Suchergebnisse

Objective: The aim of the present study was to determine if a wearable system based on a head-mounted display (HMD) causes users to alter their head position and adopt postures that place greater stress on the musculoskeletal system. Background: HMDs are common output devices used with wearable computers. HMDs provide the wearer with visual information by projecting computer-generated virtual images in front of the eyes. Deviations of neck posture from a neutral upright position increase the stresses on the musculoskeletal system of the head and neck. Method: Seven paramedics simulated the treatment of a patient under a normal condition and when using an HMD wearable computer system. During the simulations a posture analysis was performed using the Rapid Upper Limb Assessment method. Results: The postures adopted when wearing an HMD, as compared with a normal condition, scored significantly higher for the neck ( z = 2.463, p < .05) and for overall body posture (left side of the body: z = 2.447, p < .05; right side of the body: z = 2.895, p < .05). Conclusion: Wearing an HMD can force the wearers to modify their neck posture. As such, the musculoskeletal system of the head and neck may be placed under increased levels of stress. Application: Potential users should be made aware that HMDs could dictate modifications in neck posture, which may have detrimental effects and may compound the weight effect of the HMD.

BACKGROUND: Around 25% of patients with psychoses lose contact with specialist psychiatric services, despite the government's policy to focus the efforts of community teams on this group. AIM: To identify patient and practice factors associated with continuing contact and loss of contact with specialist services. METHOD: Cross-sectional comparison was made of patients in and out of specialist contact, through detailed interviews with 102 patients among 26 south west London practices. Associations were sought between contact with specialist services and patient factors (illness severity, social functioning, quality of life, needs for care, and satisfaction with general practitioner [GP] services) and practice factors (size, location, fundholding status, training status, and the presence of mental health professionals on site). RESULTS: Thirty-one (30%) patients were currently out of specialist contact. No significant differences were found between those in and out of contact on any measures of diagnosis or psychiatric history. Those in contact had significantly more symptoms, poorer social functioning, poorer quality of life, and more needs for care. The proportion out of contact was significantly higher in two practices that had employed their own mental health professionals to provides services on site for severe mental illnesses. Two factors remained significant predictors of contact in a logistic regression model: whether or not the patient's practice offered a special service on site, and greater patient needs for care. CONCLUSIONS: Secondary mental health services are being targeted towards the more needy patients. The provision of special services in practices can shift care further away from secondary care while still meeting patients' needs.

Die Digitalisierung der Lebens- und Arbeitswelt wirkt sich grundlegend auf den Tourismus aus und hat bereits neue Markt- und Kommunikationsformen hervorgebracht. Verreist wird aber weiterhin analog. Die Anforderungen an einen Tourismus 4.0 sind hoch, aber längst nicht erfüllt: Neue Gästewünsche müssen mit entsprechenden digitalen Angeboten und Services von Gastgebern und touristischen Organisationen bedient werden. Größte Hindernisse sind fehlende personelle und finanzielle Ressourcen sowie fachliche Kompetenzen aufseiten der Akteure. Wo die Reise im digitalen Tourismus hingeht, ist bei Hoteliers und Gastronomen, Reiseveranstaltern und touristischen Marketingorganisationen sowie auch in der Wissenschaft noch offen. Um die digitale Transformation im Tourismus erfolgreich gestalten zu können, müssen innovative Strategien ganzheitlich entwickelt und koordiniert umgesetzt werden. Diese Prozesse müssen in Hinblick auf die Auswirkungen der Corona-Pandemie neu gedacht werden.

This study evaluates the impact of introducing Maternity Capital (MC) programchild subsidy of 250,000 Rub (7,150 euros or 10,000 USD, in 2007) for giving birthto /adopting 2nd and subsequent children since January 2007. The reform madeit possible for eligible Russian families to allocate these funds to improve family housing conditions, to sponsor children education, or to invest them in mother's retirement fund. The objective of this study is to evaluate the impact of the MC claim eligibility on various child outcomes and household-level consumption patterns. Using data from representative Russian Longitudinal Monitoring Survey 2011-2017,I test regression discontinuity models and find no significant difference in health, educational and well-being outcomes between children raised in MC claim eligible and ineligible families. In addition, no such differences were found in terms of household-level dietary habits and preferences. The results are robust to different and functional, semi- and non-parametric RDD specifications.

This study evaluates the impact of introducing Maternity Capital (MC) programchild subsidy of 250,000 Rub (7,150 euros or 10,000 USD, in 2007) for giving birthto /adopting 2nd and subsequent children since January 2007. The reform madeit possible for eligible Russian families to allocate these funds to improve family housing conditions, to sponsor children education, or to invest them in mother's retirement fund. The objective of this study is to evaluate the impact of the MC claim eligibility on various child outcomes and household-level consumption patterns. Using data from representative Russian Longitudinal Monitoring Survey 2011-2017,I test regression discontinuity models and find no significant difference in health, educational and well-being outcomes between children raised in MC claim eligible and ineligible families. In addition, no such differences were found in terms of household-level dietary habits and preferences. The results are robust to different and functional, semi- and non-parametric RDD specifications.

This study evaluates the impact of introducing Maternity Capital (MC) programchild subsidy of 250,000 Rub (7,150 euros or 10,000 USD, in 2007) for giving birthto /adopting 2nd and subsequent children since January 2007. The reform madeit possible for eligible Russian families to allocate these funds to improve family housing conditions, to sponsor children education, or to invest them in mother's retirement fund. The objective of this study is to evaluate the impact of the MC claim eligibility on various child outcomes and household-level consumption patterns. Using data from representative Russian Longitudinal Monitoring Survey 2011-2017,I test regression discontinuity models and find no significant difference in health, educational and well-being outcomes between children raised in MC claim eligible and ineligible families. In addition, no such differences were found in terms of household-level dietary habits and preferences. The results are robust to different and functional, semi- and non-parametric RDD specifications.

This study evaluates the impact of introducing Maternity Capital (MC) programchild subsidy of 250,000 Rub (7,150 euros or 10,000 USD, in 2007) for giving birthto /adopting 2nd and subsequent children since January 2007. The reform madeit possible for eligible Russian families to allocate these funds to improve family housing conditions, to sponsor children education, or to invest them in mother's retirement fund. The objective of this study is to evaluate the impact of the MC claim eligibility on various child outcomes and household-level consumption patterns. Using data from representative Russian Longitudinal Monitoring Survey 2011-2017,I test regression discontinuity models and find no significant difference in health, educational and well-being outcomes between children raised in MC claim eligible and ineligible families. In addition, no such differences were found in terms of household-level dietary habits and preferences. The results are robust to different and functional, semi- and non-parametric RDD specifications.