Colin Bradshaw and Eileen Murray
Patients without spleens are at risk of septicaemia which is largely preventable by vaccination and prophylactic antibiotics as detailed in several recent guidelines. This study…
Abstract
Patients without spleens are at risk of septicaemia which is largely preventable by vaccination and prophylactic antibiotics as detailed in several recent guidelines. This study sought to identify all people, in one health district, with a previous splenectomy and treat them according to the guidelines on post‐splenectomy care. Patients without a spleen were identified by a variety of methods and targeted mailing, manipulation of the local press, opinion leaders, postgraduate meetings, peer pressure, disease‐ and patient‐specific reminders, feedback and patient empowerment were all used as dissemination and implementation strategies. The number of patients iden‐tified rose from 15 to 68. All were offered the opportunity to discuss their care, 80% took this opportunity and had pneumococcal vaccine, 77% were started on long‐term antibiotics, 75% discussed Hib and meningococcal vaccines and these were given to 54%. In summary the strategies used dramatically increased the numbers of patients identified and the improved care offered.
Intuition calls upon combined wisdom acquired during a lifetime. It is a speedy, creative and subconscious process that can get to the truth of things without reasoning or…
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Intuition calls upon combined wisdom acquired during a lifetime. It is a speedy, creative and subconscious process that can get to the truth of things without reasoning or analysis. It works sufficiently often to be taken seriously. Coaching an unregulated profession, can deliver successful results through the intuitive approaches of both the coach and the coachee. These approaches carry risks which need to be managed through honest assessment and review. Not using intuition is also risky because intuitive insights are at the root of holistic thinking and innovation. Neuroscientific research provides evidence of the power of subconscious mind and confirms that, whilst intuition may be more available to experienced professionals, varying types of intuitive powers are available to all and capable of development. Readers are invited to share their stories and learning about the use of intuition in coaching viaeileen.m.murray@ntlworld.com.
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John H. Parr, Colin Bradshaw, Wendy Broderick, Harold Courtenay, Martin Eccles, Eileen Murray, Joan Royle and Paula Whitty
Following a high‐profile publicity campaign across South Tyneside aimed at professionals and patients, 52.4 per cent of all patients admitted with suspected myocardial infarction…
Abstract
Following a high‐profile publicity campaign across South Tyneside aimed at professionals and patients, 52.4 per cent of all patients admitted with suspected myocardial infarction during a six‐month period received 300mg of aspirin. Twelve months later GPs’ performance had improved from 25 per cent to 52.9 per cent of patients directly admitted by GPs being prescribed aspirin when first seen. Following a definite myocardial infarction 78.4 per cent of patients were discharged taking 75mg of aspirin, with no valid reason for omission in 6.6 per cent of patients. Six months after discharge 71.8 per cent of patients were still taking aspirin. Twelve months later 90 per cent of discharged patients were taking aspirin. GP PACT data showed a marked increase in prescribing 75mg aspirin during the period. The use of a publicity campaign to disseminate the message to both professionals and patients has resulted in a beneficial increase in aspirin prescribing for myocardial infarction across the district.
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One hears sometimes of precocious children who can read before the average baby can talk, and this raises the interesting speculation as to when a child is old enough for books…
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One hears sometimes of precocious children who can read before the average baby can talk, and this raises the interesting speculation as to when a child is old enough for books. Picture books and story‐telling undoubtedly make early appeal and educationists now consider book provision in nursery schools important in order to make the “under fives” book conscious before their schooling proper begins. More and more librarians now provide attractive A.B.C.'s such as Eileen Mayo's Nature's A.B.C. (Universal Text Books, Ltd., 6/‐) with its beautiful printing and illustrations; and gay picture books like Mary Shilla‐beer's We Visit the Zoo (Hutchinson, 4/6) in which there is just enough text to satisfy the young mind. Some librarians seem to have an objection to odd‐shaped books because of the shelving difficulty but the artist's requirements and the child's partiality for large‐size books should outweigh the slight inconvenience of arranging special shelving.
Danuta A. Nitecki and Eileen G. Abels
As I make my last contribution as editor of Advances in Librarianship, I would like to say a few words about my twelve years’ experience with this annual. My tenure has greatly…
Abstract
As I make my last contribution as editor of Advances in Librarianship, I would like to say a few words about my twelve years’ experience with this annual. My tenure has greatly enriched my life both professionally and personally. My first association with Advances goes back to 1980 when I was asked to submit an article on library materials budgeting for volume 10. Later, in 1992 I joined Advances as a member of its editorial advisory board. At that time, Irene Godden (Colorado State) edited the volume. I owe her a great debt for her counseling and guidance. After Godden resigned in 1998, I took over as co-editor of Advances and from 2001 (volume 25) I have been its sole editor. Through all these years, I truly enjoyed working with my colleagues on the editorial board and with the many prominent librarians whose papers appeared in Advances. I am especially grateful to Nancy Allen (University of Denver), G. Edward Evans (Loyola Marymount University, Los Angeles), and Mary Jean Pavelsek (NYU), longtime editorial board members, who constantly provided encouragement and support. As editor I worked closely with the publishing staff, first at Academic and later Elsevier. I would like to single out both Marvin Yelles (Academic) and Christopher Pringle (Elsevier) and their assistants, Naomi Henning and Julie Neden, for their excellent work in turning manuscripts into the fine finished books that the reader sees.
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Eileen Willis, Meryl Pearce, Loreen Mamerow, Brad Jorgensen and John Martin
This paper examines citizen trust at both a rational and affect level in the water utility provider, SA Water.
Abstract
Purpose
This paper examines citizen trust at both a rational and affect level in the water utility provider, SA Water.
Design/methodology/approach
The study draws on data from a CATI of approximately 500 residents in two urban and rural locations.
Findings
Citizens have a healthy scepticism toward the utility provider suggesting they make a distinction between the capacity of SA Water to provide safe drinking water, and the political willingness of the government to plan for long‐term sustainability.
Research limitations/implications
The conduct of research on topics of a political nature may be viewed by respondents as a political act although it is possible to see the views expressed as representative. Research conducted during times of heightened awareness, such as during a drought when water restrictions are in place, may generate strong feelings of anger in government, but may not be a true measure of citizen trust in the provider.
Practical implications
The paper shows that trust in utility providers may vary according to social situations.
Social implications
Encouraging citizen trust in the water supply requires education in the science used to ensure safety, but also transparent regulation for ensuring risk management.
Originality/value
The study points to possible shifts in citizen trust in water providers depending on climatic conditions, the role of the utility provider, and the reputation of the government as a regulator and planner.
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Julie Stubbs, Sophie Russell, Eileen Baldry, David Brown, Chris Cunneen and Melanie Schwartz
THE thoughts of all librarians, chief librarians in particular, are now turned upon the annual conference of the Library Association at Manchester. We understand that all the…
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THE thoughts of all librarians, chief librarians in particular, are now turned upon the annual conference of the Library Association at Manchester. We understand that all the projects of the conference, which we have commented upon in earlier issues, are proceeding satisfactorily. By this time most of our readers who intend to go will have obtained their accommodation in the city. But we advise those who have not done so to delay no longer.