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2019

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Breast Cancer Screening In Uninsured Women, Carla Porter Jan 2019

Breast Cancer Screening In Uninsured Women, Carla Porter

Electronic Theses and Dissertations 2010 - 2019

Breast Cancer is the most common cancer in women worldwide. African American and Hispanic women have a higher incidence of breast cancer mortality rate than their counterparts. Minority women are more are unlikely to receive breast cancer screening and are often diagnosed at later stages. Women diagnosed with abnormal breast screening can experience barriers to timely follow-up care resulting in delays in cancer diagnosis. Early cancer screening and prevention does reduce mortality rates. Despite breast cancer screening programs, minority women continue to have lower screening rates compared to non-minority women. A non-profit Community Health Center (CHC) in South Florida serves …

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Sun Protective Behavior Counseling In Parents Of Children Aged Six Months And Older, Stephanie Queen Jan 2019

Sun Protective Behavior Counseling In Parents Of Children Aged Six Months And Older, Stephanie Queen

Electronic Theses and Dissertations 2010 - 2019

Ultraviolet radiation exposure (UVR) is the most significant modifiable risk factor in preventing skin cancer. Seeking shade, and wearing hats, photoprotective clothing, sunscreen, and sunglasses are effective sun protective behaviors proven to reduce long-term morbidity and mortality from UVR. To be effective, these behaviors must be practiced consistently and adopted early within childhood. This quality improvement project explores the impact of sun protective behavior counseling in parents with children aged six months or older. Sun protective behavior counseling was given to parents in conjunction with evidence-based supplemental infographics along with examples of appropriate clothing, sunglasses, hats, and sunscreens. Successes of …

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Lipids, Learning, And Lifestyle: Improving Cholesterol Levels In A Rural Health Clinic Through Enhanced Care-Coordinator Education, Stefanie Warren Jan 2019

Lipids, Learning, And Lifestyle: Improving Cholesterol Levels In A Rural Health Clinic Through Enhanced Care-Coordinator Education, Stefanie Warren

Electronic Theses and Dissertations 2010 - 2019

Having high cholesterol levels raises the risk for heart disease, the leading cause of death in the United States. High cholesterol is considered a silent preventable condition. Uncontrolled cholesterol levels increase health disparities experienced by patients of low-socioeconomic status. The purpose of this quality improvement (QI) project is to determine the effect of an evidence-based cholesterol education program in enhancing hyperlipidemia management strategies among Care Coordinators at a Federally Qualified Health Center (FQHC). The overall goal of the project is to improve patient’s cholesterol levels over a 3-month period. This project supports the implementation of enhanced hyperlipidemia education for Care …

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Using Educational Materials To Increase Colorectal Cancer Screening Rates, Loreta D. Padron Jan 2019

Using Educational Materials To Increase Colorectal Cancer Screening Rates, Loreta D. Padron

Electronic Theses and Dissertations 2010 - 2019

Colorectal cancer (CRC) is the second leading, and third most preventable cancer in the United States (U.S.) (Center for Disease Control [CDC], 2019a) As the second leading cause of deaths in the U.S., more than 90% of CRC cases occur in people age 50 and older (CDC, 2019a). Roughly about 21.7 million of those at greatest risk of developing CRC have not been screened as recommended (CDC, 2019b). According to the national guidelines, the United States Preventative Service Task Force [USPSTF] recommends screening for CRC using a fecal occult blood testing (FIT or gFOBT) yearly, a sigmoidoscopy every 5 years …

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Use Of The Hypertension Self-Care Profile Tool And Dash Diet For Self-Care Management Among African American Adults With Hypertension, Charity H. Denson Jan 2019

Use Of The Hypertension Self-Care Profile Tool And Dash Diet For Self-Care Management Among African American Adults With Hypertension, Charity H. Denson

Electronic Theses and Dissertations 2010 - 2019

Although there are clinical guidelines in place for the treatment of hypertension (HTN), many African Americans (AA) fail to reach controlled levels within the primary care setting. The ultimate goal of this quality improvement project is to provide evidence-based information that could be used to improve HTN care and decrease the rates of uncontrolled HTN among AA adults with HTN. The project was conducted at a Federally Qualified Health Center in Fort Pierce, Florida. The intention of this quality improvement project is to address the need for attention to this concerning issue, to highlight best current evidence, and to provide …

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Improving Hypertension: Engagement In A Walking Exercise Program In A Primary Care Setting, Ana Favareto Jan 2019

Improving Hypertension: Engagement In A Walking Exercise Program In A Primary Care Setting, Ana Favareto

Electronic Theses and Dissertations 2010 - 2019

Background: Hypertension (HTN) is a very common, undertreated, and costly disease. Despite effective treatment strategies available, uncontrolled hypertension remains a persistent problem in the primary care setting. Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to assess the effectiveness of a walking exercise program (WEP) on blood pressure in adults diagnosed with uncontrolled hypertension in a primary care setting. Goals were targeted to decrease blood pressure, decrease BMI, and increase physical activity. Methods: Using Bandura’s Social Cognitive theory as a framework, a walking exercise was offered at a primary care clinic, to assess the effectiveness of …

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Improving Hemoglobin A1c Using The 4 Steps To Manage Your Diabetes For Life, Brittany Murray Jan 2019

Improving Hemoglobin A1c Using The 4 Steps To Manage Your Diabetes For Life, Brittany Murray

Electronic Theses and Dissertations 2010 - 2019

Diabetes is the seventh leading cause of death in the U.S. where 1.5 million Americans are diagnosed each year. This evidence-based quality improvement project showed the effects of diabetes self-management education on lowering hemoglobin A1c levels and improving self-management behaviors. Education from the National Diabetes Education Program using the 4 Steps to Manage Your Diabetes for Life booklet along with follow up phone calls, a pre and post- Diabetes Self-Management Questionnaire were administered to twelve participants at the clinic. Descriptive statistics and a paired sample T-test were used to analyze data on the hemoglobin A1c and the Diabetes Self-Management Questionnaire. …

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Improving Assessment And Management Of Copd, Kevin P. Hanaway Jan 2019

Improving Assessment And Management Of Copd, Kevin P. Hanaway

Electronic Theses and Dissertations 2010 - 2019

Chronic Obstructive Pulmonary Disease (COPD) is the fourth leading cause of death in the United States. In 2014 approximately 142,000 individuals in the U.S. died from COPD (Office of Disease Prevention & Health Promotion, Healthy People 2020). The Global Obstructive Lung Disease Initiative (GOLD) (2019) provides evidence-based practice (EBP) guidelines for diagnosing, managing, and treating Chronic Obstructive Pulmonary Disease (COPD). This Doctor of Nursing Practice (DNP) quality improvement project used best practice recommended by GOLD (2019) to improve assessment of COPD by use of the Chronic Obstructive Pulmonary Disease Assessment Test (CAT). The implementation process for using the CAT was …

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Screening Time: Increased Colorectal Cancer Screening Among Haitian Americans, Tarah Roch Jan 2019

Screening Time: Increased Colorectal Cancer Screening Among Haitian Americans, Tarah Roch

Electronic Theses and Dissertations 2010 - 2019

The American College of Gastroenterology and the American Cancer Society (2018) issued new guidelines recommending adults aged 45 years and older with an average risk of colorectal cancer undergo regular screening. When colorectal cancer is diagnosed at earlier stages, available treatments are more successful. Haitian immigrants are among the fastest growing group of immigrants in the US with Florida being the second largest number of people of Haitian heritage. National studies do not distinguish Haitians from the other Blacks subgroups and there are no specific statistics within African descent subgroups on colorectal cancer incidence and rate of screening. Based on …

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An Evaluation Of A Diabetes Self-Management Education Program In A Community Health Clinic, Daniela Chetan Jan 2019

An Evaluation Of A Diabetes Self-Management Education Program In A Community Health Clinic, Daniela Chetan

Electronic Theses and Dissertations 2010 - 2019

The incidence of uncontrolled diabetes among the adult population of the United States, especially individuals over 65 years, remains a critical issue and is on the rise. Florida is one of the most affected states with the largest population of adults ages 65 and older in the nation (FDAC, 2017). Adults within minority groups face the greatest hardships as they often do not have access to proper diabetes educational programs resulting in a higher prevalence of diabetes with a higher risk for developing diabetes-related complications (Ricci-Cabello et al., 2014). Diabetes is a chronic disease that requires a person to make …

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Health Related Quality Of Life And Coping Strategies Of Children With Type 1 Diabetes Mellitus Attending A Tertiary Care Setting, Vineetha Vijaykumar Ms, Sreeja S. A Ms Jan 2019

Health Related Quality Of Life And Coping Strategies Of Children With Type 1 Diabetes Mellitus Attending A Tertiary Care Setting, Vineetha Vijaykumar Ms, Sreeja S. A Ms

Manipal Journal of Nursing and Health Sciences

Introduction: Diabetes mellitus (DM) is a syndrome that results in abnormally high blood sugar levels and is due to the combined effect of hereditary and environment. There is a global increase of type 1diabetes at a proportion of 3% annually in children and adolescents and frightening 5% increase annually among pre-school children. The highest incidences were found in the 10 to 14 years (Swift, 2007). Objectives: The objectives were to determine the health related quality of life (HRQOL) and coping strategies of children with type 1 DM, to find the association between HRQOL with selected demographic variables and to identify …

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Social Determinants Of Adolescent Girls’ Dietary Pattern In Suburban Areas In Chennai: A Qualitative Approach, Ponnambily Jobin Ms Jan 2019

Social Determinants Of Adolescent Girls’ Dietary Pattern In Suburban Areas In Chennai: A Qualitative Approach, Ponnambily Jobin Ms

Manipal Journal of Nursing and Health Sciences

Background: The idea of adolescent well-being is getting importance all around the world and thus there is a lack of national investigations to survey the factors on the dietary pattern of young girls in suburban regions. Aim: The objective of the study is to explore the social determinants of adolescent girls’ dietary pattern in suburban areas of Chennai. Design: The phenomenological design was used to explore the social determinants of adolescent girl’s nutritional intake. The study population consisted of adolescent girls, who were in the age group of 15-18 years in suburban areas of Chennai. The tool had two sections: …

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Self-Reported Practice Of Ergonomics And Musculoskeletal Problems Among Computer Users Of Selected Offices At Mangaluru, Preethi Fernandes Ms, Shwetha Rashmi Ms, Bimalu Benny Ms, Chinchu S. Peter Ms Jan 2019

Self-Reported Practice Of Ergonomics And Musculoskeletal Problems Among Computer Users Of Selected Offices At Mangaluru, Preethi Fernandes Ms, Shwetha Rashmi Ms, Bimalu Benny Ms, Chinchu S. Peter Ms

Manipal Journal of Nursing and Health Sciences

Introduction: The extent of computer use in the offices has greatly increased over the recent decades, resulting in the risk of several health problems among computer users. Symptoms like pain, numbness, tingling, etc. occur in various body parts due to the improper practice of computer ergonomics. Methodology: The descriptive survey approach had been used in view of accomplishing the main objective of the study. The tool consists of baseline pro forma along with rating scale to assess the self-reported practice of ergonomics and rating scale to assess musculoskeletal problems. The subjects consisted of 100 office workers who used the computer …

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Knowledge And Practice Among Housekeeping Staff On Methods Of Bio-Medical Waste (Bmw) Management, Nanda Kumar Paniyadi Mr, Asha P. Shetty Dr, Alice Minj Ms, Edavathra Jennie Varghese Ms Jan 2019

Knowledge And Practice Among Housekeeping Staff On Methods Of Bio-Medical Waste (Bmw) Management, Nanda Kumar Paniyadi Mr, Asha P. Shetty Dr, Alice Minj Ms, Edavathra Jennie Varghese Ms

Manipal Journal of Nursing and Health Sciences

Waste is any substance that is not useful. Bio-medical waste (BMW) is any kind of waste containing infectious material. Inappropriate and inadequate handling of health care waste has serious public health issues and significant influence on environment. Objective: Objective of the study is to find out the relation between knowledge and practice regarding the method of BMW disposal. Methodology: A descriptive study design with non-probability convenient sampling technique was used to collect the data from 65 housekeeping staff of AIIMS, Bhubaneswar after obtaining administrative approval from the authorities. Structured knowledge questionnaire on BMW disposal and observational checklist for the practice …

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A New Approach For Scoring In Objective Structured Clinical Examination, Jomon C. U Mr, Roseminu Varghese Ms Jan 2019

A New Approach For Scoring In Objective Structured Clinical Examination, Jomon C. U Mr, Roseminu Varghese Ms

Manipal Journal of Nursing and Health Sciences

The Objective Structured Clinical Examination (OSCE) is a useful multi-use assessment tool which may be used to evaluate health care providers of various disciplines in a clinical setting. It appraises proficiency, through direct observation based on objective or unbiased testing. It is accurate, objective and consistent letting uniform testing of clinical skills among an extensive range of students. OSCE software, developed at Manipal College of Nursing (MCON), a constituent unit of Manipal Academy of Higher Education (MAHE) is a windows-based platform which is integrated with student’s information system and is designed to access only through the intranet of MAHE. It …

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Knowledge Of Nurses Working In Maternity Units Before And After The Implementation Of Structured Teaching Program On Obstetrical Emergencies In Selected Hospitals, Guntur District, Andhra Pradesh, Geetha Dhanasiri Ms, Vasundhara R Ms Jan 2019

Knowledge Of Nurses Working In Maternity Units Before And After The Implementation Of Structured Teaching Program On Obstetrical Emergencies In Selected Hospitals, Guntur District, Andhra Pradesh, Geetha Dhanasiri Ms, Vasundhara R Ms

Manipal Journal of Nursing and Health Sciences

Introduction: The experience of pregnancy is individualistic and an important experience for a woman. The process of child birth is viewed as a rebirth of the woman, because of the very fact that the period of pregnancy, child birth and puerperium, which show a very normal course till that time, may suddenly turn in to life threatening situations called obstetrical emergencies. These conditions endanger the life of both the mother and the baby. Hence, it is the bound duty of all the obstetrical care providers to give due concentration in identifying the emergency conditions and safe guarding the life of …

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Study To Assess The Prevalence Of Breakfast Skipping And Its Associated Factors Among Nursing Students In Selected College, Mangaluru, Derina Benny Ms, Anu Varghese Ms, Ashly Susan Baby Ms, Aishwarya Roy Ms Jan 2019

Study To Assess The Prevalence Of Breakfast Skipping And Its Associated Factors Among Nursing Students In Selected College, Mangaluru, Derina Benny Ms, Anu Varghese Ms, Ashly Susan Baby Ms, Aishwarya Roy Ms

Manipal Journal of Nursing and Health Sciences

Introduction: Nowadays breakfast skipping is a tradition in the adolescent group. Breakfast actually means breaking the fast over the night. One of the most important meals which is required for a normal growth is breakfast. If we fail to have breakfast it can lead to the poor concentration, obesity, high blood pressure, irritability, fatigue, etc. Objectives: The objective of the study was to identify the prevalence among nursing students in relation to their breakfast skipping pattern and find out the factors associated with it. Methods: The approach used was a descriptive survey design. The sample comprised of 349 students. The …

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Management In Paediatric Burns: A Case Report, Sangeetha Priyadarshini Ms, Pramod Kumar Dr, Elsa Sanatombi Devi Dr, Anice George Dr Jan 2019

Management In Paediatric Burns: A Case Report, Sangeetha Priyadarshini Ms, Pramod Kumar Dr, Elsa Sanatombi Devi Dr, Anice George Dr

Manipal Journal of Nursing and Health Sciences

Burns are common childhood injuries among children, mainly caused by scald, fire or abuse. The authors presented the case of a one-year child who presented with second degree thermal burns due to fall of hot liquid on the child. Most of the burn injuries, which occur in the early ages of life, are mostly due to the negligence or lack of supervision of the child during the growing period. So, proper management of burn injury and adequate education of parents should be considered as an important aspect in prevention of burns in children. Further, the classification of burns injury helps …

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Community Breast Screening “Treasure Your Chest”, Lovely Joji Jan 2019

Community Breast Screening “Treasure Your Chest”, Lovely Joji

Electronic Theses and Dissertations 2010 - 2019

Background: Cancer is the second leading cause of death in United States (CDC, 2019). It has a huge impact on our society. In 2019, an estimated 268,600 new cases of invasive breast cancer are expected to be diagnosed in women in the U.S., along with 62,930 new cases of non-invasive breast cancer (U.S. Breast Cancer Statistics, 2019). About 41,760 women in the U.S. are expected to die in 2019 from breast cancer. Early diagnosis of the disease can reduce the mortality significantly and promote quality of life. Screening mammography has shown to reduce mortality from breast cancer in women 40-70years …

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Improving Hgba1c And Overall Insulin Resistance For Patients With Type Ii Diabetes: Evaluating The Effectiveness Of A Whole-Food, Plant-Based Diet, Jennifer Seegott Jan 2019

Improving Hgba1c And Overall Insulin Resistance For Patients With Type Ii Diabetes: Evaluating The Effectiveness Of A Whole-Food, Plant-Based Diet, Jennifer Seegott

Electronic Theses and Dissertations 2010 - 2019

The purpose of this Doctor of Nursing Practice (DNP), quality improvement project was to assist participants in the management of their type 2 diabetes through the use an evidencebased Whole-Food, Plant-Based (WFPB) diet approach. The project described the effectiveness of individual WFPB instruction and counseling. Following recruitment, the participant attended weekly dietary counseling sessions focused on incorporating a WFPB diet over a 6-week period. The participant completed the 16-item food intake questionnaire (16-FIQ) pre- and post-dietary counseling along with HgbA1c measurements during the project period. Post dietary counseling resulted in an increase in the participant’s HgbA1c from 8.1% to 8.9%, …

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Gender Incongruence In Children, Adolescents And Adults, Susan Bewley, Damian Clifford, Margaret Mccartney, Richard Byng Jan 2019

Gender Incongruence In Children, Adolescents And Adults, Susan Bewley, Damian Clifford, Margaret Mccartney, Richard Byng

Peninsula Medical School

More individuals are requesting medical assistance for gender uncertainty or dysphoria and provision of adult NHS gender identity services (GIS) is changing. Despite minimal medical input to polarised debates, several issues are potentially concerning: reports of poor care; rapid rises in referrals of children and young people to GIS; public conflation of biological sex with socially influenced gender roles; and extensive uncertainty in the evidence base to guide practice. Medical practice should happen within robust human rights frameworks where individual patients always have their concerns heard. Generalists, with expertise in whole-person care, handling uncertainty and complexity, have a key role …

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Evolution And Clustering Of Prodromal Parkinsonian Features In Gba1 Carriers, Stephen Mullin, Michelle Beavan, Jonathan Bestwick, Alisdair Mcneill, Christos Proukakis, Timothy Cox, Derralynn Hughes, Atul Mehta, Henrik Zetterberg, Anthony H.V. Schapira Jan 2019

Evolution And Clustering Of Prodromal Parkinsonian Features In Gba1 Carriers, Stephen Mullin, Michelle Beavan, Jonathan Bestwick, Alisdair Mcneill, Christos Proukakis, Timothy Cox, Derralynn Hughes, Atul Mehta, Henrik Zetterberg, Anthony H.V. Schapira

Peninsula Medical School

No abstract provided.

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Exploring How Patients Respond To Gp Recommendations For Mental Health Treatment: An Analysis Of Communication In Primary Care Consultations, Joseph Ford, Felicity Thomas, Richard Byng, Rose Mccabe Jan 2019

Exploring How Patients Respond To Gp Recommendations For Mental Health Treatment: An Analysis Of Communication In Primary Care Consultations, Joseph Ford, Felicity Thomas, Richard Byng, Rose Mccabe

Peninsula Medical School

BackgroundPatient take-up and adherence to antidepressants and talking therapy is low. However, little is known about how GPs recommend these treatments and whether patients accept them.AimTo examine how GPs recommend antidepressants and talking therapy, and how patients respond.Design & settingA total of 52 recorded primary care consultations for depression, anxiety, and stress were analysed.MethodUsing a standardised coding scheme, five ways doctors recommend treatment were coded, conveying varying authority and endorsement. The treatment recommendation types were as follows: more directive pronouncements (I’ll start you on X); proposals (How about we start X?); less directive suggestions (Would you like to try X?); …

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Debating The Geographies Of Contemporary Higher Education Students: Diversity, Resilience, Resistance?, Mark Holton Jan 2019

Debating The Geographies Of Contemporary Higher Education Students: Diversity, Resilience, Resistance?, Mark Holton

School of Geography, Earth and Environmental Sciences

No abstract provided.

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Diverse Sources Of Aeolian Sediment Revealed In An Arid Landscape In Southeastern Iran Using A Modified Bayesian Un-Mixing Model, Hamid Gholami, Kordestani M Dolat, Junran Li, Matt W. Telfer, Aboalhasan Fathabadi Jan 2019

Diverse Sources Of Aeolian Sediment Revealed In An Arid Landscape In Southeastern Iran Using A Modified Bayesian Un-Mixing Model, Hamid Gholami, Kordestani M Dolat, Junran Li, Matt W. Telfer, Aboalhasan Fathabadi

School of Geography, Earth and Environmental Sciences

No abstract provided.

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Creative Recovery: Mapping Refugees' Memories Of Home As Heritage, Sana Murrani, Ioana Popovici Jan 2019

Creative Recovery: Mapping Refugees' Memories Of Home As Heritage, Sana Murrani, Ioana Popovici

School of Art, Design and Architecture

Refugees, asylum seekers and migrants who fled conflict and other adversities in their homelands are facing challenging times here in the UK as they are trying to integrate and build a new life. Being uprooted from one’s home and community is not easy - especially when one is faced with new struggles in life around navigating the UK Migration System, searching for adequate housing, learning a new language and most importantly, defining one’s existence again in this world amongst other concerns.Creative Recovery focuses on the narrative that the media misses from those who show resilience and courage as they fled …

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Corporate Social Responsibility, Path Dependency And Cultural Influence: An Analysis Of Equitable Health Insurance Schemes For Niger, Reynatou Mounkaila Noma Jan 2019

Corporate Social Responsibility, Path Dependency And Cultural Influence: An Analysis Of Equitable Health Insurance Schemes For Niger, Reynatou Mounkaila Noma

Plymouth Business School Theses

Health care is essential for the wellbeing of people and the development of a country. Populations in developing countries tend to encounter challenges in accessing good healthcare which could however be improved with health insurance. This thesis investigates the reasons for the low health coverage in Niger, in the perspective of proposing equitable schemes for attaining universal coverage. The study sheds light on the low rate of health insurance coverage in the country, as at least 70 % of the population, essentially from the informal sector does not have sustainable health insurance plan. For this study, the theoretical framework of …

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An Analysis Of The Impact Of Performance Management In Higher Education, Andrew Brown Jan 2019

An Analysis Of The Impact Of Performance Management In Higher Education, Andrew Brown

Plymouth Business School Theses

Recent changes in higher education sector have resulted in an increasingly marketised and competitive environment. Fee changes have heightened student expectations, whilst neo-liberal approaches, such as the removal of the student number cap have intensified focus on the recruitment and retention of students. Consequently performance in a variety of league tables has become a primary area of concern for universities, both as a means of student attraction and also as a response to pressure from a range of stakeholders. It is against this backdrop, that this research considers the impact of performance management within the sector. It is through such …

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The Uk Government Internet Safety Strategy – Time To Listen To The Youth Voice?, Ad Phippen Jan 2019

The Uk Government Internet Safety Strategy – Time To Listen To The Youth Voice?, Ad Phippen

School of Law, Humanities and Social Sciences

The policy space around “online safety” has been active in the last 18 months, with development from manifesto commitment through green paper to proposed white paper. The goal is developing a legislative and regulative programme that will, it is proposed, ensure that UK citizens are “safe” when they go online. With the proposed white paper anticipated in Autumn 2018, it is worthwhile to pause and reflect on the policy direction, drawing from both empirical and personal perspectives on working with children and young people, and what it means to be a young person growing up in this “digital age”. By …

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Africa Starts At The Pyrenees: Humor, Laughter, And Financial Recession In A Spanish Enclave In Morocco, B Campbell Jan 2019

Africa Starts At The Pyrenees: Humor, Laughter, And Financial Recession In A Spanish Enclave In Morocco, B Campbell

School of Law, Humanities and Social Sciences

No abstract provided.

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