scholarly journals Research in the real world

2006 ◽  
Vol 30 (2) ◽  
pp. 43-45 ◽  
Author(s):  
Roger Paxton ◽  
Peter Kennedy ◽  
John Carpenter

A new approach to research and development (R&D) for mental health services is developing in the North-East, Yorkshire and Humber. It derives from experience with service redesign using the ‘collaborative’ approach developed by the US Institute for Health Improvement. Kennedy & Griffiths (2003) described such an approach involving 37 mental health trusts, each with a multidisciplinary team, with the aim of improving acute in-patient wards. After studying the patient's journey through care they agreed a set of improvement targets that all teams would work to achieve. Progress towards targets was measured and reported by all teams, who met periodically to compare performance and learn from each other. Remarkable energy to achieve objectives was released among front-line staff involved. Focus was sustained on what most concerned and benefited patients. Good ideas and results quickly spread to all these services affecting thousands of patients.

2021 ◽  
Vol 6 (3) ◽  
pp. 49-57
Author(s):  
Gary Shaw ◽  
Lee Thompson ◽  
Graham McClelland

Introduction: Suicide rates have risen in England over the last decade and hanging, a highly lethal method of suicide, has been the most common method. Previous work in this area identified a lack of literature discussing emergency medical services (EMS) attendance at hangings. This article aims to describe hangings attended by EMS in the North East of England in order to inform future work in this area.Methods: A retrospective service evaluation was conducted using existing data from a comprehensive pre-hospital trauma audit database to describe patients with hanging documented in their records who were attended by ambulance clinicians between 1 December 2018 and 31 November 2020.Results: Hanging was recorded in 604 incidents. Most cases (n = 579/604) involved adults (aged 18 years or older) with a median age of 35 years (IQR 27‐45 years), who were male (n = 410/579, 71%). Just over half (n = 341/579, 59%) of adult hangings resulted in cardiac arrest and of these, 10% (n = 33/341) were resuscitated and survived to hospital admission. Threatened and non-fatal hangings appear to have increased dramatically in the latter half of 2020. Previous suicide attempts and mental health issues were frequently reported across this population.Conclusion: Hangings are a method of suicide which frequently result in a cardiac arrest. In the North East of England the ambulance service attends approximately one hanging per day and one fatal hanging every two days. When fatal hangings were resuscitated, pre-hospital outcomes were similar to other causes of cardiac arrest, highlighting that despite the traumatic nature of these cases resuscitation is not futile. In order to better understand this patient group and improve care, pre-hospital data need to be linked to data from other services such as mental health services and acute hospitals.


1995 ◽  
Vol 19 (12) ◽  
pp. 731-733 ◽  
Author(s):  
Sawsan Reda

The closure of large psychiatric hospitals and the opening of community-based mental health facilities is a central part of British health policy for the care of people with mental illness. The North East Thames Regional Health Authority's (NETRHA) psychiatric hospitals closure plan started in 1985. As part of this a programme was established to assess the closure process (Leff, 1993). This study was carried out between 1988 and 1992 and was designed to study the reactions of the public to the hospital closure decision (Reda, 1993).


2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Airy Gras ◽  
Montse Parada ◽  
Joan Vallès ◽  
Teresa Garnatje

Abstract Background Catalonia (in the north east of the Iberian Peninsula) is among the most prospected territories in Europe, from the ethnobotanical point of view. The aim of the present paper is to undertake a global analysis in the area considered, including plants, plant life forms, and ethnobotanical data within a physiographic and geographic framework. Methods Data from 21 ethnobotanical prospection areas in Catalonia were collected, analyzed, and compared, with the focus on plant life forms and geographic divisions. Results A total of 824 taxa constitute the Catalan ethnoflora, and 316 of them are shared by the six physiographic zones recognized in Catalonia. When three major geographic areas are considered (Pyrenean, inland, and littoral), 394 taxa have been reported in only one out of the three areas. Concerning life forms, phanerophytes and chamaephytes together, i.e., those taxa present all through the year, are the most cited (37.12%). Conclusions This first study constitutes a new approach to ethnobotanical data analysis. The results show the particular importance of plants with a large distribution area and plants with available biomass throughout the year. Apart from this, other kind of plants, e.g., those present in only one territory, are of interest for its originality and sometimes for the local significance.


2015 ◽  
Vol 15 (1) ◽  
pp. 43-55 ◽  
Author(s):  
Wendy Dyer ◽  
Paul Biddle

The current UK Government's focus on the development of services to manage and support offenders with mental health problems has resulted in a number of innovative project developments. This research examines a service development in the North East of England which co-located mental health nurses with two Integrated Offender Management teams. While not solving all problems, the benefits of co-location were clear, although such innovations are now at risk from government changes which will make Integrated Offender Management the responsibility of new providers without compelling them to co-operate with health services.


2006 ◽  
Vol 2 (2) ◽  
pp. 10-19
Author(s):  
Victoria Wallace

This article analyses the speech of Cheryl Fernandez-Versini (nee Tweedy, formerly Cole), henceforth “Cheryl” , who experienced rapid geographical and socioeconomic mobility between 2002 and 2014. In 2002, Cheryl was a working-class 19-year-old from Newcastle Upon Tyne, north-east England. Since then, she has risen to fame on the talent show Popstars: The Rivals , in the girl band Girls Aloud , through her marriage to footballer Ashley Cole, and through her work as a judge on The X Factor , among other things. This paper seeks to analyse the effect this has had on her accent.Four recordings between 2002 and the present day are analysed to discuss changes to her original Tyneside English (TE) accent, specifically through the changing phonetics of the FACE  and the GOAT  vowels. These changes are discussed in terms of both the TE speech community and Cheryl’s personal experiences. The  two vowels have traditional diphthongs in TE which are different from the diphthongs in Received Pronunciation (RP). However, these vowels have been found to be undergoing dialect levelling, with many TE speakers producing them as the monophthongs found in the rest of the North (Watt 2000, 2002). The paper therefore investigates whether Cheryl follows the pattern of other TE speakers or moves towards RP.The recordings used are taken from online videos of interviews. The first time point studied is 2002, when Cheryl first rose to fame through Popstars: The Rivals , in which her GOAT  and FACE  vowels are shown to be the Northern monophthongs which have resulted from dialect levelling in TE. The intermediate time points studied are 2006 and 2011. In 2006, Cheryl was engaged to Ashley Cole and had been living and working in the south of England for 4 years. Both vowels move closer to RP in position but remain monophthongal. The 2011 recording is an interview in the US, during Cheryl’s brief career on American X Factor. The data for this time point are particularly interesting as the position of the vowels varies more, and the average position of both vowels does not fit the pattern of change, indicating style-shifting. The 2014 recording was the most recent interview of substantial length which could be found at the time of data collection. The analysis shows that Cheryl’s GOAT  vowel is significantly closer to RP than it was in 2002, despite remaining a monophthong, while her FACE  vowel appears to have become a diphthong as in RP.The results show that Cheryl does undergo lifespan change in these two vowels, being closer to RP at the time of writing than in 2002. However, the two intermediate time points studied show that these vowels do not change in parallel, as predicted by Watt (2000). The intermediate time points, in particular the 2011 data, give support to the conclusions of Rickford and Price (2013) and Bowie (2009) that in order to fully understand data on lifespan change, intermediate time points and factors other than age must be taken into account.


1969 ◽  
Vol 26 ◽  
pp. 61-64 ◽  
Author(s):  
Michael B.W. Fyhn ◽  
Thorkild M. Rasmussen ◽  
Trine Dahl-Jensen ◽  
Willy L. Weng ◽  
Jørgen A. Bojesen-Koefoed ◽  
...  

The East Greenland margin consists of a number of sedimentary basins, platforms and structural highs (Figs 1, 2). Due to the challenges imposed by the Arctic climate, the region is in an early stage of exploration, and knowledge of the geology and petroleum potential of the margin is limited. However, the significant prospectivity of the conjugated European North Atlantic margin and the nature of the North- East Greenland onshore geology prompt for future offshore exploration. The US Geological Survey thus highlighted the North-East Greenland margin in their latest assessment of the Arctic region (Gautier et al. 2011). With a mean estimate of undiscovered recoverable oil, gas, and natural gas liquids of approximately 31 billion barrels of oil equivalents, the US Geological Survey ranked the North-East Greenland margin fourth in the entire Arctic region, only superseded by known producing petroleum provinces.


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