Case Study Of Utilization Research Articles

Nursing Interventions in Promoting Self-Management of Cancer Pain in Tenwek Hospital, Bomet County, Kenya

Approximately 60% of cancer patients attending outpatients’ clinics experience severe unremitting pain hence self-management of cancer pain is critical. Nurses play an important role in treatment, pain management, and promotion of self-care of patients of cancer patients. The aim of the study was to evaluate nursing interventions in promoting self-management of cancer pain at Tenwek Hospital, Bomet County, Kenya. This was a qualitative study that utilized case study approach. Data was collected in a period of six months whereby interviewer administered semi-structured interview guide with predetermined themes. On the assistance offered by the nurses in self-management of pain, each participant reported to assist their patients differently. The main intervention nurses used in supporting cancer patients in self-management of cancer pain were a multidisciplinary approach involving all the health care providers, pharmacological counselling and patient education. The study also concludes that nurses’ interventions in self-management of cancer can help improve patient outcomes and their quality of life. The study recommends that nurses should incorporate support for self-management of cancer pain in their daily practice with cancer patients. The concept of self-management should be promulgated in such a way that it entails a holistic management of symptoms. Healthcare personnel should initiate self-management of cancer pain at the early trajectory of the disease, at the first contact with the patients. Keywords: Nursing interventions, self-management of cancer pain, Bomet County

COVID-19 Crisis Management Left Tacit Knowledge Behind

As the COVID-19 pandemic raged throughout New York City and its surrounding suburbs, more than 500,000 positive cases and 30,000 deaths were recorded between early March and early May 2020. In response, built environment firms were forced to confront uncertainty, shift mindsets, and embrace new workflows to remain viable in the face of city and state mandatory stay-at-home orders and curfews. This required the creation of new internal processes for document dissemination. Firms focused on alleviating clients’ concerns and boosting productivity by providing information, a hierarchy of business processes, and new codes of conduct. Utilizing case study methodology, this evolution at one architecture firm was tracked. Semi-structured interviews before and after the early wave of the pandemic clarified and verified findings. Participants were asked probing follow-up questions to better understand the impacts, especially regarding tacit knowledge. The firm’s efforts were optimized, but tacit knowledge sharing disappeared. Once this form of knowledge sharing was highlighted, participants acknowledged the loss and speculated about how to address this critical activity moving forward.

Meeting Human and Biodiversity Needs for 30 × 30 and beyond with an Iterative Land Allocation Framework and Tool

Spatial conservation prioritization does not necessarily lead to effective conservation plans, and good plans do not necessarily lead to action. These “science-action” gaps are pernicious and need to be narrowed, especially if the international goal of conserving 30% of the planet by 2030 is to be realized. We present the Earthwise Framework, a flexible and customizable spatial decision support system (SDSS) architecture and social process to address the challenges of these science-action gaps. Utilizing case study experience from regions within California, South Africa, and British Columbia, we outline the framework and provide the Little Karoo, South Africa SDSS data, code and results to illustrate five design strategies of the framework. The first is to employ an “open science” strategy for collaborative conservation planning and action. Another is that marginal value functions allow for the continuous accounting of element (e.g., habitat) representation in prioritization algorithms, allowing for an SDSS that is more automated and saves valuable time for stakeholders and scientists. Thirdly, we program connectivity modeling integrated within the SDSS, with an algorithm that not only automatically calculates all the least cost corridors of a region, but prioritizes among them and removes the ones that do not make ecological sense. Fourth, we highlight innovations in multi-criteria decision analysis that allow for both cost-efficient plan development, like representative solution sets, but also land-use planning requirements, like site specific valuation, in what appears to be a more transparent, understandable, and usable manner than traditional approaches. Finally, strategic attention to communicating uncertainty is also advocated. The Earthwise Framework is an open science endeavor that can be implemented via a variety of software tools and languages, has several frontiers for further research and development, and shows promise in finding a better way to meet the needs of both humans and biodiversity.

Resisting Ableism in School-Based Speech-Language Therapy: An Invitation to Change.

Resisting Ableism in School-Based Speech-Language Therapy: An Invitation to Change.

Illuminating a methodological pathway for doctor of business administration researchers: Utilizing case studies and mixed methods for applied research

There has been a significant growth in Doctor of Business Administration (DBA) programs and applied business research in recent times. Whilst a range of approaches and methods can be used in DBA and applied business research, this paper seeks to add depth of understanding to the use of the mixed methods approach within case study research designs. These can be used in a complementary fashion with a mixed methods approach being used to collect data within a case study design. However, the adoption of a mixed method case study research design has failed to keep pace with the growth of DBA research in the UK and commentary as to the value, application, and implications of adopting a case study research design and mixed methods is currently lacking. Therefore, building and presenting a robust justification and rationale as to their adoption in applied business research has been cited as a major challenge for DBA and novice researchers. This paper addresses this lacuna by providing commentary as to the value, key decisions, and implications of adopting a case study research design and mixed methods to conduct applied business research and reviews current application in practice, to support DBA candidates and novice researchers to make informed research decisions.

Motivation in English Language Learning: Case Studies Students of English Depatment of Sisingamangaraja XII Tapanuli University

This research investigates the motivation of students studying English at the Department of English, Sisingamangaraja XII Tapanuli University. Motivation plays a crucial role in language learning, influencing learners' engagement, persistence, and overall success in acquiring a second language. The study employs a qualitative approach, utilizing case studies to delve into the unique experiences and perspectives of individual students. The research employs qualitative research methods, including interviews, observations, and document analysis, to gather rich and in-depth data from a selected group of students. Findings from the case studies of knowledge on language learning motivation and provide practical implications for educators, curriculum developers, and policymakers aiming to enhance the English language learning experience for students in similar contexts. Understanding the intricate dynamics of motivation is essential for fostering a positive and conducive learning environment that promotes language proficiency and academic success.

Case Study of Successful Utilization of Digital Technology Innovations Determinants of Cooperative Institutions in Bali: The Impact of the Covid-19 Pandemic

The Covid-19 pandemic has caused serious problems for all sectors and financial institutions, including cooperatives. One solution for cooperative institutions is to innovate digital technology to overcome social distancing. Cooperatives that can maintain their performance during the Covid-19 pandemic are those that can innovate technology. In this study, a qualitative descriptive method was used to determine the factors that influence the successful use of digital technology innovations by cooperatives in Bali due to the Covid-19 pandemic. The key informants in this study were the chairman of the board and cooperative management who applied digital technology innovation during the Covid-19 pandemic and triangulation was used for data analysis purposes. We found that top management commitment and support, perceived costs, security concerns, compatible technology facilities, perceived benefits, performance expectations and business prospects were critical to the successful use of digital technology innovations by cooperatives in Bali during the Covid-19 pandemic.

The trauma of premature birth for mothers with infants in neonatal high care: The role of dissociation due to traumatic childhood experience

AbstractRecent studies have identified a history of anxiety as playing a crucial role in the development of trauma responses in mothers of premature neonates. This paper explores this link in more depth, examining how previous relational experience appears to influence mothers' experiences of premature birth and their infants in the context of a neonatal high care ward. Utilizing case study methodology, the narratives of three mothers are analyzed in order to better understand their experiences and their mental states. The trauma of engaging with a premature infant appears to reactivate dissociated self‐states associated with childhood experiences of loss and absence for mothers, manifesting in fragmented narratives of their own and their infant's experience.

Breaking the ice: Creating and maintaining an affirming practice setting for LGBTQIA+ pharmacy trainees

AbstractLearners who identify as a sexual or gender minority (SGM) may experience anxiety and fear when entering new learning environments, hindering their ability to develop their professional identity. This may be attributed to uncertainty regarding whether the preceptors and practice site will be affirming of their gender identity and/or sexual orientation. Historically, SGM learners may have experienced these stress processes, leading to an unnecessarily poor learning experience. Postgraduate trainees' experiences have an increased and sustained negative impact when training in an “unfriendly” environment, as previous negative encounters have already challenged their professional identity. Preceptors serve as the first step in creating a welcoming and affirming practice site and are instrumental in mitigating stigmatizing encounters. By focusing on effective first impressions and non‐assumptive dialogue, a preceptor can help elevate themselves as a trusted individual in that learner's life. This article aims to discuss stigma and discrimination's effects on postgraduate and early‐career SGMs and provide a “how‐to” guide to mitigate negative experiences for pharmacy learners. Additionally, this guide will utilize case studies to better illustrate stigmatizing encounters in the trainee setting and provide considerations for equitable and affirming learning environments.

Key Interpretation Challenges for Wastewater-Based Epidemiology of Illicit Drugs: A Norwegian Three-City Case Study

Introduction: Wastewater-based epidemiology (WBE) has emerged as a timely, non-invasive, and cost-effective indicator of illicit drug consumption. It is increasingly used by international organizations as a proxy measure for estimates of drug prevalence and related trends. Nevertheless, the literature exploring the limitations of WBE remains limited. This paper aims to shed further light on important shortcomings of WBE with recommendations on moving forward. Method: Utilizing case study and statistical analysis, the paper critically reviews methodological challenges associated with WBE results related to (i) levels, (ii) trends, and (iii) between-city comparisons of drug use. Data from raw influent wastewater samples from wastewater plants in the cities of Oslo, Bergen and Stavanger/Sandnes were analysed for amphetamine, methamphetamine, MDMA, and cocaine (benzoylecgonine) over a 3-year period. Normalized population loads were calculated and variation in daily loads analysed with plots and estimation of means, confidence intervals, and coefficient of variation. Linear regression models examined trends and between-city differences. Results: Plots and statistical analyses revealed extensive variation in daily loads, with min/max values of 6.1/453.9 mg/day per 1,000 inhabitants 15–64 years for amphetamine and correspondingly 9.4/675.9 mg for methamphetamine. Substantial differences in load levels and patterns across time and plants were also observed. A carefully designed sampling procedure and a relatively large number of daily samples are required to obtain estimates of sufficient precision for determining trends in space or time. Cross-referencing with alternative trend variables can improve the interpretation of WBE trend indicators. Finally, when using mean load levels for different wastewater-treatment plants to assess spatial variation in drug use, the representativeness of the catchment area should be evaluated before interpreting observed changes as city differences. Conclusion: Although WBE is a useful supplementary indicator of illicit drug consumption, important methodological issues and potential shortcomings should be taken into account when designing sampling procedures and interpreting the analytical results.

The relationship between chinese characters and artefacts: A semantics mapping analysis

Considering the material culture in China, cultural beliefs play a vital role in explaining artefacts, and different values can be revealed by linking Chinese characters and artefacts. Using morphemic analysis, we propose a method for deriving a comprehensive understanding of the hidden interconnections between Chinese characters and artefacts. With the help of blending theory, a cognitive semantic model is proposed. Further, a mapping process is conducted in three phases: sensorial composition between the corporeal layer and the ‘visceral level’, behavioural completion between the behaviour layer and the ‘behavioural level’, and intellectual elaboration between the conceptual layer and the ‘reflective level’. Utilising case studies from traditional and modern times, two types of relationships between Chinese ideographs and artefacts are suggested: denotative and connotative. These relations and the ‘cooperative effect’ show the mutual connections between different forms of material culture in China and demonstrate the cultural beliefs embedded in artefacts.

The Body, the Mind, and the Spirit: Including the Spiritual Domain in Mental Health Care.

This article supports the expansion of Engel’s (Science (AAAS) 196(4286):129–136, 1977) biopsychosocial model into a biopsychosocial-spiritual model, as Sulmasy (The Gerontologist 42(5):24–33, 2002) and others have suggested. It utilizes case studies to describe five areas of clinical work within mental health (religious grandiosity, depression and grief, demoralization and suicidality, moral injury, and opioid use disorder) with emerging evidence for the inclusion of the spiritual domain in addition to the biological, psychological, and social. For each clinical area, an underutilization of the spiritual domain is compared with a more developed and integrated use. An argument is made for continuing to develop, understand, and utilize a biopsychosocial-spiritual model in mental health.

Preservice teachers’ struggles in finding culturally sustaining spaces in standardized teaching contexts

ABSTRACT Policymakers’ neoliberal reforms have negatively altered early childhood teaching and teacher education. In doing so, these policies make it difficult for preservice teachers to learn how to engage in pedagogical practices that sustain their students’ sociocultural worlds. To address this issue, we utilized case study methodology to examine how a sample of preservice teachers (n = 5) struggled with making sense of how to engage in culturally sustaining practices across their professional training program. Findings from our investigation demonstrate how these preservice teachers appeared to possess both a conceptual and pedagogical understanding of culturally sustaining practices. Yet, they stated that they struggled to find the space required to implement such practices in their field placements, which made them question the landscape of public education while seeking out spaces that might allow them to engage in such practices as classroom teachers. Analyzing these findings illuminate at least three opportunities for teacher educators to support preservice teachers in identifying spaces within their teaching for engaging in culturally sustaining practices in their field placements and future classrooms.

Evaluation of Shariah Based Financing Instruments for Infrastructure Growth in Bangladesh

This paper is intended to review and discuss the evolution of financing instruments which are implemented on the infrastructure development projects in Bangladesh. To describe the available financing tools for infrastructure development in Bangladesh. All the instruments have divided into three sections, such as; Foreign Direct Investment (FDI), Public Private Partnership (PPP) and Islamic Finance (IF). We also discuss the acts and legislation activities related to the infrastructure as well as these three modes of financing to find out the factors needed to be assessed for suggesting the government of Bangladesh. This is qualitative research utilizing case study. The outcome of this study reveals why Shariah based financing is in fact the best and most suited way of financing the development of infrastructure in Bangladesh. Due to the regulatory constraints, many Islamic financial institutions are unable to invest their funds on infrastructure projects in Bangladesh. It is anticipated that through the outcome of this research, Shariah based financing instrument can be enhanced the infrastructure growth in Bangladesh and it will provide guidance to the potential Islamic financial institutions to contribute the funds required to develop a specific infrastructural project in Bangladesh.

Mediterranean Captivity through Arab Eyes, 1517–1798

Mediterranean Captivity through Arab Eyes, 1517–1798

Structuring Public–Private Partnerships for Public Value: Analysis of Two Transportation Infrastructure Case Studies

This study examines public–private partnerships (PPPs) in terms of providing public value and analyzes the structuring of PPP contractual agreements to achieve public values of accountability, transparency, responsibility, responsiveness, and quality. We focus on transportation PPP projects utilizing case studies of the I-495 and I-95 PPP projects in northern Virginia. Review of contractual documents governing the PPPs and analysis of supplemental data related to PPP outcomes is conducted. We examine the creation and maintenance of public value through the process and performance elements of the contractual agreement. Study findings provide insight into how the roles, relationships, and interactions of the public and private partners, reflected in process and performance elements, are incorporated into agreements to ensure public value.

ARE FAMILY MEDICINE RESIDENTS USING JOURNALS PERTINENT TO THEIR DISCIPLINE IN RIYADH, SAUDI ARABIA?

Background: Today's clinicians have to adapt to rapidly changing medical environment and information overload. It has also been observed that family medicine residents study articles from journals of other specialties for updating their clinical knowledge base. The objective of this study was to determine the family medicine resident’s journal selection preferences in Riyadh, Saudi Arabia. Materials & Methods: This descriptive study was conducted from Dec 2018-May 2019 at Department of Family & Community Medicine, King Saud University, Riyadh, Saudi Arabia. Our population included 265 family medicine residents, taken as sample. After pilot testing, a confidential but anonymous questionnaire was mailed to 265 residents. Sex, age groups, training site were demographic, while choice of family medicine journals, selection of articles, patterns of educational activities and reasons for choosing specific journal were research variables. All data was categorical and was described as count and percentage with 95%CI. Results: The questionnaire response rate was 45.28% (120/265). Out of 120, 51 (42.5%) were men and 69 (57.5%) women. 84% belonged to age group 25-30 years. Most residents 55 (46.2%) were from Ministry of Health Centers. American Family Physician journal was most frequently accessed (94.16%), whereas Annals of Family Medicine was least accessed (15.83%). Journals selection criteria were based on EBM (45.43%) in most cases, while it was based on Institute for Scientific Information in 0.83% cases. Most (76.66%) residents were utilizing case study, while minimum (18.33%) residents were using journal club as learning tool. Majority of residents were choosing journals based on suggestions by colleagues (54.16%), while minimum by medical representatives (22.50%). Conclusion: The awareness of family practice journals that can make a family medicine resident think as a family physician was very low. By reading the high-quality family medicine journals they can learn to develop a family physicians’ approach which they can apply to the person rather than the disease alone. Supportive mentorship and guidance from a devoted faculty mentors should ensure the maintenance of this approach and should be maintained throughout the residency years.

Humanistic Buddhism and Asian Entrepreneurship

This study proposes Buddhism researcher may apply case study method in combing business management and fundamental Buddhist concepts, such as: five precepts and ten virtues, three good four giving, dependent origin, middle way, twelve karma, three seals, four noble truths, six degrees Four photographs, to enlarge the scope of Buddhism research. It is our aspiration to utilize case studies and literature research to establish the "Manual for Entrepreneurs of Human Buddhism" in order to give entrepreneurs Dharma guidance. We also propose a fourth type entrepreneur in the future: Entrepreneurs of Humanistic Buddhism. Their core value is social responsibility and The Three Good: (1) doing good deeds in the body, (2) speaking good words, and (3) having good thoughts in the heart.

Regulated Utility Negotiated Agreements: A Utah Case Study

Previous scholars have noted the increase in negotiated agreements as a means of resolving utility regulatory disputes in the United States. These agreements allow policy actors to make their own decisions instead of receiving orders from a regulatory agency. Through a natural gas utility case study in the state of Utah, this paper examines the Advocacy Coalition Framework’s (ACF) novel explanation of the conditions contributing to a negotiated agreement with the emergence of new energy efficiency programs. Using the ACF, coalition groupings are divided out as either those in favor of energy efficiency programs or those against that change. A content analysis explores the presence of the conditions leading to a negotiated agreement. This article finds that the ACF model provides a theoretical lens to understand negotiated agreements in utility regulation. While utility agreements resolving regulatory proceedings seem to only grow, more research opportunities exist for further study on the ACF and these outcomes in utility regulation.

Feasibility of Solar Grid-Based Industrial Virtual Power Plant for Optimal Energy Scheduling: A Case of Indian Power Sector

The increased popularity of small-scale DER has replaced the well-established concept of conventional generating plants around the world. In the present energy scenario, a significant share of energy production now comes from the grid integrated DERs installed at various consumer premises. These DERs are being renewable-based generates only intermittent power, which in turn makes the scheduling of electrical dispatch a tough task. The Virtual Power Plant (VPP) is a potential solution to this challenge, which coordinates and aggregates the DERs generation into a single controllable profile. In this paper, a modified PSO-based multi-objective optimization is proposed for the VPP scheduling in distribution network applications such as energy cost minimization, peak shaving, and reliability improvement. For feasibility analysis of the VPP, a case study of state power utility is taken, which includes a 90 bus industrial feeder with grid integrated PVs as DER. The optimized results are computed in both grid-connected and autonomous mode reveal that the operating cost, peak demand, and EENS are declined by 31.70%, 23.59%, and 62.30% respectively. The overall results obtained are compared by the results obtained from other well-established optimization techniques and it is found that the proposed technique is comparatively more cost-effective than others.