Search results

There has been a growing policy emphasis on prevention and the promotion of independence for older people. Are we clear, however, what we mean by prevention and how far authorities have been able to balance the needs of service users with promoting the well‐being of older people in general?

Strong versions of the Precautionary Principle (PP) require regulators to prohibit or impose technology controls on activities that pose uncertain risks of possibly significant environmental harm. This decision rule is conceptually unsound and would diminish social welfare. Uncertainty as such does not justify regulatory precaution. While they should reject PP, regulators should take appropriate account of societal aversion to risks of large harm and the value of obtaining additional information before allowing environmentally risky activities to proceed.

Previous research emphasises the need for preventative interventions to reduce mental health problems among disadvantaged children and adolescents. There is however little consensus concerning the delivery and impacts of such interventions particularly non-clinical, arts-based models delivered within community settings. The purpose of this paper is to begin to address this deficit through a qualitative assessment of the short- to medium-term impacts to participants’ mental and emotional wellbeing within Sistema Scotland’s Big Noise orchestral programme.

Semi-structured interviews, observation, participant drawing exercise, participatory filmmaking, focus group and analysis of programme engagement were undertaken to examine the mental and emotional wellbeing impacts of the programme which are observable at this early stage of programme delivery and participants’ lives.

The qualitative findings indicate that participation in the Big Noise programme enhances participant mental and emotional wellbeing in three ways; first, the happiness and enjoyment of taking part in the programme and orchestra, particularly from music making; second, the security, belonging and relationships fostered through participation; the quality of musician/participant relationship is important here as is programme design which enables support, routine and structure; and third, increased pride, confidence and self-esteem, as a result of acquiring difficult musical skills, receiving regular praise and having frequent opportunities to demonstrate these acquired skills through regular orchestral performances.

There is little evidence or understanding of community-based, preventative, arts interventions like Big Noise: their delivery, their life-course impacts and their potential contribution to mental health and to addressing social and health inequalities. The causal pathways in the field are under-theorised. These early findings are important as they serve as an important basis from which to consider the programme’s wider and longer term impacts, which will be assessed through an on-going longitudinal, mixed method summative evaluation.

The purpose of this paper is to report on findings from an evaluative research study which looked at a timed intervention model of practice comprising of up to 24 weeks of intensive meetings with adult service users set up by one local authority in England, to prevent and delay the need for care and support. A particular focus of this paper is on adults who hoard.

The study employed a mixed-methods design, consisting of interviews with service users (n=13), social workers (n=3), social work managers (n=2) and stakeholders from external services and agencies (n=6). It included a costing analysis of staff time and an analysis of goals of service users and “satisfaction with life” self-report questionnaires (n=20), completed at pre- and post-intervention stages.

There was evidence that social workers used strengths, relationship-based and outcome-based focused approaches in their work. The techniques used by social workers to engage, achieve change and assess effectiveness with service users varied. These techniques included the use of photographs to enable the service user to map and assess their own progress over time, encouraging hoarders to declutter and reclaim their living space. The service users valued the time the social workers spent with them and the way that they were treated with sensitivity and respect.

The study focused on one local authority in England; there was no comparison group. This, and the small sample size, means that statistical generalisations cannot be made and only limited conclusions can be drawn from the quantitative data.

The paper provides insights into the work undertaken by social workers with adults who hoard. It contributes to the body of knowledge on effective social work interventions with adults who hoard.

This paper is about relationships between R & D and Marketing personnel in industrial companies and their influence on product innovation. Emphasis is placed on the fundamental differences in outlook and some of the professional, organisational and task‐related problems which typically arise when specialists are required to work together. The approach is largely behavioural and advice is offered on ways of dismantling barriers and creating a climate for mutual understanding and constructive co‐operation.

In the present-day context of a sharp decrease in economic and ecological resources, planned conservation and community empowerment are key strategies for sustainable heritage management, because of their cost effectiveness, increased preservation of authenticity and socially development. However, there are still very few practical implementations, so the purpose of this paper is to present applied research to real case studies, as well as to demonstrate that preventive-planned conservation is increasingly successful when linked with the empowerment of local communities and users.

This paper proposes a methodology that focuses on two complementary aspects: planned conservation (material component) – undertaken directly on buildings, through inspection, monitoring, maintenance and repair activities; community empowerment (intangible component) – afforded indirectly to users, through participatory strategies and training in prevention, maintenance and use.

Based on an estimation of costs, this paper suggests that preventive-planned conservation strategies (pre-damage) can be one-third cheaper than the reactive and interventionist approach (post-damage). Moreover, this study also develops innovative ICT tools for the planned conservation of the built heritage, namely a specifically designed computer software/App (“MPlan”) that can be used to compile maintenance plans.

The case studies are among the first applications of preventive-planned conservation strategies to the built heritage in Portugal. Different types of case studies are provided to better illustrate the methodological approach adopted and the results obtained. Special attention is given to the Romanesque Route, a cultural itinerary with 58 monuments (monasteries, churches, bridges, towers and a castle). illustrated manuals contribute to the empowerment of local communities and users.

The purpose of this paper is to present the development of an ontological model consisting of terms and relationships between these terms, creating a conceptual information model for the Built Cultural Heritage (BCH) domain, more specifically for preventive conservation.

The On-To-Knowledge methodology was applied in the ontology development process. Terms related to preventive conservation were identified by means of a taxonomy which was used later to identify related existing ontologies. Three ontologies were identified and merged, i.e. Geneva City Geographic Markup Language (Geneva CityGML), Monument Damage ontology (Mondis) and CIDOC Conceptual Reference Model (CIDOC-CRM). Additional classes and properties were defined as to provide a complete semantic framework for management of BCH.

A BCH-ontology for preventive conservation was created. It consists of 143 classes from which 38 originate from the Mondis ontology, 38 from Geneva CityGML, 37 from CIDOC-CRM and 30 were newly created. The ontology was applied in a use case related to the New cathedral in the city of Cuenca, Ecuador. Advantages over other type of systems and for the BCH-domain were discussed based on this example.

The proposed ontology is in a testing stage through which a number of its aspects are being verified.

This ontological model is the first one to focus on the preventive conservation of BCH.

States that contact between research and development (R & D) and marketing varies quite considerably within different companies and industries. Discusses the situation between market orientation and breakdown in communications being cited as a main reason for British industry failing to complete the product innovation cycle and the achieving of full commercial exploitation. Posits the two main reasons for failure are first, concentration of attention on R & D aspects; second, the innovation process has been misunderstood. Goes on to discuss organizational design, integration, multidisciplinary groups, contrasting roles and various types of research and training. Concludes that interaction should be meaningful and not contrived because of beneficial thoughts. Implies the training and appointment of people sufficiently capable of diagnosing situations from both the business and human relations angle.

This paper reviews the literature on opportunistic maintenance (OM) as new advance maintenance approach and policy. The purpose of this paper is to conceptually identify common principle and thereby provide absolute definition, concept and characteristics of this policy.

A conceptual analysis was conducted on various literatures to clarify a number of principle and concepts as a method for understanding information on OM. The analysis involves the process of separating the compound terms used in the literatures into a few parts, analyse them and then recombining them to have more clear understanding of the policy.

The paper discussed the maintenance approach, genealogy, principle, concept and applications of OM both in numerical analysis and real industry. OM policy is developed based on combination of age replacement policy and block replacement policy and in practical; OM is applied as the combination of corrective maintenance which is applied when any failure occurred, with preventive maintenance (PM) – a planned and scheduled maintenance approach to prevent failure to happen. Any machine shutdown or stoppages due to failure is the “opportunity” to conduct PM even though it is not as planned. The characterization of OM was provided in order to present its theoretical novelty for researchers and practical significance for industries.

To date, there is no publication that reviews the OM in-depth and provides clear understanding on the topic. Therefore, this paper aims to show lineage of OM and the current trend in researches. This discussion will pave the way of new research areas on this optimal maintenance policy. Clear definition and principle of OM provided in this paper will trigger interest in its practicality as well as aid industries to understand and conduct OM in operation plant.

This paper discussed the available literature about OM in various perspectives and scopes for further understanding of the topic by maintenance management professionals and researchers. Therefore, OM can be widely studied and applied in real industry as it is an effective and optimal maintenance policy.

Purpose – This chapter argues that health care is best conceptualized as a complex adaptive system. Sustainable health care depends on harnessing the complexity of the system by building aligned purpose, flexible pathways to connect people, knowledge and resources, and the capacity for self-organization.

Design/methodology/approach – The case study of the Southern California Region of Kaiser Permanente is based on three years of interviews and archival data collection examining the system's transformational change that began in 2004 and has been aimed at building a sustainable health care system with the guiding principles of value and prevention. The case focuses primarily on the medical care delivery system designed by the Southern California Permanente Medical Group, the capabilities that have been built into the system to continually improve the quality of care and the outcomes of the system, and the results that have been achieved.

Findings – During the period from 2004 to 2011, the region improved significantly in slowing cost acceleration by significantly improving medical care. The implementation of an electronic medical records system and its integration with other clinical information technology systems have enabled: (1) truly integrated, well defined, and easily navigated care delivery systems that are based on evidence; (2) upstream focus on prevention, disease control, patient education, and population health; and (3) management accountability and organizational improvement systems based on transparency of data and feedback. Physician leadership and partnering with the region's administrative and hospital leadership have been critical change enablers.

Originality/value – Embracing the complexity of the system has led to the crafting of pathways and linkages that enable patients to move through the system to flexibly and efficiently connect to the knowledge and resources required to optimize their health. This requires continual self-organization based on well-defined roles and connections. Previous health care improvement approaches have stressed initiatives and organizational changes that may further fragment the health care system.