The knowledge management landscape: implications for clinical knowledge management and practice.

The objective of this paper is to determine the future for Knowledge Management (KM) applications that focus on healthcare processes. This is achieved by tracing the evolution of KM by examining how different sectors have formulated industry-specific KM applications, then discussing the key constraints that these sectors have faced whilst formulating industry specific KM applications. It then details how these constraints can impede the coming of age of KM applications for healthcare.

Starting out - happy to be a softie if it means remaining true to my values.

During this term's placement a member of the ward team teased me with a nickname: Softie.

An examination of multiple goals in children's physical education: motivational effects of goal profiles and the role of perceived climate in multiple goal development.

In this paper, I present data from two studies that sought to examine multiple achievement goals in the context of children's physical education (PE). Study 1 examined the links that multiple-goal profiles (i.e.

Research on homeopathy: state of the art.

In this paper, we review research on homeopathy from four perspectives, focusing on reviews and some landmark studies. These perspectives are laboratory studies, clinical trials, observational studies, and theoretical work. In laboratory models, numerous effects and anomalies have been reported.

"Planned" and "unplanned" pregnancy: deconstructing experiences of conception.

This paper seeks to explore women's experiences of conception, and to deconstruct the dichotomy between the terms "planned" and "unplanned" pregnancy. It draws on interviews with 19 primagravidae conducted as part of a wider qualitative study of women's experiences of pregnancy and childbirth. Although the concept of pregnancy intention is widely regarded as ambiguous, and by some immeasurable, this paper draws on interview data to develop four categories of pregnancy intention.

Radon anomalies preceding earthquakes which occurred in the UK, in summer and autumn 2002.

During the course of an investigation into domestic radon levels in Northamptonshire, two hourly sampling real-time radon detectors were operated simultaneously in separate locations 2.25 km apart in Northampton, in the English East Midlands, for a 25-week period. This period of operation encompassed the period in September 2002 during which the Dudley earthquake (magnitude - 5.

Research with children: a critical review of the guidelines.

The development of research with children highlights a number of ethical issues for the research process concerning consent, confidentiality and protection from harm. This article aims to analyse the extent to which these issues have been considered within the published guidance for research involving children. Several key principles emerged: there is consensus that it is unethical not to conduct research with children; consent should be obtained from both the child and the parent or guardian; where the child does not have sufficient understanding of what is involved and the implications of such involvement, the assent of the child should be sought; children involved in research should be made aware that, where information concerning risks to themselves or others emerges, confidentiality cannot be guaranteed; and finally researchers must consider the potential impact of research participation on the child, building methods of providing support to children into the research proposal.

Severe mental illness registers.

The concept of creating severe mental illness registers is not entirely new to mental health services, although it has not been applied to any great extent in primary care. This article describes the process of setting up severe mental illness registers, which were implemented by Heartlands primary care trust (PCT) and disseminated to other PCTs in Northamptonshire. Diagnostic criteria, the target population, maintaining the register and the physical health review are discussed.

An analysis of clinical risks in vaccine transportation.

'Cold chain' transport is an integral part of a system of vaccine transportation that assures the potency of vaccines. If the temperature of vaccines is not kept between the ranges of 2 and 8 degrees C, this can lead to adverse effects especially for the recipients of first time immunization, as no protection is offered. This investigation has shown that there is considerable risk of vaccines being rendered impotent due to ad hoc collection of vaccines by healthcare professionals from pharmacy services, outside of the cold chain transport agreement with the vaccine supplier.

Inferring handedness from lithic evidence.

Until recently research into the origins of human handedness has been hampered by the lack of valid techniques for inferring handedness in pre-modern populations. A method developed by Toth for inferring handedness from lithic evidence, based on orientation of the cortex on lithic flakes, has produced promising results. However, this method is limited in applicability and has a variable signal to noise ratio.

Shame as a social phenomenon: a critical analysis of the concept of dispositional shame.

An increased clinical interest in shame has been reflected in the growing number of research studies in this area. However, clinically orientated empirical investigation has mostly been restricted to the investigation of individual differences in dispositional shame. This study reviews recent work on dispositional shame but then argues that the primacy of this construct has been problematic in a number of ways.

'Does my bump look big in this?' The meaning of bodily changes for first-time mothers-to-be.

Research on the impact of bodily changes during the transition to motherhood is contradictory. The aim of the study reported here was to provide more useful insights by employing an inductive qualitative approach. Interviews with six women in the latter stages of pregnancy were analysed drawing upon aspects of interpretative phenomenological analysis and Foucauldian discourse analysis.

The incidence and risk factors in the development of medial tibial stress syndrome among naval recruits.

Purpose: To identify the incidence of medial tibial stress syndrome (MTSS) in a group of naval recruits undergoing a 10-week basic training period and to determine potential risk factors.

Method: One hundred and twenty-four recruits (84 men and 40 women) were followed prospectively during basic training. Anthropometric and lower limb biomechanical data were recorded at the start of the program along with injury history and previous sporting activity for the 3 months prior to enlisting.

Evaluation of a pilot service designed to provide support following stroke: a randomized cross-over design study.

Objective: To evaluate a day service for people aged 18-55 years who had a stroke.

Design: A randomized cross-over study design was used, randomly allocating individuals to attend the service for six months followed by a period of no attendance for six months.

Setting: A day service pilot project was launched in Cardiff in July 1995 for people who were aged between 18 and 55 years and had a stroke.