ABSTRACT
The United States Supreme Court has struck down rules of the Occupational Safety and Health Administration (OSHA) in a universally mocked decision, National Federation of Independent Business v Department of Labor, Occupational Safety and Health Administration (NFIB), that suggests that future regulation of health, safety, and the environment will face similar difficulties before a Supreme Court unwilling to grant any deference to regulatory expertise. © 2022 Edizioni Scientifiche Italiane SpA. All rights reserved.
ABSTRACT
Background: Cirrhosis is the leading cause of mortality and morbidity in individuals with gastrointestinal disease. Multiple care gaps exist for hospitalized patients with cirrhosis, resulting in high rates of re-hospitalization (e.g. 44% at 90 days in Alberta). The Cirrhosis Care Alberta (CCAB) is a 4-year multi-component pragmatic trial with an aim to reduce acute-care utilization by implementing an electronic order set and supporting education across eight hospital sites in Alberta. Aims: As part of the pre-implementation evaluation, this qualitative study analyzed data from provider focus groups to identify barriers and facilitators to implementation. Methods: We conducted focus groups at eight hospital sites with a total of 54 healthcare providers (3-12 per site). A semi-structured interview guide based upon constructs of the Consolidated Framework for Implementation Research (CFIR) and Normalization Process Theory (NPT) frameworks was used to guide the focus groups. Focus groups were recorded and transcribed verbatim. Data was analyzed thematically and inductively. Results: Five major themes emerged across all eight sites: (i) understanding past implementation experiences, (ii) resource challenges, (iii) competing priorities among healthcare providers, (iv) system challenges, and (v) urban versus rural differences. Site-specific barriers included perceived lack of patient flow, time restraints, and concerns about the quality and quantity of past implementation interventions. Facilitators included passionate project champions, and an ample feedback process. Conclusions: Focus groups were useful for identifying pre-implementation barriers and facilitators of an electronic orders set. Findings from this study are being refined to address the influence of COVID-19, and the data will be used to inform the intervention roll-out at each of the sites.
ABSTRACT
Pandemic covid 19 has created problem for the whole world in many folds. People have lost their lives and there has been an economic crisis in the families and in all sectors. This pandemic has not only affected livelihood, but students have been affected badly. Especially school children have not experienced their study in a proper way during pandemic because they could not meet their classmates and there has been no interaction with teacher. In a similar way, college students have not felt that good as they could not go to college for studies, and they had no face to face interaction with faculty. College teachers were missing their students as education was through online only during pandemic. Since teaching had to continue in this time therefore government has taken a good initiative that online teaching is a boom at this point of time for uninterrupted teaching. Despite of few cons of online education, this online education has made many teachers tech savvy and increased market value of teachers and their confidence got boosted. Still online education is playing a very important role in current education. This paper is an attempt to see students' perception towards online education in Madhya Pradesh State. 114 completely filled responses were received and Reliability analysis, t test, Anova were applied to test the hypotheses. © The Electrochemical Society
ABSTRACT
COVID 19 pandemic led down more than 213 countries across globe. People faced terrific changes in their lifestyle during Lockdown, thereby affecting their behavior towards objects, living being and organizations positively as well as negatively. COVID 19 crises offered an opportunity to explore human behaviour and analyze the factors affecting thy behaviour and lifestyle during pandemic and lockdown. The study is conducted in Madhya Pradesh (one of the 11 states in India that witnessed Lockdown 5.0). Data is collected from 313 respondents including students, business owners, service class employees and other professionals. The prime step to analyze variance and thereby group similar statements into factor is done by Principal Component Analysis followed by Varimax rotation. The KMO Value of 0.862 indicates the sampling is adequate and data is appropriate for Factor Analysis. Eight factors are identified namely: self introspection, care ethics, quality time, Stress during Lockdown, organisational citizenship behaviour, essence of tech support, career advancement, work life balance. Factors identified prove that the pandemic led people to know thyself, respect individual's emotion, learn to survive in scarce resources and improve work life balance along with being more tech savvy and multi-tasking resulting in adapting to new learning's and restructuring easily. © 2021 Ecological Society of India. All rights reserved.