This coming?weekend is a big one for?Saturday Night Live. It marks the end of Bill Hader's tenure on the show and Ben Affleck's fifth time hosting. But perhaps the most significant reason to tune in is the fact that Kanye West is the musical guest, and he's making it seem like he really, really doesn't want to be. With West's apparent frustration with the show and his penchant for, shall we say ... off-the-cuff remarks, producers should be worried and we should be excited. Is there a better combo than that?
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Izaak Walton, Charles Cotton, John Buxton and John Buchan
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Wasim Bari confident about Pakistan?s bowling attack ? Cricket News Update
Optimistic about Pakistan?s chances in the ICC Champions Trophy 2013, Wasim Bari, the former wicketkeeper/batsman, believes that bowling remains the national team?s strength. However, he thinks that adjusting to different conditions
in England will be the key for Misbah-ul-Haq and company.
The mega event is going to be played next month in England, with the Green Shirts placed in group B along with South Africa, India and West Indies.
Bari thinks that Pakistan?s pool is tough but all the team?s have certain strengths and weaknesses and Misbah?s men can do well in the all-important tournament by doing appropriate homework against each opposition.
"All the teams in Pakistan's group are tough and balanced, but have their weaknesses too. West Indies don't play well against slow bowling, India are missing several key players and SA don't have spin bowling options," said the
former wicketkeeper. "WI have some good all-rounders, SA have a brilliant batting and bowling line-up, while India has one of the best batsmen in the event."
Despite the fact that Umar Gul, Pakistan?s senior most fast bowler, is not available for the Champions Trophy due to a knee surgery, Bari believes that the Green Shirts possess a very potent bowling attack which can even defend
mediocre scores.
"The key will be to adjust to the conditions. Pakistan can easily defend a score of over 240 against any opposition. I pray and wish that our players play to their potential and win the Champions Trophy," he added.
With the emergence of Mohammad Irfan and Junaid Khan as genuine strike bowlers, Pakistan?s bowling line-up looks very strong in the shorter formats of the game. The two left-armers have been ably supporting Saeed Ajmal and Mohammad
Hafeez, two of the world?s finest spinners, in recent past.
However, it is Pakistan?s batting line-up which remains a major concern for the team management. In order to have any chance of lifting the Champions Trophy for the first time, Pakistan?s top-order batsmen have to take the responsibility
on their shoulders and deal with the new ball. It is widely expected that Pakistan will play three openers, Mohammad Hafeez, Imran Farhat and Nasir Jamshed in the playing-11.
RALEIGH, N.C. (AP) -- North Carolina's community colleges are working to train factory workers comfortable in a new manufacturing world of computers and robots.
State community college leaders are meeting Friday with manufacturers to assemble training courses in line with a skills certification plan that's recognized by factories across the country. The program mixes advanced manufacturing education and work-site training to turn out workers who can keep North Carolina makers competitive.
North Carolina was one of four states to try integrating the National Association of Manufacturers skills certification system into related community college curricula. The state's community colleges are also focused on developing a series of biotechnology and aviation industry skills certifications.
Clinical support for patient self-management is rhetoric rather than realityPublic release date: 17-May-2013 [ | E-mail | Share ]
Contact: Becky Attwood r.attwood@soton.ac.uk 44-023-805-95457 University of Southampton
The processes to allow people to self-manage their own illness are not being used appropriately by health professionals to the benefit of their patients, new research suggests.
Self-management support aims to increase the patient's ability to take ownership over their condition and in some cases, to self-treat. It is widely seen as critical to ensure the sustainability of health services in terms of costs. Although potentially effective, patient based interventions can be limited as not all patients engage with them. However, embedding self-management support discussions and decisions into everyday clinical practices is thought to encourage patients to become more actively involved.
The study, led by Senior Research Fellow, Anne Kennedy at the University of Southampton, was carried out in the North West of England by the Universities of Southampton, Manchester, York and Keele and published in the BMJ. It assessed a whole system intervention, which attempted to implement self-management support, led by the health service, for patients with diabetes, chronic obstructive pulmonary disease or irritable bowel syndrome.
All staff, including clinical, management and administrative staff, at 44 practices were trained in a new self-management approach, designed by the universities involved, which helped them to put the patient at the centre of their care and use a range of self-management support resources.
More than 5,500 patients took part in the trial one of the largest randomised controlled trials of self-management support in primary care ever completed. Practices were randomised to either receive the training intervention and deliver the new self-management approach or provide routine care (the control practices were trained after the trial was completed).
However feedback and assessments showed that while practices engaged with and enjoyed the training, they did not use the approach to improve shared decision-making with patients or encourage the take-up of self-management support. There was no difference in results for any patient outcomes or on service use between the group that had the self-management approach and the group which received usual care.
Southampton's Dr Anne Kennedy comments: "We are disappointed by these results, as self-management support options do have the ability to help a lot of people, but the findings were very clear. There were a small number of patients who did benefit from the self-management process during the study but overall the feedback showed that the self-management model does not fit with the reality and demands of primary care practice and it is just paid lip service to. The active components required for effective self-management support need to be better understood, both within primary care and in patients' everyday lives Furthermore a separate process evaluation will explore why practitioners were not able to implement the intervention."
Co-author Professor Peter Bower, from the University of Manchester, says "[the study] used an intervention that could be delivered widely in routine primary care settings to maximise the applicability of the research." He added that the results suggest that self-management support may require considerable additional incentives to encourage practices to more actively engage with a self-management agenda.
Dr Kennedy adds: "One possibility is that most forms of intervention, whether provider based or patient based, are outside patients' workaday and social activities, so fail to embed themselves into their everyday lives. It may be that greater efforts to integrate support for self-management into patients' personal social networks or by using means that are more pervasive in people's lives, such as mobile technology, would prove a more effective approach to engaging patients with self-management."
###
The study was funded by National Institute for Health Research (NIHR) Programme Grants for Applied Research (PGfAR) Programme and The National Primary Care Research and Development Centre.
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AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.
Clinical support for patient self-management is rhetoric rather than realityPublic release date: 17-May-2013 [ | E-mail | Share ]
Contact: Becky Attwood r.attwood@soton.ac.uk 44-023-805-95457 University of Southampton
The processes to allow people to self-manage their own illness are not being used appropriately by health professionals to the benefit of their patients, new research suggests.
Self-management support aims to increase the patient's ability to take ownership over their condition and in some cases, to self-treat. It is widely seen as critical to ensure the sustainability of health services in terms of costs. Although potentially effective, patient based interventions can be limited as not all patients engage with them. However, embedding self-management support discussions and decisions into everyday clinical practices is thought to encourage patients to become more actively involved.
The study, led by Senior Research Fellow, Anne Kennedy at the University of Southampton, was carried out in the North West of England by the Universities of Southampton, Manchester, York and Keele and published in the BMJ. It assessed a whole system intervention, which attempted to implement self-management support, led by the health service, for patients with diabetes, chronic obstructive pulmonary disease or irritable bowel syndrome.
All staff, including clinical, management and administrative staff, at 44 practices were trained in a new self-management approach, designed by the universities involved, which helped them to put the patient at the centre of their care and use a range of self-management support resources.
More than 5,500 patients took part in the trial one of the largest randomised controlled trials of self-management support in primary care ever completed. Practices were randomised to either receive the training intervention and deliver the new self-management approach or provide routine care (the control practices were trained after the trial was completed).
However feedback and assessments showed that while practices engaged with and enjoyed the training, they did not use the approach to improve shared decision-making with patients or encourage the take-up of self-management support. There was no difference in results for any patient outcomes or on service use between the group that had the self-management approach and the group which received usual care.
Southampton's Dr Anne Kennedy comments: "We are disappointed by these results, as self-management support options do have the ability to help a lot of people, but the findings were very clear. There were a small number of patients who did benefit from the self-management process during the study but overall the feedback showed that the self-management model does not fit with the reality and demands of primary care practice and it is just paid lip service to. The active components required for effective self-management support need to be better understood, both within primary care and in patients' everyday lives Furthermore a separate process evaluation will explore why practitioners were not able to implement the intervention."
Co-author Professor Peter Bower, from the University of Manchester, says "[the study] used an intervention that could be delivered widely in routine primary care settings to maximise the applicability of the research." He added that the results suggest that self-management support may require considerable additional incentives to encourage practices to more actively engage with a self-management agenda.
Dr Kennedy adds: "One possibility is that most forms of intervention, whether provider based or patient based, are outside patients' workaday and social activities, so fail to embed themselves into their everyday lives. It may be that greater efforts to integrate support for self-management into patients' personal social networks or by using means that are more pervasive in people's lives, such as mobile technology, would prove a more effective approach to engaging patients with self-management."
###
The study was funded by National Institute for Health Research (NIHR) Programme Grants for Applied Research (PGfAR) Programme and The National Primary Care Research and Development Centre.
[ | E-mail | Share ]
?
AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.
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Public release date: 17-May-2013
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