scholarly journals Managing alcohol-related attendances in emergency care: can diversion to bespoke services lessen the burden?

2017 ◽  
Vol 35 (2) ◽  
pp. 79-82 ◽  
Author(s):  
Andy Irving ◽  
Steve Goodacre ◽  
Joanne Blake ◽  
Davina Allen ◽  
Simon C Moore

Acute alcohol intoxication (AAI) has a long history of burdening emergency care services. Healthcare systems around the world have explored a variety of different services that divert AAI away from EDs to better manage their condition. Little formal evaluation has been undertaken, particularly in the UK where alcohol misuse is one of the highest in the world. In this article, we outline a brief history of diversionary services, introduce the concept of Alcohol Intoxication Management Services (AIMS) and describe examples of AIMS in the UK. We then describe Evaluating the Diversion of Alcohol-Related Attendances, a natural experiment including six cities with AIMS compared with six cities without, that involves an ethnographic study, records patient experiences in both AIMS and EDs, assesses impact on key performance indicators in healthcare and evaluates the cost-effectiveness of AIMS.

Author(s):  
Ros Scott

This chapter explores the history of volunteers in the founding and development of United Kingdom (UK) hospice services. It considers the changing role and influences of volunteering on services at different stages of development. Evidence suggests that voluntary sector hospice and palliative care services are dependent on volunteers for the range and quality of services delivered. Within such services, volunteer trustees carry significant responsibility for the strategic direction of the organiszation. Others are engaged in diverse roles ranging from the direct support of patient and families to public education and fundraising. The scope of these different roles is explored before considering the range of management models and approaches to training. This chapter also considers the direct and indirect impact on volunteering of changing palliative care, societal, political, and legislative contexts. It concludes by exploring how and why the sector is changing in the UK and considering the growing autonomy of volunteers within the sector.


1971 ◽  
Vol 3 (4) ◽  
pp. 473-492 ◽  
Author(s):  
Laurie Taylor

Editorial note. March 17th, 1971 was the fiftieth anniversary of the opening by Marie Stopes of her birth control clinic in Holloway, London, the first of its kind in the UK and possibly in the world. In recognition of this notable event, the Board of the Marie Stopes Memorial Foundation, in conjunction with the University of York, has established a Marie Stopes Memorial Lecture to be given annually for a term of years. The first of the series was delivered on 12th March in the Department of Sociology, University of York, by Mr Laurie Taylor of that department. In introducing the speaker, Dr G. C. L. Bertram, the Chairman, emphasized the great contribution made by Marie Stopes to human welfare and gave a brief history of the clinic, which was soon moved to Whitfield Street. On Marie Stopes' death in 1958 the Memorial Foundation was set up to manage the clinic, still in Whitfield Street, and as a working monument to a great women.Mr Taylor's script is printed below as delivered and it will be seen that the lecture was a notable one. Not only that, but it was delivered with the verve of a Shakespearean actor and the members of the large and appreciative audience will not readily forget the occasion.


2020 ◽  
Vol 29 (1) ◽  
pp. 223-242 ◽  
Author(s):  
Lee Jones ◽  
Vanessa Banks ◽  
Ian Jefferson

AbstractSwelling and shrinking soils are soils that can experience large changes in volume due to changes in water content. This may be due to seasonal changes in moisture content, local site changes such as leakage from water supply pipes or drains, changes to surface drainage and landscaping, or following the planting, removal or severe pruning of trees or hedges. These soils represent a significant hazard to structural engineers across the world due to their shrink–swell behaviour, with the cost of mitigation alone running into several billion pounds annually. These soils usually contain some form of clay mineral, such as smectite or vermiculite, and can be found in humid and arid/semi-arid environments where their expansive nature can cause significant damage to properties and infrastructure. This chapter discusses the properties and costs associated with shrink–swell soils, their formation and distribution throughout the UK and the rest of the world, and their geological and geotechnical characterization. It also considers the mechanisms of shrink-swell soils and their behaviour, reviewing strategies for managing them in an engineering context, before finally outlining the problem of trees and shrink–swell soils.


2017 ◽  
Vol 64 (3) ◽  
pp. 379-394
Author(s):  
Rimantas Stašys ◽  
Ligita Šimanskienė ◽  
Jurgita Paužuolienė

Abstract As a consequence of globalisation, people’s mobility has been increasing, which brought cultural diversity to a number of countries of the world, therefore intercultural competences became a particularly important research object in organisation management. Scientific literature is rich in publications on the topic, however, the latter problem and its specificity has been insufficiently studied in health care organisations whose performance is especially important for each patient and the cost of errors, possibly caused also by insufficient intercultural competences, may be very great. The conducted research justifies the meaning and significance of intercultural competences in health care organisations and identifies the principal problems in organisations faced when communicating in an intercultural environment. The development of intercultural competences was not sufficiently promoted in health care organisations, leaving that to the staff’s responsibility. Quite a few of health care services providers had a poor knowledge of etiquette and did not know much about the customs and traditions of other countries.


2015 ◽  
Vol 8 (3) ◽  
pp. 307-316 ◽  
Author(s):  
Ana Novoa ◽  
Haylee Kaplan ◽  
Sabrina Kumschick ◽  
John R. U. Wilson ◽  
David M. Richardson

AbstractThe rate of transportation, introduction, dissemination, and spread of nonnative species is increasing despite growing global awareness of the extent and impact of biological invasions. Effective policies are needed to prevent an increase in the significant negative environmental and economic impacts caused by invasive species. Here we explore this issue in the context of the history of invasion and subsequent regulation of cacti introduced to South Africa. We consider seven approaches to restricting trade by banning the following: (1) species already invasive in the region, (2) species invasive anywhere in the world, (3) species invasive anywhere in the world with a climate similar to the target region, (4) genera containing invasive species, (5) growth forms associated with invasiveness, (6) cacti with seed characteristics associated with invasiveness, and (7) the whole family. We evaluate each approach on the basis of the availability and complexity of information required for implementation, including the cost of the research needed to acquire such information, the likely numbers of false positives and false negatives, the likely degree of public acceptance, and the costs of implementation. Following a consultative process, we provide recommendations for how to regulate nonnative cacti in South Africa. The simplest option would be to ban all cacti, but available evidence suggests that most species pose negligible risk of becoming invasive, making this option unreasonable. The other extreme—reactively regulating species once they are invasive—would incur significant control costs, likely result in significant environmental and economic impacts, and limit management goals (e.g., eradication might be unfeasible). We recommended an intermediate option—the banning of all genera containing invasive species. This recommendation has been partly incorporated in South African regulations. Our study emphasizes the importance of scientific research, a legal framework, and participation of stakeholders in assessments. This approach builds awareness, trust, and support, and ensures that all interests are reflected in final regulations, making them easier to implement and enforce.


Author(s):  
Prajakta Markad ◽  
Satyam Takawale ◽  
Nikhil Lomate ◽  
Prof. Aparna Mote

Life has changed a lot after the world was struck by the pandemic. People have to think twice before touching their loved ones. The most affected relationship, as we observed, is that between a doctor and a patient. People are afraid of going to the hospital as they fear contracting COVID-19 from another patient or the doctors and nurses that will be checking them. The root of this fear is Touch. Patients are afraid of contracting the virus and thus prefer to either ignore their symptoms and go on with their day or lie to the doctors to get out of the hospital quickly. Incomplete information about the symptoms may lead misdiagnosis, which can be fatal. Our main motive to implement this application is to bridge the gap created by the pandemic between doctors and patients. This app will help a person to catalog their symptoms, keep a tab of their medication and if required, call for help from the nearest hospital. This will ensure that all the symptoms are catalogued, the history of the patient is already known, which ensures correct diagnosis in a shorter time frame with relatively minimum contact. The proposed app also has a feature to specify whether the person using the application is specially abled. This feature will ensure that the person is cared for in a way that suits their needs.


Author(s):  
Alimu Tuoheti

All around the world, how we interpret the Islamic world objectively and accurately is an important topic for concerned scholars all over the world. Britain has a history of Islamic Studies for more than 400 years, and the current standard and research paradigm of Islamic Studies in the UK deserves our attention. It is of great practical significance for us to thoroughly and systematically understand the contemporary Islamic world in this special historical stage of great turbulence, great differentiation, and great change, and then comprehensively grasp the regional issues of Islam and build a discourse system of Islamic research with modern characteristics. In the past 30 years, Japanese academic circles have not been able to keep abreast of the development of Islamic Studies in the UK, let alone go deep into the frontier field of cultural communication. Based on this, through literature analysis and field visits, this Project intends to overview of the current situation of Islamic Studies in Britain and Japan, focusing on the two main paradigms of its cultural studies, and then to explore the how these academic efforts can benefit and impact the discourse construction of Islamic Studies in Japan and UK.


2021 ◽  
Vol 19 (Sup10) ◽  
pp. S12-S17
Author(s):  
Carl Houghton ◽  
Ann Taylor

This narrative review looks at how alcohol misuse can be distinguished from unproblematic alcohol consumption, and it considers the extent of alcohol use in the UK, along with the cost of alcohol, financial and otherwise, to individuals and wider society. It focuses on the perceived public stigma and personal stigma associated with alcohol misuse and dependence and how this can discourage people from seeking help from healthcare services. This includes the negative impact of stigmatising language in reinforcing stereotypes and creating expectations. The article explores alcohol-related readmissions and the emotional consequences of ‘revolving-door syndrome’ for patients and professionals. Recommendations are made for hospital screening for risky lifestyle factors, as well as professional education on alcohol screening and interventions. The article concludes with recommendations for further study, to not lose sight of the patient and to destigmatise language to break down barriers to treatment access.


2015 ◽  
Vol 15 (3) ◽  
pp. 59-71 ◽  
Author(s):  
Andrew Oyen Arewa ◽  
Peter Farrell

The culture of an organisation is a vital element of business competency that must align with its strategic goals, and enhance peoples’ perceptions, feelings and behaviour in adapting to the world around them. Organisational culture may also bring about negative practices such as dishonesty and unethical behaviours. Recently the culture of some construction organisations has been called into question. For example, major construction projects around the globe have become involved in allegations of fraud and corruption. The cost is currently estimated at US$860 billion globally; with forecasts that it may rise to US$1.5 trillion by 2025. Hitherto the role of the culture of construction organisations in fraud and corruption activities has been largely hidden. The study aim is to establish whether the culture of construction organisations promotes corrupt practices in the UK construction and infrastructure sector. The study employed mixed research methods with interviews supported by a questionnaire and an examination of five case studies in different countries. Findings show that the culture of construction organisations together with the nature of the industry promotes fraud and corruption. The study subsequently highlights key cultural factors that support fraud and corruption in a way that is almost institutionalised.  


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