548 research outputs found

    Return to work with chronic pain: employers' and employees' views

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    This conference papers given to the Society of Occupational Medicine's Annual Scientific Meeting discusses tensions and some possible ameliorating activities from our 2013 paper of the same name., published in their journal: Wainwright, E., Wainwright, D., Keogh, E. and Eccleston, C. Return to work with chronic pain: employers’ and employees’ views. Occupational Medicine 2013: doi:0.1093/occmed/kqt109. The conference homepage is here;http://www.som-asm.org.uk/Programme_SOM_ASM.aspAbstractBackgroundThe sickness certification and return to work (RTW) of people with chronic pain are important health and economic issues for employees, employers, taxpayers and the UK government. The ‘fit note’ and a national educational programme promoting RTW were introduced in 2010 to curb rising rates of sickness absence. AimsTo investigate employers’ and employees’ experiences of managing RTW when someone has taken sick leave for chronic pain, and to explore the perceived efficacy of the fit note.MethodsA qualitative study, comprising semi-structured interviews with employers who had managed sick leave cases and employees who had experienced sick leave for chronic pain. Interviews were recorded, transcribed and the data analysed using constructivist grounded theory principles.ResultsFive themes were elicited. Firstly, frequent enquiry after health status was seen as intrusive by some employees but part of good practice by employers and acknowledging this difference was useful. Secondly, being able to trust employees due to their performance track record was helpful for employers when dealing with complex chronic pain conditions. Thirdly, feeling valued increased employees’ motivation to return to work. Fourthly, guidelines about maintaining contact with absent employees were useful if used flexibly. Finally, both parties valued the fit note for its positive language, interrogative format and biomedical authority. ConclusionsThe fit note was perceived to be helpful if used in combination with other strategies for managing sick leave and RTW for people with chronic pain. These strategies may be applicable to other fluctuating, long-term conditions with medically unexplained elements. <br/

    The Memorial of Prof. William J. Wainwright

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    Editor’s NoteThe Memorial of Prof. William J. WainwrightThe member of Editorial Board of Journal of Philosophical Theological ResearchWilliam “Bill” Judson Wainwright (1935-2020), a distinguished professor emeritus of philosophy at the University of Wisconsin-Milwaukee, was the member of the Editorial Board of the Journal of Philosophical Theological Research (JPTR).Wainwright is the author of several books in various fields of philosophy, especially the philosophy of religion, and numerous articles and chapters. Monotheism and Hope In God (2020), Reason, Revelation, and Devotion: Inference and Argument in Religion (2015), Religion and Morality (2005), and Heart and Reason (1995) are among his published books.His last published article is “God, Love and Inter-religious Dialogue”1, which was published by the Journal of Philosophical Theological Research in the autumn of 2020. Wainwright gave final approval to his paper but unfortunately could not see its publication. He passed away on November 5, 2020, a few days before we published his article. May he be in peace and God’s grace. I never met him but I understood from my contacts with him that “He was a very kind, respected, noble, and patient philosopher.”We decided to dedicate a special issue titled “Theology, Philosophy, and Ethics”: In Memory of William J. Wainwright to him. I would like to express my gratitude to all the philosophers who accepted my invitation and generously and kindly helped us in publishing this special issue by writing their valuable articles. We hope that Wainwright would be pleased with the publication of this issue.I will end my words with this wish, which was Wainwright’s wish too, that: I wish that the followers of monotheistic religions can establish peace and tranquility in the world through inter-religious dialogue, mutual understanding, and extending their love for God to each other.1. Wainwright, W.J. (2020), God, Love, and Interreligious Dialogue, Journal of Philosophical Theological Research, 22(85), 5-13

    Finding a Way Forward. Lessons from the Corbyn Project in the UK (James Schneider interviewed by Hilary Wainwright)

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    Within hours of Jeremy Corbyn becoming leader of the British Labour Party, the gloves were off. The Parliamentary Labour Party (PLP), the mainstream media (assisted by much of the Labour Party’s administrative apparatus) and the British capitalist class were all intensely hostile and launched a relentless attack that constantly stymied Corbyn’s project of a transformative socialist government, culminating in the party’s heavy defeat in the general election of December in 2019, in which the right-wing populist project of ‘Brexit’ (leaving the European Union) split Labour’s members and its electoral base. Corbyn and his supporters were quickly marginalized, as the right wing reasserted its grip under the new leader, Keir Starmer. James Schneider not only had a ringside seat at all these events, but was sufficiently part of the team to feel keenly the moments of exhilaration, sweat and pain of the five-year struggle, while all the time knowing, from his year as Momentum’s National Organizer, the vast untapped potential for movement initiative and mobilizations that lay beyond the ‘tyranny of the immediate’ which dominated life in the Leader’s office in Westminster. In this interview, he assesses the strengths and weaknesses of the extra-parliamentary forces that backed Corbyn, from the low ebb of trade union organization when Corbyn first became leader to the limited but important ways in which the new leadership of the Labour Party revalidated trade unions, and the positive legacy of the Corbyn leadership in encouraging popular self-confidence and politicization. At a time when many on the left are leaving or considering leaving the Labour Party, Schneider urges a strategy which transcends the ‘inside the party or out of it’ dichotomy which has constantly exhausted left thinking in the UK. Instead, he outlines the idea of a hybrid movement rooted primarily in communities and workplaces while at the same time, without compromising its mobilizing and campaigning energies, continuing the struggle for democratic control of the Labour Party. Schneider is interviewed in May 2021 by Hilary Wainwright, editor of Red Pepper and contributing editor to the Socialist Register, and author of numerous books on the politics of the left. Wainwright has long been an advocate of the need for the left across Europe to experiment in ‘parties of a new kind’ that would break from both traditional social democracy and the vanguard party models of the far left

    Evelyn W. Wainwright letter to the National Woman's Party, January 20, 1921

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    Evelyn W. Wainwright wrote this letter to the members of the National Woman's Party on January 20, 1921. Evelyn offers a picket pin to each of the women who had picketed on the frontlines during the woman's suffrage movement. The pins were given out during the National Convention in Feburary of 1921. Each of the pins cost $3.00. In this announcement, Evelyn also includes more information about the National Convention, which was held in Washington, D.C.. The National Woman's Party originated in 1913 when the Congressional Union for Woman Suffrage began its work to secure the enfranchisement of women through a federal amendment. In 1914, after the National American Woman Suffrage Association (NAWSA) denied the Congressional Union's application for readmission as an auxillary, they split from the suffrage movement. It began to operate as an independent organization with different policies and tactics. The union actively campaigned against Democratic house, senate, and gubernatorial candidates, and effectively influences the campaign loss of many in the 1914 election. This spurred congressional debate on suffrage in 1915 and 1916, but it was not enough to secure the passage of a suffrage amendment. As a result, Alice Paul, founder of the Congressional Union, called for the organization of the National Woman's Party (NWP). The party's main platform was to secure an amendment to the United States Constitution enfranchising women. The party's main form of protest, picketing, began in 1917 at the White House, following the 1916 Presidential election. Congressional Union members joining the pickets as well, eventually disbanding and solely being known as the National Woman's Party. The NWP pressured the Wilson administration by pointing out the hypocracy of fighting for democrracy in Europe while America wasn't truly democratic. Wilson, seeing suffrage as an essential measure in winning the war and saving democracy, began to push for a constitutional amendment. The House passed the nineteenth amendment on January 10, 1918, and after the Senate passed the measure on June 4, 1919, the fifteen month ratification campaign began. After Tennessee passed the suffrage amendment on August 18, 1920, the nineteenth amendment became law. NWP members, while jubilant and exhausted after their seven year quest, saw other equal rights issues needing attention. Since many legal restrictions still remained on women, the NWP decided to reorganize and fight for the full emancipation of women in all areas with the immediate concerns being the removal of legal inequalities in marriage, divorce, custody, work, and education

    Do higher primary care practice performance scores predict lower rates of emergency admissions for persons with serious mental illness? An analysis of secondary panel data

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    BackgroundSerious mental illness (SMI) is a set of chronic enduring conditions including schizophrenia and bipolar disorder. SMIs are associated with poor outcomes, high costs and high levels of disease burden. Primary care plays a central role in the care of people with a SMI in the English NHS. Good-quality primary care has the potential to reduce emergency hospital admissions, but also to increase elective admissions if physical health problems are identified by regular health screening of people with SMIs. Better-quality primary care may reduce length of stay (LOS) by enabling quicker discharge, and it may also reduce NHS expenditure.ObjectivesWe tested whether or not better-quality primary care, as assessed by the SMI quality indicators measured routinely in the Quality and Outcomes Framework (QOF) in English general practice, is associated with lower rates of emergency hospital admissions for people with SMIs, for both mental and physical conditions and with higher rates of elective admissions for physical conditions in people with a SMI. We also tested the impact of SMI QOF indicators on LOS and costs.DataWe linked administrative data from around 8500 general practitioner (GP) practices and from Hospital Episode Statistics for the study period 2006/7 to 2010/11. We identified SMI admissions by a main International Classification of Diseases, 10th revision (ICD-10) diagnosis of F20–F31. We included information on GP practice and patient population characteristics, area deprivation and other potential confounders such as access to care. Analyses were carried out at a GP practice level for admissions, but at a patient level for LOS and cost analyses.MethodsWe ran mixed-effects count data and linear models taking account of the nested structure of the data. All models included year indicators for temporal trends.ResultsContrary to expectation, we found a positive association between QOF achievement and admissions, for emergency admissions for both mental and physical health. An additional 10% in QOF achievement was associated with an increase in the practice emergency SMI admission rate of approximately 1.9%. There was no significant association of QOF achievement with either LOS or cost. All results were robust to sensitivity analyses.ConclusionsPossible explanations for our findings are (1) higher quality of primary care, as measured by QOF may not effectively prevent the need for secondary care; (2) patients may receive their QOF checks post discharge, rather than prior to admission; (3) people with more severe SMIs, at a greater risk of admission, may select into practices that are better organised to provide their care and which have better QOF performance; (4) better-quality primary care may be picking up unmet need for secondary care; and (5) QOF measures may not accurately reflect quality of primary care. Patient-level data on quality of care in general practice is required to determine the reasons for the positive association of QOF quality and admissions. Future research should also aim to identify the non-QOF measures of primary care quality that may reduce unplanned admissions more effectively and could potentially be incentivised.FundingThe National Institute for Health Research Health Services and Delivery Research programme.<br/

    The Wilson Building and the Wainwright Building, analysis and formal coincidences in the design

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    El presente artículo analiza y contrasta a partir de la observación al edificio Wilson (1946), del arquitecto peruano Enrique Seoane Ros, con el conocido edificio de la escuela de Chicago, del arquitecto norteamericano Luis Sullivan, de nombre Wainwright Building (1891). Las coincidencias en el diseño entre ambas edificaciones son numerosas, a pesar de que el estilo difiere y la distancia en el tiempo de ambas son de cincuenta y cinco años, lo que nos hace suponer que el edificio de Sullivan fue una influencia e inspiración para la obra del arquitecto Enrique Seoane Ros. Aclaro que esta visión es personal y única del autor de este artículo, la cual comparto para su lectura y visualización.This article analyzes and compares from the observation of the Wilson building (1946) by the Peruvian architect Enrique Seoane Ros with the famous building of the Chicago school, by the North American architect Luis Sullivan named Wainwright Building (1891), the coincidences in the design between both buildings, are great despite the fact that the style differs and the distance in time of both are 55 years, which makes us assume that the Sullivan building was an influence and inspiration for the work of the architect Enrique Seoane Ros. I clarify that this vision is personal and unique to the author of this article, which I share for your reading and viewing

    Competing or Collaborating Systems: Are we ready for Health and Social Care Integration?

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    In 2013, the UK Government announced a major £3.8 billion healthcare initiative, the Better Care Fund. This funding was intended to be used within local health and care systems to drive closer integration, create new service efficiencies, support technological innovation and most importantly, improve outcomes for patients and people with care and support needs. This is a new experimental policy with no evaluation of early progress to date. In this position paper we propose that significant challenges lie ahead both in terms of developing new strategies for health and social care partnership development and also operationalizing these within new forms of collaborative professional working. We argue that a systems or sociotechnical approach can facilitate a better understanding of the potential challenges for integrating health and social care information systems

    Rosewillow W.I. disbands after 74 years

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    Newspaper Article - 'Rosewillow W.I. disbands after 74 years'. December 14, 1999AWI CollectionThe small membership of seven ladies have decided it is time to dissolve their branch, as of December 14, 1999. Rosewillow Womens' Institute was formed November 26, 1925, making it 74 years since its inception. No charter members are living today, but Mrs. Alice Avison has been with the branch since December 5, 1935. Constituency Convener, Mrs. Hazel Miskew, attended the final meeting of this willing branch. Since this was also a Christmas Party, the meeting opened with carol singing and the Creed. The song sheets were yellow with age and parched around the edges. A cabinet has been erected in the Wainwright Museum to hold the W. I. memorabilia and the minute books. Visitors will be able to view the artifacts. Tables and benches from the old Sligo School, north- east of Wainwright, are being donated to the Museum for c o n c e s s i o n use. Rosewillow ladies held their summer meetings in this school house, until it became too derelict. Final procedures are being made to pay all dues; with local charities to benefit from the disposition of monies that may be left. As an annual treat to the residents, these ladies have baked many packages of cookies to take to the Auxiliary Hospital and the Wainwright Seniors Lodge. Many years ago, there were a Wainwright Womens' Institute, as well as, a Gilt Edge former members available
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