An end-of-life care nurse service for people with COPD and heart failure: stakeholders' experiences

Background: End-of-life care (EOLC) has historically been associated with cancer care. However, demographic changes indicate that future provision must also cater for other long term conditions (LTC). An EOLC-LTC service, delivered by palliative care nurses, is currently being piloted in one area in the East Midlands with patients with cardiac and respiratory disease. In order to inform future commissioning, it is important to gain the views and experiences of those involved with the service. Aims: This study aimed to explore patients, and their partners, views and experiences of the EOLC-LTC service. Methods: Semi-structured interviews were used as part of a case study design, involving six cases. Each case consisted of the patient, their nominated family member/carer and key healthcare professionals involved in their care as identified by the patient. This paper reports on the findings from the interviews conducted with the six patients and their family member/carers. Data were analysed thematically. Results: From the interviews, the following themes were identified: experiences managing a long term cardio-respiratory condition, the nurse service, building a close/therapeutic relationship and fragmentation and integration. Conclusions: This study has shown that the EOLC-LTC service is welcomed and highly regarded by patients and their family members/carers. Further studies are required to explore the views and experiences of other key stakeholders and to evaluate how well the pilot operates within the wider care pathway

What\u27s In a Mode: Writing Program Administrators\u27 Perception, Value, and Implementation of Multimodality in First-Year Writing

This study focuses on writing program administrators’ (WPAs) views towards the definition and value of multimodality within their first-year writing program curriculum. Furthermore, the study seeks to discover how first-year writing programs go about integrating a multimodal focus, including support structures that are in place, such as training, equipment, technology, and other resources. Multimodality has become a popular topic of discussion for those in Rhetoric/Composition, yet its program-wide implementation remains low. This study updates a 2005 study published in Composition Studies, which provided an overview of what participants labeled as multimodal or new media for their Composition classroom instruction (Anderson, Atkins, Ball, Millar, Selfe, & Selfe) Much of the scholarship on multimodality has centered on defining the concept, proposing practical ways to incorporate multimodality into instruction, and analyzing the pros and cons of its incorporation. So far, not much scholarship has been directly targeted to WPAs. This project explores the theoretical approaches to multimodality through curriculum implementation by presenting an overview of what works for writing programs across institutional contexts, from doctoral granting institutions to associate’s colleges. This research was explored through the theoretical frameworks of antiracism and utilitarianism. Methodology included surveys and semi-structured interviews via Zoom. Data analysis was used to identify themes of student and faculty perception of multimodality, balancing expectations and faculty experiences, and labor conditions. Implications for navigating curriculum changes while balancing structural disadvantages within programs are discussed. Further research is warranted for expanding this research into even more diverse contexts

An end-of-life care nurse service for people with COPD and heart failure: stakeholders' experiences

Background: End-of-life care (EOLC) has historically been associated with cancer care. However, demographic changes indicate that future provision must also cater for other long term conditions (LTC). An EOLC-LTC service, delivered by palliative care nurses, is currently being piloted in one area in the East Midlands with patients with cardiac and respiratory disease. In order to inform future commissioning, it is important to gain the views and experiences of those involved with the service. Aims: This study aimed to explore patients, and their partners, views and experiences of the EOLC-LTC service. Methods: Semi-structured interviews were used as part of a case study design, involving six cases. Each case consisted of the patient, their nominated family member/carer and key healthcare professionals involved in their care as identified by the patient. This paper reports on the findings from the interviews conducted with the six patients and their family member/carers. Data were analysed thematically. Results: From the interviews, the following themes were identified: experiences managing a long term cardio-respiratory condition, the nurse service, building a close/therapeutic relationship and fragmentation and integration. Conclusions: This study has shown that the EOLC-LTC service is welcomed and highly regarded by patients and their family members/carers. Further studies are required to explore the views and experiences of other key stakeholders and to evaluate how well the pilot operates within the wider care pathway

From the margins to the mainstream? The Eastmancolor Revolution and challenging the realist canon in British Cinema

This article focuses on Eastmancolor’s introduction in the British film industry from 1954 to the complete adoption of colour by the end of the 1960s. We discuss how aesthetic experiments with colour offer a compelling parallel history to debates concerning British film genres, films and filmmakers. This approach allows us to see British film history through a different lens, to move beyond the constraints of the monochromatic realist canon and explore familiar and unfamiliar films in the ‘fresh light’ of colour. We select key film genres including the adoption of colour within the social realist film, considering whether black-and-white conventions were disrupted by the addition of colour. The section on Hammer horror films demonstrates how colour popularised a largely dormant British genre, while our consideration of the popular Carry On… comedies looks at colour’s centrality to a new narrative approach for that series. Finally, we consider the historical biopic, focusing on Isadora (1969) in relation to how colour defined thematic and narrative concerns with psychology, temporality and symbolism. We conclude that these years of experimentation constitute an essential transition period in which filmmakers were engaged in a complex negotiation with intermedial chromatic trends

Conflict Management Assessment of Home Economics Administrators in State Universities and Land-Grant Colleges

Home Economics - Home Economics Educatio

Evidence of diet, deification, and death within ancient Egyptian mummified animals

The clues to life and death of mummified animals can remain hidden beneath their wrappings. Developments in non-invasive imaging have enabled detailed study of their internal structures. Laboratory-based X-ray microcomputed tomography (microCT) and focussed imaging protocols permit smaller mummified remains, such as animals, to be studied at higher resolution. In this study, we use microCT to image three different animal mummies. Revealing the internal structures provides insights into their biography, the conditions in which they were kept, complex mummification practices, possible causes of death, and subsequent handling damage. Thousands of years after the production of these mummified animals, the X-ray microCT technique facilitates new investigations, revealing ‘harder’ skeletal structures, mummification materials, and even desiccated soft tissues. Potential evidence for an ‘opening of the mouth’ procedure was found in a snake, along with indicators of the poor conditions in which the snake was kept when alive, leading to dehydration. Examination of a cat mummy revealed it was less than five months old and had its neck purposefully broken. It was also possible to identify a bird mummy to species level from the X-ray data. Improved understanding of animal mummification through scientific imaging can thus inform conservation and understanding of past human-animal relationships

Benefits of a snacking intervention as part of a school-based obesity intervention for Mexican American children

Objective: To examine the impact of adherence to a healthy snacking component of a 6 month school-based intervention program for overweight and obese children. Design: Randomized controlled intervention trial Methods: Mexican American children who were ≥ 85th percentile for body mass index (BMI) were recruited between 2005-2012 from three Houston schools. Children participated in a 12-week instructor led intensive intervention program that included nutrition education, physical activity, and a snacking component which consisted of a daily choice of peanuts and/or peanut butter snacks. Children (12±0.6 years) (n= 257) were divided into either low or high snacking adherence groups based on their responses on a peanut food frequency questionnaire. The low adherence group reported consuming peanuts or peanut butter ≤ once per week and the high adherence group \u3e once per week over 6 months. Change of BMI, standardized BMI (zBMI), triceps skinfold, and weight were compared at six months of children reporting high and low levels of adherence to the snacking component. Analysis: T-tests were performed with SPSS version 22 with level of significance set at P \u3c0.05. Results: Children in the high snacking adherence group demonstrated significantly greater decreases in BMI (P= 0.021) and zBMI (P = 0.005) at six months compared to the children in the low snacking adherence group. Although triceps skinfold did not significantly decrease, anthropometric measures trended towards significance. Conclusions and Implications: Peanuts provided an acceptable, healthy snack for children. Although peanuts were relatively high in fat, the weight loss intervention of replacing energy-dense and unhealthy snacks with peanuts and peanut butter helped children maintain a healthy body weight

Patient reported outcome measures for measuring dignity in palliative and end of life care : a scoping review

BACKGROUND: Patient reported outcome measures are frequently used standard questionnaires or tools designed to collect information from patients regarding their health status and care. Their use enables accurate and relevant insight into changes in health, quality of life, and symptom severity to be acquired. The purpose of this scoping review was to identify PROMs that had been subject to rigorous development and were suitable for use in palliative and end of life care for clinical practice and/or research purposes. The review had a specific focus on measures which could be used to assess perceptions of dignity in these contexts. METHODS: A scoping review of English-language papers published between 2005 and 2015. Searches were devised in conjunction with an information science specialist and were undertaken in Medline; PsycINFO; EMBASE; CINAHL; Social Science Citation Index; ASSIA; CENTRAL; CDSR; DARE; HTA; Oxford PROM Bibliography; PROQOLID, using dignity related terms such as personhood; dignity or dignified; patient-centred care; which were linked (via the Boolean operator "AND") to care-related terms such as terminal care; hospice care; palliative care; end of life. Papers were assessed against inclusion criteria and appraised for quality. RESULTS: The search strategy produced an initial 7845 articles. After three rounds of eligibility assessment, eight articles discussing eight patients reported outcome measures were found to meet the inclusion criteria and were included in the final review. These underwent a thorough critical appraisal process. All seven studies were empirical research focused on the development and testing of a PROM. CONCLUSIONS: The eight patient reported outcome measures had all undergone some psychometric testing, and covered dignity aspects suggesting that they could be considered for use for research purposes to assess dignity. There were also indications that some could be implemented into a clinical setting. However, each measure had limitations and scope for further development