Jumped or pushed: what motivates NHS staff to set up a social enterprise?

Purpose – The purpose of this paper is to examine the motivations behind public sector spin outs, focusing on the Right to Request policy, which enabled NHS staff to set up their own social enterprises to deliver healthcare services.\ud \ud Design/methodology/approach – The paper draws on empirical data gathered from 16 in-depth interviews with individuals who had led a Right to Request proposal.\ud \ud Findings – Motivations to spin out of the NHS into a social enterprise were often “empathetic” in nature, built around the good of the service for staff and users. Alongside this, some felt “pushed” out of the NHS as a result of government restructuring policy, with social enterprise offering the only hope to survive as an organisation.\ud \ud Research limitations/implications – The study captures a particular point in time and there may be other perspectives that have not been included.\ud \ud Social implications – The paper is of use to academics, policy makers and practitioners. It provides an important contribution in thinking about how to motivate public sector staff, especially those from a health profession, to consider spinning out into social enterprises.\ud \ud Originality/value – The paper is the first to look at the motivations of healthcare spin outs through the Right to Request programme. The findings are related to previous literature on social entrepreneurship within public sector settings.\u

The effect of redshift-space distortions on projected 2-pt clustering measurements

Although redshift-space distortions only affect inferred distances and not angles, they still distort the projected angular clustering of galaxy samples selected using redshift dependent quantities. From an Eulerian view-point, this effect is caused by the apparent movement of galaxies into or out of the sample. From a Lagrangian view-point, we find that projecting the redshift-space overdensity field over a finite radial distance does not remove all the anisotropic distortions. We investigate this effect, showing that it strongly boosts the amplitude of clustering for narrow samples and can also reduce the significance of baryonic features in the correlation function. We argue that the effect can be mitigated by binning in apparent galaxy pair-centre rather than galaxy position, and applying an upper limit to the radial galaxy separation. We demonstrate this approach, contrasting against standard top-hat binning in galaxy distance, using sub-samples taken from the Hubble Volume simulations. Using a simple model for the radial distribution expected for galaxies from a survey such as the Dark Energy Survey (DES), we show that this binning scheme will simplify analyses that will measure baryon acoustic oscillations within such galaxy samples. Comparing results from different binning schemes has the potential to provide measurements of the amplitude of the redshift-space distortions. Our analysis is relevant for other photometric redshift surveys, including those made by the Panoramic Survey Telescope & Rapid Response System (Pan-Starrs) and the Large Synoptic Survey Telescope (LSST).Comment: 13 pages, 15 figures, accepted by MNRAS, corrected typos, revised argument in section 3, figure added in section 3, results unchange

School Based Interventions for School-Aged Children with Oppositional Defiant Disorder: A Systematic Review

There are many barriers preventing children from getting mental health treatment. However, if more readily available, like in the school based programs, children can get the mental health treatment they need. The focus of this research study is effective treatment interventions for children and adolescents with oppositional defiant disorder in the school setting. A systematic literature review was conducted which reviewed 10 effective school based interventions for elementary and high school students who have been diagnosed with Oppositional Defiant Disorder. Three themes were identified as a successful intervention within the articles including positive praise interventions, a comprehensive approach using the individual, family and school in the intervention, and teacher consultation with mental health providers. Implications include relation to direct practice, where teachers can access the articles and use a variety of interventions on children with oppositional defiant disorder in the classroom setting

School Based Interventions for School-Aged Children with Oppositional Defiant Disorder: A Systematic Review

There are many barriers preventing children from getting mental health treatment. However, if more readily available, like in the school based programs, children can get the mental health treatment they need. The focus of this research study is effective treatment interventions for children and adolescents with oppositional defiant disorder in the school setting. A systematic literature review was conducted which reviewed 10 effective school based interventions for elementary and high school students who have been diagnosed with Oppositional Defiant Disorder. Three themes were identified as a successful intervention within the articles including positive praise interventions, a comprehensive approach using the individual, family and school in the intervention, and teacher consultation with mental health providers. Implications include relation to direct practice, where teachers can access the articles and use a variety of interventions on children with oppositional defiant disorder in the classroom setting

It\u27s Nothing Personal

Review ofImpersonality: Seven Essays by Sharon Cameron. (Chicago: University of Chicago Press, 2007. Pp. 272. $65.00 cloth.$25.00 paper.

Drug-induced anti-Ro positive subacute cutaneous lupus in a man treated with olmesartan

A 66-year-old man presented to the outpatient dermatology clinic with a chief complaint of a pruritic rash on his upper trunk and proximal upper extremities, which had been present for three weeks. Upon examination, he was found to have an erythematous, annular, and polycyclic eruption on the chest, upper back, and proximal extremities. A clinical diagnosis of subacute cutaneous lupus erythematosus (SCLE) was made. The patient was found to have a positive anti-nuclear antibody (ANA) in a speckled pattern and a positive anti-Ro antibody. A biopsy revealed an interface and lichenoid dermatitis with dermal mucin deposition, consistent with subacute cutaneous lupus erythematosus. The patient reported that he had recently been diagnosed with hypertension and began treatment with olmesartan, a potassium-sparing diuretic that blocks the angiotensin II receptor, commonly used as an antihypertensive or in patients with heart failure. Cutaneous reactions to olmesartan are rare and reported in <1% of patients in post-marketing surveillance. The patient discontinued use of olmesartan and the rash completely resolved within three weeks. To date, there are no other reported cases of drug induced SCLE in patients taking olmesartan to our knowledge

More Than Money: Making a Difference With Assistance Beyond the Grant

Examines foundation efforts beyond grantmaking such as training, advocacy, and new investment strategies to increase grantee effectiveness and impact. Assesses the benefits of such help, grantees' views, and implications. Includes case studies