Social capital can be defined as a resource found in the relationships between individuals and within the community that facilitates access to resources. Social capital may have an effect on health services utilization. Few studies have explored the impact of social capital on the propensity and frequency of general practitioner visits for immigrants. The relationship between social capital and health services use by immigrants was analyzed using a dataset consisting of socio-demographic data from the 2002 Canadian Community Health Survey linked to physician claims from the Ontario Health Insurance Program for fiscal year 2006. The results suggested that the community belonging aspect of individual social capital was associated with a decrease in the number of GP visits for immigrants. Thus, community services may substitute for formal health care for immigrants.

This study examined the potential impact on processes of care and patient outcomes upon exposure of supportive and concurrent care provided by primary care providers (PCPs) to their hospitalized patients. A secondary objective was to describe the PCPs who conduct these services, and the patients who receive them. There was a marked, observable trend that PCP visits to their hospitalized patients is on the decline (dropped 10% between 2003 and 2009). The patients who received in-hospital visits from their PCPs had more disease burden and were hospitalized longer than the control group. Patients who received and in-hospital visit from their PCP were more likely to receive home care services and PCP visits post-discharge [adjusted OR 1.20 (95% CI 1.12-1.28)]. They were also less likely to experience the composite outcome of death, hospital readmission, or emergency department visit [aOR 0.95 (95% CI 0.91-0.98)].

Social capital can be defined as a resource found in the relationships between individuals and within the community that facilitates access to resources. Social capital may have an effect on health services utilization. Few studies have explored the impact of social capital on the propensity and frequency of general practitioner visits for immigrants. The relationship between social capital and health services use by immigrants was analyzed using a dataset consisting of socio-demographic data from the 2002 Canadian Community Health Survey linked to physician claims from the Ontario Health Insurance Program for fiscal year 2006. The results suggested that the community belonging aspect of individual social capital was associated with a decrease in the number of GP visits for immigrants. Thus, community services may substitute for formal health care for immigrants.

This study examined the potential impact on processes of care and patient outcomes upon exposure of supportive and concurrent care provided by primary care providers (PCPs) to their hospitalized patients. A secondary objective was to describe the PCPs who conduct these services, and the patients who receive them. There was a marked, observable trend that PCP visits to their hospitalized patients is on the decline (dropped 10% between 2003 and 2009). The patients who received in-hospital visits from their PCPs had more disease burden and were hospitalized longer than the control group. Patients who received and in-hospital visit from their PCP were more likely to receive home care services and PCP visits post-discharge [adjusted OR 1.20 (95% CI 1.12-1.28)]. They were also less likely to experience the composite outcome of death, hospital readmission, or emergency department visit [aOR 0.95 (95% CI 0.91-0.98)].

Purpose & Objectives: To foster improved client care and the continued professionalization of Massage Therapy (MT), it is important that MT practitioners research utilization is more clearly understood. The purpose of the study was to explore Massage Therapists (MTs) perceptions of research and their self-reported research utilization. Specifically, to 1) describe MTs perceptions of research and their appraised self-efficacy in research literacy and capacity; 2) better understand the nature of MTs research utilization; 3) identify what practitioner characteristics are associated with research utilization.<p> Methods: Using a sequential explanatory mixed methods design, the study was conducted in two phases. In the first phase, all (815) registered members of the Massage Therapist Association of Saskatchewan (MTAS) were invited to participate in a mail-out survey. In the second phase, semi-structured qualitative interviews using a critical incident framework explored the nature of practitioners use of research. Univariate and logistic regression analysis were conducted using SPSS.<p> Results: In total, 333 questionnaires were returned for a 41% response rate. MTAS members reported overall positive perceptions of research as indicated by high endorsement of its value in adding credibility to MT and by majority agreement that MT practice should be based on research. Reported self-efficacy in various research literacy and capacity skills revealed low levels of knowledge and experience. Reported reference to online research databases, reference to peer-reviewed journals, the belief that MT practice should be based on research, and working more than 20 hours per week were all predictive of research utilization. Case study participants described specific events regarding challenges and successes in utilizing research in their practices and key factors underpinning research utilization were issues of access, issues related to the practitioner, issues of the research itself, and issues of impact on care.<p> Conclusion & Implications: While members of the MTAS perceive research positively, a gap exists between research and practice. Challenges to the diffusion of research appear to be occurring at the stages of research awareness and understanding. Curriculum in MT schools should include more critical appraisal training and more research-based resources. Provincial regulatory status may be the first step to quality training and service delivery.

The purpose of this study was to determine the factors that influence university students use of health services for mental or emotional reasons. Currently accepted models of health service use may not apply to university students due to their unique socio-demographic characteristics and health challenges. The Andersen and Newman model of health service utilization was used as a conceptual framework. The first hypothesis was that many factors that influence use of services in the general population would also apply to the university student population. The second hypothesis was that some student-specific factors would also influence health service utilization for mental or emotional reasons. <p>Data for this study was collected in a survey designed for a larger health needs assessment of University of Saskatchewan undergraduate students. The dependant variable was the use of services for mental or emotional reasons within the past year. Information was also collected for 26 independent variables. A logistic regression was used to determine which of these were related to the dependant variable. <p>The final model of health service utilization for mental/emotional reasons among university students included six independent variables: 1) perceived need for professional help (for emotional problems), 2) previous depression diagnosis, 3) past/present suicide ideation, 4) sexual assault victimization, 5) presence of a family doctor, and 6) gender.<p>The results of this study indicate that many of the factors that influence service use for mental/emotional reasons in the student population are the same as those that exist in the general population. The results also suggest that student-specific factors, such as college, years in university, or academic performance do not influence health service use for mental/emotional reasons. Implications of these findings are discussed.

The purpose of this study was to determine the factors that influence university students use of health services for mental or emotional reasons. Currently accepted models of health service use may not apply to university students due to their unique socio-demographic characteristics and health challenges. The Andersen and Newman model of health service utilization was used as a conceptual framework. The first hypothesis was that many factors that influence use of services in the general population would also apply to the university student population. The second hypothesis was that some student-specific factors would also influence health service utilization for mental or emotional reasons. <p>Data for this study was collected in a survey designed for a larger health needs assessment of University of Saskatchewan undergraduate students. The dependant variable was the use of services for mental or emotional reasons within the past year. Information was also collected for 26 independent variables. A logistic regression was used to determine which of these were related to the dependant variable. <p>The final model of health service utilization for mental/emotional reasons among university students included six independent variables: 1) perceived need for professional help (for emotional problems), 2) previous depression diagnosis, 3) past/present suicide ideation, 4) sexual assault victimization, 5) presence of a family doctor, and 6) gender.<p>The results of this study indicate that many of the factors that influence service use for mental/emotional reasons in the student population are the same as those that exist in the general population. The results also suggest that student-specific factors, such as college, years in university, or academic performance do not influence health service use for mental/emotional reasons. Implications of these findings are discussed.

Purpose & Objectives: To foster improved client care and the continued professionalization of Massage Therapy (MT), it is important that MT practitioners research utilization is more clearly understood. The purpose of the study was to explore Massage Therapists (MTs) perceptions of research and their self-reported research utilization. Specifically, to 1) describe MTs perceptions of research and their appraised self-efficacy in research literacy and capacity; 2) better understand the nature of MTs research utilization; 3) identify what practitioner characteristics are associated with research utilization.<p> Methods: Using a sequential explanatory mixed methods design, the study was conducted in two phases. In the first phase, all (815) registered members of the Massage Therapist Association of Saskatchewan (MTAS) were invited to participate in a mail-out survey. In the second phase, semi-structured qualitative interviews using a critical incident framework explored the nature of practitioners use of research. Univariate and logistic regression analysis were conducted using SPSS.<p> Results: In total, 333 questionnaires were returned for a 41% response rate. MTAS members reported overall positive perceptions of research as indicated by high endorsement of its value in adding credibility to MT and by majority agreement that MT practice should be based on research. Reported self-efficacy in various research literacy and capacity skills revealed low levels of knowledge and experience. Reported reference to online research databases, reference to peer-reviewed journals, the belief that MT practice should be based on research, and working more than 20 hours per week were all predictive of research utilization. Case study participants described specific events regarding challenges and successes in utilizing research in their practices and key factors underpinning research utilization were issues of access, issues related to the practitioner, issues of the research itself, and issues of impact on care.<p> Conclusion & Implications: While members of the MTAS perceive research positively, a gap exists between research and practice. Challenges to the diffusion of research appear to be occurring at the stages of research awareness and understanding. Curriculum in MT schools should include more critical appraisal training and more research-based resources. Provincial regulatory status may be the first step to quality training and service delivery.

Today’s economic conditions force companies and organizations to work more effectively in their processes due to different reasons.  Especially; after the Second World War, owing to the changing business perception and strong competition between companies, new terms such as productivity, flexible systems, efficiency, and lean came into industrial engineering discipline. However, these kinds of terms also brought a new question. How are they reached?  At that point, discrete event simulation has been used as an effective method to give an answer to this question. From this perspective; this project focuses on discrete event simulation and its role in real industrial processes. The main interest of this paper is discrete event simulation, but in this study we also tried to give some detailed information about other types of simulations such as continuous and discrete rate. Basically, we can say that this paper consists of several parts. In the beginning of this paper, the reader can find some theoretical information about simulation itself and the requirements for implementing it on real processes. Secondly, we tried to explain different types of simulations and the reason why we used discrete event simulation instead of continuous or discrete rate in our case study. Furthermore, one of the main areas of this research is to inform the reader about how computer support is used as a simulation tool by today’s companies. To do this, a powerful software, Extendsim8, is described in detail.  The reader is able to find all the information about how to create discrete event models in this software. In case study part, we are able to find the results of the five months work that we did between February and June at GKNDriveline Köping AB in Sweden. In these five months, we had been busy with analyzing an assembly line, collecting data, creating a simulation model, discussion with workers and engineers and doing some tests such as validation &amp; verification. In this part, the reader can find all the information about the production line and the simulation model. In conclusion, reader can find the results of the project at the end with the visualization of future state. As it will be discussed repeatedly in the paper, validation is one of the important steps in a simulation project. Therefore, in order to see the reliability of our simulation model, different calculations and tests were made. Last of all, some of results will be shown by graphs and tables in order to give better insight to reader.

Throughout the world, both producers and consumers of food are critically analyzing and enacting changes away from the globalized, industrial paradigm associated with conventional practices in agriculture and food production/distribution/consumption and towards the localization of food networks. Contributing to growing resistance movements aimed at gaining greater food security and sovereignty, local food discourses are strengthened by a combination of political, socio-economic, ecological, and cultural reasoning. This critical ethnography examines how knowledge and meaning is constructed in the context of an alternative food discourse through the personal and shared experiences of six participants in rural Saskatchewan. Further, the study explores the factors that influence participants sense of personal and/or collective transformation. Data were collected over six months using the methods of participant interviews, a focus group, and observation. Data analysis used temporal sequencing of meaning-making factors or ingredients that were categorized to detail how the creation and affective use of knowledge in transformative learning occurred in the context of localizing food networks in rural Saskatchewan.