Clinical Engagement with Finance: Now more than ever!

2020 ◽  
Vol 1 (1) ◽  
pp. 3-8
Author(s):  
Kshiteeja Naik ◽  
Akeeban Maheswaran

The COVID-19 pandemic has affected all aspects of healthcare. The NHS has had to manoeuvre faster than ever before, which is remarkable for a huge organisation known to advance slowly and steadily. The adaptations have had both positive and negative impacts. There were also funding changes, in the form of temporary contractual arrangements. As the NHS plans for the future, an opportunity has arisen to fundamentally change the NHS funding structure. This article will describe the effect of COVID-19 on healthcare finance, the challenges in developing a new payment structure, and the role that clinicians can play in helping shape funding arrangements in the future.

Koedoe ◽  
2017 ◽  
Vol 59 (1) ◽  
Author(s):  
Kudakwashe Musengi ◽  
Sally Archibald

Alien invasive species can have negative impacts on the functioning of ecosystems. Plantation species such as pines have become serious invaders in many parts of the world, but eucalypts have not been nearly as successful invaders. This is surprising considering that in their native habitat they dominate almost all vegetation types. Available theory on the qualities that characterise invasive species was used to assess the invasive potential of Eucalyptus grandis – a common plantation species globally. To determine rates of establishment of E. grandis outside plantations, we compared population demographics and reproductive traits at two locations in Mpumalanga, South Africa: one at higher elevation with more frost. Eucalyptus grandis has a short generation time. We found no evidence that establishment of E. grandis was limiting its spread into native grassland vegetation, but it does appear that recruitment is limited by frost and fire over much of its range in Mpumalanga. Populations at both study locations displayed characteristics of good recruitment. Size class distributions showed definite bottlenecks to recruitment which were more severe when exposed to frost at higher elevations. Generally, the rate of spread is low suggesting that the populations are on the establishing populations’ invasion stage. This research gives no indication that there are any factors that would prevent eucalyptus from becoming invasive in the future, and the projected increase in winter temperatures should be a cause for concern as frost is currently probably slowing recruitment of E. grandis across much of its planted range.Conservation implications: Eucalyptus plantations occur within indigenous grasslands that are of high conservation value. Frost and fire can slow recruitment where they occur, but there are no obvious factors that would prevent E. grandis from becoming invasive in the future, and monitoring of its rates of spread is recommended.


2018 ◽  
Vol 11 (6) ◽  
pp. 41
Author(s):  
Mohamed Buheji

Migration economy has been getting more attention in the last two decades and specially in the last few years due to the huge migration movements around the world, but specifically from South to North. Lots work have been written about the economics of migration and how they create positive and negative impacts on the hosting countries and societies, however few literatures focused on exploring the loss of the migrants’ countries of origin and quantifying the benefits for the hosting countries.The Arab world suffered lately more than any other region in the world lots of traumas that led to make its push factors much more than its pull factors for people with the ambition of change and creating a legacy. In this study, we shall explore the level of loss that Arab world have reached and what is the foresighted migration decisions for pulling successful people in the future, especially if the same conditions and practices exist in such countries. The data collected for seventy screened successful Arab Migrants helps to clarify what type of precious human capital the future carries towards the hosting countries. A tabulation of the level of the contribution of the successful Arab migrants is evaluated and lead for sharper conclusion about the value of these precious assets.


2017 ◽  
Vol 39 (8) ◽  
pp. 2265-2285 ◽  
Author(s):  
John Sylvestre ◽  
Nick Kerman ◽  
Alexia Polillo ◽  
Catherine M. Lee ◽  
Tim Aubry ◽  
...  

Homelessness has consequences for families, including risk of deterioration in the health of their members, disruption of family dynamics, and separation of parents and children. This study used qualitative interviews to explore pathways into and perceived consequences of homelessness among 18 families living in an emergency family shelter system in Canada. Findings showed that families’ experiences prior to their homelessness were characterized by vulnerability, instability, and isolation. In the emergency shelter system, families faced new challenges in environments that were restrictive, noisy, chaotic, and afforded little privacy. Participants described a further disruption of relationships and described having to change their family practices and routines. Despite the challenges that families encountered, some participants felt optimistic and hopeful about the future. Future research is needed on ways in which shelters can be more hospitable, supportive, and helpful for parents and their families to minimize negative impacts and facilitate timely rehousing of families.


2018 ◽  
Vol 10 (3) ◽  
pp. 656 ◽  
Author(s):  
Jumeniyaz Seydehmet ◽  
Guang Lv ◽  
Ilyas Nurmemet ◽  
Tayierjiang Aishan ◽  
Abdulla Abliz ◽  
...  

Significant anthropogenic and biophysical changes have caused fluctuations in the soil salinization area of the Keriya Oasis in China. The Driver-Pressure-State-Impact-Response (DPSIR) sustainability framework and Bayesian networks (BNs) were used to integrate information from anthropogenic and natural systems to model the trend of secondary soil salinization. The developed model predicted that light salinization (vegetation coverage of around 15–20%, soil salt 5–10 g/kg) of the ecotone will increase in the near term but decelerate slightly in the future, and that farmland salinization will decrease in the near term. This trend is expected to accelerate in the future. Both trends are attributed to decreased water logging, increased groundwater exploitation, and decreased ratio of evaporation/precipitation. In contrast, severe salinization (vegetation coverage of around 2%, soil salt ≥20 g/kg) of the ecotone will increase in the near term. This trend will accelerate in the future because decreased river flow will reduce the flushing of severely salinized soil crust. Anthropogenic factors have negative impacts and natural causes have positive impacts on light salinization of ecotones. In situations involving severe farmland salinization, anthropogenic factors have persistent negative impacts.


Atmosphere ◽  
2021 ◽  
Vol 12 (6) ◽  
pp. 787
Author(s):  
Rucun Han ◽  
Zhanling Li ◽  
Zhanjie Li ◽  
Yuanyuan Han

Drought is a natural phenomenon in which the natural amount of water in an area is below the normal level. It has negative impacts on production in numerous industries and people’s lives, especially in the context of climate change. Investigating the spatial–temporal variation of drought is of great importance in water resource allocation and management. For a better understanding of how drought has changed in China from 1961 to 2020 and will change in the future period of this century (2021–2100), a spatial–temporal assessment of drought based on the standardized precipitation evapotranspiration index (SPEI) was carried out. The trends and characteristics (number, duration, and severity) of historical and future droughts in China were evaluated based on 12-month SPEI by employing the Mann–Kendall test, Sen’s slope and run theory. The similarities, differences, and spatial–temporal evolution of droughts in these two periods were analyzed. The results showed that in the historical period the number of droughts decreased gradually from the south of China to the north. Less frequent drought but with longer duration and stronger severity occurred in the northeast and the northern areas. In the future period, most parts of China are projected to suffer more severe droughts with longer duration, especially for Northeast China, North China, Qinghai–Tibetan Plateau, and Southwest China. The likely increasing severity and duration of droughts in most areas of China in the future makes it very necessary to formulate the corresponding drought prevention and relief strategies to reduce the possible losses caused by droughts.


2021 ◽  
Author(s):  
Pitriani Padatu

AbstractForm of counseling against people who are addicted to gambling. In that case gambling is referred to as a social illness or a disease of society because of its social symptoms that occur in the community. in general this gambling is a form of game by using a profitable bet. But over time gamblers increasingly bring a lot of negative impacts to the community and even families. to illustrate how the form of counsellors awakens people who are addicted to gambling by using qualitative descriptive research forms. efforts made by counsellors to help counsellors get out of the problem at hand. this is done in order to find accurate information such as through observation interviews and documentation. One of the rational ways is also that with the approach of criminal law Gambling must be addressed rationally. In order for criminal law policy to be able to tackle gambling in the future. It is also the church should play a role the church should not shut down about something like this because cases like this still occur in the community even within the church itself. The Church should be able to find solutions for people addicted to gambling. So that the impact of gambling in societyandfamilycanbeminimized.Keywords: counsellor, counsellor/client and gamblingAbstrak Bentuk konseling terhadap orang yang kecanduan judi. Dalam hal tersebut judi Disebut sebagai penyakit sosial atau penyakit masyarakat karena gejala sosialnya yang terjadi di tengah masyarakat.pada umumnya perjudian ini adalah suatu bentuk permainan dengan menggunakan taruhan yang bersifat untung-untungan. Tetapi seiring berjalannya waktu pejudi semakin membawa banyak dampak yang negative bagi masyarakat bahkan keluarga. untuk menggambarkan bagaimana bentuk konselor menyadarkan para orang yang kecanduan judi dengan menggunakan Bentuk penelitian deskriptif kualitatif . upaya yang dilakukan oleh konselor untuk membantu konseli keluar dari masalah yang dihadapi. ini dilakukan agar bisa mencari informasi yang akurat seperti melalui wawancara observasi (pengamatan ) dan dokumentasi. Salah satu cara yang rasional juga tersebut adalah dengan pendekatan hukum pidana Perjudian harus ditanggulangi secara rasional. Agar kebijakan hukum pidana mampu menanggulangi perjudian dimasa yang akan..Hal ini juga gereja harus berperan gereja tidak boleh menutup diri akan hal seperti ini karena kasus seperti ini masih banyak terjadi dalam masyarakat bahkan dalam gereja sendiri. Gereja harus bisa mencari solusi bagi masyarakat yang kecanduan judi. Sehingga dampak dari perjudian dalam masyarakat dan keluarga dapat diminimalisir.


Author(s):  
Siji P S ◽  
Dr. Ranjini R. Varma

The study emphasis on the impact of Covid-19 Pandemic on educational sector in Kerala. The world has been experiencing a rare disaster of Covid-19 pandemic (corona virus disease) since 2019. Covid -19 pandemic has spread all over the world. Everybody are confused and so tensed and also excited about the pandemic because it is a rare disease and the medicine for the same is not yet innovated. Even scientists are not able to predict the future spread of the disease, so the only thing what the countries can do is to stop spreading the virus in the country. For that most of the countries in the world have been implementing quarantines, lockdowns and social distancing practices to contain the pandemic. Covid -19 pandemic has impacted every sector in the economy such as education, tourism, business, health, finance etc. In this context an attempt is made to examine the impact of covid-19 on Kerala’s economy. Here we examine the impact of Covid-19 pandemic on educational sector in Kerala and through this study the researcher tries to explain the positive as well as negative impacts of Covid -19 pandemic on educational sector in Kerala with special reference to Thrissur district.


Bakti Budaya ◽  
2019 ◽  
Vol 2 (1) ◽  
pp. 13
Author(s):  
Atik Triratnawati ◽  
Istiti Kandarina ◽  
Laksmi Savitri ◽  
Suzie Handajani ◽  
Khidir Prawirosusanto ◽  
...  

The Community service in Sigedang Village, Kejajar Subdistrict, Wonosobo Regency, Central Java was carried out in the form of mentoring and discussion about the problems of stunting toddlers who were found in the region. The target of the activity was Posyandu members, PKK and pengajian groups as well as the youth of the mosque. This community service is delivered through discussions about the dangers or negative impacts of management and consumption patterns of improper nutrition, blood marriages or marriages with lineages that are too close (endogamy), as well as the implications in living with stunting conditions. This activity is expected to help in reducing stunting cases in Sigedang village in the future.=================================================================== Kegiatan PkM di Desa Sigedang, Kecamatan Kejajar, Kabupaten Wonosobo, Jawa Tengah dilakukan dalam bentuk pendampingan dan diskusi tentang permasalahan balita stunting dan orang cebol yang cukup banyak ditemukan di wilayah tersebut. Sasaran kegiatan adalah ibu-ibu anggota Posyandu, PKK, dan kelompok pengajian, serta para remaja masjid. Kegiatan pengabdian ini berupa diskusi dan rembuk tentang bahaya atau dampak negatif dari pengelolaan dan pola konsumsi makan yang tidak benar, perkawinan sedarah atau perkawinan dengan garis keturunan yang terlalu dekat, serta implikasi-implikasi dalam hidup dengan kondisi stunting dan cebol. Kegiatan ini diharapkan dapat ikut membantu pengurangan kasus stunting dan cebol di Desa Sigedang pada masa yang akan datang.  


Author(s):  
Anna Dunay ◽  
Klára Vinkler-Rajcsányi

Over the past decades, the Hungarian pig sector has undergone remarkable changes. In the 1980s, the Hungarian pig sector was the main pork product provider of the Eastern bloc, but after the political and economic transition, the sector lost its main markets and the size of pig herds decreased radically. The economic changes have brought negative impacts for all the players of the pork supply chain: the producers have been mostly affected, but slaughterhouses and the processing industry had to face new circumstances as well. The goal of this paper is to review the present situation and the current problems of the Hungarian pig-producing sector and to draw up the main prospects and favourable directions of the future by the findings of the SWOT analysis of the Hungarian pig sector and based on the proposed directions of the government’s new pork strategy. As the pig sector is an important pillar of the Hungarian agriculture and the rural communities, it is worth to summarize the sector’s present market position and to set those opportunities, which could give advantages for Hungary in the international competition. The paper concluded that the most prominent problems of the pig sector are caused by the economic and structural problems of the sector, based on the problem tree and sector’s SWOT analysis the main external and internal factors were detected, and the results were compared to some measures of the government’s pork strategy.


2021 ◽  
Vol 02 (04) ◽  
pp. 1-1
Author(s):  
Marianna Michałowska ◽  

Since 1907, when Bakelite was invented, there has been a dramatic rise in the daily usage of plastic-like materials. Today, its negative impacts are a part of scientific studies and public debates. Art and artists play a significant role in these discussions. They mediate between the specialist content and public awareness. This study is dedicated to the artworks of artists using plastic waste collected from the seashore. I organized their works into three lines, within which artists have different threads of plastic interference in the natural environment. The artists examine: 1. The future of a planet dominated by plastic products, like Bonita Ely’s work from the Plasticus Progressus series that predict post-human existence. 2. The conceptual metaphors of contemporary culture, presented in Bounty, Pilfered by Pam Longobardi. It is an installation constructed from fishing debris. 3. The “nature-cultural” forms, i.e., organic constructions created by human interference and modified by nature, like Crochet Coral Reefs. The cooperation of volunteers with Margaret and Christine Wertheim produced this artwork. The artistic intervention creates new cultural and natural forms. This kind of artistic attitude towards waste is a formal and aesthetic innovation of various materials used in artistic practices. It also makes a significant commentary about the future of Earth. In a discussion about art producing unnecessary objects, recycling artistic material seems more ethical than using non-renewable materials obtained from natural sources.


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