Suchergebnisse

Introduction Efficient neurosurgical training is of paramount importance to provide continuing high-quality medical care to patients. In this era of law-enforced working hour restrictions, however, maintaining high-quality training can be a challenge and requires some restructuring. We evaluated the current status of resident training in Germany.
Methods An electronic survey was sent to European neurosurgical trainees between June 2014 and March 2015. The responses of German trainees were compared with those of trainees from other European countries. Logistic regression analysis was performed to assess the effect size of the relationship between a trainee being from Germany and the outcome (e.g., satisfaction, working time).
Results Of 532 responses, 95 were from German trainees (17.8%). In a multivariate analysis corrected for baseline group differences, German trainees were 29% as likely as non-German trainees to be satisfied with clinical lectures given at their teaching facility (odds ratio [OR]: 0.29; 95% confidence interval [CI]: 0.18–0.49; p < 0.0001). The satisfaction rate with hands-on operating room exposure was 73.9% and equal to the rate in Europe (OR: 0.94; 95% CI, 0.56–1.59; p = 0.834). German trainees were 2.3 times as likely to perform a lumbar spine intervention as the primary surgeon within the first year of training (OR: 2.27; 95% CI, 1.42–3.64; p = 0.001). However, they were less likely to perform a cervical spine procedure within 24 months of training (OR: 0.38; 95% CI, 0.17–0.82; p = 0.014) and less likely to perform a craniotomy within 36 months of training (OR: 0.49; 95% CI, 0.31–0.79; p = 0.003). Only 25.6% of German trainees currently adhere to the weekly limit of 48 hours as requested from the European Working Time Directive 2003/88/EC, and in an international comparison, German trainees were twice as likely to work > 50 hours per week (OR: 2.13; 95% CI, 1.25–3.61; p = 0.005). This working time, however, is less spent in the operating suite (OR: 0.26; 95% CI, 0.11–0.59; p = 0.001) and more doing administrative work (OR: 1.83; 95% CI, 1.13–2.96; p = 0.015).
Conclusion Some theoretical and practical aspects of neurosurgical training are superior, but a considerable proportion of relevant aspects are inferior in Germany compared with other European countries. The present analyses provide the opportunity for a critical review of the local conditions in German training facilities.

"August 20, 1990." ; Includes index. ; Shipping list no.: 90-639-P. ; Cover title. ; Mode of access: Internet.

At head of title: Summer residents' association of Bar Harbor. ; Cover-title. ; Mode of access: Internet.

Perspectives One solution to the imbalance in the number of men and women appearing before the courts has been to provide bail and probation accommodation in mixed hostels but the appropriateness of this practice has been questioned in recent inspection reports. Emma Wincup, Research Student and Tutor at the School of Social and Administrative Studies, University of Wales, Cardiff, draws on the views of hostel workers and female residents in three hostels to argue that mixed provision presents a number of challenges in guaranteeing privacy, safety and equality of service for female residents. She suggests the need for a more flexible system which respects individual choice.

While feminist political economists have identified social service provisioning as socially reproductive work and have examined its reorganization under neoliberalism, little attention has been paid to the mental health care sector. Furthermore, within feminist political economy scholarship on work in the social service sector, little attention has been paid to the contributions of service users. I address some of these gaps by developing a Mad feminist political economy framework to analyze the unpaid socially reproductive work completed by residents in high-support psychiatric housing in Ontario today.
Drawing on data from interviews with 23 residents and 15 service providers in high-support psychiatric housing in Ontario, as well as a review of government and non-profit organization documents, I argue that the work done by residents alleviates demands on social service workers in a time of neoliberal restraint, intensified workplace demands, and a heightened focus on service user independence in all aspects of life. I then conclude with recommendations for change.

Abstract Differences between old‐timers and newcomers and their effects on community social dimensions have been the object of much research. These studies have shown how extensive in‐migration of people with different socioeconomic backgrounds, values, and perspectives contribute to heightened social conflict in some communities. Popular media accounts and some social science research referred to the conflict emerging from these differences as a culture clash. This study examines the effects that different backgrounds, attitudes, and behaviors have on community participation. Here, earlier work on differences in participation levels between seasonal and permanent residents is extended in an attempt to identify structural and interactional characteristics associated with participative citizens regardless of their residential status. A profile of participative residents was found. Knowing these characteristics helps identify people who could bring important and useful insights to local decision‐making. These residents make a deliberate choice to purposively engage in community efforts. Such voluntary interaction creates a pro‐community environment where needs and solutions are tackled by residents. Additionally, this interactive environment serves as a ground for the reduction of differences among community members. Through this process, community development is achieved, enhancing community well‐being.

This plan outlines the methodology for the evaluation of the Resident Support Program (RSP) in Queensland in 2004. The evaluation will research the process of implementation of this program, the services provided to residents by the contracted support providers, residents perceptions of the appropriateness of these services and impact on their quality of life, health and wellbeing, and the impact on residential facility operators and staff and other human services providers and Departments. The evaluation will also review the cost effectiveness of the program to make recommendations to inform future resource allocation. The longitudinal aspect of the evaluation enables a research partnership between the researchers and the program stakeholders. The researchers will work closely with the program, progressively providing research findings to inform improvements in the development and management of the program, while also transferring data for evaluation. The researchers will also work closely with stakeholders including those within DSQ, other state government departments, providers, operators and residents. RSP is part of the larger residential services reform strategy. The design and conduct of the evaluation takes account of the complexities of these larger contextual changes. Sensitivity to the potential effects of reform on access to support and accommodation for residents, economic impact on funders and providers and the cost shifting impact on other services will be acknowledged as the context of the evaluation.

To reduce slum areas, the government of Semarang City has issued a decree of determination of slum areas in 2014 and initiated some slum upgrading activities from the central and local government. Kaligawe, as one of the areas close to the industrial estate and has many residents, is included in a slum area that must be handled. The slum area in Kaligawe consists of 7.35 hectares from RW 1 – RW 4. In addition to the description of the slum characteristics, residents' assessment is also needed regarding the neighborhood condition. This study aims to analyze residents' assessment in Kaligawe as one of the slum areas in Semarang. This study applied a questionnaire survey that was distributed to 90 residents of Kelurahan Kaligawe slum area randomly from RW 1 – RW 4 and NUAP Kaligawe 2017 document review as the data collection source. The findings indicated that although Kaligawe has a low socioeconomic level, the residents' assessment of Kaligawe's neighborhood is overall good. It is because they are already used to live with recent neighborhood conditions, and also significant improvement resulted due to slum upgrading program in Kaligawe area.