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1 – 10 of over 2000Wendy Nieto-Gutiérrez, Aleksandar Cvetković-Vega, María E. Cáceres-Távara and Christian Ponce-Torres
The prison population is seldom studied and often overlooked in many countries despite their vulnerability to long-term illness. This study aims to explore the factors associated…
Abstract
Purpose
The prison population is seldom studied and often overlooked in many countries despite their vulnerability to long-term illness. This study aims to explore the factors associated with the non-treatment for long-term illnesses among incarcerated individuals.
Design/methodology/approach
This study is a cross-sectional analysis. The authors conducted a secondary data analysis using information collected in the Peruvian census of incarcerated individuals. The study population consisted of incarcerated individuals diagnosed with a long-term illness. To evaluate the factors associated with non-treatment, the authors used a Poisson regression model.
Findings
The authors included 12,512 incarcerated individuals (age: 40.9 ± 13.1 years), and 39% of them did not receive treatment for their long-term illness. The authors observed that non-treatment was statistically associated with gender, age, having children, use of the Spanish language, sexual identity, judicial situation, penitentiary location, discrimination inside the penitentiary and health insurance before incarceration. However, only having children (prevalence ratio [PR]: 1.11, confidence interval [CI]95% 1.03–1.19), using the Spanish language (PR: 1.15, CI95%: 1.01–1.31), being in a penitentiary not in Lima (PR: 1.11, CI95%: 1.06–1.17) and perceiving discrimination inside the penitentiary (PR: 1.12, CI95% 1.06–1.18) increased the prevalence of non-treatment.
Originality/value
Identifying the factors associated with non-treatment will allow us to implement measures for prioritizing groups and developing strategies for the evaluation, close follow-up of their health and management of comorbidities.
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John McVea, Daniel McLaughlin and Danielle Ailts Campeau
The case is designed to be used with the digital business model framework developed by Peter Weill and Stephanie Woerner of Massachusetts Institute of Technology (MIT) (Weill and…
Abstract
Theoretical basis
The case is designed to be used with the digital business model framework developed by Peter Weill and Stephanie Woerner of Massachusetts Institute of Technology (MIT) (Weill and Woerner, 2015) and is referred to as the W & W framework. This approach provides a useful structure for thinking through the strategic options facing environments ripe for digital transformation.
Research methodology
Research for this case was conducted through face-to-face interviews with the protagonist, as well as through a review of their business planning documents and other data and documentation provided by the founder. Some of the market and industry data were obtained using secondary research and industry reports. Interviews were digitally recorded and transcribed to ensure accuracy.
Case overview/synopsis
The case follows the story of Kurt Waltenbaugh, a Minnesota entrepreneur who shared the dream of using data analytics to reduce costs within the US health-care system. In early 2014, Waltenbaugh and a physician colleague founded Carrot Health to bring together their personal experience and expertise in both consumer data analytics and health care. From the beginning, they focused on how to use data analytics to help identify high-risk/high-cost patients who had not yet sought medical treatment. They believed that they could use these insights to encourage early medical interventions and, as a result, lower the long-term cost of care.
Carrot’s initial success found them in a consultative role, working on behalf of insurance companies. Through this work, they honed their capabilities by helping their clients combine existing claims data with external consumer behavioral data to identify new potential customers. These initial consulting contracts gave Carrot the opportunity to develop its analytic tools, business model and, importantly, to earn some much-needed cash flow during the start-up phase. However, they also learned that, while insurance companies were willing to purchase data insights for one-off market expansion projects, it was much more difficult to motivate them to use data proactively to eliminate costs on an ongoing basis. Waltenbaugh believed that Carrot’s greatest potential lay in their ability to develop predictive models of health outcomes, and this case explores Carrot’s journey through strategic decisions and company transformation.
Complexity academic level
This case is intended for either an undergraduate or graduate course on entrepreneurial strategy. It provides an effective introduction to the unique structure and constraints which apply to an innovative start-up within the health-care industry. The case also serves as a platform to explore the critical criteria to be considered when developing a digital transformation strategy and exposing students to the digital business model developed by Weill and Woerner (2015) at MIT (referred to in this instructor’s manual as the W&W framework). The case was written to be used in an advanced strategy Master of Business Administration (MBA) class, an undergraduate specialty health-care course or as part of a health-care concentration in a regular MBA, Master of Health Care Administration (MHA) or Master of Public Health (MPH). It may be taught toward the end of a course on business strategy when students are building on generic strategy frameworks and adapting their strategic thinking to the characteristics of specific industries or sectors. However, the case can also be taught as part of a course on health-care innovation in which case it also serves well as an introduction to the health-care payments and insurance system in the USA. Finally, the case can be used in a specialized course on digital transformation strategy in which case it serves as an introduction to the MIT W&W framework.
The case is particularly well-suited to students who are familiar with traditional frameworks for business strategy and business models. The analysis builds on this knowledge and introduces students interested in learning about the opportunities and challenges of digital strategy. Equally, the case works well for students with clinical backgrounds, who are interested in how business strategy can influence changes within the health-care sphere. Finally, an important aspect of the case design was to develop students’ analytical confidence by encouraging them to “get their hands dirty” and to carry out some basic exploratory data analytics themselves. As such, the case requires students to combine and correlate data and to experience the potentially powerful combination of clinical and consumer data. Instructors should find that the insights from these activities give students unique insights into the potential for of data analytics to move health care from a reactive/treatment ethos to a proactive/intervention ethos. This experience can be particularly revealing for students with clinical backgrounds who may initially be resistant to the use of clinical data by commercial organizations.
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Tim Prenzler, Nadine McKillop, Sue Rayment-McHugh and Lara Christensen
This paper aims to report on the results of a global search to identify the characteristics of successful sexual offender treatment programs, with a view to providing guidance for…
Abstract
Purpose
This paper aims to report on the results of a global search to identify the characteristics of successful sexual offender treatment programs, with a view to providing guidance for program development.
Design/methodology/approach
A keyword search was conducted of criminology and social science databases. Successful programs were selected on evaluations that used standard scientific designs.
Findings
This study identified 18 evaluations of 16 programs showing significant reductions in reconvictions. Most programs used cognitive behavioural therapy (CBT), with both group and individual sessions; and many evidenced multisystemic therapy (MST) approaches involving families and/or local communities. CBT-based approaches were also common in the 20 unsuccessful programs identified in the study, although fewer MST-oriented features were in evidence. Noncustodial settings, and combined custodial-noncustodial settings, were also more prominent in the successful programs.
Research limitations/implications
There is a shortage of studies focused on the specific components of successful treatment programs for sexual offenders, including for subsets of offenders, such as ethnic minority groups and women.
Practical implications
The findings demonstrate the need for more investment in treatment programs with strict evaluation processes. New and modified programs are likely to benefit from the application of CBT, MST and a community-based reintegration component. More research is needed on effective elements of sexual offender treatment programs.
Originality/value
To the best of the authors’ knowledge, this appears to be the first study that examines features of successful sexual offender treatment programs, compared to unsuccessful programs, using a case-study approach. The findings reinforce the known value of CBT and systemic approaches as core features of programs but raise important questions about what other components are key to activating success.
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Miisa Törölä and Mika Rautanen
Globally, health problems are very common among prisoners. A mental state examination aims to help in recognising psychiatric problems among offenders and the possible association…
Abstract
Purpose
Globally, health problems are very common among prisoners. A mental state examination aims to help in recognising psychiatric problems among offenders and the possible association of these psychiatric issues with their committed crime. The legal-medical term “reduced criminal responsibility” refers to a weakened sense of reality and the ability to control one’s behaviour because of compromised mental health and without an evaluated need for forensic psychiatric hospitalisation. However, little is known about the actual need for the health care of prisoners with reduced criminal responsibility (PRCR). The purpose of this study was to explore treatment-related visits to prison by PRCR in Finland.
Design/methodology/approach
The research data comprise information on PRCR’s treatment-related visits and that of a matched control group (n = 222). Descriptive cross-tabulation with X²- and nonparametric Mann–Whitney U-tests and Cox regression analyses are applied.
Findings
The results show that almost every PRCR had at least one treatment-related visit during their sentences. Visits to a psychiatric hospital for prisoners, to the prison hospital and especially to a civil hospital are more common among PRCR. The need for treatment appears significantly earlier in their sentences.
Originality/value
These findings demonstrate the PRCR’s greater need for access to health services and the need for further development between the Health Care Services for Prisoners, Prison and Probation Service of Finland and public health and social services in Finland. More exploration of the medical reasons and locational distribution of the vast amount of civil hospitalisation is needed.
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The global Covid-19 pandemic is posing considerable challenges for governments throughout the world and has and will have a significant influence on the shape of peoples social…
Abstract
The global Covid-19 pandemic is posing considerable challenges for governments throughout the world and has and will have a significant influence on the shape of peoples social and economic life and wellbeing in the short and longer term. This opinion paper discusses the current health policy response adopted in England to control or manage the epidemic and identifies the key sociological and political influences which have shaped these policies. Drawing on the theoretical approach set out in his recent book, which emphasises the interplay of powerful structural and economic interest groups, the author will consider the influence of the key players. Government policy has tied itself to scientific and medical evidence and protecting the NHS so the key roles of the medical profession, public health scientific community and NHS management and their respective and relative powerful influences will be discussed. The government needs the support of the public if their policies are to be successful, so how have the government addressed maintaining public trust in this “crisis” and how much trust do the public have in the government and what has influenced it? The strong emphasis on social distancing and social isolation in the national government policy response to Covid-19 has placed an increasing public reliance on the traditional and social media for sources of information so how the media has framed the policy will be considered. One policy aim is for an effective vaccine and the influence of the drug industry in its development is discussed. Finally, the role of the state will be discussed and what has shaped its social and economic policies.
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Feng Chen, Zhongjin Wang, Dong Zhang and Shuai Zeng
Explore the development trend of chemically-improved soil in railway engineering.
Abstract
Purpose
Explore the development trend of chemically-improved soil in railway engineering.
Design/methodology/approach
In this paper, the technical standards home and abroad were analyzed. Laboratory test, field test and monitoring were carried out.
Findings
The performance design system of the chemically-improved soil should be established.
Originality/value
On the basis of the performance design, the test methods and standards for various properties of chemically-improved soil should be established to evaluate the improvement effect and control the engineering quality.
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The consideration of alternative sources of material for construction is imperative to reduce the environmental impacts as two-fifths of the carbon footprint of materials is…
Abstract
The consideration of alternative sources of material for construction is imperative to reduce the environmental impacts as two-fifths of the carbon footprint of materials is attributed to the construction industry. One alternative material with improved biodegradable attributes which can contribute to carbon offset is bamboo. The commercialisation of bamboo in modern infrastructures has significant potential to address few of the Sustainable Development Goals (SDGs) itemised by the United Nations, namely SDG 9 about industry, innovation and infrastructure. Other SDGs covering sustainable cities and communities, responsible consumption and production and climate action are also indirectly addressed when utilising sustainable construction materials. Being a natural material however, the full commercialisation of materials such as bamboo is constrained by a lack of durability. Besides fracture mechanisms arising from load-induced cracks and thermal modification, the durability of bamboo material is greatly impaired by biotic and abiotic factors, which equally affect its natural rate of degradation, hence fracture behaviour. In first instance, this chapter outlines the various factors leading to the durability limitations in bamboo material due to load-induced cracks and natural degradation based on recent findings in this field from the author's own work and from past literature. Secondly, part of this chapter is devoted to a new approach of processing the surge of information about the varied aspects of bamboo durability by considering the powerful technique of artificial intelligence (AI), specifically the artificial neural network (ANN) for prediction modelling. Further use of AI-enabled technologies could have an impactful outcome on the life cycle assessment of bamboo-based structures to address the growing challenges outlined by the United Nations.
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Yuting Lu, Wanwan Fu, hao Ren, Shifang Wu, Jiesheng Liu and Hao Peng
The purpose of this paper is to develop a high-performance composite emulsion cement waterproof coating. The coating has excellent durability and is effective in protecting cement…
Abstract
Purpose
The purpose of this paper is to develop a high-performance composite emulsion cement waterproof coating. The coating has excellent durability and is effective in protecting cement mortar substrates from harmful ions.
Design/methodology/approach
The polymer cement waterproof coatings with different emulsion compounding ratios were tested for mechanical properties and water resistance after alkali immersion, water immersion, thermal aging and UV aging, and the coatings were analyzed by infrared spectroscopy after aging to evaluate its durability. Meanwhile, the coating that presents favorable durability was applied to cement mortar test blocks. The protective effect of the coating on the test blocks was tested by immersion method, and X-ray diffraction analysis was performed on the eroded test blocks.
Findings
The coating with neoprene latex/acrylate latex weight ratio of 90/10 presents favorable durability and has superior overall performance. Besides, when it is applied to cement mortar blocks, the coatings effectively reduced the erosive effect of harmful ions on cement mortar blocks, resulting in much lower mass change ratios and less internal structural damage of the blocks significantly.
Originality/value
The obtained coating will be of great application potential for use in building waterproofing construction. Moreover, the coating can practically prevent chloride ions and sulfate ions from penetrating cement-based materials.
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This review aims to examine the literature on refugees’ and asylum seekers’ resilience, its historical evolution, key principles, assumptions and recommendations, while focusing…
Abstract
Purpose
This review aims to examine the literature on refugees’ and asylum seekers’ resilience, its historical evolution, key principles, assumptions and recommendations, while focusing on the Canadian context.
Design/methodology/approach
A narrative literature review has been applied to this manuscript. This approach allows the integration of a wide scope of literature and perspectives, from academic literature to grey literature (e.g. governmental reports and dissertations). Nevertheless, the limitations of this type of review were also discussed.
Findings
In spite of the gaining popularity of the resilience lens, which emphasizes an individual’s ability to overcome adversities and stressful events, more work is required for its effective integration into health practice, programs and policies, particularly as it relates to refugees’ and asylum seekers’ mental health care.
Originality/value
Careful consideration of refugees’ and asylum seekers’ mental health needs and Canadian mental health service delivery and policies is a critical first step in reaching such a goal.
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