Nurse telephone triage in out of hours primary care: a pilot study

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Enriching Summer Work: An Evaluation of the Summer Career Exploration Program

To determine the impact of the Summer Career Exploration Program (SCEP), a privately funded summer jobs program for low-income teens, P/PV examined the lives of over 1700 applicants. These youth were randomly assigned to participate or to not participate in SCEP in the summer of 1999, and their outcomes were compared at four and twelve months after program application. Researchers found that implementation was strong, but program impacts were less impressive. While SCEPs participants got summer jobs at a substantially higher rate (92%) than the control group (62%), the programs ability to translate this large and immediate summer employment impact into intermediate gains (in terms of future plans, college enrollment, work success, sense of self-efficacy or reduced criminal activity) proved to be negligible. Although impacts were short lived, the report concludes that SCEP and similar programs have an important place in the larger mosaic of supports, programs and opportunities for young people

Developing modern multifunctional agroforestry systems for sustainable intensification

Agroforestry is a land-use system that integrates trees and shrubs with crops and/or livestock production. It has been identified by the International Assessment of Agricultural Knowledge, Science and Technology for Development (IAASTD, 2008) as a ‘win-win’ approach that balances the production of commodities (food, feed, fuel, fibre, etc.) with non-commodity outputs such as environmental protection and cultural and landscape amenities. This paper will review the potential of agroforestry as part of a multifunctional working landscape in temperate regions, and will consider management and policy implications of widespread adoption of this form of land-use

'Help for hay fever', a goal-focused intervention for people with intermittent allergic rhinitis, delivered in Scottish community pharmacies: study protocol for a pilot cluster randomized controlled trial

<b>Background</b> Despite the availability of evidence-based guidelines for managing allergic rhinitis in primary care, management of the condition in the United Kingdom (UK) remains sub-optimal. Its high prevalence and negative effects on quality of life, school performance, productivity and co-morbid respiratory conditions (in particular, asthma), and high health and societal costs, make this a priority for developing novel models of care. Recent Australian research demonstrated the potential of a community pharmacy-based ‘goal-focused’ intervention to help people with intermittent allergic rhinitis to self-manage their condition better, reduce symptom severity and improve quality of life. In this pilot study we will assess the transferability of the goal-focused intervention to a UK context, the suitability of the intervention materials, procedures and outcome measures and collect data to inform a future definitive UK randomized controlled trial (RCT). <p></p> <b>Methods/design</b> A pilot cluster RCT with associated preliminary economic analysis and embedded qualitative evaluation. The pilot trial will take place in two Scottish Health Board areas: Grampian and Greater Glasgow and Clyde. Twelve community pharmacies will be randomly assigned to intervention or usual care group. Each will recruit 12 customers seeking advice or treatment for intermittent allergic rhinitis. Pharmacy staff in intervention pharmacies will support recruited customers in developing strategies for setting and achieving goals that aim to avoid/minimize triggers for, and eliminate/minimize symptoms of allergic rhinitis. Customers recruited in non-intervention pharmacies will receive usual care. The co-primary outcome measures, selected to inform a sample size calculation for a future RCT, are: community pharmacy and customer recruitment and completion rates; and effect size of change in the validated mini-Rhinoconjunctivitis Quality of Life Questionnaire between baseline, one-week and six-weeks post-intervention. Secondary outcome measures relate to changes in symptom severity, productivity, medication adherence and self-efficacy. Quantitative data about accrual, retention and economic measures, and qualitative data about participants’ experiences during the trial will be collected to inform the future RCT.<P></P> <b>Discussion</b> This work will lay the foundations for a definitive RCT of a community pharmacy-based ‘goal-focused’ self-management intervention for people with intermittent allergic rhinitis. Results of the pilot trial are expected to be available in April 2013

On postcapitalist repair

This commentary responds to Carr's thoughtful intervention on the work of climate crisis by, first, foregrounding a pluriversal perspective on repair and, second, pushing Carr's work to more explicitly engage with forms of work enacting postcapitalist possibility. This could be framed as the move from ‘transition’ to ‘transformation’. In doing so, the role of geographers in intervening for transformation is flagged as one possible future direction for such work

Love is . . . an abstract word: the influence of phonological and semantic factors on verbal short-term memory in Williams syndrome

It has been claimed that verbal short-term memory in Williams syndrome is characterised by an over-use of phonological coding alongside a reduced contribution of lexical semantics. We critically examine this hypothesis and present results from a memory span task comparing performance on concrete and abstract words, together with a replication of a span task using phonologically similar and phonologically dissimilar words. Fourteen participants with Williams syndrome were individually matched to two groups of typically developing children. The first control group was matched on digit span and the second on vocabulary level. Significant effects were found for both the semantic and the phonological variables in the WS group as well as in the control groups, with no interaction between experimental variable and group in either experiment. The results demonstrate that, despite claims to the contrary, children and adults with WS are able to access and make use of lexical semantics in a verbal short-term memory task in a manner comparable to typically developing individuals

Low-metallicity star formation: Relative impact of metals and magnetic fields

Low-metallicity star formation poses a central problem of cosmology, as it determines the characteristic mass scale and distribution for the first and second generations of stars forming in our Universe. Here, we present a comprehensive investigation assessing the relative impact of metals and magnetic fields, which may both be present during low-metallicity star formation. We show that the presence of magnetic fields generated via the small-scale dynamo stabilises the protostellar disc and provides some degree of support against fragmentation. In the absence of magnetic fields, the fragmentation timescale in our model decreases by a factor of ~10 at the transition from Z=0 to Z>0, with subsequently only a weak dependence on metallicity. Similarly, the accretion timescale of the cluster is set by the large-scale dynamics rather than the local thermodynamics. In the presence of magnetic fields, the primordial disc can become completely stable, therefore forming only one central fragment. At Z>0, the number of fragments is somewhat reduced in the presence of magnetic fields, though the shape of the mass spectrum is not strongly affected in the limits of the statistical uncertainties. The fragmentation timescale, however, increases by roughly a factor of 3 in the presence of magnetic fields. Indeed, our results indicate comparable fragmentation timescales in primordial runs without magnetic fields and Z>0 runs with magnetic fields.Comment: MNRAS in pres