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Sample records for technology bombay consultancy

  1. Bombay Hotel

    International Development Research Centre (IDRC) Digital Library (Canada)

    Crime and violence have been rampant in the locality, leading to creation of unsafe spaces for its residents. .... people. Vacant plots of land have sometimes been usurped by goons who have then extorted money from ... created a degraded built environment in Bombay Hotel. Its few open spaces and lakes (see Map 1) are ...

  2. Bombay hypertopologies

    Directory of Open Access Journals (Sweden)

    Giuseppe Di Maio

    2003-10-01

    Full Text Available Recently it was shown that, in a metric space, the upper Wijsman convergence can be topologized with the introduction of a new far-miss topology. The resulting Wijsman topology is a mixture of the ball topology and the proximal ball topology. It leads easily to the generalized or g-Wijsman topology on the hyperspace of any topological space with a compatible LO-proximity and a cobase (i.e. a family of closed subsets which is closed under finite unions and which contains all singletons. Further generalization involving a topological space with two compatible LO-proximities and a cobase results in a new hypertopology which we call the Bombay topology. The generalized locally finite Bombay topology includes the known hypertopologies as special cases and moreover it gives birth to many new hypertopologies. We show how it facilitates comparison of any two hypertopologies by proving one simple result of which most of the existing results are easy consequences.

  3. Bombay, India

    Science.gov (United States)

    2002-01-01

    Formerly known as Bombay, the city of Mumbai is situated on India's west coast, on the Arabian Sea, roughly 500 km (310 miles) south of the Tropic of Cancer. Its large harbor and ideal location facing Africa, Europe, and the Middle East make it an excellent city for trade. Sometimes referred to as the 'Gateway of India,' Mumbai handles more than one third of the country's foreign trade. The city supports a population of more than 12 million people in an area of roughly 619 square km (239 square miles). The port was acquired in 1534 by Portugal, which named it Bom Bahia, meaning 'beautiful bay.' Originally, the city rested upon seven small islands, mostly basaltic bedrock from earlier lava flows. These islands are now connected to one another by reclaimed land, but each island, or neighborhood, still retains a distinct identity within the city. (For more details, visit Welcome to Bombay: The Gateway of India.) The blue-grey pixels in this false-color image are urban areas. The dark green areas are heavily vegetated surfaces while the light brown regions are more sparsely vegetated. This image of Mumbai was acquired by the Enhanced Thematic Mapper plus (ETM+), flying aboard the Landsat 7 satellite. July 23, 2002, marks the 30th anniversary of the Landsat program. (Click to read the press release-Celebrating 30 Years of Imaging the Earth.) The Landsat program has been particularly instrumental in tracking land use and land cover changes-such as increased urban growth-over the last three decades. Image courtesy Ron Beck, USGS EROS Data Center Satellite Systems Branch

  4. BOMBAY: Instrumentation school

    International Nuclear Information System (INIS)

    Anon.

    1993-01-01

    Full text: Promising students had a foretaste of the latest laboratory techniques at the ICFA 1993 India School on Instrumentation in High Energy Physics held from February 15-26 and hosted by the Tata Institute of Fundamental Research (TIFR), Bombay. The scientific programme was put together by the ICFA Panel for Future Instrumentation, Innovation and Development, chaired by Tord Ekelof (Uppsala). The programme included lectures and topical seminars covering a wide range of detector subjects. In small groups, students got acquainted with modern detector technologies in the laboratory sessions, using experimental setups assembled in various institutes world-wide and shipped to Bombay for the School. The techniques covered included multiwire proportional chambers for detection of particles and photons, gaseous detectors for UV photons and X-ray imaging, the study of charge drift in silicon detectors, measurement of the muon lifetime using liquid scintillators, tracking using scintillating fibres, and electronics for sensitive detectors. The India School was attended by around 80 students from 20 countries; 34 came from Indian universities. It was the fifth in this series, previous Schools having been at Trieste (1987, 1989 and 1991) organized by the ICFA Panel and hosted and sponsored by the International Centre for Theoretical Physics, and in 1990, organized at Rio de Janeiro in collaboration with the Centro Brasileiro de Pesquisas Fisicas. The School was jointly directed by Suresh Tonwar (TIFR), Fabio Sauli (CERN) and Marleigh Sheaff (University of Wisconsin), and sponsored by TIFR and DAE (India), CERN (Switzerland), ICTP and INFN (Italy), British Council and RAL (UK), NSF and DOE (USA), KEK (Japan), IPP (Canada) and DESY (Germany)

  5. Information and consulting center in plasma technologies

    International Nuclear Information System (INIS)

    Vizireanu, S.; Aldea, E.; Mitu, B.; Dinescu, G.

    2001-01-01

    Plasma technologies are clean, non-expensive, and easy to adapt to small-scale production. They are largely used in various modern sectors of research, industry, medicine, biology and environmental protection. At the present time a pressure to transfer the knowledge from education and research sectors toward the industrial ones was established by the financing policies at national and European levels. Nevertheless, mainly in the last decade, an informational gap sets up in Romania between the suppliers of know-how in the plasma technologies and their beneficiaries. The newly appearing companies have little knowledge about the possibilities of our research and education. In turn, the research and education sectors do not know what companies are using nowadays plasma technologies, what kinds of technologies are needed and what aspects should be stressed in educational activity. The Information and Consulting Center in Plasma Technologies is an infrastructure project aiming at gathering information and expertise in plasma technologies with emphasizing on the Romanian capabilities. The information is accessible via Internet at the address http://www.alpha2.infim.ro. By accessing the center web page one enters into the main menu or it is possible to navigate by choosing key words, as for instance: objectives, plasma diagnostics, plasma technologies, which are listed in a dedicated search box. The information is organized in databases. In the database frame there are three main categories, which lead to detailed information about: - Users of plasma technologies, the technology type, the address; - Suppliers of plasma technologies, including the main research institutes with links to the relating Internet sites; - Education and training centers including the universities and their departments dedicated to plasma physics. The expertise is organized in three categories. They are instrumentation and equipment, plasma diagnostics and plasma technologies. In the

  6. Interpersonal Consulting Skills for Instructional Technology Consultants: A Multiple Case Study

    Science.gov (United States)

    van Leusen, Peter; Ottenbreit-Lefwich, Anne T.; Brush, Thomas

    2016-01-01

    Building a trust-based relationship with faculty is one of the most important attributes of effective Instructional Technology Consultants (ITC) in order to integrate emerging technologies into higher education. Utilizing a multiple case study research design, four experienced ITCs at a large urban research university located in the Midwest showed…

  7. Extraction and Analysis of Mega Cities’ Impervious Surface on Pixel-based and Object-oriented Support Vector Machine Classification Technology: A case of Bombay

    Science.gov (United States)

    Yu, S. S.; Sun, Z. C.; Sun, L.; Wu, M. F.

    2017-02-01

    The object of this paper is to study the impervious surface extraction method using remote sensing imagery and monitor the spatiotemporal changing patterns of mega cities. Megacity Bombay was selected as the interesting area. Firstly, the pixel-based and object-oriented support vector machine (SVM) classification methods were used to acquire the land use/land cover (LULC) products of Bombay in 2010. Consequently, the overall accuracy (OA) and overall Kappa (OK) of the pixel-based method were 94.97% and 0.96 with a running time of 78 minutes, the OA and OK of the object-oriented method were 93.72% and 0.94 with a running time of only 17s. Additionally, OA and OK of the object-oriented method after a post-classification were improved up to 95.8% and 0.94. Then, the dynamic impervious surfaces of Bombay in the period 1973-2015 were extracted and the urbanization pattern of Bombay was analysed. Results told that both the two SVM classification methods could accomplish the impervious surface extraction, but the object-oriented method should be a better choice. Urbanization of Bombay experienced a fast extending during the past 42 years, implying a dramatically urban sprawl of mega cities in the developing countries along the One Belt and One Road (OBOR).

  8. Development of a Remote Consultation System Using Avatar Technology

    Science.gov (United States)

    Ohnishi, Tatsuya; Yajima, Hiroshi; Sawamoto, Jun

    The chance to use the Internet as a communications tool has been increasing, and the consultation businesses for customers at remote places are diversifying in their communication media and forms. In the remote consultation, the lack of non-verbal information is reported as one of the reasons for inefficiency and customer's dissatisfaction compared with the face-to-face consultation. The technique for supplementing non-verbal information with a TV telephone is proposed, and helps to confirm understanding degree or the utterance timing by watching the movement of the face. But the displayed face of the partner causes strong feeling of strain between strangers and the participants also care about background scene displayed on the monitor producing risks in the consultation tasks. In this paper, we propose a remote consultation method that uses avatar technology in the virtual space in order to provide non-verbal information and also avoiding the problem of TV telephone at the same time. The effectiveness of the proposed remote consultation method is confirmed by experiments.

  9. Child labor in Bombay.

    Science.gov (United States)

    Mehta, M N; Prabhu, S V; Mistry, H N

    1985-01-01

    Of the world's largest child labor force in India, Bombay has over 30,000 working children, most of them migrants. In a prospective study of 73 working children from a part of Dharavi, the biggest slum in Asia, 68% were working as hotel boys; 22% had started working before their 10th birthday, a large number doing so to increase the family income, but earning less than Rs. 100 ($11) per month. Forty percent worked more than 12 hours a day and only 16% continued schooling. Two-thirds depended entirely on their employers for food which was adequate and no child in the study was malnourished. Overall incidence of anemia and vitamin deficiency was 10% each. Only 7% had ailments related to their occupation. Because this was a cross-sectional study no conclusions can be drawn regarding long term and residual effects. Preventing children from working is likely to make worse their own as well as their families' problems unless substitute sources of income or welfare are available. Legal protection and other services near their working places are essential for those who have to work.

  10. Management Consulting for Technological Modernization and Industry of the Future

    Directory of Open Access Journals (Sweden)

    Leonid Davidovich Gitelman

    2017-03-01

    Full Text Available The article presents the results of the authors’ study based on the hypothesis that aaddressing the multidimensional highly complex tasks of technological modernization and new industry against the background of a wave of breakthrough innovations is only possible within the framework of proactive management. Its methodological, instrumental and competence basis results from «smart» partnership of regional science, education, and business. In this case, the management сconsulting of a new type, being fundamentally different from the traditional one, plays the role of the partnership coordinator. These differences are expressed in specific intellectual logistics and organizational architecture of consulting projects, close connection to universities, innovation centres and various research structures of the region as well as the high specialization, which is reached by the involvement of the virtual teams of cross-disciplinary experts in the developments, the flexible products designed on the basis of the modular principle. In this regard, the study presents a number of new scientific results proving the hypothesis. The paper substantiates the approach to the organization and methodology of consulting activities for complex, rapidly developing systems which requires expanding the range of competencies and scope of the interaction of various actors — carriers of interdisciplinary knowledge. In accordance with this approach, the authors introduce the concept of integratory consulting for advanced development that offers a package of intellectual services for addressing challenges of the future. We have developed the methodology of the integrated system of research, consultations, training and transforming action that makes it possible to generate pre-emptive actions amid crisis, risk and threats. The article has proposed and tested an organizational mechanism of cooperation between parties (science, education, business involved in smart

  11. Fouling polyzoans of Bombay offshore waters

    Digital Repository Service at National Institute of Oceanography (India)

    Raveendran, T.V.; De; Wagh, A.B.

    (December), 1990, pp.169-178 FOULING POLYZOANS OF BOMBAY OFFSHORE WATERS T.V. RAVEENDRAN, A.P. DE SOUZA AND A.B. WAGH National InstituteofOceanography, Dona Paula, Goa-403 004. ABSTRACT Seven cheilostomatanand one cyclostornatan polyzoan observed as members... and Bhavanarayana, 1988 and De Souza, 1988) and there arehardly~nyreport from offshore regions. Thepresentpaperdeals with the fouling polyzoans from the offshore waters of Bombay High area; a station situated ap proximately 160 krn off Bombay. The watercolumnin...

  12. Oil spill in Bombay high marine impacts

    Digital Repository Service at National Institute of Oceanography (India)

    A rupture in a feeder 'riser' pipeline from Bombay High- North Platform (BHN) resulted in spilling of large quantities of crude oil into the sea on 17th May 1993 about 80 NM from the shoreline north of Bombay. This report which includes findings...

  13. Resurgence of malaria in Bombay (Mumbai) in the 1990s: a historical perspective.

    Science.gov (United States)

    Kamat, V

    2000-06-01

    illustrate how malaria control programs in Bombay and in other parts of India have evolved through a combination of local historical forces and political expediencies in the context of technological developments. The boom in construction activities in Bombay following the liberalization of the Indian economy in 1991, and the local politics affecting administrative practices of the MCGB, are discussed as crucial factors in the crystallization of the present-day malaria resurgence in Bombay. The paper concludes by arguing that malaria in urban India is a serious problem that cannot be neglected. In the case of Bombay, the solution to the crisis can be found, in part, by reexamining the historical and political issues that have determined the nature and magnitude of the problem over the last century.

  14. Scaling in the Bombay stock exchange index

    Indian Academy of Sciences (India)

    Abstract. In this paper we study Bombay stock exchange (BSE) index financial time series for fractal and multifractal behaviour. We show that BSE index time series is monofractal and can be represented by a fractional Brownian motion.

  15. Power spectra of currents off Bombay

    Digital Repository Service at National Institute of Oceanography (India)

    Varkey, M.J.

    Current measurements were carried out using a recording current meter across the continental shelf off Bombay, Maharashtra, India at 4 stations from an anchored ship. Power spectra were computed for selected lengths of records. Spectral energy...

  16. Opportunities and barriers for OHS consultants in a technological change process at a client enterprise

    DEFF Research Database (Denmark)

    Broberg, Ole; Hermund, Ingelise

    2003-01-01

    In a case study of the design of inside finish and equipment of a new factory building the opportunities and barriers for OHS consultants in integrating work environment aspects are discussed. The work prac-tice of OHS consultants is studied in terms of theories from the sociology of technology...

  17. Development and Preliminary Application of Multi-channel Agricultural Science and Technology Consulting Service U Disk

    Science.gov (United States)

    Yu, W. S.; Luo, C. S.; Wei, Q. F.; Zheng, Y. M.; Cao, C. Z.

    2017-12-01

    To deal with the “last kilometer” problem during the agricultural science and technology information service, the USB flash disk “Zixuntong”, which integrated five major consulting channels, i.e., telephone consultation, mutual video, message consultation, online customer service and QQ group was developed on the bases of capital experts and date resources. Since the products have the computer and telephone USB interface and are combined with localized information resources, users can obtain useful information on any terminal without the restriction of network. Meanwhile, the cartoon appearance make it friendly and attractive to people. The USB flash disk was used to provide agricultural expert consulting services and obtained a good preliminary application achievement. Finally, we concluded the creative application of USB flash disk in agricultural consulting services and prospected the future development direction of agricultural mobile consultation.

  18. Coastal circulation off Bombay in relation to waste water disposal

    Digital Repository Service at National Institute of Oceanography (India)

    Josanto, V.; Sarma, R.V.

    Flow patterns in the coastal waters of Bombay were studied using recording current meters, direct reading current meters, floats and dye in relation to the proposed waste water disposal project of the Municipal Corporation of Greater Bombay from...

  19. Zooplankton distribution in the polluted environment around Bombay

    Digital Repository Service at National Institute of Oceanography (India)

    Gajbhiye, S.N.; Abidi, S.A.H.

    Zooplankton distribution, abundance and composition with reference to polluted environments off Bombay was estimated. This study was taken up along three transects viz. Versova, Mahim and Thana covering eleven stations around Bombay during 1980...

  20. Western Political Consulting Techniques and Post-Soviet Political Technology in Political Campaigns in Latvia

    OpenAIRE

    Bērziņa, Ieva

    2012-01-01

    Western Political Consulting Techniques and Post-Soviet Political Technology in Political Campaigns in Latvia Ieva Dmitričenko Keywords: political campaignsm political consulting, political technology, parties, marketing, media Political campaigning is an international phenomenon, because there is a free flow of information, knowledge and human resource among practitioners of political campaigning in various countries. As a result political campaigning techniques that have proven to ...

  1. Clinical Patterns of Candida Infections in Bombay

    Directory of Open Access Journals (Sweden)

    J Pratiba Dalal

    1980-01-01

    Full Text Available One hundred consecutive cases of candidiasis in Bombay were studied. In each case the suspicion was confirmed by isolation typing of the Candida species. The clinical was as follows: vulvo-vaginitis 30%; intertrigo 18%; onychia and paronychia 12%; thrush 16%; generalised cutaneous candidasis 8%, enteritis 3%; bronchitis 12% and urinary tract infection 1%. When compared to a study carried out in Bombay in 1966, there was an increase in the frequency of disseminated cutaneous candidiasis and a reduction in the cases of intertrigo and onychia and paronychia.

  2. The place of information and communication technology-mediated consultations in primary care: GPs' perspectives.

    Science.gov (United States)

    Hanna, Lisa; May, Carl; Fairhurst, Karen

    2012-06-01

    New information and communication technologies such as email and text messaging have been shown to be useful in some aspects of primary care service delivery. Little is known about Scottish GPs' attitudes towards the adoption of these technologies as routine consultation tools. To explore GPs' perceptions of the potential place of new non-face-to-face consultation technologies in the routine delivery of primary care; to explore GPs' perceived barriers to the introduction of these technologies and to identify the processes by which GPs feel that new consultation technologies could be incorporated into routine primary care. Qualitative interview study: 20 in-depth semi-structured interviews carried out with maximum variation sample of GPs across Scotland. Whilst the face-to-face consultation was seen as central to much of the clinical and diagnostic work of primary care, many GPs were conditionally willing to consider using new technologies in the future, particularly to carry out administrative or less complex tasks and therefore maximize practice efficiency and patient convenience. Key considerations were access to appropriate training, IT support and medico-legal guidance. GPs are conditionally willing to use new consultation media if clinically appropriate and if medico-legal and technical support is available.

  3. Skills and Knowledge Needed to Serve as Mobile Technology Consultants for Information Organizations

    Science.gov (United States)

    Potnis, Devendra; Regenstreif-Harms, Reynard; Deosthali, Kanchan; Cortez, Ed; Allard, Suzie

    2016-01-01

    Libraries often lack the in-house information technology (IT) expertise required to (1) implement mobile applications and related technologies (MAT); (2) attain maximum return on investment including patron satisfaction for using MAT; and (3) reduce reliance on expensive IT consultants. Based on secondary analysis of the experiences and advice…

  4. Scaling in the Bombay stock exchange index

    Indian Academy of Sciences (India)

    Keywords. Fractals; multifractals; / analysis; scaling; stock markets. Abstract. In this paper we study Bombay stock exchange (BSE) index financial time series for fractal and multifractal behaviour. We show that BSE index time series is monofractal and can be represented by a fractional Brownian motion.

  5. Scaling in the Bombay stock exchange index

    Indian Academy of Sciences (India)

    Abstract. In this paper we study Bombay stock exchange (BSE) index financial time series for fractal and multifractal behaviour. We show that BSE index time series is monofractal and can be represented by a fractional Brownian motion. Keywords. Fractals; multifractals; R/S analysis; scaling; stock markets. PACS Nos 47.53.

  6. Mercury in Thana creek, Bombay harbour

    Digital Repository Service at National Institute of Oceanography (India)

    Zingde, M.D.; Desai, B.N.

    Mercury content of the water column estimated along Thana Creek/Bombay Harbour gave a standing stock of about 77 kg in excess of the expected background. Mercury concentration in sediment from 23 locations which varied from 0.17 to 8.21 ppm (dry...

  7. The OHS consultant as a 'political reflective navigator' in technological change processes

    DEFF Research Database (Denmark)

    Broberg, Ole

    2004-01-01

    between different roles and mobilize different types of knowledge depending on the context; the consultant is a navigator in the sense of knowing how to navigate in the complex organization surrounding the technological change process. The competencies of a political reflective navigator are outlined...

  8. Rethinking Teaching in STEM Education in a Community College: Role of Instructional Consultation and Digital Technologies

    Science.gov (United States)

    Kurland, Shelley Chih-Hsian

    Community college faculty members educate almost half of all U.S. undergraduates, who are often more diverse and more academically underprepared when compared to undergraduate students who attend four-year institutions. In addition, faculty members in community colleges are facing increased accountability for meeting student learning outcomes, expectations to adjust their teaching practices to include active learning practices, and expectations to incorporate more technologies into the classroom. Faculty developers are one of the support structures that faculty members can look to in order to meet those challenges. A survey of literature in faculty development suggests that instructional consultation can play an important role in shaping and transforming teaching practices. Hence, this action research study examined my work using instructional consulting with four full-time STEM faculty colleagues in order to examine and shape their teaching practices with and without the use of digital technologies. The two foci of the research, examining shifts in faculty participants' teaching practices, and my instructional consulting practices, were informed by Thomas and Brown's (2011) social view of learning and the concept of teaching and learning in a "co-learning" environment. Two dominant factors emerged regarding faculty participants' shift in teaching practices. These factors concerned: 1) the perception of control and 2) individual faculty participant's comfort level, expectations, and readiness. In addition to these two dominant factors, the instructional consultation process also supported a range of shifts in either mindset and/or teaching practices. My analysis showed that the use of digital technologies was not an essential factor in shifting faculty participant mindset and/or teaching practices, instead digital technologies were used to enhance the teaching process and students' learning experiences.

  9. Sylvain Thine, Innover pour s’imposer. Consultants et conseil en nouvelles technologies

    OpenAIRE

    Boni-Le Goff, Isabel

    2016-01-01

    Qu’a produit l’introduction des nouvelles technologies dans la gestion des entreprises ? Quels rôles ont joués les consultants dans ce mouvement ? Quels ont été, en retour, les effets de ces innovations pour l’espace du conseil ? À partir d’une recherche doctorale qui articule différents travaux quantitatifs et des entretiens conduits dans un grand cabinet de conseil anglo-saxon, Sylvain Thine propose d’aborder ces questions en se concentrant sur une période allant du début des années 1990 au...

  10. Serogroup prevalence of Shigellae in Bombay.

    Directory of Open Access Journals (Sweden)

    Sonawala M

    1995-10-01

    Full Text Available Prevalence of Shigellae serotypes in Bombay was studied from June 1988 to May 1991. A total of 2758 faecal specimens were collected from paediatric patients (< 12 yrs with acute gastroenteritis. A total of 90 Shigella were isolated giving the isolation rate of 3.2%. Shigella flexneri was the predominant serogroup (73.3% followed by Shigella dysenteriae (16.6%. All the isolates were sensitive to nalidixic acid. Eighty percent of the Shigellae were multidrug resistant. Present data were compared with the study carried out during the period of 1983-87 from the same institute. A change in the serogroup prevalence was noted wherein Shigella flexneri dominated over Shigella dysenteriae since 1985. Increase in resistance to ampicillin and cotrimoxazole was seen in Shigella flexneri strains as compared to previous years.

  11. Developmental stages of chaetognaths in the coastal environs of Bombay

    Digital Repository Service at National Institute of Oceanography (India)

    Ramaiah, Neelam; Nair, V.R.

    Abundances of developmental stages-juveniles, developing and mature-of Sagitta bedoti, S. oceania, S. enflata and S. robusta were recorded from the coastal, estuarine and creek environs of Bombay (Maharashtra, India) from October 1985 to September...

  12. On the water quality of selected environments along Bombay coast

    Digital Repository Service at National Institute of Oceanography (India)

    Krishnakumari, L.; Nair, V.R.

    Water quality of three stations representing polluted (Sts. B & S) and relatively unpolluted (St. M) areas along the coast of Bombay was studied during March 1981 to May 1982. Stations B & S were characterised by relatively wider fluctuations...

  13. Tidal flow characteristics at Kasheli (Kalwa/ Bassein creek), Bombay

    Digital Repository Service at National Institute of Oceanography (India)

    Swamy, G.N.; Suryanarayana, A.

    Tidal flow characteristics of waters at Kasheli, connected to the sea through Thane and Bassein Creeks in Bombay, Maharashtra, India are investigated based on tide and current observations carried out in 1980-81. The results establish that the tidal...

  14. Some aspects of pollution of coastal marine environment of Bombay

    Digital Repository Service at National Institute of Oceanography (India)

    Rokade, M.A.

    Unprecedented population growth and industrial development around Bombay Harbour and Thana Creek (Together termed as Bay) coupled with heavy port traffic and other port activities have imposed considerable strain on the aquatic environmental quality...

  15. Superconducting LINAC booster for the pelletron accelerator at Bombay

    International Nuclear Information System (INIS)

    Pillay, R.G.; Kurup, M.B.; Jain, A.K.; Biswas, D.; Kori, S.A.; Srinivasan, B.

    1989-01-01

    A superconducting heavy ion linear accelerator being constructed as a booster for the 14 UD pelletron installed recently at Bombay. The work involved in this project and the progress made so far are reviewed. (author). 15 refs., 8 figs

  16. Physical and elastic properties of marine sediments off Bombay, India

    Digital Repository Service at National Institute of Oceanography (India)

    SubbaRaju, L.V.; Ramana, Y.V.

    Keeping in view the paucity of information as to the nature of the marine sediments from the continental shelf adjoining the Indian subcontinent, a number of shallow seismic surveys were carried out, nearshore and offshore Bombay between 18 degrees...

  17. Meiobenthos of polluted and unpolluted environments of Versova, Bombay

    Digital Repository Service at National Institute of Oceanography (India)

    Varshney, P.K.; Govindan, K.; Desai, B.N.

    Quantitative distribution of meiobenthic faune of Varsova (Bombay, Maharashtra, India) waters was studied at four stations during November, 1979 to December, 1980. The nearshore areas represent a typical polluted environment while stations towards...

  18. The OHS consultant as a ‘political reflective navigator’ in technological change processes at client enterprises

    DEFF Research Database (Denmark)

    Broberg, Ole; Hermund, Ingelise

    2002-01-01

    The occupational health service (OHS) in Denmark is only sparsely in-volved as adviser when technological changes take place in client enter-prises. In order to promote the OHS efforts in this area, the work of OHS consultants has been studied in four cases of technological change. Instead of the...... of the two-dimensional expert – process consultant role we suggest a sup-plementary third role, the ‘political, reflective navigator’. This role is sug-gested based on evidence from the cases and concepts from actor-network theory on technological development.......The occupational health service (OHS) in Denmark is only sparsely in-volved as adviser when technological changes take place in client enter-prises. In order to promote the OHS efforts in this area, the work of OHS consultants has been studied in four cases of technological change. Instead...

  19. Occupational Therapy and assistive technology: thoughts about the experience with collaborative school consulting

    Directory of Open Access Journals (Sweden)

    Luciana Ramos Baleotti

    2017-06-01

    Full Text Available This study presents thoughts and ideas based on the experience developed in the project entitled Assistive Technology for Inclusion of Students with Physical Disorders: Resources and Procedures, in development since 2009. This project aims to help in the process of school inclusion of students with physical disorder in Early Childhood Education in the city of Marilia, Brazil, through the collaboration between Health and Education departments. Health professionals contribute through the implementation of the Assistive Technology by means of school consulting. The project has been developed in six different stages, namely: Gaining access and establishing goals for the team; Identifying the problem; Interventions/Recommendations; Implementation; Evaluation and further actions. This working model, seeks to insert occupational therapy in the school environment. This project showed the importance of occupational therapists as team members in school settings, and the importance of a collaborative work between Education and Health departments.

  20. The assessment of soil conservation technologies for sustainable agricultural production. Report of the FAO/IAEA consultants meeting. Working material

    International Nuclear Information System (INIS)

    2001-01-01

    A Consultants' Meeting on 'The assessment of soil conservation technologies for sustainable agricultural production' was held in Vienna at the IAEA Headquarters from May 28-30, 2001. The consultants' presentations reviewed recent advances in the use of fallout radionuclides to measure soil erosion as well as approaches and technologies applied for soil conservation worldwide. Also, activities and experiences of FAO and UNEP in the field of land degradation, soil conservation and related issues were presented. Based on the information provided by the Scientific Secretary, a full project proposal was prepared during the second part of the Consultants' Meeting. The consultants also provided recommendations on the formulation and implementation of a future CRP on the subject

  1. Report of the consultants' meeting on target and processing technologies for cyclotron production of radionuclides

    International Nuclear Information System (INIS)

    1999-11-01

    Cyclotron produced radionuclides are used routinely for the diagnosis of a wide variety of diseases. Recently a number of radionuclides available from cyclotrons have been proposed for use in radiotherapy. In fact Pd-103 has become routinely available in some parts of the world for incorporation into brachytherapy seeds for treating prostate cancer. The consultants meeting reviewed the status of target and processing technologies associated with cyclotron production of radionuclides. The main topics of discussion included the basic nuclear data that is crucial to the production of the desired radionuclides, gas and solid target systems, the automated chemical processing units, the Good Manufacturing Practices (GMP) required in order to use these radionuclides in human patients in a safe and efficacious manner and a review of possible candidate nuclides that show promise for use in Nuclear Medicine in the near future. Advances in the preparation of solid targets using electroplating technology has created the possibility of preparing targets capable of operating at very high beam currents which would make the production of large quantities of SPECT agents possible at cyclotron facilities throughout the world. Recognising the needs of the developing countries which have established cyclotron facilities, the consultants focussed on how to provide the technology for preparing solid targets that could be used in the existing facilities. While solid target technology can be used for many radionuclides the report concentrated on several key radionuclides, which are of current importance or show potential for use in the near future. Tl-201 is currently used for cardiac profusion studies throughout the world. New target preparation techniques could potentially make many of the member states self sufficient in the production of this nuclide. I-123 has tremendous potential because of the near ideal photon energy for SPECT cameras and its well-understood chemistry. However, it

  2. Virtual community consultation? Using the literature and weblogs to link community perspectives and health technology assessment.

    Science.gov (United States)

    Street, Jackie M; Braunack-Mayer, Annette J; Facey, Karen; Ashcroft, Richard E; Hiller, Janet E

    2008-06-01

    Community views, expressed in social impact assessments and collected through community consultation, should play an important role in health technology assessment (HTA). Yet HTA methodologists have been slow to include outcomes of these forms of inquiry in analyses, in part because collecting community views is time-consuming and resource intensive. To explore how community views sourced from published studies, grey literature and informal internet web pages can inform HTA. A technology reviewed by Adelaide HTA in 2004 was selected: retinal photography for detection of diabetic retinopathy. Published literature, 'grey' literature and informal web pages were searched to examine the availability of evidence about service community and user community views with respect to this technology. Particular efforts were made to source evidence relating to rural, remote and Aboriginal populations. We found that journal articles, reports from the grey literature and informal internet web pages (including blogs and discussion forums) can provide valuable insight into community views. Although there was little empirical evidence relating to the experience of diabetes and diabetes management in rural, remote and Aboriginal communities, there were indications that some evidence may be transferable from other populations. Community perspectives on selected health technologies can be gauged from available resources in published and grey literature and perspectives collected in this way can provide insight into whether the introduction of the technology would be acceptable to the community. The limitations of this approach are discussed.

  3. Virtual community consultation? Using the literature and weblogs to link community perspectives and health technology assessment

    Science.gov (United States)

    Street, Jackie M.; Braunack‐Mayer, Annette J.; Facey, Karen; Ashcroft, Richard E.; Hiller, Janet E.

    2008-01-01

    Abstract Background  Community views, expressed in social impact assessments and collected through community consultation, should play an important role in health technology assessment (HTA). Yet HTA methodologists have been slow to include outcomes of these forms of inquiry in analyses, in part because collecting community views is time‐consuming and resource intensive. Objective  To explore how community views sourced from published studies, grey literature and informal internet web pages can inform HTA. Methods  A technology reviewed by Adelaide HTA in 2004 was selected: retinal photography for detection of diabetic retinopathy. Published literature, ‘grey’ literature and informal web pages were searched to examine the availability of evidence about service community and user community views with respect to this technology. Particular efforts were made to source evidence relating to rural, remote and Aboriginal populations. Results  We found that journal articles, reports from the grey literature and informal internet web pages (including blogs and discussion forums) can provide valuable insight into community views. Although there was little empirical evidence relating to the experience of diabetes and diabetes management in rural, remote and Aboriginal communities, there were indications that some evidence may be transferable from other populations. Conclusions  Community perspectives on selected health technologies can be gauged from available resources in published and grey literature and perspectives collected in this way can provide insight into whether the introduction of the technology would be acceptable to the community. The limitations of this approach are discussed. PMID:18430153

  4. Heavy metals in the Bombay harbor area

    Energy Technology Data Exchange (ETDEWEB)

    Patel, B.; Bangera, V.S.; Patel, S.; Balani, M.C.

    1985-01-01

    Bombay harbor is one of the major sinks, on the western peninsula of the Indian subcontinent, receiving anthropogenic pollutants including heavy metals, radionuclides and hydrocarbons in addition to sewage. To evaluate possible impacts of a few heavy metals on the harbor ecosystem, the distribution patterns of Zn, Mn, Cu, Fe, Co, Ni, Cd, Cr, Pb and Sr in water, sediment and two benthic species, the blood clam Anadara granosa and gobiid mudskipper Boleophthalmus boddaerti were studied over the period 1976-1980. The present levels of the ten elements in biotic and abiotic matrices were found to be far below those that are known to affect adversely the life and quality of benthic communities. Furthermore, the concentrations of these elements in various compartments neither revealed any systematic temporal or spatial fluctuations nor reflected the substantial increase in the total budget over the past 8-12 years. Also these levels were within the range reported in the nearshore and oceanic environs along the west coast. In view of this, the poor growth and high percentage mortality observed in the clam Anadara granosa fished from the Sewri clam bed compared to that of the stock harvested from the Trombay region in the harbor may well be due to anoxic conditions caused by organic pollutants present in the domestic sewage and industrial wastes released in the vicinity of the Sewri clam bed. 14 references, 5 figures, 8 tables.

  5. NOAA orthorectified Digital Elevation Model (DEM) image tiles, Bombay Hook, Delaware, 2011 (NODC Accession 0112173)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The NOAA Bombay Hook Project covers 177 square kilometers of the Bombay Hook National Wildlife Refuge and surrounding areas in Kent County, Delaware. The Dewberry...

  6. Transfusion reaction in a case with the rare Bombay blood group

    OpenAIRE

    Shahshahani, Hayedeh Javadzadeh; Vahidfar, Mohamad Reza; Khodaie, Seyed Ali

    2013-01-01

    Bombay phenotype is extremely rare in Caucasian with an incidence of 1 in 250,000. When individuals with the Bombay phenotype need blood transfusion, they can receive only autologous blood or blood from another Bombay blood group. Transfusing blood group O red cells to them can cause a fatal hemolytic transfusion reaction. In this study, we report a case with the rare Bombay blood group that was misdiagnosed as the O blood group and developed a hemolytic transfusion reaction. This highlights ...

  7. Isotopic evidence of Middle Proterozoic magmatism from Bombay ...

    Indian Academy of Sciences (India)

    R. Narasimhan (Krishtel eMaging) 1461 1996 Oct 15 13:05:22

    Isotopic evidence of Middle Proterozoic magmatism from. Bombay High Field: Implications to crustal evolution of western offshore of India. S S Rathore1,∗, A R Vijan2, M P Singh2, B N Prabhu3 and Anand Sahu1. 1Forward Base Office, Assam & Assam Arakan Basin-Tripura, ONGC, Agartala 799 014, India.

  8. Observed currents at Bombay High during a winter

    Digital Repository Service at National Institute of Oceanography (India)

    Fernandes, A.A; Chandramohan, P.; Nayak, B.U.

    Ten day records of Aanderaa current meters (24 Dec 1981 to 2 Jan. 1982) at four depths, viz. 30, 45, 60 and 75 m at Bombay High (19˚24.5'N, 71˚2.5'E) off the west coast of India, in a water depth of 80 m have been subjected to spectral, cross...

  9. Zooplankton characteristics of the coastal ecosystem off Bombay, India

    Digital Repository Service at National Institute of Oceanography (India)

    Nair, V.R.; Ramaiah, Neelam

    The nearshore waters of Bombay sustain a rich and diverse zooplankton fauna. Continuous observations for a period of 15 months indicated a variation from 0.4 to 19.9 mg C.m sup(3) (av. 4.3 mg C.m sup(-3)) in zooplankton biomass. The zooplankton...

  10. Using information and communication technologies to consult with patients in Victorian primary care: the views of general practitioners.

    Science.gov (United States)

    Hanna, Lisa; Fairhurst, Karen

    2013-01-01

    Information and communication technologies such as email, text messaging and video messaging are commonly used by the general population. However, international research has shown that they are not used routinely by GPs to communicate or consult with patients. Investigating Victorian GPs' perceptions of doing so is timely given Australia's new National Broadband Network, which may facilitate web-based modes of doctor-patient interaction. This study therefore aimed to explore Victorian GPs' experiences of, and attitudes toward, using information and communication technologies to consult with patients. Qualitative telephone interviews were carried out with a maximum variation sample of 36GPs from across Victoria. GPs reported a range of perspectives on using new consultation technologies within their practice. Common concerns included medico-legal and remuneration issues and perceived patient information technology literacy. Policy makers should incorporate GPs' perspectives into primary care service delivery planning to promote the effective use of information and communication technologies in improving accessibility and quality of general practice care.

  11. Consultancy on 'Knowledge preservation in the area of fast reactor technology'. Working material

    International Nuclear Information System (INIS)

    2002-01-01

    The fast reactor, which can generate electricity and breed additional fissile material for future fuel stocks is a resource that will be needed when economic uranium supplies for the advanced light water reactors or other thermal-spectrum options diminish. Further, the fast-fission fuel cycle in which material is recycled offers the flexibility needed to contribute decisively towards solving the problem of growing spent fuel inventories by greatly reducing the volume of high-level waste that must be disposed of in long-term repositories. This is a waste management option that also should be retained for future generations. The fast reactor has been the subject of research and development programs in a number of countries for upwards of 40 years. Now, despite early sharing and innovative worldwide research and development, ongoing work is confined to China, India, Japan, the Republic of Korea, and Russia. Information generated worldwide will be needed in the future. Presently, it is in danger of being lost even in those countries continuing the work. Some countries have already taken the issue of knowledge preservation seriously: Japan, France, Britain, and Russia, in particular. At worst, valuable contributory information elsewhere will be lost and would have to be regenerated when needed. The IAEA initiative seeks to establish a comprehensive, international inventory of fast reactor data and knowledge, which would be sufficient to form the basis for fast reactor development in 20 to 40 years from now. The Agency is in a good position to provide the framework for knowledge preservation efforts. Under Article III of its Statute, the IAEA is mandated to encourage and assist research on, and development and practical application of atomic energy for peaceful uses throughout the world. Obviously, an important aspect of this mandate is maintaining and increasing the knowledge that is necessary for the technological development. The main objectives of the consultancy

  12. Opportunities and barriers for OHS consultants in a technological change process at a client enterprise

    DEFF Research Database (Denmark)

    Hermund, Ingelise; Broberg, Ole

    2003-01-01

    . Taking initially the role as experts the consultants in a reflective process change their strategy towards establishing a net-work in the client enterprise, going beyond the joint safety organization and more directly to the designers of new buildings and equipment. This indicates that the conditions...

  13. Transfusion reaction in a case with the rare Bombay blood group

    Directory of Open Access Journals (Sweden)

    Hayedeh Javadzadeh Shahshahani

    2013-01-01

    Full Text Available Bombay phenotype is extremely rare in Caucasian with an incidence of 1 in 250,000. When individuals with the Bombay phenotype need blood transfusion, they can receive only autologous blood or blood from another Bombay blood group. Transfusing blood group O red cells to them can cause a fatal hemolytic transfusion reaction. In this study, we report a case with the rare Bombay blood group that was misdiagnosed as the O blood group and developed a hemolytic transfusion reaction. This highlights the importance of both forward and reverse typing in ABO blood grouping and standard cross-matching and performing standard pretransfusion laboratory tests in hospital blood banks.

  14. Teledermatology: the use of ubiquitous technology to redefine traditional medical instruction, collaboration, and consultation.

    Science.gov (United States)

    Brandt, Richard; Hensley, David

    2012-11-01

    The seemingly ubiquitous use and acceptance of mobile, Wi-Fi-enabled, camera-ready tablets are offering dermatological clinicians a new telemedicine tool and collaborative learning platform, which may come to replace the traditional practice of forwarding digital still photographs to colleagues for consultation. The decreased cost and the increased ease of use of newer generation tablets are removing some of the participation barriers previously experienced by some dermatology professionals. Prior to full clinical implementation within the authors' practice in 2011, they tested the Health Insurance Portability and Accountability Act-approved Apple FaceTime(®) videoconference platform and found it to be an affordable, convenient, and effective collaboration and consultation tool that may augment andragogical postgraduate medical learning.

  15. Teledermatology: The Use of Ubiquitous Technology to Redefine Traditional Medical Instruction, Collaboration, and Consultation

    OpenAIRE

    Brandt, Richard; Hensley, David

    2012-01-01

    The seemingly ubiquitous use and acceptance of mobile, Wi-Fi-enabled, camera-ready tablets are offering dermatological clinicians a new telemedicine tool and collaborative learning platform, which may come to replace the traditional practice of forwarding digital still photographs to colleagues for consultation. The decreased cost and the increased ease of use of newer generation tablets are removing some of the participation barriers previously experienced by some dermatology professionals. ...

  16. 77 FR 43106 - Tribal Consultation Sessions-Department of the Interior Information Technology Infrastructure...

    Science.gov (United States)

    2012-07-23

    ... Interior Information Technology Infrastructure Consolidation and Reorganization--Amendment AGENCY: Office... the 2012 Information Technology transformation realignment proposal as well as on how Information Technology transformation should be implemented in the coming years. DATES: See the SUPPLEMENTARY INFORMATION...

  17. 77 FR 28616 - Tribal Consultation Sessions-Department of the Interior Information Technology Infrastructure...

    Science.gov (United States)

    2012-05-15

    ... Interior Information Technology Infrastructure Consolidation and Reorganization AGENCY: Office of the... purpose of the sessions is to obtain tribal input on the 2012 Information Technology [[Page 28617

  18. Unusual congregation of salps off Veraval and Bombay, west coast of India

    Digital Repository Service at National Institute of Oceanography (India)

    Lodh, N.M.; Gajbhiye, S.N.; Nair, V.R.

    During September to October swarming of salps occur along the coasts off Veraval and Bombay. These congregations off Veraval are contributed by the single species Pegea confoederata recording an unusual biomass as high as 7.3 ml.m-3. Off Bombay...

  19. Barriers to the use of e-health technology in nurse practitioner_patient consultations

    Directory of Open Access Journals (Sweden)

    Ann Adams

    2007-06-01

    Conclusions Study NPs had received only very limited information technology (IT training, but nevertheless were enthusiastic about computer use. This suggests that with further training they could adapt their practice to embrace more EHT, which would enhance their ability to be more autonomous and to base their practice on sound clinical evidence.

  20. Asian Network for higher Education in Nuclear Technology (ANENT). Report of the consultancy meeting on ANENT

    International Nuclear Information System (INIS)

    2007-01-01

    ANENT is expected to help Member States to address the following issues: Promote, manage and preserve nuclear knowledge; Attract talented youth to pursue a career in nuclear science and technology in spite of several competing career options that are now available to them; Spread the benefit of atomic energy to the region by educating and training and information sharing. ANENT will serve as facilitator for communication with other regional and global networks

  1. Consulting Overseas.

    Science.gov (United States)

    Rosensweig, Fred; And Others

    Consultants experience difficulty in being effective in a foreign country, particularly in developing countries. Difficulties include definite cross-cultural differences that consultants lack the skills to overcome or adjust to, language and communication differences, consultants' inability to adjust to a new situation quickly, and inability of…

  2. A study of V. cholerae strains isolated in Bombay.

    Directory of Open Access Journals (Sweden)

    Saraswathi K

    1990-07-01

    Full Text Available Of 935 faecal samples studied over a period of one year, V. cholerae 01 was isolated from 102 samples (10.9%. All the strains were found to be E1 Tor Ogawa. The strains belonging to the phage types 2 and 4 were encountered in our study, type 2 being the highest (76.5%. The sensitivity pattern of all strains to the commonly used antibiotics was determined. Strains sensitive to gentamicin (92.2%, nalidixic acid (85.3%, kanamycin (83.3%, cotrimoxazole (80.4% and chloramphenicol (75.5% were observed. Out of the total, 36.3%, 29.4% and 28.4% of V. cholerae strains were found to be resistant to ampicillin, streptomycin and tetracycline respectively. V. cholerae was isolated throughout the year indicating the endemicity of cholera in Bombay.

  3. Improving Community Understanding of Medical Research: Audience Response Technology for Community Consultation for Exception to Informed Consent

    Directory of Open Access Journals (Sweden)

    Taher Vohra

    2014-07-01

    Full Text Available Introduction: The Department of Health and Human Services and Food and Drug Administration described guidelines for exception from informed consent (EFIC research. These guidelines require community consultation (CC events, which allow members of the community to understand the study, provide feedback and give advice. A real-time gauge of audience understanding would allow the speaker to modify the discussion. The objective of the study is to describe the use of audience response survey (ARS technology in EFIC CCs. Methods: As part of the Rapid Anticonvulsant Medication Prior to Arrival Trial (RAMPART, 13 CC events were conducted. We prepared a PowerPoint™ presentation with 4 embedded ARS questions,according to specific IRB guidelines to ensure that the pertinent information would reach our targeted audience. During 6 CCs, an ARS was used to gauge audience comprehension. Participants completed paper surveys regarding their opinion of the study following each CC. Results: The ARS was used with minimal explanation and only one ARS was lost. Greater than 80% of the participants correctly answered 3 of the 4 ARS questions with 61% correctly answering the question regarding EFIC. A total of 105 participants answered the paper survey; 80-90% of the responses to the paper survey were either strongly agree or agree. The average scores on the paper survey in the ARS sites compared to the non-ARS sites were significantly more positive. Conclusion: The use of an audience response system during the community consultation aspects of EFIC is feasible and provides a real-time assessment of audience comprehension of the study and EFIC process. It may improve the community’s opinion and support of the study.

  4. Migration and labour characteristics of slum dwellers in Bombay.

    Science.gov (United States)

    Desai, V

    1994-03-01

    This article presents a description of the migration and labor force characteristics of a sample of Bombay households in three slum areas. Interviews were conducted among 135 households in 1989. Slum areas were both similar and different from one another. Wadala slum had a large migrant population and a more integrated community structure. Slum dwellers tended to retain assets at their place of origin and were from agricultural areas in south Maharashtra. A greater proportion had close kin living in Wadala. Slum dwellers tended to be better-educated, formal-sector workers. Worli slum was less affluent and less close-knit. Migrants were mostly external migrants from Uttar and Andhra Pradesh. Kurla slum was the oldest slum area and had mixed traits. Kin interaction was voluntary and selective and flexible. The decision to return was unrelated to years spent in Bombay. Survey findings indicate that all areas had roughly equal proportions of internal and external migrants. Villagers migrated to cities due to unemployment in villages and the opportunity for social mobility and better employment. This analysis indicates that community-based politics were more influenced by state concerns than by the attributes of settlers or settlement types. State policies and market forces constrained poor people's housing options. The cost of urban housing and amenities rises as population density increases. The demand in urban areas for public services, housing, and infrastructure increases due to expanding populations, inadequate and deteriorating facilities, and social pressures. Governments are constrained by high debt levels and inadequate revenues. National agencies may be inefficient in the provision of services and infrastructure. There is growing pressure on international donors and developing country governments to reexamine the role of the private sector in financing and providing services and infrastructure.

  5. A rare case of haemolytic disease of newborn with Bombay phenotype mother

    Directory of Open Access Journals (Sweden)

    Shamee Shastry

    2013-01-01

    Full Text Available We are reporting a rare case of severe hemolytic disease of newborn (HDN with Bombay phenotype mother. A retrospective study of a case with severe haemolytic disease of newborn with Bombay phenotype mother was done. Blood grouping, antibody screening, and lectin study was done on the blood sample of the baby and mother to confirm the diagnosis. Hematological and biochemical parameters were obtained from the hospital laboratory information system for the analysis. Blood group of the baby was A positive, direct antiglobulin test was negative. Blood group of the mother was confirmed to be Bombay phenotype, Hematological parameters showed all the signs of ongoing hemolysis and the bilirubin level was in the zone of exchange transfusion. Due to the unavailability of this rare phenotype blood unit, baby was managed conservatively. Anticipating the fetal anemia and HDN with mothers having Bombay phenotype and prior notification to the transfusion services will be of great help in optimizing the neonatal care and outcome.

  6. Marine geophysical studies along a transect across the continental margin off Bombay coast, west of India

    Digital Repository Service at National Institute of Oceanography (India)

    Rao, D.G.; Ramana, M.V.; Bhattacharya, G.C.; SubbaRaju, L.V.; KameshRaju, K.A.; Ramprasad, T.

    Study of underway geophysical data along a transect of 415 km across the continental margin off Bombay, (Maharashtra, India), between 800 and 3600 m water depths reveals seven seismic sequences consisting of parallel and continuous wavy reflections...

  7. Extractable organics in surface sediments from Thana creek and Bombay harbour

    Digital Repository Service at National Institute of Oceanography (India)

    Rokade, M.A.; Bhosle, N.B.; Kadam, A.N.

    Considerable variations in hydrocarbon and fatty acid levels in surface sediments from Thana creek and Bombay harbour were observed Sediments from the westernside nearshore locations yielded higher values The residues were characterised by infrared...

  8. Ecology of a heterotrichous ciliate Fabrea salina from salterns of Bombay Coast, India

    Digital Repository Service at National Institute of Oceanography (India)

    Rattan, P.; Ansari, Z.A; Sreepada, R.A

    The abundance and population size structure of a heterotrichous ciliate @iFabrea salina@@, was studied in relation to hydrochemical and hydrobiological variables in three hypersaline ponds of Bombay, west coast of India There was a clear seasonal...

  9. Determination of petroleum hydrocarbons in sediment samples from Bombay harbour, Dharamtar creek and Amba river estuary

    Digital Repository Service at National Institute of Oceanography (India)

    Ingole, S.A.; Dhaktode, S.S.; Kadam, A.N.

    The surface sediment samples were collected by van Veen grab sampler during premonsoon, monsoon and postmonsoon seasons from Bombay harbour, Dharamtar creek and Amba river estuary Moisture content of the samples ranges from 36 to 67.5...

  10. Long-term variations in benthic macroinvertebrate assemblages off Bombay, India

    Digital Repository Service at National Institute of Oceanography (India)

    Parulekar, A.H.; Ansari, Z.A.; Harkantra, S.N.; Rodrigues, C.L.

    Changes in composition, number, and biomass of macrobenthic infauna in relation to environmental deterioration in the coastal zone of Bombay, India were followed between 1974 and 1983. A time-dependent impoverishment in population density and faunal...

  11. Unusual thickening of collarette in Sagitta bedoti (Chaetognatha) from the polluted environments of Bombay coast

    Digital Repository Service at National Institute of Oceanography (India)

    Nair, V.R.; Nagasawa, S.; Ramaiah, N.; Nemoto, T.

    Sangitta bedoti dominated the chaetognath fauna of the nearshore waters of Bombay. S. bedoti from the polluted creek environments developed an unusually bulky collarette which extended from the neck to the seminal vesicles. Such extensive...

  12. Studies on waste field dilution in the vicinity of a marine outfall off Bombay

    Digital Repository Service at National Institute of Oceanography (India)

    DineshKumar, P.K.; Sarma, R.V.; Zingde, M.D.

    Results are obtained using dimensional analysis to describe the characteristics of waste field at the marine outfall site off Bombay with a thrust on intermediate scale dispersion processes, which are of relevance to the assessment...

  13. Preliminary results of an oilspill risk analysis for the Bombay High Region

    Digital Repository Service at National Institute of Oceanography (India)

    Mascarenhas, A.A.M.Q.; Gouveia, A.D.; Sitaraman, R.

    An oilspill risk analysis was conducted to determine the relative environmental hazards of developing oil in different regions of the Bombay High, Maharashtra, India. The likely paths of oilslicks, and locations of resources vulnerable to spilled...

  14. Distribution of chaetognaths in the polluted and unpolluted waters around Bombay

    Digital Repository Service at National Institute of Oceanography (India)

    Nair, V.R.; Gajbhiye, S.N.; Desai, B.N.

    Chaetognath fauna inhabiting the nearshore waters of Bombay was studied during Oct. 1977- Sept.1978. Among the 4 stations investigated Thana and Mahim represent polluted regions while Harbour and Versova are relatively unpolluted.Maximum density...

  15. Investigations on oil patches around 'M.T.Lajpatrai' Bombay harbour

    Digital Repository Service at National Institute of Oceanography (India)

    Kadam, A.N.; Zingde, M.D.

    Samples from three oil patches observed around the burning tanker 'M. T. Lajpatrai' at Bombay Harbour were characterised using proton magnetic resonance spectroscopy (PMR). Two of them were found to be from used lubricating oils. As indicated by gas...

  16. Variability in the distribution of planktonic fish eggs and larvae in the nearshore waters off Bombay

    Digital Repository Service at National Institute of Oceanography (India)

    Gajbhiye, S.N.; Nair, V.R.; Desai, B.N.

    Distribution of planktonic fish eggs and larvae in the nearshore waters off Bombay was studied during November 1979 to December 1980. Monthly samples were collected along three transects (Versova, Mahim and Thana) covering eleven stations which...

  17. A new record of marine wood-borer (Mollusca: Teredinidae) from waters off Bombay

    Digital Repository Service at National Institute of Oceanography (India)

    Raveendran, T.V.; Wagh, A.B.

    The occurrence of Teredona princesae (Sivickis) has been reported for the first time from the Exclusive Economic Zone (EEZ) off Bombay. A brief description of the pallet and distribution of this species is presented...

  18. Effect of pollution on the distribution of chaetognaths in the nearshore waters of Bombay

    Digital Repository Service at National Institute of Oceanography (India)

    Nair, V.R.; Gajbhiye, S.N.; Desai

    Chaetognath fauna inhabiting the polluted waters was compared with that of clean waters for evaluating the impact of pollution. Regular observations at 11 locations off Bombay coast indicated a steady decline in chaetognath population in areas...

  19. Making consultations run smoothly

    DEFF Research Database (Denmark)

    Jespersen, Astrid Pernille; Jensen, Torben Elgaard

    2012-01-01

    the field of science and technology studies (STS), including notions of relationality, multiplicity and otherness. Through this lens, and based on extensive fieldwork, it describes the daily work of arranging time before, during and after consultations. In conclusion, it suggests that a STS......This article investigates the skilful use of time in general practice consultations. It argues that consultation work involves social and material interactions, which are only partially conceptualized in existing medical practice literatures. As an alternative, this article employs ideas from...

  20. Detection of rare blood group, Bombay (Oh phenotype patients and management by acute normovolemic hemodilution

    Directory of Open Access Journals (Sweden)

    Manisha Shrivastava

    2015-01-01

    Full Text Available Background: Due to lack of correct blood grouping practices, the rare Bombay Oh phenotype may be missed, subjecting patients to the risk of severe hemolytic transfusion reaction. In the absence of blood donor registry, transfusion management of patients needing immediate surgery is a challenge. This study presents detection of rare Bombay Oh phenotype patients and their management by acute peri-operative acute normovolemic hemodilution (ANH in a hospital from central India. Materials and Methods: Blood grouping of patients and blood donors with a standard tube method was carried out and samples identified as rare Bombay phenotype were confirmed by saliva inhibition test. Surgical management of cases needing transfusion was done by ANH, as per the British Committee for Standards in Hematology guidelines. Results: The incidence of Bombay phenotype was 0.002% or 1 in 51,924 in the study. Amongst three cases (patients identified as Bombay phenotype, one was Bombay Oh, Rh negative. Two cases were missed in the first instance and one case actually did not require transfusion. In the absence of a blood donor registry for Bombay phenotype, the cases needing transfusion were successfully managed with ANH in the operation theatre. Conclusion: A simple test like blood grouping should be done with serious intention with incorporation of both forward and reverse grouping, so that no patient receives wrong blood leading to fatal hemolysis due to transfusion. ANH is a cost-effective transfusion option for suitable patients. Appropriate clinical decision making, use of strategies to decrease peri-operative blood losses and cost-effective country based planning could be more widely applied to improve clinical transfusion practice.

  1. Participatory analysis for redefining health delivery in a Bombay slum.

    Science.gov (United States)

    Emmel, N D; O'Keefe, P

    1996-09-01

    This paper explores the application of participatory methods in a Bombay slum of 33 households, Budh Mandir, to establish the local women's perception of their health status. Six participatory meetings were conducted alongside informal interviews with key informants. The meetings were structured with health ranking, mapping and seasonal mapping exercises. The participatory exercises expose the differences in perceptions between professional health deliverers and the women of Budh Mandir, as well as providing data at a household scale about the incidence of disease and important differences in the interpretation of health problems. Differences in the perception between local women and health professionals are noted, which, it is argued, have important implications in redefining health delivery. Some methodological problems are identified and solutions are offered. It is argued that participatory methods can act as a process through which slum dwellers can demand appropriate health care for themselves and their families. In so doing, they can redefine their health needs in order that health intervention can be directed more appropriately.

  2. A model of basement structure from magnetic anomalies of the Bombay High oil-field west of India

    Digital Repository Service at National Institute of Oceanography (India)

    Rao, D.G.

    "--"~'~ - "~" FAULT u NO0 7qO0- C LOS U RE i ( After Sahay. 1978) + DRY HOLE DES AREA N kilometers ' OIL WELL • DES IA 1 •, 7~:oo'E , 71-3o' I , 9"~O'E (a) Fig.2. a. Seismic contour map of the Bombay offshore basin and the Bombay High. Contour interval 200 m...

  3. Perioperative management of patient with Bombay blood group undergoing mitral valve replacement

    Directory of Open Access Journals (Sweden)

    Shio Priye

    2015-01-01

    Full Text Available Bombay red blood cell phenotype is an extremely rare blood type for which patients can receive only autologous or Bombay phenotype red blood cells. We report a case of stenotic mitral valve with Bombay phenotype who underwent minimal invasive right lateral thoracotomy for the replacement of the mitral valve. A male patient from Bangladesh presented to the hospital with New York Heart Association III symptoms. His medical evaluation revealed severe mitral valve stenosis and mild aortic valve regurgitation. The patient received erythropoietin, intravenous iron succinate and folic acid tablets. Autologous blood transfusion was carried out. The mitral valve was replaced with a prosthetic valve successfully. After weaning off from cardiopulmonary bypass, heparinisation was corrected with protamine. Post-operatively, the patient received autologous red blood cells. The patient recovered after 1-day of inotropic support with adrenaline and milrinone, and diuretics and was discharged on the 5 th post-operative day.

  4. Ethical Issues in Consulting.

    Science.gov (United States)

    Schwartz, Lois

    1980-01-01

    Identifies common ethical dilemmas that arise in performance technology consultant-client relationships and the difficulties both parties have in resolving them. Questions of integrity v ethics, legality v ethics, conflict of interest issues, contracts and fee issues, and ownership issues are addressed. (MER)

  5. Comparative study the expression of calcium cycling genes in Bombay duck (Harpadon nehereus) and beltfish (Trichiurus lepturus) with different swimming activities.

    Science.gov (United States)

    Zhang, Hui; Audira, Gilbert; Li, Yuan; Xian, Weiwei; Varikkodan, Muhammed Muhsin; Hsiao, Chung-Der

    2017-06-01

    The contraction and relaxation events of the muscle is mediated by the coordination of many important calcium cycling proteins of ryanodine receptor (RYR), troponin C (TNNC), parvalbumin (PVALB), sarcoendoplasmic reticulum calcium transport ATPase (SERCA) and calsequestrin (CASQ). In higher vertebrates, the expression level of calcium cycling proteins are positively correlated to the muscle contraction/relaxation ability of the cell. In this study, we used RNAseq to explore the expression profile of calcium cycling genes between two marine fish of Bombay duck ( Harpadon nehereus ) and beltfish ( Trichiurus lepturus ) with poor and robust swimming activities, respectively. We have studied the hypothesis whether the expression level of calcium cycling proteins are also positive correlated to swimming ability in fish. We used Illumina sequencing technology (NextSeq500) to sequence, assemble and annotate the muscle transcriptome of Bombay duck for the first time. A total of 47,752,240 cleaned reads (deposited in NCBI SRA database with accession number of SRX1706379) were obtained from RNA sequencing and 26,288 unigenes (with N50 of 486 bp) were obtained after de novo assembling with Trinity software. BLASTX against NR, GO, KEGG and eggNOG databases show 100%, 65%, 26%, 94% and 88% annotation rate, respectively. Comparison of the dominantly expressed unigenes in fish muscle shows calcium cycling gene expression in beltfish (SRX1674471) is 1.4- to 51.6-fold higher than Bombay duck. Among five calcium cycling genes, the fold change results are very significant in CASQ (51.6 fold) and PVALB (9.1 fold) and both of them are responsive for calcium binding to reduce free calcium concentration in the sarcoendoplasmic reticulum and cytoplasm. In conclusion, we confirmed that the high abundant expression rate of calcium cycling genes in robust swimming fish species. The current muscle transcriptome and identified calcium cycling gene data can provide more insights into the

  6. Bombay in Salman Rushdie’s novels: a study from global perspective.

    Directory of Open Access Journals (Sweden)

    Madhumita Roy

    2014-12-01

    Full Text Available Bombay, the city where Salman Rushdie spent his childhood, features prominently in four of his novels, namely Midnight’s Children (1981, The Satanic Verses (1988, The Moor’s Last Sigh (1995 and The Ground Beneath Her Feet (1999. However, in traditional literary approaches, the built environment and the materiality of Bombay evident in Rushdie’s fiction are largely lost disallowing Rushdie’s portrayal of the city to be explained as the real-imaged lived space, which Henri Lefebvre (1991 defines as “representational space” and Edward Soja (1996 as “third space”. In the globalized world of ubiquitous placelessness, the strategies and the tactics of recovering the lived space, sometimes involving the micro level of the body and sometimes larger scales such as the communities, are matters of great significance for the prominent spatial thinkers of our times. Therefore, by considering that Rushdie’s depiction of Bombay provides an access to its lived space, and particularly concentrating on the issues related to the land-reclamation in Bombay, this paper finally aims to explore how Rushdie’s sense of place is a progressive, global sense of place, which neither collapses in to a reactionary nostalgia; nativist bigotry, nor does it surrender to a spectral, deterritorialized globality.

  7. Organic carbon content of zooplankton from the nearshore waters of Bombay

    Digital Repository Service at National Institute of Oceanography (India)

    Nair, V.R.; Gajbhiye, S.N.; Sayed, F.Y.

    Organic carbon content of zooplankton in the Versova Creek and Thana Creek (polluted areas), off Versova and off Mahim, Bombay, India (relatively unpolluted areas) varied respectively from 21.4-30, 13.2-38.4, 21.6-30 and 25.8-39.6% dry weight...

  8. Spectral characteristics of the coastal currents off Thal, Bombay during a fair day

    Digital Repository Service at National Institute of Oceanography (India)

    Suryanarayana, A.; Swamy, G.N.

    A typical one-day record of currents measured every 20 min. with a direct reading current meter at an anchored station of mean water depth about 8 m off Thal (Bombay Coast, India) during a fair day was subjected to spectral analysis to identify...

  9. An Account on marine wood-boring organisms of offshore waters of Bombay High, India

    Digital Repository Service at National Institute of Oceanography (India)

    Wagh, A.B.; Raveendran, T.V.

    An incidence of wood-boring organisms in a water column of 75 meters depth, 160 km off the Bombay coast is reported. The destruction of untreated panels of mango wood exposed for periods varying from 1-12 months was caused by eight species...

  10. Marine magnetic anomalies over the Direction bank, off Bombay western continental shelf of India

    Digital Repository Service at National Institute of Oceanography (India)

    SubbaRaju, L.V.; Subrahmanyam, V.

    Total magnetic intensity data were collected over the Direction Bank, off Bombay on the western continental shelf of India and the isomagnetic anomaly map prepared at a contour interval of 25nT show NNW-SSE trend resemble those of the Dharwarians...

  11. Sedimentation of particulate material in stratified and nonstratified water columns in the Bombay high area of the Arabian sea

    Digital Repository Service at National Institute of Oceanography (India)

    Bhosle, N.B.; Sawant, S.S.; Sankaran, P.D.; Wagh, A.B.

    Sedimentation of particulate material at 22, 42 and 62 m was recorded at a station in the Bombay High area of the Arabian Sea from September 1985 to March 1986. Diatom numbers and physical structure, especially thermal stratification, played...

  12. Deployed Virtual Consulting: The Fusion of Wearable Computing, Collaborative Technology, Augmented Reality and Intelligent Agents to Support Fleet Aviation Maintenance

    National Research Council Canada - National Science Library

    Nasman, James

    2004-01-01

    .... By implementing wireless technology in combination with advanced software allowing the virtual collaboration of parties widely separated by geographical distance the Navy can establish a "virUal...

  13. Observations on commensal rats and their status to plague in Bombay.

    Science.gov (United States)

    Renapurkar, D M

    1988-01-01

    The distribution pattern of various types of commensal rodents in Bombay city reveals that Bandicota bengalensis constitutes the predominant commensal rodent species followed by R. rattus and Rattus norvegicus. Apart from these three types, Bandicota indica, M. musculus and an insectivore (Suncus murinus) are the three species of commensal small mammals that are frequently encountered in or near human habitations. These small mammals are prevalent throughout the year and their percentage distribution varies very little during different months of the year. None of the rodent species examined during the years 1976-85 revealed presence of Y. pestis infection by bacteriological or serological methods. From these findings, it could be concluded that in the city of Bombay a focus of zoonotic plague infection does not exist.

  14. Isolation and complete genome sequencing of Mimivirus bombay, a Giant Virus in sewage of Mumbai, India

    Directory of Open Access Journals (Sweden)

    Anirvan Chatterjee

    2016-09-01

    Full Text Available We report the isolation and complete genome sequencing of a new Mimiviridae family member, infecting Acanthamoeba castellanii, from sewage in Mumbai, India. The isolated virus has a particle size of about 435 nm and a 1,182,200-bp genome. A phylogeny based on the DNA polymerase sequence placed the isolate as a new member of the Mimiviridae family lineage A and was named as Mimivirus bombay. Extensive presence of Mimiviridae family members in different environmental niches, with remarkably similar genome size and genetic makeup, point towards an evolutionary advantage that needs to be further investigated. The complete genome sequence of Mimivirus bombay was deposited at GenBank/EMBL/DDBJ under the accession number KU761889.

  15. Bombay blood group: Is prevalence decreasing with urbanization and the decreasing rate of consanguineous marriage

    Directory of Open Access Journals (Sweden)

    Sujata Mallick

    2015-01-01

    Full Text Available Context: Bombay blood group although rare is found to be more prevalent in the Western and Southern states of India, believed to be associated with consanguineous marriage. Aims: To estimate the prevalence of the Bombay blood group (Oh in the urban population of Puducherry. To find the effect of urbanization on consanguineous marriage and to establish whether consanguinity plays a part in the prevalence of Oh group. To compare Oh group prevalence with that of other neighboring states, where population is not predominantly urban. Settings and Design: This is a descriptive study in a tertiary care hospital in Puducherry, over a period of 6 years. Materials and Methods: All blood samples showing ′O′ group were tested with anti-H lectin. Specialized tests like Adsorption Elution Technique, inhibition assay for determination of secretor status were performed on Oh positive cases. Any history of consanguineous marriage was recorded. Statistical Analysis Used: All variables were categorical variable and percentage and proportions were calculated manually. Results: Analysis of the results of 35,497 study subjects showed that the most common group was ′O′ group constituting 14,164 (39.90% of subjects. Only three "Oh" that is, Bombay phenotype (0.008% were detected. Consanguinity was observed in two cases (66.66%. Conclusions: This study shows the prevalence of Bombay blood group representing the urban population of Puducherry, to be high (0.008% and associated with consanguineous marriage (66.66%. Thus, consanguinity is still an important risk factor present, even in an urban population in Southern India.

  16. DIASPORIC HISTORY AND TRANSNATIONAL NETWORKS IN ANITA DESAI’S BAUMGARTNER’S BOMBAY

    Directory of Open Access Journals (Sweden)

    Lucio De Capitani

    2015-11-01

    Full Text Available Anita Desai’s Baumgartner’s Bombay adopts the perspective of a German Jewish Holocaust survivor and of a former cabaret performer to connect the histories of Germany and India. This paper examines how these characters – witnesses to a multiplicity of stories and receptacles of a variety of cultural instances – engender a diasporic network that dismantles the solidity of official history and grants a meaning to the desolate experience of exile.

  17. Petrology of rift-related basalts at Bombay High waters, Arabian Sea

    Digital Repository Service at National Institute of Oceanography (India)

    Karisiddaiah, S.M.; Iyer, S.D.

    Tholeiitic basalts obtained in 6 cores from Bombay High Region (Maharashtra, India), at depths of 860-2550 m below the seabed, are of low K and high Fe types. SiO sub(2) varies from 45.68 to 50.72%, K sub(2)O 0.09 to 0.69%, TiO sub(2) 1.06 to 2...

  18. CORPORATE DIVIDEND POLICY AND SHARE PRICE VOLATILITY:A STUDY OF THE BOMBAY STOCK EXCHANGE

    OpenAIRE

    Vijayakumar, Arvind

    2012-01-01

    Purpose: The research paper aims to identify the empirical relationship between Corporate Dividend policy in India and share price volatility. Design/Methodology/Approach: A sample of 197 dividend paying companies listed on the Bombay stock exchange (BSE 500) was examined from 2006 to 2010.A panel data approach was applied to identify the relationship between price volatility against dividend yield and dividend payout ratio. Findings: The findings observe a significant relationship be...

  19. Interconnected synchronicities: the production of Bombay and Glasgow as modern global ports c.1850–1880

    OpenAIRE

    Hazareesingh, Sandip

    2009-01-01

    Cain and Hopkins' influential theory of British imperialism opted for a metropolitan-based model of explanation, rooted in the interests of a City-of-London-based class of ‘gentlemanly capitalists’, and discounting in the process events and experiences in the colonies and the significance of industrialization. By focusing on the simultaneous emergence of Bombay and Glasgow as modern, global ports in the second half of the nineteenth century, this article argues, in diametrical opposition, for...

  20. A cancer mortality study in Bombay-based atomic energy community: 1975-1987

    International Nuclear Information System (INIS)

    Nambi, K.S.V.; Mayya, Y.S.; Soman, S.D.

    1991-01-01

    Cancer deaths recorded by the centralized health services of the Department of Atomic Energy (DAE) among its employees and their families stationed in Bombay during 1975-1987 have been analysed. Expected number of deaths due to cancer in the study group has been estimated by using the age -sex -specific cancer death rates reported for Bombay resident population for the year 1983. The size of the database for the entire DAE community is about 702,000 person years and the number of cancer deaths observed in 154. Analysis has been done separately for employees and their families, individually for important groups of cancer sites such as respiratory organs, digestive organs, breast, genito-urinary organs and lymphatic and haematopoietic systems. The standardised mortality ratios are generally lower than 100, which may partly be due to the 'healthy worker effect' in the DAE community and partly because of its differences in the social class distribution and the concomitant differences in lifestyle with respect to the comparison group of Bombay city. (author). 4 tabs., 2 figs., 9 refs

  1. Using Videoconferencing Technology to Provide Breastfeeding Support to Low-Income Women: Connecting Hospital-Based Lactation Consultants with Clients Receiving Care at a Community Health Center.

    Science.gov (United States)

    Friesen, Carol A; Hormuth, Laura J; Petersen, Devan; Babbitt, Tina

    2015-11-01

    The Tele-Lactation Pilot Project (TLPP), 1 of 13 community-based breastfeeding projects implemented in Indiana in 2013 using Centers for Disease Control and Prevention grant funds, explored the feasibility of using videoconferencing technology to provide breastfeeding education and support to low-income women by a centrally located International Board Certified Lactation Consultant (IBCLC). The IBCLC was housed at the Breastfeeding Center at the hospital where the women would deliver; the women receiving the education and support were located at an inner-city community health center (CHC) where they received their primary care. The videoconferencing sessions were juxtaposed with the women's regularly scheduled prenatal and postnatal visits at the CHC. After delivery, the lactation consultant visited the mother and infant in person at the hospital to offer additional support. Overall, 35 mothers were served by the TLPP during the 9-month project period. A total of 134 visits (30-45 minutes each) were conducted (3.8 sessions per woman). At the conclusion of the project, interviews with key participants indicated that the tele-lactation videoconferencing sessions were easy to implement, allowed the IBCLC to reach a wider client base, and allowed the women to receive expert support that they might not have otherwise received. Comments indicated that, in addition to providing education and increasing the women's confidence, the tele-lactation sessions appeared to have decreased the mothers' anxiety about the birthing process and the hospital experience. The TLPP demonstrated that incorporating videoconferencing technology into routine care can help foster collaboration among health care providers and provide mothers with continuous, easily accessible breastfeeding education and support. © The Author(s) 2015.

  2. Which Factors Influence the Adoption of Social Software? An Exploratory Study of Indian Information Technology Consultancy Firms

    DEFF Research Database (Denmark)

    Mukkamala, Alivelu Manga; Razmerita, Liana

    2014-01-01

    The rationale behind traditional knowledge management initiatives is to create, capture, share, organize, and use intangible assets such as organizational knowledge. Information systems have been playing a vital role in the implementation of knowledge management practices and systems. Recently......, organizations are adopting new forms of information and communication technologies such as social software to encourage employees to create and share knowledge. This article explores the adoption of social software tools by Indian knowledge workers working for information technology consul- tancy firms. A mixed...... method approach has been applied, and drawing on social dilemma theory and Hofstede’s cultural theory, this study discusses the factors affecting the adoption of social software by knowledge workers. A quantitative descriptive-explanatory study and a qualitative exploratory study have been employed...

  3. Which Factors Influence the Adoption of Social Software? An Exploratory Study of Indian Information Technology Consultancy Firms

    OpenAIRE

    Mukkamala, Alivelu Manga; Razmerita, Liana

    2014-01-01

    The rationale behind traditional knowledge management initiatives is to create, capture, share, organize, and use intangible assets such as organizational knowledge. Information systems have been playing a vital role in the implementation of knowledge management practices and systems. Recently, organizations are adopting new forms of information and communication technologies such as social software to encourage employees to create and share knowledge. This article explores the adoption of so...

  4. Skills for Effective Consultation.

    Science.gov (United States)

    Dustin, Dick; Ehly, Stewart

    1984-01-01

    Discusses counselor skills that promote effective consultation. Reviews research on effective school consultation and presents a five-stage model which involves phasing in, problem identification, implementation, evaluation, and termination. Provides recommendations for the process and products of consultation. (JAC)

  5. Consultant management estimating tool.

    Science.gov (United States)

    2012-04-01

    The New York State Department of Transportation (NYSDOT) Consultant Management Bureaus primary responsibilities are to negotiate staffing hours/resources with : engineering design consultants, and to monitor the consultant's costs. Currently the C...

  6. Consulting in Collection Development.

    Science.gov (United States)

    Ash, Lee

    1980-01-01

    Considers the role of the consultant in the areas of library collection development and weeding, and offers suggestions on determining the need for a consultant, obtaining one, and what to do when the consultant arrives. (FM)

  7. Governing the contaminated city : infrastructure and sanitation in colonial and postcolonial Bombay.

    OpenAIRE

    McFarlane, C.

    2008-01-01

    This paper examines specific ways in which sanitation infrastructure matter politically both as a set of materials and as a discursive object in colonial and postcolonial Bombay. It reflects on a history of sanitation as a set of concepts which can both historicise seemingly ‘new’ practices and shed light on the contemporary city. It considers two moments in Bombay’s ‘sanitary history’ – the mid-nineteenth century and the present day – and elucidates the distinct and changing spatial imagin...

  8. A case of nearly mistaken AB para-Bombay blood group donor transplanted to a group ‘O’ recipient

    OpenAIRE

    Townamchai, Natavudh; Watanaboonyongcharoen, Phandee; Chancharoenthana, Wiwat; Avihingsanon, Yingyos

    2014-01-01

    Unintentional ABO mismatch kidney transplantation can cause detrimental hyperacute rejection. We report the first successful ABO incompatible kidney transplantation from an AB para-Bombay donor to O recipient. At the initial evaluation, the donor's ABO type was discordance on the cell typing and serum typing, which typed to be ‘O’ as cell typing and ‘AB’ as serum typing. At the second investigation, it was confirmed that the donor had a unique, rare but not uncommon blood type AB para-Bombay ...

  9. Significance of serological monitoring in a Bombay Rh (D) negative phenotype pregnant woman: a case report.

    Science.gov (United States)

    Jain, Ashish; Kumawat, Vijay; Patil, Sandeep S; Kumar, Praveen; Marwaha, Neelam; Sharma, Ratti Ram

    2012-12-01

    A 32 year old Indian female was referred to our hospital at 32 weeks of gestation because of difficulty in blood group determination and further antenatal care. The results of cell and serum grouping of her blood sample were suggestive of Bombay (O(h)) Rh (D) negative phenotype. An indirect antiglobulin test (IAT) using a pool of red cells from two Bombay Rh (D) positive blood donors gave negative result using the tube as well as the gel technique (LISS-Coombs Card, BioRad, Switzerland), thus ruling out anti-D antibody in her serum. The anti-H titer was 16 (tube technique) and with dithiothreitol (DTT) treated patient's serum the antibody screening was negative suggestive of IgM type of anti-H antibodies. Within the patient's family, only one member (younger sister) was of O(h) phenotype and also was Rh (D) negative. The baby was born vaginally at 38+6 weeks of gestation and was non-hydropic with a packed cell volume (PCV) of 55%. The baby's blood group was AB Rh (D) negative and the cord blood direct antiglobulin test (DAT) was negative. Thus, a careful serological testing of O(h) phenotype antenatal women especially with Rh (D) negative phenotype is of utmost importance in determining the isoimmunization status. Copyright © 2012 Elsevier Ltd. All rights reserved.

  10. Sociological knowledge and colonial power in Bombay around the First World War.

    Science.gov (United States)

    Aspengren, Henrik C

    2011-12-01

    By the turn of the twentieth century a distinct 'social domain'--along with its constituent parts, problems and internal dynamics-was turned into a political entity, and a concern for state bureaucracies existed across the industrializing world. Specific motivations for this trend may have varied from location to location, but included arguments for higher industrial productivity and less political discontent, often intertwined with a humanitarian impulse in calls for better housing, expanded public health or improved working conditions. As has been well documented, the politicization of the social domain in early twentieth-century Britain owes much to the consolidation of British sociology as a distinct discipline. Yet while the link between the rise of social politics and sociology has been established with regard to Britain, little has been said about the occurrence of this coupling elsewhere in the twentieth-century British Empire. This article aims to rectify that omission by showing the interplay between newly raised social concerns of the colonial administration in the Bombay Presidency, Western British India, and the establishing of sociological research within the borders of the Presidency around the time of the First World War. The article will explore how the colonial administration in Bombay planned to meet new demands for sociological knowledge in colonial state policy, how sociology was subsequently introduced into the Presidency as a research subject, and how new sociological methods were applied in actual colonial government.

  11. Exploring multiple sources of climatic information within personal and medical diaries, Bombay 1799-1828

    Science.gov (United States)

    Adamson, George

    2016-04-01

    Private diaries are being recognised as an important source of information on past climatic conditions, providing place-specific, often daily records of meteorological information. As many were not intended for publication, or indeed to be read by anyone other than the author, issues of observer bias are lower than some other types of documentary sources. This paper comprises an exploration of the variety of types of climatic information can be mined from a single document or set of documents. The focus of the analysis is three private and one medical diary kept by British colonists in Bombay, western India, during the first decades of the nineteenth century. The paper discusses the potential of the diaries for reconstruction of precipitation, temperature and extreme events. Ad-hoc temperature observations collected by the four observers prove to be particularly fruitful for reconstructing monthly extreme temperatures, with values comparable to more systematic observations collected during the period. This leads to a tentative conclusion that extreme temperatures in Bombay were around 5°C lower during the period than today, a difference likely predominantly attributable to the urban heat island effect.

  12. Doctor-patient communication: a comparison between telemedicine consultation and face-to-face consultation.

    Science.gov (United States)

    Liu, Xiao; Sawada, Yoshie; Takizawa, Takako; Sato, Hiroko; Sato, Mahito; Sakamoto, Hironosuke; Utsugi, Toshihiro; Sato, Kunio; Sumino, Hiroyuki; Okamura, Shinichi; Sakamaki, Tetsuo

    2007-01-01

    The objective of this study was to compare doctor-patient communications in clinical consultations via telemedicine technology to doctor-patient communications in face-to-face clinical consultations. Five doctors who had been practicing internal medicine for 8 to 18 years, and twenty patients were enrolled in this study; neither doctors nor patients had previous experience of telemedicine. The patients received both a telemedicine consultation and a face-to-face consultation. Three measures--video observation, medical record volume, and participants' satisfaction--were used for the assessment. It was found that the time spent on the telemedicine consultation was substantially longer than the time spent on the face-to-face consultation. No statistically significant differences were found in the number of either closed or open-ended questions asked by doctors between both types of consultation. Empathy-utterances, praise-utterances, and facilitation-utterances were, however, seen less in the telemedicine consultations than in the face-to-face consultations. The volume of the medical records was statistically smaller in the telemedicine consultations than in the face-to-face consultations. Patients were satisfied with the telemedicine consultation, but doctors were dissatisfied with it and felt hampered by the communication barriers. This study suggests that new training programs are needed for doctors to develop improved communication skills and the ability to express empathy in telemedicine consultations.

  13. Submarine terrace limestones from the continental slope off Saurashtra-Bombay: Evidence of Late Quaternary neotectonic activity

    Digital Repository Service at National Institute of Oceanography (India)

    Rao, V.P.; Veerayya, M.

    m depth terrace was at intertidal depths at about 12,000 years BP. The eustatic sea-level, however, was at - 90 m at 12,000 years BP. This disparity suggests neotectonic activity and subsidence by about 40 m on the Saurashtra-Bombay region some time...

  14. From Solution Shop to Boutique Consulting? Capturing Recent Developments on the German Consulting Marke

    Directory of Open Access Journals (Sweden)

    Jörg Jasper DÖTSCH

    2016-12-01

    Full Text Available Digitalization, globalization, new technologies and shorter product life cycles are only a few keywords underlining the fact that companies are under increasing pressure for faster adaptation, innovation and hence applying a higher knowledge intensity. We assume that these conditions require an increasingly important role of consulting companies, because they seem to be the intermediaries needed to bridge the faster growing gaps between existing business models, organizational structures and accelerating market change. Market pressure is growing on the market for consultant companies as well. New technologies and digitalization should influence both the structure of the consultancy market and the business models of consultancies. Christensen suggested a trend from Dzsolution shop” to Dzboutique consulting.” To track current developments, we concentrate on the German consulting market as one of the most important consultant markets worldwide and explore changes of the last two years based on various studies. Processes of change seem to be both substantially driven by digitalization and to reflect change on the non-consultancy markets. A high willingness to switch among providers documents a high pressure on performance. The impact of digitalisation seem• to be observable in structural and qualitative change. With regard to the German consulting market and the latest available data we cannot validate a tendency from a dominance of “solution shop” consultancies to “boutique” consultancy services.

  15. The Contemporary Consultant

    DEFF Research Database (Denmark)

    Olson, Thomas; Poulfelt, Flemming; Greiner, Larry

    This book complements The handbook of Management Consulting: The Contemporary Consultant: Insights from Leading Experts, 1e but can also be studied separately. The book consists of 20 cases including Harvard and Stanford cases. The cases present the broad range of topics that are pertinent...... to current management consulting. Each of the four parts of the text presents a cogent introduction by the editors, delineating topics that are critical for today's consultants to understand. The cases represent major practice areas of consulting and afford new insights into change processes and other...... current management issues facing consulting firms. These cases, together with the handbook, will prepare consultants and other business managers for a successful future in a highly competitive consulting environment....

  16. Tribal Consultation Tracking System

    Data.gov (United States)

    U.S. Environmental Protection Agency — The consultation-related information the AIEO Consultation Team working with our Tribal Portal contractors has developed a Lotus Notes Database that is capable of...

  17. Bombay Hotel

    International Development Research Centre (IDRC) Digital Library (Canada)

    sick listening to people say that demolitions will take place. We don't have enough money to purchase another house. All our life's savings have been invested in buying this house." IMPACTS OF INFORMAL DEVELOPMENT AND. NON-IMPLEMENTATION OF THE TP SCHEMES ON. BASIC SERVICES PROVISION.

  18. 3 CFR - Tribal Consultation

    Science.gov (United States)

    2010-01-01

    .... Recommendations for improving the plans and making the tribal consultation process more effective, if any, should... 3 The President 1 2010-01-01 2010-01-01 false Tribal Consultation Presidential Documents Other Presidential Documents Memorandum of November 5, 2009 Tribal Consultation Memorandum for the Heads of Executive...

  19. Bioethics Consultations and Resources

    OpenAIRE

    Thomas, Jennie

    2011-01-01

    Making difficult healthcare decisions is often helped by consultation with a bioethics committee. This article reviews the main bioethics principles, when it is appropriate and how to call a bioethics consult, ethical concerns, and members of the consult team. Bioethics resources are included.

  20. Consultant survival guide.

    Science.gov (United States)

    Haque, Sahena

    2014-04-01

    Taking up a new consultant post can be both exciting and daunting. Once the elation of completing years of training and successfully securing a valued position has subsided, the reality of the task ahead becomes apparent. A new consultant needs to develop a number of skills to develop as a clinical leader and understand the processes within the National Health Service (NHS) that enable service development and innovation. In a programme packed with esteemed speakers, the Royal College of Physicians' one-day conference, Consultants' survival guide: how to succeed as a new consultant provided practical tips and advice for senior trainees and new consultants.

  1. A STUDY EVALUATING THE EFFECTS OF BOMBAY HOSPITAL PHYSIOTHERAPY PROGRAM AND CONVENTIONAL PHYSIOTHERAPY EXERCISE PROGRAM ON GERIATRIC PATIENTS PRESENTING WITH CALF PAIN

    OpenAIRE

    Rohit Subhedar; Pallavi Dave; Priyanka Mishra; Shailee Jain

    2015-01-01

    Objective: To investigate the effects of (BHP-Program) on geriatric patients with calf pain. Method: This research was designed by evaluating the progress report of Geriatric Physiotherapy patients at Multi-specialty Department of Physiotherapy- Bombay Hospital-Indore. The subjects were the patients receiving Physiotherapy at Multi specialty Physiotherapy Department - Bombay Hospital, Indore. VAS scale was used for the pain evaluation. Pain Scale parameters of 30 Patients of age group 60...

  2. The art of consultation.

    Science.gov (United States)

    Bhangoo, Kulwant S

    2014-05-01

    Sophisticated marketing and practice-enhancing strategies can help bring patients to a surgeon's practice. However, the ability to retain these patients and also convert the consultations into surgical procedures depends on the art of consultation. This very important aspect of clinical practice is seldom taught in the medical school. In this paper, the author discusses many aspects of the art of consultation, which he has learned in his practice over the years.

  3. Ethics in Management Consulting

    OpenAIRE

    Vallini, Carlo

    2007-01-01

    Ethics is a relevant value in business and management consulting. The presence of recognized ethics tends to reduce the need for informative or legal-contractual precautions in the formalization of relationships, for both of the parts involved in a negotiation. Management Consulting on ethics will develop more and more. Law will consider more and more ethics in business and management consulting. The ethics of corporations influences their workers and behaviour with the customers. It is an e...

  4. Consultation Models Revisited

    International Nuclear Information System (INIS)

    Fawaz, S.; Khan, Zulfiquar A.; Mossa, Samir Y.

    2006-01-01

    A new definition is proposed for analyzing the consultation in the primary health care, integrating other models of consultation and provides a framework by which general practitioners can apply the principles of consultation using communication skills to reconcile the respective agenda and autonomy of both doctor and patient into a negotiated agreed plan, which includes both management of health problems and health promotion. Achieving success of consultations depends on time and mutual cooperation between patient and doctor showed by doctor-patient relationship. (author)

  5. Inpatient Consultative Dermatology.

    Science.gov (United States)

    Biesbroeck, Lauren K; Shinohara, Michi M

    2015-11-01

    Dermatology consultation can improve diagnostic accuracy in the hospitalized patient with cutaneous disease. Dermatology consultation can streamline and improve treatment plans, and potentially lead to cost savings. Dermatology consultants can be a valuable resource for education for trainees, patients, and families. Inpatient consultative dermatology spans a breadth of conditions, including inflammatory dermatoses,infectious processes, adverse medication reactions, and neoplastic disorders, many of which can be diagnosed based on dermatologic examination alone, but when necessary, bedside skin biopsies can contribute important diagnostic information. Copyright © 2015 Elsevier Inc. All rights reserved.

  6. The Contemporary Consultant

    DEFF Research Database (Denmark)

    Olson, Thomas; Poulfelt, Flemming; Greiner, Larry

    This book complements The handbook of Management Consulting: The Contemporary Consultant: Insights from Leading Experts, 1e but can also be studied separately. The book consists of 20 cases including Harvard and Stanford cases. The cases present the broad range of topics that are pertinent...

  7. The Dream Consultant

    DEFF Research Database (Denmark)

    Muhr, Sara Louise; Kirkegaard, Line

    2013-01-01

    Consultants are known to work extreme hours. We show empirically how consultants fantasize about off-work activities, which are impossible to realize with their work schedule. These fantasies are, however, not obstructing their work, but important to justify the extreme hours and sustain desire...

  8. Applied DMP Consultation Workshop

    OpenAIRE

    Zilinski, Lisa

    2013-01-01

    This workshop allowed participants to work through a data management plan consultation, using a real world example. The workshop covered data management plans (DMPs), described in detail the areas that are typically included in a DMP, and utilized tools and resources to help support a DMP consultation with disciplinary faculty.

  9. Is Leprosy Control In Urban Slums Possible ? - A Study In Bombay

    Directory of Open Access Journals (Sweden)

    Ganapati R

    1989-01-01

    Full Text Available Effectiveness of community-based leprosy control operations spanning almost a decade in two locations, a small self settled leprosy colony (I of about 800 subjects as well as a large slum (II with a population of about 20,000 in the metropolitan city of Bombay are compared. New case detection through survey in location I and voluntary reporting in location II during the period 1982-86 is taken as an index of the impact of the intervention, which consisted of field based administration of multi-drug therapy. Though the leprosy colony concentrates an abnormal reservoir of infectious cases in a small population, it was relatively easier to achieve success in reducing the transmission rate through field-based chemotherapy programme. The same degree of success however, could not be achieved in a normal slum. Health care delivery system in relation to leprosy eradication at the grass-root levels has to be planned giving maximum importance to cost-effective methods of identification of multi-bacillary leprosy patients and monitoring their movements carefully during the treatment phase.

  10. Report on the consultants' meeting to: Outline a co-ordinated research project on trace element speciation to enhance technology transfer in this field by the development of suitable methodologies and/or the production of suitably characterised reference materials

    International Nuclear Information System (INIS)

    2001-01-01

    In the environment and in man, the total concentration of a given element in a sample is almost always comprised of two or more discrete chemical forms. The toxicological or nutritive impact of the element in the sample in the environment or when ingested by man will be dependent upon the properties of its individual components. Therefore, in order to make meaningful benefit or risk assessment statements, it is essential to have a knowledge of the forms and relative amounts of an element in a given matrix. When the analyte in question is only present at total concentrations at the trace level (mg.kg -1 ) or below, the problems involved in obtaining this information become much more complex. The term trace metal speciation has been coined to refer to the determination of the chemical forms and quantities of an analyte present in a sample at the trace (and ultra trace) level. Even at such relatively low levels, the presence or absence of specific forms of an analyte can have serious consequences in terms of trade, health and environmental management. In light of the PPAS External Reviewers' Report of the Consultants' Meeting on Analytical Quality Control Services (October 1997, Vienna) which recommended that characterisation of chemical species should be undertaken in AQCS reference materials, the Agency decided to convene a consultants' meeting specifically to advise it on the importance of trace metal speciation, the state of the art and the value of a CRP to address aspects of speciation in order to facilitate technology transfer and equip member states with appropriate tools to meet the challenges posed. Five scientists, recognised as experts in the field of trace metal speciation were identified and invited to the Agency's headquarters to act as consultants. The meeting was held at the Vienna International Centre from 23rd to 26th November 1998. The first day of the meeting was given over to presentations from the consultants on various aspects of trace element

  11. Efficiency principles of consulting entrepreneurship

    OpenAIRE

    Moroz Yustina S.; Drozdov Igor N.

    2015-01-01

    The article reviews the primary goals and problems of consulting entrepreneurship. The principles defining efficiency of entrepreneurship in the field of consulting are generalized. The special attention is given to the importance of ethical principles of conducting consulting entrepreneurship activity.

  12. ACF Tribal Consultation Policy

    Data.gov (United States)

    U.S. Department of Health & Human Services — The purpose of the ACF Tribal Consultation Policy is to build meaningful relationships with federally recognized tribes by engaging in open, continuous, and...

  13. Differences in psychophysical well-being and signs of depression in couples undergoing their first consultation for assisted reproduction technology (ART): an Italian pilot study.

    Science.gov (United States)

    Valoriani, Vania; Lotti, Francesco; Lari, Donatella; Miccinesi, Guido; Vaiani, Serena; Vanni, Claudia; Coccia, Maria Elisabetta; Maggi, Mario; Noci, Ivo

    2016-02-01

    The data we refer to belong to a longitudinal research project starting at the first contact of individual couples with the Infertility Unity; they were then followed-up till pregnancy or failure of treatments. The study aims at investigating in depth the emotional state of patients admitted for first consultation. Specifically, we investigated the emotional state of the two members of an infertile couple, considering also their biomedical and socio-demographic characteristics. This is a cross-sectional study evaluating a consecutive series of 309 couples, consulting for the first time our Infertility Unit for a multidisciplinary diagnostic evaluation in relation to their infertility. The multidisciplinary equip is composed of a gynaecologist, an andrologist and a clinical psychologist. Two standardized instruments were administered by the clinical psychologist to the two members of the couple: the Edinburgh Depression Scale (EDS) and the General Health Questionnaire-form 12 (GHQ-12), for screening of non-somatic signs of depression and psychophysical well-being, respectively. Couples were eligible for the study if they had not received any prior ART treatment in our Unit and were able to read and understand Italian. In addition, they had to agree to provide informed consent for the study. We obtained a response in 62% of all eligible couples. There were two major unexpected findings: Psychological and counselling services dedicated to ART should consider also socio-demographic data and always specifically consider gender differences, not only a couple's psychology and its dynamics. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  14. Consulting in the Library Network Environment.

    Science.gov (United States)

    Markuson, Barbara Evans

    1980-01-01

    Describes four elements of consulting in library networks: network client groups, potential sources of consultants, categories of network consulting, and difficulties in network-related consulting. (FM)

  15. Report of the FAO Expert Consultation on Fish Technology in Africa: Dar-es-Salaam, Tanzania, 11-15 February 1980

    National Research Council Canada - National Science Library

    1980-01-01

    ... difficulties and obstacles to cooperation, determine needs and priorities for further research and elaborate recommendations for a continued cooperative research programme in fish technology in Africa...

  16. Hypertension in the Parsi community of Bombay: a study on prevalence, awareness and compliance to treatment

    Directory of Open Access Journals (Sweden)

    Kuruvilla Thomas

    2003-01-01

    Full Text Available Abstract Background Uncontrolled hypertension (HT is an established risk factor for the development of vascular diseases. Prevalence varies in different communities and no such study has been conducted in the Parsi community living in Bombay, India. The objectives of this study were to determine the prevalence, awareness, compliance to medication and control of HT in this community. Method We used a 1 in 4 random selection of subjects who were ≥ 20 years of age. A questionnaire was administered and the blood pressure (BP was measured by a doctor. HT was defined as diastolic blood pressure (DBP ≥ 90 mm Hg ± systolic pressure (SBP ≥ 140 mm Hg. Isolated systolic hypertension (ISH was defined as SBP ≥ 160 mm Hg with DBP Results 2879 subjects ≥ 20 years of age were randomly selected of which 2415 (84% participated in the study. The overall prevalence of HT in the community was 36.4%, of whom 48.5% were unaware of their hypertensive status. Of those aware of having HT, 36.4% were non-compliant with their anti-hypertensive drugs and only 13.6% had optimally controlled HT. Prevalence of ISH using the present criteria was 19.5% and 73% of hypertensives ≥ 60 years had ISH. Conclusion This study shows that prevalence of HT in the Parsi community is high and nearly half are unaware of their hypertensive status. ISH is the dominant form of HT in the elderly. Compliance to treatment is poor and optimal BP control is achieved in only a small minority. The study highlights the need for regular screening coupled with educational programs to detect and optimally treat HT in the community.

  17. Biotransformation and detoxification of inorganic arsenic in Bombay oyster Saccostrea cucullata.

    Science.gov (United States)

    Zhang, Wei; Guo, Zhiqiang; Zhou, Yanyan; Liu, Huaxue; Zhang, Li

    2015-01-01

    Arsenic (As) exists as the toxic inorganic forms in marine water and sediment, while marine oysters usually accumulate high As contents mostly as the less toxic organic forms. It has not yet been clear that how As is biotransformed in marine oysters. This study therefore investigated the biotransformation and detoxification of two inorganic As forms (As(III) and As(V)) in Bombay oyster Saccostrea cucullata after waterborne exposures for 30 days. Seven treatments of dissolved As exposure (clean seawater, 1, 5, 20 mg/L As(III), and 1, 5, 20 mg/L As(V)) were performed. Body As concentration increased significantly after all As exposure treatments except 1mg/L As(V). Total As, As(III), and As(V) concentration were positive correlated with glutathione-S-transferases (GST) activities, suggesting GST might play an important role in the As biotransformation and detoxification process. Organic As species were predominant in control and the low As exposed oysters, whereas a large fraction of As was remained as the inorganic forms in the high As exposed oysters, suggesting As could be biotransformed efficiently in the oysters in clean or light contaminated environment. The results of As speciation demonstrated the As biotransformation in the oysters included As(V) reduction, methylation to monomethylarsonic acid (MMA) and dimethylarsinic acid (DMA), and subsequent conversion to arsenobetaine (AsB). More As was distributed in the subcellular metallothionein-like proteins fraction (MTLP) functioning sequestration and detoxification in the inorganic As exposed oysters, suggesting it was also a strategy for oysters against As stress. In summary, this study elucidated that marine oysters had high ability to accumulate, biotransform, and detoxify inorganic As. Copyright © 2014 Elsevier B.V. All rights reserved.

  18. Tobacco usage in school children in Bombay, India. A study of knowledge, attitude and practise.

    Science.gov (United States)

    Jayant, K; Notani, P N; Gulati, S S; Gadre, V V

    1991-09-01

    A study of knowledge, attitude and practice with regard to tobacco usage was conducted in 1278 boys and 353 girls studying in the final year in various schools in Bombay. The proportion of boys given to one or the other form of tobacco usage (including experimenters/triers) was significantly higher in private English median schools (22.5%) compared to private Indian language schools (6.9%) or municipal Indian language schools (13.8%). There was also a significant difference between the two types of Indian schools. Girls from only Indian language schools were entered into the study and the proportion of tobacco users in them was very low (1.1%). Most (86%) boys who used tobacco were smokers. Hence the detailed analysis is restricted to smokers. Several probable factors influencing smoking behavior were studied. It was found that significantly higher proportion of boys smoked if their father or best friend smoked. Generally boys were more sensitive to best friend's or elder brother's disapproval than to parental. They were well informed about harmfulness of smoking but knowledge about specific health hazards was limited. Most of them had a positive attitude towards nonsmoking and smoking control programmes. Tobacco use has been proven to be a major health hazard. Although its use in adults in India is common, prevalence in adolescents in urban schools is not yet high. Before the situation changes we need to mount anti-tobacco educational programmes and work towards a non-tobacco generation to contain the harmful consequences of tobacco usage.

  19. Generation of human induced pluripotent stem cells from a Bombay individual: Moving towards 'universal-donor' red blood cells

    International Nuclear Information System (INIS)

    Seifinejad, Ali; Taei, Adeleh; Totonchi, Mehdi; Vazirinasab, Hamed; Hassani, Seideh Nafiseh; Aghdami, Nasser; Shahbazi, Ebrahim; Yazdi, Reza Salman; Salekdeh, Ghasem Hosseini; Baharvand, Hossein

    2010-01-01

    Bombay phenotype is one of the rare phenotypes in the ABO blood group system that fails to express ABH antigens on red blood cells. Nonsense or missense mutations in fucosyltransfrase1 (FUT1) and fucosyltransfrase2 (FUT2) genes are known to create this phenotype. This blood group is compatible with all other blood groups as a donor, as it does not express the H antigen on the red blood cells. In this study, we describe the establishment of human induced pluripotent stem cells (iPSCs) from the dermal fibroblasts of a Bombay blood-type individual by the ectopic expression of established transcription factors Klf4, Oct4, Sox2, and c-Myc. Sequence analyses of fibroblasts and iPSCs revealed a nonsense mutation 826C to T (276 Gln to Ter) in the FUT1 gene and a missense mutation 739G to A (247 Gly to Ser) in the FUT2 gene in the Bombay phenotype under study. The established iPSCs resemble human embryonic stem cells in morphology, passaging, surface and pluripotency markers, normal karyotype, gene expression, DNA methylation of critical pluripotency genes, and in-vitro differentiation. The directed differentiation of the iPSCs into hematopoietic lineage cells displayed increased expression of the hematopoietic lineage markers such as CD34, CD133, RUNX1, KDR, α-globulin, and γ-globulin. Such specific stem cells provide an unprecedented opportunity to produce a universal blood group donor, in-vitro, thus enabling cellular replacement therapies, once the safety issue is resolved.

  20. The Determinants of Corporate debt maturity: a study on listed companies of Bombay Stock Exchange 500 index

    Directory of Open Access Journals (Sweden)

    Raveesh Krishnankutty

    2014-03-01

    Full Text Available The study was intented to identify the determinants of the debt maturity structure of listed firms in Bombay Stock Exchange 500 index. For the analysis we have taken 321 firms during the period 2002- 2011, comprising of a panel model with fixed effects. We also used GMM (1991 and GMM (1998 estimates of our analysis. The result of robustness tests confirms that past year debt maturity, leverage and growth opportunities are directly determined the debt maturity of Indian firms. Liquidity, effective tax and rate prime lending rate are negatively determining the debt maturity of Indian companies.

  1. Shared consultant physician posts.

    LENUS (Irish Health Repository)

    Cooke, J

    2012-01-31

    Our aim was to assess the acceptability and cost-efficiency of shared consultancy posts. Two consultant physicians worked alternate fortnights for a period of twelve months. Questionnaires were distributed to general practitioners, nurses, consultants and junior doctors affected by the arrangement. Patients or their next of kin were contacted by telephone. 1\\/17 of consultants described the experience as negative. 14\\/19 junior doctors reported a positive experience. 11 felt that training had been improved while 2 felt that it had been adversely affected. 17\\/17 GPs were satisfied with the arrangement. 1\\/86 nurses surveyed reported a negative experience. 1\\/48 patients were unhappy with the arrangement. An extra 2.2 (p<0.001) patients were seen per clinic. Length of stay was shortened by 2.49 days (p<0.001). A saving of 69,212 was made due to decreased locum requirements. We present data suggesting structured shared consultancy posts can be broadly acceptable and cost efficient in Ireland.

  2. Upgrading of Bombay High Waxy Crude by Thermal Processes Valorisation du pétrole brut paraffinique de Bombay High par des procédés thermiques

    Directory of Open Access Journals (Sweden)

    Kuchhal Y. K.

    2006-11-01

    Full Text Available Attempts have been made to upgrade Bombay High waxy residues by different thermal conversion processes, namely visbreaking, thermal cracking and delayed coking. A systematic analysis of the data with respect to yield and characteristics obtained from different laboratory conversion units is presented and compared with estimated values for fluid catalytic cracking and hydrocracking. Des essais ont été faits pour valoriser des résidus paraffiniques du brut de Bombay High par différents procédés de conversion thermique comme la visco-réduction, le craquage thermique et la cokéfaction différée. On présente dans cet article une analyse systématique des données concernant les rendements et les caractéristiques obtenus en laboratoire de différentes unités de conversion. Puis, on compare ces données avec des valeurs estimées de craquage catalytique fluide et d'hydrocraquage.

  3. Understanding the consultation processes

    International Nuclear Information System (INIS)

    Laing, A.C.

    1998-01-01

    This presentation focuses on the consultation processes between industry, government and First Nations communities regarding resource development. The expectations of the Crown are to facilitate capacity building within First Nations, to promote traditional use studies and to participate with industry proponents on certain consultation issues. The role of industry is to encourage partnerships between established contractors and First Nations contracting firms to allow First Nations firms to grow and experience success under the guidance of a mentor company. It is important to realize that solid First Nations relations are the key to shorter time lines and lower costs in developing projects. However, consultation and involvement must be 'real' with benefits and participation that fall within the First Nations Communities' definition of success

  4. BIO-EXPLOITATION STATUS OF BOMBAY DUCK (Harpadon nehereus HAMILTON, 1822 ON TRAWL FISHERY IN TARAKAN WATERS

    Directory of Open Access Journals (Sweden)

    Duto Nugroho

    2015-06-01

    Full Text Available North Kalimantan Province, notably Tarakan City marine waters, is one of the important fishing ground in boundary area among Sulu Sulawesi Marine Ecoregion. It produces approximately 100 mt/annum of Bombay duck (Harpadon nehereus with valued of US$ 750,000. The sustainability of this fishery is a crucially concern given the following: substantial economic contribution, significant dependence of small-scale fishers on this species for their livelihoods. The fishing intensities considerable and growing threats to their habitats. To evaluate the vulnerability of individual species to over exploitation, the spawning potential ratio (SPR approach applied to describe the status of its existing fisheries. This approach provides the ability to determine fishing mortality as reference points to enhance its sustainability. The objective of this study is to understand this fish biomass resilience to harvesting. The calculated SPR based on the value of estimated length of first capture or Lc at 208 mm is equivalent to the SPR of 28%. With a base line of stocks are generally thought to risk recruitment declining when SPR <20%, recent finding indicated that the existing fishery can be generally described as nearly fully exploited. In recognition of this sector’s has an ecological importance and socio-economic significance, the sustainable development of Bombay duck fisheries should be initiated through developing local fishery committee to provide a their local fishery management plan.

  5. Consultation Content not Consultation Length Improves Patient Satisfaction

    Science.gov (United States)

    Lemon, Thomas I.; Smith, Rebecca H.

    2014-01-01

    The suggestion that increased consultation length leads to improved patient satisfaction has some evidence, albeit uncertain. Importantly there are other determinants within the doctor-patient consultation that themselves may be responsible for this improved satisfaction and it is these we investigate in this paper. A systematic review of PubMed and associated papers was carried out using search terms ‘family practice consultation length’, ‘general practice consultation length’, ‘local health authority consultation length’ and ‘primary care consultation length’. 590 papers were originally selected using these search terms, post scoring this number became 9. The results obtained support the idea that consultation length does not directly improve consultation outcome, but rather there are variables integrated within the consultation affecting this. Increased time purely allows a physician to implement management, particularly relating to psychosocial aspects. PMID:25657939

  6. Consultation content not consultation length improves patient satisfaction

    Directory of Open Access Journals (Sweden)

    Thomas I Lemon

    2014-01-01

    Full Text Available The suggestion that increased consultation length leads to improved patient satisfaction has some evidence, albeit uncertain. Importantly there are other determinants within the doctor-patient consultation that themselves may be responsible for this improved satisfaction and it is these we investigate in this paper. A systematic review of PubMed and associated papers was carried out using search terms ′family practice consultation length′, ′general practice consultation length′, ′local health authority consultation length′ and ′primary care consultation length′. 590 papers were originally selected using these search terms, post scoring this number became 9. The results obtained support the idea that consultation length does not directly improve consultation outcome, but rather there are variables integrated within the consultation affecting this. Increased time purely allows a physician to implement management, particularly relating to psychosocial aspects.

  7. Behavior Analytic Consultation for Academic Referral Concerns

    Science.gov (United States)

    Dufrene, Brad A.; Zoder-Martell, Kimberly A.; Dieringe, Shannon Titus; Labrot, Zachary

    2016-01-01

    Applied behavior analysis provides a technology of human behavior that demonstrates great potential for improving socially important outcomes for individuals. School-based consultation may provide a vehicle for delivering applied behavior analysis services in schools to address academic referral concerns. In this article, we propose that…

  8. Gynaegological consultations at Bowen University Teaching ...

    African Journals Online (AJOL)

    Conclusion: Infertility was the commonest reason for gynaecological consultations in this newly established teaching hospital, hence, establishment of assisted reproductive technology unit will be highly valuable to these patients who come to the hospital from different parts of southwestern Nigeria, where all assisted ...

  9. Resistance, Reactance, and Consultation.

    Science.gov (United States)

    Hughes, Jan N.; Falk, Robert S.

    1981-01-01

    Presents a review of techniques for dealing with consultee resistance. Suggests the social psychological theory of reactance is a useful conceptual framework for considering resistance in consultation. Discusses examples of its application, variables that predict the likely effectiveness of a reactance utilization intervention, and ethical issues.…

  10. Shifting Design Consultancy Identities

    DEFF Research Database (Denmark)

    Larsen, Henry; Huijboom, Nina; Holm Nielsen, Anne

    2014-01-01

    Knowledge-intensive business services, such as design consultancies are perceived as key drivers for innovation and competitiveness. However, many designers create their own companies, which often remain as one-man companies. By interviewing designers who own small design firms we found patterns...

  11. Accompanied consultations in occupational health.

    Science.gov (United States)

    Hobson, J; Hobson, H; Sharp, R

    2016-04-01

    Accompanied consultations are often reported as difficult by occupational physicians but have not been studied in the occupational health setting. To collect information about accompanied consultations and the impact of the companion on the consultation. We collected data on all accompanied consultations by two occupational physicians working in a private sector occupational health service over the course of 16 months. Accompanied consultations were matched to non-accompanied consultations for comparison. We collected data on 108 accompanied consultations. Accompanied consultations were more likely to be connected with ill health retirement (P Occupational health practitioners may benefit from better understanding of accompanied consultations and guidance on their management. © The Author 2015. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  12. Uptake and bioconcentration of copper and zinc by the molluscs Saccostrea cucullata (Born) and Cerithium rubus (Desh) from the coastal waters of Bombay

    Digital Repository Service at National Institute of Oceanography (India)

    Krishnakumari, L.; Nair, V.R.

    Rate of uptake increased linearly during the initial period of 20-30 days. Compared to the gastropod, the rate of uptake in oyster was 2.2 and 9.4 times more respectively for Cu and Zn. In oysters collected from a polluted area off Bombay Coast...

  13. Interpreting SCAMPI for a People CMM Appraisal at Tata Consultancy Services

    National Research Council Canada - National Science Library

    Radice, Ron; Hefley, William E; Curtis, Bill; Ferguson, Jack; Hayes, Will

    2005-01-01

    Tata Consultancy Services (TCS) is a large information technology consulting, services, and business process outsourcing organization interested in reducing the costs of conducting process improvement appraisals at its multiple locations...

  14. A Critical Review of Videoconferencing Software to Support School Consultation

    Science.gov (United States)

    Fischer, Aaron J.; Schultz, Brandon K.; Collier-Meek, Melissa A.; Zoder-Martell, Kimberly A.; Erchul, William P.

    2018-01-01

    With recent advances in technology, several viable options now exist for school consultants to communicate with teachers via synchronous online videoconferencing (VC) without the need for specialized equipment. Unfortunately, few studies have evaluated the effectiveness of school consultation through VC, so practitioners are provided little…

  15. Trend of newspaper consultation by students of federal University of ...

    African Journals Online (AJOL)

    The research investigated the trend of Newspaper consultation by the students of Federal University of Technology, Owerri. Survey research design was adopted for this Study. Data was obtained from the University Library's Records of users' statistics for Newspaper consultation for ten years, 2004-2013. Questionnaire was ...

  16. Small Business & Consultancy: Exploration of an Experiment with Student Consultants

    NARCIS (Netherlands)

    I. Hollaender

    2007-01-01

    In this paper I’ll discuss the first outcomes of an explorative research concerning the consultancy projects of a consultancy-based learning programme (Minor Consultancy 2006 - 2007, half-year bachelor programme University of Applied Sciences, Hogeschool Utrecht, The Netherlands). In order to

  17. 78 FR 48342 - Consultation Agreements: Proposed Changes to Consultation Procedures

    Science.gov (United States)

    2013-08-08

    .... OSHA-2010-0010] RIN 1218-AC32 Consultation Agreements: Proposed Changes to Consultation Procedures... federally-funded On-site Consultation Program to: Clarify, so it more directly reflects the wording of... proposed rule. DATES: This withdrawal becomes effective August 8, 2013. FOR FURTHER INFORMATION CONTACT...

  18. Mentoring for new consultants.

    Science.gov (United States)

    Ackroyd, R; Adamson, K A

    2015-01-01

    There is increasing evidence of the benefits of having a mentor during the early years as a consultant. Mentoring encourages and provides support to an individual in their professional development. Although there are different forms of mentoring there is recognition that developing a formal mentoring scheme can provide a consistent approach and support within a framework. The Royal College of Physicians of Edinburgh has introduced a mentoring scheme for new consultants that provides a forum for supporting them in their ongoing professional wellbeing. There is potential that the process of mentoring can improve an individual's development, and motivate and encourage them to develop the skills needed to achieve their goals, thus having an impact on ultimately improving their ability to deliver an effective patient-centred service.

  19. OHS consultants as facilitators of learning processes in client enterprises

    DEFF Research Database (Denmark)

    Broberg, Ole

    2004-01-01

    in a public institution, and 4) new factory building. The results indicated differences across the OHS consultants studied when it came to the learning aspects of their work practice. In terms of organizational learning, the most com-mon observed effect in the client enterprise was single loop learning......In carrying out consultancy the Danish occupational health services (OHS) are supposed to support and develop the capabilities of enterprises to manage work environment issues. This may be interpreted in a learning perspective: As part of the process consultancy the OHS consultants have to put...... emphasis on initiating learning processes in the client enter-prise in a way that will develop the OHS management capabilities of that enterprise. This presentation is based on a research program focussing on how OHS consultants go about when they are involved in consultancy on technological change...

  20. Tutoring Mentoring Peer Consulting

    OpenAIRE

    Szczyrba, Birgit; Wildt, Johannes

    2006-01-01

    Consulting, Coaching und Supervision, Tutoring, Mentoring und kollegiale Beratung: Beratungsangebote verschiedenster Art werden wie selbstverständlich in den Berufen nachgefragt, die mit Beziehung und Interaktion, mit komplexen sozialen Organisationen und Systemen, mit hoher Verantwortlichkeit, aber unsicheren Handlungsbedingungen zu tun haben. Mittlerweile beginnt diese Nachfrage auch in den Hochschulen zu steigen. Eine solche Steigerung wird ausgelöst durch den Wandel in den Lehr-Lernkultur...

  1. [Indoor environment consultant nurse].

    Science.gov (United States)

    Frain, Sophie

    2012-01-01

    Sustainable development combines a search for comfort with a reduction in energy consumption and these aspects can have a negative impact on health. In Brittany, a nurse trained in respiratory and environmental health as well as therapeutic education carries out, on medical prescription and as part of an association, environmental audits of patients' homes or their workplace. As an indoor environment medical consultant, she informs, orientates and promotes good healthcare practices.

  2. NICU consultants and support staff

    Science.gov (United States)

    Newborn intensive care unit - consultants and support staff; Neonatal intensive care unit - consultants and support staff ... a baby's nipple-feeding readiness and oral-motor skills. Speech therapists will also help with feeding skills ...

  3. "Systematizing" ethics consultation services.

    Science.gov (United States)

    Bruce, Courtenay R; Eves, Margot M; Allen, Nathan G; Smith, Martin L; Peña, Adam M; Cheney, John R; Majumder, Mary A

    2015-03-01

    While valuable work has been done addressing clinical ethics within established healthcare systems, we anticipate that the projected growth in acquisitions of community hospitals and facilities by large tertiary hospitals will impact the field of clinical ethics and the day-to-day responsibilities of clinical ethicists in ways that have yet to be explored. Toward the goal of providing clinical ethicists guidance on a range of issues that they may encounter in the systematization process, we discuss key considerations and potential challenges in implementing system-wide ethics consultation services. Specifically, we identify four models for organizing, developing, and enhancing ethics consultation activities within a system created through acquisitions: (1) train-the-trainer, (2) local capacity-building, (3) circuit-riding, and (4) consolidated accountability. We note each model's benefits and challenges. To our knowledge, this is the first paper to consider the broader landscape of issues affected by consolidation. We anticipate that clinical ethicists, volunteer consultants, and hospital administrators will benefit from our recommendations.

  4. Experience with Under Fives′ Clinic in Malavani, a slum area near Bombay.

    Directory of Open Access Journals (Sweden)

    Kowli S

    1984-01-01

    Full Text Available 3 models of Under Fives Clinics were tried successively at the Malavani Health Center beginning in 1978. Malavani is a village with a population of abourt 70,000 near the city of Bombay (India. In each model mothers were given a Road to Health Card for each child. Model I was a center-based model. The venue was the same center where outpatient departments were located for the convenience of the mothers. The staff comprised 1 pediatrician from the staff of the K.E.M. Hospital and rotating interns posted for 1 month at a time. Enrollment and follow-up of the children were done in the outpatient department. Model II, a subcenter-based model established in 1980, 5 satellite subcenters located in the community were established. The permanent staff consisted of a medical officer, a medico-social worker, and a records assistan. A detailed record of each child was maintained at the subcenter. The medico-social worker held group discussions with the attending mothers and an attempt was made to understand their views and beliefs about child care before trying to educate them. Model III, a community-based model, was established in April 1983. The staff was partly permanent (a medico-social worker, a student nurse, and local community health volunteer and partly temporary (rotating interns. The staff visited different areas of Malavani village by rotation. An attempt was made to visit each area at least once in 2 months. Detailed recors were maintained as in Model II. In all models, the children were weighed at each visit. They were given oral polio and triple vaccines. Mothers were advised on foods to feed the children to improve nutrition and were given simple recipes and cooking demonstrations. An attempt was made to evaluate the regularity of attendance, weight gain in children, and immuniation coverage. With Model I 450 babies were registered in 6 months but only 48 of them were brought for further follow-up; only 21 of them completed primary

  5. Studies on the ABH-Iso-Agglutinins in serum, saliva and milk from mothers with "Bombay" (Oh phenotype

    Directory of Open Access Journals (Sweden)

    Joshi S

    2009-01-01

    Full Text Available Background: ABO blood group iso-antibodies are naturally occurring antibodies found in serum and other body fluids. Methods: Serum, saliva and milk samples from 5 mothers identified as "Bombay" phenotype were tested for ABH-iso-antibodies by routine serological techniques. Results: All the five mothers showed presence of iso-antibodies in the samples tested. Higher titer values in milk than their serum were observed on subjects whose samples were collected in immediate post-partum phase as compared to those whose samples were collected after a lapse of a few months. Conclusion: High titer iso-agglutinins against ABH antigens were detected in milk samples besides their presence in saliva as well as serum.

  6. CSIR eNews: Consulting and analytical services

    CSIR Research Space (South Africa)

    CSIR

    2008-12-01

    Full Text Available The CSIR Consulting & analytical services aims to contribute to the national programme of development, perform relevant knowledge generating research, testing products and transferring technology and skilled human capital, and strengthen the science...

  7. Using health technology assessment to assess the value of new medicines: results of a systematic review and expert consultation across eight European countries.

    Science.gov (United States)

    Angelis, Aris; Lange, Ansgar; Kanavos, Panos

    2018-01-01

    Although health technology assessment (HTA) systems base their decision making process either on economic evaluations or comparative clinical benefit assessment, a central aim of recent approaches to value measurement, including value based assessment and pricing, points towards the incorporation of supplementary evidence and criteria that capture additional dimensions of value. To study the practices, processes and policies of value-assessment for new medicines across eight European countries and the role of HTA beyond economic evaluation and clinical benefit assessment. A systematic (peer review and grey) literature review was conducted using an analytical framework examining: (1) 'Responsibilities and structure of HTA agencies'; (2) 'Evidence and evaluation criteria considered in HTAs'; (3) 'Methods and techniques applied in HTAs'; and (4) 'Outcomes and implementation of HTAs'. Study countries were France, Germany, England, Sweden, Italy, Netherlands, Poland and Spain. Evidence from the literature was validated and updated through two rounds of feedback involving primary data collection from national experts. All countries assess similar types of evidence; however, the specific criteria/endpoints used, their level of provision and requirement, and the way they are incorporated (e.g. explicitly vs. implicitly) varies across countries, with their relative importance remaining generally unknown. Incorporation of additional 'social value judgements' (beyond clinical benefit assessment) and economic evaluation could help explain heterogeneity in coverage recommendations and decision-making. More comprehensive and systematic assessment procedures characterised by increased transparency, in terms of selection of evaluation criteria, their importance and intensity of use, could lead to more rational evidence-based decision-making, possibly improving efficiency in resource allocation, while also raising public confidence and fairness.

  8. Consulting in Electronic Commerce

    Directory of Open Access Journals (Sweden)

    Florentina Loredana Tache

    2010-10-01

    Full Text Available Economic development of electronic services provide advice and many agents of existingreferral systems to recommend and provide products, information and customized views of thecommunity through a personalized interaction in real time. Distributed systems of autonomous agentsare becoming increasingly important in electronic comet because the basic decisions of agents adviceon trust and reputation are taken in a similar way human society. If these decisions will be as a realconsumer protection, when new aspects of online consumer legislation will become usefulinformation in advice and consulting of electronic commerce.

  9. Proceedings of the FAO Expert Consultation on Fish Technology in Africa: Accra, Ghana, 22-25 October 1991 = Compte rendu de la Consultation d'experts FAO sur la technologie du poisson en Afrique : Accra, Ghana, 22-25 octobre 1991

    National Research Council Canada - National Science Library

    1993-01-01

    .... Cette publication contient 49 contributions et resumes de contributions presentes a la Consultation d'experts FAO sur la technologie du poisson en Afrique qui s'est tenue a Accra, Ghana, du 22 au 25 octobre 1991...

  10. Consultant en gestion configuration

    OpenAIRE

    Lugones Altamirano, Maximiliano

    2012-01-01

    Ce mémoire présente une synthèse de mon Projet de Fin d’Etude (PFE) dans le cadre de ma formation ISAE ENSICA. J’ai choisi la société de service Capgemini Aerospace & Defense à Toulouse pour ce dernier stage de 6 mois. Et plus précisément dans le Skill Group Business Application Consulting (BAC) parce que je voulais faire un stage mélangeant de la gestion de projet avec de l’ingénierie. Mon sujet de stage n’a pas été figé à l’avance car les choses vont très vite dans le conseil et précisém...

  11. Concepts for consultancy centres and pop-ups for the adoption of lowcarbon technologies by homeowners : Triple-A: Stimulating the Adoption of low-carbon technologies by home-owners through increased Awareness and easy Access

    NARCIS (Netherlands)

    Meijer, F.M.; Straub, A.; Mlecnik, E.

    2018-01-01

    Local authorities engaged in the Interreg 2 Seas project Triple-A aim to achieve a market acceleration in the owner-occupied single-family home renovation sector by increasing awareness of – and enabling access to – energy saving technologies. Various local authorities are considering using

  12. Advanced training of tax consultants

    Directory of Open Access Journals (Sweden)

    Adigamova Farida F.

    2016-01-01

    Full Text Available The purpose of the research is to review and analyze the data on the necessity to provide an educational environment for training and advanced training of tax consultants in Russia. The article considers the types of tax consulting, the historical background of training financiers in Russia, as well as identifies conditions determining the significance of tax consulting. The research establishes the connection between the negative attitude to tax payment and tax evasion. The advanced training of tax consultants should be a continuous process as they need to take into account both external and internal taxpayers risks associated with the development of law and law-enforcement practice. Obviously, the training of tax consultants should take into account the experience of developed foreign countries, such as Germany, Austria, Czech Republic, Slovakia and other European countries as well. In Russia, it is necessary to open educational institutions, which will not only be involved in the certification of tax consultants, but also provide training courses. These courses should contribute to constant increase of tax consultants knowledge, consider the tax treatment of economic activities, as well changes in the legislation, economics, finance, accounting, manufacturing processes, which will improve the quality of services provided by tax consultants.

  13. The transition to hospital consultant

    DEFF Research Database (Denmark)

    Westerman, Michiel; Teunissen, Pim W.; Jorgensen, Rasmus Lundhus

    2013-01-01

    Danish and Dutch new consultants' perceptions regarding the transition to consultant were compared to gain insight into this period, particularly the influence of contextual factors concerning the organisation of specialty training and health care therein. Preparation for medical and generic comp...... competencies, perceived intensity and burnout were compared. Additionally, effects of differences in working conditions and cultural dimensions were explored....

  14. [Remote Slit Lamp Microscope Consultation System Based on Web].

    Science.gov (United States)

    Chen, Junfa; Zhuo, Yong; Liu, Zuguo; Chen, Yanping

    2015-11-01

    To realize the remote operation of the slit lamp microscope for department of ophthalmology consultation, and visual display the real-time status of remote slit lamp microscope, a remote slit lamp microscope consultation system based on B/S structure is designed and implemented. Through framing the slit lamp microscope on the website system, the realtime acquisition and transmission of remote control and image data is realized. The three dimensional model of the slit lamp microscope is established and rendered on the web by using WebGL technology. The practical application results can well show the real-time interactive of the remote consultation system.

  15. Internal radiation dose to the public from polonium-210 due to consumption of seafood from Bombay-harbour bay

    International Nuclear Information System (INIS)

    Bangera, V.S.; Rudran, Kamala

    1995-01-01

    Marine organisms such as fishes, molluscs and crustaceans are known to accumulate 210 Po. Distribution of 210 Po in coastal marine organisms mainly fishes and shell fishes is studied. Concentration of 210 Po obtained in muscle of common fishes (edible portion) varied from 2.10 ± 0.11 to 21.90 ± 5.00 Bq kg -1 dry muscle (for fishes like Pampus argenteus (Pomfret), Cynoglossus elongatus (sole), Rastrelliger kanagurta (mackerel), Harpodon nehereus (Bombay duck) etc. Concentration factors for 210 Po in edible portion of fish from sea water works out to 10 3 to 10 4 . Radiation dose to the public has been evaluated on the basis of daily intake of 40 g of fish (15 kg y -1 ). Committed effective dose (CED) to 210 Po due to consumption of sea food is calculated, CED varied from 2.05 x 10 -3 to 4 x 10 -2 mSv y -1 . (author). 7 refs., 3 figs., 3 tabs

  16. Radiation hazards control activities in BARC and other DAE units in Bombay and Indore: annual report 1994

    International Nuclear Information System (INIS)

    Bhagwat, A.M.; Pimputkar, D.P.; Mogal, M.P.; Mehta, S.K.

    1995-01-01

    The radiation hazards control activities of units of Radiation Safety Systems Division stationed at different plants and facilities of Bhabha Atomic Research Centre and other units of Department of Atomic Energy in Bombay are briefly summarised. The activities are reported plantwise and include the following: (i) nature of radioactive operations, (ii) radiological status of the plant, (iii) personnel exposure data including collective and average exposures, (iv) effluent discharges, (v) waste disposal data, and (vi) safety related unusual occurrences and special problems, if any. Important operations for which extensive radiation safety surveillance was provided during the year 1994 are included. During the year 4319 persons were provided with radiation safety coverage at 25 different facilities. The collective dose and the average individual dose for the year 1994 are 6.08 man-Sv and 1.41 mSv respectively. Trends in personnel radiation exposure for a longer period i.e. from 1981 onwards are shown graphically. The figure also shows a steady trend in collective as well as average doses. The major contribution to dose comes from the following facilities: Plutonium Plant, Thorium Plant, Cirus, Radiological Laboratories and Dhruva in the decreasing order. (author). refs., tabs., 1 fig

  17. Development of a Knowledge Base for Enduser Consultation of AAL-Systems.

    Science.gov (United States)

    Röll, Natalie; Stork, Wilhelm; Rosales, Bruno; Stephan, René; Knaup, Petra

    2016-01-01

    Manufacturer information, user experiences and product availability of assistive living technologies are usually not known to citizens or consultation centers. The different knowledge levels concerning the availability of technology shows the need for building up a knowledge base. The aim of this contribution is the definition of requirements in the development of knowledge bases for AAL consultations. The major requirements, such as a maintainable and easy to use structure were implemented into a web based knowledge base, which went productive in ~3700 consulting interviews of municipal technology information centers. Within this field phase the implementation of the requirements for a knowledge base in the field of AAL consulting was evaluated and further developed.

  18. Epistemics in audiological consultations

    DEFF Research Database (Denmark)

    Egbert, Maria

    ; Anteunis 2002), in many western countries, only 15% of those who could benefit from this technology use it, e.g. in the USA, Switzerland, and Finland (Bisgaard 2009). Technological innovation has not helped improve uptake. A longitudional interview study indicates that one barrier to hearing aid acceptance...... aid fitting. Quality of Life Research 07; 11(4): 299-307. Bisgaard, N. 2009. Global Hearing Aid Usage. Internal Hearcom-Workshop. URL: http://hearcom.eu/lenya/hearcom/authoring/about/DisseminationandExploitation/Workshop/5_Nikolai_Bisgaard_Industry-perspectives.pdf [Last retrieval August 18, 2011...

  19. Laser and Plasma Technology Division annual report 1994

    International Nuclear Information System (INIS)

    Venkatramani, N.; Verma, R.L.

    1995-01-01

    A brief account of the research and development (R and D) activities carried out by Laser and Plasma Technology Division of Bhabha Atomic Research Centre, Bombay during the period 1994 is presented. The activities are reported under the headings: 1) laser activities, 2) thermal plasma activities, 3) electron beam activity. At the end of each section, a list of publications by the staff members in the field indicated by the title of the section is given. (author). refs., tabs., figs

  20. Laser and Plasma Technology Division : annual report 1991

    International Nuclear Information System (INIS)

    1992-01-01

    A brief account of the research and development (R and D) activities carried out by Laser and Plasma Technology Division, Bhabha Atomic Research Centre, Bombay during 1991 is presented. The R and D activities are reported under the headings (1) Laser Activities, (2) Thermal Plasma Activities, (3) Electron Beam Activities and (4) Divisional Workshop Activities. List of publications is given at the end of each activity heading

  1. Laser and Plasma Technology Division : annual report (1990-91)

    International Nuclear Information System (INIS)

    1991-01-01

    A brief account of the research and development (R and D) activities carried out by Laser and Plasma Technology Division, Bhabha Atomic Research Centre, Bombay during the period 1990-91 is presented. The R and D activities are reported under the headings: 1) Laser Activities, 2) Thermal Plasma Activities, and 3) Electron Beam Activities. List of publications including journal articles, papers published in symposia, conferences etc. is given at the end. (original). figs

  2. Technology transfer from nuclear research

    International Nuclear Information System (INIS)

    1989-01-01

    A number of processes, components and instruments developed at the Bhabha Atomic Research Centre, (BARC), Bombay, find application in industry and are available for transfer to private or public sector undertakings for commercial exploitation. The Technology Transfer Group (TTG) constituted in January 1980 identifies such processes and prototypes which can be made available for transfer. This catalogue contains brief descriptions of such technologies and they are arranged under three groups, namely, Group A containing descriptions of technologies already transferred, Group B containing descriptions of technologies ready for transfer and Group C containing descriptions of technology transfer proposals being processed. The position in the above-mentioned groups is as on 1 March 1989. The BARC has also set up a Technology Corner where laboratory models and prototypes of instruments, equipment and components are displayed. These are described in the second part of the catalogue. (M.G.B.)

  3. Defense mechanisms in ethics consultation.

    Science.gov (United States)

    Agich, George J

    2011-12-01

    While there is no denying the relevance of ethical knowledge and analytical and cognitive skills in ethics consultation, such knowledge and skills can be overemphasized. They can be effectively put into practice only by an ethics consultant, who has a broad range of other skills, including interpretive and communicative capacities as well as the capacity effectively to address the psychosocial needs of patients, family members, and healthcare professionals in the context of an ethics consultation case. In this paper, I discuss how emotion can play an important interpretive role in clinical ethics consultation and why attention to the role of defense mechanisms can be helpful. I concentrate on defense mechanisms, arguing first, that the presence of these mechanisms is understandable given the emotional stresses and communicative occlusions that occur between the families of patients and critical care professionals in the circumstances of critical care; second, that identifying these mechanisms is essential for interpreting and managing how these factors influence the way that the "facts" of the case are understood by family members; and, third, that effectively addressing these mechanisms is an important component for effectively doing ethics consultation. Recognizing defense mechanisms, understanding how and why they operate, and knowing how to deal with these defense mechanisms when they pose problems for communication or decision making are thus essential prerequisites for effective ethics consultation, especially in critical care.

  4. Pautas para Programas de Asesoramiento Gestional para Microempresas (Guidelines for Management Consulting Programs for Small-Scale Enterprise). Appropriate Technologies for Development. Peace Corps Information Collection & Exchange Manual Series No. M-27.

    Science.gov (United States)

    Vaughan, Gary L.

    Written in Spanish, this manual is designed to assist management consultants in working with small-scale entrepreneurs in developing countries. Addressed in an overview of the small-scale enterprise (SSE) are the role of the SSE in Third World development, problems of SSEs, and target firms. The second chapter deals with various forms of…

  5. A School-College Consultation Model for Integration of Technology and Whole Language in Elementary Science Instruction. Field Study Report No. 1991.A.BAL, Christopher Columbus Consortium Project.

    Science.gov (United States)

    Balajthy, Ernest

    A study examined a new collaborative consultation process to enhance the classroom implementation of whole language science units that make use of computers and multimedia resources. The overall program was divided into three projects, two at the fifth-grade level and one at the third grade level. Each project was staffed by a team of one…

  6. Generation of human induced pluripotent stem cells from a Bombay individual: Moving towards 'universal-donor' red blood cells

    Energy Technology Data Exchange (ETDEWEB)

    Seifinejad, Ali; Taei, Adeleh [Department of Stem Cells and Developmental Biology, Royan Institute for Stem Cell Biology and Technology, P.O. Box 19395-4644, ACECR, Tehran (Iran, Islamic Republic of); Totonchi, Mehdi; Vazirinasab, Hamed [Department of Genetics, Royan Institute for Reproductive Biomedicine, ACECR, Tehran (Iran, Islamic Republic of); Hassani, Seideh Nafiseh [Department of Stem Cells and Developmental Biology, Royan Institute for Stem Cell Biology and Technology, P.O. Box 19395-4644, ACECR, Tehran (Iran, Islamic Republic of); Aghdami, Nasser [Department of Stem Cells and Developmental Biology, Royan Institute for Stem Cell Biology and Technology, P.O. Box 19395-4644, ACECR, Tehran (Iran, Islamic Republic of); Department of Regenerative Biomedicine, Royan Institute for Stem Cell Biology and Technology, ACECR, Tehran (Iran, Islamic Republic of); Shahbazi, Ebrahim [Department of Stem Cells and Developmental Biology, Royan Institute for Stem Cell Biology and Technology, P.O. Box 19395-4644, ACECR, Tehran (Iran, Islamic Republic of); Yazdi, Reza Salman [Department of Genetics, Royan Institute for Reproductive Biomedicine, ACECR, Tehran (Iran, Islamic Republic of); Salekdeh, Ghasem Hosseini, E-mail: Salekdeh@royaninstitute.org [Department of Molecular Systems Biology, Royan Institute for Stem Cell Biology and Technology, ACECR, Tehran (Iran, Islamic Republic of); Department of Systems Biology, Agricultural Biotechnology Research Institute of Iran, Karaj (Iran, Islamic Republic of); Baharvand, Hossein, E-mail: Baharvand@royaninstitute.org [Department of Stem Cells and Developmental Biology, Royan Institute for Stem Cell Biology and Technology, P.O. Box 19395-4644, ACECR, Tehran (Iran, Islamic Republic of); Department of Regenerative Biomedicine, Royan Institute for Stem Cell Biology and Technology, ACECR, Tehran (Iran, Islamic Republic of); Department of Developmental Biology, University of Science and Culture, ACECR, Tehran (Iran, Islamic Republic of)

    2010-01-01

    Bombay phenotype is one of the rare phenotypes in the ABO blood group system that fails to express ABH antigens on red blood cells. Nonsense or missense mutations in fucosyltransfrase1 (FUT1) and fucosyltransfrase2 (FUT2) genes are known to create this phenotype. This blood group is compatible with all other blood groups as a donor, as it does not express the H antigen on the red blood cells. In this study, we describe the establishment of human induced pluripotent stem cells (iPSCs) from the dermal fibroblasts of a Bombay blood-type individual by the ectopic expression of established transcription factors Klf4, Oct4, Sox2, and c-Myc. Sequence analyses of fibroblasts and iPSCs revealed a nonsense mutation 826C to T (276 Gln to Ter) in the FUT1 gene and a missense mutation 739G to A (247 Gly to Ser) in the FUT2 gene in the Bombay phenotype under study. The established iPSCs resemble human embryonic stem cells in morphology, passaging, surface and pluripotency markers, normal karyotype, gene expression, DNA methylation of critical pluripotency genes, and in-vitro differentiation. The directed differentiation of the iPSCs into hematopoietic lineage cells displayed increased expression of the hematopoietic lineage markers such as CD34, CD133, RUNX1, KDR, {alpha}-globulin, and {gamma}-globulin. Such specific stem cells provide an unprecedented opportunity to produce a universal blood group donor, in-vitro, thus enabling cellular replacement therapies, once the safety issue is resolved.

  7. Selecting Security Technology Providers

    Science.gov (United States)

    Schneider, Tod

    2009-01-01

    The world of security technology holds great promise, but it is fraught with opportunities for expensive missteps and misapplications. The quality of the security technology consultants and system integrators one uses will have a direct bearing on how well his school masters this complex subject. Security technology consultants help determine…

  8. Psychiatric consulting in primary care

    Directory of Open Access Journals (Sweden)

    Susana María Castro Pérez

    2013-04-01

    Full Text Available The psychiatric consultation is broadly defined as an educational relationship between a psychiatrist, a general practitioner and other professionals working in the area of Mental Health. Currently it is a fundamental tool to optimize the treatment of psychiatric patients in primary care, given the high prevalence of these conditions and limited access to hours of specialty. Psychiatric Consulting is centrally positioned because patients are generally reluctant to consult with specialists, either because of the stigma associated with psychiatric illness or the cost effectiveness of the specialty. This leads patients to consult in primary care. Therefore we were interested in reviewing the evidence supporting this activity and what are the benefits it delivers. After reviewing the literature we conclude that the Psychiatric Consultation helps to improve the diagnosis, treatment and monitoring of psychiatric disorders in primary care, particularly the management of depressive disorders and somatoform disorders, improving the resolution capabilities of general practitioners, thus lowering the associated healthcare costs of these conditions. There is no evidence to support the health benefits of training general practitioners.

  9. Patient assessment: effective consultation and history taking.

    Science.gov (United States)

    Kaufman, Gerri

    This article explores patient consultation with specific reference to the Calgary-Cambridge consultation guide. It provides an overview of history taking and explores the patient's perspective during the consultation. The article also discusses the skills required to provide information effectively. In addition, the article addresses 'safety netting' and emphasises the interdependence of communication and consultation skills.

  10. BNFL Sellafield further public consultation

    International Nuclear Information System (INIS)

    1994-01-01

    The main issues raised during the further public consultation on the draft Sellafield authorisations for the discharge of radioactive wastes from the British Nuclear Fuel (BNFL) Sellafield site are outlined. An analysis of the categories and numbers of the 42,500 responses is made. The public consultation was based on five documents; a letter to consultees from the Department of the Environment and the Ministry of Agriculture, Fisheries and Food (MAFF); the report by Her Majesty's Inspectorate of Pollution and the Inspectorate of MAFF on their earlier consultation exercise; a paper by BNFL on the economic and commercial justification of the Thermal Oxide Reprocessing Plant (THORP); a statement of the Government's policy on reprocessing and THORP and a document prepared by BNFL on the environmental implication of THORP. (UK)

  11. "Struggling Readers: What Consultants Need to Know." The Consultant's Corner.

    Science.gov (United States)

    Margolis, Howard

    2004-01-01

    To help struggling readers' improve their reading, educational consultants must know a great deal about reading, reading assessment, and struggling readers. This article provides basic information about these topics by discussing Lipson and Wixson's (2003) Assessment-Instruction Process, making recommendations for working with struggling readers…

  12. A prospective study of seroprevalence of Toxoplasmosis in general population, and in HIV/AIDS patients in Bombay, India.

    Directory of Open Access Journals (Sweden)

    Meisheri Y

    1997-10-01

    Full Text Available Two hundred and seventy nine sera (age group 13-50 years were tested for antitoxoplasma IgG/IgM antibodies by ELISA techniques; the diagnostic titer for positive test is 10 iu/ml or > 1:100. Sera were obtained from (i 165 (100 men/65 women healthy adult voluntary blood donors (HIV, HBsAg, VDRL negative; (ii 89 consecutive HIV/AIDS patients (82 men/7 women; and (iii 25 patients (HIV negative: 12 men/13 women treated for cerebral Tuberculoma or Neurocysticercosis during this study from January 1996-June 1997. The overall seroprevalence was 30.9% (51/165 in the immunocompetent adult (group i 34% (34/100 men and 26.2% (17/65 in women [range: 10-899 iu/ml; (mean: 376.8]. In HIV infected hosts the seroprevalence [range: 21-340 iu/ml; (mean; 180] was 67.8% (56/82 men, 04/07 women. The seroprevalence was 20.5% (8/39, 32.8% (22/67, 34.8% (16/46 and 38.4% (5/13 in the 2nd, 3rd, 4th and 5th decades respectively in healthy adults. In HIV/AIDS patients, 69% (29/42 in the 3rd and 70.6% (24/34 in 4th decade were seropositive. The risk of cerebral Toxoplasmosis (encephalitis-02, granuloma-24 was 43.3% (26/60, mean 250 iu/ml. The seroprevalence was 28% in group iii (range 12-80 iu/ml, mean 21 iu/ml. Anti-toxo IgM was negative in all. Primary Toxoplasma infection appears to be subclinical and prevalent throughout life. T. gondii has emerged as an important opportunistic infection in HIV/AIDS patients in Bombay. Recrudescence of cerebral toxoplasmosis (CTOX is observed with low IgG response during mid-late stage of the disease, as seen in our patients (mean IgG 250 iu/ml, CD4+ = 283/cmm (range 43-504 in 5 patients. Primary prophylaxis for CTOX seems rationale and can be targeted to asymptomatic HIV/AIDS population at risk who are seropositive for T. gondii (mean IgG 111.5 iu/ml in our study. The very high predictive value of a negative test for TOX remains the best serological parameter for excluding acute episode of TOX.

  13. Consultants' corner: public, private partnerships in developing markets

    International Nuclear Information System (INIS)

    Draisey, I.

    2002-01-01

    Africa has about 13% of the world's population, but consumes only 2% of its energy. A closer look at those emerging markets for renewable energy technologies in the region reveals a change from those with simply 'the right resources' to fast growing commercially driven markets. Ian Draisey, Dulas gives a consultant's perspective on this burgeoning area for renewables. (Author)

  14. Consultants: Love-Hate Relationships with Communities of Practice

    Science.gov (United States)

    Pastoors, Katja

    2007-01-01

    Purpose: This paper aims to explore consultants' experiences of communities of practice (CoPs) in one of the world's largest information technology companies against organisational strategies. The research focus concerns experiences of formal top-down and underground CoPs. Design/methodology/approach: The paper is an exploratory case study.…

  15. Consultative Instructor Supervision and Evaluation

    Science.gov (United States)

    Lee, William W.

    2010-01-01

    Organizations vary greatly in how they monitor training instructors. The methods used in monitoring vary greatly. This article presents a systematic process for improving instructor skills that result in better teaching and better learning, which results in better-prepared employees for the workforce. The consultative supervision and evaluation…

  16. Narrative and Structure in Consultation

    Science.gov (United States)

    Hadley, David

    2012-01-01

    This article explores the process of consultation to professional networks, teams, groups and individuals concerned with the mental health of children and young people in the care system, and those adopted. Frequently there are significant elements of early trauma suffered by the young people and disruption in the professional organisation. The…

  17. Gamification in a Consulting Company

    NARCIS (Netherlands)

    Blaauw, Frank; Bazylevska, L.; Aiello, M.

    2014-01-01

    Gamification refers to the use of game-design elements in a non-gaming context. The consulting company Capgemini has set up a rudimentary Gamification platform to help motivating the people to do extra work for the company in their spare time. In order to re- ward people for this effort, they can

  18. Faculty Consulting: Responsibility or Promiscuity?

    Science.gov (United States)

    Boyer, Carol M; Lewis, Darrell R.

    1984-01-01

    The potential benefits--to the individual, the institution, and society--and the potential costs of faculty consulting are examined. A review of the relevant literature and data precedes a presentation of new findings and a taxonomy for developing institutional guidelines. (Author/MLW)

  19. School Mental Health Consultation Program.

    Science.gov (United States)

    Lucero, John A.

    The goals of the School Mental Health Consultation Program, a cooperative effort of the Children and Youth Service at High Plains Mental Health Center and the Unified School District 489 in Hays, Kansas, are to evaluate students' behavioral problems, to assess how students' difficulties affect teachers, and to help the consultee assess the…

  20. Video consultation use by Australian general practitioners: video vignette study.

    Science.gov (United States)

    Jiwa, Moyez; Meng, Xingqiong

    2013-06-19

    There is unequal access to health care in Australia, particularly for the one-third of the population living in remote and rural areas. Video consultations delivered via the Internet present an opportunity to provide medical services to those who are underserviced, but this is not currently routine practice in Australia. There are advantages and shortcomings to using video consultations for diagnosis, and general practitioners (GPs) have varying opinions regarding their efficacy. The aim of this Internet-based study was to explore the attitudes of Australian GPs toward video consultation by using a range of patient scenarios presenting different clinical problems. Overall, 102 GPs were invited to view 6 video vignettes featuring patients presenting with acute and chronic illnesses. For each vignette, they were asked to offer a differential diagnosis and to complete a survey based on the theory of planned behavior documenting their views on the value of a video consultation. A total of 47 GPs participated in the study. The participants were younger than Australian GPs based on national data, and more likely to be working in a larger practice. Most participants (72%-100%) agreed on the differential diagnosis in all video scenarios. Approximately one-third of the study participants were positive about video consultations, one-third were ambivalent, and one-third were against them. In all, 91% opposed conducting a video consultation for the patient with symptoms of an acute myocardial infarction. Inability to examine the patient was most frequently cited as the reason for not conducting a video consultation. Australian GPs who were favorably inclined toward video consultations were more likely to work in larger practices, and were more established GPs, especially in rural areas. The survey results also suggest that the deployment of video technology will need to focus on follow-up consultations. Patients with minor self-limiting illnesses and those with medical

  1. Data-based psychiatric consultation: applying mainframe computer capability to consultation.

    Science.gov (United States)

    Popkin, M K; Mackenzie, T B; Callies, A L

    1985-04-01

    Critical, intertwined objectives for consultation psychiatry include 1) the development of data-based clinical practices, and 2) heightening the effectiveness of consultation. Toward these ends, the Consultation Psychiatry Service at the University of Minnesota has previously conducted systematic studies of consultation and established an ongoing data collection system for consultations. Both steps have relied extensively upon mainframe computer capability. This primary application of computer capability to the field of psychiatric consultation is reviewed by the authors.

  2. Consultation Barriers between Teachers and External Consultants: A Grounded Theory of Change Resistance in School Consultation

    Science.gov (United States)

    Thornberg, Robert

    2014-01-01

    The aim of this study, conducted in Sweden, was to investigate the cultural barriers between school personnel (teachers and principals) and nonschool personnel (a resource team), who were external to the school system, regarding consultation about challenging or difficult-to-teach students. Focus groups with teachers, principals, and the resource…

  3. Simulated consultations: a sociolinguistic perspective.

    Science.gov (United States)

    Atkins, Sarah; Roberts, Celia; Hawthorne, Kamila; Greenhalgh, Trisha

    2016-01-15

    Assessment of consulting skills using simulated patients is widespread in medical education. Most research into such assessment is sited in a statistical paradigm that focuses on psychometric properties or replicability of such tests. Equally important, but less researched, is the question of how far consultations with simulated patients reflect real clinical encounters--for which sociolinguistics, defined as the study of language in its socio-cultural context, provides a helpful analytic lens. In this debate article, we draw on a detailed empirical study of assessed role-plays, involving sociolinguistic analysis of talk in OSCE interactions. We consider critically the evidence for the simulated consultation (a) as a proxy for the real; (b) as performance; (c) as a context for assessing talk; and (d) as potentially disadvantaging candidates trained overseas. Talk is always a performance in context, especially in professional situations (such as the consultation) and institutional ones (the assessment of professional skills and competence). Candidates who can handle the social and linguistic complexities of the artificial context of assessed role-plays score highly--yet what is being assessed is not real professional communication, but the ability to voice a credible appearance of such communication. Fidelity may not be the primary objective of simulation for medical training, where it enables the practising of skills. However the linguistic problems and differences that arise from interacting in artificial settings are of considerable importance in assessment, where we must be sure that the exam construct adequately embodies the skills expected for real-life practice. The reproducibility of assessed simulations should not be confused with their validity. Sociolinguistic analysis of simulations in various professional contexts has identified evidence for the gap between real interactions and assessed role-plays. The contextual conditions of the simulated

  4. New check-in desks in an airport: The OHS consultant as a 'political reflective navigator'

    DEFF Research Database (Denmark)

    Broberg, Ole; Hermund, Ingelise

    2003-01-01

    . Traditionally the role of OHS consultants is placed on a line between an expert and a process consultant. Based on evidence from the cases and concepts from actor-network theory on technological development, we suggest a sup-plementary third role, the ‘political reflective navigator’. In this role the OHS...... consultant is seen as an ac-tor pursuing a work environment agenda in a complex network with several actors pursuing other agendas such as productivity, economics, quality, etc. The competencies of a political reflective navigator are out-lined with the aim of revising the training needs of OHS consultants....

  5. Consultations

    International Development Research Centre (IDRC) Digital Library (Canada)

    IDRC CRDI

    Référence: Contrat CRDI N°: 123456. 1. Honoraires. 20 jours @ 400 CAD/jour. 8 000.00 CAD. 2. Dépenses autorisées (spécifiées au contrat). Forfait pour visas, etc. 150.00 CAD. Per diems à Dakar : 10 jrs @ 225 CAD/jr. 2 250.00 CAD. Photocopies (5 copies x 30 pages @ 0.10 CAD/page*). 15.00 CAD. Dépenses totales.

  6. Uruguay; 2011 Article IV Consultation

    OpenAIRE

    International Monetary Fund

    2011-01-01

    This 2011 Article IV Consultation highlights that the growth momentum in Uruguay has continued into 2011 but a slowdown is under way, led by weaker exports and slower public investment. Uruguay’s economic and financial vulnerabilities are modest, and the government has reduced debt vulnerabilities significantly and built important financial buffers. Executive Directors have commended authorities’ skillful macroeconomic management that has underpinned Uruguay’s excellent economic performance, ...

  7. Ultrasound for the Pulmonary Consultant

    Directory of Open Access Journals (Sweden)

    Astha Chichra

    2016-01-01

    Full Text Available Bedside ultrasonographic assessment of the lung and pleura provides rapid, noninvasive, and essential information in diagnosis and management of various pulmonary conditions. Ultrasonography helps in diagnosing common conditions, including consolidation, interstitial syndrome, pleural effusions and masses, pneumothorax, and diaphragmatic dysfunction. It provides procedural guidance for various pulmonary procedures, including thoracentesis, chest tube insertion, transthoracic aspiration, and biopsies. This article describes major applications of ultrasonography for the pulmonary consultant along with illustrative figures and videos.

  8. Business Plan : Cultural consultant company

    OpenAIRE

    Absiye, Mohamed

    2017-01-01

    The purpose of this research was to study the circumstances of immigrants in Finland with the intention of establishing a consultant company that would help the immigrants in their integration process in Finland. The primary data of this study were obtained from the results of the “survey on work and well-being among people of foreign origin” conducted between 2015 until 2016 by Statistic Finland. Additionally, the author did background research on the institutions of Finland and respect...

  9. Core Competencies for Training Effective School Consultants

    Science.gov (United States)

    Burkhouse, Katie Lynn Sutton

    2012-01-01

    The purpose of this research was to develop and validate a set of core competencies of effective school-based consultants for preservice school psychology consultation training. With recent changes in service delivery models, psychologists are challenged to engage in more indirect, preventative practices (Reschly, 2008). Consultation emerges as…

  10. 15 CFR 923.57 - Continuing consultation.

    Science.gov (United States)

    2010-01-01

    ... § 923.57 Continuing consultation. (a) As required by subsection 306(d)(3)(B) of the Act, a State must establish an effective mechanism for continuing consultation and coordination between the management agency... 15 Commerce and Foreign Trade 3 2010-01-01 2010-01-01 false Continuing consultation. 923.57...

  11. 76 FR 55678 - Tribal Consultation Policy

    Science.gov (United States)

    2011-09-08

    ... consultation is requested or required. DATES: The effective date of this policy is the date of signature by the... to conduct timely, respectful, meaningful, and effective two-way communication and consultation with... Consultation Policy AGENCY: Administration for Children and Families. ACTION: Final policy issuance. SUMMARY...

  12. Observed Consultation: Confidence and Accuracy of Assessors

    Science.gov (United States)

    Tweed, Mike; Ingham, Christopher

    2010-01-01

    Judgments made by the assessors observing consultations are widely used in the assessment of medical students. The aim of this research was to study judgment accuracy and confidence and the relationship between these. Assessors watched recordings of consultations, scoring the students on: a checklist of items; attributes of consultation; a…

  13. 34 CFR 75.191 - Consultation costs.

    Science.gov (United States)

    2010-07-01

    ... 34 Education 1 2010-07-01 2010-07-01 false Consultation costs. 75.191 Section 75.191 Education... Development of Curricula Or Instructional Materials § 75.191 Consultation costs. An applicant may budget reasonable consultation fees or planning costs in connection with the development of curricula or...

  14. Special Educator's Consultation Handbook. Second Edition.

    Science.gov (United States)

    Idol, Lorna

    This book is written primarily for special educators who offer resource and consultation support for students with mild handicaps and students at risk for school failure. Examples of consultation projects implemented and evaluated in the field are used to illustrate principles of effective consultation. Suggestions and guidelines are provided for…

  15. Analyzing the Effect of Consultation Training on the Development of Consultation Competence

    Science.gov (United States)

    Newell, Markeda L.; Newell, Terrance

    2018-01-01

    The purpose of this study was to examine the effectiveness of one consultation course on the development of pre-service school psychologists' consultation knowledge, confidence, and skills. Computer-simulation was used as a means to replicate the school environment and capture consultants' engagement throughout the consultation process without…

  16. Strangers at the Benchside: Research Ethics Consultation

    Science.gov (United States)

    Cho, Mildred K.; Tobin, Sara L.; Greely, Henry T.; McCormick, Jennifer; Boyce, Angie; Magnus, David

    2008-01-01

    Institutional ethics consultation services for biomedical scientists have begun to proliferate, especially for clinical researchers. We discuss several models of ethics consultation and describe a team-based approach used at Stanford University in the context of these models. As research ethics consultation services expand, there are many unresolved questions that need to be addressed, including what the scope, composition, and purpose of such services should be, whether core competencies for consultants can and should be defined, and how conflicts of interest should be mitigated. We make preliminary recommendations for the structure and process of research ethics consultation, based on our initial experiences in a pilot program. PMID:18570086

  17. Consultant breast radiographers: Where are we now?

    International Nuclear Information System (INIS)

    Rees, Zebby

    2014-01-01

    Introduction: The aim of this study is to: • Evaluate the current role of the consultant breast radiographer. • Compare current practice with the four key components for consultant practice. • Gauge the support of radiologist colleagues. • Determine the other professional commitments involved with the role. This study could be the precursor for a macro study of all consultant radiographer practice in other specialities. Methodology: Methodology used was a comparative ethnographic study. Questionnaires to the 24 consultant breast radiographers currently in post, and consultant breast radiologists, who work with them, were conducted. Data collection was a qualitative thematic approach. Conclusion: Consultant breast radiographers provide high quality care to patients through excellent clinical practice, leadership and good communication. However, this study shows hospital Trusts emphasis for non medical consultants is for clinical practice first. Some radiologists are still a barrier to progression for consultant breast radiographers, and radiologists have a big influence in recruitment decisions. Consultant breast radiographer posts are well established, their numbers are increasing through recognition of the role and of their abilities and performance. Consultant breast radiographers state that becoming a consultant is the major achievement of their career, proving the Society of Radiographers' vision of the four-tier career structure has been well received by the radiography profession

  18. Reflections on the role of consultant radiographers in the UK: what is a consultant radiographer?

    OpenAIRE

    Booth, Lisa; Henwood, Suzanne; Miller, Paul K.

    2016-01-01

    Context: This paper is the second paper from a two year in depth case study, exploring the role of consultant radiographers in the UK.\\ud \\ud Methods: A longitudinal case study approach was used to determine the role of consultant radiographers. Interviews were used to explore experiences of being a consultant, which were analysed using thematic analysis. Eight consultant radiographers participated (Note, two of the consultants withdrew after the first interview due to workload). Therefore tw...

  19. [Teenagers' drawings in transcultural consultations].

    Science.gov (United States)

    Simon, Amalini; Titia Rizzi, Alice

    The place of teenagers' drawings has been studied as part of a transcultural consultation, based on the creativity of the children of migrants. When speaking is difficult, drawings enable teenagers to show another dimension of their internal world. Aravin, a young Tamil boy, who lacked the necessary words, was able to express all the complexity of his thoughts through his drawings, finally being able to formulate in the group the difficult situations which he was drawing. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  20. 75 FR 11917 - Chrysler LLC, Technology Center, Including On-Site Leased Workers from Aerotek, Ajilon, Altair...

    Science.gov (United States)

    2010-03-12

    ... Quest Corporation, Quantum Consultants, Rapid Global Business, Resource Technologies, Ricardo, RSB...., Quantum Consultants, Rapid Global Business, Resource Technologies, Ricardo, RSB Systems, Spherion, Synova... Learning, Resource Technologies, Ricardo, Spherion, Synova, Systems Technology, TAC, Technical Training...

  1. Report of the consultants' meeting on accelerator mass spectrometry

    International Nuclear Information System (INIS)

    1995-01-01

    Accelerator Mass Spectrometry (AMS) has developed into a major analytical tool for the measurement of ultra-low-level long-lived radionuclides. Its use within the IAEA is recommended by the consultants in this meeting. The IAEA programs in which the technology would be useful and beneficial are: safeguards, physical and chemical sciences, human health, food and agriculture, radioactive waste management, radiation safety, industry and earth sciences

  2. CURBSIDE CONSULTATION IN HIP ARTHROPLASTY

    Directory of Open Access Journals (Sweden)

    Scott M. Sporer

    2009-03-01

    Full Text Available DESCRIPTION A user friendly reference for decision making in hip arthroplasty designed in a question formed clinical problem scenarios and answers format .The articles composed of the answers, containing current concepts and preferences of experts in primary and revision hip surgery are enhanced by several images, diagrams and references and written in the form of a curbside consultation by Scott M. Sporer, MD. and his collaborators. PURPOSE By this practical reference of hip arthroplasty, Scott M. Sporer, MD. and the contributors have aimed providing the reader practical and clinically relevant information, evidence-based advices, their preferences and opinions containing current concepts for difficult and controversial clinical situations in total hip replacement surgery which are often not addressed clearly in traditional references. FEATURES The book is composed of 9 sections and 49 articles each written by a different expert designed in a question and answers format including several images and diagrams and also essential references at the end of each article. In the first section preoperative questions is subjected. Second section is about preoperative acetabulum questions. Third section is about preoperative femur questions. Fourth section is about intraoperative questions. Intraoperative acetabulum question is subjected in the fifth section and the intraoperative femur questions in the sixth section. The seventh section is about postoperative questions. Eighth and ninth sections are about general questions about failure and failure of acetabulum in turn. AUDIENCE Mainly practicing orthopedic surgeons, fellows and residents who are interested in hip arthroplasty have been targeted but several carefully designed scenarios of controversial and difficult situations surrounding total hip replacement surgery and the current information will also be welcomed by experienced clinicians practicing in hip arthroplasty. ASSESSMENT Scott M. Sporer

  3. Focus Area Science Technology Summer Fellowship (FAST-SF)

    Indian Academy of Sciences (India)

    Bombay), FNA. Date of birth: 3 October 1912. Date of death: 31 January 1992. Specialization: Nuclear & Radiation Chemistry and Solid State Chemistry Last known address: 4, Saras Baug, Deonar, Bombay 400 088. YouTube; Twitter; Facebook ...

  4. International Distance Consulting via Web Conferencing

    Directory of Open Access Journals (Sweden)

    Prachyanun Nilsook

    2014-06-01

    Full Text Available The objective of this research is to study the result of the use of international distance consulting via web conferencing. The research discovered that: 1 the open source programs can be only used with desktop computers, but not with laptop computers 2 the result of the use along the consulting process is considered normal 3 there are some observations that are different from the criteria of evaluation: the picture quality, the sound quality, the interaction during the consulting, and the files management of the system. The students agree with the international distance consulting via web conferencing process that consists of 5 steps: 1 Preparation of the consulting system 2 Problem survey 3 Problem study 4 Determine the objective and resolve the problem 5 Make the conclusion of the consulting system.

  5. Consultative exercise on dose assessments.

    Science.gov (United States)

    Bridges, B A; Parker, T; Simmonds, J R; Sumner, D

    2001-06-01

    A summary is given of a meeting held at Sussex University, UK, in October 2000, which allowed the exchange of ideas on methods of assessment of dose to the public arising from potential authorised radioactive discharges from nuclear sites in the UK. Representatives of groups with an interest in dose assessments were invited, and hence the meeting was called the Consultative Exercise on Dose Assessments (CEDA). Although initiated and funded by the Food Standards Agency, its organisation, and the writing of the report, were overseen by an independent Chairman and Steering Group. The report contains recommendations for improvement in co-ordination between different agencies involved in assessments, on method development and on the presentation of data on assessments. These have been prepared by the Steering Group, and will be taken forward by the Food Standards Agency and other agencies in the UK. The recommendations are included in this memorandum.

  6. DESIGN AND DEVELOPMENT OF A REMOTE MEDICAL CONSULTATION SYSTEM

    Directory of Open Access Journals (Sweden)

    "A. Delrobaee

    2006-05-01

    Full Text Available Telemedicine is an indispensable tool in the hands of doctors to accelerate and facilitate the process of data interchange. To publicize and distribute the culture of utilizing this technology and providing the necessary equipment for this purpose and also to commence some useful activities in this field of science in Iran, the researchers group have designed and performed a telemedicine internet site with the goal of medical consultation. Software was designed and prepared, which is accessible to three groups of users with definite level of access for each one: normal users, doctors and site administrators. There are four main forums on this website with the following titles: medical consultation (Q&A, doctors’ special forum, scientific and research centers and also special disease groups, and the forum of graduates and medical students. Ultimately, we could achieve a new horizon to expand telemedicine activities in the field of medical consultation. A free web-based system was developed through the address of www.teleteb.com with the aim of remote medical consultation, developing the public health services and creating a powerful scientific and research link in the society of medicine.

  7. The Concept of Body Language in the Medical Consultation.

    Science.gov (United States)

    Lindsley, Isabella; Woodhead, Sophie; Micallef, Claranne; Agius, Mark

    2015-09-01

    In this paper we wish to argue that the human body is an instrument of communication that can be used by the individual. This can be shown by the use of phenomenology, as described by Husserl, and that indeed empathy, as described by phenomenology, can be seen as a link enabling two human bodies/persons to communicate. We then wish to show from neuroscience that empathy can itself be seen as a bodily function. We then will describe how the doctor-patient relationship in the consultation is an extremely important type of communication between two persons, and how teaching of consultation skills has developed. We will show that, once consultation skills teaching was established, then study of body language became an essential part of this teaching, as soon as the technology was developed, and finally we will demonstrate that it is now possible to confirm by observational and controlled trials that appropriate use of body language does indeed enhance the effectiveness of the consultation, including, we would suggest, by appropriate communication of empathy and understanding.

  8. Effects of Consultee Problem Presentation and Consultant Training on Consultant Problem Definition.

    Science.gov (United States)

    Conoley, Collie W.; And Others

    1992-01-01

    Examined consultee's influence on process of problem definition. Hypothesized that consultee would influence consultant's ability to formulate specific, descriptive problems by consultee's original problem conceptualization. Findings from 18 doctoral student consultants enrolled in mental health consultation course and behavioral analysis class…

  9. Behavior Consultation: A Five-Year Evaluation of Consultant and Client Outcomes.

    Science.gov (United States)

    Kratochwill, Thomas W.; And Others

    1995-01-01

    Documents the effects of training in behavioral consultation on 17 school psychology graduate students and on 44 client outcomes. Training focused on principles and mastery of applied behavioral therapy and consultation, relationship skills, and systems entry issues. Consultees and consultants expressed overall consumer satisfaction with the…

  10. Consultant Skill and Efficiency and the Implementation and Outcomes of Consultation

    Science.gov (United States)

    Bergan, John R.; Tombari, Martin L.

    1976-01-01

    This article describes an investigation of consultant services rendered by school psychologists to teachers. Results indicated that consultants lacking in skills failed to identify consultee problems and never reached the stage of plan development and implementation. Consultants successful in identifying problems were able to solve those problems.…

  11. Ubiquitous consultation tool for decentral knowledge workers

    OpenAIRE

    Nazari Shirehjini, A.A.; Rühl, C.; Noll, S.

    2003-01-01

    The special issue of this initial study is to examine the current work situation of consulting companies, and to elaborate a concept for supporting decentralized working consultants. The concept addresses significant challenges of decentralized work processes by deploying the Peer-to-Peer methodology to decentralized expert and Knowledge Management, cooperation, and enterprise resource planning.

  12. Lessons Learned from a Consultation Process Overseas

    Science.gov (United States)

    Merino-Soto, César

    2014-01-01

    In this commentary I discuss three international school consultation experiences, highlighting aspects that serve as lessons for professional development and the implementation of effective and helpful strategies that meet the needs of children and youth in school systems. Relationships developed and maintained between the consulting teams and the…

  13. 24 CFR 92.358 - Consultant activities.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Consultant activities. 92.358 Section 92.358 Housing and Urban Development Office of the Secretary, Department of Housing and Urban Development HOME INVESTMENT PARTNERSHIPS PROGRAM Other Federal Requirements § 92.358 Consultant activities. No...

  14. Bladder Pain Syndrome International Consultation on Incontinence

    DEFF Research Database (Denmark)

    Hanno, P.; Lin, A.; Nordling, J.

    2010-01-01

    Aims of Study: The Bladder Pain Syndrome Committee of the International Consultation on Incontinence was assigned the task by the consultation of reviewing the syndrome, formerly known as interstitial cystitis, in a comprehensive fashion. This included the topics of definition, nomenclature...

  15. Capturing the competence of management consulting work

    NARCIS (Netherlands)

    Visscher, Klaasjan

    2006-01-01

    Purpose: The purpose of this article is to assess whether the effort of consulting firms and branch organizations to establish a shared and standardized methodology as a means to professionalize consulting and as a standard for training is possible and sensible. - Design/methodology/approach: A

  16. ARL/OMS Consultant Training Program.

    Science.gov (United States)

    Euster, Joanne R.

    1982-01-01

    Describes Academic Library Consultant Training Program begun in 1979, sponsored by Office of Management Studies (OMS) and designed to provide 80 consultants to aid academic libraries in improving performance. Viewpoints are included from OMS Director and participants concerning program objectives, trainee selection, workshops, internships, and the…

  17. Mental Health Consultation in Early Childhood Classrooms

    Science.gov (United States)

    Bernzweig, Jane; Ramler, Malia; Alkon, Abbey

    2009-01-01

    Early childhood mental health consultation is a relationship-based intervention that promotes children's social and emotional development. Benefits include improved childhood behaviors, improved staff self-efficacy, and lowered parental stress. Child care center directors are more likely to be satisfied with consultation when they are involved in…

  18. 265 Statistical Consulting and the African Universities

    African Journals Online (AJOL)

    User

    2011-07-21

    Jul 21, 2011 ... supervisor's understanding of statistics, self presentation of analysis, etc. Each part gives rise to specific issues and requires that the consultant have various non-statistical skills to deal with these issues. Statistical consulting as been part of the curriculum of advanced countries' universities for more than ...

  19. Expectation Levels in Dictionary Consultation and Compilation ...

    African Journals Online (AJOL)

    Dictionary consultation and compilation is a two-way engagement between two parties, namely a dictionary user and a lexicographer. How well users cope with looking up words in a Bantu language dictionary and to what extent their expectations are met, depends on their consultation skills, their knowledge of the structure ...

  20. Technology.

    Science.gov (United States)

    Online-Offline, 1998

    1998-01-01

    Focuses on technology, on advances in such areas as aeronautics, electronics, physics, the space sciences, as well as computers and the attendant progress in medicine, robotics, and artificial intelligence. Describes educational resources for elementary and middle school students, including Web sites, CD-ROMs and software, videotapes, books,…

  1. Consultant radiographers: Profile of the first generation

    International Nuclear Information System (INIS)

    Forsyth, Lesley J.; Maehle, Valerie

    2010-01-01

    Aim: The aim of this research is to examine the profile of first generation consultant radiographers: their demographics, educational backgrounds, qualifications and training, career experience and progression, teaching, lecturing and research activities. Method: Participant recruitment was drawn from the Society and College of Radiographers consultant radiographer group. Data collection involved a self-administered paper based and web based questionnaire. Results: Participant response rate of 55% (n = 11). Conclusions: The profile of the first consultant radiographer cohort reflects a diverse and eclectic mix. While some aspects of their development such as educational background, clinical training and skills enhancement are comparable to nurse consultants, clinical experience and employment history show some differences. Commitment to development of expert clinical skills is evident within the profile of the first generation cohort of consultant radiographers however research and leadership training are not strong features.

  2. Consultant radiographer leadership - A discussion

    International Nuclear Information System (INIS)

    Hogg, Peter; Hogg, Dianne; Henwood, Suzanne

    2008-01-01

    Effective leadership can be defined in many ways and is an essential element of successful organisations; poor leadership can result in problems such as low staff morale, high staff turnover and reduced productivity. Effective leadership behaviours are well documented in the literature and various leadership models have been proposed that illustrate these behaviours. This discussion paper does not focus on any particular model. Instead it considers the 'Leadership Qualities Framework' which was developed specifically for use within the UK National Health Service. This framework draws upon a range of leadership models and as such it gives a broad indication of leadership behaviours. The framework comprises three components - 'personal qualities', 'setting direction' and 'delivering the service'. This paper commences with an argument as to why effective leadership is important in organisations generally, and specifically within healthcare organisations. Various examples of leadership are illustrated from within and outside the NHS in order to demonstrate effective leadership behaviours. The Leadership Qualities Framework is then examined, along with scenarios to illustrate effective leadership behaviours in context (i.e. within a healthcare organisation). Subsequent reflections on the scenarios aim to identify leadership behaviours that are explained within the framework. The final element of this paper draws on [limited] published evidence of where consultant radiographers have demonstrated effective leadership behaviours. In this section the published evidence is examined and reflected upon. At the end of the article we indicate additional reading for those who wish to further develop their theoretical and practical leadership skills

  3. "How long does it take?" A mixed methods evaluation of computer-related work in GP consultations.

    Science.gov (United States)

    Hayward, James; Buckingham, Susan; Thomson, Fionagh; Milne, Heather; Sheikh, Aziz; Fernando, Bernard; Cresswell, Kathrin; Williams, Robin; Pinnock, Hilary

    2015-12-24

    Systematic reviews have suggested that time spent on computer-related tasks increases consultation length. However, these reviews pre-date the current ubiquitous use of computers in U.K. general practice. As part of a U.K. national study of the influence of information technology (IT) on the interaction between patients and healthcare professionals during consultations, we explored how IT functions affected time allocation and styles of computer use during general practitioner (GP) consultations. We drew on multichannel video recording of consultations and measured consultation phases and the duration of computer-related tasks. We related measures of actual time to GP's interpretation of computer use elicited in qualitative interviews. Our sample included recordings of 112 consultations from 6 GPs in three practices. The computer was used for about one-third of the greater consultation. However, its use was concentrated pre- and post- the patient consultation. The workflow of consultation was exemplified through six computer use cases. Most functionality was accepted and accommodated within the consultation, though disruptive and time-consuming tasks were generally delegated to administrative staff. Recognised styles of computer use (minimal, block and conversational) were apparent, but applied very flexibly by GPs according to the nature of the consultation. In contrast to earlier reports, contemporary computer use does not appear to have lengthened consultations. GPs adopted different styles of computer use in different consultations, challenging classifications that seek to stereotype GP computer use. Designing systems that support this versatility require an understanding of the fluid application of computer use within consultation structure.

  4. “An Egyptian Infection”: War, Plague and the Quarantines of the English East India Company at Madras and Bombay, 1802

    Directory of Open Access Journals (Sweden)

    Aparna Nair

    2009-12-01

    Full Text Available By the end of the eighteenth century, the English East India Company (EEIC had established political and economic control over extensive tracts of land in South Asia and had emerged as the dominant regional power. The growing numbers of the EEIC’s mercenary army were often utilized by the British government in military conflicts across the world. At the end of the eighteenth century, as several powers battled over control of Egypt, the EEIC’s army was also called in to assist the Royal forces. But all foreign armies in Egypt were soon confronted by the spectre of plague epidemics. This paper explores how exactly the British handled the threat of plague in Egypt and as the EEIC armies returned to Madras and Bombay. This transnational account of plague and quarantine policy highlights the controversies and tensions over the policy of quarantine within medicine in England and explores how these conflicts played out in the quarantines established in India by the EEIC’s nascent Empire.

  5. Managing International Consulting Projects and International Business Courses Using Virtual Teams

    Science.gov (United States)

    Prachyl, Cheryl; Quintanilla, Hector; Gutiérrez, Luis Antonio

    2011-01-01

    The Instituto Tecnologico y de Estudios Superiores de Monterrey and Texas Wesleyan University used technology based courses to enhance internationalization of their curricula. These courses required students to use computer technology as the distance communication medium and to complete an applied international consulting project as part of each…

  6. Postpartum consultation: Occurrence, requirements and expectations

    Directory of Open Access Journals (Sweden)

    Carlgren Ingrid

    2008-07-01

    Full Text Available Abstract Background As a matter of routine, midwives in Sweden have spoken with women about their experiences of labour in a so-called 'postpartum consultation'. However, the possibility of offering women this kind of consultation today is reduced due to shortage of both time and resources. The aim of this study was to explore the occurrence, women's requirements of, and experiences of a postpartum consultation, and to identify expectations from women who wanted but did not have a consultation with the midwife assisting during labour. Methods All Swedish speaking women who gave birth to a live born child at a University Hospital in western Sweden were consecutively included for a phone interview over a three-week period. An additional phone interview was conducted with the women who did not have a postpartum consultation, but who wanted to talk with the midwife assisting during labour. Data from the interviews were analysed using qualitative content analysis. Results Of the 150 interviewed women, 56% (n = 84 had a postpartum consultation of which 61.9% (n = 52 had this with the midwife assisting during labour. Twenty of the 28 women who did not have a consultation with anyone still desired to talk with the midwife assisting during labour. Of these, 19 were interviewed. The content the women wanted to talk about was summarized in four categories: to understand the course of events during labour; to put into words, feelings about undignified management; to describe own behaviour and feelings, and to describe own fear. Conclusion The survey shows that the frequency of postpartum consultation is decreasing, that the majority of women who give birth today still require it, but only about half of them receive it. It is crucial to develop a plan for these consultations that meets both the women's needs and the organization within current maternity care.

  7. Technology

    Directory of Open Access Journals (Sweden)

    Xu Jing

    2016-01-01

    Full Text Available The traditional answer card reading method using OMR (Optical Mark Reader, most commonly, OMR special card special use, less versatile, high cost, aiming at the existing problems proposed a method based on pattern recognition of the answer card identification method. Using the method based on Line Segment Detector to detect the tilt of the image, the existence of tilt image rotation correction, and eventually achieve positioning and detection of answers to the answer sheet .Pattern recognition technology for automatic reading, high accuracy, detect faster

  8. Longer-term impact of cardiology e-consults.

    Science.gov (United States)

    Wasfy, Jason H; Rao, Sandhya K; Kalwani, Neil; Chittle, Melissa D; Richardson, Calvin A; Gallen, Kathleen M; Isselbacher, Eric M; Kimball, Alexandra B; Ferris, Timothy G

    2016-03-01

    Cardiac e-consults may be an effective way to deliver value-oriented outpatient cardiology care in an accountable care organization. Initial results of cardiac e-consults have demonstrated high satisfaction among both patients and referring providers, no known adverse events, and low rates of diagnostic testing. Nevertheless, differences between e-consults and traditional consults, effects of e-consults on traditional consult volume, and whether patients seek traditional consults after e-consults are unknown. We established a cardiac e-consult program on January 13, 2014. We then conducted detailed medical record reviews of all patients with e-consults to detect any adverse clinical events and detect subsequent traditional visits to cardiologists. We also performed 2 comparisons. First, we compared age, gender, and referral reason for e-consults vs traditional consults. Second, we compared changes in volume of referrals to cardiology vs other medical specialties that did not have e-consults. From January 13 to December 31, 2014, 1,642 traditional referrals and 165 e-consults were requested. The proportion of e-consults of all evaluations requested over that period was 9.1%. Gender balance was similar among traditional consults and e-consults (44.8% male for e-consults vs 45.0% for traditional consults, P = .981). E-consult patients were younger than traditional consult patients (55.3 vs 60.4 years, P cardiology visit during the follow-up period. E-consults are an effective and safe mechanism to enhance value in outpatient cardiology care, with low rates of bounceback to traditional consults. E-consults can account for nearly one-tenth of total outpatient consultation volume at 1 year within an accountable care organization and are associated with a reduction in traditional referrals to cardiologists. Copyright © 2015 Elsevier Inc. All rights reserved.

  9. On becoming a consultant: A study exploring the journey to consultant practice

    International Nuclear Information System (INIS)

    Henwood, S.; Booth, L.

    2016-01-01

    Background: This paper reports a qualitative study exploring the establishment of non-medical consultant roles in Radiography. Given the difficulties reported in recruiting and retaining staff in these posts, we hope this paper offers a historical documentation of those consultants who were some of the first in post, sharing their stories of how they obtained and transitioned into their roles. Methods: This paper is part of a two year case study exploring the leadership domain of consultant practice. The focus of this paper is a reflection, by the consultants, of their journey to becoming a consultant; a documentation of some of the practical issues in establishing the roles; and the transition to higher levels of practice. Eight consultant radiographers participated in the initial interviews (two consultants withdrew from the study subsequent to this). In-depth iterative interviewing was used to explore and record individual stories and experiences. Findings: The consultants shared their perceptions of being in post, including their own motivation to progress to a new role, how prepared they felt initially, the lack of role models, the lack of clarity surrounding the role and a perception of ‘being on display’. Conclusions: The paper offers insight into the journey of these consultants and some of the common characteristics they share. These characteristics give some indication of what motivated them to step into higher level roles, in particular the need to drive change and improvement. The paper also offers suggestions for how the transition into the role could be more effectively supported. - Highlights: • Identifies characteristics thought to contribute to effective consultant practice. • A desire to change practice is a major motivator in applying for a consultant post. • The consultant role was a natural evolution for some, not a desired career pathway. • There is recognition that the initial consultants were pioneers for the profession.

  10. The guideline "consultation psychiatry" of the Netherlands Psychiatric Association

    NARCIS (Netherlands)

    Leentjens, A.F.G.; Boenink, A.D.; Sno, H.N.; Strack van Schijndel, R.J.M.; Croonenborg, van J.J.; Everdingen, van J.J.E.; Feltz - Cornelis, van der C.M.; Laan, van der S.; Marwijk, van H.W.J.; Os, T.W.D.P. Van

    2009-01-01

    Background: In 2008, the Netherlands Psychiatric Association authorized a guideline "consultation psychiatry." Aim: To set a standard for psychiatric consultations in nonpsychiatric settings. The main objective of the guideline is to answer three questions: Is psychiatric consultation effective and,

  11. 76 FR 28446 - Policy on Consultation With Indian Tribes

    Science.gov (United States)

    2011-05-17

    ... employees. VI. Innovative and Effective Consultation Practices The Department's leadership will strive to... or facilitating an effective consultation process, negotiated rulemaking or other collaborative... DEPARTMENT OF THE INTERIOR Office of the Secretary Policy on Consultation With Indian Tribes...

  12. Performance Consulting: Get CREDIT from Your Clients.

    Science.gov (United States)

    Atkinson, Vicki; Chalmers, Nancy

    1999-01-01

    Discusses client satisfaction criteria relevant to human performance consultants and explains the CREDIT model that represents what clients consider most important. Examines CREDIT: Client needs, Relationships, demonstrating Expertise and experience, creating Deliverables, Interpersonal skills, and Tracking and project managing. (LRW)

  13. Global Grid Telemedicine System: Expert Consult Manager

    National Research Council Canada - National Science Library

    May, Jerrold

    2000-01-01

    The Artificial Intelligence in Management (AIM) Laboratory of the Katz School of Business, University of Pittsburgh will employ AIM Lab personnel and consultants to design, develop and test a prototype of the following U.S...

  14. Consulting Informs Best Practice in Academia

    Directory of Open Access Journals (Sweden)

    Risa Blair

    2015-10-01

    Full Text Available The Conversational Plenary Session began with a clear agenda of describing the process and challenge of developing eLearning and eTraining. After a brief discussion of the benefits and challenges of the modality, the conversation quickly segued to a highly spirited conversation related to consulting and the negative implications when one calls oneself a consultant. In fact, this became an integral theme of multiple discussions throughout the rest of the conference. This author strives to identify a selection of literature which supports the viewpoint that consulting does indeed inform best practices in academia. Those professors with up-to-the-minute consultancies in their fields offer an enriched experience for their students.

  15. Bladder Pain Syndrome International Consultation on Incontinence

    DEFF Research Database (Denmark)

    Hanno, P.; Lin, A.; Nordling, J.

    2010-01-01

    Aims of Study: The Bladder Pain Syndrome Committee of the International Consultation on Incontinence was assigned the task by the consultation of reviewing the syndrome, formerly known as interstitial cystitis, in a comprehensive fashion. This included the topics of definition, nomenclature......, taxonomy, epidemiology, etiology, pathology, diagnosis, symptom scales, outcome assessment, principles of management, specific therapies, and future directions in research. Study Design, Materials, Methods: The emphasis was on new information developed since the last consultation 4 years previously. Where...... possible, existing evidence was assessed and a level of recommendation was developed according to the Oxford system of classification. Results: The consultation decided to refer to the condition as "bladder pain syndrome" (BPS) because the designation is more descriptive of the clinical condition...

  16. IT Consultants in Acquisition IT Integration

    DEFF Research Database (Denmark)

    Henningsson, Stefan; Øhrgaard, Christian

    2016-01-01

    strategic IT initiatives and how companies can draw effectively on their services. The paper investigates the use of consultants in relation to one type of major strategic IT initiative: acquisition IT integration. Acquisition IT integration, which is the integration of the acquirer’s and target......’s IT following a corporate acquisition, presents a difficult but crucial IT challenge for the many acquiring organizations. Through a comparative case study of four acquirers, theoretically grounded in the resource-based view of the firm, it is analyzed how acquirers draw on external consultants to realize...... acquisition IT integration. Two complementary and two supplementary roles consultants assume in these projects are identified. Additionally, three characteristics of the acquisition IT integration strategy are identified that influence how the acquirers assign different roles to IT consultants. The resulting...

  17. [A nurse consultation in victimology for minors].

    Science.gov (United States)

    Soudan, Corinne

    2014-10-01

    The nurse consultation is an integral part of the treatment of children and adolescents experiencing psychological distress following traumatic events. Specific support is therefore offered to young patients, in particular through the intervention of a clinical nurse specialist.

  18. Communication between primary care physicians and consultants.

    Science.gov (United States)

    Epstein, R M

    1995-05-01

    Optimal communication between primary care physicians and consultants includes transfer of relevant clinical information, including the patient's perspectives and values, and provides a means of collaboration to provide meaningful and health-promoting interventions. Communication difficulties arise because of lack of time, lack of clarity about the reason for referral, patient self-referral, and unclear follow-up plans. Also, primary care physicians and consultants may have different core values and may have little day-to-day contact with each other. Poor communication leads to disruptions in continuity of care, delayed diagnoses, unnecessary testing, and iatrogenic complications. Changes in the health care system offer the opportunity for improved collaboration between physicians by creating smaller administrative units within large health care systems that facilitate contact between primary care physicians and consultants; incorporation of discussions of uncertainty, patient preferences, and values into referral letters; adoption of a friendlier consultant letter format; and the improvement of the transfer of clinical data.

  19. Qualification of contractor/consultant instructors

    International Nuclear Information System (INIS)

    Hanson, H.D.

    1985-01-01

    Following a brief discussion of the role of consultant instructors in Public Service Electric and Gas Company's training organization, the qualification process is presented. Consultant instructors are provided with information regarding supervision of the trainees and the instructional process and procedures required. Each individual must have his or her instructional capability, supervisory skills and technical competence verified and documented prior to conducting training independently. Concluding comments describe the overall satisfactory experience with this program

  20. QUANTITATIVE AND QUALITATIVE DIMENSIONS OF BUSINESS CONSULTING MARKET IN THE REPUBLIC OF MOLDOVA

    Directory of Open Access Journals (Sweden)

    Natalia LOBANOV

    2016-06-01

    Full Text Available Business-consulting services, as well as any other product, are designed to be sold;however, the recipients of such services shouldrecognize the need to invest in harnessing organizational knowledge of the enterprise, which requires a certain level of economic maturity,managerial intelligence and well developed management skills. On the other hand, the domain of business consulting services is determined by the availability of market knowledge, professional experience and technologies that match those organizational and production problems that require intervention to be resolved. These technologies and knowledge have to be systematized, adapted and incorporated into a form that allows its use and transmission by the consultant to the customer during advisory mission. This study has the aim to determine the interdependencies between supply for business consulting services in the Republic of Moldova,and for this purpose, there were investigated the following aspects: the identification of factors of influence and trends that are manifested on the local advisory services; market research performance made by an industrial survey in order to assess the situation on the market of consulting services, its advantages and constraints; formulating estimates of market development forecasts for consulting services in Moldova for the period of 2016-2020.

  1. Reflections on the role of consultant radiographers in the UK: What is a consultant radiographer?

    International Nuclear Information System (INIS)

    Booth, L.; Henwood, S.; Miller, P.

    2016-01-01

    Context: This paper is the second paper from a two year in depth case study, exploring the role of consultant radiographers in the UK. Methods: A longitudinal case study approach was used to determine the role of consultant radiographers. Interviews were used to explore experiences of being a consultant, which were analysed using thematic analysis. Eight consultant radiographers participated (Note, two of the consultants withdrew after the first interview due to workload). Therefore two consultants were interviewed only once. The remaining six consultants were interviewed twice over a 12 month period. Findings: The data presented in this paper explores the nature of the role, differences between roles, the four domains of practice, and how the role fits into local organisational structures. The study shows wide variation in the types of roles undertaken, reflecting that the creation of these roles were in response to local clinical need and often related to an individual practitioner's skills. The broad scope of the role was shown across all the consultants, with evidence of roles developing into new areas of service delivery. Conclusions: The paper offers insight into the role(s) of consultant radiographers in the UK. The range and scope of their practice is extensive, with much variation. It is evident that the clinical aspect of the role dominates, with research being the least supported domain of practice. There remains a lack of clarity around the role, with concerns about remuneration and other limitations that may restrict the role developing further. - Highlights: • This paper shows the variation in roles between consultant radiographers. • The commonality with medical roles is highlighted. • Problem solving is identified as a core skill in consultant radiography. • Consultants offered evidence of the roles developing service provision. • While all four domains of practice are covered, research is the least well supported.

  2. Local R&D and Technology Transfers

    DEFF Research Database (Denmark)

    Aggarwal, Aradhna

    This study examines how inter-firm heterogeneities in technology modes and intensities are linked to ownership of firms in India, using a panel dataset of 2000 odd Bombay Stock Exchange listed firms for the period from 2003 to 2014 drawn from the PROWESS database of CMIE. For the analysis, foreign...... ownership is categorised according to the control exercisable by them as defined under the Companies’ Act of India. A comparative analysis of domestic and different categories of foreign firms was conducted at two time periods: the global boom period of 2004-2008 and post crisis period of 2008......-2014. The propensity score matching (PSM) analysis reveals that the majority owned foreign companies spend less on R&D and more on technology transfers than their local counterparts. Overall, threshold equity holding and global conditions matter. A panel data regression analysis on matched sample confirms the findings...

  3. Teaching consultants airway management skills.

    Science.gov (United States)

    Nargozian, Charles

    2004-01-01

    Airway management skills are integral to the practice of anaesthesiology and also to the practice of emergency medicine and allied health professions such as respiratory care, emergency medical technology, and emergency and critical care nursing. The basic information to be taught is the same but the level of detail will vary depending on the audience. The learning process usually involves progression from didactic lessons to skills training on inanimate models to supervised clinical practice. Modalities that may be used for skills training include cadavers, recently dead patients, videotapes, mannequins, simulators and virtual reality trainers. To maintain knowledge and skills, review and possible retraining should be conducted on an approximately annual basis.

  4. Experiences with online consultation systems in primary care: case study of one early adopter site.

    Science.gov (United States)

    Casey, Michael; Shaw, Sara; Swinglehurst, Deborah

    2017-11-01

    There is a strong policy drive towards implementing alternatives to face-to-face consultations in general practice to improve access, efficiency, and cost-effectiveness. These alternatives embrace novel technologies that are assumed to offer potential to improve care. To explore the introduction of one online consultation system (Tele-Doc) and how it shapes working practices. Mixed methods case study in an inner-city general practice. The study was conducted through interviews with IT developers, clinicians, and administrative staff, and scrutiny of documents, websites, and demonstrator versions of Tele-Doc, followed by thematic analysis and discourse analysis. Three interrelated themes were identified: online consultation systems as innovation, managing the 'messiness' of general practice consultations, and redistribution of the work of general practice. These themes raise timely questions about what it means to consult in contemporary general practice. Uptake of Tele-Doc by patients was low. Much of the work of the consultation was redistributed to patients and administrators, sometimes causing misunderstandings. The 'messiness' of consultations was hard to eliminate. In-house training focused on the technical application rather than associated transformations to practice work that were not anticipated. GPs welcomed varied modes of consulting, but the aspiration of improved efficiency was not realised in practice. Tele-Doc offers a new kind of consultation that is still being worked out in practice. It may offer convenience for patients with discrete, single problems, and a welcome variation to GPs' workload. Tele-Doc's potential for addressing more complex problems and achieving efficiency is less clear, and its adoption may involve unforeseeable consequences. © British Journal of General Practice 2017.

  5. Psychiatric consultation and substance use disorders.

    Science.gov (United States)

    Specker, Sheila; Meller, William H; Thurber, Steven

    2009-01-01

    A substantial number of patients in general hospitals will evince substance abuse problems but a majority is unlikely to be adequately identified in the referral-consultation process. This failure may preclude patients from receiving effective interventions for substance use disorders. 1. To evaluate all referred patients for possible substance use disorders. 2. To ascertain the degree of convergence between patients referred for chemical problems and the corresponding DSM diagnosis. 3. To compare demographic data for substance abusing patients and referrals not so classified. 4. To evaluate conditions concomitant with substance use disorders. Consecutive one-year referrals (524) to consultation-liaison psychiatric services were scrutinized for chemically-related problems by psychiatric consultants. Of the referrals, 176 met criteria for substance use disorders (SUD) (57% alcohol; 25% other drugs; 18% both alcohol and other drugs). Persons diagnosed with SUD tended to be younger, male, non-Caucasian, unmarried, and unemployed. They were more likely to be depressed, have liver and other gastrointestinal problems, and to have experienced traumatic events; they also tended to have current financial difficulties. Most were referred for SUD evaluation by personnel in general medicine and family practice. Following psychiatric consultation, SUD designated patients were referred mainly to substance abuse treatment programs. The only variable related to recommended inpatient versus outpatient services for individuals with SUD was the Global Assessment of Functioning Axis (GAF) with persons having lower estimated functioning more likely to be referred for inpatient interventions. These data are similar to the results of past studies in this area. Unlike previous investigations in the domain of consultative-liaison psychiatry, financial stressors and specific consultant recommendations were included in data gathering. Although the results are encouraging in that individuals

  6. Psychiatric Consultation and Substance Use Disorders

    Directory of Open Access Journals (Sweden)

    Sheila Specker

    2009-01-01

    Full Text Available Background A substantial number of patients in general hospitals will evince substance abuse problems but a majority is unlikely to be adequately identified in the referral-consultation process. This failure may preclude patients from receiving effective interventions for substance use disorders. Objectives 1. To evaluate all referred patients for possible substance use disorders. 2. To ascertain the degree of convergence between patients referred for chemical problems and the corresponding DSM diagnosis. 3. To compare demographic data for substance abusing patients and referrals not so classified. 4. To evaluate conditions concomitant with substance use disorders. Method Consecutive one-year referrals (524 to consultation-liaison psychiatric services were scrutinized for chemically-related problems by psychiatric consultants. Results Of the referrals, 176 met criteria for substance use disorders (SUD (57% alcohol; 25% other drugs; 18% both alcohol and other drugs. Persons diagnosed with SUD tended to be younger, male, non-Caucasian, unmarried, and unemployed. They were more likely to be depressed, have liver and other gastrointestinal problems, and to have experienced traumatic events; they also tended to have current financial difficulties. Most were referred for SUD evaluation by personnel in general medicine and family practice. Following psychiatric consultation, SUD designated patients were referred mainly to substance abuse treatment programs. The only variable related to recommended inpatient versus outpatient services for individuals with SUD was the Global Assessment of Functioning Axis (GAF with persons having lower estimated functioning more likely to be referred for inpatient interventions. Conclusions These data are similar to the results of past studies in this area. Unlike previous investigations in the domain of consultative-liaison psychiatry, financial stressors and specific consultant recommendations were included in data

  7. Psychiatric Consultation and Substance Use Disorders

    Directory of Open Access Journals (Sweden)

    Sheila Specker

    2009-11-01

    Full Text Available Background: A substantial number of patients in general hospitals will evince substance abuse problems but a majority is unlikely to be adequately identified in the referral-consultation process. This failure may preclude patients from receiving effective interventions for substance use disorders. Objectives: 1. To evaluate all referred patients for possible substance use disorders. 2. To ascertain the degree of convergence between patients referred for chemical problems and the corresponding DSM diagnosis. 3. To compare demographic data for substance abusing patients and referrals not so classified. 4. To evaluate conditions concomitant with substance use disorders. Method: Consecutive one-year referrals (524 to consultation-liaison psychiatric services were scrutinized for chemically-related problems by psychiatric consultants. Results: Of the referrals, 176 met criteria for substance use disorders (SUD (57% alcohol; 25% other drugs; 18% both alcohol and other drugs. Persons diagnosed with SUD tended to be younger, male, non-Caucasian, unmarried, and unemployed. They were more likely to be depressed, have liver and other gastrointestinal problems, and to have experienced traumatic events; they also tended to have current financial difficulties. Most were referred for SUD evaluation by personnel in general medicine and family practice. Following psychiatric consultation, SUD designated patients were referred mainly to substance abuse treatment programs. The only variable related to recommended inpatient versus outpatient services for individuals with SUD was the Global Assessment of Functioning Axis (GAF with persons having lower estimated functioning more likely to be referred for inpatient interventions. Conclusions: These data are similar to the results of past studies in this area. Unlike previous investigations in the domain of consultative-liaison psychiatry, financial stressors and specific consultant recommendations were included in

  8. Digital Learning Objects in Nursing Consultation: technology Assessment by Undergraduate Students Objetos educacionales en la consulta de enfermería: evaluación de la tecnología por estudiantes de graduación Objetos educacionais na consulta de enfermagem: avaliação da tecnologia por estudantes de graduação

    Directory of Open Access Journals (Sweden)

    DeniseTolfo Silveira

    2010-10-01

    Full Text Available This study followed the teaching-learning process about the nursing consultation, based on digital learning objects developed through the active Problem Based Learning method. The goals were to evaluate the digital learning objects about nursing consultation, develop cognitive skills on the subject using problem based learning and identify the students’ opinions on the use of technology. This is an exploratory and descriptive study with a quantitative approach. The sample consisted of 71 students in the sixth period of the nursing program at the Federal University of Rio Grande do Sul. The data was collected through a questionnaire to evaluate the learning objects. The results showed positive agreement (58% on the content, usability and didactics of the proposed computer-mediated activity regarding the nursing consultation. The application of materials to the students is considered positive.Este estudio acompañó el proceso enseñanza-aprendizaje de la consulta de enfermería con apoyo de objetos educacionales digitales por medio de la metodología activa Problem Based Learning. Los objetivos fueron evaluar los objetos educacionales digitales sobre consulta de enfermería, desarrollar habilidades cognitivas del tema utilizando aprendizajes basados en problemas e identificar las opiniones de los estudiantes en cuanto al uso de la tecnología. Se trata de un estudio exploratorio descriptivo con abordaje cuantitativo cuya muestra fue compuesta por 71 estudiantes de la sexta etapa del curso de enfermería de la Universidad Federal del Rio Grande del Sur. La recolección de datos se realizó por medio de la aplicación de cuestionarios para evaluar los objetos de aprendizaje. Los resultados apuntan concordancia positiva (58% en cuanto al contenido, usabilidad y didáctica de la actividad propuesta sobre consulta de enfermería mediada por computador. Se consideró positiva la aplicación de los materiales junto a los alumnos.Este estudo acompanhou

  9. Public consultation: regulatory requirement or business principle?

    International Nuclear Information System (INIS)

    Seeley, R.

    1999-01-01

    A summary is included of knowledge and experiences related to planning and implementing a public consultation program over a number of years in Shell Canada's Athabasca Oil Sands development. This project consists of three major sub- projects with a total estimated capital investment of $4 billion. The three sub- projects are: the Muskeg River Mine, the Scotford Upgrader, and the Corridor Pipeline. The facilities will produce 150,000 bbl/day of synthetic crude for over 25 years and are targeted to begin production in late 2002. From the title of the paper, although public consultation is required under environmental legislation, many companies are adopting a more pro-active approach to public consultation and participation as a business principle. This commitment to engage in and dialogue with stakeholders must be open, transparent and long term, not just during the regulatory process. Successful consultation begins with the prerequisites: senior management commitment, buy-in from the project or operating team that the process adds value, and the ability to listen and make changes. A consultation program is not a short term activity, but is rather an ongoing process linked to a business or operating principle. It requires long term resources and follow through on agreements and commitments made to stakeholders and communities

  10. [Memory loss: a reason for consultation].

    Science.gov (United States)

    Menéndez González, M; Garcia-Fernández, C; Antón González, C; Calatayud, M T; González González, S; Blázquez Menes, B

    2005-10-01

    Memory loss is an increasingly frequent reason for consultation in neurology. The aim of this work is to know the current frequency as well as the characteristics and disorders of the patients who come for this reason. We studied 200 patients who came to general neurology consultation due to loss of memory. 18.47% of the patients who came for the first time to a general neurology consultation did so due to memory loss, this being subjective loss of memory (SLM) in 39% of the cases and referred loss of memory (RLM) in 61% of the cases. The diagnostic groups to which the patients belonged are, in diminishing order, the following: degenerative primary dementia type Alzheimer's disease, mild cognitive impairment, mixed dementia, pure vascular dementia, depressive pseudodementia, attributable to drugs, secondary to systemic disease, non-Alzheimer's type disease primary degenerative dementia, structural reasons, transitory global amnesia and epilepsy. No disease was found in 13% of them, and the generally came due to SLM. Frequency of memory loss as a reason for consultation continues to growing. Patients studied due to memory loss, in whom no disease is found, are generally those having SLM. In spite of this, SLM is a good predictor of cognitive deterioration. It is important to systematically study of every patient and consults for loss of memory and to investigate the possible use of drugs or toxics that could alter the memory.

  11. Working with boundaries in systems psychodynamic consulting

    Directory of Open Access Journals (Sweden)

    Henk Struwig

    2012-03-01

    Research purpose: The purpose of the research was to produce a set of theoretical assumptions about organisational boundaries and boundary management in organisations and, from these, to develop a set of hypotheses as a thinking framework for practising consulting psychologists when they work with boundaries from a systems psychodynamic stance. Motivation for the study: The researcher used the belief that organisational boundaries reflect the essence of organisations. Consulting to boundary managers could facilitate a deep understanding of organisational dynamics. Research design, approach and method: The researcher followed a case study design. He used systems psychodynamic discourse analysis. It led to six working hypotheses. Main findings: The primary task of boundary management is to hold the polarities of integration and differentiation and not allow the system to become fragmented or overly integrated. Boundary management is a primary task and an ongoing activity of entire organisations. Practical/managerial implications: Organisations should work actively at effective boundary management and at balancing integration and differentiation. Leaders should become aware of how effective boundary management leads to good holding environments that, in turn, lead to containing difficult emotions in organisations. Contribution/value-add: The researcher provided a boundary-consulting framework in order to assist consultants to balance the conceptual with the practical when they consult.

  12. Identifying challenges in project consultants engagement practices

    Science.gov (United States)

    Shariffuddin, Nadia Alina Amir; Abidin, Nazirah Zainul

    2017-10-01

    Construction projects, green or conventional, involve multi-faceted disciplines engaged with the goal of delivering products i.e. building, infrastructure etc. at the best quality within stipulated budgets. For green projects, additional attention is added for environmental quality. Due to the various responsibilities and liabilities involved as well as the complexity of the construction process itself, formal engagement of multi-disciplinary professionals i.e. project consultants is required in any construction project. Poor selection of project consultants will lead to a multitude of complications resulting in delay, cost escalation, conflicts and poor quality. This paper explores the challenges that occur during the engagement of project consultants in a green project. As the engagement decision involves developers and architects, these two groups of respondents with green project backgrounds were approached qualitatively using interview technique. The challenges identified are limited experience and knowledge, consultants' fee vs. quality, green complexity, conflicts of interest, clients' extended expectation and less demand in green projects. The construction shifts to green project demands engagement of project consultants with added skills. It is expected that through the identification of challenges, better management and administration can be created which would give impact to the overall process of engagement in green projects.

  13. Global Consultation Processes: Lessons Learned from Refugee Teacher Consultation Research in Malaysia

    Science.gov (United States)

    O'Neal, Colleen R.; Gosnell, Nicole M.; Ng, Wai Sheng; Clement, Jennifer; Ong, Edward

    2018-01-01

    The process of global consultation has received little attention despite its potential for promoting international mutual understanding with marginalized communities. This article details theory, entry, implementation, and evaluation processes for global consultation research, including lessons learned from our refugee teacher intervention. The…

  14. The Czech Consulting company entering the Ukrainian market

    OpenAIRE

    Shokalo, Oles

    2009-01-01

    The goal of this diploma paper is to present Business Consulting, describe characteristics of european and global consultancy market, give detailed description of the Ukrainian consultancy market and finally to propose the strategic steps necessary for the Czech consultancy company with intention to enter the Ukrainian market.

  15. Participants' Evaluation of Consultation: Implications for Training in School Psychology

    Science.gov (United States)

    Klose, Laurie McGarry; Plotts, Cynthia; Lasser, Jon

    2012-01-01

    Evaluation of graduate students' consultation skills is essential to competent practice in school settings. Congruence of evaluation of the consultation experience has been shown as an important factor in the development of competent consultants in other, related disciplines. The current study analysed student consultant and teacher consultee…

  16. 42 CFR 493.1417 - Standard; Clinical consultant qualifications.

    Science.gov (United States)

    2010-10-01

    ... Testing Laboratories Performing Moderate Complexity Testing § 493.1417 Standard; Clinical consultant qualifications. The clinical consultant must be qualified to consult with and render opinions to the laboratory's... 42 Public Health 5 2010-10-01 2010-10-01 false Standard; Clinical consultant qualifications. 493...

  17. 42 CFR 493.1455 - Standard; Clinical consultant qualifications.

    Science.gov (United States)

    2010-10-01

    ... Testing Laboratories Performing High Complexity Testing § 493.1455 Standard; Clinical consultant qualifications. The clinical consultant must be qualified to consult with and render opinions to the laboratory's... 42 Public Health 5 2010-10-01 2010-10-01 false Standard; Clinical consultant qualifications. 493...

  18. Language in Consultation: The Effect of Affect and Verb Tense

    Science.gov (United States)

    Newman, Daniel S.; Guiney, Meaghan C.; Barrett, Courtenay A.

    2017-01-01

    This study was an exploration of school consultation interactions between instructional consultants and consultees. Of specific interest was how consultants (n = 18) and consultees (n = 18) used verb tense and emotion words during the problem identification and analysis instructional consultation stage, similarities and differences in…

  19. Therapists perspectives on the effective elements of consultation following training.

    Science.gov (United States)

    Beidas, Rinad S; Edmunds, Julie M; Cannuscio, Carolyn C; Gallagher, Mark; Downey, Margaret Mary; Kendall, Philip C

    2013-11-01

    Consultation is an effective implementation strategy to improve uptake of evidence-based practices for youth. However, little is known about what makes consultation effective. The present study used qualitative methods to explore therapists perspectives about consultation. We interviewed 50 therapists who had been trained 2 years prior in cognitive-behavioral therapy for child anxiety. Three themes emerged regarding effective elements of consultation: (1) connectedness with other therapists and the consultant, (2) authentic interactions around actual cases, and (3) the responsiveness of the consultant to the needs of individual therapists. Recommendations for the design of future consultation endeavors are offered.

  20. Therapists’ Perspectives on the Effective Elements of Consultation Following Training

    Science.gov (United States)

    Beidas, Rinad S.; Edmunds, Julie M.; Cannuscio, Carolyn C.; Gallagher, Mark; Downey, Margaret Mary; Kendall, Philip C.

    2013-01-01

    Consultation is an effective implementation strategy to improve uptake of evidence-based practices for youth. However, little is known about what makes consultation effective. The present study used qualitative methods to explore therapists’ perspectives about consultation. We interviewed 50 therapists who had been trained 2 years prior in cognitive-behavioral therapy for child anxiety. Three themes emerged regarding effective elements of consultation: (1) connectedness with other therapists and the consultant, (2) authentic interactions around actual cases, and (3) the responsiveness of the consultant to the needs of individual therapists. Recommendations for the design of future consultation endeavors are offered. PMID:23435832

  1. Lessons Learned in Pilot Testing Specialty Consultations to Benefit Individuals with Lower Limb Loss

    Directory of Open Access Journals (Sweden)

    Christine Elnitsky

    2012-12-01

    Full Text Available Telerehabilitation technologies enable the delivery of rehabilitation services from providers to people with disabilities as well as specialty care consultations. This article discusses the barriers experienced when planning and pilot testing a telerehabilitation multi-site specialty consultation for specialists in their medical centers, and the lessons learned. The barriers included integration and participation, coordination across organizational units, and privacy and information security. Lessons learned included the need for collaboration across multiple departments, telerehabilitation equipment back-ups, and anonymous and private communication protocols. Despite delays resulting from coordination at multiple levels of a national organization, we developed a program plan and successfully implemented a pilot test of the southeast region program.  Specialty consultation using telerehabilitation delivery methods requires identifying provider preferences for technological features. Lessons learned could inform development of outpatient telerehabilitation for patients with amputations and studies of patients and providers involved in telerehabilitation.

  2. User Consultation Behaviour in Internet Dictionaries

    DEFF Research Database (Denmark)

    Simonsen, Henrik Køhler

    2011-01-01

    the participants looked, but also how they accessed lexicographic data. The paper presents a suitable method for using eye-tracking studies in Internet lexicography and advocates an increased use of this method to produce empirical data upon which additional theoretical considerations on the information and data......The purpose of this paper is to explore and discuss user consultation behaviour on the basis of eye-tracking data and interview data. To date the focus has been almost exclusively on the use of log files in Internet lexicography - an approach which is questioned in this article. The paper is based...... on empirical data from an exploratory eyetracking study of the user consultation behaviour of six participants and on interview data from a follow-up post-study interview of the participants. The paper elucidates and discusses the consultation behaviour in Internet lexicography and shows not only at what...

  3. Wind power projects and Aboriginal consultation

    Energy Technology Data Exchange (ETDEWEB)

    Isaac, T. [McCarthy Tetrault LLP, Vancouver, BC (Canada)

    2006-07-01

    This presentation outlined some of the legal aspects related to Aboriginal involvement in wind power development consultation processes and disputes. Aboriginal rights are rights held by Aboriginal people that are an element of a practice, custom, or tradition integral to the culture of groups claiming such rights. Wind power developers should understand that Aboriginal rights claims may include fishing; whaling; transportation; and cultural and spiritual activities. Aboriginal title is a subcategory of Aboriginal rights, and is a right to land itself, and an encumbrance on the Crown's underlying title to land. Weak Aboriginal claims where potential infringement by energy developers is minor may only require notice and information. Strong prima facie cases for Aboriginal rights and title where the potential for infringement is of high significance may result in more extensive consultation involving interim solutions; formal Aboriginal participation in decision-making processes; and written responses demonstrating how Aboriginal concerns have been considered. There are a number of circumstances requiring a case-by-case approach, and the Crown may make decisions in the face of Aboriginal disagreement. However, energy developers should ensure that consultation processes are fair and reasonable. Conflicting interests can often be successfully resolved through consultation, and accommodation to Aboriginal rights may include mitigation, avoiding interference, and agreeing to as little infringement as possible. Aboriginal title may attach to private land but only to the Crown's underlying title. The Crown has no duty to consult respecting Aboriginal title on private land because title has already been infringed. In these cases, duty to consult and accommodate may be discharged through other regulatory processes such as environmental impact assessments. It was concluded that wind power project proponents should build a relationship with the Crown, as avoiding

  4. Moral mediation in interpreted health care consultations.

    Science.gov (United States)

    Seale, Clive; Rivas, Carol; Al-Sarraj, Hela; Webb, Sarah; Kelly, Moira

    2013-12-01

    This paper reports on the moral work done in routine diabetes review consultations in primary care with nurses. Consultations with fluent English speakers are compared with consultations where an interpreter was present, largely involving patients of Bangladeshi origin. The study setting was Tower Hamlets in London, where type 2 diabetes is particularly common. Existing research has shown some dissatisfaction with diabetes care amongst Bangladeshi patients, and studies of care providers in other locations suggest that they at times experience the care of this group as particularly challenging. Through analysis of video-recorded consultations recorded in 2010-2011 we shed light on possible reasons for these difficulties. The 12 non-English speakers often experienced difficulties in raising issues that concerned them, particularly if their interpreter did not translate their utterance because it was deemed to be unrelated to diabetes. These difficulties were not shared by the 24 fluent English speakers, who also found it easier to convey a positive moral reputation and to excuse behaviour that deviated from recommended self-management practices. Interpreters at times also acted as moral mediators. For example, where a participant in the consultation made statements that appeared to convey a negative moral judgement of an other participant, these would often go untranslated. Probably, neither health care providers nor patients are fully aware of the nature of their communication difficulties. Given this, interpreters possess considerable power to influence matters. Understanding the moral work of consultations is important in explaining the findings of other studies showing difficulties in the provision of diabetes care to people with limited English language skills. Copyright © 2013 Elsevier Ltd. All rights reserved.

  5. Standardization Versus Innovation In Management Consultancy

    Directory of Open Access Journals (Sweden)

    Ciumara Tudor

    2011-12-01

    Full Text Available This paper is supported by the Sectoral Operational Programme Human Resources Development (SOP HRD, financed from the European Social Fund and by the Romanian Government under the contract number SOP HRD/89/1.5/S/62988. In this paper we propose some perspectives on the relationship between standardization and innovation in the management consulting business. Most of the consulting services are situated somewhere between absolute standardization and absolute innovation. Approaching any of these poles brings some advantages and disadvantages, both to the service providers and to their customers. It is important to find a balance between innovation and standardization to maximize the results of all agents involved.

  6. What to listen for in the consultation

    DEFF Research Database (Denmark)

    Jensen, Christian Gaden; Elsass, Peter; Neustrup, Line

    2014-01-01

    OBJECTIVE: To analyze whether qualitative themes in breast cancer patients' self-presentations predicted symptoms of psychological distress and depression in order to improve the consultation process. METHODS: Ninety-seven breast cancer patients gave unstructured, 10-min self-presentations...... at their first consultation in a clinical registered trial (CRT identifier: NCT00990977). Self-presentations were categorized thematically and the most prevalent themes investigated as predictors for scores on the symptom check-list 90-revised (SCL-90-R) and the center for epidemiological studies depression...

  7. Minimizing the legal risk with 'curbside' consultation.

    Science.gov (United States)

    Kreichelt, Ray; Hilbert, Mary Lou; Shinn, Deidre

    2008-01-01

    "Curbside consultations"--in which a physician obtains insights on a medical case from another physician who has not seen the patient or reviewed the record--can yield advantages to the requesting physician. However, shortcomings are inherent in this common type of exchange and pose legal risk to the curbside consultant. This article provides background and practical tips that might help avoid being caught up in a lawsuit by surprise, or if named as a party, avoid being held culpable when the only involvement was a brief conversation with a colleague.

  8. Mental Health Consultation Among Ontario's Immigrant Populations.

    Science.gov (United States)

    Islam, Farah; Khanlou, Nazilla; Macpherson, Alison; Tamim, Hala

    2017-11-16

    To determine the prevalence rates and characteristics of past-year mental health consultation for Ontario's adult (18 + years old) immigrant populations. The Canadian Community Health Survey (CCHS) 2012 was used to calculate the prevalence rates of past-year mental health consultation by service provider type. Characteristics associated with mental health consultation were determined by carrying out multivariable logistic regression analysis on merged CCHS 2008-2012 data. Adult immigrant populations in Ontario (n = 3995) had lower estimated prevalence rates of past-year mental health consultation across all service provider types compared to Canadian-born populations (n = 14,644). Amongst those who reported past-year mental health consultation, 57.89% of Ontario immigrants contacted their primary care physician, which was significantly higher than the proportion who consulted their family doctor from Canadian-born populations (45.31%). The factors of gender, age, racial/ethnic background, education level, working status, food insecurity status, self-perceived health status, smoking status, alcohol drinking status, years since immigration, and age at time of immigration were significantly associated with past-year mental health consultation for immigrant populations. Ontario's adult immigrant populations most commonly consult their family doctor for mental health care. Potential exists for expanding the mental health care role of primary care physicians as well as efforts to increase accessibility of specialized mental health services. Integrated, coordinated care where primary care physicians, specialized mental health professionals, social workers, and community educators, etc. working together in a sort of "one-stop-shop" may be the most effective way to mitigate gaps in the mental health care system. In order to effectively tailor mental health policy, programming, and promotion to suit the needs of immigrant populations initiatives that focus on

  9. Guidelines for Education and Training at the Doctoral and Postdoctoral Levels in Consulting Psychology/Organizational Consulting Psychology

    Science.gov (United States)

    American Psychologist, 2007

    2007-01-01

    The purpose of these "Guidelines for Education and Training at the Doctoral and Postdoctoral Levels in Consulting Psychology/Organizational Consulting Psychology" is to provide a common framework for use in the development, evaluation, and review of education and training in consulting psychology/organizational consulting psychology (CP/OCP). The…

  10. The impact of the law on consultation practices and purpose: A case study of Aboriginal cultural heritage consultations in NSW

    Directory of Open Access Journals (Sweden)

    Kylie Lingard

    2012-08-01

    Full Text Available Consultation research to date has largely concentrated on how consultation practices generally serve only the purpose of procedural compliance. This article identifies and explores the gap in existing research on the impact of law on consultation practices and purposes. To explore current practices and the potential contribution of law to the nature of consultation practices, the article focuses on the NSW duty to consult Aboriginal people before permitting harm to Aboriginal cultural heritage. Conventional regulatory approaches to consultation assume that Aboriginal interests are accommodated by the same consultation strategies applied to other stakeholders in rural law and policy. This article uses an administrative law doctrinal research approach to identify the specific issues and requirements for Aboriginal consultation relating to cultural heritage. Consideration is given to the effectiveness of the case study consultation requirements, the duty design, and the recent Land and Environment Court judgment of Ashton Coal Operations Pty Limited v Director-General, Department of Environment, Climate Change and Water. The article argues that statutory consultation requirements and purposes can, and should, be taken more seriously. The law reform discussion highlighted in the paper considers how identified consultation requirements can be incorporated into Australian Cultural Heritage legislation, and the possible impact of such incorporation on the purpose of the consultation. More broadly, the law reform discussion indicates that when consultation requirements are tailored to suit the purpose of the consultation and the consultation parties, the law can play a positive role in consultation, engagement and capacity building.

  11. Department of Training and Consulting - Overview

    International Nuclear Information System (INIS)

    Dobrzynski, L.

    2009-01-01

    Full text: The Department of Training and Consulting regularly serves secondary schools pupils and teachers, university students and the public. Almost 6600 visitors, mainly students from secondary schools in Poland, visited the Department. In addition to regular lectures, demonstrations, visits to the reactor MARIA and two current exhibitions (on nuclear waste and the WWER reactor model), several laboratory experiments have been organized for secondary schools. A one-day summer workshop on '' Basics of nuclear radiation, its properties and use in science, technology and medicine '' offered secondary school teachers a general understanding of the problems connected with radioactivity. The Department is constantly developing experiments that can be conducted by students of secondary schools and universities, as well as by professionals. At the moment, there are about 25 experiments available for the guests of the Department. They cover the measurement of lifetimes, essential elements of radioprotection, absorption of radiation in various materials, excitation of fluorescence radiation, influence of magnetic fields on beta radiation as well as on electrons emitted from a typical electron gun, Compton scattering and elements of gamma spectroscopy, search for radioactive pollutions etc. Three experiments were modernized to enable them to be conducted over the Internet. This project is a bit delayed but should be finished by the end of April 2009. For the third time the Department organized (together with the Institute of Physics of the Polish Academy of Sciences, Warsaw) '' The Physical Pathways '' competition for secondary school students. The students could choose one of three possibilities (even all of them): either to submit a scientific paper, to present a demonstration of a physical phenomenon, or to write an essay on the connection between physics and the development of civilization. They could also submit work prepared by a team of up to three persons. The

  12. Quality Management in Project Management Consulting. A Case Study in an International Consulting Company

    Directory of Open Access Journals (Sweden)

    Eduard-Gabriel Ceptureanu

    2017-02-01

    Full Text Available The present paper addresses quality management from the specific perspective of project management consulting service providers, in the framework of large infrastructure projects. Because of their supposed superiority in knowledge and experience, project management consultants have an ultimate responsibility for the proper implementing of the project. Therefore, quality management in consulting organizations should focus on critical success factors. As there is no consensus yet regarding the most important aspects of the consulting activity on which depend the achievement of the project aims, there is scope for further investigating this subject. Here, the case of a project management consulting organization involved in large infrastructure projects in Romania, Bulgaria, Moldova, Ukraine and Serbia is analyzed. Data collected through a questionnaire-based survey among international consultants and support personnel suggest that factors related to leadership style and communication skills are more closely tied to the success of the project than more technical aspects. The results constitute an empirical evidence of main success factors for specialized consulting services in project management and can be useful in improving business and project performance and achieving business excellence.

  13. Three models of child abuse consultations: A qualitative study of inpatient child abuse consultation notes.

    Science.gov (United States)

    Keenan, Heather T; Campbell, Kristine A

    2015-05-01

    Child abuse pediatricians have multiple roles in caring for abused children, including prevention, diagnosis, treatment, and, when needed, expert legal opinion. The child physical abuse consultation differs from the traditional medical consultation in that it has medical, investigative and legal audiences, all of whom have different information needs. How child abuse pediatricians approach their cases and how they document their initial inpatient consultations that will be used by such a diverse audience is currently unexplored. We used content analysis to examine 37 child physical abuse consultation notes from a national sample of child abuse pediatricians in order to understand physicians' approaches to these consultations. Three commonly used models of child physical abuse consultation were identified in the data that we named the base model, the investigative model, and the family-dynamic model. While model types overlap, each is distinguished by key features including the approach used to gather information, the information recorded, and the language used in documentation. The base model most closely mirrors the traditional medical approach; the investigative model concentrates on triangulation of sources of information; and, the family-dynamic model concentrates on physician perceptions of family relationships. The three models of consultations for child physical abuse mirror the areas of child abuse pediatrics: diagnostic, forensic and therapeutic. These models are considered in relationship to best practice from other medical specialties with forensic components. Copyright © 2014 Elsevier Ltd. All rights reserved.

  14. MULTIMEDIA VIDEO-CONSULTATIONS USING IN FORMING INFORMATIVE COMPETENCE OF FUTURE ECONOMISTS

    Directory of Open Access Journals (Sweden)

    M. Sherman

    2014-04-01

    Full Text Available In the article modern presentations in relation to a structure and semantic filling of components of informative competence of future economists are analysed, placed in professional sources. The necessity of development of program tools of evident and consultative purpose, suitable for the high-quality capture by future economists by new program tools of educational and professional purpose in the conditions of the limited time, is grounded. By comparison of basic possibilities of freely expandable computer tools of creation of videos-consultations the program tool of creation of dynamic videos-consultations proper to the subject of the educational discipline «Informative systems and technologies» is select, which is foreseen by the curriculum of professional preparation of future economists. The separate standards of videos-consultations are developed and experimental verification of functioning of these program tools is carried out. In the process of pedagogical experiment were explored and compared the generalized indexes of educational progress – middle mark and coefficient of quality of educational progress of students on the most difficult themes of discipline the «Informative systems and technologies» in control and experimental groups. In the process of statistical data analysis, got as a result of pedagogical experiment, the indexes of descriptive statistics and criterion were calculated, what conclusions in relation to efficiency and fitness of the developed videos-consultations to the use in the system of forming of informative competence of future economists are formulated on the basis of.

  15. Samaru Journal of Information Studies Vol.9 (1)2009 Consultancy ...

    African Journals Online (AJOL)

    consultancy as a suitable employment option for graduates of library and information science. Introduction ... implementing a major project may need additional ... Hinged on the internet and the World Wide Web, the information management are being revolutionized by the flexibility, speed and variety of the new technology.

  16. Agricoltura di precisione: l’impegno di ALPHA Consult in Europa e Africa

    Directory of Open Access Journals (Sweden)

    Claudia Maltoni

    2018-01-01

    Nevertheless, the uptake of such sophisticated technologies necessarily entails a number of costs. In this sense, the benefits of precision agriculture must be coherent with the expenditure incurred by farmers in introducing them. In this context, throughout different projects, ALPHA Consult's work and expertise appears crucial to investigate such coherence for the major players in the agricultural sector, in particular in Europe and Africa.

  17. 40 CFR 93.105 - Consultation.

    Science.gov (United States)

    2010-07-01

    ... Implementation Plans of Transportation Plans, Programs, and Projects Developed, Funded or Approved Under Title 23... EPA with MPOs, State departments of transportation, and DOT in developing applicable implementation...) through (e) of this section. Public consultation procedures will be developed in accordance with the...

  18. The representations of adolescents about gynecological consultation

    Directory of Open Access Journals (Sweden)

    Vera Lúcia de Oliveira Gomes

    2014-06-01

    Full Text Available Objective: To analyze the social representation of adolescents about gynecological consultation and the influence of those in searching for consultations. Method: Qualitative descriptive study based on the Social Representations Theory, conducted with 50 adolescents in their last year of middle school. The data was collected between April and May of 2010 by Evocations and a Focal Group. The software EVOC and contextual analysis were used in the data treatment. Results: The elements fear and constraint, constant in the central nucleus, can justify the low frequency of adolescents in consultations. The term embarrassment in the peripheral system reinforce current sociocultural norms, while prevention, associated with learning about sex and clarifying doubts, allows to envision an educative function. Obtained testimonies in the focal groups exemplify and reinforce those findings. Conclusion: For an effective health education, professionals, including nurses, need to clarify the youth individually and collectively about their rights to privacy, secrecy, in addition to focus the gynecological consultation as a promotion measure to sexual and reproductive health.

  19. Arriving at the postmodern medical consultation.

    NARCIS (Netherlands)

    Elwyn, G.

    2004-01-01

    The analysis of the medical consultation is characterised by mainly prescriptive attempts to recommend 'best practice'. As the role of the individual in society has gained prominence, the power relationships in medical practice have had to change to reflect the increasing recognition of autonomy and

  20. 76 FR 18583 - Draft Tribal Consultation Policy

    Science.gov (United States)

    2011-04-04

    ... drug-related crime, violence, and disease. In addition to its leadership role in developing and..., reduce drug-related crime, violence, and disease. In addition to its leadership role in developing and... organizations, and urban Indian organizations. ONDCP's tribal consultation activities will support Indian self...

  1. The PLAN Classroom. A Guide for Consultants.

    Science.gov (United States)

    1969

    This document is a guide for consultants observing teacher behavior, its effects on students, and learning environment conditions in a PLAN (Program for Learning in Accordance with Needs) classroom. (Appended are a series of 27 questions and answers which describe PLAN, an individualized, computer-assisted instructional system initially operating…

  2. Full Circle Program's Family Consulting Services.

    Science.gov (United States)

    Administration for Children, Youth, and Families (DHHS), Washington, DC.

    In 1989-90, Full Circle Program's Family Consulting Services (FCS) staff provided family reunification services to 50 children and their families in San Francisco and Marin counties. Staff members developed individualized treatment strategies for each family, acting as advocates for the needs of the child. These services included medical and…

  3. 18 CFR 16.8 - Consultation requirements.

    Science.gov (United States)

    2010-04-01

    ... influence the financial (e.g., instream flow study) or technical feasibility of the project (e.g., study of... project operation or modify project facilities. (2) If, after the end of the first stage of consultation... Office of Energy Projects determines under paragraph (b)(5) of this section either that the study or...

  4. 18 CFR 4.38 - Consultation requirements.

    Science.gov (United States)

    2010-04-01

    ... feasibility of the project (e.g., study of potential mass soil movement); or (B) Are needed to determine the... enhancement measures (e.g., post-construction monitoring studies), or would be used to refine project operation or modify project facilities. (2) If, after the end of the first stage of consultation as defined...

  5. Psychoanalytic School Consultation: A Collaborative Approach

    Science.gov (United States)

    Kerzner, Stephen

    2009-01-01

    This article describes a psychoanalytic consultation model to an independent grade 7-12 school that offers a practical and efficient approach to improve school climate. This model may stand alone or complement other approaches, and it can be implemented in both independent and public school settings. It focuses not only on "at risk" students,…

  6. 77 FR 13338 - Tribal Consultation Meetings

    Science.gov (United States)

    2012-03-06

    ..., Public Law 110-134, notice is hereby given of one-day Tribal Consultation Sessions to be held between the... American Indian and Alaska Native children and their families, taking into consideration funding... consideration funding allocations, distribution formulas, and other issues affecting the delivery of Head Start...

  7. 78 FR 11891 - Tribal Consultation Meeting

    Science.gov (United States)

    2013-02-20

    ... Law 110-134, notice is hereby given of two 1-day Tribal Consultation Sessions to be held between the... American Indian and Alaska Native children and their families, taking into consideration funding... families, taking into consideration funding allocations, distribution formulas, and other issues affecting...

  8. 77 FR 5027 - Tribal Consultation Meetings

    Science.gov (United States)

    2012-02-01

    ..., Public Law 110-134, notice is hereby given of a one-day Tribal Consultation Session to be held between... American Indian and Alaska Native children and their families, taking into consideration funding... the needs of American Indian and Alaska Native children and families, taking into consideration...

  9. 76 FR 48865 - Tribal Consultation Meetings

    Science.gov (United States)

    2011-08-09

    ..., Public Law 110-134, notice is hereby given of one-day Tribal Consultation Sessions to be held between the... American Indian and Alaska Native children and their families, taking into consideration funding... meeting the needs of American Indian and Alaska Native children and families, taking into consideration...

  10. 78 FR 57858 - Tribal Consultation Meeting

    Science.gov (United States)

    2013-09-20

    ... Law 110-134, notice is hereby given of two 1-day Tribal Consultation Sessions to be held between the... American Indian and Alaska Native children and their families, taking into consideration funding... Native children and families, taking into consideration funding allocations, distribution formulas, and...

  11. 77 FR 19020 - Tribal Consultation Meeting

    Science.gov (United States)

    2012-03-29

    ... Law 110-134, notice is hereby given of a one-day Tribal Consultation Session to be held between the... needs of American Indian and Alaska Native children and their families, taking into consideration... children and families, taking into consideration funding allocations, distribution formulas, and other...

  12. Expectation Levels in Dictionary Consultation and Compilation*

    African Journals Online (AJOL)

    Abstract: Dictionary consultation and compilation is a two-way engagement between two par- ties, namely a dictionary user and a lexicographer. How well users cope with looking up words in a Bantu language dictionary and to what extent their expectations are met, depends on their con- sultation skills, their knowledge of ...

  13. School Neuropsychology Consultation in Neurodevelopmental Disorders

    Science.gov (United States)

    Decker, Scott L.

    2008-01-01

    The role of school psychologists with training in neuropsychology is examined within the context of multitiered models of service delivery and educational reform policies. An expanded role is suggested that builds on expertise in the assessment of neurodevelopmental disorders and extends to broader tiers through consultation practice. Changes in…

  14. 78 FR 20658 - Tribal Consultation Meeting

    Science.gov (United States)

    2013-04-05

    ... 9, 2013--Green Bay, Wisconsin--Radisson Hotel & Conference Center, 2040 Airport Drive, Green Bay, WI 54313; and Friday, July 26, 2013--Tulsa, Oklahoma--Renaissance Tulsa Hotel & Convention Center, 6808 S... of concern and recommendations. Hotel and logistical information for the Consultation Session has...

  15. Organizational design approaches in management consulting

    NARCIS (Netherlands)

    Visscher, Klaasjan; Visscher-Voerman, Irene

    2010-01-01

    Purpose: The purpose of this paper is to map the variety in organizational design approaches, to clarify their differences, and to find out what constitutes good designing in practice. - Design/methodology/approach: A series of in-depth interviews with experienced, high-reputation consultants is

  16. 34 CFR 300.134 - Consultation.

    Science.gov (United States)

    2010-07-01

    ... private school children with disabilities during the design and development of special education and... 34 Education 2 2010-07-01 2010-07-01 false Consultation. 300.134 Section 300.134 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND...

  17. 34 CFR 200.63 - Consultation.

    Science.gov (United States)

    2010-07-01

    ... 34 Education 1 2010-07-01 2010-07-01 false Consultation. 200.63 Section 200.63 Education Regulations of the Offices of the Department of Education OFFICE OF ELEMENTARY AND SECONDARY EDUCATION, DEPARTMENT OF EDUCATION TITLE I-IMPROVING THE ACADEMIC ACHIEVEMENT OF THE DISADVANTAGED Improving Basic...

  18. Delivering an MBA Management Consulting Experience

    Science.gov (United States)

    LeMaire, Ryan; Fisher, Kirk; Watson, Edward F., III

    2017-01-01

    This article reports on an innovative MBA elective consulting course that attempts to address how to better prepare inexperienced MBA students for a competitive job market. This article is a best practice paper designed to provide insights and encouragement to educators.

  19. Developing Critical Thinking through Student Consulting Projects

    Science.gov (United States)

    Canziani, Bonnie; Tullar, William L.

    2017-01-01

    The authors present survey results from faculty at 44 universities on the role of student consulting projects in developing business students' critical thinking. They conclude that students can improve critical thinking by engaging in guided primary and secondary research to inform their business assumptions that underpin business planning and…

  20. The Writing Consultation: Developing Academic Writing Practices

    Science.gov (United States)

    Murray, Rowena; Thow, Morag; Moore, Sarah; Murphy, Maura

    2008-01-01

    This article describes and analyses a specific mechanism, the writing consultation, designed to help academics to prioritise, reconceptualise and improve their writing practices. It makes the case for its potential to stimulate consideration of writing practices and motivations, a possible precondition for creating time for writing in academic…

  1. A Consultation Model to Facilitate Reading Success

    Science.gov (United States)

    Lilles, Elena; Griffiths, Amy-Jane; Lee, Allison; Cardenas, Santiago; Chacko, Yasmin; Jimerson, Shane R.

    2008-01-01

    Poor reading ability is associated with numerous negative consequences. School psychologists should provide teachers with resources and support to improve student reading ability and prevent these negative outcomes. This paper offers a guide for school psychologists to use in the consultation process when working with teachers to address students'…

  2. Counselor-Consultant As Quasi-Ombudsman

    Science.gov (United States)

    Koltveit, Thomas H.

    1973-01-01

    The secondary school counselor, as quasi-ombudsman, differentiates between the role of counselor as consultant (where the counselor's primary task is to aid the individual to develop strength to resolve personal difficulties himself) and role of counselor as ombudsman (where the counselor can go over the head of a recalcitrant teacher to correct…

  3. The guideline "consultation psychiatry" of the Netherlands Psychiatric Association.

    Science.gov (United States)

    Leentjens, Albert F G; Boenink, Annette D; Sno, Herman N; Strack van Schijndel, Rob J M; van Croonenborg, Joyce J; van Everdingen, Jannes J E; van der Feltz-Cornelis, Christina M; van der Laan, Niels C; van Marwijk, Harm; van Os, Titus W D P

    2009-06-01

    In 2008, the Netherlands Psychiatric Association authorized a guideline "consultation psychiatry." To set a standard for psychiatric consultations in nonpsychiatric settings. The main objective of the guideline is to answer three questions: Is psychiatric consultation effective and, if so, which forms are most effective? How should a psychiatric consultations be performed? What increases adherence to recommendations given by the consulting psychiatrist? Systematic literature review. Both in general practice and in hospital settings psychiatric consultation is effective. In primary care, the effectiveness of psychiatric consultation is almost exclusively studied in the setting of "collaborative care." Procedural guidance is given on how to perform a psychiatric consultation. In this guidance, psychiatric consultation is explicitly looked upon as a complex activity that requires a broad frame of reference and adequate medical and pharmacological expertise and experience and one that should be performed by doctors. Investing in a good relation with the general practitioner, and the use of a "consultation letter" increased efficacy in general practice. In the hospital setting, investing in liaison activities and an active psychiatric follow-up of consultations increased adherence to advice. Psychiatric consultations are effective and constitute a useful contribution to the patients' treatment. With setting a standard consultations will become more transparent and checkable. It is hoped that this will increase the quality of consultation psychiatry.

  4. Telemedicine consultations and medication errors in rural emergency departments.

    Science.gov (United States)

    Dharmar, Madan; Kuppermann, Nathan; Romano, Patrick S; Yang, Nikki H; Nesbitt, Thomas S; Phan, Jennifer; Nguyen, Cynthia; Parsapour, Kourosh; Marcin, James P

    2013-12-01

    To compare the frequency of physician-related medication errors among seriously ill and injured children receiving telemedicine consultations, similar children receiving telephone consultations, and similar children receiving no consultations in rural emergency departments (EDs). We conducted retrospective chart reviews on seriously ill and injured children presenting to 8 rural EDs with access to pediatric critical care physicians from an academic children's hospital. Physician-related ED medication errors were independently identified by 2 pediatric pharmacists by using a previously published instrument. The unit of analysis was medication administered. The association of telemedicine consultations with ED medication errors was modeled by using hierarchical logistic regression adjusting for covariates (age, risk of admission, year of consultation, and hospital) and clustering at the patient level. Among the 234 patients in the study, 73 received telemedicine consultations, 85 received telephone consultations, and 76 received no specialist consultations. Medications for patients who received telemedicine consultations had significantly fewer physician-related errors than medications for patients who received telephone consultations or no consultations (3.4% vs. 10.8% and 12.5%, respectively; P medications for patients who received telemedicine consultations had a lower odds of physician-related errors than medications for patients who received telephone consultations (odds ratio: 0.19, P Pediatric critical care telemedicine consultations were associated with a significantly reduced risk of physician-related ED medication errors among seriously ill and injured children in rural EDs.

  5. “How long does it take?” A mixed methods evaluation of computer-related work in GP consultations

    Directory of Open Access Journals (Sweden)

    James Hayward

    2015-12-01

    Full Text Available Background Systematic reviews have suggested that time spent on computerrelated tasks increases consultation length. However, these reviews pre-date the current ubiquitous use of computers in U.K. general practice.Objective As part of a U.K. national study of the influence of information technology (IT on the interaction between patients and healthcare professionals during consultations, we explored how IT functions affected time allocation and styles of computer use during general practitioner (GP consultations.Methods We drew on multichannel video recording of consultations and measured consultation phases and the duration of computer-related tasks. We related measures of actual time to GP’s interpretation of computer use elicited in qualitative interviews.Results Our sample included recordings of 112 consultations from 6 GPs in three practices. The computer was used for about one-third of the greater consultation. However, its use was concentrated pre- and post- the patient consultation. The workflow of consultation was exemplified through six computer use cases. Most functionality was accepted and accommodated within the consultation, though disruptive and time-consuming tasks were generally delegated to administrative staff. Recognised styles of computer use (minimal, block and conversational were apparent, but applied very flexibly by GPs according to the nature of the consultation.Conclusions In contrast to earlier reports, contemporary computer use does not appear to have lengthened consultations. GPs adopted different styles of computer use in different consultations, challenging classifications that seek to stereotype GP computer use. Designing systems that support this versatility require an understanding of the fluid application of computer use within consultation structure.

  6. [Reasons why musicians consult hand surgeons].

    Science.gov (United States)

    Nourissat, G; Chamagne, P; Dumontier, C

    2003-10-01

    Musicians occasionally consult orthopedic surgeons, particularly upper limb specialists. We wanted to learn more about the reasons why musicians attend orthopedic clinics. We analyzed retrospectively 227 case files of musicians who consulted our center between 1994 and 2001. We noted patient related factors (age, gender, musical experience, level of performance, daily practice schedule) and their reasons for consulting (pain, discomfort, advice). We studied the medical history of the patients and searched for predisposing or triggering elements. We also recorded therapeutic options proposed. Our series included 119 men (52%) and 108 women, mean age 35 years with 27 years of musical experience on the average. Instruments played were mainly the piano (41%), the violin (19%), and the guitar (15%). Patients playing wind instruments, who consult more often for ENT problems, were exceptional. On the average, the patients played their instrument 4 hours daily. One-third of the patients were high-level amateurs, one-third were professionals, and one-quarter were lower-level amateurs. There was a small proportion of soloists or professors. Two-thirds of the musicians presented disorders of the musculoskeletal system, particularly trauma sequelae. Signs of overuse were present in 18% of the patients, mainly women, signs of misuse due to inappropriate or defective technique in 8.8%, and dystonia in 5.7%. Psychological problems were noted in 4 patients. More than one half of the patients had obtained medical advice prior to consulting an orthopedic surgeon and the very large majority had been referred by specialized physical therapists. A surgical procedure was proposed for only 19% of the patients presenting an orthopedic disorder. This study presents a diversified panel of musicians consulting orthopedic surgery clinics. Practicing schedules varied in the study population from one to five hours daily. More than half the patients complained of pain but 18% consulted because

  7. Engineering Consultancy: An Assessment of IT-enabled International Delivery of Services

    DEFF Research Database (Denmark)

    Baark, Erik

    1999-01-01

    The delivery of engineering consultancy services in global markets has been dominated by a small group of firms located in Europe and the US. Like many other service industries, engineering consultants have depended on the movement of highly qualified people and establishment of local affiliates...... for rendering their services in overseas markets. However, the diffusion of new information technology (IT) and the use of advanced telecommunications have changed the patterns of production and delivery of engineering design services. This paper examines the role of IT in changing modes of internationalization...

  8. Exploring the research domain of consultant practice: Experiences of consultant radiographers

    International Nuclear Information System (INIS)

    Harris, R.; Paterson, A.

    2016-01-01

    Aim: This paper reports on one part of a larger study. The aim of the overall study was to explore what the core domain of research means to consultant radiographers in clinical practice and to identify the key factors that facilitate or hinder research activity by this staff group. Design and method: Grounded theory research methodology was employed. This second part of the study involved telephone interviews with twenty five consultant radiographers. Results: Results indicate there are variations across clinical specialties as to the amount and level of research undertaken by consultant radiographers. The principal barriers revealed were: lack of time; excessive clinical workload; lack of skills and confidence to undertake research; poor research culture; and lack of support. The main facilitators noted were: dedicated time, research training and up-skilling; mutually beneficial collaborations; managerial understanding of the research domain of the role; and research focussed on clinical demand. Conclusion: Fulfilling the clinical role is imperative and integral to the profession at consultant level; however, if it is undertaken to the detriment of the other domains then these practitioners may not be operating at ‘consultant’ level. Overall improvements must be made to ensure that the consultant radiographer role is delivering on current expectations and is safeguarded for the future of the next generation of radiographers. - Highlights: • Consultant radiographers undertake research but have concerns about their research skills. • Research aims to improve practice and patients' experiences. • Relatively few consultant radiographers publish their work regularly. • Consultant radiographers allocate little protected time for research due to clinical demands.

  9. On becoming a consultant: a study exploring the journey to consultant practice

    OpenAIRE

    Henwood, Suzanne; Booth, Lisa

    2016-01-01

    Background: This paper reports a qualitative study exploring the establishment of non-medical consultant roles in Radiography. Given the difficulties reported in recruiting and retaining staff in these posts, we hope this paper offers a historical documentation of those consultants who were some of the first in post, sharing their stories of how they obtained and transitioned into their roles.\\ud \\ud Methods: This paper is part of a two year case study exploring the leadership domain of consu...

  10. Audit of the consultation process on general internal medicine services.

    Science.gov (United States)

    Conley, J; Jordan, M; Ghali, W A

    2009-02-01

    To determine the proportion of consultations requested by general internal medicine services that communicate key components of the consultation process to medical subspecialists. Retrospective chart review by two researchers, using a standardised chart abstraction instrument (93.1% agreement, kappa 0.85). Calgary, Alberta, Canada. A random sample of medical consultations was selected from those generated on two medical teaching units (MTUs) from 2003 to 2004. The primary measure of interest was whether a "clear clinical question" was posed to the subspecialist, a binary variable. Two hundred consultations were sampled from the 2885 subspecialty consultations. Of the selected consultations, 94.0% (188/200) were available for review. A clear clinical question was posed in 69.7% (131/188) of consultations (CI 0.63 to 0.74). In a secondary analysis involving a larger sample permitting comparison across subspecialties, 95.1% (368/387) of the consultations, representative of the subspecialties, were available for review. An MTU member contacted the subspecialist for 74.2% of consultations. If a consultation was urgent, a member of the MTU contacted the subspecialist in 81.0% of consultations. Of these urgent consultations, 63.3% had a clear clinical question. More than one in four consultations does not contain a clear clinical question, illustrating suboptimal communication between physicians. Innovative strategies that provide a sustainable solution for overcoming barriers to communication could have a significant impact on quality of care.

  11. Negotiating exceptions to clients' problem discourse in consultative dialogue.

    Science.gov (United States)

    Strong, Tom; Pyle, Nathan R

    2012-03-01

    The purpose of this qualitative study was to examine how consultants negotiated exceptions to clients problem or aspiration discourse in lifestyle consultations held for research purposes. Participants from a university campus (students and employees) were recruited for 1-hr lifestyle consultations with therapist consultants having graduate training and supervision in narrative and solution-focused therapy. The consultations were held with the expectation that consultants would, at least once, invite discussions of exceptions in client's problem or aspiration discourse. We wanted to understand how such discussions were initiated and brought to conclusion by examining client and consultants use of conversational practices. Twelve volunteer 'clients' participated in consultations with our six volunteering consultants. These consultations were videotaped then passages were selected where consultants initiated exception discussions with the clients involved. The 18 selected passages were discursively analyzed for general rhetorical features evident in those passages, and three passages were transcribed and analyzed using conversation analysis to make evident more specific rhetorical features of exception discussions, as they were engaged in by consultants and clients. Ten general features of exception discussions were highlighted and the more specific conversational analyses revealed a 'messiness' that was related to how exception discussions were introduced and negotiated as a novel discourse in the consultations. We discuss our findings in the context of therapists' use of exception questions and discussions in therapy and highlight particular conversational practices and sensitivities relevant to engaging clients in such exception discussions. ©2011 The British Psychological Society.

  12. Nuclear fuel waste disposal. Canada's consultative approach

    International Nuclear Information System (INIS)

    Hillier, J.A.R.; Dixon, R.S.

    1993-01-01

    Over the past two decades, society has increasingly demanded more public participation and public input into decision-making by governments. Development of the Canadian concept for deep geological disposal of used nuclear fuel has proceeded in a manner that has taken account of the requirements for social acceptability as well as technical excellence. As the agency responsible for development of the disposal concept, Atomic Energy of Canada Limited (AECL) has devoted considerable effort to consultation with the various publics that have an interest in the concept. This evolutionary interactive and consultative process, which has been underway for some 14 years, has attempted to keep the public informed of the technical development of the concept and to invite feedback. This paper describes the major elements of this evolutionary process, which will continue throughout the concept assessment and review process currently in progress. (author)

  13. Department of Training and Consulting: Overview

    International Nuclear Information System (INIS)

    Dobrzynski, L.

    2004-01-01

    Full text: The department of Training and Consulting is regularly serving secondary schools' pupils and teachers, university students and the public. The year 2003 set up a new record: the Department accepted a bout 7000 visitors, about 2000 more than during 2002. A truly great event was the opening of the permanent exhibition displaying the model of nuclear power plant originally planned to be built in Zarnowiec near Gdansk. The opening was combined with a short symposium on the ''Nuclear Physics and Technology - Today and Tomorrow's Social Education in European Union''. The opening was visited by many prominent guests from Polish Atomic Agency, local governments, universities and institutes. In addition, the Department participated in the organization of a symposium dedicated to the 100 th Anniversary of the first Nobel Prize awarded to Marie Curie-Sklodowska. This was also an occasion for a small exhibition based on photographs and exhibits borrowed from the Maria Curie-Sklodowska Museum in Warsaw, which was co-organiser of the symposium. The main organizer and proposer of the symposium was a social organization, the Interschool Committee of Promotion of the Educational Undertakings ''Europe 2000'', which promotes educational initiatives for the youth from Otwock, a town near to Swierk. It was our pleasure that our Department was chosen as the place for the organization of this symposium in which the best pupils, local authorities from Otwock, and sponsors of the activity of the aforementioned group were present. On the 15 th of October we celebrated the 5 th anniversary of our educational activity that started with the opening of the exhibition on ''Nuclear wastes: problems, solutions''. The exhibition is still displayed and attracts attention. It is a real pleasure to see how much the interest in our activity has grown through all those years. On the other hand, the educational efforts of the Department turned out to be worth our labor: in the all

  14. Expanding the role of the iPad and tablet devices to cosmetic patient consultations.

    Science.gov (United States)

    Wang, Jing; Hsu, Jeffrey T S; Bhatia, Ashish C

    2012-09-01

    The iPad is a useful reference tool for patient education in cosmetic consultations. In this article, we plan to (1) discuss how the iPad can be implemented and used by patients and physicians in consultations, (2) compare the advantages and disadvantages of the iPad with other forms of technology, (3) discuss the optimal way of using the iPad for patient care, (4) see how this tool complies with privacy regulations, and (5) look at other uses of the iPad in the patient care setting. There has been positive feedback from both patients and physicians regarding the addition of the tablet computer during consultations. In addition to showing patients pictures of cosmetic procedures, the iPad also has various multimedia capabilities such as videos and drawing tools that are useful in optimizing patient satisfaction, increasing clinical efficacy, and improving the overall patient experience. Copyright © 2012. Published by Elsevier Inc.

  15. Users enlist consultants to calculate costs, savings

    Energy Technology Data Exchange (ETDEWEB)

    1982-05-24

    Consultants who calculate payback provide expertise and a second opinion to back up energy managers' proposals. They can lower the costs of an energy-management investment by making complex comparisons of systems and recommending the best system for a specific application. Examples of payback calculations include simple payback for a school system, a university, and a Disneyland hotel, as well as internal rate of return for a corporate office building and a chain of clothing stores. (DCK)

  16. Affections rhumatologiques du sujet age en consultation ...

    African Journals Online (AJOL)

    Le "sujet âgé" répondait à la définition de l'Organisation mondiale de la Santé. Résultats: 768 (10,31%) patients âgés de plus de 65 ans ont été recrutés ... Mots clés: Affections rhumatologiques ; Sujet âgé ; Afrique Noire. English Title: Rheumatological disorders of the elderly in a rheumatologic consultation in Lome (Togo).

  17. The Application of Cognitive Dissonance Theory to Consultation.

    Science.gov (United States)

    Hughes, Jan N.

    1983-01-01

    Summarizes aspects of cognitive dissonance theory (theory that predicts when a particular persuasive attempt will be successful) that are most relevant to consultation. Reviews the corresponding experimental support and suggests practical applications of dissonance research and theory to consultation. (LLL)

  18. Can audio recording improve patients' recall of outpatient consultations?

    DEFF Research Database (Denmark)

    Wolderslund, Maiken; Kofoed, Poul-Erik; Axboe, Mette

    Introduction In order to give patients possibility to listen to their consultation again, we have designed a system which gives the patients access to digital audio recordings of their consultations. An Interactive Voice Response platform enables the audio recording and gives the patients access...... to replay their consultation. The intervention is evaluated in a randomised controlled trial with 5.460 patients in order to determine whether providing patients with digital audio recording of the consultation affects the patients overall perception of their consultation. In addition to this primary...... objective we want to investigate if replay of the consultations improves the patients’ recall of the information given. Methods Interviews are carried out with 40 patients whose consultations have been audio recorded. Patients are divided into two groups, those who have listened to their consultation...

  19. Services of strategic consulting: special features and types

    Directory of Open Access Journals (Sweden)

    Klenin Oleh Volodymyrovych

    2016-09-01

    Full Text Available In the article essence of terms “consulting” and “strategic consulting” was studied. It was proved that strategic consulting must be analyzed as professional activity in the system of enterprise strategic management. Specific features of consultative services and its composition was added from the point of view of strategic management and innovative development were studied. In the process of providing consulting services it was suggested to take into account the strategic orientation of human capital of consulting company that was accepted to determine as professional actions of consultants. It was found out main problems that could prevent stable activity of industrial enterprises. It was proved necessity of researches concerning authentication factors of industrial enterprises innovative development and the role of consulting company in its decision making. It was made review of the most widespread classifications of consulting services. Was shown author`s view concerning forming more demanded services of strategic consulting by subject basis.

  20. Exploring employment in consultation reports of patients with neuromuscular diseases

    NARCIS (Netherlands)

    Minis, M.A.H; Cup, E.H.C.; Heerkens, Y.H.; Engels, J.A.; Engelen, B.G.M. van; Oostendorp, R.A.B.

    2012-01-01

    Minis MA, Cup EH, Heerkens YF, Engels JA, van Engelen BG, Oostendorp RA. Exploring employment in consultation reports of patients with neuromuscular diseases. OBJECTIVES: To explore consultation reports for patient and employment characteristics and recommendations on employment regarding patients

  1. Communication in the initial paediatric consultation.

    Science.gov (United States)

    van Dalen, Jan; van den Eertwegh, Valerie

    2013-12-01

    The first time a paediatrician meets with a patient, either with or without parents or caretakers, there are generally two aims with this consultation. Aside from exchanging relevant information for diagnosis, a relationship develops. This relationship is an important factor in the encounter: it can facilitate or impede collaboration between the partners in the consultation. The paediatrician can influence this relationship so that it becomes beneficial in the diagnostic process and in creating a collaborative atmosphere in the consultation, which in turn will prove useful for adherence. This paper addresses this second aim: how can we use the relationship between the patients (with or without parents) and their doctors to enhance the quality and effectiveness of the encounter. Below we will first address why investing in a relationship is beneficial. Next we will describe how this can be done. The review will continue with a discussion of three important pitfalls and how to avoid them, and a small epilogue will provide a brief summary. Copyright © 2013 Elsevier Ltd. All rights reserved.

  2. A report on the green plan consultations

    International Nuclear Information System (INIS)

    1990-08-01

    This document is a summary of what Canadians who participated in the consultations had to say about environmental issues and concerns; the solutions, roles and responsibilities, and priorities for action. It is based on detailed reports from 41 information sessions and 17 consultation workshops held across Canada. It is based on some 3,000 pages of comments and suggestions, an analysis of 4,500 question response forms, and written submissions from more than 1,000 individuals and organizations. The report is organized into two sections: improving decision making; and, action on environmental issues. The first section deals with science, education, enforcement, decision-making processes and partnerships. The second section deals with specific environmental issues identified in the consultation document, such as global warming and toxic substances, and other publicly identified issues, including energy and land use. Suggestions for further consideration represent possible policy, program and legislative elements of 'The Green Plan'. They are intended as a basis for a more focused debate which will help in the establishment of priorities

  3. Virtual slides: application in pulmonary pathology consultations.

    Directory of Open Access Journals (Sweden)

    Michał Wojciechowski

    2008-02-01

    Full Text Available The Virtual Slide (VS is an interactive microscope emulator that presents a complete digitized tissue section via the Internet. A successful implementation of VS has been observed for educational, research venues and quality control. VS acquisition for consultative pathology is not so common. The purpose of this study was to explore the efficacy and usability of VS in the consultative pulmonary telepathology. 20 lung tumors entered the study. The performance was programmed for 2 medical centers specialized in pulmonary pathology (beginner and advancer in telepathology. A high-quality VSs were prepared by Coolscope (Nikon, Eclipsnet VSL, Japan, and were evaluated via the Internet. The cases were reviewed for the second time with conventional light microscope. VS diagnostic accuracy and the interobserver variability were evaluated. Also the time taken by examiners to render the diagnoses and time needed to scan the microscopic slide were analyzed. Percentage concordance between original glass-slides diagnosis and diagnosis for VSs was very high. Pathologists found the download speed of VSs adequate; experience in telepathology reduced the time of VS diagnosis. VS implementation suggests advantages for teleconsulation and education but also indicate some technical limitations. This is the first Polish trial of VS implementation in telepathology consultative service.

  4. 75 FR 62369 - Technology Innovation Program Advisory Board

    Science.gov (United States)

    2010-10-08

    ... business, research, science and technology, engineering, education, and management consulting. The purpose... Program Advisory Board AGENCY: National Institute of Standards and Technology, Department of Commerce. ACTION: Notice of public meeting. SUMMARY: The Technology Innovation Program Advisory Board, National...

  5. The uses and implications of standards in general practice consultations

    DEFF Research Database (Denmark)

    Lippert, Maria Laura; Reventlow, Susanne; Kousgaard, Marius Brostrøm

    2017-01-01

    Quality standards play an increasingly important role in primary care through their inscription in various technologies for improving professional practice. While ‘hard’ biomedical standards have been the most common and debated, current quality development initiatives increasingly seek to include...... was observed among general practitioners who strictly adhered to the procedural standards on the interactional aspects of care. Thus, when allowed to function as an overall frame for consultations, those standards supported adherence to general recommendations regarding which elements to be included in chronic...... as manifestations of an inherent conflict between principles of patient-centredness and formal biomedical quality standards. However, this study suggests that standards on the ‘softer’ aspects of care may just as well interfere with a clinical approach relying on situated and attentive interactions with patients....

  6. Consultative committee on ionizing radiation: Impact on radionuclide metrology

    International Nuclear Information System (INIS)

    Karam, L.R.; Ratel, G.

    2016-01-01

    In response to the CIPM MRA, and to improve radioactivity measurements in the face of advancing technologies, the CIPM's consultative committee on ionizing radiation developed a strategic approach to the realization and validation of measurement traceability for radionuclide metrology. As a consequence, measurement institutions throughout the world have devoted no small effort to establish radionuclide metrology capabilities, supported by active quality management systems and validated through prioritized participation in international comparisons, providing a varied stakeholder community with measurement confidence. - Highlights: • Influence of CIPM MRA on radionuclide metrology at laboratories around the world. • CCRI strategy: to be the “undisputed hub for ionizing radiation global metrology.” • CCRI Strategic Plan stresses importance of measurement confidence for stakeholder. • NMIs increasing role in radionuclide metrology by designating institutions (DIs). • NMIs and DIs establish quality systems; validate capabilities through comparisons.

  7. Therapists’ Perspectives on the Effective Elements of Consultation Following Training

    OpenAIRE

    Beidas, Rinad S.; Edmunds, Julie M.; Cannuscio, Carolyn C.; Gallagher, Mark; Downey, Margaret Mary; Kendall, Philip C.

    2013-01-01

    Consultation is an effective implementation strategy to improve uptake of evidence-based practices for youth. However, little is known about what makes consultation effective. The present study used qualitative methods to explore therapists’ perspectives about consultation. We interviewed 50 therapists who had been trained 2 years prior in cognitive-behavioral therapy for child anxiety. Three themes emerged regarding effective elements of consultation: (1) connectedness with other therapists ...

  8. Industrial Buying Behavior Related to Human Resource Consulting Services

    DEFF Research Database (Denmark)

    Grünbaum, Niels Nolsøe; Hollensen, Svend; Kahle, Lynn

    2013-01-01

    of buying behavior in B2B services. Based on a comprehensive exploratory study of Danish companies’ purchases of HR consulting services, the authors provide insights into the factors that determine how Danish companies choose a consulting services supplier. Five hypotheses are developed based...... relationships with customers is one of the most important key success factors in the consulting industry. Another important result that emerged from the study is customers’ specific desire to actively participate in the production of consulting services....

  9. Consultancy and knowledge management for radioactive waste disposal. Use of external knowledge of the Asse archive

    International Nuclear Information System (INIS)

    Driftmann, Christian; Josipovic, Neven

    2015-01-01

    The booklet on consultancy and knowledge management for radioactive waste disposal - use of external knowledge of the Asse archive covers the following topics: (i) Basic principles for consulting the government by external consultants: terminology, external consultancy in the legislative process, external consultancy in the administration. (ii) External consultancy in the frame of the final repository search: external consultancy profiles, legal appraisal.

  10. Psychiatric outpatient consultation for seniors. Perspectives of family physicians, consultants, and patients / family: A descriptive study

    Directory of Open Access Journals (Sweden)

    Dendukuri Nandini

    2005-04-01

    Full Text Available Abstract Background Family practitioners take care of large numbers of seniors with increasingly complex mental health problems. Varying levels of input may be necessary from psychiatric consultants. This study examines patients'/family, family practitioners', and psychiatrists' perceptions of the bi-directional pathway between such primary care doctors and consultants. Methods An 18 month survey was conducted in an out-patient psychogeriatric clinic of a Montreal university-affiliated community hospital. Cognitively intact seniors referred by family practitioners for assessment completed a satisfaction and expectation survey following their visits with the psychiatric consultants. The latter completed a self-administered process of care questionnaire at the end of the visit, while family doctors responded to a similar survey by telephone after the consultants' reports had been received. Responses of the 3 groups were compared. Results 101 seniors, referred from 63 family practitioners, met the study entry criteria for assessment by 1 of 3 psychogeriatricians. Both psychiatrists and family doctors agreed that help with management was the most common reason for referral. Family physicians were accepting of care of elderly with mental health problems, but preferred that the psychiatrists assume the initial treatment; the consultants preferred direct return of the patient; and almost 1/2 of patients did not know what to expect from the consultation visit. The rates of discordance in expectations were high when each unique patient-family doctor-psychiatrist triad was examined. Conclusion Gaps in expectations exist amongst family doctors, psychiatrists, and patients/family in the shared mental health care of seniors. Goals and anticipated outcomes of psychogeriatric consultation require better definition.

  11. Effectiveness of oncogenetics training on general practitioners' consultation skills: a randomized controlled trial.

    Science.gov (United States)

    Houwink, Elisa J F; Muijtjens, Arno M M; van Teeffelen, Sarah R; Henneman, Lidewij; Rethans, Jan Joost; van der Jagt, Liesbeth E J; van Luijk, Scheltus J; Dinant, Geert Jan; van der Vleuten, Cees; Cornel, Martina C

    2014-01-01

    General practitioners are increasingly called upon to deliver genetic services and could play a key role in translating potentially life-saving advancements in oncogenetic technologies to patient care. If general practitioners are to make an effective contribution in this area, their genetics competencies need to be upgraded. The aim of this study was to investigate whether oncogenetics training for general practitioners improves their genetic consultation skills. In this pragmatic, blinded, randomized controlled trial, the intervention consisted of a 4-h training (December 2011 and April 2012), covering oncogenetic consultation skills (family history, familial risk assessment, and efficient referral), attitude (medical ethical issues), and clinical knowledge required in primary-care consultations. Outcomes were measured using observation checklists by unannounced standardized patients and self-reported questionnaires. Of 88 randomized general practitioners who initially agreed to participate, 56 completed all measurements. Key consultation skills significantly and substantially improved; regression coefficients after intervention were equivalent to 0.34 and 0.28 at 3-month follow-up, indicating a moderate effect size. Satisfaction and perceived applicability of newly learned skills were highly scored. The general practitioner-specific training proved to be a feasible, satisfactory, and clinically applicable method to improve oncogenetics consultation skills and could be used as an educational framework to inform future training activities with the ultimate aim of improving medical care.

  12. PREPARING THE POSITION OF PROJECT – NETWORK CONSULTANTS IN THE SYSTEM OF CONTINUOUS EDUCATION

    Directory of Open Access Journals (Sweden)

    Anastasija Nikolaevna Matukina

    2015-09-01

    Full Text Available There are a lot of new pedagogical positions in a professional field, having appeared in connection with necessity of modern pedagogical professionalism creation. One of this positions can be named «project – network consultant» and discussed as significant one. On the one hand, it’s because of an immense role that different types of educational consulting services play in modern world, and on the other hand it’s connected with the rising of network – type organizations, taking more and more important place in the way of developing teacher’s professional skills and competence. Preparing the position of project – network consultants is possible only within the frames of continuous education. In the article there is an attempt of analyzing the importance of professional position connected with project – network consulting, introducing action learning technology as a tool for creation of particular professional teacher’s competence, and presenting the experience of Nizhny Novgorod Institute of Education Development in the context of preparing the position of project – network consultants.

  13. Web-Based Depression Screening and Psychiatric Consultation for College Students: A Feasibility and Acceptability Study

    Directory of Open Access Journals (Sweden)

    Aya Williams

    2014-01-01

    Full Text Available Background. A steady rise in the prevalence of depression among college students has negatively affected student quality of life. This study investigates the feasibility and acceptability of a Web-based model, including Skype, to screen and provide psychiatric consultation to depressed college students. Methods. Students completed the 9-item Patient Health Questionnaire (PHQ-9 online; those who screened positive (PHQ-9 ≥ 10 or endorsed any level of suicidal ideation were offered Web-based psychiatric consultation using Skype. After the consultation, students filled out a 7-item satisfaction questionnaire to report on the acceptability of this Web-based method. Results. A total of 972 students consented to the online depression screening and 285 screened positive. Of those, 69 students consented and 17 students successfully completed the psychiatric consultation via Skype. Thirteen (76.4% students found the interview useful in helping them understand their depression. Fifteen (88.2% students thought that psychologists and psychiatrists could successfully see patients via videoconferencing. Conclusions. Current online technologies can provide depression screening and psychiatric consultation to college students; those who participated reported a positive experience. Future studies will need to address the low levels of participation among college students and attract students who are underserved, as well as use a videoconferencing platform that adequately protects data confidentiality.

  14. The Formation of the Model of Diagnosing the Results Implementation of of Consulting Projects for Enterprises

    Directory of Open Access Journals (Sweden)

    Kuzmin Oleh Ye.

    2017-11-01

    Full Text Available In the article the graphic-analytical model of diagnostics of results of implementation of consulting projects is formed, which allows to: take into consideration interests of participants to the project on choice of methods and methodologies of diagnosing; allocate alternative sets of business indicators for each object of impact in terms of consulting project; establish economic and non-economic criteria for evaluating the effectiveness of consulting, as well as monitoring of indicators and automated processing of diagnostic results to control deviations from the optimal values of the diagnosed project results. A structural-logical model of formation of alternative sets of indicators and choice of indicators for diagnostics of results of consulting projects has been developed. The elements of the enterprise management system have been codified to harmonize the corresponding indicators with their subsequent combination within the proposed sets. The control system objects and their elements have been allocated. The groups of indicators according to the technology of Balanced Score Card (BSC have been presented. The prospect of further research is the economic assessment of implementation of the diagnosed consulting projects, which will reveal the links between the parameters of production-economic activity and the assessment of projects, and allows choose the most significant ones.

  15. Consultancy and innovation the business service revolution in Europe

    CERN Document Server

    Wood, Peter

    2003-01-01

    Consultancy and Innovation links two important aspects of European economic development in the past thirty years: the pace of technical and management innovation, and the growing significance of technical and business consultancy. This book includes detailed studies of consultancy activities or 'knowledge intensive services' (KIS) in eight EU countries, written by national experts in the field.

  16. Consultant Jokes about Managing Uncertainty: Coping by Humor

    NARCIS (Netherlands)

    Bouwmeester, O.

    2013-01-01

    Consultants and clients who experience difficulties in coping with challenges might start making coping jokes. This might happen, for example, when facing a challenge such as managing uncertainty. A content analysis of consultants' jokes reveals that both consultants and clients apply tactics to

  17. 20 CFR 416.919t - Consultative examination oversight.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Consultative examination oversight. 416.919t... Examination § 416.919t Consultative examination oversight. (a) We will ensure that referrals for consultative... monitoring may include reviews by independent medical specialists under direct contract with SSA. (b) Through...

  18. 20 CFR 404.1519t - Consultative examination oversight.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Consultative examination oversight. 404.1519t... Examination § 404.1519t Consultative examination oversight. (a) We will ensure that referrals for consultative... monitoring may include reviews by independent medical specialists under direct contract with SSA. (b) Through...

  19. Bridging Theory and Practice: A Conceptual Framework for Consulting Organisations

    Science.gov (United States)

    Mohammed, Meca B.; Welch, Jennie; Hazle Bussey, Leslie

    2015-01-01

    A growing number of organisations are emerging as partners to districts pursuing systemic improvement. Given the critical role a consulting organisation could play in supporting system reform efforts, how does a district leader looking to establish a consulting partnership determine what characteristics in a consulting organisation may be more…

  20. The Development of Behaviorally Based Public School Consultation Services

    Science.gov (United States)

    Putnam, Robert F.; Handler, Marcie W.; Rey, Jannette; McCarty, Joseph

    2005-01-01

    This article describes the development of behavioral school care consultation services to public schools within a not-for-profit community behavioral health organization. An overview of the process of behavior consultation is presented. A description of the growth of behavioral school consultation services is outlined in regard to (a) the types of…

  1. Crisis Communication Consultation of the Federal Reserve Bank System

    Science.gov (United States)

    Chandler, Robert C.; Wallace, J. D.

    2008-01-01

    This article, designed for both consulting practitioners and academics, reveals what it is like to do a high-level and high-profile client consultancy. This consultancy was highly informed by and assumes a working knowledge of instructional communication theory, research, and methods as well as drawing upon contemporary communication scholarship…

  2. 42 CFR 493.1419 - Standard; Clinical consultant responsibilities.

    Science.gov (United States)

    2010-10-01

    ... Testing Laboratories Performing Moderate Complexity Testing § 493.1419 Standard; Clinical consultant... clinical consultation to the laboratory's clients; (b) Be available to assist the laboratory's clients in... 42 Public Health 5 2010-10-01 2010-10-01 false Standard; Clinical consultant responsibilities. 493...

  3. 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…

  4. Using Mental Health Consultation: Supporting Teachers, Children, and Families

    Science.gov (United States)

    Rubin, Lenore

    2008-01-01

    Mental health consultation can be very valuable in supporting children with behavioral difficulties and mental health issues in the classroom. Research has shown that consultation improves teacher efficacy--an important ingredient for teacher success. Consultants vary in the roles they play in child care programs. Most behavioral consultants…

  5. Advanced Technology MEMS-based Acoustic Array, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — The Interdisciplinary Consulting Corporation proposes a technological advancement of current state-of-the-art acoustic energy harvester for harsh environment...

  6. Advanced Technology MEMS-based Acoustic Array Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The Interdisciplinary Consulting Corporation proposes a technological advancement of current state-of-the-art acoustic energy harvester for harsh environment...

  7. Addressing Palliative Sedation during Expert Consultation: A Descriptive Analysis of the Practice of Dutch Palliative Care Consultation Teams.

    Directory of Open Access Journals (Sweden)

    Patrick Hoek

    Full Text Available Since palliative sedation is considered a complex intervention, consultation teams are increasingly established to support general practice. This study aims to offer insight into the frequency and characteristics of expert consultations regarding palliative sedation.We performed a retrospective analysis of a longitudinal database. This database contained all patient-related consultations by Dutch Palliative Care Consultation teams, that were requested between 2004 and 2011. We described the frequency and characteristics of these consultations, in particular of the subgroup of consultations in which palliative sedation was addressed (i.e. PSa consultations. We used multivariate regression analysis to explore consultation characteristics associated with a higher likelihood of PSa consultations.Of the 44,443 initial consultations, most were requested by general practitioners (73% and most concerned patients with cancer (86%. Palliative sedation was addressed in 18.1% of all consultations. Palliative sedation was relatively more often discussed during consultations for patients with a neurologic disease (OR 1.79; 95% CI: 1.51-2.12 or COPD (OR 1.39; 95% CI: 1.15-1.69 than for patients with cancer. We observed a higher likelihood of PSa consultations if the following topics were also addressed during consultation: dyspnoea (OR 1.30; 95% CI: 1.22-1.40, agitation/delirium (OR 1.57; 95% CI: 1.47-1.68, exhaustion (OR 2.89; 95% CI: 2.61-3.20, euthanasia-related questions (OR 2.65; 95% CI: 2.37-2.96 or existential issues (OR 1.55; 95% CI: 1.31-1.83.In conclusion, PSa consultations accounted for almost one-fifth of all expert consultations and were associated with several case-related characteristics. These characteristics may help clinicians in identifying patients at risk for a more complex disease trajectory at the end of life.

  8. Consultant nurse-consultant physician: a new partnership for patient-centred care?

    Science.gov (United States)

    Graham, Iain W

    2007-10-01

    The aim was to describe the process of role transition by an individual who has assumed the position of a consultant nurse in cardiovascular health care. The objective was to explain the 'gestalt' of being a consultant nurse and how the 'gestalt' has evolved. The development of the consultant nurse role is new, research has described the value and potential contribution of the role. The literature suggests that the role still requires further evaluation and description to be understood better. DESIGN. A free-association narrative interview method was chosen as the research design. An in depth interview, tape-recorded and analysed along with field note analysis was the method for eliciting the narrative. The analysis of the narrative reveals an emerging 'gestalt' for being a consultant nurse. Various concepts and phenomena attributable to the role are identified from the experience described. The gestalt explains the journey of the individual through an 'apprenticeship' to role attainment, whereby a new sense of professional self or 'Me' is realized. The significance of the paper lies in the analysis of the narrative and the insights it gives to help other aspirant consultant nurses. It is through the understanding of these insights that individuals could plan their own learning and development to be achieved in the role of consultant nurse. To be effective and provide effective patient care, one can argue that appropriate learning needs to take place. Those that have been appointed to the role have battled to find achievement and acceptance. These battles may be made easier to win if the role is better understood and appropriate preparation provided. Only then will the real potential of the role be realized in improved patient care outcomes.

  9. Worker expectations of occupational health consultations.

    Science.gov (United States)

    Stilz, R; Madan, I

    2014-04-01

    Worker beliefs and expectations influence their health and rehabilitation. However, little is known about worker expectations of occupational health (OH) consultations and if these are associated with their perceptions of health and work. To examine worker expectations of OH consultations, and whether the variability of worker expectations is associated with their perception of health and work and personal characteristics. A questionnaire on OH physicians' professional standards was developed from national guidance and validated by a survey of OH physicians. We explored 81 workers' expectations of professional standards along with their perception of health and work. Worker expectations were compared with the OH physician validation score. Associations of worker characteristics, their health and work perceptions and their expectations of professional standards were analysed by linear regression. Worker expectations of professional standards were lower when compared with the OH physician validation score (E = 3.9 versus 4.3, ΔE = 0.48, 95% confidence interval [CI] 0.30-0.66). Perceived manager support and work apprehension were associated with worker expectations (ΔE = 0.58, 95% CI: 0.29-0.86 for least versus most support; ΔE = 0.89, 95% CI: 0.41-1.36 for least versus highest apprehension). Job title, previous OH consultations and recovery expectations were not associated with worker expectations. Worker expectations of OH physicians' professional standards were lower than the standards set by national guidance as validated by the sampled OH physicians. Workers who felt more supported by their manager, and workers who were more apprehensive about the health impact of work had higher expectations of OH physicians' standards.

  10. Implementation of an Arranged Preventive Consultation in Danish General Practice

    DEFF Research Database (Denmark)

    Junge, Anne Gram; Kirkegaard, Pia; Thomsen, Janus Laust

    Background: In 2006 an arranged preventive consultation (0106-service) was implemented in Danish general practice. The purpose of the consultation is an attempt to improve the systematic prevention of the main chronic lifestyle diseases. Aim: This study examines the GP's experiences...... with the arranged preventive consultation with focus on facilitators and barriers in the implementation of the consultation. Material & Method: Semi-structured interviews with 10 GPs and nurses in general practice. Results & Conclusions: Economically lucrative services are not an isolated motivation for the GPs....../nurses, but must be accompanied with a basic belief in the effect of preventive consultations in general practice. The better payment of the 0106-service is used to spend more time per consultation and it makes the GPs/nurses feel rewarded for the preventive work they perform. The consultation frames a social...

  11. Ethics and lactation consultants: developing knowledge, skills, and tools.

    Science.gov (United States)

    Noel-Weiss, Joy; Walters, Gregory J

    2006-05-01

    This article studies the role of ethics in the context of the work of International Board Certified Lactation Consultants. It provides an overview of some of the main ethical approaches with the goal of contributing to the knowledge, skills, and tools required by lactation consultants. Five main sections structure the article: background, current literature, ethical theory and principles, implications for lactation consultants, and decision-making frameworks. Background about the International Board of Lactation Consultant Examiners and International Board Certified Lactation Consultants and the significance of applied ethics in their work are described. Current literature regarding ethics and lactation consultants is reviewed. Because a computer-based literature search yielded a lack of articles, ethics in nursing literature is also presented. Three main ethical theories and 5 key ethical principles are explored with a view to their implications for lactation consultants. Finally, decision-making frameworks are considered as systematic tools for making ethical decisions.

  12. SOME REFLECTIONS UPON MANAGEMENT CONSULTING AS PROFESSIONAL SERVICES

    Directory of Open Access Journals (Sweden)

    Botezat Elena

    2008-05-01

    Full Text Available Management consulting helping organizations improve their performance, primarily through the thorough analysis of existing business problems and development of plans for improvement. There is probably no activity about which the opinions are so divided as management consulting. The purpose of this paper is to make some reflections upon what role play the consulting management services as professional service to the firms and how offering these services affects the offering and delivery of other services of the firms. The study is based on an office documentation research within consulting firms and resources. The approach tries to be critical and reflective, examines different consulting roles by developing a typology. The purpose is to aware of these professional services young business people. The FAQ of this service are: “How to choose the best consultant?” and “Why did fail consultant?”.

  13. Selecting a healthcare consultant, Part I: How to get started.

    Science.gov (United States)

    Scheuerman, J L; Smith, V A

    1991-01-01

    Janet L. Scheuerman and Vaughan A. Smith outline the factors that determine why and when consulting services are appropriate, presenting an overview of the initial steps in consultant selection. The expertise of a consultant is often needed for specialized problems, problems needing immediate assessment, drastic rescue situations, difficulties that defy standard solutions, and changes in the regulatory and competitive environment. Many organizational and planning issues also require outside consulting expertise. Institutions use consultants for specialized information, an independent perspective, as catalysts for change, and for cost-effective service and education. The consulting process consists of five phases; Part I provides a careful analysis of crucial preliminary selection activities. An organizational commitment to the process must be made, and needs, key issues, and expectations defined before selecting a committee and identifying potential consulting sources. Part II will appear in the next issue of the JQA.

  14. The selection factors of consultants in Serbian agro-sector

    Directory of Open Access Journals (Sweden)

    Mihailović Branko

    2014-01-01

    Full Text Available The selection of consultants should be paid special attention, because in Serbia, or its agro-sector, the awareness of the criteria for the selection of consultancy services is not sufficiently raised. The research itself is based on the assumption of manager experience and knowledge gained by reading expert books, greeted with scepticism. Thus, the relevance of certain criteria for the consultant selection is in the form of a hypothesis, with the aim to determine the real situation in this field. Determination of consultant selection basic factors in Serbia is imposed by the law of nature. The process of selecting a consultant starts with defining the requirement of the consultancy task and criteria for the degree of performance of the task. This process usually leads to the reference list that a consultant is supposed to have.

  15. Saudi Arabia; 2013 Article IV Consultation

    OpenAIRE

    International Monetary Fund

    2013-01-01

    This staff report on Saudi Arabia’s 2013 Article IV Consultation discusses economic policies and development. As the largest crude oil exporter, and the only producer with significant spare capacity, Saudi Arabia plays a systemic and stabilizing role in the global oil market. In 2011, Saudi Arabia formally committed through the G20 to use its systemic position in the oil market to promote global stability. Saudi Arabia raised oil production to a 30-year high to ensure demand was met the abrup...

  16. Client/consultant model services agreement

    CERN Document Server

    International Federation of Consulting Engineers

    2006-01-01

    The terms of the Client Consultant Model Services agreement (The White Book) have been prepared by the Fédération Internationale des Ingénieurs-Conseils (FIDIC) and are recommended for general use for the purposes of pre-investment and feasibility studies, designs and administration of construction and project management, where proposals for such services are invited on an international basis. They are equally adaptable for domestic agreements. - See more at: http://fidic.org/books/clientconsultant-model-services-agreement-4th-ed-2006-white-book#sthash.3Uxy5qT3.dpuf

  17. Search and nonsearch protocols for radiographic consultation

    International Nuclear Information System (INIS)

    Swensson, R.G.; Theodore, G.H.

    1989-01-01

    Six radiologists, acting as film reviewers, used two different consultation protocols to differentiate among 292 ambiguous findings on chest films: 120 simulated nodules and 172 normal findings (previous readers' false-positive reports of nodules). The non-search protocol identified each finding (by location), and reviewers rated its likelihood as a nodule. The search protocol, which asked reviewers to report and rate all locations regarded as possible nodules on each film, assigned a default negative rating to any unreported finding (nodule or normal). Receiver operator characteristic analyses demonstrated a significantly higher accuracy for each reviewer's search- protocol discriminations between these nodules and confusing normal findings

  18. A rock characterisation facility consultative document

    International Nuclear Information System (INIS)

    1992-10-01

    This U.K. Nirex Ltd., consultative document describes a proposed underground rock characterisation facility, east of Sellafield, for conducting geophysical surveys as a basis for refining long-term safety analysis of an underground repository for intermediate-level and low-level radioactive wastes. Planning application will be submitted in 1993. The construction of shafts and galleries is described and the site's geologic, topographical, climatic and archaeological features discussed. The effects to the local environment and on local populations and other socio-economic factors are discussed. (UK)

  19. New hospital consultant: surviving a difficult period.

    Science.gov (United States)

    Robinson, Geoffrey; Morreau, Johan; Leighton, Marion; Beasley, Richard

    2007-08-10

    The first years of consultant practice are amongst the most stressful in a medical specialist's career. Recognising the likely difficulties is essential if measures are to be put in place to lessen their impact. In this article, recommendations are made on how to balance clinical and non-clinical duties and to obtain the support required for professional development. Self-care of mental and physical health is vital and planning is necessary to ensure that both personal health and a work/life balance are maintained.

  20. Radiology Consultation in the Era of Precision Oncology: A Review of Consultation Models and Services in the Tertiary Setting.

    Science.gov (United States)

    DiPiro, Pamela J; Krajewski, Katherine M; Giardino, Angela A; Braschi-Amirfarzan, Marta; Ramaiya, Nikhil H

    2017-01-01

    The purpose of the article is to describe the various radiology consultation models in the Era of Precision Medicine. Since the inception of our specialty, radiologists have served as consultants to physicians of various disciplines. A variety of radiology consultation services have been described in the literature, including clinical decision support, patient-centric, subspecialty interpretation, and/or some combination of these. In oncology care in particular, case complexity often merits open dialogue with clinical providers. To explore the utility and impact of radiology consultation services in the academic setting, this article will further describe existing consultation models and the circumstances that precipitated their development. The hybrid model successful at our tertiary cancer center is discussed. In addition, the contributions of a consultant radiologist in breast cancer care are reviewed as the archetype of radiology consultation services provided to oncology practitioners.

  1. Radiology consultation in the era of precision oncology: A review of consultation models and services in the tertiary setting

    Energy Technology Data Exchange (ETDEWEB)

    DiPiro, Pamela J.; Krajewski, Katherine M.; Giardino, Angela A.; Braschi-Amirfarzan, Marta; Ramaiya, Nikhil H. [Dept. of Radiology, Brigham and Women' s Hospital, Harvard Medical School, Boston (United States)

    2017-01-15

    The purpose of the article is to describe the various radiology consultation models in the Era of Precision Medicine. Since the inception of our specialty, radiologists have served as consultants to physicians of various disciplines. A variety of radiology consultation services have been described in the literature, including clinical decision support, patient-centric, subspecialty interpretation, and/or some combination of these. In oncology care in particular, case complexity often merits open dialogue with clinical providers. To explore the utility and impact of radiology consultation services in the academic setting, this article will further describe existing consultation models and the circumstances that precipitated their development. The hybrid model successful at our tertiary cancer center is discussed. In addition, the contributions of a consultant radiologist in breast cancer care are reviewed as the archetype of radiology consultation services provided to oncology practitioners.

  2. Radiology consultation in the era of precision oncology: A review of consultation models and services in the tertiary setting

    International Nuclear Information System (INIS)

    DiPiro, Pamela J.; Krajewski, Katherine M.; Giardino, Angela A.; Braschi-Amirfarzan, Marta; Ramaiya, Nikhil H.

    2017-01-01

    The purpose of the article is to describe the various radiology consultation models in the Era of Precision Medicine. Since the inception of our specialty, radiologists have served as consultants to physicians of various disciplines. A variety of radiology consultation services have been described in the literature, including clinical decision support, patient-centric, subspecialty interpretation, and/or some combination of these. In oncology care in particular, case complexity often merits open dialogue with clinical providers. To explore the utility and impact of radiology consultation services in the academic setting, this article will further describe existing consultation models and the circumstances that precipitated their development. The hybrid model successful at our tertiary cancer center is discussed. In addition, the contributions of a consultant radiologist in breast cancer care are reviewed as the archetype of radiology consultation services provided to oncology practitioners

  3. Gynecologic Oncologist as surgical consultant: intraoperative consultations during general gynecologic surgery as an important focus of gynecologic oncology training.

    Science.gov (United States)

    Aviki, Emeline M; Rauh-Hain, J Alejandro; Clark, Rachel M; Hall, Tracilyn R; Berkowitz, Lori R; Boruta, David M; Growdon, Whitfield B; Schorge, John O; Goodman, Annekathryn

    2015-04-01

    The aim of this study is to explore the previously unexamined role of the Gynecologic Oncologist as an intraoperative consultant during general gynecologic surgery. Demographic and clinical data were collected on 98 major gynecologic surgeries that included both a general Gynecologist and a Gynecologic Oncologist between October 2010 and August 2014. Data were analyzed using XLSTAT-Prov2014.2.02. Of 794 major gynecologic surgeries, 98 (12.3%) cases that involved an intraoperative consultation were identified. There were 36 (37%) planned consults and 62 (63%) unplanned consults. Significantly more planned consults were during laparoscopy (100% v 58%; pGynecologic Oncologists play a pivotal role in the support of generalist colleagues during pelvic surgery. In this series, Gynecologic Oncologists were consulted frequently for complex major benign surgeries. It is important to incorporate the skills required of an intraoperative consultant into Gynecologic Oncology fellowship training. Copyright © 2015 Elsevier Inc. All rights reserved.

  4. Acute surgical unit: The consultant experience

    Directory of Open Access Journals (Sweden)

    Patrick J Stokes

    2016-07-01

    Full Text Available Background Establishment of the Acute Surgical Unit (ASU has redefined the approach to emergency surgery in Australia with quantitative data showing improvement in patient outcomes. However, as qualitative data regarding the ASU remains scarce, we sought to determine the impact of the ASU on overall surgeon job satisfaction. Aims The aim of this paper was to specifically address the impact of the ASU on consultant surgeons overall job satisfaction. Methods We designed a 34 – item questionnaire with consultant general surgeons addressing important aspects of the ASU. Themes included on – call rostering and workload, academic pursuits, surgical training, work – life balance and overall job satisfaction. Results We received responses from 88 surgeons currently working on ASU units, responding correctly and in full to the survey. Overall, our surveyed cohort reported better on – call rostering, improved surgical training and higher levels of job satisfaction and overall work – life balance with ASU implementation. Conclusion Preliminary qualitative results indicate that the ASU may improve on – call rostering, work – life balance and overall job satisfaction.

  5. Value and process of curbside consultations in clinical practice: a grounded theory study.

    Science.gov (United States)

    Cook, David A; Sorensen, Kristi J; Wilkinson, John M

    2014-05-01

    To clarify the value and process of the curbside consultation and identify ways to optimize this activity. We conducted 13 focus groups at an academic medical center and outlying community sites (September 2011 to January 2013), involving a purposive sample of 54 primary care and subspecialist internal medicine and family medicine physicians. Focus group discussions were transcribed and then analyzed using a constant comparative approach to identify benefits, liabilities, mechanisms, and potential improvements related to curbside consultations. We developed a model describing the role and process of the curbside consultation. Focus group participants perceived that curbside consultations add particular value in offering immediate, individualized answers with bidirectional information exchange, and this in turn expedites patient care and elevates patient confidence. Despite the uncompensated interruption and potential risks, experts provide curbside consultations because they appreciate the honor of being asked and the opportunity to help colleagues, expedite patient care, and teach. Key decisions for the initiator (each reflecting a potential barrier) include whom to contact, how to contact that expert, and how to determine availability. Experts decide to accept a request on the basis of personal expertise, physical location, and capacity to commit time and attention. Participants suggested systems-level improvements to facilitate expert selection, clarify expert availability, enhance access to clinical information, and acknowledge the expert's effort. Curbside consultations play an important role in enhancing communication and care coordination in clinical medicine, but the process can be further improved. Information technology solutions may play a key role. Copyright © 2014 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

  6. The Impact of Foreign Ownership on Research and Development Intensity and Technology Acquisition in Indian Industries

    DEFF Research Database (Denmark)

    Aggarwal, Aradhna

    2018-01-01

    boom period of 2004–2008, and (ii) the post global financial crisis period of 2008–2014. A horizontal cluster analysis of 3-digit, industry-level data shows that foreign firms cluster in high-technology industries. The propensity score matching analysis, however, reveals that in a matched sample...... of foreign and domestic firms, majority-owned foreign firms spend less on research and development and more on technology transfers than their local counterparts, demonstrating that the level of equity holdings by a foreign firm matters. There is little evidence of the global financial crisis affecting......This study examines how interfirm heterogeneities in modes of technology acquisition and technology intensities are linked to firm ownership in India using a panel data set of about 2,000 firms listed on the Bombay Stock Exchange for the period 2003–2014 drawn from the Prowess database...

  7. Psychoimmunology Consultation - A Study on Comorbidity

    Directory of Open Access Journals (Sweden)

    Mariana Marinho

    2017-03-01

    Full Text Available Introduction: In comparison to the general population, notified  HIV-positive patients have higher prevalence  rates for most mental disorders, with values reaching 30-60%. Objectives: To characterize the population that is referred to Psychiatry-Psychoimmunology consultation; to explore the possible relationship  between  psychiatric  diagnosis, antiretroviral treatment and HCV co-infection, with sociodemographic and clinical variables. Methods: We have selected HIV-positive patients referred for the first time to Psychiatry-Psychoimmunology consultation, between January 2012 and July 2015. Information was collected through the clinical process in electronic form. Statistical analy- sis was performed using the statistical analysis  program  Statistical  Package for Social Sciences, version 20. Results: The sample contained 209 patients, with a median age of 43 years, mostly men, with four years of schooling, single, professionally inactive, infected via heterosexual behavior. However, we found statistically significant differences between sexes for the last three variables. The majority was under antiretroviral treatment, with no significant differences between sexes. In the first consultation, 29.0% and 30.1% had, respectively, substance use and HCV co-infection, with a significant predominance in men. Depressive symptoms and adjustment disorder to the disease constituted, respectively, the referral reason and the most common psychiatric diagnosis, in both sexes. More than half had psychiatric history. HCV co-infection showed a statistical significant correlation between variables like sex, occupational status, infection transmission route,  psychiatric  history  and  use  of  alcohol and/or illicit drugs. The same was true between the psychiatric diagnosis and some variables like infection notification  time, alcohol and/or drugs and HCV co-infection. Conclusions: During the course of infection, these patients often face

  8. Digital audio recordings improve the outcomes of patient consultations

    DEFF Research Database (Denmark)

    Wolderslund, Maiken; Kofoed, Poul-Erik; Holst, René

    2017-01-01

    OBJECTIVES: To investigate the effects on patients' outcome of the consultations when provided with: a Digital Audio Recording (DAR) of the consultation and a Question Prompt List (QPL). METHODS: This is a three-armed randomised controlled cluster trial. One group of patients received standard care......, while the other two groups received either the QPL in combination with a recording of their consultation or only the recording. Patients from four outpatient clinics participated: Paediatric, Orthopaedic, Internal Medicine, and Urology. The effects were evaluated by patient-administered questionnaires...... of their consultation positively influences the patients' perception of having adequate information after the consultation. PRACTICE IMPLICATIONS: The implementation of a QPL and audio recording of consultations should be considered in routine practice....

  9. Assisted Living Facilities: The Next Frontier for Consultant Pharmacists.

    Science.gov (United States)

    Coulson, Eva; Blaszczyk, Amie Taggart

    2016-02-01

    Consultant pharmacists improve the lives of older adults by providing medication management, avoiding adverse drug reactions, and uncovering duplicative therapy. Despite this, there is a lack of legislation supporting the role of the consultant pharmacist in many of the settings-other than nursing facilities-where seniors reside. Specifically, federal and state laws do not recognize consultant pharmacists for their specialized role in pharmacotherapy and the potential benefits they bring to older adults in assisted living facilities. Among many services, consultant pharmacists may provide monthly medication reviews, staff medication education, and medication system management in assisted living facilities. A literature search was conducted to identify literature supporting the benefits of consultant pharmacists in assisted living facilities. Gaps in available literature are discussed as are ideas for expanding the role of consultant pharmacists in assisted living facilities.

  10. Research on clinical ethics and consultation. Introduction to the theme.

    Science.gov (United States)

    Reiter-Theil, Stella; Agich, George J

    2008-03-01

    Clinical ethics consultation has developed from local pioneer projects into a field of growing interest among both clinicians and ethicists. What is needed are more systematic studies on the ethical challenges faced in clinical practice and problem solving through ethics consultation from interdisciplinary perspectives. The Thematic Issue covers a range of topics and includes five recent studies from various European countries and the USA, focusing on issues such as the ethical difficulties of end of life decisions, experiences with newly developed or well established ethics consultation services, and the expectations of physicians in various clinical fields who are still unfamiliar with clinical ethics consultation. The papers included illustrate the interface between different socio-cultural contexts and their ways of dealing with clinical ethics consultation. They deepen the dialogue on clinical ethics consultation that has emerged at the European and International level.

  11. Cap and trade offsets regulation - consultation paper

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2010-07-01

    Due to increasing concerns about the environment, British Columbia has committed to reducing its 2007 greenhouse gas emissions levels by 33% in 2020 and 80% in 2050. To reach those objectives, emissions trading and offset regulations are being developed by the Climate Action Secretariat. The aim of this document is to present a first draft of the regulations to the various stakeholders, including First Nations and the general public, together with the proposed offset eligibility criteria and related process, and to get their feedback. This document is itself part of the 5-phase process of developing the regulations. Following the 45 days during which comments on the proposed regulation were sought, the climate action secretariat will complete legal drafting of the regulations, drawing on help from this stakeholder input, and the regulation will subsequently be implemented. An accompanying response form was attached to this consultation paper.

  12. Expert-System Consultant To Operating Personnel

    Science.gov (United States)

    Heard, Astrid E.; Pinkowski, Patrick P.; Adler, Richard M.; Hosken, R. Bruce

    1992-01-01

    Artificial intelligence aids engineers and technicians in controlling and monitoring complicated systems. Operations Analyst for Distributed Systems (OPERA) software is developmental suite of expert-system computer programs helping engineers and technicians operating from number of computer workstations to control and monitor spacecraft during prelaunch and launch phases of operation. OPERA designed to serve as consultant to operating engineers and technicians. It preprocesses incoming data, using expertise collected from conglomerate of specialists in design and operation of various parts of system. Driven by menus and mouse-activated commands. Modified versions of OPERA used in chemical-processing plants, factories, banks, and other enterprises in which there are distributed-computer systems including computers that monitor or control other computers.

  13. Communicating Uncertain News in Cancer Consultations.

    Science.gov (United States)

    Alby, Francesca; Zucchermaglio, Cristina; Fatigante, Marilena

    2017-12-01

    In cancer communication, most of the literature is in the realm of delivering bad news while much less attention has been given to the communication of uncertain news around the diagnosis and the possible outcomes of the illness. Drawing on video-recorded cancer consultations collected in two Italian hospitals, this article analyzes three communication practices used by oncologists to interactionally manage the uncertainty during the visit: alternating between uncertain bad news and certain good news, anticipating scenarios, and guessing test results. Both diagnostic and personal uncertainties are not hidden to the patient, yet they are reduced through these practices. Such communication practices are present in 32 % of the visits in the data set, indicating that the interactional management of uncertainty is a relevant phenomenon in oncological encounters. Further studies are needed to improve both its understanding and its teaching.

  14. Animal Welfare: Data from an Online Consultation.

    Science.gov (United States)

    Sechi, Paola; Baldinelli, Chiara; Iulietto, Maria F; Goga, Beniamino T Cenci

    2015-11-02

    This paper analyses data obtained from an online survey related to animal welfare and religious slaughter topics. The questionnaire was conducted with the purpose of examining the purchase behaviour of a group of consumers (with different religious orientation) and their views on animal protection and ritual slaughter. The main results of the consultation were two. The first evidenced the respondents' great interest about the question on animal welfare, which is in accordance with the growing interest of European citizens concerning this issue. The second was the demand for a more transparent labelling of animal products, which would also reflect animal welfare and the slaughter method used. These results are in contrast with marketing analysis, which finds that consumers want to only receive positive information. Paradoxically, the more information is transmitted to reassure consumers, the higher is the risk to alarm them.

  15. Structural analysis consultation using artificial intelligence

    Science.gov (United States)

    Melosh, R. J.; Marcal, P. V.; Berke, L.

    1978-01-01

    The primary goal of consultation is definition of the best strategy to deal with a structural engineering analysis objective. The knowledge base to meet the need is designed to identify the type of numerical analysis, the needed modeling detail, and specific analysis data required. Decisions are constructed on the basis of the data in the knowledge base - material behavior, relations between geometry and structural behavior, measures of the importance of time and temperature changes - and user supplied specifics characteristics of the spectrum of analysis types, the relation between accuracy and model detail on the structure, its mechanical loadings, and its temperature states. Existing software demonstrated the feasibility of the approach, encompassing the 36 analysis classes spanning nonlinear, temperature affected, incremental analyses which track the behavior of structural systems.

  16. Role of the nurse consultant in tissue viability.

    Science.gov (United States)

    Harker, J

    Nurse consultant posts were introduced in 2000 with a view to expanding the role of nurses. The author was appointed as a nurse consultant in tissue viability to develop the service already in place in her trust and improve patient care. This article describes the role of the nurse consultant working in tissue viability and identifies the qualities and skills needed to undertake this role.

  17. Specialty Palliative Care Consultations for Nursing Home Residents With Dementia.

    Science.gov (United States)

    Miller, Susan C; Lima, Julie C; Intrator, Orna; Martin, Edward; Bull, Janet; Hanson, Laura C

    2017-07-01

    U.S. nursing home (NH) residents with dementia have limited access to specialty palliative care beyond Medicare hospice. The objective of this study was to examine the value of expanded palliative care access for NH residents with moderate-to-very severe dementia. We merged palliative care consultation data in 31 NHs in two states to Medicare data to identify residents with consultations, moderate-to-very severe dementia, and deaths in 2006-2010. Initial palliative consultations were identified as occurring later and earlier (1-30 days and 31-180 days before death, respectively). Three controls for each consultation recipient were selected using propensity score matching. Weighted multivariate analyses evaluated the effect of consultations on hospital or acute care use seven and 30 days before death and on (potentially) burdensome transitions (i.e., hospital or hospice admission three days before death or two plus acute care transitions 30 days before death). With earlier consultation (vs. no consultation), hospitalization rates in the seven days before death were on average 13.2 percentage points lower (95% confidence interval [CI] -21.8%, -4.7%) and with later consultation 5.9 percentage points lower (95% CI -13.7%, +4.9%). For earlier consultations (vs. no consultations), rates were 18.4 percentage points lower (95% CI -28.5%, -8.4%) for hospitalizations and 11.9 lower (95% CI -20.7%, -3.1%) for emergency room visits 30 days before death; they were 20.2 percentage points lower (95% CI -28.5%, -12.0%) for burdensome transitions. Consultations appear to reduce acute care use and (potentially) burdensome transitions for dying residents with dementia. Reductions were greater when consultations were earlier. Copyright © 2017 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  18. Experience of a year of adult hospital dermatology consultations.

    Science.gov (United States)

    Storan, Eoin R; McEvoy, Marian T; Wetter, David A; El-Azhary, Rokea A; Camilleri, Michael J; Bridges, Alina G; Davis, Mark D P

    2015-10-01

    Dermatology consultations are frequently requested by inpatient hospital services. As inpatient dermatology services in the USA decline, dermatology hospital consultations are becoming increasingly important. We aim to describe the spectrum of skin diseases encountered and the health care subspecialties requesting dermatology hospital consultations. We performed a retrospective chart review of adult patient (age: ≥18 years) dermatology hospital consultations from January 1 to December 31, 2010. We examined patient demographic characteristics, consultation requesting services, and consultation diagnoses. Among dermatology services, 614 patients had 674 separate inpatient dermatology consultations during 2010. Of these patients, 55.9% were male (mean age: 59 years). In total, 205 consultations (30.4%) were requested by the internal medicine subspecialty, 137 (20.3%) by the hematology and oncology subspecialty, and 93 (13.8%) by the surgical subspecialty. The most common conditions seen by the hospital dermatology consulting service were skin infections (n = 125, 18.5%), dermatitis (n = 120, 17.8%), drug eruptions (n = 87, 12.9%), chronic wounds and ulcers (n = 55, 8.1%), cutaneous neoplasms (n = 39, 5.8%), graft-versus-host disease (n = 37, 5.5%), ecchymosis, purpura simplex or petechia (n = 26, 3.8%), intertrigo (n = 21, 3.1%), and urticaria (n = 20, 3.0%). The majority of consultations conducted by the dermatology hospital consulting service were for the management of common skin diseases, such as cutaneous infections, dermatitis, and drug eruptions. Most consultations were requested by the departments of internal medicine, hematology and oncology, and surgical services. © 2014 The International Society of Dermatology.

  19. Parental knowledge in pediatric otolaryngology surgical consultations: A qualitative content analysis.

    Science.gov (United States)

    Gorodzinsky, Ayala Y; Hong, Paul; Chorney, Jill MacLaren

    2015-07-01

    To understand the source of parents' knowledge prior to and desire for further information following pediatric otolaryngology surgical consultations. Mixed-methods approach using descriptive and qualitative content analysis of interviews with parents following otolaryngology consultations for children under the age of 6 years was performed. The children were being seen for either tonsillitis, obstructive sleep apnea, otitis media, and/or sinusitis/nasal obstruction. Forty-one parents completed a phone interview two weeks following their child's surgical consultation. The majority of parents indicated that their primary care physician referred their child for either: investigation of symptoms (50%), to have a specific discussion about surgery (27.5%), or because other treatment options were no longer working (20%). Many parents (56.5%) indicated that the Internet was their primary source of information prior to the appointment. Most parents (93%) wanted more information; majority of these parents noted that a technology-based mode of delivery of information available prior to the appointment would be most desirable. Desired information was most often regarding the surgical procedure, including risks and benefits, and symptoms of concern prior to surgery. This study provides a description of parental knowledge and information sources prior to their child's surgical consultation and continued desire for information. This information may lead to decreased knowledge barriers and increased communication to facilitate shared decision-making between the provider and parents. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  20. Clinical Ethics Consultation After God: Implications for Advocacy and Neutrality.

    Science.gov (United States)

    Parker, J Clint

    2017-10-24

    In After God: Morality and Bioethics in a Secular Age, H. Tristram Engelhardt, Jr. explores the broad implications for moral reasoning once a culture has lost a God's-eye perspective. In this paper, I focus on the implications of Engelhardt's views for clinical ethics consultation. I begin by examining the question of whether clinical ethics consultants (CECs) should advocate a particular viewpoint and/or process during consultations or adopt a neutral stance. I then examine the implications of Engelhardt's views for this question. Finally, I discuss some of Engelhardt's foundational ontological, metaphysical, meta-ethical, and epistemological commitments and how these commitments connect to his views on clinical ethics consultation.

  1. Communication with patients and the duration of family medicine consultations.

    Science.gov (United States)

    Valverde Bolívar, Francisco Javier; Pedregal González, Miguel; Moreno Martos, Herminia; Cózar García, Inmaculada; Torío Durántez, Jesús

    2017-10-17

    To determine the distribution of consultation times, the factors that determine their length, and their relationship with a more participative, patient-centred consulting style. Cross-sectional multicentre study. Primary Healthcare Centres in Andalusia, Spain. A total of 119 tutors and family medicine physician residents. Consultation length and communication with the patient were analysed using the CICCAA scale (Connect, Identify, Understand, Consent, Help) during 436 interviews in Primary Care. The mean duration of consultations was 8.8min (sd: 3.6). The consultation tended to be longer when the physician had a patient-centred approach (10.37±4.19min vs 7.54±2.98min; p=0.001), and when there was joint decision-making (9.79±3.96min vs 7.73±3.42min: p=0.001). In the multivariable model, longer consultations were associated with obtaining higher scores on the CICAA scale, a wider range of reasons for consultation, whether they came accompanied, in urban centres, and a smaller number of daily visits (r 2 =0.32). There was no correlation between physician or patient gender, or problem type. A more patient centred medical profile, increased shared decision-making, a wider range of reasons for consultation, whether they came accompanied, in urban centres, and less professional pressure all seem to be associated with a longer consultation. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  2. Implementation of a pharmacy consult to reduce co-prescribing of opioids and benzodiazepines in a Veteran population.

    Science.gov (United States)

    Pardo, Deborah; Miller, Lacey; Chiulli, Dana

    2017-01-01

    The dangers of co-administration of opioid pain relievers (OPRs) and benzodiazepines (BZDs) are well documented. The combination of OPRs and BZDs make up the majority of medications involved in prescription drug-related overdose and are often used concomitantly. This pattern is consistent among the veteran population where mental health illness and substance abuse are prominent. The Veterans Health Administration implemented the Opioid Safety Initiative (OSI) aimed at improving patient safety surrounding OPRs. In alignment with OSI, the study facility implemented a prior authorization pharmacy consult in an effort to reduce OPR and BZD co-prescribing and optimize patient safety. The purpose of this article is to report the frequency of co-prescribing before and after implementation of the consult. Secondary aims include reporting the emergency room visits and hospitalizations, prescribers' actions in the setting of disapproved consults, patient characteristics associated with co-prescribing, and frequency of co-prescribing without a consult. This was a single-center, retrospective chart review study. Microsoft Structured Query Language server database and Veterans Health Information Systems and Technology Architecture were used to extract data and identify study patients. The Computerized Patient Record System was used to collect patient data. Microsoft Access and Excel were utilized to organize, query, and analyze the extracted data. There was a 34.6% reduction in patients on chronic OPR therapy co-prescribed a BZD, and the total number of overdose-related events decreased after implementation of the consult. In the event of disapproved consults, pharmacists' evidence-based recommendations were implemented 63% of the time. Patients for whom co-prescribing consults were placed were more likely to have mental health diagnoses. Following implementation of a pharmacy consult, there was a reduction in co-prescribing and overdose-related events at the study facility.

  3. How head and neck consultants manage patients' emotional distress during cancer follow-up consultations: a multilevel study.

    Science.gov (United States)

    Zhou, Yuefang; Humphris, Gerry; Ghazali, Naseem; Friderichs, Simon; Grosset, David; Rogers, Simon N

    2015-09-01

    Head and neck cancer (HNC) patients suffer substantial emotional problems. This study aimed to explore how utterance-level variables (source, type and timing of emotional cues) and patient-level variables (e.g. age, gender and emotional well-being) relate to consultants' responses (i.e. reducing or providing space) to patient expressions of emotional distress. Forty-three HNC outpatient follow-up consultations were audio recorded and coded, for patients' expressions of emotional distress and consultants' responses, using the Verona Coding Definitions of Emotional Sequence. Multilevel logistic regression modelled the probability of the occurrence of consultant-reduced space response as a function of patient distress cue expression, controlling for consultation and patient-related variables. An average of 3.5 cues/concerns (range 1-20) was identified per consultation where 84 out of 152 total cues/concerns were responded by reducing space. Cue type did not impact on response; likewise for the quality of patient emotional well-being. However, consultants were more likely to reduce space to cues elicited by patients, as opposed to those initiated by themselves. This reduced space response was more pronounced as the consultation continued. However, about 6 min into the consultation, this effect (i.e. tendency to block patients) started to weaken. Head and neck consultants' responses to negative emotions depended on source and timing of patient emotional expressions. The findings are useful for training programme development to encourage consultants to be more flexible and open in the early stages of the consultation.

  4. Consulting Communities When Patients Cannot Consent: A Multi-Center Study of Community Consultation for Research in Emergency Settings

    Science.gov (United States)

    Dickert, Neal W; Mah, Victoria A; Biros, Michelle H; Harney, Deneil M; Silbergleit, Robert; Sugarman, Jeremy; Veledar, Emir; Weinfurt, Kevin P; Wright, David W; Pentz, Rebecca D

    2013-01-01

    Objective To assess the range of responses to community consultation efforts conducted within a large network and the impact of different consultation methods on acceptance of exception from informed consent (EFIC) research and understanding of the proposed study. Design A cognitively pre-tested survey instrument was administered to 2,612 community consultation participants at 12 US centers participating in a multi-center trial of treatment for acute traumatic brain injury (TBI). Setting Survey nested within community consultation for a Phase III, randomized controlled trial of treatment for acute TBI conducted within a multi-center trial network and using EFIC. Subjects Adult participants in community consultation events. Interventions Community consultation efforts at participating sites. Measurements and Main Results Acceptance of EFIC in general, attitude toward personal EFIC enrollment, and understanding of the study content were assessed. 54% of participants agreed EFIC was acceptable in the proposed study; 71% were accepting of personal EFIC enrollment. Participants in interactive versus non-interactive community consultation events were more accepting of EFIC in general (63% vs. 49%) and personal EFIC inclusion (77% vs. 67%). Interactive community consultation participants had high-level recall of study content significantly more often than non-interactive consultation participants (77% vs. 67%). Participants of interactive consultation were more likely to recall possible study benefits (61% vs. 45%) but less likely to recall potential risks (56% vs. 69%). Conclusions Interactive community consultation methods were associated with increased acceptance of EFIC and greater overall recall of study information but lower recall of risks. There was also significant variability in EFIC acceptance among different interactive consultation events. These findings have important implications for IRBs and investigators conducting EFIC research and for community

  5. Should consultation recording use be a practice standard? A systematic review of the effectiveness and implementation of consultation recordings.

    Science.gov (United States)

    Rieger, Kendra L; Hack, Thomas F; Beaver, Kinta; Schofield, Penelope

    2017-11-25

    To conduct a systematic review of the effectiveness of consultation recordings and identify factors contributing to their successful implementation in health-care settings. A systematic review was conducted for quantitative studies examining the effectiveness of consultation recordings in health care. Two independent reviewers assessed the relevance and quality of retrieved quantitative studies by using standardized criteria. Study findings were examined to determine consultation recording effectiveness and to identify barriers and facilitators to implementation. A supplementary review of qualitative evidence was performed to further explicate implementation factors. Of the 3373 articles retrieved in the quantitative search, 26 satisfied the standardized inclusion criteria (12 randomized controlled trials, 1 quasi-experiment, and 13 cross-sectional studies). Most patients found consultation recordings beneficial. Statistically significant evidentiary support was found for the beneficial impact of consultation recordings on the following patient reported outcomes: knowledge, perception of being informed, information recall, decision-making factors, anxiety, and depression. Implementation barriers included strength of evidence concerns, patient distress, impact of the recording on consultation quality, clinic procedures, medico-legal issues, and resource costs. Facilitators included comfort with being recorded, clinical champions, legal strategies, efficient recording procedures, and a positive consultation recording experience. Consultation recordings are valuable to patients and positively associated with patient-reported outcomes. Successful integration of consultation recording use into clinical practice requires an administratively supported, systematic approach to addressing implementation factors. Copyright © 2017 John Wiley & Sons, Ltd.

  6. Embedding nursing and therapy consultantship: the case of stroke consultants.

    Science.gov (United States)

    Burton, Christopher R; Bennett, Bev; Gibbon, Bernard

    2009-01-01

    As the basis for the design of career development opportunities for current and aspiring nursing and therapy consultants, we aimed to explore the factors that shape how these roles have embedded in UK stroke services. The non-medical consultant role has been introduced into UK health care services to provide opportunities for experienced practitioners to progress their careers in clinical practice. Whilst there have been evaluations of the impact of the role on service delivery, little attention has been paid to the pathways towards consultantship. An exploratory design, incorporating focus group discussions, was used to address the research questions. Participating consultants, both nurses and allied health professionals, worked in stroke services, although it is anticipated that the results will have wider application. Two focus groups were held with non-medical consultants in stroke from across the UK. Participants had the opportunity to comment on an interim paper prior to publication of the results. Thirteen consultants took part in the study. A lack of consensus about the nature of clinical expertise and a diverse range of pathways towards consultantship were identified. Health care policy had presented the opportunity for consultants to be entrepreneurial in the development of stroke services, although this had limited the scope for the development of professional knowledge. Inflexible programmes to support aspiring consultants may limit the opportunities to develop these entrepreneurial skills. This study challenges health care organizations and the education and research departments that support them to think creatively in the way that the non-medical consultant role is embedded, and that this should draw on the commitment of existing consultants to support succession planning. The identification of those aspects of career pathways that current consultants have found to be helpful will be useful in designing opportunities for aspiring consultants.

  7. Antipsychotic use in nursing homes varies by psychiatric consultant.

    Science.gov (United States)

    Tjia, Jennifer; Field, Terry; Lemay, Celeste; Mazor, Kathleen; Pandolfi, Michelle; Spenard, Ann; Ho, Shih-Yieh; Kanaan, Abir; Donovan, Jennifer; Gurwitz, Jerry H; Briesacher, Becky

    2014-03-01

    The relationship between psychiatric consultation and antipsychotic prescribing in nursing homes (NH) is unknown. To identify the association between psychiatric consultant groups and NH-level antipsychotic prescribing after adjustment for resident case-mix and facility characteristics. Nested cross-sectional study of 60 NHs in a cluster randomized trial. We linked facility leadership surveys to October 2009-September 2010 Minimum Data Set, Nursing Home Compare, the US Census, and pharmacy dispensing data. The main exposure is the psychiatric consultant group and the main outcome is NH-level prevalence of atypical antipsychotic use. We calculated annual means and interquartile ranges of NH-level antipsychotic use for each consultant group and arrayed consultant groups from lowest to highest prevalence. Generalized linear models were used to predict antipsychotic prescribing adjusting for resident case-mix and facility characteristics. Observed versus predicted antipsychotic prescribing levels were compared for each consultant group. Seven psychiatric consultant groups served a range of 3-27 study facilities. Overall mean facility-level antipsychotic prescribing was 19.2%. Mean prevalence of antipsychotic prescribing ranged from 12.2% (SD, 5.8) in the lowest consultant group to 26.4% (SD, 3.6) in the highest group. All facilities served by the highest-ranked consultant group had observed antipsychotic levels exceeding the overall study mean with half exceeding predictions for on-label indications, whereas most facilities served by the lowest-ranked consultant group had observed levels below the overall study and predicted means. Preliminary evidence suggests that psychiatric consultant groups affect NH antipsychotic prescribing independent of resident case-mix and facility characteristics.

  8. Focus Area Science Technology Summer Fellowship (FAST-SF)

    Indian Academy of Sciences (India)

    Home; Fellowship. Fellow Profile. Elected: 1975 Section: Medicine. Ganatra, Dr Ramanik Dhirajlal M.B.B.S. (Bombay). Date of birth: 14 October 1928. Date of death: 2 April 1999. Specialization: Nuclear Medicine Last known address: 604, Kamala Apartments, 8A, Dhobi Galli, Versova Road, Andheri, Bombay 400 058.

  9. Focus Area Science Technology Summer Fellowship (FAST-SF)

    Indian Academy of Sciences (India)

    Elected: 1959 Section: Physics. Thosar, Prof. Baji Vinayak Ph.D. (Bombay), D.Sc. (Oxon), FNA. Date of birth: 3 April 1913. Date of death: 4 July 1998. Specialization: Nuclear Physics Last known address: 13, Terrace View Co-op. Housing, Society, C-2, Jeevan Bima Nagar, Borivalli West, Bombay 400 103. YouTube; Twitter ...

  10. Focus Area Science Technology Summer Fellowship (FAST-SF)

    Indian Academy of Sciences (India)

    Ramanathan, Prof. Annamalai Ph.D. (Bombay). Date of birth: 29 August 1946. Date of death: 12 March 1993. Specialization: Algebraic Geometry, Algebraic Groups Last known address: School of Mathematics, Tata Inst. of Fundamental Research, Homi Bhabha Road], Bombay 400 005. YouTube; Twitter; Facebook; Blog ...

  11. Feasibility and cost of a medical student proxy-based mobile teledermatology consult service with Kisoro, Uganda, and Lake Atitlán, Guatemala.

    Science.gov (United States)

    Greisman, Laura; Nguyen, Tan M; Mann, Ranon E; Baganizi, Michael; Jacobson, Mark; Paccione, Gerald A; Friedman, Adam J; Lipoff, Jules B

    2015-06-01

    The expansion of mobile technology and coverage has unveiled new means for delivering medical care to isolated and resource-poor communities. Teledermatology, or dermatology consultation from a distance using technology, is gaining greater acceptance among physicians and patients. To evaluate feasibility and cost of a smartphone-based teledermatology consult service utilizing a designated medical student proxy to facilitate all consults on site, and to evaluate the service's effect upon diagnosis and management. An IRB-approved smartphone-based teledermatology consult service was established to serve two rural communities in the developing world: Kisoro, Uganda, and Lake Atitlán, Guatemala. Fourth-year medical students were recruited as proxies for each site, responding to consults by local doctors and transmitting photographs and clinical information via a smartphone application to a dermatology resident and attending in the USA over an encrypted website. At the Ugandan site, when indicated, the medical student performed skin biopsies under supervision, and rotating Montefiore residents transported specimens back to the USA. From October 2011 to August 2012, 93 cases were evaluated by the consult service (57 from Uganda and 36 from Guatemala). Initial diagnoses changed completely in 55.9% (52 of 93) of cases, and management changes were recommended in 89.2% (83 of 93) of cases. The estimated total cost of supplies and technology was 42.01 USD per consult and 64.24 USD per biopsy (including processing). Given fixed upfront costs, the cost per consult decreased with each additional case. Smartphone-based systems for teledermatology consultation using a medical student proxy are feasible for delivery of care in the developing world at relatively little cost. Optimization and sustainability of this system requires and deserves further investigation in larger studies. © 2014 The International Society of Dermatology.

  12. Experience with national consultations in Denmark

    International Nuclear Information System (INIS)

    Andersen, Ida-Elisabeth

    2003-01-01

    The Danish Board of Technology has, since it was established in 1986, experimented with and developed several participatory methodologies, which allow ordinary citizens to be involved in technology assessment. This work has two main purposes: - to initiate independent technology assessment by carrying out investigations and comprehensive assessments on the possibilities and consequences of technology for society and the citizens; - to further and support a public debate on technology by communicating the results to Parliament, other political decision makers and the Danish population. With a reference to the analytical framework of the Europta project (described in one annex), it can be said that citizens' participation in the Danish Board of Technology involves a cognitive, a normative as well as a pragmatic dimension. Therefore, technology assessment should be seen as a process where ordinary citizens, who are concerned and will have to live with the decisions taken, are the ones who ask the questions. These questions are to be answered by experts in order that the citizens be able to assess the usefulness of a certain development, before a decision is made by the politicians

  13. SCIENTIFIC-PROJECT CONSULTING AS AN INNOVATIVE FORMAT OF POSTGRADUATE EDUCATION

    Directory of Open Access Journals (Sweden)

    G. A. Ignatieva

    2017-01-01

    Full Text Available Introduction. Today the main social and economic advantage of Russia in global economy (we do not take natural wealth into account is the human capital which development has to become a priority for all levels of an education system. The relevance of the article determined by the need to modernize the educational programs, technology and content of the educational process in the institutional space of postgraduate teacher education. It is one of the key factors in the development of the intellectual capital of a society, providing a transition to continuous, socially oriented, associated with global and domestic fundamental science education for all people and aimed at the formation of the creative socially responsible personality. The new mission of post-degree training «through all life», consisting in the advancing formation of intellectual potential of the country, demands search of new forms and methods of additional professional education.Aim. The aim of the article is to disclosure the essence of scientific-project consulting as an innovative format of teachers and scientific-pedagogical staff.Methods. The institutional approach is the basis of the study. In accordance with this approach, the development strategy and the areas of work of traditional and new institutions of post-degree education – Department of Pedagogy and Andragogy and the Center of Scientific and Design Consulting are designated. As methodological base of this type of consulting, it is offered to use provisions of the genetic-substantial theory of the developing education, in particular the principle of development regulating processes of continuous improvement of professionalism of experts of education and development of new functions by them in post-industrial society.Results. The conceptual model of a reflexive outline of management of process of formation of new professional positions of the teacher is constructed; its components are

  14. Prognostic accuracy of antenatal neonatology consultation.

    Science.gov (United States)

    Kukora, S; Gollehon, N; Weiner, G; Laventhal, N

    2017-01-01

    Neonatologists provide antenatal counseling to support shared decision-making for complicated pregnancies. Poor or ambiguous prognostication can lead to inappropriate treatment and parental distress. We sought to evaluate the accuracy of antenatal prognosticaltion. A retrospective cohort was assembled from a prospectively populated database of all outpatient neonatology consultations. On the basis of the written consultation, fetuses were characterized by diagnosis groups (multiple anomalies or genetic disorders, single major anomaly and obstetric complications), assigned to five prognostic categories (I=survivable, IIA=uncertain but likely survivable, II=uncertain, IIB=uncertain but likely non-survivable, III non-survivable) and two final outcome categories (fetal demise/in-hospital neonatal death or survival to hospital discharge). When possible, status at last follow-up was recorded for those discharged from the hospital. Prognostic accuracy was assessed using unweighted, multi-level likelihood ratios (LRs). The final cohort included 143 fetuses/infants distributed nearly evenly among the three diagnosis groups. Over half (64%) were assigned an uncertain prognosis, but most of these could be divided into 'likely survivable' or 'likely non-survivable' subgroups. Overall survival for the entire cohort was 62% (89/143). All but one of the fetuses assigned a non-survivable prognosis suffered fetal demise or died before hospital discharge. The neonatologist's antenatal prognosis accurately predicted the probability of survival by prognosis group (LR I=4.56, LR IIA=10.53, LR II=4.71, LR IIB=0.099, LR III=0.040). The LRs clearly differentiated between fetuses with high and low probability of survival. Eleven fetuses (7.7%) had misalignment between the predicted prognosis and outcome. Five died before discharge despite being given category I or IIA prognoses, whereas six infants with category IIB or III prognoses survived to discharge, though some of these were

  15. CRITERIA FOR CONSULTANT AND ADVISOR IN THE BRAZILIAN POSTGRADUATE SYSTEM.

    Science.gov (United States)

    Petroianu, Andy

    2015-01-01

    To review the rules, resolutions and existing documents relating to consultant and advisor to better target the actions of those who exercise these roles. The following documents were consulted: Statute of CAPES, through Decree No. 7692 of March 2, 2012; Ordinance No. 47 of 17/10/1995; Opinion 977 1965 Newton Sucupira; Area Document of Medicine III; Interministerial Ordinance 251 of 2012, based on Decree No. 7642 of 2011 of the Ministry of Science and Technology; CAPES Regiment. The Brazilian Postgraduate system is divided in two different fields, according to its aspects: the "lato sensu" postgraduate, defined as all professional studies performed after the high school graduation; and the "stricto sensu" postgraduate that includes the master degree and the doctorate, both of them different from what is known as MSc or MS and PhD. The Brazilian doctorate is recognized as academic because its purposes include to improve the scientific and the teaching levels of university docents. The master degree has two different objectives one is to be academic and similar to the doctorate; the other is to upgrade professionals to a higher level than specialist or MBA and is denominated professional master degree. The master degrees and the doctorate are designated as courses and may be put together in a structure known as stricto sensu postgraduate program. The complexity of these courses and programs in all the areas of the superior human knowledge requires a large number of professional directly involved with this system and other professionals that attend them, called consultants and advisors. The consultants are counselors, and the advisors are assistants, both of them legally established with the incumbency to aid the postgraduate staff in all their duties. Nothing prevents a person from being a consultant on the situation and advisor on another, even in the same institution. Have knowledge about what being a consultant and advisor is required to exercise the function

  16. Malpractice and the Communication Consultant: A Proactive Approach.

    Science.gov (United States)

    Montgomery, Daniel J.; And Others

    1995-01-01

    Provides communication practitioners with an overview of legal and ethical issues facing individuals who market themselves as professional communication consultants. Discusses the tort of negligence. Outlines court-supported practices that professional consultants might use to help protect clients and themselves. Argues that an understanding of…

  17. Consultation: Creating School-Based Interventions. Second Edition.

    Science.gov (United States)

    Dinkmeyer, Don, Jr.; Carlson, Jon

    Decades after consultation has become a mandated function of school counselors, consultants still seek effective ways to deliver this essential role. This book, geared towards mental health professionals, provides a set of skills for working with the school-based population. The ideas, based on Adlerian psychology, present a theory of consultation…

  18. Using Learning Principles as a Theoretical Framework for Instructional Consultations

    Science.gov (United States)

    DiPietro, Michele; Norman, Marie

    2014-01-01

    Learning theory provides a powerful framework for analyzing instructional consultations and increasing their effectiveness. In this paper, the authors review the main tenets of learning theory, apply them to consultation scenarios, and present a complex case study to show how they can guide analysis and problem solving around challenging…

  19. Intellectual Humility and Morality as Consultee-Centered Consultation Epistemologies

    Science.gov (United States)

    Truscott, Stephen D.; Kearney, Moriah A.; Davis, Don E.; Roach, Andrew T.

    2017-01-01

    Little research examines how epistemological constructs affect the consultation process in schools. We consider how the epistemological constructs of (a) intellectual humility and (b) moral foundations may moderate the effectiveness of consultee-centered consultation. We define the constructs and provide examples of their potential influences on…

  20. International Consultation and Training on Group Work in South Asia

    Science.gov (United States)

    Ibrahim, Farah A.

    2015-01-01

    This article presents a consultation and training for faculty and graduate students in South Asia under the auspices of the United Nations' Transfer of Knowledge Through Expatriate Nationals (TOKTEN) Program. It describes the development of a consultation relationship and training on group work. Needs assessments focusing on both cultural…

  1. Colonial connections and consulting engineers 1850-1914

    DEFF Research Database (Denmark)

    Andersen, Casper

    2011-01-01

    The paper analyses colonial connections and networks of British consulting engineers. It unravels how consulting engineers operated within different imperial contexts, including settler colonies, Egypt and Crown colonies in West Africa in particular. The paper also examines the close and at times...

  2. Can audio recording of outpatient consultations improve patient outcome?

    DEFF Research Database (Denmark)

    Wolderslund, Maiken; Kofoed, Poul-Erik; Axboe, Mette

    recording of the dialogue between the patient and the clinician via the telephone in the consultation room. This technique ensures minimal time consumption for clinicians and high sound quality. By dialing their social security number in combination with a PIN, patients can hear their consultation again...

  3. 15 CFR 200.103 - Consulting and advisory services.

    Science.gov (United States)

    2010-01-01

    ... testimony or the production of data, information, or records in such legal proceedings which is governed by..., SERVICES, PROCEDURES, AND FEES § 200.103 Consulting and advisory services. (a) In areas of its special competence, NIST offers consulting and advisory services on various problems related to measurement, e.g...

  4. 21 CFR 860.125 - Consultation with panels.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Consultation with panels. 860.125 Section 860.125 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED...) Discussion at a panel meeting. (b) The method of consultation chosen by the Commissioner will depend upon the...

  5. 10 CFR 19.15 - Consultation with workers during inspections.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Consultation with workers during inspections. 19.15...: INSPECTION AND INVESTIGATIONS § 19.15 Consultation with workers during inspections. (a) Commission inspectors... inspectors deem necessary for the conduct of an effective and thorough inspection. (b) During the course of...

  6. 29 CFR 1903.10 - Consultation with employees.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 5 2010-07-01 2010-07-01 false Consultation with employees. 1903.10 Section 1903.10 Labor... INSPECTIONS, CITATIONS AND PROPOSED PENALTIES § 1903.10 Consultation with employees. Compliance Safety and... extent they deem necessary for the conduct of an effective and thorough inspection. During the course of...

  7. 40 CFR 161.40 - Consultation with the Agency.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 23 2010-07-01 2010-07-01 false Consultation with the Agency. 161.40 Section 161.40 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) PESTICIDE PROGRAMS DATA REQUIREMENTS FOR REGISTRATION OF ANTIMICROBIAL PESTICIDES General Provisions § 161.40 Consultation...

  8. Consultant choice across decision contexts: are abortion decisions different?

    Science.gov (United States)

    Finken, L L; Jacobs, J E

    1996-04-01

    A survey conducted among college students in the midwestern US indicated that abortion decision-making consultation patterns differ substantially from those associated with other types of decisions. Surveyed were 169 predominantly White, middle-income students (68 males and 101 females) 18-20 years of age recruited from an introductory psychology class. Participants were presented with vignettes that pertained to four types of decisions: abortion (unplanned pregnancy), medical (cancer treatment type), future (career move), and interpersonal (crisis with a friend). For each decision, students were asked who they would consult (specific family members, significant others, friends, various professionals) and the order in which they would consult them. The mean number of consultants selected was 3.72 for abortion, 5.54 for medical, 4.90 for future-oriented, and 2.41 for interpersonal decisions. Significant others were selected most often for all decision scenarios; however, the highest frequency of consultation and lowest mean rank order for the significant other was on the abortion decision. The next most important consultant for abortion decisions was friends, then family members, and, finally, professionals. The only gender difference was a greater tendency for females to consult their mothers. For every category of consultant (except best friend), the pattern differed depending on the type of decision. These findings underscore the importance of considering context and multifaceted approaches in the design of programs aimed at enhancing adolescents' decision-making skills.

  9. 77 FR 18258 - Government-to-Government Telephonic Consultation Meetings

    Science.gov (United States)

    2012-03-27

    ... DEPARTMENT OF THE INTERIOR National Park Service [NPS-WASO-NRNHL-0212-9515; 2280-665] Government-to-Government Telephonic Consultation Meetings AGENCY: National Park Service, Interior. SUMMARY: The National Park Service announces two telephonic government- to-government consultation meetings with Indian...

  10. Consultation in Bullying Prevention: An Elementary School Case Study

    Science.gov (United States)

    Morrow, Michael T.; Hooker, Steven D.; Cate, Rebecca Lynne

    2015-01-01

    This manuscript outlines a consultation with a public elementary school that was aimed at assessing and strengthening the school's antibullying programs. We gathered consultation data through interviews and observations and also reviewed existing program evaluation data. We evaluated these data in light of current research on bullying prevention…

  11. 18 CFR 12.34 - Approval of independent consultant.

    Science.gov (United States)

    2010-04-01

    ... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Approval of independent... COMMISSION, DEPARTMENT OF ENERGY REGULATIONS UNDER THE FEDERAL POWER ACT SAFETY OF WATER POWER PROJECTS AND PROJECT WORKS Inspection by Independent Consultant § 12.34 Approval of independent consultant. At least 60...

  12. 18 CFR 12.37 - Report of the independent consultant.

    Science.gov (United States)

    2010-04-01

    ... independent consultant. 12.37 Section 12.37 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY REGULATIONS UNDER THE FEDERAL POWER ACT SAFETY OF WATER POWER PROJECTS AND PROJECT WORKS Inspection by Independent Consultant § 12.37 Report of the independent...

  13. An Interdisciplinary Mental Health Consultation Team in a Nursing Home.

    Science.gov (United States)

    Joseph, Carol; And Others

    1995-01-01

    Describes the Mental Health Consultation Team at the Portland Veterans Affairs Medical Center nursing home. The team is an interdisciplinary group of mental health professionals and primary care providers. Cooperation among these professionals has decreased the demands for formal psychiatry and psychology consultations while increasing mental…

  14. Delay to orthopedic consultation for isolated limb injury

    Science.gov (United States)

    Rouleau, Dominique M.; Feldman, Debbie Ehrmann; Parent, Stefan

    2009-01-01

    ABSTRACT OBJECTIVE To describe referral mechanisms for referral to orthopedic surgery for isolated limb injuries in a public health care system and to identify factors affecting access. DESIGN Cross-sectional survey. SETTING Orthopedic surgery service in a level 1 trauma centre in Montreal, Que. PARTICIPANTS We conducted a prospective study of 166 consecutive adults (mean age 48 years) referred to orthopedic surgery for isolated limb injuries during a 4-month period. MAIN OUTCOME MEASURES Self-reported data on the nature of the trauma, the elapsed time between injury and orthopedic consultation, the number and type of previous primary care consultations, sociodemographic characteristics, and the level of satisfaction with care. RESULTS Average time between the injury and orthopedic consultation was 89 hours (range 3 to 642), with an average of 68 hours (range 0 to 642) for delay between primary care consultation and orthopedic consultation. A total of 36% of patients with time-sensitive diagnoses had unacceptable delays to orthopedic consultation according to the Quebec Orthopaedic Association guidelines. Lower limb injury, consulting first at another hospital, living far from the trauma centre, patient perception of low severity, and having a soft tissue injury were associated with longer delays. CONCLUSION Identifying gaps and risk factors for slower access might help improve referral mechanisms for orthopedic consultation. PMID:19826162

  15. Effects of a nurse practitioner on a multidisciplinary consultation team

    NARCIS (Netherlands)

    van der Sluis, Corry K.; Datema, Linetta; Saan, Ingrid; Stant, Dennis; Dijkstra, Pieter U.

    Effects of a nurse practitioner on a multidisciplinary consultation team. This paper is a report of a study to evaluate the impact on office hours capacity, patient satisfaction, quality of life and costs of including a nurse practitioner in a multidisciplinary consultation team for patients with

  16. The preoperative cardiology consultation: Indications and risk modification

    NARCIS (Netherlands)

    M.W. de Groot (Mark); A. Spronk (Angela); S.E. Hoeks (Sanne); R.J. Stolker (Robert); F. van Lier (Felix)

    2017-01-01

    textabstractBackground The cardiologist is regularly consulted preop-eratively by anaesthesiologists. However, insights into the efficiency and usefulness of these consultations are unclear. Methods This is a retrospective study of 24,174 preoperatively screened patients ≥18 years scheduled for

  17. Lag Sequential Analysis: Taking Consultation Communication Research to the Movies.

    Science.gov (United States)

    Benes, Kathryn M.; Gutkin, Terry B.; Kramer, Jack J.

    1995-01-01

    Describes lag-sequential analysis and its unique contributions to research literature, addressing communication processes in school-based consultation. For purposes of demonstrating the application and potential utility of lag-sequential analysis, article analyzes the communication behaviors of two consultants. Considers directions for future…

  18. Discovering What Matters: Interrogating Clinician Responses to Ethics Consultation.

    Science.gov (United States)

    Finder, Stuart G; Bartlett, Virginia L

    2017-05-01

    Against the background assumptions that (a) knowing what clinical ethics consultation represents to those with whom ethics consultants work most closely is a necessary component for being responsible in the practice of ethics consultation, and (b) the complexities of soliciting and understanding colleague evaluations require another inherent responsibility for the methods by which ethics consultations are evaluated, in this article we report our experience soliciting, analyzing, and trying to understand retrospective evaluations of our Clinical Ethics Consultation Service. These evaluations were collected through a quality assessment effort at our institution. Drawing from the qualitative elements of our survey instrument, we describe unexpected variations among the requests for ethics consultation and the retrospective reports from those colleagues making the requests. Focusing on just one aspect - the reason for request - raised several core questions about how we should evaluate those retrospective reports, what could be learned from the differences that we were now encountering, and what we could learn about the process of evaluating our practices. Working through these questions, we suggest several issues to consider in ongoing efforts to describe and evaluate clinical ethics consultation: the role of time and memory in evaluating retrospective evaluations, the importance of attending to the language of moral shift or disruption with which our colleagues describe their experiences, and how to understand the role of ethics consultation in creating 'moral space' (a la Margaret Urban Walker's conception) for colleagues to process their moral experiences. © 2017 John Wiley & Sons Ltd.

  19. A Qualitative Study of Televideo Consultations for COPD Patients

    DEFF Research Database (Denmark)

    Mathar, Helle; Fastholm, Pernille; Sandholm Larsen, Niels

    2015-01-01

    from hospital with televideo consultations? The study shows that the patients' assessments of the effectiveness and value of the televideo consultations in their everyday lives are based on tough cost-benefit calculation of the extent to which the intervention makes their lives easier or more difficult...

  20. An integrated occupational hygiene consultation model for the catering industry.

    Science.gov (United States)

    Lin, Yi-Kuei; Lee, Lien-Hsiung

    2010-07-01

    Vegetable oil used in food processing, during high-temperature exposure, will generate particulate matter (PM) and polycyclic aromatic hydrocarbons (PAHs), which are carcinogenic chemical compounds, with the potential to cause lung disease for restaurant kitchen staff. This study's design includes a three-stage consultation process with eight major consultation items, in order to build an integrated consultation model for occupational hygiene. This model combines inspection and consultation, targeting Chinese restaurants in the catering industry. Characteristics of the integrated consultation model include cooperation between different government departments and collaboration with nongovernmental, professional consulting organizations. An additional benefit of the model is the building of a good partnership relationship with the Catering Trade Association. The consultation model helps Chinese restaurants attain improvements in their work environments with minimal investment. Postconsultation, results show a 63.35% and 61.98% (P < 0.001) decrease in the mean time-weighted concentration of exposure to PM and PAHs, respectively. The overall regulation compliance rate of Chinese restaurants significantly increased from 34.3% to 89.6%. These results show that the integrated consultation model for occupational hygiene not only helps small and medium enterprises reduce exposure concentrations in the workplace but also has specific potential for successful implementation in Taiwan.

  1. 42 CFR 493.1457 - Standard; Clinical consultant responsibilities.

    Science.gov (United States)

    2010-10-01

    ... HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION LABORATORY REQUIREMENTS Personnel for Nonwaived Testing Laboratories Performing High Complexity Testing § 493.1457 Standard; Clinical consultant... 42 Public Health 5 2010-10-01 2010-10-01 false Standard; Clinical consultant responsibilities. 493...

  2. 10 CFR 51.40 - Consultation with NRC staff.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 2 2010-01-01 2010-01-01 false Consultation with NRC staff. 51.40 Section 51.40 Energy....40 Consultation with NRC staff. (a) A prospective applicant or petitioner for rulemaking is encouraged to confer with NRC staff as early as possible in its planning process before submitting...

  3. Financial implications for built environment consultants working at ...

    African Journals Online (AJOL)

    Adendorff et al • Financial implications. 133 that should be avoided. One of the pitfalls is pricing – if the pricing is wrong for a particular project, either the consultant or the client may thus be prejudiced (Moss, 2000: 1). Working at risk should however not be confused with a simple deferral of the consultant's fee (or a portion ...

  4. Development of a teledermatopathology consultation system using virtual slides

    Directory of Open Access Journals (Sweden)

    Nakayama Ikunori

    2012-12-01

    Full Text Available Abstract Background An online consultation system using virtual slides (whole slide images; WSI has been developed for pathological diagnosis, and could help compensate for the shortage of pathologists, especially in the field of dermatopathology and in other fields dealing with difficult cases. This study focused on the performance and future potential of the system. Method In our system, histological specimens on slide glasses are digitalized by a virtual slide instrument, converted into web data, and up-loaded to an open server. Using our own purpose-built online system, we then input patient details such as age, gender, affected region, clinical data, past history and other related items. We next select up to ten consultants. Finally we send an e-mail to all consultants simultaneously through a single command. The consultant receives an e-mail containing an ID and password which is used to access the open server and inspect the images and other data associated with the case. The consultant makes a diagnosis, which is sent to us along with comments. Because this was a pilot study, we also conducted several questionnaires with consultants concerning the quality of images, operability, usability, and other issues. Results We solicited consultations for 36 cases, including cases of tumor, and involving one to eight consultants in the field of dermatopathology. No problems were noted concerning the images or the functioning of the system on the sender or receiver sides. The quickest diagnosis was received only 18 minutes after sending our data. This is much faster than in conventional consultation using glass slides. There were no major problems relating to the diagnosis, although there were some minor differences of opinion between consultants. The results of questionnaires answered by many consultants confirmed the usability of this system for pathological consultation. (16 out of 23 consultants. Conclusion We have developed a novel

  5. 2009 Consultancy As Employment Options for Library

    African Journals Online (AJOL)

    ion arm of the library. If pursued independently it can actually ... technology to meet their business and research objectives. In addition to providing advice, library .... Obaseki, P. J. (2002) Globalisation and the. Nigerian Economy, Central Bank of ...

  6. Participation in Written Government Consultations in Denmark and the UK

    DEFF Research Database (Denmark)

    Rasmussen, Anne

    2015-01-01

    Despite the proliferation of instruments of public consultation in liberal democracies, little is known of how the design and use of these instruments affect stakeholder participation in practice. The article examines participation in written government consultations in an analysis of approximately...... 5,000 responses to consultations in Denmark and the UK in the first half of 2008. It shows that participation is highly conditional upon system-and actor-level characteristics in practice. Our findings indicate that, even if liberal democracies have adopted similar procedures for actor consultation...... in the last decades, the design and application of crucial rules vary considerably between systems. They emphasize how the conduct of consultation is heavily conditioned by the design of these processes, which is in turn constrained by the historical legacy of state-society structures of the system...

  7. Does professional-centred training improve consultation outcomes?

    DEFF Research Database (Denmark)

    Parkin, Tracey; Barnard, K.; Cradock, S.

    2006-01-01

    complete disagreement occurred between the patient and professional, on decisions made, reduced from 17% at baseline to 11% at follow up. It was concluded that professional-centred training can be effective in improving patients' perceptions of the consultation, and in increasing patient......This study aimed to examine whether professional-centred training improves consultation outcomes. Using a pre- and post-data collection design. Immediately after consultations, professionals and patients completed a consultation review sheet which was coded for the level of agreement on issues...... discussed and decisions made. Patients also completed the Health Care Climate Questionnaire (HCCQ). Pre-training results were fed back to the professionals to provide an objective measure of current practice. Training day one comprised 10 minutes' observation of videoed consultations of each professional...

  8. An Empirical Study of Multidimensional Fidelity of COMPASS Consultation.

    Science.gov (United States)

    Wong, Venus; Ruble, Lisa A; McGrew, John H; Yu, Yue

    2017-08-31

    Consultation is essential to the daily practice of school psychologists (National Association of School Psychologist, 2010). Successful consultation requires fidelity at both the consultant (implementation) and consultee (intervention) levels. We applied a multidimensional, multilevel conception of fidelity (Dunst, Trivette, & Raab, 2013) to a consultative intervention called the Collaborative Model for Promoting Competence and Success (COMPASS) for students with autism. The study provided 3 main findings. First, multidimensional, multilevel fidelity is a stable construct and increases over time with consultation support. Second, mediation analyses revealed that implementation-level fidelity components had distant, indirect effects on student Individualized Education Program (IEP) outcomes. Third, 3 fidelity components correlated with IEP outcomes: teacher coaching responsiveness at the implementation level, and teacher quality of delivery and student responsiveness at the intervention levels. Implications and future directions are discussed. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  9. Determinants of Management Innovation in the Ghanaian Construction Consulting Sector

    Directory of Open Access Journals (Sweden)

    De-Graft Owusu-Manu

    2015-03-01

    Full Text Available Determinants of management innovation (MI within the Ghanaian construction consulting sector are examined. A sample of 70 consulting firms is surveyed using self-administered questionnaires. Data are analysed using descriptive statistics and factor analysis. Findings indicate that determinants of MI were interwoven among seven principal factors viz: community and market demands; financial and business management practices; human resource policies; creativity and organizational strategies; corporate social responsibility; prevailing conditions; and competitive leverage. The study adds to the discourse on evolution of innovation within the global consulting sector generally, while providing reference for practitioners and academics in the field with respect to MI determinants more specifically. It is envisaged that practitioners who adopt these findings in the construction consultancy sector would enhance their ability to provide innovative services to clients. Study recommendations include that future research should explore how innovation is diffused within consulting enterprises’ value chains. Paper Type: Research article

  10. Spirituality and distress in palliative care consultation.

    Science.gov (United States)

    Hills, Judith; Paice, Judith A; Cameron, Jacqueline R; Shott, Susan

    2005-08-01

    One's spirituality or religious beliefs and practices may have a profound impact on how the individual copes with the suffering that so often accompanies advanced disease. Several previous studies suggest that negative religious coping can significantly affect health outcomes. The primary aim of this study was to explore the relationship between spirituality, religious coping, and symptoms of distress among a group of inpatients referred to the palliative care consult service. Pilot study. The study was conducted in a large academic medical center with a comprehensive Palliative Care and Home Hospice Program. (1) National Comprehensive Cancer Network Distress Management Assessment Tool; (2) Pargament Brief Religious Coping Scale (Brief RCOPE); (3) Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp); (4) Puchalski's FICA; and (5) Profile of Mood States-Short Form (POMS-SF). The 31 subjects surveyed experienced moderate distress (5.8 +/- 2.7), major physical and psychosocial symptom burden, along with reduced function and significant caregiving needs. The majority (87.2%) perceived themselves to be at least somewhat spiritual, with 77.4% admitting to being at least somewhat religious. Negative religious coping (i.e., statements regarding punishment or abandonment by God) was positively associated with distress, confusion, depression, and negatively associated with physical and emotional well-being, as well as quality of life. Palliative care clinicians should be alert to symptoms of spiritual distress and intervene accordingly. Future research is needed to identify optimal techniques to address negative religious coping.

  11. Concertation or Consultation. That is the question.

    CERN Multimedia

    Staff Association

    2018-01-01

    In April 2017 (as reported in Echo No. 268), the Staff Association, when invited to an Enlarged Directorate meeting, stressed that “concertation requires a positive attitude and mutual trust. […] The Staff Association is firmly committed in this respect but does not consider that the concertation process is as effective as we should like”. The continued lack, for the Staff Association, of an effective concertation process led to a revisiting of the situation in June 2017 (Echo No. 271), in an article that stressed the importance of the concertation process at CERN since it was introduced in 1983, the year in which the Standing Concertation Committee (SCC) replaced the Standing Consultation Committee. The importance of concertation was also highlighted by Mr Bernard Dormy, Chair of TREF, in an interview he gave to the Staff Association at the end of January 2018 (Echo No. 284), when he retired from his position as the Chair of the Forum. “To sum it up, I would certainl...

  12. Concertation rather than Consultation or Negotiation!

    CERN Multimedia

    Staff Association

    2017-01-01

    At CERN, the Concertation between the Management and the Personnel has been in effect since 1983, the year in which the Standing Concertation Committee (SCC) came to replace the Standing Consultation Committee. Since then, the concertation process has been enshrined in the Staff Rules and Regulations, which define its scope of application: “Any proposed measures of a general nature regarding the conditions of employment or association of members of the personnel shall be the subject of discussion within the SCC” (S VII 1.08). More generally, all questions relating to the employment and working conditions of the members of personnel are discussed in the SCC, including in particular issues of remuneration, social protection (CHIS and Pension Fund), career evolution... In Article S VII 1.07 of the Staff Rules and Regulations it is also stated that: “Discussion shall mean a procedure whereby the Director-General and the Staff Association concert together to try to reach a common po...

  13. Department of Training and Consulting - Overview

    International Nuclear Information System (INIS)

    Dobrzynski, L.

    2007-01-01

    Department of Training and Consulting is regularly serving secondary schools' pupils and teachers, university students and the public. As usual we have been visited by about 7000 visitors, mainly students from secondary schools in Poland. The Department is constantly developing experiments which can be conducted by students of secondary schools and universities, as well as by professionals. At the moment there are about 20 experiments available for the guests of the Department. They cover measurements of the lifetimes, elements of radioprotection, absorption of radiation in various materials, excitation of fluorescence radiation, influence of magnetic field on beta radiation as well as electrons emitted from typical electron gun, Compton scattering and elements of gamma spectroscopy, search for radioactive pollutions etc. In addition the Department was very active during Science Picnic in May and Science Festival in September, when the Department proposed organisation of a '' Day with Radioactivity ''. '' The Day '' consisted of a number of public lectures and demonstrations. In addition two evenings were dedicated to a public debate on energy sources and energy demands and supply in next 50-100 years. One should also mention organisation and leading of the professional course for accelerators' operators, as well as starting a new university course on '' Nuclear Energy and Its Use '' (Cardinal Stefan Wyszynski University, Warsaw). The web side of the Department contains educational materials (part of it can be found on international platform http://www.nupex.org), quizzes and self-teaching materials. (author)

  14. Education, consultation, guidance, students, advisor, teacher

    Directory of Open Access Journals (Sweden)

    M Seyedmajidi

    2013-09-01

    Full Text Available Introduction: Student counseling and supervision play an important role to overcome learning problems and to achieve educational goals. The present study is intended to investigate viewpoints of students regarding educational guidance and advice studying at Babol University of Medical Sciences. Methods: In this descriptive cross-sectional survey, viewpoints of 480 students were collected by a questionnaire. The validity and reliability of the questionnaire had been approved before. Data were analyzed using SPSS version 17 software. Chi- square and ANOVA tests were administered. Results: 61.2% of all participants were female and 38.8% were males with mean age of 21.3±4.0. 37.2% of these students lacked sufficient knowledge and information on how to request from their advisors for help and guidance. Half of students (50.3% reported attendance of advisors and holding routine consultation is inappropriate. Advisors made more educational files for females compare to males (P=0.001. No difference observed regarding educational disciplines of the advisors regarding students were dissatisfied with help and guidance received from paramedics and dentistry students in most fields (87.3% and 81.5% respectively. Conclusion: It seems that either student has no sufficient information about tasks of advisors and/or advisors may not do their tasks properly. It is recommended the students to be acquainted with advisors’ tasks upon their entrance into the university. Training classes for new academics would be helpful.

  15. Inpatient allergy/immunology consultations in a tertiary care setting.

    Science.gov (United States)

    Otto, Hans F; England, Ronald W; Quinn, James M

    2010-01-01

    Few studies have examined inpatient referral patterns for fellowship training programs and none for allergy/immunology (AI) since 2003. The primary end point was the reason for consultation, and secondary end points included the AI diagnosis made and outcomes. We retrospectively reviewed all inpatient AI consultations from July 1, 2001 through June 30, 2007. These 6 years of data were combined with 14 years of data examining the reason for consult from a previous study. The data were analyzed for trends and changes over the entire 20-year period. A total of 254 AI inpatient consults were reviewed over the 6 years studied. Thirty-six percent (92/254) of inpatient consults were for evaluation of adverse drug reactions (ADRs), 22% (55/254) miscellaneous reasons, 17% (43/254) urticaria/angioedema, 13% (32/254) for possible immunodeficiency, 9% (23/254) for anaphylaxis, and 3% (8/254) for asthma. AI inpatient consults show a significant decline over the recent 6-year period (p = 0.0023) despite stable total hospital admissions since 1998. Over the last 20 years, an 85% decrease (p < 0.00001) in inpatient asthma consults and increases (p < 0.05) in immunodeficiency, rash, and urticaria/angioedema evaluations have been observed. Not following AI recommendations resulted in a 16.6 odds ratio (95% CI, 5.55-49.93) that a patient's clinical status would be worse or unchanged. Inpatient AI consults have declined with associated reduction in asthma inpatient consults. Although ADRs and anaphylaxis consults have been stable, evaluations for immunodeficiency, rash, and urticaria/angioedema have increased. Following inpatient AI recommendations is associated with improved patient outcomes.

  16. Investigating the quality of video consultations performed using fourth generation (4G) mobile telecommunications.

    Science.gov (United States)

    Caffery, Liam J; Smith, Anthony C

    2015-09-01

    The use of fourth-generation (4G) mobile telecommunications to provide real-time video consultations were investigated in this study with the aims of determining if 4G is a suitable telecommunications technology; and secondly, to identify if variation in perceived audio and video quality were due to underlying network performance. Three patient end-points that used 4G Internet connections were evaluated. Consulting clinicians recorded their perception of audio and video quality using the International Telecommunications Union scales during clinics with these patient end-points. These scores were used to calculate a mean opinion score (MOS). The network performance metrics were obtained for each session and the relationships between these metrics and the session's quality scores were tested. Clinicians scored the quality of 50 hours of video consultations, involving 36 clinic sessions. The MOS for audio was 4.1 ± 0.62 and the MOS for video was 4.4 ± 0.22. Image impairment and effort to listen were also rated favourably. There was no correlation between audio or video quality and the network metrics of packet loss or jitter. These findings suggest that 4G networks are an appropriate telecommunication technology to deliver real-time video consultations. Variations in quality scores observed during this study were not explained by the packet loss and jitter in the underlying network. Before establishing a telemedicine service, the performance of the 4G network should be assessed at the location of the proposed service. This is due to known variability in performance of 4G networks. © The Author(s) 2015.

  17. An Exploratory Study of Informal Learning and Team Performance in the Pre-Consulting Phase

    Science.gov (United States)

    Sibarani, Roza Marsaulina

    2014-01-01

    This paper reports the process of informal learning in the pre-consulting phase in management-consulting firms in Indonesia. As the consulting industry significantly grows in Indonesia, more organisations use consultant services to improve their business. Pre-consulting is an important phase to define the right solutions, which involves a lot of…

  18. Department of Training and Consulting - Overview

    International Nuclear Information System (INIS)

    Dobrzynski, L.

    2010-01-01

    Full text: The Department of Training and Consulting concentrates on the dissemination of knowledge on radiation phenomena: the origins, applications and health effects of ionizing radiation in particular. Its activity is open to the public. However, the main recipients are students of secondary schools and teachers. During about 12 years of such activity the number of visitors has exceeded 60 000 persons, while during last few years the average number of our visitors varies between 6 000 and 7 000 per year, which shows how much this kind of activity is needed. It should be noted that the term 'visitor' is not the most appropriate, because what the 'visitor' actually experiences in the Department is a series of lectures with demonstrations, visits to the MARIA reactor or regular experimenting in a specially designed Laboratory of Atomic and Nuclear Physics for schools, teachers and university students. The Department organized two permanent exhibitions. One is connected with the nuclear waste treatment and storage, another one displays a large model. 4x4x4 m. of a nuclear reactor of the WWER-type which was about to be installed at Zarnowiec about 20 years ago. The Department is equally active during annual Picnics and Festivals of Science in Warsaw and other Polish towns. Our staff is often asked to deliver lectures outside the Institute for Nuclear Studies, and participates in discussions on problems of teaching, in addition, the Department leads, together with the Institute of Physics of the Polish Academy of Sciences, Warsaw, the annual competition, named '' Physical Paths '', for high-school students. The competition is arranged in three categories: research, demonstration of physical phenomena, and essays on physics and its relation to civilization. This competition particularly stimulates small educational centers in Poland. This year, 2010, the competition was organized for the fifth time. The Department of Training and Consulting arranges regular courses

  19. History Making: The Historian as Consultant

    Directory of Open Access Journals (Sweden)

    Jorma Kalela

    2013-11-01

    Full Text Available History is not just a genre of knowledge but also a basic feature of human life. Accounting for the past, or creating histories, to quote David Thelen, is ‘as natural a part of life as eating or breathing’. Casual references to what has taken place make up the vast majority of these accounts. But there are also a great number of deliberately created expositions of the past. They are produced in every field of society and by a wide variety of actors, from private persons to, for example, politicians and various media. The totality of them can be called everyday history. These accounts of the past serve present purposes – histories have innumerable functions and are of countless types. Divergent accounts also influence each other, and my suggestion is that their interaction be called the never-ending social process of history-making. History making, in other words, is not the preserve of academically-trained historians. They are experts but not outside observers. Scholarly historians are inescapably involved in the social process of history making. Their work goes beyond prevailing histories: they seek interpretations that make better sense of the past than the existing ones. Embedded in this effort is another constructivist function: they demonstrate ways to think about the past and how to use it. When demonstrating ‘that’s not how it was’, historians at the same display ‘how the presentation should have been constructed’. Even if they don’t think of themselves as consultants on history making they act in this capacity.

  20. Interventions before consultations for helping patients address their information needs.

    Science.gov (United States)

    Kinnersley, P; Edwards, A; Hood, K; Cadbury, N; Ryan, R; Prout, H; Owen, D; Macbeth, F; Butow, P; Butler, C

    2007-07-18

    Patients often do not get the information they require from doctors and nurses. To address this problem, interventions directed at patients to help them gather information in their healthcare consultations have been proposed and tested. To assess the effects on patients, clinicians and the healthcare system of interventions which are delivered before consultations, and which have been designed to help patients (and/or their representatives) address their information needs within consultations. We searched: the Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library (issue 3 2006); MEDLINE (1966 to September 2006); EMBASE (1980 to September 2006); PsycINFO (1985 to September 2006); and other databases, with no language restriction. We also searched reference lists of articles and related reviews, and handsearched Patient Education and Counseling (1986 to September 2006). Randomised controlled trials of interventions before consultations designed to encourage question asking and information gathering by the patient. Two researchers assessed the search output independently to identify potentially-relevant studies, selected studies for inclusion, and extracted data. We conducted a narrative synthesis of the included trials, and meta-analyses of five outcomes. We identified 33 randomised controlled trials, from 6 countries and in a range of settings. A total of 8244 patients was randomised and entered into studies. The most common interventions were question checklists and patient coaching. Most interventions were delivered immediately before the consultations.Commonly-occurring outcomes were: question asking, patient participation, patient anxiety, knowledge, satisfaction and consultation length. A minority of studies showed positive effects for these outcomes. Meta-analyses, however, showed small and statistically significant increases for question asking (standardised mean difference (SMD) 0.27 (95% confidence interval (CI) 0.19 to 0.36)) and

  1. Applying research to practice: generalist and specialist (visual ergonomics) consultancy.

    Science.gov (United States)

    Long, Jennifer; Long, Airdrie

    2012-01-01

    Ergonomics is a holistic discipline encompassing a wide range of special interest groups. The role of an ergonomics consultant is to provide integrated solutions to improve comfort, safety and productivity. In Australia, there are two types of consultants--generalists and specialists. Both have training in ergonomics but specialist knowledge may be the result of previous education or work experience. This paper presents three projects illustrating generalist and specialist (visual ergonomics) consultancy: development of a vision screening protocol, solving visual discomfort in an office environment and solving postural discomfort in heavy industry. These case studies demonstrate how multiple ergonomics consultants may work together to solve ergonomics problems. It also describes some of the challenges for consultants, for those engaging their services and for the ergonomics profession, e.g. recognizing the boundaries of expertise, sharing information with business competitors, the costs-benefits of engaging multiple consultants and the risk of fragmentation of ergonomics knowledge and solutions. Since ergonomics problems are often multifaceted, ergonomics consultants should have a solid grounding in all domains of ergonomics, even if they ultimately only practice in one specialty or domain. This will benefit the profession and ensure that ergonomics remains a holistic discipline.

  2. Patients' assessments of consulting a nurse practitioner: the time factor.

    Science.gov (United States)

    Williams, Anne; Jones, Melanie

    2006-01-01

    This paper reports a study exploring patients' views about consulting with a primary care nurse practitioner. United Kingdom based randomized controlled trials comparing the work of doctors and nurse practitioners add considerable weight to the view that patients tend to be more satisfied with primary care nurse practitioner consultations. However, there is a need for qualitative research to explore issues raised by the trials. A judgement sample of 10 patients consulting with a primary care nurse practitioner was drawn. In-depth interviews were conducted and analysed thematically. The data were collected in 2000-2001. The following themes were identified in the data: time spent in the consultation; and time as a commodity in patients' lives. Time matters to patients when they consult on their health, whether it is time to discuss problems or time saved as a result of having issues resolved, thus minimizing further visits. Factors associated with the style and emphasis of consultations are also important. Understanding the relationship between time, and style and emphasis of consultation may help to explain patients' satisfaction with primary care nurse practitioners.

  3. A Collaborative Approach to Implement Positive Behavior Support Plans for Children with Problem Behaviors: A Comparison of Consultation versus Consultation and Feedback Approach

    Science.gov (United States)

    Erbas, Dilek

    2010-01-01

    The purpose of this study is to compare the effectiveness of consultation alone and consultation plus feedback on the proper use of positive behavior support strategies (PBS) on behaviors of three mothers with children with developmental disabilities. Results indicated that consultation plus feedback was more effective than consultation alone…

  4. Impact of Diabetes E-Consults on Outpatient Clinic Workflow.

    Science.gov (United States)

    Zoll, Brian; Parikh, Pratik J; Gallimore, Jennie; Harrell, Stephen; Burke, Brian

    2015-08-01

    An e-consult is an electronic communication system between clinicians, usually a primary care physician (PCP) and a medical or surgical specialist, regarding general or patient-specific, low complexity questions that would not need an in-person consultation. The objectives of this study were to understand and quantify the impact of the e-consult initiative on outpatient clinic workflow and outcomes. We collected data from 5 different Veterans Affairs (VA) outpatient clinics and interviewed several physicians and staff members. We then developed a simulation model for a primary care team at an outpatient clinic. A detailed experimental study was conducted to determine the effects of factors, such as e-consult demand, view-alert notification arrivals, walk-in patient arrivals, and PCP unavailability, on e-consult cycle time. Statistical tests indicated that 4 factors related to outpatient clinic workflow were significant, and levels within each of the 4 significant factors resulted in statistically different e-consult cycle times. The arrival rate of electronic notifications, along with patient walk-ins, had a considerable effect on cycle time. Splitting the workload of an unavailable PCP among the other PCPs, instead of the current practice of allocating it to a single PCP, increases the system's ability to handle a much larger e-consult demand. The full potential of e-consults can only be realized if the workflow at the outpatient clinics is designed or modified to support this initiative. This study furthers our understanding of how e-consult systems can be analyzed and alternative workflows tested using statistical and simulation modeling to improve care delivery and outcomes. © The Author(s) 2014.

  5. [Differences in the nursing consultation utilization in primary care, Spain].

    Science.gov (United States)

    Martín-Fernández, Jesús; Rodríguez-Martínez, Gemma; Ariza-Cardiel, Gloria; Vergel Gutierrez, M Ángeles; Hidalgo Escudero, Ana Victoria; Conde-López, Juan Francisco

    2013-01-01

    Different conditions in health services utilization may create situations of inequity. The objective was analyze the differences of nurse consultation utilization in primary care. Cross-sectional study, in 23 health centres in Madrid. Environmental variables, consultation characteristics, socio-demographic and health need characteristics were collected. The quality of life and satisfaction were also studied. The variables were classified according to the "behavioral model" in predisposing, enabling or need variables. Explanatory multivariate models were constructed (Generalized-Estimating-Equations). The higher income areas and aging, predisposing factors, were associated with increases of 17% (95% CI: 0.4 to 36.9%) and 11.0% per decade (95% CI: 6.2 - 16.2) in nursing consultations per year. Among enabling factors, each additional minute of consultation length was associated with an increase of 2.0% (95% CI :1.2-2, 9%) in number of nurse consultations, each new medical consultation was associated with a increase of 2.7% (95% CI: 2.1-3.2%) and the delay in getting appointment over a day, represented a decrease of 32.8% (95% CI: 19.3 to 44.1%) in the total nursing consultations. Each chronic condition, which expresses the need health, was associated with an increase in the number of visits of 4.8% (95% CI: 1.7 to 8.0%). The improved perception of quality of life was associated with a reduction of 5.4% (95% CI 1.0 to 8.7%) of the consultations. The difference of the use of primary care nurse consultations is based on health need criteria, but is also influenced by accessibility conditions.

  6. How lead consultants approach educational change in postgraduate medical education.

    Science.gov (United States)

    Fokkema, Joanne P I; Westerman, Michiel; Teunissen, Pim W; van der Lee, Nadine; Scherpbier, Albert J J A; van der Vleuten, Cees P M; Dörr, P Joep; Scheele, Fedde

    2012-04-01

    Consultants in charge of postgraduate medical education (PGME) in hospital departments ('lead consultants') are responsible for the implementation of educational change. Although difficulties in innovating in medical education are described in the literature, little is known about how lead consultants approach educational change.   This study was conducted to explore lead consultants' approaches to educational change in specialty training and factors influencing these approaches.   From an interpretative constructivist perspective, we conducted a qualitative exploratory study using semi-structured interviews with a purposive sample of 16 lead consultants in the Netherlands between August 2010 and February 2011. The study design was based on the research questions and notions from corporate business and social psychology about the roles of change managers. Interview transcripts were analysed thematically using template analysis.   The lead consultants described change processes with different stages, including cause, development of content, and the execution and evaluation of change, and used individual change strategies consisting of elements such as ideas, intentions and behaviour. Communication is necessary to the forming of a strategy and the implementation of change, but the nature of communication is influenced by the strategy in use. Lead consultants differed in their degree of awareness of the strategies they used. Factors influencing approaches to change were: knowledge, ideas and beliefs about change; level of reflection; task interpretation; personal style, and department culture.   Most lead consultants showed limited awareness of their own approaches to change. This can lead them to adopt a rigid approach, whereas the ability to adapt strategies to circumstances is considered important to effective change management. Interventions and research should be aimed at enhancing the awareness of lead consultants of approaches to change in PGME.

  7. Exploring dialectical behaviour therapy clinicians' experiences of team consultation meetings.

    Science.gov (United States)

    Walsh, Cian; Ryan, Patrick; Flynn, Daniel

    2018-01-01

    This article presents a detailed idiographic analysis of Dialectical Behaviour Therapy (DBT) clinicians' experiences of team consultation meetings. DBT is an evidence-based psychological intervention with a demonstrated efficacy in the treatment of borderline personality disorder (BPD). Team consultation meetings encompass one of the primary components involved in this treatment model; where DBT clinicians regularly meet to discuss client work and enhance further learning. The present study's aim was to assess what are DBT clinicians' experiences of the consultation meeting component and whether it is useful or not. Semi-structured interviews were completed with 11 DBT clinicians (nine females, two males) from three different consultation teams. The research project utilised an interpretative phenomenological analysis (IPA) framework. Audio-recorded interview data was analysed using this framework. Four superordinate themes emerged from the interview data, which included ten subordinate themes. The superordinate themes focused on: (1) the acquisition of DBT technical knowledge and other MDT related expertise (2) participants' emotional experiences of DBT and consultation meetings, and how this can evolve over time (3) the underlying processes that occur in the consultation team including the development of a team bond and the impact of membership changes and (4) the largely consistent and reliable nature of consultation meetings and how they help maintain clinician motivation. Team consultation meetings were found to be supportive; playing an important role in maintaining clinician motivation through the availability of team support, opportunities to reflect and learn, and assistance in regulating emotions. Challenges arose in relation to team membership changes and acclimatisation to the type of feedback utilised in team consultation. The study's implications for practise are considered.

  8. Comparing technological hype cycles: Towards a theory

    NARCIS (Netherlands)

    Lente, H. van; Spitters, C.; Peine, A.

    2013-01-01

    The notion of ‘hype’ iswidely used and represents a temptingway to characterize developments in technological fields. The term appears in business as well as in academic domains. Consultancy firms offer technological hype cycle models to determine the state of development of technological fields

  9. Sport psychology group consultation using social networking web sites.

    Science.gov (United States)

    Dietrich, Frederick; Shipherd, Amber M; Gershgoren, Lael; Filho, Edson Medeiros; Basevitch, Itay

    2012-08-01

    A social networking Web site, Facebook, was used to deliver long-term sport psychology consultation services to student-athletes (i.e., soccer players) in 30- to 60-min weekly sessions. Additional short-term team building, group cohesion, communication, anger management, injury rehabilitation, mental toughness, commitment, and leadership workshops were provided. Cohesion and overall relationships between both the student-athletes and the sport psychology consultants benefited from this process. Social networking Web sites offer a practical way of providing sport psychology consulting services that does not require use of major resources. (c) 2012 APA, all rights reserved.

  10. Does indirect consultation lead to overprescribing in general practice?

    Science.gov (United States)

    Haaijer-Ruskamp, F M; Stewart, R; Wesseling, H

    1987-01-01

    Indirect consultations (by telephone or receptionist) are of increasing importance in general practice and may result in more prescribing than during direct (face to face)-consultations. We analysed prescribing data for 14,660 disorders, presented in one week in 52 general practices. In general, a significant, but hardly relevant increase in prescribing during indirect consultations was observed. The effect varies strongly for different disorders and was especially relevant for repeat-prescriptions for the following conditions: musculoskeletal- and connective tissue diseases, endocrine, nutritional and metabolic disorders and disorders of the female genital tract.

  11. Ethics in independent nurse consulting: strategies for avoiding ethical quicksand.

    Science.gov (United States)

    Creel, Eileen L; Robinson, Jennifer C

    2010-11-01

    Changes in health care have created a variety of new roles and opportunities for nurses in advanced practice. One of these changes is the increasing number of advanced practice nurses carrying out independent consultation. Differences in goals between business and health care may create ethical dilemmas for nurse consultants. The purpose of this article is to describe possible ethical pitfalls that nurse consultants may encounter and strategies to prevent or solve these dilemmas. Three themes related to nursing codes of ethics will be discussed: the duty to uphold human rights, the duty to fulfill commitments, and the duty to practice the profession competently.

  12. The role of marketing in the modern local consulting

    Directory of Open Access Journals (Sweden)

    Bezpalova Anna

    2016-02-01

    Full Text Available Modern market conditions are so complex and unstable that the marketing activity of the local consulting companies becomes virtually unpredictable, difficult to plan and control. Most consulting firms previously hold claims against their marketing and the current state of the market actually triggered the rejection and the transition to spontaneous economic activity. In the framework of the article the role of the of marketing in the current activity of local consulting companies is identified and its potential perspectives for the target audience are proved

  13. Mutual construction and reconstruction in client-consultant interaction

    DEFF Research Database (Denmark)

    Smith, Irene Skovgaard

    Based on preliminary interviews with client representatives and a pilot case study, the pa-per explores collaboration and mutual construction in client-consultant relationships. Both consultants and client actors take part in an active construction and reconstruction of knowledge that involve...... struggles over position, power and control. In the context of client-consultant interaction, it is thus not only ideas and solutions that are contested but also the power to define. Attention is paid to how ideas are brought into play and negotiated in the interaction between actors. The empirical material...

  14. Image intelligence online consulting: A flexible and remote access to strategic information applied to verification of declaration

    International Nuclear Information System (INIS)

    Chassy, A.F. de; Denizot, L.

    2001-01-01

    Commercial satellite imagery is giving International Institutions specialized Information Departments access to a great source of valuable intelligence. High resolution and multiple sensors have also led to a growing complexity of interpretation that calls for a greater need of consulting, verification and training in the field in order to make it eligible as an operational source of verification. Responding to this need, Fleximage is extending its Image intelligence (IMINT) training program to include a fully operational and flexible online consulting and training program. Image Intelligence (IMINT) Online Program, a new approach to acquiring IMINT expertise, supported by Internet technologies, and managed by a professional team of experts and technical staff. Fleximage has developed a virtual learning environment on the Internet for acquiring IMINT expertise. Called the IMINT Online Program, this dynamic learning environment provides complete flexibility and personalization of the process for acquiring expertise. The IMINT online program includes two services: Online Consulting and Online Training. The Online Consulting service is designed for the technical staff of an organization who are already operational in the field of image intelligence. Online Consulting enables these staff members to acquire pertinent expertise online that can be directly applied to their professional activity, such as IAEA verification tasks. The Online Training service is designed for the technical staff of an organization who are relatively new to the field of image intelligence. These staff members need to build expertise within a formal training program. Online Training is a flexible and structured program for acquiring IMINT expertise online

  15. Department of Training And Consulting - Overview

    International Nuclear Information System (INIS)

    Dobrzynski, L.

    2005-01-01

    Full text: The Department of Training and Consulting is regularly serving secondary school pupils and teachers, university students and the public. As usual we have been visited by more than 5000 visitors, mainly students from secondary schools. Since January 2003, the Department participated in an European program called NUPEX (from Nuclear Physics Experience) that aimed at creating an internet platform of educational material from nuclear physics and its applications. The platform was finally prepared in eight languages (English, French, German, Italian, Flemish, Greek, Hungarian and Polish) and is dedicated to pupils from secondary schools and to science teachers. The whole material can be found at http://www.nupex.org. The Polish part is displayed additionally at http://ipj.gov.pl/pl/szkolenia/nupex. It is worth mentioning that the Polish group played an important role in the whole project. Seven modules were fully prepared by us; we also were active in helping the other Project's participants to understand technicalities connected with preparation of the material for internet. New educational posters have been designed by the Department. The titles of these posters are: Energy and its transformations; typical electric power plants; Nuclear Power Plants; Nuclear Power Plants in Europe and in the World. The posters are offered to visiting schools. The number of possible experiments at our Laboratory of Atomic Physics is still increasing. Recently a computer simulation of the process of start-up of the nuclear reactor was prepared. Although it can be considered as a game, in fact the animation reflects the reality of the process and can be used for training of nuclear reactor's operators. For the first time one, of the leading secondary schools in Warsaw, the Stefan Batory School, participated in a Summer School of Physics organized at our Department, which lasted 10 days. Most of the educational program was filled with the basics of nuclear physics with emphasis

  16. Department of Training and Consulting - Overview

    International Nuclear Information System (INIS)

    Dobrzynski, L.

    2010-01-01

    Full text: The Department of Training and Consulting regularly serves secondary schools pupils and teachers, university students and the public. As usual we have been visited by over 6400 visitors, mainly students from secondary schools in Poland. In the opinion of the teachers the outcome of all visits was very positive. In addition, special courses on radioactivity and nuclear energy dedicated to teachers were organized. Many lectures have been delivered outside of the Department, in schools, universities and institutes. The Department is constantly developing experiments that can be conducted by students of secondary schools and universities, as well as by professionals. At the moment there are about 28 experiments available for the guests of the Department. The list of experiments and their descriptions can be found on our home page http://dsid.ipj.gov.pl. They cover the measurement of lifetimes, essential elements of radioprotection, absorption of radiation in various materials, excitation of fluorescence radiation, influence of magnetic fields on beta radiation as well as on electrons emitted from a typical electron gun, Compton scattering and elements of gamma spectroscopy, the search for radioactive pollution, the basics of the wave-particle dualism of matter, and the recently added Frank-Hertz experiment and radioactive decay of thoron. For the fifth time the Department has organized (together with the Institute of Physics of the Polish Academy of Sciences, Warsaw) '' The Physical Pathways '' competition for students of secondary schools. The students could choose one of three possibilities (even all of them): either to submit a scientific paper, to present a demonstration of a physical phenomena, or to write an essay on the connection between physics and the development of civilization. They could also submit work prepared by a team of up to 3 persons. The level of the competition turned out to be very high. The competition apparently attracts more and

  17. Department of Training and Consulting - Overview

    International Nuclear Information System (INIS)

    Dobrzynski, L.

    2008-01-01

    Full text: The Department of Training and Consulting is regularly serving secondary schools' pupils and teachers, university students and the public. As usual, we have been visited by over 5000 visitors, mainly students from secondary schools in Poland. In this contest, it is worth to mention the organization of the two 3-days Workshops '' On the nuclear energy from the very basics '', aimed to offer the teachers of secondary schools general understanding of the problems connected with nuclear energy. The Workshops were organized in collaboration with the International Atomic Energy Agency and Polish Atomic Agency. Also two other one-day courses on the nuclear radiation were organized for teachers from rather remote parts of Poland. In the teachers' opinion all these events were very successful. The Department is constantly developing experiments that can be conducted by students of secondary schools and universities, as well as by professionals. At the moment there are about 20 experiments available for the guests of the Department. They cover the measurements of lifetimes, essential elements of radioprotection, absorption of radiation in various materials, excitation of fluorescence radiation, influence of magnetic field on beta radiation as well as on electrons emitted from a typical electron gun, Compton scattering and elements of gamma spectroscopy, search for radioactive pollutions etc. A new task of preparing some experiments to be driven through the internet was put forward. It is hoped that this project will end within 2008. For the second time the Department has organized (together with the Institute of Physics of the Polish Academy of Sciences, Warsaw) '' The Physical Pathways '' competition for the students of secondary schools. The students could choose one of three possibilities (even all of them): either to submit a scientific paper, or to present demonstration of a physical phenomena, or to write an essay on the connection between physics and the

  18. 24 CFR 200.191 - Placement of 203(k) consultant.

    Science.gov (United States)

    2010-04-01

    ... HUD has developed such an exam. (c) Delayed effective date of examination requirement for consultants... date to pass the comprehensive exam. Failure to pass the examination by the deadline date constitutes...

  19. Patients Consulting Traditional Health Practioners In The Context Of ...

    African Journals Online (AJOL)

    reported reasons for consulting the THP included a complex of supernatural or psychosocial problems, chronic conditions, acute conditions, generalized pain, HIV and other STIs. ... African Journal of Trad, Comp and Alternative Medicine Vol.

  20. Role of Laryngological Consultation in the Intervention of Dysphonia

    Science.gov (United States)

    Stone, Ed.; And Others

    1978-01-01

    Described and provided is a laryngology consult form that has been found useful by speech therapists in obtaining information important to the diagnosis and management of children with voice disorders. (CL)

  1. US-USSR telemedicine consultation spacebridge to Armenia and Ufa

    Science.gov (United States)

    1991-01-01

    The Final Report on the U.S.-U.S.S.R. Telemedicine Consultation Spacebride to Armenia and Ufa is presented. The goal of this activity was to provide expert medical consultation to the Armenian medical personnel in the areas of plastic and reconstructive surgery, physical and psychological rehabilitation, public health, and epidemiology following the devastating earthquake in Dec. 1988. The U.S. and U.S.S.R. implementation teams developed new standards for medical information transmittal as well as protocols and schedules on how to conduct medical consultations. The consultations were provided to the Republic Diagnostic Center in Yerevan, U.S.S.R. by four U.S. medical centers: University of Utah/LDS Hospital, University of Texas, Maryland Institute for Emergency Medical Service Systems, and Uniformed Services University of the Health Sciences.

  2. Ad hoc statistical consulting within a large research organization

    CSIR Research Space (South Africa)

    Elphinstone, CD

    2009-08-01

    Full Text Available The paper discusses the ad hoc statistical consulting service initiated within the CSIR that has proved successful; however, resourcing remains a major challenge. Even limited advertising of the service within the CSIR resulted in many requests...

  3. Inpatient consultations to an orthopaedic service: the hidden workload.

    LENUS (Irish Health Repository)

    O'Malley, N T

    2011-12-01

    While the quality and efficiency of out-patient orthopaedic referrals are well documented in the literature, there is little on the standard and appropriateness of inpatient orthopaedic consultations.

  4. Architectural, Engineering, and Planning Consultant Services for Airport Grant Projects

    Science.gov (United States)

    1994-02-16

    This advisory circular (AC) provides guidance for airport sponsors in the : selection and employment of architectural, engineering, and planning consultants : under Federal Aviation Administration (FAA) airport grant programs. It also : discusses ser...

  5. 40 CFR 25.4 - Information, notification, and consultation responsibilities.

    Science.gov (United States)

    2010-07-01

    ... DRINKING WATER ACT, AND THE CLEAN WATER ACT § 25.4 Information, notification, and consultation... portions if the list is subdivided, shall receive timely and periodic notification of the availability of...

  6. Mutual construction and reconstruction in client-consultant interaction

    DEFF Research Database (Denmark)

    Smith, Irene Skovgaard

    Based on preliminary interviews with client representatives and a pilot case study, the pa-per explores collaboration and mutual construction in client-consultant relationships. Both consultants and client actors take part in an active construction and reconstruction of knowledge that involve...... struggles over position, power and control. In the context of client-consultant interaction, it is thus not only ideas and solutions that are contested but also the power to define. Attention is paid to how ideas are brought into play and negotiated in the interaction between actors. The empirical material...... presented in the paper illustrates how consultancy projects evolve through processes of negotiation over whose interpretation should count and who should be in control. In the process, client actors with different posi-tions and interests play an active role in creating what become valid and what ideas...

  7. The role of assessment packages for diagnostic consultations

    DEFF Research Database (Denmark)

    Rossen, Camilla B; Buus, Niels; Stenager, Egon

    2015-01-01

    clarification. In most cases, clarification was treated as good news since it either confirmed the absence of a serious disease or resulted in a diagnosis leading to relevant treatment offers. However, in some cases, clarification was not perceived as good news. This was the case in consultations with patients...... whose goal was to leave the consultation with clarification in the form of a definite diagnosis, but who were not offered such clarification. These patients negotiated the outcome of the consultation by applying implicit and explicit pressure, which induced the doctors to disregard the boundaries......This article reports a conversation analysis of assessment package consultations. Healthcare delivery packages belong to a highly structured mode of healthcare delivery, in which specific courses of healthcare interventions related to assessment and treatment are predefined, both as to timing...

  8. 42 CFR 493.1411 - Standard; Technical consultant qualifications.

    Science.gov (United States)

    2010-10-01

    ...) Hold an earned doctoral or master's degree in a chemical, physical, biological or clinical laboratory... HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION LABORATORY REQUIREMENTS Personnel for Nonwaived Testing Laboratories Performing Moderate Complexity Testing § 493.1411 Standard; Technical consultant...

  9. CERN's IT Consultancy Team: a new IT project support service

    CERN Multimedia

    Ignacio Reguero, IT Department

    2016-01-01

    Newly created IT Consultancy Team provides advice on IT matters to communities at CERN starting new projects or reviewing computing activities of old.   The members of CERN's IT Consultancy Team. The consultants share their knowledge and experience to improve awareness of the IT landscape at CERN and to advise on system architecture and design to ensure best usage of existing IT services and solutions that favour, and are compatible with, the infrastructure already in place. They also help to formalise requirements and assess impact on security, software licenses and cost, especially where contacts among different services are needed and questions go beyond the current computing service offerings. For instance, the IT consultants may help answering questions like the ones below: We are starting with project X – how could we make its computing aspects compatible with the CERN IT infrastructure? E.g. if you need a web content management system favour Drupal instead of Wor...

  10. Notification and consultation of projects in Transboundary Water ...

    African Journals Online (AJOL)

    condition for commencing the GERD project. As a result, Ethiopia and its downstream neighbours, particularly Egypt, have entered into various forms of consultations and negotiations due to concerns over the impact of the GERD. This article examines ...

  11. Analytics in strategy consulting : an experience-based reflection

    OpenAIRE

    Fahr, Lukas Hendrik

    2017-01-01

    This report provides extensive insights into analytics-based work in strategy consulting. It draws on first-hand experience gained during a 6-month internship at ABC Strategy Consultants Ltd (hereafter ABC) in London from September 2016 until the end of February 2017. The report starts by giving an introduction to the industry and how analytics is integrated within the company. After, it provides an overview of the project work during the internship. The extensive reflection on the internship...

  12. Plastic surgery telehealth consultation expedites Emergency Department treatment.

    Science.gov (United States)

    Paik, Angie M; Granick, Mark S; Scott, Sandra

    2017-02-01

    Plastic surgery is a field that is particularly amenable to a telehealth milieu, as visual exam and radiographs guide proper diagnosis and management. The goals of this study were to evaluate telehealth feedback executed through an iPad app for plastic surgery-related consultations. A Quality Assurance/Quality Improvement (QA/QI) study was conducted over a 1-month period during which patients with hand injuries, facial injuries, or acute wounds presenting to the Emergency Department (ED) of a level-one trauma centre and university hospital were monitored. The study utilized a commercial iPad application through which up to four images and a brief history could be sent to a remote Plastic Surgery Educator (PSE) for evaluation. The PSE would respond with best practice information, references and videos to assist ED point-of-care providers. During the 1-month period of this study, there were 42 ED consultations for plastic surgical conditions. There was a highly significant difference in overall mean response time between consultants and PSEs (48.3 minutes vs. 8.9 minutes respectively, p < 0.001). The agreement between PSEs and consultants regarding patient assessment and care was 85.7% for in-person consultations and 100% for phone consultations. In four cases of telephone consultations, the ED providers placed splints incorrectly on hand-injured patients. Our results show that telehealth consultations to a remote plastic surgeon based on digital images and a brief history were able to produce timely and accurate responses in an emergency care facility. This design may have significant impact in rural areas, underserved populations, or regions abroad.

  13. External reviews, internal influences: consultations and the undergraduate neuroscience curriculum.

    Science.gov (United States)

    Wiertelak, Eric P

    2012-01-01

    In 2007 FUN established the FUN Program and Department Consultations Service, or FUN-PDCS. Since that founding, the service has provided numerous consultation recommendations to undergraduate programs seeking assistance with external program reviews, designing and improving courses and many other programmatic needs. FUN-PDCS, like FUN, is primarily a grassroots organization and draws on the expertise of the FUN membership to aid programs in their more personalized pursuit of the FUN mission: to promote and improve undergraduate neuroscience education and research.

  14. Consulting Whom? Lessons from the Toronto Urban Aboriginal Strategy

    Directory of Open Access Journals (Sweden)

    Mai T. Nguyen

    2014-04-01

    Full Text Available The research conducted here looks at the current Urban Aboriginal Strategy (UAS in Toronto. The purpose of this Strategy is to provide long-term investments to support Aboriginal communities in urban settings by focusing on three priority areas: improving life skills; promoting job training, skills, and entrepreneurship; and supporting Aboriginal women, children, and families. This article seeks to answer the following question: Does the UAS provide Aboriginal participants with the ability to effectively participant in the consultation process? It argues that the UAS process of consulting with the urban Aboriginal community does not allow for the effective participation of Aboriginal peoples because of problematics related to consulting in an urban setting and despite the language of partnership, the federal government still reserves the right to make final decisions. These problems diminish the ability to build renewed Aboriginal-State relations based on mutual respect and trust, which has been absent within the Aboriginal-State apparatus and resulted in the political exclusion of Aboriginals in Canada. Though consultation can be a vehicle for empowering participants with decision-making authority, this is not the case in Toronto. The lack of a common vision, political buy-in, and the aura of secrecy leads to a political relationship built on mistrust. Mistrust between members and government renders the consultation process ineffective. This article combines the literature on public consultations with official government documents to identify critical components that must be evident for consultations to be fruitful and participation effective. These criteria are the benchmarks upon which to measure effectiveness. Based on interviews with the Steering Committee, this article finds that the UAS process of consulting with the Toronto Aboriginal community does not enable Aboriginal participants to effectively participate in the democratic process.

  15. '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.

  16. Consultancy services and the urban hierarchy in Western Europe

    OpenAIRE

    P W Daniels; J H J Van Dinteren; M C Monnayer

    1992-01-01

    A cross-national survey of the relationship between the evolving organisation and structure of consultancy service enterprises and the urban hierarchy in Europe has been undertaken. Primate cities in Europe are still the preeminent foci for business services performing strong national and international control. The relationship between markets for consultancy services and the urban hierarchy is complex, but it is possible to suggest a typology of firms on the basis of client characteristics a...

  17. Children's surgery: a national survey of consultant clinical practice.

    Science.gov (United States)

    Mason, David G; Shotton, Hannah; Wilkinson, Kathleen A; Gough, Michael J; Alleway, Robert; Freeth, Heather; Mason, Marisa

    2012-01-01

    To survey clinical practice and opinions of consultant surgeons and anaesthetists caring for children to inform the needs for training, commissioning and management of children's surgery in the UK. The National Confidential Enquiry into Patient Outcome and Death (NCEPOD) hosted an online survey to gather data on current clinical practice of UK consultant surgeons and anaesthetists caring for children. The questionnaire was circulated to all hospitals and to Anaesthetic and Surgical Royal Colleges, and relevant specialist societies covering the UK and the Channel Islands and was mainly completed by consultants in District General Hospitals. 555 surgeons and 1561 anaesthetists completed the questionnaire. 32.6% of surgeons and 43.5% of anaesthetists considered that there were deficiencies in their hospital's facilities that potentially compromised delivery of a safe children's surgical service. Almost 10% of all consultants considered that their postgraduate training was insufficient for current paediatric practice and 20% felt that recent Continued Professional Development failed to maintain paediatric expertise. 45.4% of surgeons and 39.2% of anaesthetists considered that the current specialty curriculum should have a larger paediatric component. Consultants in non-specialist paediatric centres were prepared to care for younger children admitted for surgery as emergencies than those admitted electively. Many of the surgeons and anaesthetists had consultant surgeons and anaesthetists providing a competent surgical service for children. Postgraduate curricula must meet the needs of trainees who will be expected to include children in their caseload as consultants. Trusts must ensure appropriate support for consultants to maintain paediatric skills and provide the necessary facilities for a high-quality local surgical service.

  18. ICU Multipoint Military Pacific Consultation using Telehealth (IMMPACT)

    Science.gov (United States)

    2010-05-01

    patient support. In order to do so the ICU is prepared to provide: Continuous monitoring of the electrocardiogram (with high/low alarms) to all patients...0034 TITLE: ICU Multipoint Military Pacific Consultation using Telehealth (IMMPACT) PRINCIPAL INVESTIGATOR: Benjamin W. Berg, MD...SUBTITLE ICU Multipoint Military Pacific Consultation using Telehealth 5a. CONTRACT NUMBER W81XWH-06-2-0034 (IMMPACT) 5b. GRANT

  19. Ten common mistakes to avoid as an independent consultant.

    Science.gov (United States)

    Hau, M L

    1997-01-01

    1. Enthusiasm, dedication, and hard work will not guarantee success as an independent consultant. 2. Careful market research, selecting a venture that promises clients and profit, should be the basis for deciding to start a consultant business, not just enthusiasm and emotional drive. 3. Business management practices of developing a business plan, careful price setting, and managing cash flow are essential for business survival. 4. Legal considerations, including the form of the business, contracts, and essential recordkeeping, must not be overlooked.

  20. Electronic Alerts with Automated Consultations Promote Appropriate Antimicrobial Prescriptions.

    Directory of Open Access Journals (Sweden)

    Moonsuk Kim

    Full Text Available To promote appropriate antimicrobial use in bloodstream infections (BSIs, we initiated an intervention program consisting of electronic alerts and automated infectious diseases consultations in which the identification and antimicrobial susceptibility test (ID/AST results were reported.We compared the appropriateness of antimicrobial prescriptions and clinical outcomes in BSIs before and after initiation of the program. Appropriateness was assessed in terms of effective therapy, optimal therapy, de-escalation therapy, and intravenous to oral switch therapy.There were 648 BSI episodes in the pre-program period and 678 in the program period. The proportion of effective, optimal, and de-escalation therapies assessed 24 hours after the reporting of the ID/AST results increased from 87.8% (95% confidence interval [CI] 85.5-90.5, 64.4% (95% CI 60.8-68.1, and 10.0% (95% CI 7.5-12.6 in the pre-program period, respectively, to 94.4% (95% CI 92.7-96.1, 81.4% (95% CI 78.4-84.3, and 18.6% (95% CI 15.3-21.9 in the program period, respectively. Kaplan-Meier analyses and log-rank tests revealed that the time to effective (p<0.001, optimal (p<0.001, and de-escalation (p = 0.017 therapies were significantly different in the two periods. Segmented linear regression analysis showed the increase in the proportion of effective (p = 0.015, optimal (p<0.001, and de-escalation (p = 0.010 therapies at 24 hours after reporting, immediately after program initiation. No significant baseline trends or changes in trends were identified. There were no significant differences in time to intravenous to oral switch therapy, length of stay, and 30-day mortality rate.This novel form of stewardship program based on intervention by infectious disease specialists and information technology improved antimicrobial prescriptions in BSIs.