Feasibility of ASD AgriSpec analysis to indicate mineralogy of a potential shale gas reservoir from West Lancashire, UK

Mudrocks rich in organic matter present an attractive exploration target for unconventional gas and oil. The mid-Carboniferous Bowland Shale is considered the principal accumulation of gas-prone shales in the UK. One risk with exploitation of shales is that the rocks may exhibit ductile behaviour and not respond well to hydraulic stimulation programmes. The brittle behaviour of the rock is influenced by mineralogical composition. Approximately 15 m of core from the Bowland Shale, has been used to test the feasibility of using Near Infra-Red (NIR) Spectrometry to characterise the mineralogy of the shale, and compare to analysis using standard XRD techniques

Exploring visual asset management collaboration: learning from the oil and gas sector.

Visual Asset Management (VAM) is defined as a visual, collaborative and cloud-based database application for project sharing, viewing, delivery, operation and maintenance. VAM provides a platform that contains multiple visual data sources of an infrastructure project, including Building Information Models, associated asset documentation and 360{deg} photographic images of the asset. This research presents three cases of the use of VAM in major oil and gas platforms in the North Sea, identifying the challenges resolved using VAM, the benefits realised as well as the opportunities for learning and transfer of VAM to the construction industry. The findings demonstrate that VAM can be used effectively to support decision making process during infrastructure project planning and development. The case studies further demonstrated that VAM will be particularly beneficial in facilities management and built asset operation, thereby, ensuring the accuracy and reliability of information for operations and maintenance. Due to the increasingly complex nature of projects in terms of size, information technology and security, realizing these benefits would require a learning process for all stakeholders involved in procuring and managing assets. This research proposes stepped change and learning opportunity for built assets value maximization and delivery, management and operation efficiency using VAM

Using ambulance service PCRs to understand 999 call-outs to older people with dementia

This document is the Accepted Manuscript version of a Published Work that appeared in final form in Journal of Paramedic Practice, copyright © 2016 MA Healthcare, after peer review and technical editing by the publisher. To access the final edited and published work see: http://www.magonlinelibrary.com/doi/10.12968/jpar.2016.8.5.246Objectives: To use local ambulance service patient care records (PCRs) at an aggregate level to study the use of emergency medical services (EMS) by older people with dementia in two English counties. To understand how and where in the PCR dementia is recorded. To measure the proportion of patients aged 75 and over who had an emergency (999) ambulance response who have dementia recorded in the PCR. To carry out a descriptive analysis of any associations with age, gender, reason for the call, time of call, residential status or call outcome. Methods: Four days of PCRs from two counties (UK) for patients aged 75 and over were reviewed and non-patient-identifiable data extracted. Data for the total number of call-outs for those days were obtained from the computer-aided dispatch (CAD) system. Results: In 4 days' records for Cambridgeshire and Hertfordshire (2 304 records), over one third of call-outs (830) were to patients aged 75 and over. Data were obtained from 358 paper records. Dementia was recorded on 14.5% of records and another 7.0% recorded details suggesting dementia or cognitive impairment. Around 15% of call-outs to ≥75-year-olds were to care homes. Ambulance crews attended higher proportions of ‘older old’ people than the local population percentages of 85 to 89-year-olds and ≥90-year-olds. The most common reason (27.5%) for a call-out was a fall. Conclusions: This is the first paper to look in detail at the numbers of older people with dementia seen by emergency ambulance crews as documented in PCRs. It gives a benchmark for others looking at ambulance service data and highlights possibilities and pitfalls of using ambulance service PCR data.Peer reviewedFinal Accepted Versio

Difference between how ambulance service personnel use paper and electronic patient care records when attending older people at home.

The research was funded by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care East of England at Cambridgeshire and Peterborough NHS Foundation Trust.This is the accepted manuscript. This is a non-final version of an article published in final form in European Journal of Emergency Medicine. The final version is available from Wolters Kluwer at http://journals.lww.com/euro-emergencymed/Citation/publishahead/Difference_between_how_ambulance_service_personnel.99454.aspx

Designing Heterogeneous-mHealth Apps for Cystic Fibrosis Adults

In this chapter, we will discuss the design and development of a patient passport mHealth application for Cystic Fibrosis adults from ideation to app-store release. By allowing the patients access to their own unique data, it is anticipated that it will be of benefit when travelling abroad and between CF centres. The design process followed a pipeline we developed that is informed by patient and healthcare professional input. The app structure resembles an Irish patient file and is divided into three categories: “My CF Info”, “My Medical History”, and “My Clinical Appointments”. My CF Info allows the patient to store personal information such genotype, medical team contact information, physiotherapy, allergies, and medications. My Medical History allows the user to record information such as CF renal disease, CF diabetes, and the insertion/removal of a portacath/gastrostomy tube. My Clinical Appointments allows the user to record the type of appointment (annual assessment, clinic, other) and all information that would ordinarily be inserted into a patient file such as weight, height, spirometry and other comments. Weight and lung function are also displayed in a plot graph. The app has undergone pilot testing with five CF adults before being rolled out onto the Google Play Store

Unplanned, urgent and emergency care: what are the roles that EMS plays in providing for older people with dementia? An integrative review of policy, professional recommendations and evidence.

OBJECTIVE: To synthesise the existing literature on the roles that emergency medical services (EMS) play in unplanned, urgent and emergency care for older people with dementia (OPWD), to define these roles, understand the strength of current research and to identify where the focus of future research should lie. DESIGN: An integrative review of the synthesised reports, briefings, professional recommendations and evidence. English-language articles were included if they made any reference to the role of EMS in the urgent or emergency care of OPWD. Preparatory scoping and qualitative work with frontline ambulance and primary care staff and carers of OPWD informed our review question and subsequent synthesis. RESULTS: Seventeen literature sources were included. Over half were from the grey literature. There was no research that directly addressed the review question. There was evidence in reports, briefings and professional recommendations of EMS addressing some of the issues they face in caring for OPWD. Three roles of EMS could be drawn out of the literature: emergency transport, assess and manage and a 'last resort' or safety net role. CONCLUSIONS: The use of EMS by OPWD is not well understood, although the literature reviewed demonstrated a concern for this group and awareness that services are not optimum. Research in dementia care should consider the role that EMS plays, particularly if considering crises, urgent care responses and transitions between care settings. EMS research into new ways of working, training or extended paramedical roles should consider specific needs and challenges of responding to people with dementia.The research was funded / supported by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care East of England at Cambridgeshire and Peterborough NHS Foundation Trust.This is the accepted manuscript. The final version is available from BMJ Group at http://dx.doi.org/10.1136/emermed-2014-20394

The effects of a video intervention on posthospitalization pulmonary rehabilitation uptake

Rationale: Pulmonary rehabilitation (PR) after hospitalizations for exacerbations of chronic obstructive pulmonary disease (COPD) improves exercise capacity and health-related quality of life and reduces readmissions. However, posthospitalization PR uptake is low. To date, no trials of interventions to increase uptake have been conducted.Objectives: To study the effect of a codesigned education video as an adjunct to usual care on posthospitalization PR uptake.Methods: The present study was an assessor- and statistician-blinded randomized controlled trial with nested, qualitative interviews of participants in the intervention group. Participants hospitalized with COPD exacerbations were assigned 1:1 to receive either usual care (COPD discharge bundle including PR information leaflet) or usual care plus the codesigned education video delivered via a handheld tablet device at discharge. Randomization used minimization to balance age, sex, FEV1 % predicted, frailty, transport availability, and previous PR experience.Measurements and Main Results: The primary outcome was PR uptake within 28 days of hospital discharge. A total of 200 patients were recruited, and 196 were randomized (51% female, median FEV1% predicted, 36 [interquartile range, 27-48]). PR uptake was 41% and 34% in the usual care and intervention groups, respectively (P = 0.37), with no differences in secondary (PR referral and completion) or safety (readmissions and death) endpoints. A total of 6 of the 15 participants interviewed could not recall receiving the video.Conclusions: A codesigned education video delivered at hospital discharge did not improve posthospitalization PR uptake, referral, or completion