Client Program Research Articles

The Australian Nurse-Family Partnership Program for aboriginal mothers and babies: Describing client complexity and implications for program delivery

ContextThe Australian Nurse-Family Partnership Program is a home visiting program for Aboriginal mothers and infants (pregnancy to child's second birthday) adapted from the US Nurse Family Partnership program. It aims to improve outcomes for Australian Aboriginal mothers and babies, and disrupt intergenerational cycles of poor health and social and economic disadvantage. The aim of this study was to describe the complexity of Program clients in the Central Australian family partnership program, understand how client complexity affects program delivery and the implications for desirable program modification. MethodsAustralian Nurse-Family Partnership Program data collected using standardised data forms by nurses during pregnancy home visits (n = 276 clients from 2009 to 2015) were used to describe client complexity and adversity in relation to demographic and economic characteristics, mental health and personal safety. Semi-structured interviews with 11 Australian Nurse-Family Partnership Program staff and key stakeholders explored in more depth the nature of client adversity and how this affected Program delivery. FindingsMost clients were described as “complicated” being exposed to extreme poverty (66% on welfare), living with insecure housing, many experiencing domestic violence (almost one third experiencing 2 + episodes of violence in 12 months). Sixty-six percent of clients had experienced four or more adversities. These adversities were found challenging for Program delivery. For example, housing conditions mean that around half of all ‘home visits’ could not be conducted in the home (held instead in staff cars or community locations) and together with exposure to violence undermined client capacity to translate program learnings into action. Crises with the basics of living regularly intruded into the delivery of program content, and low client literacy meant written hand-outs were unhelpful for many, requiring the development of pictorial-based program materials. Adversity increased the time needed to deliver program content. ConclusionsModifications to the Australian Nurse-Family Partnership Program model to reflect the specific complexities and adversities faced by the client populations is important for effective service delivery and to maximise the chance of meeting program goals of improving the health and well-being of Australian Aboriginal mothers and their infants.

Modern Condition of Locations of Municipal Solid Waste in a Residential Buffer Suburb of the City of Almaty

The modern development of human economic activity, the increase in the number of people result in environmental pollution by wastes of their production and consumption. The purpose of this work is to analyze the status the existing waste disposal sites in the city of Almaty. The benchmark data for the analysis and monitoring were the satellite images of the solid waste sites from the Sasplanet database and the Google Earthmap client program. The materials were decoded using the ArcGIS 10.3 multifunctional software. According to the results of decoding of space images and monitoring of the dynamics of boundary changes, we investigated 2 operating landfills, 1 closed landfill and 5 identified unauthorized landfills. The maps of the current status of solid waste landfills were compiled. The analysis of long-term changes in the boundaries of existing municipal solid wastes disposal sites for the period of 2003-2016 was carried out. On the basis of visual observation and decoding of space images, maps of the current state of solid waste landfills, as well as data on the compliance of landfills with the main sanitary norms of the Republic of Kazakhstan. The use of methods of decoding allows the most effective cope with the tasks of environmental monitoring aimed at identifying waste disposal sites, assessing their status and dynamics of development in space and time.

The Effect of Treatment Completion on Recidivism Among TASC Program Clients.

Despite the enormous resources spent by states in the United States on bridging the gap between criminal justice and behavioral health services, there have been relatively few statewide evaluations of drug treatment client recidivism. We present the results of an evaluation of recidivism outcomes for a sample of individuals ( n = 1,274) referred to the Treatment Accountability for Safer Communities (TASC) program in North Carolina from 2007 to 2008. The methodology accounted for both client and offense characteristics drawn from TASC, court, and corrections records. Multivariate analyses indicated that program completion is the most important predictor of re-arrest in the 3-year follow-up period, followed by a number of protective and risk factors. More specifically, being female, older at the time of program entry, as well as higher levels of educational attainment decreased the odds of re-arrest, whereas using crack/cocaine increased the odds of re-arrest. Suggestions for future research and policy implications are provided.

PENDAMPINGAN IBU HAMIL MELALUI PROGRAM ONE STUDENT ONE CLIENT (OSOC) DI WILAYAH KERJA PUSKESMAS SIDOHARJO KABUPATEN SRAGEN

Maternal Mortality Ratein the Central Java in 2012-2014 has significantly increased in 2012: 675 of cases, 2013: 668 of cases, 2014: 711 of cases, while in 2015 and 2016 decreased: 2015: 619 of cases and 2016: 602 of cases. One Student One Client Program (OSOC) is a program launched by the Governmentof Central Java Provinceas an effort to decrease The Rate of Maternal Mortality in Central Java.The targets and outcomes of this activity are scientific publications and journals continuously also midwifery care process to the mother; pregnant, childbirth, childbirth, birth control and newborn care.The cooperation between healths professional in midwifery process later can contribute in decreasing Maternal Mortality Rate.The method used is direct learning experience in the community. Each learner will get one client (pregnant mother) through a midwife coordinator in Work Area of Puskesmas Sidoharjo to achieve one student one client.The techniques of data collection are forms of; pregnancy midwifery care , delivery, puerper, new baby born and KB. This accompaniment was carried out for 5 months from April - August 2017 in the working area of Puskesmas of Sidoharjo.The result of this are the majority of pregnant mothers can be through pregnancy with healthy and the increase of awareness and knowledge of pregnant women.

Візуальний аналіз політик безпеки в ERP-системах

The visual analysis of information systems on the presence of problems in the establishment of security policies gives the administrator an opportunity to extract useful data from a large amount of redundant and at the same time noisy security journaling information. For the graphical representation of information, an approach was proposed in which all the events associated with the security of the system are represented in circles whose radius corresponds to the time scale. Events have a different color, which characterizes them according to certain features, defined as initial data. In an ERP system that is being implemented or already functional, the following aspects must be implemented to meet the security requirements: authentication of users; login authorization; audit and logging of the course; the integrity of the data; confidentiality. To do this, the system offers the following services: rules for password management; monitoring unauthorized access to the system; appropriate response to unauthorized access. The data is stored in the database (the level of the DB), processing is performed on the application server (application level), and the direct interaction with the user takes place through the client program (level of representation). The quality of such a program is recently used as a client GUI application, as well as an ordinary web browser. Most modern ERP systems use the RBAC (Role-Based Access Control) model to allow users to execute only certain transactions and access only for this business entity. In the RBAC model, decisions to grant access to the user are taken on the basis of functions performed by the user in the organization. It is possible to obtain information about the activity of the users who perform daily work in the SAP ERP system associated with the creation, processing, editing and saving of data, by executing the SM20 transaction. Of great interest is the fact that all the events and errors that arise in the system are represented by a different color, which can be used advantageously during the visual analysis method. For graphic presentation of information we use the approach proposed in work, where the events of the ERP system security journal are displayed in circles whose radius indicates the time scale. Unfortunately, the author’s proposed model of information visualization does not allow to fully assessing the correctness of the use of the enterprise security policy, since it only provides data on the availability of hazardous elements in the system, and not the reasons for their manifestation. Therefore, there is an urgent need for additional analysis of the results obtained with the possibility of further formation of variants to support decision-making in the security sector. But the combination of this technique with a number of others who also use the capabilities of human perception in conjunction with information technology can bring stormy results. Therefore, other methods and their rational combination need to be deeply investigated in subsequent scientific papers.

Making the Most of the Chicago Benchmarking Collaborative

In this case, lessons from the Chicago Benchmarking Collaborative illustrate key principles of collaborative action and the importance of using data to achieve SMART goals. In 2015, the Chicago Benchmarking Collaborative (CBC) was a network of seven agencies in Chicago, Illinois, serving 12,000 low-income residents. Each of the agencies had early childhood, school-age children, and adult education programs. At the prompting of the Chicago Community Trust, they came together to (1) benchmark their education programs outputs and outcomes; (2) learn and share best practices through developing a common set of metrics and measurements and implementing these measurements into a case management software system; and (3) share the costs of the case management software system to be used for program evaluation and continuous quality improvement. Three aspects of CBC are particularly noteworthy. First, there are no joint program activities or clients among these agencies. Their exchange is limited to sharing data and other information. This makes CBC distinct from collaborations formed to begin a program or to advocate for a policy. Second, the group requires each agency to enter data on a timely basis and to set SMART goals based on the data reports. The agencies are held mutually accountable for their work to achieve their own SMART goals during the year and report on progress. Third, CBC used monetary incentives to ensure that data entry and SMART goal action remained a priority for each agency.

Ethernet based data logger for gaseous detectors

A data logger is designed to monitor and record ambient parameters such as temperature, pressure and relative humidity along with gas flow rate as a function of time. These parameters are required for understanding the characteristics of gas-filled detectors such as Gas Electron Multiplier (GEM) and Multi-Wire Proportional Counter (MWPC). The data logger has different microcontrollers and has been interfaced to an ethernet port with a local LCD unit for displaying all measured parameters. In this article, the explanation of the data logger design, hardware, and software description of the master microcontroller and the DAQ system along with LabVIEW interface client program have been presented. We have implemented this device with GEM detector and displayed few preliminary results as a function of above parameters.

Outcome of a hepatitis B vaccination program for clients of a drug consumption facility

BackgroundIntravenous drug users (IDUs) are a risk group for hepatitis B. In Germany, the hepatitis B virus (HBV) vaccination rates in IDUs are low. ObjectivesIn this study the implementation and success of HBV vaccination in a drug consumption facility (DCF) was evaluated. Study designClients attending a DCF were asked regarding their HBV status. In case of no known HBV infection and no previous vaccination, clients interested in HBV vaccination were offered a HBV blood testing. HBV vaccination was administered to susceptible clients in months 0, 1, 6. Booster vaccinations were offered to clients without seroconversion (anti-HBs < 100 U/l). Results193 out of 364 clients reported on a known HBV infection or immunity after vaccination. 95 (55.6%) out of 171 eligible clients underwent a HBV serology. According to HBV serology 31 (32.6%) out of 95 clients were not susceptible for vaccination (mainly due to an unknown HBV infection). 47 (73.4%) out of 64 clients susceptible were administered 3 vaccinations. 10 clients received at least one further vaccination. For those showing up for testing (36 out of 47 clients) the seroconversion rate was 69.4% (> 100 IU/l) and 83.3% (> 10 IU/l), respectively. DiscussionOnly a minority of clients of a DCF was susceptible for HBV vaccination. 47 out of 64 (73.4%) susceptible clients underwent at least three administrations of the vaccine, mostly resulting in seroconversion. Even in IDUs attending a DCF, a clientele with unstable social and health conditions, HBV vaccination can be carried out successfully.

Barriers and Facilitators to Treatment Engagement Among Clients in Inpatient Substance Abuse Treatment.

There is a call for drawing on client voice to provide a rich, nuanced understanding of factors influencing substance treatment engagement as to maximizing treatment benefits. We interviewed 60 clients in a short-term inpatient substance treatment program and examined facilitators and barriers to treatment engagement. Thematic analysis yielded four themes, including perceived treatment needs, trust and counselor rapport, peer inspiration, and organizational factors. Perceived treatment needs serve as both a facilitator and a barrier wherein the acknowledgment of needs led to greater treatment engagement whereas a lack of perceived needs hindered treatment engagement. The establishment of trust and counselor rapport and peer inspiration facilitated treatment engagement. Clients rated several organizational factors including a lack of treatment provision, gender-responsive treatment and infrastructure, and ineffective communication with nonclinical staff as barriers to treatment engagement. Clinical implications include enhancing treatment motivation and counselor rapport, establishing gender-responsive treatment programs, and providing trainings for staff.

Integrated treatment programs for pregnant and parenting women with problematic substance use: Service descriptions and client perceptions of care

Integrated treatment programs comprehensively address the unique and varied needs of pregnant and parenting women with problematic substance use. Despite the growth of these programs and evidence supporting their effectiveness, a clear picture of services that comprise integrated treatment is lacking. To address this gap in knowledge, we explored the services provided by 12 integrated treatment programs in one Canadian province. We found that integrated programs routinely provided substance use and mental health services, yet there was marked variability in other supportive services that address other central needs of women, such as prenatal and primary care, therapeutic childcare, housing and transportation support. Using survey data, we further examined client perceptions of care within integrated treatment programs (N = 106) compared to standard treatment programs (N = 207), and thematically analyzed qualitative feedback provided by integrated program clients to gain insight into how services may or may not be promoting positive perceptions of care. We found that integrated treatment program clients perceive their care more positively than clients in standard treatment programs and services provided impact on these perceptions. Implications for treatment development and research are discussed.

Health Outcomes for Clients of Needle and Syringe Programs in Prisons.

High levels of drug dependence have been observed in the prison population globally, and the sharing of injecting drug equipment in prisons has contributed to higher prevalence of bloodborne diseases in prisoners than in the general population. Few prison needle and syringe programs (PNSPs) exist. We conducted a systematic review to assess evidence regarding health outcomes of PNSPs. We searched peer-reviewed databases for data relating to needle and syringe programs in prisons. The search methodology was conducted in accordance with accepted guidelines. Five studies met review inclusion criteria, and all presented evidence associating PNSPs with one or more health benefits, but the strength of the evidence was low. The outcomes for which the studies collectively demonstrated the strongest evidence were prevention of human immunodeficiency virus and viral hepatitis. Few negative consequences from PNSPs were observed, consistent with previous evidence assessments. More research is needed on PNSP effectiveness, and innovative study designs are needed to overcome methodological limitations of previous research. Until stronger evidence becomes available, policymakers are urged to recognize that not implementing PNSPs has the potential to cause considerable harm, in light of what is currently known about the risks and benefits of needle and syringe programs and PNSPs and about the high prevalence of human immunodeficiency virus and viral hepatitis in prisons.

The impact of microfinance programmes on access to health care, knowledge to health indicators and health status among women in Moshi, Tanzania

Background: Microfinance Institutions (MFI) award small loans and women are the primary target. Whilst much literature has explored and acknowledged its impact on poverty alleviation and gender equality few studies have examined whether the added income also improves health outcomes to program clients. This study examined the association between participation in MFI programmes and wellbeing of clients and their family members via social determinants of health in Moshi, Tanzania.Methods: Cross-sectional data among non-elderly women were collected between October and December 2011. Multistage random sampling technique was employed to obtain study participants. The primary predictor variable was participation in MFI programs while the outcome measures were: odds of facing exclusion to health care, knowledge to health indicators related to health promotion, and self-assessed health status. A questionnaire was used to collect extensive data on demographic and socioeconomic information of the study participants.Results: A total of 900 women participated in the study. Program participation was found to be associated with increasing age (p&lt;0.001), increasing number of living children (p&lt;0.002) and level of income (p&lt;0.001). We found no association between program participation and access to health care, knowledge to health indicators related to health promotion and self-assessed health status. Only one out of seven indicators (14.2%) was significantly associated with MFI participation and access to health care. Two out of six (33.3%) health indicators showed association to MFI programme participation, while only 3 out of 15 (20%) dimensions measured in self-assessed health status showed significant association to MFI programme participation.Conclusion: These findings indicate that MFI programme participation is not associated with improved health outcomes of clients and their family members in Moshi. Strategies are needed to enhance the health-promoting capacity of MFI programmes in Moshi as shown elsewhere.

Getting Engaged: Program and Event Planning for Clients with Diverse Abilities

For event planners, it is important to be inclusive of people with diverse physical and mental abilities when establishing accommodations for programs or events. This 3-page publication is one in the series Getting Engaged, and will aid Extension professionals and other program/event planners in appropriately accommodating audiences and attendees with various needs. Written by Kathryn Stofer and published by the UF/IFAS Department of Agricultural Education and Communication, March 2018. http://edis.ifas.ufl.edu/wc299

A visual programming environment for introducing distributed computing to secondary education

The paper introduces a visual programming language and corresponding web and cloud-based development environment called NetsBlox. NetsBlox is an extension of Snap! and builds upon its visual formalism as well as its open source code base. NetsBlox adds distributed programming capabilities by introducing two well-known abstractions to block-based programming: message passing and Remote Procedure Calls (RPC). Messages containing data can be exchanged by two or more NetsBlox programs running on different computers connected to the Internet. RPCs are called on a client program and are executed on the NetsBlox server. These two abstractions make it possible to create distributed programs such as multi-player games or client–server applications. We believe that NetsBlox not only teaches basic distributed programming concepts but also provides increased motivation for high-school students to become creators and not just consumers of technology.

PRIME MINISTER NATIONAL HEALTH PROGRAM: A CLIENT SATISFACTION SURVEY

Introduction: Patient experience together with clinical effectiveness and patient safety is one of so called "Three pillars of quality". Benefits of good quality of care are increased client satisfaction level and program utilization. In Pakistan, major issue of people living poverty line is catastrophic heath expenditure so to overcome this issue a health insurance scheme PMNHP was launched and is a milestone towards universal healthcare access. BISP enrolees are eligible for program. Methods: A mixed method approach was employed by using quantitative summary statistics and qualitative thematic evaluation. Results: Overall satisfaction level was 77%, 13% were dissatisfied and 10% were uncertain. Disease wise satisfaction level among GB surgery was 95% and or surgery 88% patients with cancer and non-surgical cases were 11% dissatisfied district wise in SKD and Kotli were 100% Satisfied MZD 91% and ICT 61%. Qualitative analysis revealed themes of management, communication, hospital environment and quality of care 23 IDI's were conducted. There were issues with management, attitudes of healthcare provider, during hospital stay was not good and post discharge care was not explained properly. Satisfied patients were those who were informed well and given good care and those who lacked it were dissatisfied. Conclusion: Results suggest that more the patient is valued, given honoured and requisite quality of care more level of patient satisfaction, and same is with patient-provider relationship greater attention more fulfilment of expectations.

Uncovering the Value and Meaning of a Horticulture Therapy Program for Clients at a Long-Term Adult Inpatient Psychiatric Facility

ABSTRACTThis qualitative study investigated the value and meaning of the Greenhouse Program and its impact on recovery goals of residents with severe and persistent mental illness at an adult, long-term psychiatric facility. Eight participants and two occupational therapists were interviewed. Findings revealed two main themes, relating to the essence of the program and personal growth of the participants, supplemented by six sub-themes. The findings suggest that initiatives, such as the Greenhouse Program, are an appropriate intervention that occupational therapy professionals can use in adult inpatient psychiatric facilities.

Calidad de Servicio en una institución de educación superior en la ciudad de Barranquilla

El presente artículo, producto de investigación, tiene como objetivo medir la calidad del servicio acorde a las necesidades y requerimientos establecidos por los clientes externos en una institución privada de educación superior en la ciudad de Barranquilla. La investigación es de tipo descriptiva con corte propositivo. La población objeto fueron los estudiantes de los programas de Administración de Empresas y Contaduría Pública en una institución educativa privada en la ciudad de Barranquilla. La muestra estratificada fue de 80 estudiantes. Los resultados muestran cómo las necesidades y expectativas de los clientes de los dos programas difieren en algunos momentos de verdad propiciados en la prestación del servicio, es el caso de los horarios, tiempo de respuesta, trámites, entre otros. Aspectos que al final se convierten en una experiencia personal percibida positiva o negativamente por el cliente. Se concluye que la calidad del servicio depende de la experiencia generada en el proceso de prestación de éste por parte de la institución a sus clientes, por lo tanto la tendencia es la de competir mediante estos requerimientos para diferenciarse de sus alternos competidores.

Non-linear reasoning for invariant synthesis

Automatic generation of non-linear loop invariants is a long-standing challenge in program analysis, with many applications. For instance, reasoning about exponentials provides a way to find invariants of digital-filter programs, and reasoning about polynomials and/or logarithms is needed for establishing invariants that describe the time or memory usage of many well-known algorithms. An appealing approach to this challenge is to exploit the powerful recurrence-solving techniques that have been developed in the field of computer algebra, which can compute exact characterizations of non-linear repetitive behavior. However, there is a gap between the capabilities of recurrence solvers and the needs of program analysis: (1) loop bodies are not merely systems of recurrence relations---they may contain conditional branches, nested loops, non-deterministic assignments, etc., and (2) a client program analyzer must be able to reason about the closed-form solutions produced by a recurrence solver (e.g., to prove assertions). This paper presents a method for generating non-linear invariants of general loops based on analyzing recurrence relations. The key components are an abstract domain for reasoning about non-linear arithmetic, a semantics-based method for extracting recurrence relations from loop bodies, and a recurrence solver that avoids closed forms that involve complex or irrational numbers. Our technique has been implemented in a program analyzer that can analyze general loops and mutually recursive procedures. Our experiments show that our technique shows promise for non-linear assertion-checking and resource-bound generation.

Navigating Interprofessional Spaces: Experiences of Clients Living with Parkinson’s Disease, Students and Clinical Educators

ABSTRACTWhen students in interprofessional education and practice programmes partner with clients living with a long-term condition, the potential for a better client and educational experience is enhanced when the focus is on client self-management and empowerment. This paper reports the findings from a phenomenological study into the experiences of five clients, six speech language therapy students, eight physiotherapy students, and two clinical educators participating in a university clinic-based interprofessional programme for clients living in the community with Parkinson’s Disease. Collaborative hermeneutic analysis was conducted to interpret the texts from client interviews and student and clinical educator focus groups held immediately after the programme. The overarching narratives emerging from the texts were: “client-centredness”; “who am I/why am I here?”; “understanding interprofessional collaboration and development”; “personal and professional development, awareness of self and others”; “the environment - safety and support”. These narratives and the meanings within them were drawn together to develop a tentative metaphor-based framework of “navigating interprofessional spaces” showing how the narratives and meanings are connected. The framework identifies a temporal journey toward interprofessional collaboration impacted by diverse identities and understandings of self and others, varying expectations and interpretations of the programme, intra- and interpersonal, cultural and contextual spaces, and uncertainty. Shifts in being and doing and uncertainty appear to characterise client-driven, self-management focused interprofessional teamwork for all participants. These findings indicate that students need ongoing opportunities to share explicit understandings of interprofessional teamwork and dispel assumptions, since isolated interprofessional experiences may only begin to address these temporal processes.

Wat levert een training voor voedselbankklanten op? Bevindingen uit een kwalitatieve studie

Wat levert een training voor voedselbankklanten op? Bevindingen uit een kwalitatieve studie