The Handling Of Sharp Objects In A Local Setting

10.5580/2c85 ◽  
2012 ◽  
Vol 13 (1) ◽  
Keyword(s):  
Author(s):  
Finn Fuglestad

The small Slave Coast between the river Volta and Lagos, and especially its central part around Ouidah, was the epicentre of the slave trade in West Africa. But it was also an inhospitable, surf-ridden coastline, subject to crashing breakers and devoid of permanent human settlement. Nor was it easily accessible from the interior due to a lagoon which ran parallel to the coast. The local inhabitants were not only sheltered against incursions from the sea, but were also locked off from it. Yet, paradoxically, this small coastline witnessed a thriving long-term commercial relationship between Europeans and Africans, based on the trans-Atlantic slave trade. How did it come about? How was it all organized? Dahomey is usually cited as the Slave Coast's archetypical slave raiding and slave trading polity. An originally inland realm, it was a latecomer to the slave trade, and simply incorporated a pre-existing system by dint of military prowess, which ultimately was to prove radically counterproductive. Dahomey, which never controlled more than half of the region we call the Slave Coast, represented an anomaly in the local setting, an anomaly the author seeks to define and to explain.


2016 ◽  
Vol 4 (2) ◽  
pp. 44
Author(s):  
Muhamad Ahsan ◽  
Armanu Thoyib ◽  
Achmad Sudiro ◽  
Nur Khusniyah Indrawati

<p>The purpose of this paper is to explore of entrepreneurial spirit development at the <em>Pesantren</em> (Islamic Boarding School) Sunan Drajat which led by Kyai Abdul Ghofur in local setting one of Islamic propagator legends in Indonesia, Sunan Drajat. The research method used ethnography approach. The techniques of collecting data used were participant observation, interview and focus group discussion. Techniques of analyzing data used were content analysis of interview, domain analysis, taxonomy analysis, component analysis and finding culture themes. The findings are entrepreneurial spirit development at the <em>Pesantren</em> Sunan Drajat has been inspired by <em>catur</em><em> </em><em>piwulang</em> philosophy as the core in giving spirit to the students and local communities. The entrepreneurial spirit development has produced a distinctive model in preparing Islamic entrepreneur generations for the future. As practical implication, the findings can be used as reference to develop entrepreneurial development especially at <em>pesantren</em> in Indonesia. The model also can be used to motivate another <em>pesantren</em> to develop an institution through the local economic based activities to become autonomous institution and not depend on other parties. Originality of this research is to reveal the leadership role and local wisdom in developing entrepreneurial spirit at the <em>Pesantren</em> Sunan Drajat and the community surrounding.</p>


2010 ◽  
Vol 12 (8) ◽  
pp. 083051 ◽  
Author(s):  
Marcin Pawłowski ◽  
Johannes Kofler ◽  
Tomasz Paterek ◽  
Michael Seevinck ◽  
Časlav Brukner

1988 ◽  
Vol 107 (4) ◽  
pp. 766
Author(s):  
W. Ward Gasque ◽  
Colin J. Hemer
Keyword(s):  

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Ann Single ◽  
Ariana Cabrera ◽  
Simon Fifer ◽  
Jane Tsai ◽  
Jin-Young Paik ◽  
...  

Abstract Background In some jurisdictions, patients and patient groups may be invited to provide input when Health Technology Assessment (HTA) is used to inform decisions about which medicines should be subsidised or funded. This input can help frame the evidence from a patient perspective, address uncertainties in the evidence and interpret it for the local setting. However, there is currently no evidence linking patient involvement with positive reimbursement decisions. Aim We aimed to understand the expectations of patient involvement in the reimbursement process, especially among cancer patient advocacy groups (PAGs) in New Zealand (Aotearoa), South Korea and Taiwan. Methods We developed an online survey to help understand the role that cancer PAGs play in reimbursement processes and identify knowledge gaps about the processes that might impact the efforts of PAGs. The survey elicited the views of staff and patients affiliated with PAGs (n = 43) on current practices and how the assessment and reimbursement of new cancer drugs might be improved. Results There was variability in knowledge of the HTA assessment processes and in experience of being involved in them. Those with HTA experience were more likely to have confidence in the process. Those who had not been involved tended to have little awareness of, or frustration with, decision-making processes. Most identified cost, finances and economic assessments as key considerations in current processes. Some respondents had clear ideas about how their knowledge and involvement could improve processes to determine the value of new medicines. However, for many, a lack of information about the basis for decision making and opportunities to be involved was a barrier to identifying process improvement. Conclusions HTA is implemented primarily in countries seeking to have fair and equitable processes for funding medicines. PAGs often recognise the financial challenges of funding new medicines and share the desire for procedural fairness. The connection PAGs make between patient involvement and improved access to new medicines may be based on the belief they can add information to the evidence base, help solve problems, ensure fairness through transparency and/or influence the culture towards increased access to medicines they value.


2021 ◽  
Author(s):  
Noor Hafizah Abdul Salim ◽  
Mohd Hisham Isa ◽  
Keng Sheng Chew ◽  
Mohd Zairul Mohd Noor ◽  
Azlan Helmy Abd Samat

Abstract Background Workplace violence faced in the Emergency Department is well documented. However, there is minimal local data found in the literature. An exploration regarding workplace violence in a local setting is undertaken. This study examined the coping response to the occurrence of workplace violence encountered by an Emergency and Trauma Department healthcare workers. Method The study was done in one of the Emergency and Trauma Department of a tertiary government hospital in Malaysia. A period of a month was taken for data collection. Inclusion criteria includes healthcare workers who had exposure to work- place violence and agreeable to participate in the study. Incident reports were examined and semi-structured in-depth interview of various level of healthcare staff were conducted. Results Three final themes were identified in the way healthcare workers response to workplace violence; First, coping in pre-crisis phase to prevent a violent incident from occurring -mental and behavioural preparedness; Two, coping during crisis to prevent escalation of violence- self-restraint, constructive confrontation, seeking instrumental support; Three, coping after crisis to adapt emotionally and improve knowledge in managing workplace violence-seeking emotional support, disengagement, adaptation. Conclusions The method of coping response employed by participants corresponded to the level of violence exhibited by perpetrator. Multicentre study will help to broaden the understanding of WPV in Malaysia


2021 ◽  
Vol 20 (2) ◽  
Author(s):  
Aishah Siddiqah Alimuddin ◽  
Tuti Iryani Mohd Daud ◽  
Umi Adzlin Silim ◽  
Mohd Abdul Wahab Fatoni Mohd Balwi ◽  
Ani Amelia Zainuddin ◽  
...  

INTRODUCTION: Postnatal depression is a highly prevailing illness, yet underdiagnosed. Untreated, it carries a transgenerational impact, and therefore promoting awareness for it has to be of high priority. This research explored the elements of an educational tool to develop awareness for postnatal depression as preferred by stakeholders. MATERIALS AND METHOD: A descriptive qualitative approach using semi-structured face-to-face interviews were conducted, where nine participants were recruited via purposive sampling from a university hospital in Malaysia. Interviews with each participant were audio-recorded and transcribed to verbatims. Emergent themes were identified during the analysis. RESULTS: Four consistent themes regarding elements for an educational tool were derived as follows: Foundations of the tool, Illness circumstances, Support bases, and Matters of perspective. CONCLUSION: An educational video within the local setting should involve the usage of a short emotionally driven video, highlighting illness- and treatment-related content, and addressing the preference and concerns of women within the religious and cultural context. The use of edutainment as an educational tool is replicable and has a high outreach even to those who are illiterate. The findings can be used in the tailored development of an educational video on postnatal depression which will benefit local women by creating awareness and encouraging early help-seeking.


2009 ◽  
Vol 23 (10) ◽  
pp. 938-947 ◽  
Author(s):  
Sacha van Twillert ◽  
Klaas Postema ◽  
Jan HB Geertzen ◽  
Titia Hemminga ◽  
Ant T Lettinga

2014 ◽  
Vol 22 (4) ◽  
pp. 642-651
Author(s):  
Gabriele Schwab

This article examines Michael Ondaatje’s 2001 novelAnil’s Ghost, placing it within the context of a history of disappearance as a form of state terrorism on a global level. It contests the controversial response that Ondaatje’s work received, which alleged lack of political engagement in the novel on account of what critics saw as its ‘Westernised approach’. Instead, what is argued here is thatAnil’s Ghostpresents a particular form of ‘working through’, first by approaching disappearances through the embedded lives and subjectivities of targeted populations, and second by using the specific historical and local setting in Sri Lanka to explore the politics of disappearances as a global phenomenon.


2006 ◽  
Vol 52 (9) ◽  
pp. 1777-1784 ◽  
Author(s):  
Willem de Ronde ◽  
Yvonne T van der Schouw ◽  
Huibert AP Pols ◽  
Louis JG Gooren ◽  
Majon Muller ◽  
...  

Abstract Background: Estimation of serum concentrations of free testosterone (FT) and bioavailable testosterone (bioT) by calculation is an inexpensive and uncomplicated method. We compared results obtained with 5 different algorithms. Methods: We used 5 different published algorithms [described by Sodergard et al. (bioTS and FTS), Vermeulen et al. (bioTV and FTV), Emadi-Konjin et al. (bioTE), Morris et al. (bioTM), and Ly et al. (FTL)] to estimate bioT and FT concentrations in samples obtained from 399 independently living men (ages 40–80 years) participating in a cross-sectional, single-center study. Results: Mean bioT was highest for bioTS (10.4 nmol/L) and lowest for bioTE (3.87 nmol/L). Mean FT was highest for FTS (0.41 nmol/L), followed by FTV (0.35 nmol/L), and FTL (0.29 nmol/L). For bioT concentrations, the Pearson correlation coefficient was highest for the association between bioTS and bioTV (r = 0.98) and lowest between bioTM and bioTE (r = 0.66). FTL was significantly associated with both FTS (r = 0.96) and FTV (r = 0.88). The Pearson correlation coefficient for the association between FTL and bioTM almost reached 1.0. Bland-Altman analysis showed large differences between the results of different algorithms. BioTM, bioTE, bioTV, and FTL were all significantly associated with sex hormone binding globulin (SHBG) concentrations. Conclusion: Algorithms to calculate FT and bioT must be revalidated in the local setting, otherwise over- or underestimation of FT and bioT concentrations can occur. Additionally, confounding of the results by SHBG concentrations may be introduced.


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