Search results

The purpose of this mixed methods rapid study was to identify the barriers and facilitators to implement relational and environmental risk management approaches to manage suicidality in inpatient services.

To achieve this within a short timeframe, a rapid review approach was chosen. Both research (qualitative and quantitative studies) and non-research material (policies, guidance and reports) were retrieved. The review was conducted across five databases: MEDLINE, EMBASE, EMCARE, PsycINFO and CINAHL for English language citations within the last ten years (2009 –2019).

A total of 17 primary research papers and a further 73 reviews and grey literature were included. There was evidence that the removal of anti-ligature equipment, by which regular checks of the environment to identify and remove ligature points and increased levels of observation are carried out well, reduces suicide in hospital.

There is a gap in research investigating “engagement activities” eliciting exactly what they are and determining how they might be effective. There is a need for new innovative ways for managing risk of suicide in hospitals that bring together meaningful engagement and maintaining safety.

Keeping people safe during an inpatient stay in a mental health service is a core function of mental health practitioners. This paper brings together what is already known about risk management and highlights areas for further investigation.

The aim of the review is to investigate the reasons for referral to this child and adolescent mental health (CAMH) service and determine whether these had been met by the service.

This is a retrospective case note analysis that was conducted of 66 referrals to CAMHS for children and young people serving a rural community of 132,000. Case notes were selected by the NHS CAMHS manager based on referrals during the pre-defined date set. Of the 66 referrals to CAMHS, 19 were not included in the analysis because they had not been accepted into the service. Data were analysed on the remaining 47 cases who were referred, accepted into the service and had been offered an assessment by the service.

General practitioners represented the most frequent health care practitioner to refer to the service (n = 33, 70.2%). Self harm, suicidal intent, thoughts or overdose represented the highest percentage of referrals to the CAMHS service (38.3%); depression, low mood and sadness represented the next highest figure (19%) and anxiety and depression (10.6%) broadly speaking 68% of referrals related to low mood. Out of the 44 cases that were examined, 14/44 (32%) were referred back to the GP and no specific intervention was provided. Interventions provided to five cases were unspecified.

A number of opportunities for developing the service that allowed for a focus on the core business of helping children and young people with low mood were identified. One of the limitations of this retrospective review was the time frame selected because it had been identified as a particularly high period for referral into the service and may not have been representative of the usual trend.

This informed a training strategy and resource allocation and a redefinition of discrete roles within the service.

This study highlighted the evidence about where the demand was on this service and hence the requirement to focus on their core business. This evidence generated by the review prompted a redirection of resources within the service. Additional reflections and discussion informed the development of a new training strategy and a redefinition of discrete roles within the service.

The World Health Organisation found depression to be the fourth leading cause of disability in Malawi (Bowie, 2006) with the prevalence of mental health need in children and young people in Malawi estimated between 10 and 30% (Kutcher et al., 2019). One option to address this was to provide schoolteachers with skills and knowledge related to mental health so they can better support children. There is generally a lack of evidence of the utility or feasibility of school-based mental health literacy programmes in low to medium income countries (LMIC). This paper aims to report on a project to train schoolteachers in Malawi on aspects of mental health.

The aim of this project was to determine the acceptability and feasibility of delivering a training initiative in Malawi to teachers to better enable them to recognise and cope with school children who had been exposed to trauma and substance misuse.

Feedback was generated through the use of a specifically designed pre and post measure, focus groups, interviews and observations of the teaching delivery.

Teachers found the training built on their existing knowledge and they requested further opportunities for training and consultation about how to manage difficult presentations. It was evident that teachers did not know how to access mental health care or support for children whose needs could not be met by schoolteachers alone.

For a sustainable improvement for children’s mental health care in this context, further training becomes valuable when located as part of a network of joined up health and educational services.

The aim of this paper is to offer a framework that captures the clinical activity of mental health nursing academics.

Through an exploration of relevant literature and an examination of the practices of a team of mental health nursing academics, the key clinical activities that academics were engaged in were identified.

The Practice Engagement Framework offers a structure to identify the range and breadth of clinical engagement for nursing academics.

This framework might be useful for other mental health academics from other professional groups such as social work and occupational therapy.

This paper aims to explore the two main viewpoints on Australia’s relationship with Asia; first, the highly visible informed pro-Asia protagonists, and second, pervasive public opinion as informed by history and the Australian self-image. The purpose is to present the polemic internal to Asian Studies and Business Schools currently. This paper postulates that only an (uncomfortable) whole-of-sector introspection would result in an authentic national narrative to drive mutual respect and business between Asia and Australia.

The current dismembering of Asian Studies degrees and Asian Business specialisations at Australian universities indicates a waning national support to the production of Asian specialists able to link the Australian economy into the advancing Asian commercial dominance. But such an assessment would not be completely accurate. The authors argue that as an important component of Asian business and economics, understanding the current situation is vital to breathing life back into the Asian Studies and Asian Business Studies disciplines at Australian national universities.

This paper concludes that the responsibility for creating specialists should fall to the university sector but is currently defaulting to the business sector. This paper proposes that business schools need to be more active participants in Asian engagement strategies. Thus, Australian universities and disciplines such as Asian Studies and Asian Business must have the academic will and the business support to take up a major role in positive evolution of the Eurocentric elements that currently hold back meaningful engagement.

This is a current issue that needs to be addressed.

The purpose of this paper is to evaluate the chemical, physical and sensory composition of three new varieties of acerola (Rubra, Cabocla and CMF 017).

The samples of ripe acerola were collected from the Active Germoplasm Bank of Embrapa Cassava and Tropical Fruits – Cruz das Almas/Bahia, from the species Malpighia emarginata DC and analyzed by using standard methods.

The findings were that the Rubra variety stood out among the others in terms of flavour and purchasing intention, probably due to its pH 3.60, total acid (0.83 percent malic acid) and Vitamin C (911.97 g ascorbic acid/100 g) which gave the variety a less acidic flavour. As regards size, the average acceptability of this variety was 6.01, statistically different from Cabocla (8.08). Total anthocyanins were also found to be the highest, 76.7 mg/100 g and therefore the antioxidant activity of the peel was greater (85 percent) compared with the other varieties, though not differing statistically from the CMF 017 variety. According to these results, the Rubra variety is the one which should be of most interest to producers.

The new variety often fails to exceed nutritional and organoleptic characteristics of existing varieties in the market with established acceptance levels. The paper evaluates the chemical and sensorial composition of new varieties of acerola fruit, which could be launched on to the market. It was observed that one particular variety had better sensorial and nutritive quality.

This kind of data is important both for consumers who want to buy the best quality fruit and producers who want to plant more of the better quality variety so that they can gain greater added‐value in the commercialization of the fruit.

As part of a pilot studyassessing the feasibility of record-linking health and social care data, the purpose of this paper is to examine patterns of non-delivery of home care among older clients (>65 years) of a social home care provider in Glasgow, Scotland. The paper also assesses whether non-delivery is associated with subsequent emergency hospital admission.

After obtaining appropriate permissions, the electronic records of all home care clients were linked to a hospital inpatient database and anonymised. Data on home care plans were collated for 4,815 older non-hospitalised clients, and non-delivered visits were examined. Using case-control methodology, those who had an emergency hospital admission in the next calendar month were identified (n=586), along with age and sex-matched controls, to determine whether non-delivery was a risk factor for hospital admission.

There were 4,170 instances of “No Access” non-delivery among 1,411 people, and 960 instances of “Service Refusal” non-delivery among 427 people. The median number of undelivered visits was two among the one-third of clients who did not receive all their planned care. There were independent associations between being male and living alone, and non-delivery, while increasing age was associated with a decreased likelihood of non-delivery. Having any undelivered home care was associated with an increased risk of emergency hospital admission, but this could be due to uncontrolled confounding.

This study demonstrates untapped potential for innovative research into the quality of social care and effects on health outcomes.

Non-delivery of planned home care, for whatever reason, is associated with emergency hospital admission; this could be a useful indicator of vulnerable clients needing increased surveillance.

This aim of this work is to investigate different modelling approaches for air-cooled data centres. The study employs three computational methods, which are based on finite element, finite volume and lattice Boltzmann methods and which are respectively implemented via commercial Multiphysics software, open-source computational fluid dynamics code and graphical processing unit-based code developed by the authors. The results focus on comparison of the three methods, all of which include models for turbulence, when applied to two rows of datacom racks with cool air supplied via an underfloor plenum.

This paper studies thermal airflows in a data centre by applying different numerical simulation techniques that are able to analyse the thermal airflow distribution for a simplified layout of datacom racks in the presence of a computer room air conditioner.

Good quantitative agreement between the three methods is seen in terms of the inlet temperatures to the datacom equipment. The computational methods are contrasted in terms of application to thermal management of data centres.

The work demonstrates how the different simulation techniques applied to thermal management of airflow in a data centre can provide valuable design and operational understanding. Basing the analysis on three very different computational approaches is new and would offer an informed understanding of their potential for a class of problems.

The UK's purpose-built student accommodation (PBSA) sector has seen significant institutional investment in recent decades. This paper unpacks contemporary trends and perspectives on the sector. It questions whether PBSA has moved from being an “alternative” to “mainstream” residential asset class, framing the analysis through the lens of market maturity.

The methods triangulate perspectives drawn from literature on the evolution of PBSA as an asset class with illustrations of investment trends across the UK between 2005 and 2020 using data from Real Capital Analytics (RCA), combined with findings from 40 semi-structured interviews with investors and stakeholders in PBSA in the UK London is the focus of the work, whilst other regional cities are integrated for comparison.

The results demonstrate that London's PBSA market is ahead of trends currently being replicated in regional cities. However, the regions currently offer greater return potential and opportunities for risk taking compared to London, where yields are compressed, and the market is considered lower risk. The concept of maturity remains useful as a framework for evaluating markets, however a more granular analysis of sectors is necessary to further understand asset classes within sectors. PBSA continues to trade at a premium across the UK; it is considered the most mature residential asset class.

The emergence of PBSA as an asset class continues to play a developing role within the residential sector and UK investment market. Risk, value and local context remain key when integrating PBSA into institutional portfolios, and as the first to consider the UK market from a qualitative research approach, this research provides a snapshot of these influences in 2021.

Our approach offers original insight into investment trends across the UK and is the first to focus reflections on the London market specifically. The research highlights the role of PBSA as a vanguard asset class for investors into residential, situating its growth within the framework of market maturity and drawing out market nuances from interviews.