The use of positive behaviour support plans in mental health inpatient care: a mixed methods study

An international drive is to minimise restrictive practices in mental healthcare. Positive behaviour support Plans (PBSPs) help staff prevent behaviour which would require restrictive intervention. Originating in learning disability services, data within mental healthcare are limited. To evaluate PBSPs within a mental health‐inpatient service; understand mental health nurses’ and relatives’ attitudes to them and understand the barriers and facilitators for their use in routine mental healthcare. Mixed methods ‐ quality‐ratings and interviews with relatives and nurses. PBSPs were poorly implemented. Relatives and nurses valued the potential of PBSPs to facilitate holistic care, though no relative had contributed to one and not every eligible patient had one. Barriers to their use included confusion around positive behaviour support, including how, when and for whom PBSPs should be used, and difficulties describing the function of a behaviour. The potential of PBSPs to improve mental healthcare is recognised. However, there are barriers to their use which should be addressed to ensure that PBSPs have been properly implemented before their impact on patient care can be assessed. Mental health professionals implementing PBSPs should engage with relatives and patients, gain organizational commitment and ensure that those involved understand fully the positive behaviour support approach

Utilisation d'ions lithium pour l'analyse des surfaces et des couches minces

Dans la tendance actuelle à utiliser des ions plus lourds que les particules α en rétrodiffusion élastique (domaine d'énergie de l'ordre du MeV), l'emploi d'ions lithium apparaît constituer une amélioration notable des caractéristiques essentielles de la méthode. Ceci est particulièrement vrai en ce qui concerne la résolution en profondeur, avec le maintien de la résolution des détecteurs, pour ce type d'ions. Nous présentons ici, en même temps qu'une étude comparative des performances analytiques des ions Li et d'autres particules, quelques applications en montrant l'intérêt dans l'étude des surfaces et des couches minces. Parmi les applications les plus caractéristiques, citons, pour des échantillons épais, l'étude simultanée de la composition des couches d'oxydation anodique formées à la surface d'aluminium et du comportement de l'impureté majeure du bain de formation. Dans les études de couches minces, outre la détermination précise de la stoechiométrie des couches diélectriques AlN, SiO, Al2O3, des effets d'implantation pourront être étudiés, comme l'oxygène dans les couches SiO

Hydrogels Of Chiral–Nematic Cellulose Nanocrystals And Nanochitin

The mechanical strength of hydrogels and aerogels produced from inorganic nano- and microparticles has been out of limits for those based on organic counterparts. Control over the nanoscale architecture of such materials is a possible answer to this challenge, which can even expand properties and functions, including mechano-optical activity. Here we show unprecedented levels of strength by controlling the assembly architecture of cellulose nanocrystals (CNC) and nanochitin (NCh), nanoscaled building blocks presenting anisometry and high intrinsic strength. High yield (\u3e85%) and low-energy deconstruction of never-dried residual marine biomass is proposed following partial deacetylation and microfluidization. This process results in NCh of ultrahigh axial size that produce highly entangled networks upon pH shift. Viscoelastic and strong hydrogels are formed by ice templating upon freezing and thawing with simultaneous cross-linking. Slow supercooling and ice nucleation at −20 °C make ice crystals grow slowly and exclude nanochitin and cross-linkers, becoming spatially confined at the interface. At a NCh concentration as low as 0.4 wt %, highly viscoelastic hydrogels are formed, at least an order of magnitude larger compared to those measured for the strongest chitin-derived hydrogels reported so far. The water absorption capacity of the hydrogels reaches a value of 466 g/g. Moreover, our results demonstrate that chiral-nematically ordered hydrogels can lead to aerogels with controlled meso- and microstructures that replicate the liquid crystalline phase transitions of the hydrogels. The obtained architectures are feasible by systematically varying the long-range order of the aqueous CNC dispersions, from mostly isotropic to completely anisotropic. The resultant aerogels display strong coupling between the mesopore fraction and selective light reflection (iridescence) as a function of mechanical load. Specifically, we find that the mechanical performance associated with pore compression under load is greatly enhanced by chiral nematic ordering. These new limits in the mechanical properties of CNC- and NCh-based hydrogels and aerogels point to new structural considerations for the synthesis of porous constructs that exploit the inherent long-range order of such unique building blocks

Factors Influencing the Participation of Older People in Clinical Trials : Data Analysis from the MAVIS Trial

Peer reviewedPostprin

Helix straminea Briganti, 1825 in Italy (Gastropoda: Pulmonata): taxonomic history, morphology, biology, distribution and phylogeny

The land snail taxon Helix straminea Briganti, 1825 has been reintroduced as a valid species in 2014. We provide here a comprehensive account of its taxonomy, distribution, anatomy, phylogeny and karyology in Italy. An overview of the historical views on the validity of the species is presented and faunistic data are reviewed and implemented with new records from Campania and Basilicata. A lectotype is fixed for H. straminea from the syntypes stored in the Muséum d’Histoire Naturelle of Genève, as well as for three other taxa (Helix straminiformis Bourguignat, 1876, Helix yleobia Bourguignat, 1883 and Helix straminea ssp. elongata Bourguignat, 1860). Genital system, radula and karyotype are described for the first time. Molecular analysis of two mitochondrial genes combining GenBank data and the new sequences presented in this paper showed no differentiation between the northern and southern Italian populations. The conservation status of the species and its possible threats are discussed