70 research outputs found
Assessment of Factors Affecting Contractors Tendering Success for Construction Projects in North-Central Nigeria
The challenge of construction tendering process is a common theme in developing countries especially Nigeria. Tendering process is often tedious, multitasking and complex. Contractors have the responsibility of tendering appropriately for construction projects; and clients as well as consultants have a duty to create an enabling platform for a successful tendering process. This study examines the factors affecting contractors tendering success for construction projects in North-Central Nigeria with an aim to harmonizing the perception of the construction professionals. Semi-structured questionnaires comprising of fifty-five (55) questions retrieved from literature were categorized into six (6) groups which are project characteristics, business benefits, capabilities, bidding situation, client related factors and external environment related factors. The data were retrieved from 299 respondents out of 384 respondents requisite for this study. Frequency, Percentile and Mean Index Score (MIS) were used to analyze the responses. Results indicated a level of agreement among the stakeholders on the top eleven (11) contractors tendering success factors and concludes that expansion of organization expertise, tendering capabilities, flexibility for changes and variations, number of competitors, project difficulties, design constructability, project methodology, tender document detailing, client reputation, involvement of other parties and political consideration to be the top factors affecting contractors tendering success. The practical implication of this is that, there is a broader understanding of the topmost factors affecting contractors tendering success among the stakeholders within the North-Central region of Nigeria. The study recommended that reasonably sufficient time should be given to examine project characteristic in order for the contractors to assess their suitability for every construction projects they intend to tender for. Furthermore, construction design approach, bidding process and project methodology should be properly delineated to all the stakeholders by the client to eliminate vagueness in the tendering process and subsequently, project delivery process
Assessment of Factors Affecting Contractors Tendering Success for Construction Projects in North-Central Nigeria
The challenge of construction tendering process is a common theme in developing countries especially Nigeria. Tendering process is often tedious, multitasking and complex. Contractors have the responsibility of tendering appropriately for construction projects; and clients as well as consultants have a duty to create an enabling platform for a successful tendering process. This study examines the factors affecting contractors tendering success for construction projects in North-Central Nigeria with an aim to harmonizing the perception of the construction professionals. Semi-structured questionnaires comprising of fifty-five (55) questions retrieved from literature were categorized into six (6) groups which are project characteristics, business benefits, capabilities, bidding situation, client related factors and external environment related factors. The data were retrieved from 299 respondents out of 384 respondents requisite for this study. Frequency, Percentile and Mean Index Score (MIS) were used to analyze the responses. Results indicated a level of agreement among the stakeholders on the top eleven (11) contractors tendering success factors and concludes that expansion of organization expertise, tendering capabilities, flexibility for changes and variations, number of competitors, project difficulties, design constructability, project methodology, tender document detailing, client reputation, involvement of other parties and political consideration to be the top factors affecting contractors tendering success. The practical implication of this is that, there is a broader understanding of the topmost factors affecting contractors tendering success among the stakeholders within the North-Central region of Nigeria. The study recommended that reasonably sufficient time should be given to examine project characteristic in order for the contractors to assess their suitability for every construction projects they intend to tender for. Furthermore, construction design approach, bidding process and project methodology should be properly delineated to all the stakeholders by the client to eliminate vagueness in the tendering process and subsequently, project delivery process
Youth Risky and Antisocial Behaviors in Newfoundland and Labrador: The Perspectives of Young People
What do young people know about youth risky and antisocial behaviors (RASB) and what do they suggest could be done to address these behaviors? Although there is much literature on youth RASB, there has been little qualitative exploration of the question stated here. The current study aimed to broach the question and to fill the gap. The study contributes to extant literature by exploring types of RASB among youth, reasons for these behaviors, and possible ways to address them from the perspectives of young people in Newfoundland and Labrador (NL). Constructivist and interpretive perspectives where reality is determined through the social processes of subjectivity and intersubjectivity informed the study. Eighteen young people aged 15 to 24 years participated in three focus group discussions (FGD), and data were analyzed thematically. The three main themes resulting from the process were: (1) a spectrum of behaviors, which comprised six types of behaviors; (2) constructed explanations, where participants identified five possible reasons for RASB; and (3) suggested interventions, which comprised three subthemes on interventions to address youth RASB. The findings and their implications for further research and for policy and practice are discussed
Development and validation of a prediction model for invasive bacterial infections in febrile children at European Emergency Departments : MOFICHE, a prospective observational study
Funding Information: Funding This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement no. 668303. The research was supported by the National Institute for Health Research Biomedical Research Centres at Imperial College London, Newcastle Hospitals NHS Foundation Trust and Newcastle University. Publisher Copyright: © 2021 Archives of Disease in ChildhoodObjectives: To develop and cross-validate a multivariable clinical prediction model to identify invasive bacterial infections (IBI) and to identify patient groups who might benefit from new biomarkers. Design: Prospective observational study. Setting: 12 emergency departments (EDs) in 8 European countries. Patients: Febrile children aged 0-18 years. Main outcome measures: IBI, defined as bacteraemia, meningitis and bone/joint infection. We derived and cross-validated a model for IBI using variables from the Feverkidstool (clinical symptoms, C reactive protein), neurological signs, non-blanching rash and comorbidity. We assessed discrimination (area under the receiver operating curve) and diagnostic performance at different risk thresholds for IBI: sensitivity, specificity, negative and positive likelihood ratios (LRs). Results: Of 16 268 patients, 135 (0.8%) had an IBI. The discriminative ability of the model was 0.84 (95% CI 0.81 to 0.88) and 0.78 (95% CI 0.74 to 0.82) in pooled cross-validations. The model performed well for the rule-out threshold of 0.1% (sensitivity 0.97 (95% CI 0.93 to 0.99), negative LR 0.1 (95% CI 0.0 to 0.2) and for the rule-in threshold of 2.0% (specificity 0.94 (95% CI 0.94 to 0.95), positive LR 8.4 (95% CI 6.9 to 10.0)). The intermediate thresholds of 0.1%-2.0% performed poorly (ranges: sensitivity 0.59-0.93, negative LR 0.14-0.57, specificity 0.52-0.88, positive LR 1.9-4.8) and comprised 9784 patients (60%). Conclusions: The rule-out threshold of this model has potential to reduce antibiotic treatment while the rule-in threshold could be used to target treatment in febrile children at the ED. In more than half of patients at intermediate risk, sensitive biomarkers could improve identification of IBI and potentially reduce unnecessary antibiotic prescriptions.publishersversionPeer reviewe
Diversity in the emergency care for febrile children in Europe : A questionnaire study
Publisher Copyright: © © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.Objective To provide an overview of care in emergency departments (EDs) across Europe in order to interpret observational data and implement interventions regarding the management of febrile children. Design and setting An electronic questionnaire was sent to the principal investigators of an ongoing study (PERFORM (Personalised Risk assessment in Febrile illness to Optimise Real-life Management), www.perform2020.eu) in 11 European hospitals in eight countries: Austria, Germany, Greece, Latvia, the Netherlands, Slovenia, Spain and the UK. Outcome measures The questionnaire covered indicators in three domains: local ED quality (supervision, guideline availability, paper vs electronic health records), organisation of healthcare (primary care, immunisation), and local factors influencing or reflecting resource use (availability of point-of-care tests, admission rates). Results Reported admission rates ranged from 4% to 51%. In six settings (Athens, Graz, Ljubljana, Riga, Rotterdam, Santiago de Compostela), the supervising ED physicians were general paediatricians, in two (Liverpool, London) these were paediatric emergency physicians, in two (Nijmegen, Newcastle) supervision could take place by either a general paediatrician or a general emergency physician, and in one (München) this could be either a general paediatrician or a paediatric emergency physician. The supervising physician was present on site in all settings during office hours and in five out of eleven settings during out-of-office hours. Guidelines for fever and sepsis were available in all settings; however, the type of guideline that was used differed. Primary care was available in all settings during office hours and in eight during out-of-office hours. There were differences in routine immunisations as well as in additional immunisations that were offered; immunisation rates varied between and within countries. Conclusion Differences in local, regional and national aspects of care exist in the management of febrile children across Europe. This variability has to be considered when trying to interpret differences in the use of diagnostic tools, antibiotics and admission rates. Any future implementation of interventions or diagnostic tests will need to be aware of this European diversity.Peer reviewe
Are children with prolonged fever at a higher risk for serious illness? A prospective observational study
ObjectivesTo describe the characteristics and clinical outcomes of children with fever ≥5 days presenting to emergency departments (EDs).DesignProspective observational study.Setting12 European EDs.PatientsConsecutive febrile children InterventionsChildren with fever ≥5 days and their risks for serious bacterial infection (SBI) were compared with children with fever Main outcome measuresSBI and other non-infectious serious illness.Results3778/35 705 (10.6%) of febrile children had fever ≥5 days. Incidence of SBI in children with fever ≥5 days was higher than in those with fever 0.90, but were observed infrequently (range: 0.4%-17%). Absence of warning signs was not sufficiently reliable to rule out SBI (sensitivity 0.92 (95% CI 0.87-0.95), negative likelihood ratio (LR) 0.34 (0.22-0.54)). CRP ConclusionChildren with prolonged fever have a higher risk of SBI, warranting a careful clinical assessment and diagnostic workup. Warning signs of SBI occurred infrequently but, if present, increased the likelihood of SBI. Although rare, clinicians should consider important non-infectious causes of prolonged fever
Research and Science Today No. 1(5)/2013
Research and Science Today Journal is a publication founded in 2011 and it is dedicated to the students of all levels (license, master and doctoral) of faculties in the country and abroad. We want to offer the participants the opportunity to present their scientific works in the following areas: Social Sciences, Economic Sciences, Legal Sciences, Humanities, Education Sciences, Engineering, Medicine and Sport.
This journal provides students the opportunity to create and/or to improve their abilities to write scientific papers. So each appearance (two appearances per year at which we can add supplements) contains a number of papers written by students, masters and doctoral from the faculties from the country or/and abroad. The journal promotes original studies contributing to the progress of knowledge and it is motivated by the need to address issues of theory and practice in the areas mentioned above
Research and Science Today No. 1(5)/2013
Research and Science Today Journal is a publication founded in 2011 and it is dedicated to the students of all levels (license, master and doctoral) of faculties in the country and abroad. We want to offer the participants the opportunity to present their scientific works in the following areas: Social Sciences, Economic Sciences, Legal Sciences, Humanities, Education Sciences, Engineering, Medicine and Sport.
This journal provides students the opportunity to create and/or to improve their abilities to write scientific papers. So each appearance (two appearances per year at which we can add supplements) contains a number of papers written by students, masters and doctoral from the faculties from the country or/and abroad. The journal promotes original studies contributing to the progress of knowledge and it is motivated by the need to address issues of theory and practice in the areas mentioned above
Research and Science Today No. 1(5)/2013
Research and Science Today Journal is a publication founded in 2011 and it is dedicated to the students of all levels (license, master and doctoral) of faculties in the country and abroad. We want to offer the participants the opportunity to present their scientific works in the following areas: Social Sciences, Economic Sciences, Legal Sciences, Humanities, Education Sciences, Engineering, Medicine and Sport.
This journal provides students the opportunity to create and/or to improve their abilities to write scientific papers. So each appearance (two appearances per year at which we can add supplements) contains a number of papers written by students, masters and doctoral from the faculties from the country or/and abroad. The journal promotes original studies contributing to the progress of knowledge and it is motivated by the need to address issues of theory and practice in the areas mentioned above
- …