scholarly journals Designing Support Structures Post Sepsis in Children: Perspectives of the Queensland Paediatric Sepsis Program

2021 ◽  
Vol 9 ◽  
Author(s):  
Sainath Raman ◽  
Alana English ◽  
Meagan O'Keefe ◽  
Amanda Harley ◽  
Mary Steele ◽  
...  
Keyword(s):  
Unmet Needs ◽  
Public Awareness ◽  
Sepsis Syndrome ◽  
Future Research ◽  
Limited Evidence ◽  
Clinical Support ◽  
Sepsis Survivors ◽  
Psychosocial Morbidity ◽  
Sepsis Care ◽  
The Ideal

Introduction: Paediatric post sepsis syndrome is poorly defined and causes physical, neurocognitive, psychosocial morbidity, and family dysfunction. Families of sepsis survivors report unmet needs during care. Worldwide, the provision of post sepsis care is in its infancy with limited evidence to design clinical support pathways.Perspective: The Queensland Paediatric Sepsis Program (QPSP) developed a family support structure (FSS) to improve care during all stages of childhood sepsis. It was designed in partnership with consumers guided by information from consumers and it is partly delivered by consumers. Key areas include online, multimodal education for families and the ability to connect with other families affected by sepsis. The FSS is delivered by a multidisciplinary team (MDT) acting with clinicians local to the child. Families can join the FSS registry at any stage of their sepsis journey which connects them to our MDT team and opens opportunities to participate in future research and other initiatives. Improving public awareness is a critical outcome for our consumers and they have co-designed media and digital campaigns.Discussion: The ideal FSS for post sepsis syndrome management is a clinical pathway designed in partnership with consumers of interventions proven to improve outcomes from sepsis that meets their requirements. The QPSP FSS is novel as it is co-designed with, and partly delivered by, consumers with interventions aimed to improve the entire spectrum of morbidities suffered by survivors and their families, not just physical sequelae. Evaluation is embedded in the program and outcomes will guide evolution of the FSS.

More than carrots and sticks: Economic statecraft and coercion in China–Taiwan relations from 2000 to 2019

Politics ◽  
2021 ◽  
pp. 026339572096265
Author(s):  
Christina Lai
Keyword(s):  
Public Awareness ◽  
Theoretical Development ◽  
Future Research ◽  
Asian Countries ◽  
Power Asymmetry ◽  
Economic Statecraft ◽  
Trading Partners ◽  
Economic Coercion ◽  
Chinese Group ◽  
Level Analysis

China has become one of the most important trading partners for many Asian countries, and Taiwan is at the forefront of China’s economic coercion. It also leads to the following empirical puzzle: When can Beijing’s economic sanctions and incentives achieve their desired outcomes? Why and how do they often fail? Given the power asymmetry between China and Taiwan, how Taiwan resists China’s coercive measures contributes significantly to theoretical development in international relations. Taiwan has responded to Chinese economic pressure by diversifying its trade with and investment in Southeast Asian and South Asian countries to lessen dependence on China. It also securitizes China–Taiwan relations by raising public awareness about over-reliance on China’s market. Taiwan is not only a target of China’s coercion, but an active actor in its own right as well. This article re-evaluates the literature on East Asian politics and economic statecraft. First, it highlights the salience of power asymmetry to the field of economic statecraft. Second, it offers a three-level analysis of when and how China exercised economic coercion and incentives towards Taiwan. Third, it examines how Taiwan addressed Beijing’s sanctions on Chinese group tourists starting in 2016. The final section discusses some conclusions that can be drawn and suggests some avenues for future research.

scholarly journals Protocol for a two-arm pragmatic stepped-wedge hybrid effectiveness-implementation trial evaluating Engagement and Collaborative Management to Proactively Advance Sepsis Survivorship (ENCOMPASS)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Marc Kowalkowski ◽  
Tara Eaton ◽  
Andrew McWilliams ◽  
Hazel Tapp ◽  
Aleta Rios ◽  
...  
Keyword(s):  
Usual Care ◽  
Best Practice ◽  
Healthcare Delivery ◽  
Collaborative Management ◽  
High Morbidity ◽  
Type I ◽  
Stepped Wedge ◽  
Sepsis Management ◽  
Sepsis Survivors ◽  
Sepsis Care

Abstract Background Sepsis survivors experience high morbidity and mortality, and healthcare systems lack effective strategies to address patient needs after hospital discharge. The Sepsis Transition and Recovery (STAR) program is a navigator-led, telehealth-based multicomponent strategy to provide proactive care coordination and monitoring of high-risk patients using evidence-driven, post-sepsis care tasks. The purpose of this study is to evaluate the effectiveness of STAR to improve outcomes for sepsis patients and to examine contextual factors that influence STAR implementation. Methods This study uses a hybrid type I effectiveness-implementation design to concurrently test clinical effectiveness and gather implementation data. The effectiveness evaluation is a two-arm, pragmatic, stepped-wedge cluster randomized controlled trial at eight hospitals in North Carolina comparing clinical outcomes between sepsis survivors who receive Usual Care versus care delivered through STAR. Each hospital begins in a Usual Care control phase and transitions to STAR in a randomly assigned sequence (one every 4 months). During months that a hospital is allocated to Usual Care, all eligible patients will receive usual care. Once a hospital transitions to STAR, all eligible patients will receive STAR during their hospitalization and extending through 90 days from discharge. STAR includes centrally located nurse navigators using telephonic counseling and electronic health record-based support to facilitate best-practice post-sepsis care strategies including post-discharge review of medications, evaluation for new impairments or symptoms, monitoring existing comorbidities, and palliative care referral when appropriate. Adults admitted with suspected sepsis, defined by clinical criteria for infection and organ failure, are included. Planned enrollment is 4032 patients during a 36-month period. The primary effectiveness outcome is the composite of all-cause hospital readmission or mortality within 90 days of discharge. A mixed-methods implementation evaluation will be conducted before, during, and after STAR implementation. Discussion This pragmatic evaluation will test the effectiveness of STAR to reduce combined hospital readmissions and mortality, while identifying key implementation factors. Results will provide practical information to advance understanding of how to integrate post-sepsis management across care settings and facilitate implementation, dissemination, and sustained utilization of best-practice post-sepsis management strategies in other heterogeneous healthcare delivery systems. Trial registration NCT04495946. Submitted July 7, 2020; Posted August 3, 2020.

scholarly journals The unmet needs for identifying the ideal bowel preparation

JGH Open ◽  
2021 ◽  
Author(s):  
Gian E Tontini ◽  
Alberto Prada ◽  
Sandro Sferrazza ◽  
Giorgio Ciprandi ◽  
Maurizio Vecchi
Keyword(s):  
Bowel Preparation ◽  
Unmet Needs ◽  
The Ideal

Agricultural Vehicle Positioning and its Integration with a Large-Scale Land Information System

1991 ◽  
Vol 44 (1) ◽  
pp. 30-36
Author(s):  
Fraser MacLeod
Keyword(s):  
Large Scale ◽  
Free Market ◽  
Public Awareness ◽  
New Technology ◽  
Future Research ◽  
Price Support ◽  
Agricultural Vehicle ◽  
Post War ◽  
Land Information System ◽  
Vehicle Positioning

Agriculture in the U.K. has, since the late 1940s, enjoyed government subsidy and insulation from free market forces. However, the post-war philosophy of ‘every acre counts’ no longer holds true in the face of surplus production and a growing public awareness of the countryside and environmental issues. Legislation relating to water pollution, public rights of way and price support mechanisms are all contributory factors to the radical changes which agriculture is undergoing at the present time. Investigations have shown a need within agriculture for the efficient use and handling of data relating to the land, and a need for new technology to exploit the inherent spatial variability of, for example, the soil. This paper will discuss the development of an agricultural vehicle positioning instrument and future research which will address the needs which have been identified.

Personal and Situational Antecedents of Workers’ Implicit Leadership Theories: A Within-Person, Between-Jobs Design

2018 ◽  
Vol 26 (2) ◽  
pp. 204-216 ◽  
Author(s):  
Winny Shen
Keyword(s):  
Organizational Culture ◽  
Situational Factor ◽  
Future Research ◽  
Personal Factor ◽  
Limited Evidence ◽  
Leadership Theories ◽  
Implicit Leadership ◽  
Implicit Leadership Theories ◽  
The Relationship ◽  
Job Context

Despite a flourishing literature demonstrating the consequences of implicit leadership theories (ILTs) for workplace phenomena, relatively little is known about the antecedents of ILTs, particularly those that are malleable or can be changed to shape ILTs. In two studies of dual-job holders, which allows for the modeling of between- and within-person predictors, I examined the extent to which workers’ ILTs were stable versus dynamic across work contexts. In line with connectionist perspectives, trait identities, a personal factor, promoted stability in ILTs across situations in both studies, whereas there was some limited evidence that organizational culture, a situational factor, only predicted ILTs within a given job context. Furthermore, the relationship between independent identity and ILTs differed when examining workers’ typical versus ideal leadership conceptualizations. Implications for future research on ILTs are also discussed.

Does Mobile Technology Have a Place in Differentiated Instruction?

2014 ◽  
pp. 132-149
Author(s):  
Therese M. Cumming
Keyword(s):  
Educational Technology ◽  
Instructional Design ◽  
Mobile Computing ◽  
Differentiated Instruction ◽  
Mobile Technology ◽  
Evidence Base ◽  
Mobile Technologies ◽  
Future Research ◽  
Inclusive Classroom ◽  
Limited Evidence

Although mobile technologies are relatively new, they have quickly become ubiquitous in education, despite a limited evidence base for their efficacy in instructional design. This chapter discusses differentiated instruction for the inclusive classroom and how this can be best accomplished using mobile technology as an educational tool. Using mobile computing devices such as the iPad in differentiated instruction has many advantages, but is not without challenges. Many of these challenges can be addressed using suggestions from previous research in the areas of differentiated instruction and educational technology. Future research is necessary to provide a solid evidence-base supporting the use of mobile technology with diverse learners in all levels of classroom instruction.

“I Wish I Could Grow a Full Beard”: The Amateur Pogonotropher on the Beardbrand YouTube Channel

2018 ◽  
Vol 20 (4) ◽  
pp. 295-306
Author(s):  
Christopher J. Schneider
Keyword(s):  
Social Media ◽  
Exploratory Study ◽  
Ideal Type ◽  
Media Analysis ◽  
Future Research ◽  
Social Media Platforms ◽  
The Relationship ◽  
The Ideal

Pogonotrophy refers to beard cultivation including growth and grooming practices. This exploratory study contributes to the little understood role of beard culture on YouTube. Scholarship examining the relationship between social media platforms such as YouTube and beard culture is almost nonexistent. This gap in the research allows us to ask the following: What sorts of content do users circulate about beards on YouTube? And, how does this content contribute to how users interact and learn about beards? A total of 62,061 user-generated comments across 310 videos featured on the Beardbrand YouTube channel were collected and examined using qualitative media analysis. Three themes emerged from an analysis of these data: the yeard quest, the ideal type, and how to beard. The findings illustrate the important role that YouTube plays in fostering contemporary beard culture. Suggestions for future research are noted.

scholarly journals The Prouhet Tarry Escott Problem: A Review

Mathematics ◽  
2019 ◽  
Vol 7 (3) ◽  
pp. 227 ◽  
Author(s):  
Srikanth Raghavendran ◽  
Veena Narayanan
Keyword(s):  
Clear Picture ◽  
Future Research ◽  
Research Directions ◽  
Future Research Directions ◽  
The Ideal

This paper presents a review of the Prouhet Tarry Escott problem. The solutions of the Prouhet Tarry Escott problem are significant because of its numerous applications. Available literature about the present topic has been critically examined. The ideal and non-ideal symmetric solutions of the problem are pointed out. The present work also aims to familiarize one with the different existing methods of obtaining the solutions of the Tarry Escott problem. Difficulties and possible future research directions are addressed. This review contributes a clear picture of the Prouhet Tarry Escott problem.

scholarly journals Public priorities for osteoporosis and fracture research: results from a focus group study

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Ashley Hawarden ◽  
Clare Jinks ◽  
Waheed Mahmood ◽  
Laurna Bullock ◽  
Steven Blackburn ◽  
...  
Keyword(s):  
Focus Groups ◽  
National Survey ◽  
Public Awareness ◽  
Research Priorities ◽  
Fragility Fractures ◽  
Healthcare Services ◽  
Future Research ◽  
The Public ◽  
Delays In Diagnosis

Abstract Summary Four focus groups were conducted with members of the public to identify important areas for future osteoporosis research. Participants identified priorities to increase public awareness of osteoporosis, reduce delays in diagnosis, improve communication between healthcare providers and to improve follow-up and information provision about causes of osteoporosis, medication harms and prognosis. Purpose Patients and the public must be involved in setting research agendas to ensure relevant and impactful questions are prioritised. This study aimed to understand what people living with osteoporosis and fragility fractures felt was important to research, to inform the content of a national survey on research priorities in this area. Methods Focus groups were conducted with members of the public with experience of osteoporosis or fragility fractures. The topic guide was co-developed with a patient and public involvement research user group, and explored participants’ experiences of osteoporosis including diagnosis, management and effect upon their lives, what aspects of their ongoing care was most important to them and what about their care or condition could be improved. Focus groups were audio-recorded, transcribed and analysed thematically. Results A total of twenty-three participants were recruited to four focus groups. Analysis identified two main themes: challenges in living with osteoporosis and healthcare services for osteoporosis. Information needs was a further cross-cutting theme. Participants called for increased public awareness of osteoporosis and wanted healthcare services to address conflicting messages about diet, exercise and medication. Participants described long delays in diagnosis, poor communication between primary and secondary care and the need for structured follow-up as important areas for future research to address. Conclusion The findings from this study provide an understanding of research priorities from the perspective of patients and the public, have informed the content of a national survey and have implications for patient education, health services research and policy.

Perception of Internal-External Control in Ideal and Non-Ideal Others as a Function of One's Own I-E Score

1973 ◽  
Vol 37 (3) ◽  
pp. 743-746 ◽  
Author(s):  
T. Edward Hannah
Keyword(s):  
Social Desirability ◽  
Ideal Type ◽  
External Control ◽  
Future Research ◽  
The Ideal

Ss who had previously completed Rotter's (1966) I-E scale completed it twice more, once for the “ideal type of person” and once for the “non-ideal type of person.” When Ss were divided into two groups on the basis of own I-E scores, Internals rated the ideal other as strongly internal and the non-ideal other as strongly external. The responses of Externals paralleled those of Internals. Since previous research (Hjelle, 1971) has shown that internal choices on the I-E scale are more socially desirable, the present results taken together with those of Hannah (1973) suggest that perhaps Internals are overly sensitive to this social desirability factor in the items of the I-E scale. Two lines of future research are suggested.

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