Assessment of Pain in adults with cognitive impairment : a review of the tools

The aim of this paper is to discuss the results of a review into the literature related to chronic pain and the older adult. Several themes within the review have been identified and reported elsewhere and the final report has been published by the University of Sheffield in the form of an annotated bibliography. This report focuses upon the findings of the in relation to the assessment of pain in the adult with cognitive impairment. Issues surrounding assessment in the non-cognitively impaired older adult have also been reported elsewhere. For this paper nine studies will be discussed which report the development and testing of pain assessment scales the focus of which is upon behavioural indicators of pain. Some scales have been omitted from the review and the rationale for this decision will be discussed. Each of the selected scales will be discussed and the authors will make recommendations for both clinical practice and for future research based upon the validity, reliability and user friendliness of the scales. From the paper it can be concluded that the Abbey, DOLOPLUS-2 and PACSLAC appear to be the most reliable and valid and in terms of the “user friendliness” would be appropriate to explore further. Recommendations are made for further multi-centre evaluation of these scales.University of Sheffiel

Assessment of pain in older people : where are we now and what needs to be done?

The purpose of this paper is to present the findings of a review of the literature into pain and older people. The funded study was part of the development of an annotated bibliography published in August 2005. The review included all major databases and involved the collection of 214 papers between the dates of 1995 and 2005. The papers were divided into several major themes, which include experiences, management (pharmacological and non-pharmacological), assessment, and attitudes. Within this paper, the results of the review into pain assessment will be discussed, which includes 42 of the collected papers. The other sections will be published later. The paper will discuss issues pertaining to the development of specific tools for older people, a discussion of tools already available, comparisons of staff versus older people’s perceptions of pain scales, and articles with cognitive impairment as a focus. Recommendations for further study are made.University of Sheffiel

Politics of Religious Freedom

When tackling the topic of “religious freedom” what are policy-makers and academics trying to define? Is religious freedom a universally defined set of liberal human rights from a secular state, or is religious freedom also seen in religious states? The Politics of Religious Freedom goes into the depths of complexity that is “religious freedom.” The book explores what religious freedom is in a variety of settings: South Asia, North Africa, Middle East, Europe, the United States, Sub-Saharan Africa, and Brazil

ANALISIS PENGARUH KUALITAS PELAYANAN TERHADAP KEPUASAN KONSUMEN STARBUCKS COFFEE CIPUTRA WORLD SURABAYA

Depends on the company's development that concern in the field of food and beverage in Indonesian, producers began looking for the latest innovations to create a standard of service. Starbucks in this case is a food and beverage company that sells the main menu of drinks and food as an additional menu. The purpose of this study was to determine the effect of service quality on customer satisfaction in Starbucks Coffee Ciputra World Surabaya. This study used quantitative research methods. Valuation impact of service quality on customer satisfaction was measured by using a Likert scale questionnaire which distributed to 100 respondents who are at Starbucks Coffee Ciputra World Surabaya. The variables that used to measure the service quality is tangible, empathy, reability, responsiveness, and assurance. Data analysis methods that used to determine the satisfaction of consumers buy products Starbucks Coffee Ciputra World Surabaya is using multiple linear regression analysis. The results of this study indicate that there is significant influence simultaneously and partially on tangible variables, empathy, reability, responsiveness, and assurance on customer satisfaction. Most influential variable is the responsiveness variable to customer satisfaction

Initial Plant Growth in Sand Mine Spoil Amended with Peat Moss and Fertilizer Under Greenhouse Conditions: Potential Species for Use in Reclamation

The Great Lakes Basin exhibits the largest collection of freshwater sand dunes in the world. Sand dunes are ecologically important and support a unique assemblage of flora and fauna. Sand dunes are also economically valuable. However, when sand dunes are mined, soil quality is drastically reduced. Therefore, soil quality improvements followed by revegetation maybe necessary for successful reclamation. This study evaluates the germination and initial growth of 2 legume species, sundial lupine (Lupinus perennis) and Illinois bundleflower (Desmanthus illinoensis), and 2 warm-season grass species, Indian grass (Sorghastrum nutans) and little bluestem (Schizachyrium scoparium), in the presence of 2 soil amendments (inorganic fertilizer and sphagnum peat moss) added to spoil from a local sand mine. We sowed species in pots and propagated them under greenhouse conditions. Results indicate that sundial lupine and Illinois bundleflower exhibited the greatest germination and growth among species. Peat moss had the greatest overall impact on germination and growth while the addition of fertilizer positively affected initial growth. Based on these results, sundial lupine is recognized as a primary candidate for sand mine reclamation, while Illinois bundleflower is also recommended as an appropriate species for revegetation efforts. We recommend using soil amendments that are functionally equivalent to peat in increasing soil water holding capacity. We further suggest that fertilization may be accomplished by including legumes in plant species mixes used for revegetation. Results presented here may help to identify appropriate species and soil amendments for the reclamation of former sand mines or restoration of freshwater sand dunes

The health service bus: An architecture and case study in achieving interoperability in healthcare

Interoperability in healthcare is a requirement for effective communication between entities, to ensure timely access to up to-date patient information and medical knowledge, and thus facilitate consistent patient care. An interoperability framework called the Health Service Bus (HSB), based on the Enterprise Service Bus (ESB) middleware software architecture is presented here as a solution to all three levels of interoperability as defined by the HL7 EHR Interoperability Work group in their definitive white paper “Coming to Terms”. A prototype HSB system was implemented based on the Mule Open-Source ESB and is outlined and discussed, followed by a clinically-based example

The health service bus: An architecture and case study in achieving interoperability in healthcare

Interoperability in healthcare is a requirement for effective communication between entities, to ensure timely access to up to-date patient information and medical knowledge, and thus facilitate consistent patient care. An interoperability framework called the Health Service Bus (HSB), based on the Enterprise Service Bus (ESB) middleware software architecture is presented here as a solution to all three levels of interoperability as defined by the HL7 EHR Interoperability Work group in their definitive white paper “Coming to Terms”. A prototype HSB system was implemented based on the Mule Open-Source ESB and is outlined and discussed, followed by a clinically-based example

Generalised f-Mean Aggregation for Graph Neural Networks

Graph Neural Network (GNN) architectures are defined by their implementations of update and aggregation modules. While many works focus on new ways to parametrise the update modules, the aggregation modules receive comparatively little attention. Because it is difficult to parametrise aggregation functions, currently most methods select a ``standard aggregator'' such as $\mathrm{mean}$, $\mathrm{sum}$, or $\mathrm{max}$. While this selection is often made without any reasoning, it has been shown that the choice in aggregator has a significant impact on performance, and the best choice in aggregator is problem-dependent. Since aggregation is a lossy operation, it is crucial to select the most appropriate aggregator in order to minimise information loss. In this paper, we present GenAgg, a generalised aggregation operator, which parametrises a function space that includes all standard aggregators. In our experiments, we show that GenAgg is able to represent the standard aggregators with much higher accuracy than baseline methods. We also show that using GenAgg as a drop-in replacement for an existing aggregator in a GNN often leads to a significant boost in performance across various tasks

Digital Segregation: Gender, Occupation, and Access to Politics

In the United States, women often show less interest in politics, and under some conditions, perform worse than men on political knowledge tests. In an age where education levels have reached parity, we suggest one of the explanations for gender differences in political engagement might be due to selection of occupation. Past research has shown women and men segregate into different occupations due to early gender socialization, differences in interest, and structural barriers. It is possible that due to these segregation effects, women in traditional female occupations (e.g., education, health care, service work) may have less access to personal Internet use and news sources during their work days. Using the 2014 General Social Survey, we create a new occupational typology based on access to the Internet to explore whether individuals in certain sectors differ in their political engagement and how these occupations are also divided by gender. Then, we apply the technology use measure to the 2016 American National Election Study and find that technology access on the job does not seem to be related to political knowledge, once we account for education, which offers some insight into the mechanisms by which individuals gain this knowledge. In addition, the interaction between total media consumption and tech use suggests that the gap in political knowledge between men and women is stubbornly persistent

Interpreting Emojis: Millennials versus Non-Millennials

The presence of emoticons--and now emojis--within written messages has increased since the advent of electronic communication. We conducted a quasi-experiment to learn whether a “smirk” emoji would be interpreted as indicating seductiveness by digital natives (Millennials) and non-digital natives (non-Millennials). We surveyed participants (N = 283) and asked them how they interpreted a message that contained the “smirk” emoji. Millennials were more likely than non-Millennials to infer seductiveness from this emoji. Our data suggest age-related differences in how various nonverbal cues are interpreted within electronic communication mediums