IntroductionHeart failure affects over 26 million people worldwide with prevalence expected to grow due to an ageing global population. Palliative care can address the holistic needs of patients with ...heart failure, and integrated palliative care in heart failure management has been indicated to improve outcomes for patients. Despite known benefits for integrated palliative care in heart failure management, implementation is poor across the majority of global health services. Recent systematic reviews have identified the benefits of integrating palliative care into heart failure management and highlighted barriers to implementation. However, there was heterogeneity in terms of countries, healthcare settings, delivery by differing staff across multidisciplinary teams, modes of delivery and different intervention components.Methods and analysisThe aim of this study is to identify how integrated palliative care and heart failure interventions produce desired outcomes, in which contexts, and for which patients. We will undertake a realist synthesis to identify this, using Pawson’s five iterative steps. We will recruit an international stakeholder group comprised of healthcare providers and patients with heart failure to advise and provide feedback throughout the review. Our initial realist programme theory sets out the necessary steps needed to accomplish the final intended outcome(s) from the implementation of integrated palliative care and heart failure. This initial programme theory will be shaped through an iterative process of testing and refinement.Ethics and disseminationEthical approval is not required for this study. With our stakeholder group, we will coproduce a user guide that outlines practical advice to optimise, tailor and implement interventions designed to integrate palliative care and heart failure, taking into consideration local context, alongside user-friendly summaries of the synthesis findings using short animations to convey complex findings. We will draw on the expertise within the stakeholder group to identify key stakeholders for disseminating to relevant audiences, ensuring outputs are tailored for their respective needs.PROSPERO registration numberCRD42021240185.
Objectives(1) Develop a programme theory of why, for whom and in what contexts integrated palliative care (PC) and heart failure (HF) services work/do not work; (2) use the programme theory to ...co-produce with stakeholders, intervention strategies to inform best practice and future research.MethodsA systematic review of all published articles and grey literature using a realist logic of analysis. The search strategy combined terms significant to the review questions: HF, PC and end of life. Documents were included if they were in English and provided data relevant to integration of PC and HF services. Searches were conducted in November 2021 in EMBASE, MEDLINE, PsycINFO, AMED, HMIC and CINAHL. Further relevant documents were identified via monthly alerts (up until April 2023) and the project stakeholder group (patient/carers, content experts and multidisciplinary practitioners).Results130 documents were included (86 research, 22 literature reviews, 22 grey literature). The programme theory identified intervention strategies most likely to support integration of PC and HF services. These included protected time for evidence-based PC and HF education from undergraduate/postgraduate level and continuing professional practice; choice of educational setting (eg, online, face-to-face or hybrid); increased awareness and seeing benefits of PC for HF management; conveying the emotive and intellectual need for integrating PC and HF via credible champions; and prioritising PC and HF guidelines in practice.ConclusionsThe review findings outline the required steps to take to increase the likelihood that all key players have the capacity, opportunity and motivation to integrate PC into HF management.PROSPERO registration numberCRD42021240185.
IntroductionHealth Data Research UK designated seven UK-based Hubs to facilitate health data use for research. PIONEER is the Hub in Acute Care. PIONEER delivered workshops where patients/public ...citizens agreed key principles to guide access to unconsented, anonymised, routinely collected health data. These were used to inform the protocol.MethodsThis paper describes the PIONEER infrastructure and data access processes. PIONEER is a research database and analytical environment that links routinely collected health data across community, ambulance and hospital healthcare providers. PIONEER aims ultimately to improve patient health and care, by making health data discoverable and accessible for research by National Health Service, academic and commercial organisations. The PIONEER protocol incorporates principles identified in the public/patient workshops. This includes all data access requests being reviewed by the Data Trust Committee, a group of public citizens who advise on whether requests should be supported prior to licensed access.Ethics and disseminationEast Midlands–Derby REC (20/EM/0158): Confidentiality Advisory Group (20/CAG/0084). www.PIONEERdatahub.co.uk
Refining dog husbandry and care Prescott, Mark J; Morton, David B; Anderson, David ...
Laboratory animals (London),
07/2004, Volume:
38, Issue:
1_suppl
Journal Article
In a move aimed directly at increasing its market share, Compaq Computer Corporation (NYSE: CPQ) today significantly expanded its North American Division and appointed key executives who will report ...to Ross Cooley, Senior Vice President of North America. Gian Carlo Bisone has been appointed Vice President of North American Marketing. Reflecting the increased importance placed on customer satisfaction, Gus Kolias has been appointed Vice President of Customer Service. Dave Davis has been appointed Vice President of North American Sales, Mac McLoughlin has been appointed Vice President of Corporate Sales and Patrick Le Feuvre has been appointed Director of North American Operations. (excerpt)
Compaq Computer Corporation (NYSE: CPQ) today reported first-quarter net income of $45 million, or $.53 per share, representing a 60 percent decrease from net income of $114 million, or $1.26 per ...share in the same period of 1991. Sales for the quarter ended March 31, 1992 were $783 million, a 19 percent decrease from sales of $971 million for the quarter ended March 31, 1991. Worldwide demand for COMPAQ products in the first quarter was up year to year, while unit shipments were slightly down due to part shortages. Lower prices were the primary reason for the decline in the Company's revenue and earnings in the quarter. (excerpt)
Compaq Computer Corp. (NYSE:CPQ) Monday reported first-quarter net income of $45 million, or 53 cents per share, representing a 60 percent decrease from net income of $114 million, or $1.26 per share ...in the like period of 1991. Sales for the quarter ended March 31, 1992 were $783 million, a 19 percent decrease from sales of $971 million for the quarter ended March 31, 1991. Worldwide demand for COMPAQ products in the first quarter was up year to year, while unit shipments were slightly down due to part shortages. Lower prices were the primary reason for the decline in the company's revenue and earnings in the quarter. (excerpt)
Reviews Palmer, Stanley H.; Kinealy, Christine; Maume, Patrick ...
Irish Studies Review,
12/1/1998, Volume:
6, Issue:
3
Book Review
Peer reviewed
The Bulkies: Police and Crime in Belfast, 1800-1865 Brian Griffin, 1997 Dublin, Irish Academic Press pp. xi + 166, ISBN 0.7165.2670.0, £29.50 (hb)
The Hungry Stream: Essays on Emigration and Famine ...E. Margaret Crawford (ed.), 1997 Belfast, Institute of Irish Studies, Queen's University pp.215, ISBN 1.85589.677.1, £25 (hb); ISBN 0.85389.674.7, £9.50 (pb)
The Feminization of Famine Margaret Kelleher, 1997 Cork University Press pp.258, ISBN 1.85918.077.9, £40.00 (hb); ISBN 1.85918.078.7, £16.95 (pb)
The Two Irelands, 1912-1939 David Fitzpatrick, 1998 Oxford, Oxford University Press pp. xviii + 301, ISBN 0.19.289240.1, £8.99 (pb)
The I.R.A. and its Enemies: Violence and Community in Cork, 1916-23 Peter Hart, 1998 Oxford, Oxford University Press pp. xvi + 350, ISBN 0.19.820537.6, £40.00 (hb)
The Politics of Illusion: a Political History of the IRA Henry Patterson, 1997 London, Serif pp.320, ISBN 1.897959.31.1, £14.99 (pb)
Peace or War? Understanding the Peace Process in Northern Ireland Chris GILligan & Jon Tonge (eds), 1997 Aldershot, Ashgate Publishing pp. 167, ISBN 1.85972.519.8, £35.00 (hb)
The Irish RMs: The Resident Magistrates in the British Administration of Ireland Penny Bonsall, 1997 Dublin, Four Courts Press pp.224, ISBN 1.85182.331.X, £30.00 (hb)
The Geopolitics of Anglo-Irish Relations in the Twentieth Century G. R.
Sloan, 1997 London, Leicester University Press pp.320, ISBN 0.718.51356.8, £45.00 (hb)
Hope Deferred: Experiences of an Irish Unionist Basil Mcivor, 1998 Dundonald, Blackstaff Press pp. 163, ISBN 0.85640.620.1, £12.99 (pb)
Who Are 'The People'? Unionism, Protestantism and Loyalism in Northern Ireland Peter Shirlow & Mark Mcgovern (eds), 1997 London, Pluto Press pp. 192, ISBN 0.7453.1213.6, £35.00 (hb); ISBN 0.7453.1208.X, £13.99 (pb)
Crisis and Decline: the Fate of the Southern Unionists R. B. Mcdowell, 1997 Dublin, Lilliput Press pp. x + 227, ISBN 1.8746.7592.9, £16.99 (hb)
Crime in Ireland 1945-95: Here be Dragons John Brewer, Bill Lockhart & Paula Rodgers, 1997 Oxford, Clarendon Press pp. 268, ISBN C.19.826570.0, £40.00 (hb)
Explorations in Law and History W. N. Osborough (ed.), 1995 Dublin, Irish Academic Press pp. 193, ISBN 0.7165.2451.0, £24.95 (hb)
Decadence and Danger: Writing, History and the fin de siècle Tracey Hill (ed.), 1997 Bath, Sulis Press pp.228, ISBN 0.9526.856.1.2, £35.00 (hb); ISBN 0.9526.856.2.0, £13.95 (pb)
Deeds Not Words: The Life and Work of Muriel Gahan Geraldine Mitchell, 1997 Dublin, Town House pp.224, ISBN 1.860589.046.2, £9.99 (pb)
In Search of Ireland: A Cultural Geography Brian Graham (ed.), 1997 London, Routledge pp. xiv + 240, ISBN 0.415.15007.8, £47.50 (hb); ISBN 0.415.15008.6, £15.99 (pb)
Space and Place: The Geographies of Literature Glenda Norquay & Gerry Smyth (eds), 1997 Liverpool, Liverpool John Moores University Press pp.414, ISBN 0.9527.97802, £15.00 (pb)
Women Divided: Gender, Religion and Politics in Northern Ireland Rosemary Sales, 1997 London, Routledge pp.256, ISBN 0.415.13766.7, £14.99 (pb)
Gender and Sexuality in Modern Ireland Anthony Bradley & Marianna Gialanella Vauuus (eds), 1997 Amherst, University of Massachusetts pp.336, ISBN 1.55849.130.9, US$50.00 (hb); ISBN 1.55849.131.7, US$16.95 (pb)
Irish Women in England: An Annotated Bibliography Clare Barrington, 1997 Dublin, Women's Education, Research and Resource Centre, University College Dublin pp.72, ISBN 1.898473.80.3, £5.00 (pb)
Edmund Spenser's Irish Experience: Wilde Fruit and Salvage Soyl Andrew Hadfield, 1997 Oxford, Clarendon Press pp.240, ISBN 0.10.818345.3, £35.00 (hb)
Salvaging Spenser: Colonialism, Culture and Identity Willy Maley, 1997 Basingstoke, Macmillan pp.260, ISBN 0.3336.2942.6, £40.00 (hb); ISBN 0.3336.2943.4, £12.99 (pb)
Between Nations: Shakespeare, Spenser, Marvell, and the Question of Britain David J. Baker, 1997 Stanford, Stanford University Press, and Cambridge, Cambridge University Press pp.221, ISBN 0.8047.2997.2, US839.50, £30.00 (hb)
Locating Swift: Essays from Dublin on the 250th Anniversary of the Death of Jonathan Swift 1667-1745 Aileen Douglas, Patrick Kelly & Ian Campbell Ross (eds), 1998 Dublin, Four Courts Press pp.208, ISBN 1.85182.317.4, £35.00, US$45.00 (hb)
Maria Edgeworth's Irish Writing: Language, History, Politics Brian Hollingworth, 1997 Basingstoke, Macmillan pp.256, ISBN 0.333.681.66.5, £40.00 (hb)
Verse in English from Eighteenth-Century Ireland Andrew Carpenter, 1998 Cork, Cork University Press pp.640, ISBN 1.85912.103.1, £40.00, US$60.00 (hb); ISBN 1.85912.104.X, £15.95, US829.95 (pb)
Mrs S. C. Hall: A Literary Biography Maureen Keane, 1997 Gerrards Cross, Colin Smythe pp. 260, ISBN 0.86140.394.0, £33.00 (hb)
Yeats's Political Identities: Selected Essays Jonathan Allison (ed.), 1996 Ann Arbor, University of Michigan Press pp.352, ISBN 0.472.10445.4, US849.50 (hb)
Yeats and the Drama of Sacred Space Nicholas Meihuizen, 1998 Amsterdam, Costerus New Series 116, Rodopi pp. 190, ISBN 90.420.0388.X, £19.50, US$34.00 (pb)
High and Low Moderns: Literature and Culture, 1889-1939 Maria Dibattista & Lucy Mcdiarmid (eds), 1996 New York and Oxford, Oxford University Press pp.259, ISBN 0.19.508266.4, £37.50 (hb)
Louis MacNeice and his Influence Kathleen Devine & Alan J. Peacock (eds), 1998 Gerrards Cross, Colin Smythe pp. 184, ISBN 0.86140.391.6, £27.50 (hb)
Samuel Beckett and Music Mary Bryden (ed.), 1998 Oxford, Clarendon Press pp.267, ISBN 0.19.818427.1, £40.00 (hb)
Talking of Joyce Umberto Eco & Liberato Santoro-Brienza, 1998 Dublin, University College Dublin Press pp.86, ISBN 1.900621.13.4, £5.95 (pb)
The Boy in the Moon Kate O'riordan, 1997 London, Flamingo pp. 278, ISBN 0.00.225555.3, £12.99 (hb)
A Glassful of Letters Evelyn Conlon, 1998 Belfast, Blackstaff pp. 208, ISBN 0.85640.618.X, £7.99 (pb)
The Parchment Boat Moya Cannon, 1997 Oldcastle, The Gallery Press pp.45, ISBN 1.85235.202.7, £11.95 (hb); ISBN 1.85235.201.9, £5.95 (pb)
Thirst David Wheatley, 1997 Oldcastle, The Gallery Press pp.77, ISBN 1.85235.208.6, £12.95 (hb); ISBN 1.85235.207.8, £6.95 (pb)
Selected Poems Medbh Mcguckian, 1997 Oldcastle, The Gallery Press pp.94, ISBN 1.85235.204.3, £13.95 (hb); ISBN 1.85235.203.5, £7.95 (pb)
The Yellow Book Derek Mahon, 1997 Oldcastle, The Gallery Press pp.57, ISBN 1.85253.206.X, £12.95 (hb); ISBN 1.85253.205.1, £6.95 (pb)
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