2,126 research outputs found
Comparing care at walk-in centres and at accident and emergency departments: an exploration of patient choice, preference and satisfaction
No full textObjectives:
To explore the impact of establishing walk-in centres alongside emergency departments on
patient choice, preference and satisfaction.
Methods:
A controlled, mixed-method study comparing eight emergency departments with co-located
walk-in centres with the same number of ‘traditional’ emergency departments. This paper
focuses on the results of a cross-sectional questionnaire survey of users.
Results:
Survey data demonstrated that patients were frequently unable to distinguish between being
treated at a walk-in centre or an A&E department, and even where this was the case,
opportunities to exercise choice about their preferred care provider were often limited. Few
made an active choice to attend a co-located walk-in centre. Patients attending walk-in
centres were just as likely to be satisfied overall with the care they received as their
counterparts who were treated in the co-located A&E facility, although a small proportion of
walk-in centre users did report greater satisfaction with some specific aspects of their care
and consultation.
Conclusions:
Whilst one of the key policy goals underpinning the co-location of walk-in centres next to an
A&E department was to provide patients with more options for accessing healthcare and
greater choice, leading in turn to increased satisfaction, this evaluation was able to provide
little evidence to support this. The high percentage of patients expressing a preference for
care in an established emergency department compared to a new walk-in centre facility
raises questions for future policy development. Further consideration should therefore be
given to the role that A&E focused walk-in centres play in the Department of Health’s
current policy agenda, as far as patient choice is concerned
English folk songs from the southern Appalachians : comprising two hundred and seventy-four songs and ballads with nine hundred and sixty-eight tunes, including thirty-nine tunes contributed by Olive Dame Campbell. Volume II
No full textA collection of folk songs gathered by Cecil Sharp and Olive Campbell, and edited by Maud Karples, from the Southern Appalachian Mountains. Volume two contains 135 songs, 5 hymns, 27 nursery songs, 15 jigs, and 20 play-party games.Herbert Halpert Collection. -- Includes index. -- First edition, "by Olive Dame Campbell and Cecil J. Sharp," published in 1917.Includes bibliographical references (p. 402-405)
'Trying to put a square peg into a round hole':a qualitative study of healthcare professionals' views of integrating complementary medicine into primary care for musculoskeletal and mental health comorbidity
No full textBackgroundComorbidity of musculoskeletal (MSK) and mental health (MH) problems is common but challenging to treat using conventional approaches. Integration of conventional with complementary approaches (CAM) might help address this challenge. Integration can aim to transform biomedicine into a new health paradigm or to selectively incorporate CAM in addition to conventional care. This study explored professionals’ experiences and views of CAM for comorbid patients and the potential for integration into UK primary care.MethodsWe ran focus groups with GPs and CAM practitioners at three sites across England and focus groups and interviews with healthcare commissioners. Topics included experience of co-morbid MSK-MH and CAM/integration, evidence, knowledge and barriers to integration. Sampling was purposive. A framework analysis used frequency, specificity, intensity of data, and disconfirming evidence.ResultsWe recruited 36 CAM practitioners (4 focus groups), 20 GPs (3 focus groups) and 8 commissioners (1 focus group, 5 interviews).GPs described challenges treating MSK-MH comorbidity and agreed CAM might have a role. Exercise- or self-care-based CAMs were most acceptable to GPs. CAM practitioners were generally pro-integration.A prominent theme was different understandings of health between CAM and general practitioners, which was likely to impede integration. Another concern was that integration might fundamentally change the care provided by both professional groups. For CAM practitioners, NHS structural barriers were a major issue. For GPs, their lack of CAM knowledge and the pressures on general practice were barriers to integration, and some felt integrating CAM was beyond their capabilities. Facilitators of integration were evidence of effectiveness and cost effectiveness (particularly for CAM practitioners). Governance was the least important barrier for all groups.There was little consensus on the ideal integration model, particularly in terms of financing. Commissioners suggested CAM could be part of social prescribing.ConclusionsCAM has the potential to help the NHS in treating the burden of MSK-MH comorbidity. Given the challenges of integration, selective incorporation using traditional referral from primary care to CAM may be the most feasible model. However, cost implications would need to be addressed, possibly through models such as social prescribing or an extension of integrated personal commissioning
Dns Of Compressible Turbulent Boundary Layer Around A Sharp Cone
No full textDirect numerical simulation of the turbulent boundary layer over a sharp cone with 20 degrees cone angle (or 10 degrees half-cone angle) is performed by using the mixed seventh-order up-wind biased finite difference scheme and sixth-order central difference scheme. The free stream Mach number is 0.7 and free stream unit Reynolds number is 250000/inch. The characteristics of transition and turbulence of the sharp cone boundary layer are compared with those of the flat plate boundary layer. Statistics of fully developed turbulent flow agree well with the experimental and theoretical data for the turbulent flat-plate boundary layer flow. The near wall streak-like structure is shown and the average space between streaks (normalized by the local wall unit) keeps approximately invariable at different streamwise locations. The turbulent energy equation in the cylindrical coordinate is given and turbulent energy budget is studied. The computed results show that the effect of circumferential curvature on turbulence characteristics is not obvious
Sharp characters of finite groups
No full textAbstractIf χ is a virtual (generalized) character of a finite group G, with n=χ and L={χ(g)|g∈G, g≠1 {χ(g)¦gϵG, g ≠ 1}, then ¦G¦ dividesfL(n), where fL(x) is the monic polynomial of least degree having L as its set of roots. (This generalises a result of the second author for permutation characters.) We say that the pair ((G,χ)) is L-sharp if ¦G¦=fL(n). We characterise the L-sharp pairs for various sets L, sometimes under additional hypotheses, and give a number of examples
Highly-conformal sputtered through-silicon vias with sharp superconducting transition
No full textThis paper describes the microfabrication and electrical characterization of aluminum-coated superconducting through-silicon vias (TSVs) with sharp superconducting transition above 1 K. The sharp superconducting transition was achieved by means of fully conformal and void-free DC-sputtering of the TSVs with Al, and is here demonstrated in up to 500μ m-deep vias. Full conformality of Al sputtering was made possible by shaping the vias with a tailored hourglass profile, which allowed a metallic layer as thick as 430 nm to be deposited in the center of the vias. Single-via electric resistance as low as 160 mΩ at room temperature and superconductivity at 1.27 K were measured by a three-dimensional (3D) cross-bridge Kelvin resistor structure. This work establishes a CMOS-compatible fabrication process suitable for arrays of superconducting TSVs and 3D integration of superconducting silicon-based devices. [2020-0354].Green Open Access added to TU Delft Institutional Repository ‘You share, we take care!’ – Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.EKL ProcessingElectronic Components, Technology and MaterialsTera-Hertz SensingElectronic
MMWR. Morbidity and mortality weekly report
No full text"The Summary of Notifiable Diseases--United States, 2004 contains the official statistics, in tabular and graphic form, for the reported occurrence of nationally notifiable infectious diseases in the United States for 2004. Unless otherwise noted, the data are final totals for 2004 reported as of December 2, 2005. These statistics are collected and compiled from reports sent by state health departments to the National Notifiable Diseases Surveillance System (NNDSS), which is operated by CDC in collaboration with the Council of State and Territorial Epidemiologists (CSTE). The Summary is available at http://www.cdc.gov/mmwr/summary.html. This site also includes publications from previous years. The Highlights section presents noteworthy epidemiologic and prevention information for 2004 for selected diseases and additional information to aid in the interpretation of surveillance and disease-trend data. Part 1 contains tables showing incidence data for the nationally notifiable diseases during 2004. The tables provide the number of cases reported to CDC for 2004 nationwide as well as the distribution of cases by geographic location and the patient's demographic characteristics (age, sex, race, and ethnicity). Part 2 contains graphs and maps that depict summary data for certain notifiable diseases described in tabular form in Part 1. The Selected Reading section presents general and disease-specific references for notifiable infectious diseases. These references provide additional information on surveillance and epidemiologic concerns, diagnostic concerns, and disease-control activities." - p. 1prepared by Ruth Ann Jajosky, Patsy A. Hall, Deborah A. Adams , Felicia J. Dawkins , Pearl Sharp , Willie J. Anderson , J. Javier Aponte , Gerald F. Jones , David A. Nitschke , Carol A. Worsham , Nelson Adekoya, Timothy Doyle, National Center for Public Health Informatics, Coordinating Center for Health Information and Service, CDC.Selected reading: p. 71-79
A subaltern critical geopolitics of the war on terror: postcolonial security in Tanzania
No full textCurrently, hegemonic geographical imaginations are dominated by the affective geopolitics of the War on Terror, and related security practice is universalised into what has been called ‘‘globalized fear’’ (Pain, 2009). Critical approaches to geopolitics have been attentive to the Westerncentric nature of this imaginary, however, studies of non-Western perceptions of current geopolitics and the nature of fear will help to further displace dominant geopolitical imaginations. Africa, for example, is a continent that is often captured in Western geopolitics – as a site of failed states, the coming anarchy, passive recipient of aid, and so on – but geopolitical representations originating in Africa rarely make much of an impact on political theory.
This paper aims to add to critical work on the so-called War on Terror from a perspective emerging from the margins of the dominant geopolitical imagination. It considers the geopolitical imagination of the War on Terror from a non-Western source, newspapers in Tanzania
Author Correction: Correlative cryo super-resolution light and electron microscopy on mammalian cells using fluorescent proteins
No full textMMWR. Morbidity and mortality weekly report
No full text"The Highlights section presents noteworthy epidemiologic and prevention information for 2006 for selected diseases and additional information to aid in the interpretation of surveillance and disease-trend data. Part 1 contains tables showing incidence data for the nationally notifiable infectious diseases during 2006. The tables provide the number of cases reported to CDC for 2006 as well as the distribution of cases by month, geographic location, and the patient's demographic characteristics (age, sex, race, and ethnicity). Part 2 contains graphs and maps that depict summary data for certain notifiable infectious diseases described in tabular form in Part 1. Part 3 contains tables that list the number of cases of notifiable diseases reported to CDC since 1975. This section also includes a table enumerating deaths associated with specified notifiable diseases reported to CDC's National Center for Health Statistics (NCHS) during 2002-2004. The Selected Reading section presents general and disease-specific references for notifiable infectious diseases. These references provide additional information on surveillance and epidemiologic concerns, diagnostic concerns, and disease-control activities." - p. 1prepared by Scott J.N. McNabb, Ruth Ann Jajosky, Patsy A. Hall-Baker, Deborah A. Adams, Pearl Sharp, Carol Worsham, Willie J. Anderson, J. Javier Aponte, Gerald F. Jones, David A. Nitschke, Araceli Rey, Michael S. Wodajo, Division of Integrated Surveillance Systems and Services, National Center for Public Health Informatics, Coordinating Center for Health Information and Service, CDC."The statistical summary of notifiable diseases in the United States is published to accompany each volume of the Morbidity and mortality weekly report."--T.p. verso.Selected reading: p. 84-94
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