137 research outputs found

    sj-pdf-1-pmj-10.1177_02692163231188156 – Supplemental material for Unrepresented, unheard and discriminated against: A qualitative exploration of relatives’ and professionals’ views of palliative care experiences of people of African and Caribbean descent during the COVID-19 pandemic

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    Supplemental material, sj-pdf-1-pmj-10.1177_02692163231188156 for Unrepresented, unheard and discriminated against: A qualitative exploration of relatives’ and professionals’ views of palliative care experiences of people of African and Caribbean descent during the COVID-19 pandemic by Felicity Dewhurst, Louise Tomkow, Marie Poole, Emma McLellan, Tafadzwa Patience Kunonga, Efioanwan Damisa, Melanie Stowell, Chris Todd and Barbara Hanratty in Palliative Medicine</p

    sj-pdf-3-pmj-10.1177_02692163231188156 – Supplemental material for Unrepresented, unheard and discriminated against: A qualitative exploration of relatives’ and professionals’ views of palliative care experiences of people of African and Caribbean descent during the COVID-19 pandemic

    No full text
    Supplemental material, sj-pdf-3-pmj-10.1177_02692163231188156 for Unrepresented, unheard and discriminated against: A qualitative exploration of relatives’ and professionals’ views of palliative care experiences of people of African and Caribbean descent during the COVID-19 pandemic by Felicity Dewhurst, Louise Tomkow, Marie Poole, Emma McLellan, Tafadzwa Patience Kunonga, Efioanwan Damisa, Melanie Stowell, Chris Todd and Barbara Hanratty in Palliative Medicine</p

    sj-pdf-2-pmj-10.1177_02692163231188156 – Supplemental material for Unrepresented, unheard and discriminated against: A qualitative exploration of relatives’ and professionals’ views of palliative care experiences of people of African and Caribbean descent during the COVID-19 pandemic

    No full text
    Supplemental material, sj-pdf-2-pmj-10.1177_02692163231188156 for Unrepresented, unheard and discriminated against: A qualitative exploration of relatives’ and professionals’ views of palliative care experiences of people of African and Caribbean descent during the COVID-19 pandemic by Felicity Dewhurst, Louise Tomkow, Marie Poole, Emma McLellan, Tafadzwa Patience Kunonga, Efioanwan Damisa, Melanie Stowell, Chris Todd and Barbara Hanratty in Palliative Medicine</p

    sj-pdf-1-pmj-10.1177_02692163231192130 – Supplemental material for Advance care planning for patients with chronic obstructive pulmonary disease on home non-invasive ventilation: A qualitative study exploring barriers, facilitators and patients’ and healthcare professionals’ recommendations

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    Supplemental material, sj-pdf-1-pmj-10.1177_02692163231192130 for Advance care planning for patients with chronic obstructive pulmonary disease on home non-invasive ventilation: A qualitative study exploring barriers, facilitators and patients’ and healthcare professionals’ recommendations by Emily Kavanagh, Grace Rowley, Lauri Simkiss, Elizabeth Woods, Craig Gouldthorpe, Kate Howorth, Max Charles, Rachel Kiltie, Hannah Billett, Francesca Mastaglio and Felicity Dewhurst in Palliative Medicine</p

    Design for manufacture: a methodology to evaluate an aircraft design in order to ensure its manufacturability

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    The aim of the research is to develop a methodological analysis of problems in the area of design for manufacture in low volume high complex products found in the writer’s workplace. The majority of research in this area has been around high volume products, such as automotive products and little consideration has been given to designing complex products from industries like aircraft manufacture. This research evaluates design for manufacture (DFM) information in the design lifecycle (DLC). The author’s research introduces a unique DLC process, one which structures decisions and data transfer through the DLC. The research also looks at current academic work and introduces industrial issues present in today’s environment. It is crucial to the design of a product to select the appropriate design environment in which it operates, as it will structure the way the engineering activities are established and developed. It is also important for the organisation to decide on the environment in which the design definition should evolve. Therefore the research reviews the different design definition environments, these were carefully analysed by the author. The evaluation of a design to ensure its manufacturability is a major element in the research, a review of previous work has highlighted that within current publications there has been little work in this area. The research has developed a methodology to evaluate the robustness of a design. It not only looks at the engineering design but also evaluates its adherence to customer requirements and the effect on cost for the overall product life-cycle. It also considers industrial needs for a reduction in the length of design life-cycle, while ensuring a reduction in manufacturing costs. There are two main contributors to this, firstly the use of key characteristics and secondly, the ability to control the manufacturability of a design. The author has developed a novel software tool enabling efficient evaluation of a design. The author discusses his contribution to existing knowledge in three main areas of the research. The most significant being the introduction of a tool to evaluate a design early in the design life-cycle to ensure manufacturability. To validate the research the author introduces the reader to three experimental phases. He validates his methodology by analysing the design of various aircraft assemblies discussing his findings of how manufacturable the designs are. This leads to the conclusion that the author’s research adds substantial knowledge to the area of design for manufacture

    Development of Design for Manufacturing Assembly (DFMA) Software in Bahasa Melayu

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    The purpose of this paper is to present a new DFMA software that is created in Bahasa Melayu. The software was developed to assist in teaching the subject Design for Manufacture and Assembly for undergraduate students. The software is created using Visual Basic and MySQL. The software is based on Boothroyd Dewhurst DFMA methodology. Currently, teaching this subject uses manual procedure which is time consuming but it helps to strengthen the foundation of Boothroyd Dewhurst method. The software saves up to 97% of the time needed for manual procedure. This software is developed in Bahasa Melayu to differentiate it from the official Boothroyd Dewhurst software and any other software related. Even though the contents are in Malay, there are also English translation as most terms are familiar in English. Since the university had yet to obtain Boothroyd Dewhurst software, the author refer its content with the promo version of the original Boothroyd Dewhurst software that was supplied by vendors

    The prevalence of neurological disorders in the 70 years and older population of the Hai district in northern Tanzania

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    MD Thesis (Some content has been removed due to privacy and copyright issues. The thesis can be viewed in full, on request via the print copy at the University Library)Aim To determine the prevalence of neurological disorders in the 70 and over population of the Hai district in northern Tanzania through the production and utilisation of a screening questionnaire, and to describe the subtypes, the level of diagnosis, treatment and associated disability. Introduction There are limited data on neurological disorder and disability prevalence from developing countries despite a highlighted need from the World Health Organisation (WHO). This is partly due to the lack of a feasible and valid screening tool. Methods A screening questionnaire was created and validated for use in the elderly population of a developing country. A cross-sectional two phased epidemiological survey was then performed in the Hai district demographic surveillance site (DSS) (n=161,119). 2232 participants (1/4 of the DSS 70+ population) were screened. Positive responders underwent neurological assessment and were questioned regarding health seeking behaviour. Disability assessment was performed using the Barthel Index. Results The screening questionnaire was validated in one randomly selected village (n=277). Further substantiation was performed in a larger population (n=1955). The sensitivity and specificity were 87.8-97.0% and 90.4-94.9% respectively. In 2232 participants, there were 384 neurological diagnoses amongst 349 people. The age adjusted prevalence of ii neurological diagnoses (95% confidence intervals (CI)) was 168.94/1000 (153.39 to 184.48). 58.6% had sought help for their symptoms, 14.6% had been correctly diagnosed and 10.6% were on appropriate treatment. The age adjusted prevalence of severe and moderate disability was 3.7% and 6.2% respectively. Those with neurological disorders had significantly greater odds of disablement. Conclusions This is the first screening instrument to measure the prevalence of neurological disorders specifically in an elderly population in Sub-Saharan Africa (SSA). It is feasible and valid with a high sensitivity and specificity. This is the first community-based neurological disorder prevalence study specifically in the elderly in SSA. It reveals high neurological morbidity and associated disability and low diagnosis and treatment levels
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