1,779 research outputs found

    Making sense?: The support of dispersed asylum seekers

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    Reforms of the system around the accommodation and support needs of asylum seekers entering the United Kingdom (UK), during the twentieth and early twenty-first centuries have meant that the support of asylum seekers has largely moved away from mainstream social work to be based within dedicated asylum support teams. This article investigates how the workers engaged as asylum support workers understand and make sense of their participation in the support of asylum seekers dispersed across the UK. By drawing upon qualitative research with asylum support workers this paper looks at how such workers make sense of their roles and how the ‘support’ of asylum seekers is conceived. The paper concludes that by working within this political and controversial area of work, workers are constantly finding ways to negotiate their support role within a dominant framework of control

    ColNet: Embedding the Semantics of Web Tables for Column Type Prediction

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    Automatically annotating column types with knowledge base(KB) concepts is a critical task to gain a basic understandingof web tables. Current methods rely on either table metadatalike column name or entity correspondences of cells in theKB, and may fail to deal with growing web tables with in-complete meta information. In this paper we propose a neu-ral network based column type annotation framework namedColNetwhich is able to integrate KB reasoning and lookupwith machine learning and can automatically train Convolu-tional Neural Networks for prediction. The prediction modelnot only considers the contextual semantics within a cell us-ing word representation, but also embeds the semantics of acolumn by learning locality features from multiple cells. Themethod is evaluated with DBPedia and two different web ta-ble datasets, T2Dv2 from the general Web and Limaye fromWikipedia pages, and achieves higher performance than thestate-of-the-art approaches

    Proselytising public health reform in Punch 1841-1858

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    It is the purpose of this thesis, by analysing the context of public health reform in the nineteenth century, to reconsider the methods, both verbal and visual, by which Punch proselytised reform. Drawing on a range of primary data, this thesis uses a thematic case study to undertake a systematic re-examination of Punch's distinctive stylistic form from 1841 to 1858. This will also assist in identifying how the `character' of the magazine evolved. Case study chapters will focus specifically on the campaigns surrounding the removal of Smithfield Market and the amelioration of the polluted River Thames, providing a point of comparison from which to study the growth of a range of shared motifs developed for discussing reform and social change. Taking a chronological approach, it will be argued that from the close of the 1840st here was a simultaneous shift in both the organisation of the Punch `brotherhood' and in scientific understandings of the cause of disease and pollution. From 1849 the problems of how to communicate the need for reform begin to be resolved due to the increased profile the topic of public health received in the public sphere, particularly through periodicals like Punch. This change is evident from an analysis of the references logged in the Punch Database on Public Health (Appendix Two)

    Critical Life Experiences that Mold a Person into a Global Scholar

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    Global Scholar Toni Fuss Kirkwood Tucker shares her experiences in Nazi Germany. This column contains an excerpt of Toni's presentation her award luncheon

    Investigation of the antibiofilm capacity of peptide-modified stainless steel

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    Biofilm formation on surfaces is an important research topic in ship tribology and medical implants. In this study, dopamine and two types of synthetic peptides were designed and attached to 304 stainless steel surfaces, aiming to inhibit the formation of biofilms. A combinatory surface modification procedure was applied in which dopamine was used as a coupling agent, allowing a strong binding ability with the two peptides. X-ray photoelectron spectroscopy (XPS), elemental analysis, contact angle measurement and surface roughness test were used to evaluate the efficiency of the peptide modification. An antibiofilm assay against Staphylococcus aureus was conducted to validate the antibiofilm capacity of the peptide-modified stainless steel samples. XPS analysis confirmed that the optimal dopamine concentration was 40 µg ml−1 in the coupling reaction. Element analysis showed that dopamine and the peptides had bound to the steel surfaces. The robustness assay of the modified surface demonstrated that most peptide molecules had bound on the surface of the stainless steel firmly. The contact angle of the modified surfaces was significantly changed. Modified steel samples exhibited improved antibiofilm properties in comparison to untreated and dopamine-only counterpart, with the peptide 1 modification displaying the best antibiofilm effect. The modified surfaces showed antibacterial capacity. The antibiofilm capacity of the modified surfaces was also surface topography sensitive. The steel sample surfaces polished with 600# sandpaper exhibited stronger antibiofilm capacity than those polished with other types of sandpapers after peptide modification. These findings present valuable information for future antifouling material research

    Collaboration enhances career progression in academic science, especially for female researchers.

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    Funder: Helsinki Institute of Life ScienceFunder: Leverhulme TrustCollaboration and diversity are increasingly promoted in science. Yet how collaborations influence academic career progression, and whether this differs by gender, remains largely unknown. Here, we use co-authorship ego networks to quantify collaboration behaviour and career progression of a cohort of contributors to biennial International Society of Behavioral Ecology meetings (1992, 1994, 1996). Among this cohort, women were slower and less likely to become a principal investigator (PI; approximated by having at least three last-author publications) and published fewer papers over fewer years (i.e. had shorter academic careers) than men. After adjusting for publication number, women also had fewer collaborators (lower adjusted network size) and published fewer times with each co-author (lower adjusted tie strength), albeit more often with the same group of collaborators (higher adjusted clustering coefficient). Authors with stronger networks were more likely to become a PI, and those with less clustered networks did so more quickly. Women, however, showed a stronger positive relationship with adjusted network size (increased career length) and adjusted tie strength (increased likelihood to become a PI). Finally, early-career network characteristics correlated with career length. Our results suggest that large and varied collaboration networks are positively correlated with career progression, especially for women

    Implementing a 48 h EWTD-compliant rota for junior doctors in the UK does not compromise patients’ safety : assessor-blind pilot comparison

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    Background: There are currently no field data about the effect of implementing European Working Time Directive (EWTD)-compliant rotas in a medical setting. Surveys of doctors’ subjective opinions on shift work have not provided reliable objective data with which to evaluate its efficacy. Aim: We therefore studied the effects on patient's safety and doctors’ work-sleep patterns of implementing an EWTD-compliant 48 h work week in a single-blind intervention study carried out over a 12-week period at the University Hospitals Coventry & Warwickshire NHS Trust. We hypothesized that medical error rates would be reduced following the new rota. Methods: Nineteen junior doctors, nine studied while working an intervention schedule of <48 h per week and 10 studied while working traditional weeks of <56 h scheduled hours in medical wards. Work hours and sleep duration were recorded daily. Rate of medical errors (per 1000 patient-days), identified using an established active surveillance methodology, were compared for the Intervention and Traditional wards. Two senior physicians blinded to rota independently rated all suspected errors. Results: Average scheduled work hours were significantly lower on the intervention schedule [43.2 (SD 7.7) (range 26.0–60.0) vs. 52.4 (11.2) (30.0–77.0) h/week; P < 0.001], and there was a non-significant trend for increased total sleep time per day [7.26 (0.36) vs. 6.75 (0.40) h; P = 0.095]. During a total of 4782 patient-days involving 481 admissions, 32.7% fewer total medical errors occurred during the intervention than during the traditional rota (27.6 vs. 41.0 per 1000 patient-days, P = 0.006), including 82.6% fewer intercepted potential adverse events (1.2 vs. 6.9 per 1000 patient-days, P = 0.002) and 31.4% fewer non-intercepted potential adverse events (16.6 vs. 24.2 per 1000 patient-days, P = 0.067). Doctors reported worse educational opportunities on the intervention rota. Conclusions: Whilst concerns remain regarding reduced educational opportunities, our study supports the hypothesis that a 48 h work week coupled with targeted efforts to improve sleep hygiene improves patient safety

    Medication decision making and patient outcomes in GP, nurse and pharmacist prescriber consultations

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    UNLABELLED: Aim The aims of this study were twofold: (a) to explore whether specific components of shared decision making were present in consultations involving nurse prescribers (NPs), pharmacist prescribers (PPs) and general practitioners (GPs) and (b) to relate these to self-reported patient outcomes including satisfaction, adherence and patient perceptions of practitioner empathy.BACKGROUND: There are a range of ways for defining and measuring the process of concordance, or shared decision making as it relates to decisions about medicines. As a result, demonstrating a convincing link between shared decision making and patient benefit is challenging. In the United Kingdom, nurses and pharmacists can now take on a prescribing role, engaging in shared decision making. Given the different professional backgrounds of GPs, NPs and PPs, this study sought to explore the process of shared decision making across these three prescriber groups.METHODS: Analysis of audio-recordings of consultations in primary care in South England between patients and GPs, NPs and PPs. Analysis of patient questionnaires completed post consultation. Findings A total of 532 consultations were audio-recorded with 20 GPs, 19 NPs and 12 PPs. Prescribing decisions occurred in 421 (79%). Patients were given treatment options in 21% (102/482) of decisions, the prescriber elicited the patient's treatment preference in 18% (88/482) and the patient expressed a treatment preference in 24% (118/482) of decisions. PPs were more likely to ask for the patient's preference about their treatment regimen (χ 2=6.6, P=0.036, Cramer's V=0.12) than either NPs or GPs. Of the 275 patient questionnaires, 192(70%) could be matched with a prescribing decision. NP patients had higher satisfaction levels than patients of GPs or PPs. More time describing treatment options was associated with increased satisfaction, adherence and greater perceived practitioner empathy. While defining, measuring and enabling the process of shared decision making remains challenging, it may have patient benefit
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