Paramedics' perceptions and experiences of NHS 111 in the south west of England

2020 ◽  
Vol 12 (6) ◽  
pp. 227-234
Author(s):  
Joel S Phillips
Keyword(s):  
Structured Interview ◽  
Evidence Base ◽  
Ambulance Service ◽  
Telephone Triage ◽  
The South ◽  
Qualitative Research Design ◽  
South West ◽  
The Right ◽  
First Time ◽  
Gain Access

Background: NHS 111 is a non-emergency telephone triage service in England, where people with non-urgent health problems or questions can gain access to information and services. However, studies have demonstrated key problems with the burden it places on emergency and ambulance services. Aim: To add to the evidence base, this study explores the perceptions and experiences of paramedics who attend patients referred to the ambulance service by NHS 111. Methods: A qualitative research design was adopted and seven frontline paramedics who work in the south west of England were interviewed. Data were collected using semi-structured interview questions and thematically analysed. Findings: Key overarching themes identified included: non-clinical call handlers making clinical decisions; caution and liability; an unwarranted, increased demand on the ambulance service; inaccurate call prioritisation; and interprofessional conflict. Conclusion: Improvements need to be made to the NHS 111 service to ensure the triage software it uses is triaging and prioritising patients accurately and to minimise inappropriate referrals to the ambulance service, promoting the right care for patients the first time.

Letters of karl Marx to Karl Blind

1938 ◽  
Vol 4 ◽  
pp. 153-160
Author(s):  
Gustav Mayer
Keyword(s):  
Karl Marx ◽  
Public Order ◽  
The South ◽  
South West ◽  
Diplomatic Immunity ◽  
First Time

Marx met the then 22 years old Blind) for the first time in May 1848, when he and Engels made their appearance in the revolutionary state of Baden (Germany), after the Neue Rheinische Zeitung had been suspended. At that time they declared to the members of the republican committee at Karlsruhe (Landesa usschuss), that they considered the revolt in the South-West of Germany irretrievably doomed to failure, if no decisive moves in Hungary or another revolution in Paris should come to its rescue. The only members of the committee who supported this opinion were, as stated by Engels), Karl Blind and Amand Gögg. Soon afterwards Marx and Blind met again in Paris. On September 5 Marx gave Blind's address to Freiligrath as his own. Blind had been sent to France by the revolutionary governments of Baden and the Palatinate as one of the members of the legation, which these two shortlived republics intended to establish there. But Louis Napoleon's government ignored this legation, and consequently did not respect Blind's diplomatic immunity, when the latter, soon after his arrival, proved to be involved in the abortive coup of Ledru-Rollin of June 13. Blind was placed under arrest and expelled from France on the same day, on the ground that his presence was “such as to disturb public order and calm”.

Protogeometric Vases from Amorgos in the Museum of the British School

1989 ◽  
Vol 84 ◽  
pp. 177-185
Author(s):  
R.W.V. Catling ◽  
R.E. Jones
Keyword(s):  
Chemical Analysis ◽  
Early History ◽  
The Other ◽  
The South ◽  
South West ◽  
British School ◽  
History Of ◽  
First Time

Two vases, a cup and an oinochoe, from Arkesine in south-west Amorgos are published for the first time. It is argued that both are probably Middle Protogeometric, one an import from Euboia, the other from the south-east Aegean; chemical analysis supports both attributions. Their implications for the early history of Amorgos are discussed.

III.—Picrite from the Ampwihi River, Mozambique

1917 ◽  
Vol 4 (4) ◽  
pp. 150-157 ◽  
Author(s):  
Arthur Holmes ◽  
H. F. Harwood
Keyword(s):  
Narrow Channel ◽  
Dry Season ◽  
The Other ◽  
The South ◽  
Eastern Side ◽  
South West ◽  
Western Side ◽  
The Right ◽  
Sand And Gravel ◽  
The Military

Almost due west of Mozambique Island, at a distance of about forty-two miles from the sea, the military road from Mosuril to Nampula crosses the Ampwihi River, an important tributary of the Monapo. During the dry season the stream is reduced to a string of stagnant pools, separated by long reaches of sand and gravel that here and there are interrupted by outcrops of the underlying formations. Throughout the greater part of its course the Ampwihi flows through a region in which gneisses persist with monotonous regularity, the only variation being that due to occasional intrusions of granite and of still later pegmatite dykes. At the point where the military road crosses the narrow channel a welcome diversion is introduced by the presence of a dark compact dyke about 10 feet in thickness. The dyke appears on the right-hand bank and crosses obliquely to the other side, taking a N.N.W.–S.S.E. course across the strike of the older rocks. Upstream, about seventy yards to the south-east, the Ampwihi bends to the south-west, so that it returns towards the dyke, which is again exposed across its sandy floor. The dyke was traced by Mr. E. J. Wayland in July, 1911, for a distance of altogether 200 yards, and was examined by Mr. D. Alex. Wray and later by myself during the same year. It is clearly the latest rock of the district, and is intruded along a line of fault, for in two cases pegmatite dykes seen on the eastern side are broken across and reappear on the western side with a well-marked northerly displacement.

scholarly journals Exploring the role of volunteers in social care for older adults

2020 ◽  
Vol 21 (2) ◽  
pp. 129-139 ◽  
Author(s):  
Ailsa Cameron ◽  
Eleanor K. Johnson ◽  
Paul B. Willis ◽  
Liz Lloyd ◽  
Randall Smith
Keyword(s):  
Older Adults ◽  
Older People ◽  
Social Care ◽  
Evidence Base ◽  
Care Staff ◽  
Small Scale ◽  
The South ◽  
Content Type ◽  
South West

Purpose This paper aims to report the findings of a study that explores the contribution volunteers make to social care for older adults, identifying lessons for the social care sector and policymakers. Design/methodology/approach An exploratory multiple case study design was used to capture the perspectives and experiences of managers of services, volunteer co-ordinators, volunteers, paid care staff and older people. Seven diverse social care organisations took part in the study drawn from three locations in the South West of England. Findings This study identified three distinct models of volunteer contribution to social care services for older people. Although the contributions made by volunteers to services are valued, the study drew attention to some of the challenges related to their involvement. Research limitations/implications The organisations taking part in this small-scale study were all based in the South West of England, and the findings are therefore not generalisable but contribute to the growing evidence base related to this important field. Practical implications This study demonstrates the importance of the volunteer co-ordinator role and suggests that it is properly funded and resourced. It also confirms the importance of volunteers receiving appropriate training and support. Originality/value Given the increasing involvement of volunteers in the provision of social care, this paper provides lessons to ensure the role of volunteers in social care enhances rather than diminishes the quality of care provided.

scholarly journals The Works of Pergamon and their Influence

1886 ◽  
Vol 7 ◽  
pp. 251-274
Author(s):  
L. R. Farnell
Keyword(s):  
Good Reason ◽  
Right Wing ◽  
Left Wing ◽  
The South ◽  
Hellenic Journal ◽  
The West ◽  
West Side ◽  
South West ◽  
The Right ◽  
Made In

The questions concerning the art of Pergamon, its characteristics and later influence, depend partly for their solution on the reconstruction and explanation of the fragments in Berlin. Much progress has been made in the work during the last year. The discovery which decided what was the breadth of the staircase, and what were the figures which adorned the left wing and the left staircase wall, has been already mentioned in the Hellenic Journal. It is now officially stated that the staircase was on the west side of the altar, although Bohn, in his survey of the site, at first conceived that this was impossible. Assuming that this point is now settled, we may note what is certain, or probable, or what is merely conjectural, in the placing of the groups. We know that the wing on the left of the staircase, and the left staircase-wall, were occupied by the deities of the sea and their antagonists: by Triton, Amphitrite, Nereus, and others which we cannot name. Among them, also, we may perhaps discern the figure of Hephaestos, and in their vicinity we must suppose Poseidon. On the right wing of the staircase, and around the south-west corner, we have good reason for placing Dionysos, with Cybele and her attendant goddesses, although the order of the slabs on which these latter are found is not the same as was formerly supposed.

scholarly journals Ice-Shelf Flow at the Boundary of Crary Ice Rise, Antarctica

1988 ◽  
Vol 11 ◽  
pp. 8-13 ◽  
Author(s):  
R. A. Bindschadler ◽  
P. L. Vornberger ◽  
S .N. Stephenson ◽  
E. P. Roberts ◽  
S. Shabtaie ◽  
...  
Keyword(s):  
Surface Velocity ◽  
The South ◽  
Ice Shelf ◽  
West Side ◽  
North West ◽  
Ross Ice Shelf ◽  
South West ◽  
Lateral Tension ◽  
Free Block ◽  
First Time

Surface velocity and deformation, radar sounding, and aerial photography data are used to describe the flow of Ross Ice Shelf around Crary Ice Rise. A continuous band of crevasses around the ice rise now allows the complete boundary to be mapped for the first time. The dynamics of three distinctly different areas of ice flow are studied. Just up-stream of the ice rise, there is a region of ice rumples dominated by intense longitudinal compression (0.01 a−1) and lateral tension. On the south-west side of the ice rise, intense shear (0.03 a−1) dominates, with the boundary layer of affected ice-shelf motion extending over 20 km from the ice-rise edge into the ice shelf. North-west of the ice rise, a crevasse-free block of ice, 40 km × 7 km, appears to have separated from the main ice rise and is now moving with the ice shelf. We refer to such moving blocks of ice as rafts. The separation of this raft is calculated to have occurred 20 ± 10 years ago. Other possible rafts are identified, including one on the south-west side of the ice rise which appears to be in the process of separating. Mechanisms for the formation of rafts are discussed.

scholarly journals Age and Natural Environment of the Horse Hunters' Site Sholma I in the Right Bank of the Volga in Chuvashia

2021 ◽  
Vol 3 (37) ◽  
pp. 32-41
Author(s):  
Natalia S. Berezina ◽  
◽  
Alexander Yu. Berezin ◽  
Madina Sh. Galimova ◽  
◽  
...  
Keyword(s):  
Ice Age ◽  
Volga Region ◽  
The South ◽  
Middle Volga Region ◽  
South West ◽  
North Eastern ◽  
Middle Volga ◽  
Stone Industry ◽  
The Right ◽  
Eastern Kazakhstan

The paper presents new data on the dating and paleogeography of the Sholma I site, which has been studied by the authors since the early 2000s on the Tsivil River in Chuvashia. Two AMS dates obtained from horse bones from the 2017 excavation: 10838-10717 Cal BC (95,4%) (UOC-8154) и 11131-10846 Cal BC (95,4%) (UOC-8155) confirmed the authors ' opinion expressed in 2009 that the site of the final Paleolithic functioned in the natural conditions of the interstadial warming of the Allerød at the end of the ice Age. Results of a soil study of samples in 2017, in particular, analyzes for the content of gross phosphorus and microbiomorphs carried out by A. A. Golyeva are highlighted. Analogies to the features of the blade stone industry and trapezoid inserts of throwing weapons in the sites of the Pleistocene and Holocene boundary are revealed. As a result, the authors have outlined two possible directions of communication of specialized hunters who came to the Middle Volga region with a characteristic set of combat weapons in the conditions of interstadial warming. It could be south-east and south-west directions. The south-eastern one is represented by complexes with trapezia of the lower layers of the Shiderty 3 site in north-eastern Kazakhstan and the Gora Mayak settlement in the Samara trans-Volga region, and the south-western one – by the sites with trapezia and other forms of inserts that existed during Allerød in the valleys of the Seversky Donets and the Middle Don.

scholarly journals III.—Note on a New Species of Æpyornis(Æ Titan)

1894 ◽  
Vol 1 (1) ◽  
pp. 18-20 ◽  
Author(s):  
C.W. Andrews
Keyword(s):  
New Species ◽  
West Coast ◽  
Articular Surface ◽  
British Museum ◽  
The South ◽  
South West ◽  
South West Coast ◽  
The Right ◽  
A New Species

In a collection of vertebrate remains from the south-west coast of Madagascar, recently received in the British Museum, there occur numerous bones belonging to, at least, three species of Æpyornis. Among them are two tibio-tarsi, right and left, of gigantic size, much larger than any hitherto described. Both these bones are, unfortunately, considerably damaged at the upper end, the right one alone showing any portion of the proximal articular surface. They both, without doubt, belong to the same species, though probably not to the same individual. The left, which on the whole, is the better preserved, may be taken as the type of the species which it is proposed to call Æpyornis titan.

scholarly journals First record of shield-backed katydids in Madagascar with the description of a new genus and three new species (Orthoptera: Ensifera: Tettigoniidae: Tettigoniinae: Arytropteridini)

Zootaxa ◽  
2019 ◽  
Vol 4706 (4) ◽  
pp. 546-560
Author(s):  
SYLVAIN HUGEL
Keyword(s):  
New Species ◽  
New Genus ◽  
First Record ◽  
Taxonomic Position ◽  
The South ◽  
South West ◽  
Three New Species ◽  
First Time

Shield-backed katydids of tribe Arytropteridini Caudell, 1908 are recorded for the first time in Madagascar. The new genus Toliaridectes n. gen. is proposed to include three new species from the south west of the island: Toliaridectes meridionalis n. gen. n. sp., Toliaridectes wendenbaumi n. gen. n. sp. and Toliaridectes antsycurvis n. gen. n. sp.. Elements of biology of Toliaridectes n. gen. are given and the call of Toliaridectes antsycurvis n. gen. n. sp. is described. The taxonomic position of Arytropteridini is discussed.

scholarly journals II.—Excavations at Sparta, 1906: § 4.—The Great Altar near the Eurotas

1906 ◽  
Vol 12 ◽  
pp. 295-302
Author(s):  
Guy Dickins
Keyword(s):  
Large Structure ◽  
The South ◽  
City Wall ◽  
River Bank ◽  
Sharp Bend ◽  
Eastern Front ◽  
South West ◽  
The Right ◽  
The City

About 100 metres south-east of the new bridge over the Eurotas a line of large blocks can be seen in the right bank of the river running out into its bed. These are the remains of the city-wall, which originally must have made a sharp bend to the south-west, as it reappears in the field of the Heroön. But this angle, and the land which it enclosed, have been carried away by a change in the course of the river. Close to the northern arm of the angle, and abutting on the present river-bank, lies the large structure illustrated in Figs. 1 and 2. Its eastern front has long been visible, but seems to have escaped the observation of travellers. Excavation revealed at a depth of 0·70 m. below the present surface, a great platform 23·60 m. long by 6·60 m. wide and 1·90 m. high. There are four foundation courses, averaging 0·34 m. in height, of a softish crumbly stone, and a sillcourse 0·55 m. high, projecting 0·10 m. beyond the foundations. This sillcourse consists of squared and dressed blocks, which extend all round the building with a uniform breadth of 0·90 m., and vary from 1·60 m. to 2·50 m. in length. Their surface is carefully smoothed, leaving an edge on the outside, raised 0·003 m. and 0·07 to 0·08 m. wide. This careful finish, combined with the regularity of the foundation-courses, and the absence of all trace of bonding-mortar, suggests Hellenic workmanship.

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