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https://www.readbyqxmd.com/read/29047063/life-cycle-impacts-of-shower-water-waste-heat-recovery-case-study-of-an-installation-at-a-university-sport-facility-in-the-uk
#1
Kenneth Ip, Kaiming She, Kemi Adeyeye
Recovering heat from waste water discharged from showers to preheat the incoming cold water has been promoted as a cost-effective, energy-efficient, and low-carbon design option which has been included in the UK's Standard Assessment Procedure (SAP) for demonstrating compliance with the Building Regulation for dwellings. Incentivized by its carbon cost-effectiveness, waste water heat exchangers (WWHX) have been selected and incorporated in a newly constructed Sports Pavilion at the University of Brighton in the UK...
October 18, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/29044367/one-health-economics-to-confront-disease-threats
#2
Catherine Machalaba, Kristine M Smith, Lina Awada, Kevin Berry, Franck Berthe, Timothy A Bouley, Mieghan Bruce, Jose Cortiñas Abrahantes, Anas El Turabi, Yasha Feferholtz, Louise Flynn, Giullaume Fournié, Amanda Andre, Delia Grace, Olga Jonas, Tabitha Kimani, François Le Gall, Juan Jose Miranda, Marisa Peyre, Julio Pinto, Noam Ross, Simon R Rüegg, Robert H Salerno, Richard Seifman, Carlos Zambrana-Torrelio, William B Karesh
Global economic impacts of epidemics suggest high return on investment in prevention and One Health capacity. However, such investments remain limited, contributing to persistent endemic diseases and vulnerability to emerging ones. An interdisciplinary workshop explored methods for country-level analysis of added value of One Health approaches to disease control. Key recommendations include: 1. systems thinking to identify risks and mitigation options for decision-making under uncertainty; 2. multisectoral economic impact assessment to identify wider relevance and possible resource-sharing, and 3...
June 1, 2017: Transactions of the Royal Society of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/29043248/health-by-design-interweaving-health-promotion-into-environments-and-settings
#3
Andrew E Springer, Alexandra E Evans, Jaquelin Ortuño, Deborah Salvo, Maria Teresa Varela Arévalo
The important influence of the environmental context on health and health behavior-which includes place, settings, and the multiple environments within place and settings-has directed health promotion planners from a focus solely on changing individuals, toward a focus on harnessing and changing context for individual and community health promotion. Health promotion planning frameworks such as Intervention Mapping provide helpful guidance in addressing various facets of the environmental context in health intervention design, including the environmental factors that influence a given health condition or behavior, environmental agents that can influence a population's health, and environmental change methods...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/29035006/applying-systems-thinking-to-inform-studies-of-wildlife-trade-in-primates
#4
Mary E Blair, Minh D Le, Hoàng M Thạch, Anna Panariello, Ngọc B Vũ, Mark G Birchette, Gautam Sethi, Eleanor J Sterling
Wildlife trade presents a major threat to primate populations, which are in demand from local to international scales for a variety of uses from food and traditional medicine to the exotic pet trade. We argue that an interdisciplinary framework to facilitate integration of socioeconomic, anthropological, and biological data across multiple spatial and temporal scales is essential to guide the study of wildlife trade dynamics and its impacts on primate populations. Here, we present a new way to design research on wildlife trade in primates using a systems thinking framework...
October 16, 2017: American Journal of Primatology
https://www.readbyqxmd.com/read/28991850/aligning-education-with-health-care-transformation-identifying-a-shared-mental-model-of-new-faculty-competencies-for-academic-faculty
#5
Jed D Gonzalo, Amarpreet Ahluwalia, Maria Hamilton, Heidi Wolf, Daniel R Wolpaw, Britta M Thompson
PURPOSE: To develop a potential competency framework for faculty development programs aligned with the needs of faculty in academic health centers (AHCs). METHOD: In 2014 and 2015, the authors interviewed 23 health system leaders and analyzed transcripts using constant comparative analysis and thematic analysis. They coded competencies and curricular concepts into subcategories. Lead investigators reviewed drafts of the categorization themes and subthemes related to gaps in faculty knowledge and skills, collapsed and combined competency domains, and resolved disagreements via discussion...
October 3, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28962571/one-health-ecohealth-capacity-building-programs-in-south-and-south-east-asia-a-mixed-method-rapid-systematic-review
#6
REVIEW
Pranab Chatterjee, Abhimanyu Singh Chauhan, Jessy Joseph, Manish Kakkar
BACKGROUND: Although One Health (OH) or EcoHealth (EH) have been acknowledged to provide comprehensive and holistic approaches to study complex problems, like zoonoses and emerging infectious diseases, there remains multiple challenges in implementing them in a problem-solving paradigm. One of the most commonly encountered barriers, especially in low- and middle-income countries, is limited capacity to undertake OH/EH inquiries. A rapid review was undertaken to conduct a situation analysis of the existing OH/EH capacity building programs, with a focused analysis of those programs with extensive OH engagement, to help map the current efforts in this area...
September 29, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28934799/factors-influencing-the-application-of-a-biopsychosocial-perspective-in-clinical-judgement-of-chronic-pain-interactive-management-with-medical-students
#7
Christopher P Dwyer, Phoebe E McKenna-Plumley, Hannah Durand, Emer M Gormley, Brian W Slattery, Owen M Harney, Padraig MacNeela, Brian E McGuire
BACKGROUND: Though there is wide support for the application of biopsychosocial perspectives in clinical judgement of chronic pain cases, such perspectives are often overlooked due to either inadequate training or attitudes favoring a biomedical approach. Recent research has indicated that despite such explanations, both established general practitioners (GP) and medical students account for some psychosocial factors when making clinical judgements regarding chronic pain cases, but report not being likely to apply these in real-world, clinical settings due to numerous factors, including available time with patients...
September 2017: Pain Physician
https://www.readbyqxmd.com/read/28933676/bringing-humanity-into-view-action-research-with-qatar-s-ambulance-service
#8
Gill Coleman, Liz Wiggins
Purpose The purpose of this paper is to argue for the widening of attention in healthcare improvement efforts, to include an awareness of the humanity of people who work in the sector and an appreciation of the part human connection plays in engagement around good quality work. Theoretical frameworks and research approaches which draw on action-based, interpretive and systemic thinking are proposed, as a complement to current practices. Design/methodology/approach The paper describes the early stages of an action research (AR) project, which used the appreciative inquiry "4D" framework to conduct participative inquiry in Hamad Medical Corporation's ambulance service in Qatar, in which staff became co-researchers...
August 21, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28901625/systemic-challenges-in-bipolar-disorder-management-a-patient-centered-approach
#9
Anastasiya Nestsiarovich, Nathaniel G Hurwitz, Stuart J Nelson, Annette S Crisanti, Berit Kerner, Matt J Kuntz, Alicia N Smith, Emma Volesky, Quentin L Schroeter, Jason L DeShaw, S Stanley Young, Robert L Obenchain, Ronald L Krall, Kimmie Jordan, Jan Fawcett, Mauricio Tohen, Douglas J Perkins, Christophe G Lambert
OBJECTIVES: As part of a series of Patient-Centered Outcomes Research Institute-funded large-scale retrospective observational studies on bipolar disorder (BD) treatments and outcomes, we sought the input of patients with BD and their family members to develop research questions. We aimed to identify systemic root causes of patient-reported challenges with BD management in order to guide subsequent studies and initiatives. METHODS: Three focus groups were conducted where patients and their family members (total n = 34) formulated questions around the central theme, "What do you wish you had known in advance or over the course of treatment for BD?" In an affinity mapping exercise, participants clustered their questions and ranked the resulting categories by importance...
September 13, 2017: Bipolar Disorders
https://www.readbyqxmd.com/read/28893320/systems-thinking-in-combating-infectious-diseases
#10
Shang Xia, Xiao-Nong Zhou, Jiming Liu
The transmission of infectious diseases is a dynamic process determined by multiple factors originating from disease pathogens and/or parasites, vector species, and human populations. These factors interact with each other and demonstrate the intrinsic mechanisms of the disease transmission temporally, spatially, and socially. In this article, we provide a comprehensive perspective, named as systems thinking, for investigating disease dynamics and associated impact factors, by means of emphasizing the entirety of a system's components and the complexity of their interrelated behaviors...
September 11, 2017: Infectious Diseases of Poverty
https://www.readbyqxmd.com/read/28890891/collaborative-approaches-and-policy-opportunities-for-accelerated-progress-toward-effective-disease-prevention-care-and-control-using-the-case-of-poverty-diseases-to-explore-universal-access-to-affordable-health-care
#11
Samia Laokri
BACKGROUND: There is a massive global momentum to progress toward the sustainable development and universal health coverage goals. However, effective policies to health-care coverage can only emerge through high-quality services delivered to empowered care users by means of strong local health systems and a translational standpoint. Health policies aimed at removing user fees for a defined health-care package may fail at reaching desired results if not applied with system thinking. METHOD: Secondary data analysis of two country-based cost-of-illness studies was performed to gain knowledge in informed decision-making toward enhanced access to care in the context of resource-constraint settings...
2017: Frontiers in Medicine
https://www.readbyqxmd.com/read/28870225/implementation-framework-for-chronic-disease-intervention-effectiveness-in-m%C3%A4-ori-and-other-indigenous-communities
#12
John Oetzel, Nina Scott, Maui Hudson, Bridgette Masters-Awatere, Moana Rarere, Jeff Foote, Angela Beaton, Terry Ehau
BACKGROUND: About 40% of all health burden in New Zealand is due to cancer, cardiovascular disease, and type 2 diabetes/obesity. Outcomes for Māori (indigenous people) are significantly worse than non-Maori; these inequities mirror those found in indigenous communities elsewhere. Evidence-based interventions with established efficacy may not be effective in indigenous communities without addressing specific implementation challenges. We present an implementation framework for interventions to prevent and treat chronic conditions for Māori and other indigenous communities...
September 5, 2017: Globalization and Health
https://www.readbyqxmd.com/read/28869518/combining-theory-driven-evaluation-and-causal-loop-diagramming-for-opening-the-black-box-of-an-intervention-in-the-health-sector-a-case-of-performance-based-financing-in-western-uganda
#13
Dimitri Renmans, Nathalie Holvoet, Bart Criel
Increased attention on "complexity" in health systems evaluation has resulted in many different methodological responses. Theory-driven evaluations and systems thinking are two such responses that aim for better understanding of the mechanisms underlying given outcomes. Here, we studied the implementation of a performance-based financing intervention by the Belgian Technical Cooperation in Western Uganda to illustrate a methodological strategy of combining these two approaches. We utilized a systems dynamics tool called causal loop diagramming (CLD) to generate hypotheses feeding into a theory-driven evaluation...
September 3, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28865334/agent-based-modeling-as-a-tool-for-program-design-and-evaluation
#14
Jennifer A Lawlor, Sara McGirr
Recently, systems thinking and systems science approaches have gained popularity in the field of evaluation; however, there has been relatively little exploration of how evaluators could use quantitative tools to assist in the implementation of systems approaches therein. The purpose of this paper is to explore potential uses of one such quantitative tool, agent-based modeling, in evaluation practice. To this end, we define agent-based modeling and offer potential uses for it in typical evaluation activities, including: engaging stakeholders, selecting an intervention, modeling program theory, setting performance targets, and interpreting evaluation results...
August 30, 2017: Evaluation and Program Planning
https://www.readbyqxmd.com/read/28851398/exploring-the-dynamics-of-food-related-policymaking-processes-and-evidence-use-in-fiji-using-systems-thinking
#15
Gade Waqa, Marj Moodie, Wendy Snowdon, Catherine Latu, Jeremaia Coriakula, Steven Allender, Colin Bell
BACKGROUND: Obesity and non-communicable diseases are significant public health issues globally and particularly in the Pacific. Poor diet is a major contributor to this issue and policy change is a powerful lever to improve food security and diet quality. This study aims to apply systems thinking to identify the causes and consequences of poor evidence use in food-related policymaking in selected government ministries in Fiji and to illicit strategies to strengthen the use of evidence in policymaking...
August 29, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28838037/the-superior-effect-of-nature-based-solutions-in-land-management-for-enhancing-ecosystem-services
#16
REVIEW
Saskia Keesstra, Joao Nunes, Agata Novara, David Finger, David Avelar, Zahra Kalantari, Artemi Cerdà
The rehabilitation and restoration of land is a key strategy to recover services -goods and resources- ecosystems offer to the humankind. This paper reviews key examples to understand the superior effect of nature based solutions to enhance the sustainability of catchment systems by promoting desirable soil and landscape functions. The use of concepts such as connectivity and the theory of system thinking framework allowed to review coastal and river management as a guide to evaluate other strategies to achieve sustainability...
January 1, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/28830472/a-process-for-developing-multisectoral-strategies-for-zoonoses-the-case-of-leptospirosis-in-fiji
#17
Simon A Reid, Anna Rodney, Mike Kama, Peter S Hill
BACKGROUND: Zoonotic diseases such as leptospirosis occur as a result of the often complex interactions that exist at the human-animal-environment interface. The most obvious consequence of this complexity is the need for the health sector to partner with institutions in other sectors of society such as agriculture, labour and local government. This multisectoral engagement is complicated by the different agendas and cultures of the various institutions and their ability to "see" their role and ant benefits in a collaborative response...
August 22, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28820761/development-and-evaluation-of-a-systems-thinking-education-strategy-for-baccalaureate-nursing-curriculum-a-pilot-study
#18
Louise A Fura, Kathleen Z Wisser
Nurse educators are charged to develop and evaluate curricula on systems thinking to prepare future nurses to provide safe nursing care. The goal of this pilot study was to design and evaluate a four-hour educational strategy that prepares future professional nurses to use systems thinking approaches in the delivery of safe patient care. This study exposed prelicensure baccalaureate nursing students to systems thinking principles, which included didactic and experiential activities. A descriptive design was used to determine the effect of an on-campus educational strategy...
September 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/28816513/iterative-design-and-testing-for-the-development-of-a-game-based-chlamydia-awareness-intervention-a-pilot-study
#19
Rui Jiang, James McKanna, Samantha Calabrese, Magy Seif El-Nasr
OBJECTIVES: Herein we describe a methodology for developing a game-based intervention to raise awareness of Chlamydia and other sexually transmitted infections among youth in Boston's underserved communities. MATERIALS AND METHODS: We engaged in three design-based experiments. These utilized mixed methods, including playtesting and assessment methods, to examine the overall effectiveness of the game. In this case, effectiveness is defined as (1) engaging the target group, (2) increasing knowledge about Chlamydia, and (3) changing attitudes toward Chlamydia testing...
August 2017: Games for Health
https://www.readbyqxmd.com/read/28812842/governance-and-capacity-to-manage-resilience-of-health-systems-towards-a-new-conceptual-framework
#20
Karl Blanchet, Sara L Nam, Ben Ramalingam, Francisco Pozo-Martin
The term resilience has dominated the discourse among health systems researchers since 2014 and the onset of the Ebola outbreak in West Africa. There is wide consensus that the global community has to help build more resilient health systems. But do we really know what resilience means, and do we all have the same vision of resilience? The present paper presents a new conceptual framework on governance of resilience based on systems thinking and complexity theories. In this paper, we see resilience of a health system as its capacity to absorb, adapt and transform when exposed to a shock such as a pandemic, natural disaster or armed conflict and still retain the same control over its structure and functions...
April 4, 2017: International Journal of Health Policy and Management
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