Talking about end-of-life care: the perspectives of older South Asians living in East London Journal of Research in Nursing

The National End-of-life Care Strategy for England identifies that a lack of open discussion about death and dying can be a barrier to achieving good quality end-of-life care. South Asians constitute the single largest ethnic minority group in the United Kingdom, yet little is known about their attitudes and expectations towards the discussion of death and dying. In this study, set in East London, five focus groups and 29 in-depth, semistructured interviews were conducted with total of 55 older adults aged between 52 and 78 years. Participants from six South Asian ethnic groups were recruited from 11 local community organisations. Constructive grounded theory was used as data analysis approach. Findings revealed two key themes which capture the perspectives older South Asian study participants had towards end-of-life care discussions. The theme ‘avoidance as a cultural norm’ relates to the relative absence of discussions around death and dying experienced participants. Participants neither expected to have discussions about their own death and dying within their family, nor to assume any involvement in related issues of decision making. The second theme ‘avoidance as protection’ relates to beliefs and experiences about the delegation of decision making to family members. Future research should explore the perspectives of second-generation adult children towards end-of-life care discussions

The Ursinus Weekly, March 24, 1947

Dr. W. Bancroft, philosophy prof., dies; served as faculty member for 22 years • Coeds, men to battle for title of basketball court, Saturday • Mermaids lose swimming title to Swarthmore by close score • Professor Karpovitch to address forum on Russian policy tonite • Students selected as representatives to UN assembly • FTA members plan panel talks on extra-curricular activities • Professor Bone to address PAC on labor legislation Wednesday • G. Allen discusses legendary Hitler at club gathering • Lincoln University men conduct impressive candlelight service • Mr. Philippe Emanuel to address meeting of French Club tonight • Large crowd enjoys songs, dances, and comedy at minstrel • Debaters to enter tournament held at Princeton Univ. • Soph hop to feature Maynard McKissick; lucky number tickets to win prizes • Debaters continue away meets with Rutgers on labor question • Racial tolerance • Track squad prepares for weighty schedule • Trophy awarded for conference cage flag • Coaches schedule first full squad diamond workout • Candidates shoot at marks posted by track mentor • Temple tramples Snell\u27s belles, 34-16, for easy triumph • Mermaids swamp Beaver coeds, 34-23https://digitalcommons.ursinus.edu/weekly/1656/thumbnail.jp

The Impact of Financial Inclusion on the Nigerian Economy

Financial inclusion remains a critical issue for developing economies such as Nigeria, where the focus of the government is to bring all economic units into the pool of the country's financial system. The rate of financial inclusion is an economic yardstick that cannot be discounted and one which remains a clear focal point of different inter-governmental efforts and policy. On one hand, there is the realisation that a low rate of financial inclusion means that a huge percentage of the population rarely has access to the kind of financial services that can take them out of poverty. As a contemporary discourse, this research seeks to assess the impact of financial inclusion on the development of the economy; arguing on the premise that proxy indicators in existing research have failed to provide a clear picture on the impact of financial inclusion on the economy, thereby failing to provide stakeholders with a strong motivation to pursue financial inclusiveness in the country. The focus of the study is to assess the effect of financial inclusion on income inequality and economic growth. To achieve this objective the study leverages on data spanning a period of 34 years (1981 to 2016), based on data generated from the Central Bank of Nigeria Statistical Bulletin and the World Bank Development Indicators. Using the Error Correction Mechanism (ECM),Unit Root Analysis and the Co-Integration analytical framework, the findings indicated that the short and longrun relationship between financial inclusion and economic growth in Nigeria show that the current values of the variables were not significant. Regarding the relationship between financial inclusion and income inequality in Nigeria, the short-run result revealed that only the past values of loans to rural areas and number of commercial bank branches appears to be significant, while at the long-run, the lagged value of gross domestic product per capital, commercial bank deposits and loans to rural areas were found to be statistically significant. The study further notes that financial inclusiveness was a precursor for economic growth in Nigeria. It is on this basis that the study recommends among others that; there is the need to increase loans to the rural areas by at least 50% this can be done through moral suasion to boost the economic activities in the rural areas, improve their aggregate demand, and ultimately their standard of living. There is also the need to engage more workforce in the rural areas to close the inequality gap prevalent in the country

Appraisal of the housing, renewal and sustainability needs of rural areas of Gateshead

Gateshead Council commissioned Sustainable Cities Research Institute (SCRI) and Banks of Wear Community Projects Ltd (BOW) to carry out a housing, renewal and sustainability appraisal of rural areas of Gateshead Borough between May and August 2006. The work involved: A desk-based review of relevant strategies and documents. A door-to-door survey of 2,342 households in Gateshead’s six rural wards (Birtley; Lamesley; Ryton, Crookhill and Stella; Crawcrook and Greenside; Chopwell and Rowlands Gill; and Whickham South and Sunniside). The survey covered approximately 10% of the 23,266 households in these wards. Consultation with residents and other key stakeholders through focus groups and interviews. This process targeted: harder to reach groups such as younger and aspiring households, people who work, older people, and recent incomers to the area; estate agents, developers and other property professionals; local shopkeepers and traders; local businesses; public sector professionals active in relevant fields such as education, leisure, social and community services; elected members; and transport providers. SCRI managed the project and delivered the desk-based review and survey, while BOW carried out the consultation with stakeholders as a sub-contractor to SCRI

Are we Bridging the Divide in IWO Psychology?

This paper examines the knowledge transfer process within the profession of work and organisational psychology. In consonance with the theme of the 2011 congress, it considers the extent to which proposed ‘bridging mechanisms’ can provide useful vehicles for operationalising the pursuit of the dual goal of improving both the well-being of individuals and the effectiveness of work organizations. It considers the way in which the profession attempts to ground its concepts in a sound evidence base and then successfully mobilise this knowledge at the interface of research and practice. It does so by critically examining the scientist-practitioner model and the ways in which this model can be operationalised by practitioners and researchers. The criticism which is aimed at academics is that their research is irrelevant; it explores narrow concepts too often with student samples. Practitioners, on the other hand, are accused of too infrequently bringing scientific findings from the research literature to their practice. The problem has been cast in terms of both one of knowledge production and also knowledge transfer and is typified, at least in one direction – the impact of research upon practice, by what has in other professions, most notably medicine and more recently management, been called evidence-based practice. Denise Rousseau, in her 2005 presidential address to the American Academy of Management defined evidence-based management (EBM) as “translating principles based on best evidence into organizational practices” and there have been a number of attempts to invoke a similar model of evidence-based practice in the field of work and organisational psychology. In 2007 Anderson described the academic-practitioner divide as ‘natural’, suggesting the way forward was to focus on ‘bridging mechanisms’ describing six which had been proposed at the 1995 SIOP conference. What is the situation over decade later? To what extent have these bridges been built? This paper explores the nature and extent of these bridges by presenting case studies and findings from a UK survey of IWO psychologists

Public Sector Shared Services Move Out of the “Back-Office”: The Role of Public Policy and Mission Criticality

The authors study the extension of SSC services in public safety networks (PSNs). With growing threats from terrorism and natural disasters coupled with political pressure to reduce spending, newly created PSNs have taken on a critical role in assurance of public safety

N-Cadherin cleavage during activated hepatic stellate cell apoptosis is inhibited by tissue inhibitor of metalloproteinase-1. [In supplement: 11th International Symposium on the Cells of the Hepatic Sinusoid and their Relation to Other Cells]

Apoptosis of hepatic stellate cells (HSC) has previously been shown to occur during spontaneous resolution of experimental liver fibrosis. TIMP-1 has also been shown to have a key role because of its ability to inhibit apoptosis of HSC via matrix metalloproteinase (MMP) inhibition. This has led to further study of novel substrates for MMPs that might impact on HSC survival. N-Cadherin is known to mediate cell-cell contacts in fibroblasts. In this study we demonstrate that N-Cadherin is expressed by activated rat HSC. Furthermore, during apoptosis of HSC, the N-Cadherin is cleaved into smaller fragments. Apoptosis of HSC may be inhibited by TIMP-1. This is associated with reduced fragmentation of N-Cadherin. N-Cadherin may have an important role in supporting HSC survival while N-Cadherin cleavage may play a part in promoting HSC apoptosis in recovery from liver fibrosis

Feasibility of the modified sequential organ function assessment score in a resource-constrained setting: a prospective observational study.

BackgroundSub-Saharan Africa has a great burden of critical illness with limited health care resources. We evaluated the feasibility and utility of the modified Sequential Organ Function Assessment (mSOFA) score in assessing morbidity and mortality in the National Referral Hospital's intensive care unit (ICU) for one year.MethodsWe conducted a prospective, observational cohort study on patients above 12 years of age admitted to the ICU at Mulago Hospital (Kampala, Uganda). All SOFA scores were determined at admission and at 48 h. We modified the SOFA score by replacing the PaO2/FiO2 ratio with SPO2/FiO2. The primary outcome was ICU mortality.ResultsThis ICU cohort of 118 patients had a mean age of 37 years and an ICU mortality rate of 46.6%. Non-survivors had higher initial (7.7 SD 3.8 vs. 5.5 SD 3.3; p = 0.007), mean (8.1 SD 3.9 vs 4.7 SD 2.6; p < 0.001) and highest mSOFA scores (9.4 SD 4.2 vs. 5.8 SD 3.2; p < 0.001), with an increase of 1.0 (SD 3.1) mSOFA on average after 48 h when compared to survivors (p < 0.001). The area under the receiver operating characteristic curves for each mSOFA category was: initial-0.68, mean-0.76, highest-0.76 and delta mSOFA-0.74. Multivariate logistic regression analysis showed no significant association between mSOFA scores and mortality.ConclusionOur results confirm that calculation of the mSOFA score is feasible for an ICU population in a resource-limited country. More data are needed to test for an association between mSOFA and mortality