Lessons of European VET? National systems and international prescriptions

2022 ◽  
pp. 19-43
Author(s):  
Bill Esmond ◽  
Liz Atkins
Keyword(s):  
National Systems

scholarly journals Cerebrospinal Fluid Shunt-Associated Surgical Site Infection With Three- Versus Twelve-Month Follow-Up in Canadian Hospitals

2020 ◽  
Vol 41 (S1) ◽  
pp. s157-s157
Author(s):  
Kelly Baekyung Choi ◽  
John Conly ◽  
Blanda Chow ◽  
Joanne Embree ◽  
Bonita Lee ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Age Distribution ◽  
Patient Characteristics ◽  
Csf Shunt ◽  
Surveillance Program ◽  
Site Infection ◽  
Infection Surveillance ◽  
Surgical Manipulation ◽  
National Systems

Background: Surgical site infection (SSI) after cerebrospinal fluids (CSF) shunt surgery is thought to be acquired intraoperatively. Biomaterial-associated infection can present up to 1 year after surgery, but many national systems have shortened follow-up to 90 days. We compared 3- versus 12-month follow-up periods to determine the nature of case ascertainment in the 2 periods. Methods: Participants of any age with placement of an internal CSF shunt or revision surgical manipulation of an existing internal shunt identified in the Canadian Nosocomial Infection Surveillance Program (CNISP) participating hospitals between 2006 and 2018 were eligible. We excluded patients with external shunting devices or culture-positive CSF at the time of surgery. Patients were followed for 12 months after surgery for the primary outcome of a CSF infection with a positive CSF culture by review of laboratory and health records. Patients were categorized as adult (aged ≥18 years) or pediatric (aged < 18 years). The infection rate was expressed as the number of CSF shunt-associated infections divided by the number of shunt surgeries per 100 procedures. Results: In total, 325 patients (53% female) met inclusion criteria in 14 hospitals from 7 provinces were identified. Overall, 46.1% of surgeries were shunt revisions and 90.3% of shunts were ventriculoperitoneal. For pediatric patients, the median age was 0.7 years (IQR, 0.2–7.0). For adult patients, the median age was 47.9 years (IQR, 29.6–64.6). The SSI rates per 100 procedures were 3.69 for adults and 3.65 for pediatrics. The overall SSI rates per 100 procedures at 3 and 12 months were 2.74 (n = 265) and 3.48 (n = 323), respectively. By 3 months (90 days), 82% of infection cases were identified (Fig. 1). The median time from procedure to SSI detection was 30 days (IQR, 10–65). No difference was found in the microbiology of the shunt infections at 3- and 12-month follow-ups. The most common pathogens were coagulase-negative Staphylococcus (43.6 %), followed by S. aureus (24.8 %) and Propionibacterium spp (6.5 %). No differences in age distribution, gender, surgery type (new or revision), shunt type, or infecting organisms were observed when 3- and 12-month periods were compared. Conclusions: CSF-SSI surveillance for 3 versus 12 months would capture 82.0% (95% CI, 77.5–86.0) of cases, with no significant differences in the patient characteristics, surgery types, or pathogens. A 3-month follow-up can reduce resources and allow for more timely reporting of infection rates.Funding: NoneDisclosures: None

Multiscale accessibility and urban performance

2021 ◽  
pp. 239980832110246
Author(s):  
Nir Kaplan ◽  
David Burg ◽  
Itzhak Omer
Keyword(s):  
Performance Indicators ◽  
Spatial Planning ◽  
Spatial Scales ◽  
Urban System ◽  
Spatial Accessibility ◽  
Spatial Systems ◽  
Urban Scaling ◽  
National Road ◽  
National Systems ◽  
Specific Scale

Accessibility is fundamentally thought to be related to functional, economic, and social performances of cities and geographical systems and, therefore, constitutes an essential aspect for spatial planning. Previous studies focused on cities or metropolitan scales, often disregarding their position within regional and national systems, which can greatly affect their performance. Although accessibility at various spatial scales has been examined, the studies focused on accessibility patterns at different scales, with no reference to the level of accessibility of cities over local, regional, and national scales simultaneously, i.e. multiscale accessibility. This study aims to elucidate the multiscale accessibility level of individual cities and examine its relationship to urban performance in the urban system of Israel. Spatial accessibility was analyzed using the space syntax methodology for the entire national road network across multiple geographic scales—from the local to the national scale. Based on three distinct spatial accessibility systems identified, a unique multiscale accessibility profile was created for individual cities in Israel. Subsequently, each city’s multiscale accessibility profiles were examined against urban performance indicators determined from urban scaling theory. We found that the superiority of cities characterized by high accessibility level plays a role not only for a specific scale but also over scales and spatial systems. Moreover, most urban performance indicators related to the multiscale accessibility profiles of cities, while some multiscale accessibility profiles can be related to over- or under-performance of cities. The findings suggest that pervasive accessibility across spatial scales is inherently connected to urban performance and may indicate on the implementation and interpretation of accessibility. These findings may assist in various aspects of spatial planning at various scales.

Underground Built Heritage (UBH) as Valuable Resource in China, Japan and Italy

Heritage ◽  
2021 ◽  
Vol 4 (4) ◽  
pp. 3208-3237
Author(s):  
Roberta Varriale ◽  
Laura Genovese
Keyword(s):  
Research Council ◽  
Methodological Approach ◽  
National Research Council ◽  
Functional Classification ◽  
Static And Dynamic Analysis ◽  
Built Heritage ◽  
Living Space ◽  
Definition Of ◽  
The Given ◽  
National Systems

Recent research about the theoretical approach to elements of cultural heritage that can be included in the newly born class Underground Built Heritage (UBH), has provided several instruments for the functional classification and the static and dynamic analysis of all artefacts coherent with the given definition, while introducing several criteria for their reuse and the evaluation of connected enhancement processes as well. These guidelines can be adopted to analyze single artefacts, groups of homogenous or heterogeneous elements, and also selected territorial assets or national systems, even at a comparative level. With reference to this potential, research results from the application of this new methodological approach to the outputs of three ongoing projects by the National Research Council of Italy, all focusing on UBH, in three countries: China, Japan and Italy, are presented. With reference to the above-mentioned geographical contests, the research introduces a comparative study focusing on selected examples of artefacts that have been historically built underground to manage three functions: living space, religion and economy. This study, carried out based on data collected during onsite visits by the authors, consists in three steps: selection and analysis of case studies, definition of level of reuses on the basis of a given scale, and analysis of the different tools adopted for their conservation and enhancement. In the conclusions, possible future implementations of reuses of the analyzed elements are pointed out.

Conceptualising Doctoral Supervision in Malaysia as a Small Culture

2020 ◽  
Author(s):  
Rafidah Sahar ◽  
◽  
Nur Nabilah Abdullah ◽  
Keyword(s):  
Group Process ◽  
Meaning Making ◽  
Cross Cultural Comparison ◽  
Cultural Boundaries ◽  
Alternative Approach ◽  
Doctoral Supervision ◽  
Shared Norms ◽  
National Systems ◽  
Purposive Sample ◽  
Supervisory Practice

Research on doctoral supervision in the field of Intercultural Communication has traditionally been applied to cross-cultural comparison, particularly across national systems and cultural boundaries. However, recent years have witnessed that such comparison is being challenged and re-analysed in light of potential risk of over generalisation and stereotyping in its observation. In this research, we consider the relevance of small cultures (Holliday 1994, 1999) as an alternative approach to conceptualise doctoral supervisory practice as a dynamic on-going group process through which its members make sense of and operate purposefully within particular contexts and shared behaviours. Narrative-based qualitative research was designed to generate and analyse the data. The participants were a purposive sample of six recently graduated PhD students at a Malaysian public university. One-on-one narrative interviews were conducted with the students to gather their supervisory narratives. Analyses of the students’ transcripts were completed using a holistic-content approach (Lieblich et al. 2008). Findings reveal a distinct set of behaviours and understandings that constitute the cultures of supervisory practice in the Malaysian university context. Through the notion of small cultures, this research proposes that cultures of PhD supervision can be best understood through an analysis of shared norms, behaviours and values between students and supervisors during supervisory practice. This research hopes that the move from a focus on large culture (i.e. Malaysianness per se) to a focus on the meaning-making process between students and supervisors from different backgrounds can assist education practitioners such as PhD supervisors to avoid stereotyping and overgeneralising.

Come conciliare la solidarietŕ sociale e l'efficienza economica nell'era della globalizzazione: un punto di vista "regolazionista"

ARGOMENTI ◽  
2009 ◽  
pp. 5-29
Author(s):  
Robert Boyer
Keyword(s):  
Social Security ◽  
Historical Perspective ◽  
Social Protection ◽  
Policy Makers ◽  
Financial Compensation ◽  
Regulation Theory ◽  
Régulation Theory ◽  
Incentive Strategies ◽  
National Systems

- The policy makers who seek a model that guide its efforts to reform national systems of social protection are faced with many tests that support the need to move from traditional welfare based on financial compensation of risk to incentive strategies to avoid the risks, especially those related to unemployment. This article proposes concepts and methods related to the régulation theory and the issue of social security coverage through the consideration of the national systems of social protection in a comparative and historical perspective and analyzing the evolution of social protection in France in the light of models of welfare, workfare and flexicurityKeywords: welfare, organizations and institutional forms, solidarity and efficiency. Parole Chiave: sistemi nazionali di protezione sociale, organizzazioni e forme istituzionali, solidarietŕ ed efficienza.

Economic sovereignty and economic security of Ukraine (interrelation and mutual understanding) in the context of their doctrinal and legal support

2021 ◽  
Vol 28 (3) ◽  
pp. 209-223
Author(s):  
Vasyl Ya. Tatsii ◽  
Yevhen M. Bilousov ◽  
Daryna S. Kosinova
Keyword(s):  
Economic Security ◽  
The State ◽  
Mutual Understanding ◽  
Economic Relations ◽  
Economies In Transition ◽  
Effective System ◽  
National Model ◽  
Legal Security ◽  
Definition Of ◽  
National Systems

The purpose of this article is to address current issues of doctrinal and legal security of economic security of the state with the actualisation of issues concerning the relationship between the concepts of “economic security” and “economic sovereignty” in their relationship and mutual understanding. The authors pay attention to the analysis of existing in the national legal doctrines of individual countries scientific approaches to the definition of “economic sovereignty”, clarify its main features, analyse the scientific approaches of domestic and foreign researchers to define the concept of “economic security” and on this basis own vision of the instrumental content of these definitions. It is argued that the concept of “economic sovereignty” is primary in relation to the concept of “economic security”. The article examines the national systems (models) of economic security of the state, including, in particular, American, Japanese, Chinese, models of institutional entities (in particular, the EU), models typical of countries with economies in transition. The authors found that Ukraine is characterised by a system (model) of economic security of countries with economies in transition, which is fragmented and inconsistent in its construction, which ultimately affects the state of economic security of the state as a whole. It was found that the main goal of Ukraine at this stage of its development in the context of building a national model of economic security is to create an effective system of means to overcome or minimise existing or potential threats, especially in the context of globalisation of trade and economic relations. The paper emphasises the need to borrow positive foreign experience of legal support of relations for the creation and implementation of national systems of economic security of the state to gradually transform Ukraine into an important participant in the processes of international economic security

scholarly journals ICD, Mental Disorder and British Nosologists: An assessment of the uniquely British contribution to psychiatric classification

1994 ◽  
Vol 165 (1) ◽  
pp. 1-3 ◽  
Author(s):  
Michael Shepherd
Keyword(s):  
North America ◽  
Mental Disorder ◽  
Historical Survey ◽  
Psychiatric Classification ◽  
The Subject ◽  
The Uk ◽  
National Systems ◽  
The Way

During several recent international meetings on classification, there have been frequent references to national systems of classification developed and used in Europe, North America and many other countries. The UK has been notably absent from this list. As Professor Kendell, in his brief historical survey of the subject, points out: “British psychiatry does not have, and indeed never has had, any important diagnostic concepts of its own in the way that French, American, and Scandinavian psychiatry still do” (Kendell, 1985).

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