scholarly journals Canine-Assisted Interventions in Hospitals: Best Practices for Maximizing Human and Canine Safety

2021 ◽  
Vol 8 ◽  
Author(s):  
Sandra B. Barker ◽  
Nancy R. Gee
Keyword(s):  
Veterinary Medicine ◽  
Best Practices ◽  
Medical Center ◽  
Scientific Evidence ◽  
Intervention Programs ◽  
Model Program ◽  
Therapy Dog ◽  
Policies And Procedures ◽  
Major Medical Center ◽  
Practical Implications

Canine-assisted interventions (CAI) are becoming more popular in hospital settings, representing a crucial intersection between animals, veterinary medicine, and society. However, standardized policies and procedures to minimize risk and maximize benefit to vulnerable humans and protect therapy dog welfare are lacking, posing a challenge to safe practice. Few intervention programs are evaluated to document efficacy compounding the potential risk. This paper presents a rationale for CAI in hospitals and describes the evidence, issues, and challenges to establishing and maintaining safe and effective programs for humans and animals. Recommendations are made for best practices based on the existing scientific evidence and a model program in place in a major medical center for 19 years. Scientific and practical implications are considered.

2020 SEC risk alert provides guidance for private fund advisers

2020 ◽  
Vol 21 (1) ◽  
pp. 49-54
Author(s):  
Kenneth Breen ◽  
Phara Guberman
Keyword(s):  
Best Practices ◽  
Design Methodology ◽  
Conflicts Of Interest ◽  
Securities And Exchange Commission ◽  
Internal Controls ◽  
Content Type ◽  
Policies And Procedures ◽  
Expert Analysis ◽  
Practical Implications ◽  
The U.S

Purpose To analyze the U.S. Securities and Exchange Commission (“SEC”) Office of Compliance Inspections and Examinations (“OCIE”) June 2020 Risk Alert, which identified three categories of deficiencies that the SEC regularly finds in its reviews of advisers to private funds, in order to understand its guidance and recommend best practices. Design/methodology/approach The study discusses the categories of deficiencies that the SEC regularly finds in its reviews of private fund advisers, current SEC enforcement trends, and recommendations for disclosures, internal controls, policies and procedures. Findings The SEC will expect private funds to identify and remedy regular deficiencies in three primary categories: gaps in client and investor disclosures regarding conflicts of interest; deficiencies in disclosures related to fees and expenses; and issues with policies and procedures regarding the treatment of material nonpublic information. Practical implications Private fund advisers should expect increased scrutiny during examinations on the identified deficiencies and use this opportunity to be proactive in addressing these issues. Originality/value Expert analysis and guidance from experienced securities enforcement attorneys.

scholarly journals What Do Israeli Osteoporotic Men Know and Do about Their Disease?

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Offer Emanuel Edelstein
Keyword(s):  
Health Behaviors ◽  
Calcium Intake ◽  
Medical Center ◽  
Physical Activities ◽  
Older Age ◽  
Intervention Programs ◽  
Daily Calcium Intake ◽  
Convenience Sample ◽  
Major Medical Center ◽  
Level Of Knowledge

Aims. The aims of the current study were to evaluate the level of knowledge about osteoporosis among osteoporotic men and to assess the correlations with their health behaviors.Method. A convenience sample of 100 osteoporotic men (mean age 63) attending the bone and mineral clinic at a major medical center in Israel was recruited in 2004. Participants were interviewed by phone using an adapted version of the Facts on Osteoporosis Quiz (FOOQ). Participants were also asked to report on their daily calcium intake and participation in physical activities.Results. The overall level of knowledge about the disease demonstrated by the participants was moderate. Higher education, older age, and fewer fractures were correlated with a higher level of knowledge. In addition, higher levels of education and knowledge were correlated with higher calcium intake. Lastly, a higher knowledge level, older age, and fewer fractures were correlated with higher participation in physical activities.Conclusions. Given the correlations between health behaviors and the level of knowledge among osteoporotic men, intervention programs should be used to evaluate and improve knowledge about osteoporosis, especially among less educated patients.

OCIE issues risk alert on the most frequently identified advisory fee and expense compliance issues

2018 ◽  
Vol 19 (4) ◽  
pp. 1-3
Author(s):  
Robert Van Grover
Keyword(s):  
Design Methodology ◽  
Best Practice ◽  
Investment Management ◽  
Content Type ◽  
Informed Decisions ◽  
Policies And Procedures ◽  
The Us ◽  
Investment Advisers ◽  
Practical Implications

Purpose To summarize and interpret a Risk Alert issued on April 12, 2018 by the US SEC’s Office of Compliance Inspections and Examinations (OCIE) on the most frequent advisory fee and expense compliance issues identified in recent examinations of investment advisers. Design/methodology/approach Summarizes deficiencies identified by the OCIE staff pertaining to advisory fees and expenses in the following categories: fee billing based on incorrect account valuations, billing fees in advance or with improper frequency, applying incorrect fee rates, omitting rebates and applying discounts incorrectly, disclosure issues involving advisory fees, and adviser expense misallocations. Findings In the Risk Alert, OCIE staff emphasized the importance of disclosures regarding advisory fees and expenses to the ability of clients to make informed decisions, including whether or not to engage or retain an adviser. Practical implications In light of the issues identified in the Risk Alert, advisers should assess the accuracy of disclosures and adequacy of policies and procedures regarding advisory fee billing and expenses. As a matter of best practice, advisers should implement periodic forensic reviews of billing practices to identify and correct issues relating to fee billing and expenses. Originality/value Expert guidance from experienced investment management lawyer.

scholarly journals Policies and procedures governing patient portal use at an Academic Medical Center

JAMIA Open ◽  
2019 ◽  
Vol 2 (4) ◽  
pp. 479-488
Author(s):  
Bryan D Steitz ◽  
Joseph Isaac S Wong ◽  
Jared G Cobb ◽  
Brian Carlson ◽  
Gaye Smith ◽  
...  
Keyword(s):  
Government Regulation ◽  
Medical Center ◽  
Academic Medical Center ◽  
Successful Implementation ◽  
Patient Portal ◽  
Patient Portals ◽  
Identity Verification ◽  
Policies And Procedures ◽  
Academic Medical ◽  
And Function

Abstract Background and Objective Patient portal use has increased over the last two decades in response to consumer demand and government regulation. Despite growing adoption, few guidelines exist to direct successful implementation and governance. We describe the policies and procedures that have governed over a decade of continuous My Health at Vanderbilt (MHAV) patient portal use. Methods We examined MHAV usage data between May 2007 and November 2017. We classified patient portal activity into eight functional categories: Appointment, Billing, Document Access, Genetics, Health Result, Immunization, Medication, and Messaging. We describe our operating policies and measure portal uptake, patient account activity, and function use over time. Results By the end of the study period, there were 375 517 registered accounts. Policies made MHAV available to competent adults and adolescents 13 and over. Patients signed up for a limited access account online, which could be upgraded to a full-access account after identity verification. Patients could assign proxy accounts to family and caregivers, which permitted nonpatient access to select MHAV functions. Laboratory and radiology results were accessible via MHAV. Results were classified into three groups based on sensitivity, which govern the length of delay before results appeared in MHAV. Discussion and Conclusion Patient portals offer significant opportunity to engage patients in their healthcare. However, there remains a need to understand how policies can promote uptake and use. We anticipate that other institutions can apply concepts from our policies to support meaningful patient portal engagement.

scholarly journals The problems of increasing transparency on uncertainty

2017 ◽  
Vol 27 (2) ◽  
pp. 131-138 ◽  
Author(s):  
Magda Osman ◽  
Amanda J. Heath ◽  
Ragnar Löfstedt
Keyword(s):  
Decision Making ◽  
Disease Prevention ◽  
Prevention And Control ◽  
Scientific Evidence ◽  
European Medicines Agency ◽  
Scientific Process ◽  
The Public ◽  
And Control ◽  
Current Guidelines ◽  
Practical Implications

Public regulators (such as European Food Safety Authority, European Medicines Agency, and European Centre for Disease Prevention and Control) are placing increasing demands on scientists to make uncertainties about their evidence transparent to the public. The stated goal is utilitarian, to inform and empower the public and ensure the accountability of policy and decision-making around the use of scientific evidence. However, it is questionable what constitutes uncertainty around the evidence on any given topic, and, while the goal is laudable, we argue the drive to increase transparency on uncertainty of the scientific process specifically does more harm than good, and may not serve the interests of those intended. While highlighting some of the practical implications of making uncertainties transparent using current guidelines, the aim is to discuss what could be done to make it worthwhile for both public and scientists.

Standardization of Diagnostic Immunohistochemistry: Literature Review and Geisinger Experience

2014 ◽  
Vol 138 (12) ◽  
pp. 1564-1577 ◽  
Author(s):  
Fan Lin ◽  
Zongming Chen
Keyword(s):  
Quality Management ◽  
Literature Review ◽  
Best Practices ◽  
Critical Points ◽  
Medical Center ◽  
Management Program ◽  
Review Article ◽  
Data Sources ◽  
Test Results ◽  
Antibody Validation

Context Immunohistochemistry has become an indispensable ancillary technique in anatomic pathology laboratories. Standardization of every step in preanalytic, analytic, and postanalytic phases is crucial to achieve reproducible and reliable immunohistochemistry test results. Objective To standardize immunohistochemistry tests from preanalytic, analytic, to postanalytic phases. Data Sources Literature review and Geisinger (Geisinger Medical Center, Danville, Pennsylvania) experience. Conclusions This review article delineates some critical points in preanalytic, analytic, and postanalytic phases; reiterates some important questions, which may or may not have a consensus at this time; and updates the newly proposed guidelines on antibody validation from the College of American Pathologists Pathology and Laboratory Quality Center. Additionally, the article intends to share Geisinger's experience with (1) testing/optimizing a new antibody and troubleshooting; (2) interpreting and reporting immunohistochemistry assay results; (3) improving and implementing a total immunohistochemistry quality management program; and (4) developing best practices in immunohistochemistry.

Understanding a shifting methodology

2018 ◽  
Vol 30 (11) ◽  
pp. 3423-3441 ◽  
Author(s):  
Elizabeth A. Whalen
Keyword(s):  
Best Practices ◽  
Online Community ◽  
Design Methodology ◽  
Virtual Communities ◽  
Tourism Research ◽  
Content Type ◽  
Analysis Techniques ◽  
Hospitality And Tourism ◽  
Qualitative Methodologies ◽  
Practical Implications

PurposeWhile netnography was established to study virtual communities from the traditional ethnography methodology, over time it has evolved and moved away from standard ethnographic practices. The modifications are especially prevalent in hospitality and tourism research because of the nature of experiential and service-based goods. This gap has created exciting new opportunities for researchers. As netnography has matured into its own methodology, it has provided the opportunity for researchers to use netnography techniques or more traditional techniques by following ethnography methodologies. This paper aims to analyze the differences between these two methodologies within hospitality and tourism literature enabling researchers to choose the methodology that is most suited for their project.Design/methodology/approachThis study reviews netnographic research in hospitality and tourism and compares current uses of netnography against traditional ethnographic methodologies.FindingsThere are four major differentiating points between netnography and ethnography: online community definitions, data collection methodologies, ethics in research and data analysis techniques.Practical implicationsIn comparing ethnography and netnography in hospitality and tourism research, this analysis provides a foundation to evaluate the best use and best practices for these two distinct qualitative methodologies in the field. The study also provides references to how other hospitality and tourism researchers have used netnography.Originality/valueEthnographic principles grounded in the foundation of anthropological doctrines are important and distinct from netnography. The ability to use the diverse tools in the qualitative methods toolbox will help hospitality and tourism researchers understand the transforming marketplace.

IT Governance in Romania: A Case Study

2009 ◽  
Vol 9 (1) ◽  
pp. 1850158 ◽  
Author(s):  
Mirela Gheorghe ◽  
Pavel Nastase ◽  
Dana Boldeanu ◽  
Aleca Ofelia
Keyword(s):  
Best Practices ◽  
Financial Institutions ◽  
It Governance ◽  
Status Report ◽  
Policies And Procedures ◽  
Governance Practices ◽  
Global Status ◽  
Using Data ◽  
And Control

Relatively new in Romania, IT governance is defined as procedures and policies established in order to assure that the IT system of an organization sustains its goals and strategies. This bundle of policies and procedures, following the best practices in the area, intends to guide and control the IT function in order to add value to the organization and to minimize IT risks. The purpose of the research is to identify the measure in which the IT governance practices are implemented to the level of the financial institutions in Romania. The goal of this paper is a comparative analysis for implementing IT governance using data offered by the IT Governance Institute. This institute makes every year a study (IT Governance Global Status Report – 2006) to determine a sense of priorities and to develop actions for implementing IT governance, using data which acknowledges once more the need for all organizations to have tools and services to assure an efficient IT governance. In this way, the research will analyze, in the field of Romanian financial institutions, the most serious IT problems pointed out by the respondents from the last year, the most efficient measures considered by top management for resolving problems pointed out, the best used practices in IT governance and the most used frameworks for implementing IT governance practices.

scholarly journals Influence of Environmental Knowledge on Affect, Nature Affiliation and Pro-Environmental Behaviors among Tourists

2018 ◽  
Vol 10 (9) ◽  
pp. 3109 ◽  
Author(s):  
Min-Seong Kim ◽  
Jinwon Kim ◽  
Brijesh Thapa
Keyword(s):  
Environmental Behavior ◽  
Two Dimensions ◽  
Jeju Island ◽  
Environmental Knowledge ◽  
Intervention Programs ◽  
Environmental Behaviors ◽  
Visitor Management ◽  
Commercial Expansion ◽  
Practical Implications

Jeju Island is a popular destination in South Korea that is dependent on nature-based tourism. The annual increase in the influx of visitors has created major environmental impacts due to overuse and commercial expansion. With projected growth in arrivals and the development of tourism infrastructure, the island will experience perpetual challenges for sustainable management of natural resources. However, the role of visitors will be central via a commitment to practice pro-environmental behaviors to protect the island from further degradation. This study was grounded in the cognition-affection-attitude-behavior model to examine the predictive validity of tourists’ environmental knowledge, environmental affect, and nature affiliation on pro-environmental behavior. The data comprised responses from 304 domestic visitors who had visited Jeju Island. The empirical findings indicate that environmental affect was significantly impacted by two dimensions of environmental knowledge (i.e., subjective and objective). Additionally, nature affiliation was positively impacted by environmental affect, while pro-environmental behavior was significantly influenced by both environmental affect and nature affiliation. Overall, these findings provide theoretical and practical implications for sustainable tourism at a nature-based destination. The findings can be utilized for implementation of intervention programs and visitor management at Jeju Island.

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