Science topic

Health Services Research - Science topic

Access to health care practitioners and health care services, how much care costs, and what happens to patients as a result of this care.
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I read a paper used an action research as methodology and it did not have a research question. Therefore, I wonder that if all action researchs can not have a research question
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There are multiple types of studies that do not necessarily need to have a research question. Most notably, Grounded Theory and similar approaches construct hypotheses, research questions, and theories through fieldwork and analysis. Action research is similar in that it is possible to start from an intervention rather than from a literature review. After all, action research seeks transformative change by doing both, taking action and doing research simultaneously.
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Hi community,
Are you aware of any short free courses on statistical analyses for healthcare research?
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Richard McElreath's "statistical rethinking" video lecture comes to mind.
It's not specific for healthcare and perhaps also not short (~20 lectures of about 1h) but you would learn basic scientific modeling that most likely will be applicable to your statistics questions now and in the future. No modeling / math / programming background needed ... everything is explained from scratch (and a full text book is available as well)
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The classroom Action Research (CAR) method is derived from the root action research. Because it occurs in the classroom frame, it is called CAR.
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A single cycle of the improved Action Research method that was published last year has already been used successfully in both Bachelor and Master classes.
Reference: Davison, R.M. et al. (2021) "Improving Action Research by Integrating Methods," Journal of the Association for Information Systems, 22(3).
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What are the main differences between case study and action research in qualitative research?
I want to learn your opinion on this subject.
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Action research is a type of research study that is initiated to solve an immediate problem. It may involve a variety of analytical, investigative, and evaluative research methods designed to diagnose and solve problems. It has been defined as “a disciplined process of inquiry conducted by and for those taking the action. The primary reason for engaging in action research is to assist the “actor” in improving and/or refining his or her actions” (Sagor, 2000). But, a case study is basically an in-depth examination of a particular event, situation, or individual. It is a type of research that is designed to explore and understand complex issues; however, it involves detailed contextual analysis of only a limited number of events or situations. It has been defined as “an empirical inquiry that investigates a contemporary phenomenon within its real-life context; when the boundaries between phenomenon and context are not clearly evident; and in which multiple sources of evidence are used.” (Yin, 1984)
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VIRAL (Various Intervention using Reading Approach for the Love of) Reading Program towards Improved Reading Skills?
or how I can improve this title?
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Keep it as simple as possible and avoid acronyms, Consider: “Interventions to Improve Reading Skills.“. Or, “Test of Interventions to Improve Reading Skills”
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I am doing my research on the area of motivation and twice-exceptional students. It will be based at a middle school with a 2e program. I was thinking about the Academic Amotivation Inventory (AAI), but I can't find it. Please give links.
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In addition to Martin mentioned above, the following should be useful:
Best of luck with the work!
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I need it to be written on my context and rationale of my action research on word sorting
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Cortes GM, Jaimovich N, Siu HE. The growing importance of social tasks in high-paying occupations: Implications for sorting. Journal of Human Resources. 2021 Jul 12:0121-11455R1.
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The question stated above is one of my questions for the proposed action research. Articles related to this topic are highly needed for the review of related literature.
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I agree with Ben, above. The term "lived experiences" is very broad, general, and ambiguous. A researcher might be able to answer such a question through qualitative interviews, but of course qualitative data of that nature is not generalizable (no qualitative data really is). I would suggest narrowing the question down into more specific constructs: self-efficacy, job satisfaction, goal orientation, etc. I also agree that without narrowing the focus, you'll probably want to read generic and widely cited papers to get started.
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Can situational analysis and competence of action research be part of methodology section?
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Your application of Action Research and confirmation that you followed the set of principles developed by Davison et al. should definitely be part of your Methodology section. You should be specific about your focal and instrumental theories based on the 2012 article in MIS Quarterly.
If I understand your meaning of "situational analysis", then how you did it should be part of the Methodology while what you found should be in your Findings or Results.
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Who is interested in co-authoring an article about the role of action research in improving the transition from educational plicy to implemetational spaces?
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Thanks for mentioning...
Please elaborate more on this
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We have published several articles to strengthen the methodology of Action Research.
From those associated with doctoral programs (PhD, DBA, Ed.D., D.S.Sc, etc.), it would be useful to know whether or not Action Research is included in your curriculum.
If it is, details about what is taught and how is it taught would be greatly appreciated.
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Dear researchers
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It will be a great opportunity to share thoughts and research findings on aging and elderly smart healthcare.
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Ali Mansour Al-madani Alhassan Alharbi @Zeyad Abdulhameed Ahmed
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The pandemic has revealed how much the rest of the world has been left behind in terms of pharmaceutical/healthcare research. What models can you offer for kick-starting vibrant local financing of drug development in developing countries?
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Dear Dr. Anyam!
I consider your question to be a highly important one, so I did search for YOU resources you might value:
1) Meganck, R.M., Baric, R.S. Developing therapeutic approaches for twenty-first-century emerging infectious viral diseases. Nat Med 27, 401–410 (2021). https://doi.org/10.1038/s41591-021-01282-0 Free access:
2) Verguet, S., Hailu, A., Eregata, G.T. et al. Toward universal health coverage in the post-COVID-19 era. Nat Med 27, 380–387 (2021). https://doi.org/10.1038/s41591-021-01268-y Free access: https://www.nature.com/articles/s41591-021-01268-y
3) Fontecha, G., Sánchez, A.L. What Will Happen to Biomedical Research in Low-and-Middle Income Countries in the PostCOVID-19 World?. Curr Trop Med Rep 8, 1–5 (2021). https://doi.org/10.1007/s40475-020-00223-0 Free access:
Article Dear Author
4) Anser, M.K., Khan, M.A., Zaman, K. et al. Financial development during COVID-19 pandemic: the role of coronavirus testing and functional labs. Financ Innov 7, 9 (2021). https://doi.org/10.1186/s40854-021-00226-4 Free access:
Yours sincerely, Bulcsu Szekely
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Hi, I have conducted many action research on the classes that I taught. I wrote some of them and I am wondering how to publish them?
All my action research is about teaching Arabic as a forieng language.
Sincerely
Dr. Minal
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Excellent work.
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  • I am used to work with research logs to monitor (and reflect on) the proceedings in longitudinal qualitative research as well as action research. As I used to work in small teams, a simple diary in excel, or onenote worked so far. As I am working with a more extensive team, I am looking for a template which is easy to use and has an obvious 'interface' (to stimulate use, and similar use).
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Sabrina Keinemans, you may check https://www.opiria.com/. They provide a means for people to record their experiences, behaviours and feelings while interacting with a product or service. Hope that helps.
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1. How would you describe your overall experience in teaching action research?
2. What are the challenges that you have encountered in teaching the course?
3. Do you have suggestions on how the course could be better taught or delivered. Please describe.
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Dear Sylvester Tan Cortes,
I would be glad to participate and share my personal experience, as well to discuss about the possibilities of development the AR concept and/ or further collaboration.
Regards, Loreta
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i am currently conducting my action research using color-coded cards(Colored cards )to the creative writing skills of my learners,do you have any recommendation for a standard rubric for my pre and post tests?Thank you
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My suggestion is that in assessing the essays, pay clear attention to the choice and framing of words which show propriety, pleasure and engagement. Therefore, it is apparent that you are assessing the creative vision propensity subsumed in the works.
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Dear colleagues,
I am teaching English as EFL and would like to carry on research in my field about language policy. Do you think that a mixed method will serve the purpose and needs of an action research?
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Aziz - Action Research is a mixed methods/multi methods approach by it's nature. It doesn't use a single methodology/method to create multiple action cycles. This chapter may assist.
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Is it the logic behind Academic Health Centers? To integrate research to practice, to learn from practice, to educate practitioners, to perform action research. Kindly comment on our recent publication;
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The research-praxis-learning nexus is surely affirmed by your paper.
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Hello everyone. I conducted a research with action research. I collected data with interviews, videos, recordings, documents and researcher diary during a year , 15 hours in a week. After collected my data, I analysed them. I found 74 codes for implementation stage (3 months data).
My question is, amount of 74 codes is too much? Is there any rule that amount of codes should be under 50?
Thank you in advance for sharing your ideas with me...
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Review your collected data again and check for similarities, if any, you may reduce it to fifty or bellow.
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My research strategy is using a qualitative facilitative action research in an inductive approach, within a positivist tradition. To my best understanding, according to Oates (2006), and Tekin & Kotaman (2013), if a positivist researcher considers doing an action research, it is mostly feasible to do it in a quasi-experimental studies. However, this is somewhat incompatible to my approach. In line with my research strategy, Alvesson (2008) implied that an inductive qualitative research is possible within positivist tradition in general, but it has limitation when it comes to its measurablity and persistent critics against the independent rule.
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I would look at my research question and then determine what is the smallest area of question I I can break my original hypothesis to or most specific thing I can ask. And then conclude with the limitations of that research then carry on a next research ceteris Paribus but I ask another aspect of my hypothesis.
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We want to conduct a study on patient satisfaction with outpatient service (like satisfaction with appointment, with nurse, doctors and hospital facilities) in general hospitals. I will be appreciated if anyone can share a standard study questionnaire which was used in others studies?
Thank you
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Thanks Muhammed Alam
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I am currently writing my master thesis in the automotive industry. It is an Action Research and the aseembly capacity for a certain component needs to be increased. There are two options to do that:
1) expand an existing assembly line where currently a similar part is assembled
2) invest into a completly new assembly line
I can't find relevant case studies or papers regarding this or a similar topics. Only some standard procedures from the fundamental literature about production planning. Do you know similar cases or papers about that topic?
I am looking forward for your response. Thank you in advance.
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Dear Anton Lorenz,
*****Assembly line production has become established globally in the automotive industry since its introduction at the Ford Motor Company more than 100 years ago. Companies with diverse product portfolio often face capacity planning problems due to the diversity of the products and the fluctuation of the order stream. High volume products can be produced cost-efficiently in dedicated assembly lines, but the assembly of low-volume products in such lines involves high idle times and operation costs. Reconfigurable assembly lines offer reasonable solution for the problem. Another I will suggest the implementation of a modular concept, the flexibility and changeability of car manufacturer’s assembly systems could be increased, and it may create an effective and efficient way to adapt the assembly system to the requirements of the future automotive industry. By this, the assembly system can handle the complexity of assembling cars in the future resulting from a further differentiation and individualization of products as well as an increasing dynamic of the markets.
An assembly line sped up is a dramatic manufacturing process (often called a progressive assembly) in which parts (usually interchangeable parts) are added as the semi-finished assembly moves from workstation to workstation where the parts are added in sequence until the final assembly is produced. The use of interchangeable parts allowed for continuous workflow and more time on task by laborers. Worker specialization resulted in less waste and a higher quality of the end product. It allowed factories to churn out products at a remarkable rate, and it also managed to reduce labor hours—benefiting many workers who used to spend 10 to 12 hours a day in the factory trying to meet quotas. As such, the development of the assembly line method in the Industrial Revolution sped up production and simplified the manufacturing of goods.
Refer site
1. file:///C:/Users/3020/Cookies/Desktop/Downloads/Capacity_Planning_and_Resource_Allocation_in_Assem%20(2).pdf
2. Ceryan O, Koren Y. Manufacturing capacity planning strategies. CIRP Annals - Manufacturing Technology 2009; 58(1) 403-406.
Ashish
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I am currently doing my own AR for the final year project and am particularly interested in the experiments carried out and the scope/limitations. Thank you.
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Action research is very important to develop teaching practices
And the development of research thinking And knowing the needs of schools
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I am Doctor of Business Administration student. I am now revising my thesis draft to be submitted again to the second reviewer. My research was a qualitative case study that aimed at generating and impleneting actions to solve an actual workbased problem. I collected data from interviews and observations. Action research was a significant component of the study. I implemented Stringer (2013) approach to action research. This means that reflections, observations, and generating actions was pactived throughout the various stages of this study. I have initially referred to my study design / strategy as a qualitative case study. My question is: "what is the term that I should use to refer to the action reseach process that was conducted in this study". Is it another research strategy that I followed for this study? Or shall I refer to my study as a qualitative case study that incldued an action research component? I found some articles that referred to "action research case study". However, I am not sure f I can claim that my research is an action reseach cae study since it was not desinged as such from the begining. Please note that action research was not a data collection methodd in this study.
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I'm not all sure why something has to be action research defined as such "right from the beginning." It seems to me that an action component can be added as part of the emergent process in doing qualitative research. Ultimately, it is the presence of an action research component that makes something action research, not the timing of the intent.
So, I have not problem calling your research "a qualitative case study that incldued an action research component."
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I am currently running an action research project investigating meta-cognitive strategies in writing composition for Year 4 children. I'm at the exploratory stage and working on the literature review. I would like to find work that's specific to writing composition and the self-monitoring processes, as well as any interventions other practitioners have created for this.
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Thank you Sam, I'll look up that paper.
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Along with a colleague I am seeking colleagues who have expertise in healthcare research in custodial settings. Our aim is to assemble chapters on a variety of research approaches for assessing health, healthcare and well being in prison and other custodial environments.
Would you be interested in writing such a chapter or do you know someone who would?
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At this point of time I do not have experience in custodial settings.However I would be keen to innovate and learn given an appropriate opportunity to do so
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I would like to write an academic essay on Depression among youth using Participatory Action Research and its applicability in our country but I dont have the idea how to make my ideas flow. Im starting to build an outline but it seems lacking and disastrous. Do u have any idea what are the essential information and data to include so that my paper will be clear and convincing? You can also include suggests readings that I could review. I highly appreciate any form of help.
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Two other articles of mine might help:
`Action research in graduate management research programs', Higher Education, vol. 23, pp. 195-208, March 1992. With O. Zuber-Skerritt.
Zuber-Skerritt, O. and Perry, C. 2002, ‘Action research within organisations and university thesis writing’ Organisational Learning, vol. 9, no. 4, pp. 171-179.
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Dear community,
I will try to use action research as a research method in a public organization to understand and convey employee-driven innovation. Especially with regard to digital innovation. Anyone here who has experience with similar approach to study a public organization or experience with similar methodology towards a similar research area?
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Hi Leif,
I do not have the experience from a public organisation, but have looked at the same topic in a large MNC. It is a qualitative study and may be of interest to you even if it does not apply an action reserach approach.
/MSL
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im working on an action research for our school but my proposal was returned for revisions...research questions are to be revised
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Yes I can.
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Action research is when a researcher completely immerses herself/himself into the research environment, either in a certain industrial environment or in an education institute. The researcher then records their findings following ethnographic methodology about a certain phenomenon i.e. an educational process, practise or an industry problem.
Supporters of this methodology think it is a very effective way of collecting data and researching real-world problems. Hence, it is very important way of creating new theories/frameworks and furthering science.
Opponents think that action research lacks the required rigor of academic research because the results are limited to the environment on which the research project occurred, and cannot be generalised or repeated.
Would be great to have some insights from experienced academics here. What do you think about action research? Any ideas about making the balance between academic rigor and industrial problem solving?
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One way to be clear about action research is to compare it to other approaches. You might find our recent paper of interest where we report on the distinguishing characteristics of action research; please see:
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Greetings,
if we analyzed a data from one setting collected via questionnaires, and found a gap in practice due to dissatisfaction and noncompliance, Then we thought of the possibilities of improving practice by meeting with stakeholders in the selected setting and ask them for possible solutions, then implement these solutions.
is this action research approach?
if no, what is the suitable design to conduct such research?
thanx
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Elham - what you describe, interns of meeting stakeholders, is certainly an early part of the process in action research. It would depend on how you went about things after meeting with them, prioritising 'change cycles' and implementing interventions. It also depends what form of action research/inquiry that you wish to adopt. For instance, if it is PAR - that adds many other factors.
The section on action research in the attached late proof chapter may assist. Have a look at my AR cyclical model to see if that is the sort of process that you wish to adopt. You will see meeting the stakeholders as an early part of the process.
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For my research methodology in qualitative research on 'Critical Reflective Practices' I am using both my reflective journal (action research) and interviews as data sources for research design. Can both (journal + interview = findings) be called mixed method or methodological triangulation? Please again consider following two points while answering:
1. I couldn't rely on my reflective journal as its not free from subjective biases and I didn't have a mentor or expert to share my reflection.
2. Interviews were conducted to further validate the research and to defy my subjective biases from reflective journal.
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In my understanding "mixed method" refers to design where both quantitative and qualitative data is collected and analyzed to answer same questions. The design may take a sequential form where quan data is collected after qual data ( data from interviews are used to develop a model which later be tested through a survey) or vice versa.
In your case, you are using single design (qual), so we cannot call it a mixed method approach.
I will try to find link to a discussion where mixed and multi methods are discussed thoroughly.
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Hello colleagues,
We have beendiscussing research. I would like to have partners on my current study on "Public and Private providers of maternal and child health care services."
This ia purely social science research that extends an arm to produce cutting-edge research in healthcare systems, capacity and management.
I am willing to share a draft with an interested partner.
Thank you
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Hello Mamatha, please send me an email jasasira@must.ac.ug cc asasirajsts@gmail.com. I will get back to you as soon as I see your mail. Thank you.
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I am asking for a student I'm mentoring. It's an action research project with a small sample of maybe 8-10 participants. If the student includes a likert attitude scale but is mostly focusing on qualitative data from and after a professional development intervention, what kind of design would it be?
Thank you in advance.
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mix method research (Sequential designs) can be either
Explanatory Design: Quantitative data followed by qualitative data
Exploratory Design: Qualitative data followed by quantitative data
Sequential Embedded Design:
Before-intervention (Qualitative)
Intervention Trial (Quantitative)
After-intervention (Qualitative)
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Many people conduct action research, but many seem monotonous or ineffective . What are the characteristics of good action research? How can I develop effective action research?
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Yaqoub Al Qutaiti I think Kurt Lewin needs to be mentioned here. In many ways one of the founders of action research. Action research is often about empowerment and for me quality action research can be recognized through if the participants: 1. Experience they can handle their situation better than before. 2. Experience that they can handle the interaction with the people relevant to the project better.
Another way of looking at it is through the lens of relevance: 1. Do the participants experience the project and it's results as recognizable? 2. Do the participants experience that the project actually works in their situation? 3. Does long term benefit emerge from the project?
Action research is for me about making things better together with the people it concerns. It is a lot about having dialogue about what is important for "us" and developing plans to do something about it. My action research is often connected to the following action development questions: '
1. What is our situation? What works? What does not work?
2. What do we need to become better? What are we interested in getting better? What are our dreams? What do we hope for?
3. What can we do about it? What is each participant willing to individually commit to do to get there?
This is just a simple outline but there are many book and articles that support this way of thinking action research.
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Hi all!
The ICD-11 is scheduled to be released June 2018 and Gaming disorder seems to be included.
- Will we get an overflow of new clients?
- Are clinicians prepaired?
Opinions?
Best
John-Kåre
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Well, it was included in DSM-V in 2013. Please have a look at
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Kindly share with me any recent research conducted using Action Research Method in Library.
Thank you.
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Khalaf Mohamed Abdellatif Thanks & really appreciate
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Hi All! I was wondering if anyone can please suggest me a suitable journal for publishing a letter to the editor. This letter to the editor is a 2 pager. The topic it covers is a new concept of managing digital healthcare research data. This is not an extension of any already published article or work.
Thanks in advance!
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Try these journals:
International Journal of Digital Healthcare -
Digital Medicine-
Digital Health-
Would need to check authors guidelines to see if they accept “Letters to the Editor” and to make sure that they are not predatory journals.
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What is your opinion about the use of qualitative methods on researches (e.g. case studies, action researches) in Operations Management Field?
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Guilherme - my opinion is the same as it is for any discipline. Qualitative insight is equally important as quantitative. To me, regardless of topic, it is a limited worldview if we only view our disciplines according to numerical outcomes i.e. 'how often does something happen' if we don't compliment it it with narrative insight i.e. 'what is the experience of what happened'. Better still, for me, is that we don't 'divorce' qualitative from quantitative if we can avoid it - especially in adopting mixed method approaches. We also need to be clear about paradigm positions. For instance, you classify action research as qualitative here. I don't. Action research, to me, is mixed methods (the 3rd paradigm). Action research can contain as much quantitative, if not more, methods than qualitative. The same say with Delphi - which can be more quantitative than qualitative - yet is still often classified as qualitative.
The two attached resources may assist. One - an article that links action research with project management - a common approach in operations management. The other is a mixed methods chapter - containing action research. Note that it is not a qualitative research chapter.
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case study and action research
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  • Case study is an in-depth investigation of a particular case (i.e., an individual, a community, a country, etc.). Case studies are important ,but the results they provide lack generalization. Action research, on the other hand, is the arena whereby the researcher, who is usually a teacher, uses certain data collection tools in order to collect, analyze, and interpret the targeted data to generate a pattern. Case studies are data driven and end with the generation of a given hypothesis; however, action research can be both exploratory and/or confirmatory making it possible to either test an already existing hypothesis or generate a new one.
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Artificial intelligence (AI) and machine learning (ML) are accelerating the domain of activities along with tons of possibilities for a range of industries, including biomedical research and healthcare delivery.
But are we really gaining out of it or simply losing control of our own steering? Do we need to be cautious for avoiding any harmful or devastating consequence? What is/are your opinion and future predictions?
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Artificial intelligence is gradually changing medical practice. With recent progress in digitized data acquisition, machine learning and computing infrastructure, AI applications are expanding into areas that were previously thought to be only the province of human experts. In this Review Article, we outline recent breakthroughs in AI technologies and their biomedical applications, identify the challenges for further progress in medical AI systems, and summarize the economic, legal and social implications of AI in healthcare.
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What are the inclusion and exclusion criteria? 
What are the other methodologies of criticizing other authors work? 
Could you please propose systematic review papers aimed to sustain the outcomes of patient care? 
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Greate Thanks Doctors and Dr. Tom Koch for the guide provided
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I will be conducting an action research in one of the schools at my place of working and my supervisor has asked me to validate my instruments before I can use them during the research process. I am seeking for others's help how can I validate my instruments, maybe with some samples of letters/templates to request for validation would be nice too.
Thank you.
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This article will definitely be of help to your research:
Article Korean Patient-Perceived Satisfaction Scale of Community-Bas...
First, please email the original developer of the instrument and publisher and then get their offical written permissions to use it. (This is important to protect their intellectual properties.)
Second, please translate it from English into your mother language.
Third, please refer to my article.
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I am currently doing an action research for vocabulary teaching. I am quite confused in setting the research questions for my study as I have decided to imply mixed methods design in data collection.
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Hi Rein,
Can't say that I fully agree with you.
Zachary - mixed methods works best when there is an 'over-arching' initial question that cannot be answered by a singular approach or methodology. Each 'phase' (methodology) requires different questions to address the 'overall'. Quantitative and qualitative phases must use different questions to address their different criteria to address the 'whole'. For instance, you can't state an hypothesis to fulfil the qualitative component of the study.
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The action research project in the area of performance management has a mixed methodology approach and I have collected quan data using questionnaire from 34 supervisors and qual data using semi structured interview from 27 management team members.
In addition 41 of the above participants have also done a second phase of ranking variables in order of their preference.
My questions is what approach should I take to triangulate quan and qual data?
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Thank you all. The questionnaire had to be used as the supervisors were not comfortable answering semi structured interviews , we had a focus group to design the questions that was initially built using pre existing question also validated through literature. And the semi sturucted interviews were done to collect qualitative data in terms of more details through probing.
The second phase questionnaire is sequential to the two instruments used above but the variables used have also been supported by literature.
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In conducting an ESP study to design a syllabus for a target population, is it possible to apply 2 different research methods; mixed method and action research?
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Reshminder,
While the literature might seem a bit 'hazy' in parts in classifying action research and mixed methods, I am firmly of the opinion that action research is an integral and relatively common methodology that sits under the umbrella of mixed methods. In my discipline, I highlight action research as the most common mixed methods approach - followed by Delphi, case-study and Q-methodology. The attached chapter might help to illustrate this further. Personally, when I use action research, I don't refer to it as mixed methods as it is 'naturally' mixed methods by its nature. Another common theme that binds them is the common underpinning philosophy of pragmatic research.
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what is the difference between conducting action research and conducting experimental research?
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Hi Samah,
Not sure of your purpose in asking the question in that they are very different. Experimental approaches are quantitative studies characterised by a single methodology that involves varying degrees of randomisation, control and manipulation of variables as cause and effect experiments. Action research is often classified as mixed methods, emancipatory and involves a number of approaches/methods over periods of time to enact organisational/community change. Perhaps the attached chapter may assist in terms of clarifying action research. A quick Google search should help you clarify experimental research design as something very different. The only real relationship between them is that action research could potentially (although it is not common) incorporate an experimental component in its overall process. I did write an article (also attached) that looked to compare action research and project management. In my mind, that is a more notable comparison to make.
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I have an assistant principal based in a local school keen to undertake an action research case study of the effectiveness of a newly launched professional learning community in his school as it seeks to implement some collaborative interventions to support students' learning, within a structure of shared/distributed leadership. I've made some suggestions of things that he could usefully be reading for his literature review, but I would appreciate the assistance of peers in identifying recent projects/articles that he might find useful to consult. Thanks in advance!
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September 21, 2018Hello Peter,
The following material between the dotted lines is from my work ** Fixing Instruction - Resolving Major Issues with a Core Body of Knowledge for Critical Instruction**, pp. 39-40 (2015):
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We have spent many reform dollars at the federal, state, local, and private levels over the last 50 years. Yet, teacher preparation, practice, and student achievement remains weak. This is because approaches to reforming schools and schooling typically address issues of organization, management, finance, standards, and assessment. They do not address the very foundation of instruction and learning. This is serialism, the long-standing and self-defeating [and rote-inducing] reasoning strategy used in teacher preparation, practice, and learning.
Here is an example. According to Bryk, Gomez, Grunow, and LeMahieu (2015), improvement science is an approach to problem solving involving networks of interested parties. They are called Network Improvement Communities or Professional Learning Communities. According to Bryk and associates, one such network involved teams from Maryland, New York, and Texas. They “focused on two processes that strongly affect new teachers’ lives: [1] the quality of feedback . . . new teachers receive for improving teaching, and [2] the degree of support . . . [they] sense in their relationship with their primary supervisor, the school principal” (p. 3).
As in typical in reform efforts, a key issue facing new teachers and professional practice is not addressed [by the PLC]. That issue is the serial-thinking basis (i.e., roteism) for how teachers and students currently come together cognitively and operationally in the classroom when engaging new and revisited subject matter.
This is but one example. In their deliberations, every element of the education culture [including PLCs], is a captive of the hidden [roteism]-based instruction mindset. To this end, the profession needs to minimize greatly the practice of [roteism]. We must instruct and learn in ways that make critical thinking for comprehension of subject matter the heart of the matter.
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Hope this is of use to you. PLCs that do not address the issue of conventional roteism practice will have little systemic and lasting impact on teacher preparation, development, and effectiveness and therefore on student achievement.
For more on roteism-based instruction and learning, and how its practice can be minimized with a core body of knowledge for critical instruction, visit www.criticalinstruction.com.
Vic Maiorana
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How has President Trump impacted government-funded research in healthcare?
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Not sure if there is any direct impact,but private funding from the US foundations has dropped dramatically in recent years.
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Hi,I have done some post doc research on an instrument I developed for my PhD. The research has not been published and is now really old as it was done in 2006. I had submitted it to Psychology and Health, Patient Education and Counselling, BMC Health Services Research and Complementary and Alternative Medicine, but it's been always rejected so far. The feedback made it stronger though - I still believe the data works out rather well (i.e. in line with the model) and the conclusions are ok, but probably more of interest to a particular niche group of people in my field.
Would you recommend I give up on the idea of publishing it in a peer reviewed journal or just keep going?  I put the article on my page for public review - let me know if you think it is worthwhile to keep pushing. If you think there is value, which journal do you think would take it and not charge me any money for processing it? Thank you for your time!
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OR
If you want to find an alternative, you can use Journal Finder (https://journalfinder.elsevier.com/) to search for other journals that could be better suited for publishing your manuscript.
Elsevier B.V. | Privacy Policy Elsevier B.V., Radarweg 29, 1043 NX Amsterdam, The Netherlands, Reg. No. 33156677.
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Complications related to viral hepatitis, alcohol-related and non-alcoholic liver disease, are the main reason for seeking gastroenterologists and hepatologists advice. In addition, hepatocellular carcinoma often arise on the ground of hepatitis, representing the fifth most common cancer in men and the ninth in women. In 2015, the World Health Organization estimated that 325 million people were living with chronic hepatitis infections (hepatitis B or C) worldwide and that globally, 1.34 million people died of viral in 2015.
In front of this global health problem, gastroenterologists, hepatologists and hepato-biliary-pancreatic (HBP) surgeons, are daily involved in the clinical routine in taking difficult clinical decisions. As Sir William Osler quoted: “medicine is a science of uncertainty and an art of probability” and no doctor returns home from a busy day at the hospital without the nagging feeling that some of his/her diagnoses may turn out to be wrong, or some treatments may not lead to the expected cure. Probability is a recurring theme in medical practice and the ability of dealing with risk and uncertainty can be elicited through a special kind of intelligence. In 2012, The UK psychologist Dylan Evans defined it as “risk-intelligence” that is "a special kind of intelligence for thinking about risk and uncertainty", at the core of which is the ability to estimate probabilities accurately.  
Consequently, doctors are routinely asked to make predictions, and their predictions would lead to a consistent payoff when regarding a patient’s life. At the basis of “wise” medical decisions, physician’s experience surely plays a vital role. However, doctors can assume that their competency in a given area can be significantly higher than it really is. Such illusory superiority, is described as the Dunning – Kruger effect, a meta-cognitive bias leading to a discrepancy between the way people actually perform and the way they perceive their own performance level. The concept of “risk-intelligence” relies on the confidence that each subject has with their own knowledge, thus returning accurate probability estimates, and a “wise” doctor should be aware that he/she do not known, thus, returning high risk-intelligence.
To date, little is known about risk-intelligence and the Dunning – Kruger effect between doctors, and, especially, among hepatologists, a specialty strongly involved in important clinical decisions. With this aim we conducted a survey to test how risk-intelligence affects medical decision making in this particular clinical setting and whether the Dunning – Kruger bias can effectively affect these physicians.
If you are a gastroenterologist, hepatologist or HBP surgeon please help us in investigate this issue by completing the following survey:
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Thank!
(I hope you will find the correct answers in the appendix section of the manuscript we are writing!)
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Looking for a standardized tool to determine need for skilled rehabilitation post-bariatric surgery patients                                                                    
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Luca, thank you very much for your prompt response.  I found that article/topic interesting, as I also sit on our clinical council at Hartford Hospital. The safe discharge of patients to home is a regular discussion, for sure. This article focuses more on the medical parameters, while I want something more functional.
Dennis, the article you referenced was quite interesting for me because I am a clinical Physical Therapist and see many pre-and post-op bariatric surgery pts who are having TKA. The functional outcomes used in the study are fairly common in rehabilitation, however may not help in predicting those patients that would continue to have high risk of inactivity post op.Thanks again for your input and suggestions!
Ray
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 Is anyone has an idea or observation on the topic? As Transfusion Medicine is a developing branch and lot of work has to be done. These are so many sophisticated terminologies have been prevailing like immuno-sensitization (TRIS), Alloimmunization, Immunomodulation (TRIM), unknown and so on.  Are these complications leads to reduce the life span of a person?
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Dear Monica,
Long term effects of blood transfusions are poorly studied but some references are there  to support the concept 
Effect on Recipient's Immune System
The transfusion of banked blood from a donor to a recipient is a liquid organ transplant. Through that transplant, the recipient's own immune system is altered for some period of time.[11] In the medical world there is debate in regard to how long and how important that immune suppression/alteration lasts; likely it lasts for weeks and perhaps up to years. In the last year we have learned that chimerism (multiple cell lines in the recipient trying to identify foreign cells from other sources) may well be responsible for some aspects of autoimmune diseases such as arthritis, lupus, and others.[12] What are the long-term effects of blending DNA in an individual and in a population? Blood bankers are constantly debating this issue. Only years of future research will tell us how important the effect of chimerism is on our human health.
1.      Blumberg N, Heal JM. Blood transfusion immunomodulation: the silent epidemic. Arch Pathol Lab Med. 1998;122:117-119. Abstract
2.      Yunis EJ, Zuniqa J, Romero V, Yunis EJ. Chimerism and tetragametic chimerism in humans: implications in autoimmunity, allorecognition and tolerance. Immunol Res. 2007;38:213-236. Abstract 
 other related articles 
Transfusion-Related Immunomodulation (TRIM): A Second Hit in an ...
Practical Transfusion Medicine - Google Books Result
Michael F. Murphy, ‎Derwood H. Pamphilon - 2013 - ‎Medical
Growth enhancement of established tumors by allogeneic blood transfusion in experimental animals and its ... Vamvakas EC & Blajchman MA (eds). lmmunomodulatory Effects of Blood Transfusion. ...Deleterious clinical effects of transfusionassociated immunomodulation: fact or fiction? Blood 2001;97:1180— 1195.
References in Transfusion-related immunosuppression ...
5Vamvakas, E.C., Blajchman, M.A. Deleterious clinical effects of transfusion- associated immunomodulation: fact or fiction. Blood. 2001;97:1180–1195.
So 'Best transfusion is no transfusion' 
With best regards 
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I'm currently working on a clinical research project to determine the difference between administration of colonoscopies in rural and urban areas. Our hypothesis is that in rural areas general surgeons perform the majority of procedures as compared to other physican specialties. To determine this, we are using the NAMCS data (National Ambulatory Health Care Survey data) published for the public by the CDC.
I have very little statistical background, but I managed to isolate the variables of interest from the data, which is in the table below. The objective is to determine the relationship between physical specialty (SPECR) and rural/urban area (MSA). The excel file also explains what the variables signify.
I've never run a logistic regression before, but is that the right approach here? I want to be able to show that a general surgeon in an urban area performs x% of urban colonoscopies while a general surgeon in a rural area performs y% of rural colonoscopies.
Does anyone have any helpful resources, or could anyone help me with the program I should run in SAS to do this? Any help would be greatly appreciated! I'm feeling a little lost; I have all my data but I don't know how to manipulate it.
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If you are interested in the interaction between MSA and SPECR, you could run:
options ps=400 ls=110 nodate nonumber pageno=1 formdlim="";
data example;
title 'Mantel-Haenszel Test (Stratified Analysis), using Proc Freq';
input msa $ specr $ colon $ count;
datalines;
urban general yes 20
urban general no 180
urban ortho yes 40
urban ortho no 160
rural general yes 90
rural general no 110
rural ortho yes 100
rural ortho no 100
;
proc freq order=data;
weight count;
tables msa*specr*colon / chisq cmh nopercent nocol;
run;
proc catmod order=data;
title 'Weighted Least Suares Analysis, using Proc Catmod';
weight count;
response marginals;
model colon = msa|specr / noparm freq prob;
run;
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I am a postdoc at SAHMRI interested in improving side effect management in people undergoing cancer treatment. It would be really interesting to look at disparities in indigenous and non indigenous cohorts with regards to the incidence and management of side effects, access to supportive care, impact on life etc. 
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It is imperative to report all sorts of data for the cohorts and these include the toxicity and side effects that you confront during the period of the ongoing study.
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Pre-analytical blood sample haemolysis is a subject that's well researched. As much as it's known that haemolysis could be physiological (in vivo), evidence does show mechanical (in vitro) haemolysis is high but could be prevented in most cases through proper sample collection, handling and transportation. Despite the available evidence that's including systematic review, why are we still failing to reduce pre-analytical rate to the acceptable benchmark of 2% or below?
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Hi David,
Just one other thing I forgot to ask about this subject ... are the tubes you use low vacuum? Some research is showing low haemolysis rate when blood samples are collected in low vacuum tubes and was wondering if the low rates you have is a combination of the training and the tubes you use.
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What are healthcare professionals' experience on stillbirth in maternity care?
Looking for a qualitative study
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Hello, this is not a qualitative study but a review of studies which i think might point you in the right direction. Hope it helps. http://journals.sagepub.com/doi/pdf/10.1177/1359105317705981
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In my opinion the main types of costs that should be determined include: productivity costs, medical costs, quality of life losses and administration and insurance costs.
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First, it depends on whether you are taking the perspective of society, the employer, the worker, the government, or the health care system. From society's & worker perspectives, your list is reasonably good but should exclude insurance costs (those double-count the losses). For societal & employer perspectives, need to add emergency services (police, fire & ambulance), employer costs (workplace disruption, incident investigation, rehiring, etc. -- see Rikhardsson et al. Corporate cost of occupational accidents: an activity-based analysis, Accident Analysis & Prevention, 2004.) as well as the costs of property damage/loss (think of a jack-knifed tractor-trailer that was carrying tomatoes or eggs to market) and production delays (think of an explosion inside a manufacturing plant or a fire that destroyed the IT servers). I include prosthetics, wheelchairs, etc in medical costs but health insurance may not count such medical devices - or home modifications, specialized transportation. Costs to the employer focus on insurance expenditures (Worker's Comp (medical, disability, rehab and retraining), disability, life) and sick leave rather than the actual medical costs and productivity losses -- plus the employer & property damage costs, liability costs when employees injury others & the employee was on-the-clock or in a company vehicle or had been drinking at a company-sanctioned event , costs of lost reputation in major events (Union Carbide after Bhopal, the airline that folded after a crash in Florida), taxes paid to fund government payments related to the injury. Employer costs also include insurance, leave, and disruption costs for worker injuries when the worker is not on duty, especially if the employer providers health insurance for the employee & the employee's spouse & children. Plus there is the cost of reduced productivity when injured workers are temporarily reassigned to restricted duty tasks rather than out on leave.
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I need WPRO Checklist for assessment of vulnerability of hospital.
Anyone have the checklist plz.
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Dear Sir,
Wa-lai-kum Salam.
Salam to you too.
Thank you Sir for your kind response.
I was your student in "Gono Shasthaya Samaj Vittik Medical College".
I need the information for my academic thesis work.
Again thanks for your kind response. I have inboxed you my phone number and email.
It will be blessing for me if you have time to inspire me.
Sincerely,
Dr.Munzur-E-Murshid
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our research objectives is to find if the presence of appropriate healthcare services in schools and  health personnel who provide it 
we have collected our data contacting 40 random schools ( private,governmental) of all levels. asking about presence of healthcare equipments and the provider of care, number of incidence and how they managed it !
we thought of using chi-square test but the sample size is small , is there any other appropriate test we can use ?
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Hawra
Comparing the presence versus absence of any item between private and governmental schools (total 40 schools) means you can arrange the data into 2x2 tables which fits for chi-squared test. if small numbers in some cells then use Fisher Exact Test as an alternative to Chi-squared test.
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I am working on a similar project for elder care facilities, and plan to specify criteria and methods of measurements for these attributes.
Best regards,
Jim
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Thank you Eduardo, but aren't specific parameters and values needed in the protocol?
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Guidelines/checklist for 'mini review'
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Dear Marco,
As you may have experienced, there are many checklists and tools in order to reporting and to assess the quality of SRL, RCT, meta-analysis, observational studies, etc. PRISMA is a good one but it was "not designed to be a quality assessment instrument to gauge the quality of a systematic review, but to help authors improve the reporting of systematic reviews and meta-analyses".
AMSTAR has been used on many occasions as an useful tool for assessing the methodological quality of SRL. The reliability of AMSTAR score is very good and the checklist is simple to accomplish. AMSTAR checklist can be found on URL https://amstar.ca/Amstar_Checklist.php
However. I think we must pay attention to tools by Critical Appraisal Skills Programme (CASP). May be, these tools are the "most cost-effective" in terms of  effort and mental resources spent. CASPE checklist can be found on URL http://www.casp-uk.net/casp-tools-checklists
I hope this is useful for you.
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 I need some help. I am trying to make some assumptions about the Primary care cost for older women with primary breast cancer, since I did not get the data. I am wondering if you have any idea about the frequency of GP visit of breast cancer who are followed in the primary care?and if there is a cost for prescribing the drug in the primary care. What about other resources incurred in the primary care, i.e nurse visit? Does GP cost include the cost of prescribing the drug? Many thanks
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First, it is very important to you do define which costs you will consider. Second, If you do not have direct access to these estimatives, I would recommend a literature review. Certainly other studies mention these costs.
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Will they use queuing theory for analysis?
Recently, in our hospital, a local investigator asked us for a study that sought to identify points of congestion in the flow of patients to the intensive care unit, that is, to identify waiting times in each of the intervening instances. Theory of queues proposed by Erlang. The distribution of contracting for the outputs did not behave like an exponential, do you think it is a mistake to use this distribution to hire the expenditures?
Best regards
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     Queueing models usually assume time-independent (input) demand rates. Healthcare facilities generally experience different demand over a day, over a week or over a season. Arrivals consist of acute (unscheduled) and elective (scheduled) patients. In other words, part of the input cannot be controlled and another part can be scheduled. As a consequence, staffing has to be adjusted constantly. The long term
steady-state probability distributions for queue length or delay are usually assumed to be independent of time. In healthcare systems we should rely more on time varying arrival rates and time varying server availability and time-dependent waiting times (Green & Soares (2007), Ingolfsson et al. (2002)). Green (2006) proposes a stationary independent period-by-period (SIPP) approach to determine how to vary staffing to meet changing demand. 
     This  paragraph comes from " ueueing Models in Healthcare" By S. CREEMERS, M. LAMBRECHT and N. VANDAELE.
    In my opinion, you may care the distribution of interval in a certan period(for example ,two hours). Even though the distribution is not exponential, it can be approxmized by other distributions, such as Erlang/hyper-exponential/Phase-type etc. 
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I would like to be able to open my window to ventilate without been bothered by mosquitoes. What kind of system could I used, preferably integrated and discreet, instead of a classical mosquito net ?
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Hi Alex,
You can already find this kind of mosquito net roller for slider but you cannot use it for side hung windows. And Intellectual Ventures has shown a laser system able to detect and kill mosquitoes in flight. But when you look at the videos, it seems difficult to integrate the device in a window
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I am trying to study the effect of a policy that is implemented with different timing in different countries all belonging to my sample. To be clear, this policy is implemented in Malawi in 1994, in Kenya in 2003 and so on. 
I was thinking about using a Diff-in-Diff approach using the difference before/after the year of the treatment and full/partial exposure to the treatment (because there is an age eligibility requirement), but how to specify the fact that there should be different time dummies (before/after type)?
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Your study reminds me of something more or less comparable of several years ago:
Initiation of population-based mammography screening in Dutch municipalities and
effect on breast-cancer mortality: a systematic review. Otto SJ, Fracheboud J, Looman CW, Broeders MJ, Boer R, Hendriks JH, Verbeek AL, de Koning HJ; National Evaluation Team for Breast Cancer Screening. Lancet. 2003 Apr 26;361(9367):1411-7
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My concentration is on the severity or over managing vs. indifference, training of supervisors, the dilemma of having your administrative superior as clinical supervisor.
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Yes, I also would need to understand more. This is generally bad practice as in clinical supervision you need a safe space to discuss difficult cases, mistakes etc. Sometimes however it is necessary and in these cases the organisational culture and the characteristics of the supervisor and their boundaries will be crucial to success. If it is not handled correctly the junior will not openly discuss issues of mistakes, safety etc and this contributes to an unsafe and poor learning culture within the organisation.
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Trying to assess the utilization of health care services among a certain population.
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Dear friend
Access can be stratified as:( loose use of terms)
Availability access: Do people have sources of care within reasonable reach ?(say within 5 kms
Adequacy access: are these sources of care adequate to respond to the needs of the population? 
Acceptability  access: Are the sources of care acceptable from social point of view, cost and waiting time?
Utilization: are these sources used by the people? Who are the users and non-users? why the non-use?
and so on. 
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There is a wealth of research and information in relation to waste medication in primary care but appears to be limited when related to secondary care (hospitals). I am interested in how health professionals view medication waste and the impact this has upon health services. Additionally I wish to look at the root causes of medication waste within secondary care.
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Dear Karen Stone
Adequate knowledge about the health hazard of hospital waste, proper technique and methods of handling the waste, and practice of safety measures can go a long way toward the safe disposal of hazardous hospital waste and protect the community from various adverse effects of the hazardous waste. With this background, you must consider the levels of healthcare professions in you study and you must prepare appropriate questionnaire for each of them...
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Any experience of undertaking such research would be welcomed.
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Dear Ian,
this reminds me of a research with users of a sexual health program that targets disadvantaged groups (mainly due to some social stigma associated with one or more traits of the service users) in a remote location. I think a snowball sampling approach could help you irrespective of whether you are administering survey questionnaires or individual interviews but the key thing would be to acknowledge the methodological limitations of this kind of sampling to drawing generalizations.
Thanks
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cystic fibrosis is increasing in our area and need to establish registry
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for testing customer experiences in Public and Private hospital care: I am in bit confusion with the validation to use the tool for the research in between the EXQ and other tools HCSQ, PubHosQual, CX, CXQ, PAD Model, PADPoM, EXQUAL, E-S- Qual etc. could you please suggest me how can i clear my understanding?
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Customer experience is a new and exciting concept marketing which are being practised in the present business environment and gaining importance in academic field. my this paper may be useful to you 
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in our hospital we notice increasing of cases of unknown primary of cancer so we want to enhancing follow up by joineres and health workers
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I'm trying to find any research on the percentage of patients who search for information on the Internet, but DO NOT report their findings to their doctors.  I have a figure of 65% from a few years back, but I don't have the reference :-(.  If anyone can help me, that would be much appreciated.
Thanks.