Role flexibility among telemedicine service providers in the north-west and west of Ireland

2005 ◽  
Vol 11 (1_suppl) ◽  
pp. 62-64 ◽  
Author(s):  
A Macfarlane ◽  
P Clerkin ◽  
A W Murphy

A recent review of telemedicine services in the north-west and west of Ireland identified 11 telemedicine services, most of which were in the early stages of implementation. A qualitative approach was used to review them. Semistructured interviews were conducted with a multidisciplinary group of primary- and secondary-care providers (n = 21) who were involved with either synchronous or asynchronous telemedicine services. Data were analysed according to the principles of framework analysis. Participants described the ways in which they were flexible about their workload, professional identities and roles to facilitate the organization and delivery of telemedicine services, and to ensure that services ran smoothly. While the positive effect of product champions and members of a wider supportive network or alliance on the conception and development of telemedicine services must be acknowledged, questions remain about associated long-term implementation and sustainability.

Author(s):  
Tatiana Vasilievna Pomogaeva ◽  
Aliya Ahmetovna Aseinova ◽  
Yuriy Aleksandrovich Paritskiy ◽  
Vjacheslav Petrovich Razinkov

The article presents annual statistical data of the Caspian Research Institute of Fishery. There has been kept track of the long term dynamics of the stocks of three species of Caspian sprat (anchovy, big-eyed kilka, sprat) and investigated a process of substituting a food item of sprats Eurytemora grimmi to a small-celled copepod species Acartia tonsa Dana. According to the research results, there has been determined growth potential of stocks of each species. Ctenophoran-Mnemiopsis has an adverse effect on sprat population by eating fish eggs and larvae. Ctenophoram - Mnemiopsis is a nutritional competitor to the full-grown fishes. The article gives recommendations on reclamation of stocks of the most perspective species - common sprat, whose biological characteristics helped not to suffer during Ctenophoram outburst and to increase its population during change of the main food item. Hydroacoustic survey data prove the intensive growth of common sprat biomass in the north-west part of the Middle Caspian. According to the results of the research it may be concluded that to realize the volumes of recommended sprat catch it is necessary to organize the marine fishery of common sprat at the Russian Middle Caspian shelf.


2019 ◽  
Vol 28 (10) ◽  
pp. 628-633
Author(s):  
Judith Ormrod

This qualitative study aims to explore and analyse the experiences of women living with female genital mutilation (FGM) who have sought help from healthcare providers within the NHS. Nine women aged 20–46 years were recruited from support organisations in the north-west of England and interviewed about their experiences of NHS care and if any screening had taken place in relation to the consequences of living with FGM. The interviews were undertaken in English, audiotaped, transcribed and analysed using a framework analysis method. Eight of the women had given birth and the main contact with the NHS had been with midwifery, gynaecology and paediatric services. Three key themes emerged from the qualitative data: involvement with healthcare professionals; silent suffering; and compassionate communication. Findings highlight the importance of sensitive and culturally competent communication nurses require to support women and refer them to appropriate services.


2008 ◽  
Vol 59 (3) ◽  
pp. 247 ◽  
Author(s):  
David W. Lester ◽  
Colin J. Birch ◽  
Chris W. Dowling

Nitrogen (N) and phosphorus (P) are the 2 most limiting nutrients for grain production within the northern grains region of Australia. The response to fertiliser N and P inputs is influenced partly by the age of cultivation for cropping, following a land use change from native pasture. There are few studies that have assessed the effects of both N and P fertiliser inputs on grain yield and soil fertility in the long term on soils with contrasting ages of cultivation with fertility levels that are running down v. those already at the new equilibrium. Two long-term N × P experiments were established in the northern grains region: one in 1985 on an old (>40 years) cultivation soil on the Darling Downs, Qld; the second in 1996 on relatively new (10 years) cultivation on the north-west plains of NSW. Both experiments consisted of fertiliser N rates from nil to 120 kg N/ha.crop in factorial combination with fertiliser P from nil to 20 kg P/ha.crop. Opportunity cropping is practiced at both sites, with winter and summer cereals and legumes sown. On the old cultivation soil, fertiliser N responses were large and consistent for short-fallow crops, while long fallowing reduced the size and frequency of N response. Short-fallow sorghum in particular has responded up to the highest rate of fertiliser N (120 kg N/ha.crop). Average yield increase with fertiliser N compared with nil for 5 short-fallow sorghum crops was 1440, 2650, and 3010 kg/ha for the 40, 80, and 120 kg N/ha, respectively. Average agronomic efficiency of N for these crops was 36, 33, and 25 kg grain/kg fertiliser N applied. This contrasts with relatively new cultivation soil, where fertiliser N response was generally limited to the first 30 kg N/ha applied during periods of high cropping intensity. Response to P input was consistent for crop species, VAM sensitivity, and starting soil test P level. At both the old and new cultivation sites, generally all winter cereals responded to a 10 kg P/ha application, and more than half of long-fallow sorghum crops from both sites had increased grain yield with P application. At the old cultivation site, average yield gain for 10 kg P/ha.crop treatment was 480 kg/ha for all winter cereal sowings, and 180 kg/ha for long-fallow sorghum. Short-fallow sorghum did not show yield response to P treatment.


1978 ◽  
Vol 29 (4) ◽  
pp. 711 ◽  
Author(s):  
AS Hodgson

Two experiments were conducted to determine the growing degree-day (D°) requirements of annual B. campestris and B. napus cultivars, and to evaluate their use in planning crop development strategies to avoid frost and moisture deficit at three locations. In the first experiment, base temperatures and D° requirements were calculated for four phases from planting to grain-filling, on the basis of linear temperature-development rate responses measured in the field at Tamworth, N.S.W. The phenological pattern of each species was predicted for several planting dates at locations representing the north-west slopes, northern tablelands and an intermediate region, by using long-term mean daily temperatures and calculated Do requirements. From these predictions and long-term mean daily rainfall and pan evaporation rates, the available soil moisture depletion was estimated for each planting date. For each location, planting date strategies for both species were evaluated for avoidance of frost and moisture deficit. The predicted optimum planting dates for B. napus and B. campestris were, respectively, 20 June and 5 August for the north-west slopes, 20 August and 1 October for the northern tablelands, and 30 June and 18 August for the intermediate region. In the second experiment, the influence of planting date on the grain yield of B. campestris and B. napus was studied in several seasons at each of the locations studied in the first experiment. The planting date that gave the highest yield varied between species and locations. B. campestris was favoured by later dates than B. napus. For both species these dates were earliest on the north-west slopes and latest on the northern tablelands. Yields of B. napus were higher than those of B. campestris at all locations when each species was planted at a favourable time. Predicted optimum planting dates from experiment 1 are discussed in relation to the field results from experiment 2. _____________________ *Part I, Aust. J. Agric. Res., 29: 693 (1978).


Curationis ◽  
2007 ◽  
Vol 30 (2) ◽  
Author(s):  
M. Greeff ◽  
R. Phetlhu

The five countries with the highest HIV prevalence rates in the world are situated in southern Africa, and South Africa, with an estimated 4,7 million people living with HIV (PLWA), has more cases of HIV/AIDS than any other country. AIDS stigma and discrimination continue to impact on those living with and affected by the HIV disease and their health-care providers, particularly in southern Africa, where the burden of AIDS is so significant. Stigma has become a major problem in the provision o f care for PLWA in Africa. A five-year multinational African study on perceived AIDS stigma was undertaken. The North West Province in South Africa formed part of this study. The first phase focused on exploring and describing the meaning and effect o f stigma for PLWA and nurses involved in their care. This article focuses on the data for the North West Province, South Africa. An exploratory descriptive qualitative research design was used. Through focus groups the critical incident method was applied to gain respondents’ emic and etic views. The study was conducted in the Potchefstroom district and the Kayakulu area. Purposive voluntary sampling was utilised. The open coding technique was used for data analysis. Three types of stigma (received, internal and associated stigma) and several dimensions for each type o f stigma were identified. Recommendations for interventions, a measuring scale and the formulation of a conceptual model were formulated.


1924 ◽  
Vol 61 (9) ◽  
pp. 416-423 ◽  
Author(s):  
Arthur E. Clark

A few years ago Mr. Carruthers described an aberrant coral, Cryptophyllum hibernicum, from the Lower Carboniferous of Bundoran, Donegal. Cryptophyllum occurred in the Lower Calp shales, which are considered to be about at the horizon of Vaughan's C2 to S1 beds. Another aberrant genus, Heptaphyllum, also from the north-west of Ireland—Lower Carboniferous shales, Sligo—forms the subject of this paper. Cryptophyllum is remarkable, first for the manner in which the earlier major septa appear—irregularly, and nearly simultaneously, instead of regularly, and in consecutive pairs, as is typical for Rugose Corals; and also in the development of only five septa instead of the normal six in the earliest growth stages. Heptaphyllum, as its name implies, develops seven septa in the young corallum. It resembles Cryptophyllum in having an early aseptate corallum, and in the way in which the earlier septa appear.


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