Nutritional intakes of patients at risk of pressure ulcers in the clinical setting

Objective: Malnutrition is a risk factor for pressure ulcers. The aim of this study was to describe the energy and protein intakes of hospitalized patients at risk for pressure ulcers and to identify predictors of eating inadequately

Library subject guides: A case study of evidence-informed library development

This paper describes the process whereby a university library investigated the value of its subject guides to its users. A literature review and surveys of library staff, library users and other libraries were carried out. Existing library subject guides and those of other higher education libraries were evaluated. The project team reported regularly to the wider library team throughout the year long investigation and made recommendations. The project served to develop the professional skills of the project team, to expand the knowledge of the wider library team and encouraged new ways of thinking about guide provision to users

Patients' perceptions of a pressure ulcer prevention care bundle in hospital : A qualitative descriptive study to guide evidence-based practice

Background: Pressure ulcers place a significant burden on patients and hospitals. Our team developed and tested a pressure ulcer prevention care bundle (PUPCB) in a cluster randomized trial. As part of the process evaluation conducted alongside the trial, we explored patients’ perceptions of the intervention. Aims: To identify patients’ perceptions and experiences of a PUPCB in hospital. Methods: This qualitative descriptive study explored the perceptions of a subset of patients who participated in a trial testing the PUPCB across four intervention hospitals. A trained interviewer conducted semistructured interviews, which were digitally recorded, transcribed, and analyzed using thematic analysis. Findings: Nineteen patients were interviewed across the four hospitals. Three main themes emerged: (a) importance of personal contact in PUPCB delivery; (b) understanding pressure ulcer prevention (PUP) enhances participation; and (c) individual factors impact patients’ engagement in PUP. Discussion: The extent to which patients adopted the intervention appeared to be influenced by the complexity of education materials, compatibility with patients’ existing knowledge and beliefs, and perceived advantage of the intervention; ability for human interaction; and patient-related facilitators and barriers to participating in PUP care. Linking Evidence to Action: This study found patients accepted a PUPCB that encouraged participation in care, particularly as it involved personal and positive interactions with nurses and provision of information that was easy to understand and resonated with patients

Round-up: 2013 GovInfo Day

The 2013 annual gathering of librarians interested in government and legal information focused on this year's unofficial theme of access: continued access to government information and imporved access to legal resources

Sport events and emissions reporting: an analysis of the Council for Responsible Sport standard in running events

The use of fossil fuels has pushed the world towards crucial ecological tipping points and a climate crisis. The rapid decarbonization of all sectors is necessary to limit the worst impacts of this. Within the sports and sport-tourism sectors, event organizers and policymakers are increasingly interested in assessing the environmental impacts of events and identifying the types of strategies needed to reduce their carbon footprint. This paper responds to calls for studies to examine and compare the environmental impacts of multiple sport events and contribute towards providing an enhanced understanding of key factors influencing the scale of those impacts. It focuses on assessing the carbon footprints of 28 mass participation running events in North America. The paper uses a methodology developed by the Council for Responsible Sport as part of its Responsible Sport Standard for Events accreditation process. The results highlight that variations existed between the events in terms of their reporting of GHG emissions. The average event generated 3363 MtCO2e (0.23 MtCO2e per capita), with Scope 3 emissions accounting for 99.9% of the total emissions, and 98.9% being attributable to participant travel. This demonstrates how the Council’s methodology can assist event organizers by providing valuable insights into the carbon footprint of their events and its potential value as an environmental management tool. The paper also discusses some of the challenges faced by event organizers in measuring the carbon footprint of their event, suggests strategies for reducing event emissions, and provides recommendations for strengthening the Council’s methodology and its contribution to global sustainability efforts

Prenatal development is linked to bronchial reactivity: epidemiological and animal model evidence

Chronic cardiorespiratory disease is associated with low birthweight suggesting the importance of the developmental environment. Prenatal factors affecting fetal growth are believed important, but the underlying mechanisms are unknown. The influence of developmental programming on bronchial hyperreactivity is investigated in an animal model and evidence for comparable associations is sought in humans. Pregnant Wistar rats were fed either control or protein-restricted diets throughout pregnancy. Bronchoconstrictor responses were recorded from offspring bronchial segments. Morphometric analysis of paraffin-embedded lung sections was conducted. In a human mother-child cohort ultrasound measurements of fetal growth were related to bronchial hyperreactivity, measured at age six years using methacholine. Protein-restricted rats' offspring demonstrated greater bronchoconstriction than controls. Airway structure was not altered. Children with lesser abdominal circumference growth during 11-19 weeks' gestation had greater bronchial hyperreactivity than those with more rapid abdominal growth. Imbalanced maternal nutrition during pregnancy results in offspring bronchial hyperreactivity. Prenatal environmental influences might play a comparable role in humans

Can Blacklisting Reduce Terrorist Attacks?

Within global security governance, a number of governments monitor and label certain organizations as “terrorist groups” with the aim of curtailing their capacity. The most prominent example of this is the U.S. Foreign Terrorist Organization (FTO) list. Under what conditions is FTO listing an effective counterterrorism tool? We develop a theory of blacklisting in the context of FTOs, arguing that the impact of FTO designation depends on the types of support terrorist organizations rely on. We theorize that FTO blacklisting has capacity-curtailing effects on terrorist groups when funding sources are vulnerable to detection, sanctions, and stigmatization. Specifically, we hypothesize that groups with private funding (e.g. charities, diaspora networks) are more likely to reduce attacks after FTO designation, compared to groups with other funding sources such as criminal activities. Analysis of data on terrorist organizations between 1970 and 2014 takes into account the political processes of listing and provides support for the argument. The findings highlight the importance of understanding the nature of the target in evaluating the performance of global indicators

Process evaluation of a cluster-randomised trial testing a pressure ulcer prevention care bundle: a mixed-methods study

BACKGROUND: As pressure ulcers contribute to significant patient burden and increased health care costs, their prevention is a clinical priority. Our team developed and tested a complex intervention, a pressure ulcer prevention care bundle promoting patient participation in care, in a cluster-randomised trial. The UK Medical Research Council recommends process evaluation of complex interventions to provide insight into why they work or fail and how they might be improved. This study aimed to evaluate processes underpinning implementation of the intervention and explore end-users\u27 perceptions of it, in order to give a deeper understanding of its effects. METHODS: A pre-specified, mixed-methods process evaluation was conducted as an adjunct to the main trial, guided by a framework for process evaluation of cluster-randomised trials. Data was collected across eight Australian hospitals but mainly focused on the four intervention hospitals. Quantitative and qualitative data were collected across the evaluation domains: recruitment, reach, intervention delivery and response to intervention, at both cluster and individual patient level. Quantitative data were analysed using descriptive and inferential statistics. Qualitative data were analysed using thematic analysis. RESULTS: In the context of the main trial, which found a 42% reduction in risk of pressure ulcer with the intervention that was not significant after adjusting for clustering and covariates, this process evaluation provides important insights. Recruitment and reach among clusters and individuals was high, indicating that patients, nurses and hospitals are willing to engage with a pressure ulcer prevention care bundle. Of 799 intervention patients in the trial, 96.7% received the intervention, which took under 10 min to deliver. Patients and nurses accepted the care bundle, recognising benefits to it and describing how it enabled participation in pressure ulcer prevention (PUP) care. CONCLUSIONS: This process evaluation found no major failures relating to implementation of the intervention. The care bundle was found to be easy to understand and deliver, and it reached a large proportion of the target population and was found to be acceptable to patients and nurses; therefore, it may be an effective way of engaging patients in their pressure ulcer prevention care and promoting evidence-based practise