1,509 research outputs found
Influential Article Review - Frameworks of Leadership in Professional Football
This paper examines leadership. We present insights from a highly influential paper. Here are the highlights from this paper: In recent years, models for co-creating value in a business-to-business context have often been examined with the aim of studying the strategies implemented by and among organizations for competitive and co-operative purposes. The traditional concepts of competition and co-operation between businesses have now evolved, both in terms of the sector in which the businesses operate and in terms of the type of goods they produce. Many researchers have, in recent times, investigated the determinants that can influence the way in which the model of co-opetition can be applied to the football world. Research interest lies in the features of what makes a good football. In this paper, the aim is to conduct an analysis of the rules governing the “football system”, while also looking at the determinants of the demand function within football entertainment. This entails applying to football match management the co-opetition model, a recognized model that combines competition and co-operation with the view of creating and distributing value. It can, therefore, be said that, for a spectator, watching sport is an experience of high suspense, and this suspense, in turn, depends upon the degree of uncertainty in the outcome. It follows that the rules ensuring that both these elements can be satisfied are a fertile ground for co-operation between clubs, as it is in the interest of all stakeholders to offer increasingly more attractive football, in comparison with other competing products. Our end purpose is to understand how co-opetition can be achieved within professional football. For our overseas readers , we then present the insights from this paper in Spanish, French, Portuguese, and German
What evidence is there for the identification and management of frail older people in the emergency department? A systematic mapping review
Abstract
Background
Emergency departments (EDs) are facing unprecedented levels of demand. One of the causes of this increased demand is the ageing population. Older people represent a particular challenge to the ED as those older people who are frail will require management that considers their frailty alongside their presenting complaint. How to identify these older people as frail and how best to manage them in the ED is a major challenge for the health service to address.
Objectives
To systematically map interventions to identify frail and high-risk older people in the ED and interventions to manage older people in the ED and to map the outcomes of these interventions and examine whether or not there is any evidence of the impact of these interventions on patient and health service outcomes.
Design
A systematic mapping review.
Setting
Evidence from developed countries on interventions delivered in the ED.
Participants
Frail and high-risk older people and general populations of older people (aged > 65 years).
Interventions
Interventions to identify older people who are frail or who are at high risk of adverse outcomes and to manage (frail) older people within the ED.
Main outcome measures
Patient outcomes (direct and indirect) and health service outcomes.
Data sources
Evidence from 103 peer-reviewed articles and conference abstracts and 17 systematic reviews published from 2005 to 2016.
Review methods
A review protocol was drawn up and a systematic database search was undertaken for the years 2005–2016 (using MEDLINE, EMBASE, The Cochrane Library, Web of Science, Cumulative Index to Nursing and Allied Health Literature, Health Management Information Consortium and PROSPERO). Studies were included according to predefined criteria. Following data extraction, evidence was classified into interventions relating to the identification of frail/high-risk older people in the ED and interventions relating to their management. A narrative synthesis of interventions/outcomes relating to these categories was undertaken. A quality assessment of individual studies was not undertaken; instead, an assessment of the overall evidence base in this area was made.
Results
Of the 90 included studies, 32 focused on a frail/high-risk population and 60 focused on an older population. These studies reported on interventions to identify (n = 57) and manage (n = 53) older people. The interventions to identify frail and at-risk older people, on admission and at discharge, utilised a number of different tools. There was extensive evidence on these question-based tools, but the evidence was inconclusive and contradictory. Service delivery innovations comprised changes to staffing, infrastructure and care delivery. There was a general trend towards improved outcomes in admissions avoidance, reduced ED reattendance and improved discharge outcomes.
Limitations
This review was a systematic mapping review. Some of the methods adopted differed from those used in a standard systematic review. Mapping the evidence base has led to the inclusion of a wide variety of evidence (in terms of study type and reporting quality). No recommendations on the effectiveness of specific interventions have been made as this was outside the scope of the review.
Conclusions
A substantial body of evidence on interventions for frail and high-risk older people was identified and mapped.
Future work
Future work in this area needs to determine why interventions work and whether or not they are feasible for the NHS and acceptable to patients.
Study registration
This study is registered as PROSPERO CRD42016043260.
Funding
The National Institute for Health Research Health Services and Delivery Research programme
Comparison of supplemented free choice corn silage rations with other forage rations for wintering dairy heifers
This publication is a report on Department of Dairy Husbandry research project 55, Diet and Growth--P. [2].Digitized 2007 AES.Includes bibliographical references (page 8)
Categories, stereotypes, and the linguistic perception of sexuality
This article examines how social stereotypes influence listeners’ perceptions of indexical language. Building on recent developments in linguistics and social psychology, I investigate the extent to which stereotypical attitudes and beliefs about categories of speakers serve to enable the association of linguistic features with particular social meanings while simultaneously blocking others. My arguments are based on an analysis of listener perceptions of the intersecting categories of gender, sexuality, and social class among men in the UK. Using a modified matched-guise paradigm to test three category-relevant variables (mean pitch, spectral characteristics of /s/, and TH-fronting), I demonstrate how the perception of social meaning is governed by a combination of both attitudinal and cognitive factors. This finding is important because it illustrates the listener-dependent nature of sociolinguistic perception. Moreover, it also provides further empirical support for an understanding of social meaning as an emergent property of language-in-use
Variance estimation for a low-income proportion
Proportions below a given fraction of a quantile of an income distribution are often estimated from survey data in poverty comparisons. We consider the estimation of the variance of such a proportion, estimated from Family Expenditure Survey data. We show how a linearization method of variance estimation may be applied to this proportion, allowing for the effects of both a complex sampling design and weighting by a raking method to population controls. We show that, for 1998-99 data, the estimated variances are always increased when allowance is made for the design and raking weights, the principal effect arising from the design. We also study the properties of a simplified variance estimator and discuss extensions to a wider class of poverty measures
The objectness of everyday life: disburdenment or engagement?
The article grew out of a conference paper, ‘The objectness of everyday life: engagement and disburdenment’, Material Geographies, UCL, September 2002. An expanded version of the paper was included in a special themed section of an issue of Geoforum. The paper intervenes into contemporary philosophical scholarship on the nature of use-value, usability, design and ethics. The article has been directly engaged with in an academic journal; Christensen, Carleton B. (2005) ‘The Material Basis of Everyday Rationality: transformation by design or education?’, Design Philosophy Papers No.4,)
Integrated TiO2 resonators for visible photonics
We demonstrate waveguide-coupled titanium dioxide (TiO2) racetrack resonators
with loaded quality factors of 2x10^4 for the visible wavelengths. The
structures were fabricated in sputtered TiO2 thin films on oxidized silicon
substrates using standard top-down nanofabrication techniques, and passively
probed in transmission measurements using a tunable red laser. Devices based on
this material could serve as integrated optical elements as well as passive
platforms for coupling to visible quantum emitters.Comment: 4 pages, 3 figure
Automated quantification of mitral valve geometry on multi-slice computed tomography in patients with dilated cardiomyopathy: Implications for transcatheter mitral valve replacement
Objectives The primary aim of this study was to quantify the dimensions and geometry of the mitral valve complex in patients with dilated cardiomyopathy and significant mitral regurgitation. The secondary aim was to evaluate the validity of an automated segmentation algorithm for assessment of the mitral valve compared to manual assessment on computed tomography. Background Transcatheter mitral valve replacement (TMVR) is an evolving technique which relies heavily on the lengthy evaluation of cardiac computed tomography (CT) datasets. Limited data is available on the dimensions and geometry of the mitral valve in pathological states throughout the cardiac cycle, which may have implications for TMVR device design, screening of suitable candidates and annular sizing prior to TMVR. Methods A retrospective study of 15 of patients with dilated cardiomyopathy who had undergone full multiphase ECG gated cardiac CT. A comprehensive evaluation of mitral valve geometry was performed at 10 phases of the cardiac cycle using the recommended D-shaped mitral valve annulus (MA) segmentation model using manual and automated CT interpretation platforms. Mitral annular dimensions and geometries were compared between manual and automated methods. Results Mitral valve dimensions in patients with dilated cardiomyopathy were similar to previously reported values (MAarea Diastole: 12.22 ± 1.90 cm2), with dynamic changes in size and geometry between systole and diastole of up to 5%. The distance from the centre of the MA to the left ventricular apex demonstrated moderate agreement between automated and manual methods (ρc = 0.90) with other measurements demonstrating poor agreement between the two methods (ρc = 0.75–0.86). Conclusions Variability of mitral valve annulus measurements are small during the cardiac cycle. Novel automated algorithms to determine cardiac cycle variations in mitral valve geometry may offer improved segmentation accuracy as well as improved CT interpretation times
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