An Exploration of the Quality of Peer Review Group Activities within Australasia

1996 ◽  
Vol 30 (5) ◽  
pp. 660-666 ◽  
Author(s):  
Sadie Robertson ◽  
Gordon Parker ◽  
Simon Byrne ◽  
Murray Wright
Keyword(s):  
Peer Review ◽  
Clinical Work ◽  
Second Phase ◽  
Practice Model ◽  
Two Phase ◽  
Review Group ◽  
Phase Study ◽  
Process And Outcome ◽  
Peer Review Groups

Objective: To describe a two-phase study of the structure of Australasian psychiatrist peer review groups. Method (Phase one): Initially, information was sought from chairskoordinators of psychiatrist peer review groups regarding the nature and organisation of their group. Results (Phase one): One hundred and three questionnaires were returned describing a number of models of peer review. Three principal models were identified: a teaching hospital model, a private practice model, and a private institution model. Method (Phase two): The second-phase questionnaire sought information on the quality of the review, using six proposed standards developed by the Quality Assurance Committee of the Royal Australian and New Zealand College of Psychiatrists. Results (Phase two): Many groups indicated that four of the proposed standards (those relating to documentation, having clear goals, reviewing actual clinical cases, and rigorous protection of confidentiality) were either already being followed or would be relatively easy to implement. The remaining two proposed standards (including structure, process and outcome dimensions of health care in the case discussion, and the use of explicit criteria) presented more difficulty. Conclusion: The application of such standards to peer review group meetings should assist groups to provide a forum for presentation and evaluation of clinical work where participants know they will be challenged in an environment which is both supportive and educational.

scholarly journals Three-Dimensional Analysis of the In Vivo Motion of Implantable Cardioverter Defibrillator Leads

2021 ◽  
Author(s):  
Tamas Szili-Torok ◽  
Jens Rump ◽  
Torsten Luther ◽  
Sing-Chien Yap
Keyword(s):  
Three Dimensional ◽  
Second Phase ◽  
Two Phase ◽  
Maximum Curvature ◽  
Phase Study ◽  
Absolute Curvature ◽  
Icd Leads ◽  
Lead Testing ◽  
Design And Testing

Abstract Better understanding of the lead curvature, movement and their spatial distribution may be beneficial in developing lead testing methods, guiding implantations and improving life expectancy of implanted leads. Objective The aim of this two-phase study was to develop and test a novel biplane cine-fluoroscopy-based method to evaluate input parameters for bending stress in leads based on their in vivo 3D motion using precisely determined spatial distributions of lead curvatures. Potential tensile, compressive or torque forces were not subjects of this study. Methods A method to measure lead curvature and curvature evolution was initially tested in a phantom study. In the second phase using this model 51 patients with implanted ICD leads were included. A biplane cine-fluoroscopy recording of the intracardiac region of the lead was performed. The lead centerline and its motion were reconstructed in 3D and used to define lead curvature and curvature changes. The maximum absolute curvature Cmax during a cardiac cycle, the maximum curvature amplitude Camp and the maximum curvature Cmax@amp at the location of Camp were calculated. These parameters can be used to characterize fatigue stress in a lead under cyclical bending. Results The medians of Camp and Cmax@amp were 0.18 cm−1 and 0.42 cm−1, respectively. The median location of Cmax was in the atrium whereas the median location of Camp occurred close to where the transit through the tricuspid valve can be assumed. Increased curvatures were found for higher slack grades. Conclusion Our results suggest that reconstruction of 3D ICD lead motion is feasible using biplane cine-fluoroscopy. Lead curvatures can be computed with high accuracy and the results can be implemented to improve lead design and testing.

Depression in Patients with Schizophrenia in a Psychiatry Hospital in Lagos, Nigeria

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Akinjola O ◽  
◽  
Lawal RA ◽  
Ojo AM ◽  
Adeosun II ◽  
...  
Keyword(s):  
Social Support ◽  
Depressive Symptoms ◽  
Depressive Disorder ◽  
Second Phase ◽  
Two Phase ◽  
Good Treatment Outcome ◽  
Phase Study ◽  
Poor Social Support ◽  
Schizophrenic Patients

Schizophrenia is a devastating and highly disabling disorder associated with long-term consequences. Treatment is often made difficult by the presence of comorbidities like depression which when considered in management ensures good outcome. This study aimed to determine the prevalence and correlates of depression in schizophrenia. It is a two-phase study involving 320 outpatients recruited by consecutive sampling. The first phase entails confirming diagnosis with Mini International Neuropsychiatric Interview (MINI), psychotic disorder module, assessing socio-demographic characteristic and screening for depressive symptoms with the Beck Depression Inventory (BDI) by a trained assistant. In the second phase, the researcher then assesses for depressive disorder using MINI, depressive disorder module among subjects who screened positive with BDI together with 10% of those who screened negative. Over four-fifth (83.4%) of the participants were less than 50 years, they were mostly females (57.2%), of Yoruba ethnic group (59.7%), Christians (75.6%), and earn below ₦18,000 monthly or nothing (72.2%). Also, a large proportion (86.2%) had good social support. Over a third of the participants were married (38.1%) with about four-fifth of these living with their spouses. The prevalence of depressive symptoms and depressive disorder were 49.7% and 38.4% respectively. Logistic regression revealed that poor social support predicts depressive in Schizophrenia. In conclusion, Depression is common in patients with schizophrenia. Therefore, thorough evaluation of schizophrenic patients is necessary so that, co-morbid depression when present can be detected and considered in management to ensure good treatment outcome.

Ontario’s Poverty Reduction Strategy

2016 ◽  
Vol 48 (3-4) ◽  
pp. 100-109 ◽  
Author(s):  
Sarah Benbow ◽  
Carolyne Gorlick ◽  
Cheryl Forchuk ◽  
Catherine Ward-Griffin ◽  
Helene Berman
Keyword(s):  
Critical Discourse Analysis ◽  
Poverty Reduction ◽  
Second Phase ◽  
Two Phase ◽  
Policy Document ◽  
Reduction Strategy ◽  
Phase Study ◽  
Poverty Reduction Strategy ◽  
The Government ◽  
Gender Neutrality

This article overviews the second phase of a two-phase study which examined experiences of health and social exclusion among mothers experiencing homelessness in Ontario, Canada. A critical discourse analysis was employed to analyze the policy document, Realizing Our Potential: Ontario’s Poverty Reduction Strategy, 2014–2019. In nursing, analysis of policy is an emerging form of scholarship, one that draws attention to the macro levels influencing health and health promotion, such as the social determinants of health, and the policies that impact them. The clear neo-liberal underpinnings, within the strategy, with a focus on productivity and labor market participation leave little room for an understanding of poverty reduction from a human rights perspective. Further, gender-neutrality rendered the poverty experienced by women, and mothers, invisible. Notably, there were a lack of deadlines, target dates, and thorough action and evaluation plans. Such absence troubles whether poverty reduction is truly a priority for the government, and society as a whole.

scholarly journals Perceptions of Power Mobility Use and Safety within Residential Facilities

2005 ◽  
Vol 72 (3) ◽  
pp. 142-152 ◽  
Author(s):  
William B. Mortenson ◽  
William C. Miller ◽  
Jeanette Boily ◽  
Barbara Steele ◽  
Leslie Odell ◽  
...  
Keyword(s):  
Qualitative Interviews ◽  
Self Esteem ◽  
Residential Facilities ◽  
Two Phase ◽  
Safety Measures ◽  
The Road ◽  
Phase Study ◽  
Power Wheelchairs ◽  
No Gold Standard

Background. Power wheelchairs enhance quality of life by enabling occupation, improving self-esteem and facilitating social interaction. Despite these benefits, the risks associated with power mobility use raise serious concerns in residential facilities. Purpose. As there is no gold standard to assess when a client is unsafe, a two-phase study was conducted to develop client-centred guidelines for power mobility use. Method. In the first phase of the study, presented here, 18 in-depth, qualitative interviews were conducted with a variety of stakeholders, including power mobility users, other residents, staff and family members. Results. A thematic analysis of the interviews revealed four main themes: 1) the meaning of power mobility, 2) learning the rules of the road, 3) red flags: concerns about safety, and 4) solutions. Practice Implications. Given the importance of power mobility, safety measures need to address issues of mobility and safety for power mobility drivers and those around them.

Group Peer Review in Psychiatry: The Relationship to Quality Improvement and Quality Care

1996 ◽  
Vol 30 (5) ◽  
pp. 653-659 ◽  
Author(s):  
Margaret Balla ◽  
Barbara Knothe ◽  
Jeanette Lancaster ◽  
Shirley Prager ◽  
Josephine Beatson
Keyword(s):  
Quality Improvement ◽  
Reflective Practice ◽  
Peer Review ◽  
Professional Growth ◽  
Qualitative Methodology ◽  
Quality Care ◽  
Clinical Work ◽  
And Function ◽  
The Relationship ◽  
Peer Review Groups

Objective: This study sought to elucidate the contribution of peer review groups involving psychiatrists to quality improvement and quality care. Method: Audio-taped interviews of groups engaged in peer review were analysed using a qualitative methodology. Participants' views of the ways in which they experienced and conceptualised peer review were explored. Results: The views of participants in peer review groups were analysed, and categories evolved which identified differences in how they perceived the structure and function of group peer review. Conclusions: Participants in the groups studied perceived peer review as a professional growth forum within a quality improvement framework providing critical review of treatment, continuing education, and a sense of collegiality. Boundaries of acceptable practice were tested and defined. At its best, participation in peer review groups enhanced reflective practice which achieved new understandings of clinical work. In this regard, peer review is seen as a highly desirable method for the maintenance of professional standards.

scholarly journals KUALITAS FISIK ORGANOLEPTIK LIMBAH TAUGE KACANG HIJAU YANG DIFERMENTASI MENGGUNAKAN Trichoderma harzianum DENGAN LEVEL YANG BERBEDA

2017 ◽  
Vol 5 (2) ◽  
pp. 28
Author(s):  
Riskha Ayuk Rihadini ◽  
S. Mukodiningsih ◽  
S. Sumarsih
Keyword(s):  
Trichoderma Harzianum ◽  
Green Bean ◽  
Second Phase ◽  
F Test ◽  
Two Phase ◽  
Physical Quality ◽  
Organoleptic Test ◽  
Effect Of Treatment ◽  
Bean Sprouts

The objective of this research is to test the physical quality of organoleptic including of the color, smell, texture and pH of fermented bean sprouts using Trichoderma harzianum in different level. This research consists of two phase. The first phase is the process of fermentation of green bean sprouts waste that divided into 4 treatments that is the addition of Trichoderma harzianum at 0%, 2%, 4% and 6% level of 4 replications. The second phase of research is to conduct organoleptic test in covering of the color, smell, texture and pH of fermented bean sprouts waste using Trichoderma harzianum in different level. The material used waste bean sprouts, Trichoderma harzianum, aquades. The data obtained at if statistically using RAL. The result data of the research is tested by F test, if there is effect of treatment then proceed with Duncan test at 5% level. The results showed 2% Trichoderma harzianum giving the best pH 5,18. Trichoderma harzianum 6% gives the best color of  green brown, texture rather crumbs and acid smells. Keywords:Fermented, Bean Sprouts, Organoleptic, Trichoderma harzianum

scholarly journals A methodological framework to allocate storage space for outbound containers

2021 ◽  
Vol 22 (3) ◽  
pp. 1-12
Author(s):  
María D. Gracia
Keyword(s):  
Performance Metrics ◽  
Container Terminals ◽  
Second Phase ◽  
Storage Space ◽  
Methodological Framework ◽  
Two Phase ◽  
The Impact ◽  
Alternative Solutions ◽  
Outbound Containers

The staking of containers on ideal locations within the yard is a tactical decision that affects the productivity of container terminals. The goal is to improve posterior loading and retrieval operations, to get better use of terminal resources. In this paper, we study how to allocate storage space for outbound containers in container terminals. A two-phase methodological framework is proposed. The first phase groups outbound containers into clusters of similar operational loading conditions. Then in a second phase, a bi-objective storage space assignment model is solved to determine the set of block-bays where groups of similar containers will be stored during the planning horizon. This study presents a double contribution. On one hand, it proposes a new methodological framework that combines operations research and data mining techniques to solve a storage space assignment problem for outbound containers. On the other hand, it analyzes the impact of three factors on four performance metrics used to evaluate the quality and quantity of alternative solutions to the problem of allocation of storage space for outbound containers. The experimental framework is composed of an experimental design study to assess the impact of three factors on four performance metrics used to assess the quality of the storage space assignment solutions, and a case study to validate the proposed approach. The experimental results reveal that the storage yard's capacity and the number of clusters used to group the containers destined to a vessel are the main factors that affect the number and quality of alternative solutions.

scholarly journals Exploring the use of self-assessment to facilitate health students’ generic skills development

2021 ◽  
Vol 12 (2) ◽  
pp. 65-81
Author(s):  
Mahbub Sarkar ◽  
Simone Gibson ◽  
Nazmul Karim ◽  
Dakota Rhys-Jones ◽  
Dragan Ilic
Keyword(s):  
Formal Education ◽  
The Self ◽  
Assessment Process ◽  
Skills Development ◽  
Second Phase ◽  
Self Assessment ◽  
Two Phase ◽  
Generic Skills ◽  
Phase Study ◽  
Group Interviews

Employability skills for health graduates, and many disciplines within higher education, are considered vital to maximising their capacity to cope with the rapidly changing, uncertain and highly competitive labour market. Despite the increasing importance of developing generic skills for employability, there is a dearth of knowledge about how to support health students to develop generic skills as part of their formal education. The main objective of this two-phase study was to engage health students in the process of self-assessment of their generic skills and explore the potential of this process to facilitate their generic skills development. The first phase of this study engaged students in completing a self- assessment questionnaire, incorporating a validated set of industry-demanded skills with associated behaviours. In the second phase a subsection of respondents participated in focus group interviews that explored their perception of the self-assessment process in generic skills development. Students viewed themselves as having some capabilities to perform the generic skills, as well as their university studies contributing to the development of these skills. The qualitative data found that the self-assessment process prompted students to reflect on their abilities and further engage with developing these skills. This study supports the evidence for contextualising and embedding a process of self-assessment of generic skills into the formal curricula to help better prepare health students for their future work.

scholarly journals THE DEVELOPMENT OF EQ MODULE FOR INTERVENING TEACHERS’ EMOTIONAL INTELLIGENCE IN MALAYSIA

2018 ◽  
Author(s):  
Syafrimen Syafril ◽  
Noriah Mohd. Ishak ◽  
Siti Rahayah Ariffin
Keyword(s):  
Emotional Intelligence ◽  
Document Analysis ◽  
Second Phase ◽  
Self Assessment ◽  
Observation Study ◽  
Two Phase ◽  
Self Confidence ◽  
Phase Study ◽  
Depth Interview ◽  
Explanatory Mixed Methods

The purpose of this study is to develop the EQ module to help improve emotional intelligence teachers. Explanatory mixed methods designs were utilized in the method section. This was a two-phase study which started by an observation study involving 112 teachers to decide the EQ co-competency that needed intervention. Furthermore, this study also utilized a case study (n= 32 working professionals) and document analysis (n= 12 documents), to decide the methods and usefulness of the module in developing a valid co-competency. The data for the first phase were collected using an EQ instrument (IKEM/MEQI), and was analyzed using the SPSS softwares. Whereas the data from the second phase were collected through an in-depth interview, group interview and document analysis, which were then analyzed using the NVivo 2 and NVivo 7softwares. The findings of the first phase showed that there are 11 EQ competencies that needed intervention (emotioanal awareness, Accurate Self-Assessment, self confidence, honesty, self controll, Trustworthiness, achievement drive, Undertanding others, developing others, influence, conflict managemet). The case studies also showed that there are certain methods to increase those 11 EQ competencies. The result of both phases were used as the foundation to develop an EQ module which was the main objective of this study. All of those competencies has been trained for 4 days using the newly developed EQ module. The result of the study showed that there are improvements on those 11 EQ competencies. Training participants also said that they had fun in the training using the newly developed EQ module.

A Study on Adaptability of Total Quality Management in Engineering Education Sector

2012 ◽  
Vol 2 (4) ◽  
pp. 25-37 ◽  
Author(s):  
Chandra Sekhar Patro
Keyword(s):  
Quality Management ◽  
Total Quality Management ◽  
Engineering Education ◽  
Quality Management System ◽  
Educational Institution ◽  
Educational Institutions ◽  
Second Phase ◽  
Total Quality ◽  
Two Phase

Quality management is an approach to management which requires establishing quality policies, procedures and practices on regular basis. Engineering education is a process of developing techno human resources, which are to be used later as input to industry which in turn produces goods and services for the societal use. Having considered the current situation of the engineering educational system and the quality of all its individual components it can be noticed that the awareness of the importance of education as a foundation for the growth and development of the country, such as India, is not strong enough. Engineering graduates passing out from educational institutions have to fulfill modern and high standard requirements that are needed by industry. Therefore, there is a greater need to instill quality in engineering education to produce technically skilled and creative man-power in India. The continuous assessment of quality is of paramount importance for educational institution. Education efficiency and success does not depend just on quantity but as well on quality. This paper has discussed key points for the improvement in the quality of engineering education with a case study undertaken at various engineering colleges in India. The study was conducted in two phase; first phase is the critical investigation of the literature and the second phase is a study on the quality of engineering education provided by the educational institutions in Visakhapatnam city. A simple random sampling technique was adopted for the study. A research study described in this paper identifies and analyses the quality of engineering education at the educational institutions which adopt the total quality management system to increase the quality and meet the industrial requirements and then suggests some ingredients to improve the quality.

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