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OALib Journal期刊

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Knowledge and Rates of Use of Preschool Consultation by the Mothers in the Area of Health Tshitenge/Democratic Republic of Congo  [PDF]
Jean Christophe Bukasa Tshilonda, Augustin Kadiata Bukasa, Zelda Nkongolo Kitenge, Isaac Kalenda Ilunga, Cedrick Ilunga Bimpa, Jean Pierre Kufua Katukumbanyi, Dominique Kapitena Mangola, Astrid Kabanga, Benedicte Bileo, Axel Ngoyi, Therese Kapenga Mitanta, Olivier Ejiba Nyongonyi, Paulin Kabamba Lupueka, Alain Ngoyi Kibambe, Jean Felix Kabangu, Geremie Kazadi, Alexis Ntambwe Mayombo, Andre Kazadi Mukendi
Open Access Library Journal (OALib Journal) , 2019, DOI: 10.4236/oalib.1105064
Abstract:
Introduction: The postponement of the preventive activities of the Provincial Division of Health of East Kasai 2016 revealed que le level of attendance of the preschool consultation is decreasing less and less in the Health Area Tshitenge. Thus, this study set the goal of determining the knowledge and use of maternal pre-school counseling in the Health Area Tshitenge. Methods: The survey method was used by means of a questionnary administered to mothers in this region, but more specifically, we collected data from 422 mothers responsible for randomly selected children aged 0 to 5 in the four health. Results: After analysis and analysis of the data with the computer tool, we obtained the following results: the rate of use of the preschool consultation service is 60.7%; the level of education, occupation and the number of children under 5 years of age have a strong influence on the use of preschool counseling; lack of knowledge about the most important activity of preschool counseling has a negative influence on its use. There is a link between the use of the preschool consultation and the most important activity of the preschool consultation for the respondent; there is also a link between this and an appointment on the map; and finally, the cost judgment of SPC strongly influences its use. Conclusion: In order to raise this activity, the revitalization of preschool consultation activities in the Tshitenge health area, the reinforcement of the parents’ awareness on the use of preschool counseling from 0 to 59 months, and the revival of visits to homes for children whose mothers drop out of preschool counseling sufficient are a basis.
Responsabilidad social de las empresas: Una solución para el desarrollo en América Latina?
Benedicte Bull
Revista Venezolana de Gerencia , 2004,
Abstract: La responsabilidad social de las empresas (RSE) se ha constituido en un tema de discusión y análisis para distintos actores vinculados a diferentes movimientos de activistas, así como por parte de la comunidad empresarial. En este artículo se reflexiona sobre las varias vertientes de estudio que están relacionadas con el auge que viene teniendo la RSE. Se argumenta que para adelantar un análisis de la RSE como una herramienta de desarrollo hay que incluir una tercera perspectiva: la de la economía política. La hipótesis de la cual se parte es que la conducta de la RSE depende de dos vertientes: a) La que está relacionada con el sector económico y rama de producción a la que pertenecen y b) La que proviene de las relaciones entre el Estado y las empresas. Se concluye que a pesar de las exageradas literaturas existentes sobre la RSE se debe estudiar más y analizar la relación Estado-empresa; aquí sólo se ha propuesto la inclusión de la economía política pero queda pendiente esclarecer analíticamente por qué algunas empresas toman mas responsabilidad social que otras
Massless N=1 Super Sinh-Gordon: Form Factors approach
Benedicte Ponsot
Physics , 2003, DOI: 10.1016/j.physletb.2003.09.042
Abstract: The N=1 Super Sinh-Gordon model with spontaneously broken supersymmetry is considered. Explicit expressions for form-factors of the trace of the stress energy tensor Theta, the energy operator epsilon, as well as the order and disorder operators sigma and mu are proposed.
Form factors in the SS model and its RSOS restrictions
Benedicte Ponsot
Physics , 2004,
Abstract: New integral representations for form factors in the two parametric SS model are proposed. Some form factors in the parafermionic sine-Gordon model and in an integrable perturbation of SU(2) coset conformal field theories are straightforwardly obtained by different quantum group restrictions. Numerical checks on the value of the central charge are performed.
Recent progress on Liouville Field Theory
Benedicte Ponsot
Physics , 2003,
Abstract: An explicit construction for the monodromy of the Liouville conformal blocks in terms of Racah-Wigner coefficients of the quantum group U_q(sl(2,R)) is proposed. As a consequence, crossing-symmetry for four point functions is analytically proven, and the expression for the correlator of three boundary operators is obtained.
Monodromy of solutions of the Knizhnik-Zamolodchikov equation: SL(2,C)/SU(2) WZNW model
Benedicte Ponsot
Physics , 2002, DOI: 10.1016/S0550-3213(02)00576-X
Abstract: Three explicit and equivalent representations for the monodromy of the conformal blocks in the SL(2,C)/SU(2) WZNW model are proposed in terms of the same quantity computed in Liouville field theory. We show that there are two possible fusion matrices in this model. This is due to the fact that the conformal blocks, being solutions to the Knizhnik-Zamolodchikov equation, have a singularity when the SL(2,C) isospin coordinate x equals the worldsheet variable z. We study the asymptotic behaviour of the conformal block when x goes to z. The obtained relation inserted into a four point correlation function in the SL(2,C)/SU(2) WZNW model gives some expression in terms of two correlation functions in Liouville field theory.
Equilibrium for fragmentation with immigration
Benedicte Haas
Mathematics , 2005, DOI: 10.1214/105051605000000340
Abstract: This paper introduces stochastic processes that describe the evolution of systems of particles in which particles immigrate according to a Poisson measure and split according to a self-similar fragmentation. Criteria for existence and absence of stationary distributions are established and uniqueness is proved. Also, convergence rates to the stationary distribution are given. Linear equations which are the deterministic counterparts of fragmentation with immigration processes are next considered. As in the stochastic case, existence and uniqueness of solutions, as well as existence and uniqueness of stationary solutions, are investigated.
Positive attitudes towards priority setting in clinical guidelines among Danish general practitioners: A web based survey  [PDF]
Ann Nielsen, Benedicte Carlsen, Pia K. Kjellberg
Health (Health) , 2013, DOI: 10.4236/health.2013.52026
Abstract:

Aims: Increasing focus on improvement and optimisation of the treatment in primary care and reduction of healthcare costs emphasize the need to understand which factors determines adherence and non-adherence to clinical guidelines. In the present study, we examined attitudes towards clinical guidelines in Danish general practitioners (GPs). Methods: We conducted a survey among Danish GPs from all five regions of Denmark. In total, 443 GPs answered the web-based questionnaire that contained questions about attitudes and barriers to clinical guidelines. Results: More than 90% of the GPs reported that they have good knowledge of the guidelines and in general follows the guidelines. A majority of the GPs (81%) found it acceptable that economic considerations are part of the guidelines. The most important factors for non- adherence to guidelines were “need of adjustment to clinical practice” and “lack of confidence in guidelines”. The attitudes to clinical guidelines were not significantly associated with practice characteristics such as gender, years of experience, practice organisation and localisation. Conclusions: Our findings show that clinical guidelines are an integrated or internalised part of everyday practice among GPs in Denmark. Furthermore, the findings indicate that Danish GPs are positive towards applying priority setting in their practice. This is decisive in the light of rising healthcare costs due to development of new expensive technologies and ageing populations that puts pressure on the healthcare system in general and primary healthcare in particular.

"Saying no is no easy matter" A qualitative study of competing concerns in rationing decisions in general practice
Benedicte Carlsen, Ole Norheim
BMC Health Services Research , 2005, DOI: 10.1186/1472-6963-5-70
Abstract: Through focus group interviews with Norwegian general practitioners, we explore physicians' attitudes toward factors of influence on medical decision making and how rationing dilemmas are experienced in everyday practice.Four major concerns appeared in the group discussions: The obligation to ration health care, professional autonomy, patient autonomy, and competition. A central finding was that the physicians find rationing difficult because saying no in face to face relations often is felt uncomfortable and in conflict with other important objectives for the general practitioner.It is important to understand the association between using economic incentives in the management of health care, increasing patient autonomy, and the willingness among physicians to contribute to efficient, fair and legitimate resource allocation.The demand for health care services is rising in all Western countries and governments are concerned with controlling costs and ensuring a fair allocation of resources [1,2]. The general practitioner (GP) is increasingly regarded as holding a key role in securing equity and effectiveness [3]. In the wake of government concern, a number of studies of rationing and the role of gatekeepers in health care have appeared [4-6].Rationing can be defined as the allocation of scarce resources between patients with competing needs [7]; it implies the withholding of potentially beneficial health care through deliberate choice or through financial or organisational features of the healthcare system in question [8]. Related to studies of rationing is the concept of opportunity cost, which can be defined as the value of the best alternative which is forgone in order to get or produce more of the commodity under consideration [9]. In health care decision making this signifies that any use of health care resources should be viewed as denying the opportunity for some other patient to use the money for potentially greater benefit [10].The view of physicians as rati
What about N? A methodological study of sample-size reporting in focus group studies
Benedicte Carlsen, Claire Glenton
BMC Medical Research Methodology , 2011, DOI: 10.1186/1471-2288-11-26
Abstract: We searched PubMed for studies that had used focus groups and that had been published in open access journals during 2008, and extracted data on the number of focus groups and on any explanation authors gave for this number. We also did a qualitative assessment of the papers with regard to how number of groups was explained and discussed.We identified 220 papers published in 117 journals. In these papers insufficient reporting of sample sizes was common. The number of focus groups conducted varied greatly (mean 8.4, median 5, range 1 to 96). Thirty seven (17%) studies attempted to explain the number of groups. Six studies referred to rules of thumb in the literature, three stated that they were unable to organize more groups for practical reasons, while 28 studies stated that they had reached a point of saturation. Among those stating that they had reached a point of saturation, several appeared not to have followed principles from grounded theory where data collection and analysis is an iterative process until saturation is reached. Studies with high numbers of focus groups did not offer explanations for number of groups. Too much data as a study weakness was not an issue discussed in any of the reviewed papers.Based on these findings we suggest that journals adopt more stringent requirements for focus group method reporting. The often poor and inconsistent reporting seen in these studies may also reflect the lack of clear, evidence-based guidance about deciding on sample size. More empirical research is needed to develop focus group methodology.Transparency and accountability are key elements in any research report, not least in qualitative studies. Thorough reporting of methods allows readers to assess the quality and relevance of research findings. In addition, for qualitative research methodology to advance, information about how these methods are used and how they work best is needed.A focus group or focus interview is commonly defined as a method of collectin
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