22 research outputs found

    Treatment of polymyalgia rheumatica: British Society for Rheumatology guideline scope

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    The last British Society for Rheumatology (BSR) guideline on PMR was published in 2009. The guideline needs to be updated to provide a summary of the current evidence for pharmacological and non-pharmacological management of adults with PMR. This guideline is aimed at healthcare professionals in the UK who directly care for people with PMR, including general practitioners, rheumatologists, nurses, physiotherapists, occupational therapists, pharmacists, psychologists and other health professionals. It will also be relevant to people living with PMR and organisations that support them in the public and third sector, including charities and informal patient support groups. This guideline will be developed using the methods and processes outlined in the BSR Guidelines Protocol. Here we provide a brief summary of the scope of the guideline update in development

    Characterising the growth in palliative care prescribing 2011-2015: Analysis of national medical and non-medical activity

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    YesThe role of non-medical prescribers working in palliative care has been expanding in recent years and prescribers report improvements in patient care, patient safety, better use of health professionals’ skills and more flexible team working. Despite this, there is a lack of empirical evidence to demonstrate its clinical and economic impact, limiting our understanding of the future role of non-medical prescribers within a healthcare system serving an increasing number of people with palliative care needs. We developed a unique methodology to establish the level of non-medical prescribers’ activity in palliative care across England and consider the likely overall contribution these prescribers are making at a national level in this context in relation to medical prescribing. All prescriptions for 10 core palliative care drugs prescribed by general practitioners, nurses and pharmacists in England and dispensed in the community between April 2011 and April 2015 were extracted from the Prescribing Analysis Cost Tool system. The data were broken down by prescriber and basic descriptive analysis of prescription frequencies by opioid, non-opioids and total prescriptions by year were undertaken. To evaluate the yearly growth of non-medical prescribers, the total number of prescriptions was compared by year for each prescribing group. Non-medical prescribers issued prescriptions rose by 28% per year compared to 9% in those issued by medical prescribers. Despite this, the annual growth in non-medical prescribers prescriptions was less than 1% a year in relation to total community palliative care prescribing activity in England. Impact on medical prescribing is therefore minimal

    Transport policy in Australia--Evolution, learning and policy transfer

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    Urban transport policy in Australia has changed markedly over the period since the first generation of modern urban transport strategies were published in the 1960s. This is illustrated through a review of 43 transport strategies published for the five largest cities (Sydney, Melbourne, Brisbane, Perth and Adelaide) in Australia between 1965 and 2010. The review is complemented with observations from a survey of public servants in the policy and strategy divisions of state and territory transport agencies. The results of this research are examined using the Dolowitz-Marsh framework, considering the need to seek policy transfer, who is involved, what is transferred, from where policy lessons are learnt, the degree of transfer, constraints to policy learning and demonstration that transfer has occurred. The evidence for policy transfer and learning is mixed. Transport policy adopted by the states of Australia for their respective capital cities has been remarkably similar between the cities and has changed in a similar way over time, indicating the almost seamless transfer of concepts. Less positively, there is little published evidence that the performance of previous strategies has been critically examined and lessons learned, and that the approaches adopted in strategies are superior to alternative approaches and are able to achieve the objectives set for them.Transport policy Policy transfer Australian metropolitan areas Policy formulation mode Policy instruments

    The Story of some : everyday pragmatic inference by children and adults

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    The statement, some elephants have trunks, is logically true but pragmatically infelicitous. Whilst some is logically consistent with all, it is often pragmatically interpreted as precluding all. In Experiments 1 and 2, we show that with pragmatically impoverished materials, sensitivity to the pragmatic implicature associated with some is apparent earlier in development than has previously been found. Amongst 8-year-old children, we observed much greater sensitivity to the implicature in pragmatically enriched contexts. Finally, in Experiment 3, we found that amongst adults, logical responses to infelicitous some statements take longer to produce than do logical responses to felicitous some statements, and that working memory capacity predicts the tendency to give logical responses to the former kind of statement. These results suggest that some adults develop the ability to inhibit a pragmatic response in favour of a logical answer. We discuss the implications of these findings for theories of pragmatic inference.12 page(s

    I sistemi informativi per la governance locale

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    Urban transport policy in Australia has changed markedly over the period since the first generation of modern urban transport strategies were published in the 1960s. This is illustrated through a review of 43 transport strategies published for the five largest cities (Sydney, Melbourne, Brisbane, Perth and Adelaide) in Australia between 1965 and 2010. The review is complemented with observations from a survey of public servants in the policy and strategy divisions of state and territory transport agencies. The results of this research are examined using the Dolowitz–Marsh framework, considering the need to seek policy transfer, who is involved, what is transferred, from where policy lessons are learnt, the degree of transfer, constraints to policy learning and demonstration that transfer has occurred. The evidence for policy transfer and learning is mixed. Transport policy adopted by the states of Australia for their respective capital cities has been remarkably similar between the cities and has changed in a similar way over time, indicating the almost seamless transfer of concepts. Less positively, there is little published evidence that the performance of previous strategies has been critically examined and lessons learned, and that the approaches adopted in strategies are superior to alternative approaches and are able to achieve the objectives set for them
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