Search results

Research has long focused on the notion of access and the trajectory towards a healthcare encounter but has neglected what happens to patients after these initial encounters. This paper focuses attention on what happens after an initial healthcare encounter leading to a more nuanced understanding of how patients from a diverse range of backgrounds make sense of medical advice, how they mix this knowledge with other forms of information and how they make decisions about what to do next.

Drawing on 160 in-depth interviews across four European countries the paper problematizes the notion of access; expands the definition of “decision partners”; and reframes the medical encounter as a journey, where one encounter leads to and informs the next.

This approach reveals the significant unseen, unrecognised and unacknowledged work that patients undertake to solve their health concerns.

De-centring the professional from the healthcare encounter allows us to understand why patients take particular pathways to care and how resources might be more appropriately leveraged to support both patients and professionals along this journey.

Objectives: To analyze the tourism policies introduced in response to the impact of the COVID-19 pandemic on tourism at the national, state and local levels, considering governmental functions and intergovernmental coordination.

Methodology: The methodology consisted of a review of the scientific literature on public policies, intergovernmental coordination and government functions, in addition to an empirical observation and analysis of norms and legal acts related to the combat against COVID-19 pandemic in four municipalities in the state of Rio de Janeiro, Brazil. The municipalities of Armação dos Búzios, Paraty, Petrópolis and Rio de Janeiro were selected because of their economic dependence on tourism.

Main Results and Contributions: The most important contributions were the theoretical and methodological model of the analysis of government functions combined with the review of intergovernmental coordination.

Originality/Value: To study tourism policies in a time of pandemic, since government functions, when analyzed in a tourism-related context, were conducted in non-pandemic contexts.

Conclusions: Municipal horizontal coordination is highlighted since it has positively impacted the actions of control and flexibility of pandemic measures. It was further noted that the role of the guarantor government was different throughout the whole process.

Limitations: As the study is ongoing and is part of an international project on tourism and pandemic, other data collection techniques will be included.

According to previous research, exit interviews do not fulfil the purpose of generating useful feedback from parting employees. According to signaling theory, they might, however, serve a different purpose: to leave one last good impression on parting employees, and the aim of this study was to test this.

A survey was administered to a sample of 164 German employees.

Consistent with arguments based on signaling theory, those who experienced an exit interview reported more residual affective commitment toward their former employer and less willingness to complain about it, and these effects were mediated by interpersonal fairness perceptions. In addition, the probability of having an exit interview was found to depend on the resignation style of employees.

This new perspective on exit interviews can renew the interest in studying how organizations manage the offboarding process.

This study advises employers to conduct “exit conversations” (as two-way interactions rather than one-way interviews) and to carefully plan the exit phase.

To the best of the authors’ knowledge, this is the first study that proposes a signaling theory perspective of exit interviews and that links exit interviews with the literature on resignation styles.

Purpose: To describe some of the tensions that both unaccompanied and accompanied immigrant children and youth face when reuniting with family members living abroad after years of living apart, separated by borders and anti-immigrant policies are described.

Methods: Fifty-eight interviews with immigrant minors from El Salvador, Honduras, and Guatemala and the tensions they reported having after moving in with their biological parents or legal sponsors in the Washington, DC, metropolitan area are drawn upon.

Findings: Youth reported that getting used to cohabitation and in-person relationships with their parents or other sponsor was difficult at first, though it improved over time. Despite the biological, emotional, and financial bonds, minors had to learn how to relate to new authority figures and follow their rules. Many reported feeling lonely and missing grandmothers and other family members and friends left behind in the country of birth.

Research implications: Interviews with counselors and local authorities that interface with these families show that parenting and youth programs in the places of settlement can become effective interventions to improve relations between children and parents recently reunited, which can indeed help with scholastic achievement and socio-economic advancement.

Value: The interview extracts bring a window into intrafamily dynamics, often overlooked in discussions of the integration of immigrant children and youth into their new homes and communities.

The purpose of this paper is to develop a monitoring multiple-stream processes control chart with a finite mixture of probability distributions in the manufacture industry.

Data were collected during production of a wheat-based dough in a food industry and the control charts were developed with these steps: to collect the master sample from different production batches; to verify, by graphical methods, the quantity and the characterization of the number of mixing probability distributions in the production batch; to adjust the theoretical model of probability distribution of each subpopulation in the production batch; to make a statistical model considering the mixture distribution of probability and assuming that the statistical parameters are unknown; to determine control limits; and to compare the mixture chart with traditional control chart.

A graph was developed for monitoring a multi-stream process composed by some parameters considered in its calculation with similar efficiency to the traditional control chart.

The control chart can be an efficient tool for customers that receive product batches continuously from a supplier and need to monitor statistically the critical quality parameters.

With the significant rise of population longevity – expressed both in the growing number of older people and in the extension of their ages – as an almost universal contemporary tendency, the issue on the family focuses, inescapably, on the dimension of aging, and, within it, on the role of the elders. In Brazil, the state fails insofar as supporting and preserving social rights, delegating to the families themselves the major responsibilities, not only for the well-being but also for the survival of their members, in a society with a growing scarcity of employment opportunities. In this context, a significant part of the support and resources available to families – and not only among the popular classes – comes from their elders. These resources, which generally result from retirement or other pension funds, added to the abilities preserved by older women in carrying out domestic tasks, and to the elder’s ownership of a home, restitute to them the condition of providers, helping or fully supporting many of those among the younger generations, with children of various ages and work conditions returning to the paternal/maternal homes. As such, the condition of “dependent,” previously identified with the elderly, now defines the younger adults. Given these circumstances and in the face of a longer lasting coexistence of a larger number of generations within these families, it is our aim to analyze data obtained in field research on the relations between elderly parents and their children and grandchildren.

The objective of this study is to propose a sequence of implementation of the core characteristics of reconfigurability: modularity, integrability, diagnosability, adaptability and customization. For this purpose, the relationships among the core characteristics and Industry 4.0 technologies are analyzed as well as the impacts of one core characteristic on another.

This study presented tests and validated two hypothesized models based on the literature. This paper was based on a questionnaire survey. Portuguese manufacturing companies were the sampling frame. In total, 600 questionnaires were distributed and a total of 112 responses were eligible for statistical processing, representing a response rate of 18.7%. Structural equation modeling (SEM) was used to hypothesize the sequence of implementation of the core characteristics of reconfigurability.

The findings presented a roadmap to implement reconfigurability, which implies significant managerial contributions on how to make the transition from conventional to reconfigurable manufacturing systems (RMSs). This highlights the importance of the sequence of implementation of the core characteristics in order to make the most of each to achieve reconfigurability.

Implementing reconfigurability is crucial to manufacturing companies to respond to changes in production requirements and market fluctuations quickly. However, there is a gap between theory and practice in regard to achieve reconfigurability in existing manufacturing systems. This gap includes (1) understanding the type of relationships among the core characteristics of reconfigurability, (2) understanding the influence that one core characteristic has on another and (3) establishing a sequence of implementation for the core characteristics. This study makes a contribution to fill this gap in the research area.

This chapter traces the origin of racism and reviews the historical and contemporary debates around race and racialisation in western thought. There are persistent disagreements surrounding the origin and nature of racism. Because of the evolution of racist ideas, behaviours and institutional practices and policies, there are various views about the meaning and analytical application of racism. This chapter explores how ideas of race – understood as innate and immutable human differences that can be classified and ranked hierarchically based on race – has emerged in western history and evolved over time. It examines how this has influenced social and political practices and associated policies across the evolution of modernity. The chapter specifically discusses the Atlantic slave trade and how it shaped the historical development of race and racism within the context of colonialism. It concludes with a discussion and critical review of some of the racist systems and policies which have been enforced across different multiracial countries.

Cuba has recently endured the impact of hurricanes Lili (1996), George (1998), Irene (1999), Michelle (2001), Isidore (2002), Lili (2002), Charlie and Ivan (2004). The provinces of Villa Clara, Matanzas and Pinar del Río have suffered the major damage, basically in coastal towns where thousands of houses have been destroyed, and families displaced from their homes.

Tackling this problem proves to be complicated. Decision-makers face two choices: (a) to concentrate the scarce resources - including post disaster aid - on emergency actions to reduce only the damages caused by the hurricane, or (b) to improve in a sustainable way existing houses through better and more efficient material supply. In both cases, the possibility of local production of building materials becomes a crucial factor.

The Centre for Investigation and Development of Structures and Materials (CIDEM) has been involved in disaster-response projects in the area since 1996. The thrust has been the manufacture of ecomaterials such as micro concrete roofing (MCR) tiles, pozzolanic cement CP-40 and hollow concrete blocks, which provide the means to build affordable and hurricane safe houses. These materials are produced on the basis of local raw materials and labour in small workshops based directly in the communities.

The widespread use of ecomaterials on the northern coast of Villa Clara province has been a key aspect in decreasing the vulnerability of the houses against hurricanes. The fact that these materials have withstood the impact of various hurricanes without significant damage has drawn the attention of local governments, communities and donors. The presentation of case studies in this paper will illustrate this experience.