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Search Results: 1 - 10 of 5108 matches for " Morris Gordon "
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Training on handover of patient care within UK medical schools
Morris Gordon
Medical Education Online , 2013, DOI: 10.3402/meo.v18i0.20169
Abstract: Background: Much evidence exists to demonstrate that poor handover can directly impact patient safety. There have been calls for formal education on handover, but evidence to guide intervention design and implementation is limited. It is unclear how undergraduate medical schools are tackling this issue and what barrier or facilitators exist to handover education. We set out to determine curriculum objectives, teaching and assessment methods, as well as institutional attitudes towards handover within UK medical schools. Methods: A descriptive, non-experimental, cross-sectional study design was used. A locally developed online questionnaire survey was sent to all UK Medical Schools, after piloting. Descriptive statistics were calculated for closed-ended responses, and free text responses were analysed using a grounded theory approach, with constant comparison taking place through several stages of analysis. Results: Fifty percent of UK medical schools took part in the study. Nine schools (56%) reported having curriculum outcomes for handover. Significant variations in the teaching and assessments employed were found. Qualitative analysis yielded four key themes: the importance of handover as an education issue, when to educate on handover, the need for further provision of teaching and the need for validated assessment tools to support handover education. Conclusions: Whilst undergraduate medical schools recognised handover as an important education issue, they do not feel they should have the ultimate responsibility for training in this area and as such are responding in varying ways. Undergraduate medical educators should seek to reach consensus as to the extent of provision they will offer. Weaknesses in the literature regarding how to design such education have exacerbated the problem, but the contemporaneous and growing published evidence base should be employed by educators to address this issue.
Leading Communities: Community-led Development in England’s Small Towns: the Market Towns Initiative
Gordon Morris
Commonwealth Journal of Local Governance , 2012, DOI: 10.5130/cjlg.v0i0.3056
Abstract: The Market Towns Initiative (MTI), a UK community-led development programme, operated throughout rural England from 2000 until 2005/6. It was designed to help local people, with professional support, identify – and then capitalize on – the economic, environmental and social strengths and weaknesses of small country towns. This paper explains the origins and ways of working of the MTI. Examples of the topics explored and participants’ views are given, and conclusions drawn. The opportunity is also taken to explain how interest in the roles of England’s small country towns grew in the years following the Second World War, and how this led to the development of the MTI. Evidence suggests that the programme worked well. It demonstrated that local people have the enthusiasm, skills and knowledge to take a lead in the development of the places in which they live; something which, until local government reforms changed roles and structures, was largely taken for granted.
Knowledge and attitudes of parents and professionals to neonatal BCG vaccination in light of recent UK policy changes: A questionnaire study
Morris Gordon, Hannah Roberts, Egware Odeka
BMC Infectious Diseases , 2007, DOI: 10.1186/1471-2334-7-82
Abstract: A short questionnaire was designed, made up of demographic and attitude questions, as well as very basic knowledge questions. The researchers handed out the questionnaire to all parents and professionals in the antenatal and postnatal areas, as well as the paediatric and neonatal units during a 6-week period. The site was the Royal Oldham hospital, a district general hospital with 3250 deliveries per year and multi-ethnic in its population mix.A total of 253 completed questionnaires were collected. The ethnic origin of responders was 50.6% White British, 18.2% Bangladeshi, 8.7% Indian, 4% White/Asian, the remaining 18.5% of other origins. 71.5% of responders said they had heard of BCG vaccine. When asked if they knew the new policy for its use, 33.2% answered yes. 24.5% gave the most accurate response when asked who now receives BCG.We have found that amongst parents and professionals alike there is a lack of knowledge of the new policy. This has lead to confusion and as knowledge amongst the professionals who identify neonates for vaccination is low, uptake may be sub-optimal. We suggest that units investigate the issue and ensure that the new policy is understood and implemented correctly.The UK BCG vaccination strategy for the last 50 years was based on universal vaccination of teenage school children if they had not previously been vaccinated, offering protection to the young adults in whom TB was most prevalent and most likely to be infectious [1,2]. In more recent years, a policy of selective vaccination was also introduced [3], providing protection to new immigrants and newborns perceived to be at high risk. Indeed, the BCG vaccine for newborns and infants has been shown to offer significant protection against TB [4]Based on the changing make up of the UK population and the declining rates of TB in the age group in whom universal vaccination was taking place, the joint committee on vaccination and immunisation introduced new guidelines in July 2005, which wer
Limitations of poster presentations reporting educational innovations at a major international medical education conference
Morris Gordon,Daniel Darbyshire,Aamir Saifuddin,Kavitha Vimalesvaran
Medical Education Online , 2013, DOI: 10.3402/meo.v18i0.20498
Abstract: Background: In most areas of medical research, the label of ‘quality’ is associated with well-accepted standards. Whilst its interpretation in the field of medical education is contentious, there is agreement on the key elements required when reporting novel teaching strategies. We set out to assess if these features had been fulfilled by poster presentations at a major international medical education conference. Methods: Such posters were analysed in four key areas: reporting of theoretical underpinning, explanation of instructional design methods, descriptions of the resources needed for introduction, and the offering of materials to support dissemination. Results: Three hundred and twelve posters were reviewed with 170 suitable for analysis. Forty-one percent described their methods of instruction or innovation design. Thirty-three percent gave details of equipment, and 29% of studies described resources that may be required for delivering such an intervention. Further resources to support dissemination of their innovation were offered by 36%. Twenty-three percent described the theoretical underpinning or conceptual frameworks upon which their work was based. Conclusions: These findings suggest that posters presenting educational innovation are currently limited in what they offer to educators. Presenters should seek to enhance their reporting of these crucial aspects by employing existing published guidance, and organising committees may wish to consider explicitly requesting such information at the time of initial submission.
Latent Fingerprint Enhancement Using Tripolyphosphate-Chitosan Microparticles
Issa M. A. Il Dueik,Gordon A. Morris
International Journal of Carbohydrate Chemistry , 2013, DOI: 10.1155/2013/615124
Latent Fingerprint Enhancement Using Tripolyphosphate-Chitosan Microparticles
Issa M. A. Il Dueik,Gordon A. Morris
International Journal of Carbohydrate Chemistry , 2013, DOI: 10.1155/2013/615124
Abstract: Chitosan has been widely used in the preparation of microparticles for drug delivery; however, it has not been considered in forensic applications. Tripolyphosphate- (TPP-) chitosan microparticles were formed using ionotropic gelation in the presence of a coloured dye and deposited onto latent fingerprints enabling fingerprint identification. 1. Introduction Chitosan is the generic name for a family of strongly polycationic derivatives of poly-N-acetyl-D-glucosamine (chitin) extracted from the shells of crustaceans or from the mycelia of fungi [1]. In chitosan the N-acetyl group is replaced either fully or partially by NH2, and therefore the degree of acetylation can vary from DA = 0 (fully deacetylated) to DA = 1 (fully acetylated, i.e., chitin). The long carbon chains of chitosan molecules render them lipophilic. Furthermore, chitosan is the second most abundant polymer on earth (after cellulose) and it is the only known naturally occurring polycationic polysaccharide; therefore, chitosan and its derivatives, including microparticles, have received a great deal of attention from the food, cosmetic, and pharmaceutical industries [2–4]. Microparticles can be prepared by the electrostatic interaction and the resultant ionotropic gelation between chitosan and the tripolyphosphate (TPP) (Figure 1) polyanion [2–4]. Size can be controlled by varying the chitosan??: TPP ratio, pH, and the molar mass of the chitosan. Figure 1: Formation of the tripolyphosphate-chitosan complex by ionotropic gelation [ 4, 5]. Fingerprint detection is probably the oldest and most common method of identification used in forensic science. Fingerprints, therefore, present a perfect method for personal recognition; they are traces of an impression from the friction ridges on a person’s fingertips. Fingerprinting is used in the tracking and identification of criminals, and because they are unique (identical twins have different fingerprints), fingerprints can provide a clear and positive proof of identity. Recently, there has been great interest in the use of nanotechnology in the design of novel fingerprint detection systems. This is due to the fact that microparticles can provide improved latent fingerprint detection by using dye-functionalized microparticles (the dye or fluorophore may also be encapsulated within the microparticle) which can therefore provide an opportunity for improved visualisation. In this study, TPP-chitosan microparticles (loaded with red dye for visualisation purposes) have been used to attach to the lipid residues present in the latent fingerprint. In
Remote spatial memory in aging: all is not lost
R. Shayna Rosenbaum,Gordon Winocur,Malcolm A. Binns,Morris Moscovitch
Frontiers in Aging Neuroscience , 2012, DOI: 10.3389/fnagi.2012.00025
Abstract: The ability to acquire and retain spatial memories in order to navigate in new environments is known to decline with age, but little is known about the effect of aging on representations of environments learned long ago, in the remote past. To investigate the status of remote spatial memory in old age, we tested healthy young and older adults on a variety of mental navigation tests based on a large-scale city environment that was very familiar to participants but rarely visited by the older adults in recent years. We show that whereas performance on a route learning test of new spatial learning was significantly worse in older than younger adults, performance was comparable or better in the older adults on mental navigation tests based on a well-known environment learned long ago. An exception was in the older adults' ability to vividly re-experience the well-known environment, and recognize and represent the visual details contained within it. The results are seen as analogous to the pattern of better semantic than episodic memory that has been found to accompany healthy aging.
The core structure of AGN: perils of adaptive optics artifacts
Scott C. Chapman,Simon L. Morris,Gordon A. H. Walker
Physics , 1998,
Abstract: As part of a project to map nearby Seyfert galaxies in the near-IR with adaptive optics, we present high spatial resolution, near-IR images in J,H, and K of the nuclei of NGC 3227 and NGC 2992, obtained with the Adaptive Optics Bonnette (AOB) on CFHT. The ~0.15" resolution allows us to probe structures in the core region at unprecedented scales. With NGC 3227, we are able to identify an inwards spiraling starburst in all three near-IR bands. NGC 2992 shows evidence for emission along a radio loop. Compared with HST optical images, dust obscuration becomes significantly less pronounced at longer wavelengths, revealing the true geometry of the core regions. The observed structures may help to elucidate fueling mechanisms for the central engine, as well as providing insight into the unification paradigms. The results are tempered with the discovery of AOB-related artifacts in the central arcsec of observed AGN galaxies which take on the appearance of spiral/disk structures.
Near-IR adaptive optics imaging of nuclear spiral structure in the Seyfert galaxy, NGC3227
Scott C. Chapman,Simon L. Morris,Gordon A. H. Walker
Physics , 1999, DOI: 10.1046/j.1365-8711.2000.03867.x
Abstract: We present high spatial resolution, near-IR images in J, H, K of the nucleus of NGC3227, obtained with the Adaptive Optics bonnette on CFHT. The ~0.15 arcsec (17pc) resolution allows structures to be probed in the core region. Dust obscuration becomes significantly less pronounced at longer wavelengths, revealing the true geometry of the core region. We are able to identify two main features in our maps: (i) a spiraling association of knots with a counterpart in an HST F606W image; (ii) a smaller scale annulus, orthogonal to the spiral of knots. These features may provide a means to transport material inwards to fuel the active nucleus.
Risk factors for antepartum stillbirth and the influence of maternal age in New South Wales Australia: A population based study
Adrienne Gordon, Camille Raynes-Greenow, Kevin McGeechan, Jonathan Morris, Heather Jeffery
BMC Pregnancy and Childbirth , 2013, DOI: 10.1186/1471-2393-13-12
Abstract: Using linkage of state maternity and perinatal death data collections the authors assessed risk factors for antepartum stillbirth in New South Wales Australia for births between 2002 – 2006 (n = 327,690) using a Cox proportional hazards model. Gestational age specific risk was calculated for different maternal age groups. Deaths were classified according to the Perinatal Mortality Classifications of the Perinatal Society of Australia and New Zealand.Maternal age was a significant independent risk factor for antepartum stillbirth (35 – 39 years HR 1.4 95% CI 1.12 – 1.75; ≥ 40 years HR 2.41 95% CI 1.8 – 3.23). Other significant risk factors were smoking HR 1.82 (95% CI 1.56 –2.12) nulliparity HR 1.23 (95% CI 1.08 – 1.40), pre-existing hypertension HR 2.77 (95% CI 1.94 – 3.97) and pre-existing diabetes HR 2.65 (95% CI 1.63 – 4.32). For women aged 40 or over the risk of antepartum stillbirth beyond 40 weeks was 1 in 455 ongoing pregnancies compared with 1 in 1177 ongoing pregnancies for those under 40. This risk was increased in nulliparous women to 1 in 247 ongoing pregnancies. Unexplained stillbirths were the most common classification for all women, stillbirths classified as perinatal infection were more common in the women aged 40 or above.Women aged 35 or older in a first pregnancy should be counselled regarding stillbirth risk at the end of pregnancy to assist with informed decision making regarding delivery. For women aged 40 or older in their first pregnancy it would be reasonable to offer induction of labour by 40 weeks gestation.Stillbirth is a devastating pregnancy outcome that is estimated to occur in 2.65 million births globally each year [1]. Stillbirth is relatively understudied and the deaths have not been accounted for globally as part of other major maternal and child health strategies [2]. In Australia 1 in every 140 babies are stillborn which represented 2188 families in 2008 [3]. Recent meta analyses of population based studies in high income countr
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