University of Hertfordshire
For Pure Research Information System connection
http://hdl.handle.net/2299/6050
2024-03-28T12:40:37Z
2024-03-28T12:40:37Z
Finding Your Feet GB, and Safe Fall Azerbaijan
Callan, Mike
http://hdl.handle.net/2299/27677
2024-03-28T12:15:03Z
2023-11-27T00:00:00Z
Finding Your Feet GB, and Safe Fall Azerbaijan
Callan, Mike
This presentation outlines the work done on three projects across two nations. The adaptation of Yawara-chan-taiso to a UK cohort, the development of the British Judo Finding your Feet, Coach Education Programme and the delivery of the Safe Falls Azerbaijan Coach Education programme. A pilot study was conducted in the UK to evaluate the Yawara-chan taiso (YCT) with an elderly cohort to investigate the effect on their fear of falling to see if the programme could be culturally exported. An intervention group (mean age of 76.43 years), took part in YCT for a maximum of four sessions, these were delivered by experienced judo coaches. A control group (mean age of 72.29 years) attended a talk about fear of falling and were passive throughout. Data was collected using the Fear of Falling Questionnaire Revised (FFQ-R). The intervention group reported a statistically significant reduced fear of falling compared to the control. Thus, demonstrating that UK elderly participants completing YCT intervention reduced their fear of falling significantly. The British Judo Association commissioned an adapted version of YCT. This was taught to the coach educator team in the Federation. A course handbook and supporting learning materials were developed. The coach education programme is now live – ‘Finding your feet, safer falls for the elderly’. The Azerbaijan Judo Federation programme ‘Safe Falls for older people’ (Yaşlı insanlar üçün təhlükəsiz şəlalələr) was created. The techniques were taught to a group of experienced coaches. Over the following days the coaches delivered safe fall seminars under supervision at the Baku Clinic to older employees of the National Railway Company.
2023-11-27T00:00:00Z
Nearly monodispersed, emission-tuneable conjugated polymer nanoparticles
Bourke, Struan
Urbano, Laura
Midson, Megan
Olona, Antoni
Basma Qazi-Choudhry, Basma
Panamarova, Maryna
Valderrama, Ferran
Long, Nicholas J.
Dailey, Lea Ann
Green, Mark
http://hdl.handle.net/2299/27676
2024-03-28T02:30:13Z
2022-10-04T00:00:00Z
Nearly monodispersed, emission-tuneable conjugated polymer nanoparticles
Bourke, Struan; Urbano, Laura; Midson, Megan; Olona, Antoni; Basma Qazi-Choudhry, Basma; Panamarova, Maryna; Valderrama, Ferran; Long, Nicholas J.; Dailey, Lea Ann; Green, Mark
Conjugated polymer nanoparticles have shown great promise in biological imaging due to their stable optical properties and inert composition but are usually polydispersed. By encapsulating conjugated polymer CN-PPV with a thin silica shell, it is possible to generate photo-stable, nearly monodispersed hollow nanoparticles with tuneable emission.
© 2022 The Author(s). Published by the Royal Society of Chemistry. This is an open access article distributed under the terms of the Creative Commons Attribution License (CC BY), https://creativecommons.org/licenses/by/4.0/
2022-10-04T00:00:00Z
Funded hospital discharges to care homes: a cohort study
Wilson, Carol L
Keevil, Victoria L
Goodman, Claire
http://hdl.handle.net/2299/27675
2024-03-27T02:30:13Z
2023-07-26T00:00:00Z
Funded hospital discharges to care homes: a cohort study
Wilson, Carol L; Keevil, Victoria L; Goodman, Claire
Background Optimising timely discharge from hospitals is an international priority. In 2020, the Coronavirus disease 2019 (COVID-19) pandemic resulted in the United Kingdom Government implementing the Discharge to Assess (D2A) model across England. This funded temporary care home placement to allow further recovery and assessment of care needs outside of the hospital. Objectives Determine if older adults discharged from hospital to care homes after implementation of D2A differ in their characteristics or outcomes. Design and methods Two cohorts of older adults discharged from hospital to care homes pre- and post-implementation of the D2A model (n = 244), with 6 months of follow-up. Data were extracted from routinely collected healthcare records. Results The mean duration of the hospital admission was reduced (29 vs. 23 days (P = 0.02)) but discharges to care homes did not increase with implementation of D2A (n = 161 in both cohorts prior to exclusions). In July–December 2020 (post-implementation), 28% of people were living in a private residence 6 months post-discharge, compared with 18% in the same period in 2019 (P = 0.09). When those who died were excluded, this changed to 40 vs. 28% (P = 0.19). There was no change in 6-month mortality (26 vs. 35% (P = 0.17)), and no increase in readmission rate (0.48 vs. 0.63 (P = 0.21) readmissions-per-patient over 6 months). No differences in key characteristics were found. However, patients were placed in care homes further from admission addresses (17.3 vs. 9.8 km (P = 0.00001)). Conclusions Implementation of D2A did not result in poorer outcomes but was associated with a reduced length of hospital stay.
© 2023 The Author(s). Published by Oxford University Press on behalf of the British Geriatrics Society. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC), https://creativecommons.org/licenses/by-nc/4.0/
2023-07-26T00:00:00Z
Models of Care and Relationships with Care Homes: Cross-Sectional Survey of English General Practices
Warmoth, Krystal
Goodman, Claire
http://hdl.handle.net/2299/27674
2024-03-27T02:30:13Z
2022-11-10T00:00:00Z
Models of Care and Relationships with Care Homes: Cross-Sectional Survey of English General Practices
Warmoth, Krystal; Goodman, Claire
The Enhanced Health in Care Homes framework for England sets out standards for how primary care should work with care homes. How care home staff and General Practitioners work together and the quality of their working relationships are core to resident healthcare. This study explored the current models of care and relationships between General Practitioners′ practices and care homes. Sixty-seven respondents from 35 practices were recruited in the East of England and completed a semi-structured online survey. Responses were analysed using descriptive statistics. Free text responses were interpreted thematically. The number of care homes that practices supported ranged from 0–15. Most reported having designated General Practitioners working with care homes and a good working relationship. Despite the national rollout of the Enhanced Health in Care Homes framework, two-thirds reported no recent changes in how they worked with care homes. There is a shift towards practices working with fewer care homes and fewer accounts of fractured working relationships, suggesting that residents’ access to primary care is improving. The continuing variability suggests further work is needed to ensure it is driven by context, not inequitable provision. Future work needs to address how policy changes are changing work practices and residents’ health outcomes.
© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This is an open access article distributed under the terms of the Creative Commons Attribution License (CC BY), https://creativecommons.org/licenses/by/4.0/
2022-11-10T00:00:00Z