731 research outputs found

    Nursing the dying within a generalist caseload: a focus group study of district nurses

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    Background: Community nurses (members of UK District Nursing teams) have a key role in the provision of palliative care in the community in the UK. However, their views about delivering palliative care within their generalist workload have not been assessed.Objectives: To explore community nurses’ perceptions of their palliative care role, and their provision of such care within the context of their wider generalist workload.Design: Focus group study.Setting: Four Primary Care Trusts in London, UK.Participants: A purposive sample of 51 community nurses.Methods: Nine focus groups (four to seven participants in each) were conducted between 2003 and 2004. Data were analysed using the framework approach.Results: We identified five broad themes. Community nurses felt they had a central role in the provision of palliative care to patients at home. Many felt this role was not recognised by other health care professionals and managers. Palliative care was identified as unpredictable and time-consuming within a pressurized context characterised by staff shortages and consequent lack of time. Whilst rewarding, palliative care took its toll on nurses’ emotions, compounded by a perceived lack of formal support. Finally, undertaking palliative within a generalist workload created additional pressures for community nurses.Conclusions: The integration of palliative care into routine generalist caseloads generated workload stresses in time and emotion. Community nurses felt their palliative care role and its impact on workload was not adequately acknowledged. Palliative care specific support mechanisms and ways of working may be necessary to meet patients’ and professionals’ expectations of effective, compassionate care at the end of life

    Roles, service knowledge and priorities in the provision of palliative care: a postal survey of London GPs

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    Objectives: To explore general practitioners' (GPs) current involvement in and attitudes towards the provision of palliative care in primary care. Methods: Postal survey of 356 London-based GPs, assessing attitudes towards palliative care provision, district nursing and specialist palliative care services, and priorities for future service development. Results: Currently, 65% of GPs were providing palliative care to patients on their list; 72% agreed or strongly agreed palliative care was a central part of their role; and 27% wanted to hand care over to specialists. Most GPs (66%) disagreed with the statement that 'palliative care is mainly district nursing (DN) work'. Many were unaware of out-of-hours DN and specialist palliative care services. Multi-variable analysis found four GP characteristics - larger practice size, more years experience as a GP, receipt of palliative care education, and current provision of palliative care - were associated with agreement that palliative care was central to a GP's role. Conclusion: A minority of NHS GPs in London would rather have no involvement in palliative care in primary care. Knowledge of current services for palliative care is generally poor among GPs. These findings highlight potential gaps in services, particularly in small practices. Specialists will need to consider these factors in working with GPs to develop primary palliative care and to enable greater access to specialist palliative care

    Sheffield Doctoral Publishing Prize 2024 - Information session for applicants (recording)

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    This session, which was held on 14 March 2024, provided information about the Sheffield Doctoral Publishing Prize 2024 for potential applicants. Speakers were Jenni Adams (Open Research Manager, University of Sheffield Library) and Kate Petherbridge (Manager of White Rose University Press).The recording is provided as an .mp4 file. The slides are also provided separately as a .pdf file.</p

    Mapping the distributions of Pacific and western brook lampreys along the Oregon south coast using eDNA and community science : ... report

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    Shon Schooler, Jenni Schmitt, Deborah Rudd, Becky Flitcroft, and Ian Rodger.This archived document is maintained by the State Library of Oregon as part of the Oregon Documents Depository Program. It is for informational purposes and may not be suitable for legal purposes.Includes bibliographic references.USDA U.S. Forest Service provided funding for this projectMode of access: Internet from the Oregon Government Publications Collection.Text in English

    Plasma metabolites reflect seasonally changing metabolic processes in a long-distance migrant shorebird (Calidris canutus)

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    Migrant birds have tightly scheduled annual cycles consisting of several distinct life cycle (sub-)stages such as reproduction, migration, moult and overwintering, each of which have specific metabolic requirements (e.g., fattening during migration, protein build-up during moult). This study examines changes in fat and protein metabolism during the annual cycle of body mass and moult over 1.5 years in a captive flock of an arctic-breeding shorebird, the red knot Calidris canutus islandica. 2–5 h after food withdrawal, plasma uric acid levels were still decreasing and β-hydroxy-butyrate levels were low, indicating prolonged catabolism of dietary protein, probably linked with a conversion into lipids. Such a late-resorptive state is achieved much earlier in passerines, but only after several days in penguins and, thus, seems to depend on meal size or mass-specific metabolic rate. Substages of body mass gain and high body mass were characterized by increased plasma triglyceride levels reflecting increased turnover of lipids, and low levels of the ketone body β-hydroxy-butyrate, indicating that the bird is not short of glucose. The high uric acid levels during these substages indicated an increased breakdown of nutritional protein. During moult, plasma triglyceride levels were low, suggesting that lipids were less available than at other times of the year. It is concluded that plasma metabolite levels indicate the metabolic processes related to migratory fuelling and moult and the influence of exogeneous factors.

    Open Research Conversation: Open Access Monographs, White Rose University Press and the Sheffield Thesis Publishing Prize

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    Recording of the following session, part of the 'Open Research Conversations' seminar series at the University of Sheffield (organised by the University Library, Scholarly Communications Team):  Open Research Conversation: Open Access Monographs, White Rose University Press and the Sheffield Thesis Publishing Prize This Open Research Conversation will celebrate the inaugural University of Sheffield Thesis Publishing Prize, held in partnership with White Rose University Press. Applicants to the Publishing Prize submitted proposals for how they would turn their theses into an open access monograph, and five of these have been taken forward for consideration by White Rose University Press with all open access charges covered if commissioned, as well as receiving £250 in prize money. In this session, we will hear from Press Manager, Kate Petherbridge and showcase some of the prizewinning work. We will also highlight the Library’s Institutional Open Access Fund, created to support TUoS staff and PGRs in publishing monographs, book chapters and edited collections with open access publishers.   Speakers:  Jenni Adams, Open Research Manager, University of Sheffield Kate Petherbridge, Manager, White Rose University Press Adele Mason-Bertrand, Postdoctoral Research Associate, University of Leeds Jost Migenda, Postdoctoral Researcher, Kings College London Emily Nunn, Scholarly Communications Librarian, University of Sheffield </p

    Metamodern sensibility in Jenni Fagan's 'The Waken'

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    Jenni Fagan is a critically acclaimed author whose works explore marginalized girlhood in Scottish cultural contexts. "The Waken" depicts the story of a young girl brought up by a violent father on a Hebridean island in which a Stevensonian representation of evil acquires a feminist flavour. Through allusions to Stevenson's Gothic, Fagan draws on the antisyzygy element in Scottish literature but instead of reproducing an idea of duelling polarities within one entity, she uses binary oppositions in a polysyzygiacal way. This article shows that multiple alignments and plural connections of Fagan's polysyzygy indicate her text's participation in a metamodern sensibility. Creating a metamodern simultaneity in which a feminist deconstruction of patriarchal narratives coexists with the employment of the reconstructive potential of myth, Fagan's narrative presents a more dialogical approach to male literary traditions than the works of postmodern feminists.1Jenni Fagan is a critically acclaimed author whose works explore marginalized girlhood in Scottish cultural contexts. "The Waken" depicts the story of a young girl brought up by a violent father on a Hebridean island in which a Stevensonian representation of evil acquires a feminist flavour. Through allusions to Stevenson's Gothic, Fagan draws on the antisyzygy element in Scottish literature but instead of reproducing an idea of duelling polarities within one entity, she uses binary oppositions in a polysyzygiacal way. This article shows that multiple alignments and plural connections of Fagan's polysyzygy indicate her text's participation in a metamodern sensibility. Creating a metamodern simultaneity in which a feminist deconstruction of patriarchal narratives coexists with the employment of the reconstructive potential of myth, Fagan's narrative presents a more dialogical approach to male literary traditions than the works of postmodern feminists.

    Searching for Brown Dwarf Companions to White Dwarfs

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    To date, thousands of exoplanets have been discovered and characterised but the high contrast between planets and their host stars makes atmospheric studies difficult. White dwarf–brown dwarf binaries offer unique opportunities to study brown dwarfs and their atmospheres with minimal contamination from the host star when observing in the infrared. Although up to 0.5% of white dwarfs are predicted to have brown dwarf companions, these systems are rare, with only ∼10 known close white dwarf–brown dwarf binaries, and ∼7 such binaries with a wide separation. In this thesis, I present the discovery and characterisation of multiple white dwarf–brown dwarf binary systems. With near-infrared spectroscopy, I find a new wide white dwarf–brown dwarf binary SDSS J2225+0016, which has the third smallest separation for a spatially resolved white dwarf–brown dwarf binary after GD 165AB and PHL 5038AB. I characterise the orbit as well as the brown dwarf and compare this binary to other brown dwarf and exoplanetary systems. I analyse new infrared spectroscopic data of the close, eclipsing white dwarf–brown dwarf binary WD1032+011, extracting the phase-dependent spectra of the brown dwarf. I show the effects of constant irradiation on the atmosphere of the brown dwarf, causing a dayside-nightside temperature contrast and slowing the contraction of the brown dwarf such that its radius is inflated. I examine the candidate white dwarf–brown dwarf binary WD0950+0115 using near-infrared and optical spectroscopy to determine the presence of a companion that causes a radial velocity variation in the Hα and Hβ lines in the atmosphere of the white dwarf. I also present near-infrared spectroscopy of 10 candidate brown dwarf companions to white dwarfs identified via the Backyard Worlds citizen science project. I identify 7 new brown dwarf companions amongst this sample, determining their spectral types, thus adding to the small sample of these rare binaries.</p

    Jenni Brandon: Colorist Landscape Composer Three Selected Works for Oboe

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    This project examines three contrasting works, featuring the oboe by award- winning American composer, Jenni Brandon. A champion of writing new music for the oboe, Brandon has composed thirteen works from 2003 to 2016, ranging from unaccompanied solo works to woodwind chamber ensemble. Brandon is highly influenced by her surrounding landscapes and paints vivid musical pictures. Apart from being emotionally impactful, Brandon’s works are enriched with color, lyricism, and technical demand. This document focuses on three selected oboe works by Brandon: On Holt Avenue (2006), In the City at Night (2008), and The Sequoia Trio (2008). It presents a biographical sketch of the composer, surveys of the works, compositional process and provide performance practice considerations. It is hoped that this research will continue to increase awareness of the composer, provide performers a better understanding on approaching the selected work, while promoting individual expression.Embargo status: Restricted to TTU community only. To view, login with your eRaider (top right). Others may request the author grant access exception by clicking on the PDF link to the left

    Oulunsalon kirjaston asiakasanalyysi

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    TIIVISTELMÄ Oulun seudun ammattikorkeakoulu Kirjasto- ja tietopalvelun koulutusohjelma ________________________________________ Tekijä: Jenni Backman Opinnäytetyön nimi: Oulunsalon asiakasanalyysi Työn ohjaaja: Ulla Virranniemi Työn valmistumislukukausi ja -vuosi: Syksy 2012 Sivumäärä: 61 ________________________________________ Tässä työssä tarkastellaan kunnan väestön demografisia muuttujia sekä kartoitetaan kirjaston palvelut ja käyttäjät. Tutkimuksessa kirjaston kohderyhmänä tarkastellaan kaikkia kuntalaisia. Kirjaston palveluita sekä olemassa olevia asiakkaita tarkastellaan kunnan väestöön verraten. Opinnäytetyön on tilannut Oulunsalon kirjasto. Tutkimuksessa on käytetty valmiita tilastoja sekä dokumentteja kunnasta ja kirjastosta. Tilastokeskus on suurin aineiston lähde Oulunsalon kunnan ohella. Lisäksi menetelmänä käytettiin teemahaastattelua. Haastateltavina olivat Oulunsalon kirjaston työntekijät. Työn viitekehyksessä käsitellään kuntalaista kirjaston asiakkaana sekä kirjastonkäyttöä ja sen tutkimista. Oulunsalon historiaa tarkastellaan hieman ja uuden Oulun kirjastoverkko esitellään. Kulttuuriympäristön selvityksessä käydään läpi kunnan aktiivista harraste-, järjestö- ja kulttuuritoimintaa. Väestöselvityksessä saatuja tietoja pyritään havainnollistamaan graafisin esityksin. Palvelu- ja käyttäjäryhmäselvityksen sekä aiempien yleisistä kirjastoista tehtyjen tutkimusten perusteella Oulunsalon kirjasto on piirteiltään tyypillinen suomalainen kunnankirjasto.ABSTRACT Oulu University of Applied Sciences Degree Programme in Library and Information Services ________________________________________ Author(s): Jenni Backman Title of thesis: Customer analysis of Oulunsalo Library Supervisor(s): Ulla Virranniemi Term and year when the thesis was submitted: Autumn 2012 Number of pages: 61 ________________________________________ In this thesis I examine demographical variables of local population and survey the library’s services and users. Every habitant of Oulunsalo is considered as library’s target group. Library services and existing customers are assimilated on local population. Thesis is made for the library of Oulunsalo. As research material is used statistics and documents. Majority of the material is produced by Statistics Finland and Oulunsalo municipal. Thesis contains also theme interview where the workers of the library is interviewed. I review citizen as library user, library use and library research in the framework. I examine the history of Oulunsalo and its library briefly. Library services of new Oulu are also reviewed. In survey of culture environment I look in to lively organization and culture activities of Oulunsalo. In report of population structure information is clarified with graphics. Library of Oulunsalo didn’t depart from other public libraries in the service and customer group survey, if compared on other research made from public libraries
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