258 research outputs found

    PIH19 ESTIMATING UTILITY IN ROTAVIRUS GASTROENTERITIS IN CHILDREN UNDER FIVE IN THE UK

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    Challenges for sustainable nature-based tourism: Vilsandi National Park, Saaremaa Island, Estonia

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    Presented at the Spring 2012 Center for Collaborative Conservation (https://collaborativeconservation.org/) Seminar and Discussion Series, "Collaborative Conservation in Practice: Innovations in Communities Around the World", February 7, 2012, Colorado State University, Fort Collins, Colorado. This series focused on the work that the CCC's Collaborative Conservation Fellows have been doing across the Western U.S. and around the world.Dr. Stuart Cottrell is an associate professor in the Department of Human Dimensions of Natural Resources at Colorado State University whose research and teaching focus on sustainable tourism development and protected area management in EU protected areas. Stuart completed his PhD at Penn State University and taught at Wageningen University in the Netherlands for 6 years prior to coming to CSU in 2004.Jana Raadik-Cottrell, PhD, Tourism lecturer/researcher at Kuresaare College of Tallinn University of Technology, is a nature-based tourism specialist/ lecturer with expertise on island community development via sustainable tourism on Saaremaa Island, Estonia. Jana completed her PhD in Human Dimensions of Natural Resources (HDNR) at Colorado State University and MS degree at Wageningen University in the Netherlands and is an adjunct faculty with HDNR.Includes recorded speech and PowerPoint presentation.The first protected area in the Baltic countries, Vilsandi National Park (VNP) is located near the west coast of Saaremaa Island, Estonia. As an archipelago, the area was designated a protected area at the beginning of the 20th century, became a national park in 1993, and designated as a wetland of international importance in 1997. VNP faces many challenges including a decentralized management structure, disjointed conservation plan, and lack of a visitor management plan. The purpose of the CCC fellowship is to enhance VNP and stakeholder capacity to manage nature conservation collaboratively, enhance sustainable livelihoods among tour operators via tourism to the park and to enhance the visitor experience. Data have been gathered via an onsite survey among international visitors, two initial workshops with VNP stakeholders and a second home owner survey conducted in summer/fall 2012. The project links conservationists, tourism specialists, NGOs, INGOs (PAN Parks, WWF), local municipal governments, and universities (Kuresaare College) in a collaborative process for conservation and tourism development. This presentation will highlight key findings of the various phases of the project thus far as well as challenges posed due to ongoing institutional changes protected area agencies face in Estonia

    Directing the Basic Communication Course: Eighteen Years Later

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    We focused on three problems that evolve over time for veteran basic course directors. After briefly commenting on the state of basic course literature, we discuss dealing with tradition, motivating students for the long term, and maintaining our own motivation for the course — three areas quite distinct from those addressed in an earlier article. The ideas and issues discussed here have arisen as a result of eighteen years of directing a basic communication course

    Teaching Basic Courses: Problems and Solutions

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    Basic speech courses enroll many students. Basic course instructors are often under great pressure to succeed and to be effective. Because of the numbers of students and the pressures, they experience many problems. Five are discussed in this article: rigor versus leniency, independence versus dependence, theory versus skills, being close versus being distant, and objective evaluation versus subjective evaluation. Solutions to these problems are likely to affect both student and instructor motivation. Solutions are also likely to affect how students perceive instructors. That\u27s why, with respect to basic course instructors, you have to have solutions for the problems

    A qualitative study exploring medication management in people with dementia living in the community and the potential role of the community pharmacist

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    Background The prevalence of dementia is increasing rapidly. People with dementia may be prescribed complex medication regimens, which may be challenging for them and any carers involved to safely manage. Objective To describe and understand the key challenges, in relation to medication issues, experienced by people with dementia and their informal carers dwelling in the community and the potential role of community pharmacists. Design Qualitative semi‐structured interviews. Participants People with dementia, informal carers and health and social care professionals (HSCPs). Results Thirty‐one participants (eleven informal carers, four people with dementia and sixteen HSCPs) were interviewed. Three key themes were identified: the key challenges, improving medication management and the role of pharmacists. The caring role commonly included responsibility for medication management which created both practical problems and an emotional burden. This burden was worsened by any difficulty in obtaining support and if the person with dementia was on a complex regimen. Participants believed that the process could be improved by coordinated and on‐going support from HSCPs, which should focus on the informal carer. Medication reviews, particularly when conducted in the home environment, could be helpful. Conclusion Medication management for people with dementia living in the community is a complex process, and informal carers have a key role, which they frequently find challenging. Community pharmacists could have an enhanced role in this area, but would need to work within a more multidisciplinary environment outside the pharmacy

    Life-Span Perspective of Personality in Dementia

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    To propose an alternative view of personality change in dementia by presenting existing evidence for the continuity of personality. Significance : As the population continues to age, dementing illnesses will account for a greater proportion of morbidity and mortality; the care of these people will have a significant effect on the health care system. Organizing Framework : Life-span perspective of personality continuity. Scope, Method : Review of current literature on personality in dementia using Medline, 1980–1994; CINAHL, 1990–1994; and Psych Lit, 1980–1994. Findings : Although there are systematic shifts in personality with dementia, individuals tend to maintain their unique pattern of premorbid personality traits. Conclusions : The personalities of dementia patients seem to reflect adaptive patterns that served them in the past. Implications : Use of a life-span perspective can enhance individualized care for demented patients and advance theory development.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73653/1/j.1547-5069.1996.tb00380.x.pd

    A comparative study of the effectiveness of vibration and acoustic emission in diagnosing a defective bearing in a planetry gearbox

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    Whilst vibration analysis of planetary gearbox faults is relatively well established, the application of Acoustic Emission (AE) to this field is still in its infancy. For planetary-type gearboxes it is more challenging to diagnose bearing faults due to the dynamically changing transmission paths which contribute to masking the vibration signature of interest. The present study is aimed to reduce the effect of background noise whilst extracting the fault feature from AE and vibration signatures. This has been achieved through developing of internal AE sensor for helicopter transmission system. In addition, series of signal processing procedure has been developed to improved detection of incipient damage. Three signal processing techniques including an adaptive filter, spectral kurtosis and envelope analysis, were applied to AE and vibration data acquired from a simplified planetary gearbox test rig with a seeded bearing defect. The results show that AE identified the defect earlier than vibration analysis irrespective of the tortuous transmission pat

    Physiotherapy interventions for people with dementia and a hip fracture-a scoping review of the literature.

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    BACKGROUND: People with dementia are 2.7 times more likely to suffer a hip fracture than those without and their management is estimated to cost £0.92 billion per year. Yet there has been little focus on the effectiveness of interventions for this population. OBJECTIVE: The aim of this scoping review was to summarise the current available evidence for physiotherapy interventions for people with dementia who fracture their hip as well as to identify gaps in the literature that may require further research. DATA SOURCES: A systematic search of the following databases was undertaken-TRIP, CINAHL, Amed, Embase, PEDro, PsycINFO, Cochrane Library, Open Grey, Ethos, ISRCTN, Proquest, PROSPERO and UK Clinical Trials Gateway. STUDY SELECTION: Articles were included if they described an intervention which is considered within the scope of a physiotherapist and targeted those with both a hip fracture and dementia. SYNTHESIS METHODS: A narrative summary was then undertaken to describe the current state of the literature. RESULTS: Twenty six studies were included, of which thirteen were observational, six RCTs, two qualitative, two surveys and three systematic reviews. Only nine studies focused explicitly on physiotherapy interventions. CONCLUSION: The findings of this scoping review suggest there is limited evidence to guide physiotherapists in the management of people with dementia who fracture their hip. No evidence was found about perceptions or experiences of patients in this group or of the physiotherapists involved in their care. Further research is needed to develop and evaluate physiotherapy interventions for people with dementia who fracture their hip
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