Where the Bones Rest

Review of: "Where the Bones Rest," by Roger Pavey

Pavey Shop

Entry created by John H. Herrick June 12, 1973John H. Herrick Archives: Documenting Structures at The Ohio State UniversityThe University Archives has determined that this item is of continuing value to OSU's history.Pavey Shop is located at 2334 Kenny Road. Erroneously carried on Campus Planning records as 2333 Kenny for some years; corrected in May 1973. Never officially named by Board of Trustees action. Alternate names include: "Pavey Barn", "Farm Machinery Warehouse" and "Farm Shop". The Sanborn 1922 insurance maps (p. 707) give the name "Pavey's Sales Stable," and give the address as 2276 Wood Avenue

A systematic review and economic evaluation of exercise referral schemes in primary care: a short report

Background - It is estimated that only 39% of men and 29% of women in England achieve the levels of physical activity that are recommended to protect health and prevent disease. One approach to addressing this problem has been the development of exercise referral schemes (ERSs), in which health professionals refer patients to external exercise providers. These schemes have been widely rolled out across the UK despite concerns that they may not produce sustained changes in levels of physical activity and, therefore, may not be cost-effective interventions. The evidence to determine clinical effectiveness and cost-effectiveness was evaluated in 2009. This review seeks to update this earlier work by incorporating new evidence and re-examining the cost-effectiveness. Objectives- To assess the clinical effectiveness and cost-effectiveness of ERSs compared with usual care. Design- Exhaustive searches of relevant electronic databases and journals were undertaken to identify new studies evaluating ERSs using a randomised controlled trial (RCT) design. RCTs that incorporated a qualitative evaluation of the intervention were identified in order to explore the barriers and facilitators to the uptake of and adherence to ERSs. Data were extracted using a previously designed tool and study quality assessed for potential bias. Where data could be pooled, meta-analyses were carried out. Qualitative analysis was also undertaken using a thematic approach. The cost-effectiveness was evaluated using a Markov structure which estimated the likelihood of becoming physically active and the subsequent risk reduction on coronary heart disease (CHD), stroke and type 2 diabetes mellitus. The model adopts a lifetime horizon, and a NHS and Personal Social Services perspective was taken with discounting at 1.5% for both costs and benefits. Results - The search identified one new RCT and one new qualitative study. The new data were pooled with existing data from the 2011 review by Pavey et al. [Pavey TG, Anokye N, Taylor AH, Trueman P, Moxham T, Fox KR, et al. The clinical effectiveness and cost-effectiveness of exercise referral schemes: a systematic review and economic evaluation. Health Technol Assess 2011;15(44)] to give a total of eight studies with 5190 participants. The proportion of individuals achieving 90–150 minutes of at least moderate-intensity activity per week at 6–12 months’ follow-up was greater for ERSs than usual care (relative risk 1.12; 95% confidence interval 1.04 to 1.20). Older patients and those referred for CHD risk factors appeared to be more likely than others to increase their levels of physical activity. Qualitative evidence suggests that interventions enabling the development of social support networks are beneficial in promoting uptake and adherence. Exercise referral gained 0.003 quality-adjusted life-years (QALYs) at an additional cost of £225 per person. The estimated mean incremental cost-effectiveness ratio (ICER) in the probabilistic sensitivity analysis was £76,276. In the univariate sensitivity analysis the results were very sensitive (ICERs ranged from  £100,000) to changes in the effect of ERSs on physical activity uptake and the duration of the protective effects and the direct health-related quality-of-life gains attributable to physical activity. Conclusions - Exercise referral schemes result in a small improvement in the number of people who increase their levels of physical activity. The cost-effectiveness analysis indicates that the ICER for ERSs compared with usual care is around £76,000 per QALY, although the cost-effectiveness of ERSs is subject to considerable uncertainty.National Institute for Health Research Health Technology Assessment programme

Ha shoah

Sermon preached at Waterloo Lutheran Seminary, April 9, 1997

The value of enterprise for disabled people

The focus of this paper is on the role of enterprise training among disabled people. The authors first review the literature, in particular comparing work on the theoretical benefits of enterprise training provision for disabled people with empirical studies of enterprise training initiatives for disabled people in various countries. In the analysis, low social capital is implicated as a cause of much disadvantage in economic and social life among disabled people, and this is particularly pertinent in modern knowledge-based economies where responsibility for development in the lifelong learning agenda is devolved from governments to individuals, including disabled individuals. Following this, an investigation of one publicly funded initiative in Fife, Scotland, is conducted and this is used to inform a wider debate about the potential uses and value of enterprise training for disabled people in the current stratified socioeconomic milieu. The paper argues that there is potential for enterprise training to contribute on a wider basis than simply independent entrepreneurship promotion and that the research community therefore has an opportunity to engage with this broader agenda. </jats:p

A brief guide to carrying out research about adult social care services for visually impaired people

Carrying out research about adult social care services for visually impaired people presents challenges that are not necessarily found in other fields. The purpose of this review is to draw attention to these challenges and to guide the researcher through them. It does so by drawing on the academic and grey literature. The review covers the ideological context of research in this field; definitions of visual impairment and their appropriate and inappropriate uses in research; misleading claims and reliable evidence about the size and characteristics of the visually impaired people and the reasons that these are important issues for research in the field. Challenges also cover the main topic areas of research and the methodological approaches, both quantitative and qualitative, that researchers have taken to deal with them. Issues common to both types of method cover sampling; the instruments used to collect data; the means of obtaining informed consent from visually impaired people, and organisations that can potentially assist researchers in this field

Shed, Pavey Barn Area

Entry created by John H. Herrick October 23, 1973.John H. Herrick Archives: Documenting Structures at The Ohio State UniversityThe University Archives has determined that this item is of continuing value to OSU's history.Shed, Pavey Barn Area is arbitrarily assigned for indexing purposes to 2326 Kenny Road (rear). No alternate names have been found