scholarly journals Enabling Safe and Sustainable Medical Deliveries by Connected Autonomous Freight Vehicles Operating within Dangerous Goods Regulations

2022 ◽  
Vol 14 (2) ◽  
pp. 930
Author(s):  
Andy Oakey ◽  
Matt Grote ◽  
Paul G. Royall ◽  
Tom Cherrett
Keyword(s):  
Lower Cost ◽  
Service Providers ◽  
Incident Response ◽  
Practical Application ◽  
Road Vehicles ◽  
Medical Products ◽  
Dangerous Goods ◽  
Health Service Providers ◽  
Developed Nations ◽  
Freight Vehicles

Health service providers in developed nations are responsible for 5% of their national carbon emissions, much of which originate from transport and supply chains. Connected autonomous freight vehicles (CAV-Fs) offer the potential to reduce this impact and enable lower cost operations, with trials being explored across the world. Transportation and carriage regulations, particularly in relation to the movement of dangerous goods (DG) such as medicines and diagnostic specimens, have not been developed for and applied to this new transport mode, particularly where loads are unaccompanied. Through an audit of current legislation and practice, this paper evaluates current DGs regulations applied to the transportation of medical products and medicines by autonomous road vehicles. Where existing regulations are not appropriate for CAV-Fs, recommendations and adaptations have been proposed to support safe and practical application. Remote monitoring and tracking of vehicles are critical for ensuring load security, quick and effective incident response, and management of documents and communications between parties. Loading/unloading procedures are significantly more important than in crewed vehicles, with load segregation and recording of all activity being of key importance. Other recommendations relate to training provision, vehicle specifications, and product health monitoring.

Health service providers in psychology: Results of the 1978 APA Human Resources Survey.

1981 ◽  
Vol 36 (11) ◽  
pp. 1395-1418 ◽  
Author(s):  
Gary R. VandenBos ◽  
Joy Stapp ◽  
Richard R. Kilburg
Keyword(s):  
Health Service ◽  
Human Resources ◽  
Service Providers ◽  
Health Service Providers

2015 APA Survey of Psychology Health Service Providers

2016 ◽  
Author(s):  
Auntre Hamp ◽  
Karen Stamm ◽  
Luona Lin ◽  
Peggy Christidis
Keyword(s):  
Health Service ◽  
Service Providers ◽  
Health Service Providers

Risk and Protective Factors in the Life of Youth in Relation to Resilience

2018 ◽  
Vol 52 (1) ◽  
pp. 50-59
Author(s):  
Silvia Barnová ◽  
Viola Tamášová
Keyword(s):  
Social Support ◽  
Protective Factors ◽  
School Psychologists ◽  
Social Environment ◽  
Social Services ◽  
Service Providers ◽  
Vital Role ◽  
Great Role ◽  
Health Service Providers

Abstract Introduction: A certain degree of stress is present in everyone’s life and young people are not an exception. Most of them show a certain degree of resilience and can cope with stressful situations without any difficulties, however there is a group of youth who live in toxic environments and need help. If there is a risk of failure due to the intensity of stressors; external formal and informal support have a great role to play as they have the potential to prevent negative developmental outcomes. Purpose: The authors’ intention was to make a review of available literature on the current issues of resilience research with a focus on the importance of protective factors in young people’s lives – especially when they are exposed to adversity. An emphasis is placed on the vital role of social support to individuals provided by schools as well as social services. Methods: In the presented literature review, multiple formal search methods including hand searching of key journals; electronic searching of journal databases and subject specific websites; reference scanning; and citation tracking were used. Conclusion: Individuals commonly demonstrate some level of resilience, yet most of them are able to deal with stressful situations without any harm. On the other hand, if the adversity is too high, the presence of social support provided by their social environment is important. In this context, good relationships in general and sufficient external protective factors provided by their social environment (schools, school psychologists, institutional social and health service providers) are important.

Determinan Kejadian Stunting Pada Balita Di Kabupaten Gianyar Bali

2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Hesteria Friska Armynia Subratha ◽  
Ni Made Indra Peratiwi
Keyword(s):  
Data Collection ◽  
Service Providers ◽  
Information Provision ◽  
Pilot Project ◽  
Z Score ◽  
Enabling Factors ◽  
Analysis Process ◽  
Health Service Providers ◽  
Reinforcing Factors ◽  
Qualitative Descriptive

ABSTRAKPenurunan prevalensi stunting balita merupakan tujuan yang pertama dari enam tujuan dalam Target Nutrisi Global untuk tahun 2025. Program pemerintah dalam penanggulangan masalah gizi pada balita sudah cukup banyak dan terstruktur. Namun, pada kenyataannya kasus kejadian balita stunting masih banyak dijumpai. Pada Kabupaten Gianyar terdapat 22,2% balita stunting, dan merupakan salah satu kabupaten yang menjadi pilot project penanganan stunting di Indonesia.Penelitian ini bertujuan untuk mengetahui secara mendalam determinan kejadian stunting pada balita di Kabupaten Gianyar, Bali  ditinjau dari faktor presdiposisi, faktor pemungkin dan faktor penguat. Penelitian deskriptif kualitatif ini menggunakan metode pengumpulan data observasi dan wawancara mendalam. Pengumpulan data dilaksanakan pada Bulan Mei-Juni 2020. Subyek penelitian ini adalah 8 pengasuh balita (usia 6-60 bulan) dan balita (usia 6-60 bulan) yang memiliki z-score TB/U di bawah -2SD di Kabupaten Gianyar. Proses analisis data menggunakan analisis data tematik.Hasil penelitian menunjukkan bahwa faktor yang berhubungan dengan kejadian stunting adalah adalah faktor pendorong (pengetahuan ibu, pemberian ASI Eksklusif), faktor pemungkin (ketersediaan dana, ketersediaan pangan keluarga), faktor penguat (dukungan keluarga).Semua petugas kesehatan agar memberikan informasi yang memadai mengenai pentingnya gizi pada balita sedini mungkin. Pemberian informasi dapat diberikan melalui penyuluhan kepada remaja, ibu-ibu selama hamil, nifas dan saat menyusui sewaktu ibu kunjungan ANC, mengikuti kelas ibu hamil, datang ke pusling, dan pada waktu ibu berkunjung ke posyandu. Kata Kunci       : Determinan, Stunting, Gianyar  ABSTRACTDecreasing the children stunting prevelence is the first of the sixth 2005 Global Nutrition Target goals. There were a lot and structured government prevention program regarding to the infants nutritional problems. However, in fact,  there were still found 22,2% infants stunting problems in Gianyar Regency. It was one of regencies that become a pilot project of stunting  countermeasures in Indonesia.This study aimed to determine the Gianyar Regency inftants stunting determinants in terms of precipitating factors, enabling factors and reinforcing factors. This was qualitative descriptive research with observation and in-depth interviews applied as and the data collection methods. Data collection was carried out over May-June 2020. The subjects of this research were 8 infant’s caregivers (6-60 months old) and infants (6-60 months old) who had a TB / U z-score below -2SD in Gianyar Regency. The data analysis process applied thematic data analysis.The results found that the factors associated with stunting occurrence were predisposing factors (knowledge, exclusive breastfeeding), enabling factors (funds availability, family food availability) and reinforcing factors (family support).All health service providers should provide adequate information as early as possible about the nutrition importance for infants. Information provision could be given by counseling to adolescents, mothers during pregnancy, childbirth and while breastfeeding on ANC mothers visit, attend pregnancy classes, visitting clinic and when mothers visit the Integrated Healthcare Center. Keywords         : Determinants, Stunting, Gianyar

Clinical governance in Australia

2015 ◽  
Vol 20 (2) ◽  
pp. 56-73 ◽  
Author(s):  
Allan D Spigelman ◽  
Shane Rendalls
Keyword(s):  
Web Sites ◽  
Service Providers ◽  
Service Level ◽  
Clinical Governance ◽  
Success Factor ◽  
Quality And Safety ◽  
Funding Policy ◽  
Content Type ◽  
Health Service Providers ◽  
Governance Systems

Purpose – The purpose of this paper is to overview, background and context to clinical governance in Australia, areas for further development and potential learnings for other jurisdictions. Design/methodology/approach – Commentary; non-systematic review of clinical governance literature; review of web sites for national, state and territory health departments, quality and safety organisations, and clinical colleges in Australia. Findings – Clinical governance in Australia shows variation across jurisdictions, reflective of a fragmented health system with responsibility for funding, policy and service provision being divided between levels of government and across service streams. The mechanisms in place to protect and engage with consumers thus varies according to where one lives. Information on quality and safety outcomes also varies; is difficult to find and often does not drill down to a service level useful for informing consumer treatment decisions. Organisational stability was identified as a key success factor in realising and maintaining the cultural shift to deliver ongoing quality. Research limitations/implications – Comparison of quality indicators with clinical governance systems and processes at a hospital level will provide a more detailed understanding of components most influencing quality outcomes. Practical implications – The information reported will assist health service providers to improve information and processes to engage with consumers and build further transparency and accountability. Originality/value – In this paper the authors have included an in depth profile of the background and context for the current state of clinical governance in Australia. The authors expect the detail provided will be of use to the international reader unfamiliar with the nuances of the Australian Healthcare System. Other studies (e.g. Russell and Dawda, 2013; Phillips et al., n.d.) have been based on deep professional understanding of clinical governance in appraising and reporting on initaitives and structures. This review has utilised resources available to an informed consumer seeking to understand the quality and safety of health services.

Recovery Star: validating user recovery

2012 ◽  
Vol 36 (2) ◽  
pp. 45-50 ◽  
Author(s):  
Geoff Dickens ◽  
Judy Weleminsky ◽  
Yetunde Onifade ◽  
Philip Sugarman
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Internal Consistency ◽  
Mental Health Problems ◽  
Service Providers ◽  
Mental Health Recovery ◽  
Addictive Behaviour ◽  
Health Service Providers ◽  
The Uk

Aims and methodMental Health Recovery Star is a multifaceted 10-item outcomes measure and key-working tool that has been widely adopted by service providers in the UK. We aimed to explore its factorial validity, internal consistency and responsiveness. Recovery Star readings were conducted twice with 203 working-age adults with moderate to severe mental health problems attending a range of mental health services, and a third time with 113 of these individuals.ResultsMental Health Recovery Star had high internal consistency and appeared to measure an underlying recovery-oriented construct. Results supported a valid two-factor structure which explained 48% of variance in Recovery Star ratings data. Two Recovery Star items (‘relationships’ and ‘addictive behaviour’) did not load onto either factor. There was good statistically significant item responsiveness, and no obvious item redundancy. Data for a small number of variables were not normally distributed and the implications of this are discussed.Clinical implicationsRecovery Star has been received enthusiastically by both mental health service providers and service users. This study provides further evidence for its adoption in recovery-focused mental health services and indicates that items relating to addictive behaviour, responsibilities and work could be further developed in future.

scholarly journals Barriers for kangaroo mother care (KMC) acceptance, and practices in southern Ethiopia: a model for scaling up uptake and adherence using qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Selamawit Mengesha Bilal ◽  
Henok Tadele ◽  
Teshome Abuka Abebo ◽  
Birkneh Tilahun Tadesse ◽  
Mekonnen Muleta ◽  
...  
Keyword(s):  
Research Study ◽  
Service Providers ◽  
Scale Up ◽  
Formative Research ◽  
Kangaroo Mother Care ◽  
Southern Ethiopia ◽  
Theory Approach ◽  
Structural Factors ◽  
Implementation Model ◽  
Health Service Providers

Abstract Background Globally, approximately 15 million babies are born preterm every year. Complications of prematurity are the leading cause of under-five mortality. There is overwhelming evidence from low, middle, and high-income countries supporting kangaroo mother care (KMC) as an effective strategy to prevent mortality in both preterm and low birth weight (LBW) babies. However, implementation and scale-up of KMC remains a challenge, especially in lowincome countries such as Ethiopia. This formative research study, part of a broader KMC implementation project in Southern Ethiopia, aimed to identify the barriers to KMC implementation and to devise a refined model to deliver KMC across the facility to community continuum. Methods A formative research study was conducted in Southern Ethiopia using a qualitative explorative approach that involved both health service providers and community members. Twenty-fourin-depth interviewsand 14 focus group discussions were carried out with 144study participants. The study applied a grounded theory approach to identify,examine, analyse and extract emerging themes, and subsequently develop a model for KMC implementation. Results Barriers to KMC practice included gaps in KMC knowledge, attitude and practices among parents of preterm and LBW babies;socioeconomic, cultural and structural factors; thecommunity’s beliefs and valueswith respect to preterm and LBW babies;health professionals’ acceptance of KMC as well as their motivation to implement practices; and shortage of supplies in health facilities. Conclusions Our study suggests a comprehensive approach with systematic interventions and support at maternal, family, community, facility and health care provider levels. We propose an implementation model that addresses this community to facility continuum.

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