Quality of life and building design in residential and nursing homes for older people

Older people living in residential and nursing care homes spend a large proportion of their time within the boundaries of the home, and may depend on the environment to compensate for their physical or cognitive frailties. Regulations and guidelines on the design of care buildings have accumulated over time with little knowledge of their impact on the quality of life of building users. The Design in Caring Environments Study (DICE) collected cross-sectional data on building design and quality of life in 38 care homes in and near Sheffield, Yorkshire. Quality of life was assessed using methods which included all residents regardless of their frailty, and staff morale was also assessed. The physical environment was measured on 11 user-related domains using a new tool, the Sheffield Care Environment Assessment Matrix (SCEAM). Significant positive associations were found between several aspects of the built environment and the residents' quality of life. There was evidence that a focus on safety and health requirements could be creating risk-averse environments which act against quality of life, particularly for the least frail residents. Staff morale was associated with attributes of a non-institutional environment for residents rather than with the facilities provided for the staff. The new tool for assessing building design has potential applications in further research and for care providers

The HEAO A-2 survey of Abell clusters and the X-ray luminosity function

The HEAO A-2 all sky data base was surveyed for 2-10KeV X-rau emission from the 225 Abell clusters og galaxies listed in Abell's (1958) catalog which are of distance class four or less, and are within the fraction of the sky surveyed completely by Abell. Thirty-two identifications of clusters with X-ray sources were made, for which 2-10 KeV fluxes and 90% error boxes are presented. Twelve of these identification are new. The X-ray luminosity function was derived for this statistically complete sample and the best exponential fit was found to be f(L) = 20.2 x 10 to the minus 8 power exp (-l(44)/1.9) per cu Mpc 2-10KeV. The relationship between X-ray luminosity and richness was examined and a correlation was found for richness classes 0, 1, and 2. The relationship of X-rau luminosity, Bautz-Morgan type, and Rood-Sastry type was examined. It was found that BM type I's and RS type cD and B have the greatest average luminosity. The contribution of clusters to the X-ray background was calculated from the luminosity function and was found to be 5%, and with 90% certainty, less than 8% in the 2-10 KeV band pass

Post-Foucauldian governmentality: what does it offer critical social policy analysis?

This article considers the theoretical perspective of post-Foucauldian governmentality, especially the insights and challenges it poses for applied researchers within the critical social policy tradition. The article firstly examines the analytical strengths of this approach to understanding power and rule in contemporary society, before moving on to consider its limitations for social policy. It concludes by arguing that these insights can be retained, and some of the weaknesses overcome, by adopting a ‘realist governmentality’ approach (Stenson 2005, 2008). This advocates combining traditional discursive analysis with more ethnographic methods in order to render visible the concrete activity of governing, and unravel the messiness, complexity and unintended consequences involved in the struggles around subjectivity

Use of Reversible Contraceptive Methods Among U.S. Women with Physical or Sensory Disabilities

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/138241/1/psrh12031.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/138241/2/psrh12031_am.pd

Sub-Alfvenic Non-Ideal MHD Turbulence Simulations with Ambipolar Diffusion: I. Turbulence Statistics

Most numerical investigations on the role of magnetic fields in turbulent molecular clouds (MCs) are based on ideal magneto-hydrodynamics (MHD). However, MCs are weakly ionized, so that the time scale required for the magnetic field to diffuse through the neutral component of the plasma by ambipolar diffusion (AD) can be comparable to the dynamical time scale. We have performed a series of 256^3 and 512^3 simulations on supersonic but sub-Alfvenic turbulent systems with AD using the Heavy-Ion Approximation developed in Li, McKee, & Klein (2006). Our calculations are based on the assumption that the number of ions is conserved, but we show that these results approximately apply to the case of time-dependent ionization in molecular clouds as well. Convergence studies allow us to determine the optimal value of the ionization mass fraction when using the heavy-ion approximation for low Mach number, sub-Alfvenic turbulent systems. We find that ambipolar diffusion steepens the velocity and magnetic power spectra compared to the ideal MHD case. Changes in the density PDF, total magnetic energy, and ionization fraction are determined as a function of the AD Reynolds number. The power spectra for the neutral gas properties of a strongly magnetized medium with a low AD Reynolds number are similar to those for a weakly magnetized medium; in particular, the power spectrum of the neutral velocity is close to that for Burgers turbulence.Comment: 37 pages, 11 figures, 4 table

Effect of Diet on Metabolism of Laboratory Rats

In previous studies when rats were fed a processed, semipurified, extruded rodent food bar (RFB) developed for space science research, we noted a difference in the appearance of gastrointestinal tissue (GI); therefore the following study evaluated GI characteristics and growth and metabolic rates of rats fed chow (C) or RFB. Two hundred and twenty-four rats (78 g mean body weight) were randomly assigned to 28 cages and provided C or RFB. Each cage was considered the experimental unit and a 95 percent level of significance, indicated by ANOVA, was used for inference. After each 30-, 60-, and 90-day period, eight cages were shifted from the C to RFB diet and housing density was reduced by two rats per cage. The two rats removed from each cage were sacrificed and used for GI evaluation. Metabolic rates of the rats in each cage were determined by indirect calorimetry. No differences in body weight were detected at 0, 30, 60 or 90 days between C and RFB. Heat production (kcal/hr/kg), CO2 production (L/hr/kg) and O2 consumption (L/hr/kg) were different by light:dark and age with no effect of diet. Respiratory quotient was different by age with no effect of light:dark or diet. Rats on the C diet ate less food and drank more water than those on RFB. C rats produced more fecal and waste materials than the RFB. GI lengths increased with age but were less in RFB than C. GI full and empty weights increased with age but weighed less in RFB than C. Gut-associated lymphoid tissue (GALT) numbers increased with age with no effect of diet. No differences in ileum-associated GALT area were detected between C and RFB. Switching C to RFB decreased GI length, GI full and empty weights, with no changes in GALT number or area. We concluded RFB decreased GI mass without affecting metabolic rate or general body growth

Regulating Scotland's social landlords: localised resistance to technologies of performance management

Influenced by Foucault's later work on governmentality, this paper explores the regulation of social landlords as a 'technology of performance' concerned with governing the conduct of dispersed welfare agencies and the professionals within them. This is a mode of power that is both voluntary and coercive; it seeks to realise its ambitions not through direct acts of intervention, but by promoting the responsible self-governance of autonomous subjects. Through an analysis of the regulatory framework for social landlords in Scotland, this paper highlights the creation of a performance culture that seeks to mobilise housing organisations to reconcile their local management systems and service provision to external standards, whilst simultaneously wielding punitive interventions for non-compliance. However, housing professionals are not passive in all of this, and indeed, actively challenged and resisted these top-down attempts to govern them at arm's-length

Cosmic Ray Acceleration at the Forward Shock in Tycho's Supernova Remnant: Evidence from Chandra X-ray Observations

We present evidence for cosmic ray acceleration at the forward shock in Tycho's supernova remnant (SNR) from three X-ray observables: (1) the proximity of the contact discontinuity to the forward shock, or blast wave, (2) the morphology of the emission from the rim of Tycho, and (3) the spectral nature of the rim emission. We determine the locations of the blast wave (BW), contact discontinuity (CD), and reverse shock (RS) around the rim of Tycho's supernova remnant using a principal component analysis and other methods applied to new Chandra data. The azimuthal-angle-averaged radius of the BW is 251". For the CD and RS we find average radii of 241" and 183", respectively. Taking account of projection effects, we find ratios of 1:0.93:0.70 (BW:CD:RS). We show these values to be inconsistent with adiabatic hydrodynamical models of SNR evolution. The CD:BW ratio can be explained if cosmic ray acceleration of ions is occurring at the forward shock. The RS:BW ratio, as well as the strong Fe Ka emission from the Tycho ejecta, imply that the RS is not accelerating cosmic rays. We also extract radial profiles from ~34% of the rim of Tycho and compare them to models of surface brightness profiles behind the BW for a purely thermal plasma with an adiabatic shock. The observed morphology of the rim is much more strongly peaked than predicted by the model, indicating that such thermal emission is implausible here. Spectral analysis also implies that the rim emission is non-thermal in nature, lending further support to the idea that Tycho's forward shock is accelerating cosmic rays.Comment: 39 pages, 10 figures, accepted by Ap