A reassuring presence: An evaluation of Bradford District Hospice at Home service

Within the United Kingdom, a developing role for primary care services in cancer and palliative care has resulted in an increase in palliative home care teams. The provision of professional care in the home setting seeks to provide necessary services and enhanced choice for patients whose preference is to die at home. A mismatch between patient preference for home death and the actual number of people who died at home was identified within Bradford, the locality of this study. In response to this mismatch, and reflecting the policy environment of wishing to enhance community service provision, the four Primary Care Trusts (PCTs) in the city sought to offer support to patients who wished to remain in their own homes through the final stages of a terminal illness. To offer this support they set up a dedicated hospice at home team. This would provide services and support for patients in achieving a dignified, symptom free and peaceful death, allowing families to maximise time spent together. The aim of the study was to evaluate the Bradford hospice at home service from the perspective of carers, nurses and General Practitioners. Postal questionnaires were sent to carers (n = 289), district nurses (n = 508) and GP's (n = 444) using Bradford's hospice at home service. Resulting quantitative data was analysed using the Statical Package for Social Sciences (SPSS) and qualitative data was analysed using grounded theory techniques. The data from carers, district nurses and GPs provide general support for the Bradford hospice at home service. Carers valued highly the opportunity to 'fulfil a promise' to the individual who wished to be cared for at home. District nurses and GPs cited the positive impact of access to specialist expertise. This was a 'reassuring presence' for primary healthcare teams and offered 'relief of carer anxiety' by providing prompt, accessible and sensitive care. Carers and health professionals welcomed the increased possibility of patients being cared for at home. The study identified the need to focus on improving skill levels of staff and on ensuring continuity of care

Applying Science Models for Search

The paper proposes three different kinds of science models as value-added services that are integrated in the retrieval process to enhance retrieval quality. The paper discusses the approaches Search Term Recommendation, Bradfordizing and Author Centrality on a general level and addresses implementation issues of the models within a real-life retrieval environment.Comment: 14 pages, 3 figures, ISI 201

Do the citizens of Europe trust their police?

Purpose - The maintenance of public order and the control of crime are clearly amongst the primary objectives of global law enforcement agencies. An important antecedent to this is the consideration of public trust in their police force. The purpose of this paper is to utilise data from the 5th Round European Social Survey (ESS), to investigate how public social indicators may highlight the level of trust in a country’s police force. Design/methodology/approach – The results from the ESS are analysed using fuzzy-set Qualitative Comparative Analysis (fsQCA), multiply conjunctional causal configurations of the considered social indicators are then established and analysed. Findings - A consequence of using fsQCA, asymmetric causal configurations are identified for the relative high and low limiting levels of trust towards the police in the considered countries. The results offer novel insights into the relationship between social indicators and police trust, as well as expositing a nascent technique (fsQCA) that may offer future potential in this area. Originality/value – This paper introduces a novel technique to analyse a major European data set relating to citizens perceptions of the police. The findings might prove useful for policing organisations as they develop strategies to maintain/improve the level of trust and confidence of citizens in the policing services they provide

The Future BTWC Organisation: Some Observations from the OPCW

Ye

Scoliosis : density-equalizing mapping and scientometric analysis

Background: Publications related to scoliosis have increased enormously. A differentiation between publications of major and minor importance has become difficult even for experts. Scientometric data on developments and tendencies in scoliosis research has not been available to date. The aim of the current study was to evaluate the scientific efforts of scoliosis research both quantitatively and qualitatively. Methods: Large-scale data analysis, density-equalizing algorithms and scientometric methods were used to evaluate both the quantity and quality of research achievements of scientists studying scoliosis. Density-equalizing algorithms were applied to data retrieved from ISI-Web. Results: From 1904 to 2007, 8,186 items pertaining to scoliosis were published and included in the database. The studies were published in 76 countries: the USA, the U.K. and Canada being the most productive centers. The Washington University (St. Louis, Missouri) was identified as the most prolific institution during that period, and orthopedics represented by far the most productive medical discipline. "BRADFORD, DS" is the most productive author (146 items), and "DANSEREAU, J" is the author with the highest scientific impact (h-index of 27). Conclusion: Our results suggest that currently established measures of research output (i.e. impact factor, h-index) should be evaluated critically because phenomena, such as self-citation and co-authorship, distort the results and limit the value of the conclusions that may be drawn from these measures. Qualitative statements are just tractable by the comparison of the parameters with respect to multiple linkages. In order to obtain more objective evaluation tools, new measurements need to be developed

Fostering the Biosecurity Norm: Biosecurity Education for the Next Generation of Life Scientists

Sustainable education on biosecurity and dual use for life scientists is increasingly recognised as being an important element of broader efforts to achieve biosecurity. To address this issue, a joint project between the Landau Network-Centro Volta and the Bradford Disarmament Research Centre has been initiated to analyse what currently exists in terms of biosecurity and dual use education, but also how such education can be most effectively achieved in a sustainable fashion. The purpose of this paper is to elaborate on the findings of a survey on the extent of, and attitudes to, biosecurity and dual use education in European universities, and outline the educational activities undertaken through a network of contacts built through the survey and some of the conclusions drawn from engagement with this network. The paper also outlines the development and optimization of an Educational Module Resource intended to support lecturers in the improvement and implementation of educational material related to biosecurity and dual use. This is further expanded by the authors' experience derived from implementation tests conducted at universities around Europe, in which material was tested with students and faculty members. To date, the main results from this evaluative process are that students and faculties are generally unaware of biosecurity and dual use concerns, but nonetheless appear interested in discussing these topics and have initiated challenging debates on the importance of balancing factors such as security, research, secrecy and development. However, serious efforts in terms of developing and promulgating education more broadly across the life science community will require concerted actions which look at education but also at other mutually reinforcing intervention points such as funding bodies, authors and publishers. Moreover, in the longer term it will also be necessary to develop new mechanisms and metrics to determine success in these activities and ensure that educational activities are contributing, along with other legal and regulatory measures, to mitigating the challenge of potential misuse of the life sciences in the 21st century

Researching Bradford: A review of social research on Bradford District

A synthesis of findings from social research on the District of Bradford. This report synthesises the findings from a wide range of social research undertaken on the District of Bradford, primarily between 1995 and 2005. The researchers reviewed almost 200 pieces of work. The key results are summarised under thematic headings: - The social, economic and institutional context - Community cohesion - Housing, neighbourhoods and regeneration - Business and enterprise - Health, disability and social care - Children and young people - Education, skills and the labour market - Crime and community safety It also identifies a future research agenda. The main purpose of the review was to provide the Joseph Rowntree Foundation and local organisations in Bradford with a firm basis upon which to build future work in the District

Propensity to Consider Cycling for Commuting Trips

The British Government launched the National Cycling Strategy (NCS) in July 1996. The aims of this strategy are to establish a culture favourable to the increased use of bicycles for all age groups, to develop sound policies and good practice, and to seek out innovative and effective means of fostering accessibility by bicycle. The central target is to double the amount of cycle trips on 1996 figures by 2002; and double it again by 2012. It is hoped that these increases in cycle trips are as a result of people switching their current mode to bicycle. With this increased interest from national and local governments, there is likely to be increasing demand for rigorous evaluation of proposed schemes in terms of increases in levels of cycling, modal shift and, ultimately, the quantified benefits to existing and potential cyclists. Yet, in contrast to the vast amount of research which has been done on enhancing our understanding of the demand for motorised vehicles, relatively little attention has been paid to the slow modes (i.e. walk and cycle). Furthermore, most studies on existing and potential demands for cycling are qualitative rather than quantitative in nature. For instance, attitudinal factors of choosing or not choosing cycling are well documented. However, magnitudes of different factors are seldom calculated. An Economic and Social Research Council (ESRC) sponsored project entitled “Cycling and Urban Mode Choice” (Grant Number: R000237103) started in mid-1997, aiming to identify and quantify the factors that might influence people’s decision to travel to work in urban areas. The aim of this paper is to report the findings of the first stage study of this research project. The first stage study of the “Cycling and Urban Mode Choice” project was to identify and measure the proportion of the general population who would or would not consider cycling to work in urban areas. This study was based on detailed surveys (door-to-door and telephone interviews) of people’s actual mode choices on two what-if situations. The first hypothetical situation is based on provisions of cycle facilities and routes, and the second rests on drastic changes of the current situations of journey to work. Models were built on the survey data to explain people’s choices between driving car, getting a lift, bus, walk and cycle for the journey to work trips