1,394 research outputs found
How is she in the water
No full textPublished work by a Douglas College Student Alumni. With an unlikely sea creature in his bathtub, Cleveland's future is at risk. Can he do what it takes to set things right? Author is exploring the assumption of humans ruling a fictitious hierarchy of living and non-living things.Final book published.DC Author's celebration 202
Cost-effectiveness of oral nutritional supplements in older malnourished care home residents
No full textBACKGROUND & AIMS:
Malnutrition is common in care home residents, but information on the cost-effectiveness of nutritional interventions is lacking. This study, involving a randomised trial in care home residents, aimed to examine whether oral nutritional supplements (ONS) are cost-effective relative to dietary advice.
METHODS:
An incremental cost-effectiveness analysis was undertaken prospectively in 104 older care home residents (88 ± 8 years) without overt dementia, who were randomised to receive either ONS or dietary advice for 12 weeks. Costs were estimated from resource use and quality adjusted life years (QALYs) from health-related quality of life, assessed using EuroQoL (EQ-5D-3L, time-trade-off) and mortality. The incremental cost-effectiveness ratio (ICER) was calculated using 'intention to treat' and 'complete case' analyses.
RESULTS:
The ONS group gained significantly more QALYs than the dietary advice group at significantly greater costs. The ICER (extra cost per QALY gained), adjusted for nutritional status, type of care, baseline costs and quality of life, was found to be £10,961 using the 'intention to treat' analysis (£190.60 (cost)/0.0174 (QALYs); n = 104) and £11,875 using 'complete case' analysis (£217.30/0.0183; n = 76) (2016 prices). Sensitivity analysis based on 'intention to treat' data indicated an 83% probability that the ICER was ≤£20,000 and 92% that it was ≤£30,000. With the 'complete case data' the probabilities were 80% and 90% respectively.
CONCLUSION:
This pragmatic randomised trial involving one of the oldest populations subjected to a cost-utility analysis, suggests that use of oral nutritional supplements in care homes are cost-effective relative to dietary advice
For and against; should doctors advise young people to abstain from sex?
No full textAgainst a background of high rates of teenage pregnancy and an increasing prevalence of sexually transmitted infections, the sexual conduct of young people is vigorously debated. Many teenagers later say that they had sexual intercourse "too early" but should doctors be advising young people to abstain from sex? Trevor Stammers, who is a tutor in general practice and an author and broadcaster on sexual health, and Roger Ingham, who has done research on sexual conduct and sex education in Britain and other countries, consider whether advising abstinence is an effective response to declining teenage sexual health
Oral nutritional supplements in a randomised trial are more effective than dietary advice at improving quality of life in malnourished care home residents.
No full textBACKGROUND & AIMS:
Few trials have explored the effect of nutrition support on quality of life (QoL). This study examined the effects of oral nutritional supplements (ONS) vs dietary advice on QoL in malnourished care home residents.
METHODS:
104 malnourished, care home residents (medium + high risk), identified using the Malnutrition Universal Screening Tool ('MUST'), (mean age 88.5 ± 7.9y) were randomised to receive either oral nutritional supplements (ONS) (n = 53) or dietary advice (n = 51) for 12 weeks. Dietary intake was measured using 24 h dietary recall, and QoL assessed using EuroQol (EQ-5D), including time trade off (TTO) (range -0.59 to 1) and visual analogue scale (VAS) (score 0 to 100) for self-perceived health.
RESULTS:
QoL (adjusted for baseline QOL, malnutrition risk, type of care received (nursing or residential)) was significantly higher in the ONS than the dietary advice group (intention to treat analysis at week 12; n = 104 ). EQ-5D TTO scores (mean ± SE) were 0.50 ± 0.04 vs 0.36 ± 0.05 (P = 0.005), VAS rescaled scores were 0.54 + 0.03 vs 0.046 + 0.03 (P = 0.006) and VAS scores were 61.3 ± 4.5 vs 54.6 ± 6.3 (P = 0.533) for ONS vs dietary advice respectively. Total energy, protein and the majority of micronutrient intakes were significantly greater in the ONS group, with energy intake being 423 kcal greater in the ONS than the dietary advice group at week 12.
CONCLUSIONS:
This study in malnourished care home residents indicates that ONS can improve QoL and nutritional intake more effectively than dietary advice alone
Ready-made oral nutritional supplements improve nutritional outcomes and reduce health care use—A randomised trial in older malnourished people in primary care
No full textLarge trials assessing oral nutritional supplements (ONS) and dietary advice (DA) in primary care are lacking. This study examined effects of ONS + DA versus DA on intake, weight, QoL, healthcare use and satisfaction in malnourished free‐living older people. Three hundred and eight people (71.5 ± 10.7y) were randomised to receive ONS + DA (n154) or DA (n154) for 12 weeks. At baseline, 4, 8, 12 weeks, intake, weight, QoL, healthcare use and satisfaction were measured. ONS + DA group (mean daily intake ONS 480 kcal; 21 g protein; 80% compliance) had significantly greater total energy and protein intakes (+401 kcal/d, p < 0.001; +15 g/d, p < 0.001) and weight gain (+0.8 kg; p < 0.001) compared to DA. QoL improved in both groups over time with a significant improvement in index with ONS + DA (p = 0.009). Significantly more participants found ONS + DA made a difference for them (p = 0.011), but no differences were found between groups using Euroqol. Compared to DA, healthcare use reduced with ONS + DA, (HCP visits by 34%, emergency admissions 50%, LOS 62%). Acceptability of both interventions was high (ONS 96%, DA 95%), with significantly more participants satisfied with ONS (89%) than DA (73%) (p = 0.009). This trial in primary care indicates that ONS are acceptable, make a difference to patients, significantly improve intake and weight, and reduce health care use with potential savings.</p
Comparison of the Sacco Triage Method Versus START Triage Using a Virtual Reality Scenario in Advance Care Paramedic Students
No full textColbourn, H. Trevor - office
No full textDr. Trevor Colbourn, President of UCF 1978-1989, in a suit and tie in his office. Colbourn was the author of The lamp of experience; Whig history and the intellectual origins of the American Revolution in 1965.https://stars.library.ucf.edu/univphotocollection/1612/thumbnail.jp
From dadaism to free jazz: the cultural developments of a new aesthetic
No full textWhat does it mean for something to be called “avant-garde”? The ambiguity of such a label fails to define the works of which it is typically applied. It’s more relevant to think of the term as an on-going process that explores new artistic possibilities. This thesis will look at some factors that helped propel such a process into motion and the shared aesthetics that came as a result. An avant-garde process began in the early 20th century as individuals and groups sought out a divergent worldview that began to question the rapidly developing Western worldview dominated by science and its frameworks. By looking at the works and statements of key individuals of the time such as the surrealist André Breton, psychologist Carl Gustav Jung and poet Charles Olson, one gets a clearer picture of the many factors that fueled this divergence. The most notable being World War I with its atrocities and globalized horrors, the splintering of social groups between capitalism and communism and increased secularization. In cataloguing the connections between both political and artistic groups it becomes clear how the collective skepticism and questioning of the then dominant worldview led to the eventual creation of an altogether new worldview centered around concepts and ideas not available in old. The development of jazz is seen within this light as a uniquely culturally positioned art form. From more traditional jazz styles to more experimental, jazz is looked at as following a parallel trajectory into a moment of avant-garde synthesis. In looking at the early development of progressive jazz musicians Ornette Coleman, Cecil Taylor and John Coltrane, this thesis aims to cement the 1950s as a hotbed in which an avant-garde aesthetic converged, ultimately resulting in music of the likes of free jazz and beyond.M.A.Includes bibliographical referencesby Trevor E. Hudso
International Author and Lecturer Trevor Hudson Discusses the Pastor’s Identity
No full textDoctor of Ministry (D.Min.) students at Gardner-Webb University were able to benefit recently from virtual lectures and discussions with spiritual formation personality, the Rev. Trevor Hudson, from Benoni, South Africa. The seminar class was made possible by endowed funds from the late Bonnie Price.https://digitalcommons.gardner-webb.edu/gardner-webb-newscenter-archive/3356/thumbnail.jp
Trevor Arnett Library Construction, November 15, 1931
No full textConstruction of the Trevor Arnett Library. Written on verso: Building of AU Library, 193
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