1,102 research outputs found
Jacob Viner’s Reminiscences from the New Deal (February 11, 1953)
No full textThis paper presents and reproduces an unpublished oral history interview given by Jacob Viner in 1953. The interview released by Viner for the Columbia Oral History Project gives us a valuable opportunity to throw light on his advisory activity during the New Deal Era. In our introduction we attempt to make a critical appraisal of Viner's reminiscences and to state the contribution they can provide to our general knowledge of the period. In addition, we also attempt to find out some biographical and interpretative elements useful to understand Viner’s own vision and his contribution to important economic policy processes during the New Deal.
Equitable endotyping is essential to achieve a global standard of precise, effective, and locally-relevant sepsis care
No full textConsiderations for Randomized Controlled Trials During Future Filovirus Outbreaks
No full textLetter to the Editor</p
Professionalisma dan Kemanusiaan Dalam Pelayanan Kesehatan
No full textABSTRACT
T. Jacob - Professionalism and humanitarianism in health care delivery
This article defines professionalism relevant to the medical profession and the trend towards deprofessionalization in medicine. Subsequently humanitarianism is described, followed by the nature and causes of dehumanization in medicine. Rehmnanizing efforts are expected to be enhanced by certain on-going trends in the society.
The author further presents the issue of human rights, both natural and cultural, and their relation to the right to health care, whence patient rights developed. In this connection the problem of justice in the allocatiOn of health resources is encountered.
Private medical practice in itself does not interfere with either professionalism or humanitarianism as long as distributive justice and patient rights arc observed.
Lastly, potential future problems related to medical professionalism and humanitarianism are brought into focus, such as the growing urban slums, rural poverty, and opportunity for practice and employment. It is emphatically noted that sporadic medical interventions among underserviced communities are not effective, except from the vantage point of publicity.
Key Words: medical professionalism - patient rights - justice in medicine 7 dehumanization - private practic
Optimization of weight of an offshore sub-structure
No full textMany shallow marginal gas fields remain unexploited in the North Sea, mainly due to higher infrastructure capital expenditure for its exploitation. A study carried by Iv Oil & Gas to formulate a potential solution concludes that a conventional tripod structure with a suction bucket foundation and minimum topside facilities is a viable solution.This tripod structure designed was governed by the D/t < 100 criteria, where D is the diameter and t is the thickness. This resulted in a conservative thick walled structure which is heavy and expensive. The first objective of this study was to redesign the reference structure for an optimized weight by not limiting the design to D/t criteria. The second objective was to adopt longitudinally stiffened tubular member design for the main tubular parts of tripod structure. From the study it is concluded that a significant weight reduction is achieved by not limiting the tubular design for D/t ratio. Also, it is concluded that internal stiffening of the main tubular part of the tripod structure is not beneficial for reducing weight of the structure.Steel and TimberStructural EngineeringCivil Engineering and Geoscience
Caregivers’ and nurses’ perceptions of the Smart Discharges Program for children with sepsis in Uganda: A qualitative study
No full textBackground: Sepsis arises when the body’s response to an infection injures its own tissues and organs. Among children hospitalized with suspected sepsis in low-income country settings, mortality rates following discharge are high, similar to mortality rates in hospital. The Smart Discharges Program uses a mobile health (mHealth) platform to identify children at high risk of post-discharge mortality to receive enhanced post-discharge care. This study sought to explore the perceptions and experiences of the caregivers and nurses of children enrolled into the Smart Discharges Program and the program’s effect on post-discharge care.
Methods: We conducted an exploratory qualitative study, which included in-person focus group discussions (FGDs) with 30 caregivers of pediatric patients enrolled in the Smart Discharges Program and individual, semi-structured interviews with eight Smart Discharges Program nurses. The study was carried out at four hospitals in Uganda in 2019.
Findings: Following thematic analysis, three key themes pertaining to the Smart Discharges program were identified: (1) Facilitators and barriers to follow-up care after discharge; (2) Changed caregiver behavior following discharge; and (3) Increased involvement of male caregivers. Facilitators included telephone/text message reminders, positive nurse-patient relationship, and the complementary aspects of the program. Barriers included resource constraints and negative experiences during post-discharge care seeking. With regards to behavior, when provided with relevant and well-timed information, caregivers reported increased knowledge about post-discharge care and improvements in their ability to care for their child. Enrolment in the Smart Discharges Program also increased male caregiver involvement, increased provision of resources and improved communication within the family and with the healthcare system. The Smart Discharges approach is an impactful strategy to improve pediatric post-discharge care, and similar approaches should be considered to improve the hospital to home transition in similar low-income country settings.
Data Collection Methods: Facilitators of the same sex as the participants moderated the FGDs in the local language. Individual interviews with nurses were conducted by a social scientist in English. A focus group discussion guide and a semi-structured interview guide were used to provide structure and consistency to the discussion/interviews while allowing for novel concepts to be shared. Topics in the interview and FGD guides were developed by senior investigators who have expertise in the field of pediatric sepsis. The FDG guides focused on experiences at the admitting facility, experiences after discharge, processes involving referral for post-discharge clinical care, and barriers to post-discharge care. Interview guides focused on the experience of providing caregiver education and counselling, and reporting of which programmatic components worked well and did not work well. Nurse interviewees were also asked about their observations of the benefits and challenges of the program to the caregivers. Due to budget and logistical constraints, the FGD and interview guides were not pre-tested prior to use and no repeat interviews were done. FGDs and interviews were audio recorded and transcribed directly in English by a professional translator and then reviewed for accuracy and consistency. Using a thematic analysis approach, initial open coding of transcripts was done by two investigators. During analysis, data was organized using NVivo version 12.0 (QSR, Massachusetts, United States). After development of the coding framework and initial coding, themes were proposed, and discussed between three investigators who jointly agreed on the study themes and then confirmed full team agreement on the final themes.
Ethics Declaration: Ethical approval was obtained from the the Makerere University School of Public Health, Research and Ethics Committee (SPH-REC # 691) and the Uganda National Council for Science and Technology (UNCST SS #5047).NOTE for restricted files: If you are not yet a CoLab member, please complete our membership application survey to gain access to restricted files within 2 business days.
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Letter from the San Francisco YMCA to Jacob T. Bowne (December 21, 1885)
No full textA typed letter from the San Francisco YMCA to Jacob T. Bowne. The letter is dated December 21, 1885. The letter is in regards to funding to furnish a room in the new School for Christian Workers building. The signature is illegible so the author is unknown.The building has been known by many different names over the years including the Winchester Square Building, the Mason Square building and the Armory Hill building. Construction on the building was completed in the spring of 1886 and it was dedicated on June 1 of that year. The building consisted of a reading room, gymnasium, parlor, a recitation room, an amusement room and fifty sleeping rooms. The Armory Hill YMCA also rented rooms in the building. In 1891 James Naismith, while a faculty member at the school, invented the game of basketball in the gymnasium of the building. In 1890 the School for Christian Workers separated into two schools which continued to operate out of the same building, the YMCA Training School and the School for Christian Workers. In 1896 the Training School, now Springfield College, finished the transition to its new location on Alden Street and in 1897 the School for Christian Workers became the Bible Normal College and moved to Hartford, Connecticut. The original building was torn down in 1965 to create a parking lot. In 1995, McDonald’s Corporation bought the land, excavating the original foundation and bricks before building a restaurant on the site. Today, there is a monument commemorating the site as the birthplace of basketball
Treating Ebola in eastern DRC
No full textSince the onset of the west Africa Ebola Virus Disease (EVD) outbreak, there has been remarkable progress in efforts to provide patients with improved supportive care and access to experimental treatments. It is reasonable to explore the potential therapeutic value of both pathogen-directed antiviral therapies and host-directed therapies (e.g., monoclonal antibody cocktails). Given unacceptably high mortality rates among EVD patients, treatments demonstrated to be safe and efficacious in clinical trials would likely be welcomed by clinicians and affected communities.</p
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