Empowerment of care home staff through effective collaboration with healthcare

Integrative local health delivery models in the UK, under the framework of Enhanced Health in Care Homes (EHICH), have been developed to improve joint working between health and social care to benefit the patient. Despite this drive toward health and social care integration, research on the barriers, facilitators, and impact of partnership working on role of care home staff is underdeveloped. This study set out to explore views on how closer working between health and social care can impact on the role of care home staff and any barriers to effective integration. Staff from 25 care homes and GPs from their partnered practices were interviewed to explore the impact of the partnership. Homes receiving regular visits from the same health professional found the relationship between the two sectors had benefitted both residents and staff. The development of trusting relationships, access to support and information, and recognition and respect were all seen as facilitating the partnership and enhancing patient care. Regular and effective interactions with health-care professionals were key and had the potential to empower and increase confidence of care home staff in their role around health care. Factors negatively impacting on strength of relationship such as visits by inconsistent professional and high turnover of care home staff were a barrier to successful partnerships. Experiences of poor interactions with those from health-care services where there was an absence of a trusting relationship were disempowering to care home staff and remain a barrier to effective wider health and social care collaboration

A service evaluation: EllenorLions Hospices Children and Young Peoples Service: Executive Summary

Between January and June 2011, the EllenorLions Hospices commissioned a team from Canterbury Christ Church University to independently review the Children and Young Peoples Service to evaluate the integrated service model which delivers both palliative care and community oncology to children and young people with life threatening and life limiting illnesses. The project brief was conducted in two phases. In Phase 1 an information review was undertaken and in Phase 2 the effectiveness and usability of the service for service users and staff was analysed by qualitative methods (individual and focus group interviews). 10 families, 4 young people, and 12 Professional/ Support Staff were involved. The evaluation team presented the draft report to the EllenorLions Management Team in June 2011 and the final report was presented in August 2011

New Studies on Humphry Davy:Introduction

This special issue of Ambix brings together eight new studies on Humphry Davy together with an appreciation of the life and work of David Knight, much of whose scholarship was devoted to understanding Davy. Taken together they provide a much richer and more nuanced account of aspects of Davy’s life, showing how he and his work fitted into the very complex and difficult social, cultural and political contexts of the opening decades of the nineteenth century. Taking as our starting point Thomas Carlyle’s 1829 critique of modern science, in this introduction we weld together the themes that emerge from these papers, many of which ground their results in the project to publish Davy’s Letters. This project has provided evidence that helps us critique the disciplinary boundaries that led to Davy becoming seen mostly as a chemist, while his friend Samuel Taylor Coleridge has generally been categorized as a poet. Such boundaries are now breaking down fruitfully as these essays all illustrate in their different ways. A consequence of the new understandings being produced, is that we need to consider anew what constitutes chemistry and chemists, how reputations and commemorations are constructed, the role of audiences (especially women) in developing knowledge and the use of language and literature, which, among other things, are key elements linking chemistry with other parts of society and culture. Davy provides an excellent location by which to address the historical issues involved, giving us an opportunity to balance carefully these and other components (such as human agency) in understanding how knowledge is constructed

Rural Pharmacy not delivering on its health promotion potential

Objective: To investigate the level and perceived quality of health promotion advice received from rural pharmacists.Design: Self-administered written survey on access to and quality of pharmacy services in rural Western Australia completed by rural residents.Setting: Rural Pharmacy.Participants: Four hundred and eighty-three respondents who regularly used a pharmacy.Outcome measures: Items in the survey included frequency of receiving prevention advice and satisfaction ratings on health and pharmacy services.Results: Eighty-eight per cent of respondents had never discussed exercise or diet with their pharmacist and 65% had never discussed preventing health problems. Receiving good prevention advice predicted satisfaction with health services in general but not satisfaction with pharmacy services.Conclusion: Pharmacies are being underutilised with respect to their capacity to deliver heath prevention advice and ways to capitalise on this potential need to be investigated

Quantifying the Direct Radiative Effect of Absorbing Aerosols for Numerical Weather Prediction: A Case Study

We conceptualize aerosol radiative transfer processes arising from the hypothetical coupling of a global aerosol transport model and a global numerical weather prediction model by applying the US Naval Research Laboratory Navy Aerosol Analysis and Prediction System (NAAPS) and the Navy Global Environmental Model (NAVGEM) meteorological and surface reflectance fields. A unique experimental design during the 2013 NASA Studies of Emissions and Atmospheric Composition, Clouds and Climate Coupling by Regional Surveys (SEAC4RS) field mission allowed for collocated airborne sampling by the high spectral resolution Lidar (HSRL), the Airborne Multi-angle SpectroPolarimetric Imager (AirMSPI), up/down shortwave (SW) and infrared (IR) broadband radiometers, as well as NASA A-Train support from the Moderate Resolution Imaging Spectroradiometer (MODIS), to attempt direct aerosol forcing closure. The results demonstrate the sensitivity of modeled fields to aerosol radiative fluxes and heating rates, specifically in the SW, as induced in this event from transported smoke and regional urban aerosols. Limitations are identified with respect to aerosol attribution, vertical distribution, and the choice of optical and surface polarimetric properties, which are discussed within the context of their influence on numerical weather prediction output that is particularly important as the community propels forward towards inline aerosol modeling within global forecast systems

Multipliers for p-Bessel sequences in Banach spaces

Multipliers have been recently introduced as operators for Bessel sequences and frames in Hilbert spaces. These operators are defined by a fixed multiplication pattern (the symbol) which is inserted between the analysis and synthesis operators. In this paper, we will generalize the concept of Bessel multipliers for p-Bessel and p-Riesz sequences in Banach spaces. It will be shown that bounded symbols lead to bounded operators. Symbols converging to zero induce compact operators. Furthermore, we will give sufficient conditions for multipliers to be nuclear operators. Finally, we will show the continuous dependency of the multipliers on their parameters.Comment: 17 page

Proceedings of the Rank Forum on Vitamin D

The Rank Forum on Vitamin D was held on 2nd and 3rd July 2009 at the University of Surrey, Guildford, UK. The workshop consisted of a series of scene-setting presentations to address the current issues and challenges concerning vitamin D and health, and included an open discussion focusing on the identification of the concentrations of serum 25-hydroxyvitamin D (25(OH)D) (a marker of vitamin D status) that may be regarded as optimal, and the implications this process may have in the setting of future dietary reference values for vitamin D in the UK. The Forum was in agreement with the fact that it is desirable for all of the population to have a serum 25(OH)D concentration above 25 nmol/l, but it discussed some uncertainty about the strength of evidence for the need to aim for substantially higher concentrations (25(OH)D concentrations . 75 nmol/l). Any discussion of ‘optimal’ concentration of serum 25(OH)D needs to define ‘optimal’ with care since it is important to consider the normal distribution of requirements and the vitamin D needs for a wide range of outcomes. Current UK reference values concentrate on the requirements of particular subgroups of the population; this differs from the approaches used in other European countries where a wider range of age groups tend to be covered. With the re-emergence of rickets and the public health burden of low vitamin D status being already apparent, there is a need for urgent action from policy makers and risk managers. The Forum highlighted concerns regarding the failure of implementation of existing strategies in the UK for achieving current vitamin D recommendations