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Sample records for irish hospitality sector

  1. Assessment of Future Skills Requirements in the Hospitality Sector in Ireland, 2015-2020

    OpenAIRE

    2015-01-01

    The hospitality sector is one of the most important employment services sectors in the Irish economy, and there is significant potential for future expansion. The objective of this study is to assess the skills demand needs arising within the Hospitality sector in Ireland – hotels, restaurants, bars, canteens and catering – over the period to 2020. The aim is to ensure that there will be the right supply of skills to help drive domestic hospitality sector business and employment growth.

  2. The clinical nurse specialist in an Irish hospital.

    Science.gov (United States)

    Wickham, Sheelagh

    2011-01-01

    This study was set in an acute Irish health care setting and aimed to explore the activity of the clinical nurse specialist (CNS) in this setting. Quantitative methodology, using a valid and reliable questionnaire, provided descriptive statistics that gave accurate data on the total population of CNSs in the health care setting. The study was set in an acute-care 750-bed hospital that had 25 CNSs in practice. The sample consisted of all 25 CNSs who are the total population of CNSs working in the acute health care institution. The findings show the CNS to be active in the roles of researcher, educator, communicator, change agent, leader, and clinical specialist, but the level of activity varies between different roles. There is variety in the activity of CNSs in the various roles and to what extent they enact the role. The findings merit further study on CNS role activity and possible variables that influence role activity.

  3. Carbon tax scenarios and their effects on the Irish energy sector

    International Nuclear Information System (INIS)

    Di Cosmo, Valeria; Hyland, Marie

    2013-01-01

    In this paper we use annual time series data from 1960 to 2008 to estimate the long run price and income elasticities underlying energy demand in Ireland. The Irish economy is divided into five sectors: residential, industrial, commercial, agricultural and transport, and separate energy demand equations are estimated for all sectors. Energy demand is broken down by fuel type, and price and income elasticities are estimated for the primary fuels in the Irish fuel mix. Using the estimated price and income elasticities we forecast Irish sectoral energy demand out to 2025. The share of electricity in the Irish fuel mix is predicted to grow over time, as the share of carbon intensive fuels such as coal, oil and peat, falls. The share of electricity in total energy demand grows most in the industrial and commercial sectors, while oil remains an important fuel in the residential and transport sectors. Having estimated the baseline forecasts, two different carbon tax scenarios are imposed and the impact of these scenarios on energy demand, carbon dioxide emissions, and government revenue is assessed. If it is assumed that the level of the carbon tax will track the futures price of carbon under the EU-ETS, the carbon tax will rise from €21.50 per tonne CO 2 in 2012 (the first year forecasted) to €41 in 2025. Results show that under this scenario total emissions would be reduced by approximately 861,000 tonnes of CO 2 in 2025 relative to a zero carbon tax scenario, and that such a tax would generate €1.1 billion in revenue in the same year. We also examine a high tax scenario under which emissions reductions and revenue generated will be greater. Finally, in order to assess the macroeconomic effects of a carbon tax, the carbon tax scenarios were run in HERMES, the ESRI's medium-term macroeconomic model. The results from HERMES show that, a carbon tax of €41 per tonne CO 2 would lead to a 0.21% contraction in GDP, and a 0.08% reduction in employment. A higher carbon

  4. Facilitators and Inhibitors of Supply Chain Innovation-prospects for Supply Chain Managment in the Irish Grocery Sector

    OpenAIRE

    Keegan, Joan; O'Callaghan, Edmund; Wilcox, Mary

    2001-01-01

    Supply chain management is one of the most significant strategic challenges currently facing the Irish grocery sector. The UK grocery market with its emphasis on composite deliveries via regional distribution centres is extremely sophisticated; the Irish grocery sector, however, is in the embryonic stage of implementing central distribution. The potential to develop innovative supply chain systems is mediated by both national logistic-related variables and company characteristics. In additio...

  5. Trends in the Food and Beverage Sector of the Hospitality Industry

    OpenAIRE

    Melia, Detta

    2011-01-01

    The hospitality sector in Ireland represents an important part of the tourism industry and comprises hotels, restaurants, pubs and clubs, guesthouses and self-catering operations. The largest component within the Irish hospitality sector is hotels. In addition to hotels, food and beverage operations comprise a significant proportion of the industry. These businesses operate in a highly competitive environment as a consequence of a number of factors. First, there is a downturn in the global an...

  6. Freedom or Free-For-All in Irish Healthcare? Establishing Improved Consumer Protection Mechanisms in the Irish Complementary and Alternative Medicine Sector

    OpenAIRE

    O LEARY, CLAIRE LOUISE

    2017-01-01

    APPROVED Despite political rhetoric, the establishment of working groups, and the publication of commissioned reports in the early and mid-2000s recommending improvements in the regulation of the Irish complementary and alternative medicine (CAM) sector, little of significance has changed. Controversies undermining public confidence in authority, global digital dissemination of information, and higher levels of education and wealth have, among other factors, contributed to the increas...

  7. Initial experience with transperitoneal laparoscopic nephrectomy in an Irish hospital setting.

    LENUS (Irish Health Repository)

    Forde, J C

    2009-08-01

    Laparoscopic nephrectomy has gained widespread acceptance as a treatment for both benign and malignant conditions and is becoming increasingly popular in Irish hospitals. We report a single surgeon, single centre experience with 20 consecutive laparoscopic nephrectomies comparing them to 20 open cases performed prior to the establishment of a laparoscopic service.

  8. AUDIT FEE DETERMINANTS IN THE HOSPITAL SECTOR

    OpenAIRE

    Vanderbeke Dave; Christiaens Johan; Verbruggen Sandra

    2014-01-01

    Although the number of non-profit audit fee studies recently has risen, evidence in the hospital sector is rather scarce. Apart from NHS studies, hospitals are a fairly new topic and several specific fee determinants are yet to be tested. For instance, hospitals can have a private or a public status and they have a distinct number of clinical services. These and other dependent variables known from earlier research are added to a fee model and investigated. As hypothesized the hospital status...

  9. Hospital sector: further trends in privatization

    DEFF Research Database (Denmark)

    Christiansen, Terkel

    2009-01-01

    Due to a strike among nurses in the spring of 2008, the existing waiting time guarantee of one month was suspended until June 1, 2009. Regions turned to private hospitals to assist reducing the hump of patients. It has been claimed that the private sector used to be favorably treated by the Liber...

  10. [Health, hospitality sector and tobacco industry].

    Science.gov (United States)

    Abella Pons, Francesc; Córdoba Garcia, Rodrigo; Suárez Bonel, Maria Pilar

    2012-11-01

    To present the strategies used by the tobacco industry to meet government regulatory measures of its products. To demonstrate the relationship between tobacco industry and the hospitality sector. Note that the arguments and strategies used routinely by the hospitality industry have been previously provided by the tobacco industry. Location of key documents by meta-search, links to declassified documents, specific websites of the tobacco and hospitality industry, news sources and published articles in health journals. This review reveals the close relationship between tobacco industry and hospitality sector. It highlights the strategies carried out by the tobacco industry, including strategic hoarding of information, public relations, lobbying, consultation program, smoker defence groups, building partnerships, intimidation and patronage. The arguments and strategies used by the hospitality industry to match point by point that used by the tobacco industry. These arguments are refutable from the point of view of public health as it is scientifically proven that totally smoke-free environments are the only way to protect non-smokers from tobacco smoke exposure and its harmful effects on health. Copyright © 2011 Elsevier España, S.L. All rights reserved.

  11. Estimating costs of pressure area management based on a survey of ulcer care in one Irish hospital.

    Science.gov (United States)

    Gethin, G; Jordan-O'Brien, J; Moore, Z

    2005-04-01

    Pressure ulceration remains a significant cause of morbidity for patients and has a real economic impact on the health sector. Studies to date have estimated the cost of management but have not always given a breakdown of how these figures were calculated. There are no published studies that have estimated the cost of management of pressure ulcers in Ireland. A two-part study was therefore undertaken. Part one determined the prevalence of pressure ulcers in a 626-bed Irish acute hospital. Part two set out to derive a best estimate of the cost of managing pressure ulcers in Ireland. The European Pressure UlcerAdvisory Panel (EPUAP) minimum data set tool was used to complete the prevalence survey. Tissue viability nurses trained in the data-collection tool collected the data. A cost was obtained for all items of care for the management of one patient with three grade IV pressure ulcers over a five-month period. Of the patients, 2.5% had pressure ulcers. It cost Euros 119,000 to successfully treat one patient. We estimate that it costs Euros 250,000,000 per annum to manage pressure ulcers across all care settings in Ireland.

  12. Overnight Emergency CT Imaging: A 10-Year Experience at an Irish Tertiary Referral Hospital.

    LENUS (Irish Health Repository)

    2018-01-01

    In recent years there has been increased utilisation of computed tomography (CT) imaging in developed countries, however there is a paucity of data regarding the utilisation of CT in the emergency overnight setting. We retrospectively analysed trends in ‘overnight’ (midnight to 8am) CT utilisation over a ten-year period at a single Irish tertiary referral hospital. Over the study period, we observed a significant increase in the proportion of CT imaging that was carried out overnight. There was no significant variation in the yield of pathological findings over the study period, which remained low (64% of CT studies were normal or had non-critical findings). The multiple factors which have contributed to the increased utilization of overnight emergency CT in recent years, the potential for reporting errors overnight and the implications therein for patient safety warrant consideration.

  13. The hospital component of general practice vocational training--the Irish experience.

    Science.gov (United States)

    Murphy, A W

    1992-12-01

    All second and third year general practice vocational trainees in the Irish Republic in 1991 were invited to complete a questionnaire concerning the hospital component of their training. The questionnaire was based on specific recommendations published by the I.C.G.P. regarding hospital training posts. Replies were received from 39 trainees constituting 70% of the total number of eligible trainees. In general, hospital posts were perceived to be of relevance and to offer adequate exposure to outpatient management and to the development of useful practical skills. More than 70% of the trainees were free to attend at least 75% of the study release course. Everyone entitled to study leave for examination purposes obtained it. However, 95% of trainees found their hospital teachers unfamiliar with the aims and objectives of Vocational Training. Two-thirds of trainees received less than two hours a week of formal or informal teaching. More than two-thirds did not participate in an introductory general practice period and less than a quarter had their individual needs assessed early on. Substantial realisation of the guidelines issued by the ICGP has been achieved. Further work is necessary in the areas of individual needs assessment, relevant structured teaching and general practice liaison. Three specific recommendations are made to achieve these aims.

  14. An analysis of the recording of tobacco use among inpatients in Irish hospitals.

    LENUS (Irish Health Repository)

    Sheridan, A

    2014-10-01

    Smoking is the largest avoidable cause of premature mortality in the world. Hospital admission is an opportunity to identify and help smokers quit. This study aimed to determine the level of recording of tobacco use (current and past) in Irish hospitals. Information on inpatient discharges with a tobacco use diagnosis was extracted from HIPE. In 2011, a quarter (n=84, 679) of discharges had a recording of tobacco use, which were more common among males (29% (n=50,161) male v. 20% (n=30,162) female), among medical patients (29% (n=54,375) medical v. 20% (n=30,162) other) and was highest among those aged 55-59 years (30.6%; n=7,885). SLAN 2007 reported that 48% of adults had smoked at some point in their lives. This study would suggest an under- reporting of tobacco use among hospital inpatients. Efforts should be made to record smoking status at hospital admission, and to improve the quality of the HIPE coding of tobacco use.

  15. Hospital clinicians' information behaviour and attitudes towards the 'Clinical Informationist': an Irish survey.

    LENUS (Irish Health Repository)

    Flynn, Maura G

    2012-02-01

    BACKGROUND: Hospital clinicians are increasingly expected to practice evidence-based medicine (EBM) in order to minimize medical errors and ensure quality patient care, but experience obstacles to information-seeking. The introduction of a Clinical Informationist (CI) is explored as a possible solution. AIMS: This paper investigates the self-perceived information needs, behaviour and skill levels of clinicians in two Irish public hospitals. It also explores clinicians\\' perceptions and attitudes to the introduction of a CI into their clinical teams. METHODS: A questionnaire survey approach was utilised for this study, with 22 clinicians in two hospitals. Data analysis was conducted using descriptive statistics. RESULTS: Analysis showed that clinicians experience diverse information needs for patient care, and that barriers such as time constraints and insufficient access to resources hinder their information-seeking. Findings also showed that clinicians struggle to fit information-seeking into their working day, regularly seeking to answer patient-related queries outside of working hours. Attitudes towards the concept of a CI were predominantly positive. CONCLUSION: This paper highlights the factors that characterise and limit hospital clinicians\\' information-seeking, and suggests the CI as a potentially useful addition to the clinical team, to help them to resolve their information needs for patient care.

  16. Burnout and stress amongst interns in Irish hospitals: contributing factors and potential solutions.

    Science.gov (United States)

    Hannan, E; Breslin, N; Doherty, E; McGreal, M; Moneley, D; Offiah, G

    2018-05-01

    The transition from medical school to internship can be daunting for newly qualified doctors. High rates of stress and burnout have been reported, with negative impacts on patient care and physician wellbeing. We surveyed interns in our hospital group to evaluate rates of stress and burnout, as well as identify the causative factors and propose potential solutions to these. A hundred and one interns working in four different hospitals over a 2-year period were invited to participate in an anonymous survey. The survey collected basic demographic details and surveyed aspects of mental health using the burnout scale, Maslach Burnout Inventory (MBI) and the stress scale and 12-item General Health Questionnaire (GHQ-12). Interns were also asked to rate a variety of workplace factors on a Likert scale based on the degree of stress caused. Finally, they were surveyed on their awareness of support services available to them. Our results showed that 37% of interns met the criteria for psychological distress, high levels of emotional exhaustion, high depersonalisation and a low sense of personal accomplishment were reported in 55.4, 51.5 and 41.6%, respectively. Inadequate preparation for practice, financial worries, poor role definition and sleep deprivation were reported as significant stressors. Most were unaware of available support services and expressed interest in leaving Ireland after internship. Burnout and stress are significant problems amongst doctors in Irish hospitals. Ensuring better preparation for clinical practice and awareness of support services is vital to tackle this issue.

  17. Medication Reviews by a Clinical Pharmacist at an Irish University Teaching Hospital

    Directory of Open Access Journals (Sweden)

    Alan Kearney

    2017-10-01

    Full Text Available Purpose: Pharmacist-led medication reviews in hospitals have shown improvement in patient outcomes. The aim of this study is to describe the prevalence and nature of pharmacist interventions (PIs following a medication review in an Irish teaching hospital. Methods: PIs were recorded over a six-month period in 2015. PIs were assessed by a panel of healthcare professionals (n = 5 to estimate the potential of adverse drug events (ADEs. Descriptive statistics were used for the variables and the chi square test for independence was used to analyse for any association between the variables. Results: Of the 1216 patients (55.8% female; median age 68 years (interquartile range 24 years who received a medication review, 313 interventions were identified in 213 patients. 412 medicines were associated with PIs, of which drugs for obstructive airway disease (n = 82, analgesics (n = 56, and antibacterial products for systemic use (n = 50 were the most prevalent. A statistically significant association was found between PI and patient’s age ≥65 years (p = 0.000, as well as female gender (p = 0.037. A total of 60.7% of the PIs had a medium or high likelihood of causing an ADE. Conclusion: Pharmacist-led medication review in a hospital setting prevented ADEs. Patients ≥65 years of age and female patients benefited the most from the interventions.

  18. Recent trends in chlamydial and gonococcal conjunctivitis among neonates and adults in an Irish hospital.

    LENUS (Irish Health Repository)

    Quirke, Michael

    2012-02-03

    BACKGROUND: Chlamydia trachomatis and Neisseria gonorrhoeae are two important and frequently overlooked causes of neonatal and adult conjunctivitis. OBJECTIVES AND METHODS: In order to improve primary treatment, prevention, and control of infection caused by these organisms, an analysis of all cases presenting from July 2002 to December 2006 at a major Irish regional teaching hospital was performed. RESULTS: There were 51 cases of conjunctivitis in total. Among neonates and adults, C. trachomatis was the most common cause of conjunctivitis. Of the adult patients, 75% were men. The annual incidence of adult chlamydial conjunctivitis increased yearly from 2002 and correlated with an overall increase in genital chlamydia infection in the region. Neonatal chlamydial conjunctivitis has an overall incidence of 0.65\\/1000 live births and is continuing to rise annually. In 2006, gonococcal conjunctivitis accounted for 20% of all cases of conjunctivitis caused by sexually transmitted bacteria presenting to our hospital. CONCLUSIONS: The recent increase in the incidence of gonococcal keratitis serves to remind us that this important infection should be borne in mind when treating cases of purulent conjunctivitis. The diagnosis of chlamydial and gonococcal conjunctivitis requires a high index of suspicion and prompt treatment with systemic antibiotics.

  19. Cost awareness among doctors in an Irish university-affiliated teaching hospital

    Directory of Open Access Journals (Sweden)

    William H.C. Tiong

    2011-11-01

    Full Text Available Previous studies in USA and Canada have found that physicians and physicians in training have a limited understanding of medical care costs. In this study, we set out to survey all grades of doctors in the surgical department, emergency department, and anaesthetic department in a university-affiliated, Irish teaching hospital. Open-ended questionnaires on cost of 25 routinely used items in the hospital were sent to each department. The aims of the study were to assess the present knowledge of cost among the various grades of doctors, and to evaluate the level of professional experience on cost awareness and their confidence in their estimates. We had an overall response rate of 56.8% with 68.5% of doctors admitted to have estimated more than 90% of their responses. Ninety three percent of doctors have no confidence in their estimates on cost of listed items. We found that the lack of cost awareness was universal among doctors of all grades (P = 0.236. The doctors in our study population showed a high level of inaccuracy on their estimates of cost of routinely used items with 84% of the items overestimated. Our results were discouraging and demonstrated that considerable educational activity will be necessary if doctors are to be more cost effective in meeting the national health care budget.

  20. The implications of Herzberg's "motivation-hygiene" theory for management in the Irish health sector.

    Science.gov (United States)

    Byrne, Michael

    2006-01-01

    Given that they create what it sells, employees are the Irish Health service's most valuable asset. They are increasingly being asked to embrace change on many different levels. In order to facilitate this process, it behooves management to actively promote employee motivation. Herzberg et al's "motivation-hygiene" theory of motivation proposes that certain "motivator" and "hygiene" factors can respectively affect job satisfaction and dissatisfaction. Considering "motivators," better on-the-job performance may increase motivation. However, work overload can become a dissatisfier. Devolving equal levels of authority and responsibility and providing appropriate recognition may also serve to motivate. Likewise, providing opportunities for promotion and personal growth may maintain motivation, as might re-engineering of jobs so that work remains meaningful. Over time both salary and incentives may come to be viewed as entitlements and lose their ability to motivate. Other "hygiene" factors such as organizational policy and administrative structure, relations with others, job insecurity, physical working conditions, and quality of supervision can lead to job dissatisfaction. Hence, the theory of Herzberg et al usefully highlights many factors that may serve to motivate or demotivate employees. However, this theory does not reflect some of the realities of the modern health care work environment.

  1. New Technologies to Assist Training in Hospitality Sector

    Science.gov (United States)

    Balta, Sabah

    2007-01-01

    Hospitality sector needs new technological training tools, which can assist to improve sector employees' skills and services quality. The sector might be more interactive when these technological training tools used on the job-training program. This study addresses to issue of illumination of new technologic tools that enforce training in which…

  2. Is point of care testing in Irish hospitals ready for the laboratory modernisation process? An audit against the current national Irish guidelines.

    LENUS (Irish Health Repository)

    O'Kelly, R A

    2013-04-11

    BACKGROUND: The Laboratory modernisation process in Ireland will include point of care testing (POCT) as one of its central tenets. However, a previous baseline survey showed that POCT was under-resourced particularly with respect to information technology (IT) and staffing. AIMS: An audit was undertaken to see if POCT services had improved since the publication of National Guidelines and if such services were ready for the major changes in laboratory medicine as envisaged by the Health Service Executive. METHODS: The 15 recommendations of the 2007 Guidelines were used as a template for a questionnaire, which was distributed by the Irish External Quality Assessment Scheme. RESULTS: Thirty-nine of a possible 45 acute hospitals replied. Only a quarter of respondent hospitals had POCT committees, however, allocation of staff to POCT had doubled since the first baseline survey. Poor IT infrastructure, the use of unapproved devices, and low levels of adverse incident reporting were still major issues. CONCLUSIONS: Point of care testing remains under-resourced, despite the roll out of such devices throughout the health service including primary care. The present high standards of laboratory medicine may not be maintained if the quality and cost-effectiveness of POCT is not controlled. Adherence to national Guidelines and adequate resourcing is essential to ensure patient safety.

  3. Precarity in the Ivory Cage: Neoliberalism and Casualisation of Work in the Irish Higher Education Sector

    Science.gov (United States)

    Courtois, Aline; O'Keefe, Theresa

    2015-01-01

    The higher education sector in Ireland has undergone major changes under the effect of neoliberalism including severe budget cuts, transfer of research funding to external agencies, reduction in permanent contracts and increased reliance on part-time, temporary staff for teaching and research roles. The neoliberalisation of the university, as in…

  4. The Only Game in Town: Public Private Partnerships in the Irish Water Services Sector

    OpenAIRE

    Eoin Reeves

    2011-01-01

    peer-reviewed This paper was obtained through PEER (Publishing and the Ecology of European Research) http://www.peerproject.eu Public Private Partnerships (PPPs) transfer significant responsibility for infrastructure and public service delivery to the private sector. This raises questions in relation to accountability in the context of PPP. An important accountability mechanism is the Value for Money (VFM) assessment which procuring authorities in Ireland must conduct prior to adopti...

  5. Effectiveness of mask ventilation performed by hospital doctors in an Irish tertiary referral teaching hospital.

    LENUS (Irish Health Repository)

    Walsh, K

    2012-02-03

    The objective of this study was to assess the effectiveness of mask ventilation performed by 112 doctors with clinical responsibilities at a tertiary referral teaching hospital. Participant doctors were asked to perform mask ventilation for three minutes on a Resusci Anne mannequin using a facemask and a two litre self inflating bag. The tidal volumes generated were quantified using a Laerdal skillmeter computer as grades 0-5, corresponding to 0, 334, 434, 561, 673 and > 800 ml respectively. The effectiveness of mask ventilation (i.e. the proportion of ventilation attempts which achieved a volume delivery of > 434 mls) was greater for anaesthetists [78.0 (29.5)%] than for non anaesthetists [54.6 (40.0)%] (P = 0.012). Doctors who had attended one or more resuscitation courses where no more effective at mask ventilation than their colleagues who had not undertaken such courses. It is likely that first responders to in-hospital cardiac arrests are commonly unable to perform adequate mask ventilation.

  6. Oral Cancer Awareness of Non-Consultant Hospital Doctors in Irish Hospitals

    LENUS (Irish Health Repository)

    Shanahan, D

    2018-01-01

    The incidence of oral cancer is rising in Ireland. The aim of this study is to assess the level of awareness of oral cancer amongst non-consultant hospital doctors (NCHDs) in Ireland, so any knowledge deficits can be identified and addressed. Data was collected by means of an anonymous online questionnaire, which was distributed via a private social media page for NCHDs in Ireland. It was completed by 221 participants, of which over 80% recorded that they do not regularly examine patients’ oral mucosa. Sixty percent were ‘unsure’, and 21%, ‘very unsure’, about diagnosing oral cancer based on clinical appearance. Nor were respondents able to identify confidently the various potential risk factors for oral cancer. Eighty-four percent of NCHDs requested further education on the topic. The response rate of the study was low, and further investigation is required to determine if the findings of this study are representative of the wider NCHD community. The chief recommendation of this paper is to provide more education about oral cancer, at both medical undergraduate and postgraduate levels, and to increase awareness of the condition amongst hospital doctors.

  7. Practices regarding hospital waste management at public and private sector hospitals of Lahore

    International Nuclear Information System (INIS)

    Mahmood, S.; Din, N.U.; Mohsin, J.

    2011-01-01

    Health care (Biomedical) waste is a term used for all waste arising from health care establishments. In most of health care centers of Pakistan, including Lahore, hospital wastes are simply mixed with the municipal waste in collecting bins at road-sides and disposed off similarly. Proper Management of biomedical waste, especially the hazardous one, being produced in hospital settings is important in terms of their ability to cause harm to the related per-sons and the environment as well. To Observe and compare the practices regarding Hospital Waste management of the public sector hospital with private sector hospital. Descriptive, Cross sectional. Methodology: Standardized checklist was used to assess the practices of nursing and sanitary staff. Practices regarding waste segregation were same at both hospitals. While practices regarding waste collection and transportation were better at The Children's Hospital. Public sector hospital has, paradoxically, better practices regarding hospital waste management in comparison to private sector hospital. (author)

  8. Prescribing error at hospital discharge: a retrospective review of medication information in an Irish hospital.

    Science.gov (United States)

    Michaelson, M; Walsh, E; Bradley, C P; McCague, P; Owens, R; Sahm, L J

    2017-08-01

    Prescribing error may result in adverse clinical outcomes leading to increased patient morbidity, mortality and increased economic burden. Many errors occur during transitional care as patients move between different stages and settings of care. To conduct a review of medication information and identify prescribing error among an adult population in an urban hospital. Retrospective review of medication information was conducted. Part 1: an audit of discharge prescriptions which assessed: legibility, compliance with legal requirements, therapeutic errors (strength, dose and frequency) and drug interactions. Part 2: A review of all sources of medication information (namely pre-admission medication list, drug Kardex, discharge prescription, discharge letter) for 15 inpatients to identify unintentional prescription discrepancies, defined as: "undocumented and/or unjustified medication alteration" throughout the hospital stay. Part 1: of the 5910 prescribed items; 53 (0.9%) were deemed illegible. Of the controlled drug prescriptions 11.1% (n = 167) met all the legal requirements. Therapeutic errors occurred in 41% of prescriptions (n = 479) More than 1 in 5 patients (21.9%) received a prescription containing a drug interaction. Part 2: 175 discrepancies were identified across all sources of medication information; of which 78 were deemed unintentional. Of these: 10.2% (n = 8) occurred at the point of admission, whereby 76.9% (n = 60) occurred at the point of discharge. The study identified the time of discharge as a point at which prescribing errors are likely to occur. This has implications for patient safety and provider work load in both primary and secondary care.

  9. Regulation and registration as drivers of continuous professional competence for Irish pre-hospital practitioners: a discussion paper.

    Science.gov (United States)

    Knox, S; Dunne, S S; Hughes, M; Cheeseman, S; Dunne, C P

    2016-05-01

    The regulatory body responsible for the registration of Irish pre-hospital practitioners, the Pre-Hospital Emergency Care Council (PHECC), identified the need to implement a continuing professional competence (CPC) framework. The first cycle of CPC (focused on emergency medical technicians) commenced in November 2013 creating for the first time a formal relationship between continuing competence and registration to practice. To review current literature and to describe benefits and challenges relevant to CPC, regulation, registration and their respective contributions to professionalism of pre-hospital practitioners: advanced paramedics, paramedics and emergency medical technicians. Online search of cumulative index to nursing and allied health literature (CINAHL Plus with Full Text), Allied and Complementary Medicine (AMED) and 'Pubmed' databases using: 'Continuous Professional Development'; 'Continuous Professional Development'; 'emergency medical technician'; 'paramedic'; 'registration'; 'regulation'; and "profession' for relevant articles published since 2004. Additional policy documents, discussion papers, and guidance documents were identified from bibliographies of papers found. Reports, governmental policies for other healthcare professions, and professional developments internationally for allied professions (e.g., nursing, physiotherapy and medicine) link maintenance of competence with requirements for registration to practice. We suggest that evolving professionalisation of Irish paramedics should be affirmed through behaviours and competencies that incorporate adherence to professional codes of conduct, reflective practice, and commitment to continuing professional development. While the need for ambulance practitioner CPD was identified in Ireland almost a decade ago, PHECC now has the opportunity to introduce a model of CPD for paramedics linking competence and professionalism to annual registration.

  10. Venous thromboembolism risk and prophylaxis in the acute hospital care setting: the Irish results of the ENDORSE study.

    LENUS (Irish Health Repository)

    Murphy, O

    2012-05-01

    ENDORSE (Epidemiologic International Day for the Evaluation of Patients at Risk for Venous Thromboembolism in the Acute Hospital Care Setting), is a multinational, cross-sectional survey of venous thromboembolism (VTE) risk prevalence and effective prophylaxis in the acute hospital care setting. Three Irish hospitals enrolled in the study. The American College of Chest Physicians (ACCP) guidelines were employed to evaluate VTE risk and prophylaxis. Of 552 patients, 297 (53.8%) and 255 (46.2%) were categorised as surgical or medical, respectively, with 175 (59%) surgical and 109 (43%) medical patients deemed to be at risk for VTE. Of these, only 112 (64%) and 51 (47%) received recommended VTE prophylaxis, respectively. The results are consistent with those observed in other countries and demonstrate a high prevalence of risk for VTE and a low rate of prophylaxis use, particularly in medical patients. Awareness of VTE guidelines should be an integral component of health policy.

  11. 'These schemes will win for themselves the confidence of the people': irish independence, poor law reform and hospital provision.

    Science.gov (United States)

    Lucey, Donnacha Seán

    2014-01-01

    This article examines hospital provision in Ireland during the early twentieth century. It examines attempts by the newly independent Irish Free State to reform and de-stigmatise medical relief in former workhouse infirmaries. Such reforms were designed to move away from nineteenth century welfare regimes which were underpinned by principles of deterrence. The reform initiated in independent Ireland - the first attempted break-up of the New Poor Law in Great Britain or Ireland - was partly successful. Many of the newly named County and District Hospitals provided solely for medical cases and managed to dissociate such health care provision from the relief of poverty. However, some hospitals continued to act as multifunctional institutions and provided for various categories including the sick, the aged and infirm, 'unmarried mothers' and 'harmless lunatics'. Such institutions often remained associated with the relief of poverty. This article also examines patient fee-payment and outlines how fresh terms of entitlement and means-testing were established. Such developments were even more pronounced in voluntary hospitals where the majority of patients made a financial contribution to their treatment. The article argues that the ability to pay at times determined the type of provision, either voluntary or rate-aided, available to the sick. However, it concludes that the clinical condition of patients often determined whether they entered a more prestigious voluntary hospital or the former workhouse. Although this article concentrates on two Irish case studies, County Kerry and Cork City; it is conceptualised within wider developments with particular reference to the British context.

  12. The Irish Maritime Transport Economist Volume 3

    OpenAIRE

    Office, Irish Maritime Development

    2006-01-01

    The Irish Maritime Development Office (IMDO) of the Marine Institute publishes the Irish Maritime Transport Economist each year to provide a descriptive statistical analysis of the Irish ports and shipping services sector, as well as the many factors influencing its performance.

  13. The Irish Maritime Transport Economist Volume 4

    OpenAIRE

    Office, Irish Maritime Development

    2007-01-01

    The Irish Maritime Development Office (IMDO) of the Marine Institute publishes the Irish Maritime Transport Economist each year to provide a descriptive statistical analysis of the Irish ports and shipping services sector, as well as the many factors influencing its performance.

  14. Cost of capital to the hospital sector.

    Science.gov (United States)

    Sloan, F A; Valvona, J; Hassan, M; Morrisey, M A

    1988-03-01

    This paper provides estimates of the cost of equity and debt capital to for-profit and non-profit hospitals in the U.S. for the years 1972-83. The cost of equity is estimated using, alternatively, the Capital Asset Pricing Model and Arbitrage Pricing Theory. We find that the cost of equity capital, using either model, substantially exceeded anticipated inflation. The cost of debt capital was much lower. Accounting for the corporate tax shield on debt and capital paybacks by cost-based insurers lowered the net cost of capital to hospitals.

  15. The cost utility of a multi-disciplinary foot protection clinic (MDFPC) in an Irish hospital setting.

    LENUS (Irish Health Repository)

    Nason, G J

    2012-04-21

    BACKGROUND: Foot ulceration which may result in lower limb amputation is one of the most feared complications among patients with diabetes and the prevention of both ulceration and amputation is a major challenge facing the health service. Many studies have proposed dedicated diabetic foot teams as the future of diabetic foot care. AIMS: We aimed to quantify the cost benefit and sustainability of a multi-disciplinary foot protection clinic (MDFPC) in an Irish university hospital setting. METHODS: A dedicated bi-weekly consultant-led MDFPC including Vascular Surgery, Endocrinology, Orthopaedic Surgery, Podiatry, Orthotics and Tissue Viability was established in June 2008. RESULTS: Between 2006 and 2010, a total of 221 lower limb procedures (major\\/minor amputations and debridement) were performed. The number of major amputations decreased from 12 during the control period (2 years before the clinic) to 7 in the study period (2 years after the clinic). After costing all activity associated with the clinic, there was an overall saving of 114,063 per year associated with the introduction of the MDFPC. CONCLUSION: This is the first study in an Irish context, and one of few international studies, to demonstrate that an aggressive-coordinated approach to diabetic foot care is both cost effective and clinically efficient in reducing the burden of foot-related complications in a diabetic population.

  16. Corporate Social Responsibility in the Hospitality Sector

    Directory of Open Access Journals (Sweden)

    Manisha Singal

    2017-02-01

    Full Text Available With its large footprint in terms of employment and consumption of natural resources, the hospitality is often at the forefront of social responsibility practices. From environmental to social causes, brands must make sure that their corporate social responsibility practices are both genuine and align with business strategy.

  17. The Social Construction of Skills: A Hospitality Sector Perspective

    Science.gov (United States)

    Baum, Tom

    2008-01-01

    This paper addresses the nature of skills in service work with specific reference to international tourism and its hospitality subsector. It explores the role of experiential factors (cultural, emotional and aesthetic) in equipping those entering work in the sector. The specific context of work in less developed countries and within migrant labour…

  18. Analysis of hospital logistics and costs of the Clinical Engineering Sector in a Philanthropic Hospital

    Directory of Open Access Journals (Sweden)

    Antônio Artur de Souza

    2014-12-01

    Full Text Available Hospitals are considered complex organizations mainly due to the high cost of the health care structure employed for care. Reducing operating costs is a challenge for hospital managers. Particularly in the clinical engineering sector, adequate hospital logistics can reduce costs. In this context, the aim of the research was to analyze the activities of hospital logistics of the Clinical Engineering department at a charity hospital, focusing on cost reduction. The paper presents a case study in a large charity hospital located in the metropolitan region of Belo Horizonte, MG. The analysis focuses on the activities of hospital logistics at this hospital clinical engineering sector. The work in this sector is concentrated in the realization and implementation of equipment maintenance, to the detriment of efforts to reduce costs and increase safety for all streams managed by the sector. It was also found that there are risks of increased costs with inadequate routines: (i acquisition of new and large equipment; (ii maintenance and release schedule for use; and (iii the theft of equipment.

  19. Downsizing in the public sector: Metro-Toronto's hospitals.

    Science.gov (United States)

    Flint, Douglas H

    2003-01-01

    This study has two objectives. First, to predict the outcomes of a public sector downsizing; second to measure effects of downsizing at organizational and inter-organizational levels. Primary data to assess the organizational level effects was collected through interviews with senior executives at two of Metro-Toronto's hospitals. Secondary data, to assess the inter-organizational effects, was collected from government documents and media reports. Due to the exploratory nature of the study's objectives a case study method was employed. Most institutional downsizing practices aligned with successful outcomes. Procedures involved at the inter-organizational level aligned with unsuccessful outcomes and negated organizational initiatives. This resulted in an overall alignment with unsuccessful procedures. The implication, based on private sector downsizings, is that the post-downsized hospital system was more costly and less effective.

  20. A comparison of antibiotic point prevalence survey data from four Irish regional/general hospitals.

    LENUS (Irish Health Repository)

    Naughton, C

    2011-06-01

    Point prevalence surveys (PPS) are increasingly used to examining and compare hospital antibiotic consumption. The aim of this study was to identify the (1) point prevalence of antibiotic use in one regional hospital and (2) compare PPS data from similar regional\\/general hospitals.

  1. Determinant Factors of Green Marketing Adoption in the Hospitality Sector

    OpenAIRE

    Vlad, Liviu B.; Vasile, Dragos C.; Macovei, Octav-Ionut; Tuclea, Claudia E.

    2016-01-01

    Green marketing is falling into the category of answers provided by the business world to the requirement to combine the economic development with the preservation of natural resources which represents a pressing concern of the modern times. In this context, the hospitality sector is facing as well an increasing pressure to pay attention to environmental issues, hotel organizations are increasingly tending to use environmentally friendly products and services, and to implement programs to man...

  2. Determinant Factors of Green Marketing Adoption in the Hospitality Sector

    Directory of Open Access Journals (Sweden)

    Liviu B. Vlad

    2016-11-01

    Full Text Available Green marketing is falling into the category of answers provided by the business world to the requirement to combine the economic development with the preservation of natural resources which represents a pressing concern of the modern times. In this context, the hospitality sector is facing as well an increasing pressure to pay attention to environmental issues, hotel organizations are increasingly tending to use environmentally friendly products and services, and to implement programs to manage energy and water consumption and waste. The adoption of green marketing in hospitality industry is significantly facilitated by internal and external factors. The paper focuses on the analysis of determinant internal factors: first and foremost on the pro-environmental behavior of the hotel managers and employees, and also on the already implemented green practices in the daily hotel activity. The implementation of green marketing strategies further examined being taken into account the organizational change theory, discloses a third determinant factor, namely, to what extent the process of changing is prepared. This paper is advancing an integrated model of determinant internal factors of green marketing implementation in the hospitality sector. The proposed research model has been tested and validated after analyzing the data collected in a quantitative research conducted on 330 managers and employees from the hospitality industry in Romania. The results show that the three predictors - pro-environmental behavior, current green practices and the change readiness - are having a significant influence on the implementation of green marketing.

  3. The value of multimodality imaging in the investigation of a PSA recurrence after radical prostatectomy in the Irish hospital setting.

    Science.gov (United States)

    McLoughlin, L C; Inder, S; Moran, D; O'Rourke, C; Manecksha, R P; Lynch, T H

    2018-02-01

    The diagnostic evaluation of a PSA recurrence after RP in the Irish hospital setting involves multimodality imaging with MRI, CT, and bone scanning, despite the low diagnostic yield from imaging at low PSA levels. We aim to investigate the value of multimodality imaging in PC patients after RP with a PSA recurrence. Forty-eight patients with a PSA recurrence after RP who underwent multimodality imaging were evaluated. Demographic data, postoperative PSA levels, and imaging studies performed at those levels were evaluated. Eight (21%) MRIs, 6 (33%) CTs, and 4 (9%) bone scans had PCa-specific findings. Three (12%) patients had a positive MRI with a PSA PSA ≥1.1 ng/ml (p = 0.05). Zero patient had a positive CT TAP at a PSA level PSA levels PSA levels PSA levels ≥1.1 ng/ml. MRI alone is of investigative value at PSA <1.0 ng/ml. The indication for CT, MRI, or isotope bone scanning should be carefully correlated with the clinical question and how it will affect further management.

  4. Patient dose variation investigated in four Irish hospitals for barium meal and barium enema examinations

    International Nuclear Information System (INIS)

    Carroll, E.; Brennan, P.C.

    2001-01-01

    Four hospitals have been studied, intra- and inter-hospital variations examined and the mean DAP values recorded for barium enemas and barium meals. Mean DAP values for barium meals and barium enemas at 11.4 Gy.cm 2 and 20.1 Gy.cm 2 respectively have been shown. Differences between individual examinations for barium meals varied by up to a factor of 185 and for barium enemas, up to a factor of 19, with hospital means for barium meal and enema examinations each differing by up to a factor of 3. The data provided by this study have suggested that large variations in patient dose do exist in Ireland for barium meal and barium enema examinations. Fluoroscopy time was shown to be a major contributor to the variations reported, with number of images playing a minor role. Results have demonstrated the need for standardisation of technique throughout the country for these examinations. (author)

  5. Cultural Diversity in the Curriculum: Perceptions and Attitudes of Irish Hospitality and Tourism Academics

    Science.gov (United States)

    Devine, Frances; Hearns, Niamh; Baum, Tom; Murray, Anna

    2008-01-01

    Academics are facing significant challenges in preparing indigenous students for employment in the multicultural working environment of hospitality and tourism organisations. In dealing with the impact of the new skills and flexibilities demanded by increasing globalisation, the indigenous workforce needs to possess a multicultural perspective and…

  6. Electroejaculatory stimulation for male infertility secondary to spinal cord injury: the Irish experience in National Rehabilitation Hospital.

    LENUS (Irish Health Repository)

    McGuire, Ciara

    2012-02-01

    OBJECTIVES: To examine the success rate of electroejaculatory stimulation in patients with acquired spinal injuries in a single Irish institution. The use of electroejaculatory stimulation is of benefit in patients with spinal cord injury who wish to have children. METHODS: A retrospective review of the Hospital In-Patient Enquiry scheme database and the patients\\' medical notes was performed. Any patient who had undergone electroejaculatory stimulation in the past 14 years was included. The quality of semen obtained and the pregnancy rate were assessed in relation to several variables, including patient age and level of spinal injury. RESULTS: From 1994 to 2008, 31 patients (29 patients with acquired spinal injury and 2 patients with a congenital spinal abnormality) had undergone electroejaculatory stimulation as a method of providing semen for assisted conception. Of the 31 patients, 6 had requested cryopreservation of their semen for future use and were therefore excluded from the pregnancy rate analysis. Of the 25 patients who had used the semen, 9 (36%) were successful in achieving pregnancy that resulted in living offspring. The semen analysis results were available for 15 patients. Three patients (one each with contaminated semen, poor semen quality, and an abandoned procedure) required testicular biopsy to extract viable sperm and subsequently achieved pregnancy. Lower spinal lesions (below T10) were associated with lower rates of pregnancy after electroejaculatory stimulation. One patient developed autonomic dysreflexia during the procedure, which was therefore abandoned. CONCLUSIONS: Electroejaculatory stimulation is an effective method of obtaining semen for reproductive purposes and is an option for fertility preservation in patients with spinal cord injury-related anejaculation.

  7. Hand injuries in foreign labour workers in an Irish university hospital.

    LENUS (Irish Health Repository)

    Sattler, Thorsten

    2009-01-01

    The present study reports on a new, rapidly growing patient subpopulation presenting with hand injuries to the Department of Plastic Surgery in Cork University Hospital (Ireland). The impact of the 10 new European Union accession states on the trauma workload is examined. The associated growth in expenditure on interpreter services is also examined. Potential risk factors in the foreign workers\\' new working environment is explored.

  8. Protocols and guidelines for mobile chest radiography in Irish public hospitals

    International Nuclear Information System (INIS)

    Kelly, Amanda; Toomey, Rachel

    2015-01-01

    Background: The mobile chest radiograph is a highly variable examination, in both technique and setting. Protocols and guidelines are one method by which examinations can be standardised, and provide information when one is unsure how to proceed. This study was undertaken to investigate the existence of protocols and guidelines available for the mobile chest radiograph, to establish their nature and compare them under a variety of headings. Methodology: A postal survey was administered to the Radiography Service Managers in the public hospitals under the governance of the Health Service Executive (HSE) in Ireland. The survey contained questions regarding hospital demographics, contents of existing protocols or guidelines, and why a protocol or guideline was not in place, if this was the case. Results: The response rate to the survey was 62% (n = 24). Those that had a specific protocol in place amounted to 63% (n = 15), 71% (n = 17) had a specific guideline, and 63% (n = 15) had both. Twenty nine percent (n = 7) had no specific protocol/guideline in place. Scientific research (88%, n = 15) and radiographer experience (82%, n = 14) were the most common sources used to inform protocols and guidelines. Conclusions: There are protocols and guidelines available to radiographers for mobile chest radiography in the majority of public hospitals in Ireland. The nature of the protocols and guidelines generally coincides with the HSE guidance regarding what sources of information should be used and how often they should be updated

  9. Concentration in the Greek private hospital sector: a descriptive analysis.

    Science.gov (United States)

    Boutsioli, Zoe

    2007-07-01

    Over the last 20 years, governments all around the world have attempted to boost the role of market and competition in health care industries in order to increase efficiency and reduce costs. The increased competition and the significant implications on costs and prices of health care services resulted in health care industries being transformed. Large firms are merging and acquiring other firms. If this trend continues, few firms will dominate the health care markets. In this study, I use the simple concentration ratio (CR) for the largest 4, 8 and 20 companies to measure the concentration of Greek private hospitals during the period 1997-2004. Also, the Gini coefficient for inequality is used. For the two different categories of hospitals used (a) general and neuropsychiatric and (b) obstetric/gynaecological it is evident that the top four firms of the first category accounted for 43% of sales in 1997, and 52% in 2004, while the four largest firms of the second category accounted for almost 83% in 1997, and 81% in 2004. Also, the Gini coefficient increases over the 8-year period examined from 0.69 in 1997 to 0.82 in 2004. It explains that the market of the private health care services becomes less equal in the sense that fewer private hospitals and clinics hold more and more of the share of the total sales. From a cross-industry analysis it is clear that the private hospital sector has the highest concentration rate. Finally, it appears that the market structure of the private hospitals in Greece resembles more closely to an oligopoly rather than a monopolistic competition, since very few firms dominate the market.

  10. Candidaemia in an Irish tertiary referral hospital: epidemiology and prognostic factors.

    LENUS (Irish Health Repository)

    Boo, T W

    2012-02-03

    There were two parts to this study. Part 1 evaluated the epidemiology of Candida bloodstream isolates within the Southern Health Board (SHB) of Ireland from 1992 to 2003 by retrospective surveillance of all such isolates of patients reported from SHB hospitals to our laboratory database during that period. Part 2 reviewed candidaemia cases occurring in Cork University Hospital (CUH) from 1999 to 2003 using surveillance of all positive blood culture isolates in CUH microbiology laboratory during the 5-year period. In part 1, 250 Candida bloodstream isolates were reported in the SHB over 12 years. There was a pattern of decreasing percentage of C. albicans with time. Whereas in part 2, 63 cases of candidaemia were identified in CUH from 1999 to 2003. Candida albicans constituted 50% of all isolates, while C. parapsilosis and C. glabrata accounted for 21.2% and 18.2% respectively. Average annual incidence rate was 0.48 episodes\\/1000 admissions and 0.70 episodes\\/10 000 patient-days. Vascular catheters were the commonest source of candidaemia (61.9%) followed by the urinary tract (12.7%). Risk factors included exposure to multiple antibiotics (75%); central vascular catheterization (73%); multiple colonization sites (71%); severe gastrointestinal (GI) dysfunction (54%) and acute renal failure (43%). Crude 7-day and 30-day mortality rates were 20.6% and 39.7% respectively. Logistic regression multivariate analysis identified the following to be independent predictors for mortality: age > or =65 years [odds ratio (OR) 7.2, P = 0.013]; severe GI dysfunction (OR 10.6, P = 0.01); acute renal failure (OR 7.6, P = 0.022); recent\\/concurrent bacteraemia (OR 5.2, P = 0.042); endotracheal intubation (OR 7.7, P = 0.014); while major surgery was associated with a better prognosis (OR 0.05, P = 0.002). Appropriate antifungal treatment was also found to be associated with survival (Fisher\\'s exact test, P < 0.001). The epidemiology of Candida bloodstream isolates within our

  11. Transforming management of patients undergoing splenectomy in an Irish teaching hospital.

    LENUS (Irish Health Repository)

    McHugh, S M

    2012-02-01

    BACKGROUND: Post-splenectomy infection has a mortality rate of up to 70%. Previously we have published data confirming the poor adherence to best practice guidelines with relation to management of the asplenic patient. A defined protocol of care was established, staff education commenced and a \\'patient information leaflet\\' made available. AIM: To ascertain whether management of the asplenic patient has improved since the implementation of a structured programme of care. METHOD: Retrospective chart review of all splenectomies performed in Beaumont Hospital between 2002 and 2008. RESULTS: Overall, 75.9% of patients were documented as having received the recommended vaccinations. Of these, 48.7% were not timed according to recommended guidelines. Prophylactic antibiotics were documented as prescribed in all but five patients discharged. CONCLUSIONS: These results demonstrate an improvement in post-splenectomy care between 2002 and 2008. However, further improvements are necessary.

  12. Transforming management of patients undergoing splenectomy in an Irish teaching hospital.

    LENUS (Irish Health Repository)

    McHugh, S M

    2011-02-06

    BACKGROUND: Post-splenectomy infection has a mortality rate of up to 70%. Previously we have published data confirming the poor adherence to best practice guidelines with relation to management of the asplenic patient. A defined protocol of care was established, staff education commenced and a \\'patient information leaflet\\' made available. AIM: To ascertain whether management of the asplenic patient has improved since the implementation of a structured programme of care. METHOD: Retrospective chart review of all splenectomies performed in Beaumont Hospital between 2002 and 2008. RESULTS: Overall, 75.9% of patients were documented as having received the recommended vaccinations. Of these, 48.7% were not timed according to recommended guidelines. Prophylactic antibiotics were documented as prescribed in all but five patients discharged. CONCLUSIONS: These results demonstrate an improvement in post-splenectomy care between 2002 and 2008. However, further improvements are necessary.

  13. Quality of stroke care at an Irish Regional General Hospital and Stroke Rehabilitation Unit.

    LENUS (Irish Health Repository)

    Walsh, T

    2012-01-31

    BACKGROUND: Robust international data support the effectiveness of stroke unit (SU) care. Despite this, most stroke care in Ireland are provided outside of this setting. Limited data currently exist on the quality of care provided. AIM: The aim of this study is to examine the quality of care for patients with stroke in two care settings-Regional General Hospital (RGH) and Stroke Rehabilitation Unit (SRU). METHODS: A retrospective analysis of the stroke records of consecutive patients admitted to the SRU between May-November 2002 and April-November 2004 was performed applying the UK National Sentinel Audit of Stroke (NSAS) tool. RESULTS: The results of the study reveal that while SRU processes of care was 74% compliant with standards; compliance with stroke service organisational standards was only 15 and 43% in the RGH and SRU, respectively. CONCLUSION: The quality of stroke care in our area is deficient. Comprehensive reorganisation of stroke services is imperative.

  14. Reporting of meticillin-resistant and -susceptible Staphylococcus aureus on death certificates in Irish hospitals.

    LENUS (Irish Health Repository)

    Collins, C J

    2011-02-01

    The documentation of infection with meticillin-resistant Staphylococcus aureus (MRSA) on death certificates has been the subject of considerable public discussion. Using data from five tertiary referral hospitals in Ireland, we compared the documentation of MRSA and meticillin-susceptible S. aureus (MSSA) on death certificates in those patients who died in hospital within 30 days of having MRSA or MSSA isolated from blood cultures. A total of 133 patients had MRSA or MSSA isolated from blood cultures within 30 days of death during the study period. One patient was excluded as the death certificate information was not available; the other 132 patients were eligible for inclusion. MRSA and MSSA were isolated from blood cultures in 59 (44.4%) and 74 (55.6%) cases respectively. One patient was included as a case in both categories as both MRSA and MSSA were isolated from a blood culture. In 15 (25.4%) of the 59 MRSA cases, MRSA was documented on the death certificate. In nine (12.2%) of the 74 patients with MSSA cases, MSSA was documented on the death certificate. MRSA was more likely to be documented on the death certificate than MSSA (odds ratio: 2.46; 95% confidence interval: 1.01-6.01; P < 0.05). These findings indicate that there may be inconsistencies in the way organisms and infections are documented on death certificates in Ireland and that death certification data may underestimate the mortality related to certain organisms. In particular, there appears to be an overemphasis by certifiers on the documentation of MRSA compared with MSSA.

  15. Newborn screening for congenital hypothyroidism in a public sector hospital

    International Nuclear Information System (INIS)

    Ghafoor, F.; Mohsin, S.N.; Mukhtar, S.; Hussain, W.

    2013-01-01

    Background: Congenital hypothyroidism if left untreated results in growth failure, irreversible mental retardation, and cretinism. National neonatal screening programs are therefore, launched to diagnose congenital hypothyroidism and manage it timely. Objectives: To screen new borns for congenital hypothyroidism in two public sector hospitals of Lahore. Study type, settings and duration:Cross sectional descriptive study conducted at departments of Gynae/Obs and Pediatric Shaikh Zayed Hospital and Jinnah Hospital, Lahore from February 2010 to November 2011. Subjects and Methods: Awareness brochures for congenital hypothyroidism were developed and attached with the antenatal card of each pregnant case attending antenatal clinic at Gynae/Obs OPD. Newborns who had stayed in hospital for more than 24 hour, and whose parents consented for heal prick were tested for blood spot thyroid-stimulating hormone. Results were reported within four days and thyroid-stimulating hormone >= 20mIU/L was taken as high value. Parents of those neonates who had high value were contacted to give a fresh sample for confirmation. Confirmed results were provided within next 4-5 days to the parents and treating pediatrician for appropriate treatment. Results: A total of 1357 samples were screened using blood spot thyroid-stimulating hormone and out of these 1330 were normal ( =20mIU/L). These 27 neonates were further tested using confirmatory tests For serum thyroid-stimulating hormone, T3 and T4. After confirmatory tests only one case had congenital hypothyroidism who was referred for treatment. Three cases were suspected to have subclinical hypothyroidism and these were retested after six months which, picked another case of confirmed subclinical hypothyroidism who was referred for treatment. The incidence of congenital hypothyroidism was 2 out of 1357 cases. Conclusion: The screening could pick 2 cases of hypothyroidism from a total of 1357 cases which is high when compared to global rates

  16. Key Performance Indicators in Irish Hospital Libraries: Developing Outcome-Based Metrics

    Directory of Open Access Journals (Sweden)

    Michelle Dalton

    2012-12-01

    Full Text Available Objective – To develop a set of generic outcome-based performance measures for Irishhospital libraries.Methods – Various models and frameworks of performance measurement were used as atheoretical paradigm to link the impact of library services directly with measurablehealthcare objectives and outcomes. Strategic objectives were identified, mapped toperformance indicators, and finally translated into response choices to a single-questiononline survey for distribution via email.Results – The set of performance indicators represents an impact assessment tool whichis easy to administer across a variety of healthcare settings. In using a model directlyaligned with the mission and goals of the organization, and linked to core activities andoperations in an accountable way, the indicators can also be used as a channel throughwhich to implement action, change, and improvement.Conclusion – The indicators can be adopted at a local and potentially a national level, asboth a tool for advocacy and to assess and improve service delivery at a macro level. Toovercome the constraints posed by necessary simplifications, substantial further research is needed by hospital libraries to develop more sophisticated and meaningful measures of impact to further aid decision making at a micro level.

  17. Quality management in Irish health care.

    Science.gov (United States)

    Ennis, K; Harrington, D

    1999-01-01

    This paper reports on the findings from a quantitative research study of quality management in the Irish health-care sector. The study findings suggest that quality management is what hospitals require to become more cost-effective and efficient. The research also shows that the culture of health-care institutions must change to one where employees experience pride in their work and where all are involved and committed to continuous quality improvement. It is recommended that a shift is required from the traditional management structures to a more participative approach. Furthermore, all managers whether from a clinical or an administration background must understand one another's role in the organisation. Finally, for quality to succeed in the health-care sector, strong committed leadership is required to overcome tensions in quality implementation.

  18. Florence Nightingale and Irish nursing.

    Science.gov (United States)

    McDonald, Lynn

    2014-09-01

    To challenge statements made about 'Careful Nursing' as a 'distinctive system' of nursing established by the Irish Sisters of Mercy, prior to Florence Nightingale, and which is said to have influenced her. Numerous publications have appeared claiming the emergence of a 'distinctive system' of nursing as 'Ireland's legacy to nursing', which, it is claimed, influenced Nightingale's system. One paper argues that the Irish system has its philosophical roots in Thomist philosophy. Several papers argue the ongoing relevance of the Irish system, not Nightingale's, for contemporary nursing theory and practice. Nightingale's influence on and legacy to Irish nursing are not acknowledged. A Discursive paper. Archival and published sources were used to compare the nursing systems of Florence Nightingale and the Irish Sisters of Mercy, with particular attention to nursing during the Crimean War. Claims were challenged of a 'distinctive system' of nursing established by the Irish Sisters of Mercy in the early nineteenth century, and of its stated influence on the nursing system of Florence Nightingale. The contention of great medical satisfaction with the 'distinctive' system is refuted with data showing that the death rate at the Koulali Hospital, where the Irish sisters nursed, was the highest of all the British war hospitals during the Crimean War. Profound differences between the two systems are outlined. Claims for a 'distinctive' Irish system of nursing fail for lack of evidence. Nightingale's principles and methods, as they evolved over the first decade of her school's work, remain central to nursing theory and practice. Nightingale's insistence on respect for patients and high ethical standards remains relevant to practice no less so as specific practices change with advances in medical knowledge and practice. © 2014 John Wiley & Sons Ltd.

  19. Uncomfortable realities: the challenge of creating real change in Europe's consolidating hospital sector

    NARCIS (Netherlands)

    Jeurissen, P.P.; Duran, A.; Saltman, R.B.

    2016-01-01

    BACKGROUND: This article examines uncomfortable realities that the European hospital sector currently faces and the potential impact of wide-spread rationalization policies such as (hospital) payment reform and privatization. METHODS: Review of relevant international literature. RESULTS: Based on

  20. Use of analgesics in intentional drug overdose presentations to hospital before and after the withdrawal of distalgesic from the Irish market.

    Science.gov (United States)

    Corcoran, Paul; Reulbach, Udo; Keeley, Helen S; Perry, Ivan J; Hawton, Keith; Arensman, Ella

    2010-03-18

    Distalgesic, the prescription-only analgesic compound of paracetamol (325 mg) and dextropropoxyphene (32.5 mg) known as co-proxamol in the UK, was withdrawn from the Irish market as of January 2006. This study aimed to evaluate the impact of the withdrawal of distalgesic in terms of intentional drug overdose (IDO) presentations to hospital emergency departments (EDs) nationally. A total of 42,849 IDO presentations to 37 of the 40 hospitals EDs operating in Ireland in 2003-2008 were recorded according to standardised procedures. Data on sales of paracetamol-containing drugs to retail pharmacies for the period 1998-2008 were obtained from IMS Health. The withdrawal of distalgesic from the Irish market resulted in an immediate reduction in sales to retail pharmacies from 40 million tablets in 2005 to 500,000 tablets in 2006 while there was a 48% increase in sales of other prescription compound analgesics. The rate of IDO presentations to hospital involving distalgesic in 2006-2008 was 84% lower than in the three years before it was withdrawn (10.0 per 100,000). There was a 44% increase in the rate of IDO presentations involving other prescription compound analgesics but the magnitude of this rate increase was five times smaller than the magnitude of the decrease in distalgesic-related IDO presentations. There was a decreasing trend in the rate of presentations involving any paracetamol-containing drug that began in the years before the distalgesic withdrawal. The withdrawal of distalgesic has had positive benefits in terms of IDO presentations to hospital in Ireland and provides evidence supporting the restriction of availability of means as a prevention strategy for suicidal behaviour.

  1. Lessons from abroad: Rebalancing accountability and pedagogy in the Irish social care sector through the use of effective leadership

    Directory of Open Access Journals (Sweden)

    Jones Cathy

    2016-08-01

    Full Text Available A concern is emerging in Ireland that social care managers and staff are moving too far away from the ‘care’ in social ‘care’ work. In this paper a discussion of the impact of the bureaucratic procedures and regulation within the social work and social care work sectors is presented along with an exploration of leadership approaches. It is argued that certain leadership approaches, in particular pedagogical leadership, could not only help social care managers to negotiate the complex issues they are facing but also facilitate putting the ‘care’ back into social ‘care’ work. Pedagogical leadership is globally supported across a variety of human service disciplines: it facilitates the creation of a learning culture within the workplace where social care managers facilitate conversations with their teams to encourage reflection, critical thinking and contributions to the professional wisdom required for quality service. The purpose of this article is to contribute to the dialogue within leadership practice for social care professionals. This discourse is necessary if lessons are to be learned from past experiences in this country and others about how to balance the need for care, learning and compassion with accountability.

  2. Outsourcing: two case studies from the Victorian public hospital sector.

    Science.gov (United States)

    Young, Suzanne

    2007-02-01

    Outsourcing was one process of privatisation used in the Victorian public health sector in the 1990s. However it was used to varying degrees and across a variety of different services. This paper attempts to answer the questions: Why have managers outsourced? What have managers considered when they have decided to outsource? The research was carried out in a rural hospital and a metropolitan network in Victoria. The key findings highlight the factors that decision makers considered to be important and those that led to negative outcomes. Economic factors, such as frequency of exchange, length of relationships between the parties, and information availability, were often ignored. However, other factors such as outcome measurability, technology, risk, labour market characteristics and goal conflict, and political factors such as relative power of management over labour were often perceived as important in the decision-making process. Negative outcomes from outsourcing were due to the short length of relationships and accompanying difficulties with trust, commitment and loyalty; poor quality; and excessive monitoring and the measurement of outcomes.

  3. Injuries in Irish dance.

    Science.gov (United States)

    Stein, Cynthia J; Tyson, Kesley D; Johnson, Victor M; Popoli, David M; d'Hemecourt, Pierre A; Micheli, Lyle J

    2013-12-01

    Irish dance is growing in popularity and competitiveness; however, very little research has focused specifically on this genre of dance. The purpose of this study was to analyze the types of dance injuries incurred by Irish dancers. A chart review was performed to identify all injuries associated with Irish dance seen in the sports medicine or orthopaedic clinics at the investigators' hospital over an 11-year period. "Injury" was defined as any dance-related pain or disorder that led to evaluation in the clinics. Survey data were also collected from study participants. Ultimately, 255 patients from over 30 different schools of dance were seen with injuries directly related (726 clinic visits) or partially related (199 visits) to Irish dance. Participants ranged in age from 4 to 47, with 95% (243/255) under the age of 19. These 255 patients received 437 diagnoses. Almost 80% of the injuries (348/437) were attributable to overuse, and 20.4% were acute and traumatic injuries (89/437). Ninety-five percent (95.9%) of injuries involved the hip or lower extremity. The most common sites were the foot (33.2%), ankle (22.7%), knee (19.7%), and hip (14.4%). Typical diagnoses were tendon injury (13.3%), apophysitis (11.4%), patellofemoral pain and instability (10.8%), stress injury (10.1%), and muscle injury (7.8%). The majority of traumatic injuries were seen in clinic within 3 weeks, but less than a quarter of overuse injuries were seen that quickly. The most common treatment, prescribed to 84.3% of patients, was physical therapy and home exercises, and the majority of dancers (64.3%) were able to return to full dance activity after injury.

  4. Comparative Analysis of Irish Potato (Solanum tuberosum L.) Production in the Farming Sectors that Emerged from Zimbabwe’s Radical Land Reform of 2000

    NARCIS (Netherlands)

    Svubure, O.; Struik, P.C.; Haverkort, A.J.; Steyn, J.M.

    2017-01-01

    © 2017 European Association for Potato ResearchIrish potato production in Zimbabwe can be traced back to the early 1900s. Large-scale commercial farmers dominated production until the early 2000s. Potato is the most important horticultural crop and has been declared a strategic national food

  5. Irish Culinary Manuscripts and Printed Books:a Discussion

    OpenAIRE

    Mac Con Iomaire, Máirtín; Cashman, Dorothy

    2011-01-01

    This paper provides a discussion of Irish Culinary Manuscripts and Printed Cookbooks. It covers Gaelic hospitality and aristocratic hospitality, setting the background for the Anglo-Irish households from which many manuscripts emerge. It charts the growing sources of information on Irish culinary history. It outlines Barbara Wheaton's framework for reading historic cookbooks and discusses the growing manuscript cookbook collection in the National Library of Ireland.

  6. Strategic Brand Management in Hospitality Sector: How to Manage Co-branding in Hotels and Restaurants

    Directory of Open Access Journals (Sweden)

    Ruhet Genc

    2010-10-01

    Full Text Available Companies in the hospitality sector (hotels, restaurants etc. aim to distinguish their brandimage and differentiate their product or service among the competitors by adopting particular brandstrategies since identifying a target customer base and understanding their needs and preferences areof primary significance for hospitality firms. The achievement of a distinguished designationnecessitates utilizing research based and strategic branding techniques and suggestions. One majorbranding strategy particularly for international firms is co-branding. Nevertheless, there are scarcestudies which examine the role of strategic co-brand management in the hospitality sector. Thisreview paper aims to critically discuss the current position of strategic co-branding in the hospitalitysector and possible problems involved in this issue. Recommendations for future research on cobrandingof hospitality firms within the strategic management paradigm are provided. Furthermore,managers in the hospitality sector are given suggestions for enhancing strategic management of cobrandingin hospitality and particularly in destination firms.

  7. Containing costs in public sector hospitals - a strategy for the future ...

    African Journals Online (AJOL)

    Containing costs in public sector hospitals - a strategy for the future. ... is increasing concern about expenditure in the public and the private health care sectors. ... at the micro-level comparison of expenditure over a 14-year period in one major ...

  8. Hospital safeguards capital program through private sector partnership.

    Science.gov (United States)

    Thomas, J; Lungo, A; Bobrow, M

    1984-02-01

    As access to capital tightens, more hospitals are exploring the benefits of partnerships with private companies. A California hospital, burdened by the long-term debt it incurred for a medical office building, worked together with its medical staff and an outside real estate developer. By selling the building to the developer, not only was the hospital able to finance a much-needed expansion and reconstruction project, but the hospital's medical staff had an opportunity to become limited partners in the ownership of the building.

  9. Attitudes towards semi-processed foods in the hospital sector

    DEFF Research Database (Denmark)

    Mikkelsen, Bent Egberg; Friis, Alan; Lassen, Anne Dahl

    2005-01-01

    The paper addresses some of the challenges the food service sector faces in relation to the increased pressure for cost effective operations. The approach pertains to application of semi-prepared constituents for meals the so-called meal elements. The study uncovers attitudes towards application ...

  10. Is Bank Finance the Achilles' Heel of Irish SMEs?

    Science.gov (United States)

    Carey, Dermot; Flynn, Antoinette

    2005-01-01

    Purpose: The purpose of this research paper is to examine the implications of new banking regulations (Basel II) for the Irish SME sector. Training gaps are identified and recommendations to advance social capital networks are provided. Design/methodology/approach: The Irish SME dependence on external (bank) finance and their susceptibility to…

  11. Is the Green Key standard the golden key for sustainability measurement in the hospitality sector?

    NARCIS (Netherlands)

    Rietbergen, M.G.; Van Rheede, A.

    2014-01-01

    The Green Key is an eco-rating program that aims at promoting sustainable business practices in the hospitality sector. The Green Key assesses amongst others the sustainable management of energy, water and waste within hotels and other hospitality firms. The Green Key standard awards points if

  12. Corporate social responsibility in health sector: a case study in the government hospitals in Medan, Indonesia

    Directory of Open Access Journals (Sweden)

    Arlina Nurbaity Lubis

    2018-03-01

    Full Text Available Contemporary society demands that every organization operate with a sense of social responsibility. Many organizations now include corporate social responsibility (CSR activities in their work programs. In the health sector, however, the role of CSR has not been studied as intensively as in private corporations because the services provided by the health sector are already valued as directly serving humanity. This research aims to evaluate the impact of CSR on the health sector, specifically on government hospitals. This model was developed by analyzing the influence of CSR on hospital reputation, customer loyalty, and hospital values. By answering questionnaires, a total of 200 hospital patients from four government hospitals participated in the study. The proposed model was evaluated using path analysis with AMOS tools. The results of this study provide empirical evidence that overall, CSR positively affects the reputation of the hospital, patient loyalty, and hospital value. Although there is a direct negative effect of CSR on hospital value, the larger influence of indirect effect that occurs through the mediating role of reputation and patient loyalty variables shows that CSR is able to increase the hospital value. Practically, these results imply that CSR should be applied as a strategic tool in improving the value of the hospital.

  13. A Sectoral Approach to Training in the Printing Industry and the Hospital Sector. Synthesis Report of a Study in Five European Countries. CEDEFOP Panorama.

    Science.gov (United States)

    Warmerdam, John

    The development of sectoral training systems in two economic sectors--the printing industry and the sector of health care in hospitals--was examined in a study that entailed parallel research projects in five European countries: Belgium, Latvia, The Netherlands, Norway, and the United Kingdom. The study was based on the assumption that the…

  14. The Irish Wind Atlas

    Energy Technology Data Exchange (ETDEWEB)

    Watson, R [Univ. College Dublin, Dept. of Electronic and Electrical Engineering, Dublin (Ireland); Landberg, L [Risoe National Lab., Meteorology and Wind Energy Dept., Roskilde (Denmark)

    1999-03-01

    The development work on the Irish Wind Atlas is nearing completion. The Irish Wind Atlas is an updated improved version of the Irish section of the European Wind Atlas. A map of the irish wind resource based on a WA{sup s}P analysis of the measured data and station description of 27 measuring stations is presented. The results of previously presented WA{sup s}P/KAMM runs show good agreement with these results. (au)

  15. Irish Literature in Austria.

    Science.gov (United States)

    Faerber, Gerda

    After a brief description of some historical and cultural interchanges between Ireland and Austria, the paper examines Irish fiction that has been translated into German and Irish plays that have been performed in Vienna over the past 25 years. The paper also describes German translations of Irish children's fiction, including classics like…

  16. Comparison of organizational learning capabilities of the personnel in public and private sector hospitals of Kermanshah

    Directory of Open Access Journals (Sweden)

    Homayoun Abbasi

    2014-03-01

    Full Text Available Background: Hospitals are among the most interactive organizations in which the rate of knowledge transfer and learning is considerably high. The investigation of the level of organizational learning between public and private sector hospitals can be useful for managers to select proper organizational learning strategies aiming at improving service delivery and organizational behaviour (1. This study was carried out to compare the organizational learning capabilities of the personnel in public and private sector hospitals of Kermanshah. Methods: This descriptive survey was performed on the personnel in public and private sector hospitals of Kermanshah. According to Krejcie and Morgan’s table, 175 employees were selected via stratified random sampling from 6 public and 2 private hospitals. The instrument for gathering data was Organizational Learning Capability Questionnaire (OLCQ by Gomez et al. (2005 (2. Data were analysed by inferential statistics (K-S test, Levene’s test, t-test, one-way ANOVA using SPSS software (version 20.00. Results: The level of organizational learning capabilities of personnel was higher in the private hospitals than in public hospitals, indicating a statistically significant difference between them (T (26= 11.779, P0.01، F (3, 68 = 1.859. Conclusion: With regard to the higher average of knowledge transfer and integration than the other capabilities in public and private hospitals, it seems that the managers of hospitals should make use of this component to promote the organizational knowledge of the personnel and improve other organizational learning capabilities too.

  17. Does hospital ownership affect patient experience? An investigation into public-private sector differences in England.

    Science.gov (United States)

    Pérotin, Virginie; Zamora, Bernarda; Reeves, Rachel; Bartlett, Will; Allen, Pauline

    2013-05-01

    Using patient experience survey data, the paper investigates whether hospital ownership affects the level of quality reported by patients whose care is funded by the National Health Service in areas other than clinical quality. We estimate a switching regression model that accounts for (i) some observable characteristics of the patient and the hospital episode; (ii) selection into private hospitals; and (iii) unmeasured hospital characteristics captured by hospital fixed effects. We find that the experience reported by patients in public and private hospitals is different, i.e. most dimensions of quality are delivered differently by the two types of hospitals, with each sector offering greater quality in certain specialties or to certain groups of patients. However, the sum of all ownership effects is not statistically different from zero at sample means. In other words, hospital ownership in and of itself does not affect the level of quality of the average patient's reported experience. Differences in mean reported quality levels between the private and public sectors are entirely attributable to patient characteristics, the selection of patients into public or private hospitals and unobserved characteristics specific to individual hospitals, rather than to hospital ownership. Copyright © 2013 Elsevier B.V. All rights reserved.

  18. Competition and quality indicators in the health care sector: empirical evidence from the Dutch hospital sector.

    Science.gov (United States)

    Croes, R R; Krabbe-Alkemade, Y J F M; Mikkers, M C

    2018-01-01

    There is much debate about the effect of competition in healthcare and especially the effect of competition on the quality of healthcare, although empirical evidence on this subject is mixed. The Netherlands provides an interesting case in this debate. The Dutch system could be characterized as a system involving managed competition and mandatory healthcare insurance. Information about the quality of care provided by hospitals has been publicly available since 2008. In this paper, we evaluate the relationship between quality scores for three diagnosis groups and the market power indicators of hospitals. We estimate the impact of competition on quality in an environment of liberalized pricing. For this research, we used unique price and production data relating to three diagnosis groups (cataract, adenoid and tonsils, bladder tumor) produced by Dutch hospitals in the period 2008-2011. We also used the quality indicators relating to these diagnosis groups. We reveal a negative relationship between market share and quality score for two of the three diagnosis groups studied, meaning that hospitals in competitive markets have better quality scores than those in concentrated markets. We therefore conclude that more competition is associated with higher quality scores.

  19. Emergence of Sequence Type 779 Methicillin-Resistant Staphylococcus aureus Harboring a Novel Pseudo Staphylococcal Cassette Chromosome mec (SCCmec)-SCC-SCCCRISPR Composite Element in Irish Hospitals

    Science.gov (United States)

    Kinnevey, Peter M.; Shore, Anna C.; Brennan, Grainne I.; Sullivan, Derek J.; Ehricht, Ralf; Monecke, Stefan; Slickers, Peter

    2013-01-01

    Methicillin-resistant Staphylococcus aureus (MRSA) has been a major cause of nosocomial infection in Irish hospitals for 4 decades, and replacement of predominant MRSA clones has occurred several times. An MRSA isolate recovered in 2006 as part of a larger study of sporadic MRSA exhibited a rare spa (t878) and multilocus sequence (ST779) type and was nontypeable by PCR- and DNA microarray-based staphylococcal cassette chromosome mec (SCCmec) element typing. Whole-genome sequencing revealed the presence of a novel 51-kb composite island (CI) element with three distinct domains, each flanked by direct repeat and inverted repeat sequences, including (i) a pseudo SCCmec element (16.3 kb) carrying mecA with a novel mec class region, a fusidic acid resistance gene (fusC), and two copper resistance genes (copB and copC) but lacking ccr genes; (ii) an SCC element (17.5 kb) carrying a novel ccrAB4 allele; and (iii) an SCC element (17.4 kb) carrying a novel ccrC allele and a clustered regularly interspaced short palindromic repeat (CRISPR) region. The novel CI was subsequently identified by PCR in an additional 13 t878/ST779 MRSA isolates, six from bloodstream infections, recovered between 2006 and 2011 in 11 hospitals. Analysis of open reading frames (ORFs) carried by the CI showed amino acid sequence similarity of 44 to 100% to ORFs from S. aureus and coagulase-negative staphylococci (CoNS). These findings provide further evidence of genetic transfer between S. aureus and CoNS and show how this contributes to the emergence of novel SCCmec elements and MRSA strains. Ongoing surveillance of this MRSA strain is warranted and will require updating of currently used SCCmec typing methods. PMID:23147725

  20. Emergence of sequence type 779 methicillin-resistant Staphylococcus aureus harboring a novel pseudo staphylococcal cassette chromosome mec (SCCmec)-SCC-SCCCRISPR composite element in Irish hospitals.

    LENUS (Irish Health Repository)

    Kinnevey, Peter M

    2013-01-01

    Methicillin-resistant Staphylococcus aureus (MRSA) has been a major cause of nosocomial infection in Irish hospitals for 4 decades, and replacement of predominant MRSA clones has occurred several times. An MRSA isolate recovered in 2006 as part of a larger study of sporadic MRSA exhibited a rare spa (t878) and multilocus sequence (ST779) type and was nontypeable by PCR- and DNA microarray-based staphylococcal cassette chromosome mec (SCCmec) element typing. Whole-genome sequencing revealed the presence of a novel 51-kb composite island (CI) element with three distinct domains, each flanked by direct repeat and inverted repeat sequences, including (i) a pseudo SCCmec element (16.3 kb) carrying mecA with a novel mec class region, a fusidic acid resistance gene (fusC), and two copper resistance genes (copB and copC) but lacking ccr genes; (ii) an SCC element (17.5 kb) carrying a novel ccrAB4 allele; and (iii) an SCC element (17.4 kb) carrying a novel ccrC allele and a clustered regularly interspaced short palindromic repeat (CRISPR) region. The novel CI was subsequently identified by PCR in an additional 13 t878\\/ST779 MRSA isolates, six from bloodstream infections, recovered between 2006 and 2011 in 11 hospitals. Analysis of open reading frames (ORFs) carried by the CI showed amino acid sequence similarity of 44 to 100% to ORFs from S. aureus and coagulase-negative staphylococci (CoNS). These findings provide further evidence of genetic transfer between S. aureus and CoNS and show how this contributes to the emergence of novel SCCmec elements and MRSA strains. Ongoing surveillance of this MRSA strain is warranted and will require updating of currently used SCCmec typing methods.

  1. [Evaluation of the efficiency and quality of hospitals publicly owned with private management and hospitals of the public sector].

    Science.gov (United States)

    Giraldes, Maria Do Rosário

    2007-01-01

    should be compensated and contract-programmes, between other, must be celebrated. The low rate of autopsies, 5.9%, is a indicator of quality which needs an intervention. The inequalities existing in this indicator are high in all hospital groups, due to the fact that most of the hospitals show no activity in this area. The low percentage of surgeries in ambulatory, 17.6 %, which does not exist in several hospitals, show the need for a politic of intervention in this area. The percentage of cesearians in total deliveries is very high in all the hospitals with a low variation coefficient. Norms of intervention should be defined in what management indicators are concerned in relation to the areas of expenditure with day hospital care, drugs in day hospital, drugs in outpatient care and rehabilitation by user. Day hospital, which is more used for hemodyalisis and chimiotherapy should be developed in all hospitals with those specialities, after cost-effective analysis studies with the involvement of the private sector. The area of hotel support, as well in what laundry and food are concerned, present high inequalities in all hospital groups and need a special intervention. Process indicators, as cesearians in total deliveries, ambulatory surgeries intervention, and the rate of autopsies, are important areas of the quality of the hospital and should be developed. The outcome indicator, percentage of inpatient care after surgeries due to infection needs also attention. This area which has already been subject to an intervention with actions at hospital level and specific actions of teaching in this area should be developed due to the high value of this indicator of 0.12%.

  2. Strategic Brand Management in Hospitality Sector: How to Manage Co-branding in Hotels and Restaurants

    OpenAIRE

    Ruhet Genc

    2010-01-01

    Companies in the hospitality sector (hotels, restaurants etc.) aim to distinguish their brand image and differentiate their product or service among the competitors by adopting particular brand strategies since identifying a target customer base and understanding their needs and preferences are of primary significance for hospitality firms. The achievement of a distinguished designation necessitates utilizing research based and strategic branding techniques and suggestions. One major branding...

  3. Career Competencies And Career Success Of Thai Employees In Tourism And Hospitality Sector

    OpenAIRE

    Aurathai Lertwannawit; Sirivan Serirat; Siroj Pholpantin

    2011-01-01

    This research assesses the relationship between career competencies and career success of Thai employees in the tourism and hospitality sector. The authors distinguished and operationalized four career competencies, i.e. computer and language skills, work spirits and ethics, team working and leadership, and tourism and hospitality knowledge and skills, and two career successes, i.e. objective and subjective career successes. A quantitative study was performed using 800 employees in four indus...

  4. Career trajectories of nurses leaving the hospital sector in Ontario, Canada (1993-2004).

    Science.gov (United States)

    Alameddine, Mohamad; Baumann, Andrea; Laporte, Audrey; O'Brien-Pallas, Linda; Levinton, Carey; Onate, Kanecy; Deber, Raisa

    2009-05-01

    This paper is a report of an analysis of the career trajectories of nurses 1 year after leaving hospitals. Although hospitals are traditionally the largest employers of nurses, technological advances and budgetary constraints have resulted in many countries in relative shrinkage of the hospital sector and a shift of care (and jobs) into home/community settings. It has been often assumed that nurses displaced from hospitals will move to work in the other workplaces, especially the community sector. Employment patterns were tracked by examining a longitudinal database of all 201,463 nurses registered with the College of Nurses Ontario (Canada) between 1993 and 2004. Focusing on the employment categories Active (Working in nursing), Eligible-Seeking nursing employment or Dropout from the nursing labour market, year-to-year transition matrixes were generated by sector and sub-sector of employment, nurse type, age group and work status. For every nurse practising nursing in any non-hospital job or in the community a year after leaving hospitals, an average of 1.3 and four nurses, respectively, dropped out of Ontario's labour market. The proportion of nurses leaving hospitals transitioning to the Dropout category ranged from 63.3% (1994-95) to 38.6% (2001-02). The proportion dropping out of Ontario's market was higher for Registered Practical Nurses (compared to Registered Nurses), increased with age and decreased with degree of casualization in nurses' jobs. Downsizing hospitals without attention to the potentially negative impact on the nursing workforce can lead to retention difficulties and adversely affects the overall supply of nurses.

  5. Do follow-on therapeutic substitutes induce price competition between hospital medicines? Evidence from the Danish hospital sector

    DEFF Research Database (Denmark)

    Hostenkamp, Gisela

    2013-01-01

    Objective The pricing of follow-on drugs, that offer only limited health benefits over existing therapeutic alternatives, is a recurring health policy debate. This study investigates whether follow-on therapeutic substitutes create price competition between branded hospital medicines. Methods New...... pioneer products were significantly reduced as a reaction to competition from follow-on drugs. Conclusion Competition between patented therapeutic substitutes did not seem to increase price competition and containment of pharmaceutical expenditures in the Danish hospital market. Strengthening hospitals......’ incentives to consider the price of alternative treatment options paired with a more active formulary management may increase price competition between therapeutic substitutes in the Danish hospital sector in the future....

  6. First isolation and outbreak of OXA-48-producing Klebsiella pneumoniae in an Irish hospital, March to June 2011.

    LENUS (Irish Health Repository)

    O'Brien, D J

    2012-02-01

    Five OXA-48-producing Klebsiella pneumoniae were detected in a tertiary referral hospital in Ireland between March and June 2011. They were found in the clinical isolates of five cases that were inpatients on general surgical wards. None of the cases had received healthcare at a facility outside of Ireland in the previous 12 months. This is the first report of OXA-48-producing K. pneumoniae in Ireland.

  7. Productivity growth, case mix and optimal size of hospitals. A 16-year study of the Norwegian hospital sector.

    Science.gov (United States)

    Anthun, Kjartan Sarheim; Kittelsen, Sverre Andreas Campbell; Magnussen, Jon

    2017-04-01

    This paper analyses productivity growth in the Norwegian hospital sector over a period of 16 years, 1999-2014. This period was characterized by a large ownership reform with subsequent hospital reorganizations and mergers. We describe how technological change, technical productivity, scale efficiency and the estimated optimal size of hospitals have evolved during this period. Hospital admissions were grouped into diagnosis-related groups using a fixed-grouper logic. Four composite outputs were defined and inputs were measured as operating costs. Productivity and efficiency were estimated with bootstrapped data envelopment analyses. Mean productivity increased by 24.6% points from 1999 to 2014, an average annual change of 1.5%. There was a substantial growth in productivity and hospital size following the ownership reform. After the reform (2003-2014), average annual growth was case mix between hospitals, and thus provides a framework for future studies. The study adds to the discussion on optimal hospital size. Copyright © 2017 Elsevier B.V. All rights reserved.

  8. A study of atypical employment in the service sector in Ireland

    OpenAIRE

    McGreevy, Sharon Mann

    1995-01-01

    The primary research has been based on the Irish services sector with specific reference to the hotel, tourism and hospital sectors. Comparisons will be drawn with the UK and where appropriate other European Countries. There are four main aims of the research: firstly, to establish a profile of atypical employees: secondly, to establish the terms and conditions of such employees; thirdly, to consider management perspectives which address issues relevant to peripheral employees; and finally, t...

  9. Exploring interhospital transfers and partnerships in the hospital sector in New South Wales, Australia.

    Science.gov (United States)

    Assareh, Hassan; Achat, Helen M; Levesque, Jean-Frederic; Leeder, Stephen R

    2017-12-01

    Objective The aim of the present study was to explore characteristics of interhospital transfers (IHT) and sharing of care among hospitals in New South Wales (NSW), Australia. Methods Data were extracted from patient-level linked hospital administrative datasets for separations from all NSW acute care hospitals from 1 July 2013 to 30 June 2015. Patient discharge and arrival information was used to identify IHTs. Characteristics of patients and related hospitals were then analysed. Results Transfer-in patients accounted for 3.9% of all NSW admitted patients and, overall, 7.3% of NSW admissions were associated with transfers (IHT rate). Patients with injuries and circulatory system diseases had the highest IHT rate, accounting for one-third of all IHTs. Patients were more often transferred to larger than smaller hospitals (61% vs 29%). Compared with private hospitals, public hospitals had a higher IHT rate (8.4% vs 5.1%) and a greater proportion of transfer-out IHTs (52% vs 28%). Larger public hospitals had lower IHT rates (3-8%) compared with smaller public hospitals (13-26%). Larger public hospitals received and retransferred higher proportions of IHT patients (52-58% and 11% respectively) than their smaller counterparts (26-30% and 2-3% respectively). Less than one-quarter of IHTs were between the public and private sectors or between government health regions. The number of interacting hospitals and their interactions varied across hospital peer groups. Conclusion NSW IHTs were often to hospitals with greater speciality services. The patterns of interhospital interactions could be affected by organisational and regional preferences. What is known about the topic? IHTs aim to provide efficient and effective care. Nonetheless, information on transfers and the sharing of care among hospitals in an Australian setting is lacking. Studies of transfers and hospital partnership patterns will inform efforts to improve patient-centred transfers and hospital accountability

  10. Methods and Models for Capacity and Patient Flow Analysis in Hospital Sector

    DEFF Research Database (Denmark)

    Kozlowski, Dawid

    at a private hospital in Denmark or at a hospital abroad if the public healthcare system is unable to provide treatment within the stated maximum waiting time guarantee. A queue modelling approach is used to analyse the potential negative consequences of the policy on the utilization of public hospital......This thesis is concerned about the novel applications of operations research methods for capacity and flow analysis within hospital sector. The first part of the thesis presents a detailed Discrete-Event Simulation (DES) model that has been developed as an analytical tool designed to facilitate...... by an improved patient flow. The specially developed structure of the model facilitates its reuse at different units, with no advanced modelling skills required in day-to-day use. This feature amplifies the usefulness of DES in conducting comprehensive patient flow analyses at any department with emergency...

  11. Screening of HBsAg and anti HCV from tertiary care, private and public sector hospitals

    International Nuclear Information System (INIS)

    Khan, R.A.W.; Ahmed, W.; Alam, S.E.; Arif, A

    2011-01-01

    Objectives: To find out the frequency of hepatitis B surface antigen and hepatitis C antibodies in patients referred from a tertiary care public sector hospital, other public sector and private hospitals of Karachi. Settings and duration: Pakistan Medical Research Council's Specialized Research Centre for Gastroenterology and Hepatology, at Jinnah Postgraduate Medical Centre Karachi from January to December 2009. Patients and Methods: A cross sectional study was conducted where patients were referred from different departments of Jinnah Postgraduate Medical Centre (tertiary care public sector hospital), other public sector hospitals, private hospitals and clinics for the screening of hepatitis B and C virus infection. Three ml blood was collected from each patient, serum separated and tested for HBsAg and Anti HCV using Abbott Murex fourth Generation ELISA kits. Results: A total of 2965 cases were referred in a year. Overall sero prevalence of HBsAg and Anti-HCV was 5.9% and 12.8% respectively. HBsAg positivity in patient referred from public sector hospitals was 5.8%, those from private hospitals/clinics were 7.2%, and self-referred patients was 5.6%. Anti HCV positivity rates amongst these cases were 12.5%, 16.7% and 8.5% respectively. Co-infection of hepatitis B virus and hepatitis C virus was seen in 0.9, 2.5 and 1.4% cases respectively. Breakdown of viral positivity within different departments of Jinnah Postgraduate Medical Centre Karachi showed HBsAg positivity of 7.1% in Medical department, 5.2% in Surgical department, 5.0% in Gynaecology department, 6.6% in other departments of Jinnah Postgraduate Medical Centre while, only 1.7% were positive from Pakistan Railway, hospital Anti HCV positivity was maximally (20.3%) seen in medical department followed by 14% in other departments, 10.9% in surgical department, 7.9% in gynaecology and 5.1% in railway hospital. Co-infection of HBV and HCV was seen in 2% cases referred from medical department, while rest of the

  12. Organising methods and member recruitment in Irish Trade Unions

    OpenAIRE

    Turner, Thomas; O'Sullivan, Michelle; D'Art, Daryl

    2011-01-01

    peer-reviewed Purpose This paper explores the recruiting and organising methods used by Irish full-time union officials to recruit new members in the private sector of the economy. Design/methodology/approach The analysis is based on a survey of full-time union officials in eight Irish trade unions. Findings Results indicate that the use of organising techniques by officials had no significant impact on changes in membership numbers but did have a significant and po...

  13. Cost of delivering secondary-level health care services through public sector district hospitals in India

    Science.gov (United States)

    Prinja, Shankar; Balasubramanian, Deepak; Jeet, Gursimer; Verma, Ramesh; Kumar, Dinesh; Bahuguna, Pankaj; Kaur, Manmeet; Kumar, Rajesh

    2017-01-01

    Background & objectives: Despite an impetus for strengthening public sector district hospitals for provision of secondary health care in India, there is lack of robust evidence on cost of services provided through these district hospitals. In this study, an attempt was made to determine the unit cost of an outpatient visit consultation, inpatient bed-day of hospitalization, surgical procedure and overall per-capita cost of providing secondary care through district hospitals. Methods: Economic costing of five randomly selected district hospitals in two north Indian States - Haryana and Punjab, was undertaken. Cost analysis was done using a health system perspective and employing bottom-up costing methodology. Quantity of all resources - capital or recurrent, used for delivering services was measured and valued. Median unit costs were estimated along with their 95 per cent confidence intervals. Sensitivity analysis was undertaken to assess the effect of uncertainties in prices and other assumptions; and to generalize the findings for Indian set-up. Results: The overall annual cost of delivering secondary-level health care services through a public sector district hospital in north India was 11,44,13,282 [US Dollars (USD) 2,103,185]. Human resources accounted for 53 per cent of the overall cost. The unit cost of an inpatient bed-day, surgical procedure and outpatient consultation was 844 (USD 15.5), i; 3481 (USD 64) and 170 (USD 3.1), respectively. With the current set of resource allocation, per-capita cost of providing health care through district hospitals in north India was 139 (USD 2.5). Interpretation & conclusions: The estimates obtained in our study can be used for Fiscal planning of scaling up secondary-level health services. Further, these may be particularly useful for future research such as benefit-incidence analysis, cost-effectiveness analysis and national health accounts including disease-specific accounts in India. PMID:29355142

  14. Cost of delivering secondary-level health care services through public sector district hospitals in India.

    Science.gov (United States)

    Prinja, Shankar; Balasubramanian, Deepak; Jeet, Gursimer; Verma, Ramesh; Kumar, Dinesh; Bahuguna, Pankaj; Kaur, Manmeet; Kumar, Rajesh

    2017-09-01

    Despite an impetus for strengthening public sector district hospitals for provision of secondary health care in India, there is lack of robust evidence on cost of services provided through these district hospitals. In this study, an attempt was made to determine the unit cost of an outpatient visit consultation, inpatient bed-day of hospitalization, surgical procedure and overall per-capita cost of providing secondary care through district hospitals. Economic costing of five randomly selected district hospitals in two north Indian States - Haryana and Punjab, was undertaken. Cost analysis was done using a health system perspective and employing bottom-up costing methodology. Quantity of all resources - capital or recurrent, used for delivering services was measured and valued. Median unit costs were estimated along with their 95 per cent confidence intervals. Sensitivity analysis was undertaken to assess the effect of uncertainties in prices and other assumptions; and to generalize the findings for Indian set-up. The overall annual cost of delivering secondary-level health care services through a public sector district hospital in north India was ' 11,44,13,282 [US Dollars (USD) 2,103,185]. Human resources accounted for 53 per cent of the overall cost. The unit cost of an inpatient bed-day, surgical procedure and outpatient consultation was ' 844 (USD 15.5), ' 3481 (USD 64) and ' 170 (USD 3.1), respectively. With the current set of resource allocation, per-capita cost of providing health care through district hospitals in north India was ' 139 (USD 2.5). The estimates obtained in our study can be used for Fiscal planning of scaling up secondary-level health services. Further, these may be particularly useful for future research such as benefit-incidence analysis, cost-effectiveness analysis and national health accounts including disease-specific accounts in India.

  15. Deformation mechanisms accommodating the emplacement of an igneous sill-complex in the Irish sector of the Rockall Basin, offshore NW Ireland

    Science.gov (United States)

    Magee, Craig; Jackson, Christopher; Schofield, Nick

    2013-04-01

    Magma intrusion within the subsurface is heavily influenced by the pre-existing architecture of the upper crust and, depending on the emplacement mechanisms, may modify basin structure and fluid flow pathways. Seismic reflection data reveal that intrusive networks predominantly consist of interconnected, saucer-shaped sills that are often associated with dome-shaped 'forced' folds generated by intrusion-induced uplift. Previous studies of intrusion-related forced folds have primarily focused on isolated sills or laccoliths and have shown that the fold amplitude is less than the intrusion thickness, suggesting that additional space-making mechanisms (e.g. grain comminution, fluidization) accompanied emplacement. Furthermore, forced folding is often considered as an instantaneous process over geological time. However, fold growth and the interplay between accompanying ductile and brittle deformation styles remains poorly understood. Here, we use 3D seismic reflection data from the eastern margin of the Irish Rockall Basin, NE Atlantic, to quantitatively study eighty-two igneous intrusions (i.e. saucer-shaped sills and inclined sheets) in order to constrain the emplacement history of a Palaeocene-to-Middle Eocene sill-complex. Emplacement occurred across a Cretaceous clastic-to-marl dominated succession at palaeodepths of limbs. The saucer-shaped sills are characterized by radial magma flow patterns, emanating from the inner sill, distinguished by mapping the long axes of magma lobes and fingers. These magma flow indictors also provide a proxy for intrusion style; i.e. where sills intrude the Lower Cretaceous sandstones, magma propagation was facilitated by brittle fracturing while non-brittle processes (e.g. fluidization) accompanied shallow-level intrusions into the Upper Cretaceous marls. Directly overlying the sill-complex, within the Palaeocene-Mid-Eocene succession, are a series of 22 forced folds that are interpreted to have formed via intrusion-induced uplift

  16. Information Technology Adoption by Small and Medium Enterprises in the Hospitality Sector in Sergipe

    Directory of Open Access Journals (Sweden)

    Wagner Amaral e Silva

    2014-03-01

    Full Text Available Tourism big companies make extensive use of Information Technology (IT, also named Information and Communication Technology (ICT, to promote their products or services and this trend has also been incorporated by Small and Medium Enterprises (SME from the hospitality sector. This study intend to increase the understanding of this phenomenon in order to analyze IT adoption by SME businesses of hospitality industry examined exclusively in the state of Sergipe. It was used a qualitative approach with a multiple case study strategy. It has been found that all hospitality enterprises analyzed own computers and they are all connected to Internet. It has also been found that IT failure has a high impact. Different managers’ profiles had been identified and it was observed that staff’s IT knowledge is considered indispensable. Limitations of this research are directly connected to the limits of multiple case study strategy.

  17. Autonomy and performance in the public sector: the experience of English NHS hospitals.

    Science.gov (United States)

    Verzulli, Rossella; Jacobs, Rowena; Goddard, Maria

    2018-05-01

    Since 2004, English NHS hospitals have been given the opportunity to acquire a more autonomous status known as a Foundation Trust (FT), whereby regulations and restrictions over financial, management, and organizational matters were reduced in order to create incentives to deliver higher-quality services in the most efficient way. Using difference-in-difference models, we test whether achieving greater autonomy (FT status) improved hospital performance, as proxied by measures of financial management, quality of care, and staff satisfaction. Results provide little evidence that the FT policy per se has made any difference to the performance of hospitals in most of these domains. Our findings have implications for health policy and inform the trend towards granting greater autonomy to public-sector organizations.

  18. Community/hospital indicators in South African public sector mental health services.

    Science.gov (United States)

    Lund, Crick; Flisher, Alan J

    2003-12-01

    The need to balance resources between community and hospital-based mental health services in the post-deinstitutionalisation era has been well-documented. However, few indicators have been developed to monitor the relationship between community and hospital services, in either developed or developing countries. There is a particular need for such indicators in the South African context, with its history of inequitable services based in custodial institutions under apartheid, and a new policy that proposes the development of more equitable community-based care. Indicators are needed to measure the distribution of resources and the relative utilisation of community and hospital-based services during the reform process. These indicators are potentially useful for assessing the implementation of policy objectives over time. To develop and document community/hospital indicators in public sector mental health services in South Africa. A questionnaire was distributed to provincial mental health coordinators requesting numbers of full-time equivalent (FTE) staff who provide mental health care at all service levels, annual patient admissions to hospitals and annual patient attendances at ambulatory care facilities. The information was supplemented by consultations with mental health coordinators in each of the 9 provinces. Population data were obtained from preliminary findings of the 1996 census. The community/hospital indicator measuring staff distribution was defined as the ratio of staff employed in community settings to all staff, expressed as a percentage. The community/hospital indicator measuring patient service utilisation was defined as the ratio of the annual ambulatory care attendance rate per 100,000 population to the sum of this rate and the annual hospital admission rate per 100,000 population, expressed as a percentage. Of psychiatric public sector staff, 25% are located in community settings in South Africa (provincial range: 11-70%). If hospital outpatient

  19. Strategic Planning in Irish Quantity Surveying Pracitces

    OpenAIRE

    Murphy, Roisin

    2011-01-01

    The role and usefulness of strategic planning has been well documented over several decades of strategic management research. Despite the significant body of existing knowledge in the field of strategic planning, there remains a paucity of investigation into the construction sector, specifically in Professional Service Firms (PSF’s) operating within it. The aim of this research was to ascertain the type, scope and extent of strategic planning within Irish Quantity Surveying (QS) practices and...

  20. A Survey of Job Satisfaction among Health Sector Staff of Tabriz Taleghani Educational Hospital

    Directory of Open Access Journals (Sweden)

    Leila Rastgar-Farajzadeh

    2016-03-01

    Full Text Available Background and Objectives : Job satisfaction is one of the most important variables in organizational behavior and the key variable in organizational researches and theories as well. The aim of present investigation was to determine the level of job satisfaction among health sector staff of Tabriz Taleghani Educational Hospital. Material and Methods : This cross-sectional study was performed in 2014. Health sector staffs of Taleghani Educational Hospital were studied through census method. Data collection tool was a questionnaire based on previous studies and consisted of 3 parts: demographic information (7 items, job satisfaction (21 questions and factors related to employee dissatisfaction (10 items. After collecting and entering data into IBM SPSS software, independent t tests, chi-square and ANOVA were applied. Results : The highest level of job satisfaction was in the field of relationship with colleagues and lowest level of job satisfaction was related to salary and benefits. The most common cause of employee dissatisfaction was pressure and stressful working environment and the least cause was the improper distribution of employees based on workload . Conclusion : According to the findings, the majority of job satisfaction among staff was at low and medium-level. Since job satisfaction is an important factor in the performance and quality of services provided by the hospital staff, it is recommended that managers and officials pay attention to defects and shortcomings and remove barriers.

  1. Inpatient satisfaction at different public sector hospitals of a metropolitan city in Pakistan: a comparative cross-sectional study.

    Science.gov (United States)

    Hussain, Mehwish; Rehman, Rehana; Ikramuddin, Zia; Asad, Nava; Farooq, Ayesha

    2018-04-01

    To observe inpatient satisfaction at different public sector hospitals of Karachi, Pakistan. A cross sectional study was carried out during 2010-2012 in four major public sector hospitals of Karachi. A total of 710 patients completed the study. Responses were gathered in a self-structured questionnaire that comprised of four dimensions of satisfaction with doctor, staff, administration and treatment. Average Score of each dimension was taken and compared using one way analysis of variance. Satisfaction with doctors, staff and administration of provincial and federal hospitals were comparatively similar (P > 0.05). However, satisfaction with treatment significantly differed in all four hospitals (P public sector hospitals showed satisfaction with healthcare personnel and related administration. However, treatment dimension needs to be improved to get more satisfaction.

  2. Managerial competencies of hospital managers in South Africa: a survey of managers in the public and private sectors

    Directory of Open Access Journals (Sweden)

    Pillay Rubin

    2008-02-01

    Full Text Available Abstract Background South Africa has large public and private sectors and there is a common perception that public sector hospitals are inefficient and ineffective while the privately owned and managed hospitals provide superior care and are more sustainable. The underlying assumption is that there is a potential gap in management capacity between the two sectors. This study aims to ascertain the skills and competency levels of hospital managers in South Africa and to determine whether there are any significant differences in competency levels between managers in the different sectors. Methods A survey using a self administered questionnaire was conducted among hospital managers in South Africa. Respondents were asked to rate their proficiency with seven key functions that they perform. These included delivery of health care, planning, organizing, leading, controlling, legal and ethical, and self-management. Ratings were based on a five point Likert scale ranging from very low skill level to very high skill level. Results The results show that managers in the private sector perceived themselves to be significantly more competent than their public sector colleagues in most of the management facets. Public sector managers were also more likely than their private sector colleagues to report that they required further development and training. Conclusion The findings confirm our supposition that there is a lack of management capacity within the public sector in South Africa and that there is a significant gap between private and public sectors. It provides evidence that there is a great need for further development of managers, especially those in the public sector. The onus is therefore on administrators and those responsible for management education and training to identify managers in need of development and to make available training that is contextually relevant in terms of design and delivery.

  3. Improving service quality in NHS Trust hospitals: lessons from the hotel sector.

    Science.gov (United States)

    Desombre, T; Eccles, G

    1998-01-01

    This article looks to review recent practice undertaken within the UK hotel sector to improve customer service, and suggests ideals that could be implemented within National Health (NHS) Trust hospitals. At a time of increasing competition, hotel firms are using service enhancement as a means to gain competitive advantage, and therefore developing a range of techniques to measure levels of service quality improvement. With continued change in the health service, where greater focus now lies with patient satisfaction, so there is a requirement for managers to adapt techniques presently being offered in other service industries to improve levels of customer service and ensure patients are targeted to define their levels of satisfaction.

  4. [Transparency in public sector acquisitions. The case of hospitals in the City of Buenos Aires].

    Science.gov (United States)

    Rossi, T; Murillo Fort, C; Puente Karolys, J C

    2002-01-01

    This paper deals with corruption and the lack of transparency in public sector purchases as well as with the main instruments to obtain adequate results in purchase negotiation.Firstly, we discuss how corruption causes concern to national governments, international organizations, academic centers, non-governmental organizations and society in general. The consequences of corruption in Argentina and other Latin American countries are highlighted, especially the effect of corruption on economic growth and the way it creates economic inefficiency and inequality.Secondly, the database created by the Subsecretary of Strategic Management of the Autonomous Government of the City of Buenos Aires is analyzed. The central purpose of this study is to evaluate the impact of the Administrative Reform of 1998 on the prices of 24 products acquired by 13 general acute care hospitals from 1998-1999. The weighted prices, the number of units purchased and the total number of contracts given in this period, as well as the products with the greatest utilization rate, are analyzed. Multivariante analysis was used to identify hospitals with appropriate activity and efficient budget administration (activity and negotiation indicators). Price development was analyzed using the regression technique (ordinary least squares), which demonstrated an 8% reduction in prices for the year 1999. The contribution of each hospital to this variation is presented using dummy variables. Thus, six of the 13 hospitals significantly contributed to the decrease in prices. Of these six, three hospitals also contributed to reduction in price dispersion. The results obtained allow us to conclude that, if public hospitals have adequate purchase negotiation instruments and a uniform legal framework, they can achieve a good level of activity. Furthermore, public hospitals can contribute to reductions in price and price dispersion, at the same time as improving efficiency in the assignation and utilization of

  5. Corporate Investors Increased Common Ownership In Hospitals And The Postacute Care And Hospice Sectors.

    Science.gov (United States)

    Fowler, Annabelle C; Grabowski, David C; Gambrel, Robert J; Huskamp, Haiden A; Stevenson, David G

    2017-09-01

    The sharing of investors across firms is a new antitrust focus because of its potential negative effects on competition. Historically, the ability to track common investors across the continuum of health care providers has been limited. Thus, little is known about common investor ownership structures that might exist across health care delivery systems and how these linkages have evolved over time. We used data from the Provider Enrollment, Chain, and Ownership System of the Centers for Medicare and Medicaid Services to identify common investor ownership linkages across the acute care, postacute care, and hospice sectors within the same geographic markets. To our knowledge, this study provides the first description of common investor ownership trends in these sectors. We found that the percentage of acute care hospitals having common investor ties to the postacute or hospice sectors increased from 24.6 percent in 2005 to 48.9 percent in 2015. These changes have important implications for antitrust, payment, and regulatory policies. Project HOPE—The People-to-People Health Foundation, Inc.

  6. Modeling climate change impact in hospitality sector, using building resources consumption signature

    Science.gov (United States)

    Pinto, Armando; Bernardino, Mariana; Silva Santos, António; Pimpão Silva, Álvaro; Espírito Santo, Fátima

    2016-04-01

    Hotels are one of building types that consumes more energy and water per person and are vulnerable to climate change because in the occurrence of extreme events (heat waves, water stress) same failures could compromise the hotel services (comfort) and increase energy cost or compromise the landscape and amenities due to water use restrictions. Climate impact assessments and the development of adaptation strategies require the knowledge about critical climatic variables and also the behaviour of building. To study the risk and vulnerability of buildings and hotels to climate change regarding resources consumption (energy and water), previous studies used building energy modelling simulation (BEMS) tools to study the variation in energy and water consumption. In general, the climate change impact in building is evaluated studying the energy and water demand of the building for future climate scenarios. But, hotels are complex buildings, quite different from each other and assumption done in simplified BEMS aren't calibrated and usually neglect some important hotel features leading to projected estimates that do not usually match hotel sector understanding and practice. Taking account all uncertainties, the use of building signature (statistical method) could be helpful to assess, in a more clear way, the impact of Climate Change in the hospitality sector and using a broad sample. Statistical analysis of the global energy consumption obtained from bills shows that the energy consumption may be predicted within 90% confidence interval only with the outdoor temperature. In this article a simplified methodology is presented and applied to identify the climate change impact in hospitality sector using the building energy and water signature. This methodology is applied to sixteen hotels (nine in Lisbon and seven in Algarve) with four and five stars rating. The results show that is expect an increase in water and electricity consumption (manly due to the increase in

  7. Deceased donor liver transplant: Experience from a public sector hospital in India.

    Science.gov (United States)

    Pamecha, Viniyendra; Borle, Deeplaxmi Purushottam; Kumar, Senthil; Bharathy, Kishore Gurumoorthy Subramanya; Sinha, Piyush Kumar; Sasturkar, Shridhar Vasantrao; Sharma, Vibuti; Pandey, Chandra Kant; Sarin, Shiv Kumar

    2018-01-01

    Deceased donor liver transplant (DDLT) is an uncommon procedure in India. We present our experience of DDLT from a public sector teaching hospital. A retrospective analysis of all DDLT was performed from April 2012 till September 2016. Demographics, intraoperative, donor factors, morbidity, and outcome were analyzed. During the study period, 305 liver transplants were performed, of which 36 were DDLT (adult 32, pediatric 4; 35 grafts; 1 split). The median age was 42.5 (1-62) years; 78% were men. The median donor age was 28 (1-77) years; 72.2% were men. About 45% of organs were procured from outside of Delhi and 67% of all grafts used were marginal. Three of 38 liver grafts (7.8%) were rejected due to gross steatosis. Commonest indication was cryptogenic cirrhosis (19.4%). The median model for end-stage liver disease sodium and pediatric end-stage liver disease scores were 23.5 (9-40) and 14.5 (9-22), respectively. Median warm and cold ischemia times were 40 (23-56) and 396 (111-750) min, respectively. Major morbidity of grade III and above occurred in 63.8%. In hospital (90 days), mortality was 16.7% and there were two late deaths because of chronic rejection and biliary sepsis. The overall survival was 77.8% at median follow up of 8.6 (1-54) months. DDLT can be performed with increasing frequency and safety in a public sector hospital. The perioperative and long-term outcomes are acceptable despite the fact that most organs were extended criteria grafts.

  8. Workplace violence against women nurses working in two public sector hospitals of Lahore, Pakistan.

    Science.gov (United States)

    Jafree, Sara Rizvi

    Cultural and structural forces help sustain workplace violence (WPV) against feminized professions like nursing in Pakistan. The purpose of this study was to identify the prevalence and patterns of workplace violence (WPV) against women nurses (more than 95% of entire nursing population) in two hospitals of Pakistan. A standardized international survey developed by the World Health Organization was used to collect cross-sectional data. Descriptive statistics, chi-square tests, and multivariate regression were used for data analysis. A total of 309 nurse respondents were sampled from two public sector tertiary care hospitals of Lahore. Findings show that 73.1% of nurses reported experiencing some sort of violence in the last 12 months; with 53.4% suffering from physical violence, 57.3% from verbal violence, and 26.9% from sexual violence. The main perpetrators were reported to be male coworkers, patients, and attendants. Higher risk for WPV includes single status, non-Punjabi provincial belonging, Islamic faith, staff and student nurse designations, temporary government contract, and working additional hours in the evening and night. The primary response to violence included not doing anything and remaining silent. It was also reported that nurse victims experienced moderate levels of emotional grievances after facing violence. The results of this study suggest that public sector hospitals in the region need to improve their policy for the protection and monitoring of WPV against female nurses. Reporting and counseling bodies need to be installed to encourage both complaints and the seeking of medical attention after victimization. Copyright © 2017 Elsevier Inc. All rights reserved.

  9. [The influence of intellectual capital in performance evaluation: a case-study in the hospital sector].

    Science.gov (United States)

    Bonacim, Carlos Alberto Grespan; Araújo, Adriana Maria Procópio de

    2010-06-01

    This paper contributes to public institutions with the adaptation of a performance evaluation tool based on private companies. The objective is to demonstrate how the impact of an educational activity might be measured in the economic value added for the society of a public university hospital. The paper was divided in four parts, despite the introductory and methodological aspects and the final remarks. First, the hospital sector is explained, specifically in the context of the public university hospitals. Then, the definitions, the nature and measure of the intellectual capital are presented, followed by the disclosure of the main economic performance evaluation models. Finally, an adapted model is presented, under the approach of the value based management, considering adjustments of the return and the respective investment measures, showing the impacts of the intellectual capital management and the education activity on the economic result of those institutions. The study was developed based on a methodology supported by a bibliographical research, using a comparative method procedure in the descriptive modality. At last, it is highlighted the importance of accountability for the society regarding the use of public resources and how this study can help in this way.

  10. Reawakening the Irish Language through the Irish Education System: Challenges and Priorities

    Science.gov (United States)

    Ó Ceallaigh, T. J.; Ní Dhonnabháin, Áine

    2015-01-01

    As a language, Irish is unique to Ireland and is, therefore, of crucial importance to the identity of the Irish people, to Irish culture and to world heritage. The Irish language however has had a turbulent and traumatic history and has endured a complex and varied relationship with the Irish people. Since the foundation of the Irish Free State,…

  11. Measurement of air contamination in different wards of public sector hospital, Sukkur.

    Science.gov (United States)

    Memon, Badaruddin AllahDino; Bhutto, Gul Hassan; Rizvi, Wajid Hussain

    2016-11-01

    The aim of this study was to evaluate and assess the index of bacterial contamination in different wards of the Public Sector Hospital of Sukkur (Teaching) Pakistan; whether or not the air contamination was statistically different from the acceptable level using active and passive sampling. In addition to this main hypothesis, other investigations included: occurrence of the most common bacteria, whether or not the bacterial contamination in the wards was a persistent problem and identification of the effective antibiotics against the indentified bacteria. The evidence sought based on the One Sample T test suggests that there is a (statistically) significant difference between the observed (higher) than the acceptance level (pcontamination problem was persistent as there was no significant difference among observed contamination of all three visits at (p>0.01) and the result of antibiotic susceptibility test highlights sensitivity and resistance level of antibiotics for the indentified bacteria.

  12. [Smoking in the hospitality sector: an observational study in Barcelona (Spain), 2008].

    Science.gov (United States)

    Villalbí, Joan R; Baranda, Lucía; López, M José; Nebot, Manel

    2010-01-01

    To describe the actual presence of smoking in restaurant and hospitality premises after the smoking prevention act banning smoking in workplaces came into force in 2006, with wide exemptions in this sector. We performed an observational, descriptive study in Barcelona (Catalonia, Spain) in 2008 based on cluster sampling, with 1130 premises. The results were stratified by premise type. Up to 85.7% of food shops allowing consumption within their premises (bakeries, pastry shops...) ban smoking, as well as 85% of fast food establishments. Among restaurants, 40% are smoke-free or have separate smoking areas. Bar-cafés and café-restaurants (the most abundant premises) usually allow smoking. There are more smoke-free options in central districts and in shopping malls. Up to 75.4% of all premises allow smoking freely. These results show the limitations of the law. Copyright 2009 SESPAS. Published by Elsevier Espana. All rights reserved.

  13. Leadership in Surgery for Public Sector Hospitals in Jamaica: Strategies for the Operating Room

    Science.gov (United States)

    Cawich, Shamir O; Harding, Hyacinth E; Crandon, Ivor W; McGaw, Clarence D; Barnett, Alan T; Tennant, Ingrid; Evans, Necia R; Martin, Allie C; Simpson, Lindberg K; Johnson, Peter

    2013-01-01

    The barriers to health care delivery in developing nations are many: underfunding, limited support services, scarce resources, suboptimal health care worker attitudes, and deficient health care policies are some of the challenges. The literature contains little information about health care leadership in developing nations. This discursive paper examines the impact of leadership on the delivery of operating room (OR) services in public sector hospitals in Jamaica. Delivery of OR services in Jamaica is hindered by many unique cultural, financial, political, and environmental barriers. We identify six leadership goals adapted to this environment to achieve change. Effective leadership must adapt to the environment. Delivery of OR services in Jamaica may be improved by addressing leadership training, workplace safety, interpersonal communication, and work environment and by revising existing policies. Additionally, there should be regular practice audits and quality control surveys. PMID:24355903

  14. Assessment of critical success factors of TQM culture in hospitality sector in Kosovo

    Directory of Open Access Journals (Sweden)

    Bujar Pira

    2017-02-01

    Full Text Available This paper attemts to ilustrate how the managers and the staff of a 5 star hotel in Kosovo define quality. Furthermore, it explores the number of critical success factors related to TQM culture and how they are applied in the hotel operations. Different theories related to the quality in the field of service provision, more particular in hospitality or hotel sector and the introduction of the TQM culture in the same sector. A conceptual framework based on existing theories and literature is developed which is than confirms through the research findings and analysis. The findings suggest that most features associated with TQM, like critical success factors assessed throughout the research (leadership, customer focus, training, communication, teams and staff empowerment can produce an advantage for the 5 star hotel operations that will affect the quality of service. Furthermore, it confirms that some of the TQM aspects are applied and can be applied in 5 star hotel operations in Kosovo. The issue is whether these aspects are understood as TQM principles and whether their added value is embraced in the day-to-day running of the hotel. The outcomes imply that, indeed, the TQM culture is present in the The Hotel, a 5 star hotel in Kosovo. Some of the critical success factors are directly linked to TQM and some less and it also provides suggestions for improvement where needed, especially related to specific tools that are integral parts of the TQM culture.

  15. Examining the Feasibilities of Industry 4.0 for the Hospitality Sector with the Lens of Management Practice

    OpenAIRE

    Shamim, S.; Cang, Shuang; Yu, H.N.A.; Liu, Y.

    2017-01-01

    Industry 4.0 and its impact in the manufacturing sector are well documented. However, the service sector is understudied, and it is also facing the challenges of mass customization, digital enhancement, smart work environment, and efficient supply chain. The aim of this study is to fill this research gap by exploring the issues of Industry 4.0 in the service sector, with cases in the hospitality industry. All the challenges of Industry 4.0 require continuous innovation and learning, which is ...

  16. Irish-Israelism

    DEFF Research Database (Denmark)

    Yazell, Bryan

    2018-01-01

    This article re-considers the language of racial stereotype that is at the forefront of the “Cyclops” episode in Ulysses. Critics have long characterized the conflict between Leopold Bloom and the Citizen in terms of how each character defines the Irish nation. According to these readings, Bloom’...

  17. Bridging environmental and financial cost of dairy production: A case study of Irish agricultural policy.

    Science.gov (United States)

    Chen, Wenhao; Holden, Nicholas M

    2018-02-15

    The Irish agricultural policy 'Food Harvest 2020' is a roadmap for sectoral expansion and Irish dairy farming is expected to intensify, which could influence the environmental and economic performance of Irish milk production. Evaluating the total environmental impacts and the real cost of Irish milk production is a key step towards understanding the possibility of sustainable production. This paper addresses two main issues: aggregation of environmental impacts of Irish milk production by monetization, to understand the real cost of Irish milk production, including the environmental costs; and the effect of the agricultural policy 'Food Harvest 2020' on total cost (combining financial cost and environmental cost) of Irish milk production. This study used 2013 Irish dairy farming as a baseline, and defined 'bottom', 'target' and 'optimum' scenarios, according to the change of elementary inputs required to meet agricultural policy ambitions. The study demonstrated that the three monetization methods, Stepwise 2006, Eco-cost 2012 and EPS 2000, could be used for aggregating different environmental impacts into monetary unit, and to provide an insight for evaluating policy related to total environmental performance. The results showed that the total environmental cost of Irish milk production could be greater than the financial cost (up to €0.53/kg energy corrected milk). The dairy expansion policy with improved herbage utilization and fertilizer application could reduce financial cost and minimize the total environmental cost of per unit milk produced. Copyright © 2017 Elsevier B.V. All rights reserved.

  18. Wave Energy and Actor-Network Theory: The Irish Case

    OpenAIRE

    Cunningham, William

    2013-01-01

    This paper examines the role of the wave energy sector in Ireland using theories from the field of Science and Technology Studies (STS). Theoretical divisions within the field of STS are examined, particularly the Sociology of Scientific Knowledge (SSK) and Actor-Network Theory (ANT). Any conflicts which these two theories present to each other are examined through the empirical findings of the Irish wave energy sector. In particular, ANT s rejection of macro and micro distinctions when analy...

  19. Convergent and divergent country trends in coordinated wage-setting and collective bargaining in the public hospitals sector

    NARCIS (Netherlands)

    Grimshaw, D.; Jaehrling, K.; van der Meer, M.; Méhaut, P.; Shimron, N.

    2007-01-01

    Drawing on the findings of research in the public hospitals sector in five European countries1—France, Germany, the Netherlands, Norway and the UK—this article assesses the character of change in wage setting and collective bargaining. It demonstrates the diversity of national arrangements by

  20. Partial dependency parsing for Irish

    OpenAIRE

    Uí Dhonnchadha, Elaine; van Genabith, Josef

    2010-01-01

    In this paper we present a partial dependency parser for Irish, in which Constraint Grammar (CG) rules are used to annotate dependency relations and grammatical functions in unrestricted Irish text. Chunking is performed using a regular-expression grammar which operates on the dependency tagged sentences. As this is the first implementation of a parser for unrestricted Irish text (to our knowledge), there were no guidelines or precedents available. Therefore deciding what constitutes a syntac...

  1. Teleworking: An Examination of the Irish Dichotomy

    Directory of Open Access Journals (Sweden)

    Deirdre Donovan

    2013-07-01

    Given the attitudinal challenges to telework within Irish organisations, the research findings suggest that there would be clear merit in piloting telework initiatives with carefully selected candidates. Multinationals and young dynamic businesses which remain open to innovative work practices, particularly in the services and technology sectors, are ideally positioned for such an initiative. Coupled with the extension of broadband, a successful outcome, with government sponsored PR, could pave the way for expanding the practice of teleworking in Ireland. This research would be of particular benefit to organisations and individuals considering the option of telework in the future.

  2. Irish Baking Book

    OpenAIRE

    Ross, Ruth Isabel

    1995-01-01

    Published by Gill & Macmillan, Goldenbridge, Dublin 8 in 1995 at a cost of £4.99 Irish pounds.Editorial consultant Roberta Reeners, Illustrations by Tom Brady, Design and print origination by Identikit Design Consultants Dublin, index compiled by Helen Litton, printed by the Guernsey Press Ltd. 98p., 19cm., paperback. Access the publisher's website here http://arrow.dit.ie/irckbooks/1006/thumbnail.jpg

  3. Costs of Dengue Control Activities and Hospitalizations in the Public Health Sector during an Epidemic Year in Urban Sri Lanka.

    Science.gov (United States)

    Thalagala, Neil; Tissera, Hasitha; Palihawadana, Paba; Amarasinghe, Ananda; Ambagahawita, Anuradha; Wilder-Smith, Annelies; Shepard, Donald S; Tozan, Yeşim

    2016-02-01

    Reported as a public health problem since the 1960s in Sri Lanka, dengue has become a high priority disease for public health authorities. The Ministry of Health is responsible for controlling dengue and other disease outbreaks and associated health care. The involvement of large numbers of public health staff in dengue control activities year-round and the provision of free medical care to dengue patients at secondary care hospitals place a formidable financial burden on the public health sector. We estimated the public sector costs of dengue control activities and the direct costs of hospitalizations in Colombo, the most heavily urbanized district in Sri Lanka, during the epidemic year of 2012 from the Ministry of Health's perspective. The financial costs borne by public health agencies and hospitals are collected using cost extraction tools designed specifically for the study and analysed retrospectively using a combination of activity-based and gross costing approaches. The total cost of dengue control and reported hospitalizations was estimated at US$3.45 million (US$1.50 per capita) in Colombo district in 2012. Personnel costs accounted for the largest shares of the total costs of dengue control activities (79%) and hospitalizations (46%). The results indicated a per capita cost of US$0.42 for dengue control activities. The average costs per hospitalization ranged between US$216-609 for pediatric cases and between US$196-866 for adult cases according to disease severity and treatment setting. This analysis is a first attempt to assess the economic burden of dengue response in the public health sector in Sri Lanka. Country-specific evidence is needed for setting public health priorities and deciding about the deployment of existing or new technologies. Our results suggest that dengue poses a major economic burden on the public health sector in Sri Lanka.

  4. Costs of Dengue Control Activities and Hospitalizations in the Public Health Sector during an Epidemic Year in Urban Sri Lanka

    Science.gov (United States)

    Thalagala, Neil; Tissera, Hasitha; Palihawadana, Paba; Amarasinghe, Ananda; Ambagahawita, Anuradha; Wilder-Smith, Annelies; Shepard, Donald S.; Tozan, Yeşim

    2016-01-01

    Background Reported as a public health problem since the 1960s in Sri Lanka, dengue has become a high priority disease for public health authorities. The Ministry of Health is responsible for controlling dengue and other disease outbreaks and associated health care. The involvement of large numbers of public health staff in dengue control activities year-round and the provision of free medical care to dengue patients at secondary care hospitals place a formidable financial burden on the public health sector. Methods We estimated the public sector costs of dengue control activities and the direct costs of hospitalizations in Colombo, the most heavily urbanized district in Sri Lanka, during the epidemic year of 2012 from the Ministry of Health’s perspective. The financial costs borne by public health agencies and hospitals are collected using cost extraction tools designed specifically for the study and analysed retrospectively using a combination of activity-based and gross costing approaches. Results The total cost of dengue control and reported hospitalizations was estimated at US$3.45 million (US$1.50 per capita) in Colombo district in 2012. Personnel costs accounted for the largest shares of the total costs of dengue control activities (79%) and hospitalizations (46%). The results indicated a per capita cost of US$0.42 for dengue control activities. The average costs per hospitalization ranged between US$216–609 for pediatric cases and between US$196–866 for adult cases according to disease severity and treatment setting. Conclusions This analysis is a first attempt to assess the economic burden of dengue response in the public health sector in Sri Lanka. Country-specific evidence is needed for setting public health priorities and deciding about the deployment of existing or new technologies. Our results suggest that dengue poses a major economic burden on the public health sector in Sri Lanka. PMID:26910907

  5. Frequency of Magnetic Resonance Imaging patterns of tuberculous spondylitis in a public sector hospital.

    Science.gov (United States)

    Tabassum, Sumera; Haider, Shahbaz

    2016-01-01

    To determine frequencies of different MRI patterns of tuberculous spondylitisin a public sector hospital in Karachi. This descriptive multidisciplinary case series study was done from October 25, 2011 to May 28, 2012 in Radiology Department and Department of Medicine in the Jinnah Postgraduate Medical Center Karachi. MRI scans (dorsal / lumbosacral spine) of the Patients presenting with backache in Medical OPD, were performed in Radiology Department. Axial and sagittal images of T1 weighted, T2 weighted and STIR sequences of the affected region were taken. A total of 140 patients who were diagnosed as having tuberculous spondylitis were further evaluated and analyzed for having different patterns of involvement of the spine and compared with similar studies. Among frequencies of different MRI pattern of tuberculous spondylitis, contiguous vertebral involvement was 100%, discal involvement 98.6%, paravertebral abscess 92.1% cases, epidural abscess 91.4%, spinal cord / thecal sac compression 89.3%, vertebral collapse 72.9%, gibbus deformity 42.9% and psoas abscess 36.4%. Contiguous vertebral involvement was commonest MRI pattern, followed by disk involvement, paravertebral & epidural abscesses, thecal sac compression and vertebral collapse.

  6. Geographical distribution and profile of medical doctors in public sector hospitals of the Limpopo Province, South Africa.

    Science.gov (United States)

    Ntuli, Samuel T; Maboya, Edwin

    2017-09-27

    The shortage and unequal distribution of medical doctors in low- and middle-income countries continues to be a public health concern. To establish the geographical distribution and demographic profile of medical doctors in public sector hospitals of the Limpopo Province, South Africa. The PERSAL system was used to obtain information on the number of medical doctors employed in public sector hospitals of the Limpopo Province. Data were exported from PERSAL's database and then analysed using STATA version 9.0. The mean age of the 887 medical doctors was 40.1 ± 11.2 years (range 24-79 years). Sixty per cent of the doctors were male, 66% were aged ≤ 45 years and 84% were African. Most of the doctors (86%) were medical officers, of which 55% had < 5 years working experience. Overall, the doctor-to-population ratio for the five districts in the province was 16.4/100 000, with Capricorn (33.7/100 000) and Waterberg (20.2/100 000) recording the highest ratios. A large proportion (43%) of medical officers are employed in the Capricorn District, of which 71% were practising at the tertiary hospital. This study demonstrated a shortage and maldistribution of medical doctors in the public sector hospitals of the Limpopo Province. This has a potentially negative effect on the delivery of an appropriate and efficient healthcare service to the population and requires urgent attention.

  7. Parallel imports of hospital pharmaceuticals: An empirical analysis of price effects from parallel imports and the design of procurement procedures in the Danish hospital sector

    OpenAIRE

    Hostenkamp, Gisela; Kronborg, Christian; Arendt, Jacob Nielsen

    2012-01-01

    We analyse pharmaceutical imports in the Danish hospital sector. In this market medicines are publicly tendered using first-price sealed-bid procurement auctions. We analyse whether parallel imports have an effect on pharmaceutical prices and whether the way tenders were organised matters for the competitive effect of parallel imports on prices. Our theoretical analysis shows that the design of the procurement rules affects both market structure and pharmaceutical prices. Parallel imports may...

  8. Conceptual framework for the study of food waste generation and prevention in the hospitality sector.

    Science.gov (United States)

    Papargyropoulou, Effie; Wright, Nigel; Lozano, Rodrigo; Steinberger, Julia; Padfield, Rory; Ujang, Zaini

    2016-03-01

    Food waste has significant detrimental economic, environmental and social impacts. The magnitude and complexity of the global food waste problem has brought it to the forefront of the environmental agenda; however, there has been little research on the patterns and drivers of food waste generation, especially outside the household. This is partially due to weaknesses in the methodological approaches used to understand such a complex problem. This paper proposes a novel conceptual framework to identify and explain the patterns and drivers of food waste generation in the hospitality sector, with the aim of identifying food waste prevention measures. This conceptual framework integrates data collection and analysis methods from ethnography and grounded theory, complemented with concepts and tools from industrial ecology for the analysis of quantitative data. A case study of food waste generation at a hotel restaurant in Malaysia is used as an example to illustrate how this conceptual framework can be applied. The conceptual framework links the biophysical and economic flows of food provisioning and waste generation, with the social and cultural practices associated with food preparation and consumption. The case study demonstrates that food waste is intrinsically linked to the way we provision and consume food, the material and socio-cultural context of food consumption and food waste generation. Food provisioning, food consumption and food waste generation should be studied together in order to fully understand how, where and most importantly why food waste is generated. This understanding will then enable to draw detailed, case specific food waste prevention plans addressing the material and socio-economic aspects of food waste generation. Copyright © 2016 Elsevier Ltd. All rights reserved.

  9. [The Hospital, patients, health and territories Act and the recentralisation of the social and long term care sector].

    Science.gov (United States)

    Jourdain, Alain; Muñoz, Jorge; Hudebine, Hervé

    2017-07-10

    Hypothesis: The 2009 Hospital, Patients, Health and Territories Act crystallises a central government attempt to regain control over the social and long term care sector, which involves the utilisation of policy instruments borrowed from the hospital sector: capped budgets, agreements on targets and resources, competitive tendering or quasi-market mechanisms involving hospitals and services, etc. This paper is therefore based on the hypothesis of a recentralisation and healthicization of the social and long term care sector, with a key role for the regional health authorities. Method and data: 27 semi-structured interviews were conducted with actors operating within and outside the regional health agencies and thereafter analysed using Alceste. The aim was to describe and to analyse the positioning of the RHAs in relation to key actors of the social and long-term care sector in 2 regions in 2011. Results: Key issues for public organisations include the style of planning and knowhow transfer, while the professionals were chiefly concerned with the intensity of the ambulatory turn and needs analysis methodology. The compromises forged were related to types of democratic legitimacy, namely representative or participatory democracy. Conclusion: There is little evidence to support the initial hypothesis, namely the existence of a link between the creation of RHAs and a recentralisation of health policy between 2009 and 2013. One may rather suggest that a reconfiguration of the activities and resources of the actors operating at the centre (RHAs and conseils départementaux) and at the periphery (territorial units of the RHAs and third sector umbrella organisations) has occurred.

  10. The indirect costs of agency nurses in South Africa: a case study in two public sector hospitals.

    Science.gov (United States)

    Rispel, Laetitia C; Moorman, Julia

    2015-01-01

    Globally, flexible work arrangements - through the use of temporary nursing staff - are an important strategy for dealing with nursing shortages in hospitals. The objective of the study was to determine the direct and indirect costs of agency nurses, as well as the advantages and the problems associated with agency nurse utilisation in two public sector hospitals in South Africa. Following ethical approval, two South African public sector hospitals were selected purposively. Direct costs were determined through an analysis of hospital expenditure information for a 5-year period from 2005 until 2010, obtained from the national transversal Basic Accounting System database. At each hospital, semi-structured interviews were conducted with the chief executive officer, executive nursing services manager, the maternity or critical care unit nursing manager, the human resource manager, and the finance manager. Indirect costs measured were the time spent on pre-employment checks, and nurse recruitment, orientation, and supervision. All expenditure is expressed in South African Rands (R: 1 USD=R7, 2010 prices). In the 2009/10 financial year, Hospital 1 spent R38.86 million (US$5.55 million) on nursing agencies, whereas Hospital 2 spent R10.40 million (US$1.49 million). The total estimated time spent per week on indirect cost activities at Hospital 1 was 51.5 hours, and 60 hours at Hospital 2. The estimated monetary value of this time at Hospital 1 was R962,267 (US$137,467) and at Hospital 2 the value was R300,121 (US$42,874), thus exceeding the weekly direct costs of nursing agencies. Agency nurses assisted the selected hospitals in dealing with problems of nurse recruitment, absenteeism, shortages, and skills gaps in specialised clinical areas. The problems experienced with agency nurses included their perceived lack of commitment, unreliability, and providing sub-optimal quality of patient care. Hospital managers and policy-makers need to address the effective

  11. The indirect costs of agency nurses in South Africa: a case study in two public sector hospitals

    Directory of Open Access Journals (Sweden)

    Laetitia C. Rispel

    2015-05-01

    Full Text Available Background: Globally, flexible work arrangements – through the use of temporary nursing staff – are an important strategy for dealing with nursing shortages in hospitals. Objective: The objective of the study was to determine the direct and indirect costs of agency nurses, as well as the advantages and the problems associated with agency nurse utilisation in two public sector hospitals in South Africa. Methods: Following ethical approval, two South African public sector hospitals were selected purposively. Direct costs were determined through an analysis of hospital expenditure information for a 5-year period from 2005 until 2010, obtained from the national transversal Basic Accounting System database. At each hospital, semi-structured interviews were conducted with the chief executive officer, executive nursing services manager, the maternity or critical care unit nursing manager, the human resource manager, and the finance manager. Indirect costs measured were the time spent on pre-employment checks, and nurse recruitment, orientation, and supervision. All expenditure is expressed in South African Rands (R: 1 USD=R7, 2010 prices. Results: In the 2009/10 financial year, Hospital 1 spent R38.86 million (US$5.55 million on nursing agencies, whereas Hospital 2 spent R10.40 million (US$1.49 million. The total estimated time spent per week on indirect cost activities at Hospital 1 was 51.5 hours, and 60 hours at Hospital 2. The estimated monetary value of this time at Hospital 1 was R962,267 (US$137,467 and at Hospital 2 the value was R300,121 (US$42,874, thus exceeding the weekly direct costs of nursing agencies. Agency nurses assisted the selected hospitals in dealing with problems of nurse recruitment, absenteeism, shortages, and skills gaps in specialised clinical areas. The problems experienced with agency nurses included their perceived lack of commitment, unreliability, and providing sub-optimal quality of patient care. Conclusion

  12. The other "Irish question".

    Science.gov (United States)

    Browne, H

    1992-05-01

    The influence of the Roman Catholic Church on Irish society makes it difficult for sex and health educators and HIV/AIDS prevention efforts. Divorce, abortion, consensual sex between consenting adult men, and contraception for those under 18 years is banned in Ireland. Public opinions and recent court decisions do appear to bring a measure of hope for more lenient attitudes. The trends vary from the recent Supreme Court case of the 14-year old rape victim being permitted an abortion because she was suicidal to a radio talk show host, Father Michael Cleary who suspected she was "set-up" to test the ban on abortion. Father Cleary also outraged health educators by stating inaccurately that condoms did not prevent AIDS. It is estimated that 500 Irish women have abortions each year in Britain; there have been 262 reported AIDS cases and estimates of up to 10,000 HIV infected out of a population of 3.5 million. An AIDS education campaign was mounted in 1987, but in the 37-minute Department of Health video only 1 minute was devoted to condoms and no sex was promoted as the only safe sex. Access is limited to consenting pharmacies and clinics for people 18 years of older; rural chemists may exercise discretion and refuse sales. In 1991, the government proposed lowering the age to 17 years for condom availability and assigning the regional health boards, the responsibility of determining who sells contraceptives. A university lecturer reported that inaction on this bill was close to "criminal inactivity." Challenges in February 1991 were made by the Irish Family Planning Association (IFPA) in setting up a condom sales kiosk in Dublin. The IFPA was fined, but opinion polls indicated that 57% supported condom availability for 16 year olds. On Valentines Day in 1992, condom vending machines, which are illegal, were installed in pubs and nightclubs, police action has been cautious. A new health minister is concerned about AIDS prevention and the republic's first woman President

  13. The Irish Women's Movement

    OpenAIRE

    Cullen, Pauline

    2015-01-01

    Ireland’s long history of patriarchy is matched by the ongoing evolution of its women’s movements. Today’s complex, transnational feminism finds its precursor in the colonial era. The first wave of the Irish women’s movement dates from the mid-19th century, with the franchise secured for women in 1918 while still under British colonial rule. First-wave feminists played a role in the nationalist movement, but their demands were sidelined later, during the construction of a conserva...

  14. Subtrochanteric Femur Fractures in an Irish Trauma Centre over 9 years: How the Impact of Hospital Coding on Diagnosis of Subtrochanteric Femur Fractures Leads to Inaccurate Occurrence Rates

    LENUS (Irish Health Repository)

    Coveney, EI

    2018-06-01

    Our aim was to assess the occurrence rates of subtrochanteric femur fractures in an orthopaedic tertiary referral centre and to assess the correlation of patient’s actual diagnosis with national hospital inpatient enquiry data.

  15. Hospital utilization and out of pocket expenditure in public and private sectors under the universal government health insurance scheme in Chhattisgarh State, India: Lessons for universal health coverage.

    Science.gov (United States)

    Nandi, Sulakshana; Schneider, Helen; Dixit, Priyanka

    2017-01-01

    Research on impact of publicly financed health insurance has paid relatively little attention to the nature of healthcare provision the schemes engage. India's National Health Insurance Scheme or RSBY was made universal by Chhattisgarh State in 2012. In the State, public and private sectors provide hospital services in a context of extensive gender, social, economic and geographical inequities. This study examined enrolment, utilization (public and private) and out of pocket (OOP) expenditure for the insured and uninsured, in Chhattisgarh. The Chhattisgarh State Central sample (n = 6026 members) of the 2014 National Sample Survey (71st Round) on Health was extracted and analyzed. Variables of enrolment, hospitalization, out of pocket (OOP) expenditure and catastrophic expenditure were descriptively analyzed. Multivariate analyses of factors associated with enrolment, hospitalization (by sector) and OOP expenditure were conducted, taking into account gender, socio-economic status, residence, type of facility and ailment. Insurance coverage was 38.8%. Rates of hospitalization were 33/1000 population among the insured and 29/1000 among the uninsured. Of those insured and hospitalized, 67.2% utilized the public sector. Women, rural residents, Scheduled Tribes and poorer groups were more likely to utilize the public sector for hospitalizations. Although the insured were less likely to incur out of pocket (OOP) expenditure, 95.1% of insured private sector users and 66.0% of insured public sector users, still incurred costs. Median OOP payments in the private sector were eight times those in the public sector. Of households with at least one member hospitalized, 35.5% experienced catastrophic health expenditures (>10% monthly household consumption expenditure). The study finds that despite insurance coverage, the majority still incurred OOP expenditure. The public sector was nevertheless less expensive, and catered to the more vulnerable groups. It suggests the need to

  16. Hospital utilization and out of pocket expenditure in public and private sectors under the universal government health insurance scheme in Chhattisgarh State, India: Lessons for universal health coverage.

    Directory of Open Access Journals (Sweden)

    Sulakshana Nandi

    Full Text Available Research on impact of publicly financed health insurance has paid relatively little attention to the nature of healthcare provision the schemes engage. India's National Health Insurance Scheme or RSBY was made universal by Chhattisgarh State in 2012. In the State, public and private sectors provide hospital services in a context of extensive gender, social, economic and geographical inequities. This study examined enrolment, utilization (public and private and out of pocket (OOP expenditure for the insured and uninsured, in Chhattisgarh. The Chhattisgarh State Central sample (n = 6026 members of the 2014 National Sample Survey (71st Round on Health was extracted and analyzed. Variables of enrolment, hospitalization, out of pocket (OOP expenditure and catastrophic expenditure were descriptively analyzed. Multivariate analyses of factors associated with enrolment, hospitalization (by sector and OOP expenditure were conducted, taking into account gender, socio-economic status, residence, type of facility and ailment. Insurance coverage was 38.8%. Rates of hospitalization were 33/1000 population among the insured and 29/1000 among the uninsured. Of those insured and hospitalized, 67.2% utilized the public sector. Women, rural residents, Scheduled Tribes and poorer groups were more likely to utilize the public sector for hospitalizations. Although the insured were less likely to incur out of pocket (OOP expenditure, 95.1% of insured private sector users and 66.0% of insured public sector users, still incurred costs. Median OOP payments in the private sector were eight times those in the public sector. Of households with at least one member hospitalized, 35.5% experienced catastrophic health expenditures (>10% monthly household consumption expenditure. The study finds that despite insurance coverage, the majority still incurred OOP expenditure. The public sector was nevertheless less expensive, and catered to the more vulnerable groups. It suggests

  17. Using integrated control methodology to optimize energy performance for the guest rooms in UAE hospitality sector

    International Nuclear Information System (INIS)

    AlFaris, Fadi; Abu-Hijleh, Bassam; Abdul-Ameer, Alaa

    2016-01-01

    Highlights: • Energy efficiency in 4 and 5 star luxury hotels in the United Arab Emirates. • The normalized energy use index (EUI) ranges between 241.5 and 348.4 kWh/m"2/year for post 2003 hotels. • The normalized energy use index (EUI) ranges between 348.4 and 511.1 kWh/m"2/year for pre 2003 hotels. • Integrated HVAC and lighting control strategies can reduce total energy consumption by up to 31.5%. - Abstract: The hospitality sector is growing rapidly in the UAE and especially in Dubai. As a result, it contributes substantially in the UAE's carbon footprint. This research was conducted to measure, evaluate and increase the energy efficiency in 4 and 5 star luxury hotels in UAE. Energy benchmarking analysis was used to analyze the energy data of 19 hotel buildings to differentiate between usual and best practice of energy performance. Moreover, the normalized energy use index (EUI) kWh/m"2/year has been identified for the best, usual and poor practice hotels. It was found that the normalized EUI ranges between 241.5 kWh/m"2/year or less as a best practice to more than 361.3 kWh/m"2/year of the poor energy practice for the hotels constructed after the year of 2003. Whereas the hotels' energy data showed higher values for those constructed before 2003, as the normalized EUI varies between 348.4 kWh/m"2/year as best practice to more than 511.1 kWh/m"2/year. An integrated control strategy has been employed to improve the energy performance and assess the energy saving for the guestroom. This technique showed that the overall energy performance improvement reached to 31.5% out of entire energy consumption of the hotel including electricity and gas. This reduction resulted in 43.2% savings from the cooling system and 13.2% from the lighting system due to the installing of the integrated control system in the guestrooms.

  18. The role of human capital and collaboration with academia for innovation in hospitality sector: the case of Mugla

    Directory of Open Access Journals (Sweden)

    Ummuhan Gökovalı

    2012-03-01

    Full Text Available The relevance of human capital and collaboration with academia for innovation in the hospitality sector has never been denied, but the empirical evidence for this link is inadequate as far as Turkey is concerned. This paper intends to contribute to the knowledge in this area by employingself generated survey data for the province of Mugla, which is one of the most attractive holiday destinations in Turkey. The aim of this paper is to investigate the effects of human capital and collaboration with academia on innovation performance of hospitality firms. The results of the survey data and empirical investigation of logit and probit econometric models indicate that these factors are indeed conducive factors for the innovation performance of hospitality firms

  19. Assessment of bacterial contamination in the sectors of Clinical Medicine and Surgery Small Animal Veterinary Hospital, UFCG, PB

    Directory of Open Access Journals (Sweden)

    Rafaela Alves Dias

    2015-06-01

    Full Text Available ABSTRACT. Dias R.A., Souza A.P. & Garino Júnior F. [Assessment of bacterial contamination in the sectors of Clinical Medicine and Surgery Small Animal Veterinary Hospital, UFCG, PB.] Avaliação da contaminação bacteriana nos setores de Clínica e Cirurgia de Pequenos Animais do Hospital Veterinário da UFCG, PB. Revista Brasileira de Medicina Veterinária, 37(2:173-177, 2015. Programa de Pós-Graduação em Medicina Veterinária, Universidade Federal de Campina Grande, Av. Universitária, s/n, Bairro Santa Cecília, Patos, PB 58708-110, Brasil. E-mail: rafa.ad@hotmail.com With this study aimed to evaluate bacterial contamination sectors Clinic and Surgery Small Animal Veterinary Hospital UFCG, in order to prevent infections in patients attending hospital. An assessment of the environmental contamination of sectors before and after disinfection, where was collected samples of air, surfaces and hands of people who deal directly with the animals. Then the test was made of the effectiveness of disinfectants used. Of the 40 samples collected, was identified in 5 of them (12.5% Enterobacteria such as Escherichia coli and Klebisiella pneumoniae and in 22 samples (55% was identified Staphylococcus coagulase negative and positive. Was seen in the quantitative analysis that the number of cfu in some sample was above the indicated. The test showed that the disinfectant solution was effective against all micro-organisms found in the environments. The results indicate that more attention to procedures performed in the disinfection of areas evaluated, and also include measures to prevent contamination at these sites.

  20. Nature tourism and Irish film

    OpenAIRE

    Brereton, Pat

    2006-01-01

    This article provides a historical overview and reading of seminal Irish film from the perspective of nature tourism. Within Irish cultural studies, tourism is frequently equated with an overly romantic image of the island, which has been used to sell the country abroad. However, using notions like the tourist gaze and taking on board influential debates around space/place, one can posit a more progressive environmental vision of nature and landscape in our readings of film.

  1. Attitudes and practices of Irish hospital-based physicians towards hand hygiene and hand rubbing using alcohol-based hand rub: a comparison between 2007 and 2015.

    Science.gov (United States)

    Kingston, L M; Slevin, B L; O'Connell, N H; Dunne, C P

    2017-09-01

    Hand hygiene is the cornerstone of infection prevention and control practices, and reduces healthcare-associated infections significantly. However, international evidence suggests that medical doctors demonstrate poor compliance. To explore and compare practices and attitudes towards hand hygiene, particularly hand rubbing using alcohol-based hand rub (ABHR), among hospital-based physicians in Ireland between 2007 and 2015. In 2007, a random sample of doctors in a large teaching hospital was invited to complete a postal survey using a validated questionnaire. In 2015, the study was replicated among all doctors employed in a university hospital group, including the setting of the original study, using an online survey. Data were analysed using SPSS and Survey Monkey. Predominately positive and improving attitudes and practices were found, with 86% of doctors compliant with hand hygiene before patient contact in 2015, compared with 58% in 2007. Ninety-one percent of doctors were compliant after patient contact in 2015, compared with 76% in 2007. In 2015, only 39% of respondents reported that they 'almost always' used ABHR for hand hygiene. However, this represents 13.5% more than in 2007. Stated barriers to use of ABHR included dermatological issues, poor acceptance, tolerance and poor availability of ABHR products. Greater awareness of hand hygiene guidelines and greater governance appear to have had a positive impact on practice. However, despite this, practice remains suboptimal and there is scope for substantial improvement. Continued and sustained efforts are required in order to build on progress achieved since the World Health Organization hand hygiene guidelines were published in 2009. Copyright © 2017 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

  2. Stakeholder influence in public sector information systems strategy implementation-The case of public hospitals in South Africa.

    Science.gov (United States)

    Hwabamungu, Boroto; Brown, Irwin; Williams, Quentin

    2018-01-01

    Recent literature on organisational strategy has called for greater emphasis on individuals (stakeholders) and what they do in the process of strategizing. Public sector organisations have to engage with an array of heterogeneous stakeholders in fulfilling their mandate. The public health sector in particular needs to engage with a diversity of stakeholders at local, regional and national levels when strategising. The purpose of this study is to investigate the influence of stakeholder relations on the implementation of Information Systems (IS) strategy in public hospitals in South Africa. An interpretive approach using two provinces was employed. The Activity Analysis and Development (ActAD) framework, an enhanced form of activity theory, was used as the theoretical framework. Data was collected using semi-structured interviews, meetings, documents analysis, physical artefacts and observation. The collected data was analysed using thematic analysis. Findings reveal that IS strategy implementation in public hospitals involves a large and complex network of stakeholder groups at different levels, and over different time periods. These stakeholder groups act in accordance with formal and informal roles, rules and modalities. Various contextual conditions together with the actions of, and interactions between stakeholder groups give rise to the situationality of stakeholder relations dynamics and strategy implementation. The multiple actions and interactions over time lead to the realisation of some aspects of the IS strategy in public hospitals. Given the complexity and dynamism of the context there are also certain unplanned implementations as well. These relationships are captured in a Stakeholder Relations Influence (SRI) framework. The SRI framework can be assistive in the assessment and mapping of stakeholders and stakeholder relations, and the assessment of the implications of these relations for effective IS strategy implementation in public hospitals. The

  3. [Orientation of patients referred by their general practionner to the public or private hospital sector in France: A prospective epidemiologic study].

    Science.gov (United States)

    Reuter, P-G; Kernéis, S; Turbelin, C; Souty, C; Arena, C; Gavazzi, G; Sarazin, M; Blanchon, T; Hanslik, T

    2012-12-01

    In-patients characteristics generate cost differences between hospitals. In France, there are few data on the characteristics on the patients referred to hospitals by their general practitioners (GPs) and none on the predictors of referral to the public or for-profit hospitals. The aim of this study was to analyze those characteristics and the predictors of referral to the public or for-profit hospitals. We collected, prospectively, the request for hospitalizations made by the GPs of the Sentinelles network in France, from 2007 to 2009. Patients' characteristics and also the reasons for that request were analyzed. A logistic regression was used to compare the population between local hospitals. Ten thousand seven hundred and eighteen statements were collected. The median age was 73 years. Patients were women in 51% of the cases, and only 14% of the hospitalizations had been planned. Hospitalization in the public sector was preferred for young children and the elderly (Pprivate sector, patients addressed to the public sector were more often seen for emergencies (OR: 2.3 [2.0-2.8]), by a doctor different from their referring GP (OR: 1.7 [1.4-2.1]) and out of the GP's office. The reasons for hospital admission were different depending on the sector of hospitalization (Ppublic sector hospitals presented with greater comorbidity or more complex diagnosis (for example: feeling ill, fainting or syncope and fever) or a greater disability (for example: stroke, neurological and psychiatric diseases). This study suggests that GPs send their patients to the public or for-profit hospitals according to criteria of severity, comorbidity and disability. Copyright © 2012 Société nationale française de médecine interne (SNFMI). Published by Elsevier SAS. All rights reserved.

  4. Stated preferences for future management developments in the hospitality sector: a case study of Abu Dhabi, UAE

    OpenAIRE

    Al Suwaidi, Hamed

    2014-01-01

    Abu-Dhabi (AD) is the largest of the seven Emirates that comprise the United Arab Emirates. Abu-Dhabi, the capital of the UAE with 1,493,000 inhabitants, accounts for 86.7% of the total surface area of the state. The emirate of Abu-Dhabi, through its Policy Agenda 2007-2008, the strategic Plan 2008-2012 and the Plan Vision Abu-Dhabi 2030 has recently re-branded itself and has made a series of assertive moves in order to boost the tourism and hospitality sectors as a means to a more diversifie...

  5. Irish treebanking and parsing: a preliminary evaluation

    OpenAIRE

    Lynn, Teresa; Cetinoglu, Ozlem; Foster, Jennifer; Uí Dhonnchadha, Elaine; Dras, Mark; van Genabith, Josef

    2012-01-01

    Language resources are essential for linguistic research and the development of NLP applications. Low- density languages, such as Irish, therefore lack significant research in this area. This paper describes the early stages in the development of new language resources for Irish – namely the first Irish dependency treebank and the first Irish statistical dependency parser. We present the methodology behind building our new treebank and the steps we take to leverage upon the few existing resou...

  6. Welcome to the Irish Journal of Paramedicine

    Directory of Open Access Journals (Sweden)

    Alan M Batt

    2016-06-01

    Full Text Available Welcome to the first issue of the Irish Journal of Paramedicine (IJP. It gives me great pleasure to launch this journal, a first for Irish paramedics, and pre-hospital care in Ireland. I am also honoured to announce that the IJP has been adopted as the official journal of the Irish College of Paramedics, the professional body for prehospital emergency care practitioners in Ireland.               A newly emerging profession, paramedicine is now poised at  a crossroads. Previously alluded to with  colleagues from around the globe, the role of the paramedic is one that is rapidly evolving, and yet paramedicine as a discipline has yet to figure out where it belongs.(1 Are we public safety professionals, first responders or healthcare professionals? Williams has previously stated that the road less travelled requires the paramedic profession to pursue identity as a healthcare profession and not as emergency responders, EMS workers, or ambulance drivers, which we are so commonly identified as.(2 Initiatives within Ireland such as the Centre for Prehospital Research national research agenda, the move to higher education for paramedics in University College Dublin and the University of Limerick, and the publication of high-quality peer-reviewed research, undertaken for paramedics, led by paramedics, and published in paramedicine journals are key components in this pursuit of professionalism. It is our hope that the Irish Journal of Paramedicine will play its part as a vehicle in this endeavour. It is important however to point out that the Irish Journal of Paramedicine is not exclusively for paramedics. Within Ireland, and around the world, there are many other prehospital care providers, including community responders, volunteer first responders, EMT practitioners, nurses, physicians and others who deliver high quality patient care and are as committed to their personal and professional development as any paramedic. This journal is for

  7. International comparisons of the technical efficiency of the hospital sector: panel data analysis of OECD countries using parametric and non-parametric approaches.

    Science.gov (United States)

    Varabyova, Yauheniya; Schreyögg, Jonas

    2013-09-01

    There is a growing interest in the cross-country comparisons of the performance of national health care systems. The present work provides a comparison of the technical efficiency of the hospital sector using unbalanced panel data from OECD countries over the period 2000-2009. The estimation of the technical efficiency of the hospital sector is performed using nonparametric data envelopment analysis (DEA) and parametric stochastic frontier analysis (SFA). Internal and external validity of findings is assessed by estimating the Spearman rank correlations between the results obtained in different model specifications. The panel-data analyses using two-step DEA and one-stage SFA show that countries, which have higher health care expenditure per capita, tend to have a more technically efficient hospital sector. Whether the expenditure is financed through private or public sources is not related to the technical efficiency of the hospital sector. On the other hand, the hospital sector in countries with higher income inequality and longer average hospital length of stay is less technically efficient. Copyright © 2013 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

  8. Factors associated with occupancy of pharmacist positions in public sector hospitals in Uganda: a cross-sectional study.

    Science.gov (United States)

    Obua, Thomas Ocwa; Adome, Richard Odoi; Kutyabami, Paul; Kitutu, Freddy Eric; Kamba, Pakoyo Fadhiru

    2017-01-05

    Pharmacists are invaluable resources in health care. Their expertise in pharmacotherapy and medicine management both ensures that medicines of appropriate quality are available in health facilities at the right cost and are used appropriately. Unfortunately, some countries like Uganda have shortage of pharmacists in public health facilities, the dominant providers of care. This study investigated the factors that affect the occupancy of pharmacist positions in Uganda's public hospitals, including hiring patterns and job attraction and retention. A cross-sectional survey of 91 registered pharmacists practicing in Uganda and desk review of records from the country's health care worker (HCW) recruiting agency was done in the months of May, June, and July, 2016. Pharmacist interviews were done using self-administered structured questionnaire and analyzed by descriptive statistics and chi-square test. Slight majority (53%) of the interviewed pharmacists work in two sectors. About 60% of the pharmacists had ever applied for public hospital jobs. Of those who received offers (N = 46), 30% had declined them. Among those who accepted the offers (N = 41), 41% had already quit. Meanwhile, the pace of hiring pharmacists into Uganda's public sector is too slow. Low socio-economic status of family in childhood (χ 2  = 2.77, p = 0.10), admission through matriculation and diploma scheme (χ 2  = 2.37, p = 0.12), internship in countryside hospitals (χ 2  = 2.24, p = 0.13), working experience before pharmacy school (χ 2  = 2.21, p = 0.14), salary expectation (χ 2  = 1.76, p = 0.18), and rural secondary education (χ 2  = 1.75, p = 0.19) favored attraction but in a statistically insignificant manner. Retention was most favored by zero postgraduate qualification (χ 2  = 4.39, p = 0.04), matriculation and diploma admission scheme (χ 2  = 2.57, p = 0.11), and working experience in private sector (χ 2  = 2

  9. Implementation of a campus-wide Irish hospital smoking ban in 2009: prevalence and attitudinal trends among staff and patients in lead up.

    LENUS (Irish Health Repository)

    Fitzpatrick, Patricia

    2012-02-01

    We report the evidence base that supported the decision to implement the first campus-wide hospital smoking ban in the Republic of Ireland with effect from 1 January 2009. Three separate data sources are utilized; surveillance data collected from patients and staff in 8 surveys between 1997 and 2006, a 1-week observational study to assess smoker behaviour in designated smoking shelters and an attitudinal interview with 28 smoker patients and 30 staff on the implications of the 2004 indoors workplace smoking ban, conducted in 2005. The main outcome measures were trends in prevalence of smoking over time according to age, sex and occupational groups and attitudes to the 2004 ban and a projected outright campus ban. Smoking rates among patients remained steady, 24.2% in 1997\\/98 and 22.7% in 2006. Staff smoking rates declined from 27.4% to 17.8%, with a strong occupational gradient. Observational evidence suggested a majority of those using smoking shelters in 2005 were women and health-care workers rather than patients. Attitudes of patients and staff were positive towards the 2004 ban, but with some ambivalence on the effectiveness of current arrangements. Staff particularly were concerned with patient safety issues associated with smoking outdoors. The 2004 ban was supported by 87.6% of patients and 81.3% of staff in 2006 and a majority of 58.6% of patients and 52.4% of staff agreed with an outright campus ban being implemented. These findings were persuasive in instigating a process in 2007\\/08 to go totally smoke-free by 2009, the stages for which are discussed.

  10. Hospital volunteerism as human resource solution: Motivation for both volunteers and the public health sector

    Directory of Open Access Journals (Sweden)

    Guinevere M. Lourens

    2017-08-01

    Full Text Available Background: A volunteer programme with 50 registered volunteers was established in 2007 at a secondary-level public, semi-rural regional hospital in the Cape Winelands, South Africa. This was a rapid response to the extensive renovations and system changes brought about by the hospital revitalisation initiated in 2006 and the resultant expanded services, which required additional human resources. This study describes the hospital volunteer programme and provides hospital administrators with practical planning guidance for hospital volunteer programme implementation. Purpose: The purpose of this study is to (1 describe the outcomes of the hospital volunteer programme implementation intervention and (2 to make sound recommendations for volunteer programme implementation. Methodology and approach: A qualitative case-study methodology was employed using purposive sampling as a technique. Participants were recruited from a public hospital in the Western Cape. A case-study design was applied to explore the hospital volunteer programme implementation. In-depth interviews and a focus group discussion with thematic content analysis of transcripts as well as document reviews were conducted to conclude the study during 2015. The key participants were individually interviewed and included two members of the hospital management, two volunteers and one volunteer coordinator. A focus group discussion consisting of three volunteers was also conducted. Findings: The findings of this study indicate that a volunteer programme can meet needs and be a motivational force for both the individual volunteer and the organisation. However, it requires co-ordination and some secure funding to remain sustainable. Such a programme holds huge benefits in terms of human resource supplementation, organisational development, as well as the possibility of gainful employment for the previously unemployed. Practical implications: In practice, a health service contemplating a

  11. Constituency Orientation in Irish Politics

    DEFF Research Database (Denmark)

    Kusche, Isabel

    2017-01-01

    The constituency orientation of Irish politicians is a recurring topic in Irish political science. Its analysis has predominantly focused on TDs. This article uses a content analysis of candidate video statements in the general election 2016 in order to assess the strength of constituency...... this pattern, indicated by the weak constituency orientation in Dublin and Cork constituencies. Results also indicate differences between parties and some political statuses, while the gender of the candidates is of no relevance. Although the material does not permit a clear distinction between effects...... of political culture and short-term considerations, taken together the results indicate that localism in Irish politics matters, but in more complicated ways than usually depicted....

  12. Competition in the Dutch hospital sector: an analysis of health care volume and cost.

    Science.gov (United States)

    Krabbe-Alkemade, Y J F M; Groot, T L C M; Lindeboom, M

    2017-03-01

    This paper evaluates the impact of market competition on health care volume and cost. At the start of 2005, the financing system of Dutch hospitals started to be gradually changed from a closed-end budgeting system to a non-regulated price competitive prospective reimbursement system. The gradual implementation of price competition is a 'natural experiment' that provides a unique opportunity to analyze the effects of market competition on hospital behavior. We have access to a unique database, which contains hospital discharge data of diagnosis treatment combinations (DBCs) of individual patients, including detailed care activities. Difference-in-difference estimates show that the implementation of market-based competition leads to relatively lower total costs, production volume and number of activities overall. Difference-in-difference estimates on treatment level show that the average costs for outpatient DBCs decreased due to a decrease in the number of activities per DBC. The introduction of market competition led to an increase of average costs of inpatient DBCs. Since both volume and number of activities have not changed significantly, we conclude that the cost increase is likely the result of more expensive activities. A possible explanation for our finding is that hospitals look for possible efficiency improvements in predominantly outpatient care products that are relatively straightforward, using easily analyzable technologies. The effects of competition on average cost and the relative shares of inpatient and outpatient treatments on specialty level are significant but contrary for cardiology and orthopedics, suggesting that specialties react differently to competitive incentives.

  13. Competition in the Dutch hospital sector : an analysis of health care volume and cost

    NARCIS (Netherlands)

    Krabbe-Alkemade, Y. J F M; Groot, T. L C M; Lindeboom, M.

    2017-01-01

    This paper evaluates the impact of market competition on health care volume and cost. At the start of 2005, the financing system of Dutch hospitals started to be gradually changed from a closed-end budgeting system to a non-regulated price competitive prospective reimbursement system. The gradual

  14. Profiling vocabulary acquisition in Irish.

    Science.gov (United States)

    O'Toole, Ciara; Fletcher, Paul

    2012-01-01

    Investigations into early vocabulary development, including the timing of the acquisition of nouns, verbs and closed-class words, have produced conflicting results, both within and across languages. Studying vocabulary development in Irish can contribute to this area, as it has potentially informative features such as a VSO word order, and semantically rich prepositions. This study used a parent report adapted for Irish, to measure vocabulary development longitudinally for children aged between 1,04 and 3,04. The findings indicated that the children learned closed-class words at relatively smaller vocabulary sizes compared to children acquiring other languages, and had a strong preference for nouns.

  15. Narrowing the Skills Gap for Innovation: An Empirical Study in the Hospital Sector.

    Science.gov (United States)

    Dias, Casimiro; Escoval, Ana

    2014-09-23

    The current financial crisis and the increasing burden of chronic diseases are challenging hospitals to enhance their innovation capacity to deliver new and more effective health services. However, the shortage of skills has been widely recognized as a key obstacle for innovation. Ensuring the presence of a skilled workforce has become a priority for the health system in Portugal and across Europe. The aim of this study was to examine the demand of new skills and their influence in both investments in innovation and development of skills. We used a mixed-methods approach combining statistical analysis of data survey and content analysis of semistructured interviews with the Administration Boards of hospitals, using a nominal group technique. The results illustrate an increasing demand of a broad range of skills for innovation development, including responsibility and quality consciousness (with a significant increase of 55%, 52/95), adaptation skills (with an increase of 44%, 42/95) and cooperation and communication skills (with an increase of 55%, 52/95). Investments in the development of skills for innovation are mainly focused on aligning professional training with an organizational strategy (69%, 66/95) as well as collaboration in taskforces (61%, 58/95) and cross-department teams (60%, 57/95). However, the dynamics between the supply and demand of skills for innovation are better explained through a broader perspective of organizational changes towards enhancing learning opportunities and engagement of health professionals to boost innovation. The results of this study illustrate that hospitals are unlikely to enhance their innovation capacity if they pursue strategies failing to match the skills needed. Within this context, hospitals with high investments in innovation tend to invest more in skills development. The demand of skills and investments in training are influenced by many other factors, including the hospital's strategies, as well as changes in the

  16. Job satisfaction among nurses working in the private and public sectors: a qualitative study in tertiary care hospitals in Pakistan

    Directory of Open Access Journals (Sweden)

    Hamid S

    2014-01-01

    Full Text Available Saima Hamid,1 Asmat Ullah Malik,2 Irum Kamran,3 Musarat Ramzan41Health Services Academy, Islamabad, Pakistan; 2Integrated Health Services, Islamabad, Pakistan; 3GIZ, Islamabad, Pakistan; 4Wah Medical College, Wah Cantt, University of Health Sciences, Wah, PakistanBackground: Many low and middle income countries lack the human resources needed to deliver essential health interventions. A health care system with a limited number of nurses cannot function effectively. Although the recommended nurse to doctor ratio is 4:1, the ratio in Pakistan is reversed, with 2.7 doctors to one nurse.Methods: A qualitative study using narrative analysis was undertaken in public and private tertiary care hospitals in Pakistan to examine and compare job satisfaction among nurses and understand the factors affecting their work climate. Interactive interviews were conducted with nurses working with inpatients and outpatients.Results: All of the respondents had joined the profession by choice and were supported by their families in their decision to pursue their career, but now indicated that they were dissatisfied with their jobs. Three types of narratives were identified, namely, “Working in the spirit of serving humanity”, “Working against all odds”, and “Working in a functional system and facing pressures of increased accountability”. Nurses working in a public sector hospital are represented in the first two narrative types, whereas the third represents those working in a private sector hospital. The first narrative represents nurses who were new in the profession and despite hard working conditions were performing their duties. The second narrative represents nurses working in the public sector with limited resources, and the third narrative is a representation of nurses who were working hard and stressed out despite a well functioning system.Conclusion: The study shows that the presence of a well trained health workforce is vital, and that certain

  17. Staff training in hospitality sector as benefit for improved service quality

    OpenAIRE

    Ivanka Nestoroska; Irina Petrovska

    2014-01-01

    Contemporary hotel industry is facing many challenges which are closely connected to the changes that occur both in the field of tourist demand and tourist supply. The changes refer to quality of services at first place, since the needs of tourists change rapidly towards higher quality and different products. Having in mind the character of the activities in hospitality industry where a direct contact between employees and guests is necessary for providing and realizing the services, the succ...

  18. The medical science fiction of James White: Inside and Outside Sector General.

    Science.gov (United States)

    Howard, Richard

    2016-12-01

    James White was a Northern Irish science fiction author working in the subgenre of medical science fiction from the mid-1950s to the end of the twentieth century. The aim of this article is to introduce White to scholars working in the medical humanities, pointing to features of interest and critiquing the more excessive utopian impulses of the author. The article covers White's Sector General series, set on a vast intergalactic hospital, as well as the author's standalone fictions. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  19. Entangled geographies of "Irish" finance

    NARCIS (Netherlands)

    Hendrikse, R.P.

    2013-01-01

    This paper dissects the financial crisis through an analysis of financial development in Ireland. Although a single system, Irish finance is split in two. Illustrative of national financial developments, this paper details how public officials aimed to create a financial center in Cork. Exemplifying

  20. Deaf Workers in Restaurant, Retail, and Hospitality Sector Employment: Harnessing Research to Promote Advocacy.

    Science.gov (United States)

    Stokar, Hayley

    2017-01-01

    A quarter-century after the passage of the Americans with Disabilities Act (ADA, 1990 ), workplace accommodation is still a struggle for deaf employees and their managers. Many challenges are the result of communication barriers that can be overcome through much needed-although often absent-advocacy and training. This article highlights the literature on the employment of deaf individuals in the United States service industries of food service, retail, and hospitality conducted from 2000 to 2016. Exploring dimensions of both hiring and active workplace accommodation, suggestions are made for how social work advocates can harness information and strengthen their approaches for educating managers and supporting workers.

  1. The work engagement of nurses in multiple hospital sectors in Saudi Arabia: a comparative study.

    Science.gov (United States)

    Aboshaiqah, Ahmad E; Hamadi, Hanadi Y; Salem, Olfat A; Zakari, Nazik M A

    2016-05-01

    To examine the differences in work engagement among nurses in Saudi Arabia and its relationship with personal characteristics across different hospital affiliations. Quality care requires an adequate supply of engaged nurses who are dedicated, energised and absorbed in their work. In the nursing profession, work engagement is of considerable importance, owing to the shortage of nurses and the continuing reduction in healthcare costs. An analytic comparative cross-sectional design was used. Eight hospitals from three provinces and different affiliation types participated in the study. The Utrecht work engagement scale (UWES) was used to measure 980 nurses' work engagement. The findings indicate that nurses' total engagement scores were closer to the higher end of the Likert scale. The findings indicate generally high levels of work engagement, particularly regarding the element of dedication. Furthermore, the study shows significant differences in nurses' engagement among the various work settings and in nurses' age and experience. A number of nurses' personal characteristics have independent influences on their work engagement. Nurse leaders should acknowledge that a statement of professional nursing scope of practice is a necessity to encourage and fulfil engagement. © 2016 John Wiley & Sons Ltd.

  2. Characteristic and quality control test in sector collimator gamma knife perfexion at Siloam hospital

    International Nuclear Information System (INIS)

    Manik, Jhon Wesly; Hidayanto, Eko; Sutanto, Heri

    2017-01-01

    In this study conducted to evaluate the collimator 4 mm, 8 mm, 16 mm to determine the level of precision Gamma Knife Perfexion there three years and eight months has not carried out measurements after the first year and verify the alignment of sector 1-8. Measurement with three axes (x-axis, y-axis, z-axis) using the film Gafcromic EBT-3, which will be signaled to a central point in the film to be measured and given a dose of 5 Gy for 10 minutes and then scanned and analyzed using ImageJ softwere 1.50 and dose rate in film comparison with measurent dose rate using electrometer. Alignment of Patient-Positioning System (PPS) with Radiation Focal Point (RFP) determination of quality control testing each collimator 4 mm in the standard test with < 0.1 and > 0.4 mm passive voice AAPM 54. The results of the standard are still in conformity item 0.21 mm for 4 mm and corelasi dose rate film and measurent using electrometer collimator 4 mm = 0.965, 8 mm = 0.964, 16 mm = 0.959. (paper)

  3. Vitamin d deficiency in healthy female medical students of a public sector hospital

    International Nuclear Information System (INIS)

    Kanani, F.H.; Noor, F.; Jamil, F.; Khanani, R.; Hossein, N.

    2013-01-01

    Objectives: To determine Vitamin D levels in healthy female medical students. Setting and duration of study:Public sector university in Karachi during the month of November 2010. Subjects and Methods: A total of 84 healthy, female medical students were included in the study. 25(OH) Vitamin D, serum calcium, phosphorous and alkaline phosphatase levels were determined in their blood samples.Vitamin D was analyzed by chemiluminesence technique, while serum calcium, phosphorous and alkaline phosphatase were determined photometrically. A comprehensive questionnaire was also filled out by 57 students which included biometrics, dietary habits, sun exposure and physical activity details. Results Almost all (98.8%) subjects had low levels of vitamin D, with 96.4% having values less than 10 ng/ml. There was no correlation of low Vitamin D levels with calcium, phosphorous or alkaline phosphatase levels or with biometric measurements. Conclusions: Vitamin D deficiency was very common even in apparently healthy young females with no correlation to calcium, phosphorous and alkaline phosphatase levels. Nationwide studies are needed to see the cases for low levels of vitamins D. (author)

  4. Characteristic and quality control test in sector collimator gamma knife perfexion at Siloam hospital

    Science.gov (United States)

    Wesly Manik, Jhon; Hidayanto, Eko; Sutanto, Heri

    2017-01-01

    In this study conducted to evaluate the collimator 4 mm, 8 mm, 16 mm to determine the level of precision Gamma Knife Perfexion there three years and eight months has not carried out measurements after the first year and verify the alignment of sector 1-8. Measurement with three axes (x-axis, y-axis, z-axis) using the film Gafcromic EBT-3, which will be signaled to a central point in the film to be measured and given a dose of 5 Gy for 10 minutes and then scanned and analyzed using ImageJ softwere 1.50 and dose rate in film comparison with measurent dose rate using electrometer. Alignment of Patient-Positioning System (PPS) with Radiation Focal Point (RFP) determination of quality control testing each collimator 4 mm in the standard test with 0.4 mm passive voice AAPM 54. The results of the standard are still in conformity item 0.21 mm for 4 mm and corelasi dose rate film and measurent using electrometer collimator 4 mm = 0.965, 8 mm = 0.964, 16 mm = 0.959.

  5. Patterns of adherence to and compliance with the Portuguese smoke-free law in the leisure-hospitality sector.

    Directory of Open Access Journals (Sweden)

    Maria Fátima Reis

    Full Text Available In 2008, the Portuguese smoke-free law came into effect including partial bans in the leisure-hospitality (LH sector. The objective of the study is to assess the prevalence of smoking control policies (total ban, smoking permission and designated smoking areas adopted by the LH sector in Portugal. The levels of noncompliance with each policy are investigated as well as the main factors associated with smoking permission and noncompliance with the law.Cross-sectional study conducted between January 2010 and May 2011. A random sample of venues was selected from the Portuguese LH sector database, proportionally stratified according to type, size and geographical area. All venues were assessed in loco by an observer. The independent effects of venues' characteristics on smoking permission and the level of noncompliance with the law were explored using logistic regression.Overall, 1.412 venues were included. Total ban policy was adopted by 75.9% of venues, while 8.4% had designated smoking areas. Smoking ban was more prevalent in restaurants (85.9%. Only 29.7% of discos/bars/pubs opted for complete ban. Full or partial smoking permission was higher in discos/bar/pubs (OR = 7.37; 95%CI 4.87 to 11.17. Noncompliance with the law was higher in venues allowing smoking and lower in places with complete ban (33.6% and 7.6% respectively, p<0.001. Discos/bars/pubs with full smoking permission had the highest level of noncompliance (OR = 3.31; 95%CI 1.40 to 7.83.Our findings show a high adherence to smoking ban policy by the Portuguese LH sector. Nonetheless, one quarter of the venues is fully or partially permissive towards smoking, with the discos/bars/pubs considerably contributing to this situation. Venues with smoking permission policies were less compliant with the legislation. The implementation of a comprehensive smoke-free law, without any exceptions, is essential to effectively protect people from the second hand smoke.

  6. Patterns of adherence to and compliance with the Portuguese smoke-free law in the leisure-hospitality sector.

    Science.gov (United States)

    Reis, Maria Fátima; Namorado, Sónia; Aguiar, Pedro; Precioso, José; Nunes, Baltazar; Veloso, Luís; Santos, Sandra; Miguel, José Pereira

    2014-01-01

    In 2008, the Portuguese smoke-free law came into effect including partial bans in the leisure-hospitality (LH) sector. The objective of the study is to assess the prevalence of smoking control policies (total ban, smoking permission and designated smoking areas) adopted by the LH sector in Portugal. The levels of noncompliance with each policy are investigated as well as the main factors associated with smoking permission and noncompliance with the law. Cross-sectional study conducted between January 2010 and May 2011. A random sample of venues was selected from the Portuguese LH sector database, proportionally stratified according to type, size and geographical area. All venues were assessed in loco by an observer. The independent effects of venues' characteristics on smoking permission and the level of noncompliance with the law were explored using logistic regression. Overall, 1.412 venues were included. Total ban policy was adopted by 75.9% of venues, while 8.4% had designated smoking areas. Smoking ban was more prevalent in restaurants (85.9%). Only 29.7% of discos/bars/pubs opted for complete ban. Full or partial smoking permission was higher in discos/bar/pubs (OR = 7.37; 95%CI 4.87 to 11.17). Noncompliance with the law was higher in venues allowing smoking and lower in places with complete ban (33.6% and 7.6% respectively, p<0.001). Discos/bars/pubs with full smoking permission had the highest level of noncompliance (OR = 3.31; 95%CI 1.40 to 7.83). Our findings show a high adherence to smoking ban policy by the Portuguese LH sector. Nonetheless, one quarter of the venues is fully or partially permissive towards smoking, with the discos/bars/pubs considerably contributing to this situation. Venues with smoking permission policies were less compliant with the legislation. The implementation of a comprehensive smoke-free law, without any exceptions, is essential to effectively protect people from the second hand smoke.

  7. Determinants of regional labour productivity growth: A study for the hospitality sector in Spain

    Directory of Open Access Journals (Sweden)

    Bienvenido Ortega Aguaza

    2013-01-01

    Full Text Available The aim of this paper is to analyze the determinants of labour productivity growth in the hospitality industry in Spain using regional data over the period 1996-2004. The results obtained suggest that the increase in the number of 3-star hotels and the reduction process in the stock of physical capital per worker are factors which may have contributed to the fall in productivity growth. However, increased regional tourism intensity has a positive impact on the growth of labour productivity. Nonetheless, changes in demand-related factors, such as average length of stay and the seasonality of demand, have not had a significant aggregate impact on labour productivity growth during this period.

  8. Risk factors for syphilis and hiv infection in pregnant women attending a tertiary care public sector hospital

    International Nuclear Information System (INIS)

    Batool, K.; Bano, K.A.; Sherwani, M.I.K.

    2010-01-01

    Background: Syphilis, a sexually transmitted disease which seemed to have disappeared or had been controlled over the years, has now been re-emerged as a major public health problem in many communities. It can complicate the pregnancies with serious consequences. Appropriate treatment of pregnant women often prevents such complications. Aims: To study the frequency of syphilis in pregnant women attending a tertiary care public sector hospital, and see the positivity for HIV/AIDS among syphilis positive women. Patients and Methods: This cross sectional and interventional study was conducted among pregnant women attending Sir Ganga Ram hospital for antenatal care at PMRC Research Centre, Fatima Jinnah Medical College, Lahore. Blood samples from 2000 women were collected after taking consent. The blood was tested for syphilis by Treponema Pallidum Haemagglutination. History of the subjects for risks factors was also taken. Syphilis positive women were further screened for human immunodeficiency virus positivity. Results: The treponemal antibodies were detected in less than one percent (9) pregnant women. The highest positivity was observed among age group of 21-26 years. Women in third trimester were significantly more infected with syphilis. Risk factors included husband's history with frequent traveling and drug abuse. All husbands of syphilis positive women were also positive. All syphilis positive women and their husbands were negative for Human immunodeficiency virus /Acquired immune deficiency syndrome. Conclusions: Less than 1% of pregnant women were infected with syphilis, and most of the spouses of these positive women were either travelers or drug addicts.(author)

  9. Ischaemic stroke management by emergency care physicians at public sector hospitals of Karachi, Pakistan

    International Nuclear Information System (INIS)

    Luni, F.K.; Hamid, S.A.; Mamji, S.; Baig, S.M.

    2011-01-01

    To assess the clinicians management of patients presenting with acute ischaemic stroke in the emergency departments of two large state run hospitals in Karachi, Pakistan. A questionnaire was filled by 59 registered medical practitioners working at these two government hospitals who would be managing stroke patients presenting in the emergency. It was a descriptive cross sectional study designed to assess the methods used by the doctors for diagnosing and treating stroke patients. The data was collected from October to November 2007 and entered using Epi Data Entry and analyzed by SPSS 13.0. Results: The preferred overall investigation for a suspected stroke patient in an emergency ward was an ECG (98%). 51% of the respondents would prescribe aspirin to most patients (300 mg by 40% respondents). Intravenous tissue plasminogen activator was thought to be beneficial by 43% of doctors, low molecular weight heparin by 91%, subcutaneous heparin by 86.5%, intravenous Vitamin B complex by 20% and steroids by 39% of respondents. Regarding elevated blood pressure, 60% answered that they would manage the blood pressure according to the type of stroke and 73% responded that they would lower blood pressure when it reached greater than 150/80. 88% of the doctors answered that they would use cholesterol lowering drugs in the management of stroke patients in an emergency. 97% of the doctors recommended rehabilitation and 88% of the respondents believed that there should be separate stroke units. Conclusion: The development of a standardized protocol and stroke team is recommended which should speed the clinical assessment, decisions for early management and also increase the performance of diagnostic studies. (author)

  10. Women as Emotional Entities in the Hospitality Sector of Mauritius. A Case Study

    Directory of Open Access Journals (Sweden)

    Rughoobur Soujata

    2017-08-01

    Full Text Available Emotions and feelings have always been part of human beings. Its use in the organisational context in order to achieve competitive advantage, that is, the management of emotions by female workers remains a matter of great debate. Hochschild through her book “The Managed Heart: Commercialisation of Human Feeling” in 1983 brought forward the concept of Emotional labour. This paper has attempted to explore areas where female workers are being employed to carry out emotional work and for this purpose a hotel in the eastern cost of Mauritius was chosen being part of the hospitality industry. The survey was conducted there so as to be able to gather quantitative information about this subject issue and a personal interview was also being carried out in order to obtain the opinions of the human resource manager on this concept as being a woman and a manager herself. A series of recommendations have been provided in order to encourage better treatment of women and make them happy employees.

  11. Multiple and Symbol Operators: the Battle for Market Leadership in the Irish Grocery Market

    OpenAIRE

    O'Callaghan, Edmund; Wilcox, Mary

    2002-01-01

    The Irish grocery retailing market, one of the most competitive in Europe, has undergone a metamorphosis in recent years. The demise of many small grocers, an increased concentration of multiples and the galvanization of the independent sector through symbol group participation has intensified competitive rivalry. The two largest multiples ie. Tesco Ireland and Dunnes Stores continually vie for number one position nationally. In recent years, Musgrave have galvanised the independent sector an...

  12. Study of Limited Value in Exploring Irish Hospital Clinicians’ Information Behaviour and Attitudes Towards the Clinical Informationist. A Review of: Flynn, M. G., & McGuinness, C. (2011. Hospital clinicians’ information behaviour and attitudes towards the ‘Clinical Informationist’: An Irish survey. Health Information & Libraries Journal, 28(1, 23-32. doi: 10.1111/j.1471-1842.2010.00917.x

    Directory of Open Access Journals (Sweden)

    Maria C. Melssen

    2011-01-01

    Full Text Available Objective – To determine the self-perceived information needs, information-seeking strategies, and skill levels of hospital clinicians, in addition to their opinions on the inclusion of a clinical informationist (CI in their clinical teams.Design – Questionnaire survey.Setting – Two public, medium-sized teaching hospitals (200-250 beds in Ireland.Subjects – Hospital clinicians.Methods – A 33-item questionnaire (pilot tested on nurses was deployed using SurveyMonkey. Participants were recruited using snowball sampling and were emailed the link to the questionnaire in June, July, and August of 2008. Hard copies of the questionnaire were also distributed at one of the hospitals; the librarian at this hospital manually entered the responses into SurveyMonkey. Survey results were analyzed using descriptive statistics.Main Results – Of 230 eligible hospital clinicians (HCs, 22 participated in the survey. Of the HCs surveyed, 90% spend “over 21 hours per week engaged in patient care” (p. 26. During this time the HCs generate an average of 1-5 clinical questions each. The HCs surveyed frequently required information on the latest research on a specific topic, treatment, or patient problem. Information on diagnosis, drugs, prognosis, new therapies and products, or the latest information on a disease area, was required less frequently, but still by at least one-third of participants.Not having the time to conduct searches was the greatest barrier to information seeking for HCs. HCs spend from 1-10 hours per week on investigating answers to clinical questions. Most of this information seeking occurs outside of working hours, either at home or during breaks at work.To answer their clinical questions, 90% of the HCs use published, medical literature. The resources used by HCs include textbooks (30%, journals (30%, the Internet (19%, colleagues (17%, and databases (4%. The most important factors that influence resource choices are access to

  13. The place of the Irish Sea oil and gas industryin the economy of the region

    International Nuclear Information System (INIS)

    Stoney, P.J.M.

    1995-01-01

    The economies of two areas close to the Irish Sea, Morecambe Bay and Liverpool Bay, are compared in order to illustrate the effect of the Irish Sea oil and gas industry on these regions. Capital investment projects connected with those industries during the construction and operational lifetime periods are considered in terms of direct, indirect and induced effects. Mathematical modelling is used to provide a conceptual basis for making inferences about the possible size of oil and gas industry effects on local economies. Information on employment in various regions and sectors of industry, including forecasts of future profitability are given. (UK)

  14. Changes in air quality and second-hand smoke exposure in hospitality sector businesses after introduction of the English Smoke-free legislation.

    Science.gov (United States)

    Gotz, N K; van Tongeren, M; Wareing, H; Wallace, L M; Semple, S; Maccalman, L

    2008-12-01

    To monitor and disseminate the short-term effects of the English Smoke-free legislation on air quality and employee exposure in businesses of the hospitality industry. Indoor particle concentrations and salivary cotinine levels were measured in businesses in the hospitality sector and non-smoking employees one month before and after the implementation of the legislation. Results were immediately released to the media to announce the improvements in air quality and employee exposure to the wider public. Measurements were collected in 49 businesses and from 75 non-smoking individuals. Indoor PM(2.5) concentrations decreased by 95% from 217 microg/m(3) at baseline to 11 microg/m(3) at follow-up (P hospitality industry sector. We believe that quick and positive feedback to the public on the effects of smoking restrictions is essential when introducing public health legislation such as the Smoke-free legislation.

  15. The strategic role of cross-sectoral research in the design of hospitals: the contribution of TESIS* research center

    Directory of Open Access Journals (Sweden)

    Romano Del Nord

    2014-05-01

    Full Text Available The design of buildings, such as hospitals where the complexity concerns as much the interpretation of the requirements framework as their required permeability to the ever accelerated dynamics of bio-technological innovations proposed by the market, requires continuous research which in- creasingly goes beyond the boundaries of the architectural discipline as it is currently codified. Constant dialogue with what scientific research produces in the international sphere and with culturally differentiated approaches becomes an imperative for those – professionals or institutions – wishing to operate with real time up-dating in order to increase the performance quality of their products. Scientific organizations that set themselves these objectives cannot disregard the constraints imposed by this scenario, with the consequent require- ment to actively position themselves in international networks which, with their constant cross-sectoral production, fuel the debate on foreseeable trends and the implications that all this determines with regard to design. The following article seeks to represent the coordinates of this new operating scenario of scientific research, highlighting the methods and the operating practices put in place by the TESIS Interuniversity Centre for Re- search of Florence.

  16. Exploring example models of cross-sector, sessional employment of pharmacists to improve medication management and pharmacy support in rural hospitals.

    Science.gov (United States)

    Tan, Amy Cw; Emmerton, Lynne M; Hattingh, Laetitia; La Caze, Adam

    2015-01-01

    Many rural hospitals in Australia are not large enough to sustain employment of a full-time pharmacist, or are unable to recruit or retain a full-time pharmacist. The absence of a pharmacist may result in hospital nurses undertaking medication-related roles outside their scope of practice. A potential solution to address rural hospitals' medication management needs is contracted part-time ('sessional') employment of a local pharmacist external to the hospital ('cross-sector'). The aim of this study was to explore the roles and experiences of pharmacists in their provision of sessional services to rural hospitals with no on-site pharmacist and explore how these roles could potentially address shortfalls in medication management in rural hospitals. A qualitative study was conducted to explore models with pharmacists who had provided sessional services to a rural hospital. A semi-structured interview guide was informed by a literature review, preliminary research and stakeholder consultation. Participants were recruited via advertisement and personal contacts. Consenting pharmacists were interviewed between August 2012 and January 2013 via telephone or Skype for 40-55 minutes. Thirteen pharmacists with previous or ongoing hospital sessional contracts in rural communities across Australia and New Zealand participated. Most commonly, the pharmacists provided weekly services to rural hospitals. All believed the sessional model was a practical solution to increase hospital access to pharmacist-mediated support and to address medication management gaps. Roles perceived to promote quality use of medicines were inpatient consultation services, medicines information/education to hospital staff, assistance with accreditation matters and system reviews, and input into pharmaceutical distribution activities. This study is the first to explore the concept of sessional rural hospital employment undertaken by pharmacists in Australia and New Zealand. Insights from participants

  17. Engineering Research in Irish Economic Development

    Science.gov (United States)

    Kelly, John

    2011-01-01

    This article summarizes the main findings and recommendations of a report published in December 2010 by the Irish Academy of Engineering (IAE). The report, representing the views of a committee of distinguished Irish engineers from a wide range of disciplines, addresses the role of engineering research in Ireland's economic development and the…

  18. Developing a Model of the Irish Energy-System

    DEFF Research Database (Denmark)

    Connolly, David; Lund, Henrik; Mathiesen, Brian Vad

    2009-01-01

    to create the model as it accounts for all sectors that need to be considered for integrating large penetrations of renewable energy: the electricity, heat and transport sectors. Before various alternative energy-systems could be investigated for Ireland, a reference model of the existing system needed...... is a vital step due to the scale of the change required for large-scale renewable penetrations. In this paper, a model of the Irish energy system is created to identify how Ireland can transform from a fossil-fuel to a renewable energy-system. The energy-systems-analysis tool, EnergyPLAN, was chosen...... to be created. This paper focuses on the construction of this reference model, in terms of the data gathered, the assumptions made and the accuracy achieved. In future work, this model will be used to investigate alternative energy-systems for Ireland, with the aim to determine the most effective energy system...

  19. [The Unified National Health System and the third sector: Characterization of non-hospital facilities providing basic health care services in Belo Horizonte, Minas Gerais, Brazil].

    Science.gov (United States)

    Canabrava, Claudia Marques; Andrade, Eli Iôla Gurgel; Janones, Fúlvio Alves; Alves, Thiago Andrade; Cherchiglia, Mariangela Leal

    2007-01-01

    In Brazil, nonprofit or charitable organizations are the oldest and most traditional and institutionalized form of relationship between the third sector and the state. Despite the historical importance of charitable hospital care, little research has been done on the participation of the nonprofit sector in basic health care in the country. This article identifies and describes non-hospital nonprofit facilities providing systematically organized basic health care in Belo Horizonte, Minas Gerais, Brazil, in 2004. The research focused on the facilities registered with the National Council on Social Work, using computer-assisted telephone and semi-structured interviews. Identification and description of these organizations showed that the charitable segment of the third sector conducts organized and systematic basic health care services but is not recognized by the Unified National Health System as a potential partner, even though it receives referrals from basic government services. The study showed spatial and temporal overlapping of government and third-sector services in the same target population.

  20. HRM practices and knowledge processes outcomes: empirical evidence from a quasi-experiment on UK SMEs in the tourism hospitality and leisure sector

    OpenAIRE

    Andreas Georgiadis; Christos N. Pitelis

    2008-01-01

    This paper presents empirical evidence of the relationship between human resources practices and the effectiveness of a firm to capitalise on investment in knowledge as measured by the returns to innovation and business development expenditure. The empirical design is based on exploiting a natural experiment provided by a policy intervention that offers human resources-related support to small and medium sized enterprises in the UK Tourism Hospitality and Leisure sector. Our findings suggest ...

  1. Music Therapy Through Irish Eyes: A Student Therapist’s Experience of Irish Traditional Music

    OpenAIRE

    Ruth Armstrong

    2008-01-01

    This article outlines my personal experience of Irish traditional music and considers how it can inform music therapy practice. The use of Irish music may be particularly meaningful for some clients and help them connect with their culture and identity. Music therapy can also draw on specific features; including the melodic, rhythmic and social aspects of the music. The melody is prominent in Irish traditional music, and its expression is very important. The word draíoght (meaning "spell" or ...

  2. Sexuality in Irish women with gynecologic cancer.

    Science.gov (United States)

    Cleary, Vicki; Hegarty, Josephine; McCarthy, Geraldine

    2011-03-01

    To investigate sexual self-concept, sexual relationships, and sexual functioning, and the relationship between these and certain demographic variables of Irish women, following a diagnosis of gynecologic cancer. Descriptive, correlational. Outpatient gynecologic oncology clinic in a large university hospital in Southern Ireland. 106 women with a diagnosis of and treatment for various gynecologic cancers (cervical, ovarian, endometrial, and vulvar). The Body Image Scale, Sexual Esteem Scale, and Sexual Self-Schema Scale were administered to women a minimum of six weeks postdiagnosis of any form of gynecologic cancer to measure sexual self-concept; the Intimate Relationships Scale to measure sexual relationships; and the Arizona Sexual Experiences Scale to measure sexual functioning. Sexual self-concept, body image, sexual esteem, sexual self-schema, sexual relationships, and sexual functioning. Participants reported negative changes in relation to their sexual self-concept, sexual relationships, and sexual functioning. Participants reported negative changes in relation to all stages of the sexual response cycle. Gynecologic cancer has the potential to negatively affect a woman's sexual self-concept, sexual relationships, and sexual functioning. Sexuality is a multidimensional construct and must be measured in this way. Healthcare professionals must use a holistic approach when providing information and support to patients with gynecologic cancer. Information must be provided to women on how cancer and its treatment has the potential to affect their sexual self-concept, sexual relationships, and sexual functioning, including information on how to overcome these alterations.

  3. Situation analysis of health care waste management in private sector hospitals in federal capital territory, islamabad, pakistan

    International Nuclear Information System (INIS)

    Hasan, M.; Hasan, S.; Umar, M.; Azad, A.H.

    2015-01-01

    The deleterious and harmful effects of hospital waste on environment and human health is well documented in Pakistan. The hospital waste that may be produced as a result of patient care in hospitals, clinical settings including the diagnostic laboratories is one of the potential health hazards. It significantly contributes to the transfusion transmitted diseases and ever increasing incidence of HBV, HCV and HIV. (author)

  4. Irish Intercultural Cinema: Memory, Identity and Subjectivity

    Directory of Open Access Journals (Sweden)

    Murray, Enda Vincent

    2015-12-01

    Full Text Available Irish intercultural cinema looks at the development of a cinematic genre which focuses on issues of Irish migrancy but is produced outside of Ireland. This paper has as its focus the cultural landscape of Irish-Australia. The essay uses methodologies of ethnographic and documentary theory plus textual analysis of film and written texts to establish a throughline of Irish intercultural film. The essay begins by contextualising the place of the Irish diaspora within the creation of Irish identity globally. The discussion around migrancy is widened to consider the place of memory and intergenerational tensions within not just the Irish migrant population, but also within the diverse cultures which comprise the contemporary Australian landscape. The historical development of intercultural cinema is then explored internationally within a context of colonial, gender and class struggles in the 1970s and1980s. The term intercultural cinema has its origins in the Third Cinema of Argentinians Solanas and Getino in the 1970s and covers those films which deal with issues involving two countries or cultures. The term was refined by Laura Marks in 2000 and further developed by Hamid Naficy in 2001 in his discussion of accented cinema which narrows its definition to include the politics of production. The paper then traces the development of Irish intercultural cinema from its beginnings in England in the 1970s with Thaddeus O'Sullivan through to Nicola Bruce and others including Enda Murray in the present day. The essay concludes by bringing these various strands together to see where intercultural film might have a place in today's globalised cultural landscape. Common traits within intercultural film such as the notion of place, autobiographical film and personal identity are explored using examples of intercultural filmmaking from around the globe. These commonalities point to a way forward for the future of a sustainable multicultural film culture.

  5. Corned Beef: an Enigmatic Irish Dish

    OpenAIRE

    Mac Con Iomaire, Máirtín; Gallagher, Pádraic Óg

    2011-01-01

    Corned beef and cabbage, which is consumed in America in large quantities each Saint Patrick’s Day (17th March), is considered by most Americans to be the ultimate Irish dish. However, corned beef and cabbage is seldom eaten in modern day Ireland. It is widely reported that Irish immigrants replaced their beloved bacon and cabbage with corned beef and cabbage when they arrived in America, drawing on the corned beef supplied by their neighbouring Jewish butchers, but not all commentators beli...

  6. Irish Corned Beef: A Culinary History

    OpenAIRE

    Mac Con Iomaire, Máirtín; Gallagher, Pádraic Óg

    2011-01-01

    This article proposes that a better knowledge of culinary history enriches all culinary stakeholders. The article will discuss the origins and history of corned beef in Irish cuisine and culture. It outlines how cattle have been central to the ancient Irish way of life for centuries, but were cherished more for their milk than their meat. In the early modern period, with the decline in the power of the Gaelic lords, cattle became and economic commodity that was exported to England. The Cattle...

  7. Forecasting Irish Inflation: A Composite Leading Indicator

    OpenAIRE

    Quinn, Terry; Mawdsley, Andrew

    1996-01-01

    This paper presents the results of research into the construction of a composite leading indicator of the Irish rate of inflation, as measured by the annual percentage change in the Consumer Price Index (CPI). It follows the work of Fagan and Fell (1994) who applied the business cycle leading indicator methodology, initially established by Mitchell and Burns (1938,1946), to construct a composite leading indicator of the Irish business cycle.

  8. Work-Life Balance Practices Among Irish Hotel Employees:Implications for HRM

    OpenAIRE

    Farrell, Kathleen

    2015-01-01

    The aim of this paper is to examine work-life balance in the Irish hotel sector from an employee perspective with implications for HRM. 246 questionnaires from employees were returned which was a 22% response rate. Company benefits were not associated with numerical flexibility, but company benefits were associated with functional flexibility and work-life balance supports. This would suggest an integrated approach to human resource management (HRM), whereby some companies engage in a contemp...

  9. Explaining Policy Responses to Danish and Irish Banking Failures during the Financial Crisis

    DEFF Research Database (Denmark)

    Kluth, Michael Friederich; Lynggaard, Kennet

    2013-01-01

    ) variations in domestic exposure to the financial industry, notably its relative size, dominant business models and exposure to real estate markets and 2) variations in institutional features, notably banking sector preferences and legacies of collective action. While limited explanatory power can......The 2008 global financial crisis produced very different responses in Ireland and Denmark. While both countries embraced depositor guarantee schemes and recapitalization programmes, these were designed and adopted in significantly different ways. Crucially, the Irish state initially assumed full...

  10. Beyond the hospital door: a retrospective, cohort study of associations between birthing in the public or private sector and women's postpartum care.

    Science.gov (United States)

    Brodribb, Wendy; Zadoroznyj, Maria; Nesic, Michelle; Kruske, Sue; Miller, Yvette D

    2015-01-22

    In Australia, maternity care is available through universal coverage and a parallel, competitive private health insurance system. Differences between sectors in antenatal and intrapartum care and associated outcomes are well documented but few studies have investigated differences in postpartum care following hospital discharge and their impact on maternal satisfaction and confidence. Women who birthed in Queensland, Australia from February to May 2010 were mailed a self-report survey 4 months postpartum. Regression analysis was used to determine associations between sector of birth and postpartum care, and whether postpartum care experiences explained sector differences in postpartum well-being (satisfaction, parenting confidence and feeling depressed). Women who birthed in the public sector had higher odds of health professional contact in the first 10 days post-discharge and satisfaction with the amount of postpartum care. After adjusting for demographic and postpartum contact variables, sector of birth no longer had an impact on satisfaction (AOR 0.95, 99% CI 0.78-1.31), but any form of health professional contact did. Women who had a care provider's 24 hour contact details had higher odds of being satisfied (AOR 3.64, 95% CI 3.00-4.42) and confident (AOR 1.34, 95% CI 1.08- 1.65). Women who birthed in the public sector appeared more satisfied because they had higher odds of receiving contact from a health professional within 10 days post-discharge. All women should have an opportunity to speak to and/or see a doctor, midwife or nurse in the first 10 days at home, and the details of a person they can contact 24 hours a day.

  11. Horslips in Irish Musical and Literary Culture

    Directory of Open Access Journals (Sweden)

    John L. Murphy

    2008-03-01

    Full Text Available This essay examines the literary impact of a musical electric-folk band. Horslips combined psychedelic, and hard rock with Irish traditional motifs and Celtic narrative themes. Spanning the decade from 1970 to 1980, their success and decline followed the trajectory of the countercultural movement, which came late to Ireland. The band’s revival of mythic characters and historical events drawn from the Irish past attracted fans from all over the island, as well as the diaspora; many young people gained an appreciation of their Irish heritage for the first time, as Horslips became the first electric folk-rock band to fuse disparate genres, and to succeed as an Irish-based independent collective who controlled the graphics, marketing, distribution, and promotion of their music. They inspired the likes of U2 and the Irish punk and new-wave rock musicians who followed them, and without the pioneering efforts of Horslips, Irish music and culture today may never have reached its current success, three decades later.

  12. An Irish Revolution Without A Revolution

    Directory of Open Access Journals (Sweden)

    Aidan Beatty

    2016-03-01

    Full Text Available There is a conventional view among Irish historians that a revolution occurred in that country between the passing of the Third Home Rule Bill of 1912 and the end of the Civil War in 1923.  The violence of those years, the collapse in support for the Irish Parliamentary Party (IPP, the meteoric rise to power of Sinn Féin, a new sense of meritocracy, a greater sense of democracy and a widespread radicalism; all are seen as elements of a major change in Irish politics and life, a ‘Revolution.’  Drawing on Gramsci's notion of a “revolution without a revolution”, this paper seeks to understand the events in Ireland of 1912-23, not as a sudden rupture with the past but as the culmination of a much longer period of (often British-backed capitalist development in post-Famine Ireland. This paper argues that Irish nationalist politics in the decades before 1912 is better understood via categories such as class, gender, capitalism and the pervasive power of the British state.  As such, as well as pursuing a reassessment of the project of Irish historical development and state-building, this paper also seeks a reassessment of the project of (an equally statist Irish historiography.

  13. Does labour epidural slow the progress of labour and lead to complications? Obstetricians' perception working in private and public sector teaching hospitals in a developing country.

    Science.gov (United States)

    Sohaib, Muhammad; Ismail, Samina

    2015-12-01

    Obstetricians play a major role in the decision making for provision of analgesia for the woman in labour. As epidural analgesia (EA) is the most preferred technique, it is important to know obstetricians' perception regarding its effect on progress of labour and associated complications. The 6 months cross-sectional study included 114 obstetricians from teaching hospitals. After informed consent, obstetricians were asked to fill a predesigned questionnaire containing 13 close ended questions regarding their perception on the effect of EA on progress of labour, EA complications and whether they would recommend EA to their patients or not. Other variables included age, gender, training in EA, practice type and hospital settings (private or public sector). Majority of the obstetricians had the perception of EA prolonging the first stage (89.5%) and second stage (98.2%) of labour, increasing the rate of caesarean section (87.7%), instrumental delivery (58.8%) and increasing the incidence of backache (85.5%). None of the obstetricians received any formal training in EA. Majority (84.2%) were not sure if they would recommend EA to their patients. When these responses were compared between public and private sector, a statistically higher percentage (P sector obstetricians had negative perception of EA. Perception of obstetrician regarding EA is contrary to the current evidence. There is a need to introduce formal curriculum on EA in obstetric training program and conduct regular refresher courses.

  14. Does labour epidural slow the progress of labour and lead to complications? Obstetricians′ perception working in private and public sector teaching hospitals in a developing country

    Directory of Open Access Journals (Sweden)

    Muhammad Sohaib

    2015-01-01

    Full Text Available Background and Aims: Obstetricians play a major role in the decision making for provision of analgesia for the woman in labour. As epidural analgesia (EA is the most preferred technique, it is important to know obstetricians′ perception regarding its effect on progress of labour and associated complications. Methods: The 6 months cross-sectional study included 114 obstetricians from teaching hospitals. After informed consent, obstetricians were asked to fill a predesigned questionnaire containing 13 close ended questions regarding their perception on the effect of EA on progress of labour, EA complications and whether they would recommend EA to their patients or not. Other variables included age, gender, training in EA, practice type and hospital settings (private or public sector. Results: Majority of the obstetricians had the perception of EA prolonging the first stage (89.5% and second stage (98.2% of labour, increasing the rate of caesarean section (87.7%, instrumental delivery (58.8% and increasing the incidence of backache (85.5%. None of the obstetricians received any formal training in EA. Majority (84.2% were not sure if they would recommend EA to their patients. When these responses were compared between public and private sector, a statistically higher percentage (P < 0.001 of public sector obstetricians had negative perception of EA. Conclusion: Perception of obstetrician regarding EA is contrary to the current evidence. There is a need to introduce formal curriculum on EA in obstetric training program and conduct regular refresher courses.

  15. Objective working hour characteristics and work-life conflict among hospital employees in the Finnish public sector study.

    Science.gov (United States)

    Karhula, Kati; Puttonen, Sampsa; Ropponen, Annina; Koskinen, Aki; Ojajärvi, Anneli; Kivimäki, Mika; Härmä, Mikko

    2017-01-01

    This epidemiological cohort study, based on Finnish public sector data, investigated the associations between objective working hour characteristics and work-life conflict in day and shift work. The comprehensive data of hospital workers (n = 8 931, 92% women, average age 45 years), consisted of survey responses from 2012, linked with the payroll data of working hour characteristics from 91 days preceding the survey. Logistic regression analysis was used to investigate the associations between working hour characteristics and experiencing work-life conflict often/very often. The analyses were adjusted for age (50 years), sex, level of education, marital status, number of small (0-6 years) and school-aged (7-18 years) children, and the overall stressfulness of the life situation. We also conducted stratified analyses of age and sex on the basis of significant interactions. Difficulties in combining work and life were more often associated with shift work without night shifts and shift work with night shifts than with day work (41% and 34 versus 27%; OR for shift work with night shifts 1.78, 95% CI 1.59-2.00, OR for shift work without night shifts 1.42, 95% CI 1.26-1.60). A high proportion (> 25%) of long (> 40h, (OR 1.26, 95% 1.14-1.39) and very long (> 48h, OR 1.31, 95% CI 1.15-1.49) weekly working hours were associated with work-life conflict, and in the stratified analysis, the latter was also true among women (OR 1.54, 95% CI 1.25-1.89). Of the unsocial working hour characteristics, a relatively large amount (> 10% of all shifts) of evening (OR 1.56, 95% CI 1.41-1.72) and night shifts (OR 1.46, 95%CI 1.32-1.61), a high proportion (> 25% of all shifts) of quick returns (work (OR 1.44, 95% CI 1.31-1.58) were associated with work-life conflict. A large amount of single days off (> 25% of all days off) was associated with work-life conflict among men (OR 1.90, 95% CI 1.11-3.25), but not in the whole sample. When the two types of shift work were analyzed separately

  16. Comparison of two public sector tertiary care hospitals' management in reducing direct medical cost burden on breast carcinoma patients in Lahore, Pakistan.

    Science.gov (United States)

    Hameed Khaliq, Imran; Zahid Mahmood, Hafiz; Akhter, Naveed; Danish Sarfraz, Muhammad; Asim, Khadija; Masood Gondal, Khalid

    2018-01-01

    Breast cancer is one of the major causes of death incurring highest morbidity and mortality amongst women of Pakistan. The purpose of this study was to assess and compare the role of two public sector tertiary care hospitals' management in reducing out of pocket (OOP) expenses on direct medical costs borne by breast carcinoma patients' household from diagnosis through treatment. Moreover, the study intended to explore the reasons of opting private diagnostic facilities by the said patients during the services taken from the foresaid tertiary care centers. A purposive sample of 164 primary breast carcinoma patients was recruited for data collection of this cross-sectional study. Face to face interviews and semistructured questionnaires were adopted as method of data gathering tools. Major cost components of direct medical costs were used to compare the financial strain on the patients' households of both targeted hospitals. In addition, information was collected regarding the reasons of opting private diagnostic centers for investigations. Frequency, percentages, median and inter quartile range (IQR) were calculated for the data. Non-parametric variables were compared using the Mann-Whitney U test. It was observed that overall direct medical cost borne by the breast carcinoma patients' households in Jinnah hospital (median US$1153.93 / Rs. 118,589) was significantly higher than Mayo hospital (median US$427.93 /Rs. 43,978), pprivately opted investigations procedures was the common issue of the patients under treatment in both hospitals.

  17. Stakeholder influence in public sector information systems strategy implementation—The case of public hospitals in South Africa

    CSIR Research Space (South Africa)

    Hwabamungu, B

    2018-01-01

    Full Text Available in fulfilling their mandate. The public health sector in particular needs to engage with a diversity of stakeholders at local, regional and national levels when strategising. The purpose of this study is to investigate the influence of stakeholder relations...

  18. Hospitals

    Data.gov (United States)

    Department of Homeland Security — This database contains locations of Hospitals for 50 states and Washington D.C. , Puerto Rico and US territories. The dataset only includes hospital facilities and...

  19. Radon remediation in irish schools

    International Nuclear Information System (INIS)

    Synnott, H.

    2006-01-01

    Full text: Commencing in 1998, the Radiological Protection Institute of Ireland carried out radon measurements in 3826 schools in the Republic of I reland on behalf of the Irish Department of Education and Science (D.E.S.). This represents approximately 97% of all schools in the country. Approximately 25% (984) schools had radon concentrations above the Irish national schools Reference Level for radon of 200 Bq/m 3 and required remedial work. The number of individual rooms with radon concentrations above 200 Bq/m 3 was 3020. Remedial work in schools commenced in early 2000. In general schools with maximum radon concentrations in the range 200 -400 Bq/m 3 in one or more rooms were remediated through the installation of passive systems such as an increase in permanent background ventilation mainly wall vents and trickle vents in windows. Schools with maximum radon concentrations greater than 400 Bq/m 3 were usually remediated through the provision of active systems mainly fan assisted sub -slab de pressurization or where this was not possible fan assisted under floor ventilation. The cost of the remedial programme was funded by central Government. Active systems were installed by specialized remedial contractors working to the specifications of a radon remedial expert appointed by the D.E.S. to design remedial systems for affected schools. Schools requiring increased ventilation were granted aided 190 pounds per affected room and had to organize the work themselves. In most schools radon remediation was successful in reducing existing radon concentrations to below the Reference Level. Average radon concentration reduction factors for sub-slab de pressurization systems and fan assisted fan assisted under floor ventilation ranged from 5 to 40 with greater reduction rates found at higher original radon concentrations. Increasing ventilation in locations with moderately elevated radon concentrations (200 - 400 Bq/m 3 ) while not as effective as active systems produced on

  20. A Survey of Tritium in Irish Seawater

    International Nuclear Information System (INIS)

    Currivan, L.; Kelleher, K.; McGinnity, P.; Wong, J.; McMahon, C.

    2013-07-01

    This report provides a comprehensive record of the study and measurements of tritium in Irish seawater undertaken by the Radiological Protection Institute of Ireland RPII. The majority of the samples analysed were found to have tritium concentrations below the limit of detection and a conservative assessment of radiation dose arising showed a negligible impact to the public. Tritium is discharged in large quantities from various nuclear facilities, and mostly in liquid form. For this reason it is included in the list of radioactive substances of interest to the OSPAR (Oslo-Paris) Convention to protect the marine environment of the North-East Atlantic. To fulfil its role within OSPAR, to provide technical support to the Irish Government, RPII carried out a project to determine the levels of tritium in seawater from around the Irish coast to supplement its routine marine monitoring programme. A total of 85 seawater samples were collected over a three year period and analysed at the RPII's laboratory. Given that the operational discharges for tritium from the nuclear fuel reprocessing plant at Sellafield, UK, are expected to increase due to current and planned decommissioning activities RPII will continue to monitor tritium levels in seawater around the Irish coast, including the Irish Sea, as part of its routine marine monitoring programme

  1. Are we prepared for a growing population? Morbid obesity and its implications in Irish emergency departments.

    LENUS (Irish Health Repository)

    2012-01-31

    Two percent of the Irish population is morbidly obese with this figure expected to rise significantly. This survey aimed to establish the present logistical capacity of Irish emergency departments (EDs) to adequately cater for the bariatric patients. A telephone survey was carried out of 37 health service executive EDs over a 5-day period in October 2008. Questions were posed to the departmental lead nurse regarding facilities (Supplemental digital content 1). No ED had adequate facilities. Two of 37 units questioned had on-site hoists designed to lift patients of more than 170 kg. Four departments had rapid access to mattresses within the hospital and three of these four had access to beds and trolleys for weighing patients. Two percent of the Irish population is morbidly obese with this figure expected to rise significantly to more than 150 kg. One department had access to commodes, chairs, wheelchairs and trolleys from inpatient services. All departments had extra-wide blood pressure cuffs and 12 had a difficult airways trolley. Necessary infrastructure and equipment for bariatric patients is deficient in the majority of Irish EDs.

  2. CULTURAL NATIONALISM AND THE IRISH LITERARY REVIVAL

    Directory of Open Access Journals (Sweden)

    David Pierce

    2002-12-01

    Full Text Available The impact of cultural nationalism on the Insh Literary Revival is a topic of continuing interest for the cultural critic and literary historian alike. In recent years, with the Fa11 of the Berlin Wall, political scientists and others, suchas A.D. Smith, Ernest Gellner, and E.J. Hobsbawm, have also focused on the subject of nationalism. The intention here in this article is to revisit a familiar site in the light of these new ideas and to test their validity or appropriateness in the Irish context. The article, part of a larger project to be published in 2003 by Polity Press under the title A Cultural History of Twentieth-Century Irish Literature, is divided into 5 sections: What ish my Nation?; What is a Nation?; Do Nations Have Navels?; 1890s: Winds of Change; English As We Speak It In Ireland. Among Irish authors discussed are Hyde, Shaw. Yeats, Wilde, Lady Gregory, Joyce, and Beckett.

  3. Universal precautions--do Irish anaesthetists comply?

    LENUS (Irish Health Repository)

    O'Rourke, N

    2012-02-03

    BACKGROUND: Anaesthetists are at high risk from blood-borne pathogens. Universal Precautions (UP) include the routine use of appropriate barrier precautions and techniques to reduce the likelihood of exposure to blood, body fluids and tissues that may contain pathogens. The compliance of Irish anaesthetists with these precautions has not been studied. AIM: To study the attitudes of Irish anaesthetists to Universal Precautions. METHOD: A postal questionnaire was sent to 210 anaesthetists currently practising in Ireland. The questionnaire was based on a model used in Australia and New Zealand. RESULTS: There was a 50% response rate to the survey. Only 15% of respondents had taken a risk history from a patient in the preceding four weeks. Resheathing of needles was commonplace. The effectiveness of hepatitis B immunisation was rarely checked and only 66% of respondents believe implementation of Universal Precautions to be practical. CONCLUSION: Irish anaesthetists comply poorly with Universal Precautions.

  4. Access to emergency hospital care provided by the public sector in sub-Saharan Africa in 2015: a geocoded inventory and spatial analysis.

    Science.gov (United States)

    Ouma, Paul O; Maina, Joseph; Thuranira, Pamela N; Macharia, Peter M; Alegana, Victor A; English, Mike; Okiro, Emelda A; Snow, Robert W

    2018-03-01

    %) women of child bearing age are located more than 2-h travel time from the nearest hospital. Marked differences were observed within and between countries, ranging from less than 25% of the population within 2-h travel time of a public hospital in South Sudan to more than 90% in Nigeria, Kenya, Cape Verde, Swaziland, South Africa, Burundi, Comoros, São Tomé and Príncipe, and Zanzibar. Only 16 countries reached the international benchmark of more than 80% of their populations living within a 2-h travel time of the nearest hospital. Physical access to emergency hospital care provided by the public sector in Africa remains poor and varies substantially within and between countries. Innovative targeting of emergency care services is necessary to reduce these inequities. This study provides the first spatial census of public hospital services in Africa. Wellcome Trust and the UK Department for International Development. Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved.

  5. Access to emergency hospital care provided by the public sector in sub-Saharan Africa in 2015: a geocoded inventory and spatial analysis

    Directory of Open Access Journals (Sweden)

    Paul O Ouma, MSc

    2018-03-01

     282 013 (29·0% people and 64 495 526 (28·2% women of child bearing age are located more than 2-h travel time from the nearest hospital. Marked differences were observed within and between countries, ranging from less than 25% of the population within 2-h travel time of a public hospital in South Sudan to more than 90% in Nigeria, Kenya, Cape Verde, Swaziland, South Africa, Burundi, Comoros, São Tomé and Príncipe, and Zanzibar. Only 16 countries reached the international benchmark of more than 80% of their populations living within a 2-h travel time of the nearest hospital. Interpretation: Physical access to emergency hospital care provided by the public sector in Africa remains poor and varies substantially within and between countries. Innovative targeting of emergency care services is necessary to reduce these inequities. This study provides the first spatial census of public hospital services in Africa. Funding: Wellcome Trust and the UK Department for International Development.

  6. Nurse perceptions of organizational culture and its association with the culture of error reporting: a case of public sector hospitals in Pakistan.

    Science.gov (United States)

    Jafree, Sara Rizvi; Zakar, Rubeena; Zakar, Muhammad Zakria; Fischer, Florian

    2016-01-05

    There is an absence of formal error tracking systems in public sector hospitals of Pakistan and also a lack of literature concerning error reporting culture in the health care sector. Nurse practitioners have front-line knowledge and rich exposure about both the organizational culture and error sharing in hospital settings. The aim of this paper was to investigate the association between organizational culture and the culture of error reporting, as perceived by nurses. The authors used the "Practice Environment Scale-Nurse Work Index Revised" to measure the six dimensions of organizational culture. Seven questions were used from the "Survey to Solicit Information about the Culture of Reporting" to measure error reporting culture in the region. Overall, 309 nurses participated in the survey, including female nurses from all designations such as supervisors, instructors, ward-heads, staff nurses and student nurses. We used SPSS 17.0 to perform a factor analysis. Furthermore, descriptive statistics, mean scores and multivariable logistic regression were used for the analysis. Three areas were ranked unfavorably by nurse respondents, including: (i) the error reporting culture, (ii) staffing and resource adequacy, and (iii) nurse foundations for quality of care. Multivariable regression results revealed that all six categories of organizational culture, including: (1) nurse manager ability, leadership and support, (2) nurse participation in hospital affairs, (3) nurse participation in governance, (4) nurse foundations of quality care, (5) nurse-coworkers relations, and (6) nurse staffing and resource adequacy, were positively associated with higher odds of error reporting culture. In addition, it was found that married nurses and nurses on permanent contract were more likely to report errors at the workplace. Public healthcare services of Pakistan can be improved through the promotion of an error reporting culture, reducing staffing and resource shortages and the

  7. Introducing Physician Assistants into the Irish Healthcare System. An Integrated Clinical Workforce Reconfiguration Strategy

    OpenAIRE

    Okereke, Emeka

    2011-01-01

    The Irish health system is facing a unique and unprecedented workforce challenge with acute shortage of Non-Consultant Hospital Doctors (NCHDs) threatening to undermine the overall health service delivery system. Ireland‟s requirement to comply with the European Working Time Directive (EWTD) aimed at regulating the working hours of NCHDs, lack of sufficient funding due to economic recession, changes in immigration rules, absence of structured training programmes for most junior doctors and de...

  8. Estimating technical efficiency in the hospital sector with panel data: a comparison of parametric and non-parametric techniques.

    Science.gov (United States)

    Siciliani, Luigi

    2006-01-01

    Policy makers are increasingly interested in developing performance indicators that measure hospital efficiency. These indicators may give the purchasers of health services an additional regulatory tool to contain health expenditure. Using panel data, this study compares different parametric (econometric) and non-parametric (linear programming) techniques for the measurement of a hospital's technical efficiency. This comparison was made using a sample of 17 Italian hospitals in the years 1996-9. Highest correlations are found in the efficiency scores between the non-parametric data envelopment analysis under the constant returns to scale assumption (DEA-CRS) and several parametric models. Correlation reduces markedly when using more flexible non-parametric specifications such as data envelopment analysis under the variable returns to scale assumption (DEA-VRS) and the free disposal hull (FDH) model. Correlation also generally reduces when moving from one output to two-output specifications. This analysis suggests that there is scope for developing performance indicators at hospital level using panel data, but it is important that extensive sensitivity analysis is carried out if purchasers wish to make use of these indicators in practice.

  9. A window-DEA based efficiency evaluation of the public hospital sector in Greece during the 5-year economic crisis.

    Science.gov (United States)

    Flokou, Angeliki; Aletras, Vassilis; Niakas, Dimitris

    2017-01-01

    The main objective of this study was to apply the non-parametric method of Data Envelopment Analysis (DEA) to measure the efficiency of Greek NHS hospitals between 2009-2013. Hospitals were divided into four separate groups with common characteristics which allowed comparisons to be carried out in the context of increased homogeneity. The window-DEA method was chosen since it leads to increased discrimination on the results especially when applied to small samples and it enables year-by-year comparisons of the results. Three inputs -hospital beds, physicians and other health professionals- and three outputs-hospitalized cases, surgeries and outpatient visits- were chosen as production variables in an input-oriented 2-year window DEA model for the assessment of technical and scale efficiency as well as for the identification of returns to scale. The Malmquist productivity index together with its components (i.e. pure technical efficiency change, scale efficiency change and technological scale) were also calculated in order to analyze the sources of productivity change between the first and last year of the study period. In the context of window analysis, the study identified the individual efficiency trends together with "all-windows" best and worst performers and revealed that a high level of technical and scale efficiency was maintained over the entire 5-year period. Similarly, the relevant findings of Malmquist productivity index analysis showed that both scale and pure technical efficiency were improved in 2013 whilst technological change was found to be in favor of the two groups with the largest hospitals.

  10. Assessing the extent of utilization of biopsychosocial model in doctor-patient interaction in public sector hospitals of a developing country.

    Science.gov (United States)

    Nadir, Maha; Hamza, Muhammad; Mehmood, Nadir

    2018-01-01

    Biopsychosocial (BPS) model has been a mainstay in the ideal practice of modern medicine. It is attributed to improve patient care, compliance, and satisfaction and to reduce doctor-patient conflict. The study aimed to understand the importance given to BPS model while conducting routine doctor-patient interactions in public sector hospitals of a developing country where health resources are limited. The study was conducted in Rawalpindi, Pakistan. The study design is qualitative. Structured interviews were conducted from 44 patients from surgical and medical units of Benazir Bhutto Hospital and Holy Family Hospital. The questions were formulated based on patient-centered interviewing methods by reviewing the literature on BPS model. The analysis was done thematically using the software NVivo 11 for qualitative data. The study revealed four emerging themes: (1) Lack of doctor-patient rapport. (2) Utilization of a paternalistic approach during treatment. (3) Utilization of a reductionist biomedical approach during treatment. (4) Patients' concern with their improvement in health and doctor's demeanor. The study highlights the fact that BPS is not given considerable importance while taking routine medical history. This process remains doctor centered and paternalistic. However, patients are more concerned with their improvement in health rather than whether or not they are being provided informational care. Sequential studies will have to be conducted to determine whether this significantly affects patient care and compliance and whether BPS is a workable model in the healthcare system in the third world.

  11. The future of UK/Irish surgery: A European solution.

    Science.gov (United States)

    Varzgalis, M; Kerin, M J; Sweeney, K J

    2015-11-01

    The United Kingdom (UK) and Republic of Ireland (ROI) hospital systems are dependent on junior doctors for their functionality however it is increasingly difficult to recruit UK/ROI trained doctors to fill these posts. Directive 2005/36/EC, which came into force in 2007, is the principal European legislation on the recognition of equivalence of professional qualifications across Europe. European trained doctors are therefore attractive candidates for junior doctor posts. However, although their training is recognised as equivalent by the Irish Medical Council (IMC) and General Medical Council (GMC) they are not being appointed to equivalent posts by the Health Service Executive (HSE) or National Health Service (NHS). With the influence of European Union (EU) centralisation, modification of UK/ROI consultant grade is imminent, possibly to pyramidal structure of the Continental European model with clearer lines of corporate responsibility. Copyright © 2015 IJS Publishing Group Limited. Published by Elsevier Ltd. All rights reserved.

  12. Technetium-99 in the Irish marine environment

    Energy Technology Data Exchange (ETDEWEB)

    Smith, V.; Fegan, M.; Pollard, D.; Long, S.; Hayden, E.; Ryan, T.P

    2001-07-01

    Technetium-99 activity concentrations in seawater and biota from Irish coastal waters are presented. Time series measurements of {sup 99}Tc in seawater and Fucus vesiculosus from the western Irish Sea show that activity concentrations have increased in line with the increase in discharges of {sup 99}Tc from Sellafield. The peak in activity concentrations in both seawater and Fucus vesiculosus occurred in 1997 approximately two years after the peak in {sup 99}Tc discharges. The highest activity concentration recorded in Fucus vesiculosus showed a 29-fold increase over the mean concentration for the period 1988-1993. Technetium-99 activity concentrations were measured in fish, lobsters, prawns, mussels and oysters landed at major fishing ports on the east and northeast coasts of Ireland between 1996 and 1998. Concentration factors for {sup 99}Tc in the brown seaweed Fucus vesiculosus and certain species of fish, crustaceans and molluscs from the Irish Sea were estimated. In general, these concentration factors were higher than those in the literature which were derived from laboratory studies, but agreed well with values which were based on field studies. The mean committed effective doses to Irish typical and heavy seafood consumers due to {sup 99}Tc in the period 1996-1998 were 0.061 and 0.24 {mu}Sv, respectively.

  13. Strategic Planning and Accountability in Irish Education

    Science.gov (United States)

    Gleeson, Jim; O Donnabhain, Diarmaid

    2009-01-01

    This article considers the impact of the New Public Management culture on Irish education and calls for a debate in relation to the prevailing bureaucratic model of accountability. The influence of the Lisbon Agenda (2000) on education planning is identified and the 2005/7 Education Strategy Statement is analysed using the relevant OECD framework.…

  14. Radiological mass screening in the Irish Republic

    International Nuclear Information System (INIS)

    O'Donnell, B.

    1987-01-01

    Mass chest screening was first introduced to Ireland in the late 1940's. Routine mammography has never been used in the Irish Republic. For some years it has been customary to carry our routine clinical screening for congenital dislocation of hips on new born babies. Pre-- employment and pre- surgery x-ray screening were also being practiced

  15. Ecocriticism and Irish Poetry A Preliminary Outline

    Directory of Open Access Journals (Sweden)

    James Mc Elroy

    2011-03-01

    Full Text Available This article offers a brief thumbnail sketch of how Irish poetry has situated “nature” inside its competing narrative forms. Beginning with Irish poetry’s earliest lyrics and concluding with some of Ireland’s most recent, and most experimental, writers, the goal of the piece is to introduce some rudimentary eco-critical theory as a means of better understanding how nature acts as a complex cultural and political semiotic, so often overlooked, in Irish literature. En route, the article examines and in part deconstructs those critical categories that have often divided Irish literature into two distinct ecological camps: the picturesque (read colonialist/tourist and the oral (read native/indigenous. The article also considers the importance of ecofeminist theory and asks how critics might better read Ireland’s women poets as nature poets in their own right. In closing, the piece turns its attention to a number of recent poets, both men and women, who have exceeded the picturesque/oral divide and now require eco-alternative readings of nature as we enter the second decade of the 21st Century.

  16. Irradiation could help Irish food processors

    International Nuclear Information System (INIS)

    Bourke, Edward

    1985-01-01

    The applications of irradiation processing in the food industry are reviewed, and the present situation in Ireland outlined. The caution of legislators, choice of product labelling and consumer acceptance are seen as major factors in the adoption of this technology by Irish industry, although at least two concerns are considering setting up a service facility near Dublin

  17. Danish and Norwegian hospital social workers’ cross-institutional work amidst inter-sectoral restructuring of health and social welfare

    DEFF Research Database (Denmark)

    Søbjerg Nielsen, Ulla; Harsløf, Ivan; Feiring, Marte

    2017-01-01

    , they report increasing difficulties in ‘making their way through’ the state-municipal bureaucracy. However, by drawing on the formal health knowledge derived from medical settings and the symbolic capital it bestows on them, they often manage to negotiate the work-and-welfare services, thereby transforming......-makers have instituted economic incentives to both individuals and the health and welfare organisations who handle them. Through an institutional logics approach, this paper explores how hospital social workers in these countries are experiencing these changes. The ‘social’ part of post-treatment care...

  18. The role of human capital and collaboration with academia for innovation in hospitality sector: the case of Mugla

    Directory of Open Access Journals (Sweden)

    Ummuhan Gökovali

    2012-01-01

    Full Text Available La literatura no niega la relevancia del capital humano y la colaboración con las universidadesen vistas a la innovación en el sector de hostelería, pero la evidencia empírica de este enlace es insufi ciente por lo que se refi ere a Turquía. Este trabajo pretende contribuir al conocimiento en estaárea mediante el empleo de datos generados a través de una encuesta hecha en la provincia de Mugla, uno de los destinos turísticos más atractivos de Turquía. El objetivo de este trabajo es investigar losefectos del capital humano y la colaboración con instituciones académicas en el nivel de innovaciónde las empresas de hostelería. Los resultados de los datos del estudio y la investigación empírica delos modelos logit y probit econométricos indican que estos factores son realmente los que propician la innovación en las empresas de hostelería.

  19. Green Roofs: A feasible tool for environmental management in the hospitality sector of El Rodadero, Santa Marta?

    International Nuclear Information System (INIS)

    Zielinski, Seweryn; Garda Collante, Mario Alberto; Vega Paternina, Juan Carlos

    2012-01-01

    The accelerated urban development generates a series of problems, not only social and economic, but also environmental. The green roofs are one of the new technologies that can be used as a tool for environmental management in buildings. However, there are many barriers that prevent from their implementation on a large scale. This article is based on a detailed review of the experiences and results of many studies on the subject, underlining the benefits of green roofs and demonstrating the limitations for their implementation in the hotel sector of El Rodadero in the city of Santa Marta. The methodology consists of secondary research of studies carried out in different cities, making an emphasis on researches in climatic conditions similar to those in the study area. Additionally, the owners and managers of 18 hotels were interviewed about their opinion on the topic. In result, it was concluded that green roofs can be an effective tool for environmental management if they are implemented on a large scale. However, in the case of El Rodadero it is not feasible, although there is an interest to implement pilot projects that could dissipate the lack of confidence of the local managers.

  20. Hospitals

    DEFF Research Database (Denmark)

    Mullins, Michael

    2013-01-01

    The challenge could be briefly seen in these terms: hospitals as places for treatment where there’s a technology focus and hospitals for healing where there’s a human focus. In the 60s - 70s wave of new hospital building, an emphasis on technology can be seen. It’s time to move from the technology...... focus. It is not enough to consider only the factors of function within architecture, hygiene, economy and logistics. We also need to look at aspects of aesthetics, bringing nature into the building, art, color, acoustics, volume and space as we perceive them. Contemporary methods and advances...... placed, accessible, provided with plenty of greenery, and maximize sensory impressions, providing sounds, smells, sight and the possibility to be touched. This is a very well documented area I can say. Hygiene, in terms of architecture can give attention to hand wash facilities and their positioning...

  1. Transparencia en las adquisiciones del sector público: el caso de los hospitales de la Ciudad de Buenos Aires Transparency in public sector acquisitions: The case of hospitals in the City of Buenos Aires

    Directory of Open Access Journals (Sweden)

    T. Rossi

    2002-02-01

    Full Text Available El presente trabajo trata el tema de la corrupción y falta de transparencia en las adquisiciones del sector público y los instrumentos que pueden colaborar para obtener resultados positivos en la gestión de compras. En primer lugar, se plantea el estado actual de la discusión del tema y la preocupación que manifiestan los gobiernos, los organismos internacionales, los centros académicos, las organizaciones no gubernamentales y la sociedad civil ante el avance de la corrupción. Se destaca la importancia del tema en Argentina y en otros países latinoamericanos, sobre todo su impacto en el crecimiento económico y las ineficiencias e inequidades que crea en la economía. En segundo término, se analiza la base de datos generada por la Subsecretaría de Gerenciamiento Estratégico del Gobierno Autónomo de la Ciudad de Buenos Aires. El objetivo central es evaluar el impacto de la Reforma Administrativa (1998 en los precios de 24 productos adquiridos por 13 hospitales generales de agudos durante el período 1998-1999. Se analizan los precios ponderados, las cantidades adquiridas y los montos de las contrataciones para el citado período y el conjunto de productos de mayor tasa de utilización. Se utilizó el análisis factorial multivariante a fin de identificar aquellos establecimientos asistenciales que tuvieron un buen nivel de actividad y a la vez un buen manejo presupuestario (indicadores de actividad y gestión. El análisis del comportamiento de los precios se realiza a través de una serie de regresiones que permiten demostrar que los precios bajaron un 8% en 1999. La contribución de cada hospital a esta variación se modela con variables dicotómicas. Así, 6 de los 13 hospitales aportan significativamente a la reducción de precios, de los cuales 3 contribuyen además a la baja en la dispersión de precios. Los resultados obtenidos permiten concluir que si los establecimientos asistenciales públicos cuentan con instrumentos de

  2. The flexibilization of employment relationships in the health sector: the reality in a Federal University Hospital in Brazil.

    Science.gov (United States)

    Alves, Sheila Maria Parreira; Coelho, Maria Carlota de Rezende; Borges, Luiz Henrique; Cruz, César Albenes de Mendonça; Massaroni, Leila; Maciel, Paulete Maria Ambrósio

    2015-10-01

    This was a socio-historical study that aimed to analyze the repercussions of the flexibilization of labor relationships within a University hospital (UH) using the thematic oral history method and triangulation of sources made up of workers' statements, institutional documents and relevant literature. It was observed that flexibilization, driven by state reform in the 1990s, had a structural impact on the trajectory of this institution, that, due to government downsizing policy, adopted outsourcing to maintain staff, leading to high staff turnover, various types of conflicts, and discontinuity and lack of organization of work processes. We conclude that the flexibilization of employment relationships became a handicap for this UH, disrupting services, negatively affecting students and service users, contributing to the deterioration of working conditions and lack of protection of workers.

  3. Acceso a un programa de condiciones crónicas en un hospital del sector público

    Directory of Open Access Journals (Sweden)

    Diana Camargo Rojas

    2013-10-01

    Full Text Available Antecedentes. Los esfuerzos del Gobierno para cumplir con estrategias planteadas por la política pública para el envejecimiento y la vejez en Bogotá, Colombia, la cual tiene como propósito fundamental “promocionar un envejecimiento activo y transformar condiciones de dependencia de las personas mayores para una vejez con dignidad en el Distrito Capital”, ha presentado dificultades en el acceso de programas. Objetivo. Identificar las condiciones de acceso que tienen los adultos mayores con enfermedades crónicas no transmisibles a los programas de promoción y prevención, de un Hospital de la red pública en Bogotá. Materiales y métodos. Estudio mixto, descriptivo de corte transversal. Población: adultos mayores con condiciones crónicas registradas en el sistema de Información de un hospital de la red pública. Muestra: se contó con un universo de 3356 personas mayores con condiciones crónicas y una población de 155 para una muestra representativa, con un intervalo de confianza de 95% y error admisible de 0,05. Resultados. Se evidenciaron dificultades en el proceso de seguimiento de los usuarios, la articulación entre servicios y el establecimiento de protocolos en la institución; igualmente se presentaron problemas en la contratación del personal por flexibilidad laboral; y, por último, se identificaron dificultades geográficas y económicas en la población. Conclusión. El incremento de las enfermedades crónicas no transmisibles y la alta demanda de los servicios de salud generan un reto para los sistemas de salud, los cuales han comenzado a reorientar los servicios hacia acciones promocionales y preventivas.

  4. Using caregivers’ perceptions of rehabilitation services for children with Cerebral Palsy at public sector hospitals to identify the components of an appropriate service

    Directory of Open Access Journals (Sweden)

    G.M. Saloojee

    2011-01-01

    Full Text Available Despite  a  growing  body  of  evidence  favouring  a  family-centred approach to rehabilitation services for children with cerebral palsy (cp, the essential components for a quality service for children with disabilities and their families living in poorly-resourced South African (SA settings  remains unknown.  The  study  aimed  to  identify  key  components of  an appropriate  rehabilitation  service  which  would  meet  the  needs of children  with  CP  and  their  caregivers  at  SA  public  sector  hospitals. This cross-sectional descriptive study used the modified Measure of processes of care (Mpoc-20 questionnaire together with two open-endedquestions with  a  convenience  sample  of  caregivers attending therapy  at  CP  Clinics in gauteng and limpopo hospitals. A total of 263 caregivers attending cerebral palsy clinics at 31 public sector hospitals in gauteng and limpopo were interviewed. Kind and caring attitudes, exercises or “training” for the child,  and  practical  assistance  (handling  ideas  and suggestions,  assistive devices, food supplements, nappies, advice were components of care most valued. The most frustration was caused by long queues waiting for files or at the pharmacy and being treated disrespectfully whilst providing caregivers with information and explanations regarding treatment choice were services that could be improved.  Key components for  an  appropriate  therapy  service  include  caring  and respectful  attitudes,  hands-on  therapy,  handling  suggestions and practical assistance. Logistical and administrative procedures together with disrespectul and unhelpful attitudes negatively impact rehabilitation service delivery.

  5. Occurrence and location of Transmissible Venereal Tumors in Dogs seen at the Universidade Federal Rural do Rio de Janeiro Veterinary Hospital: Oncology Sector between 2010 and 2014.

    Directory of Open Access Journals (Sweden)

    Dayane Caicó Collares Araujo

    2016-09-01

    Full Text Available ABSTRACT. Araujo D.C.C., Antonioli T., Costa T.S., de Carvalho J.R.G., Laguna A.G.V., Ramadinha R.H.R. & Fernandes J.I. Occurrence and location of Transmissible Venereal Tumors in Dogs seen at the Universidade Federal Rural do Rio de Janeiro Veterinary Hospital: Oncology Sector between 2010 and 2014. [Ocorrência e localização do Tumor Venéreo Transmissível em cães atendidos entre 2010 e 2014 no Setor de Oncologia do Hospital Veterinário da Universidade Federal Rural do Rio de Janeiro, Brasil.] Revista Brasileira de Medicina Veterinária, 38(3:277-280, 2016. Programa de Residência em Medicina Veterinária, Instituto de Veterinária, Universidade Federal Rural do Rio de Janeiro, BR-465, Km 7, Seropédica, RJ 23851-970, Brasil. E-mail: dayanecaico@hotmail.com The Transmissible Venereal Tumor (TVT is a round cell neoplasm mostly affecting the genital of dogs. They can affect both sexes, and most animals are sexually active. Metastases, which occur in less than 5% of cases, occur through lymphatic or hematogenous. Diagnosis can be made by cytology and the most effective treatment is chemotherapy with vincristine sulfate. This study reports the occurrence of TVT from January 2010 to December 2014 in the UFRRJ Veterinary Hospital at the Oncology sector; clinical records were reviewed: 1,522 animals were seen and 123 (8.08% presented TVT. Of 123 animals afflicted, 71.54% were adults, 23.57% were senior and 4.87% had less than a year. A higher frequency of females (74 was observed, when compared to males (49. A higher incidence in mutts (78.05% was found, followed by poodles (7.32%, pinscher and Labrador (3.25%. Genital location was most common (79.04%, followed by a genito-cutaneous presentation (8.94%, nasal (5.69%, cutaneous (5.69% and ocular (0.81%. It can be linked with large quantities of stray dogs and poor animal control policies in the region.

  6. 'HAs fail to consult Irish people in UK'.

    Science.gov (United States)

    1992-11-10

    Health authorities are failing to consult local people on their health needs, a conference on the mental health of Irish people living in the UK heard last week. Consulting Irish people was often only 'symbolic', despite the requirements of the NHS and Community Care Act, conference Chair Padraic Kenna, Director of Innisfree Housing Association, told delegates. 'The Irish caught the boat in the 1950s only to miss the boat ever since,' he said.

  7. The Impact of Oil Prices on Irish Inflation

    OpenAIRE

    O'Brien, Derry; Weymes, Laura

    2010-01-01

    Oil prices have been characterised by large fluctuations in recent years. Strong volatility in oil prices has important implications for the Irish economy as Ireland has a relatively poor fuel endowment and relies heavily on imported oil. Energy price increases have been one of the principal drivers behind HICP inflation rates in Ireland in recent years. This article highlights the distinctive features of the Irish energy market which render the impact of oil price changes on Irish inflation ...

  8. Radioactivity monitoring of the Irish marine environment 1987

    International Nuclear Information System (INIS)

    O'Grady, J.; Currivan, L.

    1990-06-01

    This report represents the results of the Board's monitoring of radioactivity levels in the Irish marine environment during 1987. The principal objective of the monitoring programme is to obtain estimates of radiation doses to the Irish public arising from caesium-137 and caesium 134, the main contaminating radionuclides. Estimates are presented of the radiation doses to the Irish public arising from the consumption of fish and shellfish contaminated with radiocaesium

  9. Work-life Balance Practices Among Irish Hotel Employees and Implications for HRM

    OpenAIRE

    Farrell, Kathleen

    2015-01-01

    The aim of this article is to examine work-life balance in the Irish hotel sector from an employee perspective with implications for HRM. This particular article presents part of a larger study on work flexibility and work-family balance (Farrell, 2012). The study included a survey of managers and employees. Two-hundred and forty-six questionnaires from employees were returned which was a 22% response rate from the original sample group. The research data show that company benefits were not ...

  10. Radioactivity Monitoring of the Irish Environment 2007

    International Nuclear Information System (INIS)

    Fegan, M.; Dowdall, A.; Hanley, O.; Hayden, E.; Kelleher, K.; Long, S.; Smith, V.; Somerville, S.; Wong, J.; Pollard, D.

    2008-10-01

    This report presents the results of the environmental radioactivity monitoring programme carried out by the Radiological Protection Institute of Ireland (RPII) in 2007. This programme aims to assess the exposure of the Irish population to artificial radioactivity in the envorinment, to review the temporal and geographical distribution of contaminating radionuclides and to maintain systems and procedures which would allow a rapid assessment of environmental contamination to be made in the event of a radiological emergency. In additiopn, some natural radioactivity exposure pathways are included in the programme including radioactivity in surface and ground drinking water. Radioactivity is present in the environment due to natural oprocesses, the testing of nuclear weapons in the atmosphere, past nuclear accidents such as that at Chernobyl in the Ukraine and the routine discharge of radionuclides from nuclear installations. Liquid discharges from the British Nuclear Group reprocessing plant at Sellafield in Cumbria in the north-west of England continue to be the dominant source of artificial radioactivity in the Irish marine environment. The key elements of the monitoring programme implemented by the RPII in 2007 included; assessment of ambient radioactivity based on measurements of radioactivity in air and of external gamma dose rate at permanent monitoring stations located throughout the country; assessment of levels of radioactivity in drinking water; assessment of levels of radioactivity in foodstuffs based on measurements of total diet, milk and various ingredients; assessment of levels of radioactivity in the Irish marine environment based on sampling and measurement of seawater, sediment, seaweed, fish and shellfish. The RPII monitored airborne radioactivity at twelve stations located throughout the country. One of these stations is equipped with a high volume sampler, which allows background concentrations of caesium-137 to be measured; another is equipped to

  11. Radioactivity Monitoring of the Irish Environment 2006

    International Nuclear Information System (INIS)

    Smith, V.; Dowdall, A; Fegan, M.; Hayden, E.; Kelleher, K.; Long, S.; McEvoy, I.; Somerville, S.; Wong, J.; Pollard, D.

    2007-10-01

    This report presents the results of the environmental radioactivity monitoring programme carried out by the Radiological Protection Institute of Ireland (RPII) in 2006. This programme aims to assess the exposure of the Irish population to artificial radioactivity in the environment, to review the temporal and geographical distribution of contaminating radionuclides and to maintain systems and procedures which would allow a rapid assessment of environmental contamination to be made in the event of a radiological emergency. Radioactivity is present in the environment due to natural processes, the testing of nuclear weapons in the atmosphere, past nuclear accidents such as that at Chernobyl in Ukraine and the routine discharge of radionuclides from nuclear installations. Liquid discharges from the British Nuclear Group reprocessing plant at Sellafield in Cumbria in the north-west of England, which are licensed by the UK Environment Agency, continue to be the dominant source of artificial radioactivity in the Irish marine environment. The key elements of the monitoring programme implemented by the RPII in 2006 included; assessment of ambient radioactivity based on measurements of radioactivity in air and of external gamma dose rate at permanent monitoring stations located throughout the country; assessment of levels of radioactivity in drinking water; assessment of levels of radioactivity in foodstuffs based on measurements of total diet, milk and various ingredients; assessment of levels of radioactivity in the Irish marine environment based on sampling and measurement of seawater, sediment, seaweed, fish and shellfish. The RPII monitored airborne radioactivity at ten stations located throughout the country. One of these stations is equipped with a high volume sampler, which allows concentrations of caesium-137 to be measured; another is equipped to detect the presence of the gas krypton-85. This gas is released into the environment primarily as a result of the

  12. Currents in the Eastern Irish Sea

    International Nuclear Information System (INIS)

    Howarth, M.J.

    1983-01-01

    Low level radioactive waste is discharged from the nuclear re-processing plant at Sellafield, Cumbria. Its movement away from the discharge point is determined by the Irish Sea's dynamics, both for the soluble compounds and for those compounds which become attached to the sediment. Near Sellafield the tidal currents are weak and parallel to the shore, becoming stronger east/west to the north and south of the Isle of Man. Wind driven currents near Sellafield are predominantly north-westward, strongest near the coast, and oppose the other low frequency currents. Hence, the soluble effluent will initially be dispersed parallel to the shore by the weak tidal currents, moving episodically, southeastward during weak winds and northwestward during storms. Eventually it will leave the Irish Sea, flowing northward through the North Channel. (author)

  13. Levels of Depression and Anxiety Post-Mastectomy in Breast Cancer Patients at a Public Sector Hospital in Karachi.

    Science.gov (United States)

    Khan, Sara; Khan, Naveed Ali; Rehman, Ata Ur; Khan, Iqra; Samo, Khursheed A; Memon, Amjad Siraj

    2016-01-01

    There is a noticeable change in the approach with which women nowadays seek help for diseases like breast cancer, primarily due to awareness campaigns, but what happens after surgical procedures is of great significance too. This study focused on the several psychological connotations attached to mastectomy and how the patients cope. To understand the pattern of anxiety and level of depression among Pakistani patients undergoing mastectomy. The sample size consisted of 88 patients who had undergone mastectomy at the different surgical units of the Civil Hospital, Karachi, from January 2012- December 2014; The questionnaire was administered before they were discharged i.e. within 3 days of surgical procedures. The patients were asked if they were willing to participate in this study, those who agreed signed the consent form and then we preceded by asking questions with a standardized tool. A self made questionnaire was constructed keeping in mind the nature and specification of the disease, which consisted of 20 questions related to anxiety and depression, focusing on a mixture of psychological and physiological symptoms. There were a total of 88 patients out of which 36 (41%) were aged 51 to 60 years, 24 (27.2%) of the patients were in the age category of 41 to 50 years, 17 aged 61 and above (19.3%) and only 11 (12.5%) 30-40 years of age, the youngest of all the age categories. The pattern of depression and anxiety was found to be similar among all age categories, severe depression and anxiety predominating over moderate level of such symptoms, with only relatively few patients sufering mild or no depression symptoms. It was concluded that going through mastectomy leads to moderate to severe levels of depression and anxiety, primarily because the females feel incomplete and insecure after losing a part of themselves.

  14. Primary medical care in Irish prisons

    OpenAIRE

    Barry, Joe M; Darker, Catherine D; Thomas, David E; Allwright, Shane PA; O'Dowd, Tom

    2010-01-01

    Abstract Background An industrial dispute between prison doctors and the Irish Prison Service (IPS) took place in 2004. Part of the resolution of that dispute was that an independent review of prison medical and support services be carried out by a University Department of Primary Care. The review took place in 2008 and we report here on the principal findings of that review. Methods This study utilised a mixed methods approach. An independent expert medical evaluator (one of the authors, DT)...

  15. Primary medical care in Irish prisons

    OpenAIRE

    ALLWRIGHT, SHANE PATRICIA ANN; DARKER, CATHERINE; BARRY, JOSEPH; O'DOWD, THOMAS

    2010-01-01

    PUBLISHED Background: An industrial dispute between prison doctors and the Irish Prison Service (IPS) took place in 2004. Part of the resolution of that dispute was that an independent review of prison medical and support services be carried out by a University Department of Primary Care. The review took place in 2008 and we report here on the principal findings of that review. Methods: This study utilised a mixed methods approach. An independent expert medical evaluator (one of ...

  16. Who is the Populist Irish Voter?

    OpenAIRE

    Reidy, Theresa; Suiter, Jane

    2017-01-01

    read before the Society, 20 April 2017; Symposium 2016-2017: Globalisation, Inequality and the Rise of Populism Across the EU, the Great Recession begot economic and political crisis heralding a renewed march towards populism and party system fragmentation. Much commentary about Ireland remarked on the absence of a populist surge of the type seen in many other bailout states (Clifford, 2016; Pappas, 2015). But is this characterization of the Irish experience accurate? The imposition of aus...

  17. Institutional Design and Irish Political Reform

    OpenAIRE

    Hardiman, Niamh

    2010-01-01

    Part of Symposium: Resolving Ireland's Fiscal Crisis (read before the Society, 26th November 2009) The financial and economic crisis that erupted in 2008 exposed significant weaknesses in Irish decision-making and policy implementing processes. In contrast with other European countries in the grip of crisis, the political system was not fundamentally challenged and the incumbent government held onto power. But confidence in government?s capacity to respond adequately fell to historically l...

  18. Irish women who seek abortions in England.

    Science.gov (United States)

    Francome, C

    1992-01-01

    In 1991, 4158 women from Ireland and 1766 from Northern Ireland traveled to England for abortions. This situation has been ignored by Irish authorities. The 1992 case of the 14-year old seeking an abortion in England finally caught legal attention. This study attempts to help define who these abortion seekers are. Questionnaires from 200 Irish abortion seeking women attending private Marie Stopes clinics in London and the British Pregnancy Advisory Services clinic in Liverpool between September 1988 and December 1990 were analyzed. Findings pertain to demographic characteristics, characteristics of first intercourse, family discussion of sexual activity, and contraceptive use. From this limited sample, it appears that Irish women are sexually reserved and without access to modern methods of birth control and abortion. Sex is associated with shame and guilt. 23% had intercourse before the age of 18 years and 42% after the age of 20. 76% were single and 16% were currently married. 95% were Catholic; 33% had been to church the preceding Sunday and 68% within the past month. Basic information about menstruation is also limited and procedures such as dilatation and curettage may be performed selectively. 28% of married women were uninformed about menstruation prior to its onset. Only 24% had been using birth control around the time of pregnancy. The reason for nonuse was frequently the unexpectedness of intercourse. 62% of adults and 66% of women believe in legalizing abortion in Ireland. British groups have tried to break through the abortion information ban by sending telephone numbers of abortion clinics to Irish firms for distribution to employees. On November 25, 1992, in the general election, there was approval of constitutional amendments guaranteeing the right to travel for abortions and to receive information on abortion access. The amendment to allow abortion to save the life of the mother was not accepted.

  19. PREVALENCE OF LOW BACK PAIN AND LEVEL OF KNOWLEDE ABOUT PATIENT HANDLING AND SHIFTING TECHNIQUES AMONG NURSES OF A PUBLIC SECTOR HOSPITAL IN KARACHI A SURVEY

    Directory of Open Access Journals (Sweden)

    Ferkhanda Imdad

    2016-04-01

    Full Text Available Background: Low back pain has been found to be the most prevailing musculoskeletal condition as well as a common cause of absence from workplace. Studies report that low back pain is common and accounts for a large number of reported disabilities among nurses. In fact nursing have one of the highest levels of back injury in all occupation groups. The aim of this study is to determine the prevalence of low back pain among nurses in a public sector teaching hospital of Karachi. This study has mainly focused on confounding factors leading to low back pain and level of education among nurses regarding patients handling or shifting techniques. Methods: A self-administered questionnaires comprises of three sections, were used to collect data. The first section requested for socio-demographic information, followed by medical history of back pain during last month and during last year.The second section assessed the medical history of LBP in two categories i.e. during last month and during last year.The third and last section inquired about participants’ level of education about ergonomics with simply in yes or no pattern.The questionnaires were given to 100 nurses. All questionnaires were completed in the presence of theresearcher. Out of 100 questionnaires distributed and recorded, only 47 participants returned the questionnaire. Results: Statistical Package for the Social Sciences (SPSS version 19.0 was used for statistical analysis. Relationship between the prevalence of low back pain and training in patient moving techniques, manual material handling techniques is significant (p=0.017,p= 0.068. There is a weak relationship with the knowledge of ergonomics, biomechanics and back pain preventive measures (p=0.719,p=0.457,p=0.704. Conclusion: More than two third of the participated nurses were well trained in transfer techniques, manual material training and preventive measures of back pain. But they lack the biomechanical knowledge. The prevalence

  20. A mathematical programming framework for energy planning in services' sector buildings under uncertainty in load demand: The case of a hospital in Athens

    International Nuclear Information System (INIS)

    Mavrotas, George; Diakoulaki, Danae; Florios, Kostas; Georgiou, Paraskevas

    2008-01-01

    The aim of this paper is to provide an integrated modeling and optimization framework for energy planning in large consumers of the services' sector based on mathematical programming. The power demand is vaguely known and the underlying uncertainty is modeled using elements from fuzzy set theory. The defined fuzzy programming model is subsequently transformed to an equivalent multi-objective problem, where the minimization of cost and the maximization of demand satisfaction are the objective functions. The Pareto optimal solutions of this problem are obtained using a novel version of the ε-constraint method and represent the possibly optimal solutions of the original problem under uncertainty. In the present case, in order to select the most preferred Pareto optimal solution, the minimax regret criterion is properly used to indicate the preferred configuration of the system (i.e. the size of the installed units) given the load uncertainty. Furthermore, the paper proposes a model reduction technique that can be used in similar cases and further examines its effect in the final results. The above methodology is applied to the energy rehabilitation of a hospital in the Athens area. The technologies under consideration include a combined heat and power unit for providing power and heat, an absorption unit and/or a compression unit for providing cooling load. The obtained results demonstrate that, increasing the degree of demand satisfaction, the total annual cost increases almost linearly. Although data compression allows obtaining realistic results, the size of the proposed units might be slightly changed

  1. Adolescent Linkage to Care After a Large-scale Transfer From a Hospital-based HIV Clinic to the Public Sector in South Africa.

    Science.gov (United States)

    Ramirez-Avila, Lynn; Regan, Susan; Cloete, Christie; Crankshaw, Tamaryn; Rabideau, Dustin J; Freedberg, Kenneth A; Parker, Robert A; Walensky, Rochelle P; Losina, Elena; Bassett, Ingrid V

    2017-03-01

    HIV clinics formerly supported by the President's Emergency Plan for AIDS Relief are transferring patients to public-sector clinics. We evaluated adolescent linkage to care after a large-scale transfer from a President's Emergency Plan for AIDS Relief-subsidized pediatric HIV clinic in Durban, South Africa. All adolescents (11-18 years) in care at a pediatric state-subsidized, hospital-based clinic (HBC) were transferred, from May to June 2012, to government sites [primary health care (PHC) clinic; community health center (CHC); and HBCs] or private clinics. Caregivers were surveyed 7-8 months after transfer to assess their adolescents' linkage to care and their reports were validated by clinic record audits in a subset of randomly selected clinics. Of the 309 (91%) caregivers reached, only 5 (2%) reported that their adolescent did not link. Of the 304 adolescents who linked, 105 (35%) were referred to a PHC, 73 (24%) to a CHC and 106 (35%) to a HBC. A total of 146 (48%) linked adolescents attended a different clinic than that assigned. Thirty-five (20%) of the 178 who linked and were assigned to a PHC or CHC ultimately attended a HBC. Based on clinic validation, the estimated transfer success was 88% (95% confidence interval: 77%-97%). The large majority of adolescents successfully transferred to a new HIV clinic, although nearly half attended a clinic other than that assigned.

  2. Investment in Edification: Reflections on Irish Education Policy since Independence

    Science.gov (United States)

    O'Connor, Muiris

    2014-01-01

    Beginning with a historical review of Irish education policy since the establishment of the Irish Free State in 1922, this paper focuses on the issue of investment in education through the lens of the "Investment in Education" report. Following this historical review, the author explores how the legacy of the past continues to define the…

  3. Outward-Oriented Economic Development and the Irish Education System

    Science.gov (United States)

    Barry, Frank

    2014-01-01

    Most studies of the relationship between education and economic development focus on the line of causation running from the former to the latter. The present paper studies how the pattern of Irish development has influenced the structure of the Irish education system. The first section sets out the economic context of late industrialisation within…

  4. Contemporary Irish identity on the Emerald Isle of the Caribbean

    DEFF Research Database (Denmark)

    McAtackney, Laura; Ryzewski, Krysta; Cherry, John F

    2014-01-01

    In recent decades, the island of Montserrat has been noticeably repositioning itself within the Caribbean as a place with a unique Irish heritage. Using the tag-line ‘the Emerald Isle of the Caribbean’, there has been an explicit attempt to evoke images of a verdant, green island with a long Irish...

  5. 76 FR 16323 - Irish Potatoes Grown in Washington; Continuance Referendum

    Science.gov (United States)

    2011-03-23

    ...; FV11-946-1 CR] Irish Potatoes Grown in Washington; Continuance Referendum AGENCY: Agricultural... conducted among eligible Washington potato growers to determine whether they favor continuance of the marketing order regulating the handling of Irish potatoes grown in Washington. DATES: The referendum will be...

  6. Host Students' Perspectives of Intercultural Contact in an Irish University

    Science.gov (United States)

    Dunne, Ciaran

    2009-01-01

    Given the increasing numbers of international students in Ireland and the lack of attention afforded to host culture students in existing research on intercultural relations in higher education, a grounded theory study was conducted in an Irish university exploring host (Irish) students' perspectives on intercultural contact. The study focused on…

  7. Irish International Cultural and Educational Exchange: Two Models for Inspiration

    DEFF Research Database (Denmark)

    Bøss, Michael

    2006-01-01

    An account of the cultural and educational foreign policies of Denmark and Canada and a discussion of their relevance for the future of Irish foreign policy.......An account of the cultural and educational foreign policies of Denmark and Canada and a discussion of their relevance for the future of Irish foreign policy....

  8. Travellers and Cowboys: Myths of the Irish West.

    Science.gov (United States)

    Bisplinghoff, Gretchen

    The recent Irish film "Into the West" (1992) explores the myth of the West on two continents. Images from television and movies appear as a visual reference point within "Into the West"; the main characters, two young Irish boys, are fascinated with the American West of cowboys and Indians as depicted in countless Hollywood…

  9. 75 FR 10159 - Irish-American Heritage Month, 2010

    Science.gov (United States)

    2010-03-05

    ... America A Proclamation From long before American independence to today, countless individuals have reached... the Emerald Isle. Irish Americans fought for our independence, and their signatures adorn our founding documents. When famine ravaged Ireland in the 1840s and 1850s, many Irish men and women sought a new...

  10. Experience of the Irish National Centre for hereditary haemorrhagic telangiectasia 2003-2008.

    LENUS (Irish Health Repository)

    Ni Bhuachalla, C F

    2012-01-31

    Hereditary haemorrhagic telangiectasia (HHT) is a group of autosomal dominant disorders of vascular structure. The Irish National Centre for HHT at the Mercy University Hospital, Cork, Ireland was founded in 2003. From 2003 to 2008, screening of 164 patients with contrast echocardiography, thoracic computerised tomography (CT) and cerebral magnetic resonance imaging (MRI) has identified 88 patients with definite HHT, 72 (82%) of whom had epistaxis, 70 (80%) had telangiectasia and 81 (92%) had a first-degree relative with HHT. We sought to describe the manifestations of HHT in an Irish population and to determine differences between internationally reported data. The HHT patient database was analysed to describe demographics, clinical manifestations and interventional procedures performed in all referred patients. Contrast echocardiography and\\/or CT were performed in 86 patients with definite HHT, identifying 27 patients (31%) with pulmonary arteriovenous malformations (pAVMs). Nineteen patients with single or multiple pAVMs had 28 embolisation procedures performed, with 1-6 pAVMs embolised per procedure. Cerebral MRI was performed in 78 (89%) patients and 2 (2.3%) had cerebral arteriovenous malformations (cAVMs). HHT prevalence is thought to be 1 in 2500-8000, suggesting that there are many undiagnosed cases in Irish patients. Internationally published data suggest a prevalence of 15-35% for pAVMs and 10-23% for cAVMs in patients with HHT. While the prevalence of pAVMs in our group is consistent with these data, the prevalence of cAVMs is considerably lower, suggesting that Irish patients with HHT may differ genotypically and phenotypically from those in other countries.

  11. The sword and the prayerbook: ideals of authentic Irish manliness.

    Science.gov (United States)

    Nugent, Joseph

    2008-01-01

    As the Catholic Church responded to secular models of the nineteenth-century hero by refurbishing its saints, the Irish Church promoted its native saint, Colmcill, as the sole authentic positive stereotype deserving of the Irishman's emulation. At a time when the concepts of Irishness and manliness were being contested, the League of St. Columba proposed that the physical, psychological, and spiritual characteristics of Colmcill be materialized in the new Irish youth. By folding the mystical rhetoric of Catholicism into the search for national identity, the League altered the course of Irish nationalism and inflected the trajectory of Irish masculine development. While Colmcill's ascendance as an emulatory type was brief, the qualities he was shaped to embody were reinscribed in the Catholic priest, who became installed as the aspirational model for the youth of Ireland.

  12. Ocean modelling for aquaculture and fisheries in Irish waters

    Science.gov (United States)

    Dabrowski, T.; Lyons, K.; Cusack, C.; Casal, G.; Berry, A.; Nolan, G. D.

    2016-01-01

    The Marine Institute, Ireland, runs a suite of operational regional and coastal ocean models. Recent developments include several tailored products that focus on the key needs of the Irish aquaculture sector. In this article, an overview of the products and services derived from the models are presented. The authors give an overview of a shellfish model developed in-house and that was designed to predict the growth, the physiological interactions with the ecosystem, and the level of coliform contamination of the blue mussel. As such, this model is applicable in studies on the carrying capacity of embayments, assessment of the impacts of pollution on aquaculture grounds, and the determination of shellfish water classes. Further services include the assimilation of the model-predicted shelf water movement into a new harmful algal bloom alert system used to inform end users of potential toxic shellfish events and high biomass blooms that include fish-killing species. Models are also used to identify potential sites for offshore aquaculture, to inform studies of potential cross-contamination in farms from the dispersal of planktonic sea lice larvae and other pathogens that can infect finfish, and to provide modelled products that underpin the assessment and advisory services on the sustainable exploitation of the resources of marine fisheries. This paper demonstrates that ocean models can provide an invaluable contribution to the sustainable blue growth of aquaculture and fisheries.

  13. Solar Orientation of Irish Early Christian Oratories

    Science.gov (United States)

    Tiede, V. R.

    2001-12-01

    The Hiberno-Latin literary metaphor of "Xpistus sol verus" (Christ the True Sun) finds an architectural analogue in the orientation of the single eastern window of Irish monastic stone chapels or oratories. The author's field surveys in Ireland, Hebrides, Orkney and Shetlands revealed that the window of Irish rectangular dry stone oratories framed the rising solar disk on the Feast Days of selected saints of the Celtic Early Christian Church, AD 800-1100. The most frequent target skyline declinations were to sunrise on the Feast Days of St. Patrick (March 17th) and St. Aidan of Lindisfarne (August 31st). During the Early Christian period, St. Patrick's Day coincided with the Vernal Equinox, and heralded the Paschal Full Moon (i.e., Passover crucifixion) and Easter Sunday as proclaimed by Emperor Constantine at the Council of Nicaea (AD 325). St. Aidan of Lindisfarne (d. AD 651) inspired the Irish monks who, at the Synod of Whitby (AD 664), remained loyal to the Jewish 84-year cycle determining Passover and refused to replace it with the new orthodox 19-year computus for Easter adopted by the Roman Catholic Church (AD 527). Hypothetical affiliation between monastic communities whose oratories share common solar orientation, interior length/width ratios (e.g., 4:3 and 3:2) and units of measurement (e.g., Scottish ell, Coptic cubit, or Roman pes) is discussed. Grateful acknowledgement is made to the Michael D. Coe Fund and Augusta Hazard Fund of Yale University for research grant support in 1999.

  14. Radioactivity monitoring of Irish dairy produce

    International Nuclear Information System (INIS)

    Kelleher, K.

    2010-01-01

    Full text: The RPII has been carrying out monitoring of milk and dairy produce since 1986. Milk samples are routinely analysed for radiocaesium and strontium-90 as part of the RPII's environmental monitoring programme to determine the doses received to the Irish population from milk consumption. The method the RPII utilises for determining the Sr-90 activity in milk is by measuring the Cerenkov radiation produced by its daughter 90 Y isolated from interfering nuclides such as uranium, thorium, radium and their decay products as well as isotopes of caesium, potassium and strontium by extraction with 10% di-(2-ethylhexyl)phosphate (HDEHP) in toluene. The chemical yield of 90 Y is determined by the acidmetric titration of yttrium nitrate carrier with titriplex III. The levels of Sr-90 and dose to the Irish population from milk consumption have been negligible when compared to other radioactive sources in the Irish environment. Other dairy products are analysed for radiocaesium on a routine basis for commercial customers to ensure the levels of radioactivity in the dairy products fall within EC regulations governing the export/import of dairy produce. The export of milk and milk produce from Ireland is a very important industry, 80% of dairy products produced in Ireland are exported and these exports are worth Euro 2.2 billion annually to the Irish economy. The dairy products are analysed by gamma spectroscopy and include full and skim milk powders, butter, casein, cheese, cream, whey and lactose. The levels of radiocaesium in these products are typically below 5 Bk/kg and fall well within the limit of 370 Bq/kg laid down by the European Community in Council Regulation 737/90. Although the levels of these radionuclides are relatively low the RPII recognises the importance of analysing these samples for radioactivity to inform the public, ensure consumer confidence and, more importantly, to maintain a level of expertise in the RPII in these analytical techniques so that

  15. Radioactivity monitoring of Irish dairy produce

    Energy Technology Data Exchange (ETDEWEB)

    Kelleher, K. (Radiological Protection Institute of Ireland. Radiation Monitoring, Dublin (Ireland))

    2010-03-15

    Full text: The RPII has been carrying out monitoring of milk and dairy produce since 1986. Milk samples are routinely analysed for radiocaesium and strontium-90 as part of the RPII's environmental monitoring programme to determine the doses received to the Irish population from milk consumption. The method the RPII utilises for determining the Sr-90 activity in milk is by measuring the Cerenkov radiation produced by its daughter 90Y isolated from interfering nuclides such as uranium, thorium, radium and their decay products as well as isotopes of caesium, potassium and strontium by extraction with 10% di-(2-ethylhexyl)phosphate (HDEHP) in toluene. The chemical yield of 90Y is determined by the acidmetric titration of yttrium nitrate carrier with titriplex III. The levels of Sr-90 and dose to the Irish population from milk consumption have been negligible when compared to other radioactive sources in the Irish environment. Other dairy products are analysed for radiocaesium on a routine basis for commercial customers to ensure the levels of radioactivity in the dairy products fall within EC regulations governing the export/import of dairy produce. The export of milk and milk produce from Ireland is a very important industry, 80% of dairy products produced in Ireland are exported and these exports are worth Euro 2.2 billion annually to the Irish economy. The dairy products are analysed by gamma spectroscopy and include full and skim milk powders, butter, casein, cheese, cream, whey and lactose. The levels of radiocaesium in these products are typically below 5 Bk/kg and fall well within the limit of 370 Bq/kg laid down by the European Community in Council Regulation 737/90. Although the levels of these radionuclides are relatively low the RPII recognises the importance of analysing these samples for radioactivity to inform the public, ensure consumer confidence and, more importantly, to maintain a level of expertise in the RPII in these analytical techniques so

  16. Radioactivity Monitoring of the Irish Environment 2009

    International Nuclear Information System (INIS)

    McGinnity, P.; Currivan, L.; Dowdall, A.; Fegan, M.; Hanley, O.; Kelleher, K.; McKittrick, L.; Somerville, S.; Wong, J.; Pollard, D.

    2010-12-01

    This report presents the results of the environmental radioactivity monitoring programme carried out by the Radiological Protection Institute of Ireland (RPII) during 2009. The RPII has routinely monitored levels of radioactivity in the environment since 1982 and this is the latest in the RPII's series of environmental monitoring reports. The RPII reviews and updates its environmental programme annually so as to ensure it remains relevant and continues to focus on the most important sources of radioactivity in the environment. The principal aims of the RPII's monitoring programme are; to assess the level of radioactivity to which the Irish population is exposed as a result of radioactivity in the environment; to study trends and establish the geographical distribution of contaminating radionuclides so as to better understand the long term behaviour of artificial radioactivity in the food chain and the environment; to ensure that any increase in radiation levels resulting from an accidental release of radioactivity to the environment is detected and assessed rapidly. During 2009 radioactivity was measured in a wide range of foods and environmental materials including: air, water, milk, seafood, foodstuffs and complete meals. The most significant source of artificial radioactivity in the Irish marine environment is the discharge of low level liquid radioactive waste from the Sellafield Nuclear Fuel Reprocessing Plant on the north east coast of England. In order to assess the exposure arising from the source extensive sampling of fish and shellfish landed at ports along the north east coast of Ireland is undertaken. The most exposed group of individuals to discharges from Sellafield have been identified as commercial oyster and mussel farmers working along the north east coastline and their families. Manmade radioactivity is also present in the terrestrial environment due primarily to residual global fallout arising primarily from atmospheric testing of nuclear

  17. Radioactivity Monitoring of the Irish Environment 2008

    International Nuclear Information System (INIS)

    Fegan, M.; Currivan, L.; Dowdall, A.; Hanley, O.; Hayden, E.; Kelleher, K.; Long, S.; McKittrick, L.; Somerville, S.; Wong, J.; Pollard, D.

    2010-01-01

    This report presents the results of the environmental radioactivity monitoring programme carried out by the Radiological Protection Institute of Ireland (RPII) during 2008. The RPII has routinely monitored levels of radioactivity in the environment since 1982 and this is the latest in the RPII's series of environmental monitoring reports. The RPII reviews and updates its environmental programme annually so as to ensure it remains relevant and continues to focus on the most important sources of radioactivity in the environment. The principal aims of the RPII's monitoring programme are; to assess the level of radioactivity to which the Irish population is exposed as a result of radioactivity in the environment; to study trends and establish the geographical distribution of contaminating radionuclides so as to better understand the long term behaviour of artificial radioactivity in the food chain and the environment; to ensure that any increase in radiation levels resulting from an accidental release of radioactivity to the environment is detected and assessed rapidly. During 2008 radioactivity was measured in a wide range of foods and environmental materials including: air, water, milk, seafood, foodstuffs and complete meals. The most significant source of artificial radioactivity in the Irish marine environment is the discharge of low level liquid radioactive waste from the Sellafield Nuclear Fuel Reprocessing Plant on the north east coast of England. In order to assess the exposure arising from the source extensive sampling of fish and shellfish landed at ports along the north east coast of Ireland is undertaken. The most exposed group of individuals to discharges from Sellafield have been identified as commercial oyster and mussel farmers working along the north east coastline and their families. Manmade radioactivity is also present in the terrestrial environment due primarily to residual global fallout arising primarily from atmospheric testing of nuclear

  18. Ghana Health Services and the Irish health system – bridging the gap.

    LENUS (Irish Health Repository)

    Akaateba, D

    2017-02-01

    The University of Limerick Hospitals Group (ULHG), and the University of Limerick (UL), are committed to fostering links with the developing world and contributing to solutions of the challenges these countries face. In 2016 a group from UL and ULHG visited the Upper West Region of Ghana1 to explore the possibility of establishing a partnership with Ghana Health Services (GHS). In this article, we describe aspects of GHS and outline some of the challenges for Irish institutions trying to engage with the realties of the developing world.

  19. Radiation oncology: An Irish hospitals approach to supporting patients

    Energy Technology Data Exchange (ETDEWEB)

    Miller, Caragh [Cork University Hospital (Ireland)], E-mail: caragh.miller@tcd.ie

    2009-02-15

    Despite advances in medical technology, cancer is still one of the leading causes of death globally, leaving many patients to deal with the emotional and psychological aspects associated with cancer and its treatment [Department of Health and Children. A strategy for cancer control in Ireland. National Cancer Forum. Dublin; 2006]. The recognition and management of psychological conditions are an integral part of comprehensive cancer care. As a result, the Health Services Executive as part of the continuing expansion of Cork Radiation Oncology Department created the role of Information and Support Radiation Therapist. This post was specially created during June 2005 to facilitate the smooth entry into the treatment for patients and family members experiencing radiotherapy for the first time. Working alongside the oncology nurses and other health professionals the Information and Support Radiation Therapist aims to provide vital education/information and support to patients and their families. The provision of this new service for patients enables departments to adopt a holistic approach to treatment. This research identifies the cancer services and psychological support services in Ireland. Up-to-date audits of the new patient services established in the Cork Radiation Oncology Department and their psychological contribution towards cancer development and treatment are also discussed.

  20. Radiation oncology: An Irish hospitals approach to supporting patients

    International Nuclear Information System (INIS)

    Miller, Caragh

    2009-01-01

    Despite advances in medical technology, cancer is still one of the leading causes of death globally, leaving many patients to deal with the emotional and psychological aspects associated with cancer and its treatment [Department of Health and Children. A strategy for cancer control in Ireland. National Cancer Forum. Dublin; 2006]. The recognition and management of psychological conditions are an integral part of comprehensive cancer care. As a result, the Health Services Executive as part of the continuing expansion of Cork Radiation Oncology Department created the role of Information and Support Radiation Therapist. This post was specially created during June 2005 to facilitate the smooth entry into the treatment for patients and family members experiencing radiotherapy for the first time. Working alongside the oncology nurses and other health professionals the Information and Support Radiation Therapist aims to provide vital education/information and support to patients and their families. The provision of this new service for patients enables departments to adopt a holistic approach to treatment. This research identifies the cancer services and psychological support services in Ireland. Up-to-date audits of the new patient services established in the Cork Radiation Oncology Department and their psychological contribution towards cancer development and treatment are also discussed

  1. Circulating rotavirus genotypes in the Irish paediatric population prior to the introduction of the vaccination programme.

    Science.gov (United States)

    Yandle, Z; Coughlan, S; Drew, R J; O'Flaherty, N; O'Gorman, J; De Gascun, C

    2017-11-01

    Rotavirus is the leading cause of viral gastroenteritis in children, and it is anticipated that the introduction of the Rotarix™ vaccine (GlaxoSmithKline Biologicals S.A., Rixensart, Belgium) into the Irish immunisation schedule will result in a significant reduction of rotavirus-associated disease. In the pre- and post-vaccination eras, it is important to determine circulating strains of rotavirus to assess vaccine effectiveness, to monitor vaccine failures, and to detect potential emerging strains. This study was a collaboration between the Temple Street Children's University Hospital (TSCUH), Dublin, and the National Virus Reference Laboratory (NVRL), Dublin, to determine the then circulating rotavirus strains in a paediatric hospital. In the 2015/2016 period (July 2015-June 2016) 89 faecal samples from paediatric patients (53 from TSCUH, 36 from other hospitals) were characterised. The results showed G1P[8] to be the predominant genotype (57%), followed by G9P[8] (34%), G4P[8] (6%), G2P[4] (2%), and G12P[8] (1%). This distribution of genotypes is comparable to those found in other European countries prior to vaccination suggesting that the vaccine should be highly efficacious in the Irish population.

  2. The Ulster Cycle: Cultural Significance for Irish Composers

    Directory of Open Access Journals (Sweden)

    Angela Goff

    2017-10-01

    Full Text Available For more than three hundred years, Irish composers have engaged with tales from early Irish saga-literature which comprises four main series: Mythological, Ulster and Fenian cycles as well as the Cycle of Kings. This literary corpus dates from 600–1200 CE and is amongst the oldest in Europe. The fragmented history of the literature reveals a continuity of tradition in that the ancient sagas evolved from the oral Irish tradition, were gradually recorded in Irish, and kept alive in modern times through translation into the English language. The timelessness and social impact of these sagas, centuries after they were documented, resonate with Irish composers through the identification of local features and/or universal themes of redemption, triumph or tragedy depicted in the literature. The focus here is on sagas from the Ulster Cycle as they have been most celebrated by Irish composers; the majority of which have been composed since Thomas Kinsella’s successful translation of the Táin Bó Cuailnge in 1969. How the composers chose to embrace the Irish past lies in each composer’s execution of the peculiar local and universal themes exhibited in the sagas. The aim of this article is to initiate an interdisciplinary discussion of the cultural significance of this literary corpus for Irish composers by exploring an area of Irish musicological discourse that has not been hitherto documented. A brief literary background to the Ulster Cycle leads to a discussion of what prompted the composers to engage with Ulster Cycle themes at a particular time in their respective careers. An exploration of the various stylistic features employed in selected works sheds light on the cultural ideologies that prevailed in Ireland at the time of their respective composition.

  3. Bowery to Broadway. The American Irish in Classic Hollywood Cinema (Christopher Shannon & New Irish Storytellers. Narrative Strategies in Film (Díóg O’Connell

    Directory of Open Access Journals (Sweden)

    Carlos Menéndez-Otero

    2011-03-01

    Full Text Available Reseñas de los libros de cine Bowery to Broadway. The American Irish in Classic Hollywood Cinema (Christopher Shannon 2010 & New Irish Storytellers. Narrative Strategies in Film (Díóg O’Connell 2010

  4. Primary medical care in Irish prisons.

    Science.gov (United States)

    Barry, Joe M; Darker, Catherine D; Thomas, David E; Allwright, Shane P A; O'Dowd, Tom

    2010-03-22

    An industrial dispute between prison doctors and the Irish Prison Service (IPS) took place in 2004. Part of the resolution of that dispute was that an independent review of prison medical and support services be carried out by a University Department of Primary Care. The review took place in 2008 and we report here on the principal findings of that review. This study utilised a mixed methods approach. An independent expert medical evaluator (one of the authors, DT) inspected the medical facilities, equipment and relevant custodial areas in eleven of the fourteen prisons within the IPS. Semistructured interviews took place with personnel who had operational responsibility for delivery of prison medical care. Prison doctors completed a questionnaire to elicit issues such as allocation of clinician's time, nurse and administrative support and resources available. There was wide variation in the standard of medical facilities and infrastructure provided across the IPS. The range of medical equipment available was generally below that of the equivalent general practice scheme in the community. There is inequality within the system with regard to the ratio of doctor-contracted time relative to the size of the prison population. There is limited administrative support, with the majority of prisons not having a medical secretary. There are few psychiatric or counselling sessions available. People in prison have a wide range of medical care needs and there is evidence to suggest that these needs are being met inconsistently in Irish prisons.

  5. Primary medical care in Irish prisons

    Directory of Open Access Journals (Sweden)

    Allwright Shane PA

    2010-03-01

    Full Text Available Abstract Background An industrial dispute between prison doctors and the Irish Prison Service (IPS took place in 2004. Part of the resolution of that dispute was that an independent review of prison medical and support services be carried out by a University Department of Primary Care. The review took place in 2008 and we report here on the principal findings of that review. Methods This study utilised a mixed methods approach. An independent expert medical evaluator (one of the authors, DT inspected the medical facilities, equipment and relevant custodial areas in eleven of the fourteen prisons within the IPS. Semistructured interviews took place with personnel who had operational responsibility for delivery of prison medical care. Prison doctors completed a questionnaire to elicit issues such as allocation of clinician's time, nurse and administrative support and resources available. Results There was wide variation in the standard of medical facilities and infrastructure provided across the IPS. The range of medical equipment available was generally below that of the equivalent general practice scheme in the community. There is inequality within the system with regard to the ratio of doctor-contracted time relative to the size of the prison population. There is limited administrative support, with the majority of prisons not having a medical secretary. There are few psychiatric or counselling sessions available. Conclusions People in prison have a wide range of medical care needs and there is evidence to suggest that these needs are being met inconsistently in Irish prisons.

  6. Attitudes of Irish patients with chronic pain towards medicinal cannabis.

    Science.gov (United States)

    Rochford, Ciaran; Edgeworth, Deirdre; Hashim, Mohammad; Harmon, Dominic

    2018-02-08

    Medicinal cannabis use is topical in the media in Ireland. A recent Health Products Regulatory Authority review, however, has recommended against its use for patients with chronic pain. This is despite evidence for its effectiveness in this patient's cohort and the inadequate pain management of these patients. The aim of this study was to evaluate the attitudes of Irish patients with chronic pain towards medicinal cannabis. After institutional ethics committee approval, a 12-item questionnaire (excluding demographics) was randomly assigned to patients attending a chronic pain clinic (University Hospital Limerick). The questionnaire was designed to incorporate patient's attitudes on a variety of medicinal cannabis related topics. Ninety-six adult patients were surveyed. 88.54% agreed that cannabis should be legalised for chronic pain medicinal purposes. 80.21% believed it would have health benefits for them and 73.96% agreed it would be socially acceptable to use cannabis for this purpose. 33.33% perceived cannabis to be addictive while 68.75% would be willing to try it if prescribed by a medical professional. The study highlights the attitudes of chronic pain patients in Ireland towards medicinal cannabis. It shows their desire to have medical cannabis legalised for chronic pain and that they view it as a reasonable pain management option.

  7. Agriculture Sectors

    Science.gov (United States)

    The Agriculture sectors comprise establishments primarily engaged in growing crops, raising animals, and harvesting fish and other animals. Find information on compliance, enforcement and guidance on EPA laws and regulations on the NAICS 111 & 112 sectors.

  8. The Portrayal of Women’s Contribution to Irish Society through a Sample from the Irish Press

    Directory of Open Access Journals (Sweden)

    María Martínez Lirola

    2014-07-01

    Full Text Available The article intends to approach the representation of womanhood in the Irish press from 2006 to 2012. The corpus comprises all the texts dealing with women, from January 1 to 31 December of four years within this time range, taken from one of the main Irish broadsheet newspapers: The Irish Independent. The research database LexisNexis Academic was employed to compile the corpus. For the purposes of this research, I apply Teun van Leeuwen’s (2008 social actor network model. This paper points out that Corpus Linguistics (CL can be a powerful complementary tool to Critical Discourse Analysis (CDA.

  9. Technical and scale efficiency in public and private Irish nursing homes - a bootstrap DEA approach.

    Science.gov (United States)

    Ni Luasa, Shiovan; Dineen, Declan; Zieba, Marta

    2016-10-27

    This article provides methodological and empirical insights into the estimation of technical efficiency in the nursing home sector. Focusing on long-stay care and using primary data, we examine technical and scale efficiency in 39 public and 73 private Irish nursing homes by applying an input-oriented data envelopment analysis (DEA). We employ robust bootstrap methods to validate our nonparametric DEA scores and to integrate the effects of potential determinants in estimating the efficiencies. Both the homogenous and two-stage double bootstrap procedures are used to obtain confidence intervals for the bias-corrected DEA scores. Importantly, the application of the double bootstrap approach affords true DEA technical efficiency scores after adjusting for the effects of ownership, size, case-mix, and other determinants such as location, and quality. Based on our DEA results for variable returns to scale technology, the average technical efficiency score is 62 %, and the mean scale efficiency is 88 %, with nearly all units operating on the increasing returns to scale part of the production frontier. Moreover, based on the double bootstrap results, Irish nursing homes are less technically efficient, and more scale efficient than the conventional DEA estimates suggest. Regarding the efficiency determinants, in terms of ownership, we find that private facilities are less efficient than the public units. Furthermore, the size of the nursing home has a positive effect, and this reinforces our finding that Irish homes produce at increasing returns to scale. Also, notably, we find that a tendency towards quality improvements can lead to poorer technical efficiency performance.

  10. 76 FR 11929 - Irish-American Heritage Month, 2011

    Science.gov (United States)

    2011-03-03

    ... life in a new Nation, these intrepid immigrants built strong communities and helped forge our country's... the American story. Through hard work, perseverance, and patriotism, women and men of Irish descent...

  11. Glacigenic landforms and sediments of the Western Irish Shelf

    Science.gov (United States)

    McCarron, Stephen; Monteys, Xavier; Toms, Lee

    2013-04-01

    Vibrocoring of possible glacigenic landforms identified from high resolution bathymetric coverage of the Irish Shelf by the Irish National Seabed Survey (INSS) has provided several clusters of short (<3m) cores that, due to a regional post-glacial erosional event, comprise last glacial age stratigraphies. In addition, new shallow seismic data and sedimentological information from across the Western Irish Shelf provide new insights into aspects of the nature, timing and pattern of shelf occupation by grounded lobate extensions of the last Irish Ice Sheet. Restricted chronological control of deglacial sequences in several cores indicates that northern parts of the western mid-shelf (south of a prominent outer Donegal Bay ridge) were ice free by ~24 ka B.P., and that ice had also probably retreated from outer shelf positions (as far west as the Porcupine Bank) at or before this time.

  12. Performance Of Irish Potato Varieties Under Aeroponic Conditions In ...

    African Journals Online (AJOL)

    cntaganda

    1Department of Crop Science, Faculty of Agriculture, National University of Rwanda. (NUR) ... Though Irish potato is very important in Rwanda, average yields ... One plausible solution to this problem is to adopt a soil-less seed production.

  13. The Advent of Representative Associations in the Irish Defence Forces

    Science.gov (United States)

    1992-06-05

    year period from 1975 to 1988. The Submission Group had difficulty finding appropriate groups in the Irish labour market against which to compare the...in the Irish Labour market , the average male industrial worker was chosen. In choosing the male industrial worker, it was not suggested that this...Defence Forces to have all young officers attend University College Galway ( UCG ) or a similar third level institute for the purpose of acquiring a

  14. Debbie Ging, Men and Masculinities in Irish Cinema

    OpenAIRE

    Epinoux, Estelle

    2013-01-01

    Men and Masculinities in Irish Cinema was written by Debbie Ging, who is a lecturer in Film and Media Studies at Dublin City University’s School of Communications in Ireland. Her book falls into the field of media studies and more precisely film studies. It is divided into nine chapters which interweave the notions of gender, nation, identity and masculinity. The author centres her research around the concept of masculinity, unveiling its multiple understandings within the context of Irish so...

  15. Irish nurses’ and midwives’ understanding and experiences of empowerment

    OpenAIRE

    Corbally, Melissa; Scott, Anne; Matthews, Anne; MacGabhann, Liam; Murphy, Catriona

    2007-01-01

    Aim This study explored conceptualisations of empowerment amongst Irish nurses and midwives. Background Current literature on the meaning of empowerment in the literature lacks consensus. As a result there is a likelihood that empowerment will be conceptualised differently between managers and sub-ordinates. Method In order to get a sense of how Irish practitioners viewed empowerment, ten focus groups were held in locations throughout Ireland (n = 93). A national distribution of par...

  16. Modelling travel and residence times in the eastern Irish Sea

    International Nuclear Information System (INIS)

    Dabrowski, T.; Hartnett, M.

    2008-01-01

    The Irish Sea, which lies between 51 deg. N-56 deg. N and 2 deg. 50'W-7 deg. W, provides a sheltered environment to exploit valuable fisheries resource. Anthropogenic activity is a real threat to its water quality. The majority of freshwater input down rivers flows into the eastern Irish Sea. The structure of the water circulation was not well understood during the planning of Sellafield nuclear plant outfall site in the eastern Irish Sea. A three-dimensional primitive equation numerical model was applied to the Irish Sea to simulate both barotropic and baroclinic circulation within the region. High accuracy was achieved with regard to the prediction of both tidal circulation and surface and nearbed water temperatures across the region. The model properly represented the Western Irish Sea Gyre, induced by thermal stratification and not known during planning Sellafield. Passive tracer simulations based on the developed hydrodynamic model were used to deliver residence times of the eastern Irish Sea region for various times of the year as well as travel times from the Sellafield outfall site to various locations within the Irish Sea. The results indicate a strong seasonal variability of travel times from Sellafield to the examined locations. Travel time to the Clyde Sea is the shortest for the autumnal tracer release (90 days); it takes almost a year for the tracer to arrive at the same location if it is released in January. Travel times from Sellafield to Dublin Bay fall within the range of 180-360 days. The average residence time of the entire eastern Irish Sea is around 7 months. The areas surrounding the Isle of Man are initially flushed due to a predominant northward flow; a backwater is formed in Liverpool Bay. Thus, elevated tracer concentrations are predicted in Liverpool Bay in the case of accidental spills at the Sellafield outfall site

  17. Irish and Scandinavian objection to Sellafield

    International Nuclear Information System (INIS)

    Haaland, Leif

    2001-01-01

    The article deals with the objection of Ireland and the Scandinavian countries to the radioactive emissions from the Sellafield reprocessing plant. This contamination follows the sea currents northward and radioactive material from this plant has been found in seaweed and crustaceans along the coast of Norway. The concentration in lobster from the Irish Sea is much higher than in Norwegian crustaceans and above the action limit set by the EU for the radioactive isotope Technetium 99 in the event of a new atomic accident. British authorities have refused to stop the pollution and even plan to start production of MOX fuel at Sellafield. They say new purification techniques will be developed within three or five years. For Norway, the opposition against Sellafield is a priority

  18. An Irish perspective on Cryptosporidium. Part 1

    Directory of Open Access Journals (Sweden)

    Zintl Annetta

    2006-08-01

    Full Text Available Abstract Cryptosporidiosis, a protozoal disease which causes significant morbidity in humans, is one of the chief causes of diarrhoea in neonatal ruminants. Although the parasite poses a significant threat to public health and animal health in Ireland, its epidemiology on the island is only poorly understood. Environmental studies have shown the waterborne parasite to be widespread in some untreated waterbodies around Ireland. The island's hydrogeological situation, combined with high stocking rates of livestock and the absence of filtration from regular water treatment, render it vulnerable to large-scale outbreaks. This review discusses the parasite in the Irish context and underlines the need for a reference facility to provide active surveillance on the island.

  19. An Irish perspective on Cryptosporidium*. Part 2

    Directory of Open Access Journals (Sweden)

    Zintl Annetta

    2006-09-01

    Full Text Available Abstract Cryptosporidiosis, a protozoal disease which causes significant morbidity in humans, is one of the chief causes of diarrhoea in neonatal ruminants. although the parasite poses a significant threat to public health and animal health in Ireland, its epidemiology on the island is only poorly understood. Environmental studies have shown the waterborne parasite to be widespread in some untreated waterbodies around Ireland. The island's hydrogeological situation, combined with high stocking rates of livestock and the absence of filtration from regular water treatment, render it vulnerable to large-scale outbreaks. This review discusses the parasite in the Irish context and underlines the need for a reference facility to provide active surveillance on the island.

  20. Radiocarbon dating of Irish Sea sediments

    Science.gov (United States)

    Kershaw, P. J.

    1986-09-01

    Radiocarbon dating has been carried out on three cores from areas of muddy sediments in the N. Irish Sea to estimate rates of sediment accumulation. 14C age profiles of the two eastern basin cores revealed a near-constant age from the sediment surface to the base of the core (12 500±1000 years bp). The 14C age profile of the western basin core revealed a zone of apparent mixing to a depth of 55 cm, underlain by a zone of constant sedimentation rate (0·018 cm y -1) to 160 cm. These data are discussed in relation both to previously reported sedimentological studies of the area and to the authorised discharges of low-level radioactive waste from the Sellafield nuclear fuel reprocessing plant.

  1. Valuing Equality in Irish Social Care

    Directory of Open Access Journals (Sweden)

    Niall Hanlon

    2009-01-01

    Full Text Available In this article the author critiques Irish social care by presenting an equality perspective on practice. An equality perspective involves developing emancipatory practices, that is, ways of helping that provide egalitarian solutions and outcomes. Although emancipatory values are often contrasted with traditional social care values, the author seeks a pragmatic and integrated approach to emancipatory practices rather than a restatement of traditional dichotomies. Emancipatory practice begins with an appreciation of the nature and relevance of inequalities on the lives of diverse social care users. Building a commitment to equality within social care education and practice is an important step in altering many individual and institutional social care practices by focussing on equality processes and outcomes as central social care objectives. Using a well credited framework that outlines five dimensions of inequality (Baker, Lynch, Cantillon and Walsh, 2004, the author argues that social care educators and practitioners need to debate the issues raised and develop emancipatory practices.

  2. The Irish Theme in the Writings of Bill Naughton

    Directory of Open Access Journals (Sweden)

    David Pierce

    2005-03-01

    Full Text Available The student interested in cultural assimilation, hybridity, and naturalization, in masculinity, authorship, and identity, in what happened to the Irish in Britain in the twentieth century, will turn at some point to the Mayo-born, Lancashire writer Bill Naughton (1910-1992, author of a classic children’s story collection The Goalkeeper’s Revenge and Other Stories (1961, ofAlfie (1965, the film which helped define 1960s London, and of a series of autobiographies largely centering on his Irish childhood and upbringing in Bolton. It has been the historic role of Irish writers from Richard Brinsley Sheridan to Oscar Wilde, from Elizabeth Bowen to William Trevor, to give the English back to themselves in a gallery of portraits. Naughton is part of this tradition, but, unlike these other writers, his subject is the English working class, which he writes about from within, with both sympathy and knowledge. It can be readily conceded that his work is not at the forefront of modern English or Irish writing, but it does deserve to be better known and appreciated. Here in this discursive essay, with an eye on his Irish background, I move back and forth across his writing to reflect on his contribution not so to much the cultural greening of Britain as to the mass observation of the English and of the Irish in Britain.

  3. Women in 19th Century Irish immigration.

    Science.gov (United States)

    Jackson, P

    1984-01-01

    By the 1950s--100 years after the great famine of 1845-49-- 57% of emigrants from the 26 countries of Ireland were women. In the latter 1/2 of the 19th Century, increasing proportions of women emigrated, until they outnumbered men. For women it was more than a flight from poverty. It was also an escape from an increasingly patriarchal society, whose asymetrical development as a colony curtailed women's social space, even in their traditional role as wife and mother. The famine, which is the single greatest influence forcing emigration, undermined the social fabric of an agrarian society, hastening the process of agricultural transformation. The growth of a new class of Irish a British grazier landlords resulted in a situation of acute land scarcity, encouraging tendencies to cling to one's land holding without dividing it. This, combined with new inheritance practices, gave rise to widespread arranged marriages as a means of land consolidation, and the dowry system. The spontaneous marriage practices of famine days also were replaced by a postponement of marriage. These trends severely reduced the choices exerted by women. The absence of big industrialized cities, which might have absorbed displaced rural populations, removed available options, particularly for women. The system of land monopoly and inheritance revolving around male heads of households reinforced partriarchal relations, within a framework of rigid sexual norms, whose enforcement was easy because the church, which played an important role in the emergence of these values, was a major landowner in itself. The subordinated, invisible status of women in post-famine Ireland, and growing barriers to easy access to marriage partners, to waged employment and self-expression, all helped ensure the higher and higher emigration rates of women. The economic transformation of Irish agriculture accelerated the establishment of oppressive values and helped depreciate the position of women to a very low level. The

  4. A Feminism of Their Own?: Irish Women’s History and Contemporary Irish Women’s Writing

    Directory of Open Access Journals (Sweden)

    Mary Ryan

    2010-03-01

    Full Text Available For a long time, Irish women’s lives were strictly confined to the private domain, and women’s issues were largely silenced and hidden from public knowledge. Additionally, both Church and state maintained that women should hold a certain morality, particularly relating to areas of sexuality and reproduction. As a result, until relatively recently, Irish women’s issues remained largely ignored and therefore unremarked upon. This paper will examine two major areas in which Irish women’s lives have traditionally been repressed: women’s sexuality and domestic violence, both issues which were once considered taboo for open discussion. This paper will also discuss how these same issues are being represented in Irish chick lit novels, thus providing a frank and positive voice for these largely female issues and for the everyday experiences of women in Ireland.

  5. The contribution of radioactivity in the Irish Sea to the radiation exposure of the Irish population during 1982-'83

    International Nuclear Information System (INIS)

    Cunningham, J.D.; O'Grady, J.

    1984-03-01

    This report presents an estimate of the exposure of members of the Irish public during the period of May 1982 to June 1983 due to the consumption of fish and shellfish, the most important route by which exposure of the Irish public can occur from radioactivity, in particular radiocaesium, in the Irish Sea. Radiation exposure from other pathways, such as external radiation, is neglegible. The results are examined in terms of the dose limits recommended by the International Commission on Radiological Protection and the basic radiation safety standards of the European Community. The results show a small decrease on the levels of recent years and indicate a decreasing trend probably reflecting the reduction in the quantity of radiocaesium being discharged annually from Sellafield. The monitoring programme enables the radioactivity levels of the Irish Sea to be kept under review and will be continued to enable trends to be identified. (author)

  6. Training in the Food and Beverages Sector in Ireland. Report for the FORCE Programme. First Edition.

    Science.gov (United States)

    Hunt, Deirdre; And Others

    The food and beverage industry is of overwhelming strategic importance to the Irish economy. It is also one of the fastest changing sectors. Recent trends in this largely indigenous industry in recent years include the following: globalization, large and accelerating capital outlay, company consolidation, added value product, enhanced quality…

  7. Should Any Workplace Be Exempt from Smoke-Free Law: The Irish Experience

    Directory of Open Access Journals (Sweden)

    M. McCaffrey

    2012-01-01

    Full Text Available Background. In 2004, the Irish Government introduced national legislation banning smoking in workplaces; with exemptions for “a place of residence”. This paper summarises three Irish studies of exempted premises; prisons, psychiatric hospitals and nursing homes. Methods. PM2.5 and nicotine were measured in nursing homes and psychiatric hospitals, in addition to ultrafine particles in the hospitals. In the prisons, officers (=30 completed exhaled breath Carbon Monoxide (CO measurements. Questionnaires determined officers’ opinion on introducing smoking prohibitions in prisons. Nursing home smoking policies were examined and questionnaires completed by staff regarding workplace secondhand smoke (SHS exposure. Findings. Ultrafine particle concentrations in psychiatric hospitals averaged 130,000 per cm3, approximately 45% higher than Dublin pub levels (85,000 per cm3 pre ban. PM2.5 levels in psychiatric hospitals (39.5 μg/m3 were similar to Dublin pubs (35.5 μg/m3 pre ban. In nursing homes permitting smoking, similar PM2.5 levels (33 μg/m3 were measured, with nicotine levels (0.57 μg/m3 four times higher than “non-smoking” nursing homes (0.13 μg/m3. In prisons, 44% of non-smoking officers exhibited exhaled breath CO criteria for light to heavy smokers. Conclusions. With SHS exposure levels in some exempted workplaces similar to Dublin pubs levels pre ban, policies ensuring full protection must be developed and implemented as a right for workers, inmates and patients.

  8. [Harassment in the public sector].

    Science.gov (United States)

    Puech, Paloma; Pitcho, Benjamin

    2013-01-01

    The French Labour Code, which provides full protection against moral and sexual harassment, is not applicable to public sector workers. The public hospital is however not exempt from such behaviour, which could go unpunished. Public sector workers are therefore protected by the French General Civil Service Regulations and the penal code.

  9. Healthcare and Social Assistance Sector (NAICS 62)

    Science.gov (United States)

    Environmental regulations and information for the Healthcare sector, including doctor's offices, hospitals, and medical laboratories. Includes information about dental amalgam wastewater, sterilizers, and medical waste.

  10. Development and application of a processing model for the Irish dairy industry.

    Science.gov (United States)

    Geary, U; Lopez-Villalobos, N; Garrick, D J; Shalloo, L

    2010-11-01

    A processing-sector model was developed that simulates (i) milk collection, (ii) standardization, and (iii) product manufacture. The model estimates the product yield, net milk value, and component values of milk based on milk quantity, composition, product portfolio, and product values. Product specifications of cheese, butter, skim and whole milk powders, liquid milk, and casein are met through milk separation followed by reconstitution in appropriate proportions. Excess cream or skim milk are used in other product manufacture. Volume-related costs, including milk collection, standardization, and processing costs, and product-related costs, including processing costs per tonne, packaging, storage, distribution, and marketing, are quantified. Operating costs, incurred irrespective of milk received and processing activities, are included in the model on a fixed-rate basis. The net milk value is estimated as sale value less total costs. The component values of fat and protein were estimated from net milk value using the marginal rate of technical substitution. Two product portfolio scenarios were examined: scenario 1 was representative of the Irish product mix in 2000, in which 27, 39, 13, and 21% of the milk pool was processed into cheese (€ 3,291.33/t), butter (€ 2,766.33/t), whole milk powder (€ 2,453.33/t), and skim milk powder (€ 2,017.00/t), respectively, and scenario 2 was representative of the 2008 product mix, in which 43, 30, 14, and 13% was processed into cheese, butter, whole milk powder, and skim milk powder, respectively, and sold at the same market prices. Within both scenarios 3 milk compositions were considered, which were representative of (i) typical Irish Holstein-Friesian, (ii) Jersey, and (iii) the New Zealand strain of Holstein-Friesian, each of which had differing milk constituents. The effect each milk composition had on product yield, processing costs, total revenue, component values of milk, and the net value of milk was examined

  11. Premium inflation in the Irish private health insurance market: drivers and consequences.

    Science.gov (United States)

    Turner, B

    2013-12-01

    Nearly half of the Irish population is covered by private health insurance. In recent years, premium inflation has been significantly ahead of overall inflation and has been accelerating. This has contributing to a drop in the numbers insured since the peak in 2008. The fall in the numbers with private health insurance also has implications for the public health system. Factors behind this premium inflation include rising charges for beds in public hospitals, increasing volume of treatments and increasing quality of service and cover. While some progress has been made by insurers on reducing fees paid to consultants and private hospitals, unless the quantity or quality of care are addressed then premium inflation is unlikely to abate.

  12. Assessing spatial access to public and private hospitals in Sichuan, China: The influence of the private sector on the healthcare geography in China.

    Science.gov (United States)

    Pan, Jay; Zhao, Hanqing; Wang, Xiuli; Shi, Xun

    2016-12-01

    In 2009, the Chinese government launched a new round of healthcare reform, which encourages development of private hospitals. Meanwhile, many public hospitals in China also became increasingly profit-oriented. These trends have led to concerns about social justice and regional disparity. However, there is a lack of empirical scientific analysis to support the debate. We started to fill this gap by conducting a regional-level analysis of spatial variation in spatial access to hospitals in the Sichuan Province. Such variation is an important indication of (in) equity in healthcare resource allocation. Using data of 2012, we intended to provide a snapshot of the situation that was a few years later since the new policies had set out. We employed two methods to quantify the spatial access: the nearest-neighbor method and the enhanced two-step floating catchment area (E2SFCA) method. We recognized two sub-regions of Sichuan: the rural West Sichuan and the well-developed East Sichuan. We classified the hospitals using both ownership and level. We applied the analysis to the resulting groups of hospitals and their combinations in the two sub-regions. The two sub-regions have a high contrast in the spatial access to hospitals, in terms of both quantity and spatial pattern. Public hospitals still dominated the service in the province, especially in the West Sichuan, which had been solely relying on public hospitals. Private hospitals only occurred in the East Sichuan, and at the primary level, they had surpassed public hospitals in terms of spatial accessibility. However, the governmental health expenditures seemed to be disconnected with the actual situation of the spatial access to hospitals. The government should continue carrying on its responsibility in allocating healthcare resources, be cautious about marketizing public hospitals, and encourage private hospitals to expand into rural areas. Methodologically, the results from the two methods are concurring but not

  13. Angels and IPOs: Policies for Sustainable Equity Financing of Irish Small Businesses

    OpenAIRE

    Mulcahy, Diane

    2005-01-01

    Angels and IPOs: Policies for Sustainable Equity Financing of Irish Small Businesses explores the rationale for the Irish government?s investments of more than 300 million Euro in Irish companies and the domestic venture capital industry. It challenges the conventional wisdom that there is an `equity gap? of early stage risk capital in Ireland. In the context of the equity financing cycle, it discusses the limited supply of angel capital available to Irish firms as well as the `exit gap? resu...

  14. Transparencia en las adquisiciones del sector público: el caso de los hospitales de la Ciudad de Buenos Aires Transparency in public sector acquisitions: The case of hospitals in the City of Buenos Aires

    OpenAIRE

    T. Rossi; C. Murillo Fort; J.C. Puente Karolys

    2002-01-01

    El presente trabajo trata el tema de la corrupción y falta de transparencia en las adquisiciones del sector público y los instrumentos que pueden colaborar para obtener resultados positivos en la gestión de compras. En primer lugar, se plantea el estado actual de la discusión del tema y la preocupación que manifiestan los gobiernos, los organismos internacionales, los centros académicos, las organizaciones no gubernamentales y la sociedad civil ante el avance de la corrupción. Se destaca la i...

  15. Standardization of tests of quality control with the aid of quality tools used in management systems of processes at the Sector of Nuclear Medicine of the University Hospital of Santa Maria, Rio Grande do Sul

    International Nuclear Information System (INIS)

    Da Cas, E.V.; Weis, G.L.; Bahunhardt, T.; Shuch, L.A.; Lopes, L.F.D.

    2009-01-01

    This work tries to standardize the tests of quality control at the Sector of Nuclear Medicine at the University Hospital of Santa Maria, using tools of the quality used in systems of management of processes such as, PDCA, brainstorming, diagram of cause and effect (Ishikawa), 5W2H, verifying list and fluxogram. The tests of quality control refer to the scintillation camera (center of rotation, intrinsic uniformity, intrinsic spatial resolution and linearity, energy resolution for each radionuclide), to the dose calibrator (accuracy, reproducibility and linearity), to the Geiger-Mueller detector (reproducibility of the detector). (author)

  16. A cost analysis of a hospital-based palliative care outreach program: implications for expanding public sector palliative care in South Africa.

    Science.gov (United States)

    Hongoro, Charles; Dinat, Natalya

    2011-06-01

    Increasing access to palliative care services in low- and middle-income countries is often perceived as unaffordable despite the growing need for such services because of the increasing burden of chronic diseases including HIV and AIDS. The aim of the study was to establish the costs and cost drivers for a hospital outreach palliative care service in a low-resource setting, and to elucidate possible consequential quality-of-life improvements and potential cost savings. The study used a cost accounting procedure to cost the hospital outreach services--using a step-down costing method to measure unit (average) costs. The African Palliative Care Association Palliative Outcome Score (APCA POS) was applied at five intervals to a cohort of 72 consecutive and consenting patients, enrolled in a two-month period. The study found that of the 481 and 1902 patients registered for outreach and in-hospital visits, respectively, 4493 outreach hospital visits and 3412 in-hospital visits were done per year. The costs per hospital outreach visit and in-hospital visit were US$71 and US$80, respectively. The cost per outreach visit was 50% less than the average cost of a patient day equivalent for district hospitals of $142. Some of the POS of a subsample (n=72) showed statistically significant improvements. Hospital outreach services have the potential to avert hospital admissions in generally overcrowded services in low-resource settings and may improve the quality of life of patients in their home environments. Copyright © 2011 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

  17. To a Deeper Understanding of Loneliness amongst Older Irish Adults.

    Science.gov (United States)

    Squires, Susan Elaine

    2015-06-01

    Loneliness can play a significant role in the wellbeing of older adults. This article describes a qualitative method for using case notes from the clinical records of older individuals in order to investigate the priority concerns spontaneously reported by older adults to deepen our understanding of both the context in which reported loneliness occurs in Ireland and the potential triggers. The participants in this study represent a cross-section of older adults who participated in the Technology Research for Independent Living Clinic (TRIL). Data were collected from participants through interviewer case notes at the TRIL centre in St James's hospital, Dublin. 624 participants (431 females; 193 males) ranging in age from 60-92 years (Mean 73 years, SD 7 years) took part in the study. All were community dwelling and provided consent. A thematic analysis from grounded theory was used to evaluate the case notes for each participant. Preliminary results highlight the richness of phenomenological experience to enhance our understanding of loneliness and provide an opportunity to better understand the precursors and variability that loneliness may take. In this study we found themes in the case note analysis linking social loneliness with self-imposed limitations on social engagement due to declining health while predominate themes for emotionally lonely focused on psychological issues of stress and anxiety associated with adverse life events. The results suggest the importance of case notes to inform clinical practice. Qualitative results provided insights into differing live events of older Irish adults, which help distinguish the causal differences between social and emotional loneliness.

  18. Developing accreditation for community based surgery: the Irish experience.

    Science.gov (United States)

    Ní Riain, Ailís; Collins, Claire; O'Sullivan, Tony

    2018-02-05

    Purpose Carrying out minor surgery procedures in the primary care setting is popular with patients, cost effective and delivers at least as good outcomes as those performed in the hospital setting. This paper aims to describe the central role of clinical leadership in developing an accreditation system for general practitioners (GPs) undertaking community-based surgery in the Irish national setting where no mandatory accreditation process currently exists. Design/methodology/approach In all, 24 GPs were recruited to the GP network. Ten pilot standards were developed addressing GPs' experience and training, clinical activity and practice supporting infrastructure and tested, using information and document review, prospective collection of clinical data and a practice inspection visit. Two additional components were incorporated into the project (patient satisfaction survey and self-audit). A multi-modal evaluation was undertaken. A majority of GPs was included at all stages of the project, in line with the principles of action learning. The steering group had a majority of GPs with relevant expertise and representation of all other actors in the minor surgery arena. The GP research network contributed to each stage of the project. The project lead was a GP with minor surgery experience. Quantitative data collected were analysed using Predictive Analytic SoftWare. Krueger's framework analysis approach was used to analyse the qualitative data. Findings A total of 9 GPs achieved all standards at initial review, 14 successfully completed corrective actions and 1 GP did not achieve the required standard. Standards were then amended to reflect findings and a supporting framework was developed. Originality/value The flexibility of the action-learning approach and the clinical leadership design allowed for the development of robust quality standards in a short timeframe.

  19. Advocating Commodification: An Ethnographic Look at the Policing of Irish as a Commercial Asset

    Science.gov (United States)

    Brennan, Sara C.

    2018-01-01

    Based on ethnographic fieldwork in two towns in the Republic of Ireland, this article explores the local negotiation, endorsement, and contestation of two community-level Irish language advocacy organizations' attempts to regulate the use of Irish in business by mobilizing discourses of language commodification to position Irish as a commercial…

  20. Gaeilge Gaming: Assessing How Games Can Help Children to Learn Irish

    Science.gov (United States)

    Dalton, Gene; Devitt, Ann

    2016-01-01

    In the 2011 census almost one in three Irish teenagers claimed to be unable to speak Irish (Central Statistics Office, Ireland, 2012), despite the language being taught daily in school. The challenges facing the Irish language in schools are complex and multifaceted. The research reported here attempts to address some of these challenges by…

  1. 76 FR 4254 - Irish Potatoes Grown in Certain Designated Counties in Idaho, and Malheur County, Oregon...

    Science.gov (United States)

    2011-01-25

    ... Service 7 CFR Part 945 [Doc. No. AMS-FV-10-0109; FV11-945-1] Irish Potatoes Grown in Certain Designated... among eligible producers of Irish potatoes in certain designated counties in Idaho, and Malheur County... Irish potatoes grown in the production area. DATES: The referendum will be conducted from March 5 to...

  2. 76 FR 33967 - Irish Potatoes Grown in Southeastern States; Suspension of Marketing Order Provisions

    Science.gov (United States)

    2011-06-10

    ... IR] Irish Potatoes Grown in Southeastern States; Suspension of Marketing Order Provisions AGENCY... suspends the marketing order for Irish potatoes grown in Southeastern states (order), and the rules and regulations implemented thereunder, through March 1, 2014. The order regulates the handling of Irish potatoes...

  3. Database in Theory and Practice: The Bibliography of Irish Literary Criticism

    Science.gov (United States)

    Howell, Sonia

    2013-01-01

    Focusing on "The Bibliography of Irish Literary Criticism" (BILC, 2010), a bibliographical database of Irish literary criticism developed by humanities and information and communications technology (ICT) researchers in NUI Maynooth, this chapter investigates the opportunities and implications afforded the field of Irish literary studies…

  4. EJBEVol.1 No.1/2010 Page 134 The Conditionality of Irish aid ...

    African Journals Online (AJOL)

    User

    focus will be on the impact of Irish development assistance in Sudan. Irish aid administered by .... 'priority' countries and the relationships between Irish Aid and trade. ..... of excessive government spending, budget deficits and inflation, and overvalued ..... indemnified against any credit risk from overseas customers by the.

  5. The Role of Irish Language Teaching: Cultural Identity Formation or Language Revitalization?

    Science.gov (United States)

    Slatinská, Anna; Pecníková, Jana

    2017-01-01

    The focal point of the article is Irish language teaching in the Republic of Ireland. Firstly, we deal with the most significant documents where the status of the Irish language is being defined. In this respect, for the purposes of analysis, we have chosen the document titled "20 Year Strategy for the Irish language" which plays a…

  6. Exercise portrayal in children’s television programs: analysis of the UK and Irish programming

    Directory of Open Access Journals (Sweden)

    Scully P

    2016-09-01

    Full Text Available Paul Scully,1 Orlaith Reid,1 Alan P Macken,1–3 Mark Healy,4 Jean Saunders,4 Des Leddin,3,5 Walter Cullen,3 Colum P Dunne,3 Clodagh S O’Gorman1–3,5 1The Children’s Ark, University Hospital Limerick, Limerick, 2National Children’s Research Centre, Dublin, 3Centre for Interventions in Infection, Inflammation & Immunity (4i, Graduate Entry Medical School, 4C-Star, University of Limerick, Limerick, Ireland; 5Department of Medicine, Dalhousie University, Halifax, Canada Background: Television watching is obesogenic due to its sedentary nature and programming content, which influences children. Few studies have examined exercise placement within children-specific programming. This study aimed to investigate the frequency and type of exercise placement in children-specific television broadcasts and to compare placements on the UK and Irish television channels.Methods: Content analysis for five weekdays’ worth of children-specific television broadcasting totaling 82.5 hours on both the UK (British Broadcasting Corporation and Irish (Radió Teilifís Éireann television channels was performed. For the purposes of comparing the UK and Irish placements, analysis was restricted to programming broadcast between 6 am and 11.30 am. Exercise placements were coded based on type of activity, activity context, activity motivating factors and outcome, and characters involved.Results: A total of 780 cues were recorded during the total recording period. A wide variety of sports were depicted, but dancing-related cues were most commonly seen (n=163, 23.3%, with the majority of cues being of mild (n=365, 65.9% or moderate (n=172, 31.0% intensity. The majority of cues were associated with a positive outcome (n=404, 61.4%, and social motivations were most commonly seen (n=289, 30.3%. The Irish and the UK portrayals were broadly similar.Conclusion: This study highlights the wide variety of sports portrayed and the active effort undertaken by television

  7. Attitudes of Irish dental graduates to vocational training.

    LENUS (Irish Health Repository)

    McKenna, G

    2010-05-01

    Vocational training (VT) is a mandatory 12 month period for UK dental graduates after graduation. Graduates of Irish Dental Schools are eligible to enter the general dental service in Ireland or obtain an NHS performers list number in the UK immediately after qualification. Reports would suggest that some graduates of Irish Dental Schools are choosing to take part in VT in the UK and find the experience beneficial. This study aimed to record the uptake of VT amongst recent graduates from University College Cork and to document their experiences. It was designed to compare the attitudes and experiences of graduates of Irish Dental Schools who undertook VT compared with those who entered the general dental service.

  8. Radioactivity monitoring of the Irish marine environment 1998 and 1999

    International Nuclear Information System (INIS)

    Ryan, T.P.; Long, S.; Dowdall, A.; Hayden, E.; Smith, V.; Fegan, M.; Sequeira, S.; Pollard, D.; Cunningham, J.D.

    2000-09-01

    The safety of the food chain and the protection of the environment are prime concerns of the Irish public. This report presents the results of the marine radioactivity monitoring programme carried out by the Radiological Protection Institute of Ireland (RPII) during 1998 and 1999. The primary objective of the programme is to assess the exposure of the Irish population resulting from radioactive contamination of the Irish marine environment and to estimate the risks to health from this exposure. Discharged radioactive waste from the British Nuclear Fuels plc (BNFL) reprocessing plant at Sellafield continues to be the dominant source of this contamination. In particular, the remobilisation from sediments of historic discharges makes an important contribution to the levels of radioactivity in the seawater of the western Irish Sea. Approximately 300 samples of fish, shellfish, seaweed, seawater and sediment were collected in 1998 and again in 1999. Both the Marine Institute and the Department of the Marine and Natural Resources assisted the Institute with this sampling. The samples were analysed for a range of contaminating radionuclides at the Institute's radio-analytical laboratory. The results show that the radionuclide of greatest dosimetric significance continues to be caesium-137. The activity concentration of this radionuclide in the Irish marine environment has remained relatively stable since the mid 1990s but at a lower level than that observed during the previous two decades. Along the Irish coastline the highest activity concentrations observed are in the north-east. Since 1994 the commissioning and operation of new facilities at Sellafield have resulted in an increase in the discharges of technetium-99 to the Irish Sea. This has been reflected in an increase in the activity concentrations of this radionuclide at all east coast sampling sites between 1994 and 1999. However, the low radiotoxicity of technetium-99 means that it is generally of lesser

  9. Radioactivity monitoring of the Irish marine environment 1998 and 1999

    International Nuclear Information System (INIS)

    Ryan, T.; Long, S.; Dowdall, A.

    2000-09-01

    The safety of the food chain and the protection of the environment are prime concerns of the Irish public. This report presents the results of the marine radioactivity monitoring programme carried out by the Radiological Protection Institute of Ireland (RPII) during 1998 and 1999. The primary objective of the programme is to assess the exposure of the Irish population resulting from radioactive contamination of the Irish marine environment and to estimate the risks to health from this exposure. Discharged radioactive waste from the British Nuclear Fuels plc (BNFL) reprocessing plant at Sellafield continues to be the dominant source of this contamination. In particular, the remobilization from sediments of historic discharges makes an important contribution to the levels of radioactivity in the seawater of the western Irish Sea. Approximately 300 samples of fish, shellfish, seaweed, seawater and sediment were collected in 1998 and again in 1999. Both the Marine Institute and the Department of the Marine and Natural Resources assisted the Institute with this sampling. The samples were analysed for a range of contaminating radionuclides at the Institute's radio-analytical laboratory. The results show that the radionuclide of greatest dosimetric significance continues to be caesium-137. The activity concentration of this radionuclide in the Irish marine environment has remained relatively stable since the mid 1990s but at a lower level than that observed during the previous two decades. Along the Irish coastline the highest activity concentrations observed are in the north-east. Since 1994 the commissioning and operation of new facilities at Sellafield have resulted in an increase in the discharges of technetium-99 to the Irish Sea. This has been reflected in an increase in the activity concentrations of this radionuclide at all east coast sampling sites between 1994 and 1999. However, the low radiotoxicity of technetium-99 means that it is generally of lesser

  10. The Irish glaciated margin: processes and environments of deglaciation.

    Science.gov (United States)

    McCarron, Stephen; Monteys, Xavier; Scott, Gill

    2015-04-01

    High resolution bathymetric data for Donegal Bay and parts of the western Irish Continental Shelf have become available in recent years due to the Irish National Seabed Survey [INSS] (2000-2009). Relative to onshore glacigenic landform preservation and visibility on the shelf and on the floor of Donegal Bay is excellent. Here we describe some of the the data, paying particular attention to the area close to the north Mayo coastline. We discuss inferred connections between well exposed and age constrained glacial geology along the coastal fringe and the submarine evidence of deglcial processes and timing. It is argued that the sediment and landform assemblage within the Bay is derived from multiple, lobate extensions of the last British Irish Ice Sheet into the Donegal Bay topographic low from source areas to the southeast (north Mayo) and east/northeast (Sligo and Donegal/Fermanagh) during overall deglaciation (Termination 1).

  11. Ghost Stories, Ghost Estates: Melancholia in Irish Recession Literature

    Directory of Open Access Journals (Sweden)

    Molly Slavin

    2017-01-01

    Full Text Available This article considers representations of melancholia in post-Celtic Tiger Irish literature. By situating their post-recession fictions in “ghost estates,” or largely uninhabited housing developments, Donal Ryan and Tana French present neoliberally-inflected varieties of melancholia for their contemporary readers to contemplate. The settings of the ghost estates – and the accompanying supernatural elements to the texts – call to mind ghosts of Ireland’s past and legacies of recent economically unsound policies, spurring the reader to think about the imagined loss of futurity that accompanied the Irish economic crash. “Ghost stories for ghost estates,” then, represent an important contribution to the growing field of post-recession Irish literature.

  12. Reawakening the Irish language through the ırish education system: Challenges and priorities

    Directory of Open Access Journals (Sweden)

    T.J. Ó Ceallaigh

    2015-12-01

    Full Text Available As a language, Irish is unique to Ireland and is, therefore, of crucial importance to the identity of the Irish people, to Irish culture and to world heritage. The Irish language however has had a turbulent and traumatic history and has endured a complex and varied relationship with the Irish people. Since the foundation of the Irish Free State, the education system has been targeted as an agency and model for Irish language planning, education and language revitalisation and has had a critical role in generating linguistic ability in the Irish language. This paper reviews the complex and controversial relationship between the Irish language, the State and the education system from an historical perspective. Some key acts of recent legislation and government initiatives, which impact on the status of the Irish language are considered and barriers and challenges to progress in the education system are outlined. The paper concludes with a discussion on significant positive factors which may revolutionise and reawaken the Irish language through our education syste

  13. Developing a Model for Measuring Risk Exposure Status in IT Outsourcing Projects of Iran Health Sector (Survey Study about Tehran Hospitals and Health Centers

    Directory of Open Access Journals (Sweden)

    ali Heidari

    2013-07-01

    Full Text Available The presented research paper aims to introduce a model in order to identify risks and risk factors associated with outsourcing of information technology in conjunction with health systems, measuring the probability of happening each of them and the loss of each risk. The data used in this research has been gathered from the IT experts of the healthcare sector in Tehran through the questionnaire made by the author. Then the indexes of risk exposure has been classified and ordered in seven factors, using exploratory and confirmatory factor analysis. At the end, the probability and the associated loss of each factor have been measured

  14. Diagnosing the doctors' departure: survey on sources of dissatisfaction among Irish junior doctors.

    LENUS (Irish Health Repository)

    Bruce-Brand, R

    2012-01-01

    There has been a significant decline in the number of applications for non-consultant hospital doctor (NCHD) posts in Ireland over the last 18 months. We conducted an online, anonymous survey of Irish NCHDs to establish levels of satisfaction, sources of dissatisfaction and the major reasons for junior doctors seeking work abroad. 522 NCHDs took the survey, including 64 (12.3%) currently working outside of the Republic. 219 (45.8%) were slightly dissatisfied and 142 (29.7%) were extremely dissatisfied with practising medicine in Ireland. Major sources of dissatisfaction included the state of the health care system, staffing cover for leave and illness, the dearth of consultant posts and the need to move around Ireland. The most important reason for NCHDs wishing to leave was to seek better training and career opportunities abroad.

  15. A National Audit of Smoking Cessation Services in Irish Maternity Units

    LENUS (Irish Health Repository)

    2017-06-01

    There is international consensus that smoking cessation in the first half of pregnancy improves foetal outcomes. We surveyed all 19 maternity units nationally about their antenatal smoking cessation practices. All units recorded details on maternal smoking at the first antenatal visit. Only one unit validated the self-reported smoking status of pregnant women using a carbon monoxide breath test. Twelve units (63%) recorded timing of smoking cessation. In all units women who reported smoking were given verbal cessation advice. This was supported by written advice in 12 units (63%), but only six units (32%) had all midwives trained to provide this advice. Only five units (26%) reported routinely revisiting smoking status later in pregnancy. Although smoking is an important modifiable risk factor for adverse pregnancy outcomes, smoking cessation services are inadequate in the Irish maternity services and there are variations in practices between hospitals.

  16. The Irish contribution to the plastic surgery literature: 21 years of publications.

    Science.gov (United States)

    Rahmani, G; Joyce, C W; Jones, D M; Kelly, J L; Hussey, A J; Regan, P J

    2015-09-01

    The Republic of Ireland has always had an influence on medicine and has produced many renowned doctors who have helped shape its history. Furthermore, many clinical articles that have originated from Ireland have changed clinical practice throughout the world. The Irish have also had an impact on the plastic surgery literature yet it has never specifically been analyzed before. The purpose of this study was to identify and analyze all papers that have originated from the plastic surgery units in the Republic of Ireland in the medical literature over the past 21 years. Twenty-four well-known plastic surgery, hand surgery and burns journals were selected for this study. By utilizing Scopus, the largest abstract and citation database of peer-reviewed literature, we analyzed each of our chosen 24 journals looking for Irish publications. Each paper was examined for article type, authorship, year of publication, institution of origin and level of evidence. Papers from the Republic of Ireland were published in 20 of the 24 journals over the past 21 years. A total of 245 articles from Ireland were published in the plastic surgery, hand surgery and burns literature over the 21-year period. Of these, 111 were original articles and 73 were case reports. The institution that published the most papers over the past 21 years was University Hospital Galway (66 publications) followed by Cork University Hospital with 54 papers. The journal with the most Irish articles was the Journal of Plastic, Reconstructive and Aesthetic Surgery with 56 papers. 2014 was the year with the most publications (28 papers). Authorship numbers also increased over time as the average number of authors in 1994 was 3.5, whereas it was 5.54 in 2014. The number of publications per year continues to increase along with authorship numbers. This mirrors the trend in other specialties. Publications are now no longer required for selection on to a higher surgical training scheme. There is now a fear that the

  17. The Intergenerational Transmission of Parenting Styles of Irish Immigrant Mothers

    Science.gov (United States)

    O'Brien, Helen G.

    2010-01-01

    The research on child developmental outcomes underscores the importance of exploring parenting styles and identifying their multifactorial and intergenerational influences. This descriptive study examined the individual parenting styles of a sample of 82 Irish immigrant mothers and investigated the factors that influenced their individual…

  18. The Efficacy of Entrepreneurship Education: Perspectives of Irish Graduate Entrepreneurs

    Science.gov (United States)

    Fenton, Mary; Barry, Almar

    2011-01-01

    This paper presents an analysis of the views of Irish graduate entrepreneurs on the efficacy of entrepreneurship education in fostering their development as entrepreneurs. It answers three key questions: (a) what was the graduate entrepreneurs' experience of undergraduate entrepreneurship education; (b) what was the graduate entrepreneurs'…

  19. Obesity and disability in the symptomatic Irish knee osteoarthritis population.

    LENUS (Irish Health Repository)

    Ambrose, N L

    2010-06-01

    Osteoarthritis (OA) of the knee is a common disorder with significant social and financial implications. Obesity is the strongest modifiable risk factor of knee OA. There is little data on obesity in Irish knee OA populations and its relationship to other measures of disease severity.

  20. New Uses of Traditional Healing in Contemporary Irish Literature

    Directory of Open Access Journals (Sweden)

    Patricia A. Lynch

    2013-03-01

    Full Text Available This is a comparative study in two ways.  After a summary of the historical and cultural research into traditional healing which is relevant to this article, then some comments about the general usage of such themes in contemporary Irish literature, the article moves on to examine the role and function of traditional healing as a motif in four specific literary texts.  These are: two Irish plays, Brian Friel’s Faith Healer, and Jim Nolan’s Blackwater Angel, and two pieces of Irish fiction, P.J. Curtis’ novel The Lightning Tree and Claire Keegan’s short story “The Night of the Quicken Trees”.  Strong similarities are found on many fronts between the texts, especially in the acceptance of healing and the mystery associated with it.  However, differences also occur, depending on the artistic choices of the authors, the gender and community emphasis used, and the relative importance of healing in the context of the work.  Women healers seem to be more rooted and less tragic than their male counterparts, but all healers are seen paradoxically as both an asset and a potential threat to society. When these texts are compared with research into historical and cultural aspects of Irish folk medicine, they clearly draw on tradition for their plot elements, but only in the fiction and plays can the full dramatic potential of these life and death situations be explored.

  1. Radioactivity monitoring of the Irish marine environment 1996 and 1997

    International Nuclear Information System (INIS)

    Long, S.; Pollard, D.; Hayden, E.; Smith, V.; Fegan, M.; Ryan, T.P.; Dowdall, A.; Cunningham, J.D.

    1998-07-01

    This report presents the results of the marine radioactivity monitoring programme carried out be the Radiological Protection Institute of Ireland (RPII) during 1996 and 1997. The primary objective of the programme is to assess the exposure to the Irish population resulting from radioactive contamination of the Irish marine environment and to estimate the risks to health from this exposure. Discharges from the British Nuclear Fuels (BNFL) reprocessing plant at Sellafield continue to be the principal source of this contamination. Approximately 300 samples of fish, shellfish, seaweed, seawater and sediment were collected each year. The samples were analysed for a range of contaminating radionuclides at the Institute's radioanalytical laboratory. The results show that the radionuclide of greatest dosimetric significance continues to be caesium-137. Since 1994 the commissioning and operation of new facilities at Sellafield have resulted in an increase in the discharges of technetium-99 to the Irish Sea. This has been reflected in an increase in the activity concentration of this radionuclide at all east coast sampling sites during the reporting period. The main pathway contributing to the exposure of the Irish public is the consumption of seafood. The committed effective dose to heavy consumers of seafood due to artificial radionuclides in 1996 was 1.6 μSv and in 1997 was 1.4 μSv. in 1996 was 1.6 μSv and in 1997 was 1.4 μSv

  2. Sequencing and analysis of an Irish human genome.

    LENUS (Irish Health Repository)

    Tong, Pin

    2010-01-01

    Recent studies generating complete human sequences from Asian, African and European subgroups have revealed population-specific variation and disease susceptibility loci. Here, choosing a DNA sample from a population of interest due to its relative geographical isolation and genetic impact on further populations, we extend the above studies through the generation of 11-fold coverage of the first Irish human genome sequence.

  3. Personal Development in Secondary Education: The Irish Transition Year

    Science.gov (United States)

    Clerkin, Aidan

    2012-01-01

    Secondary education in Ireland includes an optional Transition Year (TY) between the junior and senior examination cycles, when students are typically about 15 years old. Transition Year is an innovative programme, unique to Irish education, which is intended as a non-academic year devoted to personal and social development in the absence of…

  4. 78 FR 14431 - Irish-American Heritage Month, 2013

    Science.gov (United States)

    2013-03-06

    ... to pursue their dreams. Millions among them were born in Ireland, separated from our shores but... principle, may America and Ireland always continue to move forward together in common purpose. NOW... me by the Constitution and the laws of the United States, do hereby proclaim March 2013 as Irish...

  5. The Changing Identities of History Teachers in an Irish School

    Science.gov (United States)

    O'Boyle, Ailish

    2004-01-01

    This article explores how the nature of history as a subject has shaped the subcultural identities of the eight teachers in the History Department of an Irish post-primary school. Using a biographical, cultural and micropolitical framework popular within symbolic interactionism, this case study is based on data gathered over three years from…

  6. Aerobic Mesophilic Bacteria Associated With Irish Potato ( Solanum ...

    African Journals Online (AJOL)

    A total of 15 samples of spoilt Irish potatoes (Solanum tuberosum L.) were collected from five grocery shops in Ile-Ife, Osun State, Nigeria and were analysed for aerobic mesophilic bacterial load. The isolated aerobic mesophilic bacteria were phenotypically characterized by biochemical tests and their susceptibility to ...

  7. Introducing Farouk's Process Consultation Group Approach in Irish Primary Schools

    Science.gov (United States)

    Hayes, Marie; Stringer, Phil

    2016-01-01

    Research has shown that teacher consultation groups increase teachers' behaviour management skills through discussion and collaborative problem-solving. Unlike the United Kingdom, at the time of this research consultation groups were not widely used in Irish schools. This research introduced Farouk's process consultation approach in three Irish…

  8. The core faecal bacterial microbiome of Irish Thoroughbred racehorses.

    Science.gov (United States)

    O' Donnell, M M; Harris, H M B; Jeffery, I B; Claesson, M J; Younge, B; O' Toole, P W; Ross, R P

    2013-12-01

    In this study, we characterized the gut microbiota in six healthy Irish thoroughbred racehorses and showed it to be dominated by the phyla Firmicutes, Bacteroidetes, Proteobacteria, Verrucomicrobia, Actinobacteria, Euryarchaeota, Fibrobacteres and Spirochaetes. Moreover, all the horses harboured Clostridium, Fibrobacter, Faecalibacterium, Ruminococcus, Eubacterium, Oscillospira, Blautia Anaerotruncus, Coprococcus, Treponema and Lactobacillus spp. Notwithstanding the sample size, it was noteworthy that the core microbiota species assignments identified Fibrobacter succinogenes, Eubacterium coprostanoligenes, Eubacterium hallii, Eubacterium ruminantium, Oscillospira guillermondii, Sporobacter termiditis, Lactobacillus equicursoris, Treponema parvum and Treponema porcinum in all the horses. This is the first study of the faecal microbiota in the Irish thoroughbred racehorse, a significant competitor in the global bloodstock industry. The information gathered in this pilot study provides a foundation for veterinarians and other equine health-associated professionals to begin to analyse the microbiome of performance of racehorses. This study and subsequent work may lead to alternate dietary approaches aimed at minimizing the risk of microbiota-related dysbiosis in these performance animals. Although Irish thoroughbreds are used nationally and internationally as performance animals, very little is known about the core faecal microbiota of these animals. This is the first study to characterize the bacterial microbiota present in the Irish thoroughbred racehorse faeces and elucidate a core microbiome irrespective of diet, animal management and geographical location. © 2013 The Society for Applied Microbiology.

  9. Accumulation of technetium-99 in the Irish Sea?

    International Nuclear Information System (INIS)

    Leonard, Kinson S.; McCubbin, David; Bonfield, Rachel; McDonald, Paul; Service, Matthew; Conney, Stuart

    2004-01-01

    An assessment has been carried out to determine the impact of continued 99 Tc discharges into the Irish Sea from the nuclear fuels reprocessing plant at Sellafield. Samples of surface and bottom seawater and sediment have been collected from the Irish Sea and analysed for 99 Tc. The information has been used, together with supporting data, to determine the effect of summer stratification upon the seawater concentrations and to evaluate whether sediments provide a sink for 99 Tc. Hydrographic data provide clear evidence of thermal stratification of waters above the muddy sediment in the western Irish Sea. Surface water contained higher 99 Tc concentrations than bottom water, and concentrations were inversely related to water salinity. This inverse relationship was not observed in the eastern Irish Sea close to Sellafield. 99 Tc activities in surficial sediments were greatest (>20 Bq/kg) at sites closest to the Cumbrian coastline. Activity, from equivalent sampling sites, remained similar between surveys carried out in 1995 and 1998. The muted response of the seabed sediments, to fluctuations in the Sellafield discharges, compared with the water column is to be expected given that they reflect the integrated radionuclide discharge history

  10. Industrial sector

    International Nuclear Information System (INIS)

    Ainul Hayati Daud; Hazmimi Kasim

    2010-01-01

    The industrial sector is categorized as related to among others, the provision of technical and engineering services, supply of products, testing and troubleshooting of parts, systems and industrial plants, quality control and assurance as well as manufacturing and processing. A total of 161 entities comprising 47 public agencies and 114 private companies were selected for the study in this sector. The majority of the public agencies, 87 %, operate in Peninsular Malaysia. The remainders were located in Sabah and Sarawak. The findings of the study on both public agencies and private companies are presented in subsequent sections of this chapter. (author)

  11. Agricultural sector

    International Nuclear Information System (INIS)

    Ainul Hayati Daud; Hazmimi Kasim

    2010-01-01

    The applications of nuclear technology in agriculture sector cover the use of the technology at every aspects of agricultural activity, starting from the seed to harvesting as well as the management of plantations itself. In this sector, a total of 55 entities comprising 17 public agencies and 38 private companies were selected for the study. Almost all, 91 % of them are located in Peninsular Malaysia; the rest operates in Sabah and Sarawak. The findings of the study in the public agencies and private companies are presented in the next sections. (author)

  12. My Goodness, My Heritage! Constructing Good Heritage in the Irish Economic Crisis

    Directory of Open Access Journals (Sweden)

    Maja Lagerqvist

    2015-06-01

    Full Text Available In 2008, the Republic of Ireland entered a severe financial crisis partly as a part of the global economic crisis. Since then, it has seen large raises in income taxes and cuts in state spending on health, welfare, education and on heritage, which has suffered relatively large cuts. This implies a need for rethinking choices and prioritisations to cope with the changing circumstances. Across Europe, the effects of the crisis on heritage, or the whole cultural sector, have yet mostly been highlighted in general or supposed terms rather than empirically analysed. But what actually happens to how heritage is conceptualised in times of crisis? Inspired by Critical Discourse Analysis, this paper explores representation of and argumentation for heritage in Irish state heritage policies pre and post the recession 2008. Much concerns regarding heritage management are discursively shaped. Policies, stating the authorised viewpoint, are thus key in the construction of heritage and its values in society. Recently, research has highlighted a shift towards more instrumentality in cultural policy due to wider societal changes. A crisis could influence such development. The analysis departs from an often-stated notion of heritage as a part of the Irish national recovery, but what does that imply? Focus is therefore put on how different representations of heritage and its values are present, argued for and compete in a situation with increasing competition regarding relevance and support. The paper shows how heritage matters are refocused, streamlined and packaged as productive, good-for-all, unproblematic and decomplexified in order to be perceived and valued as part of the national recovery. This includes privileging certain instrumental values, foremost economic, by means of specificity, space and quantification, while heritage's contribution to social life, education or health, although often mentioned, are downplayed by being expressed in much more vague

  13. Staying Fit for Farming-A Health Booklet Designed for Irish Farmers.

    Science.gov (United States)

    Richardson, Noel; Osborne, Aoife; O'Neill, Biddy; Griffin, Pat; McNamara, John; Roche, Ciaran; van Doorn, Diana

    2015-01-01

    The objectives of this study were to design a health booklet specifically targeted to farmers with clear and understandable messages through the use of simple terminologies, pictures, agricultural references, and farmer-related case studies; and to maximize the profile and reach of the booklet to empower farmers to take increased control of their own health. Seven focus groups were carried out with farmers and professionals from the agricultural sector to explore the health needs of farmers and their attitudes and behaviors in relation to their health. Findings from these focus groups informed the content and design of the booklet "Staying Fit for Farming-A Health Booklet for Farmers." This booklet was launched on 25 September 2013 and received widespread publicity in both print and broadcast media. A high-quality print resolution of the booklet was made available nationally (approximately 70,500 print circulation sales) through the Irish Farmers Journal on 25 January 2014. The journal included a feature on the booklet, encouraging farmers to see the booklet as an important resource for their health and as a long-term source of health information. The booklet has been adopted by the Irish Heart Foundation as a resource for its "Farmers Have Hearts-Heart Health Checks" program. The booklet has helped push farmers' health into the forefront identifying health as a key driver of "staying fit for farming." The approach taken to consult with farmers and farm organizations helped ensure maximum buy-in from the target group to hopefully motivate farmers to take increased responsibility for their own health.

  14. Satellite derived bathymetry: mapping the Irish coastline

    Science.gov (United States)

    Monteys, X.; Cahalane, C.; Harris, P.; Hanafin, J.

    2017-12-01

    Ireland has a varied coastline in excess of 3000 km in length largely characterized by extended shallow environments. The coastal shallow water zone can be a challenging and costly environment in which to acquire bathymetry and other oceanographic data using traditional survey methods or airborne LiDAR techniques as demonstrated in the Irish INFOMAR program. Thus, large coastal areas in Ireland, and much of the coastal zone worldwide remain unmapped using modern techniques and is poorly understood. Earth Observations (EO) missions are currently being used to derive timely, cost effective, and quality controlled information for mapping and monitoring coastal environments. Different wavelengths of the solar light penetrate the water column to different depths and are routinely sensed by EO satellites. A large selection of multispectral imagery (MS) from many platforms were examined, as well as from small aircrafts and drones. A number of bays representing very different coastal environments were explored in turn. The project's workflow is created by building a catalogue of satellite and field bathymetric data to assess the suitability of imagery captured at a range of spatial, spectral and temporal resolutions. Turbidity indices are derived from the multispectral information. Finally, a number of spatial regression models using water-leaving radiance parameters and field calibration data are examined. Our assessment reveals that spatial regression algorithms have the potential to significantly improve the accuracy of the predictions up to 10m WD and offer a better handle on the error and uncertainty budget. The four spatial models investigated show better adjustments than the basic non-spatial model. Accuracy of the predictions is better than 10% WD at 95% confidence. Future work will focus on improving the accuracy of the predictions incorporating an analytical model in conjunction with improved empirical methods. The recently launched ESA Sentinel 2 will become the

  15. Cultural Scripts and the Speech Act of Opinions in Irish English: A Study amongst Irish and Polish University Students

    Directory of Open Access Journals (Sweden)

    Weronika Gąsior

    2015-06-01

    Full Text Available Studies in pragmatics have been limited to a handful of illocutionary acts such as requests, apologies or compliments, and opinions remain underrepresented in the existing literature. In this paper I present the results of a study of opinions in Irish English, conducted in an intercultural environment of Irish-Polish interactions. Departing from a traditional approach of speech act realisation studies, I applied the theory of cultural scripts to analyse opinions. In contrasting the Irish and Polish formulas for expressing opinions, as well as sociopragmatic attitudes towards this speech act, a difference in the cultural scripts for opinions in each culture was observable. Apart from already documented Polish frankness in opinions, the study discovered also a rational approach to presenting good arguments to support one’s assertions among the participants. In relation to the Irish script for opinions, the findings are in line with previous classifications of opinions in Australian English, showing a certain level of variational uniformity amongst the English-speaking cultures in this regard.

  16. Adspots and Green Eyes: 'National' Identity in Irish TV Commercials and Other 'Marginal' Areas of Irish Television.

    Science.gov (United States)

    McBride, Stephanie

    This paper discusses the relationship between national identity and the so-called "marginal" areas of Irish television, i.e., advertisements, continuity announcements, and promotional trailers. The following issues are considered: (1) how these "spaces" between television programs compare in terms of use and influence to…

  17. How do food bloggers and PR practitioners in the hospitality sector view their relationships? A UK perspective / ¿Cómo ven su relación los bloggers de alimentos y los profesionales de relaciones públicas en el sector de la hostelería? Desde Reino Unido

    Directory of Open Access Journals (Sweden)

    Liz Yeomans

    2014-10-01

    Full Text Available Bloggers are increasingly viewed by public relations practitioners as important influencers within the online media environment, yet research that explores relationships between bloggers and PR practitioners, particularly in the UK, is relatively limited. This paper reports on findings from a small-scale, in depth qualitative study of food blogger-practitioner relationships within the hospitality sector in the UK. The study explored why bloggers write about their restaurant experiences and how they view their relationships with PR professionals; while PR practitioners were questioned about their relationships with bloggers and the influence bloggers are having on PR clients’ reputations. In keeping with previous research, this study found that the practitioner-blogger relationship is complex. The PR practitioners interviewed within the hospitality sector viewed restaurant review bloggers as highly influential to their clients’ reputations and view the relationship as one that is built on mutual interests and trust. However, bloggers do not perceive the relationship in this light and are sceptical of PR practitioners’ motives. While bloggers had different motivations for blogging, they shared a common passion for blogging and a drive to provide reliable information and objective advice to their readers. Concerns within the blogging community were highlighted in regard to accepting incentives (free meals from PR practitioners, and how this can be damaging to bloggers’ reputations. While some bloggers claim to resist PR practitioners’ attempts to influence their blog content, other bloggers take an active role in building relationships with PR practitioners. It is argued that both parties are engaged in ‘identity work’ in order to protect their respective identities and practices and that emotion management plays a part in the practitioner-blogger relationship.

  18. Radioactivity Monitoring of the Irish Environment 2010-2011

    International Nuclear Information System (INIS)

    McGinnity, P.; Currivan, L.; Dowdall, A.; Hanley, O.; Kelleher, K.; McKittrick, L.; Pollard, D.; Somerville, S.; Wong, J.; McMahon, C.

    2012-11-01

    This report presents the results of the environmental radioactivity monitoring programme carried out by the Radiological Protection Institute of Ireland RPII during 2010 and 2011. The RPII has routinely monitored levels of radioactivity in the Irish environment since 1982 and this is the latest in the RPII's series of environmental monitoring reports. The RPII reviews and updates its environmental programme annually to ensure it remains relevant and continues to focus on the most important sources of radioactivity in the environment. The data presented in this report confirm that while the levels of artificial radioactivity in the Irish environment are detectable, they are low. They do not pose a significant risk to the human health of the Irish population. Trace amounts of radioactive isotopes consistent with the Fukushima nuclear accident were detected in air, rainwater and milk samples during the period March to May 2011. These increases in levels of radioactivity were not of concern from a public health point of view. For the remainder of the reporting period, activity concentrations of radionuclides in airborne particles were low and consistent with measurements made in recent years. Radioactivity levels in milk, mixed diet and a wide range of foodstuffs were low and, for the majority of samples, below the detection limits. All drinking waters tested were found to be in compliance with the total indicative dose defined in national and EU legislation. The doses incurred by the Irish public in 2010 and 2011 as a result of artificial radioactivity in the marine environment are small when compared to dose limits or to natural radiation doses received by the Irish public. The doses to the most exposed individuals, members of the oyster and mussel farmers critical group, were approximately 0.02 per cent and 0.05 per cent of the annual dose limit of 1000 microsieverts for members of the public from practices involving controllable sources of radiation in 2010 and

  19. Energy sector

    International Nuclear Information System (INIS)

    1995-01-01

    Within the framework of assessing the state of the environment in Lebanon, this chapter describes primary energy demand, the electricity generating sector and environmental impacts arising from the energy sector.Apart from hydropower and traditional energy sources, which together represent 1.7% of energy consumption, all energy in Lebanon derives from imported petroleum products and some coal.Tables present the imports of different petroleum products (Gasoil, Kerosene, fuel oil, coal etc...), their use, the energy balance and demand.Energy pricing and pricing policies, formal and informal electricity generations in Lebanon are described emphasized by tables. The main environmental impacts are briefly summarized. Thermal power stations give rise to emissions of Sulphur dioxide (SO 2 ), particulates, oxides of nitrogen (NO x ) and CO/CO 2 from combustion of primary fuel informally generated power from both industry and domestic consumption produce particulate materials and emissions of NO x and SO 2 projected emissions of SO 2 from the power sector with the present generating capacity and with the new combined cycle power plants in operation are shown. Other environmental impacts are described. Recommendations for supply and environment policy are presented

  20. Real exchange-rates, co-integration and purchasing power parity - Irish experience in the EMS

    OpenAIRE

    Thom, R

    1989-01-01

    Dickey-Fuller and Co-Integration techniques are used to test the hypothesis that co-movements in Irish nominal exchange rates and relative prices are consistent with the implications of Purchasing Power Parity. The data reject PPP between Ireland and the US. Results from Irish/UK and Irish/German data are less decisive against the possibility that linear combinations of the nominal exchange rate and corresponding relative prices are stationary series.

  1. A European late starter: lessons from the history of reform in Irish health care.

    Science.gov (United States)

    Wren, Maev-Ann; Connolly, Sheelah

    2017-12-26

    The Irish health care system is unusual within Europe in not providing universal, equitable access to either primary or acute hospital care. The majority of the population pays out-of-pocket fees to access primary health care. Due to long waits for public hospital care, many purchase private health insurance, which facilitates faster access to public and private hospital services. The system has been the subject of much criticism and repeated reform attempts. Proposals in 2011 to develop a universal health care system, funded by Universal Health Insurance, were abandoned in 2015 largely due to cost concerns. Despite this experience, there remains strong political support for developing a universal health care system. By applying an historical institutionalist approach, the paper develops an understanding of why Ireland has been a European outlier. The aim of the paper is to identify and discuss issues that may arise in introducing a universal healthcare system to Ireland informed by an understanding of previous unsuccessful reform proposals. Challenges in system design faced by a late-starter country like Ireland, including overcoming stakeholder resistance, achieving clarity in the definition of universality and avoiding barriers to access, may be shared by countries whose universal systems have been compromised in the period of austerity.

  2. Making the Case for Irish through English: Eco-critical Politics of Language by Learners

    Directory of Open Access Journals (Sweden)

    John L. Murphy

    2010-03-01

    Full Text Available This paper examines recent accounts by Americans who have learned Irish. Their narratives from the West of Ireland express what translation theorist Michael Cronin calls ‘individualist politics of language’. He claims that the English-speaking majority will determine the survival of 21st century Irish.  Cronin shifts Irish into a globalized, ‘late modern’ network. Foreign-born learners enter this network when they choose to study Irish. They counter the stereotype of Irish schoolchildren forced into rote recitation of a moribund language.  Patricia Monaghan combines goddess-worship with academic research into indigenous spirituality, place-name lore, literature, and the Irish environmental inheritance. Her travelogue and reports by five other American visitors to Gaeltachtaí are compared with John Montague and Éilís Ní Dhuibhne’s literary depictions of 20th-century Irish-born school-level learners.Feminist, post-colonial, and literary criticisms enrich understanding of how American students apply ecological and cultural strategies that seek to recover this indigenous language. Choosing to make the case for Irish, adult students share Cronin’s ‘individualist politics’. In English-language books, American advocates preserve and expand a linguistic ecology in which Irish may survive.

  3. An exploration of current leg ulcer management practices in an Irish community setting.

    Science.gov (United States)

    Clarke-Moloney, M; Keane, N; Kavanagh, E

    2006-10-01

    To establish the prevalence of leg ulceration in the Irish Health Service Executive (HSE) mid-western region and to determine the level of assessment and treatment patients have been receiving in the local community. Before the introduction of a Doppler training programme, all public health and community health nurses working in the Irish HSE mid-western area were requested to complete an audit form on each patient being treated for leg ulceration during a predefined one-week period. This form recorded details on patient demographics, ulcer aetiology, assessment and treatment. Out of 97 nurses, 96 responded to this audit, giving a response rate of 98.9%. A total of 429 patients with 449 leg ulcers were identified. Mean age was 75.5 years (standard deviation 10.7). Overall prevalence was 0.12%, which increased to 1.2% in those aged 70 years and over. Women were almost twice as likely as men to be affected (ratio of 1.8:1). The main causes of ulceration were reported as venous incompetence accounting for 63.3% (284/449) and arterial insufficiency accounting for 8% (36/449) of all ulcers. Only 59.9% (269/449) of all ulcerated limbs had ABPI measurements performed. Of those reported as venous in origin, 71.8% (204/284) had ABPI measurements recorded. Evidence-based care was generally apparent in this group, with 47.5% (97/204) receiving high compression and 18.1% (37/204) receiving reduced compression. However, in venous leg ulcers where ABPIs were not recorded (n=80) care appeared haphazard and inappropriate. Our study has identified the benefit of ABPI Doppler assessment.This assessment could be done in local health centres by trained nurses who could provide more appropriate and timely care to patients, thereby improving outcomes and relieving pressure on acute hospital clinics.

  4. Helicobacter pylori resistance rates for levofloxacin, tetracycline and rifabutin among Irish isolates at a reference centre.

    LENUS (Irish Health Repository)

    O'Connor, A

    2013-04-27

    INTRODUCTION: Helicobacter pylori eradication rates using conventional triple therapies are falling, making viable second-line and rescue regimens necessary. Levofloxacin, tetracycline and rifabutin are three efficacious antibiotics for rescue therapy. AIM: We aimed to assess the resistance rates for H. pylori against these antibiotics in an Irish cohort. METHODS: Gastric biopsies were collected from 85 patients infected with H. pylori (mean age 46 years) in the Adelaide and Meath Hospital, Dublin in 2008 and 2009. Susceptibility to antibiotics was tested using the Etest. Clinical information was obtained from endoscopy reports and chart review. RESULTS: 50.6 % of patients were females. Mean age was 47 years. Ten had prior attempts at eradication therapy with amoxicillin-clarithromycin-PPI, two had levofloxacin-based second-line therapy. 11.7 % [95 % CI (6.5-20.3 %)] (N = 10) had strains resistant to levofloxacin. There were no strains resistant to rifabutin or tetracycline. Levofloxacin resistance in the under 45 age group was 2.6 % (1\\/38) compared to 19.1 % (9\\/47) of above 45 age group (p = 0.02). DISCUSSION: The levofloxacin rates illustrated in this study are relatively low by European standards and in line with other studies from the United Kingdom and Germany, with younger patients having very low levels of resistance. Levofloxacin, tetracycline and rifabutin are all valid options for H. pylori eradication in Irish patients but the importance of compliance cannot be underestimated.

  5. Head-dependent asymmetries in Munster Irish prosody

    Directory of Open Access Journals (Sweden)

    Pavel Iosad

    2013-02-01

    Full Text Available In this paper I propose an analysis of stress in Munster Irish which builds on two important premises. First, I argue for a distinction between the notion ‘head of a constituent’ and the notion of ‘stress’: these are separate entities, and the typologically frequent isomorphic distribution of the two is just one possible outcome of the phonological computation. Second, I propose to employ a particular family of constraints requiring head-dependent asymmetries (Dresher and van der Hulst 1998 to account for the mismatch between the placement of foot heads and stress in Munster Irish. Overall, the paper is an argument for elaborate abstract structure as an explanatory factor in phonology, as opposed to relatively shallow, substance-based representations.

  6. Clinical research ethics in Irish healthcare: diversity, dynamism and medicalization.

    LENUS (Irish Health Repository)

    Condell, Sarah L

    2012-11-01

    Gaining ethical clearance to conduct a study is an important aspect of all research involving humans but can be time-consuming and daunting for novice researchers. This article stems from a larger ethnographic study that examined research capacity building in Irish nursing and midwifery. Data were collected over a 28-month time frame from a purposive sample of 16 nurse or midwife research fellows who were funded to undertake full-time PhDs. Gaining ethical clearance for their studies was reported as an early \\'rite of passage\\' in the category of \\'labouring the doctorate\\'. This article penetrates the complexities in Irish clinical research ethics by describing the practices these nurse and midwife researchers encountered and the experiences they had. The key issue of representation that occurred in the context of \\'medicalized\\' research ethics is further explored including its meaning for nursing or midwifery research.

  7. Radioactivity monitoring of the Irish marine environment 1985-86

    International Nuclear Information System (INIS)

    Cunningham, J.D.; O'Grady, J.; Rush, T.

    1988-01-01

    This report presents the results of the monitoring programme for the two-year period from January 1985 to December 1986. Information on the radioactive contamination of the marine environment is obtained from the analysis of environmental samples taken at a number of locations along the coastline and various sampling stations in the western Irish Sea. These usually include samples of surface seawater, sediment, seaweed, fish and shellfish. Estimates are presented of the individual and collective doses received by the Irish public from the consumption of fish and shellfish during the period 1985-1986. These doses are assessed in terms of the system of dose limitation recommended by the International Commission on Radiological Protection and embodied in the Basic Safety Standards Directive of the European Community

  8. Equity in Irish health care financing: measurement issues.

    Science.gov (United States)

    Smith, Samantha

    2010-04-01

    This paper employs widely used analytic techniques for measuring equity in health care financing to update Irish results from previous analysis based on data from the late 1980s. Kakwani indices are calculated using household survey data from 1987/88 to 2004/05. Results indicate a marginally progressive financing system overall. However, interpretation of the results for the private sources of health financing is complicated. This problem is not unique to Ireland but it is argued that it may be relatively more important in the context of a complex health financing system, illustrated in this paper by the Irish system. Alternative options for improving the analysis of equity in health care financing are discussed.

  9. Radioactivity Monitoring of the Irish Environment 2003-2005

    International Nuclear Information System (INIS)

    Ryan, R.W.; Dowdall, A; Fegan, M.F.; Hayden, E.; Kelleher, K.; Long, S.; McEvoy, I.; McKittrick, L.; McMahon, C.A.; Murray, M.; Smith, K.; Sequeira, S.; Wong, J.; Pollard, D.

    2007-05-01

    This report presents the results of the environmental radioactivity monitoring programme carried out by the Radiological Protection Institute of Ireland (RPII) between 2003 and 2005. This programme aims to assess the exposure of the Irish population to anthropogenic radioactivity in the environment, to review the temporal and geographical distribution of contaminating radionuclides and to maintain systems and procedures which would allow a rapid assessment of environmental contamination to be made in the event of a radiological emergency. Radioactivity is present in the environment due to natural processes, the testing of nuclear weapons in the atmosphere, past nuclear accidents such as that at Chernobyl and the routine licensed discharge of radionuclides from nuclear installations. Liquid discharges from the British Nuclear Group reprocessing plant at Sellafield in Cumbria in the North-West of England continue to be the dominant source of anthropogenic radioactivity in the Irish marine environment. The key elements of the monitoring programme implemented by the RPII during the reporting period include; assessment of ambient radioactivity based on measurements of radioactivity in air and external gamma dose rate at permanent monitoring stations located throughout the country; assessment of levels of radioactivity in drinking water; assessment of levels of radioactivity in foodstuffs based on measurements of total diet, milk and miscellaneous ingredients; assessment of levels of radioactivity in the marine environment based on sampling and measurements of seawater, sediment, seaweed, fish and shellfish. The RPII monitored airborne radioactivity at eleven stations located throughout the country. One station is equipped with a high volume sampler, which allows global fallout concentrations to be measured, and one is equipped to detect the presence of the gas krypton-85. Krypton-85 is released into the environment primarily as a result of the reprocessing of nuclear

  10. Is the Health of Irish Workers adequately protected from the effects Radon Gas?

    International Nuclear Information System (INIS)

    Heery Mary

    2006-08-01

    Since the introduction of the workplace ban on smoking in March, 2004 radon is the most significant factor for lung cancer in the workplace in Ireland. Radon is a natural radioactive invisible gas which accounts for over 60% of the total radiation dose received in Ireland. It has been classified as a Group One carcinogen by the World Health Organisation and is the second most important risk factor for lung cancer worldwide, after tobacco smoking. Lung cancer is the most common type of cancer causing death in Ireland. The Radiological Protection Institute of Ireland estimate that there are approximately 200 deaths per year in Ireland linked to radon. The aim of this study was to determine if the health of Irish workers was being protected from the effects of radon gas. Indoor workplaces in Sligo and Ballina, two towns in High Radon Areas were surveyed, to assess awareness of, and compliance with the legislation governing radon in the workplace. The results show that of employers surveyed: at least 50% did not know that their workplace was located in a High Radon Areas, 43% were not aware of the legislation governing radon in the workplace, 48% had not identified radon as a hazard to health and safety, 64% had not included radon in the workplace Safety Statement and 58% had not carried out a measurement for radon. The results also show that: awareness and compliance was higher in Public Sector workplaces than in Private Sector workplaces, it was higher among larger employers with an international profile than among smaller local employers, employers knew where to go to for advice and guidance on carrying out radon surveys in the workplace, advice on radon was not readily available from State bodies like the Health and Safety Authority, Local Authorities and the Health Service Executive. In conclusion, more than half of all employers surveyed were failing to comply with legislation governing radon in the workplace, yet no employer in either town had ever been

  11. Eradicating BVD, reviewing Irish programme data and model predictions to support prospective decision making.

    Science.gov (United States)

    Thulke, H-H; Lange, M; Tratalos, J A; Clegg, T A; McGrath, G; O'Grady, L; O'Sullivan, P; Doherty, M L; Graham, D A; More, S J

    2018-02-01

    Bovine Viral Diarrhoea is an infectious production disease of major importance in many cattle sectors of the world. The infection is predominantly transmitted by animal contact. Postnatal infections are transient, leading to immunologically protected cattle. However, for a certain window of pregnancy, in utero infection of the foetus results in persistently infected (PI) calves being the major risk of BVD spread, but also an efficient target for controlling the infection. There are two acknowledged strategies to identify PI animals for removal: tissue tag testing (direct; also known as the Swiss model) and serological screening (indirect by interpreting the serological status of the herd; the Scandinavian model). Both strategies are effective in reducing PI prevalence and herd incidence. During the first four years of the Irish national BVD eradication programme (2013-16), it has been mandatory for all newborn calves to be tested using tissue tag testing. During this period, PI incidence has substantially declined. In recent times, there has been interest among stakeholders in a change to an indirect testing strategy, with potential benefit to the overall programme, particularly with respect to cost to farmers. Advice was sought on the usefulness of implementing the necessary changes. Here we review available data from the national eradication programme and strategy performance predictions from an expert system model to quantify expected benefits of the strategy change from strategic, budgetary and implementation points of view. Key findings from our work include (i) drawbacks associated with changes to programme implementation, in particular the loss of epidemiological information to allow real-time monitoring of eradication progress or to reliably predict time to eradication, (ii) the fact that only 25% of the herds in the Irish cattle sector (14% beef, 78% dairy herds) would benefit financially from a change to serosurveillance, with half of these participants

  12. Labour supply and commodity demands : an application to Irish data

    OpenAIRE

    Anthony Murphy; Rodney Thom

    1986-01-01

    Annual Irish data are used to estimate a model which allows for the joint determination of commodity demands and labour supply. Consumer preferences are modelled by a cost function of the Gorman polar form which permits exact linear aggregation over individuals with different money wage rates. Separability between goods and leisure is rejected by the data. Labour supply is found to be a positive function of the wage rate.

  13. Do Irish adolescents have adequate functional movement skill and confidence?

    OpenAIRE

    O'Brien, Wesley; Duncan, Michael J.; Farmer, Orlagh; Lester, Diarmuid

    2017-01-01

    Recent research has shown that post-primary Irish youth are insufficiently active and fail to reach a level of proficiency across basic fundamental movement skills. The purpose of the current research was to gather cross-sectional data on adolescent youth, differentiated by gender, specifically to inform the development of a targeted movement-oriented intervention. Data were collected on adolescents (N=219; mean age: 14.45 ± 0.96 years), within two, mixed gender schools. Data collection inclu...

  14. Independence and the Irish Environmental Protection Agency: A Comparative Assessment

    OpenAIRE

    Shipan, Charles

    2006-01-01

    The Environmental Protection Agency is one of the most prominent regulatory agencies in Ireland. Created in 1992, one of the hallmarks of this agency is its independence from other parts of government. Yet little is known about the actual extent of its independence. Independence and the Irish Environmental Protection Agency: A Comparative Assessment addresses several key questions about the agency's independence. Why was independence such a primary justification for the creation of this a...

  15. Uncovering the glacial history of the Irish continental shelf (Invited)

    Science.gov (United States)

    Dunlop, P.; Benetti, S.; OCofaigh, C.

    2013-12-01

    In 1999 the Irish Government initiated a €32 million survey of its territorial waters known as the Irish National Seabed Survey (INSS). The INSS is amongst the largest marine mapping programmes ever undertaken anywhere in the world and provides high-resolution multibeam, backscatter and seismic data of the seabed around Ireland. These data have been used to provide the first clear evidence for extensive glaciation of the continental shelf west and northwest of Ireland. Streamlined drumlins on the mid to outer shelf record former offshore-directed ice flow towards the shelf edge and show that the ice sheet was grounded in a zone of confluence where ice flowing onto the shelf from northwest Ireland merged with ice flowing across the Malin Shelf from southwest Scotland. The major glacial features on the shelf are well developed nested arcuate moraine systems that mark the position of the ice sheet margin and confirm that the former British Irish Ice Sheet was grounded as far as the shelf edge around 100 km offshore of west Donegal at the last glacial maximum. Distal to the moraines, on the outermost shelf, prominent zones of iceberg plough marks give way to the Barra/Donegal fan and a well developed system of gullies and canyons which incise the continental slope. Since 2008 several scientific cruises have retrieved cores from the shelf and slope to help build a more detailed understanding of glacial events in this region. This presentation will provide an overview of the glacial history of the Irish shelf and will discuss ongoing research programmes that are building on the initial research findings to produce a better understanding of the nature and timing of ice sheet events in this region.

  16. Irish Sea Marine Aggregate Initiative (IMAGIN) Technical Synthesis Report

    OpenAIRE

    Sutton, G.

    2008-01-01

    The Irish Sea Marine Aggregates Initiative (IMAGIN) is a collaborative project between Ireland and Wales focused on the sustainable management of marine aggregate resources. IMAGIN was a 2-year project with a total budget of €1.1 million. IMAGIN was part funded (66%) under the Ireland/Wales Inter Regional (INTERREG) IIIA Community Initiative Programme 2000-2006. The remaining project budget was met by contributions from partner organisations (19%) and aggregate companies – CEMEX, Lagan Ltd., ...

  17. Ireland's medical brain drain: migration intentions of Irish medical students.

    LENUS (Irish Health Repository)

    Gouda, Pishoy

    2015-12-01

    To provide the optimum level of healthcare, it is important that the supply of well-trained doctors meets the demand. However, despite many initiatives, Ireland continues to have a shortfall of physicians, which has been projected to persist. Our study aimed to investigate the migration intentions of Irish medical students and identify the factors that influence their decisions in order to design appropriate interventions to sustain the supply of trained doctors in order to maintain a viable medical system.

  18. Radioactivity monitoring of the Irish marine environment 2000 and 2001

    International Nuclear Information System (INIS)

    Ryan, T.P.; McMahon, C.A.; Dowdall, A.

    2003-04-01

    This report presents the results of the marine radioactivity monitoring programme carried out by the Radiological Protection Institute of Ireland (RPII) during 2000 and 2001. The primary objective of the programme is to assess the exposure of the Irish population resulting from radioactive contamination of the Irish marine environment and to estimate the risks to health from this exposure. Discharged radioactive waste from the British Nuclear Fuels plc (BNFL) reprocessing plant at Sellafield in Cumbria in the North West of England continues to be the dominant source of this contamination. In particular, the remobilisation from sediments of historic discharges makes an important contribution to the levels of radioactivity in the seawater of the western Irish Sea. Approximately 300 samples of fish, shellfish, seaweed, seawater and sediment were collected in 2000 and again in 2001. Both the Marine Institute and the Department of Communications, Marine and Natural Resources assisted the Institute with this sampling. The samples were analysed for a range of radionuclides at the Institute's radio-analytical laboratory. The results show that the artificial radionuclide of greatest dosimetric significance continues to be caesium-137. The activity concentration of this radionuclide in the Irish marine environment has remained relatively stable since the mid 1990s but at a lower level than that observed during the previous two decades. Along the Irish coastline the highest activity concentrations observed are in the north-east. Since 1994 the commissioning and operation of new facilities at Sellafield have resulted in an increase in the discharges of technetium-99 to the Irish Sea. This has been reflected in an increase in the activity concentrations of this radionuclide at all east coast sampling sites. However, the low radiotoxicity of technetium-99 means that it is generally of lesser radiological significance than caesium-137. The main pathway contributing to the

  19. Responses to the Holocaust in Modern Irish Poetry

    Directory of Open Access Journals (Sweden)

    Benjamin Keatinge

    2011-03-01

    Full Text Available This essay examines twentieth and twenty-first century responses by Irish poets to the Holocaust. It argues that, despite the illiberal tendencies of the Irish state towards Jewish immigration during and after the 1939-1945 war, recent commemorative activities in Ireland have included the Holocaust and are part of a wider commemorative ‘opening up’ in Ireland towards twentieth-century historical events. Important contemporary Irish poets have written Holocaust poems of notable merit including: Seamus Heaney, Harry Clifton, Derek Mahon, Pearse Hutchinson, Paul Durcan, Paul Muldoon, Thomas Kinsella and Tom Paulin, all of whom are discussed here. These poets are noted as second-generation Holocaust poets, more at home in the lyric form and less troubled by communicative dilemmas than their precursors such as Paul Celan and Samuel Beckett whose resemblance is briefly discussed. The essay concludes by arguing that Giorgio Agamben’s arguments about testimony after Auschwitz are strikingly pertinent to some of the poems under discussion. It also suggests that the historical essays of Hubert Butler may have acted as an unseen influence on some of these writers.

  20. Altered phosphorylation of rhodopsin in retinal dystrophic Irish Setters

    International Nuclear Information System (INIS)

    Cunnick, J.; Takemoto, D.J.; Takemoto, L.J.

    1986-01-01

    The carboxyl-terminus of rhodopsin in retinal dystrophic (rd) Irish Setters is altered near a possible phosphorylation site. To determine if this alteration affects ATP-mediated phosphorylation they compared the phosphorylation of rhodopsin from rd affected Irish Setters and normal unaffected dogs. Retinas from 8-week-old Irish Setters were phosphorylated with γ- 32 P-ATP and separated on SDS-PAGE. Compared to unaffected normal retinas, equalized for rhodopsin content, phosphorylation of rd rhodopsin was drastically reduced. When rd retinas were mixed with normal dog retinas, phosphorylation of the latter was inhibited. Inhibition also occurred when bovine retinas were mixed with rd retinas. The rd-mediated inhibition of phosphorylation was prevented by including 1mM NaF in the reaction mixture. Likewise, 1mM NaF restored phosphorylation of rd rhodopsin to normal levels. Phosphopeptide maps of rd and normal rhodopsin were identical and indicated 5 phosphopeptides present in each. Results suggest that one cause of the depressed rd rhodopsin phosphorylation is an increased phosphatase activity

  1. Student voice: An emerging discourse in Irish education policy

    Directory of Open Access Journals (Sweden)

    Domnall Fleming

    2015-09-01

    Full Text Available In positioning student voice within the Irish education policy discourse it is imperative that this emergent and complex concept is explored and theorized in the context of its definition and motivation. Student voice can then be positioned and critiqued as it emerged within Irish education policy primarily following Ireland’s ratification of the United Nations Charter on the Rights of the Child (UNCRC in 1992. Initially emerging in policy from a rights-based and democratic citizenship perspective, the student council became the principal construct for student voice in Irish post-primary schools. While central to the policy discourse, the student council construct has become tokenistic and redundant in practice. School evaluation policy, both external and internal, became a further catalyst for student voice in Ireland. Both processes further challenge and contest the motivation for student voice and point to the concept as an instrument for school improvement and performativity that lacks any centrality for a person-centered, rights-based, dialogic and consultative student voice within an inclusive classroom and school culture.

  2. Radioactivity monitoring of the Irish marine environment 1993 to 1995

    International Nuclear Information System (INIS)

    Pollard, D.; Long, S.; Hayden, E.; Smith, V.; Ryan, T.P.; Dowdall, A.; McGarry, A.; Cunningham, J.D.

    1996-10-01

    This report presents the results of the marine radioactivity monitoring programme carried out by the Radiological Protection Institute of Ireland during the period 1993 to 1995. The principal objective of this programme is to assess the exposure to the Irish population arising from radioactive contamination in the Irish marine environment and to estimate the risks to human health arising from such exposure. In addition, the programme aims to assess the distribution of the significant contaminating radionuclides in the marine environment and to identify tends with a view to assessing possible future effects. The results show that by 1995 the mean concentration of caesium-137 in fish landed at north-east ports had fallen to 1.6 Bq/kg, from a figure of 68 Bq/kg in 1979-82 and 3.0 Bq/kg in 1993. A similar decline is evident for seawater, sediment and seaweed. In addition, the Irish Sea data show the progressive dilution of artificial radioactivity with increasing distance from Sellafield

  3. Phase 1 implementation of nutrition screening in a Dublin acute teaching hospital

    LENUS (Irish Health Repository)

    2014-01-01

    Nutrition Screening Week results from 2010 and 2011 indicated that one in three to four patients admitted to Irish Hospitals are at risk of disease-related malnutrition, 74-75% of whom are at high risk1. Nutrition screening tools are used to screen for malnutrition risk. One such tool, the Malnutrition Universal Screening Tool (MUST)2 is a practical, easy to use tool that often takes ≤5 minutes to complete. MUST has been validated across care settings and across patient populations, and has been recommended for use in Irish Hospitals by the Department of Health and Children as part of standard care3. The National Institute for Health and Clinical Excellence in the UK has demonstrated significant financial savings associated with the use of routine nutrition screening, in part due to reduced length of hospital stay4. The Irish Society for Clinical Nutrition and Metabolism (IrSPEN) has also demonstrated this5

  4. Training Cubs for the Celtic Tiger: The Volume Production of Technical Graduates in the Irish Educational System

    Science.gov (United States)

    Wickham, James; Boucher, Gerard W.

    2004-01-01

    This article examines the claim that the Irish educational system was one cause of Ireland's rapid economic growth in the 1990s. For decades Irish economic policy has assumed that economic growth depended on foreign direct investment (FDI). During the 1990s, Irish exports largely comprised high-technology manufacturing products; foreign-owned…

  5. Sectoral assessments

    Energy Technology Data Exchange (ETDEWEB)

    Callaway, J M; Fenhann, J; Gorham, R; Makundi, W; Sathaye, J

    1999-09-01

    This publication contains five papers that were written as a part of the GEF project, The Economics of Greenhouse Gas Limitations. The main goal of the project was to assess the greenhouse gas reductions and incremental costs of mitigation option sin Ecuador, Argentina, Senegal, Mauritius, Vietnam, Indonesia, Estonia and Hungary. In addition, regional studies were conducted for the Andean Pact nations and Southern Africa to assess various aspects of regional co-operation in reducing greenhouse gas emissions. The GEF study also involved the development of a methodological framework for climate change assessment, with a special emphasis on developing countries. These guidelines have been published in a separate document, Economics of Greenhouse Gas Limitations: Methodological Guidelines. The papers in this publication focus on various methodological and policy aspects of greenhouse gas mitigation at the sectoral level, and are outgrowth of work performed on other parts of the GEF project. (au)

  6. Determinants of care outcomes for patients who die in hospital in Ireland: a retrospective study.

    LENUS (Irish Health Repository)

    McKeown, Kieran

    2015-04-18

    More people die in hospital than in any other setting which is why it is important to study the outcomes of hospital care at end of life. This study analyses what influenced outcomes in a sample of patients who died in hospital in Ireland in 2008\\/9. The study was undertaken as part of the Irish Hospice Foundation\\'s Hospice Friendly Hospitals Programme (2007-2012).

  7. Codeswitching in the Irish-Latin Leabhar Breac: Mediæval homiletic culture

    NARCIS (Netherlands)

    Horst, Th.J.E. ter

    2017-01-01

    An Leabhar Breac ('The Speckled Book'; c.1410) is a manuscript containing a collection of mostly religious material in both Latin and Irish, now housed in Dublin at the Royal Irish Academy. The present publication explores the make-up of the manuscript, focusing on the question which languages are

  8. Minority Language Advertising: A Profile of Two Irish-Language Newspapers

    Science.gov (United States)

    Kelly-Holmes, Helen; Atkinson, David

    2007-01-01

    This paper investigates the Irish-language adscape through an analysis of the profile of two Irish-language newspapers, "Foinse," published in the Republic of Ireland, and "La," published in Northern Ireland. The advertising in both papers is analysed in terms of products and services advertised, advertisers represented and…

  9. 3 CFR 8350 - Proclamation 8350 of March 2, 2009. Irish-American Heritage Month, 2009

    Science.gov (United States)

    2010-01-01

    ..., and pursue the American Dream. Many took on the difficult work of constructing America’s... 3 The President 1 2010-01-01 2010-01-01 false Proclamation 8350 of March 2, 2009. Irish-American... 2, 2009 Proc. 8350 Irish-American Heritage Month, 2009By the President of the United States of...

  10. Training and Developing Non-Irish Workers: The Perspectives of Interested Stakeholders

    Science.gov (United States)

    Prendergast, Mary

    2016-01-01

    Purpose: This paper aims to explore the challenges facing Irish organisations in the training and development of non-Irish workers. It analyses the importance of fluency in the host country's language and the approach taken by organisations in relation to language training. In-depth semi-structured interviews provide significant insights for the…

  11. "The Balancing Act"--Irish Part-Time Undergraduate Students in Higher Education

    Science.gov (United States)

    Darmody, Merike; Fleming, Bairbre

    2009-01-01

    While the numbers of part-time students has increased in higher education in Ireland, little is known about these students or about how they balance their study and other commitments. Drawing on a larger study on Irish students' experiences in higher education, this article attempts to address this gap in research and reports on Irish part-time…

  12. The Farm as an Educative Tool in the Development of Place Attachments among Irish Farm Youth

    Science.gov (United States)

    Cassidy, Anne

    2017-01-01

    This paper focuses on the educative role of the farm in the development of relationships between young people and the homeplace they grew up on. The paper is based on qualitative interviews with a cohort of 30 Irish university students (15 men and 15 women) brought up on Irish family farms who would not become full-time farmers. The farm acts as…

  13. Early Reading Strategies in Irish and English: Evidence from Error Types

    Science.gov (United States)

    Parsons, Christine E.; Lyddy, Fiona

    2009-01-01

    For the majority of people in Ireland, Irish is a second language acquired primarily through the schooling system. This study examined the reading strategies children used in response to English and Irish words (presented in isolation), through an analysis of their oral reading errors. Children in their 4th year of schooling attending…

  14. Yield gap analysis and resource footprints of Irish potato production systems in Zimbabwe

    NARCIS (Netherlands)

    Svubure, O.; Struik, P.C.; Haverkort, A.J.; Steyn, J.M.

    2015-01-01

    Irish potato is the third most important carbohydrate food crop in Zimbabwe after maize and wheat. In 2012, the Government of Zimbabwe declared it a strategic national food security crop. In this study, we examine the country's potential for increasing Irish potato yield and help ease the nation's

  15. What Stick Figures Tell Us about Irish Politics: Creating a Critical and Collaborative Learning Space

    Science.gov (United States)

    Feeney, Sharon; Hogan, John; Donnelly, Paul F.

    2015-01-01

    This paper focuses upon the interpretation of freehand drawings produced by a small sample of 220 first-year students taking an Irish politics introductory module in response to the question, "What is Irish Politics?" By sidestepping cognitive verbal-processing routes, through employing freehand drawing, we aim to create a critical and…

  16. Prevalence of and Attitudes about Concussion in Irish Schools' Rugby Union Players

    Science.gov (United States)

    Delahunty, Sinéad E.; Delahunt, Eamonn; Condon, Brian; Toomey, David; Blake, Catherine

    2015-01-01

    Background: Youth rugby players represent 45.2% (N?=?69,472) of the Irish rugby union playing population. The risk and consequences of concussion injury are of particular concern in these young athletes, but limited epidemiological data exists. This study investigated annual and lifetime prevalence of concussion in an Irish schoolboy rugby union…

  17. Is the Price Right?: Stereotypes, Co-Production Policy and Irish Television.

    Science.gov (United States)

    Gibbons, Luke

    The purpose of this paper is to examine how recent demand for greater realism in portrayals of Irish life in the television and film industries serves to authenticate existing stereotypes and romantic images which characterize "Irishness" in the popular imagination rather than refute or undermine them. Discussions of a political thriller…

  18. Engaging with Leadership Development in Irish Academic Libraries: Some Reflections of the Future Leaders Programme (FLP)

    Science.gov (United States)

    Fallon, Helen; Maxwell, Jane; McCaffrey, Ciara; McMahon, Seamus

    2011-01-01

    Four librarians from Irish university libraries completed the U.K. Future Leaders Programme (FLP) in 2010. In this article they recount their experience and assess the effect of the programme on their professional practice and the value for their institutions. The programme is explored in the context of the Irish higher education environment,…

  19. 78 FR 30737 - Irish Potatoes Grown in Colorado; Reestablishment of Membership on the Colorado Potato...

    Science.gov (United States)

    2013-05-23

    ... FR] Irish Potatoes Grown in Colorado; Reestablishment of Membership on the Colorado Potato...: This final rule reestablishes the membership on the Colorado Potato Administrative Committee, Area No... Irish potatoes grown in Colorado. This action modifies the Committee membership structure by amending...

  20. "The Next Level": Investigating Teaching and Learning within an Irish Traditional Music Online Community

    Science.gov (United States)

    Kenny, Ailbhe

    2013-01-01

    Online music communities offer a new context and culture for musical participation globally. This article, employing a socio-cultural theoretical lens, examines how the Online Academy of Irish Music (OAIM) functions as a teaching and learning online community for Irish traditional music. Findings from qualitative case study research present…

  1. Riscos de acidentes com materiais perfurocortantes no setor de urgência de um hospital público Risks of accidents with needlestick materials at the urgency sector of a public hospital

    Directory of Open Access Journals (Sweden)

    Francisca Francineide Andrade da Silva

    2016-10-01

    Full Text Available Objetivo: Conhecer os fatores de risco relacionados aos acidentes com material perfurocortante presente no trabalho dos técnicos de enfermagem do setor de atendimento de urgência de um hospital público. Método:Trata-se de um estudo descritivo, de abordagem qualitativa realizado com 14 profissionais. Os dados foram obtidos por meio de entrevistas semi-estruturadas, no período de julho a setembro de 2010 e analisados seguindo a análise temática categorial. Resultados: As categorias emergidas dos discursos dos entrevistados foram: situações de urgências e emergências, adesão aos Equipamentos de Proteção Individual, Descuido e armazenamento inadequado do material perfurocortante. Conclusão: Observou-se que as condições de trabalho no setor de urgência necessitam ser revistas, a fim de oferecer um ambiente adequado para minimizar os riscos ocupacionais durante o desenvolvimento dos procedimentos de enfermagem. Descritores: Saúde do trabalhador, riscos ocupacionais, fatores de risco.

  2. Current trends in Irish perinatal mortality.

    LENUS (Irish Health Repository)

    Mahony, R

    2010-06-01

    This was a retrospective review of normally formed perinatal deaths among 176,620 births at the National Maternity Hospital (1984-2007). Prelabor stillbirths were categorised by presumed cause of death including unexplained, intrauterine growth retardation (IUGR), placental abruption, red cell alloimmunisation (RCA) and deaths related to prematurity. Peripartum deaths included intrapartum and first week neonatal deaths. The post-mortem rate, initially almost 100%, fell to 60%. Data were analysed using the Mantel-Haenszel chi square test for trends. In the study period there was a significant reduction in the PNM, largely because of a fall in death related to prematurity, term peripartum death, death at 42 weeks or greater, placental abruption, death related to IUGR and RCA (P < 0.01). Overall the unexplained still birth rate was unchanged throughout the study period (p = 0.8) despite a highly significant (p < 0.001) increase in obstetric intervention particularly induction of labor and caesarean section.

  3. Radon in Irish schools: the results of a national survey

    International Nuclear Information System (INIS)

    Synnott, H; Hanley, O; Fenton, D; Colgan, P A

    2006-01-01

    This paper presents the results of a survey of radon concentrations in Irish primary and post-primary schools. The objective of this survey was to assess the distribution of radon in Irish schools and to identify those requiring remedial work to reduce radon exposure to children and staff. All primary and post-primary schools were invited to participate in the survey. Indoor radon concentrations were measured during the academic year using integrating passive alpha track-etch detectors with a measurement period from three to nine months. The survey was carried out on a phased basis from 1998 to 2004 and is one of the most comprehensive of its kind undertaken in Europe. Measurements were completed in 38 531 ground floor classrooms and offices in 3826 schools, representing over 95% of the approximate 4000 primary and post-primary schools in Ireland. Of these, 984 schools had radon concentrations greater than 200 Bq m -3 in 3028 rooms and 329 schools had radon concentrations in excess of 400 Bq m -3 in 800 rooms. The average radon concentration in schools was 93 Bq m -3 . This results in an annual average effective dose to an Irish child from exposure to radon of 0.3 mSv per year, assuming that the long-term radon concentration is equal to the radon concentration present during the working hours and that the annual average occupancy is 1000 h per year. A programme of remediation of schools with radon concentrations above 200 Bq m -3 has been put in place

  4. Glyphosate in Irish adults - A pilot study in 2017.

    Science.gov (United States)

    Connolly, Alison; Leahy, Michelle; Jones, Kate; Kenny, Laura; Coggins, Marie A

    2018-05-02

    Glyphosate is the highest volume herbicide used globally and has recently been classified as a 2 A 'probably carcinogenic to humans' by the International Agency for Research on Cancer (IARC). There is limited data to evaluate the public health impacts from glyphosate exposure. The objective of this study is to conduct an exploratory glyphosate exposure assessment study among Irish adults, who were non-occupational users of glyphosate. A convenient sampling method was used, collecting one first morning void spot urine sample from each participant. A biomonitoring survey involving the collection and analysis of 20 ml spot urine samples from 50 Irish adults was conducted in June 2017. Participants completed a short questionnaire to collect information on demographics, dietary habits and lifestyle. Glyphosate was extracted using solid phase extraction (SPE) and analysed by liquid chromatography tandem mass spectrometry (LC-MC/MS). Of the 50 urine samples analysed, 10 (20%) contained detectable levels of glyphosate (0.80-1.35 µg L -1 ). Exposure concentrations are higher than those reported in comparable studies of European and American adults. Glyphosate was detectable in 20% of the samples collected from Irish adults. The low proportion of detectable glyphosate levels could be due to lower localised use of pesticides, having a small sample size or the higher analytical detection limit used in this study (0.5 µg L -1 ), which could underestimate the true exposure and warrants further investigation. Given the widespread use of glyphosate, further information on population exposure is required to advance our understanding of the relationship between chronic low dose exposure to glyphosate and human health risk. Copyright © 2018 Elsevier Inc. All rights reserved.

  5. Potential applications of process irradiation in Irish industry

    International Nuclear Information System (INIS)

    Upton, Mary

    1985-01-01

    Dr. Mary Upton draws attention to the U.S.A. Food and Drugs Administration agreement to allow irradiation for fresh fruit and vegetables of up to one kilogray and of spices up to 30 kilograys. There is also the likelihood of favourable legislation in the U.K. later this year. The potential for Irish industry may well lie in the extension of shelf-life of poultry, fish, fruit and vegetables; salmonella eradication; control of sprouting in potatoes and onions; treatment of food additives such as spices and enzymes; the replacement of ethylene oxide or of ethylene dibromide as preservatives, residues of which are currently considered somewhat suspect for health reasons

  6. Publishing the confidential: an ethnographic study of young Irish bloggers

    OpenAIRE

    Fowley, Catherine

    2011-01-01

    From blogs to social network sites, young people have been early adopters of all forms of Web 2.0 communication. Diary-style blogs have been one of the tools they have used as outlets for creativity and communication, whilst simultaneously bringing into a public forum a genre which was inherently private. This thesis is the result of a three year ethnographic study of two groups of young Irish bloggers on the LiveJournal platform, which mixes blogging tools with social network facilities...

  7. Speckle tracking echocardiography in mature Irish Wolfhound dogs

    DEFF Research Database (Denmark)

    Westrup, Ulrik; McEvoy, Fintan

    2013-01-01

    Two-dimensional strain measurements obtained by speckle tracking echocardiography (STE) have been reported in both humans and dogs. Incorporation of this technique into canine clinical practice requires the availability of measurements from clinically normal dogs, ideally of the same breed, taken...... under normal clinical conditions.The aims of this prospective study were to assess if it is possible to obtain STE data during a routine echocardiographic examination in Irish Wolfhound dogs and that these data will provide reference values and an estimation of measurement error....

  8. Application of CAFE-I to the Irish Sea

    International Nuclear Information System (INIS)

    Thompson, F.L.; Onishi, Y.

    1983-08-01

    The two-dimensional (vertically-averaged) hydrodynamic model, CAFE, has been applied to the Irish Sea as part of a study to simulate radionuclide transport with sediment-radionuclide interactions for the US Nuclear Regulatory Commission (NRC). The flow circulation pattern simulated by CAFE shows good agreement with flow patterns described in the literature. The model results were evaluated by comparing simulated current ellipses at 5 points in the grid with measured current ellipses generated from velocity data collected during April 1968. The computed and measured phases of the maximum flood and ebb currents were also compared

  9. Radioactivity monitoring of the Irish marine environment 1988 - 1990

    International Nuclear Information System (INIS)

    O'Grady, John; Currivan, Lorainne; McEnri, Catherine; O'Colmain, Mairin; Colgan, P.A.; Cunningham, J.D.

    1991-07-01

    This report presents estimates of the radiaiton doses to the Irish public arising from caesium-137 and caesium-134, the contaminating radionuclides of greatest radiological significance. The doses are expressed in terms of individual and collective doses and are assessed against the system of dose limitation recommended by the International Commission on Radiological Protection (ICRP) which is embodied in the Basic Safety Standards Directive of the European Community. The doses are also compared with doses arising from background radiation and the associated risks are considered in the context of some of the common risks in everyday life

  10. Radioactivity monitoring of the Irish marine environment 1991 and 1992

    International Nuclear Information System (INIS)

    McGarry, A.; Lyons, S.; McEnri, C.; Ryan, T.; O'Colmain, M.; Cunningham, J.D.

    1994-05-01

    This report presents the results of the Radiological Protection Institute's programme of monitoring of radioactivity in the seas around Ireland during 1991 and 1992. The principal objective of the monitoring programme is to review the risks to human health arising from the Sellafield discharges. Secondary objectives include studies of the distribution of the significant contaminating radionuclides in the marie environment and the identification of trends with a view to assessing possible future effects. Estimates of the radiation doses to the Irish public are also presented in this report. 23 refs. 24 tabs. 9 figs

  11. El tabaco en los establecimientos de restauración y hostelería: estudio observacional en Barcelona, 2008 Smoking in the hospitality sector: an observational study in Barcelona (Spain, 2008

    Directory of Open Access Journals (Sweden)

    Joan R. Villalbí

    2010-01-01

    Full Text Available Objetivos: Describir la situación real del consumo de tabaco en los locales de restauración y hostelería tras la ley de medidas sanitarias frente al tabaquismo, que establece exenciones en este sector a la prohibición general de fumar en el trabajo desde 2006. Métodos Estudio observacional descriptivo en Barcelona en 2008, con muestreo por conglomerados de 1130 establecimientos. Se presentan los resultados estratificados por tipo de establecimiento. Resultados: En el 85,7% de los comercios con degustación (panaderías, pastelerías… y el 85% de los locales de comida rápida se prohíbe fumar. El 40% de los restaurantes son libres de humo u ofrecen zonas separadas. En los bares-cafeterías y cafeterías-restaurantes (locales más abundantes no se suele prohibir fumar. Hay mayor oferta de locales sin humo en los distritos céntricos y centros comerciales. Conclusiones: En un 75,4% de los locales se permite fumar libremente. Estos resultados muestran las limitaciones de la ley.Objectives: To describe the actual presence of smoking in restaurant and hospitality premises after the smoking prevention act banning smoking in workplaces came into force in 2006, with wide exemptions in this sector. Methods: We performed an observational, descriptive study in Barcelona (Catalonia, Spain in 2008 based on cluster sampling, with 1130 premises. The results were stratified by premise type. Results: Up to 85.7% of food shops allowing consumption within their premises (bakeries, pastry shops… ban smoking, as well as 85% of fast food establishments. Among restaurants, 40% are smoke-free or have separate smoking areas. Bar-cafés and café-restaurants (the most abundant premises usually allow smoking. There are more smoke-free options in central districts and in shopping malls. Conclusions: Up to 75.4% of all premises allow smoking freely. These results show the limitations of the law.

  12. A Woman Alone: The Depictions of Spinsters in Irish Women’s Short Stories

    Directory of Open Access Journals (Sweden)

    Ann Wan-lih Chang

    2015-03-01

    Full Text Available This paper focuses on the manner in which single women are represented in contemporary Irish women’s short stories.  Typically in these stories, such women are portrayed as a distinctive social group within a society in which a traditionally negative image of the spinster has been reinforced by a dominant social ideology which has as objective the exertion of social control over women.  Contemporary Irish female writers attempt to ridicule this problematic “single-woman phobia” by demonstrating that this phenomenon is actually the result of women’s “selflessness” rather than the “selfishness” associated with the spinster stereotype.  Irish women’s stories demonstrate also a fundamental unfairness inherent within Irish society in which women are compelled to sacrifice their own lives and needs for the benefit of others by assuming a surrogate mothering role as “social mothers”.  Ironically, this paradox acts as the main obstacle preventing Irish spinsters from fulfilling their roles as wives and biological mothers.  In response, Irish female writers de-demonise the witch-like spinster stereotypes by deconstructing through their narratives those paradoxical social norms which have actually nurtured and reinforced negative perceptions of the “single women” within Irish society.

  13. Influência do capital intelectual na avaliação de desempenho aplicada ao setor hospitalar The influence of intellectual capital in performance evaluation: a case-study in the hospital sector

    Directory of Open Access Journals (Sweden)

    Carlos Alberto Grespan Bonacim

    2010-06-01

    Full Text Available Este estudo contribui com a adaptação, para as entidades públicas, de uma ferramenta de avaliação de desempenho sedimentada nas empresas privadas. O objetivo é demonstrar como pode ser mensurado o impacto da atividade de ensino no valor econômico agregado por um hospital universitário público à sociedade. Para tanto, o texto foi dividido em quatro partes, além dos aspectos introdutórios, metodológicos e das considerações finais. Inicialmente, será contextualizado o setor hospitalar, mais especificamente os hospitais universitários públicos. Logo após, serão apresentadas as definições, a natureza e mensuração do capital intelectual, seguidas da demonstração dos principais modelos avaliação de desempenho econômico. Finalmente, será apresentado um modelo adaptado, sob o enfoque da gestão baseada no valor, propondo ajuste nos indicadores de retorno e do respectivo investimento, demonstrando os impactos da gestão do capital intelectual e da atividade de ensino no resultado econômico de tais instituições. O estudo foi elaborado por intermédio de uma metodologia consubstanciada em uma pesquisa bibliográfica, sob o prisma do método de procedimento comparativo descritivo. Ressalta-se, por fim, a importância da prestação de contas para a sociedade quanto ao uso do recurso público.This paper contributes to public institutions with the adaptation of a performance evaluation tool based on private companies. The objective is to demonstrate how the impact of an educational activity might be measured in the economic value added for the society of a public university hospital. The paper was divided in four parts, despite the introductory and methodological aspects and the final remarks. First, the hospital sector is explained, specifically in the context of the public university hospitals. Then, the definitions, the nature and measure of the intellectual capital are presented, followed by the disclosure of the main

  14. ‘Old Ireland and Himself’: William Orpen and the Conflicts of Irish Identity

    Directory of Open Access Journals (Sweden)

    Roy Foster

    2005-03-01

    Full Text Available The Irish painter William Orpen (1878-1931, defined here as Ireland’s most ‘Spanish’ painter, was out of fashion for fifty years after his death; but he has recently been dramatically revalued, with his works fetching huge prices in salerooms and an unprecedentedly large exhibition of his work being mounted in London and subsequently Dublin. Best known for his Edwardian portraits and his devastating paintings of the First World War, he also produced a series of allegorical paintings of his native Ireland. These are discussed in this article, and linked to his admiration for J.M.Synge, his dislike of clericalism and repression in Irish life, and his celebration of sensuality. The same themes lie behind ‘Homage to Manet’, a celebrated group portrait which includes the Irish novelist George Moore and the art collector Hugh Lane —a close friend of Orpen’s. Orpen knew other figures of the cultural Revival, and his relation to them is discussed; as is the conflict of identity he experienced (like other middle-class Irish Protestants when the radicalisation of Irish politics and the outbreak of the First World War put a new strain on the allegiances of people who had previously thought of themselves as both ‘British’ and ‘Irish’. After the trauma of the War, and Irish separation, Orpen opted for Britain; but, it is argued, he was closer to elements of the Irish cultural revival, and more involved with Irish politics and Irish history, than is usually accepted.

  15. Attitudes to cadaveric organ donation in Irish preclinical medical students.

    LENUS (Irish Health Repository)

    Cahill, Kevin C

    2011-06-01

    There is a worldwide shortage of organs for transplantation. It has been shown that the attitude of healthcare professionals can improve the rates of organ donation, and that educational programs aimed at improving both attitudes and knowledge base of professionals can have positive outcomes. Although there has been research carried out on this topic, there has been none in Ireland. Anatomy dissection can be a stressor to medical students-we investigate the attitudes of Irish students to organ donation and how they change with exposure to anatomy dissection. A questionnaire was administered to first year students in the School of Medicine in University College Dublin, Ireland, three times over a nine-week period at the commencement of classes in an academic year. The attitudes of the students were positive throughout regarding organ donation by a stranger, a family member, or themselves. There was, however, a significant decrease in support for the donation of a family member\\'s organs in a minority of students. Irish students\\' attitudes to postmortem organ donation are positive and are not changed by exposure to the dissecting room. There is support for the donation of organs, and willingness among students to donate their own organs and support donation by family members.

  16. Prevalence of left-sided melanomas in an Irish population.

    LENUS (Irish Health Repository)

    de Blacam, C

    2012-02-01

    BACKGROUND: A predominance of melanomas on the left side of the body has recently been described. No associations between tumour laterality and gender, age or anatomical site have been identified. AIM: The aim of this study was to investigate the prevalence of left-sided melanomas in an Irish population and to examine potential associations with various patient and tumour characteristics. METHODS: A retrospective chart review of patients with cutaneous melanoma who were treated over a 10-year period was carried out. Lateral distribution of melanoma on either side of the body was compared using chi(2) analysis and evaluated by gender, age group, anatomic location, histologic subtype and Breslow depth. RESULTS: More melanomas occurred on the left side (57%, P = 0.015), and this finding was particularly significant in females. For both genders combined, there were no statistically significant differences in laterality by age group, anatomic location, type of melanoma and Breslow depth. There were significantly more superficial spreading melanomas on the left side in both men and women. CONCLUSIONS: This study demonstrates a predominance of left-sided melanomas in Irish patients. While a number of demographic and molecular associations have been proposed, further research is required to fully explain this phenomenon.

  17. Prevalence of left-sided melanomas in an Irish population.

    LENUS (Irish Health Repository)

    de Blacam, C

    2011-04-17

    BACKGROUND: A predominance of melanomas on the left side of the body has recently been described. No associations between tumour laterality and gender, age or anatomical site have been identified. AIM: The aim of this study was to investigate the prevalence of left-sided melanomas in an Irish population and to examine potential associations with various patient and tumour characteristics. METHODS: A retrospective chart review of patients with cutaneous melanoma who were treated over a 10-year period was carried out. Lateral distribution of melanoma on either side of the body was compared using χ(2) analysis and evaluated by gender, age group, anatomic location, histologic subtype and Breslow depth. RESULTS: More melanomas occurred on the left side (57%, P = 0.015), and this finding was particularly significant in females. For both genders combined, there were no statistically significant differences in laterality by age group, anatomic location, type of melanoma and Breslow depth. There were significantly more superficial spreading melanomas on the left side in both men and women. CONCLUSIONS: This study demonstrates a predominance of left-sided melanomas in Irish patients. While a number of demographic and molecular associations have been proposed, further research is required to fully explain this phenomenon.

  18. Subacute ruminal acidosis (SARA) in grazing Irish dairy cows.

    Science.gov (United States)

    O'Grady, Luke; Doherty, Michael L; Mulligan, Finbar J

    2008-04-01

    Subacute ruminal acidosis (SARA) is a significant production disease of dairy cattle. Previous concerns have been raised over the occurrence of SARA in pasture-fed dairy cattle and the potential consequences of laminitis and lameness. Highly digestible perennial rye grass contains high concentrations of rapidly fermentable carbohydrate and low concentrations of physical effective fibre that may result in SARA. This study conducted a point prevalence survey of rumen health status in grazing Irish dairy cattle fed predominantly perennial rye grass-based pasture. The survey assessed rumen fluid, animal health status, milk production data and pasture composition. A total of 144 cows between 80 and 150 days in milk were sampled on 12 farms. Eleven percent of cows were classified as affected with SARA (pH 5.8). The study showed that low rumen pH is prevalent in grazing Irish dairy cattle consuming perennial rye grass-based pasture and raises concerns regarding effective pasture utilisation and possible consequences for animal health.

  19. The Era of Tadeusz Pawlikowski and Irish Theatre

    Directory of Open Access Journals (Sweden)

    Barry Keane

    2015-07-01

    Full Text Available Tadeusz Pawlikowski was arguably Poland’s greatest theatre director of the fin de siècle. With stints as Theatre Manager in both Kraków and Lwów municipal theatres, Pawlikowski excelled in developing ensemble casts and cultivating audiences without kowtowing to popular tastes. He was also responsible for bringing many western plays to partitioned Poland, and indeed he oversaw theatrical premieres of Oscar Wilde, George Bernard Shaw and John Millington Synge. This paper will look at the production and reception of these plays and will record how there was a growing conviction amongst Polish critics that Irish dramatists would soon make a towering impact on the age. That said, not all the productions were as successful as perhaps they should have been. When in Lwów, Pawlikowski attempted to flood the city with drama and this ambition entailed brief run-throughs and the shortening of texts in order to facilitate the learning of lines. Needless to say, there was little time for work on characterization. Consequently, it was often pointed out that performances had failed to bridge the cultural gap where a foreign piece was concerned. To this end, this paper will assess both the contribution of Tadeusz Pawlikowski to Irish theatre, and the reception and legacy of the productions which took place under his directorial guidance.

  20. Dublin and Irish politics in the age of Charles Lucas.

    Science.gov (United States)

    Hill, J

    2015-09-01

    In addition to his contributions to medicine, Charles Lucas had a long career in politics, starting in the 1740s as a guild representative on the lower house of Dublin corporation, and culminating in his election to the Irish House of Commons in 1761. By examining the background in Dublin and Irish politics, this paper explores Lucas' impact on the electorate, and how it was that he was able to win a parliamentary seat in Dublin and retain it for a decade while he campaigned in support of a range of important Patriot issues. Lucas had none of the qualifications that would normally be required for a successful politician. His father held some land, but as a younger son who had to make a living, Charles was apprenticed to a Dublin apothecary. Nor did he have the political connections that might have compensated for a lack of land, wealth, or status. But Lucas possessed other advantages, notably an education that enabled him to read the city's medieval charters, identifying areas where the Dublin freemen had lost 'ancient rights', and some experience of publishing, so that he could appeal to the electorate. Lucas' remarkable political success stemmed from both local circumstances and his own personal qualities.

  1. FATAL FOETAL ABNORMALITY, IRISH CONSTITUTIONAL LAW, AND MELLET v IRELAND.

    Science.gov (United States)

    de Londras, Fiona

    2016-12-27

    Under the Irish Constitution abortion is allowed only where the life of the pregnant woman is at risk. The provision in question, Article 40.3.3 (or the 8th Amendment) has long been criticised for failing to respect women's autonomy, and in Mellet v Ireland, the UN Human Rights Committee found that Amanda Jane Mellet, who travelled to Liverpool to access abortion following a finding that her foetus suffered a fatal abnormality, had suffered a violation of her rights under the International Covenant on Civil and Political Rights (ICCPR). In this commentary I demonstrate the value of Mellet when compared to the possible legal findings in such circumstances under both the Constitution and the European Convention on Human Rights, and argue that the findings are not restricted to cases of fatal foetal abnormality. Rather, the Committee's decision illustrates the suffering that all women in Ireland who travel to access abortion experience, arguably constituting a violation of their right to be free from cruel, inhuman, and degrading treatment. On that reading, Mellet signifies the need to implement a comprehensive rethink of Irish abortion law including, but going beyond, access to abortion in cases of fatal foetal abnormality. © The Author 2016. Published by Oxford University Press; all rights reserved. For Permissions, please email: journals.permissions@oup.com.

  2. Acoustic Seabed Characterization of the Porcupine Bank, Irish Margin

    Science.gov (United States)

    O'Toole, Ronan; Monteys, Xavier

    2010-05-01

    The Porcupine Bank represents a large section of continental shelf situated west of the Irish landmass, located in water depths ranging between 150 and 500m. Under the Irish National Seabed Survey (INSS 1999-2006) this area was comprehensively mapped, generating multiple acoustic datasets including high resolution multibeam echosounder data. The unique nature of the area's datasets in terms of data density, consistency and geographic extent has allowed the development of a large-scale integrated physical characterization of the Porcupine Bank for multidisciplinary applications. Integrated analysis of backscatter and bathymetry data has resulted in a baseline delineation of sediment distribution, seabed geology and geomorphological features on the bank, along with an inclusive set of related database information. The methodology used incorporates a variety of statistical techniques which are necessary in isolating sonar system artefacts and addressing sonar geometry related issues. A number of acoustic backscatter parameters at several angles of incidence have been analysed in order to complement the characterization for both surface and subsurface sediments. Acoustic sub bottom records have also been incorporated in order to investigate the physical characteristics of certain features on the Porcupine Bank. Where available, groundtruthing information in terms of sediment samples, video footage and cores has been applied to add physical descriptors and validation to the characterization. Extensive mapping of different rock outcrops, sediment drifts, seabed features and other geological classes has been achieved using this methodology.

  3. Of Mermaids and Changelings: Human Rights, Folklore and Contemporary Irish Language Poetry

    Directory of Open Access Journals (Sweden)

    Rióna Ní Fhrighil

    2017-10-01

    Full Text Available This article investigates the intersection of human rights discourse, Irish folklore and contemporary Irish-language poetry. The author contends that contemporary Irish-language poets Louis de Paor and Nuala Ní Dhomhnaill exploit the multi-faceted nature of international folklore motifs, along with their local variants, to represent human rights violations in their poetry. Focusing specifically on the motif of the changeling in De Paor’s poetry and on the motif of the mermaid in Ní Dhomhnaill’s, the author traces how folklore material is reimagined in ways that eschew uncomplicated transnational solidarity but which engender empathetic settlement.

  4. Profiling the Cross-Border Funding of the Irish Banking System

    OpenAIRE

    Coates, Dermot; Everett, Mary

    2013-01-01

    Between 2002 and 2008, there was a surge in foreign funding ows to the Irish banking system. This unprecedented increase in in ows was a key driver of the credit boom in Ireland. In the wake of the domestic banking and global nancial crises, the Irish banking system experienced a sharp decrease in its foreign wholesale funding. This Economic Letter addresses two primary questions: (i) who funded the Irish banking system during the boom?; and (ii) how did foreign funding contract in the post-S...

  5. Antenatal stress: An Irish case study.

    LENUS (Irish Health Repository)

    Carolan-Olah, Mary

    2013-05-16

    BACKGROUND:: stress in pregnancy is common and impacts negatively on women, infants and families. A number of factors contribute to high levels of stress in pregnancy, including financial concerns, marital discord, low support systems and low socio-economic status. OBJECTIVES:: the aim of this study was to evaluate stress anxiety levels and depressive symptoms among low risk women in an area in Ireland that was particularly impacted by the 2008 economic crisis. DESIGN:: a quantitative descriptive cross-sectional design was used. Data were collected using the Edinburgh Postnatal Depression Scale (EPDS), the Perceived Stress Scale and the State Trait Anxiety Inventory (STAI). Data was collected at a single time during the second trimester. SETTING:: this paper reports a case study of one maternity service in Ireland. Participants included low risk pregnant women who were attending the hospital clinic for routine antenatal care. RESULTS:: of 150 questionnaires distributed, 74 completed questionnaires were returned indicating a 49.3% return rate. Findings indicated high levels of stress, anxiety and depressive symptomatology among participants. There were no significant difference in mean EPDS score for different age groups (F4,69=2.48, P=0.052), living arrangements (F4,68=0.90, P=0.5) or usual occupation (F4,69=1.45, P=0.2). A score of ≥12 was taken as indicative of probable antenatal depression and 86.5% of participants responded with a score of 12 or above. PSS scores were also high and more than three quarters of respondents scored ≥15 (75.6%) and more than a third had scores ≥20 (35.1%), out of a total score of 40. There was a significant difference in mean PSS score between the different age groups (F4,69=3.60, P=0.010) but not for living arrangements or usual occupation. A STAI score of ≥39 was taken as indicative of antenatal anxiety, and 74.3% of participants responded with a score of 39 or above. There were no significant differences in mean STAI

  6. Occupational predictors of pregnancy outcomes in Irish working women in the Lifeways cohort.

    Science.gov (United States)

    Niedhammer, I; O'Mahony, D; Daly, S; Morrison, J J; Kelleher, C C

    2009-06-01

    The objective of this study was to explore the association between occupational factors and pregnancy outcomes in a prospective cohort of Irish pregnant women. This study has a prospective design. The Lifeways cohort included 1124 pregnant women, 676 of whom delivered a single baby and were working at their first prenatal care visit when they filled in a self-administered questionnaire. Occupational factors were measured using this questionnaire and included eight factors describing job and working conditions. Data including pregnancy outcomes were also obtained from clinical hospital records. Logistic regression analysis was used to adjust for well-known risk factors. Birthweight (work demands and low birthweight (working with between a temporary contract and preterm delivery. Trends were also observed between working 40 hours or more a week and shift work, and birthweight of 3000 g or less. The study of a cumulative index showed that being exposed to at least two of these occupational factors significantly predicted birthweight of working conditions. As they may be modifiable, occupational factors deserve more attention in relation to birth outcomes.

  7. Irish study of high-density Schizophrenia families: Field methods and power to detect linkage

    Energy Technology Data Exchange (ETDEWEB)

    Kendler, K.S.; Straub, R.E.; MacLean, C.J. [Virginia Commonwealth Univ., Richmond, VA (United States)] [and others

    1996-04-09

    Large samples of multiplex pedigrees will probably be needed to detect susceptibility loci for schizophrenia by linkage analysis. Standardized ascertainment of such pedigrees from culturally and ethnically homogeneous populations may improve the probability of detection and replication of linkage. The Irish Study of High-Density Schizophrenia Families (ISHDSF) was formed from standardized ascertainment of multiplex schizophrenia families in 39 psychiatric facilities covering over 90% of the population in Ireland and Northern Ireland. We here describe a phenotypic sample and a subset thereof, the linkage sample. Individuals were included in the phenotypic sample if adequate diagnostic information, based on personal interview and/or hospital record, was available. Only individuals with available DNA were included in the linkage sample. Inclusion of a pedigree into the phenotypic sample required at least two first, second, or third degree relatives with non-affective psychosis (NAP), one of whom had schizophrenia (S) or poor-outcome schizoaffective disorder (PO-SAD). Entry into the linkage sample required DNA samples on at least two individuals with NAP, of whom at least one had S or PO-SAD. Affection was defined by narrow, intermediate, and broad criteria. 75 refs., 6 tabs.

  8. Traumatic dental injuries and their association with malocclusion in the primary dentition of Irish children.

    LENUS (Irish Health Repository)

    Norton, Eimear

    2012-02-01

    This study sought to establish the prevalence of traumatic dental injuries in the primary dentition of Irish children and to investigate the relationship between dental trauma and non-nutritive sucking habits.

  9. Comparison in maternal body composition between Caucasian Irish and Indian women.

    LENUS (Irish Health Repository)

    Farah, N

    2012-02-01

    The use of body mass index (BMI) for the diagnosis of obesity has limitations, especially when comparing ethnic groups with different body proportions. The aim of this prospective study was to compare maternal body composition in early pregnancy between Caucasian Irish and Indian women. A total of 81 Indian women and 81 Irish Caucasian women were matched for age, parity and BMI. Maternal weight and height were measured, and body composition analysed using bioelectrical impedance. The Irish women were taller and weighed more than the Indian women (p<0.001). At any given BMI, the Indian women had a higher total body fat percentage, visceral fat level and high fat percentage than the Irish women (p=0.024, 0.001 and 0.001, respectively). Our findings suggest that lower BMI cut-offs should be used for screening for gestational diabetes mellitus in Indian women attending our antenatal services.

  10. Comparison in maternal body composition between Caucasian Irish and Indian women.

    Science.gov (United States)

    Farah, N; Murphy, M; Ramphul, M; O'Connor, N; Kennelly, M M; Turner, M J

    2011-08-01

    The use of body mass index (BMI) for the diagnosis of obesity has limitations, especially when comparing ethnic groups with different body proportions. The aim of this prospective study was to compare maternal body composition in early pregnancy between Caucasian Irish and Indian women. A total of 81 Indian women and 81 Irish Caucasian women were matched for age, parity and BMI. Maternal weight and height were measured, and body composition analysed using bioelectrical impedance. The Irish women were taller and weighed more than the Indian women (pIndian women had a higher total body fat percentage, visceral fat level and high fat percentage than the Irish women (p=0.024, 0.001 and 0.001, respectively). Our findings suggest that lower BMI cut-offs should be used for screening for gestational diabetes mellitus in Indian women attending our antenatal services.

  11. Survey of Selected Multi-National Employers’ Perceptions of Certain Graduates from Irish Higher Education

    OpenAIRE

    2007-01-01

    This report provides feedback on the suitability of employment of Irish graduates, looking specifically at the disciplinary groups of Science, Engineering, Business and Finance and Humanities, and comparing them to their international counterparts.

  12. The Irish epilepsy surgery experience: Long-term follow-up.

    LENUS (Irish Health Repository)

    Dunlea, Orla

    2010-05-01

    To assess the long-term seizure outcome of Irish patients who underwent resective surgery for refractory epilepsy since 1975. We also wished to determine the impact of pathology and surgical technique (with particular reference to neocorticectomy) on seizure outcome.

  13. Explaining Responses in Danish and Irish Banking to the Financial Crisis

    DEFF Research Database (Denmark)

    Kluth, Michael Friederich; Lynggaard, Kennet

    The 2008 global financial crises produced very different responses in Ireland and Denmark. While both countries embraced depositor guarantee schemes and recapitalization programmes, their design and adoption reveal important variations. Crucially, the Irish state initially assumed full...

  14. The United States Civil War Causal Agent for Irish Assimilation and Acceptance in US Society

    National Research Council Canada - National Science Library

    Gillespie, William

    2001-01-01

    The American Civil War was a cornerstone event for the Irish in America. Their participation proved their duty to Union and Confederate causes, increased their acceptance in American society, and hastened assimilation...

  15. A national study on the attitudes of Irish dental faculty members to faculty development.

    LENUS (Irish Health Repository)

    O'Sullivan, E M

    2010-02-01

    International studies suggest that dental faculty are resistant to the concept and practice of faculty development. This paper analyses the demographic and educational profile of Irish Dental Faculty, exploring their attitudes to educational initiatives.

  16. Windscale experiment. A study of Windscale's pollution of the Irish Sea

    Energy Technology Data Exchange (ETDEWEB)

    Blackith, R

    1984-01-01

    The discharge of radioactive waste into the Irish Sea from the Windscale reprocessing plant in Cumbria is discussed from an Irish viewpoint. A history of accidents at the plant is reviewed, and past, present and future levels of discharge to the environment are outlined. The effect on the Irish population of discharges to the marine environment is evaluated by consideration of the food chain and the exposure pathways to man, in particular the concentration of radioactive caesium and plutonium in the flesh of fish in the Irish Sea. The general health effects attributed to radiation exposures are given, and a cluster of Downs Syndrome babies born to mothers who were at the same school in Co. Louth is attributed to increased exposure during the 1957 fire at the Windscale plant. The author concludes that, because of military implications and the need for plutonium for nulcear weapons, the reprocessing plant will continue to operate, but with greatly reduced levels of discharges permitted.

  17. “Is it English what we speak?” Irish English and Postcolonial Identity

    Directory of Open Access Journals (Sweden)

    Mariavita Cambria

    2014-07-01

    Full Text Available This paper explores the case of Ireland as an anti-litteram postcolonial context. Within this context, a main concern is that of the relationship between language and identity. Irish English (the variety of English spoken in Ireland enjoys a unique position within the constellation of world-wide English varieties. Various factors led to the emergence of Irish English, it may well have developed as a resistance to the (contrasting forces of colonialism and has been perceived as a different vehicle for communication when compared to received colonial English. Scholars now generally believe that Irish people, at a certain moment in time, decided to use a language which offered better possibilities for work. Via the analysis of some postcolonial issues, such as the linguistic crisis of the colonial subject, the paper will first illustrate the circumstances that led to the emergence of Irish English and then list the main features of this variety.

  18. Representing Sikhism: essays in memory of the Irish scholar Max Arthur Macauliffe

    OpenAIRE

    Shackle, Christopher; Bocking, Brian

    2017-01-01

    This is an introduction, by the guest editors, to the special issue of JISASR (Vol 4, 2017) entitled 'Representing Sikhism: Essays in Memory of the Irish Scholar Max Arthur Macauliffe'. The genesis of this special issue lies in pioneering work on Macauliffe's Irish identity and personal and scholarly life undertaken by Professor Tadhg Foley (Galway). The active interest and support of members of the Sikh community in Ireland led to a conference, hosted by the Study of Religions Department at ...

  19. We don't like (to) party : explaining the significance of Independents in Irish political life

    OpenAIRE

    Weeks, Liam

    2008-01-01

    The aim of this thesis is to explain the significant presence of Independents (non-party representatives) in the Irish political system. This topic was chosen because parties have a monopoly on parliamentary representation in almost all liberal democracies. Ireland is an exception to this pattern, as independents have been elected to every session of parliament since the foundation of the modern Irish state. There have been very few academic analyses of Independents carried out in relation...

  20. Between Apathy and Antipathy: The Vikings in Irish and Scandinavian History

    OpenAIRE

    HOLM, POUL

    1995-01-01

    PUBLISHED "Neither apathy nor antipathy can ever bring out the truth of history" (Eoin MacNeill, Phases of Irish History, Dublin, 1919, vi). Around 1970 the subject of "the Vikings in Ireland" was seen, historiographically, as a non-problem. Scandinavian historians did not deal with Irish history, and except for the casual asides of four or five specialists, there was no particular interest in Ireland as an area in Viking studies. However, during the seventies there was a veritable boom...

  1. Irish and Scandinavian objection to Sellafield; Norden protesterer

    Energy Technology Data Exchange (ETDEWEB)

    Haaland, Leif

    2001-07-01

    The article deals with the objection of Ireland and the Scandinavian countries to the radioactive emissions from the Sellafield reprocessing plant. This contamination follows the sea currents northward and radioactive material from this plant has been found in seaweed and crustaceans along the coast of Norway. The concentration in lobster from the Irish Sea is much higher than in Norwegian crustaceans and above the action limit set by the EU for the radioactive isotope Technetium 99 in the event of a new atomic accident. British authorities have refused to stop the pollution and even plan to start production of MOX fuel at Sellafield. They say new purification techniques will be developed within three or five years. For Norway, the opposition against Sellafield is a priority.

  2. Radioactivity monitoring in Irish upland lakes 1988 - 1992

    International Nuclear Information System (INIS)

    O'Sullivan, M.; McGarry, A.T.; Lyons, S.; McEnri, C.; Cunningham, J.D.

    1995-04-01

    In 1988, monitoring of radioactivity in upland lakes was initiated in areas of Ireland which had been subjected to highest deposition following the Chernobyl accident. The monitoring programme was continued in 1989 and extended in 1990 to include 25 lakes in 13 counties. This survey provided a comprehensive national picture of the distribution of Chernobyl contamination in Irish freshwater lakes. In 1991 and 1992, the monitoring programme concentrated on those lakes which had shown highest levels in the 1990 survey. This report details the results of the freshwater lake monitoring programme for the years 1988 - 1992. As assessment of the radiation doses to those consumers who include relatively large amounts of freshwater fish in their diet is also made

  3. 99Tc in the Irish Sea. Recent trends

    International Nuclear Information System (INIS)

    McCartney, M.; Rajendran, K.

    1997-01-01

    The increase in discharges of 99 Tc from Sellafield has resulted in an ideal opportunity to study the behaviour of this radionuclide in the aquatic environment. Results, thus far, have demonstrated that 99 Tc uptake by seaweeds collected from around the Irish Sea has followed the anticipated trend, with brown seaweeds accumulating 100-1000 times more 99 Tc than red or green algae. The large increase in discharges of 99 Tc from Sellafield in 1994 had been matched by a similar increase in the levels present in brown seaweeds, mussels and winkles for which concentration factors of 24000, 5000 and 100, respectively, have been derived. This confirms the observation that 99 Tc uptake by marine organisms in the field far exceeds that which would be expected from laboratory studies. Thus, it is concluded that, given the radiological importance of this nuclide, the provision of more accurate information on its environmental behaviour is required. (author)

  4. The Provisional Irish Republican Army and the Development of Mortars

    Directory of Open Access Journals (Sweden)

    Gary Ackerman

    2016-03-01

    Full Text Available The Provisional Irish Republican Army (PIRA repeatedly showed itself to be one of the most inventive and adaptive of all the violent non-state actors who operated in the latter part of the twentieth century. Among its most innovative exploits was the PIRA’s successful development and fielding – spanning almost its entire operational lifetime – of improvised mortar systems. This chapter will trace the sustained development of mortars, including the underlying motivations for pursuing mortars as a complex engineering effort, the process by which the development took place and the underpinnings of its success. The discussion will show that the PIRA’s mortar development program was born out of tactical necessity but enabled by good organizational practices and the organization’s access to materials, expertise and places in which to leverage these.

  5. Acute effects of the Chernobyl nuclear accident on Irish mortality

    International Nuclear Information System (INIS)

    Allwright, S.; Daly, L.

    1989-01-01

    This report examines the claim that Irish mortality in the second quarter (April-June) of 1986 increased due to the cloud of radioactive material released by the damaged reactor in Chernobyl. Over the period 1971-1987, based on date of registration, the death rates in the second quarter showed marked year to year variation often exceeding that expected on the basis of chance alone. In 1986 the percentage of annual deaths occurring between April and June, and the death rate itself, were both significantly higher than in most other years between 1981 and 1987. The 1986 figures were not however, significantly higher than those observed in years prior to 1981. Since the distribution of mortality by cause was not consistent with the hypothesis relating low level radiation to immediate mortality, and since causality cannot be inferred from temporal association per se, the Chernobyl accident cannot be implicated in the excess mortality observed in the second quarter of 1986. (author)

  6. Community nurses working in piloted primary care teams: Irish Republic.

    LENUS (Irish Health Repository)

    Burke, Triona

    2010-08-01

    Primary care health services in the Irish Republic have undergone fundamental transformation with the establishment of multidisciplinary primary care teams nationwide. Primary care teams provide a community-based health service delivered through a range of health professionals in an integrated way. As part of this initiative ten pilot teams were established in 2003. This research was undertaken in order to gain an understanding of nurse\\'s experiences of working in a piloted primary care team. The methodology used was a focus group approach. The findings from this study illustrated how community nurse\\'s roles and responsibilities have expanded within the team. The findings also highlighted the benefits and challenges of working as a team with various other community-based health-care disciplines.

  7. A health and safety survey of Irish funeral industry workers.

    LENUS (Irish Health Repository)

    Kelly, N

    2012-02-01

    BACKGROUND: Those handling deceased individuals, including the funeral industry, face a variety of health and safety hazards including occupationally acquired infectious disease. AIMS: To identify the knowledge, attitudes and beliefs of Irish funeral industry workers towards occupational hazards and infectious disease in 2009. METHODS: The sample analysed consisted of all listed member premises of the Irish Association of Funeral Directors as at 1 July 2009. A postal survey was sent to each premises in July 2009, with two rounds of follow-up reviews sent to non-responders. Four main areas were covered--occupational hazards, embalming, industry expertise and demographics. The quantitative and qualitative results were analysed to assess knowledge, attitudes and beliefs. Data collection was completed on 31 December 2009. RESULTS: Two hundred and thirty listed member premises were contacted. Twenty-two were unsuitable for the survey. One hundred and thirty-eight valid replies were received from 130 premises, representing a premises response rate of 63% (130\\/208). Seventy-three premises (56%) identified themselves as embalmers. Embalmers had variable vaccine uptake and variable knowledge, attitude and beliefs towards embalming those with blood-borne viruses. Fifteen per cent of respondents reported a work-related injury, back injury being the most common. Splash and sharps injuries were reported as a work-related injury, and infections believed to be work related were also reported. CONCLUSIONS: This study demonstrates widespread occupational health concerns among this professional group. It confirms the need for occupational health advice and services. There is also a strong desire for regulation of this profession in Ireland.

  8. Policies and practices of parental involvement and parent-teacher relations in Irish primary education: a critical discourse analysis

    OpenAIRE

    Bennett, Brigid

    2015-01-01

    This thesis presents a critical discourse analysis of policies of parental involvement in Irish education from the past decade. It explores three questions: Do discourses of parental involvement and teacher professionalism construct parent-teacher relations in Irish primary education?; What implications do these constructions have for policies and practices of parent-teacher relationships, particularly parent-teacher partnerships, in Irish primary education?; How can these constructions be ch...

  9. Haunting the Text: Nicola Pierce’s Spirit of the Titanic and Irish Historical Children’s Fiction

    OpenAIRE

    Beyer, Charlotte

    2015-01-01

    My article explores representations of Irish identity, history, and trauma in the Irish writer Nicola Pierce’s contemporary children’s novel, Spirit of the Titanic (2011). I examine the representation of Irish society and culture around the time of the construction of the Titanic,\\ud with a particular emphasis on the portrayal of marginalised individuals and groups. My article analyses the representation of history and the portrayal of trauma and affective ties, and concludes that Spirit of t...

  10. Aspects of the biology of Mya arenaria and Ensis spp. (Mollusca; Bivalvia) in the Irish Sea and adjacent areas

    OpenAIRE

    Cross, Maud E.

    2014-01-01

    This study was undertaken to investigate the general biology, including the reproductive cycle and health status, of two clam taxa in Irish waters, with particular reference to the Irish Sea area. Monthly samples of the soft shell clam, Mya arenaria, were collected from Bannow Bay, Co. Wexford, Ireland, for sixteen months, and of the razor clam, Ensis spp. from the Skerries region (Irish Sea) between June 2010 and September 2011. In 2010, M. arenaria in Bannow Bay matured over the summer mont...

  11. Megaphone Diplomacy in the Northern Irish Peace Process: Squaring the Circle by Talking to Terrorists through Journalists

    DEFF Research Database (Denmark)

    Sparre, Kirsten

    2001-01-01

    In early 1994, British and Irish mainstream media were instrumental in facilitating an indirect dialogue between their governments and the Irish Republican movement about the terms on which Sinn Fein, the political wing of the Irish Republican Army, could be admitted into political talks...... of journalists, but also that it is possible for journalists to strengthen the process and yet stay within the journalistic paradigm. The article concludes with an assessment of the contributions of the media dialogue to the wider peace process....

  12. Standardization of tests of quality control with the aid of quality tools used in management systems of processes at the Sector of Nuclear Medicine of the University Hospital of Santa Maria, Rio Grande do Sul;Padronizacao de testes de controle de qualidade com o auxilio de ferramentas da qualidade utilizadas em sistemas de gerenciamento de processos, junto ao Setor de Medicina Nuclear do Hospital Universitario de Santa Maria, RS

    Energy Technology Data Exchange (ETDEWEB)

    Da Cas, E.V.; Weis, G.L.; Bahunhardt, T.; Shuch, L.A. [Hospital Universitario de Santa Maria, RS (Brazil). Servico de Fisica Medica; Lopes, L.F.D. [Universidade Federal de Santa Maria (UFSM), RS (Brazil). Dept. de Estatistica. Programa de Pos-Graduacao em Engenharia de Producao

    2009-07-01

    This work tries to standardize the tests of quality control at the Sector of Nuclear Medicine at the University Hospital of Santa Maria, using tools of the quality used in systems of management of processes such as, PDCA, brainstorming, diagram of cause and effect (Ishikawa), 5W2H, verifying list and fluxogram. The tests of quality control refer to the scintillation camera (center of rotation, intrinsic uniformity, intrinsic spatial resolution and linearity, energy resolution for each radionuclide), to the dose calibrator (accuracy, reproducibility and linearity), to the Geiger-Mueller detector (reproducibility of the detector). (author)

  13. Fraud in Hospitals

    OpenAIRE

    Musau, Steve; Vian, Taryn

    2008-01-01

    Hospitals are vulnerable to corruption. In the U.S., health care fraud has been stimated to cost $60 billion per year, or 3% of total health care expenditures - much of it in the hospital sector. Hospitals account for 50% or more of health care pending in many countries. Fraud and corruption in hospitals negatively affect access and quality, as public servants make off with resources which could have been used to reduce out-of-pocket expenditures for patients, or improve needed services. This...

  14. Improved age constraints for the retreat of the Irish Sea Ice Stream

    Science.gov (United States)

    Smedley, Rachel; Chiverrell, Richard; Duller, Geoff; Scourse, James; Small, David; Fabel, Derek; Burke, Matthew; Clarke, Chris; McCarroll, Danny; McCarron, Stephen; O'Cofaigh, Colm; Roberts, David

    2016-04-01

    BRITICE-CHRONO is a large (> 45 researchers) consortium project working to provide an extensive geochronological dataset constraining the rate of retreat of a number of ice streams of the British-Irish Ice Sheet following the Last Glacial Maximum. When complete, the large empirical dataset produced by BRITICE-CHRONO will be integrated into model simulations to better understand the behaviour of the British-Irish Ice Sheet in response to past climate change, and provide an analogue for contemporary ice sheets. A major feature of the British-Irish Ice Sheet was the dynamic Irish Sea Ice Stream, which drained a large proportion of the ice sheet and extended to the proposed southern limit of glaciation upon the Isles of Scilly (Scourse, 1991). This study will focus on a large suite of terrestrial samples that were collected along a transect of the Irish Sea basin, covering the line of ice retreat from the Isles of Scilly (50°N) in the south, to the Isle of Man (54°N) in the north; a distance of 500 km. Ages are determined for both the eastern and western margins of the Irish Sea using single-grain luminescence dating (39 samples) and terrestrial cosmogenic nuclide dating (10 samples). A Bayesian sequence model is then used in combination with the prior information determined for deglaciation to integrate the geochronological datasets, and assess retreat rates for the Irish Sea Ice Stream. Scourse, J.D., 1991. Late Pleistocene stratigraphy and palaeobotany of the Isles of Scilly. Philosophical Transactions of the Royal Society of London B334, 405 - 448.

  15. Sector Information Data Set

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Fishing sectors were established in the Greater Atlantic region in 2010 under catch share management initiatives. Sector data kept at GARFO is mostly a collection of...

  16. Irish midwives' experiences of providing maternity care to non-Irish women seeking asylum

    Directory of Open Access Journals (Sweden)

    Tobin CL

    2014-01-01

    Full Text Available Carolyn L Tobin,1 Jo Murphy-Lawless2 1Department of Nursing, College of Health and Human Services, University of New Hampshire, Durham, NH, USA; 2School of Nursing and Midwifery, Trinity College, Dublin, Ireland Background: Immigration and asylum seeking has been an important social and political phenomenon in Ireland since the mid 1990s. Inward migration to Ireland was seen in unprecedented numbers from 1995 onward, peaking in 2002 with 11,634 applications for refugee status. Asylum and immigration is an issue of national and international relevance as the numbers of displaced people worldwide continues to grow, reaching the highest level in 20 years at 45.2 million in 2012. Midwives provide the majority of care to childbearing women around the world, whether working as autonomous practitioners or under the direction of an obstetrician. Limited data currently exist on the perspectives of midwives who provide care to childbearing women while they are in the process of seeking asylum. Such data are important to midwifery leaders, educators, and policy-makers. The aims of this study were to explore midwives' perceptions and experiences of providing care to women in the asylum process and to gain insight into how midwives can be equipped and supported to provide more effective care to this group in the future.Methods: Data were collected via indepth unstructured interviews with a purposive sample of ten midwives from two sites, one a large urban inner city hospital, and the second, a smaller more rural maternity hospital. The interviews were audio-recorded and transcribed verbatim. The data were analyzed using content analysis. Results: Five themes emerged from the data, barriers to communication, understanding cultural difference, challenges of caring for women who were unbooked, the emotional cost of caring, and structural barriers to effective care. Conclusion: Findings highlight a need to focus on support and education for midwives, improved

  17. Public Sector Expatriate Managers:

    DEFF Research Database (Denmark)

    Fenner, Charles, R., Jr.; Selmer, Jan

    2008-01-01

    Although public sector expatriates are becoming increasingly common, research on them is very limited. There is reason to believe that the situation for expatriates from the public sector may be different than for those from the private sector. This study investigated U.S. Department of Defense a...

  18. Low birthweight and preterm birth rates 1 year before and after the Irish workplace smoking ban.

    Science.gov (United States)

    Kabir, Z; Clarke, V; Conroy, R; McNamee, E; Daly, S; Clancy, L

    2009-12-01

    It is well-established that maternal smoking has adverse birth outcomes (low birthweight, LBW, and preterm births). The comprehensive Irish workplace smoking ban was successfully introduced in March 2004. We examined LBW and preterm birth rates 1 year before and after the workplace smoking ban in Dublin. A cross-sectional observational study analysing routinely collected data using the Euroking K2 maternity system. Coombe University Maternal Hospital. Only singleton live births were included for analyses (7593 and 7648, in 2003 and 2005, respectively). Detailed gestational and clinical characteristics were collected and analysed using multivariable logistic regression analyses and subgroup analyses. Maternal smoking rates, mean birthweights, and adjusted odds ratios (ORs) of LBW and preterm births in 2005 versus 2003. There was a 25% decreased risk of preterm births (OR, 0.75; 95% CI, 0.59-0.96), a 43% increased risk of LBW (OR, 1.43; 95% CI, 1.10-1.85), and a 12% fall in maternal smoking rates (from 23.4 to 20.6%) in 2005 relative to 2003. Such patterns were significantly maintained when specific subgroups were also analysed. Mean birthweights decreased in 2005, but were not significant (P=0.99). There was a marginal increase in smoking cessation before pregnancy in 2005 (P=0.047). Significant declines in preterm births and in maternal smoking rates after the smoking ban are welcome signs. However, the increased LBW birth risks might reflect a secular trend, as observed in many industrialised nations, and merits further investigations.

  19. Between Irish National Cinema and Hollywood: Neil Jordan’s Michael Collins

    Directory of Open Access Journals (Sweden)

    Raita Merivirta-Chakrabarti

    2007-03-01

    Full Text Available When Neil Jordan’s film Michael Collins was released in 1996, it was seen by some as a Hollywood epic, by others as a great national film. I would argue that Michael Collins combines these two traditions and occupies a space between Irish national cinema and Hollywood. The subject matter, the creative talent and the locations were Irish and the film was produced by using the Irish filmmaking infrastructure and the Irish government’s support mechanisms, but it was largely financed and distributed by a Hollywood studio. Also, to make it more appealing especially globally, but probably also locally (since Hollywood is now the international standard, it makes use of Hollywood conventions, making it accessible to international audiences as well. Despite the Hollywood mode, the fact remains that Michael Collins is a national film text, and Jordan does not make too many concessions to the non-Irish audiences.

  20. Community rating in the absence of risk equalisation: lessons from the Irish private health insurance market.

    Science.gov (United States)

    Turner, Brian; Shinnick, Edward

    2013-04-01

    Ireland's private health insurance market operates on the basis of community rating, alongside open enrolment and lifetime cover. A risk equalisation scheme was introduced in 2003 to bolster community rating. However, in July 2008 the Irish Supreme Court set aside this scheme, on the basis of the interpretation of community rating in Irish legislation. This decision has significant implications for the Irish private health insurance market. This paper reviews the development of the market, focusing in particular on community rating. The breakdown of community rating in a market with multiple insurers with differing risk profiles is discussed. Applying this to the Irish market, it can be seen that the Irish Supreme Court judgment has significant implications for the application of community rating. Specifically, while community rating operates within plans, it no longer operates across the market, leading to high-risk lives paying more, on average, than low-risk lives. It has also led to greater opportunities for insurers to engage in market segmentation. This may have relevance for the design and operation of other community rated markets.

  1. The Irish organic food market: shortfalls, opportunities and the need for research.

    Science.gov (United States)

    Tobin, Rachel; Larkin, Tracey; Moane, Siobhan

    2011-09-01

    In 2009 the Irish organic food market was forecasted to grow from €120 m to €239 m by 2013; however, recent figures set its value at just €90 m. An estimated 70% of this market is imported. Surveys of Irish consumers reveal that 66% of consumers prefer to buy local produce and most organic consumers are buying organic at supermarkets. This evidence reveals that Irish producers must trade at supermarkets, and promote 'local produce' to ensure their produce reach the majority of buyers. Seventy-eight % of organic rejecters state price and 21% state unawareness of the benefits as reasons for not buying organic. Many Irish consumers are buying organic food on the perceived belief that it is healthier, safer and tastes better; however, a review of studies on organic versus conventional foods in terms of health benefits, safety and sensory quality has shown that existing data is limited in scope and fails to show a clear trend. The review concludes with the need for a comprehensive study of a range of organic and conventional foods available to the Irish consumer in order to determine if differences in organic cultivation result in statistically significant differences in health linked compounds and sensory quality. Copyright © 2011 Society of Chemical Industry.

  2. 75 FR 3333 - Irish Potatoes Grown in Colorado; Modification of the Handling Regulation for Area No. 2

    Science.gov (United States)

    2010-01-21

    ... FR] Irish Potatoes Grown in Colorado; Modification of the Handling Regulation for Area No. 2 AGENCY... requirement under the Colorado potato marketing order, Area No. 2. The marketing order regulates the handling of Irish potatoes grown in Colorado, and is administered locally by the Colorado Potato...

  3. 75 FR 17034 - Irish Potatoes Grown in Colorado; Relaxation of the Handling Regulation for Area No. 3

    Science.gov (United States)

    2010-04-05

    ...; FV09-948-2 IFR] Irish Potatoes Grown in Colorado; Relaxation of the Handling Regulation for Area No. 3...: This rule relaxes the size requirement prescribed under the Colorado potato marketing order. The marketing order regulates the handling of Irish potatoes grown in Colorado, and is administered locally by...

  4. 78 FR 3 - Irish Potatoes Grown in Colorado; Modification of the Handling Regulation for Area No. 2

    Science.gov (United States)

    2013-01-02

    ...; FV12-948-1 IR] Irish Potatoes Grown in Colorado; Modification of the Handling Regulation for Area No. 2...: This rule modifies the grade requirements for potatoes handled under the Colorado potato marketing order, Area No. 2 (order). The order regulates the handling of Irish potatoes grown in Colorado and is...

  5. 78 FR 70191 - Irish Potatoes Grown in Colorado; Modification of the General Cull and Handling Regulation for...

    Science.gov (United States)

    2013-11-25

    ...-FV-13-0001; FV13-948-1 FIR] Irish Potatoes Grown in Colorado; Modification of the General Cull and..., without change, an interim rule that modified the size requirements for potatoes handled under the Colorado potato marketing order, Area No. 2 (order). The order regulates the handling of Irish potatoes...

  6. 78 FR 35743 - Irish Potatoes Grown in Colorado; Modification of the General Cull and Handling Regulation for...

    Science.gov (United States)

    2013-06-14

    ... IR] Irish Potatoes Grown in Colorado; Modification of the General Cull and Handling Regulation for.... SUMMARY: This interim rule modifies the size requirements for potatoes handled under the Colorado potato marketing order, Area No. 2 (order). The order regulates the handling of Irish potatoes grown in Colorado...

  7. 78 FR 43827 - Irish Potatoes Grown in Modoc and Siskiyou Counties, California, and in All Counties in Oregon...

    Science.gov (United States)

    2013-07-22

    ... Service 7 CFR Part 947 [Doc. No. AMS-FV-13-0036; FV13-947-1 PR] Irish Potatoes Grown in Modoc and Siskiyou... handling of Irish potatoes grown in Modoc and Siskiyou Counties, California, and in all counties in Oregon... by the Oregon-California Potato Committee (Committee), which recommended termination of the marketing...

  8. Industrial peat utilization and its importance to the Irish economy

    International Nuclear Information System (INIS)

    Bradley, Thomas

    1995-01-01

    Over the centuries peat has been used as a valuable source of fuel for domestic heating and cooking. In contrast to earlier times when all peat extraction and harvesting was carried out by hand, peat production in Ireland to-day has become a highly mechanised, large scale commercial industry, making a significant contribution to the Irish economy. Bord na Mona, the state agency assigned the responsibility for peatland development in Ireland, has developed 88,000 hectares of Ireland's 1.2 million hectares of peatlands. Over 5.2 million tonnes of fuel peat are currently sold each year for electricity generation and for the manufacture of peat briquettes for heating installations. With the introduction of a new 120 MW peat fired power station, the overall sales for fuel peat will be increased by 1.0 million tonnes per annum. On the horticultural front, Bord na Mona produces and sells over 1.5 million cubic metres of horticultural peat products to the domestic and international markets. (author)

  9. Radiation doses from radon and progeny in Irish houses

    International Nuclear Information System (INIS)

    McLaughlin, J.P.

    1985-08-01

    In the United Kingdom, the estimated average annual effective dose equivalent to members of the public from all sources is 2.4 mSv (240 mrem). 40% of this dose is contributed by exposure to radon, and it is not unreasonable to assume that the situation in Ireland is very similar. During 1982-84 a preliminary study of radon and penetrating radiation on 300 Irish houses showed seasonally averaged indoor radon concentrations in the range 3 Bq/m 3 of air to 700 bq/m 3 , with a median value of about 40 bq/m 3 . A national survey of indoor radon has now been undertaken; 3000 households, randomly selected from the electoral register are to be monitored and the result correlated with energy conservation practices. The final part of this document deals with the regulatory aspects of radon control and reviews the practices for reduction of indoor radon daughter doses presently in hand in Scandinavia. An appendix of radiation units and terms is also given

  10. The glass ceiling in Irish healthcare: a nursing perspective.

    Science.gov (United States)

    Tracey, Catherine

    2006-01-01

    The purpose of this study is to describe and explore from the perspectives of top-level nurses holding the formal position of director of nursing their perceptions and interpretations of their experiences in the Irish healthcare system. This paper presents some findings from a nation-wide study, which is qualitative in approach using grounded theory methodology. Semi-structured interviews were conducted with 50 directors of nursing representing general and psychiatric nursing. The study in this paper was conducted in the context of a changing healthcare system, which emphasises the flattening of organisational pyramids. However, this study's findings indicate that, while structures might be changing, behaviours remain unaltered. In particular, the medicine nursing power base remains unchanged, while the power shift between nursing and general management continues to widen in favour of general management. Research in this paper shows that directors of nursing who chose to participate in this study may have different perceptions of experiences from those who chose not to participate. In the paper the reality is neither medicine nor general management, individually or collectively, are going to share or devolve power and influence to nursing. This study's findings indicate that nursing needs to confront this power imbalance. Nursing needs to take the first steps towards shattering the glass ceiling by really examining its own behaviours, in maintaining the status quo, in the traditional balance of power.

  11. Post-mortem findings in Irish culled hounds.

    Science.gov (United States)

    Jahns, H; Callanan, J J; McElroy, M C; Sammin, D J; Bassett, H F

    2011-07-01

    Little is known of the common diseases of hunting dogs or of the reasons why they are culled. To address these questions, necropsy examinations were conducted on 52 hounds aged 1.5-12 years (mean 6.5 ± 2.5 years) and culled from 10 Irish hunting kennels over a 3-year period. Progressive systemic disease was seen in six dogs only and encompassed individual cases of tuberculosis caused by Mycobacterium bovis, bronchioalveolar carcinoma with metastasis to regional lymph nodes, renal amyloidosis, suppurative pneumonia, extramedullary plasmacytoma in the atrial wall of the heart and foreign body-induced hepatitis with focal peritonitis. Single or multiple localized tumours were identified in five dogs and, apart from the aforementioned, included two cutaneous haemangiomas, a trichoepithelioma, a lipoma and a mammary ductal adenoma. Three dogs were culled for lameness; one of these dogs had torn musculature, another had cellulitis and the third had a healed fracture of the tibia and fibula. Chronic renal changes were present in 48% of the dogs and included focal proliferative, exudative or crescentic glomerulonephritis (33%) or low-grade interstitial inflammatory changes (50%). The most frequently diagnosed skin lesions reported in this study were mild healed decubitus ulcers (33%), scars (33%) and stereotypic dermatitis (13%). These findings indicate that hounds are likely to be culled for reasons other than the presence of disease in most cases. In addition, this survey highlights different disease patterns in hounds than are typically observed in pet dogs. Copyright © 2010 Elsevier Ltd. All rights reserved.

  12. Eating concerns and media influences in an Irish adolescent context.

    LENUS (Irish Health Repository)

    McNicholas, Fiona

    2012-02-01

    OBJECTIVE: EPICA is the first large-scale Irish study of a school-going population examining the impact of media influences on eating attitudes. METHOD: Students were screened using the EAT-26, EDI-III and a study-specific questionnaire. A sub-sample of parents\\' views was included. RESULTS: Three thousand and thirty-one students (mean age 14.74) and 56 parents enrolled. The majority (71.4%) of adolescents felt adversely affected by media portrayal of body weight and shape, with more than a quarter (25.6%) believing it to be \\'far too thin\\'. A significant correlation between media impact and high EAT scores (chi2 = 450.78, df = 2, p < 0.05) and EDI-III scores (chi2 = 387.51, df = 4, p < 0.05) was demonstrated. Parents also view media portrayal as too thin (94.7%), less than half are adversely affected by it (49.2%) but the majority (71.9%) believe their children to be. CONCLUSION: Media portrayal of body weight and shape is correlated with eating psychopathology and may affect adolescents more than adults. School psycho-educational programmes and media policies are urgently needed to minimise any detrimental effect.

  13. Interconnections and market integration in the Irish Single Electricity Market

    International Nuclear Information System (INIS)

    Nepal, Rabindra; Jamasb, Tooraj

    2012-01-01

    Interconnections can be an effective way to increase competition and improve market integration in concentrated wholesale electricity markets with limited number of participants. This paper examines the potential for interconnections and increasing market integration in the Irish Single Electricity Market (SEM). We use a time-varying Kalman filter technique to assess the degree of market integration between SEM and other large, mature and interconnected wholesale electricity markets in Europe including Great Britain (GB). The results indicate no market integration between SEM and other European markets except for Elspot and GB. We show that the current state of market integration between SEM and GB is just 17% indicating potential to improve market integration via increased interconnector capacity. The results indicate that liquidity of wholesale markets might be a crucial factor in the market integration process while our results remain inconclusive in determining whether increased trade of renewables can improve market integration. - Highlights: ► We assess the degree of market integration between SEM and other EU electricity markets. ► Our results indicate no market integration between SEM and other European markets except for Elspot and GB. ► We show that the current state of market integration between SEM and GB is just 17%.

  14. Pedestrian fatalities and injuries involving Irish older people.

    LENUS (Irish Health Repository)

    Martin, A J

    2012-02-01

    BACKGROUND: It has been established internationally that road traffic accidents (RTAs) involving older drivers follow clearly different patterns of timing, location and outcomes from those of younger age groups. Older pedestrians are also a vulnerable group and fewer analyses have been undertaken of the phenomenology of their injuries and fatalities. We studied the pattern of pedestrian RTAs in Ireland over a five-year period with the aim of identifying differences between older pedestrians (aged 65 or older) and younger adults. METHODS: We examined the datasets of the Irish National Road Authority (now the Road Safety Authority) from 1998-2002. We analysed patterns of crashes involving older pedestrians (aged 65) and compared them with younger adults (aged 18-64). RESULTS: Older people represented 36% (n = 134) of pedestrian fatalities and 23% of serious injuries while they only account for 19% of total RTAs. Mortality in RTA is more than doubled for older pedestrians compared to younger adults (RR 2.30). Most accidents involving older pedestrians happen in daylight with good visibility (56%) and in good weather conditions (77%). CONCLUSIONS: Older pedestrians are particularly vulnerable in RTAs. These occur more frequently during daylight hours and in good weather conditions. This may point to a need for prevention strategies that are targeted at the traffic environment and other road users rather than at older people.

  15. Irish medical students’ understanding of the intern year

    LENUS (Irish Health Repository)

    Gouda, P,

    2016-03-01

    Upon completion of medical school in Ireland, graduates must make the transition to becoming interns. The transition into the intern year may be described as challenging as graduates assume clinical responsibilities. Historically, a survey of interns in 1996 found that 91% felt unprepared for their role. However, recent surveys in 2012 have demonstrated that this is changing with preparedness rates reaching 52%. This can be partially explained by multiple initiatives at the local and national level. Our study aimed evaluate medical student understanding of the intern year and associated factors. An online, cross-sectional survey was sent out to all Irish medical students in 2013 and included questions regarding their understanding of the intern year. Two thousand, two hundred and forty-eight students responded, with 1224 (55.4%) of students agreeing or strongly agreeing that they had a good understanding of what the intern year entails. This rose to 485 (73.7%) among senior medical students. Of junior medical students, 260 (42.8%) indicated they understood what the intern year, compared to 479 (48.7%) of intermediate medical students. Initiatives to continue improving preparedness for the intern year are essential in ensuring a smooth and less stressful transition into the medical workforce

  16. Multiple Genetic Associations with Irish Wolfhound Dilated Cardiomyopathy.

    Science.gov (United States)

    Simpson, Siobhan; Dunning, Mark D; Brownlie, Serena; Patel, Janika; Godden, Megan; Cobb, Malcolm; Mongan, Nigel P; Rutland, Catrin S

    2016-01-01

    Cardiac disease is a leading cause of morbidity and mortality in dogs and humans, with dilated cardiomyopathy being a large contributor to this. The Irish Wolfhound (IWH) is one of the most commonly affected breeds and one of the few breeds with genetic loci associated with the disease. Mutations in more than 50 genes are associated with human dilated cardiomyopathy (DCM), yet very few are also associated with canine DCM. Furthermore, none of the identified canine loci explain many cases of the disease and previous work has indicated that genotypes at multiple loci may act together to influence disease development. In this study, loci previously associated with DCM in IWH were tested for associations in a new cohort both individually and in combination. We have identified loci significantly associated with the disease individually, but no genotypes individually or in pairs conferred a significantly greater risk of developing DCM than the population risk. However combining three loci together did result in the identification of a genotype which conferred a greater risk of disease than the overall population risk. This study suggests multiple rather than individual genetic factors, cooperating to influence DCM risk in IWH.

  17. Multiple Genetic Associations with Irish Wolfhound Dilated Cardiomyopathy

    Directory of Open Access Journals (Sweden)

    Siobhan Simpson

    2016-01-01

    Full Text Available Cardiac disease is a leading cause of morbidity and mortality in dogs and humans, with dilated cardiomyopathy being a large contributor to this. The Irish Wolfhound (IWH is one of the most commonly affected breeds and one of the few breeds with genetic loci associated with the disease. Mutations in more than 50 genes are associated with human dilated cardiomyopathy (DCM, yet very few are also associated with canine DCM. Furthermore, none of the identified canine loci explain many cases of the disease and previous work has indicated that genotypes at multiple loci may act together to influence disease development. In this study, loci previously associated with DCM in IWH were tested for associations in a new cohort both individually and in combination. We have identified loci significantly associated with the disease individually, but no genotypes individually or in pairs conferred a significantly greater risk of developing DCM than the population risk. However combining three loci together did result in the identification of a genotype which conferred a greater risk of disease than the overall population risk. This study suggests multiple rather than individual genetic factors, cooperating to influence DCM risk in IWH.

  18. Reproductive health in Irish female renal transplant recipients.

    LENUS (Irish Health Repository)

    Kennedy, C

    2012-02-01

    OBJECTIVE: To report the pregnancy outcomes in Irish female renal transplant recipients on modern maintenance immunosuppression. METHODS: The Republic of Ireland transplant database was accessed to identify the patient cohort in question. All female renal transplant recipients whose transplantation was in Ireland before or during their reproductive years were included. A questionnaire was sent to the identified women. A chart review was performed for those women who reported a pregnancy following renal transplantation. RESULTS: Two hundred and ten women met the inclusion criteria. There was a response rate of 70% (n = 148). Eighteen women reported 29 pregnancies. The live birth rate was 76%. The mean gestation of the live births was 36.2 weeks with a mean birth weight of 3.0 kg. There were six cases of pre-eclampsia. Twin pregnancies and those entering pregnancy with a creatinine greater than 135 micromol\\/l had particularly complicated clinical courses. Four women had not conceived post transplant despite actively trying for over 1 year. Two women utilised assisted fertility methods (in vitro fertilisation), one of whom became pregnant. CONCLUSIONS: A significant proportion of women who attempt to conceive following renal transplantation are successful, without the use of assisted fertility. Pregnancy in this setting warrants meticulous multidisciplinary care.

  19. Child maltreatment and adult psychopathology in an Irish context.

    LENUS (Irish Health Repository)

    Fitzhenry, Mark

    2015-07-01

    One-hundred-ninety-nine adult mental health service users were interviewed with a protocol that included the Childhood Trauma Questionnaire, the Structured Clinical Interviews for Axis I and II DSM-IV disorders, the Global Assessment of Functioning scale, the SCORE family assessment measure, the Camberwell Assessment of Need Short Appraisal Schedule, and the Readiness for Psychotherapy Index. Compared to a U.S. normative sample, Irish clinical cases had higher levels of maltreatment. Cases with comorbid axis I and II disorders reported more child maltreatment than those with axis I disorders only. There was no association between types of CM and types of psychopathology. Current family adjustment and service needs (but not global functioning and motivation for psychotherapy) were correlated with a CM history. It was concluded that child maltreatment may contribute to the development of adult psychopathology, and higher levels of trauma are associated with co-morbid personality disorder, greater service needs and poorer family adjustment. A history of child maltreatment should routinely be determined when assessing adult mental health service users, especially those with personality disorders and where appropriate evidence-based psychotherapy which addresses childhood trauma should be offered.

  20. Sectoral Innovation Watch Biotechnology Sector. Final sector report

    NARCIS (Netherlands)

    Enzing, C.

    2011-01-01

    Biotechnology has evolved from a single set of technologies in the mid 1970s into a full grown technological field that is the driving force in innovation processes in many industrial sectors (pharmaceutical, medical, agriculture, food, chemical, environment, instruments). Nowadays, biotechnology is

  1. Sectoral Innovation Watch Food and Drinks Sector. Final Sector Report

    NARCIS (Netherlands)

    Leis, M.; Gijsbers, G.; Zee, F. van der

    2011-01-01

    The food and drinks manufacturing industry is a diverse and complex sector. There are ample possibilities for performance improvement and innovation in the food and drinks industry as well as a variety of challenges ranging from a lack of financial and human resources, fragmented consumer interests

  2. Second sector cool down

    CERN Multimedia

    2007-01-01

    At the beginning of July, cool-down is starting in the second LHC sector, sector 4-5. The cool down of sector 4-5 may occasionally generate mist at Point 4, like that produced last January (photo) during the cool-down of sector 7-8.Things are getting colder in the LHC. Sector 7-8 has been kept at 1.9 K for three weeks with excellent stability (see Bulletin No. 16-17 of 16 April 2007). The electrical tests in this sector have got opt to a successful start. At the beginning of July the cryogenic teams started to cool a second sector, sector 4-5. At Point 4 in Echenevex, where one of the LHC’s cryogenic plants is located, preparations for the first phase of the cool-down are underway. During this phase, the sector will first be cooled to 80 K (-193°C), the temperature of liquid nitrogen. As for the first sector, 1200 tonnes of liquid nitrogen will be used for the cool-down. In fact, the nitrogen circulates only at the surface in the ...

  3. COMPARATIVE ANALYSIS OF QUANTITATIVE DATA OF THE IRISH LANGUAGE FUNCTIONAL POWER IN IRELAND AND NORTHERN IRELAND

    Directory of Open Access Journals (Sweden)

    Gataullina, K.N.

    2017-12-01

    Full Text Available The globalization processes put a number of regional languages on the verge of extinction, therefore, they have raised awareness of protecting and maintaining the minority languages among a great number of foreign and Russian scholars. The paper deals with Irish that is under protection of the European Charter for regional and Minority Languages in UK and is an official language of Ireland. The research is aimed at comparing the Irish language position in both regions: Ireland and Northern Ireland. Reviewing the quantitative data in the regions under the study allows us to see clearly the language situation, monitor development, and relying on the achieved results, assess the current state and predict the future of Irish in both regions. The research results are considered to be of practical use for further language planning, improving the efficiency of language policies.

  4. Is Irish set dancing feasible for people with Parkinson's disease in Ireland?

    Science.gov (United States)

    Shanahan, Joanne; Morris, Meg E; Bhriain, Orfhlaith Ni; Volpe, Daniele; Richardson, Margaret; Clifford, Amanda M

    2015-02-01

    To investigate if community-based Irish set dancing is feasible in Irish adults with Parkinson's disease. Over an eight week period, ten participants attended one set dancing class per week and completed a home programme in parallel. Feasibility was assessed by monitoring adverse effects, participants' verbal feedback, compliance rates and feedback from an exit questionnaire. Participants were assessed using the Berg balance scale, 6-min walk test, UPDRS-3 and PDQ-39, before and after the intervention. No adverse effects were detected. Attendance at classes was 86%. Compliance with the home programme was 67%. Findings from the exit questionnaire showed participants enjoyed participating and reported improvements in aspects of health including balance. Quality of life improved with the dance programme and there was a trend toward improvement on the UPDRS-3. These findings suggest community-based Irish set dancing is a feasible form of exercise that can positively influence quality of life. Copyright © 2014 Elsevier Ltd. All rights reserved.

  5. Battling for the Rights to Privacy and Data Protection in the Irish Courts

    Directory of Open Access Journals (Sweden)

    Shane Darcy

    2015-02-01

    Full Text Available Far-reaching mass surveillance by the US National Security Agency and other national security services has brought issues of privacy and data protection to the fore in recent years. Information and technology companies have been embroiled in this scandal for having shared, unwittingly or otherwise, users’ personal data with the security services. Facebook, the world’s largest social media company, has long-been criticised by privacy advocates because of its treatment of users’ data. Proceedings before the Irish courts concerning the role of national data protection authorities have seen an examination of these practices in light of relevant Irish and EU law.

  6. John Punch, Scotist Holy War, and the Irish Catholic Revolutionary Tradition in the Seventeenth Century.

    Science.gov (United States)

    Campbell, Ian W

    2016-07-01

    During the 1640s, the Irish Franciscan theologian John Punch taught his theology students in Rome that war against Protestants was made just by their religion alone. Jesuits like Luis de Molina identified the holy war tradition in which Punch stood as a Scotist one, and insisted that the Scotists had confused the natural and supernatural spheres. Among Irishmen, Punch was unusual. The main Irish Catholic revolutionary tradition employed Jesuit and Thomist theory. They argued that the Stuarts had lost the right to rule Ireland for natural reasons, not supernatural ones; because the Stuarts were tyrants, not because they were Protestants.

  7. Chasing the Intangible: a Conversation on Theatre, Language, and Artistic Migrations with Irish Playwright Marina Carr

    Directory of Open Access Journals (Sweden)

    Valentina Rapetti

    2014-07-01

    Full Text Available Offally born Marina Carr is amongst the most prolific, influential and internationally renowned Irish playwrights of our times. Since her debut on the avant-garde side of the Dublin theatre scene in the late Eighties, she has had  seventeen plays professionally produced, both in and outside Ireland. Her earlier work is influenced by Samuel Beckett’s Absurdist drama, while in her most mature and recent plays she draws on both classical and Irish mythology, Greek tragedies and Shakespeare’s poetics. In this interview, Marina Carr recalls and discusses some pivotal moments of her upbringing and career; she also speaks about language, landscape, dream

  8. Differences between Irish and Australian psychiatric nurses' family-focused practice in adult mental health services

    LENUS (Irish Health Repository)

    Grant, Anne

    2016-04-01

    Psychiatric nurses\\' practice with parents who have mental illness, their children and families is an important issue internationally. This study provides a comparison of Irish and Australian psychiatric nurses\\' family-focused practices in adult mental health services. Three hundred and forty three nurses across Ireland and 155 from Australia completed the Family Focused Mental Health Practice Questionnaire. Cross-country comparisons revealed significant differences, in terms of family-focused skill, knowledge, confidence and practice. Australian psychiatric nurses engaged in higher family-focused practice compared to Irish nurses. The comparative differences between countries may be attributable to differences in training, workplace support and policy.

  9. The East Irish Sea Basin - from caterpillar to butterfly, a thirty-year metamorphosis

    Energy Technology Data Exchange (ETDEWEB)

    Colter, V.S.

    1997-12-31

    In the thirty years since the award of the first licenses, the East Irish Sea Basin has emerged as a significant hydrocarbon province. This paper first lists some of the occasionally almost arbitrary events that led to the first success in the basin, the discovery of the Morecambe Field, in 1974. An attempt is made to review progress over those thirty years in certain topics, namely (1) stratigraphy, (2) structure, (3) sedimentology, (4) diagenesis `The `Platy Illite problem`; and others, (5) uplift and inversion, (6) hydrocarbon sources and types, (7) East Irish Sea Basin analogues. The paper concludes by summarizing the current state of knowledge. (author)

  10. The emerging fourth sector

    OpenAIRE

    Friis, Andreas

    2009-01-01

    The Fourth Sector is a new phenomenon related to dual social and financial value creation, until now not clearly defined with crisp sectoral boundaries and an operationalized definition. The phenomenon is getting increased attention in media, conferences, business schools and by organizations all over the world, and this study intends to explain the macroenvironmental changes that led to the rise of the fourth sector, describe new trends of social value creation in the private ...

  11. Relating the carbon footprint of milk from Irish dairy farms to economic performance.

    Science.gov (United States)

    O'Brien, D; Hennessy, T; Moran, B; Shalloo, L

    2015-10-01

    Mitigating greenhouse gas (GHG) emissions per unit of milk or the carbon footprint (CF) of milk is a key issue for the European dairy sector given rising concerns over the potential adverse effects of climate change. Several strategies are available to mitigate GHG emissions, but producing milk with a low CF does not necessarily imply that a dairy farm is economically viable. Therefore, to understand the relationship between the CF of milk and dairy farm economic performance, the farm accountancy network database of a European Union nation (Ireland) was applied to a GHG emission model. The method used to quantify GHG emissions was life cycle assessment (LCA), which was independently certified to comply with the British standard for LCA. The model calculated annual on- and off-farm GHG emissions from imported inputs (e.g., electricity) up to the point milk was sold from the farm in CO2-equivalent (CO2-eq). Annual GHG emissions computed using LCA were allocated to milk based on the economic value of dairy farm products and expressed per kilogram of fat- and protein-corrected milk (FPCM). The results showed for a nationally representative sample of 221 grass-based Irish dairy farms in 2012 that gross profit averaged € 0.18/L of milk and € 1,758/ha and gross income was € 40,899/labor unit. Net profit averaged € 0.08/L of milk and € 750/ha and net income averaged € 18,125/labor unit. However, significant variability was noted in farm performance across each financial output measure. For instance, net margin per hectare of the top one-third of farms was 6.5 times higher than the bottom third. Financial performance measures were inversely correlated with the CF of milk, which averaged 1.20 kg of CO2-eq/kg of FPCM but ranged from 0.60 to 2.13 kg of CO2-eq/kg of FPCM. Partial least squares regression analysis of correlations between financial and environmental performance indicated that extending the length of the grazing season and increasing milk production

  12. Technetium-99 in lobsters from the western Irish sea

    International Nuclear Information System (INIS)

    Fegan, Mary

    1999-05-01

    Technetium-99, the most important radionuclide of technetium release to the environment, is a pure beta emitter with a half-life of 2.13 x 10(5) years. It behaves conservatively in seawater and is likely to remain available to biota for a long time. The dominant and most stable form of technetium in oxygenated seawater is the pertechnetate ion, Tco4. The principle source of radionuclide contamination of the Irish Sea has been the liquid waste discharges of low level radionuclide effluent from the spent nuclear fuel reprocessing plant at Sellafield on the Cumbria Coast. In 1994 the annual discharge authorization limit for 99Tc was increased from 10 TBq to 200 TBq. Lobster concentrates 99Tc to a high degree with concentration factors of 1x 10(3) reported in the literature. The mean 99Tc activity concentrations in lobsters caught close to Sellafield were reported to have risen by a factor of 20 in 2 years from 390 Bq/kg (wet weight) in 1993 to 8300 Bq/kg (wet weight) in 1995. This study was undertaken to determine the 99Tc activity concentration in lobsters from the western Irish Sea. Lobsters were collected from the east and north east coasts of Ireland over the period June 1997 to July 1998 and analysed using a radioanalytical method which was based on the anion-exchange seperation of technetium as pertechnetate. A gas-flow proportional counter was used to measure to 99Tc activity concentration in each sample. Technetium-99 activity concentrations were measured in the muscle from the tail, the right and the left claws and also in the green gland, the hepatopancreas and the cardiac fore-gut. The results of the measurements showed, as expected, that the 99Tc activity concentrations were not as high as those in the samples from the Cumbrian coast. The mean 99Tc activity concentrations, over the sampling period, in the tail, right and left claw muscles were 214, 124 and 136 BQ/kg (wet weight) respectively. The mean 99Tc activity concentrations in the green gland

  13. The Irish coastal current: A seasonal jet-like circulation

    Science.gov (United States)

    Fernand, L.; Nolan, G. D.; Raine, R.; Chambers, C. E.; Dye, S. R.; White, M.; Brown, J.

    2006-10-01

    During 25 July-3 August 2001 a comprehensive cruise was undertaken along the western coast of the Republic of Ireland to resolve the three-dimensional density field and circulation. Towed undulating CTD revealed the strong thermocline beyond the 60 m contour with more diffuse stratification inshore. Argos drifters deployed in the late summer of 1999, 2000 and 2001 demonstrated strongly northward flow, their motion was uncorrelated with wind forcing but was consistent with the predicted geostrophic currents generated by the bottom fronts intersecting the seabed. These flows were evident in the data from the vessel mounted 153.6 kHz acoustic Doppler current profiler (ADCP) although the jets are relatively narrow (15-20 km). This region is heavily influenced by storm events and Atlantic influence with high salinity contributing to strong vertical and horizontal density gradients particularly in the south of the region. However, the seasonal heating cycle coupled with tidal mixing is the dominant force of buoyancy production that ensures that the frontal features occur every year. In combination with similar features found in the Celtic Sea [Brown, J., et al., 2003. Observations of the physical structure and seasonal jet-like circulation of the Celtic Sea and St. George's Channel of the Irish Sea. Continental Shelf Research 23, 533-561] these observations demonstrate the existence of a continuous pathway in summer from the north Cornish coast to Malin Head with average residual velocities >7.5 cm s -1. The data set described here provides the necessary basis for environmental management and knowledge of the pathway for contaminants, the dynamics of nutrients and an understanding of the movement of larvae and juvenile fish, in a geographic location that had previously been little studied.

  14. The radiological impact of actinides discharged to the Irish Sea

    International Nuclear Information System (INIS)

    Hunt, G.J.; Smith, B.D.

    1999-01-01

    This paper describes the radiological effects of releases of actinides to the Irish Sea from Sellafield, the major source. Exposure pathways to man since the commencement of discharges in 1952 are reviewed; the importance of actinides began to increase with increased discharges in the 1970s. With the demise of the porphyra/laverbread pathway due to transport difficulties, the pathway due to fish and shellfish consumption became critical, particularly for actinides through molluscan shellfish. A reassessment on the current basis of effective dose shows that peak exposures to the critical group of about 2 mSv yr -1 were received in the mid-1970s, about 30% of which was due to actinides. Effective doses have since reduced but the relative importance of actinides is greater, due to the interplay of discharges of radionuclides from Sellafield and their behaviour in the environment. Additive doses through sea food due to releases of natural radionuclides from the Marchon phosphate plant at Whitehaven are also considered, although the actinide component from this source has been small. Exposures due to actinides from Sellafield via other pathways are shown to be much lower than those involving sea food. Collective doses are also considered; these peaked at about 300 man-Sv to the European population (including the UK) in 1979, with only a few percent due to actinides. As in the case of critical group doses, the relative importance of actinides has increased in recent years within the decreasing total collective dose. For both critical group and collective doses, therefore, the actinide component needs to be kept under review. (Copyright (c) 1999 Elsevier Science B.V., Amsterdam. All rights reserved.)

  15. A review of factors influencing litter size in Irish sows

    Directory of Open Access Journals (Sweden)

    Lawlor Peadar G

    2007-06-01

    Full Text Available Abstract Many factors influence litter size. These include genetics, gilt management, lactation length, parity distribution, disease, stress and boar fertility. In the past 20 years, litter size in Irish sows has increased by only one pig. Born alive figures now average at 11.2 pigs per litter. In this regard, Ireland is falling behind our European competitors who have made significant advances over this time. Denmark, for example, has an average figure of 12.7 pigs born alive per litter and France an average of 12.5. The single area that could be improved immediately is sow feeding. It is important that sows are fed correctly throughout pregnancy. If over-fed during pregnancy, sows will have depressed appetite during lactation. If underfed in pregnancy, sows will be too thin at farrowing. The correct way to feed a pregnant sow is to match her feed allocation to her requirement for maintenance, body growth and growth of her developing foetuses. During lactation, sows should be given as much feed as they can eat to prevent excessive loss of body condition. Liquid-feed curves should be such that lactating sows are provided with a minimum mean daily feed supply of 6.2 kg. A small proportion of sows will eat more and this could be given as supplementary dry feed. Where dry feeding is practised in the farrowing house, it is difficult to hand-feed sows to match their appetite. Ideally ad libitum wet/dry feeders should be used. From weaning to service, sows should once again be fed ad libitum. If liquid feeding, this means giving at least 60 MJ DE (digestible energy per day during this period. If dry feeding, at least 4 kg of lactation diet should be fed daily. The effort spent perfecting sow feeding management on units should yield high dividends in the form of increased pigs born alive per litter.

  16. Attitudes and perceived risk of cannabis use in Irish adolescents.

    Science.gov (United States)

    Barrett, P; Bradley, C

    2016-08-01

    Cannabis is the most widely used illicit drug in the developed world and its use is associated with several adverse physical and mental health effects and negative social outcomes. Earlier use of cannabis increases the risk of adverse effects. Attitudes and perceived risk towards drugs are regarded as strong influences in determining whether or not a person uses cannabis, but there is little existing research on Irish teenagers' attitudes to the risks of this drug. This was a descriptive, cross-sectional study using a structured, anonymous questionnaire. The study was undertaken in nine public and private secondary schools in Cork City and suburbs. Students aged 15-18 and in fourth, fifth or sixth year of school were included. Of the 507 participating students, 39.3 % (n = 199) reported previous cannabis use. There were significantly lower levels of perceived risk of cannabis among those who had used the drug compared with those who had not, for all categories of risk (p < 0.01). Attitudes towards cannabis were more liberal among males and those with previous use of the drug. A minority of students (n = 92; 18.2 %) support legalisation of cannabis. The majority of teenagers (n = 382; 75.8 %) believe that they are not given enough information about the drug. Cannabis use is very widespread among teenagers in Cork. There are relatively low levels of perceived risk of mental and physical health problems with use of the drug. Attitudes towards cannabis are associated with personal use of the drug and gender.

  17. Ireland's Agricultural Preparedness for Nuclear Emergencies - Application to the Dairy Sector

    Energy Technology Data Exchange (ETDEWEB)

    Organo, Catherine [Environmental Protection Agency, Office of Radiological Protection, 3 Clonskeagh Square, Clonskeagh Road, Dublin 14 (Ireland); Darcy, Marie [Department of Agriculture, Food and the Marine, Grattan Business Centre, Portlaoise, Co. Laois (Ireland)

    2014-07-01

    Nuclear Accident Abroad. Based on the generic EURANOS Food Handbook (2009) which advises on the management of a radiological emergency in Europe, the Irish Food Handbook is a living document developed by a multi-agency working group set up to specifically address potential Irish scenarios and their possible consequences for the Irish agriculture and agri-food sectors. Contributors include the RPII, the Food Safety Authority of Ireland (FSAI), the DECLG and the Department of Agriculture, Food and the Marine (DAFM). The presentation will specifically look at the example of the dairy sector because of its importance to the Irish economy (second largest share of Ireland's gross agriculture output with 80-85% of dairy products exported) and also due to the fact that milk is particularly vulnerable to nuclear fallout/contamination and can be considered a key food group. (authors)

  18. Square-Toed Boots and Felt Hats: Irish Revolutionaries and the Invasion of Canada (1848-1871

    Directory of Open Access Journals (Sweden)

    Marta Ramón-García

    2010-03-01

    Full Text Available The Fenian movement was born in 1858 as an alliance between the Irish Republican Brotherhood, a revolutionary secret society, and the Fenian Brotherhood, an Irish-American organisation intended to supply this society with funds and trained officers. This was not the first time that Irish nationalists on both sides of the Atlantic had tried to cooperate, but it was the first time that there was a steady arrangement in place. The Fenian partnership was extremely successful on the surface, but it was undermined by fundamental differences in customs, political attitudes and ultimate goals between Irish and American Fenians. The clearest evidence of these differences was afforded by the Fenian Brotherhood’s successive attempts to invade Canada between 1866 and 1871. As military episodes the Canadian raids were negligible; as Irish revolutionary attempts they seem absurd. However, they were a perfectly coherent manifestation of the Irish-American “hyphenated identity”. The present article traces the parallel evolution of the Irish Republican Brotherhood and the Fenian Brotherhood up to 1866, and reconstructs the cultural and political reasons for the revival of the Canadian scheme, the ensuing split in the Fenian Brotherhood, and the final collapse of the Fenian alliance.

  19. Chemical and Petrochemical Sector

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2009-07-01

    This publication is a background document on the global chemical and petrochemical sector for the IEA publication Energy Technology Transitions in Industry (IEA, 2009). It provides further, more detailed information on the methodology and data issues for energy efficiency indicators for the sector. The indicators discussed offer insight regarding the energy efficiency improvement potential in the short- to medium-term (by proven technologies).

  20. Energy sector alliances

    International Nuclear Information System (INIS)

    McQuade, Owen

    1998-09-01

    Contains Executive Summary and Chapters on: A changing energy sector; Rationale for the joint venture, merger or acquisition; Mergers, acquisitions and joint ventures by sector; The joint venture process; Key factors for success; Financing the venture; Case studies; The future outlook. (Author)

  1. Use of a national hospitalization register to identify industrial sectors carrying high risk of severe injuries: a three-year cohort study of more than 900,000 Danish men.

    Science.gov (United States)

    Baarts, C; Mikkelsen, K L; Hannerz, H; Tüchsen, F

    2000-12-01

    Data indicates that Denmark has relatively high risks of occupational injuries. We evaluated all injuries resulting in hospitalization by occupation. All gainfully employed men younger than 60 in 1990 were divided into 47 industrial groups and followed using the National Inpatient Registry, for hospitalized injuries 1991-1993. Following ICD-8, injuries were grouped into six categories: head, upper extremities, back, trunk, lower extremities and ruptures, sprains and strains. Standardized industrial hospitalization ratios (SHRs) were calculated and Pearson's independence test was performed for each category. Industrial differences were ascertained for each injury category. The highest associated injury category was upper extremity injuries ranging from SHR = 43 (fire services and salvage corps) to SHR = 209 (slaughterhouse industry). Carpentry, joinery, bricklaying and construction work had significantly high SHRs for all injury categories, whereas administrative work was significantly low throughout. Occupational surveillance systems based on hospitalized injuries can be used to identify high-risk industries, and thereby suggest where to direct prevention efforts. Copyright 2000 Wiley-Liss, Inc.

  2. Working at a Different Level? Curriculum Differentiation in Irish Lower Secondary Education

    Science.gov (United States)

    Smyth, Emer

    2018-01-01

    Young people in Irish schools are required to choose whether to sit secondary exam subjects at higher or ordinary level. This paper draws on a mixed methods longitudinal study of students in 12 case-study schools to trace the factors influencing take-up of higher level subjects within lower secondary education. School organisation and process are…

  3. Genetic parameters for production and fertility in spring-calving Irish dairy cattle

    NARCIS (Netherlands)

    Evans, R.; Buckley, F.; Dillon, P.; Veerkamp, R.F.

    2001-01-01

    The objective of this study was to estimate genetic parameters for milk production and selected fertility traits in Irish dairy cattle. Data were derived from 74 seasonal spring-calving dairy herds with a potential cow population of 6,783 in the 1999 calving season. The average 305-day yields (kg)

  4. "Thousands Waiting at Our Gates": Moral Character, Legitimacy and Social Justice in Irish Elite Schools

    Science.gov (United States)

    Courtois, Aline

    2015-01-01

    This paper examines how Irish elite schools negotiate change and maintain their legitimacy in times of economic turmoil and rising social inequality. The paper argues that they have not bowed before the demands of democratisation or economic globalisation. Instead they continue to maintain a high level of social closure and control diversity…

  5. Parametric Pedagogy: Integrating Parametric CAD in Irish Post-Primary Schools

    Science.gov (United States)

    McGarr, Oliver; Seery, Niall

    2011-01-01

    Technology education in Irish post-primary schools is undergoing significant change. In recent years the syllabi of all technology-related subjects have been revised. A new subject, Design and Communication Graphics, has replaced the traditional Technical Drawing subject. This new subject aims to develop students' spatial awareness and graphical…

  6. The Image of Mathematics Held by Irish Post-Primary Students

    Science.gov (United States)

    Lane, Ciara; Stynes, Martin; O'Donoghue, John

    2014-01-01

    The image of mathematics held by Irish post-primary students was examined and a model for the image found was constructed. Initially, a definition for "image of mathematics" was adopted with image of mathematics hypothesized as comprising attitudes, beliefs, self-concept, motivation, emotions and past experiences of mathematics. Research…

  7. Public Policy Towards the Sale of State Assets in Troubled Times: Lessons from the Irish Experience

    NARCIS (Netherlands)

    Gorecki, P. K.; Lyons, S.; Tol, R.S.J.

    2011-01-01

    The sale of state assets, both tangible (e.g. commercial firms) and intangible (e.g. radio spectrum), can address budgetary shortfalls. However, drawing on the Irish experience to inform this important issue, it becomes clear that much more is involved in selling state assets in electricity, gas,

  8. The Irish 'no' to the Lisbon Treaty: Ireland's voice and Europe's exit?

    NARCIS (Netherlands)

    Curtin, D.

    2009-01-01

    The "no" of the Irish electorate against the Treaty of Lisbon has hit the European elite hard. However, it was not directed against support for the EU as such but rather against a deliberately unintelligible Treaty. Lack of knowledge seems to have played a pivotal role in the voting behaviour, as

  9. Genome Analyses of an Aggressive and Invasive Lineage of the Irish Potato Famine Pathogen

    NARCIS (Netherlands)

    Cooke, D.E.L.; Cano, L.M.; Raffaele, S.; Bain, R.A.; Cooke, L.R.; Etherington, G.J.; Deahl, K.L.; Farrer, R.A.; Gilroy, E.M.; Goss, E.M.; Grünwald, N.J.; Hein, I.; Maclean, D.; McNicol, J.W.; Randall, E.; Oliva, R.F.; Pel, M.; Shaw, D.S.; Squires, J.N.; Taylor, M.C.; Vleeshouwers, V.G.A.A.; Birch, P.R.J.; Lees, A.K.; Kamoun, S.

    2012-01-01

    Pest and pathogen losses jeopardise global food security and ever since the 19th century Irish famine, potato late blight has exemplified this threat. The causal oomycete pathogen, Phytophthora infestans, undergoes major population shifts in agricultural systems via the successive emergence and

  10. Ethical Issues in Internet Research: International Good Practice and Irish Research Ethics Documents

    Science.gov (United States)

    Felzmann, Heike

    2013-01-01

    This chapter discusses the main research ethical concerns that arise in internet research and reviews existing research ethical guidance in the Irish context in relation to its application to internet research. The chapter begins with a brief outline of high profile cases in the early history of the internet that highlighted specific emerging…

  11. A Time Profile of Mathematics in a "Gap Year" in Irish Secondary Schools

    Science.gov (United States)

    Prendergast, Mark; O'Meara, Niamh

    2016-01-01

    The Irish education system is unique in an international context as it sets aside a full school year for a transition and youth development programme in the middle of secondary education. The Transition Year (TY) programme is an optional, full time programme offered in the majority of secondary schools. Each school designs its own programme,…

  12. Minority Languages and Performative Genres: The Case of Irish Language Stand-Up Comedy

    Science.gov (United States)

    Moriarty, Mairead

    2011-01-01

    This article will examine the potential for language change from the bottom-up given the new domains in which minority languages are present as a result of the process of language mobility. Drawing on a theoretical notion of sociolinguistic scales, this article aims to discuss how the position of the Irish language has been reconfigured. From this…

  13. 76 FR 65360 - Irish Potatoes Grown in Southeastern States; Suspension of Marketing Order Provisions

    Science.gov (United States)

    2011-10-21

    ... operate without marketing order requirements in order to review the effectiveness of the order. During the... DEPARTMENT OF AGRICULTURE Agricultural Marketing Service 7 CFR Part 953 [Doc. No. AMS-FV-11-0027; FV11-953-1 FR] Irish Potatoes Grown in Southeastern States; Suspension of Marketing Order Provisions...

  14. Lifestyles and Gendered Patterns of Leisure and Sporting Interests among Irish Adolescents

    Science.gov (United States)

    MacPhail, Ann; Collier, Connie; O'Sullivan, Mary

    2009-01-01

    This paper strives to provide an insight into the multifaceted relationships that young people have, examining the social, cultural and institutional discourses, which shape their lives. We set out to discuss, from an empirical poststructuralist perspective, the way in which Irish adolescents write about the reality of their lives and privilege…

  15. Feminist Education and Feminist Community Psychology: Experiences from an Irish Context

    Science.gov (United States)

    Moane, Geraldine; Quilty, Aideen

    2012-01-01

    This article describes experiences in an Irish context of education programs delivered in 2 communities, 1 based on class (a working class urban community) and 1 based on sexual orientation (an urban lesbian, gay, bisexual, and transgender community). It aims to illustrate how feminist education can play an important role in feminist community…

  16. 76 FR 18001 - Irish Potatoes Grown in Washington; Decreased Assessment Rate

    Science.gov (United States)

    2011-04-01

    ... IR] Irish Potatoes Grown in Washington; Decreased Assessment Rate AGENCY: Agricultural Marketing... rate established for the State of Washington Potato Committee (Committee) for the 2011-2012 and subsequent fiscal periods from $0.0035 to $0.003 per hundredweight of potatoes handled. The Committee locally...

  17. 78 FR 48285 - Irish Potatoes Grown in Washington; Decreased Assessment Rate

    Science.gov (United States)

    2013-08-08

    ...; FV13-946-1 FIR] Irish Potatoes Grown in Washington; Decreased Assessment Rate AGENCY: Agricultural... established for the State of Washington Potato Committee (Committee) for the 2013-2014 fiscal year and all subsequent fiscal periods from $0.003 to $0.0025 per hundredweight of potatoes handled. The Committee locally...

  18. 76 FR 41589 - Irish Potatoes Grown in Washington; Decreased Assessment Rate

    Science.gov (United States)

    2011-07-15

    ... FIR] Irish Potatoes Grown in Washington; Decreased Assessment Rate AGENCY: Agricultural Marketing... established for the State of Washington Potato Committee (Committee) for the 2011-2012 and subsequent fiscal periods from $0.0035 to $0.003 per hundredweight of potatoes handled. The Committee locally administers...

  19. Temporal trends in hyperuricaemia in the Irish health system from 2006-2014: A cohort study.

    LENUS (Irish Health Repository)

    2018-05-01

    Elevated serum uric acid (sUA) concentrations are common in the general population and are associated with chronic metabolic conditions and adverse clinical outcomes. We evaluated secular trends in the burden of hyperuricaemia from 2006-2014 within the Irish health system.

  20. Temporal trends in reproductive performance in Irish dairy herds and associated risk factors

    Directory of Open Access Journals (Sweden)

    Mee John F

    2004-03-01

    Full Text Available Irish dairy herd fertility has been declining since the 1980s. The extent, nature and causes of this decline in fertility and the current status of Irish dairy herd fertility were described. An increase in calving interval of approximately one day per year has been recorded. The principal components of this trend have been an increased incidence of postpartum endocrinopathies, reduced expression of oestrus and a fall in conception rate. Both submission rate and calving-to-service interval have increased slightly over time. Significant risk factors associated with these trends have been strain substitution within the Holstein-Friesian breed and single trait selection for milk production. Critically, these changes have been reflected in loss of body condition. Contributory factors included increased herd size and possibly increased use of DIYAI. The most recent Irish study showed that 48% of cows conceived to first service and 14% of cows were not pregnant at the end of the industry-average 15-week spring breeding season. However, the top quartile of herds achieved a first-service conception rate of 59%, illustrating the wide variation between herds. These phenotypic trends were attributed to both genetic and environmental factors and their interactions. Recent Irish dairy herd fertility performance falls short of the targets set for seasonal compact calving.