Sarah Everard: the tipping point to take violence against women and girls seriously?

Jennifer Brown and Miranda Horvath discuss some of the organisational failures involved in the rape and murder of Sarah Everard, and explain what is required for meaningful change

Palliative care for people with dementia living at home: a systematic review of interventions

Background: The European Association for Palliative Care White Paper defined optimal palliative care in dementia based on evidence and expert consensus. Yet, we know little on how to achieve this for people with dementia living and dying at home. Aims: To examine evidence on home palliative care interventions in dementia, in terms of their effectiveness on end-of-life care outcomes, factors influencing implementation, the extent to which they address the European Association for Palliative Care palliative care domains and evidence gaps. Design: A systematic review of home palliative care interventions in dementia. Data sources: The review adhered to the PRISMA guidelines and the protocol was registered with PROSPERO (CRD42018093607). We searched four electronic databases up to April 2018 (PubMed, Scopus, Cochrane library and CINAHL) and conducted lateral searches. Results: We retrieved eight relevant studies, none of which was of high quality. The evidence, albeit of generally weak quality, showed the potential benefits of the interventions in improving end-of-life care outcomes, for example, behavioural disturbances. The interventions most commonly focused on optimal symptom management, continuity of care and psychosocial support. Other European Association for Palliative Care domains identified as important in palliative care for people with dementia, for example, prognostication of dying or avoidance of burdensome interventions were under-reported. No direct evidence on facilitators and barriers to implementation was found. Conclusions: The review highlights the paucity of high-quality dementia-specific research in this area and recommends key areas for future work, for example, the need for process evaluation to identify facilitators and barriers to implementing interventions.Peer reviewedFinal Published versio

Let Your Pharmacist Be Your Guide: Navigating Barriers to Pharmaceutical Access

At the end of this case, students will be able to: • Describe policy, organizational, and individual factors that contribute to barriers to accessing medications and pharmaceutical care • Identify resources to improve access to affordable medications for uninsured and underinsured patients • Recommend appropriate resources for obtaining affordable medicationshttps://digitalcommons.chapman.edu/pharmacy_books/1028/thumbnail.jp

Utilización de chía (Salvia Hispanica) como sustituto de un agente gelificante y antioxidante en la elaboración de una mermelada de fresa y naranja

Actualmente, la semilla de chía (Salvia hispánica L.) ha sido estudiada como una gran fuente de ácidos grasos omega-3, proteínas, fibra dietética y antioxidantes, a partir de la cual puede extraerse aceite con una elevada proporción de ácidos grasos esenciales. Por esta razón se decidió estudiar las propiedades tecnológicas de la chía, su acción gelificante y antioxidante en la elaboración de una mermelada de fresa con naranja, así como sus costos de fabricación, propiedades nutricionales y microbiológicas. Se realizaron dos formulaciones con diferentes porcentajes de jugo de naranja y chía. Se obtuvo un rendimiento promedio entre 30% y el 50%. Se realizó un análisis sensorial mediante la escala hedónica, con la fórmula ganadora. La mermelada presentó parámetros fuera de los rangos establecidos para las determinaciones de pH y sólidos solubles, por lo que se recomienda una reformulación que pueda alcanzar los parámetros de calidad antes mencionados. En cuanto a mohos y levaduras el resultado fue el aceptado, tal como lo indica la norma, por lo que se puede afirmar que es un producto sanitariamente seguro. Los costos de fabricación fueron relativamente bajos, comparados con los productos comercializados en el mercado.Monografía presentada para optar al título de Ingeniero en Alimento

Multi-color pyrometer for materials processing in space

The design, construction and calibration of a computer-linked multicolor pyrometer is described. The device was constructed for ready adaptation to a spacecraft and for use in the control of thermal processes for manufacturing materials in space. The pyrometer actually uses only one color at a time, and is relatively insensitive to uncertainties in the heated object's emissivity because the product of the color and the temperature has been selected to be within a regime where the radiant energy emitted from the body increases very rapidly with temperature. The instrument was calibrated and shown to exceed its design goal of temperature measurements between 300 and 2000 C, and its accuracy in the face of imprecise knowledge of the hot object's emissivity was demonstrated

Effects of Employee Personality on the Relationships between Experienced Incivility, Emotional Exhaustion, and Perpetrated Incivility

Workplace incivility refers to low-intensity negative behaviors that violate workplace norms of respect. Incivility is known to be a type of stressor in the workplace, with recent research drawing attention to how it may differentially affect employees with varying personality traits. Drawing from a stressor–strain theoretical framework, we examined the moderating effects of four of the Big Five personality traits (agreeableness, conscientiousness, neuroticism, and extraversion) on the relationship between individuals’ experienced incivility and their subsequent emotional exhaustion and perpetrated incivility toward others in the organization. Results from a 2-wave survey of 252 working adults indicate that personality traits moderated the relationship between the stressor of experienced incivility and the examined strains. Agreeableness strengthened the relationship between experienced incivility and the strains examined here. On the other hand, highly conscientious employees were less likely (than employees scoring low on this trait) to perpetrate incivility toward others or become emotionally exhausted in response to experiencing incivility. No moderating effects were found for the personality traits of neuroticism and extraversion. Implications for research and practice are discussed

Interrelated Processes toward Quality of Life in Survivors of Childhood Cancer: A Grounded Theory

Past research has not adequately addressed the quality of life (QOL) of survivors of childhood cancer. The purpose of this study was to understand how QOL is experienced for individuals who have survived childhood cancer. Specific research questions included: (a) How do childhood cancer survivors define the concept of QOL and (b) What processes do childhood cancer survivors go through regarding their QOL? Researchers used grounded theory to analyze in-depth interviews conducted with eight survivors. Survivors use a process of specific action strategies and intervening conditions to manage impacts and effects, resulting in life enjoyment, or good QOL. The identification of this process has led to an emergent theory titled Interrelated Processes toward Quality of Life Theory

Digging Deeper: Improving Health Communication with Patients

At the end of this activity, students will be able to: Identify five theories and models that can be used to facilitate the patient-provider health communication process Describe opportunities to optimize communication with patients in healthcare settings Apply health communication theories within patient care, providing specific approaches and language to utilizehttps://digitalcommons.chapman.edu/pharmacy_books/1026/thumbnail.jp