scholarly journals Investigation into how each stakeholder plays a role at different levels of granularity to realise a long-term service design project

2019 ◽  
Vol 22 (sup1) ◽  
pp. 789-801
Author(s):  
Younjoon Lee ◽  
Jeyon Jung ◽  
Seunghoon Kwak
Keyword(s):  
Service Design ◽  
Design Project ◽  
Different Levels

scholarly journals Patient and Public Involvement project to identify and prioritize key components of a new exercise rehabilitation service for people with multi-morbidity

2021 ◽  
Author(s):  
Natasha Jones ◽  
Kate Jackson ◽  
Charlie Foster ◽  
Hamish Reid ◽  
Katherine Edwards ◽  
...  
Keyword(s):  
Public Involvement ◽  
Service Design ◽  
Rehabilitation Service ◽  
Rehabilitation Services ◽  
Published Data ◽  
Ageing Population ◽  
Service Users ◽  
Exercise Rehabilitation ◽  
Design Project

Background: In an ageing population with high levels of multi-morbidity, the preventative effects of exercise rehabilitation(ER) are significant. The NHS currently delivers ER mainly in disease-specific areas. There is a lack of published data to support the long term effectiveness of this model. In the light of emerging evidence supporting the effectiveness of physical activity for multi-morbidity, it is timely to consider different models of ER service delivery. Engagement with and adherence to ER is an important factor in its long term effectiveness. Active involvement and engagement with users is therefore essential at the service design level. The objective of this project, therefore, is to involve users in the preliminary stages of service re-design by seeking to identify and prioritise service needs from a users perspective. These priorities will be used to form the aims of a co-design project with ongoing involvement of service users, aims which can be investigated as individual research questions.Methods: Forty people with multi-morbidity participated in discussion forums. Themes from the forums were summarised and presented in a format to inform the aims of future service co-design. Results: People with multi-morbidity were interested in involvement in the re-design of NHS rehabilitation services. People felt the NHS could and should do much more to support people to exercise because the barriers and motivators for exercise are inextricably linked to the symptoms of illness. Traditional NHS models of rehabilitation were challenged and participants suggested novel and exciting ideas about potential service design. Conclusions and discussion: Participants understand the potential value of exercise and are motivated to exercise. Motivation is thwarted by perceived barriers to competence, autonomy and cultural and social relatedness. Service users have novel and exciting ideas about how the NHS could improve exercise rehabilitation services in order to improve acceptability and accessibility to all. Together with ongoing service user involvement, these ideas can form the aims of a co-design project and ultimately will be developed into research questions in an evaluation of a new complex exercise rehabilitation intervention.

Use Of Tai Chi Elements To Increase Respiratory Amplitude

2019 ◽  
pp. 11-20
Author(s):  
Mihai-Alexandru Citea ◽  
Marius Neculaes
Keyword(s):  
High Performance ◽  
Tai Chi ◽  
Sports Club ◽  
Optimal Functioning ◽  
Physiological Adaptations ◽  
Competitive Activity ◽  
Abdominal Breathing ◽  
Study Participants ◽  
Different Levels

High performance sport has a major impact on the physiological adaptations of the respiratory system. The importance of the optimal functioning of this system is essential to achieve top results in high performance sport but also in maintaining a long term health status. Science journals present numerous studies that highlight the benefits of practicing Tai Chi on the general population, with effects ranging from improving cardiac function, to influencing the immune system. The purpose of this study is to identify whether by practicing Tai Chi forms a athlete can change their breathing pattern and develop their respiratory amplitude. The subjects of the study were 22 fencing practitioners, accredited at the Iași Municipal Sports Club (C.S.M. Iași), aged between 14 and 18 years, with over 3 years of competitive activity. Materials and method: The study participants were evaluated initially and at the end of 7 months of practice. The frequency was 3 sessions per week, and the duration of each session was 20-30 minutes. The evaluation consisted in measuring the circumference of the thorax at 3 different levels: subaxillary, medial thorax (T6-T7) and lower rib (diaphragmatic) in maximal inspiration and expiration. Conclusions: A constant evolution is observed in most of the exposed cases. In cases where this evolution is not visible, a change in the breathing mode can be noticed, transforming from an upper rib breathing into a thoracic or abdominal breathing. With the exception of one case, all subjects had an improvement of the value in the lower rib level.

scholarly journals Effects of disk tillage on soil condition, crop yield and weed infestation

2011 ◽  
Vol 48 (No. 1) ◽  
pp. 20-26
Author(s):  
M. Birkás ◽  
T. Szalai ◽  
C. Gyuricza ◽  
M. Gecse ◽  
K. Bordás
Keyword(s):  
Winter Wheat ◽  
Crop Yield ◽  
Field Experiments ◽  
Soil Layer ◽  
Soil Condition ◽  
Perennial Weeds ◽  
Weed Infestation ◽  
Set Up ◽  
Different Levels

This research was instigated by the fact that during the last decade annually repeated shallow disk tillage on the same field became frequent practice in Hungary. In order to study the changes of soil condition associated with disk tillage and to assess it is consequences, long-term tillage field experiments with different levels of nutrients were set up in 1991 (A) and in 1994 (B) on Chromic Luvisol at Gödöllö. The effects of disk tillage (D) and disk tillage combined with loosening (LD) on soil condition, on yield of maize and winter wheat, and on weed infestation were examined. The evaluation of soil condition measured by cone index and bulk density indicated that use of disking annually resulted in a dense soil layer below the disking depth (diskpan-compaction). It was found, that soil condition deteriorated by diskpan-compaction decreased the yield of maize significantly by 20 and 42% (w/w), and that of wheat by 13 and 15% (w/w) when compared to soils with no diskpan-compaction. Averaged over seven years, and three fertilizer levels, the cover % of the total, grass and perennial weeds on loosened soils were 73, 69 and 65% of soils contained diskpan-compaction.

Time-Dependent Changes in Excitability After One-Trial Conditioning of Hermissenda

1997 ◽  
Vol 78 (6) ◽  
pp. 3460-3464 ◽  
Author(s):  
Terry Crow ◽  
Vilma Siddiqi
Keyword(s):  
Time Dependent ◽  
Control Group ◽  
Type B ◽  
Control Groups ◽  
Phototactic Behavior ◽  
Parallel Processes ◽  
Short And Long Term ◽  
A Site ◽  
Different Levels

Crow, Terry and Vilma Siddiqi. Time-dependent changes in excitability after one-trial conditioning of Hermissenda. J. Neurophysiol. 78: 3460–3464, 1997. The visual system of Hermissenda has been studied extensively as a site of cellular plasticity produced by classical conditioning. A one-trial conditioning procedure consisting of light paired with the application of serotonin (5-HT) to the exposed, but otherwise intact, nervous system produces suppression of phototactic behavior tested 24 h after conditioning. Short- and long-term enhancement (STE and LTE) of excitability in identified type B photoreceptors is a cellular correlate of one-trial conditioning. LTE can be expressed in the absence of STE suggesting that STE and LTE may be parallel processes. To examine the development of enhancement, we studied its time-dependent alterations after one-trial conditioning. Intracellular recordings from identified type B photoreceptors of independent groups collected at different times after conditioning revealed that enhanced excitability follows a biphasic pattern in its development. The analysis of spikes elicited by 2 and 30 s extrinsic current pulses at different levels of depolarization showed that enhancement reached a peak 3 h after conditioning. From its peak, excitability decreased toward baseline control levels 5–6 h after conditioning followed by an increase to a stable plateau at 16 to 24 h postconditioning. Excitability changes measured in cells from unpaired control groups showed maximal changes 1 h posttreatment that rapidly decremented within 2 h. The conditioned stimulus (CS) elicited significantly more spikes 24 h postconditioning for the conditioned group as compared with the unpaired control group. The analysis of the time-dependent development of enhancement may reveal the processes underlying different stages of memory for this associative experience.

The British General Election of 1970 - Impressions of an Academic Candidate

1971 ◽  
Vol 6 (1) ◽  
pp. 36-57
Author(s):  
William Wallace
Keyword(s):  
General Election ◽  
The Political ◽  
Political Scientist ◽  
Ideal Types ◽  
Political Behaviour ◽  
Levels Of Reality ◽  
Political Scene ◽  
Different Levels ◽  
Political Battle

THE STUDENT OF POLITICS AND THE PRACTITIONER OF POLITICS approach the same problem from different ends. The student is concerned with searching for the underlying realities which can explain the surface shifts of political ephemera; or perhaps with disentangling the different levels of reality which he discerns from his dispassionate observation of the political scene. The practitioner is concerned above all with the intricacies of day-to-day politics. He is interested in long-term patterns of political behaviour only insofar as they affect his political chances, or insofar as foreknowledge will enable him to change and shape the developing pattern. At the opposite ends of this division of interest in the phenomena of politics one may imagine, as ideal types, the ‘pure’ political scientist, the neutral observer of the political battle whose attitude to the contestants and their fluctuating fortunes is one of scholarly detachment, and the dedicated politician, glorying in the clash and chaos of the battlefield, with little more than contempt for those who stand aside and watch. For those who stand towards either end of this division, there are now two separate worlds of politics.

Contradictions of the upcoming period: points for developing the agenda for medium- and long-term perspective

2021 ◽  
pp. 72-80
Author(s):  
D.M. Belousov ◽  
Keyword(s):  
Social Order ◽  
Social Situation ◽  
Regional Conflicts ◽  
Global Nature ◽  
Multi Level ◽  
Object Of Control ◽  
Trade Wars ◽  
New Social Order ◽  
Different Levels

Analysis of the economic and social situation allows for the conclusion that the world is entering an era of global instability and contradictions. There is clearly a crisis of compensatory and basic institutions. Humans cease to be the subjects of the historical process and instead are becoming the object of control. Contradictions are sharply increasing at different levels. We are witnessing the conflict between labor and capital related to the national nature of labor and the global nature of capital. Production, security and regional applied science are changing, but financial and institutional systems remain global. Information and trade wars are intensifying. During a multi-level crisis, it is difficult to predict what a new social order will be like, but the transition to it will be difficult and highly possibly rife with (macro-) regional conflicts.

scholarly journals Priming and substrate quality interactions in soil organic matter models

2013 ◽  
Vol 10 (3) ◽  
pp. 2089-2103 ◽  
Author(s):  
T. Wutzler ◽  
M. Reichstein
Keyword(s):  
Organic Matter ◽  
Soil Organic Matter ◽  
Balance Model ◽  
Levels Of Abstraction ◽  
Substrate Quality ◽  
Substrate Limitation ◽  
Energy Limitation ◽  
Bare Fallow ◽  
Different Levels

Abstract. Interactions between different qualities of soil organic matter (SOM) affecting their turnover are rarely represented in models. In this study, we propose three mathematical strategies at different levels of abstraction to represent those interactions. By implementing these strategies into the Introductory Carbon Balance Model (ICBM) and applying them to several scenarios of litter input, we show that the different levels of abstraction are applicable at different timescales. We present a simple one-parameter equation of substrate limitation that can straightforwardly be implemented into other models of SOM dynamics at decadal timescale. The study demonstrates how substrate quality interactions can explain patterns of priming effects, accelerate turnover in FACE experiments, and the slowdown of decomposition in long-term bare fallow experiments as an effect of energy limitation of microbial biomass. The mechanisms of those interactions need to be further scrutinized empirically for a more complete understanding. Overall, substrate quality interactions contribute to both understanding and quantitatively modelling SOM dynamics.

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