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Background Buurtzorg, a model of community nursing conceived in the Netherlands, is widely cited as a promising and evidence-based approach to improving the delivery of integrated nursing and social care in community settings. The model is characterised by high levels of patient and staff satisfaction, professional autonomy exercised through self-managing nursing teams, client empowerment and holistic, patient centred care. This study aimed to examine the extent to which some of the principles of the Buurtzorg model could be adapted for community nursing in the United Kingdom. Methods A community nursing model based on the Buurtzorg approach was piloted from June 2017–August 2018 with a team of nurses co-located in a single general practice in the Borough of Tower Hamlets, East London, UK. The initiative was evaluated using a participatory methodology known as the Researcher-in-Residence model. Qualitative data were collected using participant observation of meetings and semi-structured interviews with nurse team members, senior managers, patients/carers and other local stakeholders such as General Practitioners (GP) and social workers. A thematic framework analysis of the data was carried out. Results Implementation of a community nursing model based on the Buurtzorg approach in East London had mixed success when assessed against its key principles. Patient experience of the service was positive because of the better access, improved continuity of care and longer appointment times in comparison with traditional community nursing provision. The model also provided important learning for developing service integration in community care, in particular, how to form effective collaborations across the care system with other health and social care professionals. However, some of the core features of the Buurtzorg model were difficult to put into practice in the National Health Service (NHS) because of significant cultural and regulatory differences between The Netherlands and the UK, especially the nurses’ ability to exercise professional autonomy. Conclusions Whilst many of the principles of the Buurtzorg model are applicable and transferable to the UK, in particular promoting independence among patients, improving patient experience and empowering frontline staff, the successful embedding of these aims as normalised ways of working will require a significant cultural shift at all levels of the NHS.

Pesticides are used worldwide in agriculture to prevent insects and other pests that attack plants and their derivatives. Acetamiprid (ACT) is a type of insecticide belonging to the chemical group of neonicotinoids, which are widely used in agricultural planting to replace organophosphates. Therefore, in this work, the performance of the electrochemical oxidation (EO) process as an alternative solution to eliminate pesticides in water was evaluated. A dimensionally stable anode (DSA, TiO2-RuO2-IrO2) and boron-doped diamond (BDD) were tested as anodes for degrading ACT (30 and 300 mg L−1) by using different applied current densities (j): 30, 60, 90, and 120 mA cm−2. The degradation process was monitored by using ACT decay, spectrophotometric analysis, and chemical oxygen demand. The results clearly showed that ACT (30 mg L−1) was only eliminated from water at the DSA electrode when 90 mA cm−2 was applied, reaching higher removal efficiencies after 180 min of electrolysis. Conversely, ACT was quickly removed at all applied current densities used, at the same concentration. On the other hand, when the ACT concentration was increased (300 mg L−1), 71.4% of the COD removal was reached by applying 90 mA cm−2 using BDD, while no significant improvements were achieved at the DSA electrode when a higher concentration of ACT was electrochemically treated.

This study investigated the electrochemical oxidation of organic matter present in shrimp farming effluent using three types of electrocatalytic materials: Ti/Ru 0.34 Ti 0.66 O 2 , Ti/Pt, and boron-doped diamond (BDD). An electrochemical cell with 300 mL under stirring agitation was used by applying 20, 40, and 60 mA cm −2 . A Ti/Ru 0.34 Ti 0.66 O 2 anode showed a reduction of chemical oxygen demand (COD) about 84 % after 1 h of electrolysis, while at the same time, 71 % of COD decay was achieved at Ti/Pt. Conversely, only 71 % of COD was removed after 2 h with a BDD anode. Regarding the temperature effect, BDD showed better performances than those achieved for Ti/Ru 0.34 Ti 0.66 O 2 and Ti/Pt anodes during an electrochemical treatment of a shrimp farming effluent, obtaining 72 % of COD removal by applying 20 mA cm −2 at 40 °C after 15 min. Energy consumption and cost were estimated in order to established the engineering applicability of this alternative process.

Background People participation teams are being established in many British NHS Trusts. They support active service user involvement in staff recruitment interviews, in evaluations of care and in programmes to improve services. No studies exploring experience of people involved in these activities are available in published mental health literature. In this project we explored benefits experienced and suggestions for improvement provided by service users. Methods The design, materials and methods of the project were developed in workshops including N  = 15 service users. Three service user researchers were trained to carry out research interviews and qualitative analysis of the data. They were responsible for the management of the project on a day-to-day basis with weekly supervision by academic researchers and authored this paper. The service user researchers interviewed people with at least 1 year of experience of being involved in a People Participation team activities. Interviews were based on a topic guide, which was developed in workshops with a larger number of service users ( N  = 15) and explored reasons for joining the group, how participation helped recovery and suggestions for service improvement. Results Fifteen service users were recruited and interviewed. Reasons for joining the group were identified: to “give back” to the service, to influence service change, curiosity, desire to meet like-minded people and to structure the day. Benefits reported included: sharing experiences, improving self-confidence, feeling valued, having a better understanding of services, overcoming personal fears, and developing better coping mechanisms for psychological difficulties. Being involved in People Participation activities helped to gain or refresh listening and interpersonal skills, communication skills, public speaking and creative skills and to develop better ways to cope with conflict. Suggestions for improvement were focused on changing staff attitudes, further promoting participation (e.g. through websites), simplifying payment procedures and establishing a moving-on support system to help people to access regular employment and gain full social inclusion. Conclusions Our findings showed that People Participation initiatives can have benefits at least for some patients and help their recovery through a positive effect on self-confidence, providing room for feeling valued and for obtaining or refreshing personal skills. This provides support for the development and refinement of People Participation Teams and for larger scale research to test their effects.

The use of powerful numerical tools based on the finite-element method has been improving the prediction of the holding capacity of fixed anchors employed by the offshore oil industry. One of the main achievements of these tools is the reduction of the uncertainty related to the holding capacity calculation of these anchors. Therefore, it is also possible to reduce the values of the associated design safety factors, which have been calibrated relying on models with higher uncertainty, without impairing the original level of structural safety. This paper presents a study on the calibration of reliability-based safety factors for the design of torpedo anchors considering the statistical model uncertainty evaluated using results from experimental tests and their correspondent finite-element-based numerical predictions. Both working stress design (WSD) and load and resistance factors design (LRFD) design methodologies are investigated. Considering the WSD design methodology, the single safety is considerably lower than the value typically employed in the design of torpedo anchors. Moreover, a LRFD design code format for torpedo anchors is more appropriate since it leads to designs having less-scattered safety levels around the target value.

Joining scholars signaling the need for new directions in Deaf Studies, the authors recommend a more expansive, nuanced, and interdisciplinary approach that encompasses the many ways deaf people live today. Rather than destroy Deaf culture, this approach is the only realistic way to allow it and Deaf Studies to survive. Deaf Studies today continues the focus of founding scholarship on native White American Sign Language users, now head of a powerful hierarchy through which they receive privileged status at the expense of deaf people with different language backgrounds and races or ethnicities. This marginalization is unsustainable and impedes knowledge. A companion article (this issue), \"Deaf Studies: A Critique of the Predominant US. Theoretical Direction,\" analyzes this reactive stance that is oriented by a focus on audism built on the concepts of phonocentrism and colonialism.

[This corrects the article DOI: 10.1186/s40900-019-0140-8.].

O processo de ensino-aprendizagem é uma questão complexa e envolve elementos como a articulação de saberes aos contextos específicos da vivência dos alunos, o relacionamento interpessoal, as técnicas usadas para repassar o conteúdo e o grau de autonomia e protagonismo atribuído aos alunos. De forma a melhor compreender como este processo ocorre, o presente artigo possui como objetivo explicitar as percepções dos alunos de um curso superior em Administração com relação às características dos bons e dos maus professores e da atuação destes em suas atividades profissionais. A metodologia utilizada envolve a observação do incidente crítico, onde foi realizado um estudo de caso utilizando-se de uma entrevista semiestruturada com um grupo de 20 alunos de um curso de Administração. As principais conclusões do estudo demonstram que a insatisfação dos professores, quando percebida pelos alunos, é um dos principais fatores que prejudicam a avaliação dos docentes. Além disso, a desconexão entre teoria e prática, falta de conhecimento das Tecnologias de Informação e Comunicação e baixa interação professor-aluno foram fatores citados como característicos de um mau professor.

The focus and concerns establishing Deaf Studies in the 1970s have rigidified into a reactive stance toward changing historical conditions and the variety of deaf lives today. This critique analyzes the theoretical foundation of this stance: a tendency to downplay established research in the field of Deaf Studies and linguistics, the employment of outdated examples of discrimination, an uncritical acceptance of Derrida's phonocentrism, flawed uses of Saussure's linguistic theory, and reliance on the limiting metaphor of colonialism. The purpose of the critique ultimately is to point Deaf Studies in a new direction. Issues with conceptualizing an expanded Deaf Studies are the focus of a companion article (this issue), \"Inclusive Deaf Studies: Barriers and Pathways.\"