Framing Value Based Healthcare in Practice: Introducing the Complex Case and Recovery Management Framework (The CCaRM).

Introduction: There is a gap between aspiring to co-produce and co-create value in integrated healthcare and realising that in practice, particularly with complex needs and multiple stakeholders. Key principles from literature on value-based healthcare offer a conceptual framework for building suitable care platforms to support practice. This paper outlines the Complex Care and Recovery Management Framework (CCaRM) as an example of co-platforming value-based healthcare within case level practice.

Predictors and population health outcomes of persistent high GP turnover in English general practices: a retrospective observational study.

Objective: English primary care faces significant challenges, including 'persistent high turnover' of general practitioners (GPs) in some partnerships. It is unknown whether there are specific predictors of persistent high turnover and whether it is associated with poorer population health outcomes.

Design: A retrospective observational study.

Hetero- and cisnormativity-UK pharmacy education as a queer opponent.

Introduction: Queer pedagogy is a lens through which the hegemonic discourses of curricula and the heterosexual assumptions within them can be made visible. Using this lens, sexuality and gender norms incorporated in undergraduate medical and health curricula can be located and the lived experience of a curriculum examined. This paper seeks to determine the extent of hetero/cisnormativity within UK pharmacy education with the aim of problematising the normalisation of heterosexuality; following this, strategies to disrupt structured hetero/cisnormativity are considered.

Reciprocity heightens academic performance in elementary school students.

Social relationships are pivotal for human beings. Yet, we still lack a complete understanding of the types and conditions of social relationships that facilitate learning among children. Here, we present the results of a study involving 855 elementary school children from 14 different public schools in Chile designed to understand their social learning strategies in classrooms.

Successful demand management in diagnostic immunology testing.

Aims: We investigated whether we could have a material and sustained impact on immunology test ordering by primary care clinicians by building evidence-based and explanatory algorithms into test ordering software.

Methods: A service evaluation revealed cases of over-requesting of antinuclear antibody, allergen-specific IgE and total IgE tests, and under-requesting of urine protein electrophoresis. We conducted a quality improvement programme to address this.

Does the process of developing products for knowledge mobilisation from healthcare research influence their uptake? A comparative case study.

Background: Getting knowledge from healthcare research into practice (knowledge mobilisation) remains a global challenge. One way in which researchers may attempt to do this is to develop products (such as toolkits, actionable tools, dashboards, guidance, audit tools, protocols and clinical decision aids) in addition to journal papers. Despite their increasing ubiquity, the development of such products remains under-explored in the academic literature.

Co-designing an intervention to improve the process of deprescribing for older people living with frailty in the United Kingdom.

Background: In older people living with frailty, polypharmacy can lead to preventable harm like adverse drug reactions and hospitalization. Deprescribing is a strategy to reduce problematic polypharmacy. All stakeholders should be actively involved in developing a person-centred deprescribing process that involves shared decision-making.

Applying an Improved Stacking Ensemble Model to Predict the Mortality of ICU Patients with Heart Failure.

Cardiovascular diseases have been identified as one of the top three causes of death worldwide, with onset and deaths mostly due to heart failure (HF). In ICU, where patients with HF are at increased risk of death and consume significant medical resources, early and accurate prediction of the time of death for patients at high risk of death would enable them to receive appropriate and timely medical care. The data for this study were obtained from the MIMIC-III database, where we collected vital signs and tests for 6699 HF patient during the first 24 h of their first ICU admission.

Preparing pharmacists for the Community Pharmacist Consultation Service: a questionnaire survey.

Objectives: The Community Pharmacist Consultation Service launched in England in 2019. Patients requiring urgent care were referred from National Health Service-based telephone/digital triage or general practice to a community pharmacist, who provided a consultation, which could include a physical examination. The aim of the study was to evaluate the effectiveness of a learning programme to prepare community pharmacists for the service.

Wave-like patterns in parameter space interpreted as evidence for macroscopic effects resulting from quantum or quantum-like processes in the brain.

Data from eight numerosity estimation experiments reliably exhibit wave-like patterns in plots of the standard deviations of the response times along the abstract parameter of the magnitude of the error in the numerosity estimation. An explanation for this phenomenon is proposed in terms of an analogy between response times and error magnitude on one hand, and energy and position of quantum particles on the other, constructed using an argument for an overlap between the mathematical apparatus describing Hopfield-type neural networks and quantum systems, established by some researchers. Alternative explanations are presented within the traditional explanatory framework of oscillations due to neural firing, involving hypothetical mechanisms for converting oscillation patterns in time to oscillation patterns in the space of an abstract parameter, such as the magnitude of the error during numerosity estimation.

Change of tourism organizations: Implications from a review of cultural tourism research.

Change has been universally acknowledged as the perpetual theme for routine organizational life. As cultural tourism, a major element of global tourism consumption accounting for 40% of tourism employment, is becoming increasingly flourishing and promising, tourism organizations are also obliged to implement a series of organizational changes to adapt to the trending culturalization in the tourism domain. In light of this, this research, by outlining important sub-themes and trends of cultural tourism research, tracks the evolution of cultural tourism as a research field over the previous decades so as to analyze existing interconnections between the systematic review and tourism organizational change.

Meeting the bilingual learning needs of Tibetan minority students in Qinghai Province: A multiple perspective investigation into problems and solutions.

Using student and teacher open-ended questionnaires, and interviews with teachers and school principals and administrators, this study examined the bilingual learning difficulties faced by the Tibetan minority students in Qinghai Province, China, the challenges in meeting their needs, and the suggestions for coping with these challenges. The participants included 200 Tibetan minority students, 20 classroom teachers, and 10 school principals and administrators randomly selected from eight secondary schools located in eight different counties, where there are the most Tibetan minority students in Qinghai Province. The results showed that they experienced considerable difficulties in both spoken and written Chinese, which had prevented them from understanding the lectures, answering questions, interacting with peers in the classroom, and communicating with friends and classmates outside of classroom.

Mapping opportunities for the earlier diagnosis of psoriasis in primary care settings in the UK: results from two matched case-control studies.

Background: The diagnosis of psoriasis may be missed or delayed in primary care settings.

Aim: To examine trends in healthcare events before a diagnosis of psoriasis.

Design And Setting: Two matched case-control studies using electronic healthcare records delineated from the Clinical Practice Research Datalink (CPRD GOLD and Aurum) in the UK.

The Ethics and Politics of Academic Knowledge Production: Thoughts on the Future of Business Ethics.

To commemorate 40 years since the founding of the Journal of Business Ethics, the editors in chief of the journal have invited the editors to provide commentaries on the future of business ethics. This essay comprises a selection of commentaries aimed at creating dialogue around the theme Questions of who produces knowledge about what, and how that knowledge is produced, are inherent to editing and publishing academic journals. At the Journal of Business Ethics, we understand the ethical responsibility of academic knowledge production as going far beyond conventions around the integrity of the research content and research processes.

Immaterial animals and financialized forests: Asset manager capitalism, ESG integration and the politics of livestock.

This article uses interviews with responsible investment professionals to examine the extent to which institutional equity investors, and specifically 'universal owners' with highly diversified shareholdings, engage with public issues associated with livestock agriculture. As share ownership becomes increasingly concentrated, and the market for Environmental, Social and Governance investment products grows, these investors are increasingly involved in governing the activities of publicly traded corporations (including leading agribusinesses). This paper brings together political economy and marketization studies research to explore how universal owners become concerned about particular environmental and ethical problems, why they overlook other public concerns, and in what ways their selective engagement with ethico-political issues might be altering the content of food politics.

Doing today's work today: real-time data recording and rolling audit in an IVF clinic.

The assisted conception unit at Sheffield Teaching Hospital NHS Foundation Trust provides in vitro fertilisation treatment. A team of seven embryologists provides a routine clinical laboratory service, involving culture and storage of embryos. This requires a series of management and statutory data administration and communication tasks.

Recent advances in the screening methods of NPC1L1 inhibitors.

NPC1L1 is a crucial protein involved in sterol lipid absorption and has been shown to play an important role in intestinal cholesterol absorption. Hypercholesterolemia is a significant risk factor for cardiovascular diseases such as coronary heart disease. Screening of NPC1L1 inhibitors is critical for gaining a full understanding of lipid metabolism, developing new cholesterol-lowering medicines, and treating cardiovascular diseases.

Non-Heteronormative Sexual Orientations at Work: Disclosure Dynamics and the Negotiation of Boundaries Between Lesbian and Gay Employees and Their Co-workers.

This article focuses on the interactional dynamics which take place during disclosure of non-heteronormative sexual orientations at work. Since the disclosure might be considered a process through which lesbian and gay (LG) people share information about their personal life at work, Boundary Theory, which explores how people create boundaries between life domains, allows us to better understand disclosure dynamics. For this purpose, 39 Spanish lesbian and gay employees were interviewed.

Identifying targets for interventions to support public use of face coverings.

Objectives: Interventions to promote the wearing of face coverings if required in the future can only be developed if we know why people do or do not wear them. Study aims were, therefore, to assess public adherence to wearing face coverings to reduce transmission of SARS-CoV-2 and to gauge why people were or were not wearing face coverings in work, public transport, and indoor leisure settings.

Design: Cross-sectional survey.

Impact of government interventions on the stock market during COVID-19: a case study in Indonesia.

Unlabelled: This paper aims to examine the short-term impact of government interventions on 11 industrial sectors in the Indonesian Stock Exchange (IDX) during the COVID-19 pandemic. Whereas earlier studies have widely investigated the impact of government interventions on the financial markets during the pandemic, there is lack of research on analysing the financial impacts of various interventions in different industrial sectors, particularly in Indonesia. In this research, five key types of government interventions are selected amid the pandemic from March 2020 to July 2021, including economic stimulus packages, jobs creation law, Jakarta lockdowns, Ramadan travel restrictions, and free vaccination campaign.

General practice managers' motivations for skill mix change in primary care: Results from a cross-sectional survey in England.

Objectives: The objectives are to determine the factors that motivated GP practice managers in England to employ non-medical roles, and to identify an ideal hypothetical GP practice workforce.

Methods: Cross-sectional survey of GP practice managers in England ( = 1205). The survey focused on six non-medical roles: advanced nurse practitioner, specialist nurse, health care assistant, physician associate, paramedic and pharmacist.

When family interrupted work: The implications of gendered role perception in the face of COVID-19.

During the COVID-19 pandemic, many individuals are confronted with the work-from-home challenge, which often results in work-family interference. Although prior to COVID-19, the influence of traditional gender role expectations was shown to be reduced over time, it is unclear whether and how such traditional worldview might influence judgments towards men and women when family interrupted work under the threat of COVID-19. This study presented and tested competing predictions derived from the gender role theory.

Occupational and Physical Therapists' Use of Intrapersonal and Interpersonal Emotion Regulation Strategies During Patient Interactions: A Qualitative Study.

Importance: Occupational and physical therapists' use of intrapersonal and interpersonal emotion regulation strategies may play an important role in building therapeutic relationships, but little is known about how they use these strategies during patient interactions.

Objective: To understand how therapists use intrapersonal and interpersonal emotion regulation strategies during their patient interactions.

Design: This qualitative study consisted of two stages of data collection.

Implementation and Evaluation of Two Nudges in a Hospital's Electronic Prescribing System to Optimise Cost-Effective Prescribing.

Providing healthcare workers with cost information about the medications they prescribe can influence their decisions. The current study aimed to analyse the impact of two nudges that presented cost information to prescribers through a hospital's electronic prescribing system. The nudges were co-created by the research team: four behavioural scientists and the lead hospital pharmacist.