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The purpose of this paper is to introduce and present the first findings of a new English performance indicator in the primary healthcare of adults with Down syndrome. This is a performance target, with associated bonus payment, requiring General Practitioners (GPs) to undertake annually a screening blood test for thyroid hormone deficiency.

Analysis and review of data collected from all GP practices and published by the National Health Service (NHS) Information Centre.

In total, 82 per cent of those identified as in the target group were screened and 10 per cent were identified as not wanting to be screened or screening inappropriate. The target group numbered just over 60 per cent of the number estimated from epidemiological and other studies. The numbers of cases involved is small (0, 1 or 2 cases in 75 per cent of GP practices), and whilst variation in coverage at local level appears important, numbers are too small for the variations seen in the first year's data to be statistically significant. The scope of the data precludes useful strategic analysis of the value of the intervention.

Data from several years need to be taken together. The NHS Information Centre should slightly increase the scope of the data to allow analysis of whether the programme is having useful public health benefits.

The paper examines a new data source and makes points applicable to a wider range of similar datasets in the same programme.

The purpose of this paper is to illustrate an interdisciplinary system of targeted student supports, drawing from social and emotional learning (SEL), culturally responsive practices (CRP) and positive behavioral interventions and supports (PBIS). While these approaches are not often synthesized in research literature, innovative educators are integrating multiple theories and practices to achieve better outcomes for students.

The paper uses a descriptive, participatory case study method, including quantitative and qualitative data from a three-year period. The author was a participant in the change process, as well as an observer documenting the outcomes. The case study takes place in a Spanish/English bilingual elementary school.

PBIS was a strong influence in the three-year systems change process, due in part to the availability of free, research-based tools. The educators adapted PBIS practices to incorporate SEL, and CRP approaches in several instances. Quantitative data show the increase in PBIS implementation fidelity and one student’s progress with a targeted intervention. Qualitative data illustrate the creative, interdisciplinary and contextualized adaptations made by the team.

Guidance is available for educators seeking to implement SEL, CRP and/or PBIS approaches in isolation. To a lesser extent, integrated models are emerging in the literature. There is a need for more descriptive, real-world case examples of how these approaches are implemented and adapted in practice. This study provides educators with one example that can offer examples and implications for practice.

This study first aimed to investigate the differences in drug driver detection rates between a trial of randomised and targeted enforcement operations. The second aim was to identify which indicator categories are most commonly used by police to target drug drivers and to assess the effectiveness of targeted drug testing. Finally, this study aimed to quantify what specific indicators and cues (of the overarching categories) triggered their decision to drug test drivers and which indicators were most successful.

This research examined the detection rates in a trial comparison of randomised and targeted roadside drug testing (RDT) operations as well as the methods utilised by police in the targeted operations to identify potential drug driving offenders.

Visual appearance was by far the most commonly utilised indicator followed by age, police intelligence on prior charges, vehicle appearance and behavioural cues. However, the use of police intelligence was identified as the most successful indicator that correlated with positive oral fluid testing results. During the randomised RDT operations, 3.4% of all drivers who were tested yielded a positive roadside oral fluid result compared to 25.5% during targeted RDT operations.

The targeted RDT approach, while determined to be an effective detection methodology, limits the overall deterrent effect of roadside testing in a more general driving population, and the need for a balanced approach to ensure detection and deterrence is required. This study highlights that by focussing on night times for randomised RDT operations and the identified effective indicators for targeted operations, an effective balance of deterrence and detection could be achieved.

While the presence of a single indicator is not indicative of a drug driver, this study highlights for police which indicators currently used are more effective at detecting a drug driver. As a result, police could adapt current RDT procedures to focus on the presence of these indicators to support drug driver detection.

This is a world-first study that examines both randomised and targeted roadside drug testing. This study controls for location and time of day while using the same police unit for roadside testing, thus is able to make direct comparisons between the two methodologies to determine the effectiveness of police targeting for roadside drug testing. Furthermore, this study highlights which indicators used by police results in the highest rate of positive roadside drug tests.

This paper presents an application of the physics‐of‐failure design philosophy to flip‐chip bonds in a microelectronic package. The physics‐of‐failure philosophy utilises knowledge of the life‐cycle load profile, package architecture and material properties to identify potential failure mechanisms and to prevent operational failures through robust design and manufacturing practices. The potential failure mechanisms and failure sites are identified in this paper for flip‐chip bonds, and an approach is presented to prevent the identified potential failure mechanisms by design. Finally, quality conformance issues are discussed to ensure a robust manufacturing process and qualification issues are addressed to evaluate the reliability of the designed flip‐chip bond.

The purpose of this paper is to apply the proposed methodology to develop the product as per customer’s requirements (CRs) and increase customer satisfaction (CS).

The companies are using different methods to identify CRs and translate these requirements into new products. The Kano model is used to identify CRs. The result of the Kano model is used in quality function deployment (QFD) to decide the priority for improvements of CRs and the technical requirements.

The integration of the Kano model and QFD is applied on the mobile phone. The Kano model helps to find out the CRs which affect the CS, such as attractive (A) attribute, one (O)-dimensional attribute and must be (M) attribute. The QFD method helps to translate the CRs into technical requirements so that the designer can decide priority of requirements for improvement or new product development.

The proposed methodology can be applied to different consumers as well as industrial products.

The Kano model has been used in manufacturing as well as service sector. This work explores its usefulness and applicability for consumer and industrial products.

Based upon a study of between fifty to sixty case examples of new venture start‐ups, the author presents a screening procedure for entrepreneurs to use when evaluating whether a proposed low‐budget marketing strategy for a new venture shows promise of being successful. The procedure consists of four sets of screening conditions. A well‐designed marketing strategy should have a reasonably good chance of being successful if it (1) will tightly integrate the product/service and price offerings, the intended distribution method, and the intended promotion plan with the new venture’s designated target market, (2) will encounter no serious marketing strategy execution difficulties which cannot be resolved, (3) uses marketing concepts which can be executed with a small marketing budget, and (4) displays three characteristics believed to be strongly associated with marketing strategies that are successful over the long term.

Routine HIV screening of prisoners is generally recommended, but rarely implemented in low-resource settings. Targeted screening can be used as an alternative. Both strategies may provide an opportunity to start HIV treatment but no formal comparisons have been done of these two strategies. The paper aims to discuss these issues.

The authors compared yield and costs of routine and targeted screening in a narcotic prison in Indonesia. Routine HIV screening was done for all incoming prisoners from August 2007-February 2009, after it was switched for budgetary reasons to targeted (“opt-out”) HIV screening of inmates classified as people who inject drugs (PWIDs), and “opt-in” HIV testing for all non-PWIDs.

During routine screening 662 inmates were included. All 115 PWIDs and 93.2 percent of non-PWIDs agreed to be tested, 37.4 percent and 0.4 percent respectively were HIV-positive. During targeted screening (March 2009-October 2010), of 888 inmates who entered prison, 107 reported injecting drug use and were offered HIV testing, of whom 31 (29 percent) chose not to be tested and 25.0 percent of those tested were HIV-positive. Of 781 non-PWIDs, 187 (24 percent) came for testing (opt-in), and 2.1 percent were infected. During targeted screening fewer people admitted drug use (12.0 vs 17.4 percent). Routine screening yielded twice as many HIV-infected subjects (45 vs 23). The estimated cost per detected HIV infection was 338 USD for routine and 263 USD for targeted screening.

In a resource limited setting like Indonesia, routine HIV screening in prison is feasible and more effective than targeted screening, which may be stigmatizing. HIV infections that remain unrecognized can fuel ongoing transmission in prison and lead to unnecessary disease progression and deaths.

Despite the availability and accessibility of standardized screening services, such as preventative health services, many individuals avoid participation. The extant health literature has indicated that health locus of control (HLOC) influences engagement and uptake of health services. The purpose of this paper is to explore how the microfoundation, HLOC, contributes to value co-creation via service-generated and self-generated activities in standardized screening services.

A qualitative study of 25 consumers who have experienced one of the three standardized screening services in Australia was undertaken, followed by thematic analysis of the data.

Service-generated activities elicit reactive responses from consumers – compliance and relinquishing control – but when customers lead co-creation activities, their active responses emphasize protecting self and others, understanding relationship needs and gaining control. Consumers with high internal HLOC are more likely to take initiative for their health, take active control of the process and feel empowered through participating. Consumers with low internal HLOC, in contrast, require more motivation for participation, including encouragement from powerful others through promotion or interpersonal dialogue.

These findings can be used by policymakers and providers of preventative health services for the betterment of citizen health.

The integration of the DART framework, customer value co-creation activities, and the delineation of self-generated and service-generated activities provides a holistic framework to understand the influence of HLOC on the co-creation of value in standardized screening services.

The purpose of this paper is to evaluate the feasibility of a screening test for looked after children in order to identify undetected psychiatric disorders.

Children aged four to 16 in care in one London Borough for four consecutive months were eligible for screening. Carers, teachers and children aged over 11 were asked to complete the Strengths and Difficulties Questionnaire (SDQ). Where the SDQ suggested that a psychiatric disorder was “possible” or “probable”, participants were then invited to complete the Developmental and Well‐Being Assessment, which was rated by a senior psychiatrist to generate diagnoses if appropriate.

The paper finds that over one year, 23 children were eligible for screening. A total of 18 underwent the initial stage of screening, and seven were subsequently diagnosed with a formal psychiatric disorder.

This study illustrates the unmet need for mental health interventions among children looked after by the local authority and confirms the feasibility of a simple screening protocol.