71 research outputs found

    Rational Vs Emotional Appeals with Communications to Landholders: A Review of Focus Group Responses

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    There are many organisations that seek to communicate with landholders for the purposes of engaging them in local environmental or conservation programs and sustainable production. This study examined whether different segments of landholders are likely to respond better to communication based on different appeals (rational or emotional), using different messages and communication channels. Seven hypothetical communication campaigns were designed with specific messages and appeals, each produced in three types of media. Focus groups of three specific landholder groups lifestylers., traditional and absentee landowners were held to obtain their responses to the campaigns. Findings suggest that the effectiveness of communications with landholders can be increased by using preferred messages and appeals, and selecting a combination of media appropriate to the landholder group being targeted

    Enhancing Antiretroviral Therapy Adherence Among the Youth

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    Mbagathi District Hospital in Nairobi has approximately 300 youth (15- 24yrs) on ART. Viral load suppression for this group was 63 percent for the year 2016. Between 2016 and 2017, 40 percent of the youth initiated on care were lost to follow-up. The youth do not feel free to share their issues with clinicians and counsellors who are much older than them for fear of being condemned. Similarly, the counselling approach used is ‘old school’ and fails to attract the youth who would prefer interactive modern sessions that are more appealing to them (MacCarthy et al., 2018). The youth also lack peer mentors/counsellors and exposure to peer advocacy campaigns to encourage them in their journey towards viral suppression. Ignorance and poor attitude to ART also contribute to non-adherence as well as a lack of disclosure of their HIV status to their families and friends

    Recent Changes in the Shoreline near Point Barrow, Alaska

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    Contains a study of the shoreline, its erosion and factors causing it along a stretch of some 30 miles southwest and southeast of Point Barrow. The rapid changes in shoreline configuration, especially at "Nuwuk" the triangulation station at the tip of Point Barrow, and along the south shore of Elson Lagoon were found to be not the result of vigorous action of waves or currents, but due to the presence of ground ice along the shores, which when thawing during the brief summer is easily removed even by feeble sea action. Author\u27s observations were made while at Arctic Research Laboratory at Barrow, engaged in a geothermal project. Bibliographical footnotes

    The 'true use of reading' : Sarah Fielding and mid eighteenth-century literary strategies.

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    PhDThe aim of this thesis is to explore, by examining her life and works, how Sarah Fielding (1710-68) established her identity as an author. The definition of her role involves her notions of the functions of writing and reading. Sarah Fielding attempts to invite readers to form a sense of ties by tacit understanding of her messages. As she believes that a work of literature is produced through collaboration between the writer and the reader, it is an important task in her view to show her attentiveness toward reading practice. In her consideration of reading, she has two distinct, even opposite views of her audience: on the one hand a familiar and limited circle of readers with shared moral and cultural values and on the other potential readers among the unknown mass of people. The dual targets direct her to devise various strategies. She tries to appeal to those who can endorse and appreciate her moral values as well as her learning. Her writings and letters testify that she is sensitive to the demands of the literary market, trying to lead the taste of readers by inventing new forms. The thesis opens with an overview of Sarah Fielding's career, followed by a consideration of her critical attention to the roles of reading. I go on to examine the narrative structures and strategies she deploys, with a particular emphasis on her use of the epistolary method. The following chapter deals with her attention to the reading of the moral message tangibly embodied in her educational writing. It is followed by an analysis of the activity which earned her a reputation as a learned woman. Various as the forms of her works are, they invariably reflect her attempt to balance herself between the two demands of inventiveness and familiarity

    Dive Tourism: Evaluating Service Quality

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    Through the application of importance- performance analysis (/PA), the author investigated the conceptualization and measurement of service quality for tour operators in the scuba diving industry Findings from a study of consumer perceptions of service quality as they relate to a dive tour operator in Western Australia revealed the core service quality dimensions hat need to be improved for the operator and demonstrated the values and relative simplicity of the importance-performance analyses for dive tour operators generall

    Review of order fulfilment models for catalogue mass customization. Appears in: Mass Customization: concepts, tools, realization

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    Abstract Mass Customization (MC) is not a mature business strategy and hence it is not clear that a single or small group of operational models are dominating. Companies tend to approach MC from either a mass production or a customization origin • Characteristics of the OF process that inhibit or facilitate fulfilment; • The logic of how products are allocated to customers; • Customer factors that influence OF process design and operation. Diversity in the order fulfilment structures is expected and is found in the literature. The review has identified four structural forms that have been used in a Catalogue MC context: • fulfilment from stock; • fulfilment from a single fixed decoupling point; • fulfilment from one of several fixed decoupling points; • fulfilment from several locations, with floating decoupling points. From the review it is apparent that producers are being imaginative in coping with the demands of high variety, high volume, customization and short lead times. These demands have encouraged the relationship between product, process and customer to be re-examined. Not only has this strengthened interest in commonality and postponement, but, as is reported in the paper, has led to the re-engineering of the order fulfilment process to create models with multiple fixed decoupling points and the floating decoupling point system. Keywords: Order fulfilment, Author Biographies Philip Brabazon is a Research Fellow in the Operations Management Division on the Nottingham University Business School. His area of research is the Mass Customization of products and services and his interests include the development of quantitative and qualitative operational templates. [email protected], +4

    Political trajectories in the painting of P. Wyndham Lewis

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    This thesis presents an analysis of the political dimension to the paintings of Percy Wyndham Lewis (1882-1957).Through an exegesis of the discreet and latent "voices" in Lewis's paintings the ideological parameters of his thought world are disclosed. These imperatives are examined for their display of political predispositions, for values and attitudes, which reveal a loading towards specific socio-cultural standards. In so far as these standards can be identified with historically relevant political programmes they become manifestos for political actions. Or, at the very least, they can be seen to exist as critical and prescriptive social insights. Importantly, the focus of this examination and interpretation remains the visual image and its related texts. A key aspect of both the methodology and argument within this thesis, insists that the visual image is the bearer of meaning in both its subject matter and technique. Values are communicated not only in reference to the thing displayed, but, in the manner of the display. Hence, an analysis of the intellectual and formal strategies employed by Lewis in his painting becomes a central concern of the thesis. Finally, the thesis rounds on the actual nature of Lewis's politics as revealed in his approach to art. While it is accepted that the mediation from the political to the painted throws up many and substantial barriers, the thesis insists that a political reading of Lewis's creative work is not only appropriate but necessary. In offering just such a reading the author hopes to transcend the boundaries between the disciplines of Art History and Sociology

    The association between the public reporting of individual operator outcomes with patient profiles, procedural management, and mortality after percutaneous coronary intervention: an observational study from the Pan-London PCI (BCIS) Registry using an interrupted time series analysis.

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    This is a pre-copyedited, author-produced version of an article accepted for publication in European Heart Journal,, following peer review. The version of record: Daniel A Jones, Krishnaraj S Rathod, Sudheer Koganti, Pitt Lim, Sam Firoozi, Richard Bogle, Ajay K Jain, Philip A MacCarthy, Miles C Dalby, Iqbal S Malik, Anthony Mathur, Ranil DeSilva, Roby Rakhit, Sundeep Singh Kalra, Simon Redwood, Peter Ludman, Andrew Wragg, The association between the public reporting of individual operator outcomes with patient profiles, procedural management, and mortality after percutaneous coronary intervention: an observational study from the Pan-London PCI (BCIS) Registry using an interrupted time series analysis, European Heart Journal, Volume 40, Issue 31, 14 August 2019, Pages 2620–2629 is available online at: https://doi.org/10.1093/eurheartj/ehz152AIMS: The public reporting of healthcare outcomes has a number of potential benefits; however, unintended consequences may limit its effectiveness as a quality improvement process. We aimed to assess whether the introduction of individual operator specific outcome reporting after percutaneous coronary intervention (PCI) in the UK was associated with a change in patient risk factor profiles, procedural management, or 30-day mortality outcomes in a large cohort of consecutive patients. METHODS AND RESULTS: This was an observational cohort study of 123 780 consecutive PCI procedures from the Pan-London (UK) PCI registry, from January 2005 to December 2015. Outcomes were compared pre- (2005-11) and post- (2011-15) public reporting including the use of an interrupted time series analysis. Patients treated after public reporting was introduced were older and had more complex medical problems. Despite this, reported in-hospital major adverse cardiovascular and cerebrovascular events rates were significantly lower after the introduction of public reporting (2.3 vs. 2.7%, P < 0.0001). Interrupted time series analysis demonstrated evidence of a reduction in 30-day mortality rates after the introduction of public reporting, which was over and above the existing trend in mortality before the introduction of public outcome reporting (35% decrease relative risk 0.64, 95% confidence interval 0.55-0.77; P < 0.0001). CONCLUSION: The introduction of public reporting has been associated with an improvement in outcomes after PCI in this data set, without evidence of risk-averse behaviour. However, the lower reported complication rates might suggest a change in operator behaviour and decision-making confirming the need for continued surveillance of the impact of public reporting on outcomes and operator behaviour
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