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Supporting prostate cancer survivors in primary care: Findings from a pilot trial of a nurse-led psycho-educational intervention (PROSPECTIV)

Purpose. This study sought to test the acceptability and feasibility of a nurse-led psycho-educational intervention (NLPI) delivered in primary care to prostate cancer survivors, and to provide preliminary estimates of the effectiveness of the intervention. Methods. Men who reported an ongoing problem with urinary, bowel, sexual or hormone-related functioning/vitality on a self-completion questionnaire were invited to participate. Participants were randomly assigned to the NLPI plus usual care, or to usual care alone. Recruitment and retention rates were assessed. Prostate-related quality of life, self-efficacy, unmet needs, and psychological morbidity were measured at baseline and 9 months. Health-care resource use data was also collected. An integrated qualitative study assessed experiences of the intervention. Results. 61% eligible men (83/136) participated in the trial, with an 87% (72/83) completion rate. Interviews indicated that the intervention filled an important gap in care following treatment compl…

Type: Journal Article/Review
Status: Live|Last updated:22 January 2018 18:51
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Skewed Sociolinguistic Awareness of a Native Nonstandard Dialect: Evidence from the Cypriot Greek Writing of Greek Cypriot Students

Over the last 50 years, sociolinguistic research in settings in which a regional, social, or ethnic non-standard linguistic variety is used alongside the standard variety of the same language has steadily increased. The educational implications of the concomitant use of such varieties have also received a great deal of research attention. This study deals with regional linguistic variation and its implications for education by focusing on the Greek Cypriot educational context. This context is ideal for investigating the linguistic profiles of speakers of proximal varieties as the majority of Greek Cypriots are primarily educated in just one of their varieties: the standard educational variety. The aim of our study was to understand Greek Cypriot primary school pupils’ sociolinguistic awareness via examination of their written production in their home variety [Cypriot Greek (CG) dialect]. Our assumption was that, because written production is less spontaneous than speech, it better reflects pupils’ conscious a…

Type: Journal Article/Review
Status: Live|Last updated:22 January 2018 18:20
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Understanding acceptability of and engagement with web-based interventions aiming to improve quality of life in cancer survivors: a synthesis of current research

Objective. This review sought to summarize existing knowledge to inform the development of an online intervention that aims to improve quality of life after cancer treatment. Methods. To inform our intervention, we searched for studies relating to Web-based interventions designed to improve quality of life in adults who have completed primary treatment for breast, prostate, and colorectal cancer (as these are 3 of the most common cancers and impact a large number of cancer survivors). We included a variety of study designs (qualitative research, feasibility/pilot trials, randomized trials, and process evaluations) and extracted all available information regarding intervention characteristics, experiences, and outcomes. Data were synthesized as textual (qualitative) data and analyzed by using thematic analysis. Results. Fifty-seven full text articles were assessed for eligibility, and 16 papers describing 9 interventions were analyzed. Our findings suggest that cancer survivors value interventions that offer c…

Type: Journal Article/Review
Status: Live|Last updated:22 January 2018 18:07
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A Disaggregated Analysis of Energy Demand in Sub-Saharan Africa

Adequate energy is required in Sub-Saharan African (SSA) countries to promote economic growth and development. The purpose of this study is to identify and analyse the determinants of disaggregated energy demand in SSA. Using reliable macroeconomic and energy data collected from publicly available databases over the period 1980-2013 for selected countries in the region, we estimate fixed and random effects panel data models to examine the determinants of electricity, diesel, petrol, kerosene, solid biomass and liquefied petroleum gas consumption. We find that income, urbanization, economic structure and population are significant determinants of energy demand in SSA. Important implications flow from these findings.

Type: Journal Article/Review
Status: Live|Last updated:22 January 2018 16:43
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Sir Roy Calne in conversation with Dr Max Blythe

In this third interview, Sir Roy Calne FRS, discusses his career in transplant surgery from 1960-1996, beginning with two unsuccessful pioneering kidney transplant operations undertaken at London's Royal Free Hospital in 1960, then two years spent on further animal transplant research at the Peter Bent Brigham Hospital, Boston, USA. Here, in Joseph Murray's department work on chemical immunosuppression, principally using 6-mercaptopurine and azathioprine, pressed ahead against a climate still inclined to x-radiation. How convincing results began to transform this situation is duly considered, as is Professor Calne's attitude to animal research, the views of a dog lover undertaking surgical experiments on dogs. There follows a discussion of developments in transplant surgery in the early 1960s, with reference to the contributions of Francis Moore, David Hume, Bob Schwartz and Tom Starzl, as well as Joseph Murray, also Norman Shumway's primacy in pioneering heart transplantation. Questioned on his role as the …

Part: Interview 3
Status: Live|Last updated:22 January 2018 15:38
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Sir Roy Calne FRS in interview with Dr Max Blythe

In the second part of this interview Sir Roy Calne reflects first on pre-clinical and clinical teaching at Guy's Hospital Medical School, from 1947-52, particularly the initial culture shock of joining an intake mainly of ex-servicemen, and the impact of several distinguished tutors and clinicians including immunologist Peter Gorer and surgeons Nils Eckhoff and Russell Brock. There is also reference to a consolidation of surgical interests in this period and a case of Bright's disease provoking radical thoughts of organ transplantation, relating fundamentally to a lifetime's association with motor engineering and motor-part replacement. House jobs on medical and surgical firms at Guy's follow, somewhat unexpectedly for a student sometimes too forthright of viewpoint. There are recollections too of midwifery and the innovation of Donald Ross's system of 'venous cooling' in cardiac surgery. National Service with the Royal Army Medical Corps follows from 1953-55, with surgical appointments in Singapore, Hong Ko…

Part: Interview 2, Part 2
Status: Live|Last updated:22 January 2018 15:29
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Sir Roy Calne FRS in interview with Dr Max Blythe

In this first biographical interview, Professor Sir Roy Calne discusses early family life in Richmond Surrey, a family motor engineering business and the mechanical and modelling interests this assisted. Biographical insights into parents Joseph and Eileen Calne are followed by reflections on schooling, first in Richmond, then Marlow, Surrey, at Collet Court, later in North Wales, Ludlow and Brighton, a progression partly influenced by wartime changes in the location of family and schools. How schooldays in North Wales influenced interests in natural history, landscape and painting is then outlined. From the wartime quarters of Dulwich College Preparatory School at Betws-y-Coed, the story moves in 1943 to Lancing College and Ludlow, where the school spent the war years. The impact of three schoolmasters, Chamberlain, Saw and Russell Flint is acknowledged in the course of reviewing Lancing days, and there is reference to ornithological interests, painting, house life and a characteristic rebelliousness flouti…

Part: Interview 1 and Interview 2 part 1
Status: Live|Last updated:22 January 2018 15:27
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Off-site construction in supplier-driven and client-led project scenarios

Although off-site is a sustainable form of construction it remains a minority method, despite a willingness by contractors to consider such alternatives. Policy makers in the UK and other parts of Europe are refocusing attention on early supplier involvement to increase levels of off-site, but there are few recent case studies. To understand the situation more clearly this research considers projects with standardised layouts where there are varying scenarios of supplier-driven and client-led designs. Off-site and on-site construction quantities are measured and compared with other quantitative and qualitative data to understand the conditions of their selection. In projects where the layouts were the most standardised with a highly commoditised brief, early supplier input did lead to a more economic off-site option being introduced. However, despite this early involvement, no clients chose to contract directly with a supplier. Further studies are needed, but it is believed that these conditions are not uncom…

Type: Journal Article/Review
Status: Live|Last updated:22 January 2018 14:01
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An exploratory study of value added services

Purpose: Using data from 104 countries over a six-year period (2009-2014), this study proposes a value-added predictor in service industries based on the eight indicators of the prosperity index, namely economy, entrepreneurship and opportunity, governance, education, health, safety and security, personal freedom, and social capital. Design/methodology/approach: The fuzzy-set qualitative comparative analysis (fsQCA) and complexity theory, a relatively novel approach for developing and testing the conceptual model, are used for asymmetric modelling of value added in service industries, and the predictive validity of the proposed configural model is tested. Findings: Apart from advancing method and theory, this study simulates causal conditions (i.e., recipes) leading to both high and low scores of the value added of services. The configural conditions indicating a high/low level of value added in service industries can be used as a guiding strategy for marketers, investors and policy makers. Originality/value…

Type: Journal Article/Review
Status: Live|Last updated:22 January 2018 13:52
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The spy chiefs of renaissance Venice: Intelligence leadership in the early modern world

Type: book_section
Status: Live|Last updated:22 January 2018 13:45
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