Improving continence services for older people from the service-providers' perspective: a qualitative interview study

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 3.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.Objective To examine in depth the views and experiences of continence service leads in England on key service and continence management characteristics in order to identify and to improve our understanding of barriers to a good-quality service and potential facilitators to develop and to improve services for older people with urinary incontinence (UI). Design Qualitative semistructured interviews using a purposive sample recruited across 16 continence services. Setting 3 acute and 13 primary care National Health Service Trusts in England. Participants 16 continence service leads in England actively treating and managing older people with UI. Results In terms of barriers to a good-quality service, participants highlighted a failure on the part of commissioners, managers and other health professionals in recognising the problem of UI and in acknowledging the importance of continence for older people and prevalent negative attitudes towards continence and older people. Patient assessment and continence promotion regardless of age, rather than pad provision, were identified as important steps for a good-quality service for older people with UI. More rapid and appropriate patient referral pathways, investment in service capacity, for example, more trained staff and strengthened interservice collaborations and a higher profile within medical and nurse training were specified as being important facilitators for delivering an equitable and high-quality continence service. There is a need, however, to consider the accounts given by our participants as perhaps serving the interests of their professional group within the context of interprofessional work. Conclusions Our data point to important barriers and facilitators of a good-quality service for older people with UI, from the perspective of continence service leads. Further research should address the views of other stakeholders, and explore options for the empirical evaluation of the effectiveness of identified service facilitators.Funding was received from the New Dynamics of Ageing Programme, led by the Economic & Social Research Council, UK (grantnumber RES-353-25-0010)

Weighted maximal regularity estimates and solvability of non-smooth elliptic systems II

We continue the development, by reduction to a first order system for the conormal gradient, of $L^2$ \textit{a priori} estimates and solvability for boundary value problems of Dirichlet, regularity, Neumann type for divergence form second order, complex, elliptic systems. We work here on the unit ball and more generally its bi-Lipschitz images, assuming a Carleson condition as introduced by Dahlberg which measures the discrepancy of the coefficients to their boundary trace near the boundary. We sharpen our estimates by proving a general result concerning \textit{a priori} almost everywhere non-tangential convergence at the boundary. Also, compactness of the boundary yields more solvability results using Fredholm theory. Comparison between classes of solutions and uniqueness issues are discussed. As a consequence, we are able to solve a long standing regularity problem for real equations, which may not be true on the upper half-space, justifying \textit{a posteriori} a separate work on bounded domains.Comment: 76 pages, new abstract and few typos corrected. The second author has changed nam

An Algebraic Approach to the Non-chromatic Adherence of the DP Color Function

DP-coloring (or correspondence coloring) is a generalization of list coloring that has been widely studied since its introduction by Dvo\v{r}\'{a}k and Postle in 2015. As the analogue of the chromatic polynomial of a graph $G$, $P(G,m)$, the DP color function of $G$, denoted by $P_{DP}(G,m)$, counts the minimum number of DP-colorings over all possible $m$-fold covers. A function $f$ is chromatic-adherent if for every graph $G$, $f(G,a) = P(G,a)$ for some $a \geq \chi(G)$ implies that $f(G,m) = P(G,m)$ for all $m \geq a$. It is known that the DP color function is not chromatic-adherent, but there are only two known graphs that demonstrate this. Suppose $G$ is an $n$-vertex graph and $\mathcal{H}$ is a 3-fold cover of $G$, in this paper we associate with $\mathcal{H}$ a polynomial $f_{G, \mathcal{H}} \in \mathbb{F}_3[x_1, \ldots, x_n]$ so that the number of non-zeros of $f_{G, \mathcal{H}}$ equals the number of $\mathcal{H}$-colorings of $G$. We then use a well-known result of Alon and F\"{u}redi on the number of non-zeros of a polynomial to establish a non-trivial lower bound on $P_{DP}(G,3)$ when $2n > |E(G)|$. Finally, we use this bound to show that there are infinitely many graphs that demonstrate the non-chromatic-adherence of the DP color function.Comment: 8 pages. arXiv admin note: text overlap with arXiv:2107.08154, arXiv:2110.0405

Changing the Face of Student Teaching Through Co-Teaching

In this article, the authors challenge the status quo of current student teaching practice which has remained relatively unchanged for close to 100 years. This four year study identifies the differences between a co-teaching and a non-co-teaching model of student teaching. Quantitative and qualitative results clearly demonstrate the positive impact of co-teaching on learners. This emerging practice of co-teaching in student teaching holds great promise in transforming the world of teacher preparation

The declining spadefoot toad Pelobates fuscus: calling site choice and conservation

We investigated whether local biotic and abiotic conditions could explain the occurrence of calling males of the declining spadefoot toad Pelobates fuscus in 72 ponds in southern Sweden. The ponds covered the entire distribution range of P. fuscus and were monitored during the breeding season in 2000. Calling males were found in 33 ponds. representing ca 50% of all known ponds for the species ill Sweden. They had a non-random distribution and a discriminant analysis including 19 environmental variables successfully classified 86% of the ponds as with or without calling males A stepwise discriminant analysis selected eight of these variables and classified 85% of the ponds correctly. ponds with calling males were classified mainly on characteristics of the ponds, whereas composition of the terrestrial habitat close to the ponds and traffic load within 500 in had little influence on the distribution of calling males. Ponds with P. fuscus were large, permanent and eutrophic with high concentrations of oxygen and high spring temperatures. They also had a high proportion of shoreline with steep banks. Permanent ponds with calling males typically had a low abundance of predatory fish and crayfish: only two of the ponds with P. fuscus contained predatory fish. The results of this study indicate that interactions between physical factors (e.g. pond drying) and predation determine the presence of P. fuscus. Because P. fuscus has specific habitat requirements necessary for its survival and high site fidelity, it is particularly vulnerable to local changes in the condition of its natural breeding ponds. The situation is particularly serious for this species because the majority of the ponds that are within its dispersal range do not seem to be suitable for P. fuscus because of physical constraints

What Makes Co-Teaching Work? Identifying The Essential Elements

This paper will share the process used in the development of the What Makes Co-teaching Work instrument used to support the successful implementation of a co-teaching model of student teaching

Intertwining caring science, caring practice and caring education from a lifeworld perspective—two contextual examples

This article describes how caring science can be a helpful foundation for caring practice and what kind of learning support that can enable the transformation of caring science into practice. The lifeworld approach is fundamental for both caring and learning. This will be illustrated in two examples from research that show the potential for promoting health and well-being as well as the learning process. One example is from a caring context and the other is from a learning context. In this article, learning and caring are understood as parallel processes. We emphasize that learning cannot be separated from life and thus caring and education is intertwined with caring science and life. The examples illustrate how an understanding of the intertwining can be fruitful in different contexts. The challenge is to implant a lifeworld-based approach on caring and learning that can lead to strategies that in a more profound way have the potential to strengthen the person's health and learning processes

Performance, Politics and Media: How the 2010 British General Election leadership debates generated ‘talk’ amongst the electorate.

During the British General Election 2010 a major innovation was introduced in part to improve engagement: a series of three live televised leadership debates took place where the leader of each of the three main parties, Labour, Liberal Democrat and Conservative, answered questions posed by members of the public and subsequently debated issues pertinent to the questions. In this study we consider these potentially ground breaking debates as the kind of event that was likely to generate discussion. We investigate various aspects of the ‘talk’ that emerged as a result of watching the debates. As an exploratory study concerned with situated accounts of the participants experiences we take an interpretive perspective. In this paper we outline the meta-narratives (of talk) associated with the viewing of the leadership debates that were identified, concluding our analysis by suggesting that putting a live debate on television and promoting and positioning it as a major innovation is likely to mean that is how the audience will make sense of it – as a media event