4,753 research outputs found
Can community care workers deliver a falls prevention exercise program? A feasibility study
Background: Almost half of older people receiving community care fall each year and this rate has not improved in the last decade. Falls prevention programs targeted at this group are uncommon, and expensively delivered by university trained allied health professionals. Purpose: To investigate the feasibility of community care workers delivering a falls prevention exercise program to older clients, at low or medium risk of falling, as part of an existing service provision. Patients and methods: Community care workers from 10 community care organizations participated in the training for, and delivery to their clients of, an 8-week evidence-based falls prevention exercise program. Community care workers included assessment staff (responsible for identifying the need for community care services through completing an assessment) and support workers (responsible for providing support in the home). Clients were surveyed anonymously at the completion of the intervention and workers participated in a semi-structured interview. Results: Twenty-five community care workers participated in the study. The falls prevention program was delivered to 29 clients, with an average age of 82.7 (SD: 8.72) years and consisting of 65.5% female. The intervention was delivered safely with no adverse events recorded, and the eligibility and assessment tools were completed by the majority of community care workers (93.1%). Assessment staff found it difficult to find time to deliver the intervention. Support workers were able to complete the intervention within their current service delivery period, with the initial assessment taking a small amount of additional time. Support workers reported enjoying the additional responsibility afforded by delivering the falls prevention program and seeing changes in their clients. The majority of clients (82%) reported enjoying the exercises, with 59% reporting that they felt it made a positive change in their health. Cl ients completed the exercises on average 4.8 (SD: 2.2) days per week. Conclusion: Community care workers who have completed appropriate training are able to deliver a falls prevention exercise program to their clients as part of their current services. Further research is required to determine whether the program reduces the rate of falls for community care clients and whether integration of a falls prevention program into an existing service is cost-effective
When the working day is through: The end of work as identity?
This article seeks to present a counter-case to the âend of work thesisâ advocated by writers such as Beck, Sennett and Bauman. It argues that work remains a significant locus of personal identity and that the depiction by these writers of endemic insecurity in the workplace is inaccurate and lacks empirical basis. The article draws upon case study data to illustrate how, across a range of workplaces, work remains an importance source of identity, meaning and social affiliation
Evaluation of serum inflammatory biomarkers as predictors of treatment outcome in pulmonary tuberculosis
Evaluation of prediagnosis emergency department presentations in patients with active tuberculosis:the role of chest radiography, risk factors and symptoms
Introduction London has a high rate of tuberculosis (TB) with 2572 cases reported in 2014. Cases are more common in non-UK born, alcohol-dependent or homeless patients. The emergency department (ED) presents an opportunity for the diagnosis of TB in these patient groups. This is the first study describing the clinico-radiological characteristics of such attendances in two urban UK hospitals for pulmonary TB (PTB) and extrapulmonary TB (EPTB). Methods We conducted a retrospective cohort study using the London TB Register (LTBR) and hospital records to identify patients who presented to two London ED's in the 6â
months prior to their ultimate TB diagnosis 2011â2012. Results 397 TB cases were identified. 39% (154/397) had presented to the ED in the 6â
months prior to diagnosis. In the study population, the presence of cough, weight loss, fever and night sweats only had prevalence rates of 40%, 34%, 34% and 21%, respectively. Chest radiography was performed in 76% (117/154) of patients. For cases where a new diagnosis of TB was suspected, 73% (41/56) had an abnormal radiograph, compared with 36% (35/98) of patients where it was not. There was an abnormality on a chest radiograph in 73% (55/75) of PTB cases and also in 40% (21/52) of EPTB cases where a film was requested. Conclusions A large proportion of patients with TB present to ED. A diagnosis was more likely in the presence of an abnormal radiograph, suggesting opportunities for earlier diagnosis if risk factors, symptoms and chest radiograph findings are combined
Development and Validation of the False Disorder Score: The Focal Scale of the Inventory of Problems
This article introduces the Inventory of Problems (IOP)-a new, computerized, 181-item tool designed to discriminate bona fide from feigned mental illness and cognitive impairment-and presents the development and validation of its focal, feigning scale, the False Disorder Score (IOP-FDS). The initial sample included (a) 211 patients and 64 offenders who took the IOP under standard conditions, and (b) 210 community volunteers and 64 offenders who feigned mental illness. We split this sample into three subsamples. The first
Coherent Pair Production by Photons in the 20-170 GeV Energy Range Incident on Crystals and Birefringence
The cross section for coherent pair production by linearly polarised photons
in the 20-170 GeV energy range was measured for photon aligned incidence on
ultra-high quality diamond and germanium crystals. The theoretical description
of coherent bremsstrahlung and coherent pair production phenomena is an area of
active theoretical debate and development. However, under our experimental
conditions, the theory predicted the combined cross section and polarisation
experimental observables very well indeed. In macroscopic terms, our experiment
measured a birefringence effect in pair production in a crystal. This study of
this effect also constituted a measurement of the energy dependent linear
polarisation of photons produced by coherent bremsstrahlung in aligned
crystals. New technologies for manipulating high energy photon beams can be
realised based on an improved understanding of QED phenomena at these energies.
In particular, this experiment demonstrates an efficient new polarimetry
technique. The pair production measurements were done using two independent
methods simultaneously. The more complex method using a magnet spectrometer
showed that the simpler method using a multiplicity detector was also viable.Comment: 10 pages, 13 figures, 1 table, REVTeX4 two column, Version for
publicatio
Linear to Circular Polarisation Conversion using Birefringent Properties of Aligned Crystals for Multi-GeV Photons
We present the first experimental results on the use of a thick aligned Si
crystal acting as a quarter wave plate to induce a degree of circular
polarisation in a high energy linearly polarised photon beam. The linearly
polarised photon beam is produced from coherent bremsstrahlung radiation by 178
GeV unpolarised electrons incident on an aligned Si crystal, acting as a
radiator. The linear polarisation of the photon beam is characterised by
measuring the asymmetry in electron-positron pair production in a Ge crystal,
for different crystal orientations. The Ge crystal therefore acts as an
analyser. The birefringence phenomenon, which converts the linear polarisation
to circular polarisation, is observed by letting the linearly polarised photons
beam pass through a thick Si quarter wave plate crystal, and then measuring the
asymmetry in electron-positron pair production again for a selection of
relative angles between the crystallographic planes of the radiator, analyser
and quarter wave plate. The systematics of the difference between the measured
asymmetries with and without the quarter wave plate are predicted by theory to
reveal an evolution in the Stokes parameters from which the appearance of a
circularly polarised component in the photon beam can be demonstrated. The
measured magnitude of the circularly polarised component was consistent with
the theoretical predictions, and therefore is in indication of the existence of
the birefringence effect.Comment: 12 pages, 12 figures, 1 table, REVTeX4 two column, Version for
publicatio
Results on the Coherent Interaction of High Energy Electrons and Photons in Oriented Single Crystals
The CERN-NA-59 experiment examined a wide range of electromagnetic processes
for multi-GeV electrons and photons interacting with oriented single crystals.
The various types of crystals and their orientations were used for producing
photon beams and for converting and measuring their polarisation.
The radiation emitted by 178 GeV unpolarised electrons incident on a 1.5 cm
thick Si crystal oriented in the Coherent Bremsstrahlung (CB) and the
String-of-Strings (SOS) modes was used to obtain multi-GeV linearly polarised
photon beams.
A new crystal polarimetry technique was established for measuring the linear
polarisation of the photon beam. The polarimeter is based on the dependence of
the Coherent Pair Production (CPP) cross section in oriented single crystals on
the direction of the photon polarisation with respect to the crystal plane.
Both a 1 mm thick single crystal of Germanium and a 4 mm thick multi-tile set
of synthetic Diamond crystals were used as analyzers of the linear
polarisation.
A birefringence phenomenon, the conversion of the linear polarisation of the
photon beam into circular polarisation, was observed. This was achieved by
letting the linearly polarised photon beam pass through a 10 cm thick Silicon
single crystal that acted as a "quarter wave plate" (QWP) as suggested by N.
Cabibbo et al.Comment: Presented at International workshop "Relativistic Channeling and
Related Coherent Phenomena", Frascati (Rome) 23-26 March 200
Wigner Distribution Function Approach to Dissipative Problems in Quantum Mechanics with emphasis on Decoherence and Measurement Theory
We first review the usefulness of the Wigner distribution functions (WDF),
associated with Lindblad and pre-master equations, for analyzing a host of
problems in Quantum Optics where dissipation plays a major role, an arena where
weak coupling and long-time approximations are valid. However, we also show
their limitations for the discussion of decoherence, which is generally a
short-time phenomenon with decay rates typically much smaller than typical
dissipative decay rates. We discuss two approaches to the problem both of which
use a quantum Langevin equation (QLE) as a starting-point: (a) use of a reduced
WDF but in the context of an exact master equation (b) use of a WDF for the
complete system corresponding to entanglement at all times
Gender violence in schools: taking the âgirls-as-victimsâ discourse forward
This paper draws attention to the gendered nature of violence in schools. Recent recognition that schools can be violent places has tended to ignore the fact that many such acts originate in unequal and antagonistic gender relations, which are tolerated and ânormalisedâ by everyday school structures and processes. After examining some key concepts and definitions, we provide a brief overview of the scope and various manifestations of gender violence in schools, noting that most research to date has focused on girls as victims of gender violence within a heterosexual context and ignores other forms such as homophobic and girl violence. We then move on to look at a few interventions designed to address gender violence in schools in the developing world and end by highlighting the need for more research and improved understanding of the problem and how it can be addressed
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