324 research outputs found

    Some Unpublished Correspondence between William Forsell Kirby and William Alexander Clouston

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    © 2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an open access article distributed under the terms of the Creative Commons Attribution License (CC BY), https://creativecommons.org/licenses/by/4.0/While neither William Forsell Kirby (1844–1912) nor William Alexander Clouston (1843–96) is entirely unfamiliar, both have been rather eclipsed in our knowledge of the early history of British folklore studies. A cache of letters from Clouston to Kirby allows us some new insight into the work of these active and significant folklore scholars and into the wider network of British and international folklorists. The letters also shed further light on the relatively undocumented life of Clouston, who died young and single.Peer reviewe

    Amending mindlines to improve eczema self-management and consultation experiences

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    Atopic eczema is among the fifty most burdensome diseases worldwide. Effective care requires diligent self-management. The cornerstone of treatment is regular and consistent use of topical emollients and use of topical corticosteroids (TCS) as required. Treatment failure is common and wastage of prescribed preparations is high. Primary care consultations can be unsatisfactory for patients and practitioners

    Margaret Murray: Who Didn’t Believe Her, and Why?

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    © 2024 TFH: The Journal of History and Folklore. This is an open access article under the Creative Commons Attribution-No Derivatives CC BY-ND licence, https://creativecommons.org/licenses/by-nd/4.0/Folkloristics in Britain passed through a period of intellectual torpor in the mid-twentieth century, particularly during the ascendancy within the Folklore Society (FLS) of Margaret Murray and Gerald Gardner. That it emerged relatively healthy is testament both to the better scholars who led its intellectual renaissance and to those who followed, people like Professor Jacqueline Simpson. The scars remain raw, however, and those triumphant scholars like Simpson, who have contributed to our disciplinary historiography, have been understandably short in their treatment of earlier trends. All broad historical summaries can erode nuance, and examination of some minor disagreements around one of Murray’s Presidential Addresses shows the ground on which the seeds of intellectual renaissance were cast. This article, originally written as a 90th birthday tribute to Simpson, examines the disagreement there and at subsequent public FLS lectures to flesh out more detail of the historical development and to enable a better understanding of later historiographical accounts of it.Peer reviewe

    "That's how we do it...we treat them all the same": an exploration of the experiences of patients, lay carers and health and social care staff of the care received by older people with dementia in acute hospital settings.

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    ... we treat them all the same' This study aimed to explore the experiences of patients, lay carers and health and social care staff of care received by older people with dementia in the acute hospital setting. In view of the ageing population, an increasing prevalence of dementia and the emerging dignity agenda this is a particularly topical subject. Four elements are included in this thesis: a literature review, a research study, a practice development project and an integrative review. A literature review sets person-focused research in the context of dementia research as a whole. It also identifies ways in which studies have been conducted in an ethical and meaningful manner. An ethnographic approach was used in the research study to collect data through observation, conversations and interviews. Findings portray a bleak picture of the care of this vulnerable group. Patients demonstrated, through words and actions, how difficult they found the experience. Lack of communication was an issue as was the obvious distress caused by delivery of personal care. Lay carers were relatively uncritical although this may have been due, in part, to the recruitment process. Staff generally appeared to have good intention. Most stated that they had received little or no preparation or education in dementia care. Many staff functioned almost entirely within thebed and body'framework. They frequently avoided communication with patients. Staff worked in a deeply embedded habitus, in which they appeared not to really think about what they were doing. They demonstrated a lack of empathy with patients. The concept that staff were working in a 'switched off mode and lacked empathy called for a practice development project that engaged them on both cognitive and emotional levels. A practice development project based on the philosophies of confluent education and situated learning was implemented. Initial evaluation has demonstrated some tangible changes in practice. An integrative review draws these elements together into a coherent whole. Potential contributions to the body of knowledge are acknowledged, as are limitations of the work. This study has shown that people with dementia, even those at an advanced stage and with superimposed physical illness, can be engaged in research that is both ethical and meaningful. It has shown that improvements in practice are possible. They need to be underpinned by a belief in the personhood of staff as well as patients. Areas for further research and practice development in this vital subject have been identified

    Knowledge mobilization in bridging patient‐practitioner‐researcher boundaries : a systematic integrative review

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    Aim To review when, how, and in what context knowledge mobilization (KMb) has crossed patient‐practitioner‐researcher boundaries. Background KMb is essential in contemporary health care, yet little is known about how patients are engaged. Design Integrative review. Data sources Ten academic databases and grey literature. Review methods We followed integrative review methodology to identify publications from 2006–2019 which contributed to understanding of cross‐boundary KMb. We extracted data using a bespoke spreadsheet and the Template for Intervention Description and Replication (TIDieR) framework. We used meta‐summary to organize key findings. Results Thirty‐three papers collectively provide new insights into ‘when’ and ‘how’ KMb has crossed patient‐researcher‐practitioner boundaries and the impact this has achieved. Knowledge is mobilized to improve care, promote health, or prevent ill health. Most studies focus on creating or re‐shaping knowledge to make it more useful. Knowledge is mobilized in small community groups, in larger networks, and intervention studies. Finding the right people to engage in activities is crucial, as activities can be demanding and time‐consuming. Devolving power to communities and using local people to move knowledge can be effective. Few studies report definitive outcomes of KMb. Conclusion Cross‐boundary KMb can and does produce new and shared knowledge for health care. Positive outcomes can be achieved using diverse public engagement strategies. KMb process and theory is an emerging discipline, further research is needed on effective cross‐boundary working and on measuring the impact of KMb. Impact This review provides new and nuanced understandings of how KMb theory has been used to bridge patient‐researcher‐practitioner boundaries. We have assessed ‘how’, ‘when’, and in what context patients, practitioners and researchers have attempted to mobilize knowledge and identified impact. We have developed a knowledge base about good practice and what can and potentially should be avoided in cross‐boundary KMb

    Knowledge mobilisation: an exploratory qualitative interview study to confirm and envision modification of lay and practitioner eczema mindlines to improve consultation experiences and self-management in primary care in the United Kingdom

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    Objectives: To investigate whether initial eczema mindlines, “collectively reinforced, internalised, tacit guidelines”, are an accurate representation of the experiences of lay people and practitioners in primary care and to explore how these mindlines may best be revised to improve eczema care. Design: Exploratory qualitative interviews with constant comparative analysis and data mining. Setting: United Kingdom, primary care Participants: People with eczema or parents of children with eczema (n=19) and primary care practitioners (n=13). Results: Interview data were analysed using constant comparison of new data with existing initial eczema mindlines to identify areas of agreement and disagreement. Data were mined for participant’s thoughts about whose mindlines should be modified, how this may be achieved and what core content is essential. Eczema mindlines and the spiral of knowledge creation, from which they evolved, intuitively made sense. Participants offered examples of how their eczema knowledge is continually produced and transformed as they interact with others. They reported diverse and wide-ranging influences on their thinking and recognised the critical relationship between lay and practitioner mindlines. For this reason they advocated modifying lay and practitioner mindlines in parallel. Participants advised amendment based on consistent information directed to all who influence eczema care. Information should come from trusted sources and be easy to access, distilled, practical, contextually relevant and amenable to assimilation. Conclusions: The purpose here is to improve primary care consultation experiences and self-management in eczema. The remaining challenge is to find novel, simple and pragmatic methods of modifying eczema mindlines to instill shared and consistent understanding. Given the prevalence of eczema and the scope of people who influence self-care, interventions should transcend patient-practitioner boundaries and address the wider community. One conceptually congruent approach is to create a Ba, which in this case would be a virtual space for generating and sharing eczema knowledge

    Knowledge mobilisation: an ethnographic study of the influence of lay mindlines on eczema self-management in primary care in the UK

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    Objective To investigate the way in which mindlines, ‘collectively reinforced, internalised tacit guidelines’, are constructed among lay people with eczema in primary care. Design Ethnographic study. Setting Observation in one general practice in the UK and interviews across central England. Participants In observation, patients in the participating general practice regardless of presenting complaint and in interviews, people with eczema or parents of children with eczema (n=16). Results Observation of over 250 hours and interview data were combined and analysed using an ethnographic approach through the lenses of mindlines and self-management. Four themes were identified: doctor knows best; not worth bothering the doctor; I need to manage this myself; and how I know what to do. Themes were set within the context of four broad typologies of lay people’s approach to self-management: content to self-manage; content to accept practitioner management; self-managing by default; and those referred to secondary care. Conclusions This study is the first to examine how lay eczema mindlines are developed and to recognise typologies of people with different need for, and receptiveness to, information. Lay eczema mindlines are constructed in many ways. The outstanding challenge is to find strategies to revise or modify these mindlines by adding reliable and useful knowledge and by erasing outdated or inaccurate information

    Adjuncts to eczema care: different methodological approaches

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    The quest for acceptable and effective ways of managing eczema goes on. The mainstay of treatment is the regular application of topical preparations. This can be challenging patients, parents and children alike and it is well known that treatment concordance is hard to achieve. There is ongoing interest in non-pharmacological adjuncts to eczema care. Investigation of these approaches has been conducted using different research methods, each of which have a particular value. Review of three recently published papers illustrates how a systematic review, a randomised crossover trial and an exploratory qualitative study have contributed to knowledge generation around adjuncts to the treatment of eczema

    Effects of short-term temperature change in the innocuous range on histaminergic and non-histaminergic acute itch

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    While temperatures in the noxious range are well-known to inhibit acute itch, the impact of temperature in the innocuous temperature range is less well understood. We investigated the effect of alternating short-term temperature changes in the innocuous range on histamine and cowhage-induced acute itch, taking into account individual differences in baseline skin temperature and sensory thresholds. Results indicate that cooling the skin to the cold threshold causes a temporary increase in the intensity of histamine-induced itch, in line with previous findings. Skin warming increased cowhage-induced itch intensity. Potential mechanisms of this interaction between thermosensation and pruritoception could involve cold-sensitive channels such as TRPM8, TREK-1 or TRPC5 in the case of histamine. The rapid modulation of cowhage induced itch - but not histamine-induced itch - by transient skin warming could be related to the lower temperature threshold of pruriceptive polymodal C-fibres (cowhage) as compared to the higher temperature threshold of the mechanoinsensitive C-Fibres conveying histaminergic itch
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