Building Relationships with Aboriginal People: A Cultural Mapping Toolbox

This article describes a cultural mapping tool developed specifically for working with Aboriginal people experiencing mental health problems. The tool has broad scope, drawing from ecological and systems approaches. It will assist social workers to understand cultural and family obligations and build relationships with Aboriginal service users. Students learning about cultural diversity have expressed concern about asking culturally-sensitive questions. Australian human service workers typically state they feel inadequate in addressing Aboriginal culture in their practice approaches. The three components of the cultural mapping toolbox, (a) the social and emotional wellbeing cluster map, (b) the community and cultural diversity map, and (c) the migration map, provide social workers with a way of supporting a culturally connected lifestyle in contemporary society

Striking a professional balance: interactions between nurses and their older rural patients

This document is the Accepted Manuscript version of a Published Work that appeared in final form in British Journal of Community Nursing, copyright © MA Healthcare, after peer review and technical editing by the publisher. To access the final edited and published work see http://www.magonlinelibrary.com/loi/bjcnClose relationships between older adults and their health-care professionals in community settings can enhance wellbeing and support positive health in older age. In rural areas, health-care workers may know their patients socially as well as professionally, and roles are mediated. This article reports the findings from 16 qualitative interviews with older adults and health and social care professionals in rural areas of Wales. The study found that the sharing of non-clinical information in rural home-care situations is both likely and desirable, supporting the sense of social connectedness experienced by the older adult, contributing towards the development of the nurse/carer–client relationship and improving older adult wellbeing. However, it is recognised that there is potential for boundaries to become blurred and, in some situations, nurses and carers may need support to negotiate the divide between appropriate and inappropriate disclosure while maintaining a close relationship with the older adult

Osteoblast response to disordered nanotopography

The ability to influence stem cell differentiation is highly desirable as it would help us improve clinical outcomes for patients in various aspects. Many different techniques to achieve this have previously been investigated. This concise study, however, has focused on the topography on which cells grow. Current uncemented orthopaedic implants can fail if the implant fails to bind to the surrounding bone and, typically, forms a soft tissue interface which reduces direct bone contact. Here, we look at the effect of a previously reported nanotopography that utilises nanodisorder to influence mesenchymal stromal cell (as may be found in the bone marrow) differentiation towards bone and to also exert this effect on mature osteoblasts (as may be found in the bone). As topography is a physical technique, it can be envisaged for use in a range of materials such as polymers and metals used in the manufacture of orthopaedic implants

FPGA implementation of a cyclostationary detector for OFDM signals

Due to the ubiquity of Orthogonal Frequency Division Multiplexing (OFDM) based communications standards such as IEEE 802.11 a/g/n and 3GPP Long Term Evolution (LTE), a growing interest has developed in techniques for reliably detecting the presence of these signals in dynamic radio systems. A popular approach for detection is to exploit the cyclostationary nature of OFDM communications signals. In this paper, we focus on a frequency domain cyclostationary detection algorithm first introduced by Giannakis and Dandawate and study its performance in detecting IEEE 802.11a OFDM signals in the presence of practical radio impairments such as Carrier Frequency offset (CFO), Phase Noise, I/Q Imbalance, Multipath Fading and DC offset. We then present a hardware implementation of this algorithm developed using MathWorks HDL Coder and provide implementation results after targeting to a Xilinx 7 Series FPGA device

The Economic Impact of Regular Season Sporting Competitions : The Glasgow Old Firm Football Spectators as Sports Tourists

This paper considers the economic impact of the sports tourism expenditures associated with regular season sports competition. In particular the sports tourism characteristics of the supporters of two largest football clubs in Scotland – Celtic FC and Rangers FC – are investigated. Both of these clubs are based in Glasgow, but play matches (and draw supporters from) across and outside Scotland. The paper quantifies the direct, indirect and induced effects of this expenditure using a novel extension of a two-region Input Output (IO) table for Glasgow and the rest of Scotland. The IO system is used to calculate net additional economic activity, in terms of GDP and employment, from gross and displaced activity at different regional levels

The Knee Arthroplasty Trial (KAT) : design features, baseline characteristics and two-year functional outcomes after alternative approaches to knee replacement

Background: The aim of continued development of total knee replacement systems has been the further improvement of the quality of life and increasing the duration of prosthetic survival. Our goal was to evaluate the effects of several design features, including metal backing of the tibial component, patellar resurfacing, and a mobile bearing between the tibial and femoral components, on the function and survival of the implant. Methods: A pragmatic, multicenter, randomized, controlled trial involving 116 surgeons in thirty-four centers in the United Kingdom was performed; 2352 participants were randomly allocated to be treated with or without a metal backing of the tibial component (409), with or without patellar resurfacing (1715), and/or with or without a mobile bearing (539). Randomization to more than one comparison was allowed. The primary outcome measures were the Oxford Knee Score (OKS), Short Form-12, EuroQol-5D, and the need for additional surgery. The results up to two years postoperatively are reported. Results: Functional status and quality-of-life scores were low at baseline but improved markedly across all trial groups following knee replacement (mean overall OKS, 17.98 points at baseline and 34.82 points at two years). Most of the change was observed at three months after the surgery. Six percent of the patients had additional knee surgery within two years. There was no evidence of differences in clinical, functional, or quality-of-life measures between the randomized groups at two years. Conclusions: Patients have substantial improvement following total knee replacement. This is the first adequately powered randomized controlled trial, of which we are aware, in which the effects of metal backing, patellar resurfacing, and a mobile bearing were investigated. We found no evidence of an effect of these variants on the rate of early complications or on functional recovery up to two years after total knee replacement. Level of Evidence: Therapeutic Level I. See Instructions to Authors for a complete description of levels of evidence.NIHR Health Technology Assessment Programme (Project Number 95/10/01); Howmedica Osteonics; Zimmer; DePuy, a Johnson and Johnson company; Corin Medical; Smith and Nephew Healthcare. Biomet Merck; and Wright CremascoliPeer reviewe