INCREASING APPOINTMENT KEEPING BY REDUCING THE CALL-APPOINTMENT INTERVAL

We examined the effect of reducing the interval between a patient's call for an appointment and the appointment itself. In Experiment 1, patients calling a family planning unit of a public health department were assigned appointments within either 1 or 3 weeks of their call. Data on patient “shows” and “no-shows” were recorded weekly for 6 weeks. Show rates for those in the 1-week appointment group were significantly higher than those in the 3-week group. In Experiment 2, patients were assigned to appointment dates either the next operating clinic day (next-day group) or 2 weeks from the call date (2-week group). Show rates for those in the next-day group were significantly better than show rates for patients in the 2-week group. Clinic productivity, time spent with patients, and consumer satisfaction were also assessed. Implications for appointment scheduling are discussed.     

Effects of training and display content on Level 2 driving automation interface usability

IntroductionLevel 2 driving automation features, such as adaptive cruise control (ACC) combined with lane centering, primarily communicate their operating statuses through the instrument cluster. It remains unclear how interface-specific training and display content influence the ability to understand Level 2 activity in production vehicles.MethodsEighty participants viewed videos recorded from the driver’s point of view in a variety of driving scenarios with Level 2 activity displayed in the instrument cluster of a 2017 Mercedes-Benz E-Class. Half viewed one of two instrument cluster layouts (simple or complex), and half received an orientation to the interface before the experiment. After each video, they were asked about the scenario they had just seen. We then examined what information in the displays participants used to identify Level 2 activity and the usability of the displays.ResultsTraining improved recognition accuracy of when lane centering was temporarily inactive and understanding of why it was inactive. Neither training nor display content affected the ability to recognize when ACC had adjusted the vehicle’s speed or detected a vehicle ahead, or when ACC initially did not detect a lead vehicle and understanding of why it had not detected it. Both factors influenced which sources of information participants used to determine Level 2 activity. Recognition accuracy of system activity improved when participants used valid sources of information. Training, but not display content, improved lane centering usability, but not ACC usability.DiscussionBasic training improves detection of notifications that potentially require further driver action, but not of those that display persistent status information. Training does not result in full understanding of all system notifications or functional limitations, which reinforces the need for intuitive, salient communication about system behavior and its limitations.     

Helping Children Access and Use Services: A Review

High rates of dropping out from mental health services are documented for children and their families. These high rates exist at different treatment stages, in different service settings, and for different populations of children and families. Some researchers have developed and tested engagement interventions to address barriers to service access and use and increase participation in services by children and their families. Studies of engagement interventions for children and their families are critically reviewed in this paper. Overall, the engagement interventions were effective in increasing attendance at first appointments. Only those with an ecological and total service delivery approach reduced the drop-out rate. However, even then, the drop-out rate was 26% to 29%. Suggestions for future research are made, including ascertaining from children and families their reasons for quitting or staying in treatment, comparing the outcomes of drop-outs with the outcomes of those who remain in treatment, developing and testing conceptual models of engagement for subgroups of at-risk children and their families, and examining the cost-effectiveness of engagement interventions.     

齐鲁饮食文化形态中的儒学思想

齐鲁饮食文化深受儒学思想的影响,形成了一定文化形态的饮食观念,影响人们的日常生活,并在一定的时间和空间范围内起着促进或制约社会发展的作用。齐鲁饮食习俗中“上顺天道、适时进食”的自然生态观,“长幼有序、进食有礼”的礼俗观,“敬天爱人”和谐观,“孝敬父母、以和为贵”伦理观,“以大惟美”待客观,是齐鲁饮食文化形态的主要特征,是儒学思想实现社会统治方略和社会管理的具体体现。新的历史时期,齐鲁饮食文化不断与时俱进,加强自身发展与对外交流,去粗存精引领社会饮食文化健康和谐发展。     

古人论文学语言和意象

本文介绍古人对如何解决语言和意象不相一致这一问题的一些意见,并从中归纳出四种解决问题的方法：１．让形象说话,２．抓住事物主要特征,３．不即不离地描写,４．语言浅近     

Crash avoidance and driver assistance technologies – Are they used?

Crash avoidance technologies have potential to mitigate collisions, and actual crash reductions have been identified for some systems. This study measured observed on-off rates of these technologies as an indicator of use, with a focus on lane maintenance systems (i.e., designed to keep vehicles within lanes by warning, braking, and/or steering) and studied factors that might increase their acceptance and use. Vehicles from nine manufacturers fitted with lane maintenance systems were observed at service departments during 2016. Systems were turned on in 51% of 983 vehicles. The activation rate was higher for systems with braking/steering interventions and vibrating warnings and decreased with total mileage. Large proportions of front crash prevention (93%), blind spot monitoring (99%), rear cross-traffic alert (97%), and driver monitoring alert (90%) systems were enabled, and most optional settings were set to factory defaults. Owner surveys linked to observations showed that drivers who had lane maintenance systems turned off believed warnings were distracting and unnecessary compared with drivers whose systems were on.     

Existential and religious issues when admitted to hospital in a secular society: Patterns of change

Situated in a secular culture, this study examined the relationship between four dimensions of health and a number of existential, religious, and spiritual/religious practice variables in questionnaires sampled from 480 Danish hospital patients. Illness dimensions were: self-rated health, severity of illness, illness duration, and recent changes in illness. The results indicated the youngest age group (<36 years) to be the most active on all existence/religious/practice variables. Small overall correlations were found between the illness dimensions and existential/religious/practice variables, but results had underlying complex patterns. The dimension of severity of illness showed the most consistent results in the expected direction: the worse the illness, the more existential/religious/practice activity, but very different patterns were found for men and women. Men generally had low levels of existential/religious/practice issues, when illness was not severe, but levels heightened when illness turned worse. The opposite was the case for women who had overall higher levels, when illness was not severe, but unexpectedly lost interest and activity when the illness grew worse, especially regarding the religious faith variables. When illness turned to the better, women (re)gained religious faith. The illness duration of 1–3 months showed to be the most sensitive period for the existential/religious/practice variables involved. The patients’ experience of change in existential/religious/practice issues and the actual measured change pattern did not always follow each other. The findings might contribute to clinical reflection and planning in health care settings in secular societies like in Scandinavia.     

Missed post-hospitalisation clinic appointment in a psychiatric hospital in Southeast Nigeria

ABSTRACT

Patients who have been attended to at psychiatric institutions sometimes fail to keep their scheduled appointments. This study was designed to assess the extent and determinants of missed first clinic appointments among recently discharged patients with schizophrenia. A total of 311 inpatients with a diagnosis of schizophrenia were participated in the study. The diagnosis of schizophrenia was confirmed using Munich version of the Composite International Diagnostic Interview. Socio-demographic and clinical data were collected using the socio-demographic questionnaire while analysis was done using SPSS (version 16). The rate of missed first outpatient appointment was found to be 25.7%. Missed appointment was associated with male gender, state of origin outside the study site, long distance from hospital to place of abode, longer appointment duration and illness severity at discharge. The findings in this study support the need for the introduction of community psychiatric services to improve patient access to services in Nigeria.     

Characteristics of secrets and the frequency,reasons and effects of secrets keeping and disclosure

This longitudinal study examines secrets keeping and disclosure. College students filled in two questionnaires, with a 4 months time span in between. Their psychological and physical wellbeing was investigated, together with self‐esteem, the topic and some characteristics of their most important secret (if they had a secret), reasons for having the secret, to whom they confide the secret, how they felt about confiding, and whether they thought that their behaviour would reveal that they kept a secret when they talked with someone who is not aware of their secret. The findings showed that total secrecy was rare, and that most secret‐holders had informed at least one other person about their secret. Moreover, the findings challenge the view that secrets keeping has negative effects on secret‐holders. Results revealed some negative effects, but only when the secret was serious. No positive effects were found for secrets disclosure. Secret‐holders confided information to those with whom they felt emotionally close; were more reluctant to confide when they kept the secret to avoid disapproval, and more likely to confide when they believed that others would find out about their secrets by paying attention to their (secret‐holders) behaviour. Copyright © 2002 John Wiley & Sons, Ltd.