An online narrative archive of service user experiences to support the education of undergraduate physiotherapy and social work students in North East England: An evaluation study.

Background: Patient narratives are a viable process for patients to contribute to the education of future health professionals and social workers. Narratives can facilitate a deeper understanding of the self and others through self-reflection and encourage transformative learning among students. Increasingly, accounts of health and care are available online but their use in health and social work education requires evaluation. This study explored the experiences of stakeholders who contributed to, developed and used an online narrative archive, which was developed in collaboration with five universities and healthcare providers in the North East of England (CETL4HealthNE). Methods: Realistic evaluation principles were used to underpin data collection, which consisted of semi-structured interviews, a focus group and observations of educators using narrative resources in teaching sessions with different professional groups in two universities. Participants included educators, storytellers, narrative interviewers, students and a transcriber. Data were analysed thematically by two researchers and verified by a third researcher. Findings: Stakeholders reported that listening to patient narratives was challenging. The process of contributing the story was a positive cathartic experience for patients, and the powerful storyteller voice often evoked empathy. Students commented on the ability of the online audio-visual narratives to enable them to see the patient holistically, and educators reported that narratives provided a means to introduce sensitive topics. Conclusions: The use of a locally generated online narrative archive is beneficial for storytellers, students and educators, providing an opportunity to influence healthcare professional training. Care needs to be taken when exposing individuals to potentially sensitive narratives

Evaluating Management Options to Increase Roadside Carbon Sequestration

We estimated the amount of carbon sequestered along Montana Department of Transportation (MDT) roads and tested 3 different highway right-of-way (ROW) management techniques to increase carbon stocks. Using Geographic Information System techniques, the total ROW acreage owned by MDT was found to sequester 75,292 metric tons of carbon per year and to consist mostly of grasslands (70%). From 2016-2018 we tested 3 ROW management techniques to increase carbon stocks- increase mowing height, plant woody shrubs, or add legumes to reclamation seed mixes of disturbed soils - at 3 sites (Three Forks [3F], Bear Canyon [BC], and Bozeman Pass [BP]) along Interstate 90 in southwestern Montana. Soil samples generally averaged 0.75–1.5% soil organic carbon (SOC) at the 3F site, 2.5–4% SOC at the BC site, and 1.5–2.5% SOC at the BP site. Average SOC levels were always lower in 2018 than in 2016. Soil respiration rates were generally highest in June or July at the BC site, averaging ~4 μmol CO2 m-2 second-1. Soil respiration rates were lower at the BC site in November 2016, at the BP site in June 2018, and at the 3F site in July 2018 (all ~2–3 μmol CO2 m-2 s-1). Aboveground biomass carbon estimates generally mirrored belowground SOC estimates. Taken together, our findings suggest that of the three treatments implemented (raised mowing height, shrub planting, and disturbance), minimizing disturbance to soils likely makes the greatest contribution to the medium- and long-term carbon-storage potential of these roadside soils

Resilience and Coping for the Healthcare Community: A Post-disaster Group Work Intervention for Healthcare and Social Service Providers

Healthcare and social service providers play a critical role in supporting children, families and communities immediately after a disaster and throughout the recovery process. These providers, who may have also experienced the disaster and related losses, are among the least likely to receive mental health or psychological support which can result in burnout, secondary traumatic stress, depression and anxiety. Accessible psychosocial interventions designed for healthcare and social service providers in the aftermath of a disaster are therefore critical to recovery and to ensure providers are available to support families after future disasters. The purpose of this article is to describe Resilience and Coping for the Healthcare Community (RCHC), a manualized group work intervention for social service and health care providers who have provided care to children, families, and communities after a natural disaster. RCHC is currently being delivered in response to Hurricanes Harvey and Maria, storms that struck the gulf coast of the United States and the island of Puerto Rico in 2017. RCHC has also been used in the areas affected by Hurricane Sandy (New York and New Jersey), in Shreveport, Louisiana following severe flooding and in Saipan after a Typhoon devastated the island. Healthcare and social service providers who have received RCHC include the staff of Federally Qualified Health Centers and other community clinics, Disaster Case Managers, Child Care Providers, Mental Health Providers and First Responders. The health and wellbeing of these providers directly impacts their ability to provide quality care to families in their communities. This article presents the theoretical foundations of the RCHC intervention, describes the intervention in detail, provides a description of early and ongoing evaluation studies, and discusses the conditions for both implementation of RCHC and training of RCHC providers. The RCHC psychoeducational intervention provides education on, and strategies for, acute, chronic and post-traumatic stress, coping, and resilience, tailored for the needs of the helping professions. Through the use of individual and collective processing, healthcare and social service providers participating in RCHC develop both individual and collective coping plans. Considering the short and long-term impacts of disasters on communities’ essential healthcare and social service workforce, interventions like RCHC stand to provide essential benefits, including retention and wellbeing of providers of family services

Evaluating the Potential Effects of Deicing Salts on Roadside Carbon Sequestration

This project sought to document patterns of road deicing salts and the effects of these salts on the amount of carbon being sequestered passively along Montana Department of Transportation roads; it was designed collaboratively with a related roadside project that tested three different highway right-of-way management techniques (mowing height, shrub planting, disturbance) to determine whether they have the capacity to increase soil organic carbon. Our sampling did not reveal elevated salt levels at any of the nine locations sampled at each of the three I-90 sites. The greatest saline concentrations were found at the sample locations farthest from the road. This pattern was consistent across all three sites. The range of soil organic matter (SOM) was broad, from ~1% to >10%. Generally, SOM values were lowest adjacent to the road and highest farthest from the road. We found no or weak evidence of a relationship between our indices of soil salinity and SOM levels, with electrical conductivity, exchangeable calcium, and cation exchange capacity. Results imply that if road deicing salts are altering patterns of roadside SOM and potential carbon sequestration, this effect was not captured by our experimental design, nor did deicing salts appear to have affected roadside vegetation during our most recent sampling effort. Our findings highlight the value of experimentally separating the multiple potentially confounding effects of winter maintenance operations on roadside soils: roads could focus the flow of water, salts, and sands to roadside soils. How these types of mass inputs to roadside soils might influence medium- or long-term carbon dynamics remains an open question, but their fuller characterization and possible flow paths will be essential to clarifying the role of roadside soils in terrestrial soil organic carbon sequestration strategies

Anolis bahorucoensis

Number of Pages: 3Integrative BiologyGeological Science

Assessing Whether the Regional Differences between Countries Influence Business Strategies of Multinational Companies

The purpose of the qualitative multi-case study design study is to add to the body of knowledge by exploring how MNCs in the United Kingdom, Ireland, France, Germany, Belgium, and Switzerland (a) employ global approaches in their foreign market operations and (b) differ in their outcomes in international activities compared with their corresponding domestic operations. Findings from the study have shown that cultural differences between the home and host companies have a profound effect on the internationalization strategy. Most of the managers included in the study reported that their organizations encourage diversity and cultural competencies. They also recommended conducting a feasibility study to gain an in-depth understanding of the cultural influences that affect the internationalization plan for their respective MNCs. Feasibility studies and adequate planning allow MNC leadership/management to prepare adequately to navigate the complexities of the foreign culture being aware of the cultural norms and values. Second, the study has also highlighted the need of aligning the strategic plan of the MNC with the local culture. The alignment is necessary to ensure that MNCs develop strategic plans and goals that are responsive to the underlying cultural norms and values of the host country. The greatest challenge for MNCs is merging the local and global internationalization plans to achieve strategic goals

Learning under fire: a combat unit in the Southwest Pacific

Engaging a determined enemy across a broad range of conditions, the U.S. Army in World War II's Southwest Pacific Area (SWPA) played an important role in the defeat of Japan. How units fought and learned in SWPA and how they adapted to the evolving challenges of their environment is the focus of this dissertation. The subject remains largely unexplored, especially in contrast to the attention the European theater has received. An examination of the 112th's performance not only illuminates an understudied area in the historiography of World War II but also offers relevant lessons for contemporary military organizations. Mining a rich collection of primary sources, this study analyzes the development of the 112th Cavalry Regiment and sheds light on how American units in SWPA prepared for and conducted combat operations. A National Guard unit federalized in 1940 and sent to the Pacific theater in 1942, the 112th performed garrison duties on New Caledonia and Woodlark Island and eventually fought in New Britain, New Guinea, and the Philippines. Before deactivating, the regiment also served in Japan during the first months of the occupation. Concentrating on one unit illustrates the extent to which ground forces in SWPA were driven to learn and adapt. The 112th had mixed success when it came to carrying out its assigned missions effectively. The same was true of its efforts to learn and improve. The unit's gradual introduction to combat worked to its advantage, but learning was not simply a matter of building on experience. It also involved responding to unexpected challenges. Experience tended to help, but the variety of circumstances in which the cavalrymen fought imposed limits on the applicability of that experience. Different situations demanded that learning occur in different ways. Learning also occurred differently across the organization's multiple levels. Moreover, failure to learn in one area did not, as a matter of course, undermine advancement in all. Much depended on the presence of conditions that facilitated or disrupted the learning process, such as the intricacy of the tasks involved, the part higher headquarters played, and the enemy's own responses to the changing environment

Evaluating the responsiveness of the Warwick Edinburgh Mental Well-Being Scale (WEMWBS) : group and individual level analysis

Background: Mental well-being now features prominently in UK and international health policy. However, progress has been hampered by lack of valid measures that are responsive to change. The objective of this study was to evaluate the responsiveness of the Warwick Edinburgh Mental Well-being Scale (WEMWBS) at both the individual and group level. Methods: Secondary analysis of twelve different interventional studies undertaken in different populations using WEMWBS as an outcome measure. Standardised response mean (SRM), probability of change statistic (P̂) and standard error of measurement (SEM) were used to evaluate whether WEMWBS detected statistically important changes at the group and individual level, respectively. Results: Mean change in WEMWBS score ranged from −0.6 to 10.6. SRM ranged from −0.10 (95% CI: -0.35, 0.15) to 1.35 (95% CI: 1.06, 1.64). In 9/12 studies the lower limit of the 95% CI for P̂ was greater than 0.5, denoting responsiveness. SEM ranged from 2.4 to 3.1 units, and at the threshold 2.77 SEM, WEMWBS detected important improvement in at least 12.8% to 45.7% of participants (lower limit of 95% CI>5.0%). Conclusions: WEMWBS is responsive to changes occurring in a wide range of mental health interventions undertaken in different populations. It offers a secure base for research and development in this rapidly evolving field. Further research using external criteria of change is warranted

A Geographic Information System for the African Coelacanth Ecosystem Programme

The African Coelacanth Ecosystem Programme (ACEP) Geographic Information System (GIS) has been developed to integrate, analyse and map all spatial data generated within the ACEP programme. A GIS is a multidisciplinary tool, and within ACEP the GIS has been used to integrate information from marine biology studies, oceanographic surveys, geophysical exploration as well as the observations made and footage taken from a research submersible. The core data in the GIS are based on deep marine ecosystems and the programme’s flagship species, Latimeria chalumnae (the coelacanth). Over and above the utility of the GIS as a tool for science through its considerable information storage, analysis and display capabilities, the ACEP GIS has been used for interactive environmental education purposes and to generate public awareness of the programme at various meetings, training events and conferences