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ID: oai:repository.uwl.ac.uk:83
Date: 2015-12-11

RIOXX

Base RIOXX scheme designed for low-level interoperability
This is not a valid RIOXX record
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dc:identifierMinimum of 1 value(s) required for dc:identifier - found 0 values

RCUK-RIOXX

RCUK RIOXX scheme for reporting of open access publications funded through UK Research Council grants
This is not a valid RCUK-RIOXX record
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rioxxterms:projectMinimum of 1 value(s) required for rioxxterms:project - found 0 values
dcterms:dateAcceptedMinimum of 1 value(s) required for dcterms:dateAccepted - found 0 values
dc:identifierMinimum of 1 value(s) required for dc:identifier - found 0 values
ali:license_refMinimum of 1 value(s) required for ali:license_ref - found 0 values
<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:83</identifier>
      <datestamp>2015-12-11T10:28:44Z</datestamp>
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      <setSpec>7375626A656374733D6865616C7468:636C696E6963616C5F6D65646963696E65</setSpec>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>A systematic review was undertaken of the evidence published between 1996 and 2004 on the effectiveness, and associated economic costs, of a range of interventions to prevent and control the transmission of meticillin-resistant Staphylococcus aureus (MRSA) in hospital settings. The review questions focused on screening, patient isolation, use of decolonization strategies, feedback of surveillance data, and environmental hygiene interventions. The reviewers assessed evidence from four recent systematic reviews, 24 non-experimental descriptive studies, five economic evaluations and one recently revised international guideline. The methodological quality of studies retrieved was such that there is currently insufficient high-quality evidence for infection prevention and control interventions in the fields identified for this review. However, evidence from clinically based, non-experimental studies does provide support for the continued use of a range and combination of interventions that contribute to the prevention and control of MRSA within acute hospitals and long-term-care settings. Well-conducted economic evaluations reporting the economic benefits arising from infection prevention and control interventions are lacking.</dc:description><dc:language>en</dc:language><dc:source>0195-6701</dc:source><dc:subject>clinical_medicine</dc:subject><dc:title>A systematic review of the evidence for interventions for the prevention and control of methicillin resistant Staphylococcus aureus (1996-2004). Report to the Department of Health joint MRSA Working Party</dc:title><rioxxterms:author>Loveday, Heather</rioxxterms:author><rioxxterms:author>Jones, S. R. L.</rioxxterms:author><rioxxterms:author>Pellowe, C. M.</rioxxterms:author><rioxxterms:author>Pratt, Robert</rioxxterms:author><rioxxterms:publication_date>2006-05-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1016/j.jhin.2006.01.002</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:84
Date: 2017-01-18

RIOXX

Base RIOXX scheme designed for low-level interoperability
This is not a valid RIOXX record
PropertyError
dc:identifierMinimum of 1 value(s) required for dc:identifier - found 0 values

RCUK-RIOXX

RCUK RIOXX scheme for reporting of open access publications funded through UK Research Council grants
This is not a valid RCUK-RIOXX record
PropertyError
rioxxterms:projectMinimum of 1 value(s) required for rioxxterms:project - found 0 values
dcterms:dateAcceptedMinimum of 1 value(s) required for dcterms:dateAccepted - found 0 values
dc:identifierMinimum of 1 value(s) required for dc:identifier - found 0 values
ali:license_refMinimum of 1 value(s) required for ali:license_ref - found 0 values
<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:84</identifier>
      <datestamp>2017-01-18T15:01:33Z</datestamp>
      <setSpec>7374617475733D707562</setSpec>
      <setSpec>7375626A656374733D6865616C7468:636C696E6963616C5F6D65646963696E65</setSpec>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>BACKGROUND: &#13;
There is significant public concern in England about health carers wearing uniform in public places and that contaminated uniforms may contribute to the spread of healthcare-associated infections (HCAI). Evidence of a link between contaminated uniforms and HCAI, or that wearing uniforms in public spaces may contribute to the spread of infection from the healthcare environment to the wider community, has not previously been systematically assessed. &#13;
&#13;
METHODS: &#13;
A comprehensive review was conducted that focused on patient perceptions of the significance and infection risks of uniforms and microbiological and clinical evidence of the infection risks to patients from contaminated uniforms. &#13;
&#13;
RESULTS: &#13;
Uniforms play an important role in the public's perception of healthcare professionals. This is constructed from social and cultural images leading patients to judge the professionalism and trustworthiness of practitioners based on the clothes they wear. The colour and design of uniforms may reinforce socially constructed concepts of cleanliness that result in unachievable expectations. Evidence directly related to the laundering of uniforms is limited. Small scale studies show that uniforms and white coats become progressively contaminated during clinical care and most microbial contamination originates from the wearer of the uniform. Although some studies theorise that uniforms may transmit HCAI, no studies demonstrated this in practice. A small number of studies evaluated the phases of the wash cycle in hospital laundries for patient linen but not uniforms. They indicate that micro-organisms are removed and killed during laundering, and dilution during washing and rinsing is important. Significant reductions in micro-organisms occur at lower temperatures more commonly used in home laundering. A small number of studies show that home laundering provides effective decontamination. We found no recent studies that accounted for advances in domestic washing machine and detergent technology or that addressed the theoretical infection risk linked with wearing uniforms in public places. &#13;
&#13;
CONCLUSION: &#13;
Despite the limited amount and quality of the evidence, the general public's perception is that uniforms pose an infection risk when worn inside and outside clinical settings. This is reinforced by media comment and a lack of clear, accessible information and may have a damaging effect on the relationship between professionals and patients and the public image of healthcare workers. There is no good evidence to suggest uniforms are a significant risk, that home laundering is inferior to commercial processing of uniforms or that it presents a hazard in terms of cross-contamination of other items in the wash-load with hospital pathogens. It is essential that the evidence is considered in a balanced way and not over-emphasised in the development of uniform policy and that the general principles of infection control are stressed.</dc:description><dc:language>en</dc:language><dc:source>1469-0446</dc:source><dc:subject>clinical_medicine</dc:subject><dc:title>Public perception and the social and microbiological significance of uniforms in the prevention and control of healthcare-associate infections: an evidence review</dc:title><rioxxterms:author>Loveday, Heather</rioxxterms:author><rioxxterms:author>Hoffman, P. N.</rioxxterms:author><rioxxterms:author>Pratt, Robert</rioxxterms:author><rioxxterms:author>Wilson, Jennie</rioxxterms:author><rioxxterms:publication_date>2007-09-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1177/1469044607082078</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:86
Date: 2017-01-18

RIOXX

Base RIOXX scheme designed for low-level interoperability
This is not a valid RIOXX record
PropertyError
dc:identifierMinimum of 1 value(s) required for dc:identifier - found 0 values

RCUK-RIOXX

RCUK RIOXX scheme for reporting of open access publications funded through UK Research Council grants
This is not a valid RCUK-RIOXX record
PropertyError
rioxxterms:projectMinimum of 1 value(s) required for rioxxterms:project - found 0 values
dcterms:dateAcceptedMinimum of 1 value(s) required for dcterms:dateAccepted - found 0 values
dc:identifierMinimum of 1 value(s) required for dc:identifier - found 0 values
ali:license_refMinimum of 1 value(s) required for ali:license_ref - found 0 values
<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:86</identifier>
      <datestamp>2017-01-18T15:01:21Z</datestamp>
      <setSpec>7374617475733D707562</setSpec>
      <setSpec>7375626A656374733D6865616C7468:4D6963726F62696F6C6F6779</setSpec>
      <setSpec>7375626A656374733D6865616C7468:636C696E6963616C5F6D65646963696E65</setSpec>
      <setSpec>74797065733D61727469636C65</setSpec>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>A systematic search and quality assessment of published literature was conducted to establish current knowledge on the role of healthcare workers uniforms’ as vehicles for the transfer of healthcare-associated infections. This review comprised a systematic search of national and international guidance, published literature and data on recent advances in laundry technology and processes. We found only a small number of relevant studies that provided limited evidence directly related to the decontamination of uniforms. Studies concerning domestic laundry processes are small scale and largely observational. Current practice and guidance for laundering uniforms is extrapolated from studies of industrial hospital linen processing. Healthcare workers' uniforms, including white coats, become progressively contaminated in use with bacteria of low pathogenicity from the wearer and of mixed pathogenicity from the clinical environment and patients. The hypothesis that uniforms/clothing could be a vehicle for the transmission of infections is not supported by existing evidence. All components of the laundering process contribute to the removal or killing of micro-organisms on fabric. There is no robust evidence of a difference in efficacy of decontamination of uniforms/clothing between industrial and domestic laundry processes, or that the home laundering of uniforms provides inadequate decontamination.</dc:description><dc:language>en</dc:language><dc:source>0195-6701</dc:source><dc:subject>Microbiology</dc:subject><dc:subject>clinical_medicine</dc:subject><dc:title>Uniform: an evidence review of the microbiological significance of uniforms and uniform policy in the prevention and control of healthcare-associated infections. Report to the Department (England)</dc:title><rioxxterms:author>Loveday, Heather</rioxxterms:author><rioxxterms:author>Hoffman, P. N.</rioxxterms:author><rioxxterms:author>Pratt, Robert</rioxxterms:author><rioxxterms:author>Wilson, Jennie</rioxxterms:author><rioxxterms:publication_date>2007-08-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1016/j.jhin.2007.03.026</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:87
Date: 2015-12-10

RIOXX

Base RIOXX scheme designed for low-level interoperability
This is not a valid RIOXX record
PropertyError
dc:identifierMinimum of 1 value(s) required for dc:identifier - found 0 values

RCUK-RIOXX

RCUK RIOXX scheme for reporting of open access publications funded through UK Research Council grants
This is not a valid RCUK-RIOXX record
PropertyError
rioxxterms:projectMinimum of 1 value(s) required for rioxxterms:project - found 0 values
dcterms:dateAcceptedMinimum of 1 value(s) required for dcterms:dateAccepted - found 0 values
dc:identifierMinimum of 1 value(s) required for dc:identifier - found 0 values
ali:license_refMinimum of 1 value(s) required for ali:license_ref - found 0 values
<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:87</identifier>
      <datestamp>2015-12-10T15:51:04Z</datestamp>
      <setSpec>7374617475733D707562</setSpec>
      <setSpec>7375626A656374733D6865616C7468:4D6963726F62696F6C6F6779</setSpec>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>The effects of carvacrol, a natural biocide, on dual-species biofilms formed by Staphylococcus aureus and Salmonella enterica serovar Typhimurium were investigated with a constant-depth film fermentor. Biofilm development reached a quasi-steady state in 12 days at 25°C with S. aureus predominance (≈99%). Cryosectional analysis detected viable S. aureus and S. enterica serovar Typhimurium at depths of 320 and 180 μm from the film surface, respectively. Carvacrol pulses (1.0 mmol/h) inhibited S. aureus by 2.5 log CFU/biofilm during the early stages of film formation, ultimately causing a significant reduction (P &lt; 0.001) of the staphylococcal population at quasi-steady state. Initial carvacrol pulsing elicited a 3 log CFU/biofilm reduction in viable S. enterica serovar Typhimurium, and additional periodic carvacrol pulses instigated significant inhibition of salmonellae (1 to 2 log CFU/biofilm) during biofilm development. Carvacrol pulsing reduced protein levels fivefold (P &lt; 0.001) during initial biofilm development. Comparative studies with a peroxide-based commercial sanitizer (Spor-Klenz RTU) revealed that this commercial sanitizer was more biocidal than carvacrol during early biofilm development. When the biofilm reached quasi-steady state, however, periodic pulses with 1 mmol of carvacrol per h (P = 0.021) elicited a significantly higher inhibition than Spor-Klenz RTU (P = 0.772). Dual-species microcolonies formed under the influence of continuously fed low carvacrol concentrations (1.0 mmol/h) but failed to develop into a mature quasi-steady-state biofilm and did not reach any stage of film formation in the presence of high concentrations (5.0 mmol/h). These data show that carvacrol is an effective natural intervention to control dual-species biofilm formation.</dc:description><dc:language>en</dc:language><dc:source>0099-2240</dc:source><dc:subject>Microbiology</dc:subject><dc:subject>microbiology</dc:subject><dc:title>Antimicrobial action of carvacrol at different stages of dual-species biofilm development by Staphylococcus aureus and Salmonella enterica serovar Typhimurium</dc:title><rioxxterms:author>Roller, S.</rioxxterms:author><rioxxterms:author>Naidu, A. S.</rioxxterms:author><rioxxterms:author>Murray, D. B.</rioxxterms:author><rioxxterms:author>Knowles, J. R.</rioxxterms:author><rioxxterms:publication_date>2005-02-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1128/AEM.71.2.797-803.2005</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:88
Date: 2017-01-18

RIOXX

Base RIOXX scheme designed for low-level interoperability
This is not a valid RIOXX record
PropertyError
dc:identifierMinimum of 1 value(s) required for dc:identifier - found 0 values

RCUK-RIOXX

RCUK RIOXX scheme for reporting of open access publications funded through UK Research Council grants
This is not a valid RCUK-RIOXX record
PropertyError
rioxxterms:projectMinimum of 1 value(s) required for rioxxterms:project - found 0 values
dcterms:dateAcceptedMinimum of 1 value(s) required for dcterms:dateAccepted - found 0 values
dc:identifierMinimum of 1 value(s) required for dc:identifier - found 0 values
ali:license_refMinimum of 1 value(s) required for ali:license_ref - found 0 values
<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:88</identifier>
      <datestamp>2017-01-18T15:21:39Z</datestamp>
      <setSpec>7374617475733D707562</setSpec>
      <setSpec>7375626A656374733D6865616C7468:4D6963726F62696F6C6F6779</setSpec>
      <setSpec>74797065733D61727469636C65</setSpec>
      <setSpec>6469766973696F6E733D7363685F6865616C7468</setSpec></header>
    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>AIMS:  &#13;
To develop new measures for controlling both spoilage and pathogenic micro-organisms in unpasteurized apple juice using chitosan.&#13;
&#13;
METHODS AND RESULTS:  &#13;
Micro-organisms were isolated and identified from apple juice treated or untreated with chitosan using enrichment, selective media, microscopy, substrate assimilation patterns and ribosomal DNA profiling. Chitosan (0·05–0·1%) delayed spoilage by yeasts at 25°C for up to 12 days but the effect was species specific: Kloeckera apiculata and Metschnikowia pulcherrima were inactivated but Saccharomyces cerevisiae and Pichia spp. multiplied slowly. In challenge experiments at 25°C, total yeast counts were 3–5 log CFU ml−1 lower in chitosan-treated juices than in the controls for 4 days but the survival of Escherichia coli O157:H7 was extended from 1 to 2 days; at 4°C, chitosan reduced the yeast counts by 2–3 log CFU ml−1 for up to 10 days but survival of the pathogen was prolonged from 3 to 5 days. The survival of Salmonella enterica serovar Typhimurium was unaffected by chitosan at either temperature.&#13;
&#13;
CONCLUSIONS:  &#13;
The addition of chitosan to apple juice delayed spoilage by yeasts but enhanced the survival of E. coli O157:H7.&#13;
&#13;
SIGNIFICANCE AND IMPACT OF THE STUDY:  &#13;
The results suggest that the use of chitosan in the treatment of fruit juices may potentially lead to an increased risk of food poisoning from E. coli O157:H7.</dc:description><dc:language>en</dc:language><dc:source>1365-2672</dc:source><dc:subject>Microbiology</dc:subject><dc:subject>microbiology</dc:subject><dc:title>Chitosan inactivates spoilage yeasts but enhances survival of Escherichia coli 0157:H7 in apple juice</dc:title><rioxxterms:author>Roller, S.</rioxxterms:author><rioxxterms:author>Kiskó, G.</rioxxterms:author><rioxxterms:author>Sharp, Richard</rioxxterms:author><rioxxterms:publication_date>2005-01-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1111/j.1365-2672.2004.02527.x</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:89
Date: 2015-12-07

RIOXX

Base RIOXX scheme designed for low-level interoperability
This is not a valid RIOXX record
PropertyError
dc:identifierMinimum of 1 value(s) required for dc:identifier - found 0 values

RCUK-RIOXX

RCUK RIOXX scheme for reporting of open access publications funded through UK Research Council grants
This is not a valid RCUK-RIOXX record
PropertyError
rioxxterms:projectMinimum of 1 value(s) required for rioxxterms:project - found 0 values
dcterms:dateAcceptedMinimum of 1 value(s) required for dcterms:dateAccepted - found 0 values
dc:identifierMinimum of 1 value(s) required for dc:identifier - found 0 values
ali:license_refMinimum of 1 value(s) required for ali:license_ref - found 0 values
<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:89</identifier>
      <datestamp>2015-12-07T09:33:54Z</datestamp>
      <setSpec>7374617475733D707562</setSpec>
      <setSpec>7375626A656374733D6865616C7468:4D6963726F62696F6C6F6779</setSpec>
      <setSpec>74797065733D61727469636C65</setSpec>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>The mode of antimicrobial action of chitosan (polymeric β-1,4-N-acetylglucosamine) on Gram-negative bacteria was studied with special emphasis on its ability to bind to and weaken the barrier function of the outer membrane (OM). Chitosan (250 ppm) at pH 5.3 induced significant uptake of the hydrophobic probe 1-N-phenylnaphthylamine (NPN) in Escherichia coli, Pseudomonas aeruginosa and Salmonella typhimurium. The effect was reduced (E. coli, salmonellae) or abolished (P. aeruginosa) by MgCl2. No NPN uptake was observed during exposure of the salmonellae to chitosan at pH 7.2. Chitosan also sensitized P. aeruginosa and the salmonellae to the lytic effect of sodium dodecyl sulfate (SDS); such sensitization was not blocked by MgCl2 and was reversible by washing chitosan-treated cells prior to SDS exposure. Chemical and electrophoretic analyses of cell-free supernatants of chitosan-treated cell suspensions showed that interaction of chitosan with E. coli and the salmonellae involved no release of lipopolysaccharide (LPS) or other membrane lipids. However, chitosan rendered E. coli more sensitive to the inhibitory action of dyes and bile acids used in selective media. Highly cationic mutants of S. typhimurium were more resistant to chitosan than the parent strains. Electron microscopy showed that chitosan caused extensive cell surface alterations and covered the OM with vesicular structures. Chitosan thus appeared to bind to the outer membrane, explaining the loss of the barrier function. This property makes chitosan a potentially useful indirect antimicrobial for food protection.</dc:description><dc:language>en</dc:language><dc:source>0168-1605</dc:source><dc:subject>Microbiology</dc:subject><dc:subject>microbiology</dc:subject><dc:title>Chitosan disrupts the barrier properties of the outer membrane of Gram-negative bacteria.</dc:title><rioxxterms:author>Roller, S.</rioxxterms:author><rioxxterms:author>Ahvenainen, R.</rioxxterms:author><rioxxterms:author>Helander, I. M.</rioxxterms:author><rioxxterms:author>Rhoades, J.</rioxxterms:author><rioxxterms:publication_date>2001-01-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1016/S0168-1605(01)00609-2</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:90
Date: 2016-08-04

RIOXX

Base RIOXX scheme designed for low-level interoperability
This is not a valid RIOXX record
PropertyError
dc:identifierMinimum of 1 value(s) required for dc:identifier - found 0 values

RCUK-RIOXX

RCUK RIOXX scheme for reporting of open access publications funded through UK Research Council grants
This is not a valid RCUK-RIOXX record
PropertyError
rioxxterms:projectMinimum of 1 value(s) required for rioxxterms:project - found 0 values
dcterms:dateAcceptedMinimum of 1 value(s) required for dcterms:dateAccepted - found 0 values
dc:identifierMinimum of 1 value(s) required for dc:identifier - found 0 values
ali:license_refMinimum of 1 value(s) required for ali:license_ref - found 0 values
<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:90</identifier>
      <datestamp>2016-08-04T10:00:29Z</datestamp>
      <setSpec>7374617475733D707562</setSpec>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>The aim of this study was to identify Antarctic microorganisms with the ability to produce cold-active antimicrobial compounds with potential for use in chilled food preservation. Colonies (4496) were isolated from 12 Antarctic soil samples and tested against Listeria innocua, Pseudomonas fragi and Brochothrix thermosphacta. Thirteen bacteria were confirmed as being growth-inhibitor producers (detection rate 0.29%). When tested against a wider spectrum of eight target organisms, some of the isolates also inhibited the growth of L. monocytogenes and Staphylococcus aureus. Six inhibitor producers were psychrotrophic (growth optima between 18 and 24 °C), halotolerant (up to 10% NaCl) and catalase-positive; all but one were Gram-positive and oxidase-positive. The inhibitors produced by four bacteria were sensitive to proteases, suggesting a proteinaceous nature. Four of the inhibitor–producers were shown to be species of Arthrobacter, Planococcus and Pseudomonas on the basis of their 16S rRNA gene sequences and fatty acid compositions. It was concluded that Antarctic soils represent an untapped reservoir of novel, cold-active antimicrobial-producers.</dc:description><dc:language>en</dc:language><dc:source>1574-6941</dc:source><dc:subject>Microbiology</dc:subject><dc:title>Antartic bacteria inhibit growth of food-borne microorganisms at low temperatures</dc:title><rioxxterms:author>Roller, S.</rioxxterms:author><rioxxterms:author>O'Brien, Andrea</rioxxterms:author><rioxxterms:author>Russell, Nicholas J.</rioxxterms:author><rioxxterms:author>Sharp, Richard</rioxxterms:author><rioxxterms:publication_date>2004-05-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1016/j.femsec.2004.01.001</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:91
Date: 2015-12-11

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    <header>
      <identifier>oai:repository.uwl.ac.uk:91</identifier>
      <datestamp>2015-12-11T10:04:39Z</datestamp>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>Between July and October 2003, 121 clinical isolates of group A streptococci (GAS) were collected from a London hospital and characterized by multilocus sequence typing (MLST) to determine the identity and prevalence of clones circulating within this setting. A total of 39 sequence types (ST), of which 20 were represented by a single isolate, were identified. The eight most prevalent clones among the 121 GAS were ST117/emm81 (16%), ST39/emm4 (9%), ST62/emm87 (7%), ST28/emm1 (6%), ST36/emm12 (6%), ST46/emm22 (5%), ST334/emm82 (5%), and ST101/emm89 (4%). Compared to those in the MLST database (http://spyogenes.mlst.net), 12 (31%) of the 39 STs had not been previously identified, although 7 of these differed from recognized STs at only a single locus, suggesting they were closely related to previously recognized strains. Resistance to erythromycin and tetracycline was seen in 7 and 20% of isolates, respectively, with four isolates resistant to both agents. GAS strains with higher (&gt;80) emm types accounted for 45% of GAS isolates collected during this study. Continuing GAS surveillance, using easily comparable methods, is important for detecting changes in the character of disease-causing isolates.</dc:description><dc:language>en</dc:language><dc:source>009-51137</dc:source><dc:subject>Microbiology</dc:subject><dc:subject>microbiology</dc:subject><dc:title>Identity and prevalence of multilocus sequence typing-defined clones of group A streptococci within a hospital setting</dc:title><rioxxterms:author>McGregor, K. F.</rioxxterms:author><rioxxterms:author>Spratt B G</rioxxterms:author><rioxxterms:publication_date>2005-04-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1128/JCM.43.4.1963-1967.2005</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:92
Date: 2015-12-07

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    <header>
      <identifier>oai:repository.uwl.ac.uk:92</identifier>
      <datestamp>2015-12-07T11:19:36Z</datestamp>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>A long-term goal is to characterize the full range of genetic diversity within Streptococcus pyogenes as it exists in the world today. Since the emm locus is subject to strong diversifying selection, emm type was used as a guide for identifying a genetically diverse set of strains. This report contains a description of multilocus sequence typing based on seven housekeeping loci for 495 isolates representing 158 emm types, yielding 238 unique combinations of sequence type and emm type. A genotypic marker for tissue site preference (emm pattern) revealed that only 17% of the emm types displayed the marker representing strong preference for infection at the throat and that 39% of emm types had the marker for skin tropism, whereas 41% of emm types harbored the marker for no obvious tissue site preference. As a group, the emm types bearing the emm pattern marker indicative of no obvious tissue site preference were far less likely to have two distinct emm types associated with the same sequence type than either of the two subpopulations having markers for strong tissue tropisms (P &lt; 0.002). In addition, all genetic diversification events clearly ascribed to a recombinational mechanism involved strains of only two of the emm pattern-defined subpopulations, those representing skin specialists and generalists. The findings suggest that the population genetic structure differs for the tissue-defined subpopulations of S. pyogenes. The observed differences may partly reflect differential host immune selection pressures.</dc:description><dc:language>en</dc:language><dc:source>0021-9193</dc:source><dc:subject>microbiology</dc:subject><dc:title>Multilocus sequence typing of Streptococcus pyogenes representing most known emm-types and distinctions among subpopulation generic structures</dc:title><rioxxterms:author>McGregor, K. F.</rioxxterms:author><rioxxterms:author>Bessen, D. E.</rioxxterms:author><rioxxterms:author>Kalia, A.</rioxxterms:author><rioxxterms:author>Spratt, B. G.</rioxxterms:author><rioxxterms:publication_date>2004-07-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1128/JB.186.13.4285-4294.2004</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:93
Date: 2015-12-07

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    <header>
      <identifier>oai:repository.uwl.ac.uk:93</identifier>
      <datestamp>2015-12-07T11:20:20Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>Group A streptococci (GAS) cause several human diseases that differentially affect distinct host populations. Genotypes were defined by multilocus sequence typing and emm typing for 137 organisms collected from individuals in a remote aboriginal island community in tropical Australia and compared with &gt;200 isolates obtained from sources elsewhere in the world. The majority of aboriginal-derived isolates shared emm types and housekeeping alleles with GAS isolates recovered from outside Australia, but these emm types and alleles were in novel combinations. There were many examples in which isolates from aboriginal and non-Australian subjects shared the same emm type, but for ∼50% of emm types, the multilocus genotypes of isolates of the same emm type but from different regions were very different. A single emm type may typically define a single clone within the United States and on the remote island that is the focus of this study, but in many cases, these clones will be different, and this finding has implications for attempts to make global associations between emm types and certain disease manifestations.</dc:description><dc:language>en</dc:language><dc:source>1537-6613</dc:source><dc:subject>Microbiology</dc:subject><dc:title>Group A Streptococci from a remote community have novel multilocus genotypes but share emm types and housekeeping alleles with isolates from worldwide sources</dc:title><rioxxterms:author>McGregor, K. F.</rioxxterms:author><rioxxterms:author>Spratt, B. G.</rioxxterms:author><rioxxterms:author>Bessen, D. E.</rioxxterms:author><rioxxterms:author>Bilek, N.</rioxxterms:author><rioxxterms:publication_date>2004-02-15</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1086/381452</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:94
Date: 2015-12-11

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    <header>
      <identifier>oai:repository.uwl.ac.uk:94</identifier>
      <datestamp>2015-12-11T10:05:07Z</datestamp>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>A total of 204 vanB enterococcal isolates, isolated between 1989 and 1999 from patients in 59 different hospitals in England, Wales, and Scotland and from a single hospital in the Republic of Ireland, were examined. Nucleotide sequencing and HhaI digestion of a fragment of the vanB gene was used to distinguish between the vanB1, vanB2, andvanB3 gene clusters (7). Based on theirvanB-HhaI restriction fragment length polymorphism (RFLP) profiles, 202 (99%) isolates contained vanB2. The presence of vanB1 in two isolates was confirmed by sequence analysis.</dc:description><dc:language>en</dc:language><dc:source>1098-6596</dc:source><dc:subject>Microbiology</dc:subject><dc:subject>microbiology</dc:subject><dc:title>Prevalence of the vanB2 Gene Cluster in VanB Glycopeptide-Resistant Enterococci in the United Kingdom and the Republic of Ireland and its association with a Tn5382-Like Element</dc:title><rioxxterms:author>McGregor, K. F.</rioxxterms:author><rioxxterms:author>Young, H.-K.</rioxxterms:author><rioxxterms:author>Nolan C</rioxxterms:author><rioxxterms:author>Woodford N</rioxxterms:author><rioxxterms:publication_date>2001-01-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1128/AAC.45.1.367-368.2001</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:95
Date: 2015-12-11

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    <header>
      <identifier>oai:repository.uwl.ac.uk:95</identifier>
      <datestamp>2015-12-11T10:29:19Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:language>en</dc:language><dc:source>0195-6701</dc:source><dc:subject>clinical_medicine</dc:subject><dc:title>Infection control: prevention of healthcare-associated infection in primary and community care</dc:title><rioxxterms:author>Pratt, Robert</rioxxterms:author><rioxxterms:author>Harper, P.</rioxxterms:author><rioxxterms:author>Loveday H</rioxxterms:author><rioxxterms:author>Pellowe C</rioxxterms:author><rioxxterms:publication_date>2003-12-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1016/S0195-6701(03)00291-3</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:96
Date: 2017-01-12

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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:96</identifier>
      <datestamp>2017-01-12T10:03:32Z</datestamp>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>PURPOSE: &#13;
This study investigated the factors that may affect adherence to antiretroviral therapy in people with HIV infection and compared the use of three self-report tools to determine client adherence. &#13;
&#13;
METHOD: &#13;
A descriptive, cross-sectional study of 260 HIV-infected clients attending nine HIV outpatient centers in England was conducted using researcher-administered instruments. Self-reports of adherence were assessed using the Morisky Medication Adherence Scale (MMAS), Reported Adherence to Medication Scale (RAM), and the Patient Adjustment to Medication Scale (PAM).&#13;
 &#13;
RESULTS: &#13;
Univariate analysis of clients' self-reports indicated a number of associations with adherence. Significant associations with less adherent behavior identified by two or more self-report tools were the reported use of recreational drugs, p = .001; living alone, p = .041; feeling depressed, p = .02; being influenced by the media, p = .037; and lack of a close confidant, p = .037. Greater adherence was associated with clients reporting a positive mental attitude to HIV infection, p = .038. Principal component analysis (PCA) of each self-report tool identified two well-recognized constructs: intentional nonadherence and nonintentional nonadherence. In addition, a third construct of following instructions was identified from PAM, a scale developed by the authors. Subsequent regression analysis failed to confirm the associations with adherence suggested by the univariate analysis. &#13;
&#13;
CONCLUSION: &#13;
This study suggests that the design and use of self-report tools to identify client's adherence to complex antiretroviral regimens may need to measure individual constructs of adherence to accurately assess adherence behavior.</dc:description><dc:language>en</dc:language><dc:source>1528-4336</dc:source><dc:subject>clinical_medicine</dc:subject><dc:title>Adherence to antiretroviral therapy - appropriate use of self reporting in clinical practice</dc:title><rioxxterms:author>Pratt, Robert</rioxxterms:author><rioxxterms:author>Loveday, Heather</rioxxterms:author><rioxxterms:author>Pellowe, C. M.</rioxxterms:author><rioxxterms:author>Robinson, Nicola</rioxxterms:author><rioxxterms:author>Franks, Peter J.</rioxxterms:author><rioxxterms:author>Hankins, Matthew</rioxxterms:author><rioxxterms:author>Loveday, Clive</rioxxterms:author><rioxxterms:publication_date>2001-03-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1310/89E2-XNJL-W107-R2GL</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:97
Date: 2016-08-09

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      <datestamp>2016-08-09T16:13:21Z</datestamp>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>As part of a major project to develop a primary care trust-based framework of lymphoedema management, the educational needs of community nurses regarding the care of patients with lymphoedema were assessed using focus groups and questionnaires. Community nurses assessed their current knowledge and skill in the care and management of patients with lymphoedema as adequate or poor. They were concerned about their lack of knowledge and skill and were uncertain regarding their role relative to other professions involved in the care of this patient group. At the same time they understood the importance of their role in providing ongoing care, recognizing problems, offering sound advice and referring on to a specialist practitioner when necessary. Any educational provision that prepares community nurses for their role within a framework of lymphoedema management should emphasize the important place they occupy in providing long-term care for this patient group.</dc:description><dc:language>en</dc:language><dc:source>0966-0461</dc:source><dc:subject>nursing</dc:subject><dc:title>Assessing community nurses' level of knowledge of lymphoedema</dc:title><rioxxterms:author>Doherty, Debra C.</rioxxterms:author><rioxxterms:author>Morgan, P.A.</rioxxterms:author><rioxxterms:author>Franks, Peter J.</rioxxterms:author><rioxxterms:author>Moffatt, Christine J.</rioxxterms:author><rioxxterms:publication_date>2005-01-13</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:98
Date: 2017-01-12

RIOXX

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    <header>
      <identifier>oai:repository.uwl.ac.uk:98</identifier>
      <datestamp>2017-01-12T09:56:36Z</datestamp>
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      <setSpec>6469766973696F6E733D7363685F6865616C7468</setSpec></header>
    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>The purpose of this study was to examine the use of a number of tools in the evaluation of health-related quality of life in patients with lower limb lymphedema, and to determine the consequences of cancer history and concurrent leg ulceration. Patients in one health trust having lower limb lymphedema were identified and interviewed at entry and after 24 weeks. The short form-36 (SF-36), modified Barthel scale, McGill short form pain questionnaire, and Euroqol were administered at both time points. Of the 164 (median age=76.9 years, 70.7% women) patients who comprised the study population, 15.2% had a history of cancer and 30.4% had coexisting current leg ulceration. Internal consistencies were high for all scales (Cronbach's α &gt;0.80). There were high ceiling effects for a number of SF-36 scores, and high floor effects in these and the McGill short form pain questionaire, scales. Despite these limitations, there was strong evidence that treatment led to significant improvements in six of eight scores of the SF-36, three of three scores of the McGill short form pain questionnaire and the modified Barthel scale (all p&lt;0.05). The improvement in physical functioning was significantly greater for patients who entered the study with a leg ulcer (mean different=9.1, 95% confidence interval 2.1–16.1, p=0.011). Patients treated with compression bandaging had significantly greater improvements for physical functioning (10.2) than those treated with compression hoisery (−1.5) or no treatment (−2.0), p=0.001. Of the tools assessed, the SF-36, appears to be the most appropriate for use in this patient group.</dc:description><dc:language>en</dc:language><dc:source>1524-475X</dc:source><dc:subject>clinical_medicine</dc:subject><dc:title>Assessment of health related quality of life in patients with lymphoedema of the lower limb</dc:title><rioxxterms:author>Franks, Peter J.</rioxxterms:author><rioxxterms:author>Moffatt, Christine J.</rioxxterms:author><rioxxterms:author>Doherty, Debra C.</rioxxterms:author><rioxxterms:author>Williams, Anne F.</rioxxterms:author><rioxxterms:author>Jeffs, Eunice</rioxxterms:author><rioxxterms:author>Mortimer, Peter S.</rioxxterms:author><rioxxterms:publication_date>2006-03-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1111/j.1743-6109.2006.00099.x</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:99
Date: 2016-08-09

RIOXX

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    <header>
      <identifier>oai:repository.uwl.ac.uk:99</identifier>
      <datestamp>2016-08-09T16:11:55Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>SUMMARY:&#13;
Background  While there is a commonly held belief that leg ulceration is associated with social factors, the evidence to support this is mainly anecdotal.&#13;
&#13;
OBJECTIVES:  &#13;
To determine deficits in sociodemographic status in patients with chronic leg ulceration.&#13;
&#13;
METHODS:  &#13;
In a matched case–control study carried out in community leg ulcer clinics and participants’ homes within Wandsworth Primary Care Trust, patients with chronic leg ulceration were compared with age- and sex-matched community controls drawn from general practitioner registers. Main outcome measures were the prevalence of social class, ethnicity, marital status, living status and social support. Data were analysed by conditional logistic regression.&#13;
&#13;
RESULTS:  &#13;
In all, 113 patients were identified and matched to controls. Patients had a mean age of 75 years (range 31–94), with 72 (64%) being women. The ulcer had been present for a median of 8 months (range 0·8–144), and 29% of patients had an area of ulceration &gt;10 cm2 (range 0·5–171·5). Being Afro-Caribbean increased the risk of leg ulceration eightfold (95% confidence interval, CI 1·83–34·75; P &lt; 0·001) compared with the white population. There was a gradient with social class, with patients with leg ulcers being more likely to come from social class IV and V (odds ratio, OR 2·82, 95% CI 1·19–6·74; P = 0·015). Never having married (OR 2·98, 95% CI 1·15–7·74; P = 0·025), living in rented housing (P &lt; 0·001) and having a mobility deficit (P &lt; 0·001) more often occurred in the ulcer patients, while living with a spouse was protective (OR 0·46, 95% CI 0·21–0·99; P = 0·048). Patients with ulceration experienced significantly poorer social support than their controls for most subscales of the medical outcomes study social support questionnaire (all P &lt; 0·05).&#13;
&#13;
CONCLUSIONS:&#13;
Chronic leg ulceration is associated with poorer socioeconomic status, and factors which relate to social isolation. At present it is not possible to determine whether these associations are causative or are a consequence of the ulceration.</dc:description><dc:language>en</dc:language><dc:source>1365-2133</dc:source><dc:subject>clinical_medicine</dc:subject><dc:title>Socio-demographic factors in chronic leg ulceration</dc:title><rioxxterms:author>Doherty, Debra C.</rioxxterms:author><rioxxterms:author>Moffatt, Christine J.</rioxxterms:author><rioxxterms:author>Franks, Peter J.</rioxxterms:author><rioxxterms:author>Smithdale, Rachael</rioxxterms:author><rioxxterms:author>Martin, Ruth</rioxxterms:author><rioxxterms:author>Smithdale R</rioxxterms:author><rioxxterms:publication_date>2006-08-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1111/j.1365-2133.2006.07265.x</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:100
Date: 2016-08-09

RIOXX

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    <header>
      <identifier>oai:repository.uwl.ac.uk:100</identifier>
      <datestamp>2016-08-09T16:09:08Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>Studies that have examined patients' health-related quality of life have consistently shown improvements following intensive and effective treatments over relatively short follow-ups. However, little is known of the longer-term effects of treatment on patients. As part of a study in southwest London, United Kingdom, all patients having a current leg ulcer were examined (n=113) and those who were able completed the Nottingham Health Profile (n=95) and were then followed up at 24 and 48 weeks. The patients had a mean age of 76±13 (SD) years, with 60 (63.2%) being women. Before the study, the ulcer had been present for a median of 8 months (range 0.5–144), and a median area of ulceration of 4.0 cm2 (range 0.5–171.5 cm2). After 24 weeks, there was a significant improvement in pain (mean difference [d]=9.6, p=0.002), which was true for both the 41 patients with ulcers present (d=10.07, p=0.013) and the 43 patients whose ulcers had healed (d=11.46, p=0.047). However, after 48 weeks, these improvements had been reduced in both groups (healed ulceration d=5.76, unhealed patients d=6.41). Energy, which had improved after 24 weeks in the patients whose ulcers, had healed (d=11.46), deteriorated in both patient groups after 48 weeks (healed=−5.67, unhealed=−13.43). Mobility status was maintained with healed ulceration (d=1.05) but deteriorated with unhealed ulceration (d=−13.19). The positive effects of treatment on health-related quality of life may not be sustained over time. This may be a consequence of the general deterioration in the health status of these elderly patients as they age.</dc:description><dc:language>en</dc:language><dc:source>1524-475X</dc:source><dc:subject>clinical_medicine</dc:subject><dc:title>Longer term changes in quality of life in chronic leg ulceration</dc:title><rioxxterms:author>Doherty, Debra C.</rioxxterms:author><rioxxterms:author>Martin, Ruth</rioxxterms:author><rioxxterms:author>Moffatt, Christine J.</rioxxterms:author><rioxxterms:author>Franks, Peter J.</rioxxterms:author><rioxxterms:author>Smithdale, Rachael</rioxxterms:author><rioxxterms:publication_date>2006-09-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1111/j.1743-6109.2006.00160.x</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:101
Date: 2017-01-12

RIOXX

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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:101</identifier>
      <datestamp>2017-01-12T10:01:57Z</datestamp>
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      <setSpec>7375626A656374733D6865616C7468:636C696E6963616C5F6D65646963696E65</setSpec>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>This paper describes a randomized controlled crossover study examining the effects of manual lymphatic drainage (MLD) in 31 women with breast cancer-related lymphoedema. MLD is a type of massage used in combination with skin care, support/compression therapy and exercise in the management of lymphoedema. A modified version of MLD, referred to as simple lymphatic drainage (SLD), is commonly taught as a self-help measure. There has been limited research into the efficacy of MLD and SLD. The study reported here explores the effects of MLD and SLD on a range of outcome measures. The findings demonstrate that MLD significantly reduces excess limb volume (difference, d=71, 95% CI=16–126, P=0.013) and reduced dermal thickness in the upper arm (d=0.15, 95% CI=0.12–0.29, P =0.03). Quality of life, in terms of emotional function (d=7.2, 95% CI=2.3–12.1, P=0.006), dyspnoea (d=−4.6, 95% CI=−9.1 to −0.15, P=0.04) and sleep disturbance (d =−9.2, 95% CI=−17.4 to −1.0, P=0.03), and a number of altered sensations, such as pain and heaviness, were also significantly improved by MLD. The study provides evidence to support the use of MLD in women with breast cancer-related lymphoedema. The limitations of the study are outlined and future areas for study are highlighted.</dc:description><dc:language>en</dc:language><dc:source>1365-2354</dc:source><dc:subject>clinical_medicine</dc:subject><dc:title>A randomised controlled crossover study of manual lymphatic drainage therapy and self administered massage in breast cancer related lymphoedema</dc:title><rioxxterms:author>Franks, Peter J.</rioxxterms:author><rioxxterms:author>Vadgama, A.</rioxxterms:author><rioxxterms:author>Williams, A. F.</rioxxterms:author><rioxxterms:author>Mortimer, P. S.</rioxxterms:author><rioxxterms:publication_date>2002-12-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1046/j.1365-2354.2002.00312.x</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:102
Date: 2017-01-12

RIOXX

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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:102</identifier>
      <datestamp>2017-01-12T10:01:37Z</datestamp>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>A multicenter prospective randomized clinical trial was undertaken to compare a generic four-layer bandage system with a cohesive short-stretch system (Actico, Activa Healthcare) in the management of venous leg ulceration. Both systems are designed to produce sufficient pressure to counteract venous hypertension. Patients in leg ulcer services with leg ulceration were screened for inclusion in this trial. Patients with arterial disease (ankle brachial pressure index &lt; 0.8) and causes of ulceration other than venous disease were excluded. For patients with bilateral ulceration, the limb with the larger area of ulceration was studied. Patients were randomized to receive either type of compression bandage and simultaneously randomized to one of two foam dressings that were changed weekly unless more frequent changes were clinically required. In all, 156 patients met entry criteria and were randomized from the 12 clinical centers with median (range) ulcer size of 4.33 (0.33–123.10) cm2. Analysis revealed that after 24 weeks a total of 111 (71%) of patients had complete ulcer closure, 32 (21%) had withdrawn from the trial, 12 (8%) remained with open ulceration, and one patient had died. Of the 74 patients randomized to the four-layer bandage, 51(69%) had ulcer closure on treatment compared with 60/82 (73%) on the cohesive short-stretch system. Intention-to-treat analysis produced a hazard ratio for healing of 1.08 (95 percent CI 0.63–1.85, p= 0.79). Withdrawal rates were similar between groups (15, 20% four-layer bandage; 17, 21% cohesive short-stretch system). Ulcer closure rates for patients treated with the cohesive short-stretch system were similar to those for patients managed by the four-layer bandage system in this trial.</dc:description><dc:language>en</dc:language><dc:source>1524-475X</dc:source><dc:subject>clinical_medicine</dc:subject><dc:title>Randomized trial of cohesive short-stretch versus four-layer bandaging in the management of venous ulceration</dc:title><rioxxterms:author>Franks, Peter J.</rioxxterms:author><rioxxterms:author>Moody, Marion</rioxxterms:author><rioxxterms:author>Moffatt, Christine J.</rioxxterms:author><rioxxterms:author>Martin, Ruth</rioxxterms:author><rioxxterms:author>Blewett, Rachel</rioxxterms:author><rioxxterms:author>Seymour, Ellen</rioxxterms:author><rioxxterms:author>Hildreth, Andrea</rioxxterms:author><rioxxterms:author>Hourican, Catherine</rioxxterms:author><rioxxterms:author>Collins, Jeanette</rioxxterms:author><rioxxterms:author>Heron, Anita</rioxxterms:author><rioxxterms:publication_date>2004-03-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1111/j.1067-1927.2004.012206.x</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:103
Date: 2017-01-12

RIOXX

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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>Little is known of the impact of pressure ulceration on adult patients' health-related quality of life. The purpose of this study was to determine the impact pressure ulceration has on pressure ulcer patients cared for in the community. A case control study design was used by drawing a random sample from patients receiving community nursing care, stratified by the presence of pressure ulceration. In all, 75 patients with pressure ulcers were compared with 100 controls without ulcers using the four-point ulcer grading scale described by United Kingdom consensus guidelines. Patients were interviewed using the Short Form-36 (SF-36) questionnaire and activities of daily living assessed using the modified Barthel scale. Patients with pressure ulcers had significantly poorer physical function (mean difference [d]=37.6, 95% CI 28.6–46.6, p &lt; 0.001) and social functioning (d=33.9, 95 % CI 24.0–43.9, p &lt; 0.001) than published age- and sex-matched normative data from the United Kingdom. The difference between cases and controls was much smaller in these domains, with neither approaching statistical significance. After adjustment for age and gender, scores for bodily pain were poorer in patients with no ulceration (d=−10.5, 95% CI – 20.6 to – 0.4, p=0.042) indicating greater pain in these patients compared with the cases with ulceration. Activities of daily living determined by the modified Barthel scale showed reduced self-care (d=−7.6, 95% CI –12.5 to − 2.7, p=0.010) and mobility (d=−9.2, 95% CI −14.6 to − 3.8, p=0.001) in patients with pressure ulceration. The overall ability to perform these activities was also significantly poorer in this group (d=−16.3, 95% CI –27.3 to −5.3, p=0.004).&#13;
&#13;
While patients with pressure ulceration experience some deficits in their health-related quality of life compared with a normal population, these differences are similar to those experienced by other patients receiving community nursing care.</dc:description><dc:language>en</dc:language><dc:source>1524-475X</dc:source><dc:subject>clinical_medicine</dc:subject><dc:title>Health related quality of life and pressure ulceration assessment in patients treated in the community</dc:title><rioxxterms:author>Franks, Peter J.</rioxxterms:author><rioxxterms:author>Winterberg, Hanne</rioxxterms:author><rioxxterms:author>Moffatt, Christine J.</rioxxterms:author><rioxxterms:publication_date>2002-05-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1046/j.1524-475X.2002.11002.x</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:104
Date: 2017-01-12

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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:104</identifier>
      <datestamp>2017-01-12T10:03:10Z</datestamp>
      <setSpec>7374617475733D707562</setSpec>
      <setSpec>7375626A656374733D6865616C7468:636C696E6963616C5F6D65646963696E65</setSpec>
      <setSpec>74797065733D61727469636C65</setSpec>
      <setSpec>6469766973696F6E733D7363685F6865616C7468</setSpec></header>
    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>INTRODUCTION: &#13;
The Nottingham health profile (NHP) has been used in several studies of patients being treated for chronic venous leg ulceration, though there is a paucity of information on the validity of the NHP in this patient group. This study was carried out to determine this validity and to compare and contrast the results with a previous study that had used the MOS short form 36 (SF-36) in this patient group. &#13;
&#13;
METHODS: &#13;
Patients in four health trusts suffering from venous ulceration were interviewed at entry and after 12 weeks of treatment using high compression bandaging. Information was collected on ulcer history, general medical history, and the NHP was completed at both time points. After 12 weeks, a record was made of whether all areas of ulceration had cleared from the patients' legs (healed) or whether some ulceration remained (unhealed). &#13;
&#13;
RESULTS: &#13;
Of the 383 patients who made up the study population, 37% experienced complete healing of their ulceration after 12 weeks of treatment. While internal consistencies of the NHP scores were reasonable (Cronbach's α &gt; 0.63), there were a high proportion of patients who scored 0 (best possible health) at entry into the study, most notably for social isolation (67.5%), emotional status (48.9%) and energy (47.4%). Despite these limitations, there was strong evidence that treatment led to significant improvements in all dimensions of the NHP for the total group (all p &lt; 0.01). These improvements were greatest in patients whose ulcers healed compared with patients whose ulcers failed to heal for bodily pain (mean difference d = 9.4, p = 0.004). Patients whose overall health status improved had significantly greater improvements for all dimensions of the NHP (p &lt; 0.05). &#13;
&#13;
CONCLUSION: &#13;
The NHP, has limitations in terms of a large floor effect (best possible health), but has similar internal consistency to the SF-36 in patients with leg ulceration. However, unlike the SF-36, the NHP is sensitive to change in the patients' ulcer status, and should therefore be considered in studies of venous leg ulcer healing.</dc:description><dc:language>en</dc:language><dc:source>1573-2649</dc:source><dc:subject>clinical_medicine</dc:subject><dc:title>Health related quality of life in patients with venous ulceration: use of the Nottingham health profile</dc:title><rioxxterms:author>Franks, Peter J,</rioxxterms:author><rioxxterms:author>Moffatt, Christine J.</rioxxterms:author><rioxxterms:publication_date>2001-10-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1023/A:1013825924765</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:105
Date: 2017-01-12

RIOXX

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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:105</identifier>
      <datestamp>2017-01-12T10:45:25Z</datestamp>
      <setSpec>7374617475733D707562</setSpec>
      <setSpec>7375626A656374733D6865616C7468:636C696E6963616C5F6D65646963696E65</setSpec>
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      <setSpec>6469766973696F6E733D7363685F6865616C7468</setSpec></header>
    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>BACKGROUND: &#13;
Lymphoedema/chronic oedema is an important cause of morbidity in the population, but little is known of its epidemiology and impact on patients or health services. &#13;
&#13;
AIM: &#13;
To determine the magnitude of the problem of chronic oedema in the community, and the likely impact of oedema on use of health resources, employment and patient’s quality of life. &#13;
&#13;
DESIGN: &#13;
Questionnaire-based survey. &#13;
&#13;
METHODS: &#13;
Health professionals from dedicated lymphoedema services, specific out-patient clinics, hospital wards and community services (GP clinics and district nurses) were contacted to provide information on patients from within South West London Community Trust. A subset of the identified patients was interviewed. &#13;
&#13;
RESULTS: &#13;
Within the catchment area, 823 patients had chronic oedema (crude prevalence 1.33/1000). Prevalence increased with age (5.4/1000 in those aged &gt; 65 years), and was higher in women (2.15 vs. 0.47/1000). Only 529 (64%) were receiving treatment, despite two specialist lymphoedema clinics within the catchment area. Of 228 patients interviewed, 78% had oedema lasting &gt; 1 year. Over the previous year, 64/218 (29%) had had an acute infection in the affected area, 17/64 (27%) being admitted for intravenous antibiotics. Mean length of stay for this condition was 12 days, estimated mean cost £2300. Oedema caused time off work in &gt; 80%, and affected employment status in 9%. Quality of life was below normal, with 50% experiencing pain or discomfort from their oedema.&#13;
 &#13;
DISCUSSION: &#13;
Chronic oedema is a common problem in the community with at least 100 000 patients suffering in the UK alone, a problem poorly recognized by health professionals. Lymphoedema arising for reasons other than cancer treatment is much more prevalent than generally perceived, yet resources for treatment are mainly cancer-based, leading to inequalities of care.</dc:description><dc:language>en</dc:language><dc:source>1460-2393</dc:source><dc:subject>clinical_medicine</dc:subject><dc:title>Lymphoedema: an underestimated health problem</dc:title><rioxxterms:author>Moffatt, Christine J.</rioxxterms:author><rioxxterms:author>Badger, C.</rioxxterms:author><rioxxterms:author>Bosanquet, N.</rioxxterms:author><rioxxterms:author>Mortimer, P. S.</rioxxterms:author><rioxxterms:publication_date>2003-10-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1093/qjmed/hcg126</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:106
Date: 2017-01-12

RIOXX

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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:106</identifier>
      <datestamp>2017-01-12T10:48:42Z</datestamp>
      <setSpec>7374617475733D707562</setSpec>
      <setSpec>7375626A656374733D6865616C7468:636C696E6963616C5F6D65646963696E65</setSpec>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:language>en</dc:language><dc:source>1460-2393</dc:source><dc:subject>clinical_medicine</dc:subject><dc:title>Prevalence of leg ulceration in a London population</dc:title><rioxxterms:author>Moffatt, Christine J.</rioxxterms:author><rioxxterms:author>Franks, Peter J.</rioxxterms:author><rioxxterms:author>Martin, Ruth</rioxxterms:author><rioxxterms:publication_date>2004-07-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1093/qjmed/hch075</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:107
Date: 2017-01-12

RIOXX

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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:107</identifier>
      <datestamp>2017-01-12T09:58:54Z</datestamp>
      <setSpec>7374617475733D707562</setSpec>
      <setSpec>7375626A656374733D6865616C7468:636C696E6963616C5F6D65646963696E65</setSpec>
      <setSpec>74797065733D61727469636C65</setSpec>
      <setSpec>6469766973696F6E733D7363685F6865616C7468</setSpec></header>
    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>SUMMARY:&#13;
Background  The care of patients with leg ulceration has developed over the past 15 years, although there is little information available to determine how these changes have affected clinical and patient defined outcomes.&#13;
&#13;
OBJECTIVES:&#13;
To describe and evaluate the implementation of a leg ulcer strategy.&#13;
&#13;
PATIENTS/METHODS:&#13;
This study used a pre- and postimplementation evaluation within population-based services within the boundaries of community services providing leg ulcer care. Evidence-based leg ulcer services were developed, including standardized assessment using Doppler ultrasound, rationalization of treatment using multilayer elastic high compression, development of referral criteria and acute service support. Complete ulcer healing rates, health-related quality of life and use of health resources were evaluated after 12 weeks in both pre- and postimplementation cycles.&#13;
&#13;
RESULTS:&#13;
A total of 955 patients were evaluated (518 preimplementation, 437 postimplementation). The levels of assessment and treatment were poor prior to the change in practice with just one patient having evidence of correct assessment and 49 (11%) receiving high compression therapy. Postimplementation, this improved to 412 of 437 (94%) having evidence of measurement of the ankle brachial pressure index, and 85% receiving compression. Twelve-week healing rates preimplementation ranged between 9% and 24%, and postimplementation rose from 19% to 39%. Combined overall healing rates improved from 71 of 518 (14%) to 160 of 437 (37%), odds ratio =3·53, P &lt; 0·001. Frequency of treatment visits reduced from a mean (SD) of 24·0 (16·1) over 12 weeks to 13·5 (8·6), P &lt; 0·001. Intervention led to major improvements in health-related quality of life (measured using the Nottingham Health Profile), with significant improvements for energy, pain, sleep and mobility (P &lt; 0·01).&#13;
&#13;
CONCLUSIONS:  &#13;
Rationalization of leg ulcer services through a total service change results in improvements in professional practice, better patient outcomes, and efficient use of current resources. This study highlights the importance of a multifaceted approach to improve practice focused on the needs of individual organizational settings.</dc:description><dc:language>en</dc:language><dc:source>1365-2133</dc:source><dc:subject>clinical_medicine</dc:subject><dc:title>Implementation of a leg ulcer strategy</dc:title><rioxxterms:author>Moffatt, Christine. J.</rioxxterms:author><rioxxterms:author>Franks, Peter. J.</rioxxterms:author><rioxxterms:publication_date>2004-10-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1111/j.1365-2133.2004.06200.x</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:108
Date: 2016-08-04

RIOXX

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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:108</identifier>
      <datestamp>2016-08-04T10:16:21Z</datestamp>
      <setSpec>7374617475733D707562</setSpec>
      <setSpec>7375626A656374733D6865616C7468:6D6964776966657279</setSpec>
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      <setSpec>6469766973696F6E733D7363685F6865616C7468</setSpec></header>
    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>This article is the final part of a three-part study on operative birth and psychological issues. This part examines the findings from a three-year study into choice and decision-making in caesarean section (CS). Forty-four postnatal women were interviewed because they had reported making a decision about CS during pregnancy. The ideas, factors and events that influenced the women’s thoughts and decisions were explored. Most of the women who had wanted CS discussed concerns about their own safety or the well-being of the baby. Sometimes these were grounded in previous obstetric problems, but sometimes they evolved during pregnancy. Although these concerns appeared to play a major part in the woman’s decision they were sometimes not expressed to professionals. When they were expressed they were not always recognised or considered legitimate. Many women perceived CS to be safer than vaginal birth.</dc:description><dc:language>en</dc:language><dc:source>0969-4900</dc:source><dc:subject>midwifery</dc:subject><dc:title>Wanting a caesarean section: the decision process</dc:title><rioxxterms:author>Weaver, Jane</rioxxterms:author><rioxxterms:author>Statham, Helen</rioxxterms:author><rioxxterms:publication_date>2005-06-02</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:109
Date: 2015-12-11

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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:109</identifier>
      <datestamp>2015-12-11T14:27:29Z</datestamp>
      <setSpec>7374617475733D707562</setSpec>
      <setSpec>7375626A656374733D6865616C7468:636C696E6963616C5F6D65646963696E65</setSpec>
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      <setSpec>6469766973696F6E733D7363685F6865616C7468</setSpec></header>
    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>BACKGROUND:&#13;
Information is routinely given to pregnant women, but information about caesarean birth may be inadequate.&#13;
&#13;
OBJECTIVES:&#13;
To examine the effectiveness of information about caesarean birth.&#13;
&#13;
SEARCH METHODS:&#13;
We searched the Cochrane Pregnancy and Childbirth register, CENTRAL (26 November 2002), MEDLINE [online via PubMed 1966-] and the Web of Science citation database [1995-] (20 September 2002), and reference lists of relevant articles.&#13;
&#13;
SELECTION CRITERIA:&#13;
Randomised controlled trials, non-randomised clinical trials and controlled before-and-after studies of information given to pregnant women about caesarean birth.&#13;
&#13;
DATA COLLECTION AND ANALYSIS:&#13;
Two review authors independently assessed trial quality and extracted data. Missing and further data were sought from trial authors unsuccessfully. Analyses were based on 'intention to treat'. Relative risk and confidence intervals were calculated and reported.&#13;
&#13;
Consumer reviewers commented on adequacy of information reported in each study.&#13;
&#13;
MAIN RESULTS:&#13;
Two randomised controlled trials involving 1451 women met the inclusion criteria. Both studies aimed to reduce caesarean births by encouraging women to attempt vaginal delivery. One used a program of prenatal education and support, and the other cognitive therapy to reduce fear. Results were not combined because of differences in the study populations. Non-clinical outcomes were ascertained in both studies through questionnaires, but were subject to rates of loss to follow-up exceeding 10%.&#13;
&#13;
A number of important outcomes cannot be reported: knowledge or understanding; decisional conflict; and women's perceptions: of their ability to discuss care with clinicians or family/friends, of whether information needs were met, and of satisfaction with decision-making.&#13;
&#13;
Neither study assessed women's perception of participation in decision-making about caesarean birth, but Fraser 1997, who examined the effect of study participation on decision making, found that women in the intervention group were more likely to consider that attempting vaginal birth was easier (51% compared to 28% in control group), or more difficult (10% compared to 6%). These results could be affected by the attrition rate of 11%, and are possibly subject to bias.&#13;
&#13;
Neither intervention used in these trials made any difference to clinical outcomes. About 70% or more women attempted vaginal delivery in both trials, yet caesarean delivery rates exceeded 40%, at least 10% higher than was hoped. There was no significant difference between control and intervention groups for any of the outcomes measured: vaginal birth, elective/scheduled caesarean, and attempted vaginal delivery.&#13;
&#13;
Outcome data, although similar for both groups, were not sufficient to compare maternal and neonatal morbidity or neonatal mortality.&#13;
&#13;
There was no difference in the psychological outcomes for the intervention and control groups reported by either of the included trials.&#13;
&#13;
Consumer reviewers said information for women considering a vaginal birth after caesarean (VBAC) should include: risks of VBAC and elective caesarean; warning signs in labour; philosophy and policies of hospital and staff; strategies to improve chances of success; and information about probability of success with specific care givers.&#13;
&#13;
AUTHORS' CONCLUSIONS:&#13;
Research has focussed on encouraging women to attempt vaginal delivery. Trials of interventions to encourage women to attempt vaginal birth showed no effect, but shortcomings in study design mean that the evidence is inconclusive.&#13;
&#13;
Further research on this topic is urgently needed.</dc:description><dc:language>en</dc:language><dc:source>0013-9580</dc:source><dc:subject>clinical_medicine</dc:subject><dc:subject>midwifery</dc:subject><dc:title>Information for pregnant women about caesarean birth</dc:title><rioxxterms:author>Weaver, Jane</rioxxterms:author><rioxxterms:author>Russell, H.</rioxxterms:author><rioxxterms:author>Horey D</rioxxterms:author><rioxxterms:publication_date>2004-01-26</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1002/14651858.CD003858.pub2</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:110
Date: 2016-08-01

RIOXX

Base RIOXX scheme designed for low-level interoperability
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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:110</identifier>
      <datestamp>2016-08-01T16:04:06Z</datestamp>
      <setSpec>7374617475733D707562</setSpec>
      <setSpec>7375626A656374733D6865616C7468:636C696E6963616C5F6D65646963696E65</setSpec>
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      <setSpec>74797065733D61727469636C65</setSpec>
      <setSpec>6469766973696F6E733D7363685F6865616C7468</setSpec></header>
    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>BACKGROUND:&#13;
Epidural analgesia is the most effective labour pain relief but is associated with increased rates of instrumental vaginal delivery and other effects, which might be related to the poor motor function associated with traditional epidural. New techniques that preserve motor function could reduce obstetric intervention. We did a randomised controlled trial to compare low-dose combined spinal epidural and low-dose infusion (mobile) techniques with traditional epidural technique.&#13;
&#13;
METHODS:&#13;
Between Feb 1, 1999, and April 30, 2000, we randomly assigned 1054 nulliparous women requesting epidural pain relief to traditional (n=353), low-dose combined spinal epidural (n=351), or low-dose infusion epidural (n=350). Primary outcome was mode of delivery, and secondary outcomes were progress of labour, efficacy of procedure, and effect on neonates. We obtained data during labour and interviewed women postnatally.&#13;
&#13;
FINDINGS:&#13;
The normal vaginal delivery rate was 35·1% in the traditional epidural group, 42·7% in the low-dose combined spinal group (odds ratio 1·38 [95% CI 1·01–1·89]; p=0·04); and 42·9% in the low-dose infusion group (1·39 [1·01–1·90]; p=0·04). These differences were accounted for by a reduction in instrumental vaginal delivery. Overall, 5 min APGAR scores of 7 or less were more frequent with low-dose technique. High-level resuscitation was more frequent in the low-dose infusion group.&#13;
&#13;
INTERPRETATION:&#13;
The use of low-dose epidural techniques for labour analgesia has benefits for delivery outcome. Continued routine use of traditional epidurals might not be justified.</dc:description><dc:language>en</dc:language><dc:source>1474-547X</dc:source><dc:subject>clinical_medicine</dc:subject><dc:subject>midwifery</dc:subject><dc:title>Effect of low-dose mobile versus traditional epidural techniques on mode of delivery: a randomised controlled trial</dc:title><rioxxterms:author>Bick, Debra</rioxxterms:author><rioxxterms:author>Shennan, A.</rioxxterms:author><rioxxterms:author>Cooper G</rioxxterms:author><rioxxterms:author>MacArthur C</rioxxterms:author><rioxxterms:author>COMET Study Group</rioxxterms:author><rioxxterms:publication_date>2001-07-07</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1016/S0140-6736(00)05251-X</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:111
Date: 2016-08-01

RIOXX

Base RIOXX scheme designed for low-level interoperability
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RCUK RIOXX scheme for reporting of open access publications funded through UK Research Council grants
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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:111</identifier>
      <datestamp>2016-08-01T16:00:05Z</datestamp>
      <setSpec>7374617475733D707562</setSpec>
      <setSpec>7375626A656374733D6865616C7468:636C696E6963616C5F6D65646963696E65</setSpec>
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      <setSpec>6469766973696F6E733D7363685F6865616C7468</setSpec></header>
    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>BACKGROUND:&#13;
Much postpartum physical and psychological morbidity is not addressed by present care, which tends to focus on routine examinations. We undertook a cluster randomised controlled trial to assess community postnatal care that has been redesigned to identify and manage individual needs.&#13;
&#13;
METHODS:&#13;
We randomly allocated 36 general practice clusters from the West Midlands health region of the UK to intervention (n=17) or control (19) care. Midwives from the practices recruited women and provided care. 1087 (53%) of 2064 women were in practices randomly assigned to the intervention group, with 977 (47%) women in practices assigned to the control group. Care was led by midwives, with no routine contact with general practitioners, and was extended to 3 months. Midwives used symptom checklists and the Edinburgh postnatal depression scale (EPDS) to identify health needs and guidelines for the management of these needs. Primary outcomes at 4 months were obtained by postal questionnaire and included the women's short form 36 physical (PCS) and mental (MCS) component summary scores and the EPDS. Secondary outcomes were women's views about care. Multilevel analysis accounted for possible cluster effects.&#13;
&#13;
FINDINGS:&#13;
801 (77%) of 1087 women in the intervention group and 702 (76%) of 977 controls responded at 4 months. Women's mental health measures were significantly better in the intervention group (MCS, 3·03 [95% CI 1·53–4·52]; EPDS −1·92 [−2·55 to −1·29]; EPDS 13+ odds ratio 0·57 [0·43–0·76]) than in controls, but the physical health score did not differ.&#13;
&#13;
INTERPRETATION:&#13;
Redesign of care so that it is midwife-led, flexible, and tailored to needs, could help to improve women's mental health and reduce probable depression at 4 months' postpartum.</dc:description><dc:language>en</dc:language><dc:source>1474-547X</dc:source><dc:subject>clinical_medicine</dc:subject><dc:subject>midwifery</dc:subject><dc:title>Effects of redesigned community postnatal care on women's health 4 months after birth: a cluster randomised controlled trial</dc:title><rioxxterms:author>Bick, Debra</rioxxterms:author><rioxxterms:author>MacArthur, C.</rioxxterms:author><rioxxterms:author>Winter, H.</rioxxterms:author><rioxxterms:author>Lilford, R.</rioxxterms:author><rioxxterms:publication_date>2002-02-02</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1016/S0140-6736(02)07596-7</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:112
Date: 2016-08-01

RIOXX

Base RIOXX scheme designed for low-level interoperability
This is not a valid RIOXX record
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RCUK-RIOXX

RCUK RIOXX scheme for reporting of open access publications funded through UK Research Council grants
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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:112</identifier>
      <datestamp>2016-08-01T15:58:42Z</datestamp>
      <setSpec>7374617475733D707562</setSpec>
      <setSpec>7375626A656374733D6865616C7468:636C696E6963616C5F6D65646963696E65</setSpec>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>BACKGROUND: &#13;
The authors recently showed that “mobile” epidural analgesia, using low-dose local anesthetic-opioid mixtures, reduces the impact of epidural analgesia on instrumental vaginal delivery, relative to a traditional technique. The main prespecified assessment of pain relief efficacy, women's postpartum estimates of labor pain after epidural insertion, did not differ. The detailed analgesic efficacy and the anesthetic characteristics of the techniques are reported here.&#13;
   &#13;
METHODS: &#13;
A total of 1,054 nulliparous women were randomized, in labor, to receive boluses of 10 ml 0.25% bupivacaine (traditional), combined spinal-epidural (CSE) analgesia, or low-dose infusion (LDI), the latter groups utilizing 0.1% bupivacaine with 2 µg/ml fentanyl. Visual analog scale pain assessments were collected throughout labor and delivery and 24 h later. Details of the conduct of epidural analgesia, drug utilization, and requirement for anesthesiologist reattendance were recorded.&#13;
   &#13;
RESULTS: &#13;
A total of 353 women were randomized to receive traditional epidural analgesia, 351 received CSE, and 350 received LDI. CSE was associated with a more rapid onset of analgesia, lower median visual analog scale pain scores than traditional in the first hour after epidural insertion, and a significant reduction in bupivacaine dose given during labor. Pain scores reported by women receiving LDI were similar to those in the traditional group throughout labor and delivery. Anesthesiologist reattendance was low but greater with each mobile technique.&#13;
   &#13;
CONCLUSIONS: &#13;
Relative to traditional epidural analgesia, LDI is at least as effective and CSE provided better pain relief in the early stages after insertion. The proven efficacy of mobile epidurals and their beneficial impact on delivery mode make them the preferred techniques for epidural pain relief in labor.</dc:description><dc:language>en</dc:language><dc:source>0003-3022</dc:source><dc:subject>clinical_medicine</dc:subject><dc:subject>midwifery</dc:subject><dc:title>A randomised controlled trial comparing traditional with two "mobile" epidural techniques: anaesthetic and analgesic efficacy</dc:title><rioxxterms:author>Bick, Debra</rioxxterms:author><rioxxterms:author>MacArthur, C.</rioxxterms:author><rioxxterms:author>Cooper G</rioxxterms:author><rioxxterms:author>Shennan A</rioxxterms:author><rioxxterms:author>COMET Study Group</rioxxterms:author><rioxxterms:publication_date>2002-12-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1097/00000542-200212000-00032</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:113
Date: 2016-08-10

RIOXX

Base RIOXX scheme designed for low-level interoperability
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RCUK RIOXX scheme for reporting of open access publications funded through UK Research Council grants
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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:113</identifier>
      <datestamp>2016-08-10T12:36:35Z</datestamp>
      <setSpec>7374617475733D707562</setSpec>
      <setSpec>7375626A656374733D6865616C7468:6D6964776966657279</setSpec>
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      <setSpec>6469766973696F6E733D7363685F6865616C7468</setSpec></header>
    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>BACKGROUND:&#13;
Perineal trauma is common following vaginal birth. For the most frequently occurring trauma – second-degree tears – there is debate about whether these should be sutured or left to heal by primary intent.&#13;
&#13;
METHOD:&#13;
A prospective cohort study was undertaken in five maternity units in Birmingham of women who sustained asutured or unsutured second-degree perineal tear. Recruited women were followed up at 24 hours, ten days, 12 weeks and 12 months to capture data on maternal health outcomes. The main outcome of interest was prevalence of perineal pain.&#13;
&#13;
RESULTS:&#13;
A total of 282 women (196 sutured and 86 unsutured) were recruited, 20% of the anticipated eligible sample. Highlevels of morbidity persisted in both groups. Women whose trauma was unsutured had more urinary frequency at ten days(p&lt;0.04), and increased self-referral for perineal problems (p&lt;0.02) and Edinburgh postnatal depression scores &gt;13 (p&lt;0.01)at 12 months. No differences were observed for perineal pain. Clinician compliance with study protocols was poor.&#13;
&#13;
CONCLUSION: &#13;
This is the largest cohort study to date to compare outcomes of suturing versus non-suturing of second-degreetears. Results suggest that pain should not be the primary outcome in future studies of long-term morbidity. High levels ofmorbidity highlight the need for studies to establish the most clinically and cost-effective management of this commonlysustained trauma, and to ascertain why compliance with study protocols is poor.</dc:description><dc:language>en</dc:language><dc:relation>https://docs.google.com/viewer?a=v&amp;q=cache:eHnYPTCS5UYJ:www.rcm.org.uk/EasysiteWeb/getresource.axd?AssetID%3D50932%26type%3Dfull%26servicetype%3DAttachment+cohort+study+repair+perineal+bick&amp;hl=en&amp;gl=uk&amp;pid=bl&amp;srcid=ADGEESio_P6KlEJaBexTkH4-wpY8HiyU9vJOOpH3</dc:relation><dc:source>1479-4489</dc:source><dc:subject>midwifery</dc:subject><dc:title>A prospective cohort study of repair and non-repair of second-degree perineal trauma: results and issues for future research</dc:title><rioxxterms:author>Bick, Debra</rioxxterms:author><rioxxterms:author>Metcalfe, Alison</rioxxterms:author><rioxxterms:author>Tohill, Sue</rioxxterms:author><rioxxterms:author>Williams, Amanda</rioxxterms:author><rioxxterms:author>Haldon, Valerie</rioxxterms:author><rioxxterms:author>Williams A</rioxxterms:author><rioxxterms:publication_date>2006-10-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:114
Date: 2015-12-11

RIOXX

Base RIOXX scheme designed for low-level interoperability
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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:114</identifier>
      <datestamp>2015-12-11T09:51:43Z</datestamp>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>This study attempted to address a lack of evidence-based pain management by implementing validated pain assessment tools across a children's hospital. The method used was action research. The first part of this study where nurses' views of pain tools was elicited has already been reported (Simons and Macdonald, 2004). An action research cycle of negotiation, assessment, diagnosing, planning, action, evaluation and withdrawal was utilized. Data collection occurred at two points in time. Three age-appropriate tools were implemented hospital-wide supported by education and clinical input. A survey of nurses was carried out six months and 12 months post implementation of the tools. At the same time evaluation of the use of the tool was performed. Six months after education and implementation 23 percent of children on 10 wards had a pain tool in use. This had increased to 40 percent six months later. There were many inconsistencies between the replies the nurses gave in relation to their reported use of the tools and the actual use of the tools.</dc:description><dc:language>en</dc:language><dc:source>1367-4935</dc:source><dc:subject>child_health</dc:subject><dc:title>Changing practice: implementing validated paediatric pain assessment tools</dc:title><rioxxterms:author>Simons, J.</rioxxterms:author><rioxxterms:author>Macdonald, L. M.</rioxxterms:author><rioxxterms:publication_date>2006-06-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1177/1367493506062555</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:115
Date: 2015-12-11

RIOXX

Base RIOXX scheme designed for low-level interoperability
This is not a valid RIOXX record
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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:115</identifier>
      <datestamp>2015-12-11T09:52:08Z</datestamp>
      <setSpec>7374617475733D707562</setSpec>
      <setSpec>7375626A656374733D6865616C7468:6368696C645F6865616C7468</setSpec>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>The persistence of inadequate treatment of pain in children could be due to lack of knowledge and nurses’ failure to assess and manage pain effectively. It is recognized that effective pain assessment leads to more satisfied children and families. This study explored children’s nurses’ views on the use of pain assessment tools in a tertiary referral centre. Almost two-thirds of nurses did not have a preference for a pain assessment tool, but nearly three-quarters of nurses surveyed agreed that the introduction of pain assessment tools would improve documentation. When nurses were asked how much time they needed for education on these tools, 83 percent wanted only two hours, although almost half stated lack of knowledge or education as the main obstacle to use of a pain assessment tool. The inconsistencies in these replies could reflect the conflicting demands between the nurses’ need to increase their knowledge of pain assessment while managing a heavy workload.</dc:description><dc:language>en</dc:language><dc:source>1367-4935</dc:source><dc:subject>child_health</dc:subject><dc:title>Pain assessment tools: children's nurses' views</dc:title><rioxxterms:author>Simons, J.</rioxxterms:author><rioxxterms:author>Macdonald, L. M.</rioxxterms:author><rioxxterms:publication_date>2004-12-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1177/1367493504047317</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:116
Date: 2015-12-11

RIOXX

Base RIOXX scheme designed for low-level interoperability
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RCUK RIOXX scheme for reporting of open access publications funded through UK Research Council grants
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    <header>
      <identifier>oai:repository.uwl.ac.uk:116</identifier>
      <datestamp>2015-12-11T10:49:12Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:language>en</dc:language><dc:source>0966-0461</dc:source><dc:subject>nursing</dc:subject><dc:title>Parents' support and satisfaction with their child's postoperative care</dc:title><rioxxterms:author>Simons, J.</rioxxterms:author><rioxxterms:publication_date>2002-12-12</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:117
Date: 2015-12-11

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      <identifier>oai:repository.uwl.ac.uk:117</identifier>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>AIM OF THE STUDY:&#13;
To explore the perceptions of nurses and parents of the management of postoperative pain in children. This paper focuses on issues of knowledge and communication.&#13;
&#13;
BACKGROUND:&#13;
Nurses are the key health care professionals with responsibility for managing children's pain, however, nurses are not well supported educationally to manage the level of responsibility.&#13;
&#13;
RESULTS:&#13;
Using matched interviews between 20 parents and 20 nurses many issues arose relating to the nurse/parent communication process. It was also clear that despite nurses' knowledge of pain management being deficient, they had expectations that required parents to have a level of knowledge they did not possess.&#13;
&#13;
CONCLUSIONS: &#13;
The findings suggest that nurses' poor communication with parents and nurses' knowledge deficits in relation to children's pain management create obstacles to effective pain management. These obstacles need to be addressed in order to improve the management of children's pain through better education of nurses and two way communication with parents.</dc:description><dc:language>en</dc:language><dc:source>1365-2648</dc:source><dc:subject>child_health</dc:subject><dc:title>Poor communication and knowledge deficits: obstacles to effective management of children's postoperative pain</dc:title><rioxxterms:author>Simons, J.</rioxxterms:author><rioxxterms:author>Robertson, R.</rioxxterms:author><rioxxterms:publication_date>2002-10-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1046/j.1365-2648.2002.02342.x</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:118
Date: 2016-07-28

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      <identifier>oai:repository.uwl.ac.uk:118</identifier>
      <datestamp>2016-07-28T10:39:33Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:language>en</dc:language><dc:source>1479-4489</dc:source><dc:subject>midwifery</dc:subject><dc:title>Women's views of hospital and community-based postnatal care: the good, the bad and the indifferent</dc:title><rioxxterms:author>Beake, Sarah</rioxxterms:author><rioxxterms:author>Bick, Debra</rioxxterms:author><rioxxterms:author>McCourt, Christine</rioxxterms:author><rioxxterms:publication_date>2005-12-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:119
Date: 2016-07-28

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      <identifier>oai:repository.uwl.ac.uk:119</identifier>
      <datestamp>2016-07-28T10:45:48Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>There is little experience of the use of health care assistants in the community to support breastfeeding in the UK. The aim of this project was to evaluate the implementation of a small-scale pilot project using health care assistants in the community to support disadvantaged women breastfeeding. The evaluation was funded as part of the Department of Health's Infant Feeding Initiative. A longitudinal observational and quasi-experimental design was used. The project involved women, who had recently given birth, living in an area of London identified by the government's Sure Start scheme as socio-economically disadvantaged. This paper focuses mainly on the findings drawn from the qualitative data focusing on the process of implementation, the role of the Support Worker and women's perceptions of the support. The findings suggest that the use of health care assistants in the community may offer a practical and encouraging approach in supporting breastfeeding which is acceptable to both breastfeeding women and health care professionals. More research is needed to establish whether the intervention significantly increases breastfeeding rates.</dc:description><dc:language>en</dc:language><dc:source>17408709</dc:source><dc:subject>nutrition</dc:subject><dc:title>Evaluation of the use of healthcare assistants to support disadvantaged women breast feeding in the community</dc:title><rioxxterms:author>Beake, Sarah</rioxxterms:author><rioxxterms:author>Rowan, Catherine</rioxxterms:author><rioxxterms:author>McCourt, Christine</rioxxterms:author><rioxxterms:author>Taylor, Jane</rioxxterms:author><rioxxterms:publication_date>2005-01-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1111/j.1740-8709.2004.00007.x</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:120
Date: 2016-07-28

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    <header>
      <identifier>oai:repository.uwl.ac.uk:120</identifier>
      <datestamp>2016-07-28T10:49:36Z</datestamp>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>OBJECTIVE&#13;
To evaluate the implementation of a ‘problem-based’ learning (PBL) curriculum within midwifery.&#13;
&#13;
DESIGN:&#13;
A ‘realistic evaluation’ model based on cost-effectiveness models of economics, and incorporating both qualitative and quantitative methodology. The design used historical comparison, comparing students following the new curriculum with a baseline of previous student cohorts and exploring staff and student experiences.&#13;
&#13;
SETTING: &#13;
A ‘new’ university, providing a degree-level 18 month pre-registration midwifery programme for an intake of about 40 students per cohort.&#13;
&#13;
PARTICIPANTS:&#13;
All students in the cohort qualifying immediately before the implementation and all those in the first cohort following the new curriculum were invited to participate fully. Assessment outcomes for three cohorts of students qualifying before and the first three cohorts qualifying following the change were analysed. All clinical staff directly involved in mentoring the relevant student groups, all academic staff involved in delivering the new curriculum and the course external examiner were invited to participate.&#13;
&#13;
INTERVENTION:&#13;
The evaluation studied a major change in the way the overall midwifery curriculum was delivered, widely described as PBL.&#13;
&#13;
MEASUREMENTS:&#13;
Students' experiences and perspectives were sought through review of routine evaluation documents, nominal group technique exercises and focus group discussions at about six months following qualification. Clinical staff experiences and perspectives were sought through written structured questionnaires. Academic staff views were sought through personal semi-structured interviews. Participant observation of the process, review of course documents and of staff reflective commentaries were also conducted. Data on student completion rates and final grade were analysed.&#13;
&#13;
FINDINGS:&#13;
Although students' views of the curriculum were generally positive, they experienced some discomfort and difficulty in adjustment to a new style of learning. Small group learning, independence and skills in using and conveying information and research evidence were valued aspects of the new approach. Quality of clinical placement experience and university-practice links were an important area of positive experience or concern. Clinical staff views of the curriculum showed considerable stability, with major concerns being the balance of theory and practice time and skills which were not influenced by the curriculum change. At both points, ability to critically evaluate and use evidence in practice was regarded highly. Student outcomes showed some evidence of possible divergence of grades in the new curriculum.&#13;
&#13;
CONCLUSIONS AND IMPLICATIONS FOR PRACTICE:&#13;
The manner and context of implementation of educational change may have important implications for student experiences and outcomes and the experiences of educators. Adequate preparation at all levels for a different, more independent style of learning is important and students are likely to need clear guidance and feedback on their progress in the early stages of the curriculum, to monitor progress and to provide reassurance. Longer-term research is needed to assess the impact of PBL on theory-practice links and on the midwives as practitioners.</dc:description><dc:language>en</dc:language><dc:source>0266-6138</dc:source><dc:subject>midwifery</dc:subject><dc:title>Evaluation of a problem-based curriculum in midwifery</dc:title><rioxxterms:author>McCourt, Christine</rioxxterms:author><rioxxterms:author>Thomas, B. Gail</rioxxterms:author><rioxxterms:publication_date>2001-12-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1054/midw.2001.0276</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:121
Date: 2016-07-28

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    <header>
      <identifier>oai:repository.uwl.ac.uk:121</identifier>
      <datestamp>2016-07-28T10:43:49Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>This study focused on patterns of communication between midwives and pregnant women and their implications for information, choice and control as now advocated in UK government policy. An earlier casenote audit evaluation of a new organisation of maternity care where midwives carry a personal caseload indicated no difference in quality standards of midwifery care from conventional care, yet women using the service gave a different view. In order to understand whether this difference might be an artefact of the research, responses to change, or a reflection of the limitations of using casenotes for research, an observation-based study was conducted.&#13;
&#13;
Forty interviews were observed in three UK settings: hospital clinic, GP clinic and women's homes. Interviews were tape-recorded and notes and drawings of interaction made. The transcripts were analysed using structured and qualitative approaches. The interactional patterns differed according to model of care i.e. conventional or caseload, and setting of care. Several key ‘tasks’ in the visits were noted, with risk screening and health education information being dominant in conventional care. A continuum of styles of communication was identified, with the prevalent styles also differing according to location and organisation of care. The hierarchical and formal styles discussed in earlier sociological work were the most common in conventional care, despite the focus of midwifery on being ‘with-woman’ and the recent policy emphasis on consumer choice. The caseload visits showed a less hierarchical and more conversational form and supported women's reports that this model of care offered them greater information, choice and control. The variation in patterns suggests that context is an important consideration in research of this type, with environment (both micro- and macro-level) and organisation of care influencing the ways in which the concepts of choice or consumerism operate in practice.</dc:description><dc:language>en</dc:language><dc:source>0277-9536</dc:source><dc:subject>midwifery</dc:subject><dc:title>Supporting choice and control? Communication and interaction between midwives and women at the antenatal booking visit</dc:title><rioxxterms:author>McCourt, Christine</rioxxterms:author><rioxxterms:publication_date>2005-03-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1016/j.socscimed.2005.07.031</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:122
Date: 2016-07-28

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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:language>en</dc:language><dc:source>1703-2121</dc:source><dc:subject>midwifery</dc:subject><dc:title>Continuity of carer: what does it mean and does it matter to midwives and birthing women?</dc:title><rioxxterms:author>McCourt, Christine</rioxxterms:author><rioxxterms:author>Stevens, T.</rioxxterms:author><rioxxterms:publication_date>2005-12-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:123
Date: 2017-01-17

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      <identifier>oai:repository.uwl.ac.uk:123</identifier>
      <datestamp>2017-01-17T11:42:28Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>One-to-one midwifery was established in 1993 to put into practice the principles of Changing Childbirth. This second cohort study was undertaken to assess differences between one-to-one and standard care and to assess whether or not differences had persisted since an early study. A random sample of all women receiving standard care (postal districts W4 and W6) and of all women receiving one-to-one care (postal districts W3 and W12) who were expecting to give birth in the same NHS Trust between 15May 1997 and 14May 1998 were invited to enter the study of women's responses to care, the notes of all women were audited. Clinical endpoints were specified in advance, these were: caesarean and assisted delivery rates, epidural rates in those not having elective caesarean section, rates of intact perineum in those not having elective caesarean section, and labour duration. Satisfaction with care was recorded through the postal questionnaires. These endpoints were analysed using linear and logistic regression adjusting for prespecified confounders. There was a lower rate of all clinical interventions associated with one-to-one care and rates of satisfaction were higher. Differences were increased from the first cohort study.</dc:description><dc:language>en</dc:language><dc:publisher>MA Healthcare</dc:publisher><dc:source>0969-4900</dc:source><dc:subject>midwifery</dc:subject><dc:title>Clinical outcomes of one-to-one midwifery practice</dc:title><rioxxterms:author>Page, Lesley</rioxxterms:author><rioxxterms:author>Beake, Sarah</rioxxterms:author><rioxxterms:author>Vall, Andy</rioxxterms:author><rioxxterms:author>McCourt, Christine</rioxxterms:author><rioxxterms:author>Hewison, Jenny</rioxxterms:author><rioxxterms:publication_date>2001-11-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.12968/bjom.2001.9.11.9417</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:124
Date: 2016-07-28

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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:124</identifier>
      <datestamp>2016-07-28T10:35:31Z</datestamp>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>BACKGROUND:&#13;
Problem- or evidence-based learning (PBL or EBL) has become more widely used in the education of health professionals. Although there has been research exploring its effectiveness and the student’s perspective, there has been little research exploring the perceptions of the teacher. The objective of this study was to investigate the experiences of teachers facilitating a problem based learning curriculum in midwifery. The study took place at Thames Valley University, which has implemented this approach across the entire curriculum.&#13;
&#13;
METHODS:&#13;
Semi-structured interviews were undertaken following random selection from two groups of teachers; those more experienced as teachers and those who had entered teaching more recently.&#13;
&#13;
FINDINGS AND DISCUSSION:&#13;
Aspects of the teacher’s role identified included questioning students to draw out their knowledge and understanding and to help students challenge each other, discuss and evaluate their learning. Strategies used varied depending on the stage of the programme. Difficulties encountered were mostly in relation to facilitating groups of differing backgrounds and ability and seeking to enable the students to work well together. Key challenges for teachers were in relation to developing facilitation skills, balancing input or guidance with facilitating independent learning.&#13;
&#13;
CONCLUSIONS:&#13;
Problem based learning was perceived to be beneficial in helping students relate theory to practice and in encouraging an active and enquiring approach to evidence, but teachers raised important questions about its practice. Tensions were identified between the constructivist theories on which the model of PBL rests and the formal requirements of an externally regulated professional curriculum.</dc:description><dc:language>en</dc:language><dc:source>0260-6917</dc:source><dc:subject>midwifery</dc:subject><dc:title>Problem based learning in midwifery - the teachers perspective</dc:title><rioxxterms:author>Rowan, Catherine</rioxxterms:author><rioxxterms:author>Beake, Sarah</rioxxterms:author><rioxxterms:author>Bick, Debra</rioxxterms:author><rioxxterms:author>McCourt, Christine</rioxxterms:author><rioxxterms:publication_date>2007-01-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1016/j.nedt.2006.03.006</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:125
Date: 2016-07-28

RIOXX

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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:125</identifier>
      <datestamp>2016-07-28T10:07:06Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:language>en</dc:language><dc:publisher>Nurse Education Today</dc:publisher><dc:source>02606917</dc:source><dc:subject>midwifery</dc:subject><dc:title>Problem based learning in midwifery - the students' perspective</dc:title><rioxxterms:author>Rowan, Catherine</rioxxterms:author><rioxxterms:author>Beake, Sarah</rioxxterms:author><rioxxterms:author>McCourt, Christine</rioxxterms:author><rioxxterms:publication_date>2007-05-11</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1016/j.nedt.2007.02.014</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:126
Date: 2017-01-18

RIOXX

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      <identifier>oai:repository.uwl.ac.uk:126</identifier>
      <datestamp>2017-01-18T15:22:48Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:language>en</dc:language><dc:source>0969-4900</dc:source><dc:subject>midwifery</dc:subject><dc:title>Midwives without children</dc:title><rioxxterms:author>Rowan, Catherine</rioxxterms:author><rioxxterms:publication_date>2003-01-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:127
Date: 2016-08-04

RIOXX

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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:127</identifier>
      <datestamp>2016-08-04T09:55:06Z</datestamp>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>OBJECTIVE:&#13;
To explore the longer-term effect of a problem-based learning (PBL) programme on midwives in practice.&#13;
&#13;
DESIGN:&#13;
Qualitative study. Graduates involved in an earlier study of the implementation of a PBL programme were interviewed between 5 and 6 years after graduating to explore the possible longer-term effect of a PBL programme on their practice as midwives.&#13;
&#13;
SETTING:&#13;
Thames Valley University with graduates who had completed an 18-month programme on one of two campuses on a variety of clinical sites.&#13;
&#13;
PARTICIPANTS:&#13;
Interviews were held with four graduates who had completed their programme before the implementation of PBL and five who had completed a PBL programme. Key themes were identified and compared cross-sectionally.&#13;
&#13;
FINDINGS:&#13;
Midwives who had graduated from a PBL programme found that the approach was valuable in enabling them to access information and to develop a critical questioning approach. Some felt anxious at the beginning of their programme and said that they would have benefited from more direction and feedback from the facilitator early on in the programme. The focus on individual presentations sometimes inhibited the students learning from others in the group. The success of the PBL approach was felt to be dependent on the way in which the group worked together. The quality of the clinical placement, and the support of mentors and link teachers in the clinical setting, was a key factor in learning for students from both programmes.&#13;
&#13;
CONCLUSIONS:&#13;
PBL has been incorporated into some programmes because it is thought to benefit practice disciplines, especially in a world of uncertain and changing evidence. However, no clear picture has emerged about the benefits of a PBL programme for midwifery education.&#13;
&#13;
IMPLICATIONS FOR PRACTICE:&#13;
Our findings have implications for curriculum development to ensure the potential benefits of PBL are realised in practice. This may include providing further guidance and feedback to students, particularly at the start of their programme. Further research using innovative methodologies is needed to critically assess the longer-term effect of this approach to education.</dc:description><dc:language>en</dc:language><dc:source>0266-6138</dc:source><dc:subject>midwifery</dc:subject><dc:title>Midwives' reflections on their educational programme: a traditional or problem-based learning approach?</dc:title><rioxxterms:author>Rowan, Catherine</rioxxterms:author><rioxxterms:author>Beake, Sarah</rioxxterms:author><rioxxterms:author>McCourt, Christine</rioxxterms:author><rioxxterms:publication_date>2009</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1016/j.midw.2007.01.014</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:128
Date: 2017-01-17

RIOXX

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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:128</identifier>
      <datestamp>2017-01-17T11:45:34Z</datestamp>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>This article reports a study of the maternity care experiences of Somali refugee women in an area of west London. This small case study formed a discrete part of a wider study of women's responses to two systems of maternity care. Qualitative research methods involving semi-structured interviews and focus groups were used. Interviews were carried out with Somali women who had recent experience of the maternity services, with health professionals who had contact with Somali women in their work, and with a Trust employee involved in the provision of language support. The findings confirmed much of the available research evidence on other ethnic minorities' contacts with the maternity services. Many of these women are not gaining equal access to maternity services due to inadequate provision of interpreting services, stereotyping and racism from health service staff, and a lack of understanding from staff of cultural differences. A further issue found to affect the Somali women was poor management of female genital mutilation (FGM) in pregnancy and labour. This article focuses particularly on communication and language support as language was found to be the single most important issue for the Somali women in their contacts with the maternity services, with communication difficulties having negative implications for all aspects of their care.</dc:description><dc:language>en</dc:language><dc:publisher>Taylor &amp; Francis</dc:publisher><dc:source>1469-3682</dc:source><dc:subject>midwifery</dc:subject><dc:subject>nursing</dc:subject><dc:title>Somali refugee women's experiences of maternity care in west London: a case study</dc:title><rioxxterms:author>Harper Bulman, Kate</rioxxterms:author><rioxxterms:author>McCourt, Christine</rioxxterms:author><rioxxterms:publication_date>2002-12-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1080/0958159021000029568</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:129
Date: 2016-08-04

RIOXX

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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:129</identifier>
      <datestamp>2016-08-04T10:15:44Z</datestamp>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>BACKGROUND: &#13;
The belief that many women demand cesarean sections in the absence of clinical indications appears to be pervasive. The aim of this study was to examine whether, and in what context, maternal requests for cesarean section are made. &#13;
&#13;
METHODS:&#13;
Quantitative and qualitative methods were used. The overall study comprised 4 substudies: 23 multiparous and 41 primiparous pregnant women were asked to complete diaries recording events related to birth planning and expectations; 44 women who had considered, or been asked to consider, cesarean section during pregnancy were interviewed postnatally; 24 consultants and registrars in 3 district hospitals and 1 city hospital were interviewed; 5 consultants with known strong views about cesarean section were also interviewed; and 785 consultants from the United Kingdom and Eire completed postal questionnaires. &#13;
&#13;
RESULTS: &#13;
No woman requested cesarean section in the absence of, what she considered, clinical or psychological indications. Fear for themselves or their baby appeared to be major factors behind women’s requests for cesarean section, coupled with the belief that cesarean section was safest for the baby. Most obstetricians reported few requests for cesarean section, but nevertheless, cited maternal request as the most important factor affecting the national rising cesarean section rate. Several obstetricians discussed the significance of women’s fears and the importance of taking the time to talk to women about these fears. &#13;
&#13;
CONCLUSIONS: &#13;
Existing evidence for large numbers of women requesting cesarean sections in the absence of clinical indications is weak. This study supports the thesis that these women comprise a small minority. Psychological issues and maternal perceptions of risk appear to be significant factors in many maternal requests. Despite this finding, maternal request is perceived by obstetricians to be a major factor in driving the cesarean section rate upward.</dc:description><dc:language>en</dc:language><dc:source>1523-536X</dc:source><dc:subject>midwifery</dc:subject><dc:title>Are there 'unnecessary' caesarean sections? Perceptions of women and obstetricians about caesarean sections for non-clinical clinical indication</dc:title><rioxxterms:author>Weaver, Jane</rioxxterms:author><rioxxterms:author>Statham, Helen</rioxxterms:author><rioxxterms:author>Richards, M.</rioxxterms:author><rioxxterms:publication_date>2007-03-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1111/j.1523-536X.2006.00144.x</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:130
Date: 2015-12-10

RIOXX

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      <identifier>oai:repository.uwl.ac.uk:130</identifier>
      <datestamp>2015-12-10T15:45:06Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:language>en</dc:language><dc:source>1434-1816</dc:source><dc:subject>Mentalhealth</dc:subject><dc:subject>mentalhealth</dc:subject><dc:title>The HPA axis and perinatal depression: a hypothesis</dc:title><rioxxterms:author>Taylor, A.</rioxxterms:author><rioxxterms:author>Kammerer, M.</rioxxterms:author><rioxxterms:author>Glover V</rioxxterms:author><rioxxterms:publication_date>2006-07-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1007/s00737-006-0131-2</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:131
Date: 2015-12-07

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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>Some mothers find it hard to relate to their new baby, and such failure may have long-term effects on the infant. This has been a neglected area of research. A new simple 8 item self-rating mother-to-infant bonding questionnaire has been designed to assess the feelings of a mother towards her new baby. A principal components and reliability analysis demonstrated an alpha score of 0.71. One hundred and sixty two women filled in the Kennerley Blues Scale, the Edinburgh Postnatal Depression Scale (EPDS) the Highs Scale and the new Mother to Infant Bonding Scale on day 3 postpartum. Twelve weeks later they were sent the EPDS and the Bonding scales again. One hundred and forty four returned all questionnaires. There was a strong correlation between the Bonding scores at 3 days and at 12 weeks (rs=0.54 p&lt;0.001).</dc:description><dc:language>en</dc:language><dc:source>1434-1816</dc:source><dc:subject>Mentalhealth</dc:subject><dc:subject>mentalhealth</dc:subject><dc:title>A new Mother-to-Infant Bonding Scale: links with early maternal mood</dc:title><rioxxterms:author>Taylor, A.</rioxxterms:author><rioxxterms:author>Adams, D.</rioxxterms:author><rioxxterms:author>Atkins, R.</rioxxterms:author><rioxxterms:author>Glover, V.</rioxxterms:author><rioxxterms:publication_date>2005-05-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1007/s00737-005-0074-z</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:132
Date: 2016-08-04

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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:132</identifier>
      <datestamp>2016-08-04T09:55:46Z</datestamp>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>BACKGROUND:&#13;
The cesarean-section rate continues to rise in many countries with routine access to medical services, yet this increase is not associated with improvement in perinatal mortality or morbidity. A large number of commentaries in the medical literature and media suggest that consumer demand contributes significantly to the continued rise of births by cesarean section internationally. The objective of this article was to critically review the research literature concerning women’s preference or request for elective cesarean section published since that critiqued by Gamble and Creedy in 2000. &#13;
&#13;
METHODS:&#13;
A search of key databases using a range of search terms produced over 200 articles, of which 80 were potentially relevant. Of these, 38 were research-based articles and 40 were opinion-based articles. A total of 17 articles fitted the criteria for review. A range of methodologies was used, with varying quality, making meta-analysis of findings inappropriate, and simple summaries of results difficult to produce. Results: The range and quality of studies had increased since 2001, reflecting continuing concern. Women’s preference for cesarean section varied from 0.3 to 14 percent; however, only 3 studies looked directly at this preference in the absence of clinical indications. Women’s preference for a cesarean section related to psychological factors, perceptions of safety, or in some countries, was influenced by cultural or social factors. &#13;
&#13;
CONCLUSIONS: &#13;
Research between 2000 and 2005 shows evidence of very small numbers of women requesting a cesarean section. A range of personal and societal reasons, including fear of birth and perceived inequality and inadequacy of care, underpinned these requests</dc:description><dc:language>en</dc:language><dc:source>1523-536X</dc:source><dc:subject>midwifery</dc:subject><dc:title>Elective Cesarean section and decision making: a critical review of the literature</dc:title><rioxxterms:author>Weaver, Jane</rioxxterms:author><rioxxterms:author>Gamble, Jenny</rioxxterms:author><rioxxterms:author>McCourt, Christine</rioxxterms:author><rioxxterms:author>Statham, Helen</rioxxterms:author><rioxxterms:author>Beake, Sarah</rioxxterms:author><rioxxterms:author>Creedy, Debra</rioxxterms:author><rioxxterms:publication_date>2007-03-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1111/j.1523-536X.2006.00147.x</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:133
Date: 2016-07-28

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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:133</identifier>
      <datestamp>2016-07-28T12:55:18Z</datestamp>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>AIM:&#13;
The aim of this paper is to report a study investigating the extent to which National Health Service cadet schemes widen access to professional health care education.&#13;
&#13;
BACKGROUND: &#13;
Cadet schemes have been reintroduced in the United Kingdom to increase recruitment of nurses and other health care staff to the National Health Service and also to widen access and increase participation in professional health care education by groups poorly represented in such education, including minority ethnic groups.&#13;
&#13;
METHODS:&#13;
A questionnaire survey of all cadet schemes (n = 62) in England at the time of the study was carried out, and the respondents were cadet scheme leaders (n = 62) and cadet students (n = 411). The questionnaires to scheme leaders enquired about when the schemes were established, what the schemes were preparing cadets for, modes of delivery and entry qualifications. The questionnaires to cadets enquired about age, gender, family circumstances, prior experience and ethnic background.&#13;
&#13;
FINDINGS:&#13;
The majority of schemes had been established since the health service reforms of 1999 and most were preparing cadets to enter professional nurse education programmes. Very few provided opportunities for part-time study and some asked for entry qualifications. Cadets were younger on entry than a comparator group of student nurses, fewer were married, fewer had previous employment or health-related employment and a lower percentage of cadets were white.&#13;
&#13;
CONCLUSION:&#13;
Cadet schemes have the potential to widen access to professional health care study, but there is only limited evidence that they are doing so. In particular there was a lack of mature entrants to health care professional education via the schemes. However, the majority of schemes offered a route into professional education for students who did not hold sufficient educational qualifications for direct entry to professional health care education. It is encouraging that cadet schemes appear to be attracting a significantly greater proportion of students from Black and minority ethnic groups than preregistration nursing programmes overall.</dc:description><dc:language>en</dc:language><dc:source>0309-2402</dc:source><dc:subject>nursing</dc:subject><dc:title>NHS cadet schemes: do they widen access to professional healthcare education?</dc:title><rioxxterms:author>Jowett, Sandra</rioxxterms:author><rioxxterms:author>Draper, Jan</rioxxterms:author><rioxxterms:author>Norman, Ian J.</rioxxterms:author><rioxxterms:author>Watson, Roger</rioxxterms:author><rioxxterms:author>Wilson-Barnett, Jenifer</rioxxterms:author><rioxxterms:author>Normand, Charles</rioxxterms:author><rioxxterms:author>Halliday, Debbie</rioxxterms:author><rioxxterms:publication_date>2005-02-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1111/j.1365-2648.2004.03288.x</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:134
Date: 2017-01-18

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    <header>
      <identifier>oai:repository.uwl.ac.uk:134</identifier>
      <datestamp>2017-01-18T14:47:53Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>Violence and aggression is common in psychiatric inpatient units. Despite the near universal prevalence of restraint, there is very little published research on either the efficacy or the subjective effects of restraint on staff or patients. In this pilot study, semistructured interviews were given to the patients and staff involved in six untoward incidents in which the patient participant had been subject to manual physical restraint. Participants were interviewed as soon as possible after the occurrence of the incidents. The interviews asked the patient and staff participants to identify and discuss the factors that they found helpful and unhelpful during and in the immediate aftermath of these incidents. The incidents generated strong emotions for all concerned. The patients valued staff time and attention but felt that they received too little attention. Both nurses and patients discriminated between permanent and temporary staff. Patients reported feeling upset, distressed and ignored prior to the incidents and isolated and ashamed afterwards. Postincident debriefing was valued by all but was patchy for staff and rarer still for patients. Patients feared the possibility of being restrained. Half of the patients and several staff members reported that the incidents had reawakened distressing memories of previous traumatic events. Further research on the subjective effects of restraint is urgently needed.</dc:description><dc:language>en</dc:language><dc:source>1365-2850</dc:source><dc:subject>Mentalhealth</dc:subject><dc:subject>mentalhealth</dc:subject><dc:title>Trauma for all: a pilot study of the subjective experience of physical restraint for mental health inpatients and staff in the UK</dc:title><rioxxterms:author>Bonner, Gwen</rioxxterms:author><rioxxterms:author>Lowe, Trevor</rioxxterms:author><rioxxterms:author>Rawcliffe, D.</rioxxterms:author><rioxxterms:author>Wellman, Nigel</rioxxterms:author><rioxxterms:publication_date>2002-08-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1046/j.1365-2850.2002.00504.x</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:135
Date: 2017-01-25

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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:135</identifier>
      <datestamp>2017-01-25T14:42:31Z</datestamp>
      <setSpec>7374617475733D707562</setSpec>
      <setSpec>7375626A656374733D6865616C7468:4D656E74616C6865616C7468</setSpec>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>AIM OF THE PAPER:&#13;
To examine the application of the decision tree approach to collaborative clinical decision-making in mental health care in the United Kingdom (UK).&#13;
&#13;
BACKGROUND:&#13;
While this approach to decision-making has been examined in the acute care setting, there is little published evidence of its use in clinical decision-making within the mental health setting. The complexities of dual diagnosis (schizophrenia and substance misuse in this case example) and the varied viewpoints of different professionals often hamper the decision-making process. This paper highlights how the approach was used successfully as a multiprofessional collaborative approach to decision-making in the context of British community mental health care.&#13;
&#13;
DESIGN:&#13;
A selective review of the relevant literature and a case study application of the decision tree framework.&#13;
&#13;
CONCLUSIONS:&#13;
The process of applying the decision tree framework to clinical decision-making in mental health practice can be time consuming and client inclusion within the process is not always appropriate. The approach offers a method of assigning numerical values to support complex multiprofessional decision-making as well as considering underpinning literature to inform the final decision. Use of the decision tree offers a common framework that can assist professionals to examine the options available to them in depth, while considering the complex variables that influence decision-making in collaborative mental health practice. Use of the decision tree warrants further consideration in mental health care in terms of practice and education.</dc:description><dc:language>en</dc:language><dc:source>1365-2648</dc:source><dc:subject>Mentalhealth</dc:subject><dc:subject>nursing</dc:subject><dc:title>Decision making for health care professionals: use of decision trees within the community mental health setting</dc:title><rioxxterms:author>Bonner, Gwen</rioxxterms:author><rioxxterms:publication_date>2001-08-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1046/j.1365-2648.2001.01851.x</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:136
Date: 2017-01-19

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    <header>
      <identifier>oai:repository.uwl.ac.uk:136</identifier>
      <datestamp>2017-01-19T16:33:49Z</datestamp>
      <setSpec>7374617475733D707562</setSpec>
      <setSpec>7375626A656374733D6865616C7468:6E757273696E67</setSpec>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>This article illustrates how a concept clarification exercise can provide evidence to inform local policy development. Based on the framework developed in Walker and Avant’s (1995) concept clarification theory, the concept of priority is examined in the context of a team of community mental health nurses. Themes of risk, multidisciplinary working, resources, and nursing role are identified as key areas for consideration, and the difficulties existing between government policy directives towards the severely mentally ill and health promotion are discussed. The article highlights how nursing theory can integrate the concept analysis of priority in planning client care. This is presented using Peplau’s (1952) model as a guide to further enhance meaning of generated priorities to nursing practice.</dc:description><dc:language>en</dc:language><dc:publisher>MA Healthcare</dc:publisher><dc:source>1462-4753</dc:source><dc:subject>nursing</dc:subject><dc:title>The concept of priority as it relates to a community mental health team</dc:title><rioxxterms:author>Bonner, Gwen</rioxxterms:author><rioxxterms:publication_date>2001-02-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.12968/bjcn.2001.6.2.86</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:137
Date: 2016-08-09

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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:137</identifier>
      <datestamp>2016-08-09T15:48:00Z</datestamp>
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      <setSpec>7375626A656374733D6865616C7468:4D656E74616C6865616C7468</setSpec>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>OBJECTIVE:&#13;
Some genome-wide scans and association studies for schizophrenia susceptibility genes have yielded significant positive findings, but there is disagreement between studies on their locations, and no mutation has yet been found in any gene. Since schizophrenia is a complex disorder, a study with sufficient power to detect a locus with a small or moderate gene effect is necessary. &#13;
&#13;
METHOD: &#13;
In a genome-wide scan of 382 sibling pairs with a diagnosis of schizophrenia or schizoaffective disorder, 396 highly polymorphic markers spaced approximately 10 centimorgans apart throughout the genome were genotyped in all individuals. Multipoint nonparametric linkage analysis was performed to evaluate regions of the genome demonstrating increased allele sharing, as measured by a lod score. &#13;
&#13;
RESULTS:&#13;
Two regions with multipoint maximum lod scores suggesting linkage were found. The highest lod scores occurred on chromosome 10p15-p13 (peak lod score of 3.60 at marker D10S189) and the centromeric region of chromosome 2 (peak lod score of 2.99 at marker D2S139). In addition, a maximum lod score of 2.00 was observed with marker D22S283 on chromosome 22q12, which showed evidence of an imprinting effect, whereby an excess sharing of maternal, but not paternal, alleles was present. No evidence of linkage was obtained at several locations identified in previous studies, including chromosomes 1q, 4p, 5p-q, 6p, 8p, 13q, 15p, and 18p. &#13;
&#13;
CONCLUSIONS:&#13;
The findings of this large genome-wide scan emphasize the weakness and fragility of linkage reports on schizophrenia. No linkage appears to be consistently replicable across large studies. Thus, it has to be questioned whether the genetic contribution to this disorder is detectable by these strategies and the possibility raised that it may be epigenetic, i.e., related to gene expression rather than sequence variation. Nevertheless, the positive findings on chromosome 2, 10, and 22 should be pursued further.</dc:description><dc:language>en</dc:language><dc:source>1535-7228</dc:source><dc:subject>Mentalhealth</dc:subject><dc:title>A genome-wide search for linkage to chromosomal regions in 382 sibling-pairs diagnosed with schizophrenia or schizoaffective disorder</dc:title><rioxxterms:author>Wellman, Nigel</rioxxterms:author><rioxxterms:author>DeLisi, Lynn E.</rioxxterms:author><rioxxterms:author>Shaw, Sarah H.</rioxxterms:author><rioxxterms:author>Crow, Timothy J.</rioxxterms:author><rioxxterms:author>Shields, Gail</rioxxterms:author><rioxxterms:author>Smith, Angela B.</rioxxterms:author><rioxxterms:author>Larach, Veronica W.</rioxxterms:author><rioxxterms:author>Loftus, Josephine</rioxxterms:author><rioxxterms:author>Nanthakumar, Betsy</rioxxterms:author><rioxxterms:author>Razi, Kamran</rioxxterms:author><rioxxterms:author>Stewart, John</rioxxterms:author><rioxxterms:author>Comazzi, Margherita</rioxxterms:author><rioxxterms:author>Vita, Antonio</rioxxterms:author><rioxxterms:author>Heffner, Thomas</rioxxterms:author><rioxxterms:author>Sherrington, Robin</rioxxterms:author><rioxxterms:publication_date>2002-05-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1176/appi.ajp.159.5.803</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:138
Date: 2015-12-11

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    <header>
      <identifier>oai:repository.uwl.ac.uk:138</identifier>
      <datestamp>2015-12-11T10:07:40Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:language>en</dc:language><dc:source>0966-0461</dc:source><dc:subject>nursing</dc:subject><dc:title>The psychological impact of aggression on nursing staff</dc:title><rioxxterms:author>Bonner, Gwen</rioxxterms:author><rioxxterms:author>McLaughlin, S.</rioxxterms:author><rioxxterms:publication_date>2007-07-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:139
Date: 2017-01-18

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    <header>
      <identifier>oai:repository.uwl.ac.uk:139</identifier>
      <datestamp>2017-01-18T14:47:34Z</datestamp>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>Background:&#13;
Several published research studies have suggested that inpatient aggression against nursing staff may be directly precipitated by common nurse–patient interactions. This study sought to examine the structure of nurses' judgements in situations of conflict.&#13;
&#13;
&#13;
Method:&#13;
Seventy practising United Kingdom psychiatric nurses were presented with a number of conflict scenarios and were asked to rate a range of intervention options for each scenario according to how appropriate they perceived those interventions to be. Their responses were analysed using multidimensional scaling techniques.&#13;
&#13;
Results:&#13;
The results suggest that issues associated with limit setting and autonomy were perceived as most important by the nurses and that these issues are most likely to lead to disagreements in judgement between nurses of different status. Nurses of higher grades (levels) showed a significantly greater preference for respectful and autonomy-confirming interventions than their more junior nurses. These results have training and policy implications and further research should examine the effects of such nursing judgements on patient care.</dc:description><dc:language>en</dc:language><dc:source>1365-2648</dc:source><dc:subject>nursing</dc:subject><dc:title>Limit-setting and decision-making in the management of aggression</dc:title><rioxxterms:author>Lowe, Trevor</rioxxterms:author><rioxxterms:author>Wellman, Nigel</rioxxterms:author><rioxxterms:author>Taylor, Richard</rioxxterms:author><rioxxterms:publication_date>2003-01-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1046/j.1365-2648.2003.02517.x</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:140
Date: 2017-01-18

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    <header>
      <identifier>oai:repository.uwl.ac.uk:140</identifier>
      <datestamp>2017-01-18T14:46:58Z</datestamp>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>Spiritual experiences and psychotic symptoms have many aspects of form and content in common. Despite this, clinicians make judgements about the pathology of these experiences and base care-plans on these judgements. Semi-structured interviews incorporating vignettes of spiritual-type experiences were given to 14 UK mental health nurses. This revealed that the nurses employed a complex and inter-relating set of criteria when evaluating spiritual-type experiences. The nature of the experience was considered, but the outcome of the experience (positive or negative) was an important evaluative factor, together with the personal and cultural context in which the experience occurred. The nurses demonstrated a tolerance of ambiguity and the need for awareness of their own subjectivity. They emphasised the importance of close-engagement with patients to achieve a rounded and holistic view of the patient's experience. They also emphasised the importance of team working in reducing idiosyncratic decision making.</dc:description><dc:language>en</dc:language><dc:source>0020-7489</dc:source><dc:subject>nursing</dc:subject><dc:title>Spirituality or psychosis? - an exploration of the criteria that nurses use to evaluate spiritual-type experiences reported by patients</dc:title><rioxxterms:author>Eeles, Jennie</rioxxterms:author><rioxxterms:author>Lowe, Trevor</rioxxterms:author><rioxxterms:author>Wellman, Nigel</rioxxterms:author><rioxxterms:publication_date>2003-02-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1016/S0020-7489(02)00061-5</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:141
Date: 2017-01-18

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    <header>
      <identifier>oai:repository.uwl.ac.uk:141</identifier>
      <datestamp>2017-01-18T14:46:33Z</datestamp>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>INTRODUCTION:&#13;
Many patients with psychotic disorders appear distractible. Some theories propose that distractibility causes psychotic symptoms, others propose the reverse. We tested these theories by assessing relations between psychotic symptoms, Stroop interference, and clinical distractibility in patients with schizophrenia or affective psychoses.&#13;
 &#13;
METHODS:&#13;
We rated clinical distractibility in patients with acute schizophrenia or affective psychoses and measured their Stroop interference in a single trial colour-naming task. &#13;
&#13;
RESULTS: &#13;
Clinical distractibility related inversely to Stroop interference. Stroop interference was small in drug-naive patients with schizophrenia, but normal in those receiving treatment. Patients with affective psychoses showed the opposite pattern. &#13;
&#13;
CONCLUSIONS:&#13;
The abnormality of attention that clinicians rate as “distractibility” is probably the opposite—attentional capture. Abnormal attention neither results from nor causes psychotic symptoms. Rather, it is an independent correlate of pathophysiology in functional psychoses that merits assessment and treatment in its own right.</dc:description><dc:language>en</dc:language><dc:source>1464-0619</dc:source><dc:subject>Mentalhealth</dc:subject><dc:subject>mentalhealth</dc:subject><dc:title>Inverse relation between clinical distractibility and Stroop interference in functional psychoses</dc:title><rioxxterms:author>Williams, Jonathan</rioxxterms:author><rioxxterms:author>Wellman, Nigel</rioxxterms:author><rioxxterms:author>Geaney, David</rioxxterms:author><rioxxterms:publication_date>2005-08-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1080/13546800444000065</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:142
Date: 2015-12-10

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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:142</identifier>
      <datestamp>2015-12-10T14:38:33Z</datestamp>
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      <setSpec>7375626A656374733D6865616C7468:7072696D6172795F6865616C7468</setSpec>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>PURPOSE: &#13;
Theory of effective network operation in primary care is underdeveloped. This study aimed to identify how primary care networks can best integrate academic and service initiatives. &#13;
&#13;
METHODS: &#13;
We performed a comparative case study of 4 primary care research networks in North London, England, for the years 1998–2002. Indicators were selected to assess changes in (1) research capacity, (2) multidisciplinary collaboration, and (3) research productivity. We compared the profiles of network outcome with descriptions of their contexts and organizational types from a previous evaluation. &#13;
&#13;
RESULTS: &#13;
Together, the networks supported 133 viable projects and 30 others; 399 practitioners, managers, and academics participated in the research teams. How the networks organized themselves was influenced by the circumstances in which they were formed. Different ways of organizing were associated with different outcome profiles. Shared projects and learning spaces helped participants to develop trusted relationships. A top-down, hierarchical approach based on institutional alliances and academic expertise attracted more funding and appeared to be stable. The bottom-up, individualistic network with research practices was good at reflecting on practical primary care concerns. Whole-system methods brought together stakeholder contributions from all parts of the system. &#13;
&#13;
CONCLUSIONS: &#13;
Networks can help integrate academic research and service development initiatives by facilitating interorganizational interactions and in shared leadership of projects. Researchers and practitioners stand to gain considerably from an integrated approach in both the short and the long term. Success requires agreement about a set of pathways, learning spaces, and feedback mechanisms to harness the insights and efforts of stakeholders throughout the whole system.</dc:description><dc:language>en</dc:language><dc:source>1544-1717</dc:source><dc:subject>primary_health</dc:subject><dc:title>How primary care networks can help integrate academic and service initiatives in primary care</dc:title><rioxxterms:author>Thomas, P.</rioxxterms:author><rioxxterms:author>Graffy, J.</rioxxterms:author><rioxxterms:author>Kirby, M.</rioxxterms:author><rioxxterms:author>Wallace, P.</rioxxterms:author><rioxxterms:publication_date>2006-05-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1370/afm.521</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:143
Date: 2015-12-07

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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:143</identifier>
      <datestamp>2015-12-07T11:39:01Z</datestamp>
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      <setSpec>7375626A656374733D6865616C7468:7072696D6172795F6865616C7468</setSpec>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>PURPOSE: &#13;
We wanted to identify what organizational features support innovation in Primary Care Groups (PCGs). &#13;
&#13;
METHODS: &#13;
Our study used a whole system participatory action research model. Four research teams provided complementary insights. Four case study PCGs were analyzed. Two had an intervention to help local facilitators reflect on their work. Data included 70 key informant interviews, observations of clinical governance interventions and committee meetings, analysis of written materials, surveys and telephone interviews of London Primary Care Organizations, interviews with 20 nurses, and interviews with 6 finance directors. A broad range of stakeholders reviewed data at annual conferences and formed conclusions about trustworthy principles. Sequential research phases were refocused in the light of these conclusions and in response to the changing political context. &#13;
&#13;
RESULTS: &#13;
Five features were associated with increased organizational capacity for innovation: (1) clear structures and a vision for corporate and clinical governance; (2) multiple opportunities for people to reflect and learn at all levels of the organization, and connections between these “learning spaces”; (3) both clinicians and managers in leadership roles that encourage participation; (4) the right timing for an initiative and its adaptation to the local context; and (5) external facilitation that provides opportunities for people to make sense of their experiences. Low morale was commonly attributed to 3 features: (1) overwhelming pace of reform, (2) inadequate staff experience and supportive infrastructure, and (3) financial deficits. &#13;
&#13;
CONCLUSIONS: &#13;
These features together may support innovation in other primary care bureaucracies. The research methodology enabled people from different backgrounds to make sense of diverse research insights.</dc:description><dc:language>en</dc:language><dc:source>1544-1717</dc:source><dc:subject>primary_health</dc:subject><dc:title>Increasing capacity for innovation in bureaucratic primary care organisations - a whole system participatory action research project</dc:title><rioxxterms:author>Thomas, P.</rioxxterms:author><rioxxterms:author>Bosanquet, N.</rioxxterms:author><rioxxterms:author>Ferlie, E.</rioxxterms:author><rioxxterms:author>While, A.</rioxxterms:author><rioxxterms:publication_date>2005-07-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1370/afm.309</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:144
Date: 2015-12-10

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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:144</identifier>
      <datestamp>2015-12-10T16:05:40Z</datestamp>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>BACKGROUND:&#13;
The usual system for antenatal screening for haemoglobinopathies permits termination only late in the second trimester of pregnancy.&#13;
&#13;
AIM:&#13;
To evaluate a system where pregnant women are screened in general practice, and to develop a model of care pathway or whole system research able to bring into view unexpected effects of health service innovation.&#13;
&#13;
DESIGN OF STUDY:&#13;
A whole system participatory action research approach was used. Six purposefully chosen general practices screened women who attended with a new pregnancy. Data of gestational age of screening were compared with two control groups. Qualitative data were gathered through workshops, interviews and feedback to the project steering group. At facilitated annual workshops participants from all parts of the care pathway produced a consensus about the meaning of the data as a whole.&#13;
&#13;
SETTING:&#13;
Six general practices in north London.&#13;
&#13;
METHOD:&#13;
A whole system participatory action research approach allowed stakeholders from throughout the care pathway to pilot the innovation and reflect on the meaning and significance of quantitative and qualitative data.&#13;
&#13;
RESULTS:&#13;
The gestational age of screening in general practice was 4.1 weeks earlier (95% confidence interval (CI) = 3.41 to 4.68) than in hospital clinics (P&lt;0.001), and 2.9 weeks earlier (95% CI = 2.07 to 3.65) than in community midwife clinics (P&lt;0.001). However, only 35% of pregnant women in the study were screened in the practices. Changes required throughout the whole care pathway make wider implementation more difficult than at first realised. The cost within general practice is greater than initially appreciated owing to a perceived need to provide counselling about other issues at the same time. Practitioners considered that other ways of early screening should be explored, including preconceptual screening. The research approach was able to bring into view unexpected effects of the innovation, but health workers were unfamiliar with the participatory processes.&#13;
&#13;
CONCLUSION:&#13;
Antenatal screening for haemoglobinopathies in general practice lowers the gestational age at which an at-risk pregnancy can be identified. However, widespread implementation of such screening may be too difficult.</dc:description><dc:language>en</dc:language><dc:source>0960-1643</dc:source><dc:subject>clinical_medicine</dc:subject><dc:title>Antenatal screening for haemoglobinopathies in primary care - a whole system participatory action research project</dc:title><rioxxterms:author>Thomas, P.</rioxxterms:author><rioxxterms:author>Banarsee, Reethoodhwaj</rioxxterms:author><rioxxterms:author>Leavey, C.</rioxxterms:author><rioxxterms:author>Oni, L.</rioxxterms:author><rioxxterms:publication_date>2005-06-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:145
Date: 2017-01-12

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    <header>
      <identifier>oai:repository.uwl.ac.uk:145</identifier>
      <datestamp>2017-01-12T10:29:55Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>In the context of various policy initiatives concerning widening access to and strengthening recruitment and retention in the health services, cadet schemes – predominantly in nursing – have proliferated over the last few years. As part of a larger national evaluation of National Health Service (NHS) cadet schemes, this paper reports on a survey of senior cadet students across 62 cadet schemes in England and examines their experience of being a cadet on such a scheme. Cadets forming the most senior cohort from each of the 62 schemes (n=596) were surveyed using a questionnaire. The questionnaire included self-rated measures of job satisfaction, job stress and commitment. A 5% sample of these cadets participated in follow-up telephone interviews. Cadets reported high satisfaction with their courses. One of the most positive aspects of the schemes was the first-hand experience of working in the NHS they provided, whilst also giving cadets the opportunity to gain recognisable skills and qualifications. Cadets scored highly on the job satisfaction scale and, on the job stress scale, showed low stress overall. A significant positive correlation was found between satisfaction and stress, indicating that the cadets who are most satisfied are also more highly stressed. A negative correlation was found between stress and the dimensions of commitment indicating that those cadets who are stressed are less committed to the NHS. A negative correlation was also found between satisfaction and the dimensions of commitment, suggesting that commitment to the NHS is not contingent on high satisfaction. The implications for the findings of the survey are discussed.</dc:description><dc:language>en</dc:language><dc:source>0260-6917</dc:source><dc:subject>nursing</dc:subject><dc:title>NHS cadet schemes: student experience, commitment, job satisfaction and job stress</dc:title><rioxxterms:author>Jowett, Sandra</rioxxterms:author><rioxxterms:publication_date>2004-04-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1016/j.nedt.2003.12.008</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:146
Date: 2016-07-29

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      <identifier>oai:repository.uwl.ac.uk:146</identifier>
      <datestamp>2016-07-29T15:48:51Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>AIMS:&#13;
The research reported here is part of a larger study commissioned by the United Kingdom Central Council for Nursing, Midwifery and Health Visiting (UKCC) to analyse and understand the impact of the Scope of Professional Practice (Scope) on the practice of nursing, midwifery and health visiting. The data in this paper relate to attitudes about, and perceptions of Scope among a variety of stakeholders.&#13;
&#13;
BACKGROUND:&#13;
This research provided a valuable opportunity to explore the essence of Scope and the ways in which it can enable nurses, midwives and health visitors to adapt to growing or changing health care needs. The findings contribute to this debate, by drawing on the knowledge and experience of the key groups involved in the change process.&#13;
&#13;
METHOD:&#13;
The study utilized several approaches, tailored to meet the requirements of each phase. In this (the final) phase a structured questionnaire was sent to different groups of stakeholders.&#13;
&#13;
FINDINGS AND CONCLUSIONS:&#13;
The stakeholders displayed considerable interest in the development of innovative systems for delivering nursing and midwifery care, provided that the necessary safeguards and support were in place. Scope was seen as a valuable way of optimizing the skills and contribution of nurses, midwives and health visitors.</dc:description><dc:language>en</dc:language><dc:source>1365-2834</dc:source><dc:subject>nursing</dc:subject><dc:title>The UKCC's Scope of Professional Practice - some implications for health care delivery</dc:title><rioxxterms:author>Jowett, Sandra</rioxxterms:author><rioxxterms:author>Peters, M.</rioxxterms:author><rioxxterms:author>Wilson-Barnett, Jenifer</rioxxterms:author><rioxxterms:author>Reynolds H</rioxxterms:author><rioxxterms:publication_date>2001-03-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1046/j.1365-2834.2001.00215.x</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:148
Date: 2015-12-10

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      <identifier>oai:repository.uwl.ac.uk:148</identifier>
      <datestamp>2015-12-10T16:31:19Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>Violence in psychiatric inpatient units is a major and growing problem. Research interest has primarily focussed on patient characteristics. The role of staff factors and the antecedents of violent incidents has been neglected, despite the fact that staff factors and behaviour may be more readily amenable to change than patient characteristics. The HOVIS study sought to obtain the views of a sample of mental health nurses in current clinical practice about staff-related factors, which they perceive to contribute to, or protect against, the occurrence of violent incidents. A total of 108 nurses working in psychiatric acute admission, intensive care and low secure units, in two NHS Trusts were interviewed using a specially designed semistructured interview schedule. These nurses identified a variety of behaviours, clinical skills, personal characteristics and interpersonal skills that they believe impact on the occurrence of violent incidents. These findings are discussed in relation to their possible training and managerial implications.</dc:description><dc:language>en</dc:language><dc:source>1365-2850</dc:source><dc:subject>nursing</dc:subject><dc:title>HOVIS - The Hertfordshire and Oxfordshire Violent Incident Study</dc:title><rioxxterms:author>Lowe, Trevor</rioxxterms:author><rioxxterms:author>Bond, K.</rioxxterms:author><rioxxterms:author>Spokes, K.</rioxxterms:author><rioxxterms:author>Wellman, N.</rioxxterms:author><rioxxterms:publication_date>2002-04-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1046/j.1365-2850.2002.00467.x</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:149
Date: 2017-01-12

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      <identifier>oai:repository.uwl.ac.uk:149</identifier>
      <datestamp>2017-01-12T10:31:02Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>This paper presents findings from a research study that investigated the education and training needs of qualified mental health nurses who work in acute adult mental health services in the UK. The study aimed to address a key knowledge ‘gap’ highlighted by recent Department of Health reports ( [Department of Health, 1999a], [Department of Health, 2001] and [Department of Health, 2002]) that suggest that little is known regarding the education and training expectations, priorities and needs of mental health nurses who work in acute adult mental health services. This study aimed to identify (i) what type of post-registration education and training mental health nurses working in acute settings need; (ii) how the nurses want education and training to be delivered; and (iii) what qualifications and accreditation the nurses want to receive? The research consisted of two methods: focus groups and a questionnaire survey. This paper reports on the findings from the questionnaire survey. The results of the survey demonstrate that there is a real need for post-registration education and training for this group of nurses; to equip them with the relevant knowledge and skills to nurse people in the acute phase of their mental illness in acute inpatient settings.</dc:description><dc:language>en</dc:language><dc:source>0260-6917</dc:source><dc:subject>nursing</dc:subject><dc:title>The education and training needs of qualified mental health nurses working in acute adult mental health services</dc:title><rioxxterms:author>Jones, Julie</rioxxterms:author><rioxxterms:author>Lowe, Trevor</rioxxterms:author><rioxxterms:publication_date>2003-07-30</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1016/S0260-6917(03)00101-1</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:150
Date: 2015-12-11

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      <identifier>oai:repository.uwl.ac.uk:150</identifier>
      <datestamp>2015-12-11T14:38:25Z</datestamp>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>BACKGROUND:&#13;
Challenging behaviours (behaviour difficulties) represent a problem of considerable clinical significance for learning disability nurses, and a source of much human distress. Gentle teaching is a relatively new approach to dealing with behavioural difficulties, and has been received with enthusiasm by clinicians, but has so far received little empirical support. The current study attempted to compare gentle teaching with a well-established alternative (behaviour modification) and a control group.&#13;
&#13;
OBJECTIVES: &#13;
To examine the comparative effectiveness of gentle teaching, behaviour modification and control interventions for challenging behaviour amongst children with learning disabilities.&#13;
&#13;
DESIGN: &#13;
Nonrandomized controlled trial.&#13;
&#13;
SETTING:  &#13;
Service users’ homes in East Yorkshire.&#13;
&#13;
PARTICIPANTS: &#13;
Seventy-seven children who presented with learning disabilities and challenging behaviour (behaviour difficulties) and their parents.&#13;
&#13;
PROCEDURE: &#13;
One-day workshops in were offered by recognized authorities in either behaviour modification or gentle teaching that were not otherwise involved with the research project. Forty-one participants were recruited to the gentle teaching condition; 36 to behaviour modification; 26 to the control group. Random allocation was not possible, because of the slow uptake by interested parents. Measures was preintervention, and at assessment points up until 12 months following intervention.&#13;
&#13;
ANALYSIS: &#13;
Quantitative analysis of pre–post differences between the groups, using t-test.&#13;
&#13;
RESULTS: &#13;
In general, no significant differences were found between the treatment groups and controls. Significant improvements were found for both gentle teaching and behaviour modification children over controls on the AAMR ABS XVII (social engagement) subscale. Controls had more contact with medical practitioner (GP) services than behaviour modification children and less than gentle teaching children.&#13;
&#13;
CONCLUSION: &#13;
Although very few differences were found between the three groups, those that did exist generally favoured behaviour modification. Implications for service provision and learning disability nursing practice are described.</dc:description><dc:language>en</dc:language><dc:source>1365-2648</dc:source><dc:subject>nursing</dc:subject><dc:title>Behaviour modification and gentle teaching workshops: management of children with learning disabilities exhibiting challenging behaviour and implications for learning disability nursing</dc:title><rioxxterms:author>Gates, Bob</rioxxterms:author><rioxxterms:author>Wray, J.</rioxxterms:author><rioxxterms:author>Newell R</rioxxterms:author><rioxxterms:publication_date>2001-04-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1046/j.1365-2648.2001.3411730.x</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:154
Date: 2015-12-10

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      <identifier>oai:repository.uwl.ac.uk:154</identifier>
      <datestamp>2015-12-10T14:47:56Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>The majority of care of patients with Parkinson's disease (PD) is provided by informal caregivers; their caregiving not only offers physical and emotional support for patients but also plays a large economic role and prevents early nursing home placement. In order to support caregivers in this role, it is necessary to understand the extent of caregiver-burden and factors associated with increased caregiver-burden and distress. We therefore conducted a postal survey in 123 caregivers of patients with PD to assess caregiver-burden and factors associated with it. The majority of caregivers were female (66%). Over 40% of caregivers indicated that their health had suffered as a result of caregiving, almost half had increased depression scores, and two-thirds reported that their social life had suffered. After adjustment of disease duration, there was no difference in caregiver-burden between younger and older caregivers, or between male and female caregivers. Caregiver-burden increased with increasing disability and symptoms of PD, particularly with mental health problems such as depression, hallucinations, or confusion, and with falls. Caregiver-burden scores also correlated significantly with the patients' depression and quality of life scores, and with caregivers' own satisfaction with their marital and sexual relationship. We conclude that more attention should be paid to caregivers' emotional and physical health, particularly in advancing PD with psychiatric complications and falls. These findings also demonstrate that caregiver and patient quality of life are closely linked and emphasize the importance of including caregiver-burden among the problems associated with PD in order to improve patient and caregiver lives.</dc:description><dc:language>en</dc:language><dc:source>1353-8020</dc:source><dc:subject>clinical_medicine</dc:subject><dc:title>Caregiver burden in Parkinson's disease is closely linked to psychiatric symptoms, falls and disability.</dc:title><rioxxterms:author>Morley, D. P.</rioxxterms:author><rioxxterms:author>Jahanshahi, M.</rioxxterms:author><rioxxterms:author>Quinn, N.</rioxxterms:author><rioxxterms:author>Schrag, A.</rioxxterms:author><rioxxterms:publication_date>2006-01-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1016/j.parkreldis.2005.06.011</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:155
Date: 2015-12-10

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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>We assessed the impact of Parkinson's disease (PD) on the well-being of patients' adolescent and adult children. Eighty-nine participants aged 12–48 completed a number of questionnaires on quality of life (QoL) and psychosocial variables. One fifth of the participants were mildly to moderately depressed, and children below the age of 18 years scored similarly to children with epilepsy in the domains of Attitude, School behaviour, and Social support on a QoL instrument for children with epilepsy. The impact of parental PD increased with disease duration. Younger children perceived a higher burden of daily help and impact on their social interactions than older children, while older participants reported greater impairment of family functioning. More than 50% felt that they did not have sufficient information about PD and half of all participants felt that more information would reduce their feelings of uncertainty and insecurity. PD has a marked effect on the well-being of the adult and adolescent children of patients. The difficulties of children of parents with PD should receive greater attention.</dc:description><dc:language>en</dc:language><dc:source>1353-8020</dc:source><dc:subject>clinical_medicine</dc:subject><dc:title>Impact of Parkinson's disease on patients' adolescent and adult children</dc:title><rioxxterms:author>Morley, D. P.</rioxxterms:author><rioxxterms:author>Schrag, A.</rioxxterms:author><rioxxterms:author>Jahanshahi, M.</rioxxterms:author><rioxxterms:author>Quinn, N.</rioxxterms:author><rioxxterms:publication_date>2004-10-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1016/j.parkreldis.2004.03.011</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:156
Date: 2015-12-10

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    <header>
      <identifier>oai:repository.uwl.ac.uk:156</identifier>
      <datestamp>2015-12-10T14:48:34Z</datestamp>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>Although chronic illness is likely to affect the well-being of patients' children, no assessment tools are currently available to measure this impact of parental illness. We therefore developed such an instrument based on interviews with children of patients with Parkinson's disease (PD). This questionnaire and other measures of psychological well-being were completed by 89 children, aged 12–48, years of patients with PD. Factor analysis revealed six domains with 38 questions. These six domains of the ‘Parental Illness Impact Scale (Parkinson's disease)’ or PIIS (PD) had satisfactory internal consistency and validity. Its six sub-scales correlated significantly and differentially with corresponding measures, including the Quality of Life in Epilepsy Inventory for Adolescents (QOLIE-AD-48; r=−0.2 to 0.85), the Beck Depression Inventory (r=−0.07 to −0.40) or Birleson Depression Self-Rating Scale (r=0.04 to −0.62), and the Rosenberg Self-Esteem Scale (r=−0.01 to 0.33) as well as age (r=−0.37 to 0.28) and parent's disease duration (r=−0.31 to 0.34). The PIIS is the first instrument to assess the impact of parental illness on children. Its psychometric properties should be tested further in larger samples, including children of patients with other chronic disorders such as multiple sclerosis or chronic heart disease.</dc:description><dc:language>en</dc:language><dc:source>1353-8020</dc:source><dc:subject>clinical_medicine</dc:subject><dc:title>Development of a measure of the impact of chronic parental illness on adolescent and adult children: the Parental Illness Impact Scale (Parkinson's disease)</dc:title><rioxxterms:author>Morley, D. P.</rioxxterms:author><rioxxterms:author>Schrag, A.</rioxxterms:author><rioxxterms:author>Jahanshahi, M.</rioxxterms:author><rioxxterms:author>Quinn, N.</rioxxterms:author><rioxxterms:publication_date>2004-10-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1016/j.parkreldis.2004.03.010</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:157
Date: 2015-12-10

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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:157</identifier>
      <datestamp>2015-12-10T14:49:42Z</datestamp>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:language>en</dc:language><dc:source>1531-8257</dc:source><dc:subject>clinical_medicine</dc:subject><dc:title>Young- versus older-onset Parkinson's disease: impact of disease and psychosocial consequences</dc:title><rioxxterms:author>Morley, D. P.</rioxxterms:author><rioxxterms:author>Jahanshahi, M.</rioxxterms:author><rioxxterms:author>Quinn, N.</rioxxterms:author><rioxxterms:author>Schrag, A.</rioxxterms:author><rioxxterms:publication_date>2003-11-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1002/mds.10527</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:158
Date: 2017-01-17

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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:158</identifier>
      <datestamp>2017-01-17T11:49:20Z</datestamp>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>In a British sample, the wrong-number technique was used to examine levels of helping behavior shown toward lesbians and gay men. A wrong-number telephone call, from either a man who self-identified as gay or heterosexual, or a woman who self-identified as either lesbian or heterosexual, was made to 232 men and women. The caller requested help by asking the respondent to relay a message to his or her partner by telephone. As predicted, lesbians and gay men were less likely to be given help than were their same-gender heterosexual counterparts. However, lesbians were given a similar amount of help as were heterosexual men. Male participants were less likely to give help to gay men than to lesbians, but female participants were no less likely to help lesbians than gay men. The results suggest that, although lesbians and gay men meet discrimination in everyday life, the level of discrimination may differ.</dc:description><dc:language>en</dc:language><dc:publisher>Wiley</dc:publisher><dc:source>1559-1816</dc:source><dc:subject>psychology</dc:subject><dc:title>The effect of self-identified sexual orientation on helping behavior in a British sample: are lesbians and gay men treated differently?</dc:title><rioxxterms:author>Ellis, Jason</rioxxterms:author><rioxxterms:author>Fox, Pauline</rioxxterms:author><rioxxterms:publication_date>2001-01-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1111/j.1559-1816.2001.tb02672.x</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:160
Date: 2017-01-18

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    <header>
      <identifier>oai:repository.uwl.ac.uk:160</identifier>
      <datestamp>2017-01-18T15:07:25Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:language>en</dc:language><dc:source>1099-1077</dc:source><dc:subject>Substance-abuse/misuse</dc:subject><dc:title>Pattern of cannabis use in ecstasy polydrug users: moderate cannabis use may compensate for self-rated aggression and somatic symptoms</dc:title><rioxxterms:author>Milani, Raffaella</rioxxterms:author><rioxxterms:author>Parrott, Andy</rioxxterms:author><rioxxterms:author>Schifano, F.</rioxxterms:author><rioxxterms:author>Turner, John</rioxxterms:author><rioxxterms:publication_date>2005-06-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1002/hup.684</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:161
Date: 2017-01-18

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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:161</identifier>
      <datestamp>2017-01-18T15:07:41Z</datestamp>
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      <setSpec>7375626A656374733D70737963686F6C6F6779:5375627374616E63652D61627573652F6D6973757365</setSpec>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>Previous research has found gender differences in both psychological and physiological responses to drugs. The present investigation explores gender variability in patterns of drug use in relation to self-reported depression, anxiety, and somatization. The current study confirms that heavy illegal drug users are represented by a preponderance of males than females. However, within each drug group category, females generally reported higher psychopathology scores than males. This was significant for all three subscales in the alcohol/tobacco group, for depression scores in the alcohol/tobacco, cannabis/alcohol, and light Ecstasy users group, and for depression scores for the alcohol group. Interestingly, in the male sample, drug users reported higher symptom ratings than nondrug users, whereas women's scores remained constant across drug groups.</dc:description><dc:language>en</dc:language><dc:source>0306-4603</dc:source><dc:subject>Substance-abuse/misuse</dc:subject><dc:title>Gender differences in self-reported anxiety, depression and somatization among ecstasy/MDMA polydrug users, alcohol/tobacco users and non-drug users</dc:title><rioxxterms:author>Milani, Raffaella</rioxxterms:author><rioxxterms:author>Parrott, Andy</rioxxterms:author><rioxxterms:author>Fox, Helen</rioxxterms:author><rioxxterms:author>Turner, John</rioxxterms:author><rioxxterms:publication_date>2004-07-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1016/j.addbeh.2004.02.044</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:162
Date: 2017-01-18

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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:162</identifier>
      <datestamp>2017-01-18T15:07:53Z</datestamp>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>RATIONALE: &#13;
Recreational drug use is increasingly widespread amongst young people, but there are concerns that psychoactive drugs may be associated with psychiatric symptoms or psychobiological problems. &#13;
&#13;
OBJECTIVES: &#13;
To assess the psychiatric health status of a large, non-clinical sample of young adults from Italy and the UK, and relate it to their use of ecstasy/MDMA and other recreational drugs. &#13;
&#13;
METHODS: &#13;
The UEL Recreational Drug Use Questionnaire was completed by 768 young people (mean age 21.7 years) from four European cities. The subjects comprised 150 non-drug users, 185 alcohol/tobacco users, 97 cannabis and alcohol/tobacco users, 102 illicit polydrug but not ecstasy users, 115 light (&lt;20 times) ecstasy polydrug users, and 119 heavy (&gt;20 times) ecstasy polydrug users. The unpaid volunteers completed the SCL-90 self-rating inventory for psychiatric symptoms when off drug, with 30 additional questions covering positive moods and life experiences. Results: Heavy ecstasy polydrug users reported significantly higher scores than non-drug users on several SCL-90 factors, including phobic anxiety, obsessive–compulsive behaviour, anxiety, psychoticism, somatisation, and significantly higher rates of 'loss of sex interest or pleasure'. Self-rated symptom scores increased in line with greater drug use, so that polydrug users who had never taken ecstasy also reported a variety of psychobiological impairments. In contrast, positive moods and life experiences were broadly similar across subgroups.&#13;
 &#13;
CONCLUSIONS: &#13;
The recreational use of ecstasy/MDMA is associated with a range of psychiatric symptoms and psychobiological problems. However, these problems are not specific to ecstasy users but are also evident in other recreational polydrug users.</dc:description><dc:language>en</dc:language><dc:source>1432-2072</dc:source><dc:subject>Substance-abuse/misuse</dc:subject><dc:title>Recreational ecstasy/MDMA and other drug users from the UK and Italy:psychiatric symptoms and psychobiological problems</dc:title><rioxxterms:author>Milani, Raffaella</rioxxterms:author><rioxxterms:author>Parrott, Andy</rioxxterms:author><rioxxterms:author>Turner, John</rioxxterms:author><rioxxterms:author>Parmar, Rishee</rioxxterms:author><rioxxterms:publication_date>2001-12-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1007/s002130100897</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:163
Date: 2017-01-18

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      <identifier>oai:repository.uwl.ac.uk:163</identifier>
      <datestamp>2017-01-18T15:26:02Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>The majority of recreational Ecstasy/MDMA users (90–98%) also take cannabis. This co-drug usage is often viewed as a methodological confound, which needs to be removed statistically. Here we take a rather different approach, and debate the potential complexities of their psychobiological interactions. The ring-substituted amphetamine derivate MDMA (3,4-methylendioxymethamphetmaine, or ‘Ecstasy’ is a powerful CNS stimulant, whereas cannabis is a relaxant. Their co-usage may reflect opposing effects in three psychobiological areas: arousal, body temperature, and oxidative stress. Firstly MDMA is alerting whereas cannabis is sedating. Secondly MDMA is hyperthermic whereas cannabis is hypothermic. Thirdly MDMA increases oxidative stress whereas cannabinoids are antioxidant. Hence cannabis may modulate the acute and sub-acute reactions to MDMA, reduce the acute hyperthermia induced by MDMA, and ameliorate the oxidative stress caused by MDMA. The limited empirical evidence on each topic will be critically examined. In terms of chronic effects each drug is functionally damaging, so that polydrug users generally display cumulative neurobiological impairments. However in certain aspects their neuropsychobiological effects may interactive rather than additive. In particular, the combined use of cannabis and MDMA may have rather different neuropsychobiological implications, than their separate usage. In order to investigate these potential complexities, future research will need better empirical data on the exact patterns of co-drug usage.</dc:description><dc:language>en</dc:language><dc:source>1435-1463</dc:source><dc:subject>Substance-abuse/misuse</dc:subject><dc:title>Cannabis and Ecstasy/MDMA (3,4-methylenedioxymethamphetamine) : an analysis of their neuropsychobiological interactions in recreational users.</dc:title><rioxxterms:author>Milani, Raffaella</rioxxterms:author><rioxxterms:author>Daumann, J.</rioxxterms:author><rioxxterms:author>Gouzoulis-Mayfrank, E.</rioxxterms:author><rioxxterms:author>Parrott, Andy</rioxxterms:author><rioxxterms:publication_date>2007-05-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1007/s00702-007-0715-7</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:164
Date: 2016-11-14

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    <header>
      <identifier>oai:repository.uwl.ac.uk:164</identifier>
      <datestamp>2016-11-14T10:37:13Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>Rationale: Previous research has shown an attentional bias toward drug-related stimuli in opiate addicts and toward emotionally threatening words in anxiety patients. Objective: The primary aim of this study was to investigate whether non-dependent heavy social drinkers would differ in their selective attention towards alcohol-related stimuli in comparison with a group of occasional social drinkers. Methods: Attentional bias was assessed using alcohol-related pictures and words in a dot probe detection task. Picture and word pairs were visually presented, followed by a dot probe that replaced one of the items. Attentional bias was determined from latencies in responding to the dot probe. Questionnaires were used to examine the relationships among attention, outcome expectancies after alcohol consumption, and personality traits. Higher-order executive function was also measured with two cognitive tasks, recognition memory and attentional shift. Results: The heavy social drinkers showed an attentional bias towards the alcohol-related stimuli when compared to the occasional social drinkers. The heavy social drinkers also scored more highly on expectancy factors of sociability and sexuality and lower on the personality traits of self-directedness and persistence. Conclusion: The results support cognitive theories of addictive behaviour in which the ability of drug-related stimuli to capture attention is suggested to play a part in drug dependence, craving and relapse.</dc:description><dc:language>en</dc:language><dc:source>1432-2072</dc:source><dc:subject>Substance-abuse/misuse</dc:subject><dc:title>Attentional bias associated with alcohol cues: differences between heavy and occasional social drinkers</dc:title><rioxxterms:author>Townshend, Julia</rioxxterms:author><rioxxterms:author>Duka, Theodora</rioxxterms:author><rioxxterms:publication_date>2001-08-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1007/s002130100764</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:165
Date: 2016-11-14

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    <header>
      <identifier>oai:repository.uwl.ac.uk:165</identifier>
      <datestamp>2016-11-14T10:34:27Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>Studies of alcohol use often depend on self-reported alcohol intake measured by quantity/frequency questionnaires. Previous research has shown that alcohol consumption may be underestimated by this type of retrospective questionnaire. The primary aim of this study was to compare the accuracy of an Alcohol Use Questionnaire (AUQ) with a 4-week diary account. A further aim was to explore patterns of drinking in young social drinkers, with particular attention to binge drinking, which has been suggested as a factor in increasing the risk of alcohol dependency. University students completed the AUQ in the laboratory. They were then asked to keep a record of their alcohol, nicotine and caffeine consumption over a 4-week period (diary). The questionnaire and the diaries were compared on factors of alcohol intake (units per week) and patterns of drinking behaviour (speed of drinking, number of times being drunk and percentage of times getting drunk when drinking). The two measures (AUQ and diary) were highly correlated on alcohol consumption and the other questions relating to drinking behaviour. However, differences were found between the two measures on alcohol intake, speed of drinking (drinks per hour) and number of times being drunk. Alcohol consumption was underestimated by ~12% on the questionnaire, and, when the accuracy of estimation of drinking habits was examined, it was found that high drinkers tended to underestimate their drinking behaviour, whereas lower drinkers tended to overestimate. The results suggest that the AUQ can be used with a reasonable degree of confidence, bearing in mind the tendency for high drinkers to underestimate consumption and drinking behaviour. Relationships between ‘binge scores’, beverage specificity and alcohol consumption support the idea that the criteria for binge drinkers should be based on patterns of drinking rather than alcohol consumption.</dc:description><dc:language>en</dc:language><dc:source>1464-3502</dc:source><dc:subject>Substance-abuse/misuse</dc:subject><dc:title>Patterns of alcohol drinking in a population of young social drinkers: a comparison of questionnaire and diary measures</dc:title><rioxxterms:author>Townshend, Julia</rioxxterms:author><rioxxterms:author>Duka, Theodora</rioxxterms:author><rioxxterms:publication_date>2002-01-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1093/alcalc/37.2.187</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:166
Date: 2016-11-14

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<record>
    <header>
      <identifier>oai:repository.uwl.ac.uk:166</identifier>
      <datestamp>2016-11-14T10:33:00Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>BACKGROUND: &#13;
Binge drinking may lead to brain damage and have implications for the development of alcohol dependence. The aims of the present study were to determine individual characteristics as well as to compare mood states and cognitive function between binge and nonbinge drinkers and thus further validate the new tool used to identify these populations among social drinkers.&#13;
&#13;
METHODS: &#13;
The lowest and the highest 33.3% from a database of 245 social drinkers’ binge scores derived from the Alcohol Use Questionnaire (AUQ) were used as cutoff points to identify nonbinge drinkers and binge drinkers in a further population of 100 young healthy volunteers. Personality characteristics, expectations of the effects of alcohol and current mood were evaluated. Cognitive performance was tested with a Matching to Sample Visual Search task (MTS) and a Spatial Working Memory task (SWM) both from the CANTAB battery, and a Vigilance task from the Gordon Diagnostic System.&#13;
&#13;
RESULTS: &#13;
The binge drinkers had less positive mood than the nonbinge drinkers. In the MTS choice time on an 8-pattern condition and movement time on an 8- and 4-pattern condition was found to be faster in the binge drinkers compared to nonbinge drinkers. A gender by binge drinking interaction in the SWM and the Gordon Diagnostic System task revealed that female binge drinkers were worse on both these tasks than the female nonbinge drinkers.&#13;
&#13;
CONCLUSIONS: &#13;
These results confirm previous findings in binge drinkers and suggest that in a nondependent alcohol-drinking group, differences can be seen in mood and cognitive performance between those that binge drink and those that do not.</dc:description><dc:language>en</dc:language><dc:source>1530-0277</dc:source><dc:subject>Substance-abuse/misuse</dc:subject><dc:title>Binge drinking, cognitive performance and mood in a population of young social drinkers</dc:title><rioxxterms:author>Townshend, Julia</rioxxterms:author><rioxxterms:author>Duka, Theodora</rioxxterms:author><rioxxterms:publication_date>2005-03-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1097/01.ALC.0000156453.05028.F5</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:167
Date: 2016-08-10

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    <header>
      <identifier>oai:repository.uwl.ac.uk:167</identifier>
      <datestamp>2016-08-10T08:26:04Z</datestamp>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>Facial expression recognition is a central feature of emotional and social behaviour and previous studies have found that alcoholics are impaired in this skill when presented with single emotions of differing intensities. The aim of this study was to explore biases in alcoholics’ recognition of emotions when they were a mixture of two closely related emotions. The amygdala is intimately involved in encoding of emotions, especially those related to fear. In animals an increased number of withdrawals from alcohol leads to increased seizure sensitivity associated with facilitated transmission in the amygdala and related circuits. A further objective therefore was to explore the effect of previous alcohol detoxifications on the recognition of emotional facial expressions.&#13;
&#13;
Fourteen alcoholic inpatients were compared with 14 age and sex matched social drinking controls. They were asked to rate how much of each of six emotions (happiness, surprise, fear, sadness, disgust and anger) were present in morphed pictures portraying a mix of two of those emotions.&#13;
&#13;
The alcoholic group showed enhanced fear responses to all of the pictures compared to the controls and showed a different pattern of responding on anger and disgust. There were no differences between groups on decoding of sad, happy and surprised expressions. In addition the enhanced fear recognition found in the alcoholic group was related to the number of previous detoxifications.&#13;
&#13;
These results provide further evidence for impairment in facial expression recognition present in alcoholic patients. In addition, since the amygdala has been associated with the processing of facial expressions of emotion, particularly those of fear, the present data furthermore suggest that previous detoxifications may be related to changes within the amygdala.</dc:description><dc:language>en</dc:language><dc:source>0028-3932</dc:source><dc:subject>psychology</dc:subject><dc:title>Mixed emotions: alcoholics' impairments in the recognition of specific emotional facial expressions</dc:title><rioxxterms:author>Townshend, Julia</rioxxterms:author><rioxxterms:author>Duka, Theodora</rioxxterms:author><rioxxterms:publication_date>2003-01-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1016/S0028-3932(02)00284-1</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:168
Date: 2015-12-07

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      <identifier>oai:repository.uwl.ac.uk:168</identifier>
      <datestamp>2015-12-07T11:29:31Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>Through the process of decontextualization, the behaviours and objects used in children's pretence become increasingly detached from their real-life contexts and uses (Flavell, 1985). However, whilst age-related changes in children's pretence have been reasonably well documented, the relationship between the decontextualization of form and function has yet to be established and the relationship between pretence using substitute objects and pretence without substitute objects remains unclear. To address these issues, 3-8-year-old typically developing children (N = 84) were shown a series of pretend actions, like writing, enacted at various levels of decontextualization. Children's understanding of each action was assessed. The results revealed three main findings. First, form and function are both equally important in children's comprehension of object substitution pretence. Second, children find actions enacted using substitute objects that are similar to the referent in terms of both their form and function easier to interpret than those performed using decontextualized props - including body-partas-object (BPO) and imaginary object (IO) gestures - regardless of age. Finally, BPO and IO gestures are of equal complexity and children 5 years and above correctly interpret these gestures more readily than actions involving substitute objects that share no similarity with the referent. These findings are discussed in relation to dual and triune representation problems (DeLoache, 1995; Tomasello, Striano, &amp; Rochat, 1999).</dc:description><dc:language>en</dc:language><dc:source>0261-510X</dc:source><dc:subject>psychology</dc:subject><dc:title>The decontextualisation of form and function in the development of pretence</dc:title><rioxxterms:author>Bigham, S.</rioxxterms:author><rioxxterms:author>Bourchier-Sutton, A.</rioxxterms:author><rioxxterms:publication_date>2007-01-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1348/026151006X153154</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:169
Date: 2015-12-07

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      <identifier>oai:repository.uwl.ac.uk:169</identifier>
      <datestamp>2015-12-07T11:29:06Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>The hypothesis that a pervasive impairment of declarative memory contributes to language impairment in low functioning autism (LFA) was tested.  Participants with LFA, high functioning autism (HFA), intellectual disability (ID) without autism, and typical development (TD) were given two recognition tests and four tests of lexical understanding.  It was predicted that recognition would be impaired in the LFA group relative to HFA and TD groups but not the ID group, and that recognition would correlate with lexical knowledge in the LFA group but none of the other groups.  These predictions were supported except that the HFA group performed more similarly to the LFA group than was expected, a finding interpreted in terms of selectively impaired episodic memory.</dc:description><dc:language>en</dc:language><dc:source>0162-3257</dc:source><dc:subject>psychology</dc:subject><dc:title>Recognition and language in low functioning autism</dc:title><rioxxterms:author>Bigham, S.</rioxxterms:author><rioxxterms:author>Boucher J</rioxxterms:author><rioxxterms:author>Mayes A</rioxxterms:author><rioxxterms:author>Muskett T</rioxxterms:author><rioxxterms:publication_date>2007-12-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1007/s10803-007-0508-8</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:170
Date: 2015-12-07

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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>Impairments of pretend play are a diagnostic characteristic of autism. This has been interpreted in terms of a generative impairment. Specifically, children with autism are unable to generate the ideas for pretend play despite an intact underlying ability to understand pretence. The notion of a performance deficit affecting production only has, in part, been based upon observations that children with autism appear to have no difficulty understanding pretence. However, research investigating comprehension is somewhat limited and has only investigated a specific type of pretend play, namely pretend properties. The research reported here investigated the ability of children with autism to understand object substitution pretence and pretend gestures (i.e. using no substitutes). Children with autism (N = 36) matched for verbal ability (between 3 and 6 years) with typically developing children (N = 55) and children with moderate learning difficulties (N = 37) were questioned about a series of pretend actions, such as writing. The results revealed three main findings. First, children with autism appear to experience no notable difficulties comprehending functional play. Second, children with autism do encounter difficulties comprehending pretend play. A performance deficit is unable to explain these findings and it is suggested that there may be a more critical impairment in understanding how absent objects are represented. Finally, there was a trend for some kinds of object substitutions and gestures to be more impaired than others. One tentative interpretation is that as the degree of similarity between the referent and the substitute diminishes the representational connection becomes more difficult to understand, particularly when there is a need to inhibit salient but irrelevant cues.</dc:description><dc:language>en</dc:language><dc:source>0261-510X</dc:source><dc:subject>psychology</dc:subject><dc:title>The comprehension of pretence in children with autism</dc:title><rioxxterms:author>Bigham, S.</rioxxterms:author><rioxxterms:publication_date>2008-06-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1348/026151007X235855</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:172
Date: 2015-12-11

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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:language>en</dc:language><dc:source>1422-1454</dc:source><dc:subject>psychology</dc:subject><dc:title>The American reception of the authoritarian personality</dc:title><rioxxterms:author>Roiser, M.</rioxxterms:author><rioxxterms:publication_date>2001-01-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:173
Date: 2015-12-11

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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:language>en</dc:language><dc:publisher>BPS Books</dc:publisher><dc:source>1854333321</dc:source><dc:subject>psychology</dc:subject><dc:title>Social psychology and social concern in 1930s Britain</dc:title><rioxxterms:author>Roiser, M.</rioxxterms:author><rioxxterms:publication_date>2001-01-01</rioxxterms:publication_date><rioxxterms:type>Book chapter</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:174
Date: 2015-12-11

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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:language>en</dc:language><dc:source>0952-6951</dc:source><dc:subject>psychology</dc:subject><dc:title>The strange death of the authoritarian personality: 50 years of psychological and political debate</dc:title><rioxxterms:author>Roiser, M.</rioxxterms:author><rioxxterms:publication_date>2002-01-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1177/0952695102015004682</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:175
Date: 2015-12-11

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      <identifier>oai:repository.uwl.ac.uk:175</identifier>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:language>en</dc:language><dc:publisher>British Psychological Society</dc:publisher><dc:source>1469-283X</dc:source><dc:subject>psychology</dc:subject><dc:title>The psychology of shared knowledge: a social and historical approach</dc:title><rioxxterms:author>Roiser, M.</rioxxterms:author><rioxxterms:author>Stevens, D.</rioxxterms:author><rioxxterms:publication_date>2005-01-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:176
Date: 2016-07-28

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      <identifier>oai:repository.uwl.ac.uk:176</identifier>
      <datestamp>2016-07-28T09:36:16Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>This paper argues that self-deception cannot be explained without employing a depth-psychological ("psychodynamic") notion of the unconscious, and therefore that mainstream academic psychology must make space for such approaches. The paper begins by explicating the notion of a dynamic unconscious. Then a brief account is given of the "paradoxes" of self-deception. It is shown that a depth-psychological self of parts and subceptive agency removes any such paradoxes. Next, several competing accounts of self-deception are considered: an attentional account, a constructivist account, and a neo-Sartrean account. Such accounts are shown to face a general dilemma: either they are able only to explain unmotivated errors of self-perception--in which case they are inadequate for their intended purpose--or they are able to explain motivated self-deception, but do so only by being instantiation mechanisms for depth-psychological processes. The major challenge to this argument comes from the claim that self-deception has a "logic" different to other-deception--the position of Alfred Mele. In an extended discussion it is shown that any such account is explanatorily adequate only for some cases of self-deception--not by any means all. Concluding remarks leave open to further empirical work the scope and importance of depth-psychological approaches.</dc:description><dc:language>en</dc:language><dc:source>1465-394X</dc:source><dc:subject>philosophy</dc:subject><dc:subject>psychology</dc:subject><dc:title>Depth psychology and self-deception</dc:title><rioxxterms:author>Lockie, Robert</rioxxterms:author><rioxxterms:publication_date>2003-01-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1080/0951508032000067707</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:177
Date: 2016-07-28

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ID: oai:repository.uwl.ac.uk:178
Date: 2016-07-28

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      <datestamp>2016-07-28T09:35:29Z</datestamp>
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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>Analytic theories of knowledge have traditionally maintained that the provenance of a true belief is critically important to deciding whether it is knowledge. However, a comparably widespread view is that it is our beliefs alone, regardless of their (potentially dubious) provenance which feature in psychological explanation, including the explanation of action: thus, that knowledge itself and as such is irrelevant in psychological explanation. The paper gives initial reasons why the ‘beliefs alone’ view of explanation should be resisted—arguments deriving ultimately from the Meno indicate that the provenance of a true belief may be relevant to the explanation of action. However, closer scrutiny of these arguments shows that they are incapable of according provenance anything like as central a role in action explanation as provenance has traditionally been given in the theory of knowledge. A consideration of the history of science suggests anyway that all knowledge has a compromised provenance if one looks back any significant distance. It is concluded that the importance of the provenance of our beliefs is something that has been seriously over-emphasised in epistemology.</dc:description><dc:language>en</dc:language><dc:source>1469-817X</dc:source><dc:subject>philosophy</dc:subject><dc:subject>psychology</dc:subject><dc:title>Knowledge, provenance and psychological explanation</dc:title><rioxxterms:author>Lockie, Robert</rioxxterms:author><rioxxterms:publication_date>2004-01-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1017/S003181910400035X</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:179
Date: 2016-02-03

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      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>This paper identifies and criticizes certain fundamental commitments of virtue theories in epistemology. A basic question for virtues approaches is whether they represent a ‘third force’– a different source of normativity to internalism and externalism. Virtues approaches so-conceived are opposed. It is argued that virtues theories offer us nothing that can unify the internalist and externalist sub-components of their preferred success-state. Claims that character can unify a virtues-based axiology are overturned. Problems with the pluralism of virtues theories are identified – problems with pluralism and the nature of the self; and problems with pluralism and the goals of epistemology. Moral objections to virtue theory are identified – specifically, both the idea that there can be a radical axiological priority to character and the anti-enlightenment tendencies in virtues approaches. Finally, some strengths to virtue theory are conceded, while the role of epistemic luck is identified as an important topic for future work.</dc:description><dc:language>en</dc:language><dc:source>1573-0883</dc:source><dc:subject>philosophy</dc:subject><dc:title>Problems for virtue theories in epistemology</dc:title><rioxxterms:author>Lockie, Robert</rioxxterms:author><rioxxterms:publication_date>2006-11-01</rioxxterms:publication_date><rioxxterms:type>Journal Article/Review</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version><rioxxterms:version_of_record>http://dx.doi.org/10.1007/s11098-006-9030-7</rioxxterms:version_of_record></rioxx></metadata></record>
ID: oai:repository.uwl.ac.uk:181
Date: 2016-11-10

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ID: oai:repository.uwl.ac.uk:183
Date: 2016-11-11

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ID: oai:repository.uwl.ac.uk:184
Date: 2016-04-27

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My Song is Love Unknown was composed in memory of Michael Renton (1934-2001), master designer, engraver and lettering craftsman, beloved of many in the Winchester Cathedral community; a Christian, true and humble artist, to whose rare order Thomas Traherne surely referred when he wrote: '...Whosoever will profit in the mystery of Felicity, must see the objects of his happiness, and the manner how they are to be enjoyed, and discern also the powers of his soul by which he is to enjoy them'. &#13;
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F.P., 2002 &#13;
[Prefatory note as displayed in the published score.]</dc:description><dc:format>image/jpeg</dc:format><dc:identifier>http://repository.uwl.ac.uk/184/1/SIGCD501.jpg</dc:identifier><dc:language>en</dc:language><dc:publisher>Peters Edition Ltd (score)</dc:publisher><dc:publisher>Signum Records (CD)</dc:publisher><dc:relation>https://www.editionpeters.com</dc:relation><dc:relation>https://www.signumrecords.com</dc:relation><dc:subject>music</dc:subject><dc:title>My song is Love Unknown: &#13;
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Date: 2016-11-11

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Date: 2016-11-14

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      <datestamp>2016-11-14T09:27:47Z</datestamp>
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      <setSpec>7375626A656374733D6D75736963</setSpec>
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    <metadata>
      <rioxx xmlns="http://www.rioxx.net/schema/v2.0/rioxx/" xmlns:ali="http://ali.niso.org/2014/ali/1.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:rioxxterms="http://docs.rioxx.net/schema/v2.0/rioxxterms/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.rioxx.net/schema/v2.0/rioxx/ http://www.rioxx.net/schema/v2.0/rioxx/rioxx.xsd"><dc:description>The French composer Olivier Messiaen is one of the major figures of twentieth-century music. This collection of scholarly essays offers new cultural, historical, biographical and analytical perspectives on Messiaen's musical oeuvre from 1941 to 1992. The volume includes: a fascinating snapshot of Messiaen's life in occupied France; a study of the Surrealist poetics of Messiaen's song cycle Harawi; a chapter on Messiaen's iconoclastic path to the avant-garde heritage that he bequeathed to his pupils; discussion on Messiaen's place in twentieth-century music; and detailed analysis of specific works, including his opera St François d'Assise.</dc:description><dc:language>en</dc:language><dc:publisher>Cambridge University Press</dc:publisher><dc:source>9780521839815</dc:source><dc:subject>music</dc:subject><dc:title>Messiaen studies</dc:title><rioxxterms:author>Sholl, Robert</rioxxterms:author><rioxxterms:publication_date>2007</rioxxterms:publication_date><rioxxterms:type>Book</rioxxterms:type><rioxxterms:version>NA</rioxxterms:version></rioxx></metadata></record>

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