189 A SIMULATION WITH NO PARTICIPANTS ONLY CO-FACULTY: USING SIMULATION FOR SYSTEMS INTEGRATION ON THE LARGE SCALE

2021 ◽  
Author(s):  
Katie L Howie ◽  
Daniel Hufton ◽  
Nathan Oliver ◽  
Omair Malik ◽  
Kathryn Twentyman
Keyword(s):  
System Integration ◽  
Large Scale ◽  
Systems Integration ◽  
Well Being ◽  
Short Report ◽  
System Testing ◽  
Immediate Feedback ◽  
Quality Healthcare ◽  
Paediatric Hospital ◽  
Large Scale Simulation

The large-scale relocation of a paediatric hospital is a significant undertaking. New environments change the system, and ways of working must adapt to maintain quality healthcare. There are risks to patients and staff well-being, with high anxiety around change. There is evidence for the efficacy of simulation as a tool for safe training and rehearsal of staff and teams [1] but less so on such a large scale. Simulation for many is still perceived as a test of performance and a threat. We connected with the international simulation community to design a hospital-wide programme of Patient Environment Simulations for Systems Integration (PESSI). This paper outlines challenges in establishing buy-in from stakeholders and departments, developing a framework for implementation and our reflections on delivery of large-scale simulation activities to assist a hospital move.How can simulation-based methodology be used to support clinical departments on a large scale to adapt/integrate/prepare in moving to a brand-new hospital?Collaboration with authors of PEARLS for system integration use [1], using it as the main framework for delivery and structure of PESSI. Stages of delivery were: pre-phase work, system testing day, debrief/reflection and evaluation. Immediate feedback of enjoyment and learning was collated from all participants. Three-month post-move feedback is planned to review ongoing impact/behaviour change plus analysis of safety incidents.Pre-phase work involved meeting stakeholders and establishing aims of testing. Ward managers were key departmental links, meeting with members of PESSI to plan scenarios. System testing days involved familiarizing themselves with the environment, followed by ‘day in the life’ simulations with a representation of the whole team. All participants were called ‘co-faculty’ and knew exactly what would happen. Debrief involved facilitated conversations with the whole team describing reactions, and deeper analysis of the key events, with concerted efforts by facilitators to give a balanced approach of positives and challenges. A short report was given back to the department detailing the findings teams would need solutions to. Solutions from simulation were implemented prior to the move, increasing staff confidence, with many feeling PESSI played a major role in feeling prepared for the new site. The PESSI framework is being utilized in adult services and we hope to publish our methodology to share with the wider simulation community.

Screening and Assessment for Distress

2021 ◽  
pp. 121-129
Author(s):  
Alex J. Mitchell
Keyword(s):  
Large Scale ◽  
Well Being ◽  
Evidence Base ◽  
High Quality ◽  
Important Place ◽  
Quality Healthcare ◽  
Patient Reported ◽  
Healthcare Model ◽  
Screening For Distress ◽  
Development And Validation

Screening for distress is a vital component of healthcare that has an important place in psychosocial oncology. Over the last 10 years the evidence base for screening has strengthened significantly, but important unanswered questions remain. Successful development and validation of numerous instruments have occurred, followed by the large-scale implementation of frontline screening in a number of cancer centers. These studies have shown in which circumstances screening is successful and when it is unsuccessful. New evidence from large-scale studies has confirmed that screening for distress does not universally improve patient-reported outcomes without uptake by frontline clinicians, simple interpretation of scores, and adequate healthcare resources to ensure that timely interventions and adequate follow-up are offered in all cases with unmet needs. Further attention should also be given to an important subgroup of patients who are identified as distressed but nevertheless decline professional help. Without all key components of high quality of care in place, routine screening is perceived as an unnecessary burden by patients and staff. Yet when integrated into a holistic high-quality healthcare model, screening for distress has the potential to improve the well-being of patients and caregivers.

scholarly journals ePhysio: A Wearables-Enabled Platform for the Remote Management of Musculoskeletal Diseases

Sensors ◽  
2018 ◽  
Vol 19 (1) ◽  
pp. 2 ◽  
Author(s):  
Carlo Vallati ◽  
Antonio Virdis ◽  
Marco Gesi ◽  
Nicola Carbonaro ◽  
Alessandro Tognetti
Keyword(s):  
Large Scale ◽  
Musculoskeletal Diseases ◽  
Social Systems ◽  
Wearable Sensors ◽  
Well Being ◽  
Immediate Feedback ◽  
Embedded Computing ◽  
Performance Requirements ◽  
Monitoring Frequency ◽  
Remote Management

Technology advancements in wireless communication and embedded computing are fostering their evolution from standalone elements to smart objects seamlessly integrated in the broader context of the Internet of Things. In this context, wearable sensors represent the building block for new cyber-physical social systems, which aim at improving the well-being of people by monitoring and measuring their activities and provide an immediate feedback to the users. In this paper, we introduce ePhysio, a large-scale and flexible platform for sensor-assisted physiotherapy and remote management of musculoskeletal diseases. The system leverages networking and computing tools to provide real-time and ubiquitous monitoring of patients. We propose three use cases which differ in scale and context and are characterized by different human interactions: single-user therapy, indoor group therapy, and on-field therapy. For each use case, we identify the social interactions, e.g., between the patient and the physician and between different users and the performance requirements in terms of monitoring frequency, communication, and computation. We then propose three related deployments, highlighting the technologies that can be applied in a real system. Finally, we describe a proof-of-concept implementation, which demonstrates the feasibility of the proposed solution.

scholarly journals The Role of Storage Systems in Industrial and Residential Environments

Proceedings ◽  
2021 ◽  
Vol 65 (1) ◽  
pp. 25
Author(s):  
Camilla Neumann ◽  
Johanna Pucker-Singer ◽  
Andreas Türk ◽  
Jernej Zupančič ◽  
Andrej Gubina
Keyword(s):  
Environmental Economic ◽  
System Integration ◽  
Large Scale ◽  
Storage Systems ◽  
Energy System ◽  
Environmental Benefits ◽  
Large Scale Simulation ◽  
Residential Environments ◽  
Entire Energy

This paper assesses storage applications from an environmental, economic and technical dimension. Three different demonstration set-ups are considered, as well as one large-scale simulation. The results emphasize that storage needs to be tailored to a specific purpose and tradeoffs between the three perspectives have to be considered to benefit the entire energy system. Currently, system integration and the possibility to use the grid as storage are hampering the potential of storage. It is however shown that storage can provide valuable technical and environmental benefits to the grid and possibly defer grid investment.

Immigrant Youth in Germany

2013 ◽  
Vol 18 (3) ◽  
pp. 158-168 ◽  
Author(s):  
Emily Frankenberg ◽  
Katharina Kupper ◽  
Ruth Wagner ◽  
Stephan Bongard
Keyword(s):  
School System ◽  
Large Scale ◽  
Age Groups ◽  
Well Being ◽  
Ethnic Discrimination ◽  
Emotional And Behavioral Problems ◽  
Sociocultural Adaptation ◽  
Age Related ◽  
German School ◽  
Transcultural Adaptation

This paper reviews research on young migrants in Germany. Particular attention is given to the question of how Germany’s history of migration, immigration policies, and public attitude toward migrants influence the transcultural adaptation of children and adolescents from different ethnic backgrounds. We combine past research with the results of new empirical studies in order to shed light on migrants’ psychological and sociocultural adaptation. Studies comparing young migrants and their German peers in terms of psychological well-being, life satisfaction, and mental health outcome suggest higher rates of emotional and behavioral problems among migrants of most age groups. With regard to adolescent populations between the ages of 14 and 17 years, however, the existence of differences between migrants and natives appears to be less clear. Research has also yielded inconsistent findings regarding the time trajectory of transcultural adaptation among adolescents. The coincidence of acculturation and age-related change is discussed as a possible source of these inconsistencies. Further, we provide an overview of risk and protective factors such as conflicting role expectations and ethnic discrimination, which may cause heightened vulnerability to adverse adaptation outcomes in some groups. Large-scale studies have repeatedly shown migrants of all age groups to be less successful within the German school system, indicating poor sociocultural adaptation. Possible explanations, such as the idiosyncrasies of the German school system, are presented. Our own studies contribute to the understanding of young migrants’ adaptation process by showing that it is their orientation to German culture, rather than the acculturation strategy of integration, that leads to the most positive psychological and sociocultural outcomes. The paper concludes by discussing implications for future cross-cultural research on young migrants and by suggesting recommendations for multicultural policies.

LARGE-SCALE SIMULATION OF OIL RECOVERY BY SURFACTANT-POLYMER FLOODING

2016 ◽  
Vol 4 (1) ◽  
pp. 12-31 ◽  
Author(s):  
D.Zh. Akhmed-Zaki ◽  
T.S. Imankulov ◽  
B. Matkerim ◽  
B.S. Daribayev ◽  
K.A. Aidarov ◽  
...  
Keyword(s):  
Oil Recovery ◽  
Large Scale ◽  
Polymer Flooding ◽  
Large Scale Simulation

Psychosocial Consequences of Body Weight and Obesity

2018 ◽  
pp. 274-286
Author(s):  
Deborah Carr ◽  
Vera K. Tsenkova
Keyword(s):  
Body Weight ◽  
Interpersonal Relationships ◽  
Large Scale ◽  
Well Being ◽  
The United States ◽  
Overweight And Obesity ◽  
The Body ◽  
Integrative Health ◽  
Psychosocial Consequences ◽  
Adults And Children

The body weight of U.S. adults and children has risen markedly over the past three decades. The physical health consequences of obesity are widely documented, and emerging research from the Midlife in the United States study and other large-scale surveys reveals the harmful impact of obesity on adults’ psychosocial and interpersonal well-being. This chapter synthesizes recent research on the psychosocial implications of body weight, with attention to explanatory mechanisms and subgroup differences in these patterns. A brief statistical portrait of body weight is provided, documenting rates and correlates of obesity, with a focus on race, gender, and socioeconomic status disparities. The consequences of body weight for three main outcomes are described: institutional and everyday discrimination, interpersonal relationships, and psychological well-being. The chapter concludes with a discussion of the ways that recent integrative health research on the psychosocial consequences of overweight and obesity inform our understanding of population health.

scholarly journals Leisure Time Sports Activities and Life Satisfaction: Deeper Insights Based on a Representative Survey from Germany

2020 ◽  
Author(s):  
Michael Mutz ◽  
Anne K. Reimers ◽  
Yolanda Demetriou
Keyword(s):  
Life Satisfaction ◽  
Large Scale ◽  
Leisure Time ◽  
Organizational Context ◽  
Experimental Studies ◽  
Well Being ◽  
Activity Level ◽  
Leisure Satisfaction ◽  
General Life Satisfaction ◽  
Sports Activities

Abstract Observational and experimental studies show that leisure time sporting activity (LTSA) is associated with higher well-being. However, scholars often seem to assume that 1) LTSA fosters “general” life satisfaction, thereby ignoring effects on domain satisfaction; 2) the effect of LTSA on well-being is linear and independent of a person’s general activity level; 3) the amount of LTSA is more important than the repertoire of LTSA, i.e. the number of different activities; 4) all kinds of LTSA are equal in their effects, irrespective of spatial and organisational context conditions. Using data from the German SALLSA-Study (“Sport, Active Lifestyle and Life Satisfaction”), a large-scale CAWI-Survey (N = 1008) representing the population ≥ 14 years, the paper takes a closer look on these assumptions. Findings demonstrate that LTSA is associated with general life satisfaction and domain-specific satisfaction (concerning relationships, appearance, leisure, work and health), but that the relationship is most pronounced for leisure satisfaction. Associations of sport with life satisfaction, leisure satisfaction and subjective health are non-linear, approaching an injection point from which on additional LTSA is no longer beneficial. Moreover, findings lend support to the notion that diversity in LTSA matters, as individuals with higher variation in sports activities are more satisfied. Finally, results with regard to spatial and organizational context suggest that outdoor sports and club-organized sports have additional benefits.

scholarly journals Psychiatric disorders in China: strengths and challenges of contemporary research and clinical services

2021 ◽  
pp. 1-14
Author(s):  
Xiao Chang ◽  
Qiyong Gong ◽  
Chunbo Li ◽  
Weihua Yue ◽  
Xin Yu ◽  
...  
Keyword(s):  
Psychiatric Disorders ◽  
Disease Burden ◽  
Large Scale ◽  
Well Being ◽  
Research Quality ◽  
Psychiatric Research ◽  
Clinical Services ◽  
Contributing Factors ◽  
Brain Functions ◽  
Neuroscience Research

Abstract China accounts for 17% of the global disease burden attributable to mental, neurological and substance use disorders. As a country undergoing profound societal change, China faces growing challenges to reduce the disease burden caused by psychiatric disorders. In this review, we aim to present an overview of progress in neuroscience research and clinical services for psychiatric disorders in China during the past three decades, analysing contributing factors and potential challenges to the field development. We first review studies in the epidemiological, genetic and neuroimaging fields as examples to illustrate a growing contribution of studies from China to the neuroscience research. Next, we introduce large-scale, open-access imaging genetic cohorts and recently initiated brain banks in China as platforms to study healthy brain functions and brain disorders. Then, we show progress in clinical services, including an integration of hospital and community-based healthcare systems and early intervention schemes. We finally discuss opportunities and existing challenges: achievements in research and clinical services are indispensable to the growing funding investment and continued engagement in international collaborations. The unique aspect of traditional Chinese medicine may provide insights to develop a novel treatment for psychiatric disorders. Yet obstacles still remain to promote research quality and to provide ubiquitous clinical services to vulnerable populations. Taken together, we expect to see a sustained advancement in psychiatric research and healthcare system in China. These achievements will contribute to the global efforts to realize good physical, mental and social well-being for all individuals.

scholarly journals Tourist Mental Health Drives Destination Choice, Marketing, and Matching

2021 ◽  
pp. 004728752110115
Author(s):  
Mary-Ann Cooper ◽  
Ralf Buckley
Keyword(s):  
Mental Health ◽  
Large Scale ◽  
Well Being ◽  
Destination Choice ◽  
Destination Marketing ◽  
Health Maintenance ◽  
Nature Tourism ◽  
Tourism Destinations ◽  
Tourism Enterprises ◽  
Health And Well Being

Leisure tourism, including destination choice, can be viewed as an investment in mental health maintenance. Destination marketing measures can thus be analyzed as mental health investment prospectuses, aiming to match tourist desires. A mental health framework is particularly relevant for parks and nature tourism destinations, since the benefits of nature for mental health are strongly established. We test it for one globally iconic destination, using a large-scale qualitative approach, both before and during the COVID-19 pandemic. Tourists’ perceptions and choices contain strong mental health and well-being components, derived largely from autonomous information sources, and differing depending on origins. Parks agencies emphasize factual cognitive aspects, but tourism enterprises and destination marketing organizations use affective approaches appealing to tourists’ mental health.

Sign in / Sign up

Export Citation Format

Share Document