Küpper, T; Rieke, B; Neppach, K; Morrison, A; Martin, J
The specific health risk profile and diversity of treatments sought by young volunteers participating in international social projects should differ from those of their older colleagues. In the absence of any data to identify whether this was correct, a retrospective analysis was performed using a standardized questionnaire. Questions included what diseases occurred, and details of the frequency and types of treatment sought during their stay - (e.g. self-treatment, medical/dental intervention, or local healer). The 153 participants were aged 18-30 years and worked in a non-governmental organization for >6 months. The participants were: 53% female, mean age 20 years, and mean duration of stay was 11.2 months. Their NGO placement abroad was in Latin America 65.4%, 14.4% in Africa, and 9.8% in Asia. 83% of the young volunteers had received some advice regarding travel medicine before their departure. However, they suffered from more injuries compared to private travellers, and febrile infections were more common when compared to older studies. 21.2% suffered from dental problems and 50% of them sought medical treatment. This study highlights a previously unreported higher risk profile of specific health problems occurring in young NGO volunteers, including some potentially life-threatening diagnoses that differed from their older colleagues and normal travellers. It is recommended that young volunteers should receive age specific, comprehensive pre-departure training in health and safety, first aid, and management of common health problems. A medical check-up upon returning home should be mandatory. The provision of a basic first aid kit to each volunteer before departure is also recommended. Copyright © 2013 Elsevier Ltd. All rights reserved.
Steele, Jessica; Dredge, Dianne
Drawing from developments in sociology and organizational studies, this paper argues for a new understanding of volunteer tourism as liquid organization. It aims to explore the organization of volunteer tourism using a liquid organization perspective and to better understand the potential...... implications of this liquidity on the responsibility of volunteer tourism organizations to host com- munities. The analysis is based on data collected from 80 volunteer tourism organizations. The findings reveal that the volunteer tourism organizations show characteristics of liquid organiza- tion to varying...... degrees. The significance of the research is to problematize the way in which the institutional characteristics of volunteer tourism are (not) conceptualized in current literature and to introduce liquid organization as a means of reinvigorating debate about responsibility....
Steele, Jessica; Dredge, Dianne
Drawing from developments in sociology and organizational studies, this paper argues for a new understanding of volunteer tourism as liquid organization. It aims to explore the organization of volunteer tourism using a liquid organization perspective and to better understand the potential...... implications of this liquidity on the responsibility of volunteer tourism organizations to host com- munities. The analysis is based on data collected from 80 volunteer tourism organizations. The findings reveal that the volunteer tourism organizations show characteristics of liquid organiza- tion to varying...... degrees. The significance of the research is to problematize the way in which the institutional characteristics of volunteer tourism are (not) conceptualized in current literature and to introduce liquid organization as a means of reinvigorating debate about responsibility....
Boezeman, Edwin J; Ellemers, Naomi
In 3 experiments the authors examined how specific characteristics of charitable volunteer organizations contribute to the recruitment of new volunteers. In line with predictions, Study 1 revealed that providing non-volunteers with information about organizational support induced anticipated feelings of respect, which subsequently enhanced their attraction to the volunteer organization. However, information about the current success of the volunteer organization did not affect anticipated pride (as among those who seek paid employment) and in fact caused potential volunteers to perceive the organization as being in less need for additional volunteers. Study 2 further showed that information about support from the volunteer organization is a more relevant source of anticipated respect and organizational attraction than support from co-volunteers. Study 3 finally showed that information about task and emotional support for volunteers contributes to anticipated respect and organizational attractiveness and that this increases the actual willingness of non-volunteers to participate in the volunteer organization. Interventions aimed at attracting volunteers and avenues for further research are discussed.
Meesters, Kenny; van de Walle, B.A.
Emerging technologies provide new opportunities to humanitarian organizations for enhancing their response to crisis situations. Since the 2010 Haiti Earthquake, online volunteer communities have been activated to gather data and generate information products to improve humanitarian organizations'
times of extreme need.10 Even today, the heritage of the American police-force volunteer continues with renewed vigor. Aligned under the DOJ...guidance, the mission statement should consider the current capabilities and limitations of the LE air division thereby allowing the pilots to make smart ...allow the pilots to make smart and safe tactical decisions while flying.127 In step with PSAAC, MCAS’s operations manual provides its pilots with the
Bekkers, René H.F.P.; Bowman, Woods
Confidence in charitable organizations (charitable confidence) would seem to be an important prerequisite for philanthropic behavior. Previous research relying on cross-sectional data has suggested that volunteering promotes charitable confidence and vice versa. This research note, using new
Watson, Matthew; Selck, Frederic; Rambhia, Kunal; Morhard, Ryan; Franco, Crystal; Toner, Eric
The Medical Reserve Corps (MRC) was established in the Office of the Surgeon General in response to the spontaneous but disorganized outpouring of medical volunteers following the terrorist attacks of 2001. The mission of the federal MRC office is to provide organizational structure and guidance to the nearly 1,000 locally organized and funded MRC units that have grown up across the country and the more than 200,000 volunteer health professionals that staff these units. Despite the large size of this program and its numerous activations over the past decade, including in the Boston Marathon bombing and Hurricane Sandy, relatively little is known about the MRC, including the make-up of the units, the ways units have been used, and the challenges faced by MRC units and their volunteers. Here we report the results of a mixed-methods investigation of MRC unit organization, activities, and challenges.
Laird, Shelby Gull; Nelson, Stacy A. C.; Stubbs, Harriett S.; James, April L.; Menius, Erika
Complex environmental problems call for unique solutions to monitoring efforts alongside developing a more environmentally literate citizenry. Community-based monitoring (CBM) through the use of volunteer monitoring organizations helps to provide a part of the solution, particularly when CBM groups work with research scientists or government…
Volunteer organizations can potentially partner with mainstream professional services to provide better parenting support to immigrant parents. This qualitative study of cooperation between professional agencies and volunteer organizations known as migrant volunteer and community organizations
The Medical & Research Study Records of Human Volunteers System collects demographic and medical information on subjects who participate in research. Learn how this data is collected, used, access to the data, and the purpose of data collection.
Lough, Benjamin J; Tiessen, Rebecca; Lasker, Judith N
The demand for international volunteer experiences to promote global health and nutrition is increasing and numerous studies have documented the experiences of the international volunteers who travel abroad; however, little is known about effective practices from the perspective of partner organizations. This study aims to understand how variables such as the skill-level of volunteers, the duration of service, cultural and language training, and other key variables affect partner organizations' perceptions of volunteer effectiveness at promoting healthcare and nutrition. This study used a cross-sectional design to survey a convenience sample of 288 volunteer partner organizations located in 68 countries. Principle components analyses and manual coding of cases resulted in a categorization of five generalized types of international volunteering. Differences among these types were compared by the duration of service, skill-level of volunteers, and the volunteers' perceived fit with organizational needs. In addition, a multivariate ordinary least square regression tested associations between nine different characteristics/activities and the volunteers' perceived effectiveness at promoting healthcare and nutrition. Partner organizations viewed highly-skilled volunteers serving for a short-term abroad as the most effective at promoting healthcare and nutrition in their organizations, followed by slightly less-skilled long-term volunteers. The greatest amount of variance in perceived effectiveness was volunteers' ability to speak the local language, followed by their skill level and the duration of service abroad. In addition, volunteer training in community development principles and practices was significantly related to perceived effectiveness. The perceptions of effective healthcare promotion identified by partner organizations suggest that program and volunteer characteristics need to be carefully considered when deciding on methods of volunteer preparation and
Sergent, Marie T.; Sedlacek, William E.
Studied whether volunteers in diverse organizations have different motivations and personal characteristics and whether volunteer and nonvolunteer students exhibit different motivational characteristics. Found that college student volunteers (N=199) differed in Holland type and motivational needs and that they differed from reported norms for…
Learn about the Medical and Research Study Records of Human Volunteers System, including who is covered in the system, the purpose of data collection, routine uses for the system's records, and other security procedures.
Full Text Available Abstract Background Each year medical providers from wealthy countries participate in short-term medical volunteer work in resource-poor countries. Various authors have raised concern that such work has the potential to be harmful to recipient communities; however, the social science and medical literature contains little research into the perceptions of short-term medical volunteer work from the perspective of members of recipient communities. This exploratory study examines the perception of short-term medical volunteer work in Guatemala among groups of actors affected by or participating in these programs. Methods The researchers conducted in-depth, semi-structured interviews with 72 individuals, including Guatemalan healthcare providers and health authorities, foreign medical providers, non-medical personnel working on health projects, and Guatemalan parents of children treated by a short-term volunteer group. Detailed notes and summaries of these interviews were uploaded, coded and annotated using Atlas.ti (Scientific Software Development GmbH, Berlin to identify recurrent themes from the interviews. Results Informants commonly identified a need for increased access to medical services in Guatemala, and many believed that short-term medical volunteers are in a position to offer improved access to medical care in the communities where they serve. Informants most frequently cited appropriate patient selection and attention to payment systems as the best means to avoid creating dependence on foreign aid. The most frequent suggestion to improve short-term medical volunteer work was coordination with and respect for local Guatemalan healthcare providers and their communities, as insufficient understanding of the country's existing healthcare resources and needs may result in perceived harm to the recipient community. Conclusion The perceived impact of short-term medical volunteer projects in Guatemala is highly variable and dependent upon the
It has been argued that much of international medical volunteering is done for the wrong reasons, in that local people serve as a means to meet volunteers' needs, or for the right reasons but ignorance and ill-preparedness harm the intended beneficiaries, often without volunteers' grasp of the damage caused. The literature on ethical concerns in medical volunteering has grown tremendously over the last years highlighting the need for appropriate guidelines. These same concerns, however, and an appreciation of the reasons why current aid paradigms are flawed, can serve as indicators on how to change existing practices to ensure a better outcome for those who are in need of help. Such paradigm change envisages medical assistance in the spirit of solidarity, social justice, equality, and collegial collaboration.
Kim, Jung Ha; Choi-Kwon, Smi; Park, Young Hwan
Since the number of air travellers, including the elderly and passengers with an underlying disease, is increasing every year, the number of inflight emergency patients is expected to increase as well. We attempted to identify the incidence and types of reported inflight medical incidents and analyse the first aid performed by cabin crew members or medical volunteers in flights by an Asian airline. We also investigated the cases of inflight deaths and aircraft diversions. We reviewed the cabin reports and medical records submitted by cabin crew members and inflight medical volunteers from 2009 to 2013. We found that inflight medical incidents increased annually, with a total of 2818 cases reported. Fifteen cases of inflight deaths and 15 cases of aircraft diversions during this period were also reported. First aid was performed by the cabin crew alone in 52% of the cases and by medical volunteers in 47.8% of the cases. The most commonly reported causes for first aid performed by the cabin crew and medical volunteers were burns and syncope, respectively. : Since burns were one of the common reasons that first aid was provided by the cabin crew, it may be necessary to include first aid treatments for burns in the annual re-qualification training programme. Furthermore, the assessment of unconsciousness and potentially critical respiratory symptoms is very important for cabin crew members because those conditions can lead to inflight deaths and aircraft diversion.
Priest, Kelsey C; Lobingier, Hannah; McCully, Nancy; Lombard, Jackie; Hansen, Mark; Uchiyama, Makoto; Hagg, Daniel S
Health care delivery systems are challenged to support the increasing demands for improving patient safety, satisfaction, and outcomes. Limited resources and staffing are common barriers for making significant and sustained improvements. At Oregon Health & Science University, the medical intensive care unit (MICU) leadership team faced internal capacity limitations for conducting continuous quality improvement, specifically for the implementation and evaluation of the mobility portion of an evidence-based care bundle. The MICU team successfully addressed this capacity challenge using the person power of prehealth volunteers. In the first year of the project, 52 trained volunteers executed an evidence-based mobility intervention for 305 critically ill patients, conducting more than 200 000 exercise repetitions. The volunteers contributed to real-time evaluation of the project, with the collection of approximately 26 950 process measure data points. Prehealth volunteers are an untapped resource for effectively expanding internal continuous quality improvement capacity in the MICU and beyond.
Yin, Zhike; Liu, Shan; Yan, Jin; Liu, Jia
BACKGROUND To align with guiding principles on human organ and tissue transplantation published by the World Health Organization (WHO), the Red Cross Society of China (RCSC) launched a new nationwide organ donation program in 2010 to recruit organ donation volunteers. Despite severe shortage of donated organs, there is a very low rate of volunteering for organ donation among the Chinese population (only 0.03 donors per million population) in the national program. Motivating organ donation is the key to the success of organ transplantation in China. MATERIAL AND METHODS Semi-structured 45- to 60-min interviews were conducted among 34 volunteers. Data analysis was performed with Nvivo 8.0 software. RESULTS Six motivations for organ donation were identified: helping others/altruism, fulfilling long-cherished wishes, reducing the burdens, making the best use of everything, giving back to society, and life extension. Factors affecting the motivation of organ donation among volunteers in China included traditional values, personal experiences, role model effect, family support, and problems in the donation system. Possible strategies to improve organ donation included fostering a scientific concept of the body and death, focusing donation promotion efforts on certain groups, and simplifying the process of organ donation. CONCLUSIONS There are multiple reasons for Chinese people to register for organ donation, with helping others as the central motivation.
Pace, Diana; McGrath, Patrick B.
A comparison was made of the drinking habits of students (N=321) from a mid-western university who were members of either a Greek organization or a student volunteer organization. Results indicated that students in Greek organizations drank more, although there were no significant differences between the groups in the number of problematic…
Rabinerson, David; Maman, Maor; Glezerman, Marek
Sexual harassment is quite prevalent in medical organizations. The two most affected groups are medical students and nurses. In its broad perspective, sexual harassment is defined as any type of offensive behavior with sexual connotation aimed at any individual or minority. In Israel, sexual harassment is regarded as such only in the literal sense, although recently, courts tend to adopt a more comprehensive approach in their ruling. Final legislation of the law against sexual harassment, which includes employer liability for the actions of its workers, caused increased awareness of the phenomenon of sexual harassment and may serve in reducing its prevalence in the medical environment.
Christopher Anthony Lupoli; Wayde C. Morse; Conner Bailey; John Schelhas
This paper explores the use of indicators to evaluate the impacts of volunteer tourism in host communities, based on an online questionnaire sent to 183 volunteer tourism organizations. Little research exists demonstrating how volunteer tourism programs impact host communities or how impacts can be assessed, but the literature suggests the use of indicators to do so....
Rovers, John; Andreski, Michael; Gitua, John; Bagayoko, Abdoulaye; DeVore, Jill
Serving on volunteer groups undertaking medical mission trips is a common activity for health care professionals and students. Although volunteers hope such work will assist underserved populations, medical mission groups have been criticized for not providing sustainable health services that focus on underlying health problems. As members of a volunteer medical mission group, we performed a bed net indicator study in rural Mali. We undertook this project to demonstrate that volunteers are capable of undertaking small-scale research, the results of which offer locally relevant results useful for disease prevention programs. The results of such projects are potentially sustainable beyond the duration of a mission trip. Volunteers with Medicine for Mali interviewed 108 households in Nana Kenieba, Mali during a routine two-week medical mission trip. Interviewees were asked structured questions about family demographics, use of insecticide treated bed nets the previous evening, as well as about benefits of net use and knowledge of malaria. Survey results were analyzed using logistic regression. We found that 43.7% of households had any family member sleep under a bed net the previous evening. Eighty seven percent of households owned at least one ITN and the average household owned 1.95 nets. The regression model showed that paying for a net was significantly correlated with its use, while low perceived mosquito density, obtaining the net from the public sector and more than four years of education in the male head of the household were negatively correlated with net use. These results differ from national Malian data and peer-reviewed studies of bed net use. We completed a bed net study that provided results that were specific to our service area. Since these results were dissimilar to peer-reviewed literature and Malian national level data on bed net use, the results will be useful to develop locally specific teaching materials on malaria prevention. This preventive
Hsu, Wei Ting; Wu, Kou Hsien; Wang, Yi Ching; Hsiao, Chia Huei; Wu, Hui Chin
The goal was better understanding of the motivational factors of volunteers in non-profit sport organizations. The roles of two factors provided by supervisors to their subordinates were examined: autonomy support, i.e., the encouragement of self-initiation and emphasis on choice rather than control, and structure, i.e., the introduction of order, definite procedures, and rules. 489 sport volunteers (289 men, 200 women; M age = 31.2 yr., SD = 7.4) were administered questionnaires assessing their perceived autonomy support, structure, and motivation. Regression analysis indicated that perceived autonomy support predicted motivation. Structure also mediated the effect of perceived autonomy support on motivation. Supervisors of sport organizations should provide adequate structure for their volunteers.
Hasbún Avalos, Oswaldo; Pennington, Kaylin; Osterberg, Lars
In our ever-increasingly multicultural, multilingual society, medical interpreters serve an important role in the provision of care. Though it is known that using untrained interpreters leads to decreased quality of care for limited English proficiency patients, because of a short supply of professionals and a lack of formalized, feasible education programs for volunteers, community health centers and internal medicine practices continue to rely on untrained interpreters. To develop and formally evaluate a novel medical interpreter education program that encompasses major tenets of interpretation, tailored to the needs of volunteer medical interpreters. One-armed, quasi-experimental retro-pre-post study using survey ratings and feedback correlated by assessment scores to determine educational intervention effects. Thirty-eight students; 24 Spanish, nine Mandarin, and five Vietnamese. The majority had prior interpreting experience but no formal medical interpreter training. Students completed retrospective pre-test and post-test surveys measuring confidence in and perceived knowledge of key skills of interpretation. Primary outcome measures were a 10-point Likert scale for survey questions of knowledge, skills, and confidence, written and oral assessments of interpreter skills, and qualitative evidence of newfound knowledge in written reflections. Analyses showed a statistically significant (P 0.8). The second half of the program was also quantitatively and qualitatively shown to be a vital learning experience, resulting in 18 % more students passing the oral assessments; a 19 % increase in mean scores for written assessments; and a newfound understanding of interpreter roles and ways to navigate them. This innovative program was successful in increasing volunteer interpreters' skills and knowledge of interpretation, as well as confidence in own abilities. Additionally, the program effectively taught how to navigate the roles of the interpreter to maintain
Callahan, Michael V; Hamer, Davidson H
Travelers to extreme environments and those who spend long periods of time in settings with limited health care resources need to have more detailed pretravel screening and education than the routine short-term traveler. Expatriates, relief workers, and Peace Corps volunteers need to receive careful pretravel medical, dental, and psychologic screening before deployment. Knowledge of special risks associated with the environment in which they will be stationed is necessary to provide effective education about ways to reduce or eliminate the risk of illness and death. The travel medicine practitioner should also provide detailed, region-specific recommendations regarding emergency care while traveling in remote regions. Information on foreign medical facilities and practitioners should be gathered in advance and regularly updated. Many fee-for-service directories of overseas medical centers are often out of date and do not include emergency contact information. Once deployed, systems should be in place to ensure the traveler's continued personal safety and maintenance of good health. Although these systems are generally beyond the scope of work of travel medicine providers, it is important for the long-term traveler to be aware of the need to be prepared to deal with unexpected medical events. In the event of an overseas emergency, the travel medicine specialist may be called on to facilitate ground or air medical evacuation to the most appropriate medical center, to communicate treatment priorities and pertinent medical details to foreign medical providers, and to facilitate international air evacuation or repatriation if necessary. In each of these cases, the experience for the patient and the travel health professional is dramatically improved by adhering to risk-reduction measures, such as pretravel screening, pretravel health and safety education, and preparing for emergencies in advance.
Huapaya, Julio A; Maquera-Afaray, Julio; García, Patricia J; Cárcamo, César; Cieza, Javier A
Reductions in health personnel during disasters or epidemics such as an influenza pandemic may need to include volunteer students. The aim of this article is to determine knowledge and practices about pandemic influenza and the attitudes towards volunteer work in Peruvian medical students. We performed a cross-sectional analytic study by simple sampling using a survey regarding "knowledge and practices" about pandemic influenza and the attitudes to volunteer work. From the group of 865 students who were surveyed, 848 accepted to participate in the investigation (54% were male and their mean age was 22.1 ± 3.0). Ninety-seven percent correctly identified the spread routes of influenza and 81% knew its treatment. Regarding preventive measures, covering the mouth when coughing/sneezing and hand-washing were the most commonly recognized options (95% y 92%, respectively), and vaccination was the less recognized one (54%). The most common practice, readily acknowledged as preventive, was covering when coughing/sneezing (86%). Regarding volunteer works, students answered that it is a moral/ethical/professional obligation (77%); that a contingency university service needs to be established (88%), that it does not have to substitute for the lack of workers (49%), and that its role should be related to hospital work (83%). Coming from a public university was more associated to the concept that volunteer work was a moral obligation and that the student should be punished if he/she refuses to be a volunteer, whereas being from a private university was more related to a history of been involved in volunteering programs. In general, medical students have good knowledge and practices toward influenza. There is a good disposition to volunteer their work and skills, recognizing it as a moral/ethical/professional obligation.
Mott, Melissa L; Gorawara-Bhat, Rita; Marschke, Michael; Levine, Stacie
Despite an increase in the content of palliative medicine curricula in medical schools, students are rarely exposed to end-of-life (EOL) care through real-patient experiences during their preclinical education. To evaluate the utility and impact of exposure to EOL care for first year medical students (MS-1s) through a hospice volunteer experience. Patients and Families First (PFF), a hospice volunteer training program in EOL care, was piloted on three cohorts of MS-1s as an elective. Fifty-five students received 3 hours of volunteer training, and were then required to conduct at least two consecutive hospice visits on assigned patients to obtain course credit. Students' reflective essays on their experiences were analyzed using qualitative methodology and salient themes were extracted by two investigators independently and then collaboratively. The following five themes were identified from students' reflective essays: perceptions regarding hospice patients; reactions regarding self; normalcy of EOL care at home; impact of witnessing death and dying; and suggestions for improving EOL care education for medical students. Hospice volunteering during preclinical years may provide valuable experiential training for MS-1s in caring for seriously ill patients and their families by fostering personal reflection and empathic skills, thereby providing a foundation for future patient encounters during clinical training.
Full Text Available Introduction: Food borne illnesses are usually infectious or toxic in nature and caused by bacteria, viruses, parasites or chemical substances entering the body through contaminated food or water. Unsafe food causes more than 200 diseases - ranging from diarrhea to cancers. Food safety is a public health priority. The aim of present study was determine level of health communicators' knowledge about food safety in Damavand city that was performed according to the World Health Organization guide. Methods: This study is a descriptive analysis of the target a group of health Volunteers in Damavand depended to Shahid Beheshti University of Medical Sciences. 109 persons were enrolled with s awareness, scarification and consent of the census. Tools for data collection was a questionnaire consisting of 13 questions on demographic characteristics and 24 questions about food safety according to WHO’s guide. Data was analyzed with SPSS-18 software and statistical analysis includes one-way ANOVA, t-test and spearman correlation. Results: The mean age of participant was 44.75 ± 9.98 years. Average score of awareness of food safety was 35.87 ±6.22 and for awareness was 77 (71%. No significant relationships was observed between of awareness and marital status, age, education, occupation and education of wife was not significant relationships (p>0/05. Conclusion: In some safety food items the level of knowledge in some safety food items was good, in other one, such as food storage, transmission of microbes, cooking temperature for meat there was low awareness. In this respect, information, education programs to raise awareness of the health status for health volunteers is recommended
Andersen, Naja Steen; Rasmussen, Jesper; Bagger Jørgensen, Rikke
volunteers would exceed the threshold of 0.9%, and thus GM labelling would be demanded. Some of the volunteers belonged to varieties cultivated 8–11 years previously, indicating a long persistence of volunteer populations. What you reap might be added in the past – with consequences for organic farmers......’ production and earning....
Harel, Reut; Miron, Eitan; Stoff, Ronen; Segal, Yahel
In December 2014 my husband and I flew for a stay of six months in Uganda. We went there in order to volunteer in the district hospital of Kiboga, one of the most impoverished districts of this poverty stricken country. A district in which over 60% of the population lives off less than a dollar and twenty five cents a day, in which the average life expectancy is 46.7 years (9.1 years lower than the national average expectancy). Kiboga's district hospital serves the 300,000 residents of the district, of whom 20,000 live in the district capital, while the rest are mainly farmers and cattle keepers, scattered in small villages that have limited and weather-dependent access. The hospital houses 120 beds, which are divided into four wards (maternity, pediatric, male and female), and is manned routinely by one on-call local physician, who (when present) is almost exclusively occupied by emergency cesarean sections. Therefore, the majority of hospitalized patients are not inspected by a doctor at any point of their stay. The hospital functions with no running water and in the absence of a reliable power supply. The nursing staff, composed largely of people with limited or no training, is always desperately understaffed, and many of the means needed for a patient's stay (starting with a bed pan and linens and ending with many of the medications prescribed) are not supplied by the hospital. Perhaps it would have been appropriate to continue by describing unsettling data about the health infrastructure in Kiboga (such as the fact that infant mortality rate is a staggering 15%, or that nearly 10% of the districts population have HIV), however, it appears to me that it would be more educating to learn from the story of the patients we encountered.
Ohmer, Mary L.
"Citizen participation" is the active involvement of individuals in changing problematic conditions in communities and influencing policies and programs that affect the quality of their lives. Neighborhood organizations in poor communities often rely on volunteers to accomplish their goals. Therefore, social workers must understand how…
Full Text Available Nadaa B Ali,1 Stephen R Pelletier,2 Helen M Shields1 1Department of Medicine, Brigham and Women’s Hospital, 2Center for Evaluation, Harvard Medical School, Boston, MA, USA Purpose: Medical students are expected to develop excellent communication skills. The purpose of our study was to create an innovative communication skills exercise using real volunteer patients and physician co-teachers for students to practice communication skills while receiving immediate feedback.Method: This is a mixed methods study where second-year medical students participated in the communication skills exercise with real patients and physician co-teachers giving immediate feedback. Clinical scenarios reflected the patients’ actual experiences. Students acted out roles as physicians. Physicians co-taught with the patients and gave immediate feedback to students. Students completed an anonymous written survey at the end of the exercise. Qualitative and quantitative responses were recorded. Student feedback from the 2014 surveys was used to modify the teaching designs to increase active role play opportunities by having only two students in each group and doubling the number of stations with real patients.Results: Students rated the overall exercise and the utility of patient volunteers in learning how to communicate on a Likert scale of 1–5, where in this medical school traditionally 1 is excellent and 5 is poor. In 2014, the exercises were rated with a mean score of 1.47 (SD 0.621. In 2015, the exercises were rated with a mean score of 1.03 (SD 0.62. In 2016, the exercises were rated with a mean score of 1.27 (SD 0.52. ANOVA analysis (p=0.002 and Bonferroni corrections indicate a statistically significant difference between combined mean scores of the exercise in 2014 and 2015 (p=0.001. No difference was shown between 2014 and 2016 or 2015 and 2016.Conclusions: Medical students rated practicing communication skills with real patient volunteers and physician co
Full Text Available SUMMARY: Disasters cause an acute deterioration in all stages of life. An area affected by the disaster in which the normal activities of life are disrupted is described as a “Field” in disaster terminology. Although it is not easy to define the borders of this zone, the area where there is normally functioning society is accepted as the boundary. Disaster management is the responsibility of the local government. However, in many large disaster responses many non-governmental and international organizations play a role. A Disaster Medical Team is a trained, mobile, self-contained, self-sufficient, multidisciplinary medical team that can act in the acute phase of a sudden-onset disaster (48 to 72 hours after its occurrence to provide medical treatment in the affected area. The medical team can include physicians, nurses, paramedics and EMTS, technicians, personnel to manage logistics, security and others. Various models of Disaster Medical Teams can be observed around the world. There is paucity of evidence based literature regarding DMTs. There is a need for epidemiological studies with rigorous designs and sampling. In this section of the special edition of the journal, field organizations in health management during disasters will be summarized, with emphasis on preparedness and response phases, and disaster medical teams will be discussed. Keywords: Field organization, disaster, medical team, DMAT
Mochalski, Paweł; King, Julian; Unterkofler, Karl; Hinterhuber, Hartmann; Amann, Anton
Gas chromatography with mass spectrometric detection (GC-MS) coupled with solid phase micro-extraction as pre-concentration method (SPME) was applied to identify and quantify volatile organic compounds (VOCs) emitted by human skin. A total of 64 C4-C10 compounds were quantified in skin emanation of 31 healthy volunteers. Amongst them aldehydes and hydrocarbons were the predominant chemical families with eighteen and seventeen species, respectively. Apart from these, there were eight ketones, six heterocyclic compounds, six terpenes, four esters, two alcohols, two volatile sulphur compounds, and one nitrile. The observed median emission rates ranged from 0.55 to 4,790 fmol cm(-2)min(-1). Within this set of analytes three volatiles; acetone, 6-methyl-5-hepten-2-one, and acetaldehyde exhibited especially high emission rates exceeding 100 fmol cm(-2)min(-1). Thirty-three volatiles were highly present in skin emanation with incidence rates over 80%. These species can be considered as potential markers of human presence, which could be used for early location of entrapped victims during Urban Search and Rescue Operations (USaR). Copyright © 2014 The Authors. Published by Elsevier B.V. All rights reserved.
Ali, Nadaa B; Pelletier, Stephen R; Shields, Helen M
Medical students are expected to develop excellent communication skills. The purpose of our study was to create an innovative communication skills exercise using real volunteer patients and physician co-teachers for students to practice communication skills while receiving immediate feedback. This is a mixed methods study where second-year medical students participated in the communication skills exercise with real patients and physician co-teachers giving immediate feedback. Clinical scenarios reflected the patients' actual experiences. Students acted out roles as physicians. Physicians co-taught with the patients and gave immediate feedback to students. Students completed an anonymous written survey at the end of the exercise. Qualitative and quantitative responses were recorded. Student feedback from the 2014 surveys was used to modify the teaching designs to increase active role play opportunities by having only two students in each group and doubling the number of stations with real patients. Students rated the overall exercise and the utility of patient volunteers in learning how to communicate on a Likert scale of 1-5, where in this medical school traditionally 1 is excellent and 5 is poor. In 2014, the exercises were rated with a mean score of 1.47 (SD 0.621). In 2015, the exercises were rated with a mean score of 1.03 (SD 0.62). In 2016, the exercises were rated with a mean score of 1.27 (SD 0.52). ANOVA analysis ( p =0.002) and Bonferroni corrections indicate a statistically significant difference between combined mean scores of the exercise in 2014 and 2015 ( p =0.001). No difference was shown between 2014 and 2016 or 2015 and 2016. Medical students rated practicing communication skills with real patient volunteers and physician co-teachers giving immediate feedback in their preclinical years very highly. Student feedback indicated that they preferred active roles and increased opportunities to practice their communication skills.
Fanshan, Meng; Lin, Zhao; Wenqing, Liu; Chunlei, Lu; Yongqiang, Liu; Naiyi, Li
Cardiopulmonary resuscitation (CPR) is a sudden emergency procedure that requires a rapid and efficient response, and personnel training in lifesaving procedures. Regular practice and training are necessary to improve resuscitation skills and reduce anxiety among the staff. As one of the most important skills mastered by medical volunteers serving for Mt. Taishan International Mounting Festival, we randomly selected some of them to evaluate the quality of CPR operation and compared the result with that of the untrained doctors and nurses. In order to evaluate the functions of repeating standard CPR training on performance qualities of medical volunteers for Mt. Taishan International Mounting Festival, their performance qualities of CPR were compared with those of the untrained medical workers working in emergency departments of hospitals in Taian. The CPR performance qualities of 52 medical volunteers (Standard Training Group), who had continually taken part in standard CPR technical training for six months, were tested at random and were compared with those of 68 medical workers (Compared Group) working in emergency departments of hospitals in Taian who hadn't attended CPR training within a year. The QCPR 3535 monitor (provided by Philips Company) was used to measure the standard degree of single simulated CPR performance, including the chest compression depth, frequency, released pressure between compressions and performance time of compression and ventilation, the results of which were recorded in the table and the number of practical compression per minute was calculated. The data were analyzed by x2 Test and t Test. The factors which would influence CPR performance, including gender, age, placement, hand skill, posture of compression and frequency of training, were classified and given parameters, and were put to Logistic repression analysis. The CPR performance qualities of volunteers were much higher than those of the compared group. The overall pass rates
Anderson, David; Prioleau, Phoebe; Taku, Kanako; Naruse, Yu; Sekine, Hideharu; Maeda, Masaharu; Yabe, Hirooki; Katz, Craig; Yanagisawa, Robert
The March 2011 "triple disaster" (earthquake, tsunami, and nuclear accident) had a profound effect on northern Japan. Many medical students at Fukushima Medical University volunteered in the relief effort. We aimed to investigate the nature of students' post-disaster involvement and examine the psychological impact of their experiences using a survey containing elements from the Davidson Trauma Scale and Posttraumatic Growth Inventory. We collected 494 surveys (70 % response rate), of which 132 students (26.7 %) had volunteered. Volunteers were more likely to be older, have witnessed the disaster in person, had their hometowns affected, and had a family member or close friend injured. In the month after 3/11, volunteers were more likely to want to help, feel capable of helping, and report an increased desire to become a physician. Both in the month after 3/11 and the most recent month before the survey, there were no significant differences in distressing symptoms, such as confusion, anger, or sadness, between volunteers and non-volunteers. Volunteers reported a significantly higher level of posttraumatic growth than non-volunteers. Participating in a greater variety of volunteer activities was associated with a higher level of posttraumatic growth, particularly in the Personal Strength domain. There may be self-selection in some criteria, since students who were likely to be resistant to confusion/anxiety/sadness may have felt more capable of helping and been predisposed to volunteer. However, participation in post-disaster relief efforts did not appear to have a harmful effect on medical students, an important consideration for mobilizing volunteers after future disasters.
The guidebook is a tool to assist the tournament coordinator when recruting, training, and leading the best possible team of ice hockey volunteers to work at International Ice Hockey Federation (IIHF) tournaments and within the Sport Function - Ice Hockey events at Olympic Winter Games. The select volunteers are termed the ‘Ice Hockey Volunteers’ and consist of the six crews that make up the ‘Sport Team’ which work closely with the National Teams (athletes and team staff) and Officials (re...
Sizemore, Mamie, Ed.
This handbook provides administrators and staffs of adult education programs with general information on volunteerism in adult education; information on specific programs and strategies, specifically Project SAVE (State Adult Volunteers in Education); and guidelines for program implementation. An overview of the impact of adult illiteracy precedes…
Pravdov Mikhail Aleksandrovich
Full Text Available The aim: the studing of the motivation of youth to volunteer activity. During the investigation were used methods of discussion, interviewing, interrogation and mathematical processing of data. In the article the experience of forming of youth voluntary social associations in Ivanovo region are regarded and the forming of a volunteers student group–“Sova” on the base of Ivanovo institute of the public fire service of the Ministry of the Russian Federation for Civil Defense, Emergencies and Elimination of Consequences of Natural Disasters. Was the level of Knowledge of Students about volunteer activity revealed, as well as the role student youth’s participation in volunteer organizations and the influence of the student volunteer associations on the development of pupils’ personalities in boarding school.
Henriksen, Lars Skov; Rosdahl, David
at the same time as it is empirically sensitive in the Danish (and Scandinavian) context. We distinguish between the following three types of volunteering: ‘Activity oriented volunteering' includes volunteering within the fields where we find most of the voluntary organizations and associations in Denmark...... (and Scandinavia), that is, sports, hobbies and other culture and leisure activities. Characteristic of this type of volunteering is the focus on the activity and that the membership itself is the prime beneficiary of the collective good being produced. ‘Welfare oriented volunteering' includes...... to be more important for ‘welfare oriented volunteering' since this type aims at improving the welfare of others. References Gronbjerg, Kirsten A. And Brent Never (2004): The Role of Religious Networks and Other Factors in Types of Volunteer Work. Nonprofit Management & Leadership, Vol. 14, No. 3...
Full Text Available The aim of the research is to determine the main patterns of activity of in-patient medical organizations according to the resource provision of medical and diagnostic process. Material and methods. 20 medical organizations, including regional organizations, central regional hospitals, Saratov municipal health care organizations, non-private and private medical organizations have been surveyed. The survey of 60 chemists of hospital pharmacies has been conducted. Results. The analysis of the survey has showed the resource provision of medical and diagnostic process by medical products, the degree of technological provision in hospitals of various types and stated the main problems of activity on resource provision. Conclusion. It has been found out that the current medical provision with medical products is connected with the action of considerable number of objective and subjective factors and it defines the efficiency of medical social activity.
Steiner, Joseph; Leinwander, Penny
The Health Physics Society (HPS) Medical Health Physics Section (MHPS) received a request to research data on radiation safety guidance related to the death of patients who have recently received therapeutic doses of sealed or unsealed therapy sources. The MHPS elected to use student volunteers to perform this research. The purpose of this manuscript is to describe and provide a template for the process used by the MHPS to develop a student volunteer program. To implement the student volunteer program, the MHPS collaborated with the HPS Student Support Committee to develop a research proposal and a student volunteer selection process. The research proposal was sent to HPS student members in a call for volunteers. Two student volunteers were chosen based on predetermined qualifications to complete the work effort outlined in the research proposal. This project progressed with the use of milestones and culminated with the students presenting their findings at the annual HPS meeting. The students received HPS student travel awards to present at the conference. This work effort proved to be extremely beneficial to all parties involved.
Full Text Available Purpose: to consider the development of volunteer activity in relation to the Olympic Games. Material & Methods: theoretical scientific works of domestic and foreign scientists on the development of volunteer activities regarding their participation in the Olympic Games are analyzed, considered the main legal documents relating to the Olympic sport. Results: Statistical indicators of participation of volunteers in the Winter and Summer Olympics Games are analyzed and presented. The role and significance of volunteers' activity in the organization and holding of the Olympic Games are revealed. Conclusion: evolution of the volunteer movement, with reference to the Olympic Games, originates from the first games that took place in 1896 in Athens. To date, volunteers are an integral part of the organization and holding of the Olympic Games, their activities help to solve a number of organizational issues, the creation of a corresponding atmosphere and image at a sporting event, largely determine the success of games.
Meyer, Robert A.; Kroth, Michael
Many higher education institutions require student organization advisors to be employees. Such requirements can be interpreted as barriers to students and can limit the number and types of groups found on college campuses. Using quantitative analysis, this study investigates the motivation of student organization advisors at six public…
Morrison, Carley Calico
Volunteer leaders are an underutilized resource in nonprofit organizations. However, as volunteer directors are stretched to their capacity, others in the organization must provide leadership to volunteers. One way for nonprofit organizations to increase their capacity is to develop the leadership skills of identified volunteer leaders. Because…
Bonkowski, Josesph; Weber, Robert J; Melucci, Joseph; Pesavento, Todd; Henry, Mitchell; Moffatt-Bruce, Susan
Solid organ transplant recipients are prescribed a high number of medications, increasing the potential for medication errors. Barcode-assisted medication administration (BCMA) is technology that reduces medication administration errors. An observational study was conducted at an academic medical center solid organ transplant unit before and after BMCA implementation. Medication accuracy was determined and administration errors were categorized by type and therapeutic class of medication. A baseline medication administration error rate of 4.8% was observed with wrong dose errors representing 78% of the errors. During the post-BCMA period the medication administration error rate was reduced by 68% to 1.5% (P = .0001). Wrong dose errors were reduced by 67% (P = .001), and unauthorized medication administrations were reduced by 73%. Steroids were associated with the highest error rate. The results of this study suggest that routinely adopting BCMA has the potential to reduce medication administration errors in transplant patients.
Gardner, M; Hurd, P D; Slack, M
This study compared immediate recall of prescription information when the message content was presented in a highly organized format versus a less-organized approach. Two groups of pharmacy students viewed separate videotapes, which described information for a patient about three fictitious medications. Students were then asked to recall the medications' name, colour, purpose, dosage, duration, side-effects and quantity prescribed. Students who viewed the organized version correctly recalled more information in every category except drug colour. Both groups made more errors in recalling dosage than any other category. Thus, organizing information facilitates recall of medication information.
Sergent, Marie T.; Sedlacek, William E.
Volunteerism has existed for centuries, but formalized volunteer programs have come about only recently. Student volunteerism became popular during the 1960s and 1970s as colleges and universities encouraged community service through campus-based programs. This study examined college student volunteers (N=199) from four different campus volunteer…
Discusses changing nature of volunteers in Peter Drucker's book "Managing the Nonprofit Corporation." Points out that most volunteers have full-time jobs, families, very little leisure; they are not willing to do such routine work as stuffing envelopes; they want carefully defined projects with beginning and end. Discusses real…
Ginter, E K; Kozlova, S I
Short history of the development of medical genetic service in Russia from the 1960s till now is described. Analysis of many orders of the Ministry of Health of USSR and Russia was performed which shows how separate components of the service were designed and integrated into the efficacious genetic counseling system. All of them were supported by educational programs. The important contribution made by professor Nikolai Bochkov to the creation of genetic service in Russia especially at the early stages is underlined.
Bailey F Amos
Full Text Available Abstract A series of papers in Philosophy, Ethics and Humanities in Medicine (PEHM have recently disputed whether non-heart beating organ donors are alive and whether non-heart beating organ donation (NHBD contravenes the dead donor rule. Several authors who argue that NHBD involves harvesting organs from live patients appeal to "strong irreversibility" (death beyond the reach of resuscitative efforts to restore life as a necessary criterion that patients must meet before physicians can declare them to be dead. Sam Shemie, who defends our current practice of NHBD, holds that in fact physicians consider patients to be dead or not according to physician intention to resuscitate or not. We suggest that criteria for a concept are not necessarily truth conditions for assertions involving the concept. Hence, non-heart beating donors may be declared dead without meeting the criterion of strong irreversibility even though strong irreversibility is implied by the concept of death. Our perception that a concept applies in a given case is determined not by the concept itself but by our necessary skill and judgment when using it. In the case of deciding that a patient is dead, such judgment is learned by physicians as they learn the practice of medicine and may vary according to circumstances. Current practice of NHBD can therefore be defended without abandoning death as an empirical concept, as Shemie appears to do. We conclude that the dead donor rule continues to be viable and ought to be retained so as to guarantee what the public most cares about as regards organ donation: that physicians can be trusted to make determinations of eligibility for organ donation in the interests of patients and not for other purposes such as increasing the availability of organs.
Russell, A Y; Zimmerman, S; Bruce, R
Organization development can work: Valley Medical Center in San Jose, California, has successfully restructured multiple lines of authority in the process of installing modern management and fiscal control processes.
Full Text Available CONTEXT : Organ transplantation is considered one of the greatest advances of modern science that has given many patients a renewed lease of life. Assessing the medical student’s knowledge, attitude and perception regarding organ donation is very importan t for future organ supply as they are the future doctors who needs to motivate the public to pledge their organs for donation. AIM & OBJECTIVES : 1 To study the knowledge and attitude of the medical students towards organ donation. 2 To understand the per ceptions of medical students regarding organ donation. STUDY DESIGN : A cross sectional study of descriptive nature. STUDY SETTING : Study was conducted at Andhra Medical College, Visakhapatnam. METHODS AND MATERIAL S : The study was done among 123 medical stu dents of 9 th semester using a semi - structured questionnaire. Knowledge was assessed by giving score to the responses. Those obtaining a score of 50% or above were considered as having adequate knowledge. STATISTICAL ANALYSIS : Data was entered in MS excel and analysed using SPSS student version 21 . RESULTS : Overall 56 % of students were found to have adequate knowledge. Around one fourth of the study population knew about the various organs which can be donated (26% and about t he minimum duration of organ survival (27.6%. Around 48.8% students showed positive attitude towards organ donation and wanted to donate their organs. CONCLUSION : It has been found in the study about the gaps in the knowledge levels of medical students ab out organ donation. These findings draw attention to a need to review medical school curricula to ensure that they contain sufficient teaching on organ donation, with a focus on information needed by physicians to maximize donation rates. This can be utili zed as a strategy for the shortage of donor organs for transplantation
Bharambe Vaishaly K.
Full Text Available Introduction. All over the world people on organ transplant waiting lists die due to shortage of donor organs. The success of organ donation program needs education of the population regarding organ donation for which healthcare professionals are most suitable. The present study was taken up to assess the knowledge and attitude of 1st, 2nd and 3rd year medical students about organ donation. Methods. A specially designed self-administered questionnaire was distributed amongst all willing 1st, 2nd and 3rd year medical students at our Medical College and later analyzed statistically. Results. A total of 157, 145 and 92 students from each year of medical education respectively gave their consent for participation in the study. Awareness regarding organ donation was found to be 98.7-100%, 69.4% claimed television as their source of information regarding organ donation and 46.7% stated that it is possible for patient to recover from brain death. The awareness regarding eye, liver, heart and kidney donations was found to be 92.4%, 87%, 87% and 97.8%, respectively. 87% of medical students were aware of need for legal supervision, and awareness regarding the existing laws was found to be 57.6%. Conclusion. Medical students had a high level of awareness and a positive attitude towards organ donation. However, knowledge regarding “brain-death”, organs and tissues donated, legislation and ethical issues was poor. A teaching intervention designed to specifically address these issues could help increase the confidence of the health-care professionals and may result finally in increased organ procurement rates.
Terbonssen, Tobias; Settmacher, Utz; Wurst, Christine; Dirsch, Olaf; Dahmen, Uta
It is well known that personal decision making in respect to organ donation is highly dependent on the balance of knowledge, trust, and fear. We wanted to explore the attitude of German medical students towards organ donation and investigate the relationship between knowledge, trust, and fear in this special subgroup. We conducted an online survey utilizing (1) the snowball effect of using Facebook groups and advertisement as well as (2) mailing lists of medical faculties in Germany for distribution. We surveyed 1370 medical students. 75.8 % (N = 988) of the participants stated to carry an organ donor card and allowed their organs to be donated. 1.8 % (N = 23) refused donation. 22.5 % (N = 293) did not carry an organ donor card. Analysis of the "decided" versus the "undecided" group revealed substantial differences regarding transplantation knowledge (mean knowledge score of 4.23 vs. 3.81; P score 4.11 vs. 3.39; P score 1.63 vs. 2.22; P card, whereas 76.6 % (N = 98) still could not reach a decision. The willingness to potentially act as organ donor was related to the pre-existent knowledge, trust, and fear. Access to information material did promote the decision towards organ donation in a group of previously undecided medical students. This advocates initiating information campaigns even in population groups with strong medical background.
Knox, A B; Underbaake, G; McBride, P E; Mejicano, G C
The purpose of this study was to identify organizational strategies for improving staff performance in primary care practices. The study rationale was based on theory, research, and practice regarding educational interventions that help people help themselves. Analysis of qualitative and quantitative data produced both plausible explanations of organizational change and implications for future efforts. The Health Education and Research Trial (HEART) Project was an experimental study designed to improve prevention services for cardiovascular disease. Primary care clinics were randomized into four experimental treatments. Two representative practices from each treatment arm were chosen for an in-depth cross-case analysis. Extensive data from each selected practice included patient medical record reviews and questionnaires, interviews and questionnaires from physicians and clinic staff, project records, and follow-up interviews. After detailed case descriptions were created for each practice, a cross-case analysis was performed. Each practice improved cardiovascular prevention services somewhat. However, there was a great range of impact, likely reflecting both experimental intervention and local contingencies. Eight positive influences were identified: effective leadership, priority setting, joint planning, cooperation and teamwork, acquisition of resources, increased support and ownership, accomplishment of improvements, and personal changes. Major influences that hindered improvement included patient load, turmoil related to reorganization, lack of wide-spread routines, hospital-affiliated practice, poor communication, and fragmentation within a clinic. Continuing medical education providers can enhance preventive services to improve patient health status by promoting organizational change. Suggested strategies supported by this study include selecting able leaders, focusing on accomplishments, obtaining agreement on prevention priorities, addressing local
Sahin, Hulya; Abbasoglu, Osman
Although there have been some case studies that measure the medical students' knowledge and attitude about organ donation, there is no such global survey in the literature. An online questionnaire was prepared to measure the knowledge and attitudes about organ donation. A total of 1541 medical students from 104 different countries responded to the questionnaire. The participants who have received education before were more successful, had a higher self-donation rate, and showed a more-positive attitude toward organ donation than did those who did not receive an education, or a higher self-donation rate, or a more-positive attitude toward organ donation. Opposition against promotion of the organ donation by medical doctors was more widespread among men, preclinical students, African participants, and participants who did not support organ donation. The two most important decisions about increasing the level of organ donation involved in achieving support of the media and the education of the health care workers. Educational programs would improve the knowledge and attitudes of medical students about organ donation and transplantation.
Feeley, Thomas Hugh; Anker, Ashley E.; Soriano, Rainier; Friedman, Erica
Medical students at Mount Sinai School of Medicine participated in an intervention designed to promote knowledge and improved communication skills related to cadaveric organ donation. The intervention required students to interact with a standardized patient for approximately 10 minutes and respond to questions posed about organ donation in a…
Chicherin, L P; Nagaev, R Ia
The model of the subject of the Russian Federation is used to consider means of development of health protection and health promotion in adolescents including implementation of the National strategy of activities in interest of children for 2012-2017 approved by decree No761 of the President of Russia in June 1 2012. The analysis is carried out concerning organization of medical social care to this group of population in medical institutions and organizations of different type in the Republic of Bashkortostan. Nowadays, in 29 territories medical social departments and rooms, 5 specialized health centers for children, 6 clinics friendly to youth are organized. The analysis of manpower support demonstrates that in spite of increasing of number of rooms and departments of medical social care for children and adolescents decreasing of staff jobs both of medical personnel and psychologists and social workers occurs. The differences in priorities of functioning of departments and rooms of medical social care under children polyclinics, health centers for children and clinics friendly to youth are established. The questionnaire survey of pediatricians and adolescents concerning perspectives of development of adolescent service established significant need in development of specialized complex center. At the basis of such center problems of medical, pedagogical, social, psychological, legal profile related to specific characteristics of development and medical social needs of adolescents can be resolved. The article demonstrates organizational form of unification on the functional basis of the department of medical social care of children polyclinic and clinic friendly to youth. During three years, number of visits of adolescents to specialists of the center increases and this testifies awareness of adolescents and youth about activities of department of medical social care. The most percentage of visits of adolescents to specialists was made with prevention purpose. Among
Currie, Graeme; Dingwall, Robert; Kitchener, Martin; Waring, Justin
This Special Issue of Social Science & Medicine investigates the potential for positive inter-disciplinary interaction, a 'generative dance', between organization studies (OS), and two of the journal's traditional disciplinary foundations: health policy and medical sociology. This is both necessary and timely because of the extent to which organizations have become a neglected topic within medical sociology and health policy analysis. We argue there is need for further and more sustained theoretical and conceptual synergy between OS, medical sociology and health policy, which provides, on the one-hand a cutting-edge and thought-provoking basis for the analysis of contemporary health reforms, and on the other hand, enables the development and elaboration of theory. We emphasize that sociologists and policy analysts in healthcare have been leading contributors to our understanding of organizations in modern society, that OS enhances our understanding of medical settings, and that organizations remain one of the most influential actors of our time. As a starting point to discussion, we outline the genealogy of OS and its application to healthcare settings. We then consider how medical sociology and health policy converge or diverge with the concerns of OS in the study of healthcare settings. Following this, we focus upon the material environment, specifically the position of business schools, which frames the generative dance between OS, medical sociology and health policy. This sets the context for introducing the thirteen articles that constitute the Special Issue of Social Science & Medicine. Copyright © 2011 Elsevier Ltd. All rights reserved.
Background To determine the knowledge and ethical perception regarding organ donation amongst medical students in Karachi- Pakistan. Methods Data of this cross sectional study was collected by self administered questionnaire from MBBS students of Ziauddin University from 2010 to 2011. Sample size of 158 (83 First years and 75 Fourth years) were selected by convenient sampling and those students who were present and gave consent were included in the study. The data was analyzed by SPSS version 20. Results A total of 158 participants from Ziauddin Medical University filled out the questionnaire out of which 83(52.5%) were first years and 75(47.5%) were fourth year medical students. Mean age of sample was 20 ± 1.7. Majority of students were aware about organ donation with print and electronic media as the main source of information. 81.6% agreed that it was ethically correct to donate an organ. In the students’ opinion, most commonly donated organs and tissues were kidney, cornea, blood and platelet. Ideal candidates for donating organ were parents (81%). Regarding list of options for preference to receive an organ, most of the students agreed on young age group patients and persons with family. Willingness to donate was significantly associated with knowledge of allowance of organ donation in religion (P=0.000). Conclusion Both 1st year and 4th year students are aware of Organ Donation, but there is a significant lack of knowledge regarding the topic. PMID:24070261
Nonpharmacological Interventions Targeted at Delirium Risk Factors, Delivered by Trained Volunteers (Medical and Psychology Students, Reduced Need for Antipsychotic Medications and the Length of Hospital Stay in Aged Patients Admitted to an Acute Internal Medicine Ward: Pilot Study
Full Text Available Purpose. Effectiveness of nonpharmacological multicomponent prevention delivered by trained volunteers (medical and psychology students, targeted at delirium risk factors in geriatric inpatients, was assessed at an internal medicine ward in Poland. Patients and Methods. Participants were recruited to intervention and control groups at the internal medicine ward (inclusion criteria: age ≥ 75, acute medical condition, basic orientation, and logical contact on admission; exclusion criteria: life expectancy < 24 hours, surgical hospitalization, isolation due to infectious disease, and discharge to other medical wards. Every day trained volunteers delivered a multicomponent standardized intervention targeted at risk factors of in-hospital complications to the intervention group. The control group, selected using a retrospective individual matching strategy (1 : 1 ratio, regarding age, gender, and time of hospitalization, received standard care. Outcome Measures. Hospitalization time, deaths, falls, delirium episodes, and antipsychotic prescriptions were assessed retrospectively from medical documentation. Results. 130 patients (38.4% males participated in the study, with 65 in the intervention group. Antipsychotic medications were initiated less frequently in the intervention group compared to the control group. There was a trend towards a shorter hospitalization time and a not statistically significant decrease in deaths in the intervention group. Conclusion. Nonpharmacological multicomponent intervention targeted at delirium risk factors effectively reduced length of hospitalization and need for initiating antipsychotic treatment in elderly patients at the internal medicine ward.
Terry, Bryan; Harder, Amy; Pracht, Dale
Volunteers can be an important resource of many nonprofit organizations. The ability to meet the mission, goals and objectives of nonprofit organizations often depends upon the effectiveness of volunteer involvement in direct service delivery or indirect program support. Volunteer involvement utilizes financial and non-financial resources of an…
Garcia, C D; Barboza, A P; Goldani, J C; Neumann, J; Chem, R; Camargo, J; Lucchese, F; Marcon, I; Marcon, A; Brandão, A; Kalil, A; Vitola, S P; Bittencourt, V; Hausen, S; Todeschini, D; Elbern, L; Castro, E; Garcia, V D
A favorable attitude of health professionals to organ donation can positively influence the decision of families of potential donors. By increasing health professionals knowledge about donation and transplantation and qualifying them to disseminate information, education has produced a positive response to increase the insufficient number of donors. Educating students early in their careers may become crucial in this setting. In order to supply the necessary information about the process of donation and transplantation, a medical school in association with the Hospital Transplant Coordination Department created an educational program of organ donation and transplantation. This course is intended for medical, biomedical, and nutrition students. The objective of our program is to supply basic knowledge about organ donation and transplantation to students of medicine, nutrition, and biomedicine and to enhance their commitment to this process. Each semester, 50 to 90 students are enrolled in the course, which involves a total of 25 hours. Various aspects are approached such as brain death, donor management, political and legal aspects of donation, and skin, lung, bone marrow, heart, pancreas, liver, and kidney transplantation. Between March 2006 and June 2007, three courses were carried out and 200 students were trained. The students evaluated the course and rated it as excellent, concluding that it contributed to their education. Their attitude toward organ donation and transplantation was strongly positive at the end of the course. This project aims to educate and stimulate students in the process of organ donation and transplantation and should be implemented in other medical schools.
Bennedsgaard Torben W
Full Text Available Medication is an important focus area in organic animal husbandry. The combination of goals relating to improved animal welfare and reduced use of chemicals in general creates a common wish to reduce medication. Based on data from current Danish research projects in organic dairy farming, one specific organic medication pattern or policy cannot be described. The disease treatment pattern is influenced by many factors, e.g. the interaction with colleagues, veterinarians and agricultural advisors. No significant difference could be found with regard to incidence of mastitis treatments or somatic cell counts in 27 organic and 57 conventional herds. A marked tendency to shorter treatment periods in relation to mastitis treatments was described for organic farms in comparison with conventional farms (1.9 days versus 3.2 days (5 organic and 7 conventional herds. In a study of development of health advisory service in organic herds, the dialogue between farmer, veterinarian and agricultural cattle advisor changed the treatment pattern markedly during a period of 6 months. Among important future challenges for veterinarians in organic farming is pointed at the constructive, open, and critical interaction with the single organic farmer as well as the organic animal husbandry system in general.
subordinates in decision making and helps them set high goals for achievement. The controversy between situational leadership theorists and those who believe...three behaviors typical of each of Hersey and Blanchard’s four Situational Leadership styles. Finally, * open-ended questions were used to solicit...meshes with Hersey and Blanchard’s Situational Leadership theory, * because volunteers are by definition not at the lowest maturity level (unable and
...; ] DEPARTMENT OF AGRICULTURE Forest Service Information Collection; Land Management Agency Volunteer Surveys... organizations on the new information collection, the Land Management Agency Volunteer Surveys. DATES: Comments... Friday. SUPPLEMENTARY INFORMATION: Title: Land Management Agency Volunteer Surveys. OMB Number: 0596-New...
Cahill, Kevin C; Ettarh, Rajunor R
There is a worldwide shortage of organs for transplantation. It has been shown that the attitude of healthcare professionals can improve the rates of organ donation, and that educational programs aimed at improving both attitudes and knowledge base of professionals can have positive outcomes. Although there has been research carried out on this topic, there has been none in Ireland. Anatomy dissection can be a stressor to medical students-we investigate the attitudes of Irish students to organ donation and how they change with exposure to anatomy dissection. A questionnaire was administered to first year students in the School of Medicine in University College Dublin, Ireland, three times over a nine-week period at the commencement of classes in an academic year. The attitudes of the students were positive throughout regarding organ donation by a stranger, a family member, or themselves. There was, however, a significant decrease in support for the donation of a family member's organs in a minority of students. Irish students' attitudes to postmortem organ donation are positive and are not changed by exposure to the dissecting room. There is support for the donation of organs, and willingness among students to donate their own organs and support donation by family members. Copyright © 2011 American Association of Anatomists.
Cahill, Kevin C
There is a worldwide shortage of organs for transplantation. It has been shown that the attitude of healthcare professionals can improve the rates of organ donation, and that educational programs aimed at improving both attitudes and knowledge base of professionals can have positive outcomes. Although there has been research carried out on this topic, there has been none in Ireland. Anatomy dissection can be a stressor to medical students-we investigate the attitudes of Irish students to organ donation and how they change with exposure to anatomy dissection. A questionnaire was administered to first year students in the School of Medicine in University College Dublin, Ireland, three times over a nine-week period at the commencement of classes in an academic year. The attitudes of the students were positive throughout regarding organ donation by a stranger, a family member, or themselves. There was, however, a significant decrease in support for the donation of a family member\\'s organs in a minority of students. Irish students\\' attitudes to postmortem organ donation are positive and are not changed by exposure to the dissecting room. There is support for the donation of organs, and willingness among students to donate their own organs and support donation by family members.
Kuribara, Kazunori; Wang, He; Uchiyama, Naoya; Fukuda, Kenjiro; Yokota, Tomoyuki; Zschieschang, Ute; Jaye, Cherno; Fischer, Daniel; Klauk, Hagen; Yamamoto, Tatsuya; Takimiya, Kazuo; Ikeda, Masaaki; Kuwabara, Hirokazu; Sekitani, Tsuyoshi; Loo, Yueh-Lin; Someya, Takao
The excellent mechanical flexibility of organic electronic devices is expected to open up a range of new application opportunities in electronics, such as flexible displays, robotic sensors, and biological and medical electronic applications. However, one of the major remaining issues for organic devices is their instability, especially their thermal instability, because low melting temperatures and large thermal expansion coefficients of organic materials cause thermal degradation. Here we demonstrate the fabrication of flexible thin-film transistors with excellent thermal stability and their viability for biomedical sterilization processes. The organic thin-film transistors comprise a high-mobility organic semiconductor, dinaphtho[2,3-b:2',3'-f]thieno[3,2-b]thiophene, and thin gate dielectrics comprising a 2-nm-thick self-assembled monolayer and a 4-nm-thick aluminium oxide layer. The transistors exhibit a mobility of 1.2 cm(2) V(-1)s(-1) within a 2 V operation and are stable even after exposure to conditions typically used for medical sterilization.
Kuribara, Kazunori; Wang, He; Uchiyama, Naoya; Fukuda, Kenjiro; Yokota, Tomoyuki; Zschieschang, Ute; Jaye, Cherno; Fischer, Daniel; Klauk, Hagen; Yamamoto, Tatsuya; Takimiya, Kazuo; Ikeda, Masaaki; Kuwabara, Hirokazu; Sekitani, Tsuyoshi; Loo, Yueh-Lin; Someya, Takao
The excellent mechanical flexibility of organic electronic devices is expected to open up a range of new application opportunities in electronics, such as flexible displays, robotic sensors, and biological and medical electronic applications. However, one of the major remaining issues for organic devices is their instability, especially their thermal instability, because low melting temperatures and large thermal expansion coefficients of organic materials cause thermal degradation. Here we demonstrate the fabrication of flexible thin-film transistors with excellent thermal stability and their viability for biomedical sterilization processes. The organic thin-film transistors comprise a high-mobility organic semiconductor, dinaphtho[2,3-b:2‧,3‧-f]thieno[3,2-b]thiophene, and thin gate dielectrics comprising a 2-nm-thick self-assembled monolayer and a 4-nm-thick aluminium oxide layer. The transistors exhibit a mobility of 1.2 cm2 V-1s-1 within a 2 V operation and are stable even after exposure to conditions typically used for medical sterilization.
Sánchez, John Paul; Sola, Orlando; Ramallo, Jorge; Sánchez, Nelson Felix; Dominguez, Kenneth; Romero-Leggott, Valerie
Hispanics represent the fastest growing ethnic segment of the lesbian, gay, bisexual, and transgender (LGBT) community in the United States and are disproportionately burdened by LGBT-related health issues and limited political support from Hispanic medical organizations. Recently, the Latino Medical Student Association, the National Hispanic Medical Association, and the Hispanic Serving Health Professions Schools, representing over 60,000 Hispanic students and providers and 35 institutions, collaborated to support a resolution opposing discrimination based on sexual orientation or gender identity and recognizing the obstacles encountered by LGBTQ Hispanics. The resolution provides an important framework for organizational members and leaders to address LGBT health issues and serve to support a more positive sociopolitical climate for the Hispanic LGBT community nationally and internationally.
Maria Lorena Selbach Figueiró
Full Text Available Pesquisa que procura refletir sobre o papel da informação nos movimentos sociais representados pelas organizações voluntárias (organizações não-governamentais-ONGs e organizações de mútua-ajuda de Florianópolis–SC. Objetiva verificar até que ponto tais entidades, através da informação, colaboram no processo de inclusão social do seu público alvo, isto é, favorecem via processos informacionais, o exercício da cidadania.This paper analyses the role of information in social movements represented by voluntary non-governmental and mutual-help organizations in Florianópolis, Santa Catarina, Brazil. The study searches to identify the grade in which such organizations employ information to support the social inclusion of their associates, contributing(through informational proccesses for their effective citizenship.
Full Text Available Abstract Background In this paper, we aim to quantify the contribution of international health volunteers to the health workforce in sub-Saharan Africa and to explore the perceptions of health service managers regarding these volunteers. Methods Rapid survey among organizations sending international health volunteers and group discussions with experienced medical officers from sub-Saharan African countries. Results We contacted 13 volunteer organizations having more than 10 full-time equivalent international health volunteers in sub-Saharan Africa and estimated that they employed together 2072 full-time equivalent international health volunteers in 2005. The numbers sent by secular non-governmental organizations (NGOs is growing, while the number sent by development NGOs, including faith-based organizations, is mostly decreasing. The cost is estimated at between US$36 000 and US$50 000 per expatriate volunteer per year. There are trends towards more employment of international health volunteers from low-income countries and of national medical staff. Country experts express more negative views about international health volunteers than positive ones. They see them as increasingly paradoxical in view of the existence of urban unemployed doctors and nurses in most countries. Creating conditions for employment and training of national staff is strongly favoured as an alternative. Only in exceptional circumstances is sending international health volunteers viewed as a defendable temporary measure. Conclusion We estimate that not more than 5000 full-time equivalent international health volunteers were working in sub-Saharan Africa in 2005, of which not more than 1500 were doctors. A distinction should be made between (1 secular medical humanitarian NGOs, (2development NGOs, and (3 volunteer organizations, as Voluntary Service Overseas (VSO and United Nations volunteers (UNV. They have different views, undergo different trends and are differently
Full Text Available We analysed the role of socially oriented NGOs and volunteer services in the implementation of the objectives of National Strategy for Action on Children 2012–2017 and priority activities in the provision of services to vulnerable children and their families. The article provides the examples of innovative social practices and technologies developed and implemented by NGOs, which become generally accepted, widely used, and codified later. We show the role of the nonprofit institutions for the implementing the international experience. There is an increasing of the role of socially oriented NGOs as a partner of the regional authorities in the formulation and implementation of social policy modernization in the constituent entities of the Russian Federation over the past few years, including the organi- zation of interdepartmental and multidisciplinary interaction. The paper provides detailed analysis of the significance of the volunteer institution in the creation of conditions for development and socialization of children-orphans and children with disabilities, to identify further relevant activities in the context of deinstitu- tionalization of children in different categories without parental care, and trans- ferred to family care forms. The analysis showed that effective socially oriented NGOs, volunteer movements and public sector hampered by inadequate legal framework, weak activity of charitable organizations at the municipal level, the uncertainty of the evaluation of the action of NGOs and its effectiveness (lack of evaluation criteria, lack of staff training system for NCOs, "the fear of the authorities” is to transfer certain functions and powers as the national partner, the false perception of NGOs as a source of wealth and additional resources.
CERN is calling for volunteers from all members of the Laboratory for organizing the two exceptional Open days.CERN is calling for volunteers from all members of the Laboratory’s personnel to help with the organisation of these two exceptional Open Days, for the visits of CERN personnel and their families on the Saturday and above all for the major public Open Day on the Sunday. As for the 50th anniversary in 2004, the success of the Open Days will depend on a large number of volunteers. All those working for CERN as well as retired members of the personnel can contribute to making this event a success. Many guides will be needed at the LHC points, for the activities at the surface and to man the reception and information points. The aim of these major Open Days is to give the local populations the opportunity to discover the fruits of almost 20 years of work carried out at CERN. We are hoping for some 2000 volunteers for the two Open Days, on the Saturday from 9 a.m. to ...
The Effect of Volunteering at a Student-Run Free Healthcare Clinic on Medical Students' Self-Efficacy, Comfortableness, Attitude, and Interest in Working with the Underserved Population and Interest in Primary Care
Kovalskiy, Aleksandr; Desai, Anand; Imran, Amna; Ismail, Rahim; Hernandez, Caridad
Introduction The number of primary care physicians in the United States continues to lag behind the number of uninsured people. There has been a growing demand for medical students to improve their self-efficacy, comfortableness, attitude, and interest in working with the underserved and in primary care. This study aims to discern whether volunteering at a student-run, free healthcare clinic has a positive impact on these five variables of interest or not. Methods A 95-item survey was distributed through Qualtrics Survey Software (Qualtrics, Provo, UT, USA) to medical students from the Class of 2018 and Class of 2019 at the University of Central Florida College of Medicine. They were recruited via emails, Facebook, and in-classroom announcements. Mean responses on a Likert-like scale to different survey items were collected and compared between two study cohorts: Keeping Neighbors In Good Health Through Service (KNIGHTS) Clinic volunteers and non-volunteers. Results Results from 128 students showed no significant differences in the means between the two cohorts (p-values were not significant). When volunteers were asked the survey item, “KNIGHTS Clinic positively influenced my attitude towards working with underserved patients,” 62% strongly agreed, 26% agreed, 10% were neutral, and 2% disagreed. Discussion Based on the results, volunteering at KNIGHTS Clinic may not have a positive impact on the five variables of interest. However, the lack of significance may also be due to certain limitations of this study addressed elsewhere in this paper. With the majority of KNIGHTS Clinic volunteers agreeing that “KNIGHTS Clinic positively influenced […their] attitude towards working with underserved patients,” there may be a positive impact of volunteering on volunteers’ attitude towards working with the underserved. PMID:28367389
The study assesses whether organizations' motivational practices affect volunteer motivation and levels of performance. This study was guided by the following two research questions: first, what motivation practices exist in Volunteer Involving Organizations and whether such affect volunteers' motivation to volunteer again?
Aleksander Osipov; Vita Vonog
...: the World Cup, Winter Student Games, etc. For the success of such large events thousands of volunteers should be recruited and trained, including volunteers for sports activities on-the-spot competition...
Female genital mutilation (FGM) refers to alteration of the external genitalia of girls without medical benefit. It is estimated by United Nations agencies that 200 million living girls and women have been subjected to different forms of FGM worldwide. Despite the criminalization of the procedure in the vast majority of countries where it is practiced, the decline in the incidence of this ritual is far from satisfactory. Immediate and long-term ill effects are well documented. Most publications of relevance originate from countries outside the map of FGM. In addition, there are major gaps in research related to this issue, considering the magnitude of the problem. International medical organizations and societies should assume their responsibility by providing a platform to professionals engaged in the prevention and treatment of the consequences of FGM, especially those living in the communities where the practice is endemic.
Wilks, Chrisanne; Krisle, Erik; Westrich, Kimberly; Lunner, Kristina; Muhlestein, David; Dubois, Robert
Optimized medication use involves the effective use of medications for better outcomes, improved patient experience, and lower costs. Few studies systematically gather data on the actions accountable care organizations (ACOs) have taken to optimize medication use. To (a) assess how ACOs optimize medication use; (b) establish an association between efforts to optimize medication use and achievement on financial and quality metrics; (c) identify organizational factors that correlate with optimized medication use; and (d) identify barriers to optimized medication use. This cross-sectional study consisted of a survey and interviews that gathered information on the perceptions of ACO leadership. The survey contained a medication practices inventory (MPI) composed of 38 capabilities across 6 functional domains related to optimizing medication use. ACOs completed self-assessments that included rating each component of the MPI on a scale of 1 to 10. Fisher's exact tests, 2-proportions tests, t-tests, and logistic regression were used to test for associations between ACO scores on the MPI and performance on financial and quality metrics, and on ACO descriptive characteristics. Of the 847 ACOs that were contacted, 49 provided usable survey data. These ACOs rated their own system's ability to manage the quality and costs of optimizing medication use, providing a 64% and 31% affirmative response, respectively. Three ACOs achieved an overall MPI score of 8 or higher, 45 scored between 4 and 7.9, and 1 scored between 0 and 3.9. Using the 3 score groups, the study did not identify a relationship between MPI scores and achievement on financial or quality benchmarks, ACO provider type, member volume, date of ACO creation, or the presence of a pharmacist in a leadership position. Barriers to optimizing medication use relate to reimbursement for pharmacist integration, lack of health information technology interoperability, lack of data, feasibility issues, and physician buy
The profile of volunteering in English Higher Education (HE) has been enhanced in recent years through various initiatives that have not only funded activities, but have sought to expand the range of volunteering opportunities available to students and recognise the contribution that volunteering can make to students' employability. This expansion…
Offers tips for cultivating volunteers for community college organizations: begin retention efforts early, "talk up" the organization, identify goals to determine what you can offer volunteers, and stay connected. (EV)
Svetlana A. Mukhortova
Full Text Available The article analyzes the possibilities of auditing the quality of medical care to improve the efficiency of medical organizations. The audit of the medical organization is a closed cycle to improve the quality of medical care, which should include assessing the actual assistance provided in relation to the approved high quality standards, developing a plan to bring the actual level of medical care into compliance with the declared standards, and improving this assistance to achieve the best health indicators. The review examines the different forms of clinical audit and the experience of their use in various countries of the world.
The American Academy of Family Physicians (AAFP) has recently been criticized for accepting a large corporate donation from Coca-Cola to fund patient education on obesity prevention. Conflicts of interest, whether individual or organizational, occur when one enters into arrangements that reasonably tempt one to put aside one's primary obligations in favor of secondary interests, such as financial self-interest. Accepting funds from commercial sources that seek to influence physician organizational behavior in a direction that could run counter to the public health represents one of those circumstances and so constitutes a conflict of interest. Most of the defenses offered by AAFP are rationalizations rather than ethical counterarguments. Medical organizations, as the public face of medicine and as formulator of codes of ethics for their physician members, have special obligations to adhere to high ethical standards.
Robert G. Bing-You
Full Text Available Background: A new organizational model of educational administrative support was instituted in the Department of Medical Education (DME to better meet increasing national accreditation demands. Residency and fellowship programs were organized into four ‘Communities of Practice’ (CoOPs based on discipline similarity, number of learners, and geographic location. Program coordinator reporting lines were shifted from individual departments to a centralized reporting structure within the DME. The goal of this project was to assess the impact on those most affected by the change. Methods: This was a mixed methods study that utilized structured interviews and the Organizational Culture Assessment Instrument (OCAI. Eleven members of the newly formed CoOPs participated in the study. Results: Three major themes emerged after review and coding of the interview transcripts: improved group identity, improved availability of resources, and increased opportunity for professional growth. OCAI results indicated that respondents are committed to the DME and perceived the culture to be empowering. The ‘preferred culture’ was very similar to the culture at the time of the study, with some indication that DME employees are ready for more creativity and innovation in the future. Conclusion: Reorganization within the DME of residency programs into CoOPs was overwhelmingly perceived as a positive change. Improved resources and accountability may position our DME to better handle the increasing complexity of graduate medical education.
Gustafsson, R A
Earlier research by Gardell and Gustafsson indicates a general discrepancy between perceived needs and organizational structure in Swedish somatic hospitals; the work organization directs the work process as if cure and medical treatment were the only appropriate goals in almost all kinds of health care settings. The standard organizational model for general hospitals, here named "the acute care model"--which is a merger of medical and administrative hierarchies--forces great segments of the staff into a work content that is neither appropriate for patients' needs nor satisfying for the personnel. The present study is a historical-sociological discourse in which the structural antecedents of the acute care model are traced. It gives an exposé of the main stages in the formation of the Swedish health care system from the middle ages to the present. In 1864 a regulation of the hospital boards was issued. This meant the definite consolidation of the acute care model and was in line with earlier developments, which were characterized by an incremental interorganizational activity demarcation that divided the core of institutional care into three branches: somatic hospitals, mental hospitals, and homes for the elderly. The driving forces in the formation of the total health care system are shown to be closely related to premedical and extramedical factors, such as military needs, mercantilism, and the emergence of the middle class.
Gudiksen, Sune Klok
The use of volunteers is becoming more visible and important in the experience economy also in the light of the financial crisis. From a management perspective within both public and private organizations the use of volunteers is an important element partly because they strengthen the brand...... economy volunteers create a new set of dimensions, because they shift between being part of the experience producer and being one of the experience consumers. Volunteers are becoming increasingly more important in the experience economy as they contribute to the overall experience for users or customers...... theories from psychology about motivational factors, game theories about rewards, business model theory about crowdsourcing and crowdfunding, user and customer experience theory with 25 interviews with experienced industry experts limited to the cultural sector and with relation to experience economy...
I. A. Kaprina
Full Text Available Results of sociological research of problem questions of regulation of personnel processes in the medical organizations are presented in this article. The problem of reforming medical organizations is characterized. Proposals on the solution of currently important problems of personnel regulation in medical organizations are formulated.The purpose of the research is to substantiate the directions of improving the management of personnel processes in modern medical organizations based on the sociological analysis of personnel processes and relations in medical organizations.Materials and methods. The paper presents the results of a sociological study of the condition and problems of regulation of personnel processes in medical organizations. The survey involved 240 respondents from among the employees of medical organizations and 97 qualified medical experts.Results. It is proved that the successful functioning of medical organizations is possible with a scientific approach to the management of personnel processes and relations, including analysis of personnel policy issues, sociological support of personnel processes regulation, development of human resources technologies in modern medical organizations.Conclusions. Successful functioning of medical organizations is possible with a scientific approach to the management of personnel processes and relations, including analysis of personnel policy issues, sociological support of personnel processes regulation, development of modern personnel technologies in medical organizations. Achievement of effective management of personnel processes in medical organizations requires the development and implementation of scientifically sound human resources policy in the health care system, improving the regulatory and organizational support for the regulation of personnel processes, enhancing the role of self-regulatory organizationsin the management of personnel processes in medical organizations.
Working with alumni volunteers shouldn't create horror and suspense. Following a few key steps can help maintain a smooth relationship between alumni volunteers and the alumni relations office staff. In this article, the author discusses how to manage volunteers and keep the alumni volunteer relationship on track.
Asiedu, Gladys B; Hayes, Sharonne N; Williams, Karen Patricia; Bondaryk, Matthew R; Halyard, Michele Y; Parker, Monica W; Balls-Berry, Joyce E; Pinn, Vivian W; Breitkopf, Carmen Radecki
African American women bear a disproportionate burden of cardiovascular disease (CVD) and cancer. The purpose of this study was to identify prevalent health concerns among African American women who are members of The Links, Incorporated (Links), a large national service organization with health programming for communities of color. Survey data (n = 391) were collected during the 2012 Links National Assembly. Twenty-six health issues were presented within five groups: cancer, CVD, pulmonary disease, chronic conditions, and behavioral health. For each issue, women indicated if it was a concern for "you/your family" or "the African American community" via check-boxes. Differences in the proportions for "you/your family" and "the African American community" were evaluated using the McNemar test. Hypertension was the most frequently endorsed concern for you/your family (79 %); 73 % indicated this was a concern for the African American community. Sickle cell anemia was the most frequently endorsed concern for the African American community (77 %). Melanoma was the least endorsed health issue overall (15 % you/your family, 55 % community). Breast was the most frequently endorsed cancer concern, while lung was among the least. For 23 out of 26 health issues, the proportion concerned was greater for the "African American community" than for "you/your family" (all p < 0.05). CVD and breast cancer were salient concerns; both are topics for which national awareness campaigns and Links health programming exist. Comparatively lower concern was observed for melanoma, a cancer with known survival disparities, and for lung cancer, a leading cause of death in women.
Full Text Available Helen M Shields,1 Nielsen Q Fernandez-Becker,2 Sarah N Flier,2 Byron P Vaughn,2 Melissa H Tukey,2 Stephen R Pelletier,3 Douglas A Horst2 1Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, 2Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, 3Center for Evaluation, Harvard Medical School, Boston, MA, USA Background: Prior to 2007, we taught the abdominal examination in a hospital based group to 40 students, at one hospital. We used volunteer patients, small groups, repetition, and required faculty development sessions. In 2007, our medical school changed its “Introduction to Physical Examination” session so that the entire class was to be taught in a geographically central session. Our hospital was selected to lead the abdominal examination portion of the session. Aim: Our aim was to answer three questions. First, could we quadruple the recruitment of volunteer patients, and faculty? Second, was it volunteer patients, small groups, repetition, or faculty training that was most valued by the students? Third, would volunteer patients and/or faculty agree to participate a second time? Methods: A total of 43-46 patients and 43-46 faculty were recruited and 43-46 examining rooms were obtained for each of the 5 years of this study. Teachers were required to attend a 1-hour faculty development session. The class of about 170 students was divided into 43–46 groups each year. The teacher demonstrated the abdominal examination and each student practiced the examination on another student. Each student then repeated the full abdominal examination on a volunteer patient. Results: Over the 5-year time period (2008–2012, the abdominal examination ranked first among all organ systems’ “Introductory Sessions”. The abdominal examination ratings had the best mean score (1.35 on a Likert scale where 1 is excellent and 5 is poor. The students gave the most
... HUMAN SERVICES Agency for Healthcare Research and Quality Patient Safety Organizations: Voluntary Delisting From Community Medical Foundation for Patient Safety AGENCY: Agency for Healthcare Research and Quality (AHRQ), HHS. ACTION: Notice of Delisting. SUMMARY: Community Medical Foundation for Patient Safety...
McCall, Daniel; Iltis, Ana S
The popularity and availability of global health experiences has increased, with organizations helping groups plan service trips and companies specializing in "voluntourism," health care professionals volunteering their services through different organizations, and medical students participating in global health electives. Much has been written about global health experiences in resource poor settings, but the literature focuses primarily on the work of health care professionals and medical students. This paper focuses on undergraduate student involvement in short term medical volunteer work in resource poor countries, a practice that has become popular among pre-health professions students. We argue that the participation of undergraduate students in global health experiences raises many of the ethical concerns associated with voluntourism and global health experiences for medical students. Some of these may be exacerbated by or emerge in unique ways when undergraduates volunteer. Guidelines and curricula for medical student engagement in global health experiences have been developed. Guidelines specific to undergraduate involvement in such trips and pre-departure curricula to prepare students should be developed and such training should be required of volunteers. We propose a framework for such guidelines and curricula, argue that universities should be the primary point of delivery even when universities are not organizing the trips, and recommend that curricula should be developed in light of additional data.
not be turned away.20 20 Michita Champathes Rodsutti and Piyarat Makayathorn, "Organizational Diagnostic Factors in Family Business : Case Studies... Family Business : Case Studies in Thailand.” Development and Learning in Organizations 19, no.2 (2005). Savoye, Craig. “Volunteers rally to defend
Berkowitz, Scott A; Pahira, Jennifer J
As academic medical centers (AMCs) consider becoming accountable care organizations (ACOs) under Medicare, they must assess their readiness for this transition. Of the 253 Medicare ACOs prior to 2014, 51 (20%) are AMCs. Three critical components of ACO readiness are institutional and ACO structure, leadership, and governance; robust information technology and analytic systems; and care coordination and management to improve care delivery and health at the population level. All of these must be viewed through the lens of unique AMC mission-driven goals.There is clear benefit to developing and maintaining a centralized internal leadership when it comes to driving change within an ACO, yet there is also the need for broad stakeholder involvement. Other important structural features are an extensive primary care foundation; concomitant operation of a managed care plan or risk-bearing entity; or maintaining a close relationship with post-acute-care or skilled nursing facilities, which provide valuable expertise in coordinating care across the continuum. ACOs also require comprehensive and integrated data and analytic systems that provide meaningful population data to inform care teams in real time, promote quality improvement, and monitor spending trends. AMCs will require proven care coordination and management strategies within a population health framework and deployment of an innovative workforce.AMC core functions of providing high-quality subspecialty and primary care, generating new knowledge, and training future health care leaders can be well aligned with a transition to an ACO model. Further study of results from Medicare-related ACO programs and commercial ACOs will help define best practices.
Ray, Garrett W.
Community service organizations face a dilemma resulting from hard economic times, inflation, fewer traditional volunteers, and changes in volunteer motivation. There is a need to enlist the help of corporations and local colleges. The experiences of the Littleton, Colorado community are described. (MLW)
In this article, I investigate the strength of intergenerational transmission of volunteering for non-profit associations in The Netherlands. Data from the Family Survey of the Dutch Population 2000 reveal that there are significant relations between current volunteering and parental volunteering in
In expanding a 4-H volunteer program, a systematic way of recruiting, training, utilizing, recognizing, and evaluating the program is needed. There is no one right answer to volunteer leadership problems, but it is important to believe that volunteers are available. They have to see the need and be convinced it is worth their attention, so the…
Castellucci, Arthur, Ed.
Five members of a school library administration class developed guidelines for a Volunteer Mother Program in public school libraries. Guidelines were stated for the following aspects of volunteer programs: (1) reasons for using volunteers; (2) introduction to the program; (3) recruitment; (4) qualifications; (5) amount of help needed; (6)…
Jong, J. de; Groenewegen, P.P.; Westert, G.P.
Background: In general, patients expect that the medical treatment they receive is provided by physicians who adhere to professional norms which are based on evidence. The existence of variations in medical practice challenges that general belief. In the assumption that treatment by physicians is
Bharambe Vaishaly K.
Full Text Available Introduction. To study the knowledge and attitude of a medical student doing internship with regards to organ donation. Methods. A total of 50 specially designed questionnaires were distributed among medical students doing internship at a medical college. Those who gave their consent to participate in the study were asked to fill out the questionnaire. Results. 86% gave their consent to participate in the study. 100% were aware of the concept of organ donation. 68% had obtained this knowledge from newspapers. 4% had obtained knowledge from the Medical College. 48%, 48% and 34% believed that an organ donor was live, brain dead and cardiac dead, respectively. Awareness regarding kidney, eye, liver, heart and skin donation was found to be 82%, 80%, 80%, 62% and 64%, respectively. 54% were aware of Law pertaining to organ donation. 90% were either positive or willing to consider organ donation themselves. 10% felt that the donated organ might be misused. Conclusion. Health care professionals are the first to establish relationship with the potential donor’s family and are a crucial link in the organ procurement process. Their attitude and level of knowledge regarding organ donation would reflect directly on the organ donation activity of any region. The interns in the present study had positive attitude towards organ donation but were lacking in knowledge about some key aspects such as brain death and legality involved in organ donation. Majority of the medical professionals had obtained their knowledge from newspapers and very few were taught about organ donation in the medical college. If education on organ donation and its various aspects was included in medical curriculum, it could empower the future medical care professionals with knowledge to further study the cause of organ donation and serve the society better.
van Dongen, T.T.C.F.
The deployment of the Dutch Armed Forces in Afghanistan between 2001-2014, had an enormous impact on their organization and personnel. Lessons learned during and after this deployment can help the military medical support organization in improving logistics, administration of, and medical care
A. V. Matiychyk
Another prerequisite of volunteerism was the surge of Advantages Revolution in 2013-2014, and after it – the anti-terrorist operation in eastern Ukraine. In 2015 the aid organization in terms of ATO and internally displaced persons has increased directions volunteering. Important indicators of volunteering were high levels of involvement of Ukrainian philanthropy and consequently public confidence in voluntary organizations, qualitative growth of volunteerism, the founders of which were gradually included among the managerial elite Ukraine. At the same time, there are number of problems that discredit the work of volunteers and the idea of volunteering in general, for example, fraud volunteers and fake organizations. Moreover, the increased activity of the volunteer movement was caused by the internal crisis that led to the imbalance of public administration, lack of high-quality management decisions, lack of resource capabilities. Also it was caused by external factors, such as the need to participate in the organization of international events and conduct military operations against separatist groups in eastern Ukraine. So, volunteer activity gradually becomes an effective mechanism of self-organization of citizens.
Full Text Available A library home page should be a document providing information about library, its various services to and activities for the users. The purpose of the present research was an evaluation of the actual state of-the-art of library home pages of Slovene medical libraries, and a set of suggestions is offered for their improvement. The results of the research, based on the sample of medical libraries partaining to the Ljubljana medical circle, indicate that posibilities offered by databases accessible on internet are unutilizied. Medical libraries mostly use their web sites for presentation of their activities in a fairly rigid and unchanging format, including general information on the library, e-mail, mailing adresses, library regulations, but without much interactive information. The article indicates the necessity for improvement of the present state and offers a few advices on how to achieve the positive change.
Tazegul, Gokhan; Bozoglan, Humeyra; Ogut, Tahir S; Balcı, Mustafa K
After the development of the first phone at the end of 19th century, communication technologies took a great leap forward in the 20th century. With the birth of the "smartphone" in the 21st century, communication technologies exponentially evolved and became an important part of our daily routine. Effective communications between clinicians is critical in medical care and miscommunications are a source of errors. Although telecommunication technologies have proliferated dramatically in the last decade, there is scarce evidence-based information on the use of this technology in medical care. For the purposes of medical communication, we can now consult each other about patients individually and within a group via instant messaging applications by using text messages, photos, audio messages and even videos. In this review, we examine the uses and drawbacks of instant messaging applications in medical communications.
Cahill, Kevin C.; Ettarh, Rajunor R.
There is a worldwide shortage of organs for transplantation. It has been shown that the attitude of healthcare professionals can improve the rates of organ donation, and that educational programs aimed at improving both attitudes and knowledge base of professionals can have positive outcomes. Although there has been research carried out on this…
Weil, Peter A; Kimball, Peter A
The role requirements of healthcare executives have received considerable attention from researchers; however, the volunteer efforts of executives have not been examined. This study investigates the relationship between an executive's position in the organizational hierarchy and his or her propensity to volunteer in general and to volunteer for the executive's professional society in particular. The study found that nearly all executives volunteered for some organization, but the type of work they performed was associated with their position level. For example, more than 90 percent of chief executive officers (CEOs) served on a board or a committee compared with less than half of mid-level executives. Also, more CEOs than lower-level executives were involved in fund-raising, setting professional standards, and testifying to legislatures. In general, we suggest that CEOs commit to volunteering, which facilitates their ability to achieve and retain their high-level position, recognition, and rewards. Fewer than half of the executives surveyed had volunteered for the American College of Healthcare Executives (ACHE), their professional society; the most common reasons given for not volunteering were lack of awareness of volunteer opportunities or not being asked to volunteer. Those that had volunteered for ACHE were primarily motivated by altruistic motives, such as the desire to help others, feelings of compassion for people in need, or the desire to do something for the profession. Career advancement was deemed to be a less important motivator in volunteering for ACHE. However, mid-level executives rated these motives more highly than did senior-level executives and CEOs. Because of the creation of local ACHE chapters, many more opportunities will become available for healthcare executives to volunteer for their professional society in the future.
McGuire, L C
Remembering medical information over time is important for patients' health and well-being. Younger and older adults' respective memories of information from a videotaped medical feedback session about osteoarthritis were examined as a function of information organization. Participants were randomly assigned to either an organized or an unorganized presentation condition. Retention was assessed immediately, and after 1-week and 1-month delays, by use of a free-recall task. Younger and older adults in general remembered equivalent amounts of medical information. Organization of medical information did not have an impact on the amount of information remembered. Results indicated that participants recalled more medical information immediately than after the 1-week and 1-month delays. Younger adults initially recalled more medical information than older adults; however, younger and older adults remembered equivalent amounts of information after the 1-week and 1-month delays.
Mousa, T Y; Freeland-Graves, J H
A variety of organizations redistribute surplus food to low-income populations through food rescue nutrition. Why volunteers participate in these charitable organizations is unclear. The aim of this study is to document the participation and motivations of volunteers who are involved specifically in food rescue nutrition. A cross-sectional study was conducted in two phases. In phase 1, a new instrument, Motivations to Volunteer Scale, was developed and validated in 40 participants (aged ≥18 years). In phase 2, the new scale and a demographics questionnaire were administered to 300 participants who were volunteering in food pantries and churches. The pilot study showed that Motivations to Volunteer Scale exhibited an internal consistency of Cronbach's α of 0.73 (P 0.05). The scale was validated also by comparison to the Volunteer Function Inventory (r = 0.86, P Motivations to Volunteer Scale were requirement, career improvement, social life, and altruism. The mean motivation score of the 300 volunteers was 9.15 ± 0.17. Greater motivations were observed among participants who were aged >45 years, women, Hispanics, college/university graduates, physically inactive, non-smokers, and had an income ≥ $48,000. The Motivations to Volunteer Scale is a valid tool to assess why individuals volunteer in food rescue nutrition. The extent of motivations of participants was relatively high, and the primary reason for volunteering was altruism. Health professionals should be encouraged to participate in food redistribution. Copyright © 2017 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.
A. A. Lobzhanidze
Full Text Available We prove the need to create the regional system of air medical service in St. Petersburg and Leningrad Region.We describe the mechanism of managing the medical service transport system which includes patients’ evacuation both by automobile and aviation. We offer algorithms of assessing the cost effectiveness of air medical service both at the time of treatment and making the patient able to work and during the entire period of hisparticipation in social labor activities. This project is being implemented since 2014. Data in the article are provided on the basis of actually realized flights by helicopter center LLC«Helidrive» which took part in pilot project.
Cheung, A H; Kailani, H K; Limm, W M
The shortage of organ donors remains a major obstacle in transplantation in Hawaii. Some patients die while waiting for a life-saving organ. Across the nation, "marginal" donors, including non-heart-beating donors are used. The authors describe the first successful non-heart-beating organ donor transplant in Hawaii, and include medical and ethical considerations.
Full Text Available Aims • To explore organ donation and transplantation knowledge and attitudes among medical students at the University of Auckland. • To understand students' perception of the extent of training received prior to and during the medical program. Method A validated web-based questionnaire consisting of 42 questions in five categories was anonymously administered to all enrolled medical students at the Faculty of Medical and Health Sciences, University of Auckland, in September 2012. Results In all, 419 out of 989 (42% Year 2–6 students responded. A total of 99.3% of medical students supported organ donation, but knowledge was limited (mean score 7.54/15±2.26. A total of 38% of students reported having participated in organ donation learning. A total of 96% of students believed that organ donation information should be available in primary care settings. A total of 69% of students reported that if a patient asked a question about organ donation that they did not know the answer to, they also would not know where to source the correct information from. Conclusion This study demonstrates that although medical students support organ donation, they lack the knowledge required to facilitate informative discussions with patients. Enhanced organ donation education in medical programs may enable students to develop skills and knowledge allowing them to better discuss donation with patients.
Adam Mcmahon; Victor Milenkovic
While both volunteer computing and social networks have proved successful, the merging of these two models is a new field: Social Volunteer Computing. A Social Volunteer Computing system utilizes the relationships within a social network to determine how computational resources flow towards tasks that need to be completed, and the results of these computations are added back into the social network as content. Such a system will provide scientists and artists a new facility to obtain computat...
Bardell, Trevor; Childs, Aaron L; Hunter, Duncan J W
Physicians' knowledge of and attitudes towards organ donation may be a factor in organ procurement rates. There is a lack of information about how Canadian medical students perceive organ donation, and what they know about it. This pilot study assesses the knowledge and attitudes of university students toward organ donation. Medical students completed a self-administered questionnaire after a lecture. Non-medical students completed the same questionnaire at the university student center. The questionnaire included a test that was used to assess knowledge about organ donation. Attitudes were assessed by determining whether the student carried a signed organ donor card, and their reasons if they did not. Of the 76 students in the first-year medical class, 39 responded. A sample of the first 40 non-medical students to visit a booth at the student centre was selected for comparative analysis. The mean age of medical students was 23.5 years; 23 for non-medical students. Of those surveyed, 56.6 per cent were women. Of medical students, 30.8 per cent reported carrying a signed card compared with 50 per cent of non-medical students. The most common reason for not carrying a card in both groups was apathy. Median test scores were 2.4/6 for both groups. Students carrying a signed card had a median test score of 2.7/6, with the median score for those not carrying signed cards being 2.2/6. More investigation of the knowledge and attitudes of medical students regarding organ donation is warranted.
Duncan, James M.; Bogomolov, V. V.; Castrucci, F.; Koike, Y.; Comtois, J. M.; Sargsyan, A. E.
Long duration crews have inhabited the ISS since November of 2000. The favorable medical outcomes of its missions can be largely attributed to sustained collective efforts of all ISS Partners medical organizations. In-flight medical monitoring and support, although crucial, is just a component of the ISS system of Joint Medical Operations. The goal of this work is to review the principles, design, and function of the multilateral medical support of the ISS Program. The governing documents, which describe the relationships among all ISS partner medical organizations, were evaluated, followed by analysis of the roles, responsibilities, and decision-making processes of the ISS medical boards, panels, and working groups. The degree of integration of the medical support system was evaluated by reviewing the multiple levels of the status reviews and mission assurance activities carried out throughout the last six years. The Integrated Medical Group, consisting of physicians and other essential personnel in the mission control centers represents the front-line medical support of the ISS. Data from their day-to-day activities are presented weekly at the Space Medicine Operations Team (SMOT), where known or potential concerns are addressed by an international group of physicians. A broader status review is conducted monthly to project the state of crew health and medical support for the following month, and to determine measures to return to nominal state. Finally, a comprehensive readiness review is conducted during preparations for each ISS mission. The Multilateral Medical Policy Board (MMPB) issues medical policy decisions and oversees all health and medical matters. The Multilateral Space Medicine Board (MSMB) certifies crewmembers and visitors for training and space flight to the Station, and physicians to practice space medicine for the ISS. The Multilateral Medical Operations Panel (MMOP) develops medical requirements, defines and supervises implementation of
Nogueira-Martins, Maria Cezira Fantini; Bersusa, Ana Aparecida Sanches; Siqueira, Siomara Roberta
To analyze the profile of volunteers and their work process in hospital humanization. The following instruments were used: a sociodemographic questionnaire and a semi-structured interview, applied to 26 volunteer coordinators and 26 volunteers, who belong to 25 hospitals in the metropolitan area of São Paulo, Southeastern Brazil, between 2008 and 2009. Interviews were analyzed according to thematic analysis principles. Five main themes were identified: volunteer profile (age, sex, level of income); volunteer work organization (volunteer agreement, training); volunteer-hospital relationship (relationship with hospital management and employees); motivation (solidarity, previous experience with family members' or one's own diseases, personal satisfaction, conflict resolution) and benefits (individual, dual, collective); and humanization and volunteer activities (patient care, logistic support, emotional support, development of patients' abilities, leisure, organization of commemorative events). In the activity developed by volunteers, there are positive aspects (such as the contribution to hospital humanization) and negative aspects (such as volunteers performing activities assigned to employees). Attention should be paid to the regulation of volunteer activities, especially patient care, and actions that value volunteer work in hospitals and volunteer integration into humanization work groups.
Full Text Available Organization-and-technological model of medical care delivered to patients with coronary heart disease based on IDEF0 methodology and corresponded with clinical guidelines is presented.
Radunz, Sonia; Juntermanns, Benjamin; Heuer, Matthias; Frühauf, Nils R; Paul, Andreas; Kaiser, Gernot M
The persisting shortage of organs for transplantation could be reduced by increasing the willingness to donate organs. An appropriate education and a positive attitude of medical students and future physicians towards organ donation may have a positive impact on the attitudes of the general public. During the summer semester 2010 we conducted a voluntary educational intervention study concerning organ donation among medical students in the course of the main surgery lecture at the University of Essen, Germany. The survey comprised 94 questionnaires. At the beginning of the lecture there were 67% of organ donor card carriers among the students. An additional 20% imagined they might carry an organ donor card in the future. 37% needed more information regarding organ donation. After the lecture 13% were still not willing to carry an organ donor card in the future. 18% of the students required further information. 42% of the students rated their attitude towards organ donation to be influenced positively by the lecture, 57% of the students stated there was no influence. One student documented a negative influence by the lecture towards organ donation. Well-directed interventions are needed to sensitize young adults to the topic of organ donation. Better understanding of medical students and future physicians in the field of organ donation will help them to become disseminators for this important topic in our society.
Shelepov, A M; Kriuchkov, O A
Covered and analyzed the state of medical support during the Battle for Moscow. The problems of organizing of medical support for troops during all stages of this war--defensive operations and counter-offensive strategic operations are considered. Analyzed errors and mistakes made in the course of medical support of combat operations of the fronts that participated in the battle for Moscow. The article traces the solutions of the problems encountered and assess the results of translating these decisions into practice. Particular attention is paid to problems of organization of work as a hospital base fronts and armies, and the medical units and divisional managers, as well as management of medical service, evacuate the wounded and sick, the dynamics of formation of the provision of specialized medical care and anti security forces.
Han, Keunsu; Quarterman, Jerome; Strigas, Ethan; Ha, Jaehyun; Lee, Seungbum
The purpose of this study was to investigate the relationships among selected demographic characteristics (income, education and age), motivation and commitment of volunteers at a sporting event. Three-hundred and five questionnaires were collected from volunteers in a marathon event and analyzed using structural equation modeling (SEM). Based on…
Moore, Erin W.; Warta, Samantha; Erichsen, Kristen
Research has not explored the types of settings that college students prefer to volunteer for and how these settings might be influenced by personal factors (e.g., demographic, academic major, volunteering motivation, religiosity). Students from a Midwestern university (N = 406, 71.9% female) completed a survey that inquired about their…
Full Text Available The state of health of modern youth is considered. The use of modern technologies is offered in perfection of process of physical education. Directions organization of an educate process are rotined on physical education in the special medical separation. The electronic base of these students of the special medical separation and project of web-site of separation is presented. Resulted recommendation on organization of independent employments of students. Methods and facilities of physical recreation are offered.
The purpose of this study was to understand how lean thinking and inventory management technology minimize expired medical supply waste in healthcare organizations. This study was guided by Toyota's theory of lean and Mintzberg's theory of management development to explain why the problem of medical supply waste exists. Government…
Buranurak, Siritorn; Andersen, Claus Erik; Beierholm, Anders Ravnsborg
Fiber-coupled organic plastic scintillators have potential applications in medical dosimetry related to, for example, brachytherapy and external beam radiotherapy with MV photons. As medical dosimetry generally strives for high accuracy, we designed a study to assess if the light yield from...
O. P. Mintser
Full Text Available The basic principles of the structural organization of computer networks in schools are presented. The questions of universities integration’s in the modern infrastructure of the information society are justified. Details the structural organizations of computer networks are presented. The effectiveness of implementing automated library information systems is shown. The big dynamical growths of technical and personal readiness of students to use virtual educational space are presented. In this regard, universities are required to provide advance information on filling the educational environment of modern virtual university, including multimedia resources for industry professional education programs. Based on information and educational environments virtual representations of universities should be formed distributed resource centers that will avoid duplication of effort on the development of innovative educational technologies, will provide a mutual exchange of results and further development of an open continuous professional education, providing accessibility, modularity and mobility training and retraining specialists.
Babbott, Stewart F; Beasley, Brent W; Reddy, Siddharta; Duffy, F Daniel; Nadkarni, Mohan; Holmboe, Eric S
Residents will most effectively learn about ambulatory, systems-based practice by working in highly functional ambulatory practices; however, systems experiences in ambulatory training are thought to be highly variable. The authors sought to determine the prevalence of functional-practice characteristics at clinics where residents learn. In 2007, the authors conducted a national survey of medical directors of resident continuity clinics using a comprehensive, Web-based instrument that included both a residency clinic assessment and a practice system assessment (PSA). The authors designed the PSA to estimate the Physician Practice Connections (PPC) score, indicating the readiness of a practice to function as a patient-centered medical home (PCMH). Of 356 clinic directors or physician representatives responding to an initial inquiry, 221 completed the survey (62%)--representing 185 programs (49% of accredited programs). The majority of clinics were hospital based (139/220; 63%) or hospital supported (41/220; 19%) and were located in urban settings (151/217; 70%). Estimated payer mix categories included Medicare or managed Medicare (169; 29%), Medicaid or managed Medicaid (161; 34%), and self-pay (156; 25%). The mean estimated PPC score was 53 points (of 100; SD = 17.6). Suburban and rural clinics, Veterans Affairs' clinics, federally qualified health centers, and clinics with a higher proportion of patients with commercial insurance or managed Medicare earned higher scores. A substantial portion of residency clinics have elements needed for PCMH recognition. However, clinics struggled with connecting these elements with coordination-of-care processes, suggesting areas for improvement to support better functioning of ambulatory training practices.
... HUMAN SERVICES Agency for Healthcare Research and Quality Patient Safety Organizations: Delisting for...: Notice of Delisting. SUMMARY: AHRQ has delisted Medical Informatics as a Patient Safety Organization (PSO) due to its failure to correct a deficiency. The Patient Safety and Quality Improvement Act of 2005...
Szeliga, Marta; Mirecka, Jadwiga
The subject of the presented work was an attempt at optimization of the methods used for verification of the candidates for medical voluntary workers in a hospice and decreasing the danger of a negative influence of an incompetent volunteer on a person in a terminal stage of a disease and his or her relatives. The study was carried out in St. Lazarus Hospice in Krakow, Poland, and included 154 adult participants in four consecutive editions of "A course for volunteers - a guardian of the sick" organized by the hospice. In order to improve the recruitment of these workers, the hitherto methods of selection (an interview with the coordinator of volunteering and no less than 50% of attendance in classes of a preparatory course for volunteers") were expanded by additional instruments-the tests whose usefulness was examined in practice. Knowledge of candidates was tested with the use of a written examination which consisted of four open questions and an MCQ test comprising 31 questions. Practical abilities were checked by the Objective Structured Clinical Examination (OSCE). A reference point for the results of these tests was a hidden standardized long-term observation carried out during the subsequent work of the volunteers in the stationary ward in the hospice using the Amsterdam Attitude and Communication Scale (AACS). Among the tests used, the greatest value (confirmed by a quantitative and qualitative analysis) in predicting how a given person would cope with practical tasks and in contact with the sick and their relatives had a practical test of the OSCE type.
O. L. Zadvornaya
Full Text Available The article is devoted to the problem of formation and development of corporate culture as the main factor of the successful functioning of medical organization in terms of optimization of activity of the health system. Discusses the importance and main directions of development of corporate culture for personal and organizational development. The authors identified features of the corporate culture of healthcare organizations, the approaches, showing the sequence and contents of the main practical activities on the formation, maintenance and development of corporate culture. Emphasized the need for further research and introduction of corporate culture and cultural values in health care organizations. Purpose/ objectives: to Study and evaluate the corporate culture of healthcare organizations to improve institutional management and increase of efficiency activity of medical organizations. Materials and methods: For data collection methods were used: direct observation, interviews, questionnaires. In conducting this study used data from official sources, a literature review, a systematic approach, comparative analysis, historical, sociological, statistical research methods. The results of the study indicate the need for concept development, tools implementation and development of corporate culture in the practice of the medical organizations.Conclusions/Significance: Corporate culture – the system of collectively shared values, symbols, beliefs, standards of behaviour employees of the organization that contributes to the originality and uniqueness of the activities of medical organizations that promote the identification of employees with the organization; Corporate culture is formed with the influence of factors external and internal environment of the organization, solving problems, external adaptation and internal integration in the environment; Generated and promoted by the corporate culture is an important management tool, creates
Strukov, E Yu; Kuvshinov, K E; Shchegolev, A V; Shestopalov, A E; Stets, V V; Petrakov, V A
Analysis of the state of nutritional support in military medical institutions of the Ministry of Defence of the Russian Federation. In order to study the state of nutritional support chiefs (heads) of anaesthesiology and resuscitation military medical organizations of the Ministry of Defense of the Russian Federation on the practice of Clinical Nutrition were interviewed. These amounts reflect the organization, strategy, equipment and the need for means and methods of nutritional support, depending on the level of the organization, as well as provide a basis for improving the practice of nutritionally metabolic support in critically ill patients.
In modern radiotherapy, various imaging equipment is used to acquire views from inside human bodies. Tomographic imaging equipment is acquiring stacks of cross-sectional images, software implementations derive three-dimensional volumes from planar images to allow for visualization of reconstructed cross-sections at any orientation and location and higher-level visualization systems allow for transparent views and surface rendering. Of upcoming interest in radiotherapy is mutual information, the integration of information from multiple imaging equipment res. from the same imaging equipment at different time stamps and varying acquisition parameters. Huge amounts of images are acquired nowadays at radiotherapy centers, requiring organization of images with respect to patient, acquisition and equipment to allow for visualization of images in a comparative and integrative manner. Especially for integration of image information from different equipment, geometrical information is required to allow for registration...
Kaplan, Daniel M
The author argues that the well-formulated problem list is essential for both organizing and evaluating diagnostic thinking. He considers evidence of deficiencies in problem lists in the medical record. He observes a trend among medical trainees toward organizing notes in the medical record according to lists of organ systems or medical subspecialties and hypothesizes that system-based documentation may undermine the art of problem formulation and diagnostic synthesis. Citing research linking more sophisticated problem representation with diagnostic success, he suggests that documentation style and clinical reasoning are closely connected and that organ-based documentation may predispose trainees to several varieties of cognitive diagnostic error and deficient synthesis. These include framing error, premature or absent closure, failure to integrate related findings, and failure to recognize the level of diagnostic resolution attained for a given problem. He acknowledges the pitfalls of higher-order diagnostic resolution, including the application of labels unsupported by firm evidence, while maintaining that diagnostic resolution as far as evidence permits is essential to both rational care of patients and rigorous education of learners. He proposes further research, including comparison of diagnostic efficiency between organ- and problem-oriented thinkers. He hypothesizes that the subspecialty-based structure of academic medical services helps perpetuate organ-system-based thinking, and calls on clinical educators to renew their emphasis on the formulation and documentation of complete and precise problem lists and progressively refined diagnoses by trainees.
Marqués-Lespier, Juan M; Ortiz-Vega, Nicole M; Sánchez, María C; Sánchez, María C; Soto-Avilés, Omar E; Torres, Esther A
The increasing demand for organ transplants exceeds the organ donation rate. Addressing this discrepancy is challenging for organ procurement agencies and health professionals involved in the care of patients in dire need of organs. Research suggests that health-care professionals' knowledge of, attitudes toward, and behavior in terms of organ donation and transplantation are deciding variables in promoting organ donation. In Puerto Rico, there is a lack of information regarding medical student's knowledge of and/or attitudes toward organ donation, a lack that our study was designed to address. Two hundred thirty participants (98 first-year, 45 second-year, and 87 third-year medical students) completed a questionnaire consisting of 55 questions; 10 questions assessed knowledge and 20, attitudes about organ and tissue donation. The remaining questions inquired after demographic information, history of blood donation, and educational experience. In terms of their knowledge about organ donation, the participating students had a mean score of 6.29 on a 10-point scale-with 10 being the highest possible knowledge score-and 45.7% of them scored 7 or more. These data also showed that participants had a positive attitude toward organ donation (44.9; range 14 to 56), with approximately 72% having a favorable view. However, while 40% of the participating students stated their intentions to donate their organs, only 23% of them had donor cards. We determined that medical students have a positive attitude towards organ donation. However, a substantial lack of knowledge of organ donation among our subjects is a barrier to their taking the necessary measures to become active donors. Our data highlight the need to incorporate educational programs to increase knowledge and awareness regarding organ donation and the transplantation process.
Department of Transportation — Allows users to add themselves to a Service Area wide ?volunteer for emergency duty? list (was created after Gulf Coast Hurricanes). Approval and email by managers,...
O. L. Zadvornaya
Full Text Available Purpose: study and evaluation of modifiable potential risk factors of health of heads of medical organizations in terms of structural and technological modernization of the health system, the growing need for highly qualified management personnel. Efficiency of activity of medical associations largely due to the level of health managers, allowing to solve problems of activities of medical organizations in the modern fastchanging environmental conditions. Based on international experience and our own research the authors identified features of the state of health of heads of medical organizations, and the degree of exposure to risk factors for no communicable diseases; considered approaches to assess motivation and psychological readiness to promote the health and potential of managerial personnel in the formation of health-saving behavior. Methods: in the present study, the following methods were used: systemic approach, content analysis, methods of social diagnosis (questionnaires, interviews, comparative analysis, method of expert evaluations, and method of statistical processing of information. Results: reviewed and proposed approaches to use preventive measures prevention of risk factors of non-communicable diseases healthcare leaders, forming health-preserving behavior. Conclusions and Relevance: in modern scientific studies on the health of medical workers, including heads of medical institutions, defined the modern methodological approaches to formation of health-saving behavior and maintaining healthy lifestyle health care workers. Despite the high awareness of heads of medical organizations in the area of influence of risk factors on health, accessibility of medical care for the diagnosis and correction of risk factors of chronic no communicable diseases, risk factors of health among healthcare leaders have sufficient prevalence. Health-promoting behavior model is not a conscious lifestyle leader and formed as a reaction if you have
Sayedalamin, Zaid; Imran, Muhammad; Almutairi, Osama; Lamfon, Mohammed; Alnawwar, Majd; Baig, Mukhtiar
To assess awareness and attitude of medical students about organ donation. This cross-sectional study was conducted in 2014 at King Abdulaziz University, Jeddah, Saudi Arabia, and comprised medical students. The participants were asked about their religious and other beliefs towards organ donation, their reasons for not donating organs, and their personal opinions about organ donation through a questionnaire. SPSS 21 was used for data analysis. Of the 481 participants, 250(52%) were females, and 231(48%) were males. The overall mean age was 21.36±1.63 years. Besides, 437(90.9%) students knew what organ donation means, 433(90%) supported organ donation, and 90(18.7%) knew someone who had donated an organ. Moreover, 245(50.9%) participants were willing to donate their organ to their family alone, 198(41.2%) were willing to donate to any deserving patient while 439(91.3%) rejected that religion precluded organ donation, and 354(73.6%) did not know about the grafting of organs from a man to a woman and vice versa. Awareness and attitude towards organ donation were not up to the mark among the participants.
Wu, HaiTao; Lu, XiaoChun; Zou, DeCai; Han, Tao
Navigation augmentation technology is one of the most common methods to increase the continuity, reliability and integrity of the global satellite navigation system. The concept of volunteer augmentation navigation (VNA) is proposed and the elements and topological structure of VNA are also analyzed in this paper. The study focuses on the neural network model that volunteers and ordinary users use modern communication information network to exchange self-organizing information. The neural cell model of Volunteer Augmentation Navigation using shared information is built. Thus interactive general relative positioning is realized. Then basic theories and methods of volunteer augmentation navigation are formed on the basis of the above-mentioned study. This study of realization mechanism of volunteer augmentation technology helps to form a relatively integral architecture of volunteer augmentation navigation. A user self-service satellite navigation augmentation which combines information exchange and navigation services may strengthen the continuity, reliability and integrity of the navigation system. The volunteer augmentation navigation theory proposed in this paper improves the traditional satellite navigation application model and expands the connotation and denotation of satellite navigation augmentation methods.
Vieira, Liliana Batista; Ramos, Celso de Ávila; Castello, Matheus de Barros; Nascimento, Lorenzo Couto do
This article describes the development of an electronic prototype to organize medications - the Electronic System for Personal and Controlled Use of Medications (Sistema Eletrônico de Uso Personalizado e Controlado de Medicamentos, SUPERMED). The prototype includes a drawer containing 1 month's supply of medicines, sound and visual medication timers, and a memory card for recording the times when the box was opened/closed (scheduled and unscheduled). This information is later transferred to a computer. Evolutionary prototyping was used to develop SUPERMED with the Arduino platform and C programming. To read alarm and box opening/closing data, software was developed in Java. Once the alarms are programmed (ideally by a health care professional), no additional adjustments are required by the patient. The prototype was tested during 31 days by the developers, with satisfactory functioning. The system seems adequate to organize medications and facilitate adherence to treatment. New studies will be carried out to validate and improve the prototype.
Men'shikov, V V
The generalized data concerning the conditions of application of regulations of national standards in clinical diagnostic laboratories of medical organizations is presented. The primary information was provided by 14 regions of 6 federal administrative okrugs of Russia. The causes of challenges of application of requirements of standards are presented. They are mostly related with insufficient financial support, lacking of manpower, difficulties with reagents supply, inadequate technical maintenance of devices and absence of support of administration of medical organizations. The recommendations are formulated concerning the necessity of publishing the document of Minzdrav of Russia to determine the need in application of standards in laboratory practice.
S. V. Gautier; S. M. Khomyakov
Aim. To estimate the requirement of the population of the Russian Federation for an organ transplantation and donor resource, to offer approach to planning of an effective network of the medical organizations...
Manoranjan, Branavan; Dey, Ayan K; Wang, Xin; Kuzyk, Alexandra; Petticrew, Karen; Carruthers, Chris; Arnold, Ian
The continued decline in medical trainees entering the workforce as clinician-scientists has elevated the need to engage medical students in research. While past studies have shown early exposure to generate interest among medical students for research and academic careers, financial constraints have limited the number of such formal research training programs. In light of recent government budget cuts to support research training for medical students, non-government organizations (NGOs) may play a progressively larger role in supporting the development of clinician-scientists. Since 2005, the Mach-Gaensslen Foundation has sponsored 621 Canadian medical student research projects, which represents the largest longitudinal data set of Canadian medical students engaged in research. We present the results of the pre- and post-research studentship questionnaires, program evaluation survey and the 5-year and 10-year follow-up questionnaires of past recipients. This paper provides insight into the role of NGOs as stakeholders in the training of clinician-scientists and evaluates the impact of such programs on the attitudes and career trajectory of medical students. While the problem of too few physicians entering academic and research-oriented careers continues to grow, alternative-funding strategies from NGOs may prove to be an effective approach in developing and maintaining medical student interest in research. Copyright © 2017 American Federation for Medical Research.
Adnet, F; Maistre, J P; Lapandry, C; Cupa, M; Lapostolle, F
We conducted a survey regarding the organization of medical rescue during major events (catastrophes with limited effects) occurring in urban areas (Paris and immediate suburbs). The goal of this work was to study the availability of on site medical help and the real needs.Study design - Retrospective survey. Thirty-eight major events were analysed between 1988 and 2000. The median number (25th-75th percentiles) of victims per event was 42 (21-68) (range 8 to 424). The median percentage of true emergencies (TE) was 5% with regard to the total number of victims per event. Thirty minutes after the event, 92% of the sites had a number of physician-manned ambulances greater than the number of severe victims. The median time to first evacuation was 79 (62-102) min. Disasters with limited effect occurrence in Paris and its immediate suburbs are characterized by a small percentage of TE and by a constant oversupply of medical means onsite. These observations led us to propose a new organization of medical rescue during this type of catastrophe, abandoning the classical notion of forward medical command post (FMCP) for a collection point of medical services (CPMS) consisting all means of evacuation (physician-manned and other ambulances). Also, a new type of victim identification, based on hospital base-station medical direction is discussed in this paper.
Mcgeehan, Laura; Takehara, Michael A; Daroszewski, Ellen
Volunteer physicians are crucial for the operation of safety-net clinics, which provide medical care for uninsured and underinsured populations. Thus, identifying ways to maximize the number of physicians volunteering at such clinics is an important goal. To investigate the perceptions, motivations, functions, and barriers associated with physician volunteering in four safety-net clinics in San Bernardino County, Southern California, a location of great medical need with many barriers to care. The study participants are physicians belonging to the Southern California Permanente Medical Group who use a combination of discretionary time (during regular work hours) and personal time in evening and weekend hours to volunteer their services. The experimental design incorporates a mixed methodology: an online survey of 31 physicians and follow-up interviews with 8 of them. Physicians conveyed uniformly positive perceptions of their volunteer service, and most were motivated by humanitarian or prosocial desires. Volunteering also provided a protective "escape hatch" from the pressures of the physicians' regular jobs. Physicians cited few challenges to volunteering. The most common personal barrier was a lack of time. The most common professional barriers were organizational and supply issues at the clinic, along with the patients' social, transportation, and financial challenges. The results suggest that appealing to physicians' values and faith, and highlighting the burnout-prevention qualities of volunteering, may be key to recruitment and retention of volunteer physicians who serve underserved and underinsured populations in community clinics.
McGeehan, Laura; Takehara, Michael A; Daroszewski, Ellen
Background: Volunteer physicians are crucial for the operation of safety-net clinics, which provide medical care for uninsured and underinsured populations. Thus, identifying ways to maximize the number of physicians volunteering at such clinics is an important goal. Objective: To investigate the perceptions, motivations, functions, and barriers associated with physician volunteering in four safety-net clinics in San Bernardino County, Southern California, a location of great medical need with many barriers to care. Methods: The study participants are physicians belonging to the Southern California Permanente Medical Group who use a combination of discretionary time (during regular work hours) and personal time in evening and weekend hours to volunteer their services. The experimental design incorporates a mixed methodology: an online survey of 31 physicians and follow-up interviews with 8 of them. Results: Physicians conveyed uniformly positive perceptions of their volunteer service, and most were motivated by humanitarian or prosocial desires. Volunteering also provided a protective “escape hatch” from the pressures of the physicians’ regular jobs. Physicians cited few challenges to volunteering. The most common personal barrier was a lack of time. The most common professional barriers were organizational and supply issues at the clinic, along with the patients’ social, transportation, and financial challenges. Conclusion: The results suggest that appealing to physicians’ values and faith, and highlighting the burnout-prevention qualities of volunteering, may be key to recruitment and retention of volunteer physicians who serve underserved and underinsured populations in community clinics. PMID:28241907
Anker, Ashley E; Feeley, Thomas Hugh; Friedman, Erica; Kruegler, Joan
Research on organ donation education is limited by its reliance on convenience samples (ie, small sample sizes and local schools) and its failure to assess methods of instruction on the topic. To describe medical and nursing students' training in organ donation by examining curriculum content and methods of instruction by using a national sample of medical schools and a statewide sample (New York) of nursing schools. Self-report online survey. Nursing and medical deans responsible for curriculum development and evaluation. Participants provided information on the inclusion of specific topics in organ donation, skills related to organ donation, and the declaration of personal donation intentions within their respective educational programs. Methods of instruction on such topics (eg, standardized patients, lectures, small groups) also were assessed. Although many educational programs include an organ donation component, a significant proportion of schools failed to provide instruction on donation consent processes, definitions of brain and cardiac death, and the discussion of organ donation during a routine health care visit. Most schools rely on lectures as the sole method of instruction. Recommendations are made for how deficits in instruction might be addressed through future interventions and education.
Pang, Ting; Zhao, Yang; Zhang, Nan-Rong; Jin, San-Qing; Pan, San-Qiang
The protective mechanism underlying remote ischemic preconditioning (RIPC) is unclear. This study aims to verify whether the protein expression profile in the serum could be altered by RIPC and to detect potential protein mediators. Transient limb ischemia consisting of three cycles of 5-min ischemia followed by 5-min reperfusion was performed on sixty healthy volunteers. Serum samples were collected at 30 min before transient limb ischemia and at 1 hour (h), 3 h, 8 h, 24 h, and 48 h after completion of three cycles. Changes in the serum protein profile were analyzed by two-dimensional gel electrophoresis and proteins were identified by MALDI-TOF/TOF mass spectrometry. Fourteen differentially expressed proteins were identified and, respectively, involved in immune system, lipid binding and metabolism, apoptosis, and blood coagulation. Complement C3, vitronectin, and apolipoprotein A-I were further confirmed by western blotting, and the results showed that their contents decreased significantly after transient limb ischemia. It is concluded that transient limb ischemia alters the serum protein expression profile in human being, and that reduction of serum contents of complement C3 and vitronectin may represent an important part of the mechanism whereby RIPC confers its protection.
Iltis, Ana S; Rie, Michael A; Wall, Anji
The 2006 revision of the Uniform Anatomical Gift Act (UAGA) attempts to enhance the availability of organs in part by granting new authority to organ procurement organizations over patients who are near death and may be candidates for donation after death while limiting patients' end of life (EOL) decisional authority through advance directives or surrogates. To examine the revised UAGA that may alter the ethics and law of EOL medical care in the United States. To analyze the revised UAGA in light of established legal and ethical standards. We evaluated the 2006 UAGA and accompanying commentary. Case law and ethics literature regarding informed consent and EOL care, state laws and regulations concerning advance directives and medical licensure, and literature concerning the fiduciary obligations of physicians were reviewed and compared with the 2006 UAGA and its 2007 amendment. We examined the legal and medical ethics literature to evaluate the 2006 UAGA and its 2007 amendment. The 2006 UAGA reflects the important public policy goal of making more organs available for transplantation. However, it transfers authority over EOL decisions from patients or surrogates to organ procurement organizations, which is inconsistent with EOL U.S. common law and the ethical and legal standards that govern medicine. The extent of informed consent transferred to organ procurement organizations at the time of signing a donor registry card is legally and ethically uncertain under the UAGA. As states consider enacting the 2006 UAGA, further revisions should be considered to balance the public policy goals of increasing the availability of donated organs with truly informed and voluntary EOL decisions for patients. Further revision of the 2006 UAGA is necessary to respect patients' civil liberties and the professional integrity of physicians who have legally and ethically recognized fiduciary duties to their dying patients.
Bramstedt, Katrina A; Moolla, Ariff; Rehfield, Patricia L
Educators routinely use standardized patients to teach medical students a variety of clinical concepts. Standardized patients have also been used to teach students about medical ethics and deceased organ donation. Not reported before, however, is the use of standardized patients to educate medical students about the ethical issues in living organ donation. It seems important to fill this gap because in the United States, roughly 45% of organ donors are living donors, and these patients will visit physicians throughout their lifespan, not just with the occurrence of donation. This article reports an experience teaching concepts in living donation and transplant ethics to second-year osteopathic medicine students using a standardized patient and supplementary instructional materials (eg, film, panel discussion, reading list). Specifically, a transplant ethics module was created that included an actor portraying a living donor candidate who had a number of case variables pertaining to medical and psychosocial matters. Instructional themes included informed consent, altruism, patient selection criteria, organ vending, and post-donation support systems.
Stamatialis, Dimitrios; Papenburg, B.J.; Girones nogue, Miriam; Saiful, S.; Bettahalli Narasimha, M.S.; Schmitmeier, Stephanie; Wessling, Matthias
This paper covers the main medical applications of artificial membranes. Specific attention is given to drug delivery systems, artificial organs and tissue engineering which seem to dominate the interest of the membrane community this period. In all cases, the materials, methods and the current
Klausen, Henrik Hedegaard; Bodilsen, Ann Christine; Petersen, Janne
OBJECTIVES: To investigate whether systemic inflammation in acutely admitted older medical patients (age >65 years) is associated with physical performance and organ dysfunction. Organ dysfunction´s association with physical performance, and whether these associations are mediated by systemic...... inflammation, was also investigated. METHODS: A cross-sectional study in an Emergency Department. Physical performance was assessed by handgrip strength and de Morton Mobility Index (DEMMI), and organ dysfunction by FI-OutRef, the number of standard blood tests outside the reference range. Systemic...... physical performance measures (pphysical performance (all p
Rhodesia, the effect of these conflicts on the Afrikaners and their participation in. Rhodesian military forces is ... belonging to the Ulster Volunteer Force proved their loyalty to the British crown.3. Although it can be argued at ..... Brand fought back determinedly with the Afrikaner Corps on the right-hand side of Tuli Road, while ...
Additional volunteer middle managers to work with extension agents in Four-H Clubs are needed for effective organizational structure and quality programs. The article discusses the value of these middle managers and their recruitment, selection, training, use, recognition, and evaluation. (MF)
Partly because of continuing disillusionment over stringent policy regarding native livestock, hostilities between ... native blacks as collaborators in maintaining white military and political power in. Rhodesia. Consequently ... of necessity, is the Irish paramilitary unit, known as the Ulster Volunteer Force. Before and during the ...
Viaz'min, A M; Andreeva, A V
The Arkhangelsk society of physicians was officially opened in 1863. The purposes and tasks of the organization were the following: to one another with mutual education, information about important cases and news; to follow the development of medical sciences by means of journals and books subscription; to study sanitary hygienic conditions in Arkhangelskaya gubernia. The society supported in Arkhangelsk the organization of the feldsher midwife and veterinary schools (1876); the organization of the congress of physicians of Arkhangelskaya guberina (1907); the organization of spearheads to lecture the population (1911); the organization of public group "The drop of milk" $ participated in the Red Cross actions "White flower" and "Yellow flower". The activities of society played an important role in the consolidation of physicians of Arkhangelskaya guberina, promoted the enhancement of their professional qualification and the development of health care in Russian North.
Full Text Available Over the past century, there were more than 40 earthquakes greater than 7 magnitude occurred worldwide, 10 of which in China, which killed 600 thousand people accounting for 53% of global earthquake deaths. On May 12, 2008, an 8.0-magnitude earthquake occurred in Wenchuan, Sichuan Province, causing 69000 deaths, 18000 missings, and 370000 injuries. Among 10 thousand severe injuries, most were traumatic injuries, 74% of which were fracture. On April 14, 2010, a 7.1-magnitude earthquake occurred in Yushu, Qinghai Province. There were 2698 deaths, 270 missings and 11000 injuries. Among 3100 severe injuries, fracture accounted for 58.4%. After each earthquake, the Chinese Army Medical Services took actions and made quick response according to the law. They sent out elites with efficient command and scientific organization, fully participating in the medical rescue operations. After Wenchuan earthquake, 397 mobile medical service units and 7061 health workers were sent out. A total of 69000 people were treated, and 22000 cases of surgeries were performed. After Yushu earthquake, a total of 25 mobile medical service units and 2025 health workers were sent. They performed 1635 cases of surgeries with a miracle of "zero death" in mass earthquake casualties and altitude diseases in cold highlands. After each earthquake, injuries cured within 1 week accounted for 60% of the total, and patients evacuated accounted for 80% of the total, which owed to the effective first aid in site of Chinese Army Medical Service. They effectively played the role as the main force, making significant contributions for the final victory of earthquake relief. From the practice of medical rescue revelation after the two earthquakes, what Chinese Army Medical Services Services learned are: firstly, the theory of medical relief should be innovated; secondly, military and civilian organizations should be coordinated; thirdly, professional rescue force should be strengthened
Full Text Available Abstract Background There is a great variety in how emergency medical communication centers (EMCC are organized in different countries and sometimes, even within countries. Organizational changes in the EMCC have often occurred because of outside world changes, limited resources and the need to control costs, but historically there is often a lack of structured evaluation of these organization changes. The aim of this study was to evaluate if the performance in emergency medical dispatching changed in a smaller community outside Helsinki after the emergency medical call centre organization reform in Finland. Methods A retrospective observational study was conducted in the EMCC in southern Finland. The data from the former system, which had municipality-based centers, covered the years 2002-2005 and was collected from several databases. From the new EMCC, data was collected from January 1 to May 31, 2006. Identified performance indicators were used to evaluate and compare the old and new EMCC organizations. Results A total of 67 610 emergency calls were analyzed. Of these, 54 026 were from the municipality-based centers and 13 584 were from the new EMCC. Compared to the old municipality-based centers the new EMCC dispatched the highest priority to 7.4 percent of the calls compared to 3.6 percent in the old system. The high priority cases not detected by dispatchers increased significantly (p Conclusion After implementation of a new EMCC organization in Finland the percentage and number of high priority calls increased. There was a trend, but no statistically significant increase in the emergency medical dispatchers' ability to detect patients with life-threatening conditions despite structured education, regular evaluation and standardization of protocols in the new EMCC organization.
Wilton Silva dos Santos
Full Text Available ABSTRACT Introduction: Socioeconomic and demographic diversity in the educational environment and the development of professional attitudes enhance the quality of health care delivery. Despite the importance of diversity for equity and accessibility to health care, its repercussions for students’ attitudinal learning have not been adequately evaluated. Purpose: Evaluate the influence of academic sociodemographic diversity and curricular organization in the development of professional attitudes in different phases of the undergraduate medical curriculum. Method: In 2012, the attitudinal performance of 310 socioeconomically diverse medical students was evaluated by the administration of a five-point professional attitudes scale. The participants were at different points in their education at a Brazilian public school of medicine in Brasília, Federal District. The scale comprised 6 factors: communication, ethics, professional excellence, self-assessment, beliefs, social determinants; and a general factor called medical professionalism and was validated for the purpose of this research. The reliability coefficients (aCronbach ranged from 0.65 to 0.87, according to different scale dimensions. Student diversity was analyzed according to differences in gender, age, religious affiliation, system of student selection and socioeconomic background. Results: The authors observed a decline in the mean attitude scores during the clinical phase compared to the preclinical phase of the curriculum. Female students displayed more positive attitudes than male students, and the students who declared a religious affiliation recorded higher attitude scores compared to those who declared themselves atheist, agnostic or non-religious. There was no correlation between family income or the system of student selection and the students’ attitude scores. The students who had attended public schools expressed a greater interest in working in the public health system
Hee Soun Jang
Full Text Available This study examines the impact of acculturation on Korean Americans’ decisions to volunteer either for secular and religious organizations or informally. The results show that language difficulty and Korean identity lower the likelihood of secular volunteering, but not of informal volunteering. Koreans who are Protestants or Catholics, and those with higher levels of education, are more likely to volunteer formally, but not informally. The findings indicate formal volunteering is strongly associated with acculturation factors, along with personal and social variables but informal volunteering appears to be independent from and not complementary of the other two types of volunteering.
... served each other and our Nation, each person dedicated to making tomorrow better than today. They... when we work together. Volunteers are the lifeblood of our schools and shelters, hospitals and hotlines... capacity of organizations and communities to tackle their own problems by investing in social innovation...
Green, Susan K.; And Others
To examine the relationship between two types of motivation (altruistic and non-altruistic) and perception of the volunteer experience, 43 volunteer workers at St. Elizabeth's, a mental hospital, were surveyed. These student volunteers from Washington, D.C. area universities completed questionnaires at the beginning and end of their 10-week…
Volunteers form an integral part of the sport industry. The operational and financial success of many major sports events is highly dependent on the benevolent contribution of volunteers. Although several studies have been conducted internationally regarding volunteers, comparatively few empirical studies exist within
Full Text Available Objective: to analyze the efficiency of the Rostov Region’s medical care service for children with severe traumatic injuries due to road traffic accidents. Results. It has been established that the service meets the generally accepted stepwise principles and has a multilevel network of hospitals, which allows the earliest performance of the required volume of medical care in relation to the pattern and severity of lesions. It has been shown that 58.3% of the children with severe traumatic lesions are primarily admitted to the central district hospitals and emergency care ones that are aimed at rendering medical aid to the adult population. Thus, medical care is delivered to the above contingent by non-pediatric surgical and resuscitative-anesthetic services. Conclusion. By keeping in mind the specific features of the emergency medical system existing in the region, the authors propose its further development, by organizing interregional centers on the basis of a number of central regional hospitals for the treatment of children with traumatic lesions (among other things, by allocating pediatric beds in the intensive care units. The stepwise solution of this problem is currently being done in the Rostov Region in two main directions: 1 organization by developing a round-the-clock advisory subdivision (with an exiting sanitary aviation team on the basis of – the regional children’s clinical hospital and 2 methodical maintenance of multidisciplinary h°spitals in delivering medical care to different age-groups children. Key words: road traffic accidents, emergency medical service, children, traumatic lesions.
In August 2004, three undergraduate nursing students from the University of Toronto's faculty of nursing travelled to Cambodia to volunteer as student nurses. Being immersed in another culture helped to develop the students' cultural competence, enhance their understanding of primary health care and strengthen clinical skills. Given the growing cultural diversity in Canada, developing s kills in these areas is particularly important. In this article, the author reflects on her experiences in Cambodia and explores the unique value that international placements offer.
S. V. Gautier
Full Text Available Aim. To estimate the requirement of the population of the Russian Federation for an organ transplantation and donor resource, to offer approach to planning of an effective network of the medical organizations (the centers of transplantation. Materials and methods. The analysis and comparison of statistical data on population, number of the patients receiving a dialysis, data about medical care on an organ transplantation in Russia and foreign countries is made. Results. On the basis of what the assessment of requirement of the population of the Russian Federation in an organ transplantation and donor resource is carried out, approach to planning of an effective network of the medical organizations (the centers of transplantation and scenarios of development of organ do- nation and transplantation in Russia is offered. Conclusion. To provide the population of the Russian Federation with medical care on an organ transplantation according to real requirement and donor resource, in each region of the Russian Federation have to be organized deceased organ donation and transplantation of a cadaveric kidney. But the transplantation of extrarenal organs is better to develop in the federal centers of hi-tech medical care with donor providing from territories of adjacent regions.
Atkins, Robert; Hart, Daniel; Donnelly, Thomas M.
Using a longitudinal design, we investigated the relation of childhood personality type to volunteering during adolescence. We hypothesized that participants with more adaptive personality functioning during childhood would be more likely to volunteer during adolescence and that membership in social organizations would mediate the relation of…
Zahmatkeshan, Mozhgan; Fallahzadeh, Ebrahim; Moghtaderi, Mozhgan; Najib, Khadijeh-Sadat; Farjadian, Shirin
Organ transplant is one of the most important management strategies for end-of-life patients. The demand for organs in patients awaiting transplant is increasing, and many of these patients die before a donor is found. To determine the attitudes of medical students and staff at clinical institutions affiliated with a large medical university in the Eastern Mediterranean region toward organ donation in cases of brain death. A total of 500 medical students, physicians, and nurses recruited at hospitals and medical centers affiliated with Shiraz University of Medical Sciences in Shiraz, Iran.Design and Setting-Information about participants' demographic characteristics, knowledge of organ donation, and willingness to donate their own organs after death was collected by using self-administered questionnaires. Most participants (78%) had favorable attitudes toward donating their own organs after brain death. However, only about 25% of them carried an organ donation card. In addition to public media, the main sources of information about organ donation after brain death were their professors and textbooks. An association in charge of improving public awareness and facilitating the process of registration and issuance of donation cards appears to be necessary.
Tsapaki, Virginia; Rehani, Madan M
The gender composition of the existing medical physicist (MP) workforce around the world is basically unknown. The International Organization for Medical Physics (IOMP) performed a survey in order to investigate the number of MPs in countries around the world and the percentage of women MPs compared to total number of MPs. A simple online questionnaire prepared as a Google Forms survey asking the country, the total number of MPs, the number of female MPs and finally the gender of the person providing the data was sent in mid-March 2013 to six regional member organizations of IOMP, as well as contact points in many member countries. Sixty-six countries responded to the survey by mid-July 2013. Fifty two percent of those who filled the form were females, the rest males. The total number of MPs was 17,024, of which 28% were female (4807). The median values of percentages of females were 21% in the USA, 47% in Europe, 35% in Asia, 33% in Africa and 24% in Latin America. This is the first international survey that investigates the number and percentage of female MPs around the world. There are European countries that are far away from the target set by European Commission (40%) whereas in countries in the Middle East and Asia, female MPs actually outnumber males. This study is the first step in a more in-depth study that needs to be taken in near future. Copyright © 2015 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.
Lockett, Landry L.; Boyd, Barry
This article describes how professionals leading volunteers can purposefully work toward developing the "leadership identity" of individual volunteers. These concepts and the application of them are presented in the context of Cooperative Extension volunteer groups. Specific methods of developing the leadership identity and capacity of individual…
Golota, A S; Zubenko, A I; Ivchenko, E V; Krassiĭ, A B; Shalakhin, R A
The current article is dedicated to the network mode of medical scientific research organization in the US Armed Forces exploring the Armed Forces Institute of Regenerative Medicine as an example. The following features of the institute are examined: the structure, definition of scientific research goals and tasks, financing, management, areas of research, the next generation of the institute. In conclusion some characteristic features of network scientific research establishment and required legal conditions are determined.
Aspuru-Guzik, Alan [Harvard Univ., Cambridge, MA (United States). Dept. of Chemistry and Chemical Biology
Clean, affordable, and renewable energy sources are urgently needed to satisfy the 10s of terawatts (TW) energy need of human beings. Solar cells are one promising choice to replace traditional energy sources. Our broad efforts have expanded the knowledge of possible donor materials for organic photovoltaics, while increasing access of our results to the world through the Clean Energy Project database (www.molecularspace.org). Machine learning techniques, including Gaussian Processes have been used to calibrate frontier molecular orbital energies, and OPV bulk properties (open-circuit voltage, percent conversion efficiencies, and short-circuit current). This grant allowed us to delve into the solid-state properties of OPVs (charge-carrier dynamics). One particular example allowed us to predict charge-carrier dynamics and make predictions about future hydrogen-bonded materials.
Nielsen, Rasmus Kleis
If campaigns do not accommodate this view, all but a hard core of regulars and fired-up partisans will drift away, leaving it for staffers and hired hands to do all the hard work of identifying voters, canvassing people by foot and by phone, and turning out the vote. [...] ironically, a campaign...... that is singleminded in its instrumental pursuit of victory can thus be less effective than one that is more accommodating- a campaign that makes room for volunteers by accepting that, unlike staffers, they come to politics with a different perspective and conception of what is and ought to be going on....
Middleton, Beth A.
Purple loosestrife (Lythrum salicaria) is a perennial plant native to Eurasia where it grows along streams, rivers, and wet seepage areas (fig. 1). Seeds were inadvertently brought to North American territories in the ballast water of ships. Purple loosestrife was also intentionally planted throughout North America for its ornamental flowers but has since escaped cultivation to spread to wetlands.Some purple loosestrife plants release millions of seeds during the summer season, and these seeds readily disperse to new wetlands via water, animals, and even on people’s shoes. In addition, both its roots and stem fragments can sprout and begin new plants.When purple loosestrife invades a wetland, the species sometimes becomes more dominant than the original native wetland species, such as cattails and sedges. While many people think that purple loosestrife reduces the value of wetlands for wildlife, these claims are disputed. Most people agree, however, that purple loosestrife grows more prolifically in North America than elsewhere, probably because the species has left its native enemies behind in Eurasia and Australia. Although we do not understand how well the species grows in various climates, there is some thought that purple loosetrife may never fully invade the southern United States. Studies looking at the species’ response to temperature and analyses of its growth patterns across latitudes can help us determine its future threat to uninvaded portions of the United States. This is where volunteers come in.Volunteers in North America, Eurasia, and Australia are helping assess purple loosestrife growth in their regions (fig. 2). The program is part of Dr. Beth Middleton’s project to compare the role of purple loosestrife in its native and invasive habitats. Anyone can participate, and volunteers currently include high school and college students, retirees, professionals from all disciplines, agency personnel, and university faculty. Volunteers collect data
O'Sullivan, D; Wilk, S; Michalowski, W; Slowinski, R; Thomas, R; Kadzinski, M; Farion, K
Online medical knowledge repositories such as MEDLINE and The Cochrane Library are increasingly used by physicians to retrieve articles to aid with clinical decision making. The prevailing approach for organizing retrieved articles is in the form of a rank-ordered list, with the assumption that the higher an article is presented on a list, the more relevant it is. Despite this common list-based organization, it is seldom studied how physicians perceive the association between the relevance of articles and the order in which articles are presented. In this paper we describe a case study that captured physician preferences for 3-element lists of medical articles in order to learn how to organize medical knowledge for decision-making. Comprehensive relevance evaluations were developed to represent 3-element lists of hypothetical articles that may be retrieved from an online medical knowledge source such as MEDLINE or The Cochrane Library. Comprehensive relevance evaluations asses not only an article's relevance for a query, but also whether it has been placed on the correct list position. In other words an article may be relevant and correctly placed on a result list (e.g. the most relevant article appears first in the result list), an article may be relevant for a query but placed on an incorrect list position (e.g. the most relevant article appears second in a result list), or an article may be irrelevant for a query yet still appear in the result list. The relevance evaluations were presented to six senior physicians who were asked to express their preferences for an article's relevance and its position on a list by pairwise comparisons representing different combinations of 3-element lists. The elicited preferences were assessed using a novel GRIP (Generalized Regression with Intensities of Preference) method and represented as an additive value function. Value functions were derived for individual physicians as well as the group of physicians. The results show
Szilard, Istvan; Cserti, Arpad; Hoxha, Ruhija; Gorbacheva, Olga; O'Rourke, Thomas
The International Organization for Migration (IOM) developed and implemented a three-month project entitled Priority Medical Screening of Kosovar Refugees in Macedonia, within the Humanitarian Evacuation Program (HEP) for Kosovar refugees from FR Yugoslavia, which was adopted in May 1999. The project was based on an agreement with the office of United Nations High Commission for Refugees (UNHCR) and comprised the entry of registration data of refugees with medical condition (Priority Medical Database), and classification (Priority Medical Screening) and medical evacuation of refugees (Priority Medical Evacuation) in Macedonia. To realize the Priority Medical Screening project plan, IOM developed and set up a Medical Database linked to IOM/UNHCR HEP database, recruited and trained a four-member data entry team, worked out and set up a referral system for medical cases from the refugee camps, and established and staffed medical contact office for refugees in Skopje and Tetovo. Furthermore, it organized and staffed a mobile medical screening team, developed and implemented the system and criteria for the classification of referred medical cases, continuously registered and classified the incoming medical reports, contacted regularly the national delegates and referred to them the medically prioritized cases asking for acceptance and evacuation, and co-operated and continuously exchanged the information with UNHCR Medical Co-ordination and HEP team. Within the timeframe of the project, 1,032 medical cases were successfully evacuated for medical treatment to 25 host countries throughout the world. IOM found that those refugees suffering from health problems, who at the time of the termination of the program were still in Macedonia and had not been assisted by the project, were not likely to have been priority one cases, whose health problems could be solved only in a third country. The majority of these vulnerable people needed social rather than medical care and
Full Text Available Medical models, or “phantoms,” have been widely used for medical training and for doctor-patient interactions. They are increasingly used for surgical planning, medical computational models, algorithm verification and validation, and medical devices development. Such new applications demand high-fidelity, patient-specific, tissue-mimicking medical phantoms that can not only closely emulate the geometric structures of human organs, but also possess the properties and functions of the organ structure. With the rapid advancement of three-dimensional (3D printing and 3D bioprinting technologies, many researchers have explored the use of these additive manufacturing techniques to fabricate functional medical phantoms for various applications. This paper reviews the applications of these 3D printing and 3D bioprinting technologies for the fabrication of functional medical phantoms and bio-structures. This review specifically discusses the state of the art along with new developments and trends in 3D printed functional medical phantoms (i.e., tissue-mimicking medical phantoms, radiologically relevant medical phantoms, and physiological medical phantoms and 3D bio-printed structures (i.e., hybrid scaffolding materials, convertible scaffolds, and integrated sensors for regenerated tissues and organs.
Zhan, Yiqiang; Zhou, Xiang Sean; Peng, Zhigang; Krishnan, Arun
With the advance of whole-body medical imaging technologies, computer aided detection/diagnosis (CAD) is being scaled up to deal with multiple organs or anatomical structures simultaneously. Multiple tasks (organ detection/segmentation) in a CAD system are often highly dependent due to the anatomical context within a human body. In this paper, we propose a method to schedule multi-organ detection/segmentation based on information theory. The central idea is to schedule tasks in an order that each operation achieves maximum expected information gain. The scheduling rule is formulated to embed two intuitive principles: (1) a task with higher confidence tends to be scheduled earlier; (2) a task with higher predictive power for other tasks tends to be scheduled earlier. More specifically, task dependency is modeled by conditional probability; the outcome of each task is assumed to be probabilistic as well; and the scheduling criterion is based on the reduction of the summed conditional entropy over all tasks. The validation is carried out on two challenging CAD problems, multi-organ detection in whole-body CT and liver segmentation in PET-CT. Compared to unscheduled and ad hoc scheduled organ detection/segmentation, our scheduled execution achieves higher accuracy with faster speed.
Medici, Valentina; McClave, Stephen A; Miller, Keith R
Obesity is one of the most common chronic conditions in the world. Its management is difficult, partly due to the multiple associated comorbidities including fatty liver, diabetes, hypertension, and hyperlipidemia. As a result, the choice of prescription medications in overweight and obese patients has important implications as some of them can actually worsen the fat accumulation and its associated metabolic complications. Several prescription medications are associated with weight gain with mechanisms that are often poorly understood and under-recognized. Even less data are available on the distribution of fat and lipotoxicity (the organ damage related to fat accumulation). The present review will discuss the drugs associated with weight gain, their mechanism of action, and the magnitude and timing of their effect.
Khoo, H E
The medical faculty in the National University of Singapore started in 1905 but the Chair in Biochemistry was only established in 1927. For many years the biochemistry course consisted of the teaching of the organic chemistry of substances of physiological importance, nutrition, metabolism and hormones. In 1961, clinical biochemistry was introduced and in the 1980s, genetics and molecular biology were included. By then, most of the organic chemistry content had been removed as greater emphasis was placed on clinical correlation. Laboratory classes consisted of mock glucose tolerance tests and the measurement of various enzymes. By the 1990s, students were no longer interested in such practical classes, so a bold decision was made around 1995 to remove laboratory classes from the curriculum. Unfortunately, this meant that the medical students who might have been interested in laboratory work could no longer do such work. However, the new curriculum in 1999 gave the department an opportunity to offer a laboratory course as an elective for interested students. This new curriculum adopted an integrated approach with Genetics being taught as part of Paediatrics, and a new module (Structural and Cell Biology) comprising aspects of cell biology and biochemistry was introduced. This module is currently taught by staff from Anatomy, Physiology and Biochemistry. Some biochemistry content is now incorporated into the clinical problem scenarios of problem-based learning such as jaundice, diabetes mellitus, anorexia nervosa, etc. So the evolution of teaching biochemistry to medical students in Singapore has paralleled worldwide trends and moved from the didactic teaching of organic chemistry of biomolecules to problem-based learning using clinical cases.
Shemie, Sam D; Simpson, Christy; Blackmer, Jeff; MacDonald, Shavaun; Dhanani, Sonny; Torrance, Sylvia; Byrne, Paul
Donation physicians are specialists with expertise in organ and tissue donation and have been recognized internationally as a key contributor to improving organ and tissue donation services. Subsequent to a 2011 Canadian Critical Care Society-Canadian Blood Services consultation, the donation physician role has been gradually implemented in Canada. These professionals are generally intensive care unit physicians with an enhanced focus and expertise in organ/tissue donation. They must manage the dual obligation of caring for dying patients and their families while providing and/or improving organ donation services. In anticipation of actual, potential or perceived ethical challenges with the role, Canadian Blood Services in partnership with the Canadian Medical Association organized the development of an evidence-informed consensus process of donation experts and bioethicists to produce an ethics guide. This guide includes overarching principles and benefits of the DP role, and recommendations in regard to communication with families, role disclosure, consent discussions, interprofessional conflicts, conscientious objection, death determination, donation specific clinical practices in neurological determination of death and donation after circulatory death, end-of-life care, performance metrics, resources and remuneration. Although this report is intended to inform donation physician practices, it is recognized that the recommendations may have applicability to other professionals (eg, physicians in intensive care, emergency medicine, neurology, neurosurgery, pulmonology) who may also participate in the end-of-life care of potential donors in various clinical settings. It is hoped that this guidance will assist practitioners and their sponsoring organizations in preserving their duty of care, protecting the interests of dying patients, and fulfilling best practices for organ and tissue donation.
Title: The motivational aspects of sport volunteerism. Objectives: The main aim of this bachelor work is to find out motivational aspects of sport volunteers, who have taken part in sport event. Methods: In this thesis was used quality method to get informations - specifically it was a structure interview with associated questions. Results: It was find out that it is appropriate to get those volunteers with inner motivation. These volunteers do not need to be so much motivated by external mot...
... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF JUSTICE Office of Justice Programs Draft Standards and Best Practices for Interaction Between Medical Examiner... entitled, ``Organ and Tissue Procurement Committee Standards and Best Practices for Interaction Between...
Pashinian, G A; Tuchik, E S
In order to improve the cooperation between medical criminology departments of the organs of home affairs and forensic medical service in personality identification of unidentified corpses, the authors propose amendments to the routine procedure regulated by documents of the Ministry of Home Affairs of the Russian Federation, for these documents are in need of serious correction and revision, so that they conform to the judicial legislation and other documents.
Zhu, Min; Chen, Ruxue; Zhong, Shaobo; Qian, Yangming; Huang, Quanyi
This research aims to associate the allocation of medical resources with the function of the modular organization and the possible needs for humanitarian assistance missions. The overseas humanitarian medical assistance mission, which was sent after a disaster on the hospital ship Peace Ark, part of China's People's Liberation Army (PLA) Navy, was considered as study model. The cases used for clustering and matching sample formation were randomly selected from the existing information related to Peace Ark's mission. Categories of the reusable resources clustered by this research met the requirement of the actual consumption almost completely (more than 95%) and the categories of non-reusable resources met the requirement by more than 80%. In the mission's original resource preparing plan, more than 30% of the non-reusable resource categories remained unused during the mission. In the original resource preparing plan, some key non-reusable resources inventories were completely exhausted at the end of the mission, while 5% to 30% of non-reusable resources remained in the resource allocation plan generated by this research at the end of the mission. The medical resource allocation plan generated here can enhance the supporting level for the humanitarian assistance mission. This research could lay the foundation for an assistant decision-making system for humanitarian assistance mission.
Pogodin, Iu I; Gurov, A N
In the present period when combat activities are being carried out at the territory of Russia, namely in Chechnya, it is very important to solve the problem of the improvement of the infrastructure of medical service as a basis of territorial system of medical support of troops. That's why we are looking at the experience of medical support of troops in the period of the Great Patriotic war in order to determine the basic characteristic features of military medical infrastructure (MMI) of that time. Using the experience of medical support in the period of the Great Patriotic war it is necessary to draw the main attention on studying the medico-geographical aspects of the Armed Forces deployment over the whole territory of the country, state of health service system (taking into account its reformation), influence of natural, socio-economic and ecological factors of different regions upon the health of servicemen, organization of medical support of troops, proliferation of infectious and parasitic diseases, local resources and availability of medication materials, medical supplies, equipment and technique, as well as other indices which must be taken into consideration in routine situations or during disaster relief. All this information is very valuable for the process of the formation of an adequate MMF in the zone of responsibility of medical support of troops.
McKee, Michael; Case, Ben; Fausone, Maureen; Zazove, Philip; Ouellette, Alicia; Fetters, Michael D
Students with sensory and physical disabilities are underrepresented in medical schools despite the availability of assistive technologies and accommodations. Unfortunately, many medical schools have adopted restrictive "organic" technical standards based on deficits rather than on the ability to do the work. Compelling ethical considerations of justice and beneficence should prompt change in this arena. Medical schools should instead embrace "functional" technical standards that permit accommodations for disabilities and update their admissions policies to promote applications from qualified students with disabilities. Medical schools thus should focus on what students with disabilities can do, rather than what they cannot do, because these students further diversify the health care profession and improve our ability to care for an expanding population of patients with disabilities. © 2016 American Medical Association. All Rights Reserved.
Our Children: The National PTA Magazine, 2012
Becoming a PTA volunteer takes more than a willingness to serve; it takes knowing how to work effectively within the PTA and school community. This article describes what National PTA offers volunteers. When one trains with PTA resources, one has a chance to: (1) Participate in workshops and seminars with family-engagement experts; (2) Network…
Driggers, Preston; Dumas, Eileen
Volunteers are essential to a successful library program--and at a time when deep budget cuts are the norm, there are many libraries that depend on the help of dedicated volunteers, who do everything from shelving books to covering the phones. Whether these are friends, trustees, or community members, managing them effectively is the key to…
Objectives Proper awareness among health professionals about organ donation is important for increasing organ procurement. Personal commitment and attitude of nurses are imperative as they have key role in identifying potential donors. The aim of this study was to compare prevailing knowledge and attitude of undergraduate female Saudi nursing and medical students’ toward organ donation. Methodology A cross sectional questionnaire using 29 item were filled by nursing (n=46) and medical (n=63) students’ at University of Dammam (KSA) during academic year 2014–15, to check and compare their knowledge and attitude about organ donation. The data were analyzed by descriptive statistics; chi square test and bivariate analysis to find out correlation. Results Level of knowledge of nursing group were significantly lower (p=0.000) than medical group while no significant difference in attitude score (p=0.591) between the two groups were found. Major source of knowledge for nursing was media (65.2%) and college/university for medical (50.8%) group. Both groups chose “anyone in need” as preferred recipients’ upon donation (nursing 60.3% and medical 52.2%) and opted “anyone” as donor in case of recipient (nursing 52.2% and medical 49.2%). The results indicate positive correlation between level of knowledge and attitude toward organ donation. Conclusions Nursing students have low knowledge toward organ donation as compared to medical students although they shows positive attitude toward this issue. This study ascertains the need of an effective educational program for nursing students of Saudi Arabia to improve their knowledge regarding organ donation and to raise organ procurement. PMID:27103903
Proper awareness among health professionals about organ donation is important for increasing organ procurement. Personal commitment and attitude of nurses are imperative as they have key role in identifying potential donors. The aim of this study was to compare prevailing knowledge and attitude of undergraduate female Saudi nursing and medical students' toward organ donation. A cross sectional questionnaire using 29 item were filled by nursing (n=46) and medical (n=63) students' at University of Dammam (KSA) during academic year 2014-15, to check and compare their knowledge and attitude about organ donation. The data were analyzed by descriptive statistics; chi square test and bivariate analysis to find out correlation. Level of knowledge of nursing group were significantly lower (p=0.000) than medical group while no significant difference in attitude score (p=0.591) between the two groups were found. Major source of knowledge for nursing was media (65.2%) and college/university for medical (50.8%) group. Both groups chose "anyone in need" as preferred recipients' upon donation (nursing 60.3% and medical 52.2%) and opted "anyone" as donor in case of recipient (nursing 52.2% and medical 49.2%). The results indicate positive correlation between level of knowledge and attitude toward organ donation. Nursing students have low knowledge toward organ donation as compared to medical students although they shows positive attitude toward this issue. This study ascertains the need of an effective educational program for nursing students of Saudi Arabia to improve their knowledge regarding organ donation and to raise organ procurement.
Degeling, Chris; Irvine, Rob; Kerridge, Ian
Efforts to advance our understanding of neurodegenerative diseases involve the creation chimeric organisms from human neural stem cells and primate embryos--known as prenatal chimeras. The existence of potential mentally complex beings with human and non-human neural apparatus raises fundamental questions as to the ethical permissibility of chimeric research and the moral status of the creatures it creates. Even as bioethicists find fewer reasons to be troubled by most types of chimeric organisms, social attitudes towards the non-human world are often influenced by religious beliefs. In this paper scholars representing eight major religious traditions provide a brief commentary on a hypothetical case concerning the development and use of prenatal human-animal chimeric primates in medical research. These commentaries reflect the plurality and complexity within and between religious discourses of our relationships with other species. Views on the moral status and permissibility of research on neural human animal chimeras vary. The authors provide an introduction to those who seek a better understanding of how faith-based perspectives might enter into biomedical ethics and public discourse towards forms of biomedical research that involves chimeric organisms.
Full Text Available This case study is based on the experiences with the Electronic Journal of Information Technology in Construction (ITcon, founded in 1995. This journal is an example of a particular category of open access journals, which use neither author charges nor subscriptions to finance their operations, but rely largely on unpaid voluntary work in the spirit of the open source movement. The journal has, after some initial struggle, survived its first decade and is now established as one of half-a-dozen peer reviewed journals in its field. The journal publishes articles as they become ready, but creates virtual issues through alerting messages to “subscribers”. It has also started to publish special issues, since this helps to attract submissions, and also helps in sharing the work-load of review management. From the start the journal adopted a rather traditional layout of the articles. After the first few years the HTML version was dropped and papers are only published in PDF format. The journal has recently been benchmarked against the competing journals in its field. Its acceptance rate of 53% is slightly higher and its average turnaround time of seven months almost a year faster compared to those journals in the sample for which data could be obtained. The server log files for the past three years have also been studied. Our overall experience demonstrates that it is possible to publish this type of OA journal, with a yearly publishing volume equal to a quarterly journal and involving the processing of some fifty submissions a year, using a networked volunteer-based organization.
Cameron, David; The ATLAS collaboration
The ATLAS collaboration has setup a volunteer computing project called ATLAS@home. Volunteers running Monte-Carlo simulation on their personal computer provide significant computing resources, but also belong to a community potentially interested in HEP. Four types of contributors have been identified, whose questions range from advanced technical details to the reason why simulation is needed, how Computing is organized and how it relates to society. The creation of relevant outreach material for simulation, event visualization and distributed production will be described, as well as lessons learned while interacting with the BOINC volunteers community.
The Task Force in charge of the organization of the LHC Inauguration is looking for 40 volunteers to support the team of molecular cooks directed by international chef Ettore Bocchia. The "molecular" volunteers will help in the preparation of liquid nitrogen ice-cream. Your help is requested from 12h to 18h on October 21st. Your participation in a general rehearsal on October 20th is also required - (the time of the rehearsal will be communicated at a later moment). Dress code: black pants and shoes, long sleeved white shirt. Do not miss this opportunity to take part in an extraordinary event! For further information and to enrol, contact: mailto:Catherine.Brandt@cern.ch
ABDUMANONOV AKHRORJON ADXAMJONOVICH; KARABAEV MUHAMMADJON KARABAEV
Article is devoted introduction of the medical is information communication technologies in emergency medical aid Uzbekistan. On the basis of practice introduction of complex medical information system is shown, that introduction of such systems in medical institutions, is a basis of effective gathering, storage, processing and use of the medical information.
Tutel'ian, V A; Sharafetdinov, Kh Kh; Pogozheva, A V; Plotnikova, O A
The article analyzes regulatory basis for organization of clinical nutrition in medical institutions of Russia. It is shown that the strategy of therapeutic measures in acute and chronic diseases a central place to take dietary therapy with adequate provision of energy and plastic body's needs, correction of metabolic disorders and risk factors for comorbidity. Prior to the confirmation of the order of Ministry of Health of Russia from 05.08.2003, No 330 "On measures to improve nutritional care in health care institutions in the Russian Federation" clinical nutrition in medical institutions was based on the nosological principle, in the form of daily diet--a diet designed for each concrete Diseases which are identified by a number from 1 to 15. According to the order of Ministry of Health of Russia from 05.08.2003, No 330 in the health care practice has introduced a new range of diets (system standard diets), which is based on the principle of adapting the chemical composition and energy value of the diet to the individual clinical and pathogenic features of the disease and combines previously used diet numbering system. It is shown that the organization of clinical nutrition should be based on common requirements imposed on the federal level and at the level of the subject of the Russian Federation. In order to optimize clinical nutrition is necessary to determine the methodological approaches to personalization through the introduction of diet in health care practice of modern innovative technologies health food, performing preventive and treatment of the problem (implementation of Article 39 of the Federal Law of 21.11.2011 No 323--FZ "On the basis of health protection in the Russian Federation", the Order of the Government of the Russian Federation of 25.10.2010 No 1873-r "On the basis of the state policy in the field of nutrition to 2020 year").
Full Text Available Aimee J Sarti,1 Stephanie Sutherland,1 Angele Landriault,2 Kirk DesRosier,2 Susan Brien,2 Pierre Cardinal1 1Department of Critical Care, The Ottawa Hospital, 2The Royal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada Introduction: Evaluation capacity building (ECB is a topic of great interest to many organizations as they face increasing demands for accountability and evidence-based practices. ECB is about building the knowledge, skills, and attitudes of organizational members, the sustainability of rigorous evaluative practices, and providing the resources and motivations to engage in ongoing evaluative work. There exists a solid foundation of theoretical research on ECB, however, understanding what ECB looks like in practice is relatively thin. Our purpose was to investigate what ECB looks like firsthand within a national medical educational organization. Methods: The context for this study was the Acute Critical Events Simulation (ACES organization in Canada, which has successfully evolved into a national educational program, driven by physicians. We conducted an exploratory qualitative study to better understand and describe ECB in practice. In doing so, interviews were conducted with program leaders and instructors so as to gain a richer understanding of evaluative processes and practices. Results: A total of 21 individuals participated in the semistructured interviews. Themes from our qualitative data analysis included the following: evaluation knowledge, skills, and attitudes, use of evaluation findings, shared evaluation beliefs and commitment, evaluation frameworks and processes, and resources dedicated to evaluation. Conclusion: The national ACES organization was a useful case study to explore ECB in practice. The ECB literature provided a solid foundation to understand the purpose and nuances of ECB. This study added to the paucity of studies focused on examining ECB in practice. The most important lesson learned was
Silva, Leandro A.; Del-Moral-Hernandez, Emilio; Moreno, Ramon A.; Furuie, Sérgio S.
Images are fundamental sources of information in modern medicine. The images stored in a database and divided in categories are an important step for image retrieval. For an automatic categorization process, detailed analysis is done regarding image representation and generalization method. The baseline method for this process, in the medical image context, is using thumbnails and K-nearest neighbor (KNN), which is easily implemented and has had satisfactory results in literature. This work addresses an alternative method for automatic categorization, which jointly uses discrete wavelet transform with Hu's moments for image representation and self-organizing maps (SOM) neural networks combined with the KNN classifier (SOM-KNN), for medical image categorization. Furthermore, extensive experiments are conducted, to define the best wavelet family and to select the best coefficients set, to consider the remaining wavelet coefficients set (not selected as the best ones) through their Hu's moments, and to carry out a contrastive study with other successful approaches for categorization. The categorization result from a database with 10,000 images in 116 categories yielded 81.8% of correct rate, which is much better than the 67.9% obtained by the baseline method; and the time consumed in classification processing with SOM-KNN is 100 times shorter than KNN.
Lybarger, J.A.; Spengler, R.F.; Brown, D.R. [Agency for Toxic Substances and Disease Registry, Atlanta, GA (United States). Div. of Health Studies; Lee, R.; Vogt, D.P. [Oak Ridge National Lab., TN (United States)]|[Joint Inst. for Energy and Environment, Oak Ridge, TN (United States); Perhac, R.M. Jr. [Univ. of Tennessee, Knoxville, TN (United States)]|[Joint Inst. for Energy and Environment, Oak Ridge, TN (United States)
This paper estimates the health costs at Superfund sites for conditions associated with volatile organic compounds (VOCs) in drinking water. Health conditions were identified from published literature and registry information as occurring at excess rates in VOC-exposed populations. These health conditions were: (1) some categories of birth defects, (2) urinary tract disorders, (3) diabetes, (4) eczema and skin conditions, (5) anemia, (6) speech and hearing impairments in children under 10 years of age, and (7) stroke. Excess rates were used to estimate the excess number of cases occurring among the total population living within one-half mile of 258 Superfund sites. These sites had evidence of completed human exposure pathways for VOCs in drinking water. For each type of medical condition, an individual`s expected medical costs, long-term care costs, and lost work time due to illness or premature mortality were estimated. Costs were calculated to be approximately $330 million per year, in the absence of any remediation or public health intervention programs. The results indicate the general magnitude of the economic burden associated with a limited number of contaminants at a portion of all Superfund sites, thus suggesting that the burden would be greater than that estimated in this study if all contaminants at all Superfund sites could be taken into account.
Miadelets, O D; Miadelets, N Ia; Miadelets, V O
This paper deals with the methodological aspects of teaching histology at the medical university and medical college. The authors raise the issue of the necessity of teaching of the topic "Introduction to Special Histology" and the inclusion of the appropriate chapter into the textbooks. This is important for the students, as the formation of the general concepts of organ structure and function, components, and classification will aid in the further study of specific organs during the course of Special Histology. The authors describe their own experience in teaching of the section, dedicated to the general regularities of organ structure, present some definitions and classifications that are used by them for a number of years.
PALEXPO, GENEVA, from 4 - 13 December Are you concerned by the digital divide between the North and the South? Would you like to contribute personally to the success of the World Summit on the Information Society (WSIS), in particular the activities of civil society? Join the team of volunteers and/or offer accommodation to an international volunteer! Contact: Charlotte (Project Coordinator WSIS) Kathy (Volunteer Coordinator) ICVolunteers PO Box 755 - CH-1211 Genève 4 Phone: +41 22 800 1436 - Fax: +41 22 800 14 37 E-mail: firstname.lastname@example.org email@example.com For further information, please consult the website: http://www.icvolunteers.org
Woitha, Kathrin; Hasselaar, Jeroen; van Beek, Karen; Radbruch, Lukas; Jaspers, Birgit; Engels, Yvonne; Vissers, Kris
In Europe, volunteers have an important role in the delivery of palliative care. As part of the EU co-funded Europall project, 4 aspects of volunteering in palliative care were studied for 7 European countries (Belgium, England, France, Germany, the Netherlands, Poland, and Spain). These included (1) involvement of volunteers in palliative care, (2) organization of palliative care volunteering, (3) legal regulations concerning volunteering, and (4) education and training of palliative care volunteering. A literature search combined with an interview study. Information from the scientific literature, and country-specific policy documents were obtained and completed, along with data of consecutive semi-structured interviews with experts in the field of palliative care in the participating countries. In all countries, volunteers appeared to be involved in palliative care, yet their involvement across health care settings differed per country. England, for example, has the highest number of volunteers whereas Spain has the lowest number. Volunteering is embedded in law and regulations in all participating countries except for England and the Netherlands. In all participating countries, training programs are available and volunteers are organized, both on a national and a regional level. This study provides a descriptive overview of volunteer work in palliative care in 7 European countries, with a focus on the organizational aspects. Further research should concentrate on the roles and responsibilities of volunteers in the care for the terminally ill in different European health systems. © 2014 World Institute of Pain.
Full Text Available Early integration of research education into medical curricula is crucial for evidence-based practice. Yet, many medical students are graduating with no research experience due to the lack of such integration in their medical school programs. The purpose of this study was to explore the impact of a peer-organized, extra-curricular research methodology course on the attitudes of medical students towards research and future academic careers. Twenty one medical students who participated in a peer-organized research course were enrolled in three focus group discussions to explore their experiences, perceptions and attitudes towards research after the course. Discussions were conducted using a semi-structured interview guide, and were transcribed and thematically analyzed for major and minor themes identification. Our findings indicate that students' perceptions of research changed after the course from being difficult initially to becoming possible. Participants felt that their research skills and critical thinking were enhanced and that they would develop research proposals and abstracts successfully. Students praised the peer-assisted teaching approach as being successful in enhancing the learning environment and filling the curricular gap. In conclusion, peer-organized extra-curricular research courses may be a useful option to promote research interest and skills of medical students when gaps in research education in medical curricula exist.
Full Text Available Background. The transplantation group of the National University of Colombia considers that education about transplants is important to raise the donation rate in this country. Objective. To find a statistical association between education about transplantation aimed at medical students and the number of students and their families bearing the organ donor card. Materials and methods. Cross-sectional analytical study. Two surveys were designed and sent to two different student populations. The first group had taken the course "Human Organ and Tissue Transplantation", and the second group was composed of students from the fifth semester of medical education. The statistical test used was difference of proportions, sample size of 50 people, statistical power of 80%, difference in proportions 20%, alpha 0.05, p <0.05. Results. The surveys were answered by 29 students from first group and 74 students from second group. First question: "Do you carry the organ donor card?", p-value of 0.03 found. Second question: "Do your family members carry the organ donor card?", p-value of 0.732 found. Affirmative answer to the first question, p=0.10 and answer to second question, p=0.0005. Conclusion. An association was found between education about transplantation focused on medical students and bearing the organ donor card and communicating their wishes to their families. Likewise, an association between education and a positive attitude toward donation was found in the families of students that participated on the course "Human Organ and Tissue Transplantation".
Albahari, Amin; Schultz, Carl H
Introduction While the concept of community resilience is gaining traction, the role of spontaneous volunteers during the initial response to disasters remains controversial. In an attempt to resolve some of the debate, investigators examined the activities of a spontaneous volunteer group called Nafeer after the Sudan floods around the city of Khartoum in August of 2013. Hypothesis Can spontaneous volunteers successfully initiate, coordinate, and deliver sustained assistance immediately after a disaster? This retrospective, descriptive case study involved: (1) interviews with Nafeer members that participated in the disaster response to the Khartoum floods; (2) examination of documents generated during the event; and (3) subsequent benchmarking of their efforts with the Sphere Handbook. Members who agreed to participate were requested to provide all documents in their possession relating to Nafeer. The response by Nafeer was then benchmarked to the Sphere Handbook's six core standards, as well as the 11 minimum standards in essential health services. A total of 11 individuals were interviewed (six from leadership and five from active members). Nafeer's activities included: food provision; delivery of basic health care; environmental sanitation campaigns; efforts to raise awareness; and construction and strengthening of flood barricades. Its use of electronic platforms and social media to collect data and coordinate the organization's response was effective. Nafeer adopted a flat-management structure, dividing itself into 14 committees. A Coordination Committee was in charge of liaising between all committees. The Health and Sanitation Committee supervised two health days which included mobile medical and dentistry clinics supported by a mobile laboratory and pharmacy. The Engineering Committee managed to construct and maintain flood barricades. Nafeer used crowd-sourcing to fund its activities, receiving donations locally and internationally using supporters
Martire, M R; Lo Cascio, G; Picciotto, D; Lo Cascio, N
Mobbing is a phenomenon produced for the most part by factors related to work organization. During the medical control of workers in Universitary Policlinico Hospital of Palermo, we used a methodology (in advance applied with effectiveness by ISPESL in other institutions) that is able to evidence factors of work organization causing Mobbing. 338 out 2060 workers (total staff) with different professional figures were recruited. We evidenced the working classes that had more troubles about communications of business information, about interpersonal relationships at work with top manager, with other members of team and with colleagues. Particularly doctors and OTA, in worrying percentage, stated that they suffered psychological molestations. Aim of our study was to assay a procedure that, even if it doesn't identify proclaimed mobbing phenomenon, enables us to acquire information about relationships between business management and workers and organizational aspects perceiving by subordinates. A I level study about a phenomenon in expansion is very useful to recognize preventively intentionally made mobbing actions.
Moorlock, Greg; Ives, Jonathan; Bramhall, Simon; Draper, Heather
Conditional and directed deceased organ donations occur when donors (or often their next of kin) attempt to influence the allocation of their donated organs. This can include asking that the organs are given to or withheld from certain types of people, or that they are given to specified individuals. Donations of these types have raised ethical concerns, and have been prohibited in many countries, including the UK. In this article we report the findings from a qualitative study involving interviews with potential donors (n = 20), potential recipients (n = 9) and transplant staff (n = 11), and use these results as a springboard for further ethical commentary. We argue that although participants favoured unconditional donation, this preference was grounded in a false distinction between 'medical' and 'non-medical' allocation criteria. Although there are good reasons to maintain organ allocation based primarily upon the existing 'medical' criteria, it may be premature to reject all other potential criteria as being unacceptable. Part of participants' justification for allocating organs using 'medical' criteria was to make the best use of available organs and avoid wasting their potential benefit, but this can also justify accepting conditional donations in some circumstances. We draw a distinction between two types of waste - absolute and relative - and argue that accepting conditional donations may offer a balance between these forms of waste. © 2015 The Authors. Bioethics published by John Wiley & Sons Ltd.
The involvement of volunteers in ecological monitoring is a realistic, cost-effective, and beneficial way to obtain important information which might otherwise be unavailable due to lack of resources at government agencies.
Full Text Available The measurement of emotional intelligence abilities is one of the new subjects and important in human behavior studies. According to this matter, purpose of this research is consideration of emotional intelligence abilities in public sport events volunteers in 2011. For this purpose, Bradbury and Cruise's standard questionnaire was completed by present volunteers in event (n=80. The results indicated that 4 levels of emotional intelligence in volunteers are higher than expectational average significantly (p<0.01. Also, priority of emotional intelligence abilities indicated that self-awareness is first priority and social awareness, relationship management and self-management are second, third and fourth priorities in volunteers. Finally, in the basis of parameter, results stated that there is no difference between male and female volunteers emotional intelligence in first Olympia of public sport. According to results of present research and advantages of attention to emotional intelligence and human behavior in organizations, it recommended sport events managers to be more sensitive relative to human behavior abilities in human behavior abilities in human resource (volunteers under his management. At least, result of this meditation in student's sport is recruitment and development of motivated volunteers for continuous attendance in sport events.
Full Text Available In this paper we aim at highlighting the progress in the regulation of volunteering activity in Romania through the recent adoption by the Parliament of the Law no. 78/2014 on the regulation of volunteering in Romania. The new legislative act, which replaced Volunteering Law no. 195 / 2001 (republished tries and we believe that it actually succeeds in providing consistent and harmonized solutions at European level to problems of organizations working with volunteers and thus creating a modern legal framework, appropriately adapted to the national and European context in the field of volunteering.
Marqués-Lespier, Juan M; Ortiz-Vega, Nicole M; Sánchez, María C; Soto-Avilés, Omar E; Torres, Esther A
The increasing demand for organ transplants exceeds the organ donation rate. Addressing this discrepancy is challenging for organ procurement agencies and health professionals involved in the care of patients in dire need of organs...
Kocaay, A F; Celik, S U; Eker, T; Oksuz, N E; Akyol, C; Tuzuner, A
Throughout the world, there is a shortage of suitable organs for organ transplantation. The aim of this study was to assess the level of knowledge, awareness, and attitudes of medical, law, divinity, nursing, and communication students, who will be involved in this issue in the future, regarding brain death and organ donation. Data were collected with the use of a 30-item questionnaire. Of the 341 participants, 228 (66.8%) were female and overall average age was 21.6 ± 2.8 years. Nearly one-half of them (51.3%), especially nursing and medical students, wanted to be a donor, but only 2% had an organ donation card; 78.3% emphasized that family must have the right to make the decision for organ donation, and the vast majority of the participants considered that the organs could not be taken without any permission. Kidney and heart were the most commonly identified transplantable organs; the less frequently known organ was intestine. Only 71 participants, most of them medical, divinity, and law students, correctly answered all questions about brain death; 68.6% stated that organ donation is allowed by religion, and 5% expressed that it is religiously forbidden; 37.3% did not have confidence in health care policy. Law students were more confident, nursing students less confident. Better understanding of organ donation and concepts by the doctors, nurses, legislators, religious officials, and mass communications professionals who will give direction to society's behaviors and beliefs would help to spread positive attitudes toward organ donation and transplantation in the public. Copyright © 2015 Elsevier Inc. All rights reserved.
Full Text Available Background and objective: Today, organ donation and transplantation play a critical role in saving patients with the advanced deficiencies of body organs. In the meantime, organ donation is influenced by a variety of cultural, social, and religious factors. They have an impact on individuals’ intention (tendency to donate organs after brain death. This study examined factors affecting Qom Medical School students’ intention regarding organ donation. The examination was carried out based on behavioral intention model. Methods: This cross-sectional study was conducted on 304 medical students. They were selected by multiple-stage sampling technique from Qom Medical School. The research data was collected by a validated reliable questionnaire. It comprised questions regarding personal specifications, awareness, attitude, abstract norms, and intention. The collected data was analyzed by SPSS 18. Results were described by central statistical indices and analyzed using independent sample T-test, Pearson correlation coefficient, and linear regression (P<0.05. Results: Among participants, %12.83 of the students had donation card after brain death yet not the other %87.17. Mean organ donation awareness score was 5.87. Mean construct scores were 49.25, 16.11, and 1.27 respectively for attitude, abstract norms, and intention. Results indicated that there is a significant difference between two organ donation bank member and non-member groups in terms of awareness, attitude, abstract norms, and intention (P<0.05. There was also a direct significant correlation between awareness, attitude, and abstract norms regarding deliberate organ donation (P<0.05. Conclusion: most of the students under study were not a member of after-brain-death organ donation bank. Awareness and behavioral intention model constructs were moderate. Here, the constructs including awareness, attitude, and abstract norms could not predict %31 of variations in organ donation
Skupin, André; Biberstine, Joseph R; Börner, Katy
We implement a high-resolution visualization of the medical knowledge domain using the self-organizing map (SOM) method, based on a corpus of over two million publications. While self-organizing maps have been used for document visualization for some time, (1) little is known about how to deal with truly large document collections in conjunction with a large number of SOM neurons, (2) post-training geometric and semiotic transformations of the SOM tend to be limited, and (3) no user studies have been conducted with domain experts to validate the utility and readability of the resulting visualizations. Our study makes key contributions to all of these issues. Documents extracted from Medline and Scopus are analyzed on the basis of indexer-assigned MeSH terms. Initial dimensionality is reduced to include only the top 10% most frequent terms and the resulting document vectors are then used to train a large SOM consisting of over 75,000 neurons. The resulting two-dimensional model of the high-dimensional input space is then transformed into a large-format map by using geographic information system (GIS) techniques and cartographic design principles. This map is then annotated and evaluated by ten experts stemming from the biomedical and other domains. Study results demonstrate that it is possible to transform a very large document corpus into a map that is visually engaging and conceptually stimulating to subject experts from both inside and outside of the particular knowledge domain. The challenges of dealing with a truly large corpus come to the fore and require embracing parallelization and use of supercomputing resources to solve otherwise intractable computational tasks. Among the envisaged future efforts are the creation of a highly interactive interface and the elaboration of the notion of this map of medicine acting as a base map, onto which other knowledge artifacts could be overlaid.
Full Text Available We implement a high-resolution visualization of the medical knowledge domain using the self-organizing map (SOM method, based on a corpus of over two million publications. While self-organizing maps have been used for document visualization for some time, (1 little is known about how to deal with truly large document collections in conjunction with a large number of SOM neurons, (2 post-training geometric and semiotic transformations of the SOM tend to be limited, and (3 no user studies have been conducted with domain experts to validate the utility and readability of the resulting visualizations. Our study makes key contributions to all of these issues.Documents extracted from Medline and Scopus are analyzed on the basis of indexer-assigned MeSH terms. Initial dimensionality is reduced to include only the top 10% most frequent terms and the resulting document vectors are then used to train a large SOM consisting of over 75,000 neurons. The resulting two-dimensional model of the high-dimensional input space is then transformed into a large-format map by using geographic information system (GIS techniques and cartographic design principles. This map is then annotated and evaluated by ten experts stemming from the biomedical and other domains.Study results demonstrate that it is possible to transform a very large document corpus into a map that is visually engaging and conceptually stimulating to subject experts from both inside and outside of the particular knowledge domain. The challenges of dealing with a truly large corpus come to the fore and require embracing parallelization and use of supercomputing resources to solve otherwise intractable computational tasks. Among the envisaged future efforts are the creation of a highly interactive interface and the elaboration of the notion of this map of medicine acting as a base map, onto which other knowledge artifacts could be overlaid.
Maxwell, Shane; Renier, Colleen; Sikka, Robby; Widstrom, Luke; Paulson, William; Christensen, Trent; Olson, David; Nelson, Benjamin
This study examined whether an online course would lead to increased knowledge about the medical issues volunteers encounter during a marathon. Health care professionals who volunteered to provide medical coverage for an annual marathon were eligible for the study. Demographic information about medical volunteers including profession, specialty, education level and number of marathons they had volunteered for was collected. A 15-question test about the most commonly encountered medical issues was created by the authors and administered before and after the volunteers took the online educational course and compared to a pilot study the previous year. Seventy-four subjects completed the pre-test. Those who participated in the pilot study last year (N = 15) had pre-test scores that were an average of 2.4 points higher than those who did not (mean ranks: pilot study = 51.6 vs. non-pilot = 33.9, p = 0.004). Of the 74 subjects who completed the pre-test, 54 also completed the post-test. The overall post-pre mean score difference was 3.8 ± 2.7 (t = 10.5 df = 53 p test scores. Testing also continued to show short-term improvement in post-course test scores, compared to pre-course test scores. In general, marathon medical volunteers who had no volunteer experience demonstrated greater improvement than those who had prior volunteer experience.
Paul R Armsworth
Full Text Available Efforts to expand protected area networks are limited by the costs of managing protected sites. Volunteers who donate labor to help manage protected areas can help defray these costs. However, volunteers may be willing to donate more labor to some protected areas than others. Understanding variation in volunteering effort would enable conservation organizations to account for volunteer labor in their strategic planning. We examined variation in volunteering effort across 59 small protected areas managed by Yorkshire Wildlife Trust, a regional conservation nonprofit in the United Kingdom. Three surveys of volunteering effort reveal consistent patterns of variation across protected areas. Using the most detailed of these sources, a survey of site managers, we estimate that volunteers provided 3200 days of labor per year across the 59 sites with a total value exceeding that of paid staff time spent managing the sites. The median percentage by which volunteer labor supplements management costs on the sites was 36%. Volunteering effort and paid management costs are positively correlated, after controlling for the effect of site area. We examined how well a range of characteristics of the protected areas and surrounding communities explain variation in volunteering effort. Protected areas that are larger have been protected for longer and that are located near to denser conurbations experience greater volunteering effort. Together these factors explain 38% of the observed variation in volunteering effort across protected areas.
Cheung, C Y; Pong, M L; Au Yeung, S F; Chau, K F
The number of actual donors per million population is the most commonly used metric to measure organ donation rates worldwide. It is deemed inadequate, however, because it does not take into account the potential donor pool. The aim of this study was to determine the true potential for solid organ donation from deceased brain-dead donors and the reasons for non-donation from potential donors in the Chinese community. Medical records of all hospital deaths between 1 January and 31 December 2014 at a large regional hospital in Hong Kong were reviewed. Those who were on mechanical ventilation with documented brain injury and aged ≤75 years were classified as possible organ donors. The reasons why some potential organ donors did not become utilised organ donors were recorded and evaluated. Among 3659 patient deaths, 121 were classified as possible organ donors. The mean age of the possible organ donors was 59.4 years and 72.7% of them were male. The majority (88%) were from non-intensive care units. Of the 121 possible organ donors, 108 were classified as potential organ donors after excluding 13 unlikely to fulfil brain death criteria. Finally 11 patients became actual organ donors with an overall conversion rate of 10%. Reasons for non-donation included medical contra-indication (46%), failure to identify and inform organ donation coordinators (14%), failure of donor maintenance (11%), brain death diagnosis not established (18%), and refusal by relatives (11%). It is possible to increase the organ donation rate considerably by action at different stages of the donation process. Ongoing accurate audit of current practice is necessary.
Robert L. Ryan; Rachel Kaplan; Robert E. Grese
The natural environment benefits greatly from the work of volunteers in environmental stewardship programmes. However, little is known about volunteers' motivations for continued participation in these programmes. This study looked at the relationship between volunteer commitment and motivation, as well as the effect that volunteering has on participants'...
McBride, Amanda Moore; Greenfield, Jennifer C.; Morrow-Howell, Nancy; Lee, Yung Soo; McCrary, Stacey
Volunteer-based programs are increasingly designed as interventions to affect the volunteers and the beneficiaries of the volunteers' activities. To achieve the intended impacts for both, programs need to leverage the volunteers' engagement by meeting their expectations, retaining them, and maximizing their perceptions of benefits. Programmatic…
The purpose of this study was to determine the effectiveness of a volunteer led crafts group intervention (VLCG) as an adjunct to antidepressant medication on mild to moderately depressed women. A quasi-experimental, non-equivalent, control group study was conducted in an urban, psychiatric clinic. Depression was ...
Rheinsberg, Zoé; Parsa-Parsi, Ramin; Kloiber, Otmar; Wiesing, Urban
The Declaration of Geneva is one of the core documents of medical ethics. A revision process was started by the World Medical Association (WMA) in 2016. The WMA has also used this occasion to examine how the Declaration of Geneva is used in countries throughout the world by conducting a survey of all WMA constituent members. The findings are highly important and raise urgent questions for the World Medical Association and its National Medical Associations (NMA): The Declaration of Geneva is only rarely used as an oath text despite the fact that physicians' oaths are generally widespread. This is not consistent with the intention and claim of the Declaration of Geneva. The article then discusses three questions. Should there be one single binding oath? Which organization should be responsible for such an oath? Which oath is the most obvious candidate? In a globalized world and despite all cultural diversity, the medical profession should have one core moral basis which is binding for physicians all over the world. The most obvious candidate for an oath incorporating this moral basis is the Declaration of Geneva.
Ramos, Romualdo; Brauchli, Rebecca; Bauer, Georg; Wehner, Theo; Hämmig, Oliver
To understand the relationship between volunteering and health in the overlooked yet highly engaged working population, adopting a contextualizing balance approach. We hypothesize that volunteering may function as a psychosocial resource, contributing to work-life balance and, ultimately, health. A total of 746 Swiss workers participated in an online survey; 35% (N = 264) were additionally volunteers in a nonprofit organization. We assessed volunteering, work-life balance perceptions, paid job demands, and resources and health outcomes. After controlling for job characteristics, volunteering was associated with less work-life conflict, burnout and stress, and better positive mental health. Results further revealed that balance perceptions partly explained the relationship between volunteering and health. Volunteering, albeit energy and time-consuming, may contribute to a greater sense of balance for people in the workforce, which might, in turn, positively influence health.
Ng, Kh; Wong, Jhd
Informal discussion started in 1996 and the South East Asian Federation of Organizations for Medical Physics (SEAFOMP) was officially accepted as a regional chapter of the IOMP at the Chicago World Congress in 2000 with five member countries, namely Indonesia, Malaysia, Philippines, Singapore and Thailand. Professor Kwan-Hoong Ng served as the founding president until 2006. Brunei (2002) and Vietnam (2005) joined subsequently. We are very grateful to the founding members of SEAFOMP: Anchali Krisanachinda, Kwan-Hoong Ng, Agnette Peralta, Ratana Pirabul, Djarwani S Soejoko and Toh-Jui Wong.The objectives of SEAFOMP are to promote (i) co-operation and communication between medical physics organizations in the region; (ii) medical physics and related activities in the region; (iii) the advancement in status and standard of practice of the medical physics profession; (iv) to organize and/or sponsor international and regional conferences, meetings or courses; (v) to collaborate or affiliate with other scientific organizations.SEAFOMP has been organizing a series of congresses to promote scientific exchange and mutual support. The South East Asian Congress of Medical Physics (SEACOMP) series was held respectively in Kuala Lumpur (2001), Bangkok (2003), Kuala Lumpur (2004) and Jakarta (2006). The respective congress themes indicated the emphasis and status of development. The number of participants (countries in parentheses) was encouraging: 110 (17), 150 (16), 220 (23) and 126 (7).In honour of the late Professor John Cameron, an eponymous lecture was established. The inaugural John Cameron Lecture was delivered by Professor Willi Kalender in 2004. His lecture was titled "Recent Developments in Volume CT Scanning".
Ng, KH; Wong, JHD
Informal discussion started in 1996 and the South East Asian Federation of Organizations for Medical Physics (SEAFOMP) was officially accepted as a regional chapter of the IOMP at the Chicago World Congress in 2000 with five member countries, namely Indonesia, Malaysia, Philippines, Singapore and Thailand. Professor Kwan-Hoong Ng served as the founding president until 2006. Brunei (2002) and Vietnam (2005) joined subsequently. We are very grateful to the founding members of SEAFOMP: Anchali Krisanachinda, Kwan-Hoong Ng, Agnette Peralta, Ratana Pirabul, Djarwani S Soejoko and Toh-Jui Wong. The objectives of SEAFOMP are to promote (i) co-operation and communication between medical physics organizations in the region; (ii) medical physics and related activities in the region; (iii) the advancement in status and standard of practice of the medical physics profession; (iv) to organize and/or sponsor international and regional conferences, meetings or courses; (v) to collaborate or affiliate with other scientific organizations. SEAFOMP has been organizing a series of congresses to promote scientific exchange and mutual support. The South East Asian Congress of Medical Physics (SEACOMP) series was held respectively in Kuala Lumpur (2001), Bangkok (2003), Kuala Lumpur (2004) and Jakarta (2006). The respective congress themes indicated the emphasis and status of development. The number of participants (countries in parentheses) was encouraging: 110 (17), 150 (16), 220 (23) and 126 (7). In honour of the late Professor John Cameron, an eponymous lecture was established. The inaugural John Cameron Lecture was delivered by Professor Willi Kalender in 2004. His lecture was titled “Recent Developments in Volume CT Scanning”. PMID:21614324
George, Daniel R; Rovniak, Liza S; Kraschnewski, Jennifer L; Morrison, Kathy J; Dillon, Judith F; Bates, Beth Y
The number of medical center-based farmers markets has increased in the past decade, but little is known about how such organizations contribute to the preventive health goals of the patient-centered medical home. In 2010, we started a seasonal farmers market at Penn State Hershey Medical Center to help support the institution's commitment to the medical home. We obtained descriptive data on the farmers market from hospital and market records and tracking information on the market's Facebook and Twitter sites. We computed summary measures to characterize how the market has begun to meet the 6 standards of the 2011 National Committee for Quality Assurance's report on the medical home. During the 2010 and 2011 seasons, 146 medical center volunteers from 40 departments formed 23 interprofessional teams that spent an average of 551 volunteer hours per season at the market, providing health screenings (n = 695) and speaking to customers (n = 636) about preventive health. Fifty-five nonmedical community health partners provided 208 hours of service at the market alongside medical center staff. Market programming contributed to 5 regional preventive health partnerships and created opportunities for interprofessional mentoring, student leadership, data management, development of social media skills, and grant-writing experience. The market contributed to all 6 medical home standards outlined by the National Committee for Quality Assurance. Medical center markets can support medical home standards. With systematic tracking of the health effects and integration with electronic medical health records, markets hold potential to contribute to comprehensive patient-centered care.
However, there are various other role-players (e.g., volunteers, journalists, spectators) that contribute to the success of such a mega-sport event. The purpose of this research was to study the ... The data were analysed by means of the Duquesne Phenomenological Research Method (DPRM). The findings indicated that ...
Kerr, Debra; Lu, Sai; Mill, Douglas; McKinlay, Louise
This study examined the opinions of nurses about the introduction of enrolled nurse medication administration and analyzed its impact on the medication error rate. Data were collected using a survey and examination of incident reports regarding nursing medication errors. Nurses (registered nurse, enrolled nurse with medication endorsement, enrolled nurse) responded to survey items regarding the introduction of enrolled nurse medication administration. Data analysis included descriptive statistics, Fischer's exact test, and chi-square analysis where appropriate. The majority of nurses (75.2%) supported enrolled nurse medication administration. However, differences in opinion were observed between registered nurse (RN) and enrolled nurse with medication endorsement (ENME) regarding clear understanding of responsibility and accountability (RN: 47.2% vs. ENME: 77.8%; p =.033), and whether suitable education was provided (RN: 34.7% vs. ENME: 73.7%; p =.012). Moreover, less than one-third of RNs agreed that the assessment process for EN medication endorsement clearly identified the competence of the ENME to administer medications. Nonetheless, nursing medication errors did not increase in the 12-month period after the introduction of enrolled nurse medication administration (pre: 314, post: 302). The findings of this study suggest areas that should be addressed in the future, including assessment of competence and focused education about accountability and responsibility. © 2012 Wiley Periodicals, Inc.
Torre, Dario; Daley, Barbara J; Picho, Katherine; Durning, Steven J
Group concept mapping may be used as a learning strategy that can potentially foster collaborative learning and assist instructors to assess the development of knowledge organization in medical students. Group concept maps were created by 39 medical students rotating through a fourth year medicine rotation. The group maps were developed based on a clinical vignette. Descriptive statistics and thematic analysis of students' evaluations were performed. Evaluations indicated that students enjoyed the collaborative nature of the exercise and the knowledge sharing activities associated with it. Group maps can demonstrate different knowledge organization Discussion: Group concept mapping can be used to explore students' organization and integration of knowledge structures in a collaborative setting. Additional research should focus on how group mapping and learning progresses over time and, whether group mapping can help identify curricular strengths and needs.
Todaro, Gerald J.
Only six states have enacted qualified immunity statutes protecting volunteer team physicians from civil liability. A few states have expanded their Good Samaritan laws to include physicians rendering energency care at athletic events. Precautions for medical personnel to take before volunteering their time at school athletic events are suggested.…
Antoni Sánchez Carcelén
Full Text Available This study focuses on the formation of the Royalist Volunteers (1823-1826 units after Ferdinand VII’s second restoration in the city of Lerida. It analyses the establishment of the Committee for the Promotion of the Lerida Royalist Volunteers intended to obtain the necessary equipment and weaponry. It also examines the oath of the flag by the Royalist Volunteers on the basis of Priest Manuel Costa’s sermon, the first officers appointed by the municipal corporation –all of them members of the local oligarchy–, the establishment of a Royalist Volunteers Deputy-Inspection, the new officers and, finally, the social and professional background of those enlisted immediately after the 1826 regulations were published. | Este estudio se centra en la formación de los cuerpos de Voluntarios Realistas (1823-1826 tras la segunda restauración en el trono de Fernando VII en la ciudad de Lérida. El texto analiza el establecimiento de la Junta de Fomento de los Voluntarios Realistas de Lérida para poder así adquirir el equipamiento y armamento necesario; el juramento de la bandera por parte de los Voluntarios Realistas a partir del sermón pronunciado por el eclesiástico Manuel Costa; los primeros oficiales designados por la corporación municipal –pertenecientes a la oligarquía local–; la instauración de la Subinspección de Voluntarios Realistas; los nuevos oficiales; y, finalmente, la composición socio-profesional de los primeros alistados una vez publicado el reglamento de 1826.
Ruiz-Razura, A; Cronin, E D; Navarro, C E
The authors present their experience with 15 years of organizing cleft lip and palate surgical volunteer missions in Latin America. The history, basic principles, and objectives of Operation San Jose, a volunteer goodwill program from Christus St. Joseph Hospital in Houston, Texas, are covered. This report addresses the different problems encountered and solutions found. Following the principles set by Operation San Jose, CIRPLAST is a Peruvian foundation for plastic surgery that travels to remote areas in Peru, operating on patients with cleft lip and palate deformities. This report highlights the importance of working with local plastic surgeons and their residents, and emphasizes that the program should be organized by and the operations performed by accredited plastic surgeons and with the auspices and support of the national plastic surgery society and the local medical board. Operation San Jose promotes the creation of long-term benefits by offering a program to teach local surgeons cleft lip and palate repair techniques and to set up guidelines to organize local surgeons so that they can continue this effort by treating their own patients in their own countries.
Duncan, J. M.; Bogomolov, V. V.; Castrucci, F.; Koike, Y.; Comtois, J. M.; Sargsyan, A. E.
The goal of this work is to review the principles, design, and function of the ISS multilateral medical authority and the medical support system of the ISS Program. Multilateral boards and panels provide operational framework, direct, and supervise the ISS joint medical operational activities. The Integrated Medical Group (IMG) provides front-line medical support of the crews. Results of ongoing activities are reviewed weekly by physician managers. A broader status review is conducted monthly to project the state of crew health and medical support for the following month. All boards, panels, and groups function effectively and without interruptions. Consensus prevails as the primary nature of decisions made by all ISS medical groups, including the ISS medical certification board. The sustained efforts of all partners have resulted in favorable medical outcomes of the initial fourteen long-duration expeditions. The medical support system appears to be mature and ready for further expansion of the roles of all Partners, and for the anticipated increase in the size of ISS crews.
The delivery of health care in poorer countries is reliant on international aid organizations. This article will focus on international aid and medical practice in the developing world. It will review the general issues, practices, and problems with international aid in the medical arena and will then focus on international aid, kidney detection, and prevention programs. The article will analyze some of the existing and successful organizations and their initiatives. The first part of this article will analyze such aspects as: the access of existing resources and available aid projects; the establishment of contact with international aid projects; the access of funds for the development of the project and, once it is established, the management of those funds; the planning of projects; and the role of research in international aid and medical practice both as a means of accessing resources and of managing the project. The second part of the article will look more specifically at issues in nephrology and international aid. The focus will be on current programs in nephrology and the critical appraisal of some existing programs. The last part will focus specifically on practical tasks which are needed when accessing international aid for medical projects. It will draw on the experiences of various programs and then outline suggested phases one should consider when establishing aid projects in order to best implement them. Kidney groups with intentions to deliver prevention and management strategies to developing countries need to learn from the experiences of existing international aid organizations and chronic kidney disease programs.
Volunteered geographic information (VGI) refers to the geographic subset of online user-generated content. Through Geobrowsers and online mapping services, which use geovisualization and Web technologies to share and produce VGI, a global digital commons of geographic information has emerged. A notable example is Wikipedia, an online collaborative…
Joesten, Melvin D.; Tellinghuisen, Patricia C.
Introduces a program that brings inquiry-based, hands-on activities to middle school science students through the participation of volunteer college students. Explains fall and spring activities for 5th and 6th grade students. (Contains 16 references.) (YDS)
Hamilton, Mary Jane
Described is an art appreciation program made possible through the use of parent volunteers. The collection includes 70 laminated prints and biographical packets, and boxes of artifacts and props which make the prints come alive for 400 elementary school children. (Author/KC) Student Teacher Relationship; *Summer Programs; Talent;
Full Text Available Purpose: to investigate the level of communicative competence of sport volunteers. Material & Methods: students of Kharkov state academy of physical culture (2–4 courses who are engaged in sports volunteering. The theoretic-methodological analysis of problem is carried out; the technique "Need for communication and achievements", "Self-checking assessment in communication", "Machiavellianism level" is used for studying of indicators of self-assessment. Results: the high level of communicative competence on three indicators is revealed at sport volunteers: need for communication (60,71%, communicative control (57%, Machiavellianism (91% that gives them the chance to come into contacts with people around quickly, to correlate the reactions to behavior of surrounding people and to operate the emotions, at the same time they are inclined to manipulations and demonstration of the strengths at communication with people. Conclusions: the purposeful psychology and pedagogical preparation, which program has to include the communicative block and the block of personal development, is necessary for sport volunteers.
Full Text Available Stroke and cerebral infarction in particularly are important medical and social problems. The article describes the historical changes of legal acts regulating medical care for patients with stroke and observes recent researches dealing with the law enforcement in this sphere. Content analysis revealed the lack of correspondence between the legal framework and clinical guidelines for cerebral infarction. Particular attention is paid to the low level of scientific research results concerned with the stroke outpatient medical care.
Nazarov, V Iu
The paper describes the life and professional work of I.V. Bertenson, MD, the first medical inspector of the Sankt-Peterburg guberniya (region), distinguished forensic medical examiner, surgeon, hygienist, historian of medicine and organizer of health services in this country. The versatile activities of I.V. Bertenson are exemplified by his work as the editor of the journal "Arkhiv sudebnoy meditsiny and obshchestvennoy gigieny (Archive of Forensic Medicine and Public Hygiene)", and the chairman of the 5th Pirogov Congress. The materials for the paper were borrowed from the Sankt-Peterburg Central State Archive and pre-revolutionary press publications.
Chávez, José A; Suárez, Lázaro V; Del Rosario, Odalis; Hechavarría, Suiberto; Quiñones, Judith
The shortage of health professionals in developing countries and especially in their poorest regions imperils the vision of health for all. New training policies and strategies are needed urgently to address these shortages. The Gambia's new Community-Based Medical Programme is one such strategy. KEYWORDS Medical education, access to health care, healthcare disparities, health manpower, rural health, developing countries, The Gambia.
Jansen, N.E.; Leiden, H.A. van; Haase-Kromwijk, B.J.; Hoitsma, A.J.
BACKGROUND: The Netherlands has a low number of deceased organ donors per million population. As long as there is a shortage of suitable organs, the need to evaluate the donor potential is crucial. Only in this way can bottlenecks in the organ donation process be detected and measures subsequently
Arantes, Mavilde; Barbosa, Joselina; Ferreira, Maria Amélia
On the subject of curriculum reform, most European medical schools are moving away from an educational approach consisting of discipline-based courses to an integrated curriculum. The aim of this study was to compare, in the Faculty of Medicine of the University of Porto, Portugal, the teaching of neuroanatomy in a medical curriculum organized by disciplines and in an integrated medical curriculum. Two hundred sixty one students who completed the Curricular Unit with a discipline-based approach (Neuroanatomy) and 202 students who completed it with an integrated approach (Morphophysiology of the Nervous System) were asked to complete a questionnaire on their perceptions about the Curricular Unit. Our study showed that students of the Curricular Unit with a discipline-based approach had higher grades and evaluated it higher than students who followed the integrated approach. However, it also showed that students' grades had a significant effect on the evaluation of the curricular unit, with students with higher grades evaluating higher than students with lower grades. Besides, the majority of the students of the Curricular Unit with an integrated approach appreciated this curriculum model and highlighted as a positive point the successful integration of contents covered in the three components of the curricular unit. The curriculum reform led to the integration of neuroanatomy with other disciplines and resulted in a reduction of the teaching hours, a redefinition of the syllabus contents and the students' learning objectives, the introduction of new educational methods and changes in the evaluation system. Our study could not prove conclusively the supremacy of one pedagogic approach to neuroanatomy over the other. Future initiatives to explore different pedagogical models in medical education are needed and should be of major concern to the medical faculty.
Pillemer, Karl; Fuller-Rowell, Thomas E.; Reid, M. C.; Wells, Nancy M.
Purpose: This study tested the hypothesis that volunteering in environmental organizations in midlife is associated with greater physical activity and improved mental and physical health over a 20-year period. Design and Methods: The study used data from two waves (1974 and 1994) of the Alameda County Study, a longitudinal study of health and…
Volunteer work, membership of voluntary associations, philanthropy and donation of blood and organs are studied by scholars from a wide range of disciplines. Sociologists and economists assume that good intentions are universal, but that some people have a stock of human and social capital that
Bekkers, René Henricus Franciscus Petrus
Dissertation of the University of Utrecht Volunteer work, membership of voluntary associations, philanthropy and donation of blood and organs are studied by scholars from a wide range of disciplines. Sociologists and economists assume that good intentions are universal, but that some people have a
Wang, Ji-Wei; Wei, Chang-Nian; Harada, Koichi; Minamoto, Keiko; Ueda, Kimiyo; Cui, Hong-Wei; Zhang, Cheng-Gang; Cui, Zhi-Ting; Ueda, Atsushi
When predicting volunteer intention, much attention is paid to the volunteer organization environment (VOE). Given that self-efficacy and motivation have emerged as important predictors of volunteer intention, we adopted a combination of ideas of Bandura's social cognitive theory and Ajzen's theory of planned behavior integrating VOE, self-efficacy and motivation to examine their effects on volunteer intention and to determine whether self-efficacy and motivation mediate the relationship between VOE and volunteer intention. The subjects of this study consisted of 198 community health volunteers in Shanghai city, China. Exploratory factor analysis was performed to identify the factor structure using standard principal component analysis. Six new factors were revealed, including two VOE factors, relation with organization and support from government; two motivation factors, personal attitude and social recognition; self-efficacy and volunteer intention. The results of a hierarchical regression analysis indicated that relation with organization accounted for 14.8% of the variance in volunteer intention, and support from government failed to add significantly to variance in volunteer intention; self-efficacy and personal attitude motivation partially mediated the effects of relation with organization on volunteer intention; social recognition motivation did not mediate the relationship between relation with organization and volunteer intention; and relation with organization, self-efficacy and personal attitude motivation accounted for 33.7% of the variance in volunteer intention. These results provide support for self-efficacy and personal attitude motivation as mediators and provide preliminary insight into the potential mechanisms for predicting volunteer intention and improving volunteering by integrating VOE, self-efficacy and motivation factors.
Floyd, Barbara O'Malley
Midwives for Haiti is an organization that focuses on the education and training of skilled birth attendants in Haiti, a country with a high rate of maternal and infant mortality and where only 26% of births are attended by skilled health workers. Following the 2010 earthquake, Midwives for Haiti received requests to expand services and numerous professional midwives answered the call to volunteer. This author was one of those volunteers. The purpose of the study was: 1) to develop a description of the program's strengths and its deficits in order to determine if there was a need to improve the preparation of volunteers prior to service and 2) to make recommendations aimed at strengthening the volunteers' contributions to the education of Haiti and auxiliary midwives. Three distinct but closely related questionnaires were developed to survey Haitian students, staff midwives, and volunteers who served with Midwives for Haiti. Questions were designed to elicit information about how well the volunteers were prepared for their experience, the effectiveness of translation services, and suggestions for improving the preparation of volunteers and strengthening the education program. Analysis of the surveys of volunteers, staff, midwives, and the Haitian students generated several common themes. The 3 groups agreed that the volunteers made an effective contribution to the program of education and that the volunteer midwives need more preparation prior to serving in Haiti. The 3 groups also agreed on the need for better translators and recommended more structure to the education program. The results of this study are significant to international health care organizations that use volunteer health care professionals to provide services. The results support a growing body of knowledge that international health aid organizations may use to strengthen the preparation, support, and effectiveness of volunteer health providers.
De Korvin, G; Delarque, A
The European Community is based on a series of treaties and legal decisions, which result from preliminary documents prepared long before by different organizations and lobbies. The European union of medical specialists (Union européenne des médecins specialists [UEMS]) came into being in order to address the questions raised by European directives (e.g., free circulation of people and services, reciprocal recognition of diplomas, medical training, quality improvements). The specialty sections of the UEMS contribute actively to this work. The physical and rehabilitation medicine (PRM) section is composed of three committees: the PRM board is devoted to initial and continuing education and has published a harmonized teaching programme and organized a certification procedure, which can be considered as a European seal of quality; the Clinical Affairs Committee is concerned with the quality of PRM care, and it has set up a European accreditation system for PRM programs of care, which will help to describe PRM clinical activity more concretely; and the Professional Practice Committee works on the fields of competence in our specialty. This third committee has already published a White Book, and further documents are being prepared, based on both the International classification of functioning, disability and health (ICF) and reference texts developed by the French Federation of PRM.
Full Text Available The aim of this paper is to present engaged anthropology and its methodological tools with a specific perspective of the research field and the position of the researcher with regard to research subjects. The study focuses on corporate volunteering as one of the forms of collaboration between the non-profit and the private sectors seeking solutions to social problems and community development. Volunteering projects contribute to the interlinking of the knowledge, skills, experience and resources of corporate employees and the representatives of the non-profit or the public sector. It is a part of the philanthropic strategy of companies which are willing to present themselves as entities responsible towards the environment in which they run their business, and towards their employees, partners and customers. Engaged anthropology can bring, through its methodological tools, a new perspective of corporate volunteering. Community-based participatory research on the process of knowledge creation includes all partners on an equal basis and identifies their unique contribution to problem solution and community development.
Peace Corps, Washington, DC. Information Collection and Exchange Div.
This book is designed to help Peace Corps Volunteers figure out how they learn best and how they can capitalize on this to learn a new language. It teaches volunteers to identify and reflect on their learning style, attitudes, and motivation; organize their learning; and experiment with various strategies and tools for learning a language on their…
Wilson, Laura; Steele, Jack; Thompson, Estina; D'heron, Cathy
The Leadership Institute for Active Aging, an approach to recruiting and retaining volunteers over 50, provides training focused on community resources, aging, self-worth, and volunteering and internships in community-based organizations involving health and social services. Exit interviews and program evaluations affirmed that the leadership…
... national challenges. We are also investing in social innovation and volunteer management to give community... ordinary citizens who lifted up struggling communities. All were volunteers, and their work changed our... natural disaster, volunteers are touching lives every day. Social entrepreneurs are pioneering innovative...
Volunteerism is increasing today and helps to fill in the gaps created by funding and staff cutbacks in service-oriented agencies. It is critical not only to recruit new volunteers but to retain volunteers. This study examines hospice volunteers for motivation and rewards. Previous studies have found motivations to include altruism and…
Full Text Available The study aimed to create an organizational model of medical rehabilitation of patients with Parkinson's disease (PD. Material and methods. In medical institutions of Closed Administrative-Territorial Units of Russia (Seversk, Za-rechniy, Ozersk, Lesnoy, Sarov and Zheleznogorsk in clinical and diagnostic rooms for providing care to patients with movement disorders there was created an organizational model of medical rehabilitation. Results. The organizational model of medical rehabilitation allowed to cover 100% of all PD patients. The main phases in the model were diagnosis and follow up care on the base of specialized clinical and diagnostic room, creating and performance of individual rehabilitation program with recreation therapist, educational sessions for patients and their relatives, evaluation effectiveness of rehabilitation measures, condition monitoring, assessment of antiparkinsonian therapy. Effectiveness of the rehabilitation in inpatient and outpatient settings was comparable. Conclusion. Creation and implementation of the organizational model of medical rehabilitation was possible only in specialized clinical and diagnostic rooms for diagnosis and treatment of movement disorders. There were introduction of the phasing and basic directions rehabilitation program for PD patients have been worked.
Simon, Steven L
While radiation absorbed dose (Gy) to the skin or other organs is sometimes estimated for patients from diagnostic radiologic examinations or therapeutic procedures, rarely is occupationally-received radiation absorbed dose to individual organs/tissues estimated for medical personnel; e.g., radiologic technologists or radiologists. Generally, for medical personnel, equivalent or effective radiation doses are estimated for compliance purposes. In the very few cases when organ doses to medical personnel are reconstructed, the data is usually for the purpose of epidemiologic studies; e.g., a study of historical doses and risks to a cohort of about 110,000 radiologic technologists presently underway at the U.S. National Cancer Institute. While ICRP and ICRU have published organ-specific external dose conversion coefficients (DCCs) (i.e., absorbed dose to organs and tissues per unit air kerma and dose equivalent per unit air kerma), those factors have been published primarily for mono-energetic photons at selected energies. This presents two related problems for historical dose reconstruction, both of which are addressed here. It is necessary to derive conversion factor values for (1) continuous distributions of energy typical of diagnostic medical x-rays (bremsstrahlung radiation), and (2) energies of particular radioisotopes used in medical procedures, neither of which are presented in published tables. For derivation of DCCs for bremsstrahlung radiation, combinations of x-ray tube potentials and filtrations were derived for different time periods based on a review of relevant literature. Three peak tube potentials (70 kV, 80 kV, and 90 kV) with four different amounts of beam filtration were determined to be applicable for historic dose reconstruction. The probabilities of these machine settings were assigned to each of the four time periods (earlier than 1949, 1949-1954, 1955-1968, and after 1968). Continuous functions were fit to each set of discrete values of the
Brown, Sam P; West, Stuart A; Diggle, Stephen P; Griffin, Ashleigh S
Medical science is typically pitted against the evolutionary forces acting upon infective populations of bacteria. As an alternative strategy, we could exploit our growing understanding of population dynamics of social traits in bacteria to help treat bacterial disease. In particular, population dynamics of social traits could be exploited to introduce less virulent strains of bacteria, or medically beneficial alleles into infective populations. We discuss how bacterial strains adopting different social strategies can invade a population of cooperative wild-type, considering public good cheats, cheats carrying medically beneficial alleles (Trojan horses) and cheats carrying allelopathic traits (anti-competitor chemical bacteriocins or temperate bacteriophage viruses). We suggest that exploitation of the ability of cheats to invade cooperative, wild-type populations is a potential new strategy for treating bacterial disease.
Shinozawa, Tadahiro; Yoshikawa, Hiroshi Y; Takebe, Takanori
The self-organizing tissue-based approach coupled with induced pluripotent stem (iPS) cell technology is evolving as a promising field for designing organoids in culture and is expected to achieve valuable practical outcomes in regenerative medicine and drug development. Organoids show properties of functional organs and represent an alternative to cell models in conventional two-dimensional differentiation platforms; moreover, organoids can be used to investigate mechanisms of development and disease, drug discovery and toxicity assessment. Towards a more complex and advanced organoid model, it is essential to incorporate multiple cell lineages including developing vessels. Using a self-condensation method, we recently demonstrated self-organizing "organ buds" of diverse systems together with human mesenchymal and endothelial progenitors, proposing a new reverse engineering method to generate a more complex organoid structure. In this section, we review characters of organ bud technology based on two important principles: self-condensation and self-organization focusing on liver bud as an example, and discuss their practicality in regenerative medicine and potential as research tools for developmental biology and drug discovery. Copyright Â© 2016. Published by Elsevier Inc.
Chernikov, O G; Chernyĭ, V S; Mishin, Iu A; Soshkin, P A; Fisun, A V
The medical support of allied convoys during the Great Patriotic War had a number of features. The Intensity of power of the fighting, the meteorological conditions, the composition of convoy's forces, the kind of enemy's weapon - had a significant impact on the structure of losses in personnel. The main type of medical care on the ships of 2-3rd rank was predoctor care. On the large and small antisubmarine ships and torpedo boats - it was first aid. The factor which has been affecting the amount of assistance - was a one-time inflow of a significant number of victims. Medical-evacuation provision of the convoys was carried out by the ships medical service without the use of amplification and sanitary ships. The most part of the wounded were taken to the coastal fleet hospitals later than 12 hours after the wound. The war experience has shown that in the distant convoys qualified surgical assistance may be provided in case of organizing it in this convoy and in case of using high-speed vehicles.
Rady, Mohamed Y; Verheijde, Joseph L
End-of-life organ donation is controversial in Islam. The controversy stems from: (1) scientifically flawed medical criteria of death determination; (2) invasive perimortem procedures for preserving transplantable organs; and (3) incomplete disclosure of information to consenting donors and families. Data from a survey of Muslims residing in Western countries have shown that the interpretation of religious scriptures and advice of faith leaders were major barriers to willingness for organ donation. Transplant advocates have proposed corrective interventions: (1) reinterpreting religious scriptures, (2) reeducating faith leaders, and (3) utilizing media campaigns to overcome religious barriers in Muslim communities. This proposal disregards the intensifying scientific, legal, and ethical controversies in Western societies about the medical criteria of death determination in donors. It would also violate the dignity and inviolability of human life which are pertinent values incorporated in the Islamic moral code. Reinterpreting religious scriptures to serve the utilitarian objectives of a controversial end-of-life practice, perceived to be socially desirable, transgresses the Islamic moral code. It may also have deleterious practical consequences, as donors can suffer harm before death. The negative normative consequences of utilitarian secular moral reasoning reset the Islamic moral code upholding the sanctity and dignity of human life.
End-of-life organ donation is controversial in Islam. The controversy stems from: (1) scientifically flawed medical criteria of death determination; (2) invasive perimortem procedures for preserving transplantable organs; and (3) incomplete disclosure of information to consenting donors and families. Data from a survey of Muslims residing in Western countries have shown that the interpretation of religious scriptures and advice of faith leaders were major barriers to willingness for organ donation. Transplant advocates have proposed corrective interventions: (1) reinterpreting religious scriptures, (2) reeducating faith leaders, and (3) utilizing media campaigns to overcome religious barriers in Muslim communities. This proposal disregards the intensifying scientific, legal, and ethical controversies in Western societies about the medical criteria of death determination in donors. It would also violate the dignity and inviolability of human life which are pertinent values incorporated in the Islamic moral code. Reinterpreting religious scriptures to serve the utilitarian objectives of a controversial end-of-life practice, perceived to be socially desirable, transgresses the Islamic moral code. It may also have deleterious practical consequences, as donors can suffer harm before death. The negative normative consequences of utilitarian secular moral reasoning reset the Islamic moral code upholding the sanctity and dignity of human life. PMID:24888748
Potts, Michael; Verheijde, Joseph L; Rady, Mohamed Y; Evans, David W
Recently, several articles in the scholarly literature on medical ethics proclaim the need for "responsible scholarship" in the debate over the proper criteria for death, in which "responsible scholarship" is defined in terms of support for current neurological criteria for death. In a recent article, James M. DuBois is concerned that academic critiques of current death criteria create unnecessary doubt about the moral acceptability of organ donation, which may affect the public's willingness to donate. Thus he calls for a closing of the debate on current death criteria and for journal editors to publish only critiques that "substantially engage and advance the debate." We argue that such positions as DuBois' are a threat to responsible scholarship in medical ethics, especially scholarship that opposes popular stances, because it erodes academic freedom and the necessity of debate on an issue that is literally a matter of life and death, no matter what side a person defends.
One may wonder why multiple endeavours conducted worldwide over the last five decades to reform health systems have not achieved their expected outcomes. In light of increasing fragmentation, the current health system must be substituted by a true systems vision along with political will to create a unity of action between the five main stakeholders, namely: policy-makers, health care service managers, professionals and professional associations, academic institutions including medical schools, and civil society. Such synergy can only be established if the partners share the same commitment to core values such as quality, equity, relevance and cost-effectiveness in the health care field. Through its functions of providing education, training, research, and services, the medical school has the potential to induce reflection and stimulate action leading to a more coherent, effective, and equitable health system and policies.
Collison, Michele N-K.
As campus student volunteer activities have grown, colleges have acknowledged the need for better organization by hiring recent graduates to coordinate them. The young deans have proven to be both enthusiastic and effective at this task. (MSE)
Rose, Lynn M; Everts, Maaike; Heller, Caren; Burke, Christine; Hafer, Nathaniel; Steele, Scott
To bring the benefits of science more quickly to patient care, the NIH National Center Advancing Translational Sciences (NCATS) supports programs that enhance the development, testing, and implementation of new medical products and procedures. The NCATS clinical and translational science award (CTSA) program is central to that mission; creating an academic home for clinical and translational science and supporting those involved in the discovery and development of new health-related inventions. The technology transfer Offices (TTO) of CTSA-funded universities can be important partners in the development process; facilitating the transfer of medical research to the commercial sector for further development and ultimately, distribution to patients. The Aggregating Intellectual Property (IP) Working Group (AWG) of the CTSA public private partnerships key function committee (PPP-KFC) developed a survey to explore how CTSA-funded institutions currently interface with their respective TTOs to support medical product development. The results suggest a range of relationships across institutions; approximately half have formal collaborative programs, but only a few have well-connected programs. Models of collaborations are described and provided as examples of successful CTSA/TTO partnerships that have increased the value of health-related inventions as measured by follow-on funding and industry involvement; either as a consulting partner or licensee. © 2014 Wiley Periodicals, Inc.
Bliss, Joseph M.; Reid, Christopher W.
Efforts to provide active research context to introductory courses in basic sciences are likely to better engage learners and provide a framework for relevant concepts. A simple teaching and learning experiment was conducted to use concepts in organic chemistry to solve problems in the life sciences. Bryant University is a liberal arts university…
2000), and the use of too many measures (Anonymous, 2000). But even when this minefield of failure is navigated successfully, Grint (1997) warns...for healthcare organizations. Journal of Healthcare Management, 45(1), 17-30. Grint , K. (1997). TQM, BPR, JIT, BSCS and TLAS: managerial waves or
Weisbord, M R
An exasperated corporation executive recently summed up what was, to him, the paramount problem of any business: It's full of people. Organization Development, born in industry, has done much good in that setting, but it often multiples the problems of a health care system rather than solving them. Here are some of the reasons--many of them people.
Jones, D G
Monte Carlo techniques were used to calculate the mean doses received by 20 organs during diagnostic X-ray examinations. Results are presented for 22 commonly used radiographic views and for 45 combinations of tube voltage and filtration ranging from 50 to 140 kVp and 1.5 to 4 mm of aluminium, respectively.
Naveh, Eitan; Katz-Navon, Tal
To avoid errors and improve patient safety and quality of care, health care organizations need to identify the sources of failures and facilitate implementation of corrective actions. Hence, health care organizations try to collect reports and data about errors by investing enormous resources in reporting systems. However, despite health care organizations' declared goal of increasing the voluntary reporting of errors and although the Patient Safety and Quality Improvement Act of 2005 (S.544, Public Law 109-41) legalizes efforts to secure reporters from specific liabilities, the problem of underreporting of adverse events by staff members remains. The purpose of the paper is to develop a theory-based model and a set of propositions to understand the antecedents of staff members' willingness to report errors based on a literature synthesis. The model aims to explore a complex system of considerations employees use when deciding whether to report their errors or be silent about them. The model integrates the influences of three types of organizational climates (psychological safety, psychological contracts, and safety climate) and individual perceptions of the applicability of the organization's procedures and proposes their mutual influence on willingness to report errors and, as a consequence, patient safety. The model suggests that managers should try to control and influence both the way employees perceive procedure applicability and organizational context-i.e., psychological safety, no-blame contracts, and safety climate-to increase reporting and improve patient safety.
Okun, Morris A; O'Rourke, Holly P; Keller, Brian; Johnson, Kathryn A; Enders, Craig
This study investigates the interplay among religiosity, spirituality, value-expressive volunteer motivation, and volunteering. We examined religiosity and spirituality as predictors of value-expressive volunteer motivation and volunteering and whether religiosity moderated the relations between (a) spirituality and value-expressive volunteer motivation and (b) value-expressive volunteer motivation and volunteering. After applying multiple imputation procedures to data from the Wisconsin Longitudinal Study among participants 64-67 years old who survived beyond 2004 (N = 8,148), we carried out regression analyses to predict value-expressive volunteer motivation and volunteering from religiosity and spirituality controlling for demographic variables, physical, emotional, and cognitive health, health risk behaviors, and personality traits. Both religiosity and spirituality were significant (p motivation. Value-expressive volunteer motivation and religiosity were significant (p motivation and volunteering (p motivation (p > .45). Religiosity may provide the way, and value-expressive volunteer motivation the will, to volunteer. The implications of our findings for the forecasted shortage of older volunteers are discussed. © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: firstname.lastname@example.org.
The comparative analysis of oncological morbidity and mortality of population residing in Navoi region of Republic of Uzbekistan was carried out. The target was the area of placement of Navoi mining and smelting complex specialited in uranium production. It is established that the propagation of malignant neoplasms in this group of population is four times higher than in population residing in the rest of territory of Navoi region. The target comprehensive program of fight against cancer was developed to improve functioning of the oncological service of medical sanitary department of the mining and smelting complex.
Mullen, P D; Leifer, B H
To develop strong health education programs, health educators working in complex medical care organizations must often secure professional cooperation across disciplines, coordination of services, and orientation of policies, procedures, and personnel toward patient preferences and needs. Frequently, they undertake these tasks against the tide, within a problematic organizational structure. The present case study illustrates the difficulties posed by introducing change in medical care organizations in the context of an education program to acquaint employees of a large HMO with a consumer bill of rights mandated by the consumer Board of Trustees. The underlying assumption was that in a bureaucratic institution, an employee-centered and modest system reform strategy would be effective in bringing about client-centered outcomes-in this case, increased recognition of client rights. The case analysis and results of a post-intervention, cross-sectional survey suggest that in units where a threshold level of participation was reached, there were improvements in knowledge about the Bill and employee attitudes. The program was less successful with hospital nurses whose feelings about physicians were not taken into account fully, and with physicians whose relative lack of integration into the policy and managerial domains made them harder to reach.
Dittus, Martin Sebastian
Organisers of large crowdsourcing initiatives need to consider how to produce outcomes, but also how to build volunteer capacity. Central concerns include the impact of the first-time contributor experience, and the interplay of different modes of participation in larger organisations that host multiple strands of activity. How can volunteer capacity be built proactively, so that trained volunteers are available when needed? How important are opportunities for social encounter, either online ...
Janum, Susanne; Nielsen, Signe Tellerup; Werner, Mads U
We aimed to study the relationship between pain perception and cytokine release during systemic inflammation. We present a randomized crossover trial in healthy volunteers (n = 17) in 37 individual trials. Systemic inflammation was induced by an i.v. bolus of Escherichia coli LPS (2 ng/kg) on two...... separate trial days, with or without a nicotine patch applied 10 h previously. Pain perception at baseline, and 2 and 6 h after LPS was assessed by pressure algometry and tonic heat stimulation at an increasing temperature (45-48℃) during both trials. Compared with baseline, pain pressure threshold...... was reduced 2 and 6 h after LPS, while heat pain perception was accentuated at all testing temperatures after 2 but not 6 h. The magnitude of changes in pain perception did not correlate to cytokine release. No effect of transdermal nicotine or training status was observed. In conclusion, LPS administration...
Full Text Available The hosting of the London 2012 Olympic Games was seen as an opportunity to harness the enthusiasm of the 70,000 volunteers involved and to provide a post-event volunteer legacy. A total of 77 individuals who had acted as volunteers in London 2012 were contacted approximately four years after the Games and agreed to complete a web-based open-ended survey. The participants were asked to indicate their level of current volunteering engagement and whether volunteering at the Games had an impact on their current volunteering levels. The study found that the London Olympics were the first volunteer experience for most of the volunteers who completed the survey, with the main motivation to volunteer being anything related to the Olympic Games. Just over half of the respondents are currently volunteering. Lack of time is shown to be the main barrier towards further volunteering commitment. Only half of respondents had been contacted by a volunteering scheme after London 2012. The implications of the findings for a potential volunteering legacy are then explored.
Amit Chandra; Shauna Conry
Introduction: Research and data regarding in-flight medical emergencies during commercial air travel are lacking. Although volunteer medical professionals are often called upon to assist, there are no guidelines or best practices to guide their actions. This paper reviews the literature quantifying and categorizing in-flight medical incidents, discusses the unique challenges posed by the in-flight environment, evaluates the legal aspects of volunteering to provide care, and suggests an approa...
Jerez Vergueria, Sergio F. [Instituto de Medicina del Trabajo, La Habana (Cuba); Jerez Vergueria, Pablo F. [Centro Nacional de Seguridad Nuclear, La Habana (Cuba)
The possible occurrence of accidents involving sources of ionizing radiation demands response plans to mitigate the consequences of radiological accidents. This paper offers orientations in order to elaborate emergency planning for institutions with medical applications of ionizing radiation. Taking into account that the prevention of accidents is of prime importance in dealing with radioactive materials and others sources of ionizing radiation, such as X-rays, it is recommended that one include in emergency instructions and procedures several aspects relative to causes which originate these radiological events. Topics such as identification of radiological events in these practices and their consequences, protective measures, planning for and emergency response and maintenance of emergency capacity, are considered in this article. (author) 16 refs., 1 tab.; e-mail: sfjerez at rdc.puc-rio.br
Sunger, Kanchan; Powley, William; Kelsall, Angela; Sumner, Helen; Murdoch, Robert; Smith, Jaclyn A
Cough is one of the commonest reasons for medical consultation and acute cough associated with upper respiratory tract infections (URTIs) is a global problem. In otherwise healthy volunteers complaining of cough associated with symptoms of URTI, we aimed to assess objective and subjective measures of cough and their repeatability and perform power calculations for the design of future studies to test therapies. We studied 54 otherwise healthy volunteers with acute cough (effectiveness of novel anti-tussives.
Full Text Available Programmes targeting student volunteering and service learning are part of encouraging civic behaviour amongst young people. This article reports on a large scale international survey comparing volunteering amongst tertiary students at universities in Australia, Canada, New Zealand, the United Kingdom, and the United States of America. The data revealed high rates of student volunteering and the popularity of occasional or episodic volunteering. There were strong commonalities in student volunteering behaviour, motivations and benefits across the five Western predominately English-speaking countries. Altruism and self-orientated career motivations and benefits were most important to students; however volunteering and non-volunteering students differed in the relative value they attached to volunteering for CV-enhancement and social factors.
Full Text Available Academic conferences operate under a range of models from nearly all volunteer to a mix of volunteer and professional event management. This paper compares the event management practices of five conferences: The Organizational Behavior Teaching Conference (OBTC, The Western Academy of Management (WAM, The North American Case Research Association (NACRA, The Academy of Management (AOM, and The Institute of Behavioral and Applied Management (IBAM The analysis will examine the mix of volunteer and professional management used to organize and operate the annual meeting of each organization separate from the program content; such as reserving the hotel, ordering meals, and offering special group events. Along a continuum, OBTC uses the least professional event management and IBAM uses the most. The other organizations fall somewhere in between. Professional event managers who organize conferences on a repeated basis have a distinct advantage over volunteers who change jobs every year, thereby losing large amounts of experiential learning. The all-volunteer organizations justify their choice of amateur event managers on the basis of lower up-front cost and "preserving our culture," but neglect to account for the wide variations in performance, lack of accountability, and burnout that can come with use of volunteers.
Fliedner, TM; Chao, NJ; Bader, JL; Boettger, A; Case, C; Chute, J; Confer, DL; Ganser, A; Gorin, N-C; Gourmelon, P; Graessle, DH; Krawisz, R; Meineke, V; Niederwieser, D; Port, M; Powles, R; Sirohi, B; Weinstock, DM; Wiley, A; Coleman, CN
The concern of the public regarding terrorist actions involving nuclear emergencies resulted in the reopening of the discussion regarding the best ways to cope with the inevitable health impairments. Medical experts from the United States and from Europe considered it of importance to harmonize at an international level the diagnostic and therapeutic approaches regarding the radiation-induced health impairments. The present contribution is the result of the first US/European Consultation Workshop addressing approaches to radiation emergency preparedness and assistance, which was held recently at Ulm University, Ulm, Germany. Discussions dealt with the assessment of the extent of damage after total body exposure and, in particular, the quantity and quality of the damage to the hematopoietic stem cell (HSC) pool. Secondly, the pathogenesis of the multi-organ failure was considered because of the organ-to-organ interactions. Thirdly, approaches were considered to harmonize the “triage-methods” used on an international level using the “Response Category” approach as developed for the European Communities. These discussions lead to the conclusion that there is a strong need for continuing education of physicians, nurses and support personnel to address the issues posed by the management of patients suffering from radiation syndromes. Finally, the discussions expressed the need for more international cooperation in research and development of more refined methods to treat patients with any type of radiation syndromes. PMID:19418462
Empirical studies show that intrinsic motivations increase the volunteer labour supply. This paper studies how monetary rewards to volunteers affect their intrinsic motivations. Using a sample of Italian volunteers, allowing to distinguish the type of volunteer, the paper shows that monetary rewards (extrinsic motivations) influence positively the choice to donate voluntary hours, while a low intrinsic motivation seems to decrease hours per week. Moreover, monetary rewards increase the hours ...
Splinter, Mariëlle; Egli, Benjamin; Schlesinger, Torsten; Nagel, Siegfried
An increasing number of clubs experience difficulties in recruiting and retaining sufficient numbers of volunteers to manage and staff their clubs (Lamprecht, Fischer, & Stamm, 2012). In order to facilitate volunteer recruitment, sport clubs need a specific strategy to recruit and retain volunteers for both formal positions and ad hoc tasks. Therefore, the intervention “More Volunteers in Football Clubs” was designed and its impact was evaluated in detail. The question this evaluation researc...
Full Text Available Disability is part of human condition. Anyone can suffer at a certain point in life a temporary or permanent disability. Disability refers to difficulties found in any of the three areas of functioning and is the term for impairments, activity limitations, and participation restrictions, which refer to the negative aspects of the interaction between an individual (with a certain health condition and the contextual factors of that individual (personal factors – motivation, self-esteem, and environmental factors – products and technology, service systems, policies, relations with the others. The concept of disability is related to human rights because: people with disabilities are confronted with injustice when they are denied employment, education, political participation; they are subject to violence, abuse, prejudice, disrespect. Medical rehabilitation measures are aimed at functions and structures of the body, activities and social participation, environmental and personal factors. The results of rehabilitation are the benefits and changes in the functioning of an individual during the course of time, which can be attributed to a single measure or to a set of measures.
Moorfoot, Nicholas; Leung, Rachel K.; Toumbourou, John W.; Catalano, Richard F.
This study explores the longitudinal effect of adolescent volunteering behaviour on young adult volunteering and the completion of secondary school. Utilising data from the Australian sample of the International Youth Development Study, frequency of volunteering in Grade 9 (mean age = 15 years) and in young adulthood (mean age = 21 years), and…
Full Text Available Micro-volunteering has been defined as convenient, bite-sized, crowdsourced, and network-managed. Micro-volunteers donate their time and energy for organisations which they may not have previously encountered (crowd-sourced), at a time which...
Paull, Megan; Omari, Maryam; MacCallum, Judith; Young, Susan; Walker, Gabrielle; Holmes, Kirsten; Haski-Leventha, Debbie; Scott, Rowena
Purpose: The purpose of this paper is to demonstrate the importance of expectation formation and matching for university student volunteers and their hosts. Design/methodology/approach: This research involved a multi-stage data collection process including interviews with student volunteers, and university and host representatives from six…
Koehler, C. Russell
Designed for Adult Basic Education (ABE) and English as a Second Language (ESL) instructors at Olympic College, this handbook provides information on the college's efforts to train volunteers as classroom assistants in ABE/ESL education, as well as guidelines for working with volunteers. The first section of the handbook provides background on the…
Marcelo, Karlo Barrios
College experience and volunteering are positively correlated. Measurable differences in civic activity exist between young people who attend college and young people who do not. This fact sheet explores volunteering as civic engagement among youth with college experience, ages 19-25, which was down for the second year in a row in 2006. The…
Winniford, Janet C.; Carpenter, D. Stanley; Grider, Clint
Examines the literature on volunteer motivation to provide a conceptual framework for future studies on traits and motivations of college student volunteers. Focuses on the relationship between egoistic and altruistic motivational components, as well as situational factors. Explores motivation constructs, mixed motivation, and results'…
... their personal lives by changing other peoples' lives. For parents, the programme enabled them to see the capabilities of their children. The study recommended the use of volunteer support groups to enhance motor and social skills of youth enrolled in inclusive programmes. Keywords: Participation, volunteer coaches, ...
Howard, Veronica J.; DiGennaro Reed, Florence D.
This study examined the degree to which training procedures influenced the integrity of behaviorally based dog training implemented by volunteers of an animal shelter. Volunteers were taught to implement discrete-trial obedience training to teach 2 skills (sit and wait) to dogs. Procedural integrity during the baseline and written instructions…
clinical pictures. Cost effectiveness is clearly in favor of emergency medicine. Future developments will be characterized by the consequences of new health care legislation and by effects of financial stringencies on the emergency medical services.
Pieczynski, Lauren M; Laudanski, Krzysztof; Speck, Rebecca M; McCunn, Maureen
The objective of this study was to identify key experiences and common motifs of volunteer doctors who have participated in anaesthesia-related volunteer experiences abroad through the Health Volunteers Overseas (HVO) programme. An additional goal was to understand the effects of medical volunteerism in developing countries on the volunteers themselves. After a medical mission with HVO, anaesthesia volunteers submit a post-experience report. Twenty-five reports were randomly selected from the 58 available trip reports, including five from each of the five countries collaborating with HVO. Data in the reports were analysed using a modified grounded theory and constant comparative technique until thematic saturation was achieved. Three major discoveries emerged from the analysis of post-experience reports: (i) anaesthesia residents and attending physicians find their volunteer experiences in the developing world to be personally rewarding and positive; (ii) most participants feel their educational interventions have a positive impact on local students and anaesthesia providers, and (iii) global volunteerism poses challenges, primarily caused by lack of resource availability and communication issues. Our results give new insight into the experiences of and challenges faced by a cohort of HVO-sponsored anaesthesia volunteers while abroad and validates the positive effects these global health experiences have on the volunteers themselves. This group of anaesthesia volunteers was able to further their personal and professional growth, sharpen their physical diagnosis and clinical reasoning skills in resource-poor environments and, most importantly, provide education and promote an exchange of ideas and information. © 2013 John Wiley & Sons Ltd.
Blum, Terry C; Davis, Carolyn D; Roman, Paul M
This paper examines the organizational adoption of medically assisted treatments (MAT) for substance use disorders (SUDs) in a representative sample of 555 US for-profit and not-for-profit treatment centers. The study examines organizational adoption of these treatments in an institutionally contested environment that traditionally has valued behavioral treatment, using sociological and resource dependence frameworks. The findings indicate that socialization of leadership, measured by formal clinical education, is related to the adoption of MAT. Funding patterns also affect innovation adoption, with greater adoption associated with higher proportions of earned income from third party fees for services, and less adoption associated with funding from criminal justice sources. These findings may generalize to other social mission-oriented organizations where innovation adoption may be linked to private and public benefit values inherent in the type of socialization of leadership and different patterns of funding support.
Bao, Yuhua; Casalino, Lawrence P.; Pincus, Harold Alan
Discussions of health care delivery and payment reforms have largely been silent about how behavioral health could be incorporated into reform initiatives. This paper draws attention to four patient populations defined by the severity of their behavioral health conditions and insurance status. It discusses the potentials and limitations of three prominent models promoted by the Affordable Care Act to serve populations with behavioral health conditions: the Patient Centered Medical Home, the Health Home initiative within Medicaid, and the Accountable Care Organization. To incorporate behavioral health into health reform, policymakers and practitioners may consider embedding in the reform efforts explicit tools – accountability measures and payment designs – to improve access to and quality of care for patients with behavioral health needs. PMID:23188486
The new Consumer Alliance agreement between the American Academy of Family Physicians (AAFP) and The Coca-Cola Company provides a valuable opportunity to illustrate AAFP's adherence to its ethical foundation, demonstrate the AAFP's commitment to serving physicians and the public, and maintain the trust Americans put in their family physicians and the organization that represents them. Throughout the development of this program, as well as in all business interactions, the AAFP consistently addresses possible conflict of interest openly and directly, sharing with our members and the public exactly what measures we take to ensure that, in fact, no unethical conduct or breach of trust would--or will in the future--occur. In this case, the AAFP saw a public health and education need that was both unmet and undermined by the barrage of marketing messages and confusing information, and acted to fill that need. In so doing, the AAFP hewed to its high ethical standards, its core values, and its mission in the decisions made and the actions that followed.
Every year, on the last Friday of September, the European Researchers’ Night (see here) takes place in about 300 cities all over Europe - promoting research in engaging and fun ways for the general public. This year, CERN will be participating once again, hosting dozens of events across the Balexert shopping centre – and we’ll need YOUR help to make the celebration a success. From film screenings and celebrity Q&A sessions to “Ask a Researcher” and build-your-own LEGO LHC events, this year’s Researchers’ Night is going to be jam-packed! The fun will kick off prior to the night itself with a mock-up of the LHC tunnel installed in the central court of the Balexert shopping centre, 8-12 September*. CERN people will be on hand to speak to shoppers about the LHC, and to encourage them to participate in Researchers’ Night! The CERN organisers are recruiting volunteers and support staff for Researchers’ ...
Focuses on "organizers," tools or techniques that provide identification and classification along with possible relationships or connections among ideas, concepts, and issues. Discusses David Ausubel's research and ideas concerning advance organizers; the implications of Ausubel's theory to curriculum and teaching; "webbing," a…
Safak Taner Gursoy
Full Text Available BACKGROUND: To determine The Medical Technology Vocational Training School (MTVTS students the knowledge about the effects of GMO on human health and environment and to evaluate their attitude and behavior has been aimed. METHODS: All of the second class students of the year 2006-2007 of MTVTS were included (N=161 in the study, response rate was 92%. The survey questionare included questions on knowledge, the risk perception and attitute about GMOs. The legal framework in Turkey about GMOs, the rationale for GMO production, the labeling for GMO and the students perception of their knowledge was evaluated through 14 items with Likert scale. After the questionaire, the students received an informative brochure on GMOs. RESULTS: The open-ended question asking to define GMOs was answered by 59,2% of the students among which 35,6% defined as additive, 34,5% as food with hormones. The risk perceived for GMOs was the forth following cigarette smoking, stres, and environmental pollution in the ranking according to the risk score means. Sex has been the only determinant effecting this scoring for GMOs where girls perceived the risk greater. If family was one of the information sources about GMOs, the perceived risk was increased (p=0,000. Among the students 81,6% thought that GMO should not be grown in Turkey, 77,7% think that GMO was sold however. The leading topic of ambivalence is the state of self knowledge on GMO. The low income group are less concerned about consuming GMO for themselves or for their children (respectively p==0.003 ve p=0,012. CONCLUSION: Health workers are assigned with an important role to inform the public for healthy eating. However although the the risk perception of the study group for GMOs is high, their knowledge is low. Training activities to supply this deficiency should be implemented. [TAF Prev Med Bull 2008; 7(6.000: 503-508
(1) Background: As the U.S. healthcare system evolves from fee-for-service financing to global population-based payments designed to be accountable for both quality and total cost of care, the effective and safe use of medications is gaining increased importance. The purpose of this project was to determine the feasibility of integrating medication therapy management (MTM) services provided by community pharmacists into the clinical care teams and the health information technology (HIT) infrastructure for Minnesota Medicaid recipients of a 12-county community-based accountable care organization (ACO). (2) Methods: The continuous quality improvement evaluation methodology employed in this project was the context + mechanism = outcome (CMO) model to account for the fact that programs only work insofar as they introduce promising ideas, solutions and opportunities in the appropriate social and cultural contexts. Collaborations between a 12-county ACO and 15 community pharmacies in Southwest Minnesota served as the social context for this feasibility study of MTM referrals to community pharmacists. (3) Results: All 15 community pharmacy sites were integrated into the HIT infrastructure through Direct Secure Messaging, and there were 32 recipients who received MTM services subsequent to referrals from the ACO at 5 of the 15 community pharmacies over a 1-year implementation phase. (4) Conclusion: At the conclusion of this project, an effective electronic communication and MTM referral system was activated, and consideration was given to community pharmacists providing MTM in future ACO shared savings agreements.
Syed H. Shabbir
Full Text Available Purpose: The medical student-run Einstein Community Health Outreach Clinic provides free healthcare to the uninsured adult population of New York, the United States. During the summer, prehealth student volunteers are recruited to assist with clinic operations. Methods: We designed a survey study to identify the baseline characteristics of the volunteers between June and August of 2013 and 2014 in order to evaluate the influence of working in a medical student-run free clinic on their education, impressions, and career goals. Results: A total of 38 volunteers (response rate, 83% participated in the study. The volunteers were demographically diverse and interested in primary care specialties and community service. Conclusion: After the Einstein Community Health Outreach program, the volunteers showed an improved understanding of the healthcare process and issues relevant to uninsured patients. They also developed favorable attitudes towards primary care medicine and an increased level of interest in pursuing careers in primary care.
Scott, Jean Pearson; Reifman, Alan; Mulsow, Miriam; Feng, Du
Elderly volunteers in the Young at Heart child care program (n=14), Meals on Wheels (n=14), other volunteer activities (n=24), and nonvolunteers (n=49) were compared. Although child-care volunteers were expected to score highest in generativity, volunteers in other activities did, followed by Young at Heart volunteers. (Contains 10 references.)…
Sickand, M; Cuerden, M S; Klarenbach, S W; Ojo, A O; Parikh, C R; Boudville, N; Garg, A X
Methods to reimburse living organ donors for the non-medical expenses they incur have been implemented in some jurisdictions and are being considered in others. A global understanding of existing legislation and programs would help decision makers implement and optimize policies and programs. We searched for and collected data from countries that practice living organ donation. We examined legislation and programs that facilitate reimbursement, focusing on policy mechanisms, eligibility criteria, program duration and types of expenses reimbursed. Of 40 countries, reimbursement is expressly legal in 16, unclear in 18, unspecified in 6 and expressly prohibited in 1. Donor reimbursement programs exist in 21 countries; 6 have been enacted in the last 5 years. Lost income is reimbursed in 17 countries, while travel, accommodation, meal and childcare costs are reimbursed in 12 to 19 countries. Ten countries have comprehensive programs, where all major cost categories are reimbursed to some extent. Out-of-country donors are reimbursed in 10 jurisdictions. Reimbursement is conditional on donor income in 7 countries, and recipient income in 2 countries. Many nations have programs that help living donors with their financial costs. These programs differ in operation and scope. Donors in other regions of the world are without support.
Full Text Available Information technology has made tremendous changes on ways people learn and communicate. People could go through internet to have an access to many knowledge based websites such as Wikipedia to learn or they may participate in e-learning programs offered by different well known universities in the world without bothering about the borders between countries. E-learning has proven as a cost efficient method especially for courses where there is no need to offer physical lab courses. It can literally eliminate different cost items involved with traditional learning such as transportation or the cost of leaving a job to learn more. The proposed study of this paper attempts to understand whether e-learning has any positive impact on quality improvement in an organization. The proposed study of this paper performs a survey on 525 people who work in medical school of Ilam. We have chosen a sample of 223 people and designed a questionnaire based on Likert scale. The results indicate that e-learning has positive relationship with quality improvement in an organization.
El-Naggar, Mostafa M; Ageely, Hussein; Salih, Mohamed A; Dawoud, Hamdy; Milaat, Waleed A
Jazan province is located in the south-west of the Kingdom of Saudi Arabia. The province is offlicted with a wide spectrum of diseases and therefore have a special need for more health services. The Faculty of Medicine at Jazan has been following the traditional curriculum since its inception in 2001. The traditional curriculum has been criticized because of the students inability to relate what they learned in the basic sciences to medicine, thus stifling their motivation. It was felt that much of what was presented in preclinical courses was irrelevant to what the doctor really needed to know for his practice. The College therefore, decided to change to an integrated curriculum. The study was conducted in 2004-2005 in the Faculty of Medicine, Jazan University. It began with a literature survey/search for relevant information and a series of meetings with experts from various institutions. A Curriculum Committee was formed and a set of guiding principles was prepared to help develop the new curriculum. A standard curriculum writing format was adopted for each module. It was decided that an independent evaluation of the new curriculum was to be done by experts in medical education before submission for official approval. There were several difficulties in the course of designing the curriculum, such as: provision of vertical integration, the lack of preparedness of faculty to teach an integrated curriculum, and difficulties inherent in setting a truly integrated examination. The program designed is for 6 years and in 3 phases; pre-med (year 1), organ/system (years 2 and 3), and clinical clerkship (years 4, 5, and 6). This is to be followed by a year of Internship. The pre-med phase aims at improving the students' English language and prepare them for the succeeding phases. The organ/ system phase includes the integrated systems and the introductory modules. The curriculum includes elective modules, early clinical training, behavioral sciences, medical ethics
Hatch, Mary Jo
Most of us recognize that organizations are everywhere. You meet them on every street corner in the form of families and shops, study in them, work for them, buy from them, pay taxes to them. But have you given much thought to where they came from, what they are today, and what they might become...... and considers many more. Mary Jo Hatch introduces the concept of organizations by presenting definitions and ideas drawn from the a variety of subject areas including the physical sciences, economics, sociology, psychology, anthropology, literature, and the visual and performing arts. Drawing on examples from...... prehistory and everyday life, from the animal kingdom as well as from business, government, and other formal organizations, Hatch provides a lively and thought provoking introduction to the process of organization....
Quigley, Laura; Lacombe-Duncan, Ashley; Adams, Sherri; Hepburn, Charlotte Moore; Cohen, Eyal
Children with medical complexity (CMC) are characterized by substantial family-identified service needs, chronic and severe conditions, functional limitations, and high health care use. Information exchange is critically important in high quality care of complex patients at high risk for poor care coordination. Written care plans for CMC are an excellent test case for how well information sharing is currently occurring. The purpose of this study was to identify the barriers to and facilitators of information sharing for CMC across providers, care settings, and families. A qualitative study design with data analysis informed by a grounded theory approach was utilized. Two independent coders conducted secondary analysis of interviews with parents of CMC and health care professionals involved in the care of CMC, collected from two studies of healthcare service delivery for this population. Additional interviews were conducted with privacy officers of associated organizations to supplement these data. Emerging themes related to barriers and facilitators to information sharing were identified by the two coders and the research team, and a theory of facilitators and barriers to information exchange evolved. Barriers to information sharing were related to one of three major themes; 1) the lack of an integrated, accessible, secure platform on which summative health care information is stored, 2) fragmentation of the current health system, and 3) the lack of consistent policies, standards, and organizational priorities across organizations for information sharing. Facilitators of information sharing were related to improving accessibility to a common document, expanding the use of technology, and improving upon a structured communication plan. Findings informed a model of how various barriers to information sharing interact to prevent optimal information sharing both within and across organizations and how the use of technology to improve communication and access to
Full Text Available Non-profit organizations pursue social objectives. They base on the work of volunteers - people who devote their time to help others without expecting in return material benefits. They can perform various works, including those ones which require knowledge and skills in the area of management. It is possible to find such competences among the students of Management. The aim of the article is to discuss some opportunities of recruitment volunteers among that target market.
Finland is one of the four hosting countries for the European Basketball Championship in 2017. It has been already 50 years since Finland last hosted the European Championship and therefore being a significant achievement for the Finnish basketball. The Local Organizing Committee of Finland for the EuroBasket 2017, which is responsible for hosting the event, is dependent on volunteers to pull of the event. Understanding the motives and expectations of volunteers, enable sport event managers t...
Saito, Carlos Hiroo
The Brazilian Ministry of Sports organized a system of volunteers to receive the visitors during the Fédération Internationale de Football Association (FIFA) Football World Cup. The instructional material to capacitate these volunteers focused on environment and sustainability issues and it was developed in an integrative systemic framework…
Claxton-Oldfield, Stephen; Gibbon, Laura; Schmidt-Chamberlain, Kirsten
A total of 79 hospice palliative care volunteers from 2 community-based hospice programs responded to a 27-item Boundary Issues Questionnaire that was specifically developed for this study. Volunteers were asked to indicate whether or not they considered each item (eg, "Lend personal belongings to a patient or family," "Agree to be a patient's power of attorney," "Attend/go into a patient's medical appointment") to be something they should not do and to indicate whether or not they have ever done it. On the basis of the volunteers' responses, the authors distinguished between "definite boundary issues" (things volunteers should never do, for example, "Accept money from a patient or family"), "potential boundary issues" (things volunteers should stop and think twice about doing, for example, "Accept a gift from a patient or family"), and "questionable boundary issues" (things volunteers should be aware of doing, for example, "Give your home phone number to a patient or family"). The implications of these findings for training volunteers are discussed and the need for clear and unambiguous organizational policies and procedures to preserve boundaries is stressed. Without clear policies, etc, community-based hospice programs may be putting themselves at legal risk.
Petrovski, Erik; Dencker-Larsen, Sofie; Holm, Anders
sample of 1,867 individuals of working age. The survey data are linked to administrative registers containing individual-level data on unemployment. A combination of detailed controls, lagged dependent variables, and instrumental variable regression is used to determine cause and effect. Our findings......In addition to benefiting others, volunteer work is argued to supply volunteers themselves with skills, reputation, and social connections that increase overall employability. We test this hypothesized causal link between volunteer work and employability with a high-quality 2012 Danish survey...
Witucki Brown, Janet; Chen, Shu-li; Mefford, Linda; Brown, Allie; Callen, Bonnie; McArthur, Polly
This Grounded Theory study describes the process by which older persons “become” volunteers. Forty interviews of older persons who volunteered for Habitat for Humanity were subjected to secondary content analysis to uncover the process of “becoming” a volunteer. “Helping out” (core category) for older volunteers occurs within the context of “continuity”, “commitment” and “connection” which provide motivation for volunteering. When a need arises, older volunteers “help out” physically and financially as health and resources permit. Benefits described as “blessings” of volunteering become motivators for future volunteering. Findings suggest that older volunteering is a developmental process and learned behavior which should be fostered in older persons by personally inviting them to volunteer. Intergenerational volunteering projects will allow older persons to pass on knowledge and skills and provide positive role modeling for younger volunteers. PMID:21994824
浦野, 正樹; 大矢根, 淳; 菅, 磨志保; Masaki, URANO; Jun, OYANE; Mashiho, SUGA; 早稲田大・文・社会学; 江戸川大・社会学; 東京ボランティア・市民活動センター; Department of Sociology, Waseda University; Tokyo Voluntary Action Center; Department of Sociology, Edogawa University
This paper deals with the problems of volunteer networking and introduces the challenge of volunteer network coordination in the Tokyo Metropolitan Area. First, investigating volunteer activities after the Great Hanshin-Awaji Earthquake, problems of volunteer networking and volunteer coordination awaiting solution are reviewed. Secondary, challenges of NPO's activities of volunteer coordination for metropolitan- or national-level networking and policy-making efforts of the support systems by ...
Lineback, Donald J.
Good computer files can help colleges find, manage, and solicit alumni volunteers. In 1978 Rhodes College began creating detailed records on alumni and friends, entering gift and biographical data, mostly in coded form, into computerized personal files. (MLW)
Frasca, Dominic R
The Secretary of the Department of Health and Human Services (HHS), through the Office of the Assistant Secretary for Preparedness and Response (ASPR), coordinates federal Emergency Support Function (ESF) #8 preparedness, response, and recovery actions. To address these needs, the ASPR can draw on trained personnel from a variety of sources, both from within and outside HHS. Among the resources under the domain of HHS is the Medical Reserve Corps (MRC), directed by the Office of the Civilian Volunteer Medical Reserve Corps (OCVMRC) in the Office of the Surgeon General. MRC units are community based and function as a way to locally organize and utilize medical and public health professionals, such as physicians, nurses, pharmacists, dentists, veterinarians, and epidemiologists. Nonclinical volunteers, such as interpreters, chaplains, office workers, legal advisors, and others, can fill logistical and support roles in MRC units. This article discusses locally controlled (Hurricanes Gustav and Ike) and federalized (Hurricanes Katrina and Rita) MRC activations, and it describes the advantages of using medical volunteers in a large-scale disaster response setting.
Holm, Marie-Louise Keck; Lopez, Kristina Halberg; Arildsen, Marie Otte; Kauppi, Suvi; Jacobsen, Nana Toft; Houmann, Amalie
This project aims to investigate in the profiles of volunteers and their motivations. It further intends to create an ethical discussion about said motivations to generate a broader understanding of motivational factors and the ethical perspectives of them. In order to find the profiles and motivation, an interview and questionnaire were conducted of respectively an employee of MellemFolkeligt Samvirke and volunteers about to go abroad with the organisation. With the use of Abraham H. Maslow,...
Pei, Yang; Song, Yue; Yu, Min
Recent system reforms within the People's Liberation Army (PLA) have led to establishment of 5 theatre commands and a general joint logistics command. These reforms have presented new challenges to the organization and implementation of medical services. The medical service of the PLA must keep pace with these reforms by applying innovative theories to establish appropriate organizational guidelines and structures. The medical service must also adapt to the modern and future eras of information warfare. We review the existing structure and features of the military medical service of the PLA, highlighting issues related to ongoing reform within the PLA and the characteristics of modern and future information warfare. Reflection on current rules for medical evacuation and treatment of war-related injuries were made, and related organizational and structural innovations were proposed. Recent reforms and the characteristics of modern information warfare have rendered the current medical service and medical evacuation system of the PLA inefficient. The scale of the echelon configuration should be adjusted to establish a more focused, effective, and intelligent medical service. Resource allocation and general joint logistics should be optimized to establish a new well-rounded, three-dimensional medical evacuation system, and the "stabilize before healing" rule should be applied at all levels of the medical service. These changes should help to create a modern, effective, and responsive medical service within the PLA. This article explores how the military medical service of the PLA could adapt to system reform in order to implement efficient treatment of war injuries, reduce mortality and morbidity rates, and maintain combat readiness in the modern era of information warfare. Reprint & Copyright © 2017 Association of Military Surgeons of the U.S.
Kannan, S; Gowri, S
Clinical trials are mandatory for evidence-based practice. Hardly, any data are available regarding the number of clinical trials and their methodological quality that are conducted in allied fields of medicine. The present study was envisaged to assess methodological quality of trials in allied medical fields. Registered clinical trials in World Health Organization International Clinical Trials Registry Platform (http://apps.who.int/trialsearch/AdvSearch.aspx) in the following fields were extracted: Acupuncture; Ayurveda; biofeedback; complementary and alternate medicine; herbal; homeopathy; massage; naturopathy; Reiki; Siddha; Unani; and yoga. The eligible studies were assessed for the following key details: Type of sponsors; health condition in which the trial has been conducted; recruitment status; study design; if randomization was present, method of randomization and allocation concealment; single or multi-centric; retrospective or prospective registration; and publication status in case of completed studies. A total of 276 clinical trials were registered majority of which have been proposed to be conducted in the field of oncology and psychiatry. Most of the clinical trials were done in single centers (87.75%), and almost all the clinical trials were investigator-initiated with pharmaceutical company sponsored studies contributing to a maximum extent of 24.5%. A large majority of the study designs were interventional where almost 85% of the studies were randomized controlled trials. However, an appropriate method of randomization was mentioned only in 27.4%, and the rate of allocation concealment was found to be just 5.5%. Only 1-2% of the completed studies were published, and the average rate of retrospective registration was found to be 23.6% in various fields. The number of clinical trials done in allied fields of medicine other than the allopathic system has lowered down, and furthermore focus is required regarding the methodological quality of these
Egorov, P.V.; Nirenburg, K.G.; Davydova, N.N.; Dyatlova, L.A. (Kuzbasskii Politekhnicheskii Institut (USSR))
Transfer to a contract-bonus system in mines of the Severokuzbassugol' and Leninskugol' associations (USSR) increased coal mining productivity by 42.2-54.4%, but, at the same time, problems concerning miners' health were noted. Presents data on the productivity and labor conditions of contract teams working at coal mining and in development faces. The influence of noise and vibration induced stresses on organisms of underground workers is analyzed. Investigations showed that 3 stages of exhaustion are likely to develop and that the most vulnerable are the cardiovascular system and the respiratory tract. The 3 stages of exhaustion and ability to recover were studied on mining machine operators and drivers of heading machines. Data showed that during the 1985-89 period, 972 miners received disability certificates; the rate of disability was 2.6 miners per 1 Mt of coal; 40.5% of miners over 40 years working on labor-intensive jobs had three or more chronic diseases which could cause permanent disability. In the structure of disability, cardio-vascular system cases accounted for 25%, osseous-muscular system cases for 20% and pulmonary diseases for 13%. Stresses the need for every mine to maintain its own medical center equipped with inhalation therapy, psychological relief, acupuncture and physiotherapy facilities.
Teschke, Rolf; Wolff, Albrecht; Frenzel, Christian; Schwarzenboeck, Alexander; Schulze, Johannes; Eickhoff, Axel
Causality assessment of suspected drug induced liver injury (DILI) and herb induced liver injury (HILI) is hampered by the lack of a standardized approach to be used by attending physicians and at various subsequent evaluating levels. The aim of this review was to analyze the suitability of the liver specific Council for International Organizations of Medical Sciences (CIOMS) scale as a standard tool for causality assessment in DILI and HILI cases. PubMed database was searched for the following terms: drug induced liver injury; herb induced liver injury; DILI causality assessment; and HILI causality assessment. The strength of the CIOMS lies in its potential as a standardized scale for DILI and HILI causality assessment. Other advantages include its liver specificity and its validation for hepatotoxicity with excellent sensitivity, specificity and predictive validity, based on cases with a positive reexposure test. This scale allows prospective collection of all relevant data required for a valid causality assessment. It does not require expert knowledge in hepatotoxicity and its results may subsequently be refined. Weaknesses of the CIOMS scale include the limited exclusion of alternative causes and qualitatively graded risk factors. In conclusion, CIOMS appears to be suitable as a standard scale for attending physicians, regulatory agencies, expert panels and other scientists to provide a standardized, reproducible causality assessment in suspected DILI and HILI cases, applicable primarily at all assessing levels involved.
To explore the founding of the American Medical Association's Section on Surgery in 1859 and how it represented, on a national basis, the beginnings of organized surgery and the formal start of the professionalization and specialization of surgery in the United States. The broad social process of organization, professionalization, and specialization that began for various disciplines in America in the mid-19th century was a reaction to emerging economic, political, and scientific influences including industrialization, urbanization, and technology. For surgeons or, at least, those men who performed surgical operations, the efforts toward group organization provided a means to promote their skills and restrict competition. An analysis of the published literature, and unpublished documents relating to the creation of the American Medical Association's Section on Surgery. During the 1850s and through the 1870s, a time when surgery was still not considered a separate branch of medicine, the organization of the American Medical Association's Section on Surgery provided the much needed encouragement to surgeons in their quest for professional and specialty recognition. The establishment of the American Medical Association's Section on Surgery in 1859 helped shape the nationwide future of the craft, in particular, surgery's rise as a specialty and profession.
Mye, Sarah C; Moracco, Kathryn E
As funders continue to emphasize the importance of documented results, nonprofit organizations must work to complete program evaluations that are both valuable and feasible. The purpose of this paper is to document a practical process evaluation of a southeastern nonprofit, a local Meals on Wheels. Using a mixed methods approach, we sought to answer four evaluation questions: (1) What are the essential program components, as identified by key stakeholders; (2) To what extent are volunteers implementing the identified essential components as intended; (3) What is the level of volunteer satisfaction with the program; and (4) What suggestions do stakeholders have for improving the program? Our findings indicate that most aspects of the program were implemented as intended, but inconsistencies occurred when volunteers were unsure of their assigned duties. In addition, volunteers had high levels of satisfaction and specific suggestions for improvement. From these results, we developed a conceptual model of factors contributing to quality of implementation and volunteer satisfaction that may be generalizable to other volunteer-based nonprofits. Specifically, we identified three factors that helped to facilitate satisfaction and performance: leadership, social contact, and fulfillment. Finally, this process evaluation demonstrates the feasibility of developing and implementing evaluation tools in similar organizations. Copyright © 2015 Elsevier Ltd. All rights reserved.
Milton Melciades Barbosa Costa
Full Text Available CONTEXT: Taste food recognition has an important role in the nutritional conditions and also allows protection of the organism integrity against foods potentially dangerous. OBJECTIVE: To investigate the presence of the selective taste regions on the tongue and also the palate participation in the oral taste definition. METHODS: A standard tongue divided in six regions was exposed with the four basic tastes (sweet, salted, sour and bitter, 10 times each. Thirteen volunteers were studied from both side and 34 only from one side, performing 240 tests with opened mouth and 240 with closing mouth, just after tongue sapid stimulation. A second group, with 12 volunteers, had its taste recognition studied, with and without palate isolation, using silicone prosthesis (n = 120. RESULTS: From results, chi-square (3×2 and (2×2, nonparametric independency test with P = 0.05 were obtained. CONCLUSIONS: Anterior, medium and posterior regions of the tongue, at both sides, had the same taste discriminative capacity. Nevertheless, closed mouth increased immediate and late recognition capacity by palate participation. It was possible to admit that palate participation increase the sapid perception in the mouth, by recruitment of the palate taste receptors and also by fluid compression and its scattering over tongue surface.CONTEXTO: O reconhecimento dos gostos tem importante papel para as condições nutricionais e também para a proteção da integridade do organismo contra a ingestão de alimentos potencialmente perigosos. OBJETIVO: Investigar a presença na língua de regiões com capacidade seletiva para percepção dos gostos básicos e também verificar se e como o palato participa da definição dos gostos na cavidade oral. MÉTODOS: Uma língua padrão hipotética dividida em 6 regiões teve cada umas destas, exposta 10 vezes a cada um dos quatro sabores básicos (doce, salgado, azedo e amargo. Treze voluntários tiveram sua lingual estudada dos dois
Gilles, Ingrid; Bangerter, Adrian; Clémence, Alain; Green, Eva G T; Krings, Franciska; Staerklé, Christian; Wagner-Egger, Pascal
Following the recent avian influenza and pandemic (H1N1) 2009 outbreaks, public trust in medical and political authorities is emerging as a new predictor of compliance with officially recommended protection measures. In a two-wave longitudinal survey of adults in French-speaking Switzerland, trust in medical organizations longitudinally predicted actual vaccination status 6 months later, during the pandemic (H1N1) 2009 vaccination campaign. No other variables explained significant amounts of variance. Trust in medical organizations also predicted perceived efficacy of officially recommended protection measures (getting vaccinated, washing hands, wearing a mask, sneezing into the elbow), as did beliefs about health issues (perceived vulnerability to disease, threat perceptions). These findings show that in the case of emerging infectious diseases, actual behavior and perceived efficacy of protection measures may have different antecedents. Moreover, they suggest that public trust is a crucial determinant of vaccination behavior and underscore the practical importance of managing trust in disease prevention campaigns.
Derenoncourt, Max Herby; Carré, Roselaine; Condé-Green, Alexandra; Rodnez, Alain; Sifri, Ziad C; Baltazar, Gerard A
The 2010 Haiti earthquake severely strained local healthcare infrastructure. In the wake of this healthcare crisis, international organizations provided volunteer support. Studies demonstrate that this support improved short-term recovery; however, it is unclear how long-term surgical capacity has changed and what role volunteer surgical relief efforts have played. Our goal was to investigate the role of international surgical volunteers in the increase of surgical capacity following the 2010 Haiti earthquake. We retrospectively analyzed the operative reports of 3208 patients at a general, trauma and critical care hospital in Port-au-Prince from June 2010 through December 2013. We collected data on patient demographics and operation subspecialty. Surgeons and anesthesiologists were categorized by subspecialty training and as local healthcare providers or international volunteers. We performed analysis of variance to detect changes in surgical capacity over time and to estimate the role volunteers play in these changes. Overall number of monthly operations increased over the 2.5 years post-earthquake. The percentage of orthopedic operations declined while the percentage of other subspecialty operations increased (p = 0.0003). The percentage of operations performed by international volunteer surgeons did not change (p = 0.51); however, the percentage of operations staffed by volunteer anesthesiologists declined (p = 0.058). The percentage of operations performed by matching specialty- and subspecialty-trained international volunteers has not changed (p = 0.54). Haitian post-earthquake local and overall surgical capacity has steadily increased, particularly for provision of subspecialty operations. Surgical volunteers have played a consistent role in the recovery of surgical capacity. An increased focus on access to surgical services and resource-allocation for long-term surgical efforts particularly in the realm of subspecialty surgery may lead to full recovery of
Ríos, Antonio; López-Navas, Ana; López-López, Ana; Gómez, Francisco Javier; Iriarte, Jorge; Herruzo, Rafael; Blanco, Gerardo; Llorca, Francisco Javier; Asunsolo, Angel; Sánchez, Pilar; Gutiérrez, Pedro Ramón; Fernández, Ana; de Jesús, María Teresa; Martínez Alarcón, Laura; Lana, Alberto; Fuentes, Lorena; Hernández, Juan Ramón; Virseda, Julio; Yelamos, José; Bondía, José Antonio; Hernández, Antonio; Ayala, Marco Antonio; Ramis, Guillermo; Ramírez, Pablo; Parrilla, Pascual
Research into the transplantation of solid organs from animals (xenotransplantation) is generating interest and curiosity given that this could be a way of resolving the shortage in transplant organs. However, the fact is that currently xenotransplantation is far from becoming a clinical practice. To analyse the attitude of medical students from Spanish universities towards the donation of organs from animals and to determine the factors affecting their attitudes. A sociological, interdisciplinary, observational and multicentre study in Spain. Students enrolled on the medical degree in Spain (n = 34 000). A sample of 9598 students (a confidence level of 99% and precision of ± 1%) stratified by geographical area and academic year. Instrument of measurement: A validated questionnaire of attitude towards organ xenotransplantation (PCID-XenoTx RIOS) which was self-administered and completed anonymously. A completion rate of 95.7% (n = 9275) was obtained. If the results of xenotransplantation were as good as in human donation, 81% (n = 7491) would be in favour, 3% (n = 308) against and 16% (n = 1476) undecided. The following variables affected this attitude: sex (P transplantation with one's family (P organ donation (P transplantation (OR = 1.317; P = 0.005). Spanish medical students have a favourable attitude towards xenotransplantation. This willingness and interest could be a decisive platform for the development and strengthening of research, both for centres with a pre-clinical xenotransplantation programme and new healthcare centres. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Andow, David A.; Borgida, Eugene; Hurley, Terrance M.; Williams, Allison L.
Volunteer citizen monitoring is an increasingly important source of scientific data. We developed a volunteer program for early detection of new invasive species by private landowners on their own land. Early detection of an invasive species, however, subjects the landowner to the potentially costly risk of government intervention to control the invasive species. We hypothesized that an adult experiential learning module could increase recruitment and retention because private landowners could learn more about and understand the social benefits of early detection and more accurately gauge the level of personal risk. The experiential learning module emphasized group discussion and individual reflection of risks and benefits of volunteering and included interactions with experts and regulatory personnel. A population of woodland owners with >2 ha of managed oak woodland in central Minnesota were randomly assigned to recruitment treatments: (a) the experiential learning module or (b) a letter inviting their participation. The recruitment and retention rates and data quality were similar for the two methods. However, volunteers who experienced the learning module were more likely to recruit new volunteers than those who merely received an invitation letter. Thus the module may indirectly affect recruitment of new volunteers. The data collection was complex and required the volunteers to complete timely activities, yet the volunteers provided sufficiently high quality data that was useful to the organizers. Volunteers can collect complex data and are willing to assume personal risk to contribute to early detection of invasive species.
Alloni, Rossana; D'Elia, Annunziata; Navajas, Francisca; De Gara, Laura
The Università Campus Bio-Medico (Italy) promotes a summer volunteering work camp (Workcamp Perù) as a social activity for medical and non-medical students. Some junior doctors participate as 'clinical tutors', together with tutors from other professions; all clinical tutors have some teaching experience in our teaching hospital. The campsite is located in the South of Peru in the Cañete Valley, an area characterised by extreme poverty and a severe lack of infrastructure. During the five Workcamp Perù trips that have been organised so far, health science students have carried out many activities for disease prevention and health education, and bio-medical engineering students have organised sessions on the safety of electrical installations, for accident prevention. We observed that in this setting tutorial activity is fundamental, because it not only offers students an opportunity to learn but also encourages them to react in a more personal and reflective manner to various stressful situations, which often occur in the work camp. The professional competence of the tutor plays an important role before the work camp, in defining the learning objectives for the students and involving them in training sessions held prior to the work camp. Also, during the camp, tutors work with students and also direct the daily briefing and debriefing sessions that are the most important learning activity. For medical tutors involved in the work camp the volunteering experience is a challenge for developing their specific professional and teaching skills, but it also provides an enriching experience in both professional and personal terms. We consider these work camps to be a useful experience in the training of our clinical tutors. © 2014 John Wiley & Sons Ltd.
Dijkstra, H Paul; Geertsema, Liesel; Benzarti, Nejib; van Dorssen, Elsbeth A L; van den Hoogenband, Cees-Rein; Mountjoy, Margo
One of the primary roles of Fédération Internationale de Natation (FINA) is to promote athlete health. The planning and delivery of major international event medical services is carried out in collaboration with the Local Organizing Committee Medical Commission (LOCMC). Aspetar Orthopaedic and Sports Medicine Hospital provided the medical services to the 12th FINA World Swimming Championships (25 m) creating a unique opportunity for collaboration with FINA. The purpose of this paper is to review the planning and delivery of medical services and athlete health promotion projects during the 12th FINA World Swimming Championships (25 m) to facilitate the planning of future sporting events of this size and scope. The 12th FINA World Swimming Championships (25 m) hosted 974 athletes from 166 countries. The LOC medical team recorded all medical encounters-newly incurred (or acute exacerbations of chronic) injuries and illnesses as well as follow-up consultations. More than 90% of teams did not travel with a team physician and relied on the LOCMC for diagnosis and treatment of injuries and illnesses in athletes and accredited team officials. The LOC medical team had a total of 554 medical encounters: 385 therapy, 34 athlete injury, 65 athlete illness and 70 non-athlete encounters. The LOCMC in collaboration with FINA delivered comprehensive medical services to athletes, officials and spectators attending the 12th FINA World Swimming Championships (25 m). This review paper provides information relevant to the planning and delivery of LOCMC medical services for future international swimming events contributing to the FINA objective of promoting athlete health. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
... 45 Public Welfare 4 2010-10-01 2010-10-01 false Part time volunteers. 1226.11 Section 1226.11... SERVICE PROHIBITIONS ON ELECTORAL AND LOBBYING ACTIVITIES Volunteer Activities § 1226.11 Part time volunteers. (a) The provisions in this section are applicable to part time volunteers, as defined in § 1226.3...
... 45 Public Welfare 4 2010-10-01 2010-10-01 false Part-time volunteers. 1220.2-2 Section 1220.2-2... SERVICE PAYMENT OF VOLUNTEER LEGAL EXPENSES Criminal Proceedings § 1220.2-2 Part-time volunteers. (a) With respect to a part-time volunteer, ACTION will reimburse a sponsor for the reasonable expenses it incurs...
Many have had difficulty attracting and retaining volunteers because of failure to understand volunteer motivation. The study explores volunteerism and emphasizes that volunteers derive personal satisfactions from voluntary activities other than monetary compensation. Volunteers “expect a return on their investment”.
Katz, Douglas S.
This report describes the benefits to vocational educators of involving volunteers in vocational programs and presents a model for planning and implementing a volunteer program. Outlined first are programmatic and nonprogrammatic approaches to designing volunteer programs. Next, in a discussion of the benefits of vocational volunteer programs, the…
Beehr, Terry A.; LeGro, Kimberly; Porter, Kimberly; Bowling, Nathan A.; Swader, William M.
Volunteering implies free choice, but people in some situations can feel compelled to volunteer. Hypotheses about students' volunteer work focused on self-determination and sufficiency of justification for their behavior. We examined required versus nonrequired volunteerism, internal and external motivation for volunteering, and attitudes of…
Motivation of volunteers at disability sports events: A comparative study of volunteers in Malaysia, South Africa and the United States. ... The results indicated that volunteers were generally motivated by altruistic motives. However, while the main reason for volunteering in South Africa and the USA was to make a contribution ...
... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Volunteer community service projects. 551... MANAGEMENT MISCELLANEOUS Volunteer Community Service Projects § 551.60 Volunteer community service projects. (a) A volunteer community service project is a project sponsored and developed by local government or...
Meier, Amy; Singletary, Loretta; Hill, George
This article summarizes the results of an evaluation of the impacts of a community development program to develop leadership skills in its adult volunteers. The evaluation featured 20 questions about leadership skills learned as a result of volunteer experiences. Data analysis strategies beyond a simple means ranking resulted in evidence…
Pandya, Anand; Katz, Craig L; Smith, Rebecca; Ng, Anthony T; Tafoya, Michael; Holmes, Anastasia; North, Carol S
To characterize the experience of volunteer disaster psychiatrists who provided pro bono psychiatric services to 9/11 survivors in New York City, from September 12, 2001 to November 20, 2001. Disaster Psychiatry Outreach (DPO) is a non-profit organization founded in 1998 to provide volunteer psychiatric care to people affected by disasters and to promote education and research in support of this mission. Data for this study were collected from one-page clinical encounter forms completed by 268 DPO psychiatrists for 2 months after 9/11 concerning 848 patients served by the DPO 9/11 response program at the New York City Family Assistance Center. In this endeavor, 268 psychiatrist volunteers evaluated 848 individuals and provided appropriate interventions. The most commonly recorded clinical impressions indicated stress-related and adjustment disorders, but other conditions such as bereavement, major depression, and substance abuse/dependence were also observed. Free samples were available for one sedative and one anxiolytic agent; not surprisingly, these were the most commonly prescribed medications. Nearly half of those evaluated received psychotropic medications. In the acute aftermath of the attacks of September 11, 2001, volunteer psychiatrists were able to provide services in a disaster response setting, in which they were co-located with other disaster responders. These services included psychiatric assessment, provision of medication, psychological first aid, and referrals for ongoing care. Although systematic diagnoses could not be confirmed, the fact that most patients were perceived to have a psychiatric diagnosis and a substantial proportion received psychotropic medication suggests potential specific roles for psychiatrists that are unique and different from roles of other mental health professionals in the early post-disaster setting. In addition to further characterizing post-disaster mental health needs and patterns of service provision, future
Wolff, N; Weisbrod, B A; Bird, E J
Little is known about the labor market for volunteers, but even less is known about the supply of volunteers to particular industries. This article examines the supply of volunteer labor to one industry, hospitals, and the choices that volunteers make among hospitals with different ownership attributes. Survey data of volunteers at four hospitals located in Madison, Wisconsin, are used to estimate the importance of a number of factors influencing people's willingness to volunteer at hospitals. We found that job opportunities in the labor market and tax rates affect the supply of volunteers. We also found that volunteers are not indifferent to the type of hospital at which they volunteer; a federal government hospital, a nonprofit state-owned teaching hospital, and other nonprofit hospitals were not perfect substitutes in the eyes of individual volunteers in our study.
Cameron, David; The ATLAS collaboration; Bourdarios, Claire; Lan\\c con, Eric
ATLAS@Home is a volunteer computing project which allows the public to contribute to computing for the ATLAS experiment through their home or office computers. The project has grown continuously since its creation in mid-2014 and now counts almost 100,000 volunteers. The combined volunteers' resources make up a sizable fraction of overall resources for ATLAS simulation. This paper takes stock of the experience gained so far and describes the next steps in the evolution of the project. These improvements include running natively on Linux to ease the deployment on for example university clusters, using multiple cores inside one job to reduce the memory requirements and running different types of workload such as event generation. In addition to technical details the success of ATLAS@Home as an outreach tool is evaluated.
Evans, J. D.; Hao, W.; Chettri, S. R.
Disaster management relies increasingly on interpreting earth observations and running numerical models; which require significant computing capacity - usually on short notice and at irregular intervals. Peak computing demand during event detection, hazard assessment, or incident response may exceed agency budgets; however some of it can be met through volunteered computing, which distributes subtasks to participating computers via the Internet. This approach has enabled large projects in mathematics, basic science, and climate research to harness the slack computing capacity of thousands of desktop computers. This capacity is likely to diminish as desktops give way to battery-powered mobile devices (laptops, smartphones, tablets) in the consumer market; but as cloud computing becomes commonplace, it may offer significant slack capacity -- if its users are given an easy, trustworthy mechanism for participating. Such a "volunteered cloud computing" mechanism would also offer several advantages over traditional volunteered computing: tasks distributed within a cloud have fewer bandwidth limitations; granular billing mechanisms allow small slices of "interstitial" computing at no marginal cost; and virtual storage volumes allow in-depth, reversible machine reconfiguration. Volunteered cloud computing is especially suitable for "embarrassingly parallel" tasks, including ones requiring large data volumes: examples in disaster management include near-real-time image interpretation, pattern / trend detection, or large model ensembles. In the context of a major disaster, we estimate that cloud users (if suitably informed) might volunteer hundreds to thousands of CPU cores across a large provider such as Amazon Web Services. To explore this potential, we are building a volunteered cloud computing platform and targeting it to a disaster management context. Using a lightweight, fault-tolerant network protocol, this platform helps cloud users join parallel computing projects
Sebastio, Stefano; Amoretti, Michele; Lluch Lafuente, Alberto
application, intelligent agents constitute a feasible technology to add autonomic features to cloud operations. Furthermore, the volunteer computing paradigm—one of the Information and Communications Technology (ICT) trends of the last decade—can be pulled alongside traditional cloud approaches......, with the purpose to ‘green’ them. Indeed, the combination of data center and volunteer resources, managed by agents, allows one to obtain a more robust and scalable cloud computing platform. The increased challenges in designing such a complex system can benefit from a simulation-based approach, to test autonomic...
Babcock, Christine; Baer, Carolyn; Bayram, Jamil D; Chamberlain, Stacey; Chan, Jennifer L; Galvin, Shannon; Kim, Jimin; Kinet, Melodie; Kysia, Rashid F; Lin, Janet; Malik, Mamta; Murphy, Robert L; Olopade, C Sola; Theodosis, Christian
On January 12, 2010, a major earthquake in Haiti resulted in approximately 212 000 deaths, 300 000 injuries, and more than 1.2 million internally displaced people, making it the most devastating disaster in Haiti's recorded history. Six academic medical centers from the city of Chicago established an interinstitutional collaborative initiative, the Chicago Medical Response, in partnership with nongovernmental organizations (NGOs) in Haiti that provided a sustainable response, sending medical teams to Haiti on a weekly basis for several months. More than 475 medical volunteers were identified, of whom 158 were deployed to Haiti by April 1, 2010. This article presents the shared experiences, observations, and lessons learned by all of the participating institutions. Specifically, it describes the factors that provided the framework for the collaborative initiative, the communication networks that contributed to the ongoing response, the operational aspects of deploying successive medical teams, and the benefits to the institutions as well as to the NGOs and Haitian medical system, along with the challenges facing those institutions individually and collectively. Academic medical institutions can provide a major reservoir of highly qualified volunteer medical personnel that complement the needs of NGOs in disasters for a sustainable medical response. Support of such collaborative initiatives is required to ensure generalizability and sustainability.
Full Text Available A considerable number of young Europeans live or risk ending up in socially vulnerable situations. Different social channels (e.g., education, on the job training, leisure exist through which youths can enhance their chances to improve their social position. There is a growing belief that sports in particular can help personal and social development of socially vulnerable youths. Nevertheless, there is little understanding of the mechanisms through which sports can foster development. In addition to participating in sports, volunteering in sports is also regarded as providing developmental opportunities for socially vulnerable youths. Today, however, there is an underrepresentation of socially vulnerable youths in volunteering and volunteer training programs. A case study in Brussels was set up within a volunteer soccer training program focused on socially vulnerable youths. A qualitative research design was used to analyze developmental experiences of participants (n = 11 and program organizers (n = 3. The study also aimed to gain more insight into the mechanisms underlying the program. Participating youths indicated development in both technical and key competences. It is concluded that a systematic approach of the volunteer training program can play an important role in the development of competences of socially vulnerable youths both as a volunteer and an individual.
Full Text Available Takayuki Kunisawa,1 Hidefumi Kasai,2 Makoto Suda,2 Manabu Yoshimura,3 Ami Sugawara,3 Yuki Izumi,3 Takafumi Iida,3 Atsushi Kurosawa,3 Hiroshi Iwasaki3 1Surgical Operation Department, Asahikawa Medical University Hospital, Hokkaido, Japan; 2Clinical Study Management Division, Bell Medical Solutions Inc, Tokyo, Japan; 3Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Hokkaido, Japan Background: Olprinone decreases the cardiac preload and/or afterload because of its vasodilatory effect and increases myocardial contractility by inhibiting phosphodiesterase III. Purpose: The objective of this study was to characterize the population pharmacokinetics of olprinone after a single continuous infusion in healthy male volunteers. Methods: We used 500 plasma concentration data points collected from nine healthy male volunteers for the study. The population pharmacokinetic analysis was performed using the nonlinear mixed effect model (NONMEM® software. Results: The time course of plasma concentration of olprinone was best described using a two-compartment model. The final pharmacokinetic parameters were total clearance (7.37 mL/minute/kg, distribution volume of the central compartment (134 mL/kg, intercompartmental clearance (7.75 mL/minute/kg, and distribution volume of the peripheral compartment (275 mL/kg. The interindividual variability in the total clearance was 12.4%, and the residual error variability (exponential and additive were 22.2% and 0.129 (standard deviation. The final pharmacokinetic model was assessed using a bootstrap method and visual predictive check. Conclusion: We developed a population pharmacokinetic model of olprinone in healthy male adults. The bootstrap method and visual predictive check showed that this model was appropriate. Our results might be used to develop the population pharmacokinetic model in patients. Keywords: phosphodiesterase III inhibitor, men, pharmacokinetic model
Full Text Available OBJECTIVE: The aim of this study was to report a single center experience of organ and tissue transplantation INTRODUCTION: This is the first report of organ and tissue transplantation at the Hospital das Clínicas of the University of Sao Paulo Medical School. METHODS: We collected data from each type of organ transplantation from 2002 to 2007. The data collected were patient characteristics and actuarial survival Kaplan-Meier curves at 30 days, one year, and five years RESULTS: There were a total of 3,321 transplants at our institution and the 5-year survival curve ranged from 53% to 88%. CONCLUSION: This report shows that solid organ and tissue transplants are feasible within the institution and allow us to expect that the quality of transplantation will improve in the future.
Sedney, Cara L; Siu, Jennifer; Rosseau, Gail; Dempsey, Robert; Bernstein, Mark
To examine the experiences of volunteers of the Foundation for International Education in Neurological Surgery. A qualitative analysis of >150 volunteer reports from 2004-2013 was performed using grounded theory. Various themes were explored based on their occurrence in the reports. Volunteer reports of extended trips appeared to peak in 2009, with a heavy emphasis on activity in Africa. Prominent themes in the reports included volunteer contributions, successful strategies, challenges, and future directions. Volunteers demonstrated wide-ranging contributions. Successful strategies included continuity and collaboration with other organizations. Challenges were overwhelmingly related to equipment or infrastructure. Common suggestions for future directions included institutional collaboration and subspecialty development. Copyright © 2014 Elsevier Inc. All rights reserved.
... April 12, 2012 Part III The President Proclamation 8797--National Volunteer Week, 2012 Proclamation 8798--Pan American Day and Pan American Week, 2012 Proclamation 8799--National Former Prisoner of War... achieving our highest ambitions--from a world-class education for every child to an economy built to last...
Rothwell, Andrew; Charleston, Brandon
Purpose: The purpose of this paper is to investigate the experiences of individuals in transition between education and work during international volunteering expeditions. While it was expected that outcomes might include employability enhancement and skill development, the authors aimed to clarify what the main factors were, examine employability…
Lorentzen, Håkon; Henriksen, Lars Skov
This article presents and explains differences in governmental implementation strategies of volunteer centers in Norway and Denmark. In the first part, we describe the emergence of centers, focusing on shifting policies and governmental initiatives. The second part aims at explaining the observed...
Ahmed, Stephanie; McNanley, Anna; Perevich, Maryann; Glantz, John Christopher; Buchsbaum, Gunhilde
: There is not currently a standard definition of "normal" for uroflowmetry parameters, particularly with respect to spontaneous voids or multiple repeated measurements within an individual. Our study aimed to describe uroflow parameters for "normal" in a group of healthy women based on repeated measurements. : Spontaneous voids of twelve healthy women were recorded over two weeks. Additionally, one prompted void per subject was recorded. Prompted voids were compared to the subjects' spontaneous voids. These voids were also compared to those of patients evaluated for urinary incontinence. Groups were compared using paired t tests. : The mean voided volume was 306 ml and the mean maximum flow rate was 49 ml/s. The prompted voids were lower in volume, maximum flow, and duration than spontaneous voids. When corrected for volume, these differences were not significant. Maximum flow rates in patients evaluated for urinary incontinence were lower than those of volunteers. : Uroflowmetry parameters vary widely between and within healthy volunteers. Prompted voids are representative of spontaneous voids. Maximum flow rates of patients evaluated for urinary incontinence were lower than those of volunteers. In a group of healthy volunteers voiding in a private, spontaneous setting, a maximum flow rate of lower than 17 ml/s (2 SDs below the mean) might be considered abnormally low.
Høimyr, N.; Blomer, J.; Buncic, P.; Giovannozzi, M.; Gonzalez, A.; Harutyunyan, A.; Jones, P. L.; Karneyeu, A.; Marquina, M. A.; Mcintosh, E.; Segal, B.; Skands, P.; Grey, F.; Lombraña González, D.; Zacharov, I.
Since a couple of years, a team at CERN and partners from the Citizen Cyberscience Centre (CCC) have been working on a project that enables general physics simulation programs to run in a virtual machine on volunteer PCs around the world. The project uses the Berkeley Open Infrastructure for Network Computing (BOINC) framework. Based on CERNVM and the job management framework Co-Pilot, this project was made available for public beta-testing in August 2011 with Monte Carlo simulations of LHC physics under the name “LHC@home 2.0” and the BOINC project: “Test4Theory”. At the same time, CERN's efforts on Volunteer Computing for LHC machine studies have been intensified; this project has previously been known as LHC@home, and has been running the “Sixtrack” beam dynamics application for the LHC accelerator, using a classic BOINC framework without virtual machines. CERN-IT has set up a BOINC server cluster, and has provided and supported the BOINC infrastructure for both projects. CERN intends to evolve the setup into a generic BOINC application service that will allow scientists and engineers at CERN to profit from volunteer computing. This paper describes the experience with the two different approaches to volunteer computing as well as the status and outlook of a general BOINC service.
Mar 18, 2015 ... of children <5 years of age, with an evaluation of its outcome on their knowledge and practice of malaria prevention and case management among the experimental group compared with the control group. The study made use of eight. Community volunteers (six females and two males) who were trained to ...
Baytiyeh, Hoda; Pfaffman, Jay
Wikipedia is a reliable encyclopedia with over seven million articles in several languages all contributed and maintained by volunteers. To learn more about what drives people to devote their time and expertise to building and maintaining this remarkable resource, surveys with Likert-scaled items measuring different types of motivations were…
Mar 18, 2015 ... study was aimed at determining the effectiveness of trained community volunteers in delivering multiple anti‑malaria interventions to achieve rapid .... to life‑saving treatment and improved the health system efficiency while .... home management of malaria community daily case register adapted from the ...
Ross, Linda; Kabidi, Sophia
Paramedics require a wide range of skills that are beyond clinical or technical skills in order to meet the demands of the role and provide quality and compassionate care to patients. Non-technical or "soft" skills and attributes are generally challenging to teach and develop in the classroom setting. Volunteerism provides an opportunity for students to gain exposure to different communities and develop interpersonal skills. This cross-sectional study used one-on-one interviews with 12 third-year Bachelor of Emergency Health (Paramedic) students from Monash University, Australia, who completed a community volunteering program. Results suggest that paramedic students see volunteering as a highly valuable means of developing a number of skills crucial to their future roles and paramedic practice. Volunteering also provided students with an opportunity to learn about themselves and the broader community, develop confidence, and improve overall job-readiness and employability. This study demonstrates that embedding volunteering into paramedic education is an effective way to develop the broad range of paramedic attributes required for the role. These experiences allow students to make the important transition to a job-ready graduate paramedic who can provide holistic patient-centred care.
Hardy, James M.
A national survey was conducted as part of a project on Developing and Utilizing New Techniques for Recruiting and Training Volunteers in the 70's. A presented questionnaire was mailed to 4132 professional directors in the Young Men's Christian Association (YMCA) and 1219 were returned. Of the respondents, 52% had been professional directors for…
Introduction: Malaria accounts for 70% of illnesses and 30% of deaths among children under 5 years in Nigeria. This study was aimed at determining the effectiveness of trained community volunteers in delivering multiple anti‑malaria interventions to achieve rapid reduction in morbidity and mortality among under 5 children ...
Filep, Robert T.; And Others
This guide was prepared to aid volunteers working with preschool children who view the television program, "Sesame Street". The suggestions in this booklet grew out of a study called the "Sesame Mother Pilot Project," conducted in 1970-71 by the Institute for Educational Development. This guide is divided into nine main parts:…
Magira, E E; Islam, S; Niederman, M S
To define clinical features associated with Intensive Care Unit (ICU) infections caused by multi-drug resistant organisms (MDRO) and their impact on patient outcome. A single-center, retrospective case-control study was carried out between January 2010 and May 2010. A medical ICU (MICU) in the United States. The study included a total of 127 MDRO-positive patients and 186 MDRO-negative patients. No interventions were carried out. Out of a total of 313 patients, MDROs were present in 127 (41.7%). Based on the multivariate analysis, only infection as a cause of admission [OR 3.3 (1.9-5.8)]), total days of ventilation [OR 1.07 (1.01-1.12)], total days in hospital [OR 1.04 (1.01-1.07)], immunosuppression [OR 2.04 (1.2-3.5)], a history of hyperlipidemia [OR 2.2 (1.2-3.8)], surgical history [OR 1.82 (1.05-3.14)] and age [OR 1.02 (1.00-1.04)] were identified as clinical factors independently associated to MDROs, while the Caucasian race was negatively associated to MDROs. The distribution of days on ventilation, days in hospital and days of antibiotic treatment prior to infection differed between the MDRO-positive and MDRO-negative groups. The MDRO-positive patients showed a greater median number of days in hospital and days of antibiotic treatment before infection, with a greater median number of days in hospital, days of antibiotic treatment and days of ventilation after infection, compared to the MDRO-negative patients. The mortality rate was not significantly different between the two groups. Appropriate empirical antibiotic therapy was prescribed in 82% of the MDRO-positive cases - such treatment being started within 24h after onset of the infection in 68.5% of the cases. Defining clinical factors associated with MDRO infections and administering timely and appropriate empirical antibiotic therapy may help reduce the mortality associated with these infections. In our hospital we did not withhold broad spectrum drugs as empirical therapy in patients with clinical
Instituto de Ginecologia (Institute of Gynecology), in Rio de Janeiro, headed by Dr. Arnaldo de Moraes, was the first institution in Brazil to introduce and divulge medical techniques for the control of cervical cancer in the mid-1900s. It became a benchmark for actions geared towards the disease at the time, organizing a specific diagnostic procedure that set Brazilian medicine apart in the field, in which it remained a leader until the 1970s. The aim of this text is to discuss the organization and running of the institution from two perspectives: its role in enhancing the position of gynecology as a medical specialty, and its role in spreading a standard practice for the control of cervical cancer.
Gerstein, Lawrence H; Wilkeson, David A; Anderson, Heather
143 AmeriCorps volunteers (30 men; 113 women) and 127 college student volunteers (43 men; 84 women) completed the Volunteer Functions Inventory to assess whether monetary compensation was associated with choice to volunteer to provide educational services, e.g., tutoring, mentoring. Based on Snyder's 1993 theory of functionalism, motives of paid (AmeriCorps participants) and nonpaid (college students) volunteers were expected to differ. It was also predicted that the motives of female and male volunteers would differ. Multivariate analysis of variance confirmed these assumptions. In general, paid male participants reported perceiving numerous benefits associated with volunteering and reported stronger beliefs about such benefits. Female participants reported motives for volunteering, in contrast, which were not linked with monetary compensation. The women reported recognizing the benefits of volunteering and engaging in this activity for egoistic reasons. Their reported motives had little relation to compensation.
A study of the problems between basic insurance organizations and teaching hospitals of Shiraz University of Medical Sciences as viewed by the staff of income hospitals and representative of the insurer’s organization in 2013
Full Text Available Introduction: In Iran health insurance is a significant tool in healthcare costs, financing health care and equal access to health services for people. Problems between hospitals and insurance organizations impose extra cost to the patient, leading to financial losses they will infringe upon the rights of patients. This study aimed to determine the issues between hospitals and basic insurance organizations and proposed practical solutions to solve problems in Shiraz University of Medical Sciences. Method:This research was a qualitative study (content analysis, which was conducted in 2013. The research population consisted of teaching hospitals of Shiraz University of Medical Sciences; Purposeful sampling was used and continued until data saturation. The representative of the insurers and staff of income hospitals were asked questions using a semi-structured interview. In this study, we used NVIVO for data analysis. Results: The results of this study showed that the most common problems between basic insurance organizations and teaching hospitals include the lack of prompt payment of hospital bills and imposing deduction on the hospitals. Conclusion: Based on the results of this study, it seems that cooperation between hospitals and insurance organizations could be improved by timely payment of hospital bills and codifying appropriate rules and regulations by basic insurance organizations and, on the other hand, with timely completion of bills and training of hospital staff by the hospital authorities.
Block, Eve M; Casarett, David J; Spence, Carol; Gozalo, Pedro; Connor, Stephen R; Teno, Joan M
Volunteers are a key component of hospice, and they are required by Medicare conditions of participation in the United States. Yet, little is known about the impact of volunteers in hospice. The goal of this study was to characterize whether bereaved family members in hospice programs with increased use of volunteer hours per patient day report higher overall satisfaction with hospice services. A secondary analysis of the 2006 Family Evaluation of Hospice Care data repository with hospice organization data regarding the number of volunteer hours in direct patient care and the total number of patient days served. A multivariate model examined the association of institutional rate of bereaved family members stating end-of-life care was excellent with that of hospices' rate of volunteer hours per patient day, controlling for other organizational characteristics. Three hundred five hospice programs (67% freestanding and 20.7% for profit) submitted 57,353 surveys in 2006 (54.2% female decedents and 47.4% with cancer). Hospice programs reported on average 0.71 hours per patient week (25th percentile: 0.245 hours per patient week; 75th percentile: 0.91 volunteer hours per patient week; and 99 th percentile: 3.3 hours per patient week). Those hospice programs in the highest quartile of volunteer usage had higher overall satisfaction compared with those in the lowest-quartile usage of volunteers (75.8% reported excellent overall quality of care compared with 67.8% reporting excellent in the lowest quartile. After adjustment for hospice program characteristics, hospice programs in the highest quartile had highest overall rating of the quality of care (coefficient=0.06, 95% confidence interval=0.04, 0.09). In this cross-sectional study, hospice programs with higher use of volunteers per patient day were associated with bereaved family member reports that the hospice program quality of care was excellent. (c) 2010 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc
Henderson, Susan J.; Newman, Jeannette; Ferguson, Rennie W.; Jung, Paul
Healthy People 2020 (HP2020) provides a set of quantifiable objectives for improving the health and well-being of Americans. This study examines Peace Corps Volunteers' health metrics in comparison with the Leading Health Indicators (LHIs) in order to set baseline measures for Volunteers' health care and align our measurements with Healthy People 2020 standards. Health data from multiple internal Peace Corps datasets were compared with relevant LHIs and analyzed using descriptive statistics. ...
The changing environment has shifted the model of nonprofit organizations from charity to social enterprise, which emphasizes partnerships with business and government. Approaches to volunteer management, recruitment, retention, and recognition are different in social enterprises, and a move beyond human resource management practices is required.…
A broad overview of a two-year Peace Corps project designed to implement educational television (ETV) in Colombia is presented in this report. The project is briefly described in an opening section, including discussions of the Peace Corps' goals, Colombia's conditions and need for ETV, the Volunteers, organization of the project, telecasting, the…
Raimondo, Ana Maria; Monti, Alejandro J. A.; Perales-Palacios, F. Javier; Gutiérrez-Pérez, José
The university volunteer programs in Argentina encourage entrepreneurship culture through the development of innovative socio-environmental projects that promote a joint effort between the different administrations of the State, the universities and regional social organizations. One, called "environment and social inclusion" has been…
Konen, Joseph H.
This training activity is intended to facilitate a group analysis of the culture of an organization and the impact of that culture on volunteer diversity. A menu of tools and activities allows the trainer to adapt the activity to the needs of each group. (Author/JOW)
E. Gregory McPherson; James R. Simpson
Carbon dioxide reduction through urban forestryâGuidelines for professional and volunteer tree planters has been developed by the Pacific Southwest Research Stationâs Western Center for Urban Forest Research and Education as a tool for utilities, urban foresters and arborists, municipalities, consultants, non-profit organizations and others to...
Aday, Ronald H.; And Others
Describes a 9-month intergenerational program designed to establish a more intimate involvement between a group of 25 fourth graders and 25 elderly volunteers from Senior Neighbors, a multipurpose senior citizens center. Presents the format used to organize the project and identifies ongoing activities and program benefits. (Author/PVV)
Bolton, Elizabeth B.; Brennan, M. A.; Terry, Bryan D.
This article highlights how undergraduate students implemented inquiry-based learning strategies to learn how nonprofit organizations utilize volunteers. In inquiry-based learning, students begin with a problem or question with some degree of focus or structure provided by the professor. The student inquiry showcased in this article was based on a…
Shellmer, Diana A; Dew, Mary Amanda; Mazariegos, George; DeVito Dabbs, Annette
Applying principles of user-centered design, we iteratively developed and tested the prototype of TPP, an mHealth application to promote medication adherence and enhance communication about medication management between adolescents and primary caregivers. A purposive sample of seven adolescent solid organ transplant recipients who were ≥ one yr post-transplant and their primary caregivers participated. Participants completed up to three face-to-face laboratory usability sessions, a 6-week field test, and a debriefing session. Primary caregivers participated in an additional usability telephone session. Participants completed usability and satisfaction measures. Sample included liver (n = 4), heart (n = 2), and lung (n = 1) recipients aged 11-18 yr (57% were female, 86% were Caucasian), and nine primary caregivers aged 42-61 yr (88.9% were parents, 88% were female, 88% were Caucasian). Ninety percent of the adolescents endorsed the graphs or logs of missed/late medication dosing as useful and 100% endorsed the remaining features (e.g., medication list, dose time reminders/warnings) as useful. All adolescents expressed interest in using TPP for monitoring medications and satisfaction with the automatic messaging between adolescent and caregiver versions of the application. Adolescents unanimously found TPP easy to use. TPP shows promise as an mHealth adherence tool. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Putri, S. T.; Andriyani, S.
Posbindu is a form of public participation to conduct early detection and monitoring of risk factors for non-communicable diseases(NCD), and where it was carried out in as an integrated manner, routine and periodic event. This paper aims to investigates the needs and problems on Posbindu Program based on community health volunteers(CHVs) perspective. This study used descriptive qualitative method by open ended questions. Content analysis using to explicating the result. There are 3 theme finding about elderly needs in Posbindu; medical care, support group community, and health education. We found four theme problems which in Posbindu program: low motivation from elderly, Inadequate of facilities, physical disability, failed communication. To be effective in Posbindu program, all the stakeholders have reached consensus on the Posbindu program as elderly need. CHVs need given wide knowledge about early detection, daily care, control disease continuously so that the elderly keep feeling the advantages of coming to the Posbindu.
Carr, Dawn C; King, Katherine; Matz-Costa, Christina
Gaps in existing literature hinder our knowledge of how life stage-related identities (e.g., worker, parent, student, etc.) influence individuals' decisions about whether and how to get involved in community service. Interventions to increase volunteerism throughout the life course require a more nuanced understanding of this relationship. We use multinomial logistic models to analyze how life phase factors relate to involvement in different types of voluntary organizations across the adult life course in the Chicago Community Adult Health Study. Half of the adults did not volunteer. Those who did volunteer were categorized as charitable, youth-oriented, religious, civic, or multidomain volunteers. Age, employment, family structure, demographics, and self-rated health differentially predicted volunteering in specific domains. Findings from this study suggest that recruitment and retention efforts employed by different nonprofit organizations may be more effective if they take into consideration the life phase factors that enhance or detract from likelihood of engagement. © The Author(s) 2015.
Kadnikova, Ekaterina N.
To accentuate the importance of organic chemistry in development of contemporary pharmaceuticals, a three-week unit entitled "Molecules-in-Medicine" was included in the curriculum of a comprehensive one-semester four-credit organic chemistry course. After a lecture on medicinal chemistry concepts and pharmaceutical practices, students…
Larsen, Britt Østergaard; Bendix Kleif, Helle; Kolodziejczyk, Christophe
are based on a longitudinal data set containing socio-demographic information on all 585 postcode districts in Denmark and quarterly records of six different categories of reported crimes in the years 2001–2010.We apply a difference-in-difference design and compare development in crime rates in districts......The volunteer programme ‘Night Ravens’ (NR) was founded in Sweden in 1987 and has, over the years, developed into a Scandinavian concept covering large areas of Sweden, Denmark, Norway, Greenland and the Faroe Islands. The NR programme is a crime prevention initiative with adults walking...... the streets at night in identifiable ‘uniforms’ in areas with high activity. The purpose of this study is to evaluate the effects of the NR programme in Denmark based on a volunteer set-up with a less intrusive approach to situational crime prevention than, for instance, hot spot policing. The analyses...
Taplin, Jessica; Dredge, Dianne; Scherrer, Pascal
The rapid expansion and commercialisation of the volunteer tourism sector and the potential for negative impacts on host communities have put the sector under increasing scrutiny. Monitoring and evaluation are key aspects of sustainable tourism planning and management, and play important roles...... in the project planning and implementation cycles of volunteer tourism organisations and destination managements. However, they can be both value-laden and politically charged, making an understanding of context, purpose and various approaches to monitoring and evaluation important. Drawing from evaluation...... and critical management studies, this conceptual paper reviews the literature, presenting an analytical framework aimed at improving the quality of monitoring and evaluation. The paper is positioned within the adaptancy platform and focuses on qualitative, critical approaches to evaluation. The framework...
Adam-Bourdarios, C.; Bianchi, R.; Cameron, D.; Filipčič, A.; Isacchini, G.; Lançon, E.; Wu, W.; ATLAS Collaboration
ATLAS@Home is a volunteer computing project which allows the public to contribute to computing for the ATLAS experiment through their home or office computers. The project has grown continuously since its creation in mid-2014 and now counts almost 100,000 volunteers. The combined volunteers’ resources make up a sizeable fraction of overall resources for ATLAS simulation. This paper takes stock of the experience gained so far and describes the next steps in the evolution of the project. These improvements include running natively on Linux to ease the deployment on for example university clusters, using multiple cores inside one task to reduce the memory requirements and running different types of workload such as event generation. In addition to technical details the success of ATLAS@Home as an outreach tool is evaluated.
AUTHOR|(INSPIRE)INSPIRE-00068610; The ATLAS collaboration; Bianchi, Riccardo-Maria; Cameron, David; Filipčič, Andrej; Lançon, Eric; Wu, Wenjing
ATLAS@Home is a volunteer computing project which allows the public to contribute to computing for the ATLAS experiment through their home or office computers. The project has grown continuously since its creation in mid-2014 and now counts almost 100,000 volunteers. The combined volunteers’ resources make up a sizeable fraction of overall resources for ATLAS simulation. This paper takes stock of the experience gained so far and describes the next steps in the evolution of the project. These improvements include running natively on Linux to ease the deployment on for example university clusters, using multiple cores inside one task to reduce the memory requirements and running different types of workload such as event generation. In addition to technical details the success of ATLAS@Home as an outreach tool is evaluated.
Full Text Available This article sets forth the early phases of a methodological proposal for designing and developing Volunteered Geographic Information (VGI initiatives based on a system perspective analysis in which the components depend and interact dynamically among each other. First, it focuses on those characteristics of VGI projects that present different goals and modes of organization, while using a crowdsourcing strategy to manage participants and contributions. Next, a tool is developed in order to design the central crowdsourced processing unit that is best suited for a specific project definition, associating it with a trend towards crowd-based or community-driven approaches. The design is structured around the characterization of different ways of participating, and the task cognitive demand of working on geo-information management, spatial problem solving and ideation, or knowledge acquisition. Then, the crowdsourcing process design helps to identify what kind of participants are needed and outline subsequent engagement strategies. This is based on an analysis of differences among volunteers’ participatory behaviors and the associated set of factors motivating them to contribute, whether on a crowd or community-sourced basis. From a VGI system perspective, this paper presents a set of guidelines and methodological steps in order to align project goals, processes and volunteers and thus successfully attract participation. This methodology helps establish the initial requirements for a VGI system, and, in its current state, it mainly focuses on two components of the system: project and participants.
AD-A271 892 1 April 1993 Reprint Human Volunteer Studies with Campylobacter jejuni Army Project Order 90PP0820 Robert E. Black, Daniel Perlman, Mary...the Outer Membrane Proteins of Campylobacter Jejuni for Vaccine Development Approved for public release; distribution unlimited NTxxeISfl RFor...C. jejuni results in diarrhea cosa visualized on a microscopic study of rectal with fecal leukocytes and blood, similar to nat- biopsy specimens
Tett, S E; Cutler, D J; Day, R O; Brown, K F
1. Five healthy volunteers received, in a randomised crossover design study, a 155 mg oral tablet and an intravenous infusion of 155 mg racemic hydroxychloroquine (200 mg hydroxychloroquine sulphate) to assess the bioavailability of the commercially available tablet (Plaquenil, Winthrop Laboratories, Australia). 2. The terminal elimination half-life of hydroxychloroquine is more than 40 days, thus blood and urine samples were collected for 5 months following each dose to characterise adequate...
ATLAS@Home is a CERN volunteer computing project that runs simulated ATLAS events. As the project ramps up, the project team is looking for CERN volunteers to test the system before planning a bigger promotion for the public. The ATLAS@home outreach website. ATLAS@Home is a large-scale research project that runs ATLAS experiment simulation software inside virtual machines hosted by volunteer computers. “People from all over the world offer up their computers’ idle time to run simulation programmes to help physicists extract information from the large amount of data collected by the detector,” explains Claire Adam Bourdarios of the ATLAS@Home project. “The ATLAS@Home project aims to extrapolate the Standard Model at a higher energy and explore what new physics may look like. Everything we’re currently running is preparation for next year's run.” ATLAS@Home became an official BOINC (Berkeley Open Infrastructure for Network ...
Full Text Available A critical controversy surrounds the type of allowable interventions to be carried out in patients who are potential organ donors, in an attempt to improve organ perfusion and successful transplantation. The main goal is to transplant an organ in conditions as close as possible to its physiological live state. “Elective ventilation” (EV, that is, the use of ventilation for the sole purpose of retrieving the organs of patients close to death, is an option which offsets the shortage of organ donation. We have analyzed the legal context of the dying process of the organ donor and the feasibility of EV in the Italian context. There is no legal framework regulating the practice of EV, neither is any real information given to the general public. A public debate has yet to be initiated. In the Italian cultural and legislative scenario, we believe that, under some circumstances (i.e., the expressed wishes of the patient, even in the form of advance directives, the use of EV does not violate the principle of beneficence. We believe that the crux of the matter lies in the need to explore the real determination and will of the patient and his/her orientation towards the specific aim of organ donation.
... 45 Public Welfare 4 2010-10-01 2010-10-01 false Part-time volunteers. 1220.3-2 Section 1220.3-2... SERVICE PAYMENT OF VOLUNTEER LEGAL EXPENSES Civil and Administrative Proceedings § 1220.3-2 Part-time volunteers. ACTION will reimburse sponsors for the reasonable expenses incidental to the defense of part-time...
There has been little research attention in the South African context on volunteer motivation for special events for people with disabilities. This study explored the key factors that motivated volunteers to volunteer their services at three major sport events for people with disabilities in South Africa. A 28-item questionnaire was ...
Claxton-Oldfield, Stephen; Claxton-Oldfield, Jane
The goal of this study was to examine the impact of hospice palliative care work on volunteers' lives. In-depth interviews were conducted with 23 direct-patient care volunteers. More than half of the volunteers became involved in hospice palliative care because of their own experiences with family members and/or friends who have died. Most of the volunteers reported that they were different now or had changed in some way since they have been volunteering (e.g., they had grown in some way, have learned how to keep things in perspective). In addition, most of the volunteers felt that their outlook on life had changed since they started volunteering (e.g., they were more accepting of death, and they learned the importance of living one day at a time). Volunteers reported doing a number of different things to prevent compassion fatigue or burnout (e.g., reading a book, listening to music, talking to others, and taking time off from volunteering). Most of the volunteers said that they would tell anyone who might be thinking of volunteering in hospice palliative care that it is a very rewarding activity and/or that they should try it. Finally, many of the volunteers offered suggestions for doing things differently in their programs.
A new approach to volunteer motivation research is developed. Instead of asking what motivates the volunteer (accepting "any" conceptual category), we ask to what extent volunteering rewards the individual with each benefit taken from a complete set of possible benefits. As a "complete set of benefits" we use the 16 human functioning modes…
Volunteer motivations vary from altruism, to volunteering as a means to be recognised and increasing the chances of self-improvement. We propose that home-based-care volunteering may be viewed as a form of agency in response to a lack of recognition, support and acknowledgement for AIDS caregivers and their ...
Griffiths, Mark; Armour, Kathleen
The aim of our study was to examine formalized mentoring as a learning strategy for volunteer sports coaches and to consider implications for other volunteer groups in the community. Despite the increasingly popular use of mentoring as a learning and support strategy across professional domains, and the sheer scale of volunteer sports coach…
Lobley, Jennifer; Ouellette, Kristy L.
Face-to-face training for Extension volunteers is no longer the only viable delivery mode. In times of rapid technological advances, we are faced with a plethora of options for offering volunteers the training and support they need. Zoom, an online videoconferencing platform, can easily be used to engage volunteers in professional development.…
Smith, Sanford S.; Finley, James C.; San Julian, Gary J.
A unique approach to volunteer marketing research involved a mail survey with natural resources professionals from across Pennsylvania. Previous work identified this group as a source of potential volunteers for the 4-H youth natural resources program. The results give insights into those most likely to volunteer to teach youth through 4-H…
Volunteers are affected by organizational change, though with a different focus and priority. There may be tension between volunteers and paid staff. Volunteers may pass through stages of resistance, confusion, integration and recommitment; they may have different change styles: resisters, adapters, or seekers. (SK)
Schrock, Jessalyn; Kelsey, Kathleen D.
Volunteers play a vital role in 4-H programs. Without their service, many programs would not be possible. Understanding volunteer motives provides Extension educators with tools for finding high-quality volunteers. The research reported here used McClelland's (1985) framework for motivation (affiliation, achievement, and power) and…
Kulik, Liat; Megidna, Hofit
The study is aimed at examining the relationship between psychological empowerment of women volunteers and their clients in community volunteer projects in Israel. Based on an ecological approach, the study also aimed at examining whether the variables that explain empowerment of women who volunteer also explain empowerment of their clients. The…
Mostafa M El-Naggar
Conclusion: The new curriculum adopted by the Jazan Faculty of Medicine is an integrated, organ/ system based, community-oriented, with early clinical skills, elective modules, and innovative methods of instructions.
Conclusion: The number of clinical trials done in allied fields of medicine other than the allopathic system has lowered down, and furthermore focus is required regarding the methodological quality of these trials and more support from various organizations.
Papanikolaou, Ioannis; Papanikolaou, Dimitrios; Diakakis, Michalis; Deligiannakis, Georgios
The role of volunteers in disaster management is of decisive importance, particularly for major catastrophes. In Northern Europe, volunteers are the main group that responds even in regular low impact incidents. On the other hand, in Southern Europe, state professionals hold the primary role. This is partly cultural, but it is also defined by the different types of hazards involved. For example, Southern Europe suffers from earthquakes and wildfires that can cause severe and widespread damage. This implies that there is a need for highly trained and skilled personnel, not only for efficiency purposes, but also in order to avoid casualties among the operating staff. However, the need of volunteers' involvement is well recognised both for prevention measures (mainly regarding forest fires) and for disaster management purposes particularly during major catastrophes whereas the professional personnel are outsourced. Moreover, the economic crisis stretches the public sector, decreasing the capability and resources of the state mechanism. The latter increases the need for the volunteers' active participation, which is also regarded as cost effective. Greece has a short tradition regarding volunteers and their official involvement with natural hazards. This is also due to the fact that civil protection has a short history in Greece, since it was established in 1995, whereas its legal framework was only shaped in 2002. The act 3013/2002 introduces officially the role of volunteers within the legal framework. In particular, the act N3013/2002 offers a detailed description of the role of voluntary organizations within the civil protection system, the interagency cooperation, and the financial instruments through which the various bodies secure their funding along with the establishment of an inventory from the General Secretariat of Civil Protection. However, several provisions described in the 2002 Act have not been applied yet. For instance voluntary organizations are not
Park, Haesuk; Rascati, Karen L; Keith, Michael S
From January 2016, payment for oral-only renal medications (including phosphate binders and cinacalcet) was expected to be included in the new Medicare bundled end-stage renal disease (ESRD) prospective payment system (PPS). The implementation of the ESRD PPS has generated concern within the nephrology community because of the potential for inadequate funding and the impact on patient quality of care. To estimate the potential economic impact of the new Medicare bundled ESRD PPS reimbursement from the perspective of a large dialysis organization in the United States. We developed an interactive budget impact model to evaluate the potential economic implications of Medicare payment changes to large dialysis organizations treating patients with ESRD who are receiving phosphate binders. In this analysis, we focused on the budget impact of the intended 2016 integration of oral renal drugs, specifically oral phosphate binders, into the PPS. We also utilized the model to explore the budgetary impact of a variety of potential shifts in phosphate binder market shares under the bundled PPS from 2013 to 2016. The base model predicts that phosphate binder costs will increase to $34.48 per dialysis session in 2016, with estimated U.S. total costs for phosphate binders of over $682 million. Based on these estimates, a projected Medicare PPS $33.44 reimbursement rate for coverage of all oral-only renal medications (i.e., phosphate binders and cinacalcet) would be insufficient to cover these costs. A potential renal drugs and services budget shortfall for large dialysis organizations of almost $346 million was projected. Our findings suggest that large dialysis organizations will be challenged to manage phosphate binder expenditures within the planned Medicare bundled rate structure. As a result, large dialysis organizations may have to make treatment choices in light of potential inadequate funding, which could have important implications for the quality of care for patients
Wu, Y. L.; Lin, Y. H.; Huang, K. F.; Chan, H. C.
In order to improve the knowledge and understanding of soil and water conservation, the Soil and Water Conservation Bureau, Taiwan sets up soil and water conservation outdoor classrooms and assigns volunteers for on-site commentating. There are 19 soil and water conservation outdoor classrooms and 483 volunteers. In order to intergate education resource and improve quality, the examination of outdoor classrooms and training of the volunteers were conducted. The training programs aimed to improve the standard of living, promote a general mood of voluntary service, and encourage the public to cultivate the value of hometown-treasuring and the sentiment of people-helping. The service system of volunteers was also organized through the training programs. The assessments of soil and water conservation outdoor classrooms were conducted through the on-site investigations. The improvement suggestions were then put forward according to the characteristics of the classrooms. The improvement contents were compiled for each outdoor classroom and there are five common suggestions depicted as follows: 1. the expectations of internationalization; 2. the issues of land leases; 3. improvement of traffic flow; 4. the format and information of explanation boards should be unified; and 5. the issues of facility maintaining. Key words: Soil and water conserveation, Volunteer, Outdoor classroom.
Hasan, Hazlin; Wahid, Sharifah Norhuda Syed; Jais, Mohammad; Ridzuan, Arifi
The purpose of this study is to obtain the most significant model of volunteer satisfaction and intention to remain in community service by using a stepwise approach. Currently, Malaysians, young and old are showing more interests in involving themselves in community service projects, either locally or internationally. This positive movement of serving the needy is somehow being halted by the lack of human and financial resources. Therefore, the trend today sees organizers of such projects depend heavily on voluntary supports as they enable project managers to add and to expand the quantity and diversity of services offered without exhausting the minimal budget available. Volunteers are considered a valuable commodity as the available pool of volunteers may be declining due to various reasons which include the volunteer satisfaction. In tandem with the existing situation, a selected sample of 215 diploma students from one of the public universities in Malaysia, who have been involved in at least one community service project, agreed that everybody should have a volunteering intention in helping others. The findings revealed that the most significant model obtained contains two factors that contributed towards intention to remain in community service; work assignment and organizational support, with work assignment becoming the most significant factor. Further research on the differences of intention to remain in community service between students' stream and gender would be conducted to contribute to the body of knowledge.
Ashwinikumar A Raut
Full Text Available Ashwagandha (Withania somnifera (WS, a "rasayana" drug, is recommended for balavardhan and mamsavardhan. The study was intended to evaluate dose-related tolerability, safety, and activity of WS formulation in normal individuals. The design was prospective, open-labeled, variable doses in volunteers. Eighteen apparently healthy volunteers (12M:6F, age:18-30 years, and BMI: 19-30 were enrolled. After baseline investigations, they received WS capsules (Rx (aqueous extract, 8:1 daily in two divided doses with increase in daily dosage every 10 days for 30 days (750 mg/day x10 days, 1 000 mg/day x 10 days, 1 250 mg/day x 10 days. Volunteers were assessed for symptoms/signs, vital functions, hematological and biochemical organ function tests. Muscle activity was measured by hand grip strength, quadriceps strength, and back extensor force. Exercise tolerance was determined using cycle ergometry. Lean body weight and fat% were computed from skin fold thickness measurement. Adverse events were recorded, as volunteered by the subjects. Repeated measures ANOVA, McNemar′s test, and paired t test were employed. All but one volunteer tolerated WS without any adverse event. One volunteer showed increased appetite, libido, and hallucinogenic effects with vertigo at the lowest dose and was withdrawn from study. In six subjects, improvement in quality of sleep was found. Organ function tests were in normal range before and after the intervention. Reduction in total- and LDL- cholesterol and increase of strength in muscle activity was significant. Total body fat percentage showed a reduction trend. WS, in escalated dose, was tolerated well. The formulation appeared safe and strengthened muscle activity. In view of its traditional Rasayana use, further studies are planned to evaluate potential of this drug in patients of sarcopenia.
Raut, Ashwinikumar A; Rege, Nirmala N; Tadvi, Firoz M; Solanki, Punita V; Kene, Kirti R; Shirolkar, Sudatta G; Pandey, Shefali N; Vaidya, Rama A; Vaidya, Ashok B
Ashwagandha (Withania somnifera) (WS), a "rasayana" drug, is recommended for balavardhan and mamsavardhan. The study was intended to evaluate dose-related tolerability, safety, and activity of WS formulation in normal individuals. The design was prospective, open-labeled, variable doses in volunteers. Eighteen apparently healthy volunteers (12M:6F, age:18-30 years, and BMI: 19-30) were enrolled. After baseline investigations, they received WS capsules (Rx) (aqueous extract, 8:1) daily in two divided doses with increase in daily dosage every 10 days for 30 days (750 mg/day ×10 days, 1 000 mg/day × 10 days, 1 250 mg/day × 10 days). Volunteers were assessed for symptoms/signs, vital functions, hematological and biochemical organ function tests. Muscle activity was measured by hand grip strength, quadriceps strength, and back extensor force. Exercise tolerance was determined using cycle ergometry. Lean body weight and fat% were computed from skin fold thickness measurement. Adverse events were recorded, as volunteered by the subjects. Repeated measures ANOVA, McNemar's test, and paired t test were employed. All but one volunteer tolerated WS without any adverse event. One volunteer showed increased appetite, libido, and hallucinogenic effects with vertigo at the lowest dose and was withdrawn from study. In six subjects, improvement in quality of sleep was found. Organ function tests were in normal range before and after the intervention. Reduction in total- and LDL- cholesterol and increase of strength in muscle activity was significant. Total body fat percentage showed a reduction trend. WS, in escalated dose, was tolerated well. The formulation appeared safe and strengthened muscle activity. In view of its traditional Rasayana use, further studies are planned to evaluate potential of this drug in patients of sarcopenia.
Organizações sociais e instituições governamentais: perspectivas de parceria na atenção à saúde da criança através dos voluntários e da pastoral da criança Organizaciones sociales e instituciones gubernamentales: perspectivas de trabajo en conjunto en la atención a la salud del niño através de los voluntarios y de la pastoral del niño Social organizations and governmental institutions: perspectives on partnerships in children's health care through volunteers and the pastoral da criança
Raquel Dully Andrade
Full Text Available Este estudo objetiva apresentar algumas perspectivas de parceria entre organizações sociais e instituições governamentais na atenção à saúde da criança.Trata-se de estudo reflexivo sobre participação social e as articulações entre serviços governamentais e não-governamentais na construção da consolidação do Sistema Único de Saúde, destacando o papel dos voluntários e dos profissionais de saúde nesse processo. Na assistência à infância, essas parcerias são potenciais, pela grande amplitude e destaque das organizações sociais dirigidas às crianças, particularmente a Pastoral da Criança, tornando importante o debate sobre políticas públicas que visem a estabelecer e a fortalecer esses vínculos no âmbito local e nacional.En este estudio se tuvo como objetivo presentar algunas perspectivas de trabajo conjunto entre organizaciones sociales e instituciones gubernamentales en la atención a la salud del niño. Se trata de un estudio reflexivo sobre participación social y las articulaciones entre servicios gubernamentales y no gubernamentales en la construcción de la consolidación del Sistema Único de Salud, destacando el papel de los voluntarios y de los profesionales de salud en ese proceso. En la asistencia a la infancia, esas asociaciones son potenciales, por la gran amplitud y destaque de las organizaciones sociales dirigidas a los niños, particularmente la Pastoral del Niño, tornando importante el debate sobre políticas públicas que visen establecer y fortalecer esos vínculos en el ámbito local y nacional.The aim of this research is to present perspectives on partner-ships between social organizations and governmental institutions in children's health care. This study reflects on social participation and relations between governmental and non-governmental services in constructing the consolidation of the Sistema Único de Saúde (Unified Health System, highlighting the role of volunteers and health
... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false What is the pay rate of Peace Corps... COMPENSATION UNDER THE FEDERAL EMPLOYEES' COMPENSATION ACT, AS AMENDED Special Provisions Peace Corps Volunteers § 10.731 What is the pay rate of Peace Corps volunteers and volunteer leaders for compensation...
Willis, Elizabeth A
The traditional view that war is 'good' for medicine has been challenged by some historians in recent decades. In the case of the Spanish Civil War, 1936-1939, a number of advances in wound treatment, emergency surgery and other areas reputedly occurred, and were important in shaping the medical response to more extended warfare in 1939-1945. At the same time, there was a significant attempt at humanitarian intervention, aiming to provide medical aid and health care for the war's casualties and refugees, in parallel with local transformations in health provision. Political differences within as well as between the contending forces complicated matters. These developments are examined with a view to assessing their implications in the contemporary international context.
Karp, Julie K; King, Karen E
This study assesses international variation in volunteer whole blood donor eligibility criteria. In February 2008, Web sites of major blood collection organizations in 17 countries were queried for the volume of whole blood donations and six donor eligibility criteria: allowed donation frequency, donor age, hemoglobin (Hb), weight, and deferrals for tattoo and pregnancy/breast-feeding. The allowed frequency of whole blood donation ranged from 56 to 120 days, some with sex- and age-specific limitations. While blood collection agencies in three countries did not have an upper age limit for donation, the remainder mandated donor retirement at ages from 60 to 81 years. The minimum Hb level was 11.5 to 12.5 g/dL for women and 12.5 to 13.5 g/dL for men. Blood collection organizations in only three countries required a minimum donor weight of less than 50 kg. Tattoo and pregnancy deferrals ranged from 4 to 12 months and 6 weeks to 12 months, respectively. The volume of whole blood donations ranged from 300 to 500 mL. The percentage of total blood volume donated, the absolute grams of Hb expected to be restored per deferral period and per day of donor deferral, and the concentration of Hb expected to be restored per deferral period were calculated. International volunteer whole blood donor eligibility criteria demonstrate marked variation. These differences likely cause international variation in the prevalence of adverse donor reactions and iron deficiency anemia. The reasons underlying these dissimilarities are unclear, but may include varying cultural influences and average donor body habitus.
Jones, David A.
An increasing number of companies use corporate volunteering programs (CVPs) to support and coordinate their employees' efforts to serve their communities. Among the most frequently touted benefits of such programs to sponsoring companies and employee volunteers alike is the opportunities for employees to develop tangible work-related skills through their volunteering activities. Evidence for skill development through volunteering, however, is mostly limited to the expressed beliefs of corporate leaders and employee volunteers. This study was designed to contribute to this largely anecdotal literature by testing hypotheses about the extent to which employee volunteers' self-reported skill development reflects the characteristics of the volunteers and their volunteering experiences. Study participants were 74 employee volunteers who completed a service apprenticeship managed by a U.S.-based nonprofit called Citizen Schools that partners with middle schools to extend the learning day with a combination of academic support, enrichment, and youth development activities. Data were obtained via the nonprofit's records, and surveys completed by employee volunteers before and after their service experience, including measures used to assess self-reported improvements in each of 10 work-related skills: communicating performance expectations, leadership, mentorship, motivating others, project management, providing performance feedback, public speaking and presenting, speaking clearly, teamwork, and time management. Support was found for several hypothesized effects suggesting that employees who practiced specific skills more often during their volunteering experience reported greater improvements in those skills. Improvements in some skills were higher among employee volunteers who completed a greater number of pre-volunteering preparation courses, and the effects of preparation courses were moderated by the employee volunteers' self-efficacy about improving their work
Jones, David A
An increasing number of companies use corporate volunteering programs (CVPs) to support and coordinate their employees' efforts to serve their communities. Among the most frequently touted benefits of such programs to sponsoring companies and employee volunteers alike is the opportunities for employees to develop tangible work-related skills through their volunteering activities. Evidence for skill development through volunteering, however, is mostly limited to the expressed beliefs of corporate leaders and employee volunteers. This study was designed to contribute to this largely anecdotal literature by testing hypotheses about the extent to which employee volunteers' self-reported skill development reflects the characteristics of the volunteers and their volunteering experiences. Study participants were 74 employee volunteers who completed a service apprenticeship managed by a U.S.-based nonprofit called Citizen Schools that partners with middle schools to extend the learning day with a combination of academic support, enrichment, and youth development activities. Data were obtained via the nonprofit's records, and surveys completed by employee volunteers before and after their service experience, including measures used to assess self-reported improvements in each of 10 work-related skills: communicating performance expectations, leadership, mentorship, motivating others, project management, providing performance feedback, public speaking and presenting, speaking clearly, teamwork, and time management. Support was found for several hypothesized effects suggesting that employees who practiced specific skills more often during their volunteering experience reported greater improvements in those skills. Improvements in some skills were higher among employee volunteers who completed a greater number of pre-volunteering preparation courses, and the effects of preparation courses were moderated by the employee volunteers' self-efficacy about improving their work
Ortiz-Ruiz, Alejandra; Postigo, María; Gil-Casanova, Sara; Cuadrado, Daniel; Bautista, José M; Rubio, José Miguel; Luengo-Oroz, Miguel; Linares, María
Routine field diagnosis of malaria is a considerable challenge in rural and low resources endemic areas mainly due to lack of personnel, training and sample processing capacity. In addition, differential diagnosis of Plasmodium species has a high level of misdiagnosis. Real time remote microscopical diagnosis through on-line crowdsourcing platforms could be converted into an agile network to support diagnosis-based treatment and malaria control in low resources areas. This study explores whether accurate Plasmodium species identification-a critical step during the diagnosis protocol in order to choose the appropriate medication-is possible through the information provided by non-trained on-line volunteers. 88 volunteers have performed a series of questionnaires over 110 images to differentiate species (Plasmodium falciparum, Plasmodium ovale, Plasmodium vivax, Plasmodium malariae, Plasmodium knowlesi) and parasite staging from thin blood smear images digitalized with a smartphone camera adapted to the ocular of a conventional light microscope. Visual cues evaluated in the surveys include texture and colour, parasite shape and red blood size. On-line volunteers are able to discriminate Plasmodium species (P. falciparum, P. malariae, P. vivax, P. ovale, P. knowlesi) and stages in thin-blood smears according to visual cues observed on digitalized images of parasitized red blood cells. Friendly textual descriptions of the visual cues and specialized malaria terminology is key for volunteers learning and efficiency. On-line volunteers with short-training are able to differentiate malaria parasite species and parasite stages from digitalized thin smears based on simple visual cues (shape, size, texture and colour). While the accuracy of a single on-line expert is far from perfect, a single parasite classification obtained by combining the opinions of multiple on-line volunteers over the same smear, could improve accuracy and reliability of Plasmodium species
Fridberg, Torben; Larsen, Mona
This report maps the composition of a group of volunteer members of the Home Guard, as well as their opinions and expectations of the Home Guard and their own voluntary efforts. The report is a follow-up to two previous surveys completed in 2007 and 2011 and it therefore also highlights changes f......’s tasks and activities both in Denmark and abroad. Finally, the report describes the volunteers’ perception of the Home Guards’ communication and campaigns. The report was commissioned and financed by the Danish Home Guard Command....
Beierholm, Anders Ravnsborg; Andersen, Claus Erik; Lindvold, Lars
Radioluminescence (RL) from aluminium oxide (Al2O3:C) crystals and organic scintillators such as the blue-emitting BCF-12 can be used for precise real-time dose rate measurements during radiation therapy of cancer patients. Attaching the dosimeters to thin light-guiding fiber cables enables in vi...
Kalpana D Dhuri
Full Text Available Background: Shirodhara is a classical and a well-established ayurvedic procedure of slowly and steadily dripping medicated oil or other liquids on the forehead. This procedure induces a relaxed state of awareness that results in a dynamic psycho-somatic balance. Objectives: The objective of the study is to evaluate the psychological and physiological effects of Shirodhara in healthy volunteers by monitoring the rating of mood and levels of stress, electrocardiogram (ECG, electroencephalogram (EEG, and selected biochemical markers of stress. Materials and Methods: The study was conducted in the human pharmacology laboratory. The study design was open labeled, comparing the baseline variables with values after Shirodhara. The subjects (n = 16 chosen were healthy human volunteers who gave an informed consent. Shirodhara was preceded by Abhyanga - whole body massage. The Shirodhara method was standardized for rate of dripping with peristaltic pump and temperature was controlled with a thermostat. Mood and stress levels were assessed by validated rating scales. The pre- and post-Shirodhara ECG and EEG records were evaluated. Results: Student′s paired "t" test was applied to the means + SE of the variables to calculate statistical significance at P <0.05. There was a significant improvement in mood scores and the level of stress (P <0.001. These changes were accompanied by significant decrease in rate of breathing and reduction in diastolic blood pressure along with reduction in heart rate. The relaxed alert state, after Shirodhara, was co-related with an increase in alfa rhythm in EEG. Conclusion : A standardized Shirodhara leads to a state of alert calmness similar to the relaxation response observed in meditation. The clinical benefits observed with Shirodhara in anxiety neurosis, hypertension, and stress aggravation due to chronic degenerative diseases could be mediated through these adaptive physiological effects.
Bundy, B D; Bellemann, N; Burkholder, I; Heye, T; Radeleff, B A; Grenacher, L; Kauczor, H U; Weber, M A
The compatibility of family and profession is especially difficult for employees in medical professions because of shift work and overtime. It seems that in the future women are going to represent the majority of medical professionals in Germany. Hence, with the forthcoming lack of physicians in Germany social aspects will also play a greater role in the choice of the place of employment. Therefore a statistical survey was made among employees on how they judge the compatibility of family and job and what they would like to improve. From autumn 2009 until spring 2010 a total of 115 questionnaires were distributed to 8 different academic radiology departments. The anonymous questionnaire with partially open, partially graded questions and partially multiple answer questions was designed with the help of an expert for statistics and analytics and included questions about the employment and family situation, plans for the future, requested flexible working hours and childcare models, as well as ideas for improvement. Of the questionnaires 87 were analyzed with a specially designed access database using, for example descriptive statistics and histogram analyses. Of the interviewees 68% were female and 31% were male (1% not significant n.s.), 46% had children and 49% were childless (5% n.s.), 63% were medical doctors, 33% radiographers (3% other) and 82% worked full-time. Of the male respondents with children 42% indicated that their spouse was at home, 18% of female respondents with children indicated that their spouse was at home and only mothers worked part-time. Of the male respondents 73% would like to take parental leave, 44% of all respondents (70% of the male respondents and 34% of the female respondents) agreed that radiology is more compatible with family than other medical disciplines and 87% would like to have a childcare possibility in close proximity to the working place. In most of the families the classic role model prevails, although women are well
Guo, Lining; Milburn, Michael V.; Ryals, John A.; Lonergan, Shaun C.; Mitchell, Matthew W.; Wulff, Jacob E.; Alexander, Danny C.; Evans, Anne M.; Bridgewater, Brandi; Miller, Luke; Gonzalez-Garay, Manuel L.; Caskey, C. Thomas
Precision medicine, taking account of human individuality in genes, environment, and lifestyle for early disease diagnosis and individualized therapy, has shown great promise to transform medical care. Nontargeted metabolomics, with the ability to detect broad classes of biochemicals, can provide a comprehensive functional phenotype integrating clinical phenotypes with genetic and nongenetic factors. To test the application of metabolomics in individual diagnosis, we conducted a metabolomics analysis on plasma samples collected from 80 volunteers of normal health with complete medical records and three-generation pedigrees. Using a broad-spectrum metabolomics platform consisting of liquid chromatography and GC coupled with MS, we profiled nearly 600 metabolites covering 72 biochemical pathways in all major branches of biosynthesis, catabolism, gut microbiome activities, and xenobiotics. Statistical analysis revealed a considerable range of variation and potential metabolic abnormalities across the individuals in this cohort. Examination of the convergence of metabolomics profiles with whole-exon sequences (WESs) provided an effective approach to assess and interpret clinical significance of genetic mutations, as shown in a number of cases, including fructose intolerance, xanthinuria, and carnitine deficiency. Metabolic abnormalities consistent with early indications of diabetes, liver dysfunction, and disruption of gut microbiome homeostasis were identified in several volunteers. Additionally, diverse metabolic responses to medications among the volunteers may assist to identify therapeutic effects and sensitivity to toxicity. The results of this study demonstrate that metabolomics could be an effective approach to complement next generation sequencing (NGS) for disease risk analysis, disease monitoring, and drug management in our goal toward precision care. PMID:26283345
Feinberg, Lawrence B.; Sundblad, Lloyd
The results of this study indicate that "need for approval" is a significant motivational variable in college student volunteers and is significantly related to volunteer success among female volunteers. Implications for planning rehabilitation volunteer recruitment programs are discussed. (Author)
Jiranek, Patrick; Kals, Elisabeth; Humm, Julia Sophia; Strubel, Isabel Theresia; Wehner, Theo
In the present study, we combined components of the theory of planned behavior and the functional approach to predict the social sector volunteering intention of nonvolunteers (N = 513). Moreover, we added a new other-oriented "social justice function" to the Volunteer Functions Inventory of Clary and colleagues (1998), which contains mainly self-oriented functions. We distinguished the social justice function from the other five measured volunteer functions in confirmatory factor analysis, and showed its incremental validity in predicting intention to volunteer beyond established constructs such as self-efficacy, subjective norm, and the five volunteer functions. This study suggests that emphasizing potential social justice improvements by means of volunteering may attract new volunteers.
Høimyr, N; Buncic, P; Giovannozzi, M; Gonzalez, A; Harutyunyan, A; Jones, P L; Karneyeu, A; Marquina, M A; Mcintosh, E; Segal, B; Skands, P; Grey, F; Lombraña González, D; Zacharov, I; CERN. Geneva. IT Department
Since a couple of years, a team at CERN and partners from the Citizen Cyberscience Centre (CCC) have been working on a project that enables general physics simulation programs to run in a virtual machine on volunteer PCs around the world. The project uses the Berkeley Open Infrastructure for Network Computing (BOINC) framework. Based on CERNVM and the job management framework Co-Pilot, this project was made available for public beta-testing in August 2011 with Monte Carlo simulations of LHC physics under the name "LHC@home 2.0" and the BOINC project: "Test4Theory". At the same time, CERN's efforts on Volunteer Computing for LHC machine studies have been intensified; this project has previously been known as LHC@home, and has been running the "Sixtrack" beam dynamics application for the LHC accelerator, using a classic BOINC framework without virtual machines. CERN-IT has set up a BOINC server cluster, and has provided and supported the BOINC infrastructure for both projects. CERN intends to evolve the setup i...
Information and training sessions are being organised for Open Day volunteers. The Open Days Organising Committee is offering information and training sessions every Thursday in March from 2.00 p.m. to 3.30 p.m. in the Main Building Auditorium. The first session will be on Thursday 6 March. It is important that volunteers attend these sessions to familiarise themselves with the practical arrangements for the two Open Days and with the main messages to be conveyed to the general public in order to make the event a success. General information will be given out at each session, followed by information on a specific theme. The sessions will be organised as follows: 2.00 - 2.45 p.m. : first part - general information 2.45 - 3.30 p.m. : second part - specific information * 6 March - specific theme "How to answer questions about the fears surrounding the LHC" * A different theme will be addressed at each session. The themes of subsequent sessions (13 , 20, 27 March and 3 Ap...
Background: The Islamic University Habib Medical School in Uganda (IUIU), in collaboration with Doctors Worldwide (DWW) from Turkey, organized a surgical camp in April 2014. In this camp, different types of hernia repair, among other general surgical procedures were conducted. The target population was the ...
Full Text Available This review reports some novel (or considerably improved methods for the synthesis of aromatic iodides, (dichloroiodoarenes, (diacetoxyiodoarenes, iodylarenes and diaryliodonium salts, as well as some facile, oxidative anion metatheses in crude diaryliodonium halides and, for comparison, potassium halides. All these new results were obtained in our laboratory over the past decade (1990-2000. A full list of our papers dealing with the organic iodine(I, III and V chemistry, covering exlusively the aromatic derivatives, is also provided.
This review reports some novel (or considerably improved) methods for the synthesis of aromatic iodides, (dichloroiodo)arenes, (diacetoxyiodo)arenes, iodylarenes and diaryliodonium salts, as well as some facile, oxidative anion metatheses in crude diaryliodonium halides and, for comparison, potassium halides. All these new results were obtained in our laboratory over the past decade (1990-2000). A full list of our papers dealing with the organic iodine(I, III and V) chemistry, covering exlusi...
To this date the design of hospital information systems has been the province of hardware and software specialists. The theories of information and social organizations can contribute to the design of information systems by stressing the principles of formalization and the differences between routine and non-routine tasks, with their accompanying effect on worker satisfaction and organizational efficiency. In particular, the difference between the needs of research hospitals and care hospital...
The paper studies the determinants of regular volunteering departing from previous literature on extrinsic and intrinsic motivations. It contributes to the literature investigating the role of monetary rewards to influence intrinsic motivation. Using a simple framework that allows me to study the effect of monetary rewards on intrinsic motivation, the paper shows, controlling for endogenous bias, that monetary rewards crowd-out intrinsic motivation.
Loperfido, J.V.; Beyer, P.; Just, C.L.; Schnoor, J.L.
State water quality monitoring has been augmented by volunteer monitoring programs throughout the United States. Although a significant effort has been put forth by volunteers, questions remain as to whether volunteer data are accurate and can be used by regulators. In this study, typical volunteer water quality measurements from laboratory and environmental samples in Iowa were analyzed for error and bias. Volunteer measurements of nitrate+nitrite were significantly lower (about 2-fold) than concentrations determined via standard methods in both laboratory-prepared and environmental samples. Total reactive phosphorus concentrations analyzed by volunteers were similar to measurements determined via standard methods in laboratory-prepared samples and environmental samples, but were statistically lower than the actual concentration in four of the five laboratory-prepared samples. Volunteer water quality measurements were successful in identifying and classifying most of the waters which violate United States Environmental Protection Agency recommended water quality criteria for total nitrogen (66%) and for total phosphorus (52%) with the accuracy improving when accounting for error and biases in the volunteer data. An understanding of the error and bias in volunteer water quality measurements can allow regulators to incorporate volunteer water quality data into total maximum daily load planning or state water quality reporting. ?? 2010 American Chemical Society.
Darwin, Zoe; Green, Josephine; McLeish, Jenny; Willmot, Helen; Spiby, Helen
Disadvantaged childbearing women experience barriers to accessing health and social care services and face greater risk of adverse medical, social and emotional outcomes. Support from doulas (trained lay women) has been identified as a way to improve outcomes; however, in the UK doula support is usually paid-for privately by the individual, limiting access among disadvantaged groups. As part of an independent multi-site evaluation of a volunteer doula service, this study examined women's experiences of one-to-one support from a trained volunteer doula during pregnancy, labour and the post-natal period among women living in five low-income communities in England. A mixed methods multi-site evaluation was conducted with women (total n = 137) who received the service before December 2012, using a combination of questionnaires (n = 136), and individual or group interviews (n = 12). Topics explored with women included the timing and nature of support, its impact, the relationship with the doula and negative experiences. Most women valued volunteer support, describing positive impacts for emotional health and well-being, and their relationships with their partners. Such impacts did not depend upon the volunteer's presence during labour and birth. Indeed, only half (75/137; 54.7%) had a doula attend their birth. Many experienced volunteer support as a friendship, distinct from the relationships offered by healthcare professionals and family. This led to potential feelings of loss in these often isolated women when the relationship ended. Volunteer doula support that supplements routine maternity services is potentially beneficial for disadvantaged women in the UK even when it does not involve birth support. However, the distress experienced by some women at the conclusion of their relationship with their volunteer doula may compromise the service's impact. Greater consideration is needed for managing the ending of a one-to-one relationship with a volunteer
Takyar, Varun; Nath, Anand; Beri, Andrea; Gharib, Ahmed M; Rotman, Yaron
Healthy volunteers are crucial for biomedical research. Inadvertent inclusion of subjects with nonalcoholic fatty liver disease (NAFLD) as controls can compromise study validity and subject safety. Given the rising prevalence of NAFLD in the general population, we sought to identify its prevalence and potential impact in volunteers for clinical trials. We conducted a cross-sectional study of subjects who were classified as healthy volunteers between 2011 and 2015 and had no known liver disease. Subjects were classified as presumed NAFLD (pNF; alanine aminotransferase [ALT] level ≥ 20 for women or ≥ 31 for men and body mass index [BMI] > 25 kg/m(2) ), healthy non-NAFLD controls (normal ALT and BMI), or indeterminate. A total of 3160 subjects participated as healthy volunteers in 149 clinical trials (1-29 trials per subject); 1732 of these subjects (55%) had a BMI > 25 kg/m(2) and 1382 (44%) had abnormal ALT. pNF was present in 881 subjects (27.9%), and these subjects were older than healthy control subjects and had higher triglycerides, low-density lipoprotein cholesterol, and HbA1c and lower high-density lipoprotein cholesterol (P healthy control subjects (4 versus 1). NAFLD is common and often overlooked in volunteers for clinical trials, despite its potential impact on subject safety and validity of study findings. Increased awareness of NAFLD prevalence and stricter ALT cutoffs may ameliorate this problem. (Hepatology 2017;66:825-833). Published 2017. This article is a U.S. Government work and is in the public domain in the USA.
... performed by an individual as a volunteer or volunteer leader within the meaning of the Peace Corps Act. 31... or volunteer leader within the meaning of the Peace Corps Act. In the case of an individual performing service in his capacity as a volunteer or volunteer leader within the meaning of the Peace Corps...
McIntyre, Joyce K; Schoenbrunner, Anna R; Kelley, Kristen D; Gosman, Amanda A
Plastic surgeons have a long history of international volunteer work. To date, there have been no outcome-based studies among surgeons who volunteer internationally. The purpose of this study was to describe predictors of volunteering, clinical quality markers, and economics of international volunteering among American plastic surgeons. A cross-sectional validated e-mail survey tool was sent to all board-certified plastic surgeons by the American Society of Plastic Surgeons. The survey response rate was 15 percent (745 total individuals), of which 283 respondents traveled within the past 5 years. Analysis was performed in R. Stepwise multivariate logistic regression was performed to determine the predictors of death/complication. Respondents reported high use of medical records, follow-up care, and host affiliation. Fewer than half of all respondents reported use of international safety surgery guidelines, and the majority of respondents reported volunteering abroad outside of their scope of practice. The majority of children younger than 5 years were not cared for by a pediatric anesthesiologist. The majority of participants reported personally spending more than $1000 on their last trip and performing surgery estimated to be worth on average $28,000 each. International surgical volunteer trips attempt to ease the global burden of surgical disease. The authors' study reports variation in quality of care provided on these trips. Most significantly, the majority of children younger than 5 years were not cared for by a pediatric anesthesiologist, and many plastic surgeons operated outside of their scope of practice.
Trubnikov, G V; Karmanova, T T
Mass screening was used for a study of chronic bronchitis (CB) morbidity among 5107 construction workers and employees in the city of Barnaul. The rate of persons at risk of developing CB was 10.1%, with prebronchitis 7.9%, with CB 11.1%. CB stage-related individual therapeutic and prophylactic activities in outpatient clinics resulted in a decrease in morbidity rates of diseases of the respiratory organs with temporary loss of working capacity per 100 workers: from 98.3 (in 1980) to 17.5 cases (in 1984), i.e. from 1162.9 to 107.3 days, respectively, when a preventorium is engaged; without preventorium cases reduced from 93.5 to 40.0, i.e. from 1091.6 to 394.1 days, respectively. The identification during CB formation of the stage of risk of CB development, the stage of prebronchitis and CB as a nosological entity promoted the improvement of organization of therapeutic and prophylactic care.
Jobe, J B; Holgate, S H; Scrapansky, T A
Army male enlisted personnel were tested in two experiments to assess the psychological correlates of volunteering for a hazardous combat simulation, (Experiment 1) and a riskless, psychological experiment (Experiment 2). Subjects were given a biographical and personal habit questionnaire, the IPAT Anxiety Scale, Rotter's Locus of Control Scale, and Torrance and Ziller's life experience inventory. Results from Experiment 1 indicated that volunteers were significantly less anxious, and more willing to take risks than were nonvolunteers. Noncommissioned officers, smokers, laterborn children, and children of lower socioeconomic class parents were significantly overrepresented among the volunteers for this hazardous experiment. In Experiment 2, which solicited volunteers for a routine, nonhazardous experiment, the only variable to discriminate the volunteers from the nonvolunteers was mothers' education level. Results are in agreement with findings, using college students, that volunteer samples differ significantly from nonvolunteer samples, and that the characteristics that discriminate these two groups vary as a function of situational factors.
A detection algorithm for drug-induced liver injury in medical information databases using the Japanese diagnostic scale and its comparison with the Council for International Organizations of Medical Sciences/the Roussel Uclaf Causality Assessment Method scale.
Hanatani, Tadaaki; Sai, Kimie; Tohkin, Masahiro; Segawa, Katsunori; Kimura, Michio; Hori, Katsuhito; Kawakami, Junichi; Saito, Yoshiro
Drug-induced liver injury (DILI) is one of the primary targets for pharmacovigilance using medical information databases (MIDs). Because of diagnostic complexity, a standardized method for identifying DILI using MIDs has not yet been established. We applied the Digestive Disease Week Japan 2004 (DDW-J) scale, a Japanese clinical diagnostic criteria for DILI, to a DILI detection algorithm, and compared it with the Council for International Organizations of Medical Sciences/the Roussel Uclaf Causality Assessment Method (CIOMS/RUCAM) scale to confirm its consistency. Characteristics of DILI cases identified by the DDW-J algorithm were examined in two Japanese MIDs. Using an MID from the Hamamatsu University Hospital, we constructed a DILI detection algorithm on the basis of the DDW-J scale. We then compared the findings between the DDW-J and CIOMS/RUCAM scales. We examined the characteristics of DILI after antibiotic treatment in the Hamamatsu population and a second population that included data from 124 hospitals, which was derived from an MID from the Medical Data Vision Co., Ltd. We performed a multivariate logistic regression analysis to assess the possible DILI risk factors. The concordance rate was 79.4% between DILI patients identified by the DDW-J and CIOMS/RUCAM; the Spearman rank correlation coefficient was 0.952 (P < 0.0001). Men showed a significantly higher risk for DILI after antibiotic treatments in both MID populations. The DDW-J and CIOMS/RUCAM algorithms were equivalent for identifying the DILI cases, confirming the utility of our DILI detection method using MIDs. This study provides evidence supporting the use of MID analyses to improve pharmacovigilance. Copyright © 2014 John Wiley & Sons, Ltd.
Gurer, Burak; ADILOGULLARI, Ilhan
The main purpose of this study was to analyze the leadership behaviors of volunteer leaders in search and rescue field. 118 volunteer leaders attended this study on a volunteer basis. Data were collected through the use of the Multifactor Leadership Questionnaire, which was developed by Bass & Avolio (1985) and adapted into Turkish by Demir & Okan. 20 items were used to measure transformational leadership while 16 of them were applied for transactional leadership. One Way Anov...
Burrai, E; Mostafanezhad, M; Hannam, K
In this paper, we develop a conceptual approach from which to examine the moral landscape of volunteer tourism development in Cusco, Peru. Drawing from recent work on assemblage theory in geography and tourism studies, we explore how assemblage thinking can facilitate new understandings of volunteer tourism development. Using assemblage as an analytical framework allows us to understand volunteer tourism as a series of relational, processual, unequal and mobile practices. These practices, we ...
experience, and help a cause they believe in. Victor H. Vroom’s “ expectancy theory ” affirms that individuals are influenced to engage in particular...someone volunteers, and what a volunteer expects from the experience. In her book, Meaning Well is not Enough – Perspectives on Volunteering, Jane M...human dignity, and social justice when those activities are not the source of one’s livelihood, require involvement beyond what is expected of all
Fridberg, Torben; Damgaard, Malene
voluntary work than the population as a whole. The report also shows that one in three active members of the Home Guard would like to be deployed on international operations to support the armed forces. The young members are especially willing – and these members have increased in recent years. This report......This report describes the composition of the Home Guard’s volunteer members and their attitudes to and expectations for the Home Guard. A similar survey was carried out in 2007, and the present report therefore also examines the trends from 2007 to 2011. Among other things, the report shows...... that the voluntary members are a stable resource, as on average they have been members of the Home Guard for more than 24 years. There is a clear majority of men aged 25-50. Relatively many have vocational training, and many are employed in the private sector. Members are also relatively more active in other...
Full Text Available Volunteered geographic information (VGI is geographic information collected by way of crowdsourcing. However, the distinction between VGI as an information product and the processes that create VGI is blurred. Clearly, the environment that influences the creation of VGI is different than the information product itself, yet most literature treats them as one and the same. Thus, this research is motivated by the need to formalize and standardize the systems that support the creation of VGI. To this end, we propose a conceptual framework for VGI systems, the main components of which—project, participants, and technical infrastructure—form an environment conducive to the creation of VGI. Drawing on examples from OpenStreetMap, Ushahidi, and RinkWatch, we illustrate the pragmatic relevance of these components. Applying a system perspective to VGI allows us to better understand the components and functionality needed to effectively create VGI.
Carhart-Harris, R L; Kaelen, M; Whalley, M G; Bolstridge, M; Feilding, A; Nutt, D J
Lysergic acid diethylamide (LSD) has a history of use as a psychotherapeutic aid in the treatment of mood disorders and addiction, and it was also explored as an enhancer of mind control. The present study sought to test the effect of LSD on suggestibility in a modern research study. Ten healthy volunteers were administered with intravenous (i.v.) LSD (40-80 μg) in a within-subject placebo-controlled design. Suggestibility and cued mental imagery were assessed using the Creative Imagination Scale (CIS) and a mental imagery test (MIT). CIS and MIT items were split into two versions (A and B), balanced for 'efficacy' (i.e. A ≈ B) and counterbalanced across conditions (i.e. 50 % completed version 'A' under LSD). The MIT and CIS were issued 110 and 140 min, respectively, post-infusion, corresponding with the peak drug effects. Volunteers gave significantly higher ratings for the CIS (p = 0.018), but not the MIT (p = 0.11), after LSD than placebo. The magnitude of suggestibility enhancement under LSD was positively correlated with trait conscientiousness measured at baseline (p = 0.0005). These results imply that the influence of suggestion is enhanced by LSD. Enhanced suggestibility under LSD may have implications for its use as an adjunct to psychotherapy, where suggestibility plays a major role. That cued imagery was unaffected by LSD implies that suggestions must be of a sufficient duration and level of detail to be enhanced by the drug. The results also imply that individuals with high trait conscientiousness are especially sensitive to the suggestibility-enhancing effects of LSD.
Kim, Yoojung; Lee, Wei-Na
Social networking sites (SNSs) provide a unique social venue to engage the young generation in philanthropy through their networking capabilities. An integrated model that incorporates social capital into the Theory of Reasoned Action is developed to explain volunteer behavior through social networks. As expected, volunteer behavior was predicted by volunteer intention, which was influenced by attitudes and subjective norms. In addition, social capital, an outcome of the extensive use of SNSs, was as an important driver of users' attitude and subjective norms toward volunteering via SNSs.
Full Text Available To explore the association between health literacy and levels of three types of core activities among health promotion volunteers (developing a healthy lifestyle, outreach to family, and outreach to community members.A cross-sectional, anonymous, self-administered postal survey of registered health promotion volunteers in the Konan area in Shiga Prefecture in Japan, conducted in January 2010. The study sample was 575 registered health promotion volunteers.The survey collected data on health literacy, gender, age, education, self-rated health, perceptions about the volunteer organization, and perceptions of recognition in the community. The level of engagement in health promotion activities was measured by the extent to which the participants engaged in seven healthy behaviors and promoted them to family members and the community. The authors compared the health literacy level and other characteristics of the participants by core health promotion activities, using a chi-squared test, to examine the associations between demographic and other variables and the three core activities (healthy lifestyle, outreach to family, and outreach to community.Logistic regression analysis was conducted to examine the association between the degree to which the volunteers engaged in core activities ("healthy lifestyle," "outreach to family," "outreach to community" and the levels of health literacy (low, medium, high among health promotion volunteers, controlling for the effects of age, gender, health condition, education which may also have an impact on volunteers' outreach activities.Four hundred and fifty-four questionnaires were returned, a 79.0% response rate. Excluding 16 cases with missing values on health literacy or the degree of health promotion activities, 438 research subjects were included in the analysis (valid response rate: 76.2%. Health literacy and a few demographic and other characteristics of the volunteers were associated with the three core
billion.132 Theda Skocpol , a member of the American Political Science Association, discusses the changing climate of civic involvement in the U.S...democracy and warns against over-professionalization of volunteer organizations. Skocpol contends that all citizens, even those without professional...Representatives, April 19, 2007, 2. 133 Theda Skocpol , “Voice and Inequality: The Transformation of American Civic Democracy,” Perspectives on
BOCHER, Erwan; Petit, Gwendall; Fortin, Nicolas; PICAUT, Judicaël; Guillaume, Gwenaël; PALOMINOS, Sylvain
OGRS2016, Open Source Geospatial Research & Education Symposium, PEROUSE, ITALIE, 12-/10/2016 - 14/10/2016; The present paper proposes an ideal Spatial Data Infrastructure (SDI) dedicated to noise monitoring based on volunteers measurements. Called OnoM@P, it takes advantage of the geospatial standards and open source tools to build an integrated platform to manage the whole knowledge about a territory and to observe its dynamics. It intends also to diffuse good practices to organize, collect...
Chen, Lin H; Wilson, Mary E
Travel abroad for healthcare has increased rapidly; interventions include organ transplant; cardiac surgery; reproductive care; and joint, cosmetic, and dental procedures. Individuals who receive medical care abroad are a vulnerable, sentinel population, who sample the local environment and can carry home unusual and resistant infections, documented in many reports. Medical tourists are at risk for hospital-associated and procedure-related infections as well as for locally endemic infections. Patients may not volunteer details about care abroad, so clinicians must inquire about medical procedures abroad as well as recent travel. Special infection control measures may be warranted. Healthcare abroad is associated with diverse financial, legal, ethical, and health-related issues. We focus on problems the infectious disease clinician may encounter and provide a framework for evaluating returned medical tourists with suspected infections. A better system is needed to ensure broad access to high-quality health services, continuity of care, and surveillance for complications.
Allard, Julie; Fortin, Marie-Chantal
In June 2016, following the decision of the Supreme Court of Canada to decriminalise assistance in dying, the Canadian government enacted Bill C-14, legalising medical assistance in dying (MAID). In 2014, the province of Quebec had passed end-of-life care legislation making MAID available as of December 2015. The availability of MAID has many implications, including the possibility of combining this practice with organ donation through the controlled donation after cardiac death (cDCD) protocol. cDCD most often occurs in cases where the patient has a severe neurological injury but does not meet all the criteria for brain death. The donation is subsequent to the decision to withdraw life-sustaining treatment (LST). Cases where patients are conscious prior to the withdrawal of LST are unusual, and have raised doubts as to the acceptability of removing organs from individuals who are not neurologically impaired and who have voluntarily chosen to die. These cases can be compared with likely scenarios in which patients will request both MAID and organ donation. In both instances, patients will be conscious and competent. Organ donation in such contexts raises ethical issues regarding respect for autonomy, societal pressure, conscientious objections and the dead-donor rule. In this article, we look at relevant policies in other countries and examine the ethical issues associated with cDCD in conscious patients who choose to die. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
Testa, Daniela Edelvis
The present article analyzes the emergence of a volunteer-based social assistance organization that played an active role in the health care provided for poliomyelitis in Argentina: Asociación para la Lucha contra la Parálisis Infantil (Association for the Fight against Child Paralysis). This institution was created in Buenos Aires in 1943 by a group of women from upper and middle class social sectors. In a context of biomedical uncertainty, the organization mobilized material and symbolic resources to respond to the need for rehabilitation of the permanent physical conditions the disease provoked in its victims. Using as a source the institutional memories of the organization, the article demonstrates how doctors and philanthropists formed a social-medical alliance and developed a fundamental interest in practicing a form of treatment sustained in a framework that united Christian ideas with medical and rehabilitative innovations.
Full Text Available Social participation has positive effects on mental and physical health, and it can be taken as an indicator of quality of life. However, the participation of people with disabilities in their communities is still scarce, especially for people with autism. The impact on individual satisfaction produced by a university volunteer program (APUNTATE aimed at supporting people with autism in leisure activities was evaluated. A questionnaire of impact assessment, that identifies those areas where the impact is greater, was completed by 159 families of users and 230 volunteers. Users and volunteers reported a very high level of satisfaction with the program, but personal characteristics of users slightly influenced the scores. The structured organization of the program, and the continued training and support received by volunteers were the highest valued aspects. The adaptation of supports to the individual needs of users and volunteers was another relevant factor to explain the results. The evaluation obtained shows that volunteering programs to promote the participation of people with ASD can be successfully implemented in public universities. These programs can increase the personal development, facilitate a change of attitude towards people with disabilities and can improve future employment prospects of students.
BACKGROUND: The parasacral approach to sciatic blockade is reported to be easy to learn and perform, with a high success rate and few complications. METHODS: Using magnetic resonance imaging, we evaluated the accuracy of a simulated needle (perpendicular to skin) in contacting the sacral plexus with this approach in 10 volunteers. Intrapelvic structures encountered during the simulated parasacral blocks were also recorded. RESULTS: The sacral plexus was contacted by the simulated needle in 4 of the 10 volunteers, and the sciatic nerve itself in one volunteer. The plexus was accurately located adjacent to a variety of visceral structures, including small bowel, blood vessels, and ovary. In the remaining five volunteers (in whom the plexus was not contacted on first needle pass), small bowel, rectum, blood vessels, seminal vesicles, and bony structures were encountered. Historically, when plexus is not encountered, readjustment of the needle insertion point more caudally has been recommended. We found that such an adjustment resulted in simulated perforation of intrapelvic organs or the perianal fossa. CONCLUSIONS: These findings question the reliability of the anatomical landmarks of the parasacral block and raise the possibility of frequent visceral puncture using this technique.
Full Text Available The significance of voluntary activities in Slovakia constantly increases as it is one of the fundamental areas, which is of particular interest to chosen communities as well as the general public, with the scope of these activities exceeding religious or social groups and national character. The current situation of voluntary activities is not satisfactory and there is an absence of primary research studies that would provide a relevant and complex overview of the volunteering system. Further worsening the situation is the fact that volunteering actions were not even defined in the legal system until 2011. Evaluation of the existing situation and development of voluntary activities realized in Slovakia is carried out using a questionnaire survey, identifying the fundamental barriers of its development and evaluating the potential for implementing new challenges and trends. The most problematic issue is area of financing, closely related to non‑governmental sector financing issues. A lack of understanding by the donors concerning the process of investing in volunteers, even in high quality programs, is also an important problem, along with the lack of legislation and mistrust. Organization and volunteer motivation was also investigated.
Rank, Matthew A; Volcheck, Gerald W; Swagger, Timothy; Cook, David A
Web-based modules may facilitate instruction on core topics in allergy and immunology (AI). Pretests (PTs) have been shown to improve learning in Web-based courses, but their effectiveness in comparison with advance organizers (AOs) is unknown. We performed a randomized controlled trial of a Web-based educational intervention for teaching the practical aspects of allergen immunotherapy (AIT). AI Fellows-in-Training were randomly assigned to receive the introduction to the modules in an AO outline (AO group) or as PT questions (PT group). The primary outcome was the difference in posttest scores between groups. The secondary outcome was the difference in PT and posttest scores in the PT group. Thirty participants in the AO group and 35 in the PT group completed the modules and the posttest. The mean (SD) posttest score for the AO group was 74% (14%) compared with 73% (9%) for the PT group, a mean difference of -1% (95% CI, -7%, 5%; p = 0.67). A multivariate analysis controlling for year-in-training and total time spent on the modules revealed virtually identical results. The mean (SD) PT score for the PT group increased from 49 (10%) to 73% (9%), a mean difference of 24% (95% CI, 19%, 28%; p < 0.0001). Introducing Web-based allergy education with PT questions or an AO resulted in similar posttest scores. Posttest scores in the PT group improved significantly compared with PT scores.
B HAGH PANAH
Full Text Available Introduction: Almost all patients with coetaneous leishmaniasis have little knowledge about prevention and transmission of the disease. Clearly health education is an important factor and a new strategy for the control and prevention of the disease. High expenses of vaccines and little improvement in the production of vaccine persuaded us to focus on health education for parasitic disease control. Methods: At first, the level of knowledge about different aspects of leishmaniasis was determined in 232 mothers in experimental group (social community medical center in Haftoon and 239 mothers in control group (zeinabieh by a questionnaire with 26 questions. The level of knowledge about disease was checked in both groups after educational programme for health volunteers of experimental group in Haftoon. Knowledge levels were graded in Good (13-20, middle (7-12 and weak (0-6 categories. Results: Mothers knowledge about control and prevention of leishmaniasis was in middle level in both group. There was significant relationship between educational degree of mothers and husbands and the job of husbands with their knowledge about the disease. Increasing the mean knowledge of mothers after education of health volunteers were 0.91 (12.6 percent in experimental group and 0.42 (5.72 percent in control group. So, education of health volunteers had no significant effects on increasing the mothers knowledge (P>0.05. Discussion: This survey showed that the knowledge about control and prevention of leishmaniasis in endermic area is low. Health volunteers as related group between the health center and women have no acceptable functions. So, it is suggested that education to women should be applied in endemic area and health volunteers must be activated by the health centers.
Bjerneld, Magdalena; Lindmark, Gunilla; McSpadden, Lucia Ann; Garrett, Martha J
International nongovernmental organizations (NGOs) involved in humanitarian assistance employ millions of volunteers. One of the major challenges for the organizations is the high turnover rate among their personnel. Another is recruiting the right persons. As part of a series of studies investigating factors that affect the recruitment process and the success of assignment, this qualitative study examined health professionals' motivations for volunteering, their various concerns, and their expectations about themselves and the organizations for which they would work. The findings from focus group interviews with potential humanitarian volunteers were considered within the framework of Hertzberg's theory of motivations and Maslow's hierarchy of needs. The study has significant implications for personnel policy and practice in the humanitarian sector. Recruitment officers should have the self-actualized person, as described by Maslow, in mind when interviewing candidates. This perspective would make it easier for them to understand the candidates' thoughts and concerns and would lead to more effective interventions. Program officers should have satisfiers and dissatisfiers, as identified by Herzberg, in mind when planning programs. The probability that personnel will leave humanitarian work is lower if they perceive working conditions as good.
Strengths, weaknesses, opportunities, and threats analysis of integrating the World Health Organization patient safety curriculum into undergraduate medical education in Pakistan: a qualitative case study
Full Text Available Purpose The purpose of this study was to conduct a strengths, weaknesses, opportunities, and threats (SWOT analysis of integrating the World Health Organization (WHO patient safety curriculum into undergraduate medical education in Pakistan. Methods A qualitative interpretive case study was conducted at Riphah International University, Islamabad, from October 2016 to June 2017. The study included 9 faculty members and 1 expert on patient safety. The interviews were audiotaped, and a thematic analysis of the transcripts was performed using NVivo software. Results Four themes were derived based on the need analysis model. The sub-themes derived from the collected data were arranged under the themes of strengths, weaknesses, opportunities, and threats, in accordance with the principles of SWOT analysis. The strengths identified were the need for a formal patient safety curriculum and its early integration into the undergraduate program. The weaknesses were faculty awareness and participation in development programs. The opportunities were an ongoing effort to develop an appropriate curriculum, to improve the current culture of healthcare, and to use the WHO curricular resource guide. The threats were attitudes towards patient safety in Pakistani culture, resistance to implementation from different levels, and the role of regulatory authorities. Conclusion The theme of patient safety needs to be incorporated early into the formal medical education curriculum, with the main goals of striving to do no harm and seeing mistakes as opportunities to learn. Faculty development activities need to be organized, and faculty members should to be encouraged to participate in them. The lack of a patient safety culture was identified as the primary reason for resistance to this initiative at many levels. The WHO curriculum, amended according to local institutional culture, can be implemented appropriately with support from the corresponding regulatory bodies.
Trosman, Julia R; Weldon, Christine B; Douglas, Michael P; Deverka, Patricia A; Watkins, John B; Phillips, Kathryn A
New payment and care organization approaches, such as those of accountable care organizations (ACOs), are reshaping accountability and shifting risk, as well as decision making, from payers to providers, within the Triple Aim context of health reform. The Triple Aim calls for improving experience of care, improving health of populations, and reducing health care costs. To understand how the transition to the ACO model impacts decision making on adoption and use of innovative technologies in the era of accelerating scientific advancement of personalized medicine and other innovations. We interviewed representatives from 10 private payers and 6 provider institutions involved in implementing the ACO model (i.e., ACOs) to understand changes, challenges, and facilitators of decision making on medical innovations, including personalized medicine. We used the framework approach of qualitative research for study design and thematic analysis. We found that representatives from the participating payer companies and ACOs perceive similar challenges to ACOs' decision making in terms of achieving a balance between the components of the Triple Aim-improving care experience, improving population health, and reducing costs. The challenges include the prevalence of cost over care quality considerations in ACOs' decisions and ACOs' insufficient analytical and technology assessment capacity to evaluate complex innovations such as personalized medicine. Decision-making facilitators included increased competition across ACOs and patients' interest in personalized medicine. As new payment models evolve, payers, ACOs, and other stakeholders should address challenges and leverage opportunities to arm ACOs with robust, consistent, rigorous, and transparent approaches to decision making on medical innovations. Copyright © 2017 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.
Strengths, weaknesses, opportunities, and threats analysis of integrating the World Health Organization patient safety curriculum into undergraduate medical education in Pakistan: a qualitative case study.
Misbah, Samreen; Mahboob, Usman
The purpose of this study was to conduct a strengths, weaknesses, opportunities, and threats (SWOT) analysis of integrating the World Health Organization (WHO) patient safety curriculum into undergraduate medical education in Pakistan. A qualitative interpretive case study was conducted at Riphah International University, Islamabad, from October 2016 to June 2017. The study included 9 faculty members and 1 expert on patient safety. The interviews were audiotaped, and a thematic analysis of the transcripts was performed using NVivo software. Four themes were derived based on the need analysis model. The sub-themes derived from the collected data were arranged under the themes of strengths, weaknesses, opportunities, and threats, in accordance with the principles of SWOT analysis. The strengths identified were the need for a formal patient safety curriculum and its early integration into the undergraduate program. The weaknesses were faculty awareness and participation in development programs. The opportunities were an ongoing effort to develop an appropriate curriculum, to improve the current culture of healthcare, and to use the WHO curricular resource guide. The threats were attitudes towards patient safety in Pakistani culture, resistance to implementation from different levels, and the role of regulatory authorities. The theme of patient safety needs to be incorporated early into the formal medical education curriculum, with the main goals of striving to do no harm and seeing mistakes as opportunities to learn. Faculty development activities need to be organized, and faculty members should to be encouraged to participate in them. The lack of a patient safety culture was identified as the primary reason for resistance to this initiative at many levels. The WHO curriculum, amended according to local institutional culture, can be implemented appropriately with support from the corresponding regulatory bodies.
Qureshi, Kristine; Gershon, Robyn M; Conde, Francisco
The Medical Reserve Corps (MRC) is a key strategy used in the United States to assure an adequate surge capacity healthcare workforce for response to disasters. A survey of Hawaiian healthcare providers (n = 1,057) was conducted to identify factors that influence interest, ability, and willingness to join the MRC; 468 (44.3%) healthcare providers responded. Overall, females were more likely to demonstrate an interest in joining the MRC, while physicians and dentists reported lower levels of ability and willingness, in addition to a lower level of interest in joining the MRC than the other professional groups. The most important motivating factor in joining the MRC was altruism and the ability to help one's own community. Respondents reported a number of factors that would influence their decision to join or remain a MRC member. These included: (1) time commitment required; (2) MRC organization and management; (3) provision of MRC-sponsored training or education sessions and continuing education credits; (4) concerns regarding the safety of family members during a disaster; (5) professional liability protection for work performed during MRC operations; and (6) competing personal obligations. Strategies targeting these factors probably will be most effective in recruitment and retention of MRC volunteers as well as members of other public health surge capacity volunteer groups.
Harahap, Y; Prasaja, B; Indriati, E; Lusthom, W; Lipin
Determination of the bioequivalence of two ciprofloxacin tablet formulations (test formulation manufactured by Novell Pharmaceutical Laboratories, Indonesia, reference formulation from Quimica Farmaceutica Bayer, Spain). 24 healthy volunteers received each of the two ciprofloxacin formulations at a dose of 500 mg in a 2-way crossover design. Blood samples were obtained prior to dosing and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and24h after drug administration. Plasma concentrations of ciprofloxacin were monitored using high-performance liquid chromatography over a period of 24 h after administration. The pharmacokinetics parameter AUC0-24h, AUC0-infinity and Cmax were tested for bioequivalence after log-transformation of data and ratios of tmax were evaluated non-parametrically. The point estimates and 90% confidence intervals for AUC0-24h, AUC0-infinity and Cmax were 97.55% (92.71 - 102.6%), 97.63% (92.90 - 102.59%) and 95.84% (89.95 - 102.10%), respectively, satisfying the bioequivalence criteria of the European Committee for Proprietary Medicinal Products and the US Food and Drug Administration guidelines. These results indicate that two medications of ciprofloxacin are bioequivalent and, thus, may be prescribed interchangeably.
Vernon B. Carter
Full Text Available The Great Recession weakened U.S. families’ abilities to make charitable gifts. Although African Americans are generally especially hard hit by these types of economic crises, they have a long and distinctive history of volunteerism and mutual assistance. Consequently, the purpose of this study is to examine African American volunteering in nonprofit organizations in the aftermath of the 2008–2009 recession. Specifically, we examined race as well as other factors with the potential to influence volunteering in four categories of organizations: poverty organizations, senior service agencies, social action groups, and religious affiliated organizations. Using the Panel Study of Income Dynamics (PSID data, this secondary analysis produced significant findings regarding volunteerism among African Americans in these community-based organizations.
Thormar, Sigridur Bjork; Gersons, Berthold P R; Juen, Barbara; Djakababa, Maria Nelden; Karlsson, Thorlakur; Olff, Miranda
During disasters, aid organizations often respond using the resources of local volunteer members from the affected population who are not only inexperienced, but who additionally take on some of the more psychologically and physically difficult tasks in order to provide support for their community. Although not much empirical evidence exists to justify the claim, it is thought that preparation, training, and organizational support limit (or reduce) a volunteer's risk of developing later psychopathology. In this study, we examined the effects of preparation, training, and organizational support and assigned tasks on the mental health of 506 Indonesian Red Cross volunteers who participated in the response to a massive earthquake in Yogyakarta, Indonesia, in 2006. Controlling for exposure level, the volunteers were assessed for post-traumatic stress disorder (PTSD), anxiety, depression, and subjective health complaints (SHCs) 6, 12, and 18 months post-disaster. Results showed high levels of PTSD and SHCs up to 18 months post-disaster, while anxiety and depression levels remained in the normal range. Higher levels of exposure as well as certain tasks (e.g., provision of psychosocial support to beneficiaries, handling administration, or handing out food aid) made the volunteers more vulnerable. Sense of safety, expressed general need for support at 6 months, and a lack of perceived support from team leaders and the organization were also related to greater psychopathology at 18 months. The results highlight the importance of studying organizational factors. By incorporating these results into future volunteer management programs the negative effects of disaster work on volunteers can be ameliorated.
Bixler, Robert D.; Joseph, Stephanie L.; Searles, Vicki M.
Zoos embrace docents/volunteers as a means of interpreting the threats to wildlife and biodiversity to visitors. To accomplish this, zoos provide docents' education, training, and work experience. Docents themselves also engage in solitary and social wildlife experiences outside of their volunteer obligations. This study examined what motivates…
Emmen, H.H.; Muijser, H.; Arts, J.H.E.; Prinsen, M.K.
The objective of this study was to establish the possible occurrence of eye irritation and subjective symptoms in human volunteers exposed to propylene glycol monomethyl ether (PGME) vapour at concentrations of 0, 100 and 150 ppm. Testing was conducted in 12 healthy male volunteers using a repeated
Papers. Young Canadians learning/volunteering abroad and their perceived impacts on host communities : CASID Conference paper, May 28, 2009, Carleton University, Ottawa. Download PDF. Reports. Creating global citizens? : the impact of learning/volunteer abroad programs; final report, January 2006 - June 2012.
There is a big world out there, and volunteers can make a significant impact in helping one reach out to others and grow his/her PTA membership. In fact, word-of-mouth marketing tied for the top spot as the most effective method of new member recruitment in Marketing General's 2010 Membership Marketing Benchmarking Report. So getting volunteers'…
Fitch, R. Thomas
Designed and administered the Student Community Service Involvement Survey to assess students' reasons for volunteering. College students indicated that their motives for involvement in community service were egoistic and altruistic. Demographically, student volunteers were not too different from the general student population. Volunteerism was…
Bender, Timothy A.
The motivation of students to volunteer to participate in research studies was explored in two studies. The first study explored the motivation of 300 introductory psychology students at a large midwestern university to volunteer for research participation when one exam point was offered for each hour of participation. Study two, which was…
Van der Zee, K.I.; Bakker, A.B.; Buunk, Abraham (Bram)
The present study focused on social comparison processes among volunteer caregivers of terminally ill patients in relation to burnout. First, caregivers' (N = 80) affective reactions to a bogus interview with fellow volunteer workers who were either coping better or worse were considered. Upward
Mahadevan, Renuka; Ren, Carina Bregnholm
This article explores possible factors that influence the willingness of volunteers to reattend as paying visitors. Using the 2016 Arctic Winter Games in Greenland as a case study, it was found that 47% of the volunteers were willing to reattend as paying visitors; some self-related benefits and ...
Ruiter, S.; Graaf, N.D. de
To what extent does the national religious context affect volunteering? Does a religious environment affect the relation between religiosity and volunteering? To answer these questions, this study specifies individual level, contextual level, and cross-level interaction hypotheses. The authors test
Ruiter, Stijn; Graaf, Nan Dirk de
To what extent does the national religious context affect volunteering? Does a religious environment affect the relation between religiosity and volunteering? To answer these questions, this study specifies individual level, contextual level, and cross-level interaction hypotheses. The authors test
Marie Claire Van Hout
Full Text Available Ireland has a longstanding history of diverse volunteer action (Volunteering Ireland, 2010a. Ireland’s current economic recession has impacted on the community and voluntary sector, with frequent contraction in staff numbers and incomes, and increasing reliance on volunteer participation (Harvey, 2012. This study utilised social capital theory to garner a phenomenological understanding of the contribution of volunteering to perceived social capital amongst Irish volunteers and host organisation representatives. A convenience sample of 28 participants (17 volunteers and 11 organisation representatives was interviewed. A shift in personal and social definitions of volunteering were described, with informal volunteering increasingly replaced by structured, formalized and regulated volunteer placements. Volunteers described their experiences as contributing to increased personal well being and sense of purpose, development of friendships and meeting new people. The volunteer participants identified volunteering activity as a specified community need, providing work related experiences, fulfillment in free time and opportunity for up-skilling. Integration of volunteers into the organisation’s workforce was described as dependent on duration, intensity of interaction and scope of volunteer contributions. Power differentials and a lack of trust between volunteers and staff, was described, as was a lack of volunteer recognition staff. Subsequently, some volunteers identified and aligned themselves within the wider social volunteer network rather than their host organisation. The research reflected an emergent consumerist approach to volunteering and underscores the need to preserve informal social networks of community volunteers, alongside the development of more formalized work specific routes for volunteering in Ireland.
Aguado Sanchez, Carlos; Blomer, Jakob; Buncic, Predrag; Chen, Gang; Ellis, John; Garcia Quintas, David; Harutyunyan, Artem; Grey, Francois; Lombrana Gonzalez, Daniel; Marquina, Miguel; Mato, Pere; Rantala, Jarno; Schulz, Holger; Segal, Ben; Sharma, Archana; Skands, Peter; Weir, David; Wu, Jie; Wu, Wenjing; Yadav, Rohit
Computing for the LHC, and for HEP more generally, is traditionally viewed as requiring specialized infrastructure and software environments, and therefore not compatible with the recent trend in "volunteer computing", where volunteers supply free processing time on ordinary PCs and laptops via standard Internet connections. In this paper, we demonstrate that with the use of virtual machine technology, at least some standard LHC computing tasks can be tackled with volunteer computing resources. Specifically, by presenting volunteer computing resources to HEP scientists as a "volunteer cloud", essentially identical to a Grid or dedicated cluster from a job submission perspective, LHC simulations can be processed effectively. This article outlines both the technical steps required for such a solution and the implications for LHC computing as well as for LHC public outreach and for participation by scientists from developing regions in LHC research.
Volunteered geographic information (VGI) can be used to identify public valuation of ecosystem services in a defined geographic area using photos as a representation of lived experiences. This method can help researchers better survey and report on the values and preferences of stakeholders involved in rehabilitation and revitalization projects. Current research utilizes VGI in the form of geotagged social media photos from three platforms: Flickr, Instagram, and Panaramio. Social media photos have been obtained for the neighborhoods next to the St. Louis River in Duluth, Minnesota, and are being analyzed along several dimensions. These dimensions include the spatial distribution of each platform, the characteristics of the physical environment portrayed in the photos, and finally, the ecosystem service depicted. In this poster, we focus on the photos from the Irving and Fairmount neighborhoods of Duluth, MN to demonstrate the method at the neighborhood scale. This study demonstrates a method for translating the values expressed in social media photos into ecosystem services and spatially-explicit data to be used in multiple settings, including the City of Duluth’s Comprehensive Planning and community revitalization efforts, habitat restoration in a Great Lakes Area of Concern, and the USEPA’s Office of Research and Development. This poster will demonstrate a method for translating values expressed in social media photos into ecosystem services and spatially
Studerus, Erich; Gamma, Alex; Kometer, Michael; Vollenweider, Franz X
Responses to hallucinogenic drugs, such as psilocybin, are believed to be critically dependent on the user's personality, current mood state, drug pre-experiences, expectancies, and social and environmental variables. However, little is known about the order of importance of these variables and their effect sizes in comparison to drug dose. Hence, this study investigated the effects of 24 predictor variables, including age, sex, education, personality traits, drug pre-experience, mental state before drug intake, experimental setting, and drug dose on the acute response to psilocybin. The analysis was based on the pooled data of 23 controlled experimental studies involving 409 psilocybin administrations to 261 healthy volunteers. Multiple linear mixed effects models were fitted for each of 15 response variables. Although drug dose was clearly the most important predictor for all measured response variables, several non-pharmacological variables significantly contributed to the effects of psilocybin. Specifically, having a high score in the personality trait of Absorption, being in an emotionally excitable and active state immediately before drug intake, and having experienced few psychological problems in past weeks were most strongly associated with pleasant and mystical-type experiences, whereas high Emotional Excitability, low age, and an experimental setting involving positron emission tomography most strongly predicted unpleasant and/or anxious reactions to psilocybin. The results confirm that non-pharmacological variables play an important role in the effects of psilocybin.
Full Text Available Responses to hallucinogenic drugs, such as psilocybin, are believed to be critically dependent on the user's personality, current mood state, drug pre-experiences, expectancies, and social and environmental variables. However, little is known about the order of importance of these variables and their effect sizes in comparison to drug dose. Hence, this study investigated the effects of 24 predictor variables, including age, sex, education, personality traits, drug pre-experience, mental state before drug intake, experimental setting, and drug dose on the acute response to psilocybin. The analysis was based on the pooled data of 23 controlled experimental studies involving 409 psilocybin administrations to 261 healthy volunteers. Multiple linear mixed effects models were fitted for each of 15 response variables. Although drug dose was clearly the most important predictor for all measured response variables, several non-pharmacological variables significantly contributed to the effects of psilocybin. Specifically, having a high score in the personality trait of Absorption, being in an emotionally excitable and active state immediately before drug intake, and having experienced few psychological problems in past weeks were most strongly associated with pleasant and mystical-type experiences, whereas high Emotional Excitability, low age, and an experimental setting involving positron emission tomography most strongly predicted unpleasant and/or anxious reactions to psilocybin. The results confirm that non-pharmacological variables play an important role in the effects of psilocybin.
Venkatesh, S K; Wang, G; Seet, J E; Teo, L L S; Chong, V F H
To evaluate the feasibility of magnetic resonance imaging (MRI) for the transformation of preserved organs and their disease entities into digital formats for medical education and creation of a virtual museum. MRI of selected 114 pathology specimen jars representing different organs and their diseases was performed using a 3 T MRI machine with two or more MRI sequences including three-dimensional (3D) T1-weighted (T1W), 3D-T2W, 3D-FLAIR (fluid attenuated inversion recovery), fat-water separation (DIXON), and gradient-recalled echo (GRE) sequences. Qualitative assessment of MRI for depiction of disease and internal anatomy was performed. Volume rendering was performed on commercially available workstations. The digital images, 3D models, and photographs of specimens were archived into a workstation serving as a virtual pathology museum. MRI was successfully performed on all specimens. The 3D-T1W and 3D-T2W sequences demonstrated the best contrast between normal and pathological tissues. The digital material is a useful aid for understanding disease by giving insights into internal structural changes not apparent on visual inspection alone. Volume rendering produced vivid 3D models with better contrast between normal tissue and diseased tissue compared to real specimens or their photographs in some cases. The digital library provides good illustration material for radiological-pathological correlation by enhancing pathological anatomy and information on nature and signal characteristics of tissues. In some specimens, the MRI appearance may be different from corresponding organ and disease in vivo due to dead tissue and changes induced by prolonged contact with preservative fluid. MRI of pathology specimens is feasible and provides excellent images for education and creating a virtual pathology museum that can serve as permanent record of digital material for self-directed learning, improving teaching aids, and radiological-pathological correlation. Copyright © 2012
Wu, Wenjing; Hara, Takanori; Miyake, Hideki; Ueda, Ikuo; Kan, Wenxiao; Urquijo, Phillip
The exploitation of volunteer computing resources has become a popular practice in the HEP computing community as the huge amount of potential computing power it provides. In the recent HEP experiments, the grid middleware has been used to organize the services and the resources, however it relies heavily on the X.509 authentication, which is contradictory to the untrusted feature of volunteer computing resources, therefore one big challenge to utilize the volunteer computing resources is how to integrate them into the grid middleware in a secure way. The DIRAC interware which is commonly used as the major component of the grid computing infrastructure for several HEP experiments proposes an even bigger challenge to this paradox as its pilot is more closely coupled with operations requiring the X.509 authentication compared to the implementations of pilot in its peer grid interware. The Belle II experiment is a B-factory experiment at KEK, and it uses DIRAC for its distributed computing. In the project of BelleII@home, in order to integrate the volunteer computing resources into the Belle II distributed computing platform in a secure way, we adopted a new approach which detaches the payload running from the Belle II DIRAC pilot which is a customized pilot pulling and processing jobs from the Belle II distributed computing platform, so that the payload can run on volunteer computers without requiring any X.509 authentication. In this approach we developed a gateway service running on a trusted server which handles all the operations requiring the X.509 authentication. So far, we have developed and deployed the prototype of BelleII@home, and tested its full workflow which proves the feasibility of this approach. This approach can also be applied on HPC systems whose work nodes do not have outbound connectivity to interact with the DIRAC system in general.
... for me? How are organs distributed? What is organ transplantation? If you have a medical condition that may ... age limits or medical conditions that rule out organ transplantation? There is no standard age limit to be ...
Van Goethem, Anne A J; van Hoof, Anne; van Aken, Marcel A G; Orobio de Castro, Bram; Raaijmakers, Quinten A W
This study examined the relative importance of best friend's and parents' volunteering and civic family orientation (combined with open family communication) in adolescent volunteering, and the moderating effect of age. Results, involving 698 adolescents (M age. = 15.19; SD= 1.43), revealed that
van Goethem, A.A.J.; van Hoof, A.; van Aken, M.A.G.; Orobio de Castro, B.; Raaijmakers, Q.A.W.
This study examined the relative importance of best friend's and parents' volunteering and civic family orientation (combined with open family communication) in adolescent volunteering, and the moderating effect of age. Results, involving 698 adolescents (M age = 15.19; SD = 1.43), revealed that
... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false What are the conditions of coverage for Peace Corps volunteers and volunteer leaders injured while serving outside the United States? 10.730 Section 10.730 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR FEDERAL EMPLOYEES' COMPENSATION ACT CLAIMS FOR...
Law, Ben M F; Shek, Daniel T L
The relationships among beliefs about volunteerism, volunteering intention, volunteering behavior, and purpose in life were examined in this study. A total of 5,946 participants completed a series of scales, including the Revised Personal Functions of Volunteerism Scale, Volunteering Intention Scale, and Purpose in Life Scale. The results showed that participants whose purpose in life had different levels also had varied prosocial beliefs about volunteerism, volunteering intention, and volunteering behavior. Purpose in life was associated more strongly with prosocial value function than with other types of beliefs (except understanding function). When different beliefs are grouped, the correlation between purpose in life and other-serving beliefs was higher than that between purpose in life and self-serving beliefs. Purpose in life was also associated with volunteering intention and behavior. Path analyses showed that purpose in life predicted volunteering behavior via beliefs and intention. While other-serving beliefs predicted volunteering behavior directly, self-serving beliefs did not have such direct effect.
Torondel, Belen; Opare, David; Brandberg, Bjorn; Cobb, Emma; Cairncross, Sandy
Moringa oleifera is a plant found in many tropical and subtropical countries. Many different uses and properties have been attributed to this plant, mainly as a nutritional supplement and as a water purifier. Its antibacterial activity against different pathogens has been described in different in vitro settings. However the potential effect of this plant leaf as a hand washing product has never been studied. The aim of this study is to test the efficacy of this product using an in vivo design with healthy volunteers. The hands of fifteen volunteers were artificially contaminated with Escherichia coli. Moringa oleifera leaf powder was tested as a hand washing product and was compared with reference non-medicated liquid soap using a cross over design following an adaptation of the European Committee for Standardization protocol (EN 1499). In a second part of tests, the efficacy of the established amount of Moringa oleifera leaf powder was compared with an inert powder using the same protocol. Application of 2 and 3 g of dried Moringa oleifera leaf powder (mean log10-reduction: 2.44 ± 0.41 and 2.58 ± 0.34, respectively) was significantly less effective than the reference soap (3.00 ± 0.27 and 2.99 ± 0.26, respectively; p Moringa oleifera (2 and 3 g) but using a wet preparation, was also significantly less effective than reference soap (p Moringa oleifera powder in dried or wet preparation (mean log10-reduction: 2.70 ± 0.27 and 2.91 ± 0.11, respectively) compared with reference soap (2.97 ± 0.28). Application of calcium sulphate inert powder was significantly less effective than the 4 g of Moringa oleifera powder (p Moringa oleifera powder in dried and wet application had the same effect as non-medicated soap when used for hand washing. Efficacious and available hand washing products could be useful in developing countries in controlling pathogenic organisms that are transmitted through contaminated hands.
Marcela Sefora (SANA NEMTEANU
Full Text Available Volunteerism as an activity in the context of non profit organizations aknowledged an increasing growth in Romania after the fall of comunism. Research in the nonprofit field is clustered around the identification ofinfluencial factors regarding volunteer involvement. Interest in academic research regarding non profit, third sector and non profit marketing gainedmore popularity in the last two decades. Theories of marketingapplicable in nonprofit sector are disscused, being adopted theorethical constructs from either sciences alsoas sociology, psychology, anthropology and organizational behavior schiences. General accepted conceptual and empirical constructs are not yet developed, which leads to the fact that study on influencial factors on volunteerism stillneeds to be developed and tested. The maininfluencial factors identified in the literature review cluster around personal, situational and organizational. Personal factors analysed were the socio-demographic, motivations, situational factors were cost and time oportunity, availability, experience in the field. On theother side organizational factors identified were charachteristics of the job, internal marketing and relationship with clients. Identified factors have influence on volunteer satisfaction regarding the activity in the organization and organizational commitement, increasing the retention of volunteers
Claudio-Campos, Karla; Orengo-Mercado, Carmelo; Renta, Jessicca Y.; Peguero, Muriel; García, Ricardo; Hernández, Gabriel; Corey, Susan; Cadilla, Carmen L.; Duconge, Jorge
Puerto Ricans are a unique Hispanic population with European, Native American (Taino), and higher West African ancestral contributions than other non-Caribbean Hispanics. In admixed populations, such as Puerto Ricans, genetic variants can be found at different frequencies when compared to parental populations and uniquely combined and distributed. Therefore, in this review, we aimed to collect data from studies conducted in healthy Puerto Ricans and to report the frequencies of genetic polymorphisms with major relevance in drug response. Filtering for healthy volunteers or individuals, we performed a search of pharmacogenetic studies in academic literature databases without limiting the period of the results. The search was limited to Puerto Ricans living in the island, excluding those studies performed in mainland (United States). We found that the genetic markers impacting pharmacological therapy in the areas of cardiovascular, oncology, and neurology are the most frequently investigated. Coincidently, the top causes of mortality in the island are cardiovascular diseases, cancer, diabetes, Alzheimer’s disease, and stroke. In addition, polymorphisms in genes that encode for members of the CYP450 family (CYP2C9, CYP2C19, and CYP2D6) are also available due to their relevance in the metabolism of drugs. The complex genetic background of Puerto Ricans is responsible for the divergence in the reported allele frequencies when compared to parental populations (Africans, East Asians, and Europeans). The importance of reporting the findings of pharmacogenetic studies conducted in Puerto Ricans is to identify genetic variants with potential utility among this genetically complex population and eventually move forward the adoption of personalized medicine in the island. PMID:26501165
Rivera, S. J.; Girons Lopez, M.; Seibert, J.; Minsker, B. S.
Flood extent maps are widely used by decision makers and first responders to provide critical information that prevents economic impacts and the loss of human lives. These maps are usually obtained from sensory data and/or hydrologic models, which often have limited coverage in space and time. Recent developments in social media and communication technology have created a wealth of near-real-time, user-generated content during flood events in many urban areas, such as flooded locations, pictures of flooding extent and height, etc. These data could improve decision-making and response operations as events unfold. However, the integration of these data sources has been limited due to the need for methods that can extract and translate the data into useful information for decision-making. This study presents an approach that uses volunteer geographic information (VGI) and non-traditional data sources (i.e., Twitter, Flicker, YouTube, and 911 and 311 calls) to generate/update the flood extent maps in areas where no models and/or gauge data are operational. The approach combines Web-crawling and computer vision techniques to gather information about the location, extent, and water height of the flood from unstructured textual data, images, and videos. These estimates are then used to provide an updated flood extent map for areas surrounding the geo-coordinate of the VGI through the application of a Hydro Growing Region Algorithm (HGRA). HGRA combines hydrologic and image segmentation concepts to estimate a probabilistic flooding extent along the corresponding creeks. Results obtained for a case study in Austin, TX (i.e., 2015 Memorial Day flood) were comparable to those obtained by a calibrated hydrologic model and had good spatial correlation with flooding extents estimated by the Federal Emergency Management Agency (FEMA).
Full Text Available In recent years, commitment to tourism as a development strategy for the developing world has gained an increased interest from the governments and development organizations in the fulfilment of the United Nations Millennium Development Goals. This paper looks to contribute to the theoretical discussion related to the diverse perspectives about the role of international development cooperation programs that use tourism as a main tool for development, as is the case of UNWTO.Volunteers Program. The main characteristics of this program are described and its potential results are discussed considering the impacts it may produce on the destination areas involved. This discussion is based upon an UNWTO.Volunteers Program case study, developed in the Mexican state of Chiapas in 2008.
Mayfield, M K; Palmer, R A
"Change" is a critical dimension of contemporary experience. Library associations are not exempt, and they change in ways similar to other organizations. According to some authorities, four phases typify the process: diagnosis, design, implementation, and incorporation. Focusing on changes in the Medical Library Association's longstanding program of continuing education, the authors utilize the "phase framework" to chart that association's movement from a management system depending primarily upon volunteers to one in which professional staff figure prominently. The historical review serves a heuristic purpose for individuals and institutions in identifying characteristic features of the change process.
Ferguson, Rennie W; Henderson, Susan J; Jung, Paul
Road traffic injuries are a leading cause of mortality and morbidity worldwide. Travellers are at risk given unfamiliarity with local road conditions and traffic rules. Peace Corps Volunteers are a unique population of long-term travellers who live and work in-country, often in remote settings, over a period of 27 months and use a range of transportation modes. Data from Peace Corps' Epidemiologic Surveillance System (ESS) and Death In-Service (DIS) database were analysed in 2015 for non-fatal and fatal road traffic injuries among in-service Volunteers from 1996 to 2014. Volunteer-months were used to calculate incidence rates, and rates were compared among countries and regions. A total of 5047 non-fatal and 15 fatal road crash injuries were reported during 1 616 252 Volunteer-months for an overall rate of 3.12 non-fatal injuries and 0.01 fatalities per 1000 Volunteer-months. The total combined rate of nonfatal road traffic injuries among Volunteers generally declined from 4.01 per 1000 Volunteer-months in 1996 to 2.84 in 2014. Pedestrian and bicycle injuries emerged as the most frequent mechanisms of injury during this timeframe. Differences in rates of observed road traffic-related fatalities among Volunteers compared with expected age-matched cohort rates in the US were not statistically significant. Peace Corps transportation policies and training, and changes to road environments worldwide, may have led to a decrease in the rate of road traffic injuries among Peace Corps Volunteers. Pedestrians and bicyclists remain at risk of road traffic injuries. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
Powell, Clydette; Pagliara-Miller, Claire
On January 12, 2010, a 7.0 magnitude Richter earthquake devastated Haiti, leading to the world's largest humanitarian effort in 60 years. The catastrophe led to massive destruction of homes and buildings, the loss of more than 200,000 lives, and overwhelmed the host nation response and its public health infrastructure. Among the many responders, the United States Government acted immediately by sending assistance to Haiti including a naval hospital ship as a tertiary care medical center, the USNS COMFORT. To adequately respond to the acute needs of patients, healthcare professionals on the USNS COMFORT relied on Haitian Creole-speaking volunteers who were recruited by the American Red Cross (ARC). These volunteers complemented full-time Creole-speaking military staff on board. The ARC provided 78 volunteers who were each able to serve up to 4 weeks on board. Volunteers' demographics, such as age and gender, as well as linguistic skills, work background, and prior humanitarian assistance experience varied. Volunteer efforts were critical in assisting with informed consent for surgery, family reunification processes, explanation of diagnosis and treatment, comfort to patients and families in various stages of grieving and death, and helping healthcare professionals to understand the cultural context and sensitivities unique to Haiti. This article explores key lessons learned in the use of volunteer interpreters in earthquake disaster relief in Haiti and highlights the approaches that optimize volunteer services in such a setting, and which may be applicable in similar future events.
V. Ye. Dobrova
Full Text Available Introduction. Due to the necessity to obtain the reliable results of a clinical trial and to distribute it to the general population of patients the problem of recruiting the adequate number of individuals to participate in the study as objects of observation in the group receiving the investigational medicinal product or as a member of the control group should to be solved. Aim of study. The aim of our study was to research and to justify practically the methodological approaches to determining financial compensation for participation of volunteers in the clinical trials and the appropriate methods of its calculation. Material and methods. For the purpose of determining the baseline factors for calculating the hourly compensation the survey of healthy volunteers and of expert professionals as well as the analysis of its results have been done. Questioning healthy volunteers regarding their attitudes towards inconvenience and discomfort during participation in clinical trials was held at the Ukrainian clinical research centers. Survey participants number was 99, they were healthy volunteers who took part in the first phase clinical trial or bioequivalence studies. The expert survey included questioning of the 193 professionals from Ukrainian clinical research centers, CRO, pharmaceutical manufacturers – research sponsors and collaborators State Expert Center Ministry of Health of Ukraine, who were involved in the planning, organization, implementation and evaluation of clinical trials as well as their regulatory control. Results of study. Using the method of pairwise comparisons and iterative refinement procedures the collective estimate of experts questionnaire results has been performed, by the results of which the nine indicators have been identified and the importance of each of them as units of discomfort have been established. Motivational factors of voluntary participation in clinical trials have been studied. Motivation system for
Kim, Sang Hyun
The purpose of this study was to investigate medical school applicants' involvements in extracurricular activities including medical volunteering/community services, nonmedical community services, club activities, leadership role, and research. Extracurricular characteristics were compared for 448 applicants (223 males and 225 females) who applied to Kangwon Medical School in 2013 to 2014. Frequency analysis, chi-square test, and simple correlation were conducted with the collected data. The 448 applicants participated in medical volunteer/community services (15.3%), nonmedical community services (39.8%), club activities (22.9%), club officials (10%), and research (13.4%). On average, applicants from foreign universities participated in 0.9 medical volunteer/community service, 0.8 nonmedical community service, 1.7 club activities, and 0.6 research work. On the other hand, applicants from domestic universities reported 0.2 medical volunteer/community service, 1.0 nonmedical community service, 0.7 club activity, and 0.3 research. Involvement in extracurricular activities was extensive for medical school applicants. Participation in extracurricular activities differed between applicants from foreign and domestic universities. Females consistently reported greater participation in extracurricular activities than males. The data can be helpful for admission committees to recruit well-rounded applicants and compare between applicants with similar academic backgrounds.
Fenoll-Palomares, C; Muñoz Montagud, J V; Sanchiz, V; Herreros, B; Hernández, V; Mínguez, M; Benages, A
To assess the salivary flow rate, pH, and buffer capacity of healthy volunteers, and their relationships with age, gender, obesity, smoking, and alcohol consumption, and to establish the lower-end value of normal salivary flow (oligosialia). A prospective study was conducted in 159 healthy volunteers (age > 18 years, absence of medical conditions that could decrease salivary flow). Unstimulated whole saliva was collected during ten minutes, and salivary flow rate (ml/min), pH, and bicarbonate concentration (mmol/l) were measured using a Radiometer ABL 520. The 5 percentile of salivary flow rate and bicarbonate concentration was considered the lower limit of normality. Median salivary flow rate was 0.48 ml/min (range: 0.1-2 ml/min). Age younger than 44 years was associated with higher flow rates (OR 2.10). Compared with women, men presented a higher flow rate (OR 3.19) and buffer capacity (OR 2.81). Bicarbonate concentration correlated with salivary flow rate. The lower-end values of normal flow rate and bicarbonate concentration were 0.15 ml/min and 1.800 mmol/l, respectively. The presence of obesity, smoking, and alcohol consumption did not influence salivary parameters. In healthy volunteers, salivary flow rate depends on age and gender, and correlates with buffer capacity. Obesity, smoking, and alcohol use do not influence salivary secretion.
Bhupendra Kumar Basnet
Full Text Available Introduction:Transient elastography is a very promising non invasive procedure to determine liver stiffness for diagnosis of fibrosis in various chronic liver diseases. However, studies on normal values of liver stiffness in apparently healthy subjects are still few. We aimed to determine liver stiffness values in healthy Nepalese volunteers. Methods:Transient elastography (FibroScanR, Echosens, Paris, France was performed to find out liver stiffness values in 45 apparently healthy volunteers after explaining study protocol. Complete medical examination with routine laboratory tests was performed. Subjects with normal liver biochemistries and normal liver ultrasonography were taken for analysis. Results:Mean liver stiffness value of study subjects was 4.24±0.70 kPa. Liver stiffness value was found higher in males than in females (4.32±0.74 vs 4.07±0.61 kPa, respectively, P=0.26 but not statistically significant. Similarly, comparison between age and liver stiffness also showed positive correlation (r=0.211 but not statistically significant (P=0.164 Conclusions: Our study showed that the mean liver stiffness value was 4.24±0.70 kPa in our population and influence of age, gender and body mass index were not significant. Keywords: chronic liver disease; FibroScanR; healthy volunteers; liver stiffness valve; transient elastography.
Medical insurance policy organized by Chinese government and the health inequity of the elderly: longitudinal comparison based on effect of New Cooperative Medical Scheme on health of rural elderly in 22 provinces and cities.
Liang, Ying; Lu, Peiyi
The alarming progression of the aging trend in China attracts much attention in the country and abroad. In 2003, the Chinese central government launched the New Cooperative Medical Scheme (NCMS) to resolve the inequity problem of health in regions with inadequate infrastructure and relative poverty. The rural elderly are the main beneficiaries of this policy; the improvement of their health through the medical insurance policy require exploration. This study used data obtained from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) conducted in 2005 and 2008. Elderly people living in rural areas and aged 60 and above were screened for the investigation. A total of 8658 and 9904 elderly people were selected from 2005 and 2008, respectively. By establishing models and employing multi-logistic analysis, stereotype logistic analysis, we examined the effect of NCMS organized by Chinese government on three domains of the health of the rural elderly. A total of 948 and 6361 elderly people participated in NCMS in 2005 (n = 8658) and 2008 (n = 9904), respectively. With regard to the independent variables, the number of participants in NCMS increased, whereas province distribution, gender, and years of education only slightly changed. As for the dependent variables, the rural elderly in 2005 had poor general health but good psychological health. Differences were found between different moods. Old people who engage in much outdoor activity can take care of themselves. After three-year promotion of NCMS, the differences between 2005 and 2008 indicate that the physical function of the rural elderly worsen, whereas the general health and psychological health improves. (1) In the 2005 data and 2008 data, result shows that NCMS participation can promote the self-rated quality and health change of the elderly. (2) After three years, the alleviation effect on anxiety and loneliness changed from insignificant to significant. Participants in NCMS have a stronger sense of
Carolina N. B. F. Dockhorn
Full Text Available The purpose was to identify social demographical and psychological characteristics on volunteers that offer, uninterruptedly, emotional support to the community in four CVV branches (Porto Alegre, Novo Hamburgo, Blumenau and Florianópolis which are part of the ''Centro de Valorização da Vida'', a non-governmental organization recognized by the Brazilian Health Department as an agent of suicide prevention. One hundred volunteers participated, being submitted to a social demographical data formulary, Factorial Extroversion, Socialization and Neuroticism Scales. Results show people who are well educated and economically stable which favors them to social work. In psychological terms, the scores obtained in Extroversion and Socialization factors suggest sensibility and capacity of adaptation and communication. In Neuroticism factor, the scores show tendency to independency and to experience stressful situations without emotional instability. The volunteers have psychological characteristics similar to general population and appreciated by CVV.