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Positive Aspects (positive + aspect)
Selected AbstractsCollaboration, facilities and communities in day care services for older peopleHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 1 2001Sarah Burch BA Abstract Collaborative working in care for older people is often seen as a desirable goal. However, there can be problems with this approach. This paper reports on a single blind randomized controlled trial which was carried out to compare outcomes of rehabilitation in two settings: a day hospital and social services day centres augmented by visiting therapists. The subjects were 105 older patients. Principal outcome measures were the Barthel Index, Philadelphia Geriatric Centre Morale Scale and the Caregiver Strain Index. Two aspects of the trial are examined here. Firstly, we investigated whether trial patients were more disabled than regular day centre attendees. Levels of health and well being amongst trial patients were compared with those of a random sample of 20 regular attendees from both of the participating day centres and an additional voluntary sector day centre. Secondly, key staff from the different settings were interviewed to assess how well the day centre model had worked in practice. Trial patients were significantly more disabled than regular day centre attendees according to the Barthel Index (P < 0.001), but this difference was no longer significant after three months of treatment. The day centre model had several problems, principally discharge policy, acceptability, facilities and attitudes of staff and regular attendees. Positive aspects of the day centre model, as well as successful rehabilitation, included shared skills, knowledge and resources. This paper suggests that collaborative working in day centres requires multipurpose facilities. If health staff maintain a permanent presence, benefits can include improved joint working, easier access to health care and the use of rehabilitative therapy as a preventative strategy. Day care settings can be analyzed as representing different types of communities. Allowing older users a greater degree of choice in facilities may increase the acceptability of care. [source] Mainstream In-Patient Mental Health Care for People with Intellectual Disabilities: Service User, Carer and Provider ExperiencesJOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES, Issue 3 2010Ben Donner Background, Government guidelines promote the use of mainstream mental health services for people with intellectual disabilities whenever possible. However, little is known about the experiences of people with intellectual disabilities who use such services. Materials and Methods, Face-to-face interviews with service users, carers and community nurses were completed and analysed on a case by case basis using interpretative phenomenological analysis. The results were followed up in focus groups with service providers. Results, Positive aspects included the provision of respite, particularly for carers, and good basic care. These were outweighed by a perception of the admission as disempowering and lacking in flexible treatment provision. Accessing help emerged as a major problem, as well as the prospect of staff neglecting the specific needs of people with intellectual disabilities. Conclusions, While there were some indications of improvements in line with recent policies and guidance, mainstream services seem a long way off realizing aims of easy accessibility, person-centred practices and active partnership with intellectual disability services. [source] Retransplantation for recurrent hepatitis C: Positive aspectsLIVER TRANSPLANTATION, Issue 11 2003Timothy M. McCashland Key points 1. The prevalence of retransplantation for hepatitis C (HCV) patients is stable (around 40%). 2. Survival models to predict outcome of retransplantation do not show that HCV is an independent variable with poor outcomes. 3. Using Model for End-Stage Liver Disease (MELD) scores from the United Network for Organ Sharing (UNOS) database from 1996-2002, retransplantation for HCV had similar outcomes to other causes of retransplantation. 4. Poorer outcomes were noted for retransplantation with MELD scores greater than 25. 5. Minimal survival thresholds need to be developed for retransplantation for all causes of retransplantation. [source] e-Assessment and the student learning experience: A survey of student perceptions of e-assessmentBRITISH JOURNAL OF EDUCATIONAL TECHNOLOGY, Issue 2 2009John Dermo This paper describes a piece of research carried out at the University of Bradford into student perceptions of e-assessment. An online questionnaire was delivered to 130 undergraduates who had taken part in online assessment (either formative or summative) during the academic year 2007,2008. The survey looked at six main dimensions: (1) affective factors, (2) validity, (3) practical issues, (4) reliability, (5) security, and (6) learning and teaching. The aim of the survey was to identify possible risks in planning e-assessments, as well as to gauge student opinion. The findings of the survey indicated a range of opinions across the student body, with greatest concern about the fairness of item banking. It was also found that the most positive aspect of e-assessment in the eyes of students concerned the benefits that it can bring to teaching and learning. In addition, the paper concludes that age and gender did not significantly affect student responses in any of the areas studied. [source] Managing for Innovation: The Two Faces of Tension in Creative ClimatesCREATIVITY AND INNOVATION MANAGEMENT, Issue 2 2010Scott G. Isaksen Part of managing for innovation is creating the appropriate climate so that people can share and build upon each other's ideas and suggestions. Yet, there are increasing pressures and potential unproductive levels of tension within organizations. This article points out the distinction between two forms of tension that appear within the research on organizational climates for creativity as well as the conflict management literature. The Debate dimension is described as reflecting a more productive idea tension and the Conflict dimension suggests a more non-productive personal tension. A series of studies, across multiple levels of analysis, are summarized and a new study is reported in order to highlight the finding that relatively higher levels of Debate, and lower levels of Conflict are more conducive to organizational creativity and innovation. A practical model for the constructive use of differences is shared, along with a few strategies for reducing the negative tension associated with Conflict and increasing the positive aspects associated with Debate. [source] European Union Constitution-Making, Political Identity and Central European ReflectionsEUROPEAN LAW JOURNAL, Issue 2 2005It analyses both the temporal and spatial dimensions of constitution-making and addresses the problems of political identity related to ethnic divisions and civic demos. It starts by summarising the major arguments supporting the Union's constitution-making project and emphasises the Union's symbolic power as a polity built on the principles of civil society and parliamentary democracy. The EU's official rejection of ethnically based political identity played an important symbolic role in post-Communist constitutional and legal transformations in Central Europe in the 1990s. In the following part, the text analyses the temporal dimension of the EU's identity-building and constitution-making and emphasises its profoundly future-oriented structure. The concept of identity as the ,future in process' is the only option of how to deal with the absence of the European demos. Furthermore, it initiates the politically much-needed constitution-making process. The following spatial analysis of this process emphasises positive aspects of the horizontal model of constitution-making, its elements in the Convention's deliberation and their positive effect on the Central European accession states. The article concludes by understanding the emerging European identity as a multi-level identity of civil political virtues surrounded by old loyalties and traditions, which supports the conversational model of liberal democratic politics, reflects the continent's heterogeneity and leads to the beneficial combination of universal principles and political realism. [source] The IPO Derby: Are There Consistent Losers and Winners on This Track?FINANCIAL MANAGEMENT, Issue 1 2008Konan Chan We examine the individual and joint relation of discretionary accounting accruals, underwriter reputation, and venture capital backing with the long-run performance of initial public offerings (IPOs). We find that although correlated to some extent, these variables do not manifest the same underlying phenomena in their relation to IPOs' performance. The confluence of the variables is more important than using any one of them individually to identify IPOs that exhibit abnormal long-run stock returns. The combination of their negative aspects helps identify extreme underperformers. We also identify a set of winner IPOs by combining the positive aspects of the three variables. [source] Maternal sensitivity behavior and infant behavior in early interactionINFANT MENTAL HEALTH JOURNAL, Issue 6 2001Marja Kivijärvi Maternal sensitivity behavior and infant behavior in early interaction were investigated among 57 Finnish mother,child pairs. Their interaction was video-recorded at home in free-play situation when the infants were 3 months and 12 months of age, and evaluated using the Parent,Child Early Relational Assessment Scale (PCERA). Maternal sensitivity behavior was mainly related to infant's positive aspects of mood, social and play behavior, and visual contact, both at 3 months and 12 months of age. Even though maternal sensitivity behavior correlated to infant behavior at 3 months and 12 months, infant behavior at 3 months of age contributed to later maternal sensitivity behavior. ©2001 Michigan Association for Infant Mental Health. [source] International Migration at the Beginining of the Twenty-First Century: Global Trends and IssuesINTERNATIONAL SOCIAL SCIENCE JOURNAL, Issue 165 2000Stephen Castles Globalisation leads to increases in all kinds of cross-border flows, including movements of people. In recent years international migrationhas grown in volume, and is now an important factor of social transformation in all regions of the world. States classify migrants into certain categories, and seek to encourage certain types of mobility while restricting others. However,control measures are often ineffective if they are not based on understanding of the economic, social and cultural dynamics of migration. The article reviews causes and patterns of migration, and discusses some key issues: migration anddevelopment, international cooperation, settle-ment and ethnic diversity, and migration as a challenge to the nation-state. It is argued that most national governments have taken a short-term and reactive approach to migration. Effortsat international regulation are also relatively under-developed. There is a need for long-term cooperative strategies to achieve agreed goals such as: ensuring orderly migration and preventing exploitation by agents and recruiters;safeguarding the human rights of migrants; making migration an instrument of sustainable development; avoiding conflicts with populations of migrant-receiving areas, and maximising positive aspects of social and culturalchange. [source] Seizing possibilities for positive family caregiving in nursing homesJOURNAL OF CLINICAL NURSING, Issue 8 2007Ursula Kellett PhD Aims., This paper explores the ways family members reconstruct meaning through seizing possibilities for positive caregiving in nursing homes. Background., The importance of the ability of family caregivers to adapt and accommodate has been well documented in international family caregiving research. Through engagement in caregiving activities, families learn to modify, adapt and accommodate to changes in their situation and relationships. The support family caregivers experience in learning to accommodate change is crucial in enabling them to reconstruct positive aspects of caregiving in a long-term aged care context. Method., In this study, a hermeneutic phenomenological approach was adopted informed by the philosophical world views of Heidegger and Gadamer. Data collected by in-depth interviews and participant observations, from a purposeful sample of 14 family caregivers, underwent hermeneutic analysis. Results., Five shared meanings associated with seizing possibilities for positive caregiving were revealed: accommodating new and different ways of caring; feeling a part of the nursing home community; seeing the whole picture; learning to care in stress-reducing ways and learning to seize possibilities for self. Conclusion., This paper illustrates how families, through caregiving experience in nursing homes, learn to become active managers, negotiating, accommodating and redeveloping a sense of future viewed with hope, strength and positive anticipation. Relevance to clinical practice., By highlighting what is attributed significance by families, a critical examination of the difficult issues which obstruct the development of meaningful partnerships among nurses, family and their relatives is facilitated. In particular, an examination of tensions at an ideological level supports the need for future research to focus its efforts on examining the ways of implementing nursing care that facilitates partnerships that incorporate and build upon positive and equal relations among staff, families and residents in the context of the nursing home setting. [source] Identity and resistance: why spiritual care needs ,enemies'JOURNAL OF CLINICAL NURSING, Issue 7 2006John Swinton PhD Aims., This paper explores certain key critiques of spirituality-in-nursing as they have been offered by people outside of the discipline. It argues that nurses have not taken seriously enough the recent criticism of the nature and role of spirituality in nursing. Not to listen to the ,enemies' of spirituality-in-nursing is to risk stagnation and a drift into obscurity. Background., The area of spirituality has become a growing field of interest for nurses and has produced a burgeoning body of research literature. Yet, whilst much has been written about the positive aspects of spirituality, nurses have offered almost no critique of the ways in which spirituality and spiritual care are understood, despite the fact that there are clearly certain key issues that require robust critique and thoughtful reflection. Almost all of the major criticisms of spirituality-in-nursing have come from people outside of the discipline of nursing. The paper argues that nurses need to listen carefully to the criticisms of spirituality and spiritual care offered by the ,enemies' of spiritual care in nursing. When listened to constructively, they highlight issues that are vital for the development and forward movement of this important area of nursing practice. Methods., Literature review and critical reflection on current critiques of spirituality in nursing practice. Conclusions., The paper concludes that nurses need to begin to develop spirituality as a specific field of enquiry with its own bodies of knowledge, methodologies, assumptions and core disciplines. Relevance to clinical practice., In listening to and taking seriously its ,enemies', nursing has the opportunity to establish spirituality as an important, creative and vibrant aspect of nursing practice that has the capacity to grow and respond constructively to its ,enemies', in ways that make whole-person-care a real possibility. [source] Resource Configuration in Family Firms: Linking Resources, Strategic Planning and Technological Opportunities to PerformanceJOURNAL OF MANAGEMENT STUDIES, Issue 1 2008Kimberly A. Eddleston abstract We apply the resource-based view of the firm to the study of family firms by investigating how a family specific resource (reciprocal altruism) and a firm specific resource (innovative capacity) contribute to family firm performance. We then examine how the impact of these resources is moderated by strategic planning and technological opportunities. Our findings suggest that family firms can benefit from emphasizing the positive aspects of kinship and from developing innovative capacities. As such, we demonstrate that not only do firm specific resources contribute to family firm performance, but also that family relationships can be a source of competitive advantage for a family firm. In addition, we found a heightened importance of reciprocal altruism in environments rich in technological opportunities, and that strategic planning is more important for those family firms that lack innovative capacities. [source] EXPANDING BOWEN'S LEGACY TO FAMILY THERAPY: A RESPONSE TO HORNE AND HICKSJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 1 2002Carmen Knudson-Martin In response to Horne and Hicks's critique of my 1994 revision of Bowen Theory, I present an updated rationale for my work. I argue that the primary difference in my construction of emotional differentiation rests in the way "self" is constructed. I suggest that many women, persons from less individualistic cultures, and very spiritual persons develop a "connected self" that is significantly different than Bowen's image of separate selves engaged with each other. I hold that Bowen Theory privileges individuality and ignores many of the positive aspects of togetherness. I put forth an inclusive model for differentiation that equally prioritizes each. [source] Case-based pedagogy as a context for collaborative inquiry in the PhilippinesJOURNAL OF RESEARCH IN SCIENCE TEACHING, Issue 5 2001Elvira L. Arellano The purpose of this study was to investigate the potential for using case-based pedagogy as a context for collaborative inquiry into the teaching and learning of elementary science. The context for this study was the elementary science teacher preparation program at West Visayas State University on the the island of Panay in Iloilo City, the Philippines. In this context, triple linguistic conventions involving the interactions of the local Ilonggo dialect, the national language of Philipino (predominantly Tagalog) and English create unique challenges for science teachers. Participants in the study included six elementary student teachers, their respective critic teachers and a research team composed of four Filipino and two U.S. science teacher educators. Two teacher-generated case narratives serve as the centerpiece for deliberation, around which we highlight key tensions that reflect both the struggles and positive aspects of teacher learning that took place. Theoretical perspectives drawn from assumptions underlying the use of case-based pedagogy and scholarship surrounding the community metaphor as a referent for science education curriculum inquiry influenced our understanding of tensions at the intersection of re-presentation of science, authority of knowledge, and professional practice, at the intersection of not shared language, explicit moral codes, and indigenization, and at the intersection of identity and dilemmas in science teaching. Implications of this study are discussed with respect to the building of science teacher learning communities in both local and global contexts of reform. © 2001 John Wiley & Sons, Inc. J Res Sci Teach 38: 502,528, 2001 [source] A Model Under Siege: A Case Study of the German Retirement Insurance SystemTHE ECONOMIC JOURNAL, Issue 461 2000Axel Borsch-Supan This study evaluates the positive and negative features of the German public pension system and discusses three reasons for its increasing perceived and real difficulties: maturation, negative incentive effects, and the problems of demographic change. The German system in its current form may be able to limp through the coming decades but will cease to be the exemplary Bismarckian machine that has created generous retirement incomes at reasonable tax rates. Current policy proposals are insufficient and a few but incisive design changes and some degree of prefunding could rescue the many positive aspects of the German retirement insurance system. [source] Improving the Recruitment and Retention of Organ Procurement Coordinators: A Survey StudyAMERICAN JOURNAL OF TRANSPLANTATION, Issue 6 2009J. Kress Organ procurement coordinators (coordinators) employed by organ procurement organizations (OPOs) are critical to the success of organ donation. However, their high turnover rates may threaten the success of organ donation. This cross-sectional study examined employment satisfaction and factors contributing to job turnover among 326 coordinators representing 52 of 58 OPOs (90%) who completed an online survey. Most (93%) respondents reported high levels of job satisfaction, although 26% reported considering leaving their OPO, and 61% perceived a high turnover rate at their OPO. Considerations of leaving the OPO were most likely to emerge at 2 years of employment. To secure coordinator job satisfaction, it is essential that prospective coordinators be adequately prepared and informed about negative as well as positive aspects of this line of work. In hiring, OPOs should recruit more proactively, using their staff as contacts, and seek experience in critical care, intensive care, or other on-call work. To retain satisfied employees, OPOs should offer more education and advancement opportunities and focus on such issues as call and hours, rather than salary per se. OPOs should consider a variety of alternative pay structures, particularly separate on-call pay, whether or not coordinators are actually called into service. [source] Front and Back Covers, Volume 22, Number 4.ANTHROPOLOGY TODAY, Issue 4 2006August 200 Front and back cover caption, volume 22 issue 4 Front cover Destruction and fertility meet in this photograph of a swidden ('slash and burn') field cultivated by the Rmeet in highland Laos, illustrating Guido Sprenger's article in this issue. After the secondary forest has been burned from the plots, fresh rice stalks grow between charred stumps during the weeding season in June. A field hut, built each year on the newly cleared plot, can be seen in the background. The author's main informant, one of Takheung's village elders, waits for the author to catch up on the slippery paths. Although denigrated as unsustainable by governments and development agencies worldwide, and hotly debated by agricultural experts and policy-makers, swidden agriculture persists in mountainous areas where wet rice cultivation is difficult. Swiddening involves much more than mere subsistence, and anthropologists have been concerned for many decades with questions of its sustainability, as it forms a central focus for a way of life that integrates all aspects of community life, from economy to cosmology and the reproduction of social relations, including families and marriage ties, ritual and exchange, relations between humans and spirits and also identity. Guido Sprenger seeks to remind those with the power to make decisions over swidden agriculture of the importance of being well informed, as their decisions may radically influence an entire way of life. Back cover Islamic Charities Islamic charities are found all over the world and are mostly uncontroversial. Our back cover shows an appeal, with detachable banker's order form, for the orphan programme of the Beit Al-Khair ('house of charity') Society, a domestic charity in the United Arab Emirates launched in 1989. Almost every Islamic charity operates an orphan programme. Islamic charities have been subjected to close scrutiny, especially by the US Treasury, since 9/11, and are the subject of two books recently published by the university presses of Yale (by Matthew Levitt) and Cambridge (by J. Millard Burr and Robert O. Collins), which belong to the genre of counter-terrorism studies. Such studies emulate the methods of police investigators and financial regulators, making ample use of intelligence websites and newspaper reports and seeking to identify associative networks of culpable individuals and entities. The drawback of these studies is that they do scant justice to the positive aspects of Islamic charities and often attribute guilt by association, since charities blacklisted by the US Treasury have only limited rights of defence and appeal, though very few have been successfully prosecuted. Scrupulous social research, by contrast, tries to understand the words and deeds of charities and charity workers in the widest context. The social research published so far on Islamic charities has focused on their political aspects, including Western-Islamic relations, divisions among Muslims, and connections with opposition movements. In this issue of ANTHROPOLOGY TODAY Jonathan Benthall, who has been studying Islamic charities for 13 years, turns his attention to analysing the special opportunities that international Islamic charities can take advantage of in majority Muslim countries. His article outlines the work of the British-based Islamic Relief in the north of Mali, one of the world's poorest countries, with the implicit suggestion that more in-depth residential ethnographic fieldwork in such settings could yield valuable insights. [source] Psychological Well-being: Evidence Regarding its Causes and Consequences,APPLIED PSYCHOLOGY: HEALTH AND WELL-BEING, Issue 2 2009Felicia A Huppert This review focuses on positive aspects of well-being, or flourishing. It examines evidence for the causes of positive well-being and also its consequences, including beneficial effects for many aspects of cognitive functioning, health, and social relationships. The neurobiological basis of psychological well-being is examined, and recent data on brain activation and neurochemical pathways are presented. Individuals vary widely in their habitual level of psychological well-being, and there is evidence for a seminal role of social factors and the early environment in this process. It is often assumed that the drivers of well-being are the same as (but in the opposite direction to) the drivers of ill-being, but while this is true for some drivers, others have more selective effects. Future developments in the science of well-being and its application require a fresh approach,beyond targeting the alleviation of disorder to a focus on personal and interpersonal flourishing. A universal intervention approach is outlined which may both increase population flourishing and reduce common mental health problems. [source] Survivorship care after breast cancer: Follow-up practices of Australian health professionals and attitudes to a survivorship care planASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY, Issue 2 2010Meagan E BRENNAN Abstract Objective: The increasing number of breast cancer survivors and the complexity of follow-up care make the provision of high-quality survivorship care a challenge. This study explored the follow-up practices of health professionals and their attitudes to alternative models such as shared care and the use of a survivorship care plan. Methods: Specialist oncologists (surgeons, medical and radiation oncologists) breast physicians and breast-care nurses completed an online survey. Results: A total of 217 practitioners completed the survey, which was estimated to include 42.8% of oncologists treating breast cancer in Australia. One-third of responding specialists reported spending more than 25% of their clinical time providing follow-up care. They reported many positive aspects to follow-up consultations and viewed follow-up care as an important part of their clinical role but expressed concern about the sustainability of follow-up care in their practices. The follow-up intervals and recommendations were in line with national guidelines. The specialists were supportive of sharing follow-up care with primary-care physicians, breast physicians and breast-care nurses. Most professionals felt that a survivorship care plan would improve care and said they would use a proforma. Conclusion: The oncologists felt that follow-up care was an important part of their role and they were supportive of the concepts of shared care programs and a survivorship care plan. Input from consumers is required to evaluate the acceptability of these alternative models and to assess ways of implementing these changes to work towards a more comprehensive and sustainable method of delivering survivorship care. [source] Recruitment and retention issues for occupational therapists in mental health: Balancing the pull and the pushAUSTRALIAN OCCUPATIONAL THERAPY JOURNAL, Issue 2 2010Justin Newton Scanlan Background/aim:,Recruitment and retention issues for mental health occupational therapists have been the subject of significant concern for many years. This paper describes recruitment and retention issues as reported by mental health occupational therapists employed by a large Area Health Service in metropolitan Sydney. Method:,Thirty-eight mental health occupational therapists (response rate 84%) completed a survey in the first half of 2008. Key themes investigated were: overall satisfaction; attractive elements of positions; positive aspects of positions; constraints of positions; factors associated with leaving positions; supervision; professional development; career pathways; and interest in and access to management positions. Results:,Key elements that kept respondents in positions included the nature of the work, being in a supportive team and the opportunity to use occupational therapy skills. Elements that prompted people to consider leaving positions were the desire for new and different types of work, a desire to work closer to home, insufficient time or high workloads, feeling ,bored' or ,stale', organisational change or juggling multiple demands, working in unsupportive or dysfunctional teams and family or other personal factors. Conclusions:,The results supported the development of a ,push and pull' conceptualisation of recruitment and retention issues, including job-related (intrinsic) and non-job-related (extrinsic) issues. This conceptualisation allows organisations to closely examine factors that attract practitioners to positions and those that support or damage staff tenure. [source] Non-linear instructional design model: eternal, synergistic design and developmentBRITISH JOURNAL OF EDUCATIONAL TECHNOLOGY, Issue 4 2004Caroline Crawford Instructional design is at the heart of each educational endeavour. This process revolves around the steps through which the thoughtful productions of superior products are created. The ADDIE generic instructional design model emphasises five basic steps within the instructional design process: analyse, design, develop, implement and evaluate. The simplistic nature of the ADDIE model, including the ease of application and possibilities towards the cyclical features of the process, enable a more holistic overview of the instructional design process. The Eternal, Synergistic Design Model emphasises the non-linear nature of the instructional design process. The continuous design and development focuses upon the core evaluation of the product, wherein the Pareto principle emphasises the feedback related to the 20% of difficulties while maintaining an eye upon the 80% neutral and positive aspects of the product. [source] Animal models for the treatment of bacterial keratitisACTA OPHTHALMOLOGICA, Issue 2009RP KOWALSKI Rabbit models of bacterial keratitis have been used to evaluate the efficacy of anti-infectives in the clinical treatment of bacterial keratitis. These models can determine: 1) ocular toxicity and tolerance of anti-infectives to ocular tissue, 2) penetration of anti-infectives into the cornea, and 3) anti-bacterial efficacy of the anti-infectives to corneal bacterial pathogens. The current presentation will cover the structure and limitations of rabbit bacterial keratitis modeling using published data. Topics will include statistical design, the choice of bacterial pathogens, and positive aspects for possible systemic anti-infective development. [source] Reviewing child deaths,learning from the American experience,CHILD ABUSE REVIEW, Issue 2 2005Lisa Bunting Abstract Current systems for investigating child deaths in England, Wales and Northern Ireland have come under intense scrutiny in recent years and questions have been raised about the accuracy of child death investigations and resulting statistics. Research has highlighted the ways in which multidisciplinary input can contribute to investigative and review processes, a perspective which is further supported by recent UK policy developments. The experience of creating multidisciplinary child death review teams (CDRTs) in America highlights the potential benefits the introduction of a similar system might have. These benefits include improved multi-agency working and communication, more effective identification of suspicious cases, a decrease in inadequate death certification and a broader and more in-depth understanding of the causes of child deaths through the systematic collection and analysis of data. While a lack of funding, regional coordination and evaluation limit the impact of American CDRTs, the positive aspects of this process make it worthwhile, and timely, to consider how such a model might fit within our own context. Current policy developments such as the Home Office review of coroner services, the Children Bill and related Department for Education and Skills (DfES) work on developing screening groups demonstrate that strides have been made in respect of introducing a multidisciplinary process. Similarly, the development of local protocols for the investigation and[sol ]or review of child deaths in England, Wales and Northern Ireland highlights an increased focus on multidisciplinary processes. However, key issues from the American experience, such as the remit of CDRTs[sol ]screening panels, the need for national coordination and the importance of rigorous evaluation, can inform the development of a similar process in the UK. Copyright © 2005 John Wiley & Sons, Ltd. [source] ROLE OF OESTROGEN IN THE CENTRAL REGULATION OF AUTONOMIC FUNCTIONCLINICAL AND EXPERIMENTAL PHARMACOLOGY AND PHYSIOLOGY, Issue 9 2007TM Saleh SUMMARY 1In recent years, the role of oestrogen in women's health has been a subject of considerable scientific and popular debate. There is unquestionable evidence that oestrogen has both potent and long-lasting effects on several vital organ systems, including the cardiovascular system, the autonomic nervous system and, most recently, within the central nervous system itself. 2The research and medical community continues to debate whether the benefits of oestrogen therapy outweigh the risks in the treatment of the symptoms of menopause, the attenuation of the risk for cardiovascular insults, such as stroke and heart disease, and even the retardation of the progression of Alzheimer's disease. 3The recent evidence provided by the Heart and Estrogen/Progestin Replacement Study (HERS) II clinical trial suggesting that long-term exposure to combined oestrogen and progestin in post-menopausal women who have previously had a heart attack or stroke (for secondary prevention) may actually increase their risk of a subsequent cardiovascular insult has further fuelled the debate. However, there remain considerable gaps in our knowledge with respect to the actual mechanisms by which oestrogen exerts its various beneficial effects at the cellular level for the primary prevention of cardiovascular disease. This information is essential if we are to harness the positive aspects of oestrogen therapy in such a manner as to avoid or minimize the associated risks of increased oestrogen exposure in women who we know, with some certainty, to be at an increased risk of cancers of the uterus, cervix and breast tissue. [source] | ||||||||||||||||||||||