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Background Medical interventions have a place in crisis support; however, narrow biomedical and risk‐driven responses negatively impact people seeking crisis care. With increasing shifts towards involving people with lived experience (service users) in designing services, foregrounding people's desired responses is critical. Accordingly, the aim of the study was to explore the wished‐for crisis responses from the perspective of people who have experienced crisis and accessed crisis care. Method Using a hermeneutical phenomenological approach, in‐depth interviews were conducted to determine the desired crisis responses of 31 people who self‐reported experiencing mental health crises and accessed crisis services at ED, phone lines and/or crisis alternatives. Results The findings identified wished‐for responses that gave a felt and embodied sense of their own safety influenced by a human‐to‐human response, emotional holding, a place of safety and choice within holistic care. For such responses to be possible, participants identified organising principles, including recognising crisis as meaningful and part of our shared human experience, understanding risk as fluid and a whole‐of‐community responsibility for responding to crises. Conclusion This paper proposes how insights from people who have experienced crises can be translated into more beneficial crisis care. Patient or Consumer Contribution Most authors are in identified lived experience roles. The first author engaged with participants during the recruitment and interviews and was explicit regarding their lived experience. Service users were involved as advisors, providing input throughout the study.

Background Mental health crisis care includes emergency departments (EDs), crisis phone lines and crisis alternatives. Currently, there is an overreliance on EDs to provide mental health crisis care, with evidence that responses are often inadequate to meet the needs of people experiencing mental health crises. However, the complexities of how individuals experience crisis care across the varying contexts of EDs, crisis phone lines and crisis alternatives remain underresearched. Method This study used a hermeneutical phenomenological approach to understand the lived experience of accessing care during a mental health crisis. Thirty‐one Australian adults who had accessed crisis services at ED, phone lines and/or crisis alternatives participated in in‐depth interviews. Results The findings are organised across the temporal narratives of participants' experiences from (1) point of contact, (2) positive and negative care experiences and (3) enduring impacts. Several themes were generated during these phases. The findings demonstrate the interrelated nature of care experiences and enduring impacts. With some exceptions, care received within EDs was harmful, resulting in lasting adverse effects. Responses from crisis phone lines were mixed, with participants appreciating the accessibility of after‐hour phone support but finding standardised risk assessments unhelpful. Responses from crisis alternatives to ED were promising, aligning with the need for validation and human connection, but were not always accessible or easy to mobilise during a crisis. Notably, across all settings, positive effects were firmly attributed to the quality of the relationship with specific crisis providers. Conclusion The findings bring into sharp focus the lived experience of people accessing crisis care and contribute to the shortage of literature on subjective experiences. Providers may better meet the needs of those experiencing mental health crises by understanding the enduring impact of these interactions and the role of human connection beyond a focus on risk assessment, thereby providing opportunities for a joint understanding of risk and meaning‐making. Furthermore, understanding the subjective experience of crisis care can guide reforms to ED and develop crisis alternatives to better meet the needs of people in crisis. Patient or Consumer Contribution The first author and the third author are in designated lived experience (Consumer) roles. The first author conducted the interviews and was explicit regarding their lived experience when engaging with participants. Service users were involved as advisors to the study and provided input into the design.

BackgroundMental illness is a public health challenge disproportionately affecting rural Australians. GPs provide most of the mental health care, and they report increasing levels of burnout and unsustainable workload in the context of increased patient complexity. This may be more salient in rural settings characterised by resource constraints. In this paper, we use evaluation data from a GP psychiatry phone line established in Western Australia’s Great Southern region in 2021 to describe GPs’ perspectives on the service and reflect on how it may help alleviate rural GP workload.MethodsThe sample was recruited among GPs practicing in the region. Data were collected through an online survey and semistructured interviews. Descriptive statistics were used to analyse the survey data. Interview data were subjected to thematic analysis; qualitative survey data were used for triangulation.ResultsA total of 45 GPs completed the survey and 14 were interviewed. Interview data yielded three themes: the criticality of timeliness; the building blocks of confidence; and trust. GPs were highly satisfied with the service, and timeliness and trust were the characteristics underpinning its effectiveness. The service built GPs’ confidence in managing mental health and alcohol and other drug use issues through strengthening knowledge and providing reassurance.ConclusionsOur results suggest that a telephone line operated by trusted, local psychiatrists with knowledge of the local mental health ecosystem of support can reduce rural GP workload through building confidence and strengthening personal agency, helping GPs navigate the ethical and clinical labyrinth of managing patient complexity in rural settings.

The mobile phone is a typical 3C electronic product characterized by frequent replacement, multiple product specifications, high flexibility, high-frequency production line switching, and urgent delivery time during production. Therefore, the optimized design of the mobile phone production workshop is crucial. This paper takes the assembly process of a specific type of mobile phone assembly as the research object and adopts the heuristic balance method to combine the production procedures. Moreover, it considers the automation degree of the process and the demand for production line rhythm to carry out station division and working hours design for the assembly process. The advantages and disadvantages of the plug-and-play production line and unit production line architecture are integrated, aiming at the production line’s construction cost and unit area capacity. A hybrid workshop with a mixed combination of two types of production lines is designed and an optimization model of hybrid workshop design is established. The semi-physical simulation technology of digital twins is utilized to verify the proposed design scheme to achieve the balance optimization of the production line, improve production efficiency, and reduce production costs. This work provides a technical scheme for designing and optimizing large-scale mobile phone assembly workshops with multi-batch and high-frequency production changes.

Africa is on the move, demonstrating in recent years a significant potential for economic growth. Although the region still faces many challenges, it is also generating pockets of economic vitality in the form of enterprise clusters that are contributing to national, regional, and local productivity. Through case examples from Ghana, Kenya, Mauritius, Nigeria, South Africa, Tanzania, and Uganda, this book provides an understanding of how these dynamic enterprise clusters were formed and have evolved, and how knowledge, human capital, and technology have contributed to their success.

Ein 24-jähriger Mann wurde während des Fütterns seiner Schwarzen Mamba in den rechten Zeigefinger gebissen. Die primären Symptome zeigten das Bild einer Giftexposition, und somit bestand eine lebensbedrohliche Situation. Durch die Organisationskette der präklinischen Einsatzkräfte und das unverzügliche Bereitstellen des lebenswichtigen Antiserums konnte das Schlangengift unverzüglich antagonisiert werden, und weitere intensivmedizinische Maßnahmen konnten vermieden werden.

The purpose of this chapter is to state the main goals and findings of the book and to show how the chapters fit together. It is made clear at the outset, for example, that dealing with the impact of mobile phones on poverty cannot be done without first examining the extent to which the poor actually engage with this technology. For, if the engagement is minimal so too will be the direct impact on this group. It is with this recognition in mind that the first three chapters are devoted to the spread or diffusion of mobile telephones. These show, amongst other things, that with some exceptions there is quite a significant engagement of the poor with the new technology. Yet, despite this, and given the obvious importance of the issue, the literature on the impact of mobile phones on the poor is surprisingly scant. What of it there is, however, suggests the existence of a possible pro-poor bias at the level of individuals as well as countries.

Doing business 2008 is the fifth in a series of annual reports investigating the regulations that enhance business activity and those that constrain it. Doing business presents quantitative indicators on business regulations and the protection of property rights that can be compared across 178 economies, from Afghanistan to Zimbabwe, and over time. Regulations affecting 10 stages of a business's life are measured: starting a business, dealing with licenses, employing workers, registering property, getting credit, protecting investors, paying taxes, trading across borders, enforcing contracts, and closing a business. Data in doing business 2008 are current as of June 1, 2007. The indicators are used to analyze economic outcomes and identify what reforms have worked, where, and why. The Doing business methodology has limitations. Other areas important to business-such as a country's proximity to large markets, the quality of its infrastructure services, the security of property from theft and looting, the transparency of government procurement, macroeconomic conditions or the underlying strength of institutions-are not studied directly by doing business. To make the data comparable across countries, the indicators refer to a specific type of business-generally a limited liability company operating in the largest business city.

Dayton police, the Alcohol-Drug Addiction and Mental Health Services Board for Montgomery County and the Drug Action Coalition are starting a party line in October. They hope teens will call and clue them in to parties where drinking or drug use may happen.

Digital droplet assays—in which biological samples are compartmentalized into millions of femtoliter-volume droplets and interrogated individually—have generated enormous enthusiasm for their ability to detect biomarkers with single-molecule sensitivity. These assays have untapped potential for point-of-care diagnostics but are currently mainly confined to laboratory settings, due to the instrumentation necessary to serially generate, control, and measure tens of millions of droplets/compartments. To address this challenge, we developed an optofluidic platform that miniaturizes digital assays into a mobile format by parallelizing their operation. This technology is based on three key innovations: (i) the integration and parallel operation of a hundred droplet generators onto a single chip that operates >100× faster than a single droplet generator, (ii) the fluorescence detection of droplets at >100× faster than conventional in-flow detection using time domain-encoded mobile phone imaging, and (iii) the integration of on-chip delay lines and sample processing to allow serum-to-answer device operation. To demonstrate the power of this approach, we performed a duplex digital ELISA. We characterized the performance of this assay by first using spiked recombinant proteins in a complex media (FBS) and measured a limit of detection, 0.004 pg/mL (300 aM), a 1,000× improvement over standard ELISA and matching that of the existing laboratory-based gold standard digital ELISA system. We additionally measured endogenous GM-CSF and IL6 in human serum from n = 14 human subjects using our mobile duplex assay, and showed excellent agreement with the gold standard system (R² = 0.96).