93 research outputs found
Inside a cultural agency: team ethnography and knowledge exchange
This article undertakes an auto-critical analysis of the research team's ethnographic study of Cultural Enterprise Office (CEO), a Scottish creative business support agency. We discuss the team's composition and how this relates to other analyses of ethnographic teamwork. Our research is situated in the wider policy context of the “creative-economic” turn in the UK's research funding. This has been accompanied by increased emphasis on “knowledge exchange” and “impact” in the drive for greater accountability in higher education. The team's evolution in the course of undertaking research is illustrated by reference to four “pivotal moments,” which illustrate how we “performed” knowledge exchange
The impact of co-located NHS walk-in centres on emergency departments
Objectives:
To determine the impact of establishing walk-in centres alongside emergency departments
on attendance rates, visit duration, process, costs and outcome of care.
Methods:
Eight hospitals with co-located emergency departments and walk-in centres were compared
with eight matched emergency departments without walk-in centres. Site visits were
conducted. Routine data about attendance numbers and use of resources were analysed. A
random sample of records of patients attending before and after walk-in centres opened
were also assessed. Patients who had not been admitted to hospital were sent a postal
questionnaire.
Results:
In most sites, the walk-in centres did not have a distinct identity and there were few
differences in the way services were provided compared with control sites. Overall, there
was no evidence of an increase in attendance at sites with walk-in centres, but considerable
variability across sites. The proportion of patients managed within the four-hour NHS target
improved at sites both with and without walk-in centres. There was no evidence of any
difference in re-consultation rates, costs of care or patient outcomes at sites with or without
walk-in centres.
Conclusions:
Most hospitals in this study implemented the walk-in centre concept to a very limited extent.
Consequently there was no evidence of any impact on attendance rates, process, costs or
outcome of care
Comparing care at walk-in centres and at accident and emergency departments: an exploration of patient choice, preference and satisfaction
Objectives:
To explore the impact of establishing walk-in centres alongside emergency departments on
patient choice, preference and satisfaction.
Methods:
A controlled, mixed-method study comparing eight emergency departments with co-located
walk-in centres with the same number of ‘traditional’ emergency departments. This paper
focuses on the results of a cross-sectional questionnaire survey of users.
Results:
Survey data demonstrated that patients were frequently unable to distinguish between being
treated at a walk-in centre or an A&E department, and even where this was the case,
opportunities to exercise choice about their preferred care provider were often limited. Few
made an active choice to attend a co-located walk-in centre. Patients attending walk-in
centres were just as likely to be satisfied overall with the care they received as their
counterparts who were treated in the co-located A&E facility, although a small proportion of
walk-in centre users did report greater satisfaction with some specific aspects of their care
and consultation.
Conclusions:
Whilst one of the key policy goals underpinning the co-location of walk-in centres next to an
A&E department was to provide patients with more options for accessing healthcare and
greater choice, leading in turn to increased satisfaction, this evaluation was able to provide
little evidence to support this. The high percentage of patients expressing a preference for
care in an established emergency department compared to a new walk-in centre facility
raises questions for future policy development. Further consideration should therefore be
given to the role that A&E focused walk-in centres play in the Department of Health’s
current policy agenda, as far as patient choice is concerned
Circus-specific extension of the International Olympic Committee consensus statement: Methods for recording and reporting of epidemiological data on injury and illness in sport 2020
Indepth knowledge of injury and illness epidemiology in circus arts is lacking. Comparing results across studies is difficult due to inconsistent methods and definitions. In 2020, the International Olympic Committee (IOC) consensus group proposed a standard method for recording and reporting epidemiological data on injuries and illnesses in sports and stated that sport-specific extension statements are needed to capture the context of each sport. This is the circus-specific extension to be used with the IOC consensus statement. International circus arts researchers in injury and illness epidemiology and performing arts medicine formed a consensus working group. Consensus statement development included a review of literature, creation of an initial draft by the working group, feedback from external reviewers, integration of feedback into the second draft and a consensus on the final document. This consensus statement contains circus-specific information on (1) injury definitions and characteristics; (2) measures of severity and exposure, with recommendations for calculating the incidence and prevalence; (3) a healthcare practitioner report form; (4) a self-report form capturing health complaints with training and performance exposure; and (5) a demographic, health history and circus experience intake questionnaire. This guideline facilitates comparing results across studies and enables combining data sets on injuries in circus arts. This guideline informs circus-specific injury prevention, rehabilitation, and risk management to improve the performance and health of circus artists
The impact of self-efficacy, expectations, and readiness on hearing aid outcomes
Objective: To examine the impact of self-efficacy and expectations for hearing aids, and readiness to improve hearing, on hearing aid outcome measures in first-time adult hearing aid users Design: A prospective, single centre design. Predictor variables measured at the hearing assessment included measures of self-efficacy, expectations and readiness to improve hearing. Outcome measures obtained at sixweek follow-up were the Glasgow Hearing Aid Benefit Profile and Satisfaction with Amplification in Daily Life. Study sample: A sample of 30 first-time adult hearing aid users were recruited through a public-sector funded audiology clinic. Results: When measured prior to hearing aid fitting, self-efficacy for hearing aids predicted satisfaction with hearing aids but was not related to other hearing aid outcomes. Expectations of hearing aids, in particular positive expectations, and readiness to improve hearing predicted outcomes for hearing aid satisfaction and benefit, although not hearing aid use. Hearing sensitivity was not correlated with hearing aid outcomes. Conclusions: These results suggest that assessment of expectations of hearing aids, and readiness to improve hearing, may be useful to help identify individuals attending audiology clinics who would most likely benefit from hearing aid provision
The impact of self-efficacy, expectations, and readiness on hearing aid outcomes
Objective: To examine the impact of self-efficacy and expectations for hearing aids, and readiness to improve hearing, on hearing aid outcome measures in first-time adult hearing aid users Design: A prospective, single centre design. Predictor variables measured at the hearing assessment included measures of self-efficacy, expectations and readiness to improve hearing. Outcome measures obtained at sixweek follow-up were the Glasgow Hearing Aid Benefit Profile and Satisfaction with Amplification in Daily Life. Study sample: A sample of 30 first-time adult hearing aid users were recruited through a public-sector funded audiology clinic. Results: When measured prior to hearing aid fitting, self-efficacy for hearing aids predicted satisfaction with hearing aids but was not related to other hearing aid outcomes. Expectations of hearing aids, in particular positive expectations, and readiness to improve hearing predicted outcomes for hearing aid satisfaction and benefit, although not hearing aid use. Hearing sensitivity was not correlated with hearing aid outcomes. Conclusions: These results suggest that assessment of expectations of hearing aids, and readiness to improve hearing, may be useful to help identify individuals attending audiology clinics who would most likely benefit from hearing aid provision
The Lantern Vol. 70, No. 2, Spring 2003
• To the Automobile Owners of the Fine State of New Jersey • Topless • Lame Foot • Rosary Apologia • Alias • So Luscious • Dec 12 02 • Climbing • On Susannah in the Morning • Statistics • A Thursday in February • Breaking Blue • Leaves on my Tongue • The Bread They Mistook for a Kiss • The Process • Home is Where the Hershey\u27s is • Rock the Boat • The Splittinghttps://digitalcommons.ursinus.edu/lantern/1162/thumbnail.jp
Asymmetric BMP4 signalling improves the realism of kidney organoids
Abstract We present a strategy for increasing the anatomical realism of organoids by applying asymmetric cues to mimic spatial information that is present in natural embryonic development, and demonstrate it using mouse kidney organoids. Existing methods for making kidney organoids in mice yield developing nephrons arranged around a symmetrical collecting duct tree that has no ureter. We use transplant experiments to demonstrate plasticity in the fate choice between collecting duct and ureter, and show that an environment rich in BMP4 promotes differentiation of early collecting ducts into uroplakin-positive, unbranched, ureter-like epithelial tubules. Further, we show that application of BMP4-releasing beads in one place in an organoid can break the symmetry of the system, causing a nearby collecting duct to develop into a uroplakin-positive, broad, unbranched, ureter-like ‘trunk’ from one end of which true collecting duct branches radiate and induce nephron development in an arrangement similar to natural kidneys. The idea of using local symmetry-breaking cues to improve the realism of organoids may have applications to organoid systems other than the kidney
The impact of the Fungus-Host-Microbiota interplay upon Candida albicans infections : current knowledge and new perspectives
ACKNOWLEDGEMENTS: We thank our friends and colleagues in the medical mycology, fungal immunology and microbiota fields for many thought-provoking discussions. FUNDING: We received funding from the European Union’s Horizon 2020 research and innovation programme under the Marie Sklodowska-Curie action, Innovative Training Network: FunHoMic; grant N° 812969. CdE received funding from the French Government ‘Investissement d’Avenir’ program (Laboratoire d’Excellence Integrative Biology of Emerging Infectious Diseases, ANR-10-LABX-62-IBEID), the Agence Nationale de la Recherche (ERA-Net Infect-ERA, FUNCOMPATH, ANR-14-IFEC-0004), the EU Horizon2020 consortium “Host-Directed Medicine in invasive FUNgal infections” - HDM-FUN (Grant Agreement 847507). SLL and CdE received funding from the Swiss National Science Foundation (Sinergia program, #CRSII5_173863). BIOASTER received funding from the French Government ‘Investissement d’Avenir’ program (Grant No. ANR-10-AIRT-03). MSG was supported by a Humboldt Research Fellowship for Postdoctoral Researchers by the Alexander von Humboldt-Foundation and the Deutsche Forschungsgemeinschaft (DFG) Emmy Noether Program (project no. 434385622 / GR 5617/1-1). BH was supported by the Deutsche Forschungsgemeinschaft (DFG) project Hu 532/20-1, project C1 within the Collaborative Research Centre (CRC)/Transregio 124 FungiNet and the Balance of the Microverse Cluster under Germany´s Excellence Strategy – EXC 2051 – Project-ID 390713860, the EU Horizon2020 consortium “Host-Directed Medicine in invasive FUNgal infections” - HDM-FUN (Grant Agreement 847507), the Leibniz Association Campus InfectoOptics SAS-2015-HKI-LWC and the Wellcome Trust (215599/Z/19/Z). IDJ was supported by the Deutsche orschungsgemeinschaft (DFG) project C5 within the Collaborative Research Centre (CRC)/Transregio 124 FungiNet and the Balance of the Microverse Cluster under Germany´s Excellence Strategy – EXC 2051 – Project-ID 390713860, the Leibniz Association Campus InfectoOptics SAS-2015-HKI-LWC and the Wellcome Trust (Grant 215599/Z/19/Z). CM received funding from the the Instituto de Salud Carlos III/FEDER. MGN was supported by an ERC Advanced Grant (#833247) and a Spinoza grant of the Netherlands Organization for Scientific Research. CAM was supported by EU Horizon2020 consortium “Host-Directed Medicine in invasive FUNgal infections” -HDM-FUN (Grant Agreement 847507) and the Wellcome Trust Strategic Award for Medical Mycology and Fungal Immunology (097377/Z/11/Z). AWW receives core funding support from the Scottish Government’s Rural and Environment Science and Analytical Services (RESAS). AJPB was supported by a programme grant from the UK Medical Research Council (MR/M026663/1) and by the Medical Research Council Centre for Medical Mycology at the University of Exeter (MR/N006364/1).Peer reviewedPublisher PD
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