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Article
Publication date: 1 April 1990

W. George Kernohan, Bernadette P. Trainor, Raynold A.B. Mollan and Charles E.M. Normand

Vibration arthrometry is a new non‐invasive technique which detects, records and analyses vibrations elicited during clinical examination of human joints. In congenital…

Abstract

Vibration arthrometry is a new non‐invasive technique which detects, records and analyses vibrations elicited during clinical examination of human joints. In congenital dislocation of the hip, the computer‐based method has been developed to achieve a more objective and earlier diagnosis than is otherwise available. This is a condition of 0.2 per cent incidence with which a child may be born or which can develop shortly after birth. If a diagnosis is achieved soon after birth, the treatment is simple, cheap and effective. However, if the disease is not diagnosed until the child is walking, treatment is complicated and expensive and the child will need lengthy hospitalisation with a poor prognosis. An evaluation was made of three options: existing screening system, higher level screening and use of the Belfast Hip Screener.

Details

Journal of Management in Medicine, vol. 4 no. 4
Type: Research Article
ISSN: 0268-9235

Keywords

Article
Publication date: 30 June 2020

Siobhan Fox, Niamh O'Connor, Johnathan Drennan, Suzanne Guerin, W. George Kernohan, Aileen Murphy and Suzanne Timmons

The Model for Dementia Palliative Care Project will develop a service-delivery model for community-based dementia palliative care. Many countries provide dementia…

Abstract

Purpose

The Model for Dementia Palliative Care Project will develop a service-delivery model for community-based dementia palliative care. Many countries provide dementia palliative care services, albeit with considerable variability within these. However, little is known about what service providers consider to be the most important components of a dementia palliative care model. This study aimed to address this knowledge gap.

Design/methodology/approach

An exploratory design using a survey method was used as an initial phase of the wider project. A web-based survey was developed, piloted (n = 5), revised, and distributed within five healthcare jurisdictions: the Republic of Ireland, Northern Ireland, England, Scotland, and Wales. The target population was health and social care professionals, policymakers, and academics interested in dementia and palliative care. Content analysis of open-ended questions identified common themes; descriptive statistics were applied to the closed-ended questions.

Findings

Overall, N = 112 complete surveys were received. Key care principles incorporated the philosophies of palliative care and dementia care; many described “holistic” and “person-centred care” as the core. Important individual service components were the support for carers, advanced care planning, information, education and training, activities for “meaningful living”, comprehensive disease management, coordinated case management, and linking with community health services and social activities. Barriers included poor availability and organisation of healthcare services, stigma, misconceptions around dementia prognosis, insufficiently advanced care planning, and dementia-related challenges to care. Facilitators included education, carer support, and therapeutic relationships.

Originality/value

This study, as part of the larger project, will directly inform the development of a novel service delivery Model of Dementia Palliative Care for Ireland. The results can also inform service planning and design in other countries.

Details

Journal of Integrated Care, vol. 28 no. 4
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 1 April 1991

Belinda Leathem, W. George Kernohan and Rab Mollan

Since earliest history, splintage materials have been used forimmobilisation of injuries, especially fractures. The use of gypsum inthis domain dates from the eleventh…

Abstract

Since earliest history, splintage materials have been used for immobilisation of injuries, especially fractures. The use of gypsum in this domain dates from the eleventh century and remains in common usage today. Lighter materials have been produced in an attempt to improve performance. The authors examined 180 patients comprising 90 upper limb and 90 lower limb with 30 in each of the three groups, traditional gypsum; fibreglass; and new polypropylene. The gypsum cast remains the cheapest at an average cost of £3.51 per patient compared to £7.18 for fibreglass and £7.45 for polypropylene (upper limb). However, the non‐cost advantages of the new product which were identified may make this extra expense worthwhile in selected cases.

Details

Journal of Management in Medicine, vol. 5 no. 4
Type: Research Article
ISSN: 0268-9235

Keywords

Open Access
Article
Publication date: 3 July 2020

Yam B. Limbu, Marta Giovannetti and Silvio Cardinali

The main objective of this study is to assess the applicability and robustness of the information motivation behavioural skills (IMB) model in determining dietary…

Abstract

Purpose

The main objective of this study is to assess the applicability and robustness of the information motivation behavioural skills (IMB) model in determining dietary supplement usage of pregnant and breastfeeding women. More specifically, we examine the indirect effects of online social capital and internet use for health information on dietary supplement usage through self-efficacy and the moderating role of educational attainment.

Design/methodology/approach

Data was collected from 415 pregnant and breastfeeding Italian women using a self-administered questionnaire. Hypotheses were tested using Hayes's (2013) PROCESS macro for SPSS.

Findings

Internet use for health information is directly associated with dietary supplement usage. Online social capital and internet use for health information positively influence dietary supplement usage through self-efficacy. However, the results from moderated mediation analyses show that the mediation effects are moderated by educational attainment so that indirect relationships were stronger among women with a lower level of education than among those with a higher level of education.

Practical implications

Dietary supplement marketers and public health agencies can develop and implement dietary supplement promotional materials and interventions by disseminating information through the internet and social media and by strengthening social ties on online networking sites.

Originality/value

The originality of this study lies in the use of the IMB model as a theoretical framework to examine the mediating role of self-efficacy and the moderating role of education in explaining the mechanism of how online social capital and internet use for health information influence dietary supplement usage.

Details

British Food Journal, vol. 123 no. 1
Type: Research Article
ISSN: 0007-070X

Keywords

Article
Publication date: 1 September 1965

THERE are times when a great accretion of the resources available to man changes the human environment. This country experienced such a change two centuries ago and it…

Abstract

THERE are times when a great accretion of the resources available to man changes the human environment. This country experienced such a change two centuries ago and it lives in history books as the Industrial Revolution. It didn't happen overnight for the various factors, from Kay's flying shuttle to Watt's steam engine, covered something like fifty years. In the end it completely altered the character of the country. Cottage industry was eliminated and factories spread rapidly. There was a vast increase in the population and the expansion of industrial production made all previous progress insignificant.

Details

Work Study, vol. 14 no. 9
Type: Research Article
ISSN: 0043-8022

Article
Publication date: 1 June 1976

The long controversy that has waxed furiously around the implementation of the EEC Directives on the inspection of poultry meat and hygiene standards to be observed in…

Abstract

The long controversy that has waxed furiously around the implementation of the EEC Directives on the inspection of poultry meat and hygiene standards to be observed in poultry slaughterhouses, cutting‐up premises, &c, appears to be resolved at last. (The Prayer lodged against the Regulations when they were formally laid before Parliament just before the summer recess, which meant they would have to be debated when the House reassembled, could have resulted in some delay to the early operative dates, but little chance of the main proposals being changed.) The controversy began as soon as the EEC draft directive was published and has continued from the Directive of 1971 with 1975 amendments. There has been long and painstaking study of problems by the Ministry with all interested parties; enforcement was not the least of these. The expansion and growth of the poultry meat industry in the past decade has been tremendous and the constitution of what is virtually a new service, within the framework of general food inspection, was inevitable. None will question the need for efficient inspection or improved and higher standards of hygiene, but the extent of the organization in the first and the enormous cost of structural and other alterations to premises in the second, were seen as formidable tasks, and costly. The execution and enforcement of the new Regulations is assigned to local authorities (District, Metropolitan and London Borough Councils), who are empowered to make charges for inspection, licences, etc., to recoup the full costs of administration. The Government had previously promised that the cost of this new service, which when fully operative, will be significant, would not fall upon the already over‐burdened economies of local authorities. The figure of a penny per bird is given; in those areas with very large poultry processing plants, with annual outputs counted in millions of birds, this levy should adequately cover costs of enforcing the Regulations, but there are many areas with only one of a few small concerns with annual killings of perhaps no more than 200,000 birds—this much we know from perusing annual health reports received at the offices of this Journal—and the returns from charges will certainly be inadequate to cover the cost of extra staff. The Regulations require the appointment of “official veterinary surgeons” and “poultry meat inspectors”, both new to local government.

Details

British Food Journal, vol. 78 no. 6
Type: Research Article
ISSN: 0007-070X

Article
Publication date: 25 October 2021

Sumbul Zaman, Amirul Hasan Ansari and Shakti Chaturvedi

This paper aims to examine how the quality of work-life (QWL) factors influence job satisfaction and tests if organization type moderates this relationship.

Abstract

Purpose

This paper aims to examine how the quality of work-life (QWL) factors influence job satisfaction and tests if organization type moderates this relationship.

Design/methodology/approach

The study adopts a quantitative cross-sectional research design using survey administration among resident doctors used in the Indian health-care sector. Drawing on the person-environment fit theory, leader-member exchange theory and action learning theory, the authors discuss the results.

Findings

Results depicted that in addition to the direct relationship between QWL and job satisfaction, this association is moderated by organization type.

Practical implications

The study provides critical information for health-care managers to prioritize three QWL attributes, namely, meaningful development, supervision, working conditions to enhance job satisfaction among resident doctors.

Originality/value

The study contributes to the limited empirical scholarly research adding a deeper understanding of pertinent factors influencing resident doctor’s QWL-job satisfaction relationship.

Details

Industrial and Commercial Training, vol. 54 no. 1
Type: Research Article
ISSN: 0019-7858

Keywords

Article
Publication date: 3 February 2020

Tina M. Kruger, Nicholas McCreary, Brandon L. Verhoff, Virgil Sheets, James H. Speer and Stephen P. Aldrich

The purpose of this study was to explore college students’ understanding of sustainability and, specifically, the extent to which students see social justice as being…

Abstract

Purpose

The purpose of this study was to explore college students’ understanding of sustainability and, specifically, the extent to which students see social justice as being integral to sustainability.

Design/methodology/approach

Between fall 2015 and 2017, an online survey study was deployed to students at a Midwestern University in the USA to assess attitudes and concerns about environmental issues and awareness of the university’s activities related to these issues. This analysis included ten assessment items from a larger study, of which 1,929 participants were included in the final sample. A chi-square goodness-of-fit and variable cluster analysis were performed on the included items.

Findings

Items such as “recycling,” “economic viability” and “fair treatment of all” were identified as integral to the concept of sustainability, while items such as “growing organic vegetables” and “reducing meat consumption” had high levels of “not applicable” and “don’t know” responses, with differences arising across gender and class standing. Social justice-related items were seen as more distally connected to sustainability.

Research limitations/implications

This study is limited by a non-random sample of students.

Practical implications

College students tend not to recognize the integral nature of social justice or the relevance of food to sustainability, providing an opportunity for universities to better prepare their students for a sustainable future.

Social implications

Universities might adopt policies and curricula that address these areas of ignorance.

Originality/value

This study is among the first to identify specific areas of college students’ lack of understanding about sustainability.

Details

International Journal of Sustainability in Higher Education, vol. 21 no. 3
Type: Research Article
ISSN: 1467-6370

Keywords

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