321 research outputs found

    ‘Publicity v Privacy: finding the balance’ When and how to publish reports of mental health homicide independent investigations

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    In 1994 the Department of Health published its guidance on the discharge of mentally disordered people and their continuing care in the community (HSG (94) 27) which established, for the first time, that when a mental health service user kills someone “it will always be necessary to hold an Inquiry which is independent of the providers involved”. The independent investigation (as these inquiries are now called) would take place after the completion of any legal proceedings and its purpose was stated to be: “To learn lessons for the future”. The independent investigation would be commissioned by the responsible strategic health authority, which would also decide on whether to publish it and, if so, in what form

    An Overview of Variational Integrators

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    The purpose of this paper is to survey some recent advances in variational integrators for both finite dimensional mechanical systems as well as continuum mechanics. These advances include the general development of discrete mechanics, applications to dissipative systems, collisions, spacetime integration algorithms, AVI’s (Asynchronous Variational Integrators), as well as reduction for discrete mechanical systems. To keep the article within the set limits, we will only treat each topic briefly and will not attempt to develop any particular topic in any depth. We hope, nonetheless, that this paper serves as a useful guide to the literature as well as to future directions and open problems in the subject

    REACTOR PHYSICS STUDIES FOR THE FINAL CONCEPTUAL DESIGN OF THE ADVANCED TEST REACTOR

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    A detailed account of the reactor physics studies for the final conceptual design of the Advanced Test Reactor is presented. The diffusion theory methods used for calculations of flux distributions and reactivity effects are described and compared with measurements and with higher order approximations to transport theory. These comparisons show diffusion theory to be adequate for the ATR conceptual design. Two-dimensional flux distributions for a number of shim control conditions and experimental loadings were determined by PDQ-3 and TRANSAC-PDQ. The worths and effects on flux distributions of chemical and of blade type mechanical shim controls were compared. The effects of heavy water and of beryllium reflectors on reactivity and flux pattern were calculated. The time-dependent behavior of the reactor was investigated by use of TURBO and CANDLE. The changes in shim control poison and test and core flux distributions with fuel burnup were calculated and the full-power cycle time estimated. An investigation was made of the xenon transient after a fullpower shutdown and recovery. Results of one- and twodimensional fuel depletion studies are compared. The results of a number of time independent one-dimensional calculations and parametric studies are presented. Some comparisons were made of the results for one-dimensional and two-dimensional models of the ATR. The void coefficient of reactivity was found for the core, reflector, experiment, and flux trap regions of the reactor. Calculations of the temperature coefficient for the entire reactor and for individual regions were determined for one- and two-dimensional models. Xenon instability was studied for oscillations around one lobe, between lobes, and along the vertical axis. TURBO and CANDLE calculations were used to determine the effects of pedurbations on the sxial stability. An analytic method for determining axial stability was derived and applied to a single lobe model of the ATR. A perturbation technique was used to find the effects of reflector type and poisoning on the average core neutron lifetime. Calculations of the approximate lifetime of the delayed group from the reflector were made for a number of reflector conditions. Plots and tables of the gamma heat distribution in the ATR as determined by an DBM-704 program are presented. (auth

    NUIs for new worlds: new interaction forms and interfaces for mobile applications in developing countries

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    Mobile phones constitute the most ubiquitous computing platform in the developing world, and for the past decade it has been focus of many research efforts within Human Computer Interaction for Development (HCI4D). HCI4D has matured through a series of previous HCI related conferences and workshops and a growing body of work have established it as subfield of its own

    Telerehabilitation for people with physical disabilities and movement impairment: development and evaluation of an online toolkit for practitioners and patients.

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    PURPOSE: Telerehabilitation has increasingly been used since the COVID-19 pandemic but with limited guidance available on undertaking physical assessments using remote methods. We aimed to provide such guidance by developing a Telerehab Toolkit, an online information and training resource for practitioners, patients, and carers on telerehabilitation for people with physical disabilities and movement impairment. MATERIALS AND METHODS: Development and evaluation of the toolkit were informed by the Knowledge to Action framework and took place iteratively in two phases-knowledge creation and action. Information was collated from various sources including literature review, online survey, service evaluation, and focus group discussions. The toolkit has been evaluated using think-aloud interviews, e-mail and social media feedback from users, and analytics data on user engagement with the website. RESULTS: The Telerehab Toolkit focuses on remote physical assessments, and contains information on technology, digital skills, remote assessment tools, information governance, and safety for telerehabilitation. Resources include top tips from practitioners and patients, how-to guides, checklists, videos, and links to evidence. CONCLUSIONS: The Telerehab Toolkit has been well-received by practitioners, healthcare students, patients, and carers, is being disseminated widely, and is freely available (www.plymouth.ac.uk/research/telerehab). IMPLICATIONS FOR REHABILITATIONTelerehabilitation has been increasingly used since the COVID-19 pandemic, but with limited guidance and training for practitioners on undertaking safe and effective remote physical assessments.The Telerehab Toolkit has been developed iteratively using the Knowledge to Action framework; it is a free online resource for practitioners and patients with specific guidance on telerehabilitation for physical disabilities and movement impairment.It is anticipated that the resource will help to improve the knowledge, skills, and confidence of the current and future rehabilitation workforce

    Making Technology Invisible in the Developing World

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    Those of us who live in the developed world dwell in an ecology where information is literally everywhere. Besides physical forms such as newspapers, books and magazines, the air around us is crammed with signals carrying information that we can access and use almost without thought on our smartphones and other devices. Information, and the technologies that allow us to access it, are so convenient that we scarcely think about them. They are mostly invisible to our conscious mind. However, for those living in the developing world, information is less than ubiquitous. Although many of people in the developing world have a cellular handset, issues around cost of access and user literacy barriers mean that accessing information is a deliberate, complicated and expensive undertaking. People living here cannot effortlessly pluck invisible information from the air but must go to great lengths to find the information they need. In the rest of this article we shall explore three separate projects that seek to make access to information ubiquitous for these users. We will highlight systems that fit naturally into their ecologies effectively making the technology invisible and allowing users natural, convenient access to information sources

    Service Users’ Views and Experiences of Alcohol Relapse Prevention Treatment and Adherence: New Role for Pharmacists?

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    Aims: To understand service users’ views and experiences of alcohol relapse prevention medication, views of a telephone behaviouralmodification intervention delivered by pharmacists and the use of Contingency Management (CM) to support acamprosate adherence following assisted alcohol withdrawal.Methods: Four focus groups were conducted within four alcohol treatment and recovery groups across England (UK), with service users with lived experience of alcohol dependence (26 participants). Semi-structured topic guide was used to explore participants’ views and experiences of alcohol relapse prevention medication, a telephone behavioural modification medication intervention delivered by pharmacists, and the use of CM to support acamprosate adherence. These were audio-recorded, transcribed verbatim and thematically analysed inductively and deductively.Results: Four themes were identified: concerns about support and availability of alcohol relapse prevention medication; lack of knowledge and understanding about acamprosate treatment; positive perceptions of acamprosate adherence telephone support from pharmacists; and negative perceptions of CM to support acamprosate adherence. There were misunderstandings about acamprosate’s mode of action and strong negative beliefs about CM. However, most were positive about pharmacists’ new role to support acamprosate adherence.Conclusion: This study highlighted challenges service users face to commence alcohol relapse prevention medication. It appears service users could benefit from a pharmacist-led telephone intervention to improve understanding about acamprosate medication, particularly, if delivered in an engaging and motivating way

    Service Users’ Views and Experiences of Alcohol Relapse Prevention Treatment and Adherence: New Role for Pharmacists?

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    Aims: To understand service users' views and experiences of alcohol relapse prevention medication, views of a telephone behavioural modification intervention delivered by pharmacists and the use of Contingency Management (CM) to support acamprosate adherence following assisted alcohol withdrawal. // Methods: Four focus groups were conducted within four alcohol treatment and recovery groups across England (UK), with service users with lived experience of alcohol dependence (26 participants). Semi-structured topic guide was used to explore participants' views and experiences of alcohol relapse prevention medication, a telephone behavioural modification medication intervention delivered by pharmacists, and the use of CM to support acamprosate adherence. These were audio-recorded, transcribed verbatim and thematically analysed inductively and deductively. // Results: Four themes were identified: concerns about support and availability of alcohol relapse prevention medication; lack of knowledge and understanding about acamprosate treatment; positive perceptions of acamprosate adherence telephone support from pharmacists; and negative perceptions of CM to support acamprosate adherence. There were misunderstandings about acamprosate's mode of action and strong negative beliefs about CM. However, most were positive about pharmacists' new role to support acamprosate adherence. // Conclusion: This study highlighted challenges service users face to commence alcohol relapse prevention medication. It appears service users could benefit from a pharmacist-led telephone intervention to improve understanding about acamprosate medication, particularly, if delivered in an engaging and motivating way

    Popular Culture, Radical Egalitarianism, and Formations of Muslim Selfhood in South Asia

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    In early twentieth century leftist politics on the geographical fringes of South Asia, Islam played a major role. Were activists in these movements leftist despite their understandings of Islam, or because of them? This essay introduces the project represented in the essays of this special section of South Asian History and Culture, as well as the essays that will appear in a complementary section in a subsequent issue this year. The editors of this project reconstruct a conversation on surprising resonances in subaltern sources in Pashto and Bengali of early twentieth-century grassroots indigenous traditions of radical Muslim egalitarianism. What should we make of these resonances? Building on Latin American decolonisation theory in the wake of Subaltern Studies, we introduce a series of articles that together illustrate what Ramon Grosfoguel calls a ‘pluriverse’ of perspectives on the ethical self: some rooted in the local lifeworlds of Bengal and some in the Afghan borderland; all interlinked through a series of ‘middle actors’. In so doing, we excavate some dense but hidden two-way traffic between subaltern worlds of Muslim piety and devotion on two distant ends of South Asia, and all-India, international or cosmopolitan politics. These together helped constitute a surprising amount of what we know as the South Asian left, from what are usually seen as its geographical, social, and especially intellectual peripheries

    Computing technology in international development: who, what, where, when, why and how

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    Building on the successes of prior workshops at CHI and other HCI conferences on computing in international development, we propose a panel to engage with the broader CHI community. Topics to be discussed include why international development is important to HCI as a discipline, and how CHI researchers and practitioners who are not already involved in international development can contribute
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