Leadership of Integrated Health and Social Care Services

This research explores the lived experience of those individuals charged with leading the integration of health and social care services in Scotland. The research was primarily qualitative in nature – comprising of a qualitative survey of front-line managers of integrated health and social care services from a single partnership area. The survey explored the management and leadership tasks and activities expected of those leading health and social care teams. The research uncovers a sense that these new leadership positions are both overwhelming in the scope of tasks required and lack clarity in how these tasks should be undertaken. This highlights a need for coordinated support and training for staff who are charged with leading integrated health and social care teams. Three key recommendations have been drawn from the findings of this research: more support should be provided to managers working within these complex integrated systems; a joint training programme should be developed for managers across both partnering organisations and finally relevant policies and procedures should be compiled into one reference resource for managers of integrated services

Strip yield modelling of fatigue crack under variable amplitude loading

The results from 'strip yield' approach of the FASTRAN type models of plasticity induced crack closure effects of fatigue cracks subjected to variable amplitude loadings are presented. The strip yield results are compared with authors' finite element (FE) and experimental results. It has been observed that the strip yield model is seen to be fundamentally limited by choice of alpha (constraint factor) and corresponding to treat baseline closure effects. Double overload closure behavior is functionally similar for both strip yield and FE models. Under multiple overloads, an important functional difference is seen between FE and strip yield models. This has been linked to the absence of in-plane constraint in the strip yield model, which is seen to have a distinct decreasing influence on on-going closure effects.Peer reviewedFinal Accepted Versio

The Solway Estuary: A socio-cultural evaluation of a coastal energy landscape

No abstract available

A randomised controlled trial of pelvic floor muscle training for stages I and II pelvic organ prolapse

Abstract Forty-seven women participated in a pilot study for a multi-centre randomized controlled trial of the effectiveness of pelvic floor muscle training (PFMT) for women with prolapse. Women with symptomatic stage I or II prolapse [measured by Pelvic Organ Prolapse Quantification (POP-Q)] were randomized to a 16-week physiotherapy intervention (PFMT and lifestyle advice; n=23) or a control group receiving a lifestyle advice sheet (n=24). Symptom severity and quality of life were measured via postal questionnaires. Blinded POP-Q was performed at baseline and follow-up. Intervention women had significantly greater improvement than controls in prolapse symptoms (mean score decrease 3.5 versus 0.1, p=0.021), were significantly more likely to have an improved prolapse stage (45% versus 0%, p=0.038) and were significantly more likely to say their prolapse was better (63% versus 24%, p=0.012). The data support the feasibility of a substantive trial of PFMT for prolapse. A multi-centre trial is underway.This study was funded by the Chief Scientist Office, Scottish Government (CZH/4/95)

Modelling and quantifying Mode I interlaminar fracture in particle-toughened CFRPs

Four-dimensional time-resolved Synchrotron Radiation Computed Tomography (SRCT) has been used to capture Mode I delamination propagation in particle-toughened Carbon Fibre Reinforced Polymers (CFRPs). Digital Volume Correlation (DVC) was used in order to measure ply opening displacements at the crack tip, permitting the interlayer strain ahead of the crack tip to be quantified. Estimates at which toughening particles de-bonded and/or fractured were made, giving insight into the effects of particle type and particle size on the fracture mico-mechanisms. The experiments are complemented by a 2D plane-strain finite element (FE) model, which investigated the effects of particle strength and toughness on the ply opening displacement and crack path by modelling the particles as 1D cohesive segments. Previous work has shown that Mode I crack propagation in particle-toughened interlayers involves a process zone rather than a distinct crack tip. Therefore, Augmented Finite Element Method (A-FEM) elements were used in the simulation, since the elements can account for both bifurcating and merging cracks within a single element. The nodal displacements in the simulation were compared to the DVC results, illustrating a potential path through which more complex FE simulations may be validated against experimental results in the future

Polar mesoscale cyclones in the northeast Atlantic: Comparing climatologies from ERA-40 and satellite imagery

Polar mesoscale cyclones over the subarctic are thought to be an important component of the coupled atmosphere–ocean climate system. However, the relatively small scale of these features presents some concern as to their representation in the meteorological reanalysis datasets that are commonly used to drive ocean models. Here polar mesocyclones are detected in the 40-Year European Centre for Medium-Range Weather Forecasts (ECMWF) Re-Analysis dataset (ERA-40) in mean sea level pressure and 500-hPa geopotential height, using an automated cyclone detection algorithm. The results are compared to polar mesocyclones detected in satellite imagery over the northeast Atlantic, for the period October 1993–September 1995. Similar trends in monthly cyclone numbers and a similar spatial distribution are found. However, there is a bias in the size of cyclones detected in the reanalysis. Up to 80% of cyclones larger than 500 km are detected in MSL pressure, but this hit rate decreases, approximately linearly, to ∼40% for 250-km-scale cyclones and to ∼20% for 100-km-scale cyclones. Consequently a substantial component of the associated air–sea fluxes may be missing from the reanalysis, presenting a serious shortcoming when using such reanalysis data for ocean modeling simulations. Eight maxima in cyclone density are apparent in the mean sea level pressure, clustered around synoptic observing stations in the northeast Atlantic. They are likely spurious, and a result of unidentified shortcomings in the ERA-40 data assimilation procedure

p-type/n-type behaviour and functional properties of KxNa (1-x)NbO3 (0.49 <= x <= 0.51) sintered in air and N2

Abstract Potassium sodium niobate (KNN) is a potential candidate to replace lead zirconate titanate in sensor and actuator applications but there are many fundamental science and materials processing issues to be understood before it can be used commercially, including the influence of composition and processing atmosphere on the conduction mechanisms and functional properties. Consequently, KNN pellets with different K/Na ratios were sintered to 95% relative density in air and N2 using a conventional mixed oxide route. Oxygen vacancies (VO..) played a major role in the semi-conduction mechanism in low p(O2) for all compositions. Impedance spectroscopy and thermo-power data confirmed KNN to be n-type in low p(O2) in contradiction to previous reports of p-type behaviour. The best piezoelectric properties were observed for air- rather than N2-sintered samples with d33=125 pC/N and kp=0.38 obtained for K0.51Na0.49NbO3

Optimising dopants and properties in BiMeO3 (Me = Al, Ga, Sc, Y, Mg2/3Nb1/3, Zn2/3Nb1/3, Zn1/2Ti1/2) lead-free BaTiO3-BiFeO3 based ceramics for actuator applications

A crystallochemical framework is proposed based on electronegativity difference (en) and tolerance factor (t) to optimise the BiMeO3 dopants and therefore the piezoelectric and electrostrictive response in BaTiO3-BiFeO3 based ceramics. Compositions in the series 0.05Bi(Me)O3-0.25BaTiO3-0.7BiFeO3 (BMe-BT-BF, Me: Y, Sc1/2Y1/2, Mg2/3Nb1/3, Sc, Zn2/3Nb1/3, Zn1/2Ti1/2, Ga, and Al) were fabricated using solid state synthesis and furnace cooled. Scanning electron microscopy and X-ray diffraction revealed that only Bi(Mg2/3Nb1/3)O3 and BiScO3 dopants, which lie in a narrow range of en vs. t, form homogeneous ceramics, free from secondary phases reflected in their superior piezoelectric coefficients (d33 ~145 pC/N). All other BiMeO3 additions exhibited either secondary phases (Y) and/or promoted a two-phase perovskite matrix (Zn, Ga and Al). The promising initial properties of BiScO3 doped compositions prompted further studies on 0.05BiScO3-(0.95-x)BaTiO3-(x)BiFeO3 (BS-BT-BF, x = 0.55, 0.60, 0.625, 0.65, and 0.70) ceramics. As x increased the structure changed from predominantly pseudocubic to rhombohedral, resulting in a transition from a relaxor-like to ferroelectric response. The largest d33 * (465 pm/V) was achieved for x = 0.625 under 5 kV/mm at the crossover from relaxor to ferroelectric behaviour. BS-BT-BF with x = 0.625 showed >0.3% strain under 6 kV/mm up to 175ºC, demonstrating its potential for actuator applications