The Government’s approach to “Metro Mayors” amounts to imposition rather than devolution

The newly elected Conservative majority government have made city deals and metro area devolution one of the cornerstones of their policy offer, with Greater Manchester set to get a metro mayor and others set to follow suit. John Pugh MP, in a recent Westminster Hall speech, argued that the Government’s policy threatens to ignore communities just outside of the metro areas in questions, and that it amounts to imposition, rather than devolution

EDUCATIONAL PROGRAMS FOR COMMERCIAL AGRICULTURE AND AGRIBUSINESS

Agribusiness,

The Local Government Planning and Development Act - Senate Bill 480

Exact date of working paper unknown

The Challenges of Multimorbidity from the Patient Perspective

BACKGROUND Although multiple co-occurring chronic illnesses within the same individual are increasingly common, few studies have examined the challenges of multimorbidity from the patient perspective. OBJECTIVE The aim of this study is to examine the self-management learning needs and willingness to see non-physician providers of patients with multimorbidity compared to patients with single chronic illnesses. DESIGN. This research is designed as a cross-sectional survey. PARTICIPANTS Based upon ICD-9 codes, patients from a single VHA healthcare system were stratified into multimorbidity clusters or groups with a single chronic illness from the corresponding cluster. Nonproportional sampling was used to randomly select 720 patients. MEASUREMENTS Demographic characteristics, functional status, number of contacts with healthcare providers, components of primary care, self-management learning needs, and willingness to see nonphysician providers. RESULTS Four hundred twenty-two patients returned surveys. A higher percentage of multimorbidity patients compared to single morbidity patients were "definitely" willing to learn all 22 self-management skills, of these only 2 were not significant. Compared to patients with single morbidity, a significantly higher percentage of patients with multimorbidity also reported that they were "definitely" willing to see 6 of 11 non-physician healthcare providers. CONCLUSIONS Self-management learning needs of multimorbidity patients are extensive, and their preferences are consistent with team-based primary care. Alternative methods of providing support and chronic illness care may be needed to meet the needs of these complex patients.US Department of Veterans Affairs (01-110, 02-197); Agency for Healthcare Research and Quality (K08 HS013008-02

Chancellor's Report

Eagle Totem campaign accepts Goldbelt donation -- Gayle Hammons golden gift -- Gladhart article published -- Students recognized for accomplishments during National Student Exchange -- Gala Mardi Gras celebration marks Provost Roberta Stell's 40+ years with the universit

Chancellor's Report

Tropical marine and coastal ecology in Puerto Rico -- UAS faculty nominated for Grammy -- Wall and Hayes selected for poems in place -- Radzilowski edits immigration encyclopedia -- Xh'unei - Lance A. Twitchell in First Alaskans magazine -- STREAM Institute success -- Sitka awarded for Blackboard course design -- Hopson releases second C

Philanthropy Report

UAS Alumni Association makes record scholarship awards and plans for the future with endowment growth -- UAS Juneau Campus Philanthropy Walking Tou

P4_7 One Ramp To Rule Them All

We investigated the feasibility of a large stone ramp lined with sand to facilitate the construction of the Great Pyramid, considering a scenario where the Ancient Egyptians would have placed blocks on wooden sleighs and used water to lubricate the sand. The optimum angle of the incline was found to be 7.2 degrees to the horizontal, stretching about 1163 m horizontally