Twenty-five patients who have suffered a near miss asthma death (NMAD) have undergone a comprehensive psychiatric evaluation on average 13 months following this event. Forty percent of the patients were judged to have psychiatric disorders at the time of assessment. All patients had very high levels of denial and following the NMAD, patients appeared to either decompensate psychiatrically, usua...

PURPOSE The purpose of this study was to examine nurses' attitudes and reflection on the transformation of their workpractices after the implementation of an Emergency Department Information System (EDIS). METHODS A qualitative study using interviews, mainly with nurses, conducted four years after the implementation of an EDIS at the emergency department (ED) of a large university hospital in...

Abstract Germany’s excessive current account surpluses mirror domestic problems. They are rooted in inequality and a weak home market, creating an overdependence on exports. Why, then, policymakers so reluctant to reduce them? This paper argues that contributing factor is the public misrepresentation of surpluses’ costs. Imbalances narrated as distributional conflicts between countries, not wit...

Background Access to safe, effective, affordable, and quality medicines is an essential component of the right health also one targets in global development agenda. In this review article, we extensively discuss challenges issues surrounding access African region as well provides recommendations for ensuring security on continent. Methods We conducted narrative with use data reported published ...

This study examined poverty reduction and SDGs in rural areas Nigeria with reference to selected local government Enugu State. The adopted the descriptive survey research design made use of both primary secondary sources data. population was 722,664 people three represent State, while sample size 400 derived via Taro Yamani formula determination. cluster sampling technique applied select from s...

Purpose This study aims to examine the emotional and cognitive responses of frontline homelessness service support staff highly insecure attachment styles (AS) exhibited by people experiencing multiple exclusion (MEH), that is, a combination other forms deep social exclusion. Design/methodology/approach Focus groups were conducted with (N = 19) in four services Scotland. Hypothetical case vigne...

Thermal comfort is an important factor for the design of buildings that offers comfortable indoor environment wellbeing building occupants. There are several residential typologies at different locations in world. These includes bungalows, duplexes and block flats. Despite previous studies on thermal Nigeria, there a lack research data performance types, especially terms comfort. Hence, this st...

The world economy, and particularly international commerce, has incurred huge losses because of the coronavirus epidemic. Due to worldwide lockdown, social isolation, other precautions taken prevent spread COVID-19 pandemic, consumers have boosted their purchases on digital services. Therefore, corporate environment underwent dramatic changes throughout quarantine period. crisis sped up expansi...

Tourism plays a significant role in the economic development of Kenya. However, sector continues to face challenges arising both locally and globally. This study identifies analyses these problems how they impact tourism activities. The provides brief overview international by highlighting its socio-economic, environmental, political contributions country. Also discussed are sustainability issu...