Creating a new corporate visual identity at the University of Lincoln Library

This article describes how we used features from our new library building, the Great Central Warehouse, to create a new corporate visual identity for the department

Flexible learning: developing opportunities

The delivery of training in a culturally sensitive, flexible manner is vital to achieve positive outcomes when training indigenous people. Within this paper I will examine many of the do’s and don’ts when delivering culturally sensitive training. Case Studies will be presented where practitioners can work together and determine how delivery can be adapted to promote cultural sensitivity. From delivery to the outcome of flexible delivery. A range of outcomes from the Case Studies will be presented and evaluation techniques and evaluation instruments will be discussed at the reaction and learning level

Lymphoedema - a chronic disease, not a side effect

Lymphoedema, soft tissue swelling resulting from obstruction of the lymphatic drainage system, is a chronic illness with immense physical and psychological impact on a patient’s life. Management, while conservative, can be life changing when approached by a co-ordinated multidisciplinary team. Although some patients with lymphoedema will require minimal support, it is vital that patients and healthcare professionals are vigilant for rare but serious complications

Sedentary time among spouses:A cross-sectional study exploring associations in 1 sedentary time and behaviour in parents of 5 and 6 year old children

BACKGROUND: Sedentary time is associated with obesity and is a risk factor for other adverse health outcomes. We examined how sedentary time and screen viewing (SV) behaviours in parents of young children are associated and whether associations differed for weekdays versus weekend days. METHODS: Data were from a cross sectional study (B-ProAct1v) based in Bristol, UK investigating associations between physical activity and SV in children and parents. Parents were eligible for analysis if they and their partner had both provided valid accelerometer data (290 dyads) or had both provided valid screen-viewing data (325 dyads). Multivariable regression models were used to examine associations of (a) sedentary behaviours and (b) self-reported time spent on weekdays and weekend days watching TV, using a PC, and using a phone in the dyads. Models were adjusted for the number of media items in the house, mothers’ age and body mass index, and household index of multiple deprivation. RESULTS: Sedentary behaviour was lower at weekends than on weekdays for fathers and mothers. In contrast, the proportion of parents watching at least 2 h TV was higher on weekend days than on weekdays. Adjusted multivariable linear regression models suggested that 3 min of sedentary time on weekend days in fathers were associated with an additional minute of mothers’ sedentary time (B 0.38; 95 % CI 0.26 to 0.49). Logistic regression indicated that mothers’ screen use was positively predicted by fathers’ use (e.g., the odds of a mother watching more than 2 h TV on a weekend day were increased fivefold if the father also watched this amount OR 5.09, 95 % CI 3.30 to 7.86), except for PC use at weekends where the association was reversed and the odds of mothers using a PC for more than 30 min per weekend day was halved if the father used a PC for this amount of time (OR 0.45, 95 % CI 0.22 to 0.94). CONCLUSIONS: Programmes that encourage at least one adult in the household to decrease sedentary behaviour and become more active, particularly at weekends, should be developed

Psychometric Properties of the Family Caregiver Delirium Knowledge Questionnaire

A valid, reliable measure of family caregivers’ knowledge about delirium was not located in the literature; such an instrument is essential to assess learning needs and outcomes of education provided. The purpose of the current study was to (a) develop a family Caregiver Delirium Knowledge Questionnaire (CDKQ) based on the Symptom Interpretation Model; and (b) establish validity and reliability of the measure. The 19-item CDKQ was developed and administered to 164 family caregivers for community-dwelling older adults. Descriptive statistics were examined for all variables. Psychometric testing included confirmatory factor analysis, item-to-total correlations, and internal consistency reliability. A three-factor model provided the best fit for the data. The findings support initial validity and reliability of the CDKQ with family caregivers. Although the CDKQ was developed for use with family caregivers, it has potential for use with other caregivers, such as home health aides

Effect of a continuous perineural levobupivacaine infusion on pain after major lower limb amputation:a randomised double-blind placebo-controlled trial

Acknowledgments: We would like to acknowledge the assistance of Dr M Viskaduraki, University of Leicester, UK for additional statistical advice; and both Prof D.J. Rowbotham and Mr M. McCarthy, University Hospitals of Leicester NHS Trust, for advice on the trial protocol.Peer reviewedPublisher PD

Complementary or alternative? The use of homeopathic products and antibiotics amongst pre-school children

<p>Abstract</p> <p>Background</p> <p>Any intervention to reduce the inappropriate use of antibiotics for infections in children has the potential to reduce the selective pressure on antimicrobial resistance and minimise the medicalisation of self-limiting illness. Little is known about whether homeopathic products might be used by some families as an alternative to antibiotics or the characteristics of such families. We used the Avon Longitudinal Study of Parents and Children (ALSPAC) observational dataset to explore the hypothesis that the use of homeopathic products is associated with reduced antibiotic use in pre-school children and to identify characteristics of the families of pre-school children given homeopathic products.</p> <p>Methods</p> <p>Questionnaires data were completed by the parents of 9723 children while aged between 3–4.5 years in Bristol UK. Univariable and multivariable analyses were used to explore the relationships between antibiotic and homeopathic product use.</p> <p>Results</p> <p>Six percent of children had received one or more homeopathic products and 62% one or more antibiotics between the ages of 3 and 4.5 years. After adjustment for factors associated with antibiotic use, there was no association between homeopathic product and antibiotic use (adjusted OR = 1.02, 95% CI 0.84, 1.24). Factors independently associated with child homeopathic product use were: higher maternal education, maternal use of homeopathic products, maternal lack of confidence in doctors, mothers reporting that they were less likely to see doctor when the child was ill, children being given vitamins, watching less television and suffering from wheeze and food allergies.</p> <p>Conclusion</p> <p>In this observational study, the use of homeopathic products was not associated with decreased antibiotic consumption, suggesting the use of homeopathic product complements rather than competes with the use of antibiotics in pre-school children. The characteristics of mothers giving homeopathic products to their children are similar to those associated with adult self-administration.</p

Examining a conceptual model of parental nurturance, parenting practices and physical activity among 5-6 year olds

AbstractRationaleParenting is an often-studied correlate of children's physical activity, however there is little research examining the associations between parenting styles, practices and the physical activity of younger children.ObjectiveThis study aimed to investigate whether physical activity-based parenting practices mediate the association between parenting styles and 5–6 year-old children's objectively-assessed physical activity.Methods770 parents self-reported parenting style (nurturance and control) and physical activity-based parenting practices (logistic and modeling support). Their 5–6 year old child wore an accelerometer for five days to measure moderate-to-vigorous physical activity (MVPA). Linear regression was used to examine direct and indirect (mediation) associations. Data were collected in the United Kingdom in 2012/13 and analyzed in 2014.ResultsParent nurturance was positively associated with provision of modeling (adjusted unstandardized coefficient, β = 0.11; 95% CI = 0.02, 0.21) and logistic support (β = 0.14; 0.07, 0.21). Modeling support was associated with greater child MVPA (β = 2.41; 0.23, 4.60) and a small indirect path from parent nurturance to child's MVPA was identified (β = 0.27; 0.04, 0.70).ConclusionsPhysical activity-based parenting practices are more strongly associated with 5–6 year old children's MVPA than parenting styles. Further research examining conceptual models of parenting is needed to understand in more depth the possible antecedents to adaptive parenting practices beyond parenting styles