Middle Eastern respiratory syndrome, an emerging viral infection with a global case fatality rate of 35.5%, caused major outbreaks first in 2012 and 2015, though new cases are continuously reported around the world. Transmission is believed to mainly occur in healthcare settings through aerosolized particles. This study uses Quantitative Microbial Risk Assessment to develop a generalizable model that can assist with interpreting reported outbreak data or predict risk of infection with or without the recommended strategies. The exposure scenario includes a single index patient emitting virus‐containing aerosols into the air by coughing, leading to short‐ and long‐range airborne exposures for other patients in the same room, nurses, healthcare workers, and family visitors. Aerosol transport modeling was coupled with Monte Carlo simulation to evaluate the risk of MERS illness for the exposed population. Results from a typical scenario show the daily mean risk of infection to be the highest for the nurses and healthcare workers (8.49 × 10?4 and 7.91 × 10?4, respectively), and the lowest for family visitors and patients staying in the same room (3.12 × 10?4 and 1.29 × 10?4, respectively). Sensitivity analysis indicates that more than 90% of the uncertainty in the risk characterization is due to the viral concentration in saliva. Assessment of risk interventions showed that respiratory masks were found to have a greater effect in reducing the risks for all the groups evaluated (>90% risk reduction), while increasing the air exchange was effective for the other patients in the same room only (up to 58% risk reduction). 相似文献
Abstract. This work analyses the links between credit and labour markets highlighting the influence of credit market inefficiencies on employment. We argue that if banks are not efficient in monitoring the borrowers in the presence of asymmetric information, credit market imperfections have real effects. We estimate dynamic equations using system generalized method of moments (GMM) for bank loans and employment on panel data for Italian firms. The system GMM estimates indicate that the impact of credit market on employment is higher where the local financial market is less developed, asymmetric information is widespread, bank managers are less efficient in assessing the firms' solvency and do not use appropriate methods to evaluate the borrowers' payback capacity. 相似文献
Research in assembly optimisation is presently inclined towards integrative measures. Several benefits of simultaneously optimised Assembly Sequence Planning (ASP) and Assembly Line Balancing (ALB) have been highlighted by researchers to have better solution quality, shorter time-to-market, and minimalised error during planning. Recently, several efforts have been made to realise integrated assembly optimisation. However, none of the published research considered the two-sided assembly line problem. This paper presents an integrated ASP and ALB optimisation in a two-sided assembly environment (2S-ASPLB), which is mainly adopted in automotive assembly process. In this study, the 2S-ASPLB problem was formulated and optimised using Multi-Objective Multi-Verse Optimiser (MOMVO) by considering line efficiency, reorientation penalty, and tool change as the optimisation objectives. The computational experiments were conducted in a few stages, beginning with the identification of the best decoding approach for 2S-ASPLB. Next, the best MOMVO coefficient was studied, followed by comparing MOMVO performance with well-established multi-objective optimisation algorithms. Finally, a case study problem was presented to demonstrate applicability of the proposed model and algorithm in real-life problem. The results indicated that the priority factor (PF) decoding approach had better performance compared with others. Meanwhile, in comparison with well-established algorithms, MOMVO performed better in convergence and solution distribution. The case study results indicated the applicability of proposed 2S-ASPLB model and algorithm to improve line efficiency in assembly line. The main contribution of the research is a new 2S-ASPLB model and optimisation scheme, which can assist manufacturer in designing better assembly layout.
This study evaluates the effectiveness of an arts-based educational program, Basic Reading Through Dance. Basic Reading Through Dance is a 20-session, curriculum-based reading intervention for first-grade students developed by Whirlwind, a not-for-profit organization. There were a total of 721 first-grade students from Chicago public schools who participated in the study, with 328 students from 6 schools receiving the program and 393 students from 9 schools serving as controls. The program was designed to improve reading skills, as assessed by the PhonoGraphix Test, such as code knowledge (alphabet sounds) and phoneme segmentation (separating letter sounds within spoken words). Results suggest that the students who participated in the program improved significantly more than control students on all reading skills that were assessed. 相似文献
Midwives have a primary role in facilitating the first stage of perinatal mental health risk reduction through inquiring about perinatal mental health, identifying risk factors and current perinatal mental health problems, providing support or crisis intervention, referring for treatment and decreasing stigmatisation.
Aims
The aims of this study were to determine midwives’ (a) knowledge of and confidence to identify and manage perinatal mental health problems, (b) attitudes towards women who experience severe mental illness and (c) perceived learning needs.
Design
A cross-sectional survey design.
Methods
The study was conducted between September 2016 and April 2017 in seven Maternity services in the Republic of Ireland with a purposeful non-random convenience sample of midwives (n = 157). Data was anonymously collected utilising the Perinatal Mental Health Questionnaire, the Mental Illness: Clinician’s Attitudes scale and the Perinatal Mental Health Learning Needs questionnaire.
Findings
Midwives indicated high levels of knowledge (71.1%) and confidence (72%) in identifying women who experience depression and anxiety however, they reported less confidence in caring (43.9%) for women. Only 17.8% (n = 28) of midwives felt equipped to support women whilst 15.3% (n = 24) reported having access to sufficient information. Midwives desire education on the spectrum of perinatal mental health problems. The mean score for the Mental Illness: Clinician’s Attitudes scale was 36.31 (SD = 7.60), indicating positive attitudes towards women with severe mental illness.
Conclusion
Midwives require further education on perinatal mental health across cultures with a skill focus and which explores attitudes delivered in a study day format. 相似文献
In this paper, we use data from the first two rounds of the European Social Survey to analyze the extent to which differences
in average attitudes towards immigration across the EU-15 countries may be explained by differences in socioeconomic characteristics
and individually perceived consequences of immigration, using an extension of a decomposition technique developed by Fairlie
(2005). We find that despite the significant effects of socioeconomic characteristics on attitudes, differences in the distributions
of these characteristics can only explain a modest share of the cross-country variation in average attitudes. A larger part
can be explained by differences in perceived consequences of immigration, but the main part is still left unexplained. Apart
from providing useful input for policy makers working in the area of immigration policy, this raises a number of questions
for further research for which the ESS data can be successfully applied.
This paper describes a project with the aim of reducing the risk of injury when using precast concrete shells in the Swedish construction industry by identifying injury risks, developing and implementing solutions. An interactive research approach was used. Three major injury risks were identified and a system consisting of three tools and a handbook was developed, evaluated, and implemented at one company and made available to the construction industry. 相似文献
In this study, we explored how adolescents in rural Kenya apply religious coping in sexual decision-making in the context of high rates of poverty and Human Immunodeficiency Virus (HIV). Semi-structured interviews were conducted with 34 adolescents. One-third (13) reported religious coping related to economic stress, HIV, or sexual decision-making; the majority (29) reported religious coping with these or other stressors. Adolescents reported praying for God to partner with them to engage in positive behaviors, praying for strength to resist unwanted behaviors, and passive strategies characterized by waiting for God to provide resources or protection from HIV. Adolescents in Sub-Saharan Africa may benefit from HIV prevention interventions that integrate and build upon their use of religious coping. 相似文献
The Tea Party Movement (TPM) emerged shortly after the 2008 election, with members rallying behind the call to “take back our country.” Many observers suggest that the movement represents, in part, a racialized backlash against the election of Barack Obama, the nation's first black president, motivated by perceived threats to the racial hierarchy. Racial threat theory predicts that if the TPM is motivated by and reinforces racial concerns, racialized support for punitive crime policies that disproportionately impact blacks should be higher among Tea Partiers. Drawing on recent national survey data, this study tests this prediction. The results show that TPM membership is positively associated with punitiveness and that this relationship is mediated, in part, by Tea Partiers’ animus toward blacks. We discuss the import of these findings for competing accounts of the TPM, racial threat theory, and the argument that the United States has become a “post‐racial society.” 相似文献
This current issues article is a brief critical examination of the recent Research Councils UK agenda and call for cross-disciplinary research in mental health. Our argument is based on the fact that patient and public involvement (PPI) is the only involvement and influencing strategy for service users and survivors in the agenda. Service user and survivor research as a discipline in itself remains unacknowledged. We conclude that service user and survivor research is distinct and is different to PPI, and should be recognised in any mental health research agenda. 相似文献