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Search Results: 1 - 10 of 420 matches for " Rod Sheaff "
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Can learning organizations survive in the newer NHS?
Rod Sheaff, David Pilgrim
Implementation Science , 2006, DOI: 10.1186/1748-5908-1-27
Abstract: Texts that define and debate the characteristics of a learning organisation were found by snowballing references from the founding learning organisation books and published papers, and then by searching a database specifically devised for a literature review on organisational structures and processes in health care. COPAC and ABI-Info databases for subsequent peer-reviewed publications that also appeared relevant to the present study were searched.The outcomes of the above search are summarised and mapped onto the current constituent organisations of the NHS to identify the extent to which they achieve or approximate to a learning organisation status.Because of the complexity of the NHS and the contradictory processes of marketisation and bureaucratisation characterising it, it cannot, as a whole system, become a learning organisation. However, it is possible that its constituent organisations may achieve this status to varying degrees. Constraints upon NHS managers to speak their minds freely place an ultimate limit on learning organisation development. This limitation suggests that current British health service policy encourages organisational learning-but not too openly and not too much.In 1998 the British Secretary of State for Health announced that a central aim of the incoming Labour government was to 'modernise' the NHS. According to the Secretary of State for Health, this modernisation included the need to:'...create a culture in the NHS which celebrates and encourages success and innovation...a culture which recognises...scope for acknowledging and learning from past mistakes' [1]A key plank of this emphasis on learning and innovation was the introduction of a policy of clinical governance [2,3]. The policy emphasised the multi-disciplinary responsibility of colleagues working together in a clinical area to manage risk, implement evidence-based practice, and learn from errors. This quality assurance ethos, in which all staff were encouraged to participate,
Beyond the limits of clinical governance? The case of mental health in English primary care
Linda Gask, Anne Rogers, Stephen Campbell, Rod Sheaff
BMC Health Services Research , 2008, DOI: 10.1186/1472-6963-8-63
Abstract: Framework analysis, based on the Normalisation Process Model (NPM), of attempts over a five year period to develop clinical governance for primary mental health services in Primary Care Trusts (PCTs). The data come from a longitudinal qualitative multiple case-study approach in a purposive sample of 12 PCTs, chosen to reflect a maximum variety of organisational contexts for mental health care provision.The constant change within the English NHS provided a difficult context in which to attempt to implement 'clinical governance' or, indeed, to reconstruct primary mental health care. In the absence of clear evidence or direct guidance about what 'primary mental health care' should be, and a lack of actors with the power or skills to set about realising it, the actors in 'clinical governance' had little shared knowledge or understanding of their role in improving the quality of mental health care. There was a lack of ownership of 'mental health' as an integral, normalised part of primary care.Despite some achievements in regard to monitoring and standardisation of prescribing practice, mental health care in primary care seems to have so far largely eluded the gaze of 'clinical governance'. Clinical governance in English primary mental health care has not yet become normalised. We make some policy recommendations which we consider would assist in the process normalisation and suggest other contexts to which our findings might apply.One specific approach in the international 'quest for quality' in health care has been a standardization of practices in medicine. It began early in the twentieth century, but gathered speed with the emerging discourse of 'Evidence-Based Medicine' in the 1990's [1]. Most attention has been given to the development and operationalisation of practice and clinical guidelines, which assemble evidence from scientific research into particular recommendations for health practitioners [2]. Less attention has been given to the organisational as opposed
Positive Psychology in the Elementary Classroom: The Influence of Strengths-Based Approaches on Children’s Self-Efficacy  [PDF]
Rod Galloway, Bronwyn Reynolds
Open Journal of Social Sciences (JSS) , 2015, DOI: 10.4236/jss.2015.39003
Abstract:

Despite the positive psychology movement being relatively young and academic research is still building in this area, there is growing confidence that identifying and developing children’s strengths could have profound long-term learning benefits. The intended outcome of this investigation is to contribute to the knowledge base about learning success when children’s emerging preferences, passions and abilities are recognized and developed. This paper explores the foundations of strengths-based approaches for education and presents the findings of a case study that suggests strengths-based approaches have a positive effect on student self-efficacy.

Dental Anxiety among Danish Adults—Comparison of Recent Website Data and Older Telephone Data with Government Demographic Statistics  [PDF]
Rod Moore, Peter Bering
Open Journal of Stomatology (OJST) , 2017, DOI: 10.4236/ojst.2017.712050
Abstract: Background: Survey quality, in particular sampling, coverage, and issues of representativity, are important for valid and reliable conclusions from epidemiological data. Dental anxiety (DA) still challenges dental clinicians since it is synonymous with care avoidance. Accurate estimates of DA are important for public health. Aims were to 1) assess demographic representativity (age/ gender) of a 2013-14 web survey and a 1992-93 telephone survey about DA in Danish adults aged 16 - 80 yr using government statistics; 2) assess DA frequency and characteristics from web survey data (N = 701); and 3) compare web results with 1993 results. Method: Dental Anxiety Scale (DAS) measured DA, while other items revealed gender, age, education, dentist avoidance, and three types of negative dentist behaviors. Analyses used frequencies, Chi- square, odds ratios (OR) and ANOVAs. Results: Samples from 1992-3 and 2013-14 were not significantly different by demographics or government statistics, with the exception of low numbers in ages 16 - 19 yr for both surveys. Ages 20 - 29 yr and 30 - 39 yr were slightly overrepresented in telephone data, while ages 50 - 59 yo were in web data. Mean DAS scores were 7.5 for both 1992-3 and 2013-14. Extreme DA (DAS 20-15) increased from 4.2% to 5.3%, while high DA (DAS ≥ 13) increased from 6% to 9.5%. Main 2013-14 associations with DAS ≥ 15 were women (OR = 4.7), avoiding dentists (OR = 11.4) and negative dentist behaviors (OR = 4.2 - 6.7) similar to 1992-3 data. Conclusion: Web survey results from this convenience sample were demographically representative for adults 20 - 80 yo and showed small changes in DA after 20 years. Future strategies regarding survey of teenagers require special attention.
Akt1 sequentially phosphorylates p27kip1 within a conserved but non-canonical region
Lucas P Nacusi, Robert J Sheaff
Cell Division , 2006, DOI: 10.1186/1747-1028-1-11
Abstract: Here we show purified Akt1 phosphorylates human and mouse p27 equally well. Phospho-peptide mapping indicates Akt1 targets multiple sites conserved in both species, while phospho-amino acid analysis identifies the targeted residues as serine rather than threonine. P27 deletion mutants localized these sites to the N-terminus, which contains the major p27 phosphorylation site in cells (serine 10). P27 phosphorylated by Akt1 was detected by a phospho-S10 specific antibody, confirming this serine was targeted. Akt1 failed to phosphorylate p27S10A despite evidence of a second site from mapping experiments. This surprising result suggested S10 phosphorylation might be required for targeting the second site. We tested this idea by replacing S10 with threonine, which as expected led to the appearance of phospho-threonine. Phospho-serine was still present, however, confirming Akt1 sequentially targets multiple serines in this region. We took two approaches in an attempt to explain why different residues were previously implicated. A kinetic analysis revealed a putative Akt1 binding site in the C-terminus, which may explain why mutations in this region affect p27 phosphorylation. Furthermore, commercially available recombinant Akt1 preparations exhibit striking differences in substrate specificity and site selectivity. To confirm S10 is a relevant site, we first showed that full-length wild type Akt1 purified from mammalian cells phosphorylates both human and mouse p27 on S10. Finally, we found that in cultured cells under physiologically relevant conditions such as oxidative stress or growth factor deprivation, endogenous Akt1 causes p27 accumulation by phosphorylating S10.Identifying where Akt1 phosphorylates p27 is essential for understanding its functional implications. We found that full-length wild type Akt1 – whether purified, transiently overexpressed in cells, or activated in response to cellular stress – phosphorylates p27 at S10, a noncanonical but evolutionarily c
An Inclusive Re-Engagement with our Nonhuman Animal Kin: Considering Human Interrelationships with Nonhuman Animals
Rod Bennison
Animals , 2011, DOI: 10.3390/ani1010040
Abstract: As humans increasingly acknowledge the effects that they are having on the planet, there is a realisation implicit in these effects that human interrelationships with nature are actually arbitrated and expedited exploitatively. Understanding how the different discourses and histories through which the interrelationships with nature are mediated and actually told and then retold is fundamental to appreciating how humans may relate with nature less exploitatively and in ways that are more inclusionary, particularly with nonhuman animals. Humans perceive nature and individual nonhuman animals in various ways. This paper provides an investigation of how humans have socially constructed nature and their place as either within or outside of it. Such constructions are elaborated conceptually and through narrative. More pertinently, this paper examines how nature and nonhuman animals are perceived and placed within those narratives that humans construct from reality. It is stressed here that such constructions have, and may continue, to lead to a worsening of the effects that humans have on the planet if there is no acceptance or recognition that certain realities exist beyond the exploitative bounds of any human-inspired concept or narrative. This paper therefore provides the groundwork for the foundations of an ethic that is both socially and ecologically inclusive and is based on a soft realist approach.
The protamine family of sperm nuclear proteins
Rod Balhorn
Genome Biology , 2007, DOI: 10.1186/gb-2007-8-9-227
Abstract: Salmonid fish can have as many as 15 closely related protamine genes per haploid genome, coding for as many as six different proteins [1]. Birds carry two virtually identical copies of the same gene per haploid genome [2], and only a single copy each of the genes for protamines P1 and P2 have been detected in mammals [3]. Even though it is likely that the protamine P2 gene derives from a duplication of the protamine P1 gene, the two proteins appear to be rapidly diverging in amino-acid sequence.The mammalian P1 and P2 genes contain a single intron (Figure 1), whereas the protamine genes from birds (chicken and quail) and salmonid fish are intronless. Detailed alignments of the cis-acting regulatory sequences have identified the presence of several consensus sequences. These include conserved cAMP-response elements, the TATA box, a CAP site, and a polyadenylation signal [4]. The two chicken protamine genes are clustered together within 6 kb of each other. The genes for human P1 and P2 are similarly co-located in a tight cluster on chromosome 16 at 16p13.2 [5]; this cluster also contains the gene for transition protein-2, which is also involved in chromosome condensation. A similarly arranged protamine cluster is found on chromosome 16 in the mouse [3]. In human, mouse, rat and bull the protamine cluster also contains an open reading frame that has been referred to as 'gene 4' [6] or 'protamine 3' [7]. The predicted aminoacid sequence for this protein, which would be approximately the same size as protamine P2, contains stretches of repeating glutamic and aspartic acid residues similar in number and distribution to the clusters of arginine and lysine residues found in the DNA-binding domains of protamines. This difference in composition (a high content of negatively charged amino acids compared with the high content of positively charged amino acids in protamines) suggests that the gene 4 protein, which is not likely to bind to and condense DNA, may instead bind to an
Review: Will van den Hoonaard (Hrsg.) (2002). Walking the Tightrope: Ethical Issues for Qualitative Researchers Review: Will van den Hoonaard (Ed.) (2002). Walking the Tightrope: Ethical Issues for Qualitative Researchers Rese a: Will van den Hoonaard (Ed.) (2002). Walking the Tightrope: Ethical Issues for Qualitative Researchers
Rod Gerber
Forum : Qualitative Social Research , 2004,
Abstract: Ausgangspunkt dieser Ver ffentlichung bildeten Tagungsbeitr ge und einige andere Texte vor allem nordamerikanischer Sozialwissenschaftler(innen), die in insgesamt 13 Kapiteln die Spannungen dokumentieren, die mit der Programmatik und Praxis angewandter Forschungsethik im Rahmen qualitativer Forschung einhergehen. Behandelt werden u.a. die Unterscheidung von Ethik und Moral, der Umgang mit Ethik-Kommissionen, Ethik im Forschungsprozess, Trends im Umgang mit Ethik in der Forschung, ethische Fragen bei der Antragstellung usw. Obwohl überwiegend nordamerikanische Beitragende (d.h. aus Kanada und den USA), k nnen deren Erfahrungen auch für Forschende anderer Nationalit ten interessant sein; eine Herausforderung bleibt in diesem Zusammenhang allerdings, dass wesentliche (kontinental-) europ ische Perspektiven nicht hinreichend berücksichtigt wurden. Gleichwohl werden ethische Fragen auf einem vergleichsweise anspruchsvollen Niveau behandelt. URN: urn:nbn:de:0114-fqs040214 This publication basically represents a collection of former conference papers and some other contributions mainly by North American social scientists on the dilemmas that qualitative researchers encounter when they submit research applications to research ethics committees. Collectively, the contributions demonstrate the tensions that exist in the policy and practice of applied research ethics in qualitative research. Thirteen chapters are included in this volume. They focus on the themes of: differentiating between ethics and morality; dealing with ethics committees and policies; research processes; research ethics trends; and, ethical issues when submitting research applications. The emphasis is on research policy in a North American context (Canada and the United States), but can be relevant for qualitative researchers in other parts of the world. One challenge to this context is that it does not capture the essence of some European perspectives, especially those from Continental Europe. However, it does raise the issue of ethics in qualitative research to a high level. URN: urn:nbn:de:0114-fqs040214 Esta publicación representa principalmente un conjunto de ponencias y otras contribuciones principalmente de científicos sociales de Norte América acerca de dilemas que los investigadores cualitativos encuentran cuando envían sus proyectos de investigación a los comités de ética. En conjunto, los artículos muestran las tensiones que existen que existen en la política y la práctica de la ética de la investigación aplicada en la investigación cualitativa. Trece capítulos forman el volumen. Se
La protesta como política: Generalización y explicación de la sociología histórica
Rod Aya
Política y Sociedad , 1995, DOI: -
Abstract: Sin resumen
Varianti d’autore: Invenzioni su una voce di Bruno Maderna
Antonio Rodà
Musica e Tecnologia , 2009,
Abstract: Author’s variants: Invenzioni su una voce by Bruno Maderna The analogue audio documents, containing the Electronic works of the second half of the XX Century, are often the result of a transmission process whose phe-nomenology, although it presents some peculiarities, shows analogies with the tex-tual tradition. In this context, Dimensioni II. Invenzione su una voce by Bruno Mad-erna is an interesting case study: the more than twenty reviewed sources, which are different for duration, content, and recording format; the existence of at least five author’s variants; the many relations among the Helm’s text, the Berberian’s per-formance, the electronic elaborations, and the tape editing process require edition criteria able to render the tradition of the work in its complex articulation. This paper gives a detailed analysis of the audio sources of Invenzione su una voce, based on a deep knowledge of the electronic “writing system”, by mean of which the work has been generated.
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