Therapists’ experiences and perceptions of teamwork in neurological rehabilitation: Critical happenings in effective and ineffective teamwork

This article reports the second part of an exploratory study into occupational therapists` and physiotherapists` perceptions and experiences of team-work in neurological rehabilitation: the factors that were thought to influence effective and ineffective team-work, and the meaning behind effective and ineffective team work in neurological rehabilitation. The study was undertaken through semi-structured interviews of 10 therapists from three different neurological rehabilitation teams based in the United Kingdom, and used the critical incident technique. Through analysis of the data, several main themes emerged regarding the perceived critical happenings in effective and ineffective team work. These were: team events and characteristics, team members` characteristics, shared and collaborative working practices, communication, specific organisational structures, environmental, external, and patient and family related factors. Effective and ineffective team-work was perceived to impact on a number of levels: having implications for the team, the patient, individual team members, and the neurological rehabilitation service. The study supported the perceived value of team work within neurological rehabilitation. It also indicated the extensive and variable factors that may influence the team working process as well as the complex and diverse nature of the process

The organisation of physiotherapy for people with multiple sclerosis across Europe: a multicentre questionnaire survey

Background Understanding the organisational set-up of physiotherapy services across different countries is increasingly important as clinicians around the world use evidence to improve their practice. This also has to be taken into consideration when multi-centre international clinical trials are conducted. This survey aimed to systematically describe organisational aspects of physiotherapy services for people with multiple sclerosis (MS) across Europe. Methods Representatives from 72 rehabilitation facilities within 23 European countries completed an online web-based questionnaire survey between 2013 and 2014. Countries were categorised according to four European regions (defined by United Nations Statistics). Similarities and differences between regions were examined. Results Most participating centres specialized in rehabilitation (82 %) and neurology (60 %), with only 38 % specialising in MS. Of these, the Western based Specialist MS centres were predominately based on outpatient services (median MS inpatient ratio 0.14), whilst the Eastern based European services were mostly inpatient in nature (median MS inpatient ratio 0.5). In almost all participating countries, medical doctors - specialists in neurology (60 %) and in rehabilitation (64 %) - were responsible for referral to/prescription of physiotherapy. The most frequent reason for referral to/prescription of physiotherapy was the worsening of symptoms (78 % of centres). Physiotherapists were the most common members of the rehabilitation team; comprising 49 % of the team in Eastern countries compared to approximately 30 % in the rest of Europe. Teamwork was commonly adopted; 86 % of centres based in Western countries utilised the interdisciplinary model, whilst the multidisciplinary model was utilised in Eastern based countries (p = 0.046). Conclusion This survey is the first to provide data about organisational aspects of physiotherapy for people with MS across Europe. Overall, care in key organisational aspects of service provision is broadly similar across regions, although some variations, for example the models of teamwork utilised, are apparent. Organisational framework specifics should be considered anytime a multi-centre study is conducted and results from such studies are applied.PubMedWoSScopu

Monitoring soil carbon will prepare growers for a carbon trading system

California growers could reap financial benefits from the low-carbon economy and cap-and-trade system envisioned by the state's AB 32 law, which seeks to lower greenhouse gas emissions statewide. Growers could gain carbon credits by reducing greenhouse gas emissions and sequestering carbon through reduced tillage and increased biomass residue incorporation. First, however, baseline stocks of soil carbon need to be assessed for various cropping systems and management practices. We designed and set up a pilot soil carbon and land-use monitoring network at several perennial cropping systems in Northern California. We compared soil carbon content in two vineyards and two orchards (walnut and almond), looking at conventional and conservation management practices, as well as in native grassland and oak woodland. We then calculated baseline estimates of the total carbon in almond, wine grape and walnut acreages statewide. The organic walnut orchard had the highest total soil carbon, and no-till vineyards had 27% more carbon in the surface soil than tilled vineyards. We estimated wine grape vineyards are storing significantly more soil carbon per acre than almond and walnut orchards. The data can be used to provide accurate information about soil carbon stocks in perennial cropping systems for a future carbon trading system

Monitoring soil carbon will prepare growers for a carbon trading system

California growers could reap financial benefits from the low-carbon economy and cap-and-trade system envisioned by the state's AB 32 law, which seeks to lower greenhouse gas emissions statewide. Growers could gain carbon credits by reducing greenhouse gas emissions and sequestering carbon through reduced tillage and increased biomass residue incorporation. First, however, baseline stocks of soil carbon need to be assessed for various cropping systems and management practices. We designed and set up a pilot soil carbon and land-use monitoring network at several perennial cropping systems in Northern California. We compared soil carbon content in two vineyards and two orchards (walnut and almond), looking at conventional and conservation management practices, as well as in native grassland and oak woodland. We then calculated baseline estimates of the total carbon in almond, wine grape and walnut acreages statewide. The organic walnut orchard had the highest total soil carbon, and no-till vineyards had 27% more carbon in the surface soil than tilled vineyards. We estimated wine grape vineyards are storing significantly more soil carbon per acre than almond and walnut orchards. The data can be used to provide accurate information about soil carbon stocks in perennial cropping systems for a future carbon trading system