216 research outputs found

    The World Maritime University

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    Role of Maritime University

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    invisible machines:collective action through digital space

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    Individual Concentration Programhttp://deepblue.lib.umich.edu/bitstream/2027.42/85263/1/alpaca.pd

    Beyond Economic Impact: The Psychic Income Received by the Chapel Hill Community from Carolina Athletics

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    Social and emotional benefits have often been cited as reasons for a community to invest in a college athletics program, despite there being little data to support or refute these assumptions. Athletics administrators often cite these social and emotional benefits (in addition to economic impact) as key justifications of public subsidy of collegiate athletics. In light of today's rapid commercialization of college athletics and heavy media scrutiny, an intense pressure on student-athletes and coaches to win and skyrocketing coaching salaries, it is important to gather data on the social, emotional and psychological impacts (psychic income) of collegiate athletics on the community that supports it. The purpose of this study is to measure the psychic income residents of Chapel Hill, North Carolina receive from the university athletics department. Psychic income is the emotional and psychological benefit that residents perceive they receive from a local sports team or event, even though they may not physically attend sports events, and are not involved in organizing them. A modified scale of the Kim and Walker (2012) psychic income survey was used to evaluate psychic income received by Chapel Hill residents. Results demonstrated Chapel Hill residents receive an overall positive psychic income from Carolina athletics. This study fills an important gap in the literature relative to the measurement of non-economic benefits intercollegiate athletics can provide a college community. Results also provide helpful insight to athletics administrators about the perceptions community members hold of their athletic department.Master of Art

    Politics and the sociology of food

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    French version available in IDRC Digital Library: Politique, sociologie et alimentatio

    Politique, sociologie et alimentation

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    Version anglaise disponible dans la Bibliothèque numérique du CRDI: Politics and the sociology of foo

    Reducing Sepsis Hospitalisations through a Standardized Quality Improvement Program in Skilled Nursing Facilities

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    Context: Sepsis hospitalisations with subsequent skilled nursing facility (SNF) admissions have had an annual cost of 41billionintheUnitedStates.Therehasbeenalimitedamountofliteratureonearlyinterventionsforsepsisinlong−termcare.Objective:Toassesstheimpactofapilotsepsisqualityimprovementprogram(SQIP)aimedatearlyidentificationandinterventionin10partneringSNFsinNewYorkCity.Methods:Obtainedbaselinedataofsepsishospitalisationsin2017among10SNFs.ASQIPwasimplementedutilizingthesystemicinflammatoryresponsesyndromecriteriawithamodifiedthresholdtemperatureof37.2°C(99.0°F).Sepsishospitalisationswerereportedandvalidatedfortheinterventionperiodin2018andcomparedtothebaseline.Acostsavingsanalysiswascompletedbyutilizinglocalhospitalbillingrecords.Findings:Overall,therewasareductionof54sepsishospitalisationswhencomparingtheinterventionperiod(183sepsishospitalisations)tothebaseline(237sepsishospitalisations),a22.841 billion in the United States. There has been a limited amount of literature on early interventions for sepsis in long-term care. Objective: To assess the impact of a pilot sepsis quality improvement program (SQIP) aimed at early identification and intervention in 10 partnering SNFs in New York City. Methods: Obtained baseline data of sepsis hospitalisations in 2017 among 10 SNFs. A SQIP was implemented utilizing the systemic inflammatory response syndrome criteria with a modified threshold temperature of 37.2°C (99.0°F). Sepsis hospitalisations were reported and validated for the intervention period in 2018 and compared to the baseline. A cost savings analysis was completed by utilizing local hospital billing records. Findings: Overall, there was a reduction of 54 sepsis hospitalisations when comparing the intervention period (183 sepsis hospitalisations) to the baseline (237 sepsis hospitalisations), a 22.8% decrease (p < 0.001). The initial SQIP costs were 45,000 USD. The SQIP had an estimated cost savings between 1,039,662–1,039,662–3,188,430 USD. Limitations: Implementation at each facility was voluntary, so there may have been varying degrees of SQIP implementation. However, the hospital primary diagnosis of sepsis and cost were accurately reported. Implications: A SQIP in a long-term care setting could reduce avoidable hospitalisations and offer cost savings. The SQIP reported is a complex intervention and needs to be methodologically understood as such. The intervention shows promise and important insights into its implementation and evaluation have been developed which would be helpful in further evaluation
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