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The authors developed and validated an algorithm using health administrative data to identify patients who are attached or uncertainly attached to a primary care provider (PCP) using patient responses to a survey conducted in Ontario, Canada.

The authors conducted a validation study using as a reference standard respondents to a community-based survey who indicated they did or did not have a PCP. The authors developed and tested health administrative algorithms against this reference standard. The authors calculated the sensitivity, specificity positive predictive value (PPV) and negative predictive value (NPV) on the final patient attachment algorithm. The authors then applied the attachment algorithm to the 2017 Ontario population.

The patient attachment algorithm had an excellent sensitivity (90.5%) and PPV (96.8%), though modest specificity (46.1%) and a low NPV (21.3%). This means that the algorithm assigned survey respondents as being attached to a PCP and when in fact they said they had a PCP, yet a significant proportion of those found to be uncertainly attached had indicated they did have a PCP. In 2017, most people in Ontario, Canada (85.4%) were attached to a PCP but 14.6% were uncertainly attached.

Administrative data for nurse practitioner's encounters and other interprofessional care providers are not currently available. The authors also cannot separately identify primary care visits conducted in walk in clinics using our health administrative data. Finally, the definition of hospital-based healthcare use did not include outpatient specialty care.

Uncertain attachment to a primary health care provider is a recurrent problem that results in inequitable access in health services delivery. Providing annual reports on uncertainly attached patients can help evaluate primary care system changes developed to improve access. This algorithm can be used by health care planners and policy makers to examine the geographic variability and time trends of the uncertainly attached population to inform the development of programs to improve primary care access.

As primary care is an essential component of a person's medical home, identifying regions or high need populations that have higher levels of uncertainly attached patients will help target programs to support their primary care access and needs. Furthermore, this approach will be useful in future research to determine the health impacts of uncertain attachment to primary care, especially in view of a growing body of the literature highlighting the importance of primary care continuity.

This patient attachment algorithm is the first to use existing health administrative data validated with responses from a patient survey. Using patient surveys alone to assess attachment levels is expensive and time consuming to complete. They can also be subject to poor response rates and recall bias. Utilizing existing health administrative data provides more accurate, timely estimates of patient attachment for everyone in the population.

The purpose of this paper is to examine strengths and limitations that search engines (SEs) exhibit when responding to web search queries associated with the grade school curriculum

The authors employed a simulation-based experimental approach to conduct an in-depth empirical examination of SEs and used web search queries that capture information needs in different search scenarios.

Outcomes from this study highlight that child-oriented SEs are more effective than traditional ones when filtering inappropriate resources, but often fail to retrieve educational materials. All SEs examined offered resources at reading levels higher than that of the target audience and often prioritized resources with popular top-level domain (e.g. “.com”).

Findings have implications for human intervention, search literacy in schools, and the enhancement of existing SEs. Results shed light on the impact on children’s education that result from introducing misconception about SEs when these tools either retrieve no results or offer irrelevant resources, in response to web search queries pertinent to the grade school curriculum.

The authors examined child-oriented and popular SEs retrieval of resources aligning with task objectives and user capabilities–resources that match user reading skills, do not contain hate-speech and sexually-explicit content, are non-opinionated, and are curriculum-relevant. Findings identified limitations of existing SEs (both directly or indirectly supporting young users) and demonstrate the need to improve SE filtering and ranking algorithms.

For their part, GSE went into 2002 with a vision of how they saw the year unfolding. 2002 would see the holding of a general election, and the momentum of GSE's petition gathering and public meetings could be utilised in an attempt to politicise the incineration issue as part of the overall election campaign. The shifting dynamic of the political opportunity structure surrounding the incineration issue had seen GSE and their local political allies losing momentum, due to the removal of the councillors’ powers on the waste issue. However, the response of a public now concerned at this perceived undermining of democracy allowed GSE to extend their democratic deficit frame.

Several studies have shown that climate change is a threat to sustainable human living and high consumption of energy by buildings is a contributory factor. However, green practices in buildings have been proved as one of the successful technologies to mitigate global warming. Previous studies have shown lax green practices in developing countries’ buildings, but how far concerning green certification of buildings in Nigeria is yet to be explored. Therefore, this paper investigated the barriers to green certification of buildings (GCB). Also, the paper proposed a model for promoting GCB in Nigeria.

Eighteen experts with green building certification knowledge were engaged across three of Nigeria’s cities (Benin City, Abuja and Lagos) via scheduled WhatsApp video and teams calls. Collated interview data were analysed and presented in themes.

Findings show that there is an absence of a framework to promote GCB in Nigeria. Hence, GCB is low across the states. Twelve main sub-themes emerged as the barriers to GCB in Nigeria. Also, eight key sub-themes emerged as the possible concepts that can be used to improve GCB in Nigeria and formulated into a proposed framework to promote GCB in Nigeria.

This paper is limited to GCB in Nigeria and only 18 participants were engaged. Thus, this paper suggests that a mixed-methods approach should be conducted in future studies with wider coverage. This may assist to validate the paper’s findings.

Findings from this paper will stir up practitioners in green building and influence the promotion of GCB in the sector. As part of this study’s implications, suggestions through the paper’s proposed framework will benefit Nigeria’s policymakers to make decisions towards achieving GCB. This can be achieved via the proposed framework to promote the concept across Nigeria.

This paper is probably the first that attempted to investigate the barriers and proffer policy solutions via a framework to promote GCB in Nigeria and by extension in other developing countries.

From 13 up to 30 in 1984 is the hoped for expansion rate of Grand Metropolitan's fast food restaurants, Huckleberry's. They see themselves becoming a national chain to vie with the likes of McDonald's and Wimpy. Giving them a new image to present an alternative to the ubiquitous red and yellow fast food uniform is Michael Peters Partnership. They have designed a subtle and sophisticated restaurant to suit the “second generation” of fast food customers. Sue Sharpies describes Huckleberry's new found confidence and takes a look at the Putney pilot.

In 1993 the 200th anniversary of George Green, a great physicist and mathematician's, birth was celebrated. His contribution to world's science is beyond the question. This can best be seen in the frequency of mentioning his name and quoting his works in other physicists' and mathematicians' works. Some of historians of science and researchers are deeply convinced that George Green together with Maxwell originated modern electromagnetism. George Green is also famous for his inventions as far as light, stress and accoustic theories are concerned but electromagnetism ows him most of all. Indeed, none of those who have ever dealt with mathematical electromagnetism will question George Green's part and position. In nearly each paper referring to it, Green's function or Green's identities are the terms that are mentioned or quoted. Without these notions contemporary numerical techniques such as finite element method (first Green's identity) or boundary element method (second Green's identity) or integral methods (Green's function) are hard to imagine.

Galway provided another example of ‘risk society’ with the outbreak of a parasitic-related contamination of municipal water supplied in 2007. The ‘Galway Water Crisis’ emerged in March of 2007, in the aftermath of an outbreak of the cryptosporidium parasite in the local water system.¹ This crisis reflects the failure to protect large bodies of water such as Lough Corrib from the impacts of human development. As the degradation of water supplies has continued, urban centres such as Galway have had to contend with boil notices, health warnings and a political ‘blame game’ in the run-up to the 2007 election. This chapter will examine the key issues surrounding the water crisis in the west, detailing the costs of this issue to those charged with dealing with it.

The Godfather theory of management is a power and control model of leadership. Explains a process whereby leaders can move a dysfunctional and subversive organization into the realm of a quality organization. Although the theme of the article is based on the Godfather series of motion pictures, the reality of the management style focuses on principles of organizational behaviour. The author continually stresses that Godfather Management is transitional management and cannot sustain itself over an extended period of time. Provides a model to assist leaders in the retention, the selection, and the elimination of individuals within either the organizational structure or the leadership team. Discusses a systematic method for new leaders to initially assess the organizational culture and to make the changes necessary for long‐term success.