Irina Benenson, Yuri T. Jadotte and Cheryl Holly
The purpose of this paper is to examine the risk factors and characteristics that influence the integration of quality care across hospital services by adult Sickle cell disease…
Abstract
Purpose
The purpose of this paper is to examine the risk factors and characteristics that influence the integration of quality care across hospital services by adult Sickle cell disease (SCD) patients.
Design/methodology/approach
This paper is a systematic review.
Findings
Painful vaso-occlusive crisis was the major cause of hospital and emergency department admissions in patients with SCD, although high utilizing patients had more diagnoses of acute chest syndrome and sepsis. High utilizers also had more SCD complications (aseptic necrosis) and infections. Patients who were publically insured accounted for 76.5 percent (95% CI: 0.632–0.861) of all patients. Patients aged 18–30 years had the highest rate of utilization, which declined in those over 50. Women were more likely than men to seek hospital services.
Research limitations/implications
There is a need for prospective studies with a prolonged follow-up, reasonable sample size, objective methods of data collection and similar outcome measures that address characteristics of utilization and integration across different clinical settings for this population.
Practical implications
There is a small subset of patients with SCD who consume a large percentage of resources. This may lend itself well to targeted collaborative and integrated care management services for these high consumers of healthcare resources.
Social implications
SCD patients who used hospital services for care, regardless of the frequency of their encounters, were more likely young women who relied heavily on public insurance to seek relief from the pain of vaso-occlusive crises. The majority were from African–American and Hispanic communities.
Originality/value
This study examines the consumption of resources by a high utilizing group as a necessary step in the development of an integrated care management pathway.
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Sophia Vicente, Mayra Artiles, Holly Matusovich and Cheryl Carrico
We used a complementary mixed methods approach, grounded in situated expectancy-value theory, to explore the relationship between completing an internship and engineering…
Abstract
Purpose
We used a complementary mixed methods approach, grounded in situated expectancy-value theory, to explore the relationship between completing an internship and engineering undergraduate students’ preparedness and expectancy of success in obtaining their preferred first position after graduation. We disseminated a survey to institutions in the United States and received 1,583 responses; from this sample, we interviewed 62 students.
Design/methodology/approach
Internship experiences are considered among “high impact practices” in higher education. Despite calls to increase the quality and quantity of internships, little is known about relationships between internship participation and how prepared students feel for future work, specifically their first position after graduation.
Findings
Our findings showed that the students who participated in internships had positive perceptions of preparedness and expectancy of success compared to their peers. We found that participating in multiple internships was beneficial to these outcomes until a student participated in five internships. After five internships, our data did not show a correlation between increasing numbers of internship experiences and increased preparedness or expectancy of success.
Practical implications
While there are benefits to internship participation, after six experiences, additional internships are unlikely to increase confidence in job success and preparation. If that still is lacking, a different approach or conversation on career choice may be warranted.
Originality/value
Our findings are unique in identifying (1) the aspects of internships that increase perceptions of success, including tying theoretical concepts learned in the classroom to engineering practice and (2) the point at which further internships do not seem to offer further benefits.
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Holly Matusovich, Cheryl Carrico, Angela Harris, Sheri Sheppard, Samantha Brunhaver, Ruth Streveler and Marlena B. McGlothlin Lester
Internships play an important role in the choices engineering students make about future career pathways though there is little research about the messaging students receive…
Abstract
Purpose
Internships play an important role in the choices engineering students make about future career pathways though there is little research about the messaging students receive regarding internships from academics. This messaging is important because it can contribute to the expectations students set for internships which in turn influences the interpretation of the experience and sense of appropriateness of that particular career pathway. Situated in Expectancy X Value theory, the purpose of this paper is to examine the beliefs and behaviors of the academics with whom engineering students interact as related to internship experiences.
Design/methodology/approach
The authors conducted and analyzed interviews with 13 career center employees and 14 academic advisers/faculty members across six demographically and geographically diverse schools. Interviews were coded, and within and across case patterns developed.
Findings
Across all six schools, interview participants believe internships are important for students with regard to three areas: enabling career discovery, providing opportunities for development of career skills and helping students with full-time job acquisition. However, participants describe few direct actions associated with these beliefs. The lack of recommended actions for making the most of the internship experience, despite a strong belief in their importance, is a major finding of this paper.
Originality/value
This study is original in that it examines an important perspective that is not often a focus of research related to internships: academic advisors, faculty or career center personnel. The multi-institution sample enhances the value of the study as commonalities were seen despite variation in schools, enabling recommendations useful to a variety of contexts.
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Alongside the ubiquitous computer games apparently the marketing success of the 1992 toy season was a series of 25 year old puppets who had featured in a repeat showing of the…
Abstract
Alongside the ubiquitous computer games apparently the marketing success of the 1992 toy season was a series of 25 year old puppets who had featured in a repeat showing of the orginal ITV series on BBC — Thunderbirds — more than 70 franchises have been sold to sell goods marked with the International Rescue logo and it is alleged that these products are even bigger than the previous smash marketing hit the Teenage Mutant Ninja turtles, saving thousands of jobs and making substantial profits for the British toy industry. The characters are licensed for right‐owners ITC (originally the international marketing arm of ATV, the ITV company which put out the programme, and now an independent company, ATV having long since lost its ITV franchise) by Copyright Promotions, Europe's largest licensing company (‘Thunderbirds are go to save the toy industry’ Sunday Telegraph 15/11/92).
Salina V. Thijssen, Maria J.G. Jacobs, Rachelle R. Swart, Luca Heising, Carol X.J. Ou and Cheryl Roumen
This study aimed to identify the barriers and facilitators related to the implementation of radical innovations in secondary healthcare.
Abstract
Purpose
This study aimed to identify the barriers and facilitators related to the implementation of radical innovations in secondary healthcare.
Design/methodology/approach
A systematic review was conducted and presented in accordance with a PRISMA flowchart. The databases PubMed and Web of Science were searched for original publications in English between the 1st of January 2010 and 6th of November 2020. The level of radicalness was determined based on five characteristics of radical innovations. The level of evidence was classified according to the level of evidence scale of the University of Oxford. The Consolidated Framework for Implementation Research was used as a framework to classify the barriers and facilitators.
Findings
Based on the inclusion and exclusion criteria, nine publications were included, concerning six technological, two organizational and one treatment innovation. The main barriers for radical innovation implementation in secondary healthcare were lack of human, material and financial resources, and lack of integration and organizational readiness. The main facilitators included a supportive culture, sufficient training, education and knowledge, and recognition of the expected added value.
Originality/value
To our knowledge, this is the first systematic review examining the barriers and facilitators of radical innovation implementation in secondary healthcare. To ease radical innovation implementation, alternative performance systems may be helpful, including the following prerequisites: (1) Money, (2) Added value, (3) Timely knowledge and integration, (4) Culture, and (5) Human resources (MATCH). This study highlights the need for more high-level evidence studies in this area.
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Lyndsay M.C. Hayhurst, Holly Thorpe and Megan Chawansky
Using a case study analysis of one undergraduate program that focuses on training science majors to perform sustainability outreach in their communities, this study offers…
Abstract
Using a case study analysis of one undergraduate program that focuses on training science majors to perform sustainability outreach in their communities, this study offers pedagogical suggestions for how educators in universities might incorporate sustainability and activism into their curricular design.
This chapter discusses the relationship between the hard academic knowledge of the classroom and the outreach work done by the students by examining how curricular design and classroom activities lead to outreach work. Drawing on interviews, curriculum materials, and observations of staff meetings, this chapter examines how the course teachers use a peer-learning model to collaboratively develop the pedagogy of the classroom.
This model of teacher training through engagement with the content material of the course represents reflective learning practices. By being asked to break down and contextualize class themes and units for themselves as thinkers, the teachers first reflect on their own learning process and disciplinary participation as a way of developing course material for their students, who are themselves not incredibly far behind their facilitators in their own learning development.
The effectiveness of this practice suggests possibilities for using teacher training as a way to model the classroom space that each discipline believes best serve their learning goals. By first reflecting on their own individual relationship to the subject material, the teachers engage in a re-negotiation with knowledge that is synonymous with effective learning. The knowledge of the discipline is constantly re-negotiated around why that knowledge matters for each individual member of the discipline.
By considering how the classroom in this program combines disciplinary knowledge of environmental science with outreach and activist-oriented praxis, this case study analysis allows for pedagogical techniques that instructors might use with similar goals of combining traditional academic discourse with public outreach and participation.
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John Buchanan and Wendy Holland
Entitlement persists on the basis of race, gender, age, sexuality, language and able-bodiedness, despite all efforts to eradicate it – and abetted by some efforts to preserve it…
Abstract
Entitlement persists on the basis of race, gender, age, sexuality, language and able-bodiedness, despite all efforts to eradicate it – and abetted by some efforts to preserve it. Compounding this, as teachers, it is easy for us to become habituated to possessing the only knowledge of value in the room. This chapter takes place against a backdrop of movements such as Black Lives Matter, and its Australian manifestation, Aboriginal Deaths in Custody, the Me Too movement, on women's workplace rights and freedoms, movements against homophobia and transphobia, and quests for equality of accessibility. In particular, we explore the notion that Australia is a haunted nation – one that has not confronted its colonial past or properly reconciled with its first peoples and their descendants. Just as the nation needs to come to terms with its past, our conversations for this chapter will confront us with our own pasts and differing subjectivities. We make use here of our own stories in challenging entitlement, in ourselves and others.
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“Companies, particularly those which sell goods or services direct to the public, regard their trade marks (whether brand names or pictorial symbols) as being among their most…
Abstract
“Companies, particularly those which sell goods or services direct to the public, regard their trade marks (whether brand names or pictorial symbols) as being among their most valuable assets. It is important therefore for a trading nation such as the United Kingdom to have a legal framework for the protection of trade marks which fully serves the needs of industry and commerce. The law governing registered trade marks is however fifty years old and has to some extent lost touch with the marketplace. Moreover it causes some of the procedures associated with registration to be more complicated than they need be.” This introductory paragraph to the Government's recent White Paper on “Reform of Trade Marks Law” indicates that reform is in the air. The primary pressure for reform has emanated from Brussels with the need to harmonise national trade mark laws before the advent of the Single European market on 1st January 1993. To this end the Council of Ministers adopted a harmonisation directive in December 1988 which must be translated into the national laws of member states by 28th December 1991.
As CD‐ROM becomes more and more a standard reference and technicalsupport tool in all types of libraries, the annual review of thistechnology published in Computers in Libraries…
Abstract
As CD‐ROM becomes more and more a standard reference and technical support tool in all types of libraries, the annual review of this technology published in Computers in Libraries magazine increases in size and scope. This year, author Susan L. Adkins has prepared this exceptionally useful bibliography which she has cross‐referenced with a subject index.