scholarly journals CHALLENGES FACED BY VASCULAR SURGEONS IN ACCEPTANCE OF THEIR SPECIALTY BY MEDICAL COMMUNITY OF PAKISTAN

2021 ◽  
Vol 71 (5) ◽  
pp. 1857-60
Author(s):  
Muhammad Jamil ◽  
Brekhna Jamil ◽  
Aaiza Aman ◽  
Rashid Usman

Objective: To determine the challenges being faced by vascular surgeons in acceptability of their specialty by the medical community of Pakistan. Study Design: Qualitative case study. Place and Duration of Study: Various training institutes & teaching hospitals all over the Pakistan, from Sep 2019 to Feb 2020. Methodology: Semi structured interview format comprising of a series of open ended and broad questions to get maximum relevant information, were sent to 13 surgeons (vascular and part time vascular surgeons) practicing vascular surgery at least for the last five years in various training institutes and teaching hospitals of Pakistan. Interviews were audio recorded on telephone and in persons. The data was transcribed, cleansing was done, and analyzed through inductive and thematic content analysis. Results: Handful of qualified vascular surgeons, inadequate vascular training program, part time vascular surgery and unawareness/misconceptions/myths about vascular diseases, were the major challenges being faced by the vascular community for their separate identity. Conclusion: The vascular community is facing great challenges of shortage of qualified vascular surgeons and technicians, inadequate training centers, part time vascular surgery and misconceptions/myths/unawareness about vascular diseases.

2017 ◽  
Vol 2 (4) ◽  
pp. 45 ◽  
Author(s):  
Siti Noor Diana Mohd Kamaruddin ◽  
Zulaikha Farhana Izehari ◽  
Ira Syaqira Sukimin

Alternative taxi service has started becoming a trend and gained popularity all over the world. In Malaysia, people depend on conventional taxis for many decades which are registered under Public Transport Commission. With the advancement of technology, a few applications were introduced and passengers and conventional taxi drivers started installing them to accept or reject passengers. However, when the popular American alternative taxi service (Uber) arrived in Malaysia, it has become popular among passengers when new drivers emerged as many people started registering and using the application. The study attempts to explore the language needs of Malaysian taxi drivers (particularly alternative taxi service) and the challenges they face when communicating in the English Language with their passengers. A case study design was employed in the study which a total of three participants (part-time drivers living in Klang Valley area, registered under the same alternative taxi company in Malaysia) were interviewed through open-ended and semi structured interview questions. The findings show there are three main challenges faced by these drivers when communicating in English Language with their passengers which are (1) struggle to comprehend communication in English Language with native speakers, (2) difficulty in making conversations and keeping them going, and (3) difficulty in understanding and communicating with non-native speakers from non-English Language speaking countries. Another findings show that the English Language is used with passengers for four reasons: (1) using English Language to reply passengers' text message, (2) using English Language to spark general conversation with passengers, (3) using English Language to communicate with foreign passengers; and (4) using English Language to convey precise information to passengers. Therefore, alternative taxi companies should consider offering courses related to enhancing their drivers’ competency in English communication. English courses developed explicitly for the purpose of communication between drivers and passengers may take the results found from this study into account. The findings should be able to assist in developing a course that would aid drivers into strategizing their communication with passengers.


2013 ◽  
Vol 13 (2) ◽  
pp. 54-66
Author(s):  
Richard Jimoh ◽  
Jasper Van Wyk

Social movements came about as a result of dissatisfaction felt by society from the status quo. They present their grievances through demonstrations, strikes, riots, occupation of land, boycott of business or by the development of social and economic alternatives such as self-help schemes or saving clubs. In South Africa, people join housing co-operatives because it takes a long time to wait for the Reconstruction Development Project (RDP) houses promised by the Government. The leaning of 5 housing co-operatives was examined within the context of ideology and praxis that are components of triad model. This was done through multi-case study whereby the chairpersons of the housing co-operatives were interviewed using structured interview format. Findings from the study indicated that all the housing co-operatives were not open and voluntary; also, the housing co-operatives were not administered the same way. In all, efforts were put in by the housing co-operatives in engendering the ideology of co-operatives on one hand and the government on the other hand in providing the necessary subsidy so that the gap in the housing deficit could be bridged since this fitted its policy on housing. 


2012 ◽  
Vol 11 (2) ◽  
pp. 170-196
Author(s):  
Giselly Rizzatti ◽  
Mauricio Fernandes Pereira ◽  
Heloisa Cristina Martins Amaral

Teaching hospitals are undergoing profound and fast changes, especially resulting from the implementation of new policies for health. To achieve their goals and remain competitive, these organizations have been forced to adopt more effective management tools, among which are the elaboration of a strategic plan. The goal of this study is to analyze the influence of leadership in driving the implementation process of strategic planning in a teaching hospital. The study was conducted in the university hospital Prof. Polydoro Ernani de São Thiago from Federal University of Santa Catarina - HU / UFSC, where a semi-structured interview was conducted with the coordinator of the Strategic Planning Team HU / UFSC. Authors Hersey et al (1986), Northouse (2004), Schein (1997) Senge (1999), among others, were grounded theoretically in the theme of leadership. The theory of strategic planning was primarily based on works by authors Ansoff (l991), Hrebiniak (2006) and Pereira (2010). With the research results, we can conclude the great influence that leadership plays in driving the implementation process of strategic planning.


Author(s):  
Arobia Khanam

This study was conducted to find out the causes and impacts of early and forced marriages on the Muslim females in Bangladesh. The representative area was Uttar Khamer Village under Gazipur District of Bangladesh. A total of 40 respondents were selected as a sample for the survey through purposive sampling technique for collecting data. A structured interview schedule was used to collect the relevant information. The result of this research focused that less education is the cause of early and forced marriages; the opinion is given by the lawyers whereas the physicians think that early and forced marriages cause many diseases, sometimes it may be turned into lunacy, maternal mortality. On the other hand, Judges believe that unconsciousness is one of the prime reasons for early and forced marriages, so to publicize the bad effects of early and forced marriages; the members of the family planning can play an important role for stopping or reducing this bad practice. However, the influence of Mullah may be one of the major factors of early and forced marriages. Moreover, Muslim females in Bangladesh cannot express their opinion in accordance with their own wishes which will be a bar to their empowerment. As a result, it could be rationale that lack of well education, knowledge about laws, unawareness, ignorance and negative attitudes are responsible for early and forced marriages.


2021 ◽  
Vol 13 (8) ◽  
pp. 4186
Author(s):  
Abdulhakeem Raji ◽  
Abeer Hassan

This paper adopted a case study approach to investigate the sustainability practices of a Scottish university in order to understand if sustainability forms part of its central policy agenda. As such, the paper focuses on the levels of awareness and disclosure of their sustainable practices, measuring the impacts and effectiveness of those initiatives. This paper introduces signaling theory to explore the idea that appropriate communication via integrated thinking can close the gap between the organization and its stakeholders. We believe that the provision of this relevant information will lead to better communication between the organization and its stakeholders, supporting a signaling theory interpretation. Therefore, we are suggesting that integrated thinking is an internal process that organizations can follow to increase the level of disclosure as a communication tool with stakeholders. From the literature reviewed, four themes were identified (definition of university sustainability, sustainability awareness, disclosure framework within universities, and level of accountability). The research adopted a pragmatic view and conducted individual interviews with participants belonging to three stakeholder groups (members of the university’s senior management, the governing council, and the student union executive). Although this study focused on just one Scottish university, it should still provide some insight for the better understanding of the underpinning issues surrounding the sustainability accountability practices of Scottish universities in general. The research findings indicated that the university prioritized only two sustainability dimensions—economic and environmental—and that the university still perceived sustainability as a voluntary exercise. Additionally, it is evident that the university had no framework in place for measuring its sustainability delivery—and therefore had no established medium of communicating these activities to its stakeholders. Moreover, research findings showed that the social and educational context of sustainability was lacking at the university. The university has done little or nothing to educate its stakeholders on sustainability.


2021 ◽  
Vol 4 (2) ◽  
pp. 32
Author(s):  
Heather A. Feldner ◽  
Christina Papazian ◽  
Keshia M. Peters ◽  
Claire J. Creutzfeldt ◽  
Katherine M. Steele

Arm recovery varies greatly among stroke survivors. Wearable surface electromyography (sEMG) sensors have been used to track recovery in research; however, sEMG is rarely used within acute and subacute clinical settings. The purpose of this case study was to describe the use of wireless sEMG sensors to examine changes in muscle activity during acute and subacute phases of stroke recovery, and understand the participant’s perceptions of sEMG monitoring. Beginning three days post-stroke, one stroke survivor wore five wireless sEMG sensors on his involved arm for three to four hours, every one to three days. Muscle activity was tracked during routine care in the acute setting through discharge from inpatient rehabilitation. Three- and eight-month follow-up sessions were completed in the community. Activity logs were completed each session, and a semi-structured interview occurred at the final session. The longitudinal monitoring of muscle and movement recovery in the clinic and community was feasible using sEMG sensors. The participant and medical team felt monitoring was unobtrusive, interesting, and motivating for recovery, but desired greater in-session feedback to inform rehabilitation. While barriers in equipment and signal quality still exist, capitalizing on wearable sensing technology in the clinic holds promise for enabling personalized stroke recovery.


2020 ◽  
Vol 13 (1) ◽  
pp. 279
Author(s):  
Fang Zhao ◽  
Ning Zhu ◽  
Juha Hämäläinen

This study investigated the resilience of the Chinese child protection system in responding to the special needs of children in difficulty under the specific circumstances caused by the COVID-19 pandemic. This study applied qualitative document analysis of child protection administrative documents, in-depth interviews with 13 child protection professionals, and an in-depth case study of 14 children living in difficulty, complemented by relevant information available in the media. The results indicate that there are good policies in China’s child protection services but the organizational and functional fragmentation complicates implementation, suggesting a need for the development of bottom-up practices. The essential conclusion supported by these results is that the child protection system should be regarded and developed as a systematic project combining the legal, policymaking, and professional systems of child welfare services as well as governmental and non-governmental forces. As the COVID-19 pandemic has raised awareness of the need to develop the field of child protection holistically as an integrated system in terms of social sustainability in China, an international literature-based comparison indicates that the pandemic has also raised similar political awareness in other countries.


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Sandul Yasobant ◽  
Walter Bruchhausen ◽  
Deepak Saxena ◽  
Farjana Zakir Memon ◽  
Timo Falkenberg

Abstract Background Community health workers (CHWs) are the mainstay of the public health system, serving for decades in low-resource countries. Their multi-dimensional work in various health care services, including the prevention of communicable diseases and health promotion of non-communicable diseases, makes CHWs, the frontline workers in their respective communities in India. As India is heading towards the development of One Health (OH), this study attempted to provide an insight into potential OH activists (OHA) at the community level. Thus, this case study in one of India’s western cities, Ahmedabad, targeted identifying OHA by exploring the feasibility and the motivation of CHWs in a local setting. Methods This case study explores two major CHWs, i.e., female (Accredited Social Health Activists/ASHA) health workers (FHWs) and male (multipurpose) health workers (MHWs), on their experience and motivation for becoming an OHA. The data were collected between September 2018 and August 2019 through a mixed design, i.e., quantitative data (cross-sectional structured questionnaire) followed by qualitative data (focus group discussion with a semi-structured interview guide). Results The motivation of the CHWs for liaisoning as OHA was found to be low; however, the FHWs have a higher mean motivation score [40 (36–43)] as compared to MHWs [37 (35–40)] out of a maximum score of 92. Although most CHWs have received zoonoses training or contributed to zoonoses prevention campaigns, their awareness level was found to be different among male and female health workers. Comparing the female and male health workers to act as OHA, higher motivational score, multidisciplinary collaborative work experience, and way for incentive generation documented among the female health workers. Conclusion ASHAs were willing to accept the additional new liaison role of OHAs if measures like financial incentives and improved recognition are provided. Although this study documented various systemic factors at the individual, community, and health system level, which might, directly and indirectly, impact the acceptance level to act as OHA, they need to be accounted for in the policy regime.


2020 ◽  
Vol 122 (7) ◽  
pp. 2089-2103
Author(s):  
Rosario Michel-Villarreal ◽  
Eliseo Luis Vilalta-Perdomo ◽  
Martin Hingley

PurposeThe purpose of this study is to explore food producers' motivations and challenges whilst participating in short food supply chains (SFSCs). This paper compares findings with previous literature and investigates the topic in the context of producers' motivations.Design/methodology/approachThe paper includes a literature review concerning producers' motivations to engage in SFSCs. A case study was designed to investigate motivations underlying producers' engagement in SFSCs, as well as the challenges that they face. Semi-structured interviews were conducted in a farmers' market located in Mexico. Thematic analysis is used to identify the principal issues for producers'. Propositions based on findings are presented.FindingsFindings suggest that small, large, part-time and full-time producers are willing to engage with farmers' markets for diverse primary economic and non-economic motivations. Individual and collective challenges were also identified.Originality/valueThis research helps to explain producers' motivations and challenges within SFSCs in an under-researched context, namely a focus on producers' and in the Global South.


Author(s):  
Soon Chong Johnson Lim ◽  
Ying Liu ◽  
Wing Bun Lee

In literature, there are a number of indexes suggested that serve as the indicator of commonality among product components, modules and variants. However, as these elements are increasingly interconnected with aspects other than the component view, the existing commonality metrics are unable to effectively model these aspects due to their limitation in capturing relevant information for analysis. Therefore, there exists a need to consider multiple design and manufacturing aspects in commonality metrics so that a comprehensive view of the commonality among product variants can be presented. In the current representation schemes proposed for product family modeling, ontology is one of the most promising ones to model the complex semantic relations among various elements in a product family. Nevertheless, the research and application of ontology in the analysis of a product family has so far received little attention. In this paper, we proposed a framework to generate a semantically annotated multi-facet product family ontology. Using a case study of a laptop computer family, we suggest and demonstrate a new commonality analysis approach based on the semantically annotated multi-facet laptop product family ontology. Together with a new method of deriving product variants based on the aforementioned ontology, our approach illustrates the merits of using semantic annotation in assisting ontology based product family analysis.


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