Understandings of Social Innovation within the Danish Public Sector:A Literature Review

Social innovation is an emerging theme within innovation theory, and so is the concept of public service innovation networks for social innovation (PSINSIs). The purpose of this article is to explore how social innovation in Danish public services is conceptualised and enacted through the lenses of public service innovation networks for social innovation. To do this, a thorough integrative review of the literature dealing with the Danish context is conducted. The Danish context is interesting in order to investigate these network arrangements, firstly because they are not well understood in the context of the Nordic welfare states, which Denmark is part of, and then because municipalities and civil society have historically had a mutually dependent relationship in Denmark. The article highlights that social innovation is framed in several ways in the Danish public sector. In particular, the results show that the literature can be grouped according to four themes: (1) samskabelse (co-creation), (2) collaboration with civil society, (3) social entrepreneurs and social innovation and (4) public–private innovation partnerships. Moreover, the article presents and discusses a number of Danish empirical projects that may be understood through the lens of the PSINSI framework. Hence, the paper contributes with new theoretical perspectives, in addition to contributing to practice

Depresión y autoestima en estudiantes de la educación escolar básica y media de la compañía Itá Corá

The research analyzed depression and self-esteem in students of the Basic School Education and Middle Education of the Bernardino Caballero school of the Itá Cora company, Department of Ñeembucú. A descriptive level methodology, observational design, cross-sectional, based on the quantitative approach was adopted. The population consisted of 50 students and the sample was represented by 100% of it. The psychometric test was used as a data collection technique and the Beck Depression Inventory (BDI - II) and the Rosenberg Self-Esteem Scale were used as instruments. The results show that the 7th and 9th grade students, as well as the 2nd and 3rd grade students, aged 12, 14, 17 and 18 years, the minimum range of depression prevails, while in the 1st grade, in the age range of 15 years, it is moderate and in the 8th grade, with ages of 13 years, there are two prevailing ranges; the minimum and moderate. In contrast, the Rosenberg Self-Esteem Test, applied to students, indicates that the 7th, 9th and 3rd grades, with ages of 12, 14 and 18 years, present a high range of self-esteem, while in the 8th grade and 2nd grade, self-esteem prevails, in a low range, with ages of 14 and 16, and in the 1st grade, mainly in the age range of 15 years, a medium self-esteem range prevails.La investigación analizó la depresión y autoestima en estudiantes de la Educación Escolar Básica y Educación Media de la escuela Bernardino Caballero de la compañía de Itá Cora, Departamento de Ñeembucú. Se adoptó una metodología de nivel descriptivo, de diseño observacional, de corte transversal, basado en el enfoque cuantitativo. La población estuvo conformada por 50 alumnos y la muestra fue representada por el 100% de la misma. Como técnica de recolección de datos se utilizó el test psicométrico y como instrumento, se utilizó el Inventario de Depresión de Beck (BDI – II) y la Escala de Autoestima de Rosenberg. Los resultados evidencian que los estudiantes del 7º y 9º grado, al igual que, en los estudiantes de 2º y 3º curso, con edades de 12, 14, 17 y 18 años, prevalece el rango mínimo de depresión, mientras que, en el 1° curso, en el rango de edad de 15 años, es moderado y en el 8° grado, con edades de 13 años, existen dos rangos prevalecientes; el mínimo y moderado. En contrapartida, el Test de Autoestima de Rosenberg, aplicado a los estudiantes, indica que los grados 7º, 9º y 3º curso, con edades de 12, 14 y 18 años, presentan un rango de autoestima elevado, mientras que, en el 8° grado y 2° curso, prevalece la autoestima, en un rango bajo, con edades de 14 y 16, y en el 1° curso, principalmente en el rango de edad de 15 años, prevalece un rango de autoestima media

The Iowa Homemaker vol.5, no.1

Table of Contents V-E-I-S-H-E-A by Pearl Harris, page 1 Every Day Art by Ada Havner, page 2 On the Art of Writing a Club Paper by Elizabeth Fuller, page 2 Old Luster Ware by Jessie Hill, page 3 As for the Neck by Thirza Hull, page 4 New Health Ways Makes for Happy Days by Florence E. Busse, page 4 A Better Home Project by Joanna Hansen, page 5 Electric Washing Machines for the Home by Elizabeth Strom Ferguson, page 6 With the Iowa State Home Economics Association, page 7 Who’s There and Where by Pearl Harris, page 8 Editorial, page 9 The Eternal Question, page 10 Homemaker as Citizen, page 1

Patients report improvements in continuity of care when quality of life assessments are used routinely in oncology practice: Secondary outcomes of a randomised controlled trial.

INTRODUCTION AND AIM: In a randomised trial investigating the effects of regular use of health-related quality of life (HRQOL) in oncology practice, we previously reported an improvement in communication (objective analysis of recorded encounters) and patient well-being. The secondary aims of the trial were to measure any impact on patient satisfaction and patients' perspectives on continuity and coordination of their care. METHODS: In a prospective trial involving 28 oncologists, 286 cancer patients were randomised to: (1) intervention arm: regular touch-screen completion of HRQOL with feedback to physicians; (2) attention-control arm: completion of HRQOL without feedback; and (3) control arm: no HRQOL assessment. Secondary outcomes were patients' experience of continuity of care (Medical Care Questionnaire, MCQ) including 'Communication', 'Coordination' and 'Preferences to see usual doctor' subscales, patients' satisfaction, and patients' and physicians' evaluation of the intervention. Analysis employed mixed-effects modelling, multiple regression and descriptive statistics. RESULTS: Patients in the intervention arm rated their continuity of care as better than the control group for 'Communication' subscale (p=0.03). No significant effects were found for 'Coordination' or 'Preferences to see usual doctor'. Patients' evaluation of the intervention was positive. More patients in the intervention group rated the HRQOL assessment as useful compared to the attention-control group (86% versus 29%), and reported their doctors considered daily activities, emotions and quality of life. CONCLUSION: Regular use of HRQOL measures in oncology practice brought changes to doctor-patient communication of sufficient magnitude and importance to be reported by patients. HRQOL data may improve care through facilitating rapport and building inter-personal relationships

Multifactorial intervention to prevent cardiovascular disease in patients with early rheumatoid arthritis:protocol for a multicentre randomised controlled trial

INTRODUCTION: Cardiovascular morbidity is a major burden in patients with rheumatoid arthritis (RA). In this study, we compare the effect of a targeted, intensified, multifactorial intervention with that of conventional treatment of modifiable risk factors for cardiovascular disease (CVD) in patients with early RA fulfilling the 2010 American College of Rheumatology European League Against Rheumatism (ACR/EULAR) criteria. METHODS AND ANALYSIS: The study is a prospective, randomised, open label trial with blinded end point assessment and balanced randomisation (1:1) conducted in 10 outpatient clinics in Denmark. The primary end point after 5 years of follow-up is a composite of death from cardiovascular causes, non-fatal myocardial infarction, non-fatal stroke and cardiac revascularisation. Secondary outcomes are: the proportion of patients achieving low-density lipoprotein cholesterol <2.5 mmol/L, glycated haemoglobin <48 mmol/mol, blood pressure <140/90 mm  Hg for patients without diabetes and <130/80 mm Hg for patients with diabetes and normoalbuminuria (urinary albumin creatinine ratio <30 mg/g) after 1 year of follow-up and the proportion of patients in each treatment group achieving low RA disease activity after 1 year, defined as a disease activity score C-reactive protein (DAS28-CRP) <3.2 and a DAS28-CRP score <2.6 after 12, 24 and 60 months. Furthermore, all hospitalisations for acute and elective reasons will be adjudicated by the event committee after 12, 24 and 60 months. Three hundred treatment-naive patients with early RA will be randomly assigned (1:1) to receive either conventional treatment administered and monitored by their general practitioner according to national guidelines (control group) or a stepwise implementation administered and monitored in a quarterly rheumatological nurse-administered set-up of behaviour modification and pharmacological therapy targeting (1) hyperlipidaemia, (2) hypertension, (3) hyperglycaemia and (4) microalbuminuria (intervention group). ETHICS AND DISSEMINATION: This protocol is approved by the local ethics committee (DK-S-2014007) and The Danish Health and Medicines Authority. Dissemination will occur through presentations at National and International conferences and publications in international peer-reviewed journals. TRIAL REGISTRATION NUMBER: NCT0224625