Global development of children’s palliative care: the picture in 2017

Background: The growing interest in tracking the global development of palliative care provision is not matched by research on the development of palliative care services specifically for children. Yet it is estimated that worldwide, 21 million children annually could benefit from the provision of palliative care. We report on a global study of children’s palliative care development and offer suggestions for further improvement in design and method. Methods: Primary data on the level of children’s palliative care development in 2017 was collected from in-country experts through a specific question in an online questionnaire that sought to measure the overall level of palliative care provision globally. Countries were assigned to one of six categories on the basis of the responses obtained. Conflicting responses from the same country were resolved with reference to a hierarchy of preferred respondents. Results: Our data allowed the categorisation of 113 countries, accounting for 65% of the global population aged under 20. Number of countries (% of global child population) in each category were as follows: 1) no known activity, 21 (4%); 2) capacity-building, 16 (24%); 3a) isolated provision, 55 (30%); 3b) generalized provision, 5 (1%); 4a) preliminary integration into mainstream provision, 14 (8%); 4b) advanced integration, 7 (2%). Conclusions: Children’s palliative care at the highest level of provision is available in just 21 countries, accounting for fewer than 10% of the global population aged under 20. It is concentrated in high income settings, whilst the majority of the global need for such care is in low- and middle-income countries. Our study is a useful tool for global advocacy relating to children’s palliative care and a stimulus for the creation of improved indicators to measure it at the country level

Feasibility study suggests no impact from protected engagement time on adverse events in mental health wards for older adults

Hospital adverse events, such as falls, violence and aggression, security, self-harm, and suicide, are difficult to manage in older people with dementia. The purpose of the present study was to determine whether protected engagement time (PET) resulted in lower adverse events and incidents compared to comparable non-PET wards for people admitted to inpatient older people's mental health wards. Ten inpatient wards for older people were included. Five followed a PET-management pathway, while five continued usual care. All adverse events and incidents were recorded in routine hospital records over 72 weeks. Data were gathered from these records and analysed as rate per person per week to assess differences in frequency and type of adverse events between wards. A total of 4130 adverse events were recorded. In the PET wards, a mean of 0.38 adverse events occurred per person per week compared to 0.40 in non-PET wards. No statistically-significant differences were found between PET and non-PET wards for adverse events (P = 0.93), or for adverse events of any particular type (P ≥ 0.15). Therefore, there is no evidence to suggest that PET has any impact on adverse events in older people's mental health wards. Further investigation with a larger cohort is warranted, using a definitive, phase 3, clinical trial

The Iowa Homemaker vol.21, no.5

Candles Spread Christmas Cheer, Mary Ellen Sullivan, page 2 Milk Strengthens Defense, Betty Ann Iverson, page 3 American Wares Set Nation’s Tables, Ann Koebel, page 4 New World Harbours Refugees, Dorothy Ann Klein, page 5 Sally Anticipates a Gala Season, Mary Lou Springer, page 6 Applied Art Highlights, Lila Williamson, page 8 Bookmarks, Julie Wendel, page 9 What’s New in Home Economics, Dorothy Olson, page 10 For Holiday Shoppers, Betty Roth, page 12 Residence Halls Honor Women Leaders, Dorothy Gross, page 13 Express Ingenuity in Greetings, Doris Plagge, page 14 Alums in the News, Bette Simpson, page 15 Fruit Cakes for Holidays, Margaret Anne Clark, page 16 Across Alumnae Desks, Marjorie Thomas, page 18 Journalistic Spindles, Florence Byrnes, page 2

The Iowa Homemaker vol.22, no.2

Keeping Up With Today, Barbara Sgarlata, page 4 Women Score Dating, Julie Wendel, page 5 The Union Feeds the Navy, Betty Ann Iverson, page 6 Glass in Uniform, Dorothy Walker, page 7 Sugar Problem – A Challenge, Anne Koebel, page 8 Enter: Variety in Army Menus, Mary Schmidt, page 10 “Is It All Wool?”, Margaret Anne Clark, page 11 America Conserves Equpment, Bette Simpson, page 12 Morale on a Budget, Pat Hayes, page 14 What’s New in Home Economics, Ruth Vogel, page 16 Bookmarks, Eileen Dudgeon, page 18 Isabelle Bevier - Pioneer, Dorothy Ann Olson, page 20 Alums in the News, Harriet Zook, page 22 Our Part in the War, Virginia Bates, page 23 Iowa Goes “All Out”, Catherine Tidemanson, page 24 Tim Must S-t-r-e-t-c-h, Doris Plagge, page 26 Vanilla Joins Shortage Ranks, Grace Brown, page 28 Her Champion Pie, Pat Galligan, page 29 Across Alumnae Desks, Mary Ellen Sullivan, page 30 Speaking of Veishea, Trymby Calhoun, page 3

Untethered muscle tracking using magnetomicrometry

Muscle tissue drives nearly all movement in the animal kingdom, providing power, mobility, and dexterity. Technologies for measuring muscle tissue motion, such as sonomicrometry, fluoromicrometry, and ultrasound, have significantly advanced our understanding of biomechanics. Yet, the field lacks the ability to monitor muscle tissue motion for animal behavior outside the lab. Towards addressing this issue, we previously introduced magnetomicrometry, a method that uses magnetic beads to wirelessly monitor muscle tissue length changes, and we validated magnetomicrometry via tightly-controlled in situ testing. In this study we validate the accuracy of magnetomicrometry against fluoromicrometry during untethered running in an in vivo turkey model. We demonstrate real-time muscle tissue length tracking of the freely-moving turkeys executing various motor activities, including ramp ascent and descent, vertical ascent and descent, and free roaming movement. Given the demonstrated capacity of magnetomicrometry to track muscle movement in untethered animals, we feel that this technique will enable new scientific explorations and an improved understanding of muscle function.</jats:p

The Iowa Homemaker vol.17, no.5

Pause, a Poem by Jean Boland, page 1 Ring Out Those Bells! by Ruth Deems and Jane Binkard, page 2 We Become Independent Homemakers by Ruth Sawin, page 3 A Gracious Lady Carried the Lamp by Kay Hoffman, page 4 No Secrets from the Camera by Dorothy Evans, page 5 Please, Santa Claus by Jo Betty, page 6 Let Them Eat Bread, page 8 Invitation to Fun by Mary Ellen Lynch, page 9 Toyland Specials by Doris Rooke and Jo Betty, page 10 Mixing It Up by Agnes Frandsen, page 11 What’s New in Home Economics, page 12 Alums Make News by Faithe Danielson, page 14 Behind Bright Jackets, page 15 Top with Curls by Winnifred Cannon and Helen Greene, page 16 Home Ecs Watch the Wheels Go Around, page 17 You Asked Us, Gal by Francis Byrnes and Leo Mores, page 18 Lamps for Homemakers by Marian Weinel, page 20 Send Your Personality by Helen Clark, page 21 Christmas in Mid-Summer by Isabel Crowe, page 22 Plums from the Pudding by the editor, page 2

Expressions 2000

https://openspace.dmacc.edu/expressions/1019/thumbnail.jp