Organisational aspects of elder mistreatment in long term care

Purpose The purpose of this paper is to propose five organisational factors associated with abuse, neglect and/or loss of dignity of older people resident in care homes. It derives from one set of findings from the ResPECT Study of Organisational Dynamics of Elder Care commissioned by Comic Relief and Department of Health through the Prevention of Abuse and Neglect In the Care of Older Adults programme. Design/methodology/approach A knowledge synthesis method was selected to identify organisational aspects of elder mistreatment in residential care settings. The method was selected for its suitability in examining ill-defined and contested concepts such as; elder mistreatment – where the available evidence is dispersed and produced in varied forms. A rapid review comprising a search of three academic databases and a detailed examination of selected investigation reports into institutional mistreatment was followed by panel meetings with subject matter experts to complete the knowledge synthesis. Findings This paper identifies and elaborates five organisational factors associated with elder mistreatment; infrastructure, management and procedures, staffing, resident population characteristics and culture. It also indicates macro-structural factors affecting care quality. Research limitations/implications Further research is needed to elaborate the influence of these organisational factors on mistreatment and to understand any interactions. Practical implications As an adjunct to personal factors, the knowledge synthesis indicates common organisational factors contributing to institutional abuse. This suggests that care quality is produced systemically and that it can collapse as a result of seemingly minor and unrelated organisational changes. Social implications Care home safety and quality is an ongoing concern, with popular analysis frequently stopping at the point of describing individual errant behaviour. However, as “problem” organisations are closed down, “problem” organisational factors continue to recur elsewhere. Originality/value The paper identifies and elaborates organisational aspects of elder mistreatment in residential care settings. The findings are original, valuable and grounded in relevant experience by the method of analysis and synthesis of the findings from inquiry reports as well as research and the contribution to the development of findings by those central to the issue, residents, relatives and care providers

Rochechouart 2017-Drilling Campaign: First Results

No abstract available

The 'lost child' as figure of trauma and recovery in early post-war cinema: Fred Zinnemann's The Search (1948) and Natan Gross's Unzere Kinder (1948)

The article examines the figure of the ‘lost child’ in feature films of the immediate post-war period. The figure’s enormous symbolic value as innocent victim and future generation, granted the ‘lost child’ a key position in post-war discourse, including films which tried to grapple with the moral and physical destruction of the continent after 1945. National film industries, particularly of the perpetrator nation, employed the ‘lost child’ for genre stories in which the post-war chaos is being mastered and a new, masculine national self is re-built. However, films made by victim groups outside a national context rely on the ‘lost child’ to broach the destruction of their identity by war and persecution. Analysing two films, Fred Zinnemann’s The Search (1948) and Nata Gross’s Unzere Kinder (1948), I argue that they use the child figure to deal with traumatization and make it part of the reconstruction of communal intergenerational relations. This does not result in stories of masculine mastery but in narratives that incorporate moments of trauma process emerging around destroyed mother-child relations. The films, encoding traumatization in film language, develop a rich cinematic language along questions of identity and form a first instance of posttraumatic cinema

A cone on Mercury: analysis of a residual central peak encircled by an explosive volcanic vent

We analyse a seemingly-unique landform on Mercury: a conical structure, encircled by a trough, and surrounded by a 23,000 km2 relatively bright and red anomaly of a type interpreted elsewhere on the planet as a pyroclastic deposit. At first glance, this could be interpreted as a volcanically-constructed cone, but if so, it would be the only example of such a landform on Mercury. We make and test the alternative hypothesis that the cone is the intrinsic central peak of an impact crater, the rim crest of which is visible beyond the cone-encircling trough, and that the trough is a vent formed through explosive volcanism that also produced the surrounding bright, red spectral anomaly. We test this hypothesis by comparing the morphology of the cone and the associated landform assemblage with morphologically-fresh impact craters of the same diameter as the putative host crater, and additionally, by modelling the original morphology of such a crater using a hydrocode model. We show that the present topography can be explained by formation of a vent completely encircling the crater’s central peak and also make the observation that explosive volcanic vents frequently occur circumferential to the central peaks of impact craters on Mercury. This indicates that, although this cone initially appears unique, it is in fact an unusually well-developed example of a common process by which impact-related faults localize magma ascent near the centre of impact craters on Mercury, and represents an extreme end-member of the resulting landforms

CIRIR programs: drilling and research opportunities at the Rochechouart Impact Structure

International audienc

Explosive volcanism in complex impact craters on Mercury and the Moon: influence of tectonic regime on depth of magmatic intrusion

Vents and deposits attributed to explosive volcanism occur within numerous impact craters on both the Moon and Mercury. Given the similarities between the two bodies it is probable that similar processes control this spatial association on both. However, the precise morphology and localization of the activity differs on the two bodies, indicating that the nature of structures beneath impact craters and/or volcanic activity may also be different. To explore this, we analyze sites of explosive volcanism within complex impact craters on the Moon and Mercury, comparing the scale and localization of volcanic activity and evidence for post-formation modification of the host crater. We show that the scale of vents and deposits is consistently greater on Mercury than on the Moon, indicating greater eruption energy, powered by a higher concentration of volatiles. Additionally, while the floors of lunar craters hosting explosive volcanism are commonly fractured, those on Mercury are not. The most probable explanation for these differences is that the state of regional compression acting on Mercury's crust through most of the planet's history results in deeper magma storage beneath craters on Mercury than on the Moon. The probable role of the regional stress regime in dictating the depth of intrusion on Mercury suggests that it may also play a role in the depth of sub-crater intrusion on the Moon and on other planetary bodies. Examples on the Moon (and also on Mars) commonly occur at locations where flexural extension may facilitate shallower intrusion than would be driven by the buoyancy of the magma alone

Effective health care for older people living and dying in care homes: A realist review

Background: Care home residents in England have variable access to health care services. There is currently no coherent policy or consensus about the best arrangements to meet these needs. The purpose of this review was to explore the evidence for how different service delivery models for care home residents support and/or improve wellbeing and health-related outcomes in older people living and dying in care homes. Methods: We conceptualised models of health care provision to care homes as complex interventions. We used a realist review approach to develop a preliminary understanding of what supported good health care provision to care homes. We completed a scoping of the literature and interviewed National Health Service and Local Authority commissioners, providers of services to care homes, representatives from the Regulator, care home managers, residents and their families. We used these data to develop theoretical propositions to be tested in the literature to explain why an intervention may be effective in some situations and not others. We searched electronic databases and related grey literature. Finally the findings were reviewed with an external advisory group. Results: Strategies that support and sustain relational working between care home staff and visiting health care professionals explained the observed differences in how health care interventions were accepted and embedded into care home practice. Actions that encouraged visiting health care professionals and care home staff jointly to identify, plan and implement care home appropriate protocols for care, when supported by ongoing facilitation from visiting clinicians, were important. Contextual factors such as financial incentives or sanctions, agreed protocols, clinical expertise and structured approaches to assessment and care planning could support relational working to occur, but of themselves appeared insufficient to achieve change. Conclusion: How relational working is structured between health and care home staff is key to whether health service interventions achieve health related outcomes for residents and their respective organisations. The belief that either paying clinicians to do more in care homes and/or investing in training of care home staff is sufficient for better outcomes was not supported.This research was funded by National Institute of Health Research Health Service Delivery and Research programme (HSDR 11/021/02)

Zircon U‐Pb Dating of a Lower Crustal Shear Zone: A Case Study From the Northern Sector of the Ivrea‐Verbano Zone (Val Cannobina, Italy)

A geochronological study was performed on zircon grains from a middle‐lower crustal shear zone exposed in the northern sector of the Ivrea‐Verbano Zone (Southern Alps, Italy) for the first time. The shear zone developed at the boundary between mafic rocks of the External Gabbro unit and ultramafic rocks of the Amphibole Peridotite unit. It is ~10–20 m wide, can be followed along a NE strike for several kilometers, and consists of an anastomosing network of mylonites and ultramylonites. Zircon grains were studied in thin sections and as separates from three representative outcrops along the shear zone. Zircon grains are more abundant in the shear zone compared to wall rocks and are generally equant, rounded to subrounded with dimensions up to 500 μm. U‐Pb data are mainly discordant, and the apparent ²⁰⁶Pb/²³⁸U dates show a large variation from Permian to Jurassic. Isotopic data, combined with microstructural, morphological, and internal features of zircon, reveal an inherited age component and suggest partial zircon recrystallization under high‐temperature conditions during Late Triassic to Early Jurassic. High‐temperature deformation in the shear zone, at lower crustal levels, was coeval with amphibolite to greenschist facies mylonitic deformation at upper crustal levels and is inferred to be related to Mesozoic rifting processes at the Adriatic margin

Power and Authenticity:Moving From the Classroom to the Museum

It is well known that the spatial environment has an impact on people’s learning. The author takes her language classes to an art museum to use the exhibits as stimulants for target language communication. This article prov ides a theoretical exploration of some of the underlying concepts that are affected by spatial shifts. It is argued that space is interconnected to power and authenticity and that we need to analyze this threefold structure in order to understand how learners and educators experience spatial shifts. </jats:p