scholarly journals Origin and evolution of the Emergency Service of the Hospital de la Santa Creu i Sant Pau (1967 to 1986)

2021 ◽  
Vol 6 (1) ◽  
pp. 227-262
Author(s):  
Carmen Vila-Gimeno
Keyword(s):  
Qualitative Methodology ◽  
Emergency Service ◽  
Emergency Services ◽  
Origin And Evolution ◽  
Management Board ◽  
Hermeneutical Phenomenology ◽  
Documentary Sources ◽  
Documentary Analysis ◽  
Historical Moment ◽  
The Impact

This paper aims to present the origin and evolution of hospital emergency services through the Emergency Service of the Hospital de la Santa Creu i Sant Pau de Barcelona, as it is the centre that has best preserved information about its own process, its evolution as a hospital and its adaptation to social change.A very particular characteristic of this hospital is that it managed to integrate its users as part of the management board at a time when the country was in the middle of a democratic transition after forty years under a dictatorship.For the realization of this paper, we have used the qualitative methodology has been used, in particular, Heidegger's hermeneutical phenomenology, so as to triangulate documentary analysis with open interviews with relevant people about the historical process being studied, and to obtain the resulting document. A descriptive work, with a completely objective, historical account.The existence of this article cannot be explained without considering the importance of certain documentary sources that remain, so far, largely unexplored, such as the archives of the neighbourhood associations of Barcelona and the impact of social movements in achieving the creation of new health services, their maintenance and surveillance, and the promotion of their development according to the needs of each historical moment. That would be the main conclusion.

scholarly journals Unpacking the Impact of the COVID-19 Pandemic in Zimbabwe`s Public Sector

2020 ◽  
Vol 2 (3) ◽  
pp. 93-104
Author(s):  
Alouis Chilunjika Dr. ◽  
Sharon Muzvidziwa-Chilunjika ◽  
Bismark Mutizwa
Keyword(s):  
Public Sector ◽  
Information Technologies ◽  
Qualitative Methodology ◽  
Health Sector ◽  
Frontline Employees ◽  
Documentary Sources ◽  
Revenue Collection ◽  
The Government ◽  
Medium Enterprises ◽  
The Impact

The novel COVID-19 pandemic has ravaged the entire world and its far reaching impacts have been felt across different regions and sectors world-over. Similarly, the Zimbabwean public sector has been equally affected by this pandemic. Using a qualitative methodology the research interrogates the effects of the COVID-19 pandemic and proffers ways to deal with its impacts on the Zimbabwean public sector. Data was extensively collected from documentary sources such as books, journals, government publications etc. The study established that the Zimbabwean Health Sector (ZHS) is completely overwhelmed by the pandemic, that there is a decrease in revenue collection, poor social accountability, and corruption and that frontline employees and those working in environments that are exposed to the virus are psychologically affected. The research recommends that the government should capacitate the ZHS, revitalise industries and harnessing small to medium enterprises, embrace open Information Technologies (I.T) in parliamentary activities, strengthen the Watchdog institutions and create sustainable conducive working conditions for all.

scholarly journals Evaluation of the impact of black carbon on the worsening of allergic rhinitis and asthma in the region of Uzice Serbia

2021 ◽  
Vol 26 (83) ◽  
pp. 7-26
Author(s):  
Vesna Tomić-Spirić ◽  
Gordana Kovačević ◽  
Jelena Marinković ◽  
Janko Janković ◽  
Anđa Ćirković ◽  
...  
Keyword(s):  
Allergic Rhinitis ◽  
Allergic Asthma ◽  
Black Carbon ◽  
Emergency Service ◽  
Emergency Services ◽  
Positive Association ◽  
Weather Conditions ◽  
Epidemiological Studies ◽  
The Impact ◽  
First Time

Many epidemiological studies have shown a positive association between black carbon (BC) concentrations and exacerbation of allergic rhinitis and asthma. The aim of this study was to examine, for the first time in Serbia, the connection between visits to emergency services due to worsening of allergic rhinitis and allergic asthma and the concentration of BC in the air. Materials and methods: A time-stratified case crossover design was applied for emergency room visits due to allergic rhinitis and worsening asthma that occurred in the Užice region between 2012-2014. Data on visits were routinely collected at the Uzice Health Center. Results: A statistically significant association was observed between the worsening of allergic rhinitis and BC concentration two days before the visit to the emergency department (UO = 359, UO = 3.20 and UO = 3.24, depending on whether the analysis is not adjusted or adjusted for appropriate weather conditions). There was also a statistically significant association between worsening of allergic asthma and BC concentration two days before the emergency service visit (UO = 3.15, GP = 0.98-10.14) and three days before the emergency service visit (UO = 2.98; UO = 3.23 ; UO = 2.98). Conclusion: Exposure to soot, especially during the heating season, increases the risk of emergency services due to worsening of allergic rhinitis and asthma.

scholarly journals The impact of the COVID-19 pandemic on the dental-maxillofacial emergency service of a German university hospital in the year 2020

2021 ◽  
Author(s):  
D. G. E. Thiem ◽  
M. Polsak ◽  
P. Römer ◽  
M. Gielisch ◽  
S. Blatt ◽  
...  
Keyword(s):  
Emergency Service ◽  
Emergency Services ◽  
Maxillofacial Surgery ◽  
Public Life ◽  
Epidemiological Data ◽  
University Hospital ◽  
Oral And Maxillofacial Surgery ◽  
Direct Exposure ◽  
The Impact ◽  
First Time

Abstract Objectives COVID-19 is considered one of the most serious pandemic in history and has posed major challenges to the world’s health care. Dentistry and oral and maxillofacial surgery (CMFS) are particularly affected due to direct exposure to the respiratory tract, as the reservoir of SARS-CoV-2. In this study, the impact of the COVID-19-pandemic on a dental and CMFS emergency services in Germany in 2020 was first time investigated and correlated with governmental restriction measures in public life. Materials and methods Epidemiological data of a German University Hospital were analysed from a total of 8386 patients in 2019 and 2020. Parameters included information on demographics, time, weekday and reason for presentation, as well as diagnosis and therapy performed. Data from 2020 were compared with those from 2019, taking into account the nationwide periods of public life restrictions. Results In 2020, 22% fewer patients presented via dental and CMFS emergency service. In a monthly comparison, there were negative peaks of up to − 41% in November, but also a plus of 26% in July. The largest decreases were recorded during the lockdown periods in spring (− 33%) and winter (− 39%). Further, a threefold increase in actual emergencies and inpatient admissions revealed during these time periods (p < 0.001). Conclusions COVID-19 pandemic had a significant impact on the dental and CMFS emergency service in 2020 resulting in more severe cases. Clinical relevance This study underlines the importance of maintaining an emergency service system and basic outpatient care in these specialities, which requires uniform recommendations from the medical-dental societies and politics.

A qualitative exploration: life after the emergency services

2016 ◽  
Vol 5 (2) ◽  
pp. 158-173 ◽  
Author(s):  
Mairéad Bracken-Scally ◽  
Sinéad McGilloway
Keyword(s):  
Interpretative Phenomenological Analysis ◽  
Emergency Service ◽  
Emergency Services ◽  
Service Work ◽  
Major Life ◽  
Content Type ◽  
Potential Impact ◽  
Qualitative Exploration ◽  
The Impact

Purpose Much has been written about the impact of emergency service work on personnel, but very little is known about the lives of personnel once they have retired. The purpose of this paper is to explore the experiences and assess the quality of life (QoL) of emergency service retirees (ESRs) and to ascertain the possible longer term effects of emergency service work. Design/methodology/approach A series of one-to-one interviews was conducted with ESRs (n=10). These were then transcribed and analysed using interpretative phenomenological analysis. Findings A number of key emergent themes and associated sub-themes were identified from the analysis including: retirement as a major life change; potential impact of working role and unique aspects of emergency service work; trauma; and health and ageing more generally. Overall, the findings highlight the unique experiences of ESRs and the potential longer term impact of emergency service work on QoL in retirement. Originality/value In an under-researched area, the findings point towards a need to improve the transition to retirement for ESRs and, in particular, to enhance available supports, information and guidance for retirees, both prior to and following retirement.

Outreach Psychiatric Emergency Service

Crisis ◽  
2020 ◽  
Vol 41 (5) ◽  
pp. 375-382
Author(s):  
Remco F. P. de Winter ◽  
Mirjam C. Hazewinkel ◽  
Roland van de Sande ◽  
Derek P. de Beurs ◽  
Marieke H. de Groot
Keyword(s):  
General Practitioner ◽  
General Hospital ◽  
Suicidal Behavior ◽  
Emergency Service ◽  
Attempted Suicide ◽  
Emergency Services ◽  
Psychiatric Emergency ◽  
Psychiatric Emergency Services ◽  
Psychiatric Emergency Service ◽  
Suicidal Patients

Abstract. Background: Outreach psychiatric emergency services play an important role in all stages of a suicidal crisis; however, empirical assessment data are scarce. This study describes characteristics of patients assessed by these services and involved in suicidal crises. Method: During a 5-year period, detailed information from psychiatric emergency service assessments was recorded; 14,705 assessments were included. Characteristics of patients with/without suicidal behavior and with/without suicide attempts were compared. Outcomes were adjusted for clustering of features within individual patients. Results: Suicidal behavior was assessed in 32.2% of patients, of whom 9.2% attempted suicide. Suicidal behavior was most commonly associated with depression or adjustment disorder and these patients were referred to the service by a general practitioner or a general hospital, whereas those who attempted suicide were less likely to be referred by a general practitioner. Those who attempted suicide were more likely to be female and have had a referral by a general hospital. Self-poisoning by medication was the most common method of attempting suicide. Limitations: Bias could be due to missed or incomplete assessments. Primary diagnoses were based on clinical observation at the time of the assessment or on the primary diagnosis previously recorded. In addition, suicidal behavior or attempted suicide might have been underestimated. Conclusions: Suicidal behavior is commonplace in assessments by psychiatric emergency services. Suicidal patients with/without a suicide attempt differed with respect to demographic features, primary diagnoses, and referring entities, but not with respect to treatment policy. About 40% of the suicidal patients with/without an attempt were admitted following assessment.

Efektivitas Layanan Darurat Jakarta Siaga 112 dalam Penanganan Kebakaran oleh UPT. Pusat Data & Informasi Kebencanaan BPBD Provinsi DKI Jakarta

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Musa Musa
Keyword(s):  
Emergency Service ◽  
Fire Management ◽  
Emergency Services ◽  
The Public ◽  
Information Center ◽  
Disaster Data ◽  
In Fire ◽  
Document Review

This research was conducted to determine the Effectiveness of Jakarta Siaga 112 Emergency Services in Fire Management by UPT. Disaster Data & Information Center of BPBD DKI Jakarta Province by paying attention to aspects contained in the Effectiveness of the Jakarta Siaga Emergency Service Program 112. The research method was carried out with a case study method with data collection techniques using interview methods and document review. Interviews were conducted on 10 (ten) key informants, document review focused on documents related to the Jakarta Emergency Alert Service 112 Effectiveness research in Fire Management. The results showed that the Effectiveness of Jakarta Siaga 112 Emergency Services in Fire Management by UPT. The Center for Disaster Data & Information BPBD DKI Jakarta Province Its effectiveness is still low, due to the Implementation of Emergency Services Jakarta Standby 112 in Fire Management implemented by UPT. Disaster Data & Information Center of BPBD DKI Jakarta Province in terms of the Target Group Understanding of the Program, the Achievement of the Program Objectives aspects, and the Program Follow-up aspects. It is recommended to continue to disseminate this Emergency Service to the public, it is necessary to increase the firm commitment of the Head of 8 SKPD related to fire management so that all units play a role in accordance with the Standard Operating Procedures (SOPs) for Fire Management and the evaluation and follow-up of program services that are held periodically 3 once a month.Keywords: Effectiveness, Emergency Services, Fire Handling

Introduction

2017 ◽  
Author(s):  
George E. Dutton
Keyword(s):  
Nineteenth Century ◽  
Vantage Point ◽  
15Th Century ◽  
The World ◽  
Catholic Mission ◽  
Historical Moment ◽  
The Impact ◽  
Main Figure

This chapter introduces the book’s main figure and situates him within the historical moment from which he emerges. It shows the degree to which global geographies shaped the European Catholic mission project. It describes the impact of the Padroado system that divided the world for evangelism between the Spanish and Portuguese crowns in the 15th century. It also argues that European clerics were drawing lines on Asian lands even before colonial regimes were established in the nineteenth century, suggesting that these earlier mapping projects were also extremely significant in shaping the lives of people in Asia. I argue for the value of telling this story from the vantage point of a Vietnamese Catholic, and thus restoring agency to a population often obscured by the lives of European missionaries.

Analyse des interactions didactiques lors de l’enseignement du football à l’école Tunisienne

2013 ◽  
Vol 22 (5-6) ◽  
pp. 387-404
Author(s):  
Guerchi Maher ◽  
Makram Zghibi
Keyword(s):  
Physical Education ◽  
Qualitative Methodology ◽  
Video Sequences ◽  
Physical Education Teacher ◽  
Education Teacher ◽  
Social Facts ◽  
Close Observation ◽  
The Impact

Abstract Our research focuses on describing what is really happening when a teacher wants to transmit to pupils - girls and boys - knowledge socially marked as masculine. To describe the processes involved in effective didactic interactions between a teacher a pupil and knowledge, we opted for qualitative methodology, consisting on a close observation of the didactic interactions of a teacher with his pupils (girls and boys). Analysis of the interviews focused especially on the nature of knowledge actually transmitted for girls and boys. The studied video sequences permitted to study the didactic interactions more precisely as are actually happening on the pitch. Both tools allowed us to identify the educational intentions of teachers (specialist or not); women or men in the teaching of football. The results show that teachers’ conceptions influence implicitly or explicitly the modalities of their interventions and the nature of football knowledge transmitted to pupils. This makes us think that the impact of social facts (backgrounds) on Tunisian teachers is great. This phenomenon may lock the physical education teacher in some representations modeling masculine and feminine stereotypes and affect his didactic and teaching contribution. Therefore, the teacher must be aware of the impact of the connotation that may have certain “masculine” practices on his interventions and consequently over the pupils learning (either boys or girls).

scholarly journals Engaging community pharmacists in quality improvement (QI): a qualitative case study of a partnership between a Higher Education Institute and Local Pharmaceutical Committees

2021 ◽  
Vol 10 (1) ◽  
pp. e001047
Author(s):  
Asam Latif ◽  
Nargis Gulzar ◽  
Fiona Lowe ◽  
Theo Ansong ◽  
Sejal Gohil
Keyword(s):  
Quality Improvement ◽  
Focus Groups ◽  
Qualitative Methodology ◽  
Positive Impact ◽  
Community Pharmacists ◽  
Educational Institute ◽  
Collaboration And Communication ◽  
Improve Service Quality ◽  
The Impact

BackgroundQuality improvement (QI) involves the use of systematic tools and methods to improve the quality of care and outcomes for patients. However, awareness and application of QI among healthcare professionals is poor and new strategies are needed to engage them in this area.ObjectivesThis study describes an innovative collaboration between one Higher Educational Institute (HEI) and Local Pharmaceutical Committees (LPCs) to develop a postgraduate QI module aimed to upskill community pharmacists in QI methods. The study explores pharmacist engagement with the learning and investigates the impact on their practice.MethodsDetails of the HEI–LPCs collaboration and communication with pharmacist were recorded. Focus groups were held with community pharmacists who enrolled onto the module to explore their motivation for undertaking the learning, how their knowledge of QI had changed and how they applied this learning in practice. A constructivist qualitative methodology was used to analyse the data.ResultsThe study found that a HEI–LPC partnership was feasible in developing and delivering the QI module. Fifteen pharmacists enrolled and following its completion, eight took part in one of two focus groups. Pharmacists reported a desire to extend and acquire new skills. The HEI–LPC partnership signalled a vote of confidence that gave pharmacists reassurance to sign up for the training. Some found returning to academia challenging and reported a lack of time and organisational support. Despite this, pharmacists demonstrated an enhanced understanding of QI, were more analytical in their day-to-day problem-solving and viewed the learning as having a positive impact on their team’s organisational culture with potential to improve service quality for patients.ConclusionsWith the increased adoption of new pharmacist’s roles and recent changes to governance associated with the COVID-19 pandemic, a HEI–LPC collaborative approach could upskill pharmacists and help them acquire skills to accommodate new working practices.

Does gender diversity in supervisory boards affect gender diversity in management boards in Germany? An empirical analysis

2021 ◽  
pp. 239700222199714
Author(s):  
Dennis Fleischer
Keyword(s):  
Fixed Effects ◽  
Structural Equation ◽  
Gender Diversity ◽  
Supervisory Board ◽  
Board Members ◽  
Governance System ◽  
Management Board ◽  
Supervisory Boards ◽  
Gender Quota ◽  
The Impact

Social aspects like gender diversity in the boardroom are becoming increasingly relevant and are a popular topic of public debate in the context of gender equality in business. However, there is little clarity about the potential spill-over effects of gender diversity. Both theory and empirical results have led to ambiguous conclusions with respect to the effect of gender diversity in the supervisory board on gender diversity in the management board. In addition, it is not clear whether the German gender quota legislation positively affects this relationship. This study analyses whether gender diversity in the supervisory board supports the gender diversity of the management board, and whether this relationship is affected by the gender quota legislation, focusing on the unique case of Germany. To cope with endogeneity concerns, this study employs a cross-lagged panel model with fixed effects using maximum likelihood structural equation modelling. The results of the analysis of the impact of the number of female supervisory board members on the number of female management board members do not support the view of positive spill-over effects of gender diversity in the environment of the German two-tier corporate governance system. Furthermore, this study finds no evidence of an effect of the German gender quota on this relationship. JEL Codes G38, M12, M14, M51

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