Whose Knowledge? What Transfer?

2010 ◽  
Vol 33 (1) ◽  
pp. 4-7 ◽  
Author(s):  
Michael Agar

The article is a written version of an invited plenary on knowledge transfer for medical practitioners and researchers in Alberta, Canada. The heart of it, as presented and as written here, is that “knowledge transfer” needs to be thought of as knowledge from front line organizational staff and clients transferred to leadership that controls resources and regulations. The argument is based on three cases from health-related settings. The conclusion is that a mix of ethnography and complexity theory can serve as a kind of short-term “clinical” intervention into an organization, but that long-term structural change is required and that is usually more problematic in social services than in the private sector.

Author(s):  
Petra C. Gronholm ◽  
Claire Henderson ◽  
Tanya Deb ◽  
Graham Thornicroft

There is a rich literature on the nature of mental health-related stigma and the processes by which it severely affects the life chances of people with mental health problems. Applying this knowledge to deliver and evaluate interventions to reduce stigma in a lasting way is, however, a complex and long-term challenge. This chapter outlines how mental health-related stigma and discrimination have been defined; describes the negative impact they have on people with mental illness; summarizes anti-stigma strategies and the evidence regarding their effectiveness; and makes suggestions for future intervention development and evaluation. It seems likely that short-term interventions may only have a short-term impact, with the implication being the need to study longer-term interventions and to use interim process and outcome data to improve interventions along the way.


2010 ◽  
Vol 10 (1) ◽  
Author(s):  
Margreet J Teune ◽  
Aleid G van Wassenaer ◽  
Ben Willem J Mol ◽  
Brent C Opmeer

Author(s):  
Ana Radina

The COVID-19 pandemic and the accompanying extraordinary measures engaged restrictions of fundamental human rights and liberties to an unprecedented scale. Inevitably, this had implications in the family context as well. Even though children are not considered to be an endangered category from a medical perspective, they are adversely affected by the pandemic in practically all aspects of life, in the short-term and in the long-term. One of the child’s rights directly affected is the right to maintain direct contact with both parents on a regular basis. Digital means of communication can somewhat mitigate the lack of personal contact, however, not everyone has access to the necessary technologies and there might be various disagreements about exercising such indirect contact. The closure of judiciary and social services placed the burden of resolving contact related disputes almost entirely upon parents. This paper aims to examine the relevant legal framework and measures taken in relation to the child’s right to maintain contact with both parents in the circumstances of the pandemic, with particular focus on the Croatian context and the response of the Croatian authorities to the challenges arising from this extraordinary situation, and to identify actions which could be taken in order to improve the child’s unfavourable position.


Author(s):  
Kathleen L. Grady ◽  
Pariya L. Fazeli ◽  
James K. Kirklin ◽  
Salpy V. Pamboukian ◽  
Connie White‐Williams

Background Factors related to health‐related quality of life (HRQOL) 2 years after left ventricular assist device (LVAD) implantation are unknown. We sought to determine whether preimplant intended goal of LVAD therapy (heart transplant candidate [short‐term group], uncertain heart transplant candidate [uncertain group], and heart transplant ineligible [long‐term group]) and other variables were related to HRQOL 2 years after LVAD implantation. Methods and Results Our LVAD sample (n=1620) was from INTERMACS (Interagency Registry for Mechanically Assisted Circulatory Support). Using the EuroQol‐5 Dimension Questionnaire (EQ‐5D‐3L), a generic HRQOL measure, and the Kansas City Cardiomyopathy Questionnaire (KCCQ‐12), a heart failure–specific HRQOL measure, multivariable linear regression modeling was conducted with the EQ‐5D‐3L Visual Analog Scale (VAS) score and KCCQ‐12 overall summary score (OSS) as separate dependent variables. Two years after LVAD implant, the short‐term group had a significantly higher mean VAS score versus the uncertain and long‐term groups (short‐term: 75.18 [SD, 20.62]; uncertain: 72.27 [SD, 20.33]; long‐term: 70.87 [SD, 22.09], P =0.01); differences were not clinically meaningful. Two‐year mean scores did not differ by group for the KCCQ‐12 OSS (short‐term, 67.85 [SD, 20.61]; uncertain, 67.79 [SD, 19.31]; long‐term, 67.08 [SD, 21.49], P =0.80). Factors associated with a worse VAS score 2 years postoperatively (n=1205) included not working; not having a short‐term LVAD; and postoperative neurological dysfunction, greater health‐related stress, coping poorly, less VAD self‐care confidence, and less satisfaction with VAD surgery, explaining 28% of variance ( P <0.001). Factors associated with a worse KCCQ‐12 OSS 2 years postoperatively (n=1250) included not working; history of high body mass index and diabetes mellitus; and postoperative renal dysfunction, greater health‐related stress, coping poorly, less VAD self‐care confidence, less satisfaction with VAD surgery, and regret regarding VAD implantation, accounting for 36% of variance ( P <0.001). Conclusions Factors related to HRQOL 2 years after LVAD implantation include demographic, clinical, and psychological variables.


Author(s):  
Birgitta Dian Saraswati ◽  
M. Khusaini

This study aimed to identify how household consumption is influenced by economic crises in 1997 according to Keynes absolute income hypothesis. Using Chow Test and Partial Adjustment Models, the result show that the economic crisis in 1997 resulted in a structural change in household consumption in Indonesia clearly visible from MPC value before the economic crisis is bigger than the MPC after the crisis. The economic crisis has an effect on household consumption in Indonesia in both the short term and in the long term.  


1995 ◽  
pp. 9-26
Author(s):  
Manuel Del Valle ◽  

It analyzes the structural change in the context of the price band in the Andean Pact in order to advance proposals for the reform of Decision 37.1 so that it can consider the systematic and sustained changes in the international product market. The focus of the work is statistical, since the system is updated using moving averages and statistical criteria. Thirteen time series used in the price band system are analyzed and univariate models are proposed for each one of them. Furthermore, a rule is proposed to define the structural change, and the univariate models obtained are used to prove said rule using Monte Carlo test for the thirteen products. It is concluded that the price band system can be useful to face short-term fluctuations in international prices, as well as long-term adjustments, but it is not prepared to solve problems generated by structural changes, so it can be modified to consider this issue, but the basic principle of the system should be maintained.


2017 ◽  
Vol 15 (2) ◽  
Author(s):  
Dewi Sri Indriati

Strategies that can be developed to empower this productive zakat, ranging from legal products to building networks in the form of productive investment partnerships. One is money endowments that can open up unique opportunities to create investments to provide religious services, educational services, and social services. Nazhir has an important role in managing endowments property in accordance with what is desired by the endowments and can be benefited by the community then Nazhir must have programs work both short-term programs and long-term programs. In order to develop endowments productively, the government established Badan Wakaf Indonesia (BWI) which has the purpose to coordinate with Nazhir and the development of national and international endowments management. The medium and long-term program is to develop existing Nazhir institutions to be more credible (professional and trustworthy) so the institutions should be directed, nurtured and given stimulus (stimulus) so that the endowments property can be developed productively.


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