Inform Management Policies Research Articles

Climate Change and Psychiatry: The Correlation between the Mean Monthly Temperature and Admissions to an Acute Inpatient Unit.

Psychiatric disorders are large contributors to the global disease burden, but research on the impact of climate change on them is limited. Our aim is to investigate the correlation between temperature and exacerbations of psychiatric disorders to help inform clinical management and future public health policies. Temperature records for the summer months from 2013 to 2022 were obtained from the meteorological station of the Department of Physics of Turin University. Data on patients admitted to the acute psychiatric unit were extracted from registries of San Luigi Gonzaga University Hospital (Turin, Italy). Regression analyses were used to investigate the correlation between temperature and number of admissions and to test for confounding variables. A total of 1600 admissions were recorded. The monthly temperature and number of admissions were directly correlated (p = 0.0020). The correlation was significant for the subgroup of admissions due to Bipolar Disorders (p = 0.0011), but not for schizophrenia or major depressive disorder. After multiple regression analyses, the effect of temperature remained significant (p = 0.0406). These results confirm the impact of meteorological factors on mental disorders, particularly on BD. This can contribute to personalised follow-up and efficient resource allocation and poses grounds for studies into etiopathological mechanisms and therapeutic implications.

Global Information Management Strategy Driven by IT

This paper explores the strategy of global information management driven by IT. Firstly, the concept and characteristics of global information are introduced, emphasizing the flow and exchange of information on a global scale. Then, the pivotal role of IT in driving global information management is discussed, including providing efficient communication and collaboration tools, supporting global business processes, and managing data. Subsequently, an IT-driven global information management strategy is proposed, encompassing the establishment of a global information architecture, implementation of unified information management standards and policies, and strengthening data security and privacy protection measures. Finally, the future development trends of IT-driven global information management are outlined, and a summary of the paper is provided.

Management strategies for reducing phosphorus levels in saltwater-intruded agricultural fields

As sea levels continue to rise and high tide flooding events increase in frequency, researchers and farmers alike are looking for solutions to adapt to and mitigate the effects of saltwater intrusion (SWI). Some landowners on the Lower Eastern Shore of Maryland respond to SWI by taking land out of agriculture. For example, they (1) attempt to remediate salt-damaged soils (e.g., planting switchgrass, Panicum virgatum), (2) restore native marsh grasses (e.g., planting saltmarsh hay, Spartina patens), or (3) abandon fields altogether (e.g., allow for natural recruitment). This work examines the ability of each of these land management practices to reduce phosphorus (P) levels in soils and porewater, with the overall goal to benefit both the farming community and water quality in the Chesapeake Bay. We show that remediation and restoration practices are efficient at taking up soil P and reducing porewater P concentrations through biomass P uptake. After three years of growth, we observed an increase in P uptake in biomass of Panicum virgatum (remediation species; 11–30 kg ha−1) and Spartina patens (restoration species; 4–18 kg ha−1) and a decline in available soil P pools (M3P; 30–50 % kg M3P ha−1). At all farms, under all three management strategies, the P fertility index value (FIV) in the topsoil was 33–50 % lower than baseline conditions, likely reducing the potential release of P to nearby waterways. Results from this work will help inform state-level coastal management policies and determine optimal strategies for climate resilience.

Open Information and Exceptions Policy of the Natural History Museum, London

There have been few, if any, open data and information management policies openly published from natural science collections. This paper contextualises the rationale for publishing the Open Information and Exceptions Policy of the Natural History Museum, London and provides the policy itself. The policy outlines how the Natural History Museum puts the principle of 'open by default' into practice; and includes sections on purpose and scope, relationship to relevant legislation (which always takes precedence over the policy), the categories of possible exceptions to open information release, what happens when exceptions are declared, relations to UK government information security classifications and definition of terms.

Occupational stressors and coping mechanisms among obstetrical nursing staff during the COVID-19 pandemic: a qualitative study

BackgroundDue to heightened occupational stress throughout the COVID-19 pandemic, hospital nurses have experienced high rates of depression, anxiety, and burnout. Nurses in obstetrical departments faced unique challenges, such as the management of COVID-19 infection in pregnancy with limited evidence-based protocols and the unknown risks of the virus on pregnancy and fetal development. Despite evidence that obstetrical nurses have experienced high levels of job stress and a decrease in job satisfaction during the COVID-19 pandemic, there is less known about the working conditions resulting in these changes.Using the Job Demands-Resources (JD-R) model, this study aims to offer insight into the COVID-19 working environment of obstetrical nurses and shed light on their COVID-19 working experiences.MethodsThe study was conducted using a qualitative approach, with data collection occurring through semi-structured interviews from December 2021 to June 2022. A total of 20 obstetrical nurses recruited from the obstetrical departments of a tertiary hospital located in Ontario, Canada, participated in the study.Interviews were audio-recorded, transcribed verbatim, and coded using NVivo. Data was analyzed using a theoretical thematic approach based on the JD-R model.ResultsFour themes were identified: (1) Job stressors, (2) Consequences of working during COVID-19, (3) Personal resources, and (4) Constructive feedback surrounding job resources. The findings show that obstetrical nurses faced several unique job stressors during the COVID-19 pandemic but were often left feeling inadequately supported and undervalued by hospital upper management. However, participants offered several suggestions on how they believe support could have been improved and shared insight on resources they personally used to cope with job stress during the pandemic. A model was created to demonstrate the clear linkage between the four main themes.ConclusionsThis qualitative study can help inform hospital management and public policy on how to better support and meet the needs of nurses working in obstetrical care during pandemics. Moreover, applying the JD-R model offers both a novel and comprehensive look at how the COVID-19 hospital work environment has influenced obstetrical nurses' well-being and performance.

Prescribed Fire in UK Heather-Dominated Blanket Bog Peatlands: A Critical Review of “Carbon Storage and Sequestration by Habitat: A Review of the Evidence (Second Edition)” by Gregg et al., 2021

Peatlands are a vast global carbon store. Both climate change and management have shaped peatlands over millennia, sometimes negatively, sometimes positively. Across the globe, prescribed fire is an important and well-recognised vegetation management tool used to promote biodiversity, increase habitat heterogeneity and mitigate uncontrolled wildfires. However, in the UK, there is an ongoing debate about the efficacy and legitimacy of using prescribed fire as a vegetation management tool. The debate centres around the extent to which prescribed burning is associated with a decline in habitat status and ecological function, especially in relation to carbon storage within heather-dominated blanket bog peatlands. Robust reviews of the evidence base are thus required to disentangle this debate and inform land management policies that ensure the protection and enhancement of blanket bog ecological functioning. Here, we critically review “Carbon storage and sequestration by habitat: a review of the evidence (second edition)” by Gregg et al., 2021. We see the value in synthesising the evidence on this topic but question the methodological approach used by Gregg et al. Another concern is their misrepresentation of evidence relating to prescribed burning impacts on blanket bog ecosystems and carbon budgets. We highlight these issues by focusing on the relevant peatland sections within the review by Gregg et al. and conclude by making a series of recommendations to improve the review’s scientific robustness and, thereby, its value to academics, land managers and policymakers.

Assessing the Impact of Records and Information Management Policy in Nigerian Public Universities: A Qualitative Review

Assessing the Impact of Records and Information Management Policy in Nigerian Public Universities: A Qualitative Review

Assessing the impact of COVID-19 pandemic on the health of residents and the healthcare system in Alberta, Canada: an observational study—The Alberta POST-COVID Follow-up Study

IntroductionVery little is known about how the COVID-19 pandemic has affected the health of residents and the healthcare system in Alberta, Canada. The purpose of this study is to establish...

Records Management Practices in Uganda's Public Pension Office

The purpose of this study was to assess the records management practices in Uganda's public pension office. The study's objectives were: to find out the categories of records managed in Uganda's public pension office; to examine the records management practices in Uganda's public pension office; to find out the challenges faced in the management of records in Uganda's public pension office, and to propose strategies to improve the management of records in Uganda's public pension office. The study adopted a mixed methods research design. It was conducted at the Ministry of Public Service, specifically in the Compensation Department and Department of Records and Information Management. The study population was composed of thirty (30) staff working in the two departments, who were all adopted as the sample size, given the small population. Data were collected through semi-structured interviews, self-administered questionnaires and a document review. The findings revealed that personnel records were mostly kept and that the records management practices followed were guided by the Basic Registry Procedures Manual, a manual specifically developed for registries at the Ministry of Public Service. Despite having a records manual in place, some staff had poor attitudes towards records management due to poor remuneration while others had no/limited training in records management. Other challenges faced included inadequate equipment, non-streamlined records management practices and a lack of a Centre for benchmarking its practices as stipulated by the National Records and Information Management Policy framework. It is expected that the findings revealed by this study will inform policymakers, the government of Uganda and the Ministry of Public Service on the key issues to solve in a bid to strengthen records management in the public pension office to enhance the process of pension processing which is usually delayed by the lack of records.

Implementasi Kebijakan Pengelolaan dan Pelayanan Informasi Publik di KPU Kota Bengkulu

The management and service of public information at the Bengkulu City KPU is based on the KPU regulations which serve as guidelines for the Bengkulu City KPU in carrying out a program of activities. Through the writing of this thesis, the problem raised is how to implement public information management and service policies at the Bengkulu City KPU and what factors are the obstacles and supporters in the implementation of public information management and services at the Bengkulu City KPU. The purpose of this study is to find out and understand how the implementation of public information management and service policies at the Bengkulu City KPU and to find out what are the inhibiting and supporting factors in the implementation of public information management and service policies at the Bengkulu City KPU. This study uses a qualitative method which ultimately produces descriptive data in the form of written or spoken words from people and observed behavior. Data collection techniques used in this thesis are observation, interviews and documentation. This study uses the theory of policy implementation from Charles O Jones. The results of this study reveal that the implementation of public information management and service policies at the Bengkulu City KPU is quite good, because the services provided have met the requirements written in PKPU No. 1 of 2015 concerning the management and service of public information.

Contextualized impacts of an infodemic on vaccine hesitancy: The moderating role of socioeconomic and cultural factors

This study examines how perceived information overload and misinformation affect vaccine hesitancy and how this is moderated by structural and cultural factors. By applying and extending the fundamental cause theory, this study proposes a contextualized impact model to analyze a cross-national survey of 6034 residents in six societies in Asia, Europe and North America in June 2021. The study finds that (1) Older and highly-educated participants were less susceptible to COVID-19 information overload and belief in vaccine misinformation. (2) Perceived information overload led to an increase in vaccine acceptance and uptake, whereas belief in vaccine misinformation caused a decrease. (3) The structural differentiation of vaccine hesitancy was salient and higher socioeconomic status could buffer the negative impact of misinformation on vaccine acceptance. (4) Cultural factors such as collectivism and authoritarian mentality also served as buffers against the misinformation that reduced vaccine acceptance and uptake. These findings add nuanced footnotes to the fundamental causes theory and contribute to the discussion on the global recovery from the infodemic. Besides fact-checking and improving individual information literacy, effective and long-term information management and health policies must pay attention to stratified information gaps across socioeconomic groups, and to contextualize the communication and intervention strategies in different cultures.

Demography of the dominant perennial grass species of a humid African savanna

Perennial grasses are the main source of fuel during fires in savannas. The demography of these grasses likely varies between species although they have the same general architecture and coexist in savannas. However, very few studies compare their demography. Similarly, their demography likely varies between years because of the variability in weather condition and fire intensity. We described and compared the demography and life-cycle of the four dominant perennial grass species (Andropogon canaliculatus, Andropogon schirensis, Hyparrhenia diplandra and Loudetia simplex) of the Lamto savanna (Ivory Coast) and assessed the influence of their demographic features (stasis, fecundity, growth, fragmentation and retrogression) on this demography. Grass species were monitored over three consecutive years (2015–2016, 2016–2017 and 2017–2018) on three 5 m × 10 m plots. We used a size-classified matrix model with 5 circumference classes (3–10 cm, 10–20 cm, 20–35 cm, 35–50 cm and >50 cm). Results showed differences in the age-based parameters, asymptotic growth rates (λs) and elasticities of the λs of the grass species. The population of A. canaliculatus, A. schirensis and H. diplandra were slowly declining while L. simplex was significantly declining. There were noticeable year-to-year variations in the demography of these four species. The most important demographic parameter influencing λs was the stasis in all species, while retrogression and fragmentation contributed to a relative homogeneity of ages between size-classes 2 to 5. This study provides new insights about the demography of Guinean savanna grasses that could be used to describe the mechanisms of their coexistence, and inform fire management policies.

Exploring long-term urban cycles with multivariate time-series analysis

European cities underwent long-term socioeconomic transformations resulting in a shift from centralized demographic growth typical of late industrialization to a more recent (and spatially uncoordinated) de-concentration of population and economic activities. While abandoning traditional compact models and moving toward settlement dispersion, population growth in urban areas was assumed to follow a “life cycle” constituted of four developmental stages (urbanization, suburbanization, counter-urbanization, and re-urbanization). We studied anomalies in the City Life Cycle (CLC) of a large metropolitan region (Athens, Greece) with the aim at achieving a less mechanistic interpretation of long-term population growth in complex social contexts. Using population data that cover more than 170 years (1848–2020) and multivariate time-series analysis, a non-linear growth history was delineated, with sequential accelerations and decelerations characteristic of the first CLC stage (urbanization). Considering the classical division in three radio-centric districts (core, ring, and agglomeration), different development stages coexisted since World War II. Heterogeneous suburbanization processes mixed up with late urbanization and weaker impulses of counter-urbanization and re-urbanization. The empirical results of time-series analysis confirm the non-linear expansion of Athens, shedding further light on long-term mechanisms of metropolitan development and informing management policies of urban growth.

COVID-19 hospital admissions and deaths after BNT162b2 and ChAdOx1 nCoV-19 vaccinations in 2·57 million people in Scotland (EAVE II): a prospective cohort study

SummaryBackgroundThe UK COVID-19 vaccination programme has prioritised vaccination of those at the highest risk of COVID-19 mortality and hospitalisation. The programme was rolled out in Scotland during winter 2020–21, when SARS-CoV-2 infection rates were at their highest since the pandemic started, despite social distancing measures being in place. We aimed to estimate the frequency of COVID-19 hospitalisation or death in people who received at least one vaccine dose and characterise these individuals.MethodsWe conducted a prospective cohort study using the Early Pandemic Evaluation and Enhanced Surveillance of COVID-19 (EAVE II) national surveillance platform, which contained linked vaccination, primary care, RT-PCR testing, hospitalisation, and mortality records for 5·4 million people (around 99% of the population) in Scotland. Individuals were followed up from receiving their first dose of the BNT162b2 (Pfizer–BioNTech) or ChAdOx1 nCoV-19 (Oxford–AstraZeneca) COVID-19 vaccines until admission to hospital for COVID-19, death, or the end of the study period on April 18, 2021. We used a time-dependent Poisson regression model to estimate rate ratios (RRs) for demographic and clinical factors associated with COVID-19 hospitalisation or death 14 days or more after the first vaccine dose, stratified by vaccine type.FindingsBetween Dec 8, 2020, and April 18, 2021, 2 572 008 individuals received their first dose of vaccine—841 090 (32·7%) received BNT162b2 and 1 730 918 (67·3%) received ChAdOx1. 1196 (<0·1%) individuals were admitted to hospital or died due to COVID-19 illness (883 hospitalised, of whom 228 died, and 313 who died due to COVID-19 without hospitalisation) 14 days or more after their first vaccine dose. These severe COVID-19 outcomes were associated with older age (≥80 years vs 18–64 years adjusted RR 4·75, 95% CI 3·85–5·87), comorbidities (five or more risk groups vs less than five risk groups 4·24, 3·34–5·39), hospitalisation in the previous 4 weeks (3·00, 2·47–3·65), high-risk occupations (ten or more previous COVID-19 tests vs less than ten previous COVID-19 tests 2·14, 1·62–2·81), care home residence (1·63, 1·32–2·02), socioeconomic deprivation (most deprived quintile vs least deprived quintile 1·57, 1·30–1·90), being male (1·27, 1·13–1·43), and being an ex-smoker (ex-smoker vs non-smoker 1·18, 1·01–1·38). A history of COVID-19 before vaccination was protective (0·40, 0·29–0·54).InterpretationCOVID-19 hospitalisations and deaths were uncommon 14 days or more after the first vaccine dose in this national analysis in the context of a high background incidence of SARS-CoV-2 infection and with extensive social distancing measures in place. Sociodemographic and clinical features known to increase the risk of severe disease in unvaccinated populations were also associated with severe outcomes in people receiving their first dose of vaccine and could help inform case management and future vaccine policy formulation.FundingUK Research and Innovation (Medical Research Council), Research and Innovation Industrial Strategy Challenge Fund, Scottish Government, and Health Data Research UK.

‘Thinking with Kaipara’: A decolonising methodological strategy to illuminate social heterogenous nature–culture relations in place

Decolonising methodologies continue to be critically developed to disrupt the marginalising approaches to knowledge production. By privileging Indigenous ways of knowing, being and doing, relations with nature are a more-than-human entanglement and a relational pursuit. Ecosystems such as estuaries and rivers are connected through kin-based relationships and treated as (or are) ancestors and family members. Such embodiment connects the body–mind–spirit to maintain relations with the mauri of ancestral beings and Deities. Within this ontology, nature is indistinguishable from culture. Our research responds to the call of how method might proceed to de-centre the human and make bodily and material encounters with the nonhuman matter. ‘Thinking with Kaipara’ is a methodological strategy that is a deliberate attempt to pursue embodied ways of producing knowledge. To work with situated knowledges, place and social difference to address the crisis of representation of such in ecosystem-based management, the problematising of ecosystem degradation and restoration practices. Research data produced is founded on human and nonhuman collaboration, an ethic of care, diverse epistemic nature–culture relations, social/nature/gender justice and equality, which makes for empirical evidence not enjoyed by scientific and technocratic methods utilised to inform and shape ecosystem-based management decisions and policy. Geo-creative practices are used by co-researchers/co-participants to recount their lived experiences and knowledges of ecosystem degradation and restoration. Storytelling, poetics, and painting, sculpting, whaikorero, waiata and writing were practices used. We argue that such geo-creative practices challenge the normative spaces and practices of disciplinary knowledge-making and enable the examination of social heterogeneous nature–culture relations in settler-colonial societies.

An integrated approach to monitoring and estimating COVID-19 risk exposure among leisure-time physical activity participants

BackgroundLeisure time physical activity (LTPA) provides both health benefits and risks, particularly during a pandemic. During the COVID-19 pandemic, significant increases in close-to-home LTPA raised concerns for public health and land managers alike. This project illustrates a novel, integrated monitoring approach to estimating COVID-19 risk exposure during trail-related LTPA, with implications for other public spaces. MethodsCOVID-19 risk exposure was conservatively calculated from the integration of in-person observations of LTPA trail groups and automated monitoring of trail traffic volumes in spring 2020. Trained observers tracked 1,477 groups. Traffic volume estimates and observed distance data were integrated, considering occlusion and total trail traffic volume. Results70% of groups had one or more encounters. Among individual users, 38.5% were 100% compliant across all events observed but 32.7% were not compliant. Considering trail traffic volumes and annual daily traffic volume, exposure to risk of COVID-19 was conservatively estimated at 61.5% among individual trail users. ConclusionsMonitoring opportunities and challenges of health risk exposure exist. Adjusted exposure measures based on volume counts can approximate numbers of unique individuals exposed, inform management actions, efficacy and policy decisions.

Prevalence and factors associated with alcohol consumption among persons with diabetes in Kampala, Uganda: a cross sectional study

BackgroundThe prevalence of diabetes has been rising increasing rapidly in middle- and low-income countries. In Africa, the World Health Organization projections anticipate diabetes mellitus to be the seventh leading cause of death in by 2030. Alcohol consumption influences diabetes evolution, in such a way that it can interfere with self-care behaviours which are important determinants of diabetes prognosis. In this study, we evaluated factors associated with alcohol consumption among persons with diabetes in Kampala to inform management policies and improve comprehensive diabetes care.MethodologyA cross-sectional study was conducted systematically among 290 adults with diabetes, attending diabetic clinics at Mulago National Referral Hospital and St Francis Hospital Nsambya. Data were entered and analysed in Epi-Info version 7 and STATA 13 software. Modified Poisson regression was used to identify factors associated with alcohol consumption among persons with diabetes. All tests were two-sided and the significance level for all analyses was set to p < 0.05.ResultsThe prevalence of alcohol consumption among persons with diabetes was 23.45% [95% CI: 18.9–28.7%]. Divorced, separated and widowed patients (Adj PR: 0.42, 95% CI: 0.21–0.83); and Protestant (Adj PR: 0.44, 95% CI: 0.24–0.82); Muslim (Adj PR: 0.30, 95% CI: 0.14–0.62); and Pentecostal (Adj PR: 0.32, 95% CI: 0.15–0.65) patients were less likely to consume alcohol. Diabetic patients who had a diabetes duration greater than 5 years were more likely to consume alcohol (Adj PR: 1.90, 95% CI: 1.25–2.88).ConclusionApproximately one-quarter of participants consumed alcohol. However being catholic, never being married and having diabetes for more than 5 years predisposed persons with diabetes to alcohol consumption. Sensitization messages regarding alcohol consumption among persons with diabetes should be target patients who have never been married and those who have spent more than 5 years with diabetes; religion should also be considered as an important venue for health education in the community.

Introduction and Development Direction of the National R&amp;D Data Management System – Focusing on the “Data Management Plan(DMP)” System –

Various research data generated in the process of conducting R&D projects has been used not only as a means of verifying the rationality, appropriateness, and ethics of research results for a long time, but also as an important research resource for advanced convergence research activities. A data management policy that efficiently produces and manages research data and allows relevant researchers to access and utilize it has emerged as an important issue. In particular, research data generated from various R&D projects supported by public funding such as national R&D is treated as a central object of public disclosure, access, sharing and utilization policies on research results, and related systems have been established and implemented at the national level. One of the important institutional means is the R&D Data Management Plan(DMP) for promoting public R&D projects. The R&D Data Management Plan refers to a comprehensive management plan for various research data collected, produced, managed, and utilized in various ways in relation to R&D tasks carried out by the researchers themselves. Data management plans are usually established and managed in relation to the implementation of public R&D projects conducted by the state, and are prepared and implemented according to certain legal grounds, and are promoted as part of R&D performance management or R&D information management policies. In this study, the institutional meaning and contents of the national R&D data management plan, which is regarded as the core institutional basis for the establishment of the national science and technology research data management and utilization system, is investigated, and the legal maintenance and operation status of major countries and Korean DMP systems. After examining the problems in legislative and legal interpretation of the current system, the improvement directions for the continuous operation and development of the national DMP system were reviewed.

Validation of PfSNP-LAMP-Lateral Flow Dipstick for Detection of Single Nucleotide Polymorphism Associated with Pyrimethamine Resistance in Plasmodium falciparum.

The loop-mediated isothermal amplification coupled with lateral flow dipstick (PfSNP-LAMP-LFD) was recently developed to detect single nucleotide polymorphism (AAT → ATT), corresponding to substitution of asparagine to isoleucine at amino acid position 51 in the P. falciparum dhfr-ts gene associated with antifolate resistance. In this present study, the PfSNP-LAMP-LFD was validated on 128 clinical malaria samples of broad ranged parasite densities (10 to 87,634 parasites per microliter of blood). The results showed 100% accuracy for the detection of single nucleotide polymorphism for N51I mutation. Indeed, the high prevalence of N51I in the Pfdhfr-ts gene detected in the clinical samples is in line with reports of widespread antifolate resistant P. falciparum in Thailand. The relationship between enzyme choice and reaction time was observed to have an effect on PfSNP-LAMP-LFD specificity; however, the method yielded consistent results once the conditions have been optimized. The results demonstrate that PfSNP-LAMP-LFD is a simple method with sufficient sensitivity and specificity to be deployed in routine surveillance of antifolate resistance molecular marker and inform antimalarial management policy.

데이터 경제와 정보보호 관리·감독제도의 개선에 대한 검토

데이터 경제와 정보보호 관리·감독제도의 개선에 대한 검토