scholarly journals ‘Care co-ordinator in my pocket’: a feasibility study of mobile assessment and therapy for psychosis (TechCare)

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e046755
Author(s):  
Nadeem Gire ◽  
Neil Caton ◽  
Mick McKeown ◽  
Naeem Mohmed ◽  
Joy Duxbury ◽  
...  
Keyword(s):  
Real Time ◽  
Feasibility Study ◽  
System Analysis ◽  
Psychological Intervention ◽  
Health Resources ◽  
Independent Manner ◽  
North West ◽  
Reduce Health Inequality ◽  
Mobile Phone Application ◽  
The North

ObjectivesThe aim of the project was to examine the acceptability and feasibility of a mobile phone application-based intervention ‘TechCare’, for individuals with psychosis in the North West of England. The main objectives were to determine whether appropriate individuals could be identified and recruited to the study and whether the TechCare App would be an acceptable intervention for individuals with psychosis.MethodsThis was a mixed methods feasibility study, consisting of a test-run and feasibility evaluation of the TechCare App intervention.SettingEarly Intervention Services (EIS) for psychosis, within an NHS Trust in the North West of England.ParticipantsSixteen participants (test-run n=4, feasibility study n=12) aged between 18 and 65 years recruited from the East, Central and North Lancashire EIS.InterventionA 6-week intervention, with the TechCare App assessing participants’ symptoms and responses in real-time and providing a personalised-guided self-help-based psychological intervention based on the principles of Cognitive Behaviorual Therapy (CBT).ResultsA total of 83.33% (n=10) of participants completed the 6-week feasibility study, with 70% of completers achieving the set compliance threshold of ≥33% engagement with the TechCare App system. Analysis of the qualitative data suggested that participants held the view that the TechCare was both an acceptable and feasible means of delivering interventions in real-time.ConclusionInnovative digital clinical technologies, such as the TechCare App, have the potential to increase access to psychological interventions, reduce health inequality and promote self-management with a real-time intervention, through enabling access to mental health resources in a stigma-free, evidence-based and time-independent manner.Trial registration numberClinicalTrials.gov Identifier: NCT02439619.

scholarly journals Trends of Regional Banking System Develoment (Illustrated by entities of the North-West Federal Area)

2021 ◽  
Vol 18 (1) ◽  
pp. 47-58
Author(s):  
M. A. Pechenskaya-Polishchuk ◽  
A. A. Volkov
Keyword(s):  
Interest Rates ◽  
System Analysis ◽  
Banking System ◽  
Regional Level ◽  
Synthesis System ◽  
North West ◽  
The North ◽  
Total Profit ◽  
Regional Banks ◽  
Legal Entities

The article studies the lines in the development of banking system in regions of the North-West Federal Area. By analyzing the banking system on the regional level within the period being researched the authors identified such key trends as a decline in the number of regional banks, a growth in the total profit of the banking system in the federal area, a rise in the volume of credits granted to individuals, legal entities and individual entrepreneurs, a drop in credits given to entities of small and medium entrepreneurship, a cut in interest rates of credits to legal entities and a sharp increase in overdue debt under credit on mortgage. On the basis of the analysis the key figures of the banking system on the regional level (illustrated by regions of the North-West federal area) the authors identified negative and positive trends, which allowed them to substantiate the key lines in the development of regional banking system. The principle findings of the research can be useful for management of regional banks and state authorities. Such methods as comparative analysis, longitude, synthesis, system analysis and economic-statistic methods were used in the research.

scholarly journals Operational hydro-meteorological warning and real-time flood forecasting: the Piemonte Region case study

2005 ◽  
Vol 9 (4) ◽  
pp. 457-466 ◽  
Author(s):  
D. Rabuffetti ◽  
S. Barbero
Keyword(s):  
Real Time ◽  
Flood Forecasting ◽  
Po River ◽  
North West ◽  
Risk Levels ◽  
The North ◽  
Area Of Interest ◽  
Operational Forecasts ◽  
Flood Alert

Abstract. The development and implementation of a real-time flood forecasting system in the context of the Piemonte Region's hydro-meteorological operational alert procedure is described. The area of interest is the Upper Po River basin (north-west Italy) of approximately 37000 km2 and its river network of about 3000 km and three big lakes. FloodWatch, a GIS-based decision support system for real-time flood forecasting, has been developed and used operationally at the Piemonte Region's Room for the Situation of Natural Hazards in Torino, Italy, since January 2000. The system is linked directly to the telemetric gauges system, uses daily quantitative precipitation and temperature forecasts issued by the Regional Meteorological Service and automatically supplies operational forecasts of water-level and discharge at about 30 locations for up to 48 hours. Strengths and limits of the system and its link with operational flood alert and management are discussed. The case study presented is the October 2000 flood event, when the north-west of Italy experienced one of the largest floods on record. Results highlight how the uncertainty linked to the use of meteorological forecasts greatly influences the quality of the hydrological forecasts. The proposed alert procedure, based on coded risk levels, can help effectively in facing forecast uncertainties.

How salient is the nurse~square merger?

2013 ◽  
Vol 17 (2) ◽  
pp. 297-323 ◽  
Author(s):  
KEVIN WATSON ◽  
LYNN CLARK
Keyword(s):  
Experimental Investigation ◽  
Real Time ◽  
Audience Response ◽  
Linguistic Context ◽  
North West ◽  
The North ◽  
The Status ◽  
Single Speaker ◽  
Shed Light ◽  
The Web

This article reports the results of an experimental investigation into listeners' evaluative reactions towards the nurse~square merger in the north-west of England, in an attempt to shed light on its salience. Although speakers across England's north-west have a nurse~square merger, its realisation differs: in Liverpool, speakers typically merge to a mid front [ɛː], while speakers from St Helens, just 20km further east, merge to a mid central [ɜː]. To test listeners' responses to each variant, we presented two groups of listeners from each of these localities with read sentence data from a single speaker. The speaker was from the north-west of England and had a centralised nurse~square vowel in his native accent (representing the St Helens model). To achieve a matched-guise, the original nurse~square vowels were acoustically manipulated to give the impression of fronting (representing the Liverpool model). Listeners from Liverpool and St Helens were asked to react to guises along the status dimension, and their reaction was measured in real-time using bespoke audience response software administered via the web. The novelty in this approach is that it can be used not only to show that listeners do indeed react to the guises, but also to examine precisely when this reaction takes place. Our results show that (a) overall, speakers with a nurse~square merger are not rated highly on the status dimension, regardless of whether they have a merger to a front or central vowel; (b) listeners' real-time reactions can be correlated with instances of nurse and square; and (c) listeners' responses to nurse can be different from responses to square. We discuss these results in relation to the salience of this merger in particular and to salience in general. We suggest that the salience of nurse and square is related to the local social context and the micro-linguistic context in which they appear.

SEM and TEM observations of sperm development in the testis of the freshwater fish Oreochromis mossambicus

1990 ◽  
Vol 48 (3) ◽  
pp. 58-59
Author(s):  
Daryl A. Cornish ◽  
George L. Smit
Keyword(s):  
Morphological Characteristics ◽  
Oreochromis Mossambicus ◽  
Breeding Cycle ◽  
Limited Information ◽  
North West ◽  
The North ◽  
Sem And Tem ◽  
Sperm Development ◽  
Ultrastructural Characteristics ◽  
The University

Oreochromis mossambicus is currently receiving much attention as a candidater species for aquaculture programs within Southern Africa. This has stimulated interest in its breeding cycle as well as the morphological characteristics of the gonads. Limited information is available on SEM and TEM observations of the male gonads. It is known that the testis of O. mossambicus is a paired, intra-abdominal structure of the lobular type, although further details of its characteristics are not known. Current investigations have shown that spermatids reach full maturity some two months after the female becomes gravid. Throughout the year, the testes contain spermatids at various stages of development although spermiogenesis appears to be maximal during November when spawning occurs. This paper describes the morphological and ultrastructural characteristics of the testes and spermatids.Specimens of this fish were collected at Syferkuil Dam, 8 km north- west of the University of the North over a twelve month period, sacrificed and the testes excised.

The North West Passage

2014 ◽  
Author(s):  
Roald Amundsen ◽  
Godfred Hansen
Keyword(s):  
North West ◽  
The North
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