thorough understanding of delirium — how it can present, its predisposing and precipitating factors, and how it can be managed — will improve a speech-language pathologist's (SLPs) ability to make treatment recommendations, and to advise the treatment team on issues related to communication and patient autonomy.

Formulating Industry-Academic Collaborations That Work: Best Practices to Ensure a Strong Relationship After the Agreements are Signed

2020 ◽  
Vol 21 (2) ◽  
pp. 169-177
Author(s):  
Michael B. Dilling ◽  
Anne C. DiSante ◽  
Ross Durland ◽  
Christine E. Flynn ◽  
Leonid Metelitsa ◽  
...  
Keyword(s):  
Decision Making ◽  
Best Practices ◽  
Product Development ◽  
Strong Relationship ◽  
Governance Structure ◽  
Collaborative Relationships ◽  
Skill Sets ◽  
Pragmatic Aspects

Collaborations between academia and industry are growing in scope, duration, and sophistication. The best collaborations recognize the unique strengths and skill sets of both parties and are structured to leverage what each party does best. In many cases, these collaborations develop into long-term relationships, and it is important to develop the systems and structures needed to support these relationships to ensure that they meet the needs of both sides. Successful collaborations require the formulation of a governance structure to facilitate communication, decision-making, assessment of progress, and the inevitable changes of direction that accompany product development. This panel explored the pragmatic aspects of successfully structuring collaborations and managing the relationships after the deal is done. Several dominant themes associated with successful collaborative relationships emerged from the discussion, and these will be explored in this article.

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