Search results

1 – 10 of 14
To view the access options for this content please click here
Article
Publication date: 5 October 2015

Chris Johnstone, Rachel Harwood, Andrew Gilliam and Andrew Mitchell

Early access to senior decision makers and investigations has improved outcomes for many conditions. A surgical clinical decisions unit (CDU) was created to allow rapid…

Abstract

Purpose

Early access to senior decision makers and investigations has improved outcomes for many conditions. A surgical clinical decisions unit (CDU) was created to allow rapid assessment and investigation by on-call senior surgical team members to facilitate decision making and, if appropriate, discharge within a set time frame (less than four hours). The purpose of this paper is to compare outcomes for unscheduled general surgery admissions to the hospital before and after commissioning this unit.

Design/methodology/approach

Prospectively collected hospital episode statistics data were compared for all general surgical admissions for one year prior to (July 2010-June 2011) and two years after (July 2011-June 2013) the introduction of the CDU. Statistical analysis using the Mann Whitney U-test was performed.

Findings

More patients were discharged within 24 hours (12 per cent vs 20 per cent, p < 0.001) and total hospital stay decreased (4.6 days vs 3.2 days, p < 0.001) following introduction of CDU. Admission via A & E (273 vs 212, p < 0.01) was also decreased. Overall there was a 25.3 per cent reduction in emergency surgical admissions. No difference was noted in 30-day readmission rates (47 vs 49, p=0.29).

Originality/value

The introduction of a CDU in has increased early discharge rates and facilitated safe early discharge, reducing overall hospital stay for unscheduled general surgical admissions. This has decreased fixed bed costs and improved patient flow by decreasing surgical care episodes routed through the emergency department (ED). In all, 30-day readmission rates have not been influenced by shorter hospital stay. Service redesign involving early senior decision making and patient investigation increases efficiency and patient satisfaction within unscheduled general surgical care. Not original but significant in that the model has not been widely implemented and this is a useful addition to the literature.

Details

Clinical Governance: An International Journal, vol. 20 no. 4
Type: Research Article
ISSN: 1477-7274

Keywords

To view the access options for this content please click here
Book part
Publication date: 23 June 2020

Johnny D. Jones

Abstract

Details

Leadership of Historically Black Colleges and Universities
Type: Book
ISBN: 978-1-83982-204-9

To view the access options for this content please click here
Book part
Publication date: 22 May 2017

Brenda Jones Harden, Brandee Feola, Colleen Morrison, Shelby Brown, Laura Jimenez Parra and Andrea Buhler Wassman

Children experience toxic stress if there is pronounced activation of their stress-response systems, in situations in which they do not have stable caregiving. Due to…

Abstract

Children experience toxic stress if there is pronounced activation of their stress-response systems, in situations in which they do not have stable caregiving. Due to their exposure to multiple poverty-related risks, African American children may be more susceptible to exposure to toxic stress. Toxic stress affects young children’s brain and neurophysiologic functioning, which leads to a wide range of deleterious health, developmental, and mental health outcomes. Given the benefits of early care and education (ECE) for African American young children, ECE may represent a compensating experience for this group of children, and promote their positive development.

Details

African American Children in Early Childhood Education
Type: Book
ISBN: 978-1-78714-258-9

Keywords

To view the access options for this content please click here
Book part
Publication date: 4 April 2013

Todd C. Shaw, Kasim Ortiz, James McCoy and Athena King

Purpose – We examine electoral politics in the City of Atlanta, GA, and shed light on the prospect that in 2009 Atlanta elected its “last Black mayor.”  We consider how…

Abstract

Purpose – We examine electoral politics in the City of Atlanta, GA, and shed light on the prospect that in 2009 Atlanta elected its “last Black mayor.”  We consider how African American tensions around class and social identity may demobilize key constituents of the Black electoral coalition while an increasing Black out-migration and White in-migration had changed the city’s racial balance of electoral power. Recognizing the margin of victory in the 2009 mayoral election between Kasim Reed (an African American) and Mary Norwood (a White challenger) was small (714 votes), we examine how electoral and demographic characteristics explain this result.Methodology – We utilize (1) the 2009 State of Georgia Board of Elections voter demographic file; (2) 2010 Census data (ACS 5 year estimates), and 2009 Mayoral Election count data. We presented descriptive statistics, comparing community level factors and voter characteristics.Research implications – The limitations of this work is that it is exploratory and thus we do not statistically isolate the effects of class and social identity.Findings – Our findings indicate that Reed and other Black elected officials will have to make concerted efforts if they hope to “retain” the Black poor as well as gay and lesbian citizens within a progressive electoral coalition.

Details

21st Century Urban Race Politics: Representing Minorities as Universal Interests
Type: Book
ISBN: 978-1-78190-184-7

To view the access options for this content please click here
Article
Publication date: 1 March 2003

Joseph S. Sherif and David P. Gilliam

The growth of Inter‐ and intranets and the sharing of software have led to a rise in the transmission of viruses, especially among the PC and MAC platforms. However…

Abstract

The growth of Inter‐ and intranets and the sharing of software have led to a rise in the transmission of viruses, especially among the PC and MAC platforms. However, maintaining virus protection software and pattern updates for any large organization is a monumental problem, especially when the organization supports multiple platforms and operating systems. The Jet Propulsion Laboratory (JPL) and other National Aeronautics and Space Administration (NASA) Centers have had problems maintaining current virus protection software and pattern files, and so NASA asked the JPL Network and Computer Security (NCS) Group to lead an effort to search for a comprehensive solution. This paper puts forward a study, analysis and recommendations concerning anti‐virus software solutions, problems encountered and their resolutions. One of the key issues was finding a single‐source anti‐virus software solution. Selection and deployment of single‐source anti‐virus software were successful. The lessons learned in the deployment of a software product site‐wide may benefit other organizations facing a similar situation.

Details

Information Management & Computer Security, vol. 11 no. 1
Type: Research Article
ISSN: 0968-5227

Keywords

To view the access options for this content please click here
Article
Publication date: 12 July 2011

Larry Wofford, Michael Troilo and Andrew Dorchester

This paper seeks to consider selected aspects of the relationship between real estate valuation, human cognition, and translational research. Its purpose is to introduce…

Abstract

Purpose

This paper seeks to consider selected aspects of the relationship between real estate valuation, human cognition, and translational research. Its purpose is to introduce the concept of cognitive risk, to propose a framework for mitigating it, and to develop a stream of translational research to transfer knowledge to real estate valuers.

Design/methodology/approach

The paper takes an interdisciplinary conceptual approach towards the development and study of cognitive risk, and its mitigation. It proposes to broaden the study of behavioral issues in real estate valuation beyond cognitive psychology to cognitive science, and also fields such as time studies and human failure, in order to identify and mitigate cognitive risk.

Findings

The paper offers a framework as a starting‐point for handling cognitive risk. It borrows the concept of translational research from medicine to discuss how basic theoretical knowledge may be communicated to real estate valuers to improve performance.

Originality/value

The paper's concept of cognitive risk and discussion of its mitigation will enrich behavioral real estate by introducing the wisdom of other fields such as cognitive science and time studies. These fields have much to say about managing the risk surrounding human cognition, and will be of both academic and practical value to the discipline of real estate valuation.

Details

Journal of Property Investment & Finance, vol. 29 no. 4/5
Type: Research Article
ISSN: 1463-578X

Keywords

To view the access options for this content please click here
Article
Publication date: 6 April 2010

Ekant Veer, Ilda Becirovic and Brett A.S. Martin

This research has been conducted with the aim of determining if celebrity endorsers in political party advertising have a significant impact on UK voter intentions. The…

Abstract

Purpose

This research has been conducted with the aim of determining if celebrity endorsers in political party advertising have a significant impact on UK voter intentions. The use of celebrity endorsements is commonplace in the USA, but little is known about its effects in the UK. This research also aims to incorporate the use of celebrity endorsements in political party advertising with the political salience construct. Political salience represents how prominent politics and political issues are in the minds of the eligible voter.

Design/methodology/approach

A 2 (endorser: celebrity; non‐celebrity)×2 (political salience: high; low) between‐subjects factorial design experiment was used. The results show that celebrity endorsements do play a significant role in attitudes towards the political advert, attitudes towards the endorser and voter intention. However, this effect is significantly moderated by political salience.

Findings

The results show that low political salience respondents were significantly more likely to vote for the political party when a celebrity endorser is used. However, the inverse effect is found for high political salience respondents.

Practical implications

The results offer significant insights into the effect that celebrity endorsers could have in future elections and the importance that political salience plays in the effectiveness of celebrity endorsement. If political parties are to target those citizens that do not actively engage with politics then the use of celebrity endorsements would make a significant impact, given the results of this research.

Originality/value

This research would be of particular interest to political party campaigners as well as academics studying the effects of advertising and identity salience.

Details

European Journal of Marketing, vol. 44 no. 3/4
Type: Research Article
ISSN: 0309-0566

Keywords

To view the access options for this content please click here
Article
Publication date: 1 April 1977

THE Reference Department of Paisley Central Library today occupies the room which was the original Public Library built in 1870 and opened to the public in April 1871…

Abstract

THE Reference Department of Paisley Central Library today occupies the room which was the original Public Library built in 1870 and opened to the public in April 1871. Since that date two extensions to the building have taken place. The first, in 1882, provided a separate room for both Reference and Lending libraries; the second, opened in 1938, provided a new Children's Department. Together with the original cost of the building, these extensions were entirely financed by Sir Peter Coats, James Coats of Auchendrane and Daniel Coats respectively. The people of Paisley indeed owe much to this one family, whose generosity was great. They not only provided the capital required but continued to donate many useful and often extremely valuable works of reference over the many years that followed. In 1975 Paisley Library was incorporated in the new Renfrew District library service.

Details

Library Review, vol. 26 no. 4
Type: Research Article
ISSN: 0024-2535

To view the access options for this content please click here
Book part
Publication date: 4 April 2013

Zulema Blair

Purpose – The focus of this chapter is to establish a blueprint for effective Black leadership without compromising the interests of other racial and ethnic groups. A…

Abstract

Purpose – The focus of this chapter is to establish a blueprint for effective Black leadership without compromising the interests of other racial and ethnic groups. A uniform approach has not been utilized to accomplish the “dual agenda” of representing majority and minority interests simultaneously, although most of our urban cities now consist of a plurality of Black, Latino, Asian, and Caucasian voters.Design/methodology/approach – Using the city of Buffalo and Mayor Brown as a case study, a content analysis was conducted on Mayor Brown’s upcoming career in politics as well as close coverage of his election and reelection bids. A descriptive analysis was also conducted on the election of first-time Black mayors in order to identify the style of leadership that is appropriate for a particular era.Findings – Some of the findings of this research confirmed that a city’s size, its predominant racial and ethnic makeup, the city’s regional location, the era that they were elected in, their professional experience, and prior elected positions continue to be influential factors in electing Black mayors. In each era however, there was a particular style of leadership that became a necessary element in electing and reelecting a Black mayor.Research limitations/implications – While this research relied mostly on a content analysis of Mayor Brown’s leadership and first-time Black mayors, it would have been better served if an in-depth interview was conducted with Mayor Brown himself. It is imperative for research that seeks to establish a blueprint to speak to the primary agents of that office as well as community leaders for an objective perspective.Practical implications – Aspiring politicians who wish to lead their cities will need to have a consistent plan that speaks to coalition building in order to solidify a diverse base of supporters. Also important is to be able to elect more Black mayors in a particular city that has been exposed to Black mayoral leadership shortly thereafter to build upon previous accomplishments.Originality/value – This chapter fulfills the need to accomplish the “dual agenda” of representing majority and minority interests simultaneously.

Details

21st Century Urban Race Politics: Representing Minorities as Universal Interests
Type: Book
ISBN: 978-1-78190-184-7

To view the access options for this content please click here

Abstract

Details

Man-Eating Monsters
Type: Book
ISBN: 978-1-78769-528-3

1 – 10 of 14