bluuebunny/crossref_metadata_2025_split huggingface dataset:
Reflections on team culture, structure and function of an intensive support service centred on positive behavioural support
Authors: Patterson Lawrence A. , Berry Samuel 
Published: September 2016

Purpose
The purpose of this paper is to explore experiences of team culture, structure and function of an intensive support service (ISS) within the context of the recent service guidance “Building the Right Support” (NHS England, Local Government Association and Association of Directors of Adult Social Services, 2015). Reflections on the Hampshire and Southampton ISS set up in 2010 are discussed with a view to informing a debate about frameworks for ISS services nationally.

Design/methodology/approach
A reflective piece, drawing on experience and case examples.

Findings
This paper describes that a key function of an ISS is making individuals safe and this is significantly assisted by using shared team formulation, which can enable information and perspectives to be shared between and within teams as rapidly as possible. Further, a case is made for recognising the importance of inter-disciplinary practice, as the Southampton and Hampshire ISS has removed the “old fashioned” demarcations that led to individuals seeing a “procession” of different professionals from different disciplines. This relates to team structure, but importantly is about a culture of holding a shared identity based on positive behavioural support values, rather than a traditional uni-disciplinary perspective.

Practical implications
ISS models are being proposed by NHS England and this paper suggests some important practical aspects.

Originality/value
Limited literature exists examining the team culture within ISSs, which contributes to desired outcomes for service users. This paper opens a debate about structural and functional aspects of service delivery in this service model.
Positive behavioural support for children and adolescents with learning disabilities and behaviour that challenges: an initial exploration of service use and costs
Authors: Iemmi Valentina , Knapp Martin , Reid Caroline , Sholl Catherine , Ferdinand Monique , Buescher Ariane , Trachtenberg Marija 
Published: September 2016

Purpose
Positive behavioural support has been considered as a valuable alternative to residential care for children and adolescents with learning disabilities and behaviour that challenges. While recent evidence suggests it has a positive impact on behaviour and carer ability to cope, there is little evidence of its economic costs or benefits. The paper aims to discuss this issue.

Design/methodology/approach
An exploratory cross-sectional study was conducted to evaluate the cost of providing positive behavioural support to ten children and adolescents with learning disabilities and behaviour that challenges living in the community in Ealing, West London. Comparison was also made with the cost estimate of possible alternative support packages for children and adolescents with learning disabilities and behaviour that challenges in the UK, as obtained through a Delphi exercise.

Findings
Total cost of services per child was £1,454 per week for young people supported short-term, and £1,402 supported long-term. Children and adolescents were making use of a range of social care, education and health services. Over the full sample, half of the total cost was accounted for by education services. The Delphi exercise estimated the weekly cost of residential-based care as more expensive than the cost of community-based care for children and adolescents with learning disabilities and behaviour that challenges. At the end of the ITSBS, all ten children and adolescents initially at risk of imminent residential placement were living in the community with less service-intensive and less expensive support. This suggests that avoiding residential-based care could reduce costs in the long term.

Originality/value
Positive behavioural support has potential to support people with learning disabilities and behaviour that challenges in the community, leading to potential cost advantages. However, this is a small study and more robust research is needed.
Commentary on “Reflections on culture, structure and function of an intensive support service centred on positive behavioural support”
Authors: Toogood Sandy 
Published: September 2016

Purpose
The purpose of this paper is to provide a commentary on Patterson and Berry’s paper “Reflections on culture, structure and function of an intensive support service centred on positive behavioural support”.

Design/methodology/approach
This paper reviews key ideas presented in Patterson and Berry’s article relative to the recent history of service delivery in the UK and the growing interest being shown in positive behaviour support.

Findings
Patterson and Berry’s article adds to a modest literature on specialist support services and should stimulate further descriptions of service models and the concepts underpinning them.

Originality/value
The literature on specialist support service models is limited and this addition should be relevant to a wide range of clinicians, consumers and commissioners.
Supporting people with learning disabilities through a bereavement
Authors: Blackman Noelle 
Published: September 2016

Purpose
There remains a lack of clarity regarding what constitutes “normal” or “complicated” grief within this client group. The purpose of this paper is to identify the factors that complicate grief and considers interventions which would be beneficial.

Design/methodology/approach
The paper draws on previous research by the author and others to comment on some of the issues discussed by Hannah Young in her article.

Findings
Three domains contribute to complicated grief in people with learning disabilities. These are the learning disability itself, environmental factors and the impact of disability on attachment.

Practical implications
A relational approach to support is important in preventing complicated grief. If the grief becomes complicated, a relational psychotherapy is recommended as the preferable intervention.

Originality/value
This paper gives important consideration to practical factors that can lower vulnerability to complicated grief for this client group.
The mediating role of TQM and organizational excellence, and the moderating effect of entrepreneurial organizational culture on the relationship between ERP and organizational performance
Authors: Al-Dhaafri Hassan Saleh , Al-Swidi Abdullah Kaid , Yusoff Rushami Zien Bin 
Published: September 2016

Purpose
The purpose of this paper is to investigate the relationship between enterprise resource planning (ERP) and organizational performance through examining the mediating effect of total quality management (TQM) and organizational excellence and the moderating effect of entrepreneurial organizational culture (EOC).

Design/methodology/approach
A survey questionnaire was used to collect the data from Dubai Police Departments. Out of the questionnaires distributed, 320 completed usable were returned and used for the analysis which employed partial least squares structural equation modelling methodology.

Findings
The results showed that there are positive and significant relationships between ERP, organizational excellence, TQM, and organizational performance. In addition, TQM was found to partially mediate the effect of ERP on organizational performance, where organizational excellence was found to fully mediate the effect on the same relationship. However, the moderating role of EOC on the ERP, TQM, and organizational performance was not confirmed.

Practical implications
Several practical implications have been gained from this study. It will increase the awareness of managers and decision makers to consider the constructs test to enhance the overall organizational performance in their organizations. The role of TQM and organizational excellence to facilitate the implementation of ERP is very critical. In addition, this research will increase the awareness of different stakeholders such as customers, supplier, and shareholders to integrate the proposed constructs examined to enhance the overall organizational performance.

Originality/value
The current study is one of the few or the only empirical study that examines the joint effect of ERP, TQM, organizational excellence, and EOC on organizational performance.
Preparedness for hospital practice in assuring quality of care
Authors: Abd Manaf Noor Hazilah , Mohd Ghazali Roslan Johari Dato , Mohd Borhan Nor Filzatun , Omar Azura , Mohd Dinon , Adewale Abideen Adeyemi , Ismail Izhairi , Abdul Hamid Zabeda 
Published: September 2016

Purpose
The purpose of this paper is to identify the dimensions of preparedness for hospital practice among newly graduated medical officers in Malaysian hospitals who are undergoing their housemanship training; and to compare the level of preparedness among the different curricula and predict the dimensions of preparedness for hospital practice.

Design/methodology/approach
A national study was carried out and data collection was by means of self-administered questionnaire. Data obtained (n=1,213) were subjected to exploratory factor analysis using Statistical Package for Social Sciences version 18 in extracting the dimensions of preparedness for hospital practice.

Findings
Nine dimensions of hospital practice were identified which were access to information and IT skills, interpersonal skills, basic skills, and continuing professional development, holistic skills, coping skills, ethic and legal skills, patient management skills, scientific knowledge, and clinical skills. Overall, the respondents felt their medical schools prepared them for hospital practice. The strongest predictor for preparedness for hospital practice is coping skills. Holistic skill and preparedness for hospital practice was found to be negatively associated. Those who graduated from twining programmes between Malaysian and overseas universities were found to be better prepared for hospital practice.

Social implications
An understanding on preparedness for hospital practice among newly graduated medical officers is a step forward in assuring patient safety and quality of care.

Originality/value
Although of significant importance, however, a study of this nature is rarely researched and the first for Malaysian houseman.
Data quality requirements for water bills
Authors: Moura e Sá Patrícia , Martins Rita 
Published: September 2016

Purpose
The purpose of this paper is to uncover the customers’ concerns with the information disclosed in water services invoices and to analyse them with reference to the data quality dimensions usually proposed in the literature. In the context of services of general interest invoices are particularly relevant as a vehicle to convey information to all consumers.

Design/methodology/approach
Based on the principles of quality planning, the research uses a qualitative approach to identify the data quality requirements of water invoices. Customer voices were collected by means of focus groups and their meanings analysed using an affinity diagram.

Findings
Findings show that plain language efforts and strategies to enhance trust on the service provided need to be further reinforced. Consumers’ requirements together with the regulator recommendations also confirm the data quality dimensions identified in the literature.

Practical implications
This research highlights that avoiding technical language and making visible the consequences of different consumption levels on the amounts to be paid is essential when designing water invoices. Moreover, it emphasises that there is still room for improvement in the way the economic regulator performs its role in ensuring the provision of sound information.

Originality/value
This research addresses a literature gap by conducting a study on data quality requirements outside the context of information systems for organisations. The study is original because it looks at water invoices as a “product” that can be designed to meet the needs of their users.
The role of cultural factors in engagement and change in Multisystemic Therapy (MST)
Authors: Fox Simone , Bibi Fatima , Millar Hayleigh , Holland Amaryllis 
Published: September 2016

Evidence has shown that Multisystemic Therapy (MST) has been particularly effective in the treatment of youth with antisocial behaviour from ethnically diverse backgrounds. Although the process of change within MST has been explored, there is a dearth of research in looking at this for families from ethnic minority backgrounds. This qualitative study aimed to explore ethnic minority caregiver experiences of MST and understand how this might impact on engagement, the presenting problems and the process of change. Semi‐structured interviews were conducted with seven ethnic minority caregivers who had completed treatment. A constructivist version of grounded theory was used to analyse the data. Specific cultural theoretical codes that emerged were around the consideration of cultural difference in terms of the engagement process, the conceptualisation of difficulties and the therapist acting as cultural broker in the process of change. This research integrates culturally specific ideas into the existing MST Analytical Process.Practitioner points

Being culturally understood, cultural sensitivity and respecting difference can help engagement with ethnic minority caregivers
The role of culture may be important to consider in the conceptualisation of difficulties
For change to occur therapists may need to act as cultural brokers
The Politics of England
Authors: Mycock Andrew 
Published: September 2016

AbstractParty political interest in the so‐called ‘English Question’ has grown in recent years, due to the enmeshing of constitutional issues with a growing political and public affiliation with and expression of English national identity and culture. More recently, attention has shifted to the decentralisation of government within England. The ‘English Question’ is thus defined by two interconnected but distinctive ‘English Questions’. This article will assess whether, in seeking to find answers for these ‘English Questions’, the Conservatives and Labour are establishing a more distinctive ‘politics of England’. It will first consider the extent to which the politicisation of English identity and civic society have stimulated a more nationally framed political culture and party politics, and then assess whether constitutional reforms undertaken in Westminster, especially the introduction of EVEL, and regional devolution initiatives within England might facilitate greater party political engagement with an emergent ‘politics of England’.
If Immigrants Could Vote in the UK: A Thought Experiment with Data from the 2015 General Election
Authors: Fox Sean , Johnston Ron , Manley David 
Published: September 2016

AbstractThe distribution of voting rights in the UK is an artefact of history rather than a product of clear legal or philosophical principles. Consequently, some resident aliens (i.e. immigrants) have the right to vote in all UK elections; others can vote in local elections but are excluded from national elections; still others are excluded from all elections. In England and Wales alone, roughly 2.3 million immigrants are excluded from voting in national elections. This exclusion is inconsistent with the founding principle of democracy and distorts political discourse. What if all immigrants could vote in national elections? We estimate that up to ninety‐five parliamentary seats could have been won by a different party in the 2015 general election. More substantially, enfranchising all immigrants would require re‐drawing UK constituency boundaries. The new electoral map would increase the relative power of urban constituencies and would incentivise some political entrepreneurs and parties to temper anti‐immigration rhetoric.
Does Increased Medication Use among Seniors Increase Risk of Hospitalization and Emergency Department Visits?
Authors: Allin Sara , Rudoler David , Laporte Audrey 
Published: September 2016

ObjectiveTo examine the extent of the health risks of consuming multiple medications among the older population.Data Sources/Study SettingSecondary data from the period 2004–2006. The study setting was the province of Ontario, Canada, and the sample consisted of individuals aged 65 years or older who responded to a national health survey.Study DesignWe estimated a system of equations for inpatient and emergency department (ED) services to test the marginal effect of medication use on hospital services. We controlled for endogeneity in medication use with a two‐stage residual inclusion approach appropriate for nonlinear models.Principal FindingsIncreased prescription drug use has the effect of increasing the likelihood of both being admitted into hospital and visiting a hospital ED. Each additional medication is associated with a 2–3 percent increase in the likelihood of hospitalization and a 3–4 percent increase in the likelihood of an ED visit, after controlling for past utilization, health status, the endogeneity of medication use, and the unobserved factors that may affect the use of both services.ConclusionsMultiple medications appear to increase the risk of hospitalization among seniors covered by a universal prescription drug plan. These results raise questions about the appropriateness of medication use and the need for increased oversight of current prescribing practices.
Modeling the Transfer of Salmonella Enteritidis during Slicing of Ready‐to‐Eat Turkey Products Treated with Thyme Essential Oil
Authors: Possas Arícia M. M. , Posada‐Izquierdo Guiomar D. , Pérez‐Rodríguez Fernando , García‐Gimeno Rosa M. 
Published: September 2016

AbstractThe increased demand for low‐sodium ready‐to‐eat (RTE) meat products highlights the need for new strategies to ensure food safety. The application of essential oils (EOs) as natural antimicrobials in the meat industry has been suggested to prevent or control cross‐contamination during meat processing operations. This work aims to quantify and model the transfer of Salmonella Enteritidis during the slicing procedure of RTE turkey products treated with thyme essential oil (TEO) at a concentration of 0.1% (v/w). Two products were subjected to the slicing procedure with slicer blades inoculated with S. Enteritidis at 108 cfu/mL. The Weibull and modified Weibull predictive models were fitted to the transfer data. Twenty slices were sampled and showed positive with bacteria, indicating cross‐contamination. The number of cells transferred per slice decreased logarithmically during the assays. The transfer models, based on the Weibull model, were suitable to describe the bacterial transfer trend on slices in most cases. TEO treatment reduced the transfer of Salmonella on a preservative free RTE turkey product. The predictive models obtained in this study can help food‐quality staff and managers on the design and assessment of processes to guard RTE turkey products against Salmonella. This work supports the addition of EOs to reduce microbial risk in RTE meat products.
Angiotensin‐I‐Converting Enzyme Inhibitory Activities and In Vivo Antihypertensive Effects of Sardine Protein Hydrolysate
Authors: Huang Jiacheng , Liu Qianyue , Xue Bin , Chen Long , Wang Yong , Ou Shiyi , Peng Xichun 
Published: September 2016

AbstractIn our previous study, an antihypertensive protein hydrolysate was prepared from sardine. This study aimed to investigate the composition of sardine protein hydrolysate (SPH) and it's in vivo antihypertensive effect. SPH was separated sequentially with ultrafiltration and size exclusion chromatography. Fractions with high angiotensin‐I‐converting enzyme (ACE) inhibitory activity were further analyzed with RP‐HPLC and amino acids analysis. Then, SPH was individually oral administrated to spontaneously hypertensive rats (SHR) and normotensive wistar kyoto rats (WKY) for 4 wk. After treatment, the systolic blood pressure (SBP), organ index, oxidative status, serum ACE activity, and serum angiotensin‐II (ANG‐II) of all the rats were determined. According to the separation and analysis results, 3 main fractions with high ACE‐inhibitory activity were obtained with different amino acids composition. The animal experiments results showed that SPH could significantly reduce SBP (P < 0.05 or P < 0.01) within 4 h after a single oral administration. After a chronic oral administration, a steady state of SBP in SHR rats was attained. The heart weight index and left ventricular weight index were significantly reduced (P < 0.05) in SPH‐treated SHR rats. The malonyldialdehyde (MDA) levels in organs and serum, serum ACE activity, and serum ANG‐II concentration in SPH‐treated SHR rats were significantly lowered (P < 0.05 or P < 0.01) as compared to their controls. Meanwhile there was no significant effect (P > 0.05) on those parameters in WKY rats. These results indicate that SPH can decrease blood pressure in SHR rats and not in WKY rats.
Syngas obtained by microwave pyrolysis of household wastes as feedstock for polyhydroxyalkanoate production inRhodospirillum rubrum
Authors: Revelles Olga , Beneroso Daniel , Menéndez J. Angel , Arenillas Ana , García J. Luis , Prieto M. Auxiliadora 
Published: September 2016

SummaryThe massive production of urban and agricultural wastes has promoted a clear need for alternative processes of disposal and waste management. The potential use of municipal solid wastes (MSW) as feedstock for the production of polyhydroxyalkanoates (PHA) by a process known as syngas fermentation is considered herein as an attractive bio‐economic strategy to reduce these wastes. In this work, we have evaluated the potential ofRhodospirillum rubrumas microbial cell factory for the synthesis ofPHAfrom syngas produced by microwave pyrolysis of theMSWorganic fraction from a European city (Seville). Growth rate, uptake rate, biomass yield andPHAproduction from syngas inR. rubrumhave been analysed. The results revealed the strong robustness of this syngas fermentation where the purity of the syngas is not a critical constraint forPHAproduction. Microwave‐induced pyrolysis is a tangible alternative to standard pyrolysis, because it can reduce cost in terms of energy and time as well as increase syngas production, providing a satisfactoryPHAyield.