621 research outputs found

    The Nightingale an Ill-Omened Bird

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    Integrated team working: a literature review

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    Introduction: This literature review was conducted to provide a background understanding of the literature around integrated health and social care prior to a research project evaluating two integrated health and social care teams in England, UK. Methods: A systematic literature search of relevant databases was employed to identify all articles relating to integrated health and social care teams produced in the last 10 years in the UK. Results: Sixteen articles were found and reviewed; all were reviewed by the first reviewer and half by the second reviewer. Discussion: Key themes identified were: drivers, barriers and benefits of integrated working; staff development; and meeting the needs of service users. Conclusion: Recommendations for integrated working include; a focus on the management of integrated teams; a need to invest in resources for the successful integration of teams; a need for the development of clear standards for monitoring the success and failure of integrated teams; and the need for further empirical evidence of the processes used by integrated teams. These findings will be valuable for practitioners who are establishing services or want to improve integrated care in their own practice

    Feasibility study for reliable magnetic connection switch, phase I Final report

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    Feasibility of magnetic circuits for high reliability computer switche

    A study of recent environmental change at Llyn Tegid (Lake Bala), Wales

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    Surface water resources of Iowa : October 1, 1955, to September 30, 1960

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    https://ir.uiowa.edu/igs_wsb/1007/thumbnail.jp

    Investigation of environmental change in two mesotrophic lakes in Mid-Wales: Llyn Eiddwen and Llyn Fanod

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    Palaeolimnological evidence for eutrophication in Malham Tarn (SSSI), North Yorkshire

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    This is the final report to Natural England on the project “Palaeolimnological evidence for eutrophication in Malham Tarn (SSSI), North Yorkshire”. The aim is to seek palaeolimnological evidence for eutrophication in Malham Tarn both to complement and cross-validate contemporary and other historical evidence for such at the site, as well as to establish whether eutrophication-related changes in the aquatic macrophyte community occurred before the invasion of Elodea canadensis in 1962. Palaeolimnology is also used to assess whether there is evidence for eutrophication extending back to the 18th century as has been suggested (Pentecost, 1998; Bradley, 2007), and to aid in describing the unimpacted state of Malham Tarn and the setting of conservation targets

    Usability, Acceptability, and Effectiveness of Web-Based Conversational Agents to Facilitate Problem Solving in Older Adults: Controlled Study.

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    BACKGROUND: The usability and effectiveness of conversational agents (chatbots) that deliver psychological therapies is under-researched. OBJECTIVE: This study aimed to compare the system usability, acceptability, and effectiveness in older adults of 2 Web-based conversational agents that differ in theoretical orientation and approach. METHODS: In a randomized study, 112 older adults were allocated to 1 of the following 2 fully automated interventions: Manage Your Life Online (MYLO; ie, a chatbot that mimics a therapist using a method of levels approach) and ELIZA (a chatbot that mimics a therapist using a humanistic counseling approach). The primary outcome was problem distress and resolution, with secondary outcome measures of system usability and clinical outcome. RESULTS: MYLO participants spent significantly longer interacting with the conversational agent. Posthoc tests indicated that MYLO participants had significantly lower problem distress at follow-up. There were no differences between MYLO and ELIZA in terms of problem resolution. MYLO was rated as significantly more helpful and likely to be used again. System usability of both the conversational agents was associated with helpfulness of the agents and the willingness of the participants to reuse. Adherence was high. A total of 12% (7/59) of the MYLO group did not carry out their conversation with the chatbot. CONCLUSIONS: Controlled studies of chatbots need to be conducted in clinical populations across different age groups. The potential integration of chatbots into psychological care in routine services is discussed

    Water Framework Directive Intercalibration Technical Report: Lake phytobenthos ecological assessment methods

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    The European Water Framework Directive (WFD) requires the national classifications of good ecological status to be harmonised through an intercalibration exercise. In this exercise, significant differences in status classification among Member States are harmonized by comparing and, if necessary, adjusting the good status boundaries of the national assessment methods. Intercalibration is performed for rivers, lakes, coastal and transitional waters, focusing on selected types of water bodies (intercalibration types), anthropogenic pressures and Biological Quality Elements. Intercalibration exercises were carried out in Geographical Intercalibration Groups - larger geographical units including Member States with similar water body types - and followed the procedure described in the WFD Common Implementation Strategy Guidance document on the intercalibration process (European Commission, 2011). In a first phase, the intercalibration exercise started in 2003 and extended until 2008. The results from this exercise were agreed on by Member States and then published in a Commission Decision, consequently becoming legally binding (EC, 2008). A second intercalibration phase extended from 2009 to 2012, and the results from this exercise were agreed on by Member States and laid down in a new Commission Decision (EC, 2013) repealing the previous decision. Member States should apply the results of the intercalibration exercise to their national classification systems in order to set the boundaries between high and good status and between good and moderate status for all their national types. Annex 1 to this Decision sets out the results of the intercalibration exercise for which intercalibration is successfully achieved, within the limits of what is technically feasible at this point in time. The Technical report on the Water Framework Directive intercalibration describes in detail how the intercalibration exercise has been carried out for the water categories and biological quality elements included in that Annex. The Technical report is organized in volumes according to the water category (rivers, lakes, coastal and transitional waters), Biological Quality Element and Geographical Intercalibration group. This volume addresses the intercalibration of the cross-GIG phytobenthos ecological assessment methods
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