659 research outputs found

    Chapter 631: Increasing the Effectiveness of Domestic Violence Protective Orders

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    Migration and Its Impacts on the Labor Market of Rome during the Late Republic and Early Empire

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    For a city as large and influential as ancient Rome, its growth relied on a number of factors: military power, internal leadership, international trade, consumer goods markets, agricultural development, the labor force, and slavery. What allowed for growth in these areas was a certain combination of technological and cultural advancements, but what drove growth on such a scale at Rome was the sheer number of people found there. From the increases in wealth due to war, especially the Punic Wars, and the increases in the volume of slaves brought to and sold in Rome, the economy was flooded with capital, land, and labor, which helped the upper and lower (working) classes develop and improve their operations However, during this time of economic change, and great political change too, the social structure remained stable through the Late Republic to the Early Empire, about 250 BC to AD 30. This stability means there was consistency in social status and the perceptions of status for the upper and lower class, for citizens and foreigners, and for workers and slaves.Although social status indicated one’s “place” in the social hierarchy, the ability to relocate to rural or urban areas would have been an option for most people regardless of status, and cities such as Rome hosted quite a number of migrants due to its alluring opportunities. These migrants, whether voluntary or forced, and their impact on the labor market of Rome are the focus of this paper

    The role of a training intervention in reducing email overload and improving productivity

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    A research report submitted to the Faculty of Humanities, School of Human and Community Development, in partial fulfilment of the requirements for the degree of Master of Arts by coursework and research report in the field of in Organisational Psychology, University of the Witwatersrand, Johannesburg September 2017Emails have become a fundamental computer application and business tool, in organisations across the global. This is because of the accessibility and convenience of emails which have generated an array of benefits to both employees and their organisations. However, this accessibility has led to an over-reliance on emails, which often has the negative consequence of email overload. Email overload continues to be a recurring issues experienced by employees universally, which research has found to have negative implications on employees’ wellbeing and productivity. Yet there has been limited research, particularly in South Africa, that aims to reduce email overload among employees. Thus, this research report investigated how the role of providing employees with a job resource (training intervention) could increase perceived productivity and eliminate email overload and change caused by the job demands (emails) on employees .In order to examine this effect, this research utilised a pretest post-test control group design on order to compare the impact of a training intervention in reducing email overload and increasing productivity. The quantitative results revealed that the training intervention contributed to a decrease in feelings of email overload among the participants. Additionally, focus groups were administered to determine participants’ experience with emails both prior to the training and after the training, to gain a clearer understanding of the best practices used to eliminate email overload. These findings observed that the participants transferred learnt contents from training into their working lives. Thus research both further contributes to other research currently associated with email and email overload, and also provides a greater understanding of the need to provide employees with job resources much like training intervention in order to counteract those job demands like emails, that are often ignored.XL201

    The role of community conversations in facilitating local HIV competence: case study from rural Zimbabwe

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    Background This paper examines the potential for community conversations to strengthen positive responses to HIV in resource-poor environments. Community conversations are an intervention method through which local people work with a facilitator to collectively identify local strengths and challenges and brainstorm potential strategies for solving local problems. Methods We conducted 18 community conversations (with six groups at three points in time) with a total of 77 participants in rural Zimbabwe (20% HIV positive). Participants were invited to reflect on how they were responding to the challenges of HIV, both as individuals and in community groups, and to think of ways to better support openness about HIV, kindness towards people living with HIV and greater community uptake of HIV prevention and treatment. Results Community conversations contributed to local HIV competence through (1) enabling participants to brainstorm concrete action plans for responding to HIV, (2) providing a forum to develop a sense of common purpose in relation to implementing these, (3) encouraging and challenging participants to overcome fear, denial and passivity, (4) providing an opportunity for participants to move from seeing themselves as passive recipients of information to active problem solvers, and (5) reducing silence and stigma surrounding HIV. Conclusions Our discussion cautions that community conversations, while holding great potential to help communities recognize their potential strengths and capacities for responding more effectively to HIV, are not a magic bullet. Poverty, poor harvests and political instability frustrated and limited many participants’ efforts to put their plans into action. On the other hand, support from outside the community, in this case the increasing availability of antiretroviral treatment, played a vital role in enabling communities to challenge stigma and envision new, more positive, ways of responding to the epidemic

    The Impact of Information and Communication Technology on the User Services Division of the Forde Library of University of the Southern Caribbean

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    This study seeks to assess the user frequency and impact of ICT on the performance of the User Services Division, with specific insight on the Circulation, Reference and Instruction Units of the Forde Library. The impact of ICT was measured using cluster-based sampling given to 340 undergraduate students, with a return rate of 62% - 211 students. The analysis revealed a significant lack of awareness and usage of the ICT offerings. Exceptions to low usage and awareness were the OPAC and the Library’s Website. The main factors that impacted the low awareness and usage were limited marketing, no knowledge of ICT offerings, no need for the offerings and complications experienced while using the offerings. Overall, the benefits of the ICT offerings were not recognized by the sample size and as such, lower scores of relevancy, ease of use and user-friendliness were recorded. Recommendations focused on marketing, training, and interdepartmental collaboration

    A look back on how far to walk: Systematic review and meta-analysis of physical access to skilled care for childbirth in Sub-Saharan Africa.

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    OBJECTIVES: To (i) summarize the methods undertaken to measure physical accessibility as the spatial separation between women and health services, and (ii) establish the extent to which distance to skilled care for childbirth affects utilization in Sub-Saharan Africa. METHOD: We defined spatial separation as the distance/travel time between women and skilled care services. The use of skilled care at birth referred to either the location or attendant of childbirth. The main criterion for inclusion was any quantification of the relationship between spatial separation and use of skilled care at birth. The approaches undertaken to measure distance/travel time were summarized in a narrative format. We obtained pooled adjusted odds ratios (aOR) from studies that controlled for financial means, education and (perceived) need of care in a meta-analysis. RESULTS: 57 articles were included (40 studied distance and 25 travel time), in which distance/travel time were found predominately self-reported or estimated in a geographic information system based on geographic coordinates. Approaches of distance/travel time measurement were generally poorly detailed, especially for self-reported data. Crucial features such as start point of origin and the mode of transportation for travel time were most often unspecified. Meta-analysis showed that increased distance to maternity care had an inverse association with utilization (n = 10, pooled aOR = 0.90/1km, 95%CI = 0.85-0.94). Distance from a hospital for rural women showed an even more pronounced effect on utilization (n = 2, pooled aOR = 0.58/1km increase, 95%CI = 0.31,1.09). The effect of spatial separation appears to level off beyond critical point when utilization was generally low. CONCLUSION: Although the reporting and measurements of spatial separation in low-resource settings needs further development, we found evidence that a lack of geographic access impedes use. Utilization is conditioned on access, researchers and policy makers should therefore prioritize quality data for the evidence-base to ensure that women everywhere have the potential to access obstetric care

    Sample size calculations for cluster randomised controlled trials with a fixed number of clusters

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    Background\ud Cluster randomised controlled trials (CRCTs) are frequently used in health service evaluation. Assuming an average cluster size, required sample sizes are readily computed for both binary and continuous outcomes, by estimating a design effect or inflation factor. However, where the number of clusters are fixed in advance, but where it is possible to increase the number of individuals within each cluster, as is frequently the case in health service evaluation, sample size formulae have been less well studied. \ud \ud Methods\ud We systematically outline sample size formulae (including required number of randomisation units, detectable difference and power) for CRCTs with a fixed number of clusters, to provide a concise summary for both binary and continuous outcomes. Extensions to the case of unequal cluster sizes are provided. \ud \ud Results\ud For trials with a fixed number of equal sized clusters (k), the trial will be feasible provided the number of clusters is greater than the product of the number of individuals required under individual randomisation (nin_i) and the estimated intra-cluster correlation (ρ\rho). So, a simple rule is that the number of clusters (κ\kappa) will be sufficient provided: \ud \ud κ\kappa > nin_i x ρ\rho\ud \ud Where this is not the case, investigators can determine the maximum available power to detect the pre-specified difference, or the minimum detectable difference under the pre-specified value for power. \ud \ud Conclusions\ud Designing a CRCT with a fixed number of clusters might mean that the study will not be feasible, leading to the notion of a minimum detectable difference (or a maximum achievable power), irrespective of how many individuals are included within each cluster. \ud \u

    A good patient? How notions of ‘a good patient’ affect patient-nurse relationships and ART adherence in Zimbabwe

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    Background: While patient-provider interactions are commonly understood as mutually constructed relationships, the role of patient behaviour, participation in interactions, and characteristics, particularly ideals surrounding notions of ‘good’ and ‘bad’ patients, are under-examined. This article examines social representations of ‘a good patient’ and how these representations affect patient-healthcare provider relationships and antiretroviral treatment (ART) for people living with HIV. Methods: Using thematic network analysis, we examined interview and focus group transcripts involving 25 healthcare staff, 48 ART users, and 31 carers of HIV positive children, as well as field notes from over 100 hours of ethnographic observation at health centres in rural Zimbabwe. Results: Characteristics of a good patient include obedience, patience, politeness, listening, enthusiasm for treatment, intelligence, physical cleanliness, honesty, gratitude and lifestyle adaptations (taking pills correctly and coming to the clinic when told). Many patients seek to perform within the confines of the ‘good patient persona’ to access good care and ensure continued access to ART; in this way, the notion of a ‘good ART patient’ can have positive effects on patient health outcomes. However, for people not conforming to the norms of the ‘good patient persona’, the productive and health-enabling patient-nurse relationship may break down and be detrimental to the patient. Conclusion: We conclude that policy makers need to take heed of the social representations that govern patient-nurse relationships and their role in facilitating or undermining ART adherence

    Parameters affecting enzyme-assisted aqueous extraction of extruded sunflower meal

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    Microscopic observation of sunflower meal before and after extraction indicated that extensive cellular disruption was achieved by extrusion, but that unextracted oil remained sequestered as coalesced oil within the void spaces of disrupted cotyledon cells. A full factorial design experiment was defined to develop aqueous extraction processing (AEP) with and without enzymes to improve vegetable oil extraction yields of extruded sunflower meal. This experimental design studied the influence of four parameters, agitation, liquid/solid (L/S) ratio, and cellulase and protease addition, on extraction yield of lipid and protein. Agitation and addition of cellulases increased oil extraction yield, indicating that emulsification of oil and alteration of the geometry of the confining cellular matrix were important mechanisms for improving yields. Protease and liquid-solid ratio of the extraction mixture did not have significant effects, indicating key differences with previously established soy oil extraction mechanisms. Maximum yields attained for oil and protein extraction were 39% and 90%, respectively, with the aid of a surfactant

    Cluster randomised trials in the medical literature: two bibliometric surveys

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    Background: Several reviews of published cluster randomised trials have reported that about half did not take clustering into account in the analysis, which was thus incorrect and potentially misleading. In this paper I ask whether cluster randomised trials are increasing in both number and quality of reporting. Methods: Computer search for papers on cluster randomised trials since 1980, hand search of trial reports published in selected volumes of the British Medical Journal over 20 years. Results: There has been a large increase in the numbers of methodological papers and of trial reports using the term 'cluster random' in recent years, with about equal numbers of each type of paper. The British Medical Journal contained more such reports than any other journal. In this journal there was a corresponding increase over time in the number of trials where subjects were randomised in clusters. In 2003 all reports showed awareness of the need to allow for clustering in the analysis. In 1993 and before clustering was ignored in most such trials. Conclusion: Cluster trials are becoming more frequent and reporting is of higher quality. Perhaps statistician pressure works
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