Evaluation of the Hamilton City Council plants for Gullies programme

This evaluation found that the Hamilton City Council Plants for Gullies programme is successfully facilitating the restoration and enhancement of Hamilton City gullies by private gully owners. The mean number of native species in surveyed gullies was 2.1 in non-restored sites and 18.4 in restored sites. While the mean number of invasive species was 4.1 in non-restored sites to 2.6 in restored sites. This quantitative measure is a valuable indication of the ecosystem gains for Hamilton City. Hamilton gully owners are very satisfied with the Plants for Gullies programme; the mean satisfaction rating was 8.9 out of 10. These residents dedicate significant time and energy to restoring their gully sections; the mean time contribution of survey participants was 10.3 hours per month. Gully owners were found to be utilising knowledge acquired through participation in the programme to add valuable diversity to their gully ecosystems. This was repeatedly demonstrated by programme participants not only reintroducing the native plants supplied by the programme but also adding large quantities of privately-sourced plants. This investigation found that the Plants for Gullies and Gully Restoration programmes are effective in communicating key ecological restoration concepts. This was reflected by gully owner prioritisation of eco-sourcing, biodiversity and weed control as considerations in their restoration projects. The Gully Restoration Guide was found to be the most valuable component of the programme’s educational tools. However, it is recommended that this resource is updated to support the many gully owners who require information for advanced stages of ecological restoration. In summary, the Plants for Gullies programme is successfully delivering gully restoration assistance and advice to gully owners, which is resulting in significant improvements to Hamilton City’s gully systems. The programme is valued by all who are involved and could be recommended to other New Zealand cities as an effective model for environmental restoration and community engagement

Celebrating nursing student innovation and creativity: an approach to bridge the theory-practice gap through quality improvement proposals to improve healthcare.

In this article, the authors provide an overview of their innovative assessment approach for the "Effective Leadership for Healthcare (Theory 6)" module at Edinburgh Napier University. The new module enabled final year students to develop new and innovative quality improvement proposals to improve care, and to discuss these with industry partners

Leading the academic library in strategic engagement with stakeholders: a constructivist grounded theory

The current diversity and disparate needs of stakeholders present significant challenges to academic libraries globally. The constructivist grounded theory presented in this paper recognizes the guiding role of the library director in responding to this problem and the need for different strategic mechanisms for engagement with various stakeholder groups. Key contributions of this work include establishing a strategic framework for engagement with stakeholders and tentative suggestions for various types of university libraries. The implications of this research include the need for outward-looking library directors, an evidence-based approach to stakeholder engagement, and the encouragement of a customer-focused organizational culture amongst staff

The role of microbiology and pharmacy departments in the stewardship of antibiotic prescribing in European hospitals

This observational, cross-sectional study describes the role played by clinical microbiology and pharmacy departments in the stewardship of antibiotic prescribing in European hospitals. A total of 170 acute care hospitals from 32 European countries returned a questionnaire on antibiotic policies and practices implemented in 2001. Data on antibiotic use, expressed as De.ned Daily Doses per 100 occupied bed-days (DDD/100 BD) were provided by 139 hospitals from 30 countries. A total of 124 hospitals provided both datasets. 121 (71%) of Clinical Microbiology departments and 66 (41%) of Pharmacy departments provided out of hours clinical advice. 70 (41%) of microbiology/infectious disease specialists and 28 (16%) of pharmacists visited wards on a daily basis. The majority of laboratories provided monitoring of blood cultures more than once per day and summary data of antibiotic susceptibility testing (AST) for empiric prescribing (86% and 73% respectively). Most of the key laboratory and pharmacy-led initiatives examined did not vary signi.cantly by geographical location. Hospitals from the North and West of Europe were more likely to examine blood cultures more than once daily compared with other regions (p < 0.01). Hospitals in the North were least likely routinely to report susceptibility results for restricted antibiotics compared to those in the South-East and Central/Eastern Europe (p < 0.01). Hospital wards in the North were more likely to hold antibiotic stocks (100%) compared with hospitals in the South-East which were least likely (39%) (p < 0.001). Conversely, hospital pharmacies in the North were least likely to dispense antibiotics on an individual patient basis (16%) compared with hospital pharmacies from Southern Europe (60%) (p = 0.01). Hospitals that routinely reported susceptibility results for restricted antibiotics had signi.cantly lower median total antibiotic use in 2001 (p < 0.01). Hospitals that provided prescribing advice outside normal working hours had signi.cantly higher antibiotic use compared with institutions that did not provide this service (p = 0.01). A wide range of antibiotic stewardship measures was practised in the participating hospitals in 2001, although there remains great scope for expansion of those overseen by pharmacy departments. Most hospitals had active antibiotic stewardship programmes led by specialists in infection, although there is no evidence that these were associated with reduced antibiotic consumption. There was also no evidence that pharmacy services reduced the amount of antibiotics prescribed.The ARPAC study was funded by the European Commission (project QLK2-CT-2001-00915). F.M. MacKenzie was supported by the European Study Group on Antibiotic Policies to write this manuscript

Changes in Management Can Improve Returns from Cambodian Upland Crops

Farming systems research for wet-season non-rice upland crops in Cambodia is being conducted with the overall aim of poverty reduction and food security for farmers in the Provinces of Battambang and Kampong Cham. Some of these cash crops exhibit low and variable incomes, especially when grown in the early wet season. Cambodian farmers may borrow money to buy crop inputs and often sell their produce to companies and traders from neighbouring countries, hence they are price takers. Some new crop technologies are evaluated which relate to soil and crop fertility management interacting with climatic factors. The DSSAT crop simulation model is used to predict outcomes from alternative management strategies. Bio-economic analyses are conducted to assess the likely appeal of these technologies to Cambodian farmers in a return-on-investment context. The results show that management to adjust the nitrogen fertility available to corn, the use of rhizobium in soybean, and a delay in planting early-wet-season corn may all show substantial financial benefits. Further research and an associated farmer demonstration program involving local extension officers are recommended.Upland crops, Cambodia, technology, economics, simulation, risk, Crop Production/Industries,

Constraints on the baryonic load of gamma-ray bursts using ultra-high energy cosmic rays

Ultra-high energy cosmic rays are the most extreme energetic particles detected on Earth, however, their acceleration sites are still mysterious. We explore the contribution of low-luminosity gamma-ray bursts to the ultra-high energy cosmic ray flux, since they form the bulk of the nearby population. We analyse a representative sample of these bursts detected by BeppoSAX, INTEGRAL and Swift between 1998-2016, and find they can produce a theoretical cosmic ray flux on Earth of at least $R_\text{UHECR} = 1.2 \times 10^{15}$ particles km$^{-2}$ century$^{-1}$ mol$^{-1}$. No suppression mechanisms can reconcile this value with the flux observed on Earth. Instead, we propose that the jet of low-luminosity gamma-ray bursts propels only the circumburst medium - which is accelerated to relativistic speeds - not the stellar matter. This has implications for the baryonic load of the jet: it should be negligible compared to the leptonic content.Comment: 5 pages, submitted to MNRA

Comorbidity and polypharmacy in people with dementia:insights from a large, population-based cross-sectional analysis of primary care data

Background: The care of older people with dementia is often complicated by physical comorbidity and polypharmacy, but the extent and patterns of these have not been well described. This paper reports analysis of these factors within a large, cross-sectional Methods: Data were extracted for 291,169 people aged 65 years or older registered with 314 general practices in the UK, of whom 10,258 had an electronically recorded dementia diagnosis. Differences in the number and type of 32 physical conditions and the number of repeat prescriptions in those with and without dementia were examined. Age–gender standardised rates were used to calculate odds ratios (ORs) of physical comorbidity and polypharmacy. Results: People with dementia, after controlling for age and sex, had on average more physical conditions than controls (mean number of conditions 2.9 versus 2.4; P &lt; 0.001) and were on more repeat medication (mean number of repeats 5.4 versus 4.2; P &lt; 0.001). Those with dementia were more likely to have 5 or more physical conditions (age–sex standardised OR [sOR] 1.42, 95% confidence interval (CI) 1.35–1.50; P &lt; 0.001) and were also more likely to be on 5 or more (sOR 1.46; 95% CI 1.40–1.52; P &lt; 0.001) or 10 or more repeat prescriptions (sOR 2.01; 95% CI 1.90–2.12; P &lt; 0.001). Conculsions: People with dementia have a higher burden of comorbid physical disease and polypharmacy than those without dementia, even after accounting for age and sex differences. Such complex needs require an integrated response from general health professionals and multidisciplinary dementia specialists