Investigating what works to support family carers of people with dementia: a rapid realist review

Introduction - Advances in longevity and medicine mean that many more people in the UK survive life-threatening diseases but are instead susceptible to life-limiting diseases such as dementia. Within the next 10 years those affected by dementia in the UK is set to rise to over 1 million, making reliance on family care of people with dementia (PWD) essential. A central challenge is how to improve family carer support to offset the demands made by dementia care which can jeopardise carers’ own health. This review investigates ‘what works to support family carers of PWD’. Methods - Rapid realist review of a comprehensive range of databases. Results - Five key themes emerged: (1) extending social assets, (2) strengthening key psychological resources, (3) maintaining physical health status, (4) safeguarding quality of life and (5) ensuring timely availability of key external resources. It is hypothesized that these five factors combine and interact to provide critical biopsychosocial and service support that bolsters carer ‘resilience’ and supports the maintenance and sustenance of family care of PWD. Conclusions - ‘Resilience-building’ is central to ‘what works to support family carers of PWD’. The resulting model and Programme Theories respond to the burgeoning need for a coherent approach to carer support

Methicillin Resistant Staphylococcus aureus (MRSA) in market age pigs on-farm, at slaughter and retail pork

This study was conducted to determine the occurrence and prevalence of methicillin resistant Staphylococcus aureus (MRSA) in finishing pigs on-farm, at lairage and assess the likelihood of carriage at slaughter and retail levels. A cross-sectional study targeting ten cohorts of commercial swine farms was conducted for carriage of MRSA

Patient engagement and communication behaviours around prompt urinary catheter removal: a prospective theory-based correlational study

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Prevalence of methicillin-resistant staphylococci (MRS+) in pigs and farm workers

This study aims to dctcnnine the prevalence of MRSA and other methicillin resistant staphylococci in swine and swine fann workers. We collected swab and fecal samples from 96 pigs of 6-9 weeks of age from four fam1s in Ohio. Swab samples were collected from both anterior nares and fecal samples directly from the rectum of corresponding pigs. Nasal and oropharyngeal samples were collected from consenting farm workers. Samples were processed following conventional cultural methods and we used methicillin resistant Staphylococcus aureus selective agar (MRSA Chromagar®)

Patients' and carers' views on communication and information provision when undergoing assessments in memory services

Objectives: To explore patients' and carers' views on what constitutes high-quality communication and information provision during diagnostic assessment in memory clinic services in three areas of England. Methods: Interviews with 27 people with cognitive impairment (13 with confirmed dementia) and 26 carers (20 matched pairs). Interviews continued until theoretical saturation was reached. Interview transcripts were subject to constant comparative analysis; data interpretation occurred in 'data clinics'. Results: People with memory problems undergoing assessment often have unmet information needs, especially patients with a diagnosis other than Alzheimer's disease and those who do not receive a diagnosis. Patients wish to be kept informed about both the assessment and its outcomes. Some have unrealistic expectations of the process (expecting assessment and diagnosis to be complete in two weeks) and some experience what appear to be long delays (over 12 months) in receiving results. Most appreciated clear and honest communication about any diagnosis. Post-diagnostic groups, organized by local memory services, afford opportunities to learn practical strategies and gain informal peer support. Voluntary organizations may be an essential source of information. Conclusions: Communication and information need improvement for patients undergoing assessment for possible dementia, especially for those considered unlikely to benefit from medication and those with mild cognitive impairment. © The Author(s) 2013

Association between biocide use and antimicrobial resistance of Salmonella in swine production environment

Swine are important reservoirs of antimicrobial resistant Salmonella. The emergence and dissemination of multidrug resistant (MDR) Salmonella enterica has also become a major concern globally. Studies on the association between biocide usc and emergence and persistence of MDR Salmonella in swine production environment are very limited. The aim of this study was to determine the role of specific classes of biocides (disinfectants) in the emergence and persistence of multidrug resistant Salmonella in swine production environments

Living in several languages: Language, gender and identities

Living in several languages encompasses experiencing and constructing oneself differently in each language. The research study on which this article is based takes an intersectional approach to explore insider accounts of the place of language speaking in individuals’ constructions of self, family relationships and the wider context. Twenty-four research interviews and five published autobiographies were analysed using grounded theory, narrative and discursive analysis. A major finding was that learning a new language inducted individuals into somewhat ‘stereotyped’ gendered discourses and power relations within the new language, while also enabling them to view themselves differently in the context of their first language. This embodied process could be challenging and often required reflection and discursive work to negotiate the dissimilarities, discontinuities and contradictions between languages and cultures. However, the participants generally claimed that their linguistic multiplicity generated creativity. Women and men used their language differences differently to ‘perform their gender’. This was particularly evident in language use within families, which involved gendered differences in the choice of language for parenting – despite the fact that both men and women experience their first languages as conveying intimacy in their relationships with their children. The article argues that the notion of ‘mother tongue’ (rather than ‘first language’) is unhelpful in this process as well as in considering the implications of living in several languages for systemic therapy

Liveable Open Public Space - From Flaneur to Cyborg

Open public spaces have always been key elements of the city. Now they are also crucial for mixed reality. It is the main carrier of urban life, place for socialization, where users rest, have fun and talk. Moreover, “Seeing others and being seen” is a condition of socialization. Intensity of life in public spaces provides qualities like safety, comfort and attractiveness. Furthermore, open public spaces represent a spatial framework for meetings and multileveled interactions, and should include virtual flows, stimulating merging of physical and digital reality. Aim of the chapter is to present a critical analysis of public open spaces, aspects of their social role and liveability. It will also suggest how new technologies, in a mixed reality world, may enhance design approaches and upgrade the relationship between a user and his surroundings. New technologies are necessary for obtaining physical/digital spaces, becoming playable and liveable which will encourage walking, cycling, standing and interacting. Hence, they will attract more citizens and visitors, assure a healthy environment, quality of life and sociability. Public space, acting as an open book of the history of the city and of its future, should play a new role, being a place of reference for the flaneur/cyborg citizen personal and social life. The key result is a framework for understanding the particular importance of cyberparks in contemporary urban life in order to better adapt technologies in the modern urban life needs