School of Historical and Philosophical Studies - Research Publications
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ItemNo Preview AvailableCluster randomisation or randomised consent as an appropriate methodology for trials in palliative care: a feasibility study [ISRCTN60243484].(Springer Science and Business Media LLC, 2004-04-27)BACKGROUND: Although guidelines for the care of the dying patient exist the evidence base to support the guidelines is poor. Some of the factors contributing to this include failure to recruit to trials, protective healthcare professionals and subsequent attrition from trials due to the death of the patients. Recent studies report favourably on the use of cluster randomisation as an appropriate methodology for use in this patient group. METHODS/DESIGN: A feasibility study, exploring two types of randomisation as appropriate methodology for trials involving dying patients. Cluster randomisation and randomised consent will be utilised following a crossover design at two sites, one oncology ward and one Macmillan unit within the Northwest Wales NHS Trust. All patients commencing on the Integrated Care Pathway (ICP) for the Last Days of Life will be eligible for inclusion in the study. Using the hypothesis that it is not necessary to prescribe an anti-emetic medication when setting up a syringe driver for the dying patient, the study will evaluate different models of research methodology. DISCUSSION: The identification of the most appropriate methodology for use in studies concerning this patient group will inform the development of future clinical studies. Furthermore, the outcomes of this feasibility study will inform the development, of a proposal seeking funding for Wales-wide trials in palliative care. The identification of an appropriate methodology will provide a starting point for the establishment of a robust evidence base for the care of the dying patient.
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ItemNo Preview AvailableHealth biotechnology in China -: reawakening of a giant(NATURE PUBLISHING GROUP, 2004-12)
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ItemNo Preview AvailableConclusions:: promoting biotechnology innovation in developing countries(NATURE PORTFOLIO, 2004-12)
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ItemStrengthening the role of genomics in global health(PUBLIC LIBRARY SCIENCE, 2004-12)How genomics and related health biotechnologies can improve the health of the poor and contribute towards meeting the Millenium Development Goals
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ItemSetting priorities in health care organizations: criteria, processes, and parameters of success(BMC, 2004-09-08)BACKGROUND: Hospitals and regional health authorities must set priorities in the face of resource constraints. Decision-makers seek practical ways to set priorities fairly in strategic planning, but find limited guidance from the literature. Very little has been reported from the perspective of Board members and senior managers about what criteria, processes and parameters of success they would use to set priorities fairly. DISCUSSION: We facilitated workshops for board members and senior leadership at three health care organizations to assist them in developing a strategy for fair priority setting. Workshop participants identified 8 priority setting criteria, 10 key priority setting process elements, and 6 parameters of success that they would use to set priorities in their organizations. Decision-makers in other organizations can draw lessons from these findings to enhance the fairness of their priority setting decision-making. SUMMARY: Lessons learned in three workshops fill an important gap in the literature about what criteria, processes, and parameters of success Board members and senior managers would use to set priorities fairly.
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ItemYou have to be pleasing and coperative: Australia's vision splendid for post-WWII migrants(University of Melbourne Postgraduate Association, 2004)
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ItemA survey of modern pollen and vegetation along an altitudinal transect in southern Georgia, Caucasus region(ELSEVIER SCIENCE BV, 2004)This paper describes the pollen representation of vegetation patterns along an altitudinal transect in the South Caucasus region. Surface sediments from eight small- to medium-sized lakes and wetlands were analysed for modern pollen, and the results analysed numerically using detrended correspondence analysis (DCA) and dichotomised ordination (TWINSPAN). Pollen spectra from the semidesert region have a clear palynological signal characterised by an abundance of Chenopodiaceae. Differentiation of oak forest, upper tree-line and subalpine communities is more difficult: all are dominated by arboreal pollen (AP) types. The authors propose a number of indicator pollen types and pollen threshold values that may assist in detecting tree-line variations and deforestation events in Holocene pollen diagrams.
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ItemHope: an e-modulating motion of deterritorialization( 2004)What keeps people going after an experience or encounter with an event that damages their sense of human vitality? The sense that is essential for a human organism to function properly: the will to live. The innate drive and joy of encounters and gleaning of skills which children own: the will to play. What causes the loss of one's possession of the will to joy; the curiosity inherent in the pursuit of the unfamiliar or the barely glimpsed; the production of fresh emotional responsiveness with which to claim an experiential event? What reduces the movement and modulations of emotion - e-modulating-motion - to an immobile point? An event that can cause the neural mapping of the traumatized body to return a message to the brain that says 'indifference' or 'despair', causing the body to undo its resident emotion of learned wonder. After a 'bomb sandwich', as Iranian director Mohsen Makhmalbaf referred to the United States' practice of alternately dropping bombs and food over Afghanistan, what forms of hope or revelation could possibly be conveyed to the body of the receiver? The will to eat in the affective zone of probable pain, disability and death.
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ItemThe Wonder of Digital Worlds(RMIT University, 2004)
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