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Article
Publication date: 1 October 2008

Ajit Shah

The proportion of those over the age of 65 years in black and minority ethnic (BME) groups in England and Wales is increasing. The prevalence of dementia and depression…

Abstract

The proportion of those over the age of 65 years in black and minority ethnic (BME) groups in England and Wales is increasing. The prevalence of dementia and depression among BME elders from different groups in the United Kingdom is generally similar to or higher than in indigenous white British elders. Two methods were used to provide a conservative estimate of the absolute number of cases of dementia and depression among BME elders. Data on prevalence from published studies of different BME elderly groups and the number of those over the age of 65 years from different BME groups in the general population in the 2001 population census were used for analysis. The most conservative estimates of the absolute number of cases of dementia among BME elders were 7270 and 10,786 for the two methods of analysis; the corresponding figures for depression were 33,559 and 52,980. There is a significant amount of psychiatric morbidity among the elderly from BME groups. A multi‐faceted approach is needed to ensure that commissioning, design, development and delivery of culturally capable, appropriate and sensitive old age psychiatry actually occurs and improves the equity of service access by BME elders.

Details

International Journal of Migration, Health and Social Care, vol. 4 no. 2
Type: Research Article
ISSN: 1747-9894

Keywords

Article
Publication date: 19 August 2009

Ajit Shah, Natalie Banner, Karen Newbigging, Chris Heginbotham and Bill Fulford

The Mental Capacity Act 2005 (MCA) was fully implemented in October 2007 in England and Wales. This article reports on two similar, but separate, pilot questionnaire…

Abstract

The Mental Capacity Act 2005 (MCA) was fully implemented in October 2007 in England and Wales. This article reports on two similar, but separate, pilot questionnaire studies that examined the experience of consultants in old age psychiatry and consultants in other psychiatric specialities in the early implementation of the MCA pertaining to issues relevant to black and minority ethnic (BME) groups. Fifty‐two (27%) of the 196 consultants in old age psychiatry and 113 (12%) of the 955 consultants in other psychiatric specialities returned useable questionnaires. Eighty per cent or more of the consultants in old age psychiatry and consultants in other psychiatric specialities gave consideration to religion and culture and ethnicity in the assessment of decision‐making capacity (DMC). Almost 50% of the consultants in old age psychiatry reported that half or more of the patients lacking fluency in English or where English was not their first language received an assessment of DMC with the aid of an interpreter and 40% of the consultants in other psychiatric specialities reported that no such patients received an assessment of DMC with the aid of an interpreter.The low rate of using interpreters is of concern. The nature of the consideration and implementation of factors relevant to culture, ethnicity and religion in the application of the MCA and the precise reasons for the low rate of using interpreters in patients lacking fluency in English or English not being their first language require clarification in further studies.

Details

Ethnicity and Inequalities in Health and Social Care, vol. 2 no. 2
Type: Research Article
ISSN: 1757-0980

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Article
Publication date: 1 October 2007

Ajit Shah

The black and ethnic minority (BME) elderly population in England and Wales is increasing. As dementia is an age‐related disorder and the prevalence of depression in old…

Abstract

The black and ethnic minority (BME) elderly population in England and Wales is increasing. As dementia is an age‐related disorder and the prevalence of depression in old age is high, the absolute number of cases of dementia and depression will increase among BME elders. This has implications for the development and delivery of old age psychiatry services (OAPSs) for BME elders. Demographic data pertaining to the elderly from BME groups in the 2001 population census were analysed in detail to evaluate the implications for development and delivery of OAPSs for BME elders. The demographic changes identified have important future implications for the development and delivery of OAPSs for BME elders. Unless they are addressed systematically, BME elders will continue to harbour untreated, hidden psychiatric morbidity. Strategies to ensure that this vulnerable group of elderly are identified and provided with accessible, acceptable and culturally sensitive OAPSs should be developed.

Details

International Journal of Migration, Health and Social Care, vol. 3 no. 2
Type: Research Article
ISSN: 1747-9894

Keywords

Article
Publication date: 30 August 2010

Ajit Shah, Chris Heginbotham, Bill Fulford, Jez Buffin and Karen Newbigging

This article considers the effectiveness of two one‐day events designed to raise awareness of The Mental Capacity Act 2005 (MCA) in BME communities. The events were held…

Abstract

This article considers the effectiveness of two one‐day events designed to raise awareness of The Mental Capacity Act 2005 (MCA) in BME communities. The events were held using specially developed materials and were evaluated with the help of a 12‐item questionnaire. The results of the evaluation showed that there was an increase in the proportion of correct responses for 10 of the 12 questions after attending awareness‐raising events. The total score for all correct responses on the 12‐item questionnaire significantly increased after attending the awareness‐raising events. Collectively, the findings suggest that the awareness‐raising events were able to improve awareness of the MCA among representatives of BME communities. Such awareness‐raising events should be encouraged by health and social care providers

Details

Ethnicity and Inequalities in Health and Social Care, vol. 3 no. 3
Type: Research Article
ISSN: 1757-0980

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Article
Publication date: 15 May 2009

Ajit Shah, Chris Heginbotham and Mat Kinton

The Mental Capacity Act 2005 (MCA) was fully implemented in October 2007 within England and Wales as a framework for making decisions about incapacitated persons' care and…

Abstract

The Mental Capacity Act 2005 (MCA) was fully implemented in October 2007 within England and Wales as a framework for making decisions about incapacitated persons' care and treatment generally not amounting to a deprivation of their liberty (although such could be authorised under its powers by the new Court of Protection). From a planned date of April 2009, the MCA is to be enlarged by the provisions of the Mental Health Act 2007 (MHA 2007) to encompass deprivation of liberty, with the addition of a new framework of Deprivation of Liberty Safeguards (DOLS). The MHA 2007 also revised significant aspects of the Mental Health Act 1983 (MHA), which were implemented in November 2008. The interface between the MCA, as amended to include DOLS, and the revised MHA is complex and potentially ambiguous. This paper describes in detail some issues that may arise at the interface of the two acts, and seeks to inform professionals involved in the use of these legal frameworks of the resulting complexity.

Details

Mental Health Review Journal, vol. 14 no. 1
Type: Research Article
ISSN: 1361-9322

Keywords

Case study
Publication date: 29 March 2016

Abhishek and Gunjan Dandotiya

Dinesh Sibal, CEO of Q-Connect, was reading his mails on his laptop after returning back to his hotel room in Guwahati. He was in Guwahati for his regular monthly meeting…

Abstract

Dinesh Sibal, CEO of Q-Connect, was reading his mails on his laptop after returning back to his hotel room in Guwahati. He was in Guwahati for his regular monthly meeting with field team. One of the mails was from marketing manager of a leading consumer durables company dealing in kitchen utensils and appliances. The company wanted to use Q-Connect network to carry out demonstrations and sales of its products for its target customers in Assam. Sibal was pleased as this was the first instance of a company reaching out to him for using Q-Connect network. He wanted to share the good news with his colleague Gulancha Baruah with whom he had built this network.

Details

Indian Institute of Management Ahmedabad, vol. no.
Type: Case Study
ISSN: 2633-3260
Published by: Indian Institute of Management Ahmedabad

Keywords

Article
Publication date: 31 December 2010

David Woodger and Jim Cowan

In this article, we return to a piece of work we did with two NHS trusts in the mid 1990s that focused squarely on tackling institutional racism. We do this for two…

647

Abstract

In this article, we return to a piece of work we did with two NHS trusts in the mid 1990s that focused squarely on tackling institutional racism. We do this for two reasons. First, because we feel that the current context for equalities may be obscuring the need to continue to find ways to tackle institutional racism. Second, we brought together very achievable survey and group work techniques in a co‐produced process, which makes tackling institutional racism less laden with rhetoric and much more of a practical proposition. This article articulates a three‐staged approach to identifying racism operating inside the trusts, an appraisal of the experience of black patients and the development of learning groups. In these learning groups, black and white practitioners and managers engaged with each other on their impacts and relationships with black patients, thereby changing their practices with all patients. What achieves equality of health service response from this experience is the creation of an environment in which practitioners can become self‐motivated in re‐working ‘with and for themselves’ the way they work with patients based on a recognition of racial identities in service relationships.

Details

Ethnicity and Inequalities in Health and Social Care, vol. 3 no. 4
Type: Research Article
ISSN: 1757-0980

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Article
Publication date: 9 May 2022

Ajit Kumar Singh, Santosh Kumar Mahto and Rashmi Sinha

This study aims to present dual band reconfigurable MIMO antenna for 5G (sub-6 GHz) and WLAN applications.

Abstract

Purpose

This study aims to present dual band reconfigurable MIMO antenna for 5G (sub-6 GHz) and WLAN applications.

Design/methodology/approach

To achieve optimum bandwidth, radiation pattern and radiation efficiency, the defected ground structure (DGS) and a rectangular stub connected with the DGS are used. To further cover the sub-6 GHz spectrum (3.4–3.6 GHz) for future 5G communications, a two-element multi-input multi-output (MIMO) antenna configuration is designed by using the single element antenna. The proposed reconfigurable MIMO antenna using a PIN diode is designed on an FR4 substrate with a dielectric constant of 4.4 and a loss tangent of 0.02 and a 35 × 20 × 1.6 mm3 dimension.

Findings

The proposed antenna achieved dual operating bands of 3.4–4.1 GHz (5 G sub-6GHz applications) and 4.99–5.16 GHz (WLAN application) in the D = ON state. For D = OFF state, the proposed antenna achieved 3.55–3.65 GHz and 3.66–4.05 GHz frequency bands for 5G (sub-6GHz) applications. In terms of the envelop correlation coefficient, diversity gain, mean effective gain, total active reflection coefficient and isolation between the ports, the proposed antenna’s diversity performance characteristics are investigated and the obtained values are 0.05, 9.9 dB, ±3dB, −4dB, −15dB, respectively.

Research limitations/implications

The fabricated prototype antenna on FR4 substrate has measurable parameters that are in good agreement with the simulated findings. Due to hardware design limitations, there is a minor difference between software and hardware results.

Originality/value

The proposed MIMO antenna is compact and reconfigurable for 5G (sub-6GHz) and WLAN applications, and from the graph, the measurements and simulations have been found to be in close agreement.

Details

COMPEL - The international journal for computation and mathematics in electrical and electronic engineering , vol. 41 no. 5
Type: Research Article
ISSN: 0332-1649

Keywords

Book part
Publication date: 10 April 2019

Richa Saxena and Vibhav Singh

The purpose of the chapter is to integrate the understanding of diversity from different perspectives in Indian context and see how the holistic view emerges.

Abstract

Purpose

The purpose of the chapter is to integrate the understanding of diversity from different perspectives in Indian context and see how the holistic view emerges.

Methodology

The methodology used is primarily the literature review of the concepts and their evolution in Indian context and the use of secondary sources to extract praxis information.

Findings

It emerged from the exploration on diversity practices at the societal as well as organizational level in India that the country demonstrates intent to mainstream the people from different wakes, but with the changing context the format of the practices has changed.

Research Limitations

The basic premise of the chapter needs to be explored further through primary data from practice.

Originality

This chapter is novel in a way that it integrates the diversity scholarship of four different streams viz. caste, gender, disability, and generation. Most of the existing research focuses only on a thin slice/one key dimension of diversity.

Details

Diversity within Diversity Management
Type: Book
ISBN: 978-1-78754-821-3

Keywords

Article
Publication date: 2 February 2021

Abul Bashar, Ahsan Akhtar Hasin and Ziaul Haq Adnan

Many research findings demonstrate the benefits of lean manufacturing implementation. However, the impact of lean manufacturing on organizational performance in developing…

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Abstract

Purpose

Many research findings demonstrate the benefits of lean manufacturing implementation. However, the impact of lean manufacturing on organizational performance in developing countries like Bangladesh remains unexplored. The purpose of this paper is to investigate the impact of lean manufacturing system (LMS) on the organizational performance of the apparel industry in Bangladesh.

Design/methodology/approach

Empirical data were collected from 227 apparel manufacturing firms using a close-ended structured questionnaire. The causal relationships between the independent and dependent variables are examined by structural equation modeling using AMOS 20.0 software.

Findings

The results reveal significant evidence that the implementation of LMS has a direct impact on organizational performance in terms of operational and business performance.

Practical implications

The findings of this study will create a substantial interest among the practitioners of the apparel industry to implement LMS. This study will also explore the opportunities to develop lean implementation framework and identify the benefits that will enhance the competitive advantages.

Originality/value

This paper explores the causal relationships and argues based on the empirical data in the context of the apparel industry in Bangladesh.

Details

International Journal of Lean Six Sigma, vol. 12 no. 5
Type: Research Article
ISSN: 2040-4166

Keywords

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