The six-bed multi-occupancy bedrooms, several of the two-bed bedrooms on Heather and Hawthorn units, and six- and five-bedded rooms on Fuschia unit were unsuitable in design and layout to protect the privacy and dignity of the residents. The design and layout had a significant impact on residents as they were unable to undertake personal activities in private or to meet with visitors in their bedroom in a private area. This is discussed further in outcome 16, resident’s rights dignity and consultation. In many cases there was not enough room beside the beds to place a visitors chair or a chair for the resident to sit out of bed. Many beds in the two-bed bedrooms were placed with one side up against the wall due to space restrictions. The limited space in these bedrooms had a negative impact on the storage of residents’ clothes and personal belongings. Many residents' wardrobes were not located beside their bed but were located at the end of the bedroom. The wardrobe space was inadequate to meet the residents' storage needs with most residents having clothes stored in the locked linen room on each ward. This issue was also addressed under outcome 17, residents' clothing, personal property and possessions. A bedside locker was not always located beside each resident’s bed and lockable storage was not available in the bedside lockers or the wardrobes. In one of the five bedded rooms in Fuschia unit there was not enough space between the beds and the room was not large enough for five beds.
The six-bed multi-occupancy bedrooms, several of the two-bed bedrooms on Heather and Hawthorn units, and six- and five-bedded rooms on Fuschia unit were unsuitable in design and layout to protect the privacy and dignity of the residents. The design and layout had a significant impact on residents as they were unable to undertake personal activities in private or to meet with visitors in their bedroom in a private area. This is discussed further in outcome 16, resident’s rights dignity and consultation. In many cases there was not enough room beside the beds to place a visitors chair or a chair for the resident to sit out of bed. Many beds in the two-bed bedrooms were placed with one side up against the wall due to space restrictions. The limited space in these bedrooms had a negative impact on the storage of residents’ clothes and personal belongings. Many residents' wardrobes were not located beside their bed but were located at the end of the bedroom. The wardrobe space was inadequate to meet the residents' storage needs with most residents having clothes stored in the locked linen room on each ward. This issue was also addressed under outcome 17, residents' clothing, personal property and possessions. A bedside locker was not always located beside each resident’s bed and lockable storage was not available in the bedside lockers or the wardrobes. Although there was a beautiful well maintained enclosed garden area in Fuschia unit, the residents in Hawthorne and Heather units did not have access to an enclosed garden.
medications. Medications on Fuschia ward were dispensed by the pharmacist, labelled for each individual resident, and stored in resident named trays on the medication trolleys. Medications on Heather and Hawthornwards were not dispensed and labelled for individual residents but supplied as stock by the pharmacist and administered by nurses from the medication trolley; staff informed the inspectors that the new system would be implemented on these two wards in due course. The nurses on Fuschia ward reported that they found the new system safer and that it would the risk of medication error. On review of the system the inspector found that the new system for the supply of PRN (as required) medications had not yet been finalised. There were insufficient stocks on the trolley to meet the needs of the residents should they require a PRN (as required) medication. The inspector acknowledges that this system is in development, however the impact of this could result in a PRN (as required) medication not being available when needed for a resident.
The control chart in Fig. 4 is plotted using Microsoft Office Excel 2007. A control Excel process is a useful tool for studying how processes or other data changes over time. The chart consists of four lines; the data which is indicated with a blue line, a straight green line representing the average or centre line (CL), a red line showing the upper control limit (UCL) and a purple line indicating the lower control limit (LCL). It can be seen that the chart is out of statistical control as there is a point outside the specified control limits. Every other point is observed to be within the control limits. The points in the control charts correspond to the number of wards studied.
In late 2011-early 2012 the four UK Boundary Commissions published their provisional recommendations for new Parliamentary constituencies. These were produced according to new rules for redistributions legislated in 2011, which make electoral equality the paramount criterion; organic criteria – such as continuity of constituency boundaries and fitting those within the maps of communities represented by local government territories – could only be taken into account so long as the arithmetic criterion that all constituencies have electorates within +/-5 per cent of the UK quota is met. Those recommendations were much more disruptive to the pre-existing constituency map than many had anticipated, and the outcome – should the proposed constituencies (or some variant of them) be finally adopted – will see much less continuity and reflection of community identities than previously. That fracturing is particularly extensive in urban England because of that Boundary Commission’s decision not to split wards between constituencies; if that had been done , as illustrated here, the outcome could have been much less disruptive overall. As it stands, the outcome suggests that the underpinning theory of British representative democracy – that MPs represent places with clear identities – is being undermined. The review was halted in early 2013 and – assuming that the legislation is unchanged – will recommence in 2016, and the issues raised here will be at least as important again then.
In Runcu Forest, research regarding the diurnal dynamics of the process of photosynthesis at hawthorn leaves revealed a maximum in early hours of illumination . It remains constant through the period of leaf illumination and decreases when darkness sets in. In this region, the maxim intensity of the process of photosynthesis in hawthorn leaves varies between 11,4 and 12,9 µmol CO 2 /m 2 /s. This values was measured in May,
The other abiotic stress treatments employed, namely, flooding stress and simulated herbivory stress, cause no major increases in levels of polyphenolics in hawthorn leaves. For example, flooding stress treatment for 10 days either caused no significant changes in levels of most poly- phenolics, a slight increase (hyperoside in C. laevigata and chlorogenic acid, catechin, and quercetin in C. monogyna), or they decreased in amounts. Some differences are evident between C. laevigata and C. monogyna regarding the effects of simulated herbivory stress treatment. Chlorogenic acid, catechin and (-)-epicatechin levels dropped significantly for C. laevigata, but actually showed no major changes in C. monogyna. For the flavonoids, no major changes in levels occurred except for the large decreases in acetyl- vitexin-2 00 -O-rhamnoside in C. laevigata and C. monogyna.
Several factors can affect the content of phenolic compounds. The literature highlights the influence of both intrinsic and extrinsic factors as well as their interaction. Some studies suggested that the phenolic content of plants is influenced mainly by genetic factors (Atanasova and Ribarova, 2009; Bouzid et al., 2011; Kostić et al., 2012). Extrinsic factors may also influence phenylpropanoid metabolism (kostić et al., 2012), such as environment and its characteristics (altitude, temperature, light, soil nutrient content, etc.). Indeed, Kirakosyan et al. (2003) showed that hawthorn plant extracts subjected to drought and cold stress did not only give higher yields of polyphenolic compounds but also have greater antioxidant capacity as compared with control plants. In addition, several authors linked the variation of phenolic content with the intensity of the sun (Urbonaviciute et al., 2006; Atanasova and Ribarova, 2009), and concluded that solar radiation can induce their biosynthesis. Furthermore, the date of harvest, the maturity of the plant, the spatial distribution of the sample, and storage conditions may also exert an important effect on the observed variations (Proestos and Komaitis, 2008; Bouzid et al., 2011; kostić et al., 2012; Rodriguez et al., 2012; Bahorun et al., 1994; Urbonaviciute et al., 2006). In addition, the extraction methods adopted and the solvents used also exert an important effect on the yield of phenolic compounds (Ignat et al., 2013; Tahirović and Bašić, 2014; Bouzid et al., 2011).
By means of exploring the associations in this dataset consisting of 6,661 questionnaires from staff on 136 psychiatric acute admission wards in the UK, we arrived at a model of relationships between the different features of the staff team and its functioning. This model has a good fit to the data and substantial face validity. Leadership impacts on teamwork, teamwork impacts on structure, structure influences burnout, and burnout influences attitudes towards difficult patients. The way the staff function as a team and have clarity amongst themselves about ward organisation and the ward program may thus be influential in preventing burnout and exhaustion of the staff. The style and efficacy of leadership, interestingly, does not show much direct relation to feelings of burnout, although previous healthcare research has shown a relationship to job satisfaction . The relatively slight influence of leadership may be specific to ward nursing teams. Leadership in such teams is distributed across a number of people, including: the ward manager (the person rated in this project), consultant psychiatrist(s), senior qualified nurses who are in charge of shifts when on duty, and managers at a higher level than ward staff in several layers up to the top management team of the healthcare organisation. In addition the shift system means that the nursing team never meets as a whole with the ward manager, and communication downwards is easily fractured. This may well be why staff having clarity among themselves about the ward organisation and rules may be so central in the resulting model.
Hawthorn is a forest tree grown in different temperate regions of the world. Fresh fruits need to be harvested, transported, sorted, graded and packed. As a first step in design of specific equipment for these processes, physical properties of the fruit need to be known.Some engineering properties of hawthorn fruit harvested from Ilam forests including physical characteristics and nutritional properties were determined to introduce the fruit. Also, the corresponding datathose are important for the design of equipments for harvesting, processing, transportation, sorting, separation, packaging and further breeding efforts of hawthorn.
Travel, travel, and travel — Heather Moulton loves to travel! Her research project and SURF grant took her to New Zealand to live and work, which she prefers to being a tourist. Heather is a Wildlife Management major, planning to graduate in May of 2007. One of her motivations for writing for Inquiry is to inspire others to do their own project by explaining what she did. Heather feels that science is always changing; being able to look at the effects of humans on the environment and being able to reverse those effects is powerful. Her future goals are to work in all aspects of research and, of course, to travel, travel, travel!
Of 582 patients admitted to the hospital, 397 patients were included (figure 1), of which 166 (42%) were hospi- talised in medical wards, 155 (39%) in surgical wards, 44 (11%) in critical care units, and 32 (8%) in the emergency department. The mean age (SD) of patients was 60 (17) years old [median age 64; range 15 – 92] and 229 patients (58%) were men. The majority of patients had risk factors of deep vein thrombosis [mean (SD) 2.6 (1.5); median 2, range 0–8], thus 302 (76%) had two or more risk factors, and 190 (48%) had three or more. The most frequent risk factors were age ≥ 40 years (335; 84%), surgery 148 (37%), immobilisation (145; 36.5%), cancer (128; 32%), obesity (61; 15%) and heart failure (24; 6%). According to guideline's assessment of risk, 297 patients (75%) were classified as having moderate or high risk. A relationship was observed between the number of risk factors and risk categories according to guidelines on the basis of the guideline specifications. The mean number of risk factors (SD) was 1 (0.7) in low-risk patients, 2.9 (1.2) in moder- ate-risk patients, and 4.1 (1.1) in high risk patients (F = 150.8; p < 0.0001).