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1 – 9 of 9Mahesh Odiyoor, Samuel Joseph Tromans, Regi T. Alexander, Srinaveen Akbari, Gill Bell, Sandy Bering, Sujeet Jaydeokar and Amrith Shetty
The purpose of this paper is to provide a professional consensus position with regard to the provision of specialist inpatient rehabilitation services for people with intellectual…
Abstract
Purpose
The purpose of this paper is to provide a professional consensus position with regard to the provision of specialist inpatient rehabilitation services for people with intellectual disability (ID), autism and mental health, behavioural or forensic needs in the UK.
Design/methodology/approach
The concept of rehabilitation is discussed, as well as the functions and goals of specialist inpatient rehabilitation services with regard to the aforementioned contexts. Current use of rehabilitation beds is considered, both on a regional and national scale, as well as various outcome measures, including effectiveness, patient safety and patient experience.
Findings
There is a clear need for specialist inpatient rehabilitation services, though historically there have been instances of inappropriate admissions, as well as lengthy inpatient stays that could have been significantly reduced with the right type of community support package. Such services should be subjected to rigorous measurement of outcome measures, to determine that patients within such services are receiving a consistently high standard of care. Additionally, amendments to current legal frameworks should be considered, with a view to accommodating for individuals with capacity who require continuous community-based supervision.
Originality/value
To the best of the author’s knowledge, this is the first article detailing a professional consensus position for specialist inpatient rehabilitation services for people with ID, autism and mental health, behavioural or forensic needs.
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Securing better health and better care outcomes for people by effective use of public resources is at the heart of the commissioning agenda. Commissioning should ensure that the…
Abstract
Securing better health and better care outcomes for people by effective use of public resources is at the heart of the commissioning agenda. Commissioning should ensure that the needs and wishes of people are well understood, and the market managed, so there are a range of local supports and provision available at a reasonable price. This is particularly important for people with intellectual disability whose behaviour is challenging, where effective clinically informed leadership is essential. Although models of good practice have been demonstrated for more than 20 years, making this happen on a wider scale remains the real challenge. Common wisdom about positive practice is not common practice in meeting identified needs. This paper aims to demystify the ‘commissioning’ role, and highlights the case for change in current practice, exploring some of the key barriers that must be addressed and suggesting ways to achieve better outcomes.
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The author addresses ways in which secondary American history textbooks reflect and perpetuate the normative American story and identity by framing American Indians as the “first…
Abstract
The author addresses ways in which secondary American history textbooks reflect and perpetuate the normative American story and identity by framing American Indians as the “first Americans,” while at the same time silencing indigenous voices in the telling of their own stories. This paper contributes to existing literature by providing an updated and critical analysis of a particular dimension of social studies texts and provides concrete examples and critical discussion of the master narrative at work in curricula. Suggestions are made for applying critical multiculturalism to the portrayal of the origins of humans in North America, using examples of indigenous texts currently used in classrooms that offer a truly multicultural resource for teachers.
In a previous article we have called attention to the danger of eating tinned and bottled vegetables which have been coloured by the addition of salts of copper and we have urged…
Abstract
In a previous article we have called attention to the danger of eating tinned and bottled vegetables which have been coloured by the addition of salts of copper and we have urged upon the public that no such preparations should be purchased without an adequate guarantee that they are free from copper compounds. Copper poisoning, however, is not the only danger to which consumers of preserved foods are liable. Judging from the reports of cases of irritant poisoning which appear with somewhat alarming frequency in the daily press, and from the information which we have been at pains to obtain, there can be no question that the occurrence of a large number of these cases is to be attributed to the ingestion of tinned foods which has been improperly prepared or kept. It is not to be supposed that the numerous cases of illness which have been ascribed to the use of tinned foods were all cases of metallic poisoning brought about by the action of the contents of the tins upon the metal and solder of the latter. The evidence available does not show that a majority of the cases could be put down to this cause alone; but it must be admitted that the evidence is in most instances of an unsatisfactory and inconclusive character. It has become a somewhat too common custom to put forward the view that so‐called “ptomaine” poisoning is the cause of the mischief; and this upon very insufficient evidence. While there is no doubt that the presence in tinned goods of some poisonous products of decomposition or organic change very frequently gives rise to dangerous illness, so little is known of the chemical nature and of the physiological effects of “ptomaines” that to obtain conclusive evidence is in all cases most difficult, and in many, if not in most, quite impossible. A study of the subject leads to the conclusion that both ptomaine poisoning and metallic poisoning—also of an obscure kind—have, either separately or in conjunction, produced the effects from time to time reported. In view of the many outbreaks of illness, and especially, of course, of the deaths which have been attributed to the eating of bad tinned foods it is of the utmost importance that some more stringent control than that which can be said to exist at present should be exercised over the preparation and sale of tinned goods. In Holland some two or three years ago, in consequence partly of the fact that, after eating tinned food, about seventy soldiers were attacked by severe illness at the Dutch manœuvres, the attention of the Government was drawn to the matter by Drs. VAN HAMEL ROOS and HARMENS, who advocated the use of enamel for coating tins. It appears that an enamel of special manufacture is now extensively used in Holland by the manfacturers of the better qualities of tinned food, and that the use of such enamelled tins is insisted upon for naval and military stores. This is a course which might with great advantage be followed in this country. While absolute safety may not be attainable, adequate steps should be taken to prevent the use of damaged, inferior or improper materials, to enforce cleanliness, and to ensure the adoption of some better system of canning.
Library Workstation and PC Report, founded in 1984 as M300 and PC Report, was the brainchild of Allan Pratt, then at the University of Arizona. Pratt, the founding editor of Small…
Abstract
Library Workstation and PC Report, founded in 1984 as M300 and PC Report, was the brainchild of Allan Pratt, then at the University of Arizona. Pratt, the founding editor of Small Computers in Libraries, had a hunch that OCLC's introduction of the M300 workstation was going to call for much hand‐holding and specialist advice and information for librarians. He was right. M300 and PC Report had a subscribership well before the first issue was mailed to readers. And it remains a growing publication to this day.
This article describes the Bill & Melinda Gates Foundation’s work in providing grants to public libraries in low‐income communities above the 60th parallel in Canada. Through its…
Abstract
This article describes the Bill & Melinda Gates Foundation’s work in providing grants to public libraries in low‐income communities above the 60th parallel in Canada. Through its Canadian Partnership program, the foundation granted $18.2 million to 1,466 libraries throughout the country, funding the purchase of over 4,000 computers, 27 training labs, and 16 laptop training labs. The area described in the article includes some of Canada’s most remote regions and required unique efforts to bring Internet access and information technology to low‐income communities in the territories of the Yukon, the Northwest Territories and Nunavut. The computers helped many residents with literacy skills, increased job opportunities, and provided a host of other advantages. The foundation’s experience proved that the long‐range benefits to communities are only truly seen when such initiatives are community‐driven.
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Filipe Martinho, Henrique N. Cabral, Ulisses M. Azeiteiro and Miguel A. Pardal
Estuaries and shallow coastal areas are among the most productive ecosystems in the world, being recognized as important nursery areas for marine fish. The aim of this paper is to…
Abstract
Purpose
Estuaries and shallow coastal areas are among the most productive ecosystems in the world, being recognized as important nursery areas for marine fish. The aim of this paper is to provide a comprehensive overview of the causes and consequences of recruitment variability in marine fish, contributing to ecosystem‐based management strategies of estuarine and coastal areas.
Design/methodology/approach
The authors conducted a literature review, exploring the role of estuaries as nursery areas for marine fish, and analyzed the connectivity between estuaries and coastal areas, the main processes driving recruitment variability in marine fish during their pelagic (larval) and estuarine residency (juveniles) phases, and how it can be translated into variable coastal stocks.
Findings
Recruitment variability in marine fish is still one of the most important issues in marine fisheries ecology. In this paper, the authors demonstrate the potential of several processes for inducing variability in recruitment, including density‐independent mechanisms such as temperature, hydrodynamics, river flow and large‐scale factors, as well as density‐dependent processes, related with food abundance, competition and predation. Lastly, the authors evaluated the connectivity between estuaries and the ocean, and how this relationship can influence coastal stocks in the future. The main findings were analyzed in the context of climate change, which has been demonstrated to influence marine life at the individual, population and ecosystem levels.
Originality/value
This paper is a valuable tool for marine researchers and stakeholders, since it summarizes some of the most important processes that drive recruitment variability in marine fish, and how this information can be used for establishing sustainable ecosystem management programmes.
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