The feelings of residents in the face of the large-scale rationalization of medical resources : A qualitative study on the way of streamlining community medicine, examining a local area in Hokkaido as an example

Chapter 5 follows the sensational trial of Frieda Kliem’s murderer and the strategy of the defense, which was not so much a legal strategy as a way of turning the trial into a question of Frieda’s respectability as a middle-class woman. It interprets this trial—and the life of Frieda Kliem, more generally—as a microcosm of the large-scale confrontation between nineteenth-century society and the emerging twentieth-century world. It contends that identity, presented either authentically or as an illusion, became supremely relevant in the metropolis, where the ubiquity of strangers, new faces, and mysterious crimes shaped the way city people narrated the search for love and intimacy. And because enterprising outsiders like Frieda Kliem so flouted the established patterns of middle-class respectability, they remained on the outside looking in as German society clung to the nineteenth-century world that was crumbling in the face of a bewilderingly new twentieth-century one.

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Structural Change in Hospitals: The Implications for Research

Journal of Health Services Research & Policy ◽

10.1177/135581969600100108 ◽

1996 ◽

Vol 1 (1) ◽

pp. 44-50 ◽

Cited By ~ 2

Author(s):

Anthony Harrison

Keyword(s):

Health Care ◽

Structural Change ◽

Health Services ◽

Large Scale ◽

Final Section ◽

Health Care Sector ◽

Hospital System ◽

The Face ◽

The Way

This paper begins by considering briefly the interdependent nature of the health care sector and suggests that most research on structural change in the hospital system has ignored that obvious fact. It then goes on to argue that this failure will become even more significant in the face of the large scale changes that are expected in the way health services are delivered. Its central proposal is that the research horizons should be widened, particularly if change on the scale that appears likely is to be properly evaluated. How that may be done is considered in the final section.

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(A238) Optimizing Medical Response to Large-Scale Disasters: The Ad Hoc Collaborative Healthcare System

Prehospital and Disaster Medicine ◽

10.1017/s1049023x1100224x ◽

2011 ◽

Vol 26 (S1) ◽

pp. s65-s65

Author(s):

K. Peleg ◽

A. Lipski ◽

Y. Kreiss ◽

N. Ash

Keyword(s):

Healthcare System ◽

Large Scale ◽

Ad Hoc ◽

Recent Experience ◽

Medical Resources ◽

Medical Response ◽

The Face ◽

Coordination System ◽

Hospital Teams ◽

The Impact

During the authors' recent experience in Haiti during the early aftermath of a major earthquake, it was discovered that more optimal use of field hospitals could be achieved through increased coordination across the deployed medical resources. Moreover, if it were possible to standardize both the capabilities of these resources and their inter-operational guidelines, further improvement in resource utilization could be achieved. Resolving the bottleneck particularly was crucial as the impact on mortality that specialized field hospitals may affect in disasters is observed primarily early on. Confronted with tremendous need in the face of massive devastation, a solution was improvised: For every patient requiring a higher level of care sent by a light hospital, it would have to take a patient being cared for by the authors' in exchange. This arrangement allowed the admission patients who had been screened by other health professionals as requiring an acute intervention that the authors were in a unique position to provide, and ensured that patients would remain under medical care until they were stable enough to be discharged. Additionally, senior medical staff to light hospitals to help identify which patients would most likely benefit from being transferred to the authors' facility. With the other hospital teams' cooperation, surgeons performed needed morbidity and mortality reducing operations on more patients than would have otherwise been possible. Implementing a collaborative healthcare system would help achieve more optimal use of all the medical resources available in a disaster. Further optimization could likely be achieved if participating countries and organizations adhered to a standardized classification and coordination system. Both levels of coordination, at the preparatory and deployment stages, would likely lead to decreased mortality, morbidity, and disability among the devastated population.

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Ban Ki-moon, 2007–2016

10.1093/oso/9780198748915.003.0009 ◽

2018 ◽

Author(s):

Richard Gowan

Keyword(s):

United States ◽

Decision Making ◽

Security Council ◽

Large Scale ◽

Central African Republic ◽

The United States ◽

Cautious Approach ◽

Peacekeeping Operations ◽

Council Decision ◽

The Face

During Ban Ki-moon’s tenure, the Security Council was shaken by P5 divisions over Kosovo, Georgia, Libya, Syria, and Ukraine. Yet it also continued to mandate and sustain large-scale peacekeeping operations in Africa, placing major burdens on the UN Secretariat. The chapter will argue that Ban initially took a cautious approach to controversies with the Council, and earned a reputation for excessive passivity in the face of crisis and deference to the United States. The second half of the chapter suggests that Ban shifted to a more activist pressure as his tenure went on, pressing the Council to act in cases including Côte d’Ivoire, Libya, and Syria. The chapter will argue that Ban had only a marginal impact on Council decision-making, even though he made a creditable effort to speak truth to power over cases such as the Central African Republic (CAR), challenging Council members to live up to their responsibilities.

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Modelling Reliability Characteristics of Technical Equipment of Local Area Computer Networks

Electronics ◽

10.3390/electronics10080955 ◽

2021 ◽

Vol 10 (8) ◽

pp. 955

Author(s):

Vasyl Teslyuk ◽

Andriy Sydor ◽

Vincent Karovič ◽

Olena Pavliuk ◽

Iryna Kazymyra

Keyword(s):

Large Scale ◽

Computer Network ◽

Network Reliability ◽

Local Area ◽

Technical Equipment ◽

Time To Failure ◽

Reliability Parameters ◽

Reliability Characteristics ◽

Global World ◽

Level 2

Technical systems in the modern global world are rapidly evolving and improving. In most cases, these are large-scale multi-level systems and one of the problems that arises in the design process of such systems is to determine their reliability. Accordingly, in the paper, a mathematical model based on the Weibull distribution has been developed for determining a computer network reliability. In order to simplify calculating the reliability characteristics, the system is considered to be a hierarchical one, ramified to level 2, with bypass through the level. The developed model allows us to define the following parameters: the probability distribution of the count of working output elements, the availability function of the system, the duration of the system’s stay in each of its working states, and the duration of the system’s stay in the prescribed availability condition. The accuracy of the developed model is high. It can be used to determine the reliability parameters of the large, hierarchical, ramified systems. The research results of modelling a local area computer network are presented. In particular, we obtained the following best option for connecting workstations: 4 of them are connected to the main hub, and the rest (16) are connected to the second level hub, with a time to failure of 4818 h.

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Reframing refugee crisis: A “European crisis of migration” or a “crisis of protection”?

Environment and Planning C Politics and Space ◽

10.1177/2399654421989705 ◽

2021 ◽

pp. 239965442198970

Author(s):

Maissaa Almustafa

Keyword(s):

Large Scale ◽

Global South ◽

Global Media ◽

Developing Regions ◽

International Protection ◽

High Commissioner ◽

The Face ◽

Global North ◽

Displaced People ◽

Resettlement Programs

The end of 2015 witnessed a global record in the number of forcibly displaced people fleeing because of wars and persecution. The unprecedented total of 65.3 million displaced individuals, out of which 21.3 million were refugees, was the highest number that the United Nations High Commissioner for Refugees (UNHCR) has recorded since its establishment in 1950. During the same year and in the face of this large-scale crisis, only 107,100 refugees were admitted for resettlement through official resettlement programs, whereas 3.2 million people applied for asylum globally. And in spite of the fact that the majority of the world refugees are hosted in ten developing regions, the dominant narrative in the global media was about the “unauthorized” arrival of more than one million asylum seekers in Europe by sea during 2015. This paper argues that the unexpected nature of refugees’ arrivals has proven that refugees were supposed to be contained in their camps in the Global South, deterred from reaching the territories of the Global North, represented here by Europe. Thus, the paper proposes that these arrivals are rather reflections of a crisis of protection that developed in the Global South where containment and deterrence strategies against refugees from the Global South exacerbate their inhumane displacement conditions in home regions. In the same context, the paper discusses how international protection structures have been reconstructed to serve the same goals of containment and deterrence, with the ultimate aim of putting people ‘back in place’ with minimal access to protection and rights.

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Healthcare and Terrorism: The Lebanese Experience

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2021.26 ◽

2021 ◽

pp. 1-4

Author(s):

Nooreddine Iskandar ◽

Tatiana Rahbany ◽

Ali Shokor

Keyword(s):

Public Health ◽

Qualitative Study ◽

Thematic Analysis ◽

Terrorist Attacks ◽

Analysis Method ◽

Structured Interviews ◽

Security Issues ◽

The Face ◽

The Common ◽

First Time

Abstract Background: Due to the common instability caused by political and security issues, Lebanese hospitals have experienced acts of terrorism multiple times. The most recent Beirut Explosion even forced several hospitals to cease operations for the first time in decades—but studies show the preparedness levels for such attacks in similar countries are low. Objective: The aim of this study is to explore the experience of Lebanese hospitals with terrorist attacks. Methods: This qualitative study used semi-structured interviews with various stakeholders to assess their experience with terrorist bombings. Data was analyzed using the thematic analysis method. Results: The researchers found that Lebanese hospitals vary greatly in their structures and procedures. Those differences are a function of 3 contextual factors: location, culture, and accreditation status. Hospitals found near ‘dangerous zones’ were more likely to be aware and to have better response to such events. A severe lack of communication, unity of command, and collaboration between stakeholders has made the process fragmented. Conclusion: The researchers recommend a larger role for the Ministry of Public Health (MOPH) in this process, and the creation of a platform where Lebanese organizations can share their experiences to improve preparedness and resilience of the Lebanese healthcare system in the face of terrorism.

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Conservation of animal genetic resources: approaches and technologies for in situ and ex situ conservation

Animal Genetic Resources Information ◽

10.1017/s1014233900002571 ◽

2008 ◽

Vol 42 ◽

pp. 71-85 ◽

Cited By ~ 8

Author(s):

J.A. Woolliams ◽

O. Matika ◽

J. Pattison

Keyword(s):

Rural Communities ◽

Genetic Resources ◽

Large Scale ◽

Production Systems ◽

Regional Distribution ◽

Livestock Production ◽

Ex Situ ◽

Animal Genetic Resources ◽

The Face ◽

Livestock Products

SummaryLivestock production faces major challenges through the coincidence of major drivers of change, some with conflicting directions. These are:1. An unprecedented global change in demands for traditional livestock products such as meat, milk and eggs.2. Large changes in the demographic and regional distribution of these demands.3. The need to reduce poverty in rural communities by providing sustainable livelihoods.4. The possible emergence of new agricultural outputs such as bio-fuels making a significant impact upon traditional production systems.5. A growing awareness of the need to reduce the environmental impact of livestock production.6. The uncertainty in the scale and impact of climate change. This paper explores these challenges from a scientific perspective in the face of the large-scale and selective erosion of our animal genetic resources, and concludes thai there is a stronger and more urgent need than ever before to secure the livestock genetic resources available to humankind through a comprehensive global conservation programme.

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Sexual Assault: Indigenous Women’s Experiences of Not Being Believed by the Police

Violence Against Women ◽

10.1177/10778012211013903 ◽

2021 ◽

pp. 107780122110139

Author(s):

Jodie Murphy-Oikonen ◽

Lori Chambers ◽

Karen McQueen ◽

Alexa Hiebert ◽

Ainsley Miller

Keyword(s):

Data Analysis ◽

Sexual Assault ◽

Qualitative Study ◽

Sexual Victimization ◽

Secondary Data ◽

Secondary Data Analysis ◽

Indigenous Women ◽

Women’S Experiences ◽

Women's Experiences ◽

The Way

Rates of sexual victimization among Indigenous women are 3 times higher when compared with non-Indigenous women. The purpose of this secondary data analysis was to explore the experiences and recommendations of Indigenous women who reported sexual assault to the police and were not believed. This qualitative study of the experiences of 11 Indigenous women reflects four themes. The women experienced (a) victimization across the lifespan, (b) violent sexual assault, (c) dismissal by police, and (d) survival and resilience. These women were determined to voice their experience and make recommendations for change in the way police respond to sexual assault.

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