29 research outputs found

    ВЛИЈАНИЕ НА СОРТАТА, ЛОКАЦИЈАТА, ПЕРИОДОТ И РОКОТ НА СЕИДБА ВРЗ СОДРЖИНАТА НА МАСЛО И ПРОТЕИНИ КАЈ МАСЛОДАЈНАТА РЕПКА

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    In order to assess the influence of the cultivar, location, sowing period and sowing date on oil and protein content in rapeseed, three rapeseed cultivars were grown on two locations with four sowing periods and three sowing dates. All factors included in the analysis had significant effect on the analyzed traits. Regarding the sowing periods, the highest oil content had cultivar lisonne, when sown in the fall 2004 (50.64%). The same cultivar had the higest protein content in the spring 2005 (25.66%). The cultivars liaison and lisonne had higher oil content in Skopje, while lisora in Strumica. The protein content in all analyzed cultivars had higher values in Skopje than in Strumica. Oil content had its maximal value in all cultivars on the second sowing date. For the protein content, the highest and the lowest value were observed on the trird sowing date (23.99% in liaison and 22.25% in lisonne). The adequate selection of cultivars for specific locations, and correct determination of the sowing period and sowing date can significantly influence the quality traits in rapeseed

    Evaluating a complex research capacity-building intervention: reflections on an evaluation of the African Institutions Initiative

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    Increasing policy demand for realist evaluations of research and capacity-building programmes reflects a recognition of the management, governance and impact gains that can result from evaluation. However, the evidence base on how to successfully implement realist evaluations of complex interventions in international development efforts is scarce. We know little about the associated merits, limitations and ways to mitigate challenges. There is a need for reflective work which considers the methodology in context. This paper shares learning from the experience of conducting a realist, theory-of-change driven evaluation of the African Institutions Initiative, a Wellcome Trust funded programme which aimed to build sustainable health research capacity in Africa at institutional and network levels, across seven research consortia. We reflect on the key challenges experienced throughout the evaluation and recommend ways of managing them, highlight opportunities and critical success factors associated with this evaluation approach, as well as elaborate on alternative evaluation approaches

    Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder consultation

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    Background: Reducing avoidable harm in maternity services is a priority globally. As well as learning from mistakes, it is important to produce rigorous descriptions of ‘what good looks like’. Objective: We aimed to characterise features of safety in maternity units and to generate a plain language framework that could be used to guide learning and improvement. Methods: We conducted a multisite ethnography involving 401 hours of non-participant observations 33 semistructured interviews with staff across six maternity units, and a stakeholder consultation involving 65 semistructured telephone interviews and one focus group. Results: We identified seven features of safety in maternity units and summarised them into a framework, named For Us (For Unit Safety). The features include: (1) commitment to safety and improvement at all levels, with everyone involved; (2) technical competence, supported by formal training and informal learning; (3) teamwork, cooperation and positive working relationships; (4) constant reinforcing of safe, ethical and respectful behaviours; (5) multiple problem-sensing systems, used as basis of action; (6) systems and processes designed for safety, and regularly reviewed and optimised; (7) effective coordination and ability to mobilise quickly. These features appear to have a synergistic character, such that each feature is necessary but not sufficient on its own: the features operate in concert through multiple forms of feedback and amplification. Conclusions: This large qualitative study has enabled the generation of a new plain language framework—For Us—that identifies the behaviours and practices that appear to be features of safe care in hospital-based maternity units

    Characterising and describing postpartum haemorrhage emergency kits in context: a protocol for a mixed-methods study

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    Introduction Postpartum haemorrhage (PPH) is an obstetric emergency requiring prompt and accurate response. PPH emergency kits containing equipment and medications can facilitate this kind of intervention, but their design and contents vary, potentially introducing risk of confusion or delay. Designs may be suboptimal, and relying on localised kit contents may result in supply chain costs, increased waste and missed opportunities for economies of scale. This study aims to characterise contextual influences on current practice in relation to PPH kits and to describe the range of kits currently employed in UK maternity units.Methods and analysis This mixed-methods study comprises two phases. The first will use field observations and semistructured interviews to research PPH kits in a small number (3–5) of maternity units that will be selected to represent diversity. Analysis will be conducted both using an established human factors and ergonomics framework and using the constant comparative method for qualitative data analysis. The second phase will use a research and development platform (Thiscovery) to conduct a crowdsourced photography-based audit of PPH kits currently in use in the UK. Participants will tag images to indicate which objects have been photographed. Quantitative analysis will report the frequency of inclusion of each item in kits and the content differences between kit and unit types. All maternity units in the UK will be invited to take part, with additional targeted recruitment strategies used, if necessary, to ensure that the final sample includes different maternity unit types, sizes and PPH kit types. Study results will inform future work to develop consensus on effective PPH kit designs.Ethics and dissemination Approval has been received from the UK Health Research Authority (project ID 274147). Study results will be reported through the research institute’s website, presented at conferences and published in peer-reviewed journals

    Hepatitis C: Understanding Factors That Influence the Physicians' Treatment Decisions

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    Miani C, Manville C, Burge P, Marjanovic S, Chataway J. Hepatitis C: Understanding Factors That Influence the Physicians' Treatment Decisions. Rand Health Quarterly. 2017;6(4): 6
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