Lymphoedema care in the mobile unit: a service evaluation of patient experience and attendance rates

2021 ◽  
Vol 27 (6) ◽  
pp. 1-8
Author(s):  
Marie Gabe-Walters ◽  
Melanie Thomas ◽  
Rhian Noble-Jones
Keyword(s):  
Service Evaluation ◽  
Attendance Rates ◽  
Mobile Unit ◽  
South Wales ◽  
Ease Of Access ◽  
Mobile Health Unit ◽  
Staff Experiences ◽  
The Impact ◽  
Parking Facilities ◽  
Community Based Services

Background/aims Lymphoedema can be a life-long burden to patients. Value-based lymphoedema services should aim to empower patients and meet expectations of care. This study evaluated the attendance rates and experiences of patients accessing a mobile health unit for lymphoedema care. Methods A questionnaire was shared with all adult patients with lymphoedema at 16 mobile unit clinics in south Wales over 3 months in 2019. Attendance rates and questionnaire data were explored descriptively. Results Out of 417 patients, 175 (37%) participated in the study. Of these, a considerable majority (132/148, 89%) expressed a preference for the mobile unit compared to hospital-based services. Reasons for this preference included ease of access, excellent staff and parking facilities. Non-attendance rates of 8% were observed at the mobile unit. Conclusions Patients favoured attending the mobile unit, suggesting that mobile care is a key aspect of value-based healthcare, allowing services to be planned around patient needs. However, this did not fully resolve the issue of non-attendance. The impact of such community-based services on health outcomes, costs and staff experiences should be explored before widespread adoption is implemented.

scholarly journals The Impact of Changing from Prednisolone to Dexamethasone for the Management of Wheeze in Children- A Service Evaluation

2021 ◽  
pp. 44-46
Author(s):  
James Thyng ◽  
Lynn Cunningham ◽  
Susanne McKinley ◽  
Felix Hay ◽  
Catherine Nunn ◽  
...  
Keyword(s):  
Single Dose ◽  
Electronic Health Records ◽  
Emergency Departments ◽  
Service Evaluation ◽  
Oral Steroid ◽  
Attendance Rates ◽  
Dose Requirement ◽  
Health Records ◽  
Paediatric Emergency ◽  
The Impact

Dexamethasone has become a popular alternative to Prednisolone as an oral steroid used for wheeze in children in many Paediatric Emergency Departments. It has proved non-inferior to Prednisolone in several studies [1,2] and its main advantages are single dose requirement and greater tolerability in children [3,4]. However, to the best of our knowledge there are no studies looking into the differences in re-attendance rates. Using our local Electronic Health Records, we extracted data of all over 5-year olds presenting with asthma and wheeze for 21 months of Prednisolone data and 15 months of Dexamethasone and found no statistically significant increase in re-attendance rates.

The Effect of Information Technology on Fluidity of Contemporary Architectural Space

2019 ◽  
Vol 7 (1) ◽  
pp. 62-72
Author(s):  
Shatha Abbas Hassan ◽  
Noor Ali Aljorani
Keyword(s):  
Information Technology ◽  
Communication Systems ◽  
Research Problem ◽  
Architectural Space ◽  
Human Thought ◽  
Technological Developments ◽  
Ease Of Access ◽  
The Impact ◽  
Role Of Information

The increasing importance of the information revolution and terms such as ‘speed’, ‘disorientation’, and ‘changing the concept of distance’, has provided us with tools that had not been previously available. Technological developments are moving toward Fluidity, which was previously unknown and cannot be understood through modern tools. With acceleration of the rhythm in the age we live in and the clarity of the role of information technology in our lives, as also the ease of access to information, has helped us to overcome many difficulties. Technology in all its forms has had a clear impact on all areas of daily life, and it has a clear impact on human thought in general, and the architectural space in particular, where the architecture moves from narrow spaces and is limited to new spaces known as the ‘breadth’, and forms of unlimited and stability to spaces characterized with fluidity. The research problem (the lack of clarity of knowledge about the impact of vast information flow associated with the technology of the age in the occurrence of liquidity in contemporary architectural space) is presented here. The research aims at defining fluidity and clarifying the effect of information technology on the changing characteristics of architectural space from solidity to fluidity. The research follows the analytical approach in tracking the concept of fluidity in physics and sociology to define this concept and then to explain the effect of Information Technology (IT) to achieve the fluidity of contemporary architectural space, leading to an analysis of the Skidmore, Owings and Merrill (SOM) architectural model. The research concludes that information technology achieves fluidity through various tools (communication systems, computers, automation, and artificial intelligence). It has changed the characteristics of contemporary architectural space and made it behave like an organism, through using smart material.

scholarly journals Effects of Indigenous Diet Iron Content and Location on Hemoglobin Levels of Ghanaians

Nutrients ◽  
2020 ◽  
Vol 12 (9) ◽  
pp. 2710 ◽  
Author(s):  
April Callister ◽  
Joanna Gautney ◽  
Christina Aguilar ◽  
Julian Chan ◽  
David Aguilar
Keyword(s):  
Food Group ◽  
Food Type ◽  
Plant Proteins ◽  
Food Groups ◽  
Sex Distribution ◽  
Dietary Interventions ◽  
Food Frequency ◽  
Blood Samples ◽  
Ease Of Access ◽  
The Impact

Multiple studies have demonstrated strong links between diet and anemia, but few have explored the impact of food groups on hemoglobin (Hb). We analyzed the correlation between Ghanaian diet and Hb levels to explore reduction of anemia prevalence through dietary interventions. Demographics, food frequency questionnaires (FFQ), and blood samples were obtained from 140 volunteers (ages 18–65) in five locations across Ghana. Hb was measured; estimated iron consumption was calculated. FFQ items were grouped by food type, and a regression analysis was performed to determine the most important dietary predictors of Hb. Moreover, 47% of total participants were anemic; 64% of females and 28% of males. Hb levels were highest in Mole (13.9 g/dL, SD = ±1.9), independent of sex distribution. The regression model revealed a 62.7% adjusted correlation between food groups and Hb levels. Animal foods (β = 0.016, t = 5.08, p < 0.01) and plant protein (β = 0.013, t = 2.86, p < 0.01) were the most influential groups to Hb levels. It is of vital importance to emphasize the benefits of consuming animal foods and plant proteins within the Ghanaian population. The ease of access to plant proteins makes it likely that this food group will be most influential and have the greatest impact in reduction of anemia in the Ghanaian population.

Seed production and seedling emergence of Giant Parramatta grass on the north coast of New South Wales

1996 ◽  
Vol 36 (3) ◽  
pp. 299 ◽  
Author(s):  
TS Andrews ◽  
RDB Whalley ◽  
CE Jones
Keyword(s):  
Seed Production ◽  
Seed Bank ◽  
New South ◽  
New South Wales ◽  
Seed Banks ◽  
North Coast ◽  
The North ◽  
South Wales ◽  
Seed Fall ◽  
The Impact

Inputs and losses from Giant Parramatta grass [GPG, Sporobolus indicus (L.) R. Br. var. major (Buse) Baaijens] soil seed banks were quantified on the North Coast of New South Wales. Monthly potential seed production and actual seed fall was estimated at Valla during 1991-92. Total potential production was >668 000 seeds/m2 for the season, while seed fall was >146000 seeds/m2. Seed fall >10000 seeds/m2.month was recorded from January until May, with further seed falls recorded in June and July. The impact of seed production on seed banks was assessed by estimating seed banks in the seed production quadrats before and after seed fall. Seed banks in 4 of the 6 sites decreased in year 2, although seed numbers at 1 damp site increased markedly. Defoliation from mid-December until February, April or June prevented seed production, reducing seed banks by 34% over 7 months. Seed banks in undefoliated plots increased by 3300 seeds/m2, although seed fall was estimated at >114 000 seeds/m2. Emergence of GPG seedlings from artificially established and naturally occurring, persistent seed banks was recorded for 3 years from bare and vegetated treatment plots. Sown seeds showed high levels of innate dormancy and only 4% of seeds emerged when sown immediately after collection. Longer storage of seeds after collection resulted in more seedlings emerging. Estimates of persistent seed banks ranged from 1650 to about 21260 seeds/m2. Most seedlings emerged in spring or autumn and this was correlated with rainfall but not with ambient temperatures. Rates of seed bank decline in both bare and vegetated treatment plots was estimated by fitting exponential decay curves to seed bank estimates. Assuming no further seed inputs, it was estimated that it would take about 3 and 5 years, respectively, for seed banks to decline to 150 seeds/m2 in bare and vegetated treatments.

scholarly journals Engagement with daily testing instead of self-isolating in contacts of confirmed cases of SARS-CoV-2

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alex F. Martin ◽  
Sarah Denford ◽  
Nicola Love ◽  
Derren Ready ◽  
Isabel Oliver ◽  
...  
Keyword(s):  
Pilot Study ◽  
Minority Groups ◽  
Service Evaluation ◽  
Future Research ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Significant Group ◽  
Negative Test ◽  
The Impact ◽  
Close Contacts

Abstract Background In December 2020, Public Health England with NHS Test and Trace initiated a pilot study in which close contacts of people with confirmed COVID-19 were given the option to carryout lateral flow device antigen tests at home, as an alternative to self-isolation for 10–14 days. In this study, we evaluated engagement with daily testing, and assessed levels of adherence to the rules relating to behaviour following positive or negative test results. Methods We conducted a service evaluation of the pilot study, examining survey responses from a subset of those who responded to an evaluation questionnaire. We used an online cross-sectional survey offered to adult contacts of confirmed COVID-19 cases who consented to daily testing. We used a comparison group of contacts who were not offered testing and instead self-isolated. Results Acceptability of daily testing was lower among survey respondents who were not offered the option of testing and among people from ethnic minority groups. Overall, 52% of respondents reported being more likely to share details of people that they had been in contact with following a positive test result, if they knew that their contacts would be offered the option of daily testing. Only 2% reported that they would be less likely to provide details of their contacts. On the days that they were trying to self-isolate, 19% of participants reported that they left the house, with no significant group differences. Following a negative test, 13% of respondents reported that they increased their contacts, but most (58%) reported having fewer risky contacts. Conclusions Our data suggest that daily testing is potentially acceptable, may facilitate sharing contact details of close contacts among those who test positive for COVID-19, and promote adherence to self-isolation. A better understanding is needed of how to make this option more acceptable for all households. The impact of receiving a negative test on behaviour remains a risk that needs to be monitored and mitigated by appropriate messaging. Future research should examine attitudes and behaviour in a context where infection levels are lower, testing is more familiar, and restrictions on activity have been reduced.

Up the Garden Path? Enterprise Bargaining and Decentralization in the NSW Public Sector

1995 ◽  
Vol 37 (2) ◽  
pp. 203-217 ◽  
Author(s):  
Michael O'Donnell
Keyword(s):  
Public Sector ◽  
New South ◽  
Industrial Relations ◽  
New South Wales ◽  
Green Paper ◽  
Garden Path ◽  
Reform Agenda ◽  
The Public ◽  
South Wales ◽  
The Impact

Decentralizing industrial relations within New South Wales is a central recom mendation of the Niland Green Paper (1989). Decentralism also represents the cornerstone of the New South Wales government's industrial relations reform agenda enshrined in the New South Wales Industrial Relations Act 1991. To date there has been little analysis of the impact o f this legislative change on industrial relations in the New South Wales public sector. This paper provides a case study that examines the degree to which responsibility for bargaining has been devolved within the Parks and Gardens of the New South Wales Ministry for the Environ ment. It argues that, in contrast to the rhetoric of the New South Wales Act, the central agency presiding over the introduction of enterprise bargaining in the public sector, the Public Employment and Industrial Relations Authority; has been reluctant to delegate responsibility to parties in the workplace.

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