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  • 2015-2019  (3)
  • 1
    Publication Date: 2018-01-14
    Description: Objective To elicit European healthcare policy-makers’ views, understanding and attitudes about the implementation of frailty screening and management strategies and responses to stakeholders’ views. Design Thematic analysis of semistructured qualitative interviews. Setting European healthcare policy departments. Participants Seven European healthcare policy-makers representing the European Union (n=2), UK (n=2), Italy (n=1), Spain (n=1) and Poland (n=1). Participants were sourced through professional networks and the European Commission Authentication Service website and were required to be in an active healthcare policy or decision-making role. Results Seven themes were identified. Our findings reveal a ‘knowledge gap’, around frailty and awareness of the malleability of frailty, which has resulted in restricted ownership of frailty by specialists. Policy-makers emphasised the need to recognise frailty as a clinical syndrome but stressed that it should be managed via an integrated and interdisciplinary response to chronicity and ageing. That is, through social co-production. This would require a culture shift in care with redeployment of existing resources to deliver frailty management and intervention services. Policy-makers proposed barriers to a culture shift, indicating a need to be innovative with solutions to empower older adults to optimise their health and well-being, while still fully engaging in the social environment. The cultural acceptance of an integrated care system theme described the complexities of institutional change management, as well as cultural issues relating to working democratically, while in signposting adult care , the need for a personal navigator to help older adults to access appropriate services was proposed. Policy-makers also believed that screening for frailty could be an effective tool for frailty management. Conclusions There is potential for frailty to be managed in a more integrated and person-centred manner, overcoming the challenges associated with niche ownership within the healthcare system. There is also a need to raise its profile and develop a common understanding of its malleability among stakeholders, as well as consistency in how and when it is measured.
    Keywords: Geriatric medicine, Open access, Geriatric medicine
    Electronic ISSN: 2044-6055
    Topics: Medicine
    Published by BMJ Publishing
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  • 2
    Publication Date: 2016-12-10
    Description: The roles of the marine national park of the Iroise Sea (France) are to maintain marine biodiversity, including the southernmost grey seal colony in the Eastern Atlantic, whilst managing sustainable human activities. This study compares the fish biomass taken by local seals and the landings by man in the Iroise Sea. Sixteen seals were satellite tracked from 1999 and 2003, providing location and behavioural (diving) data from which foraging locations were estimated. One individual spent a third of its foraging time in direct, long distance trips (200–350 km) across the English Channel, but most seals spent the majority (68.5%) of their foraging time in the Iroise Sea, making return trips within 30 km of their departure haulout sites. The energetic consumption of the seal colony, taking sex and age classes into account, was assessed and combined with seal abundance estimates and dietary data to assess the total prey consumption by seals, for each prey species. We estimated that during the study period, the grey seal colony in the Iroise Sea consumed around 115 tons of fish per year. The main source of uncertainty of this calculation came from the confidence intervals in total seal abundance estimates. This consumption comprised 13.6 tons of sea bass, 4.3 tons of pollack and 2.7 tons of sole, representing 16.4, 1.8, and 5.2% of landings in the same areas for these three fish species, respectively. Within the four ICES rectangles where grey seals foraged, overlap between seals and fisheries was greatest in rectangle 25E5 (72.7% of all foraging dives), where grey seals haul out, and less in rectangles 25E4 (11.7%), 26E5 (10.8%), and 26E4 (4.8%).
    Print ISSN: 1054-3139
    Electronic ISSN: 1095-9289
    Topics: Biology , Geosciences , Physics
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  • 3
    Publication Date: 2019-10-04
    Description: Since 2004, several hundreds of diving marine animals, mainly Antarctic and Arctic seals, were fitted with a new generation of Argos-CTD tags developed by the Sea Mammal Research Unit of the University of St. Andrews in Scotland. These tags can be used to investigate simultaneously the at-sea ecology of these animals while collecting valuable oceanographic data. Some of these species are able to travel thousands of kilometres, continuously diving to great depths (590 ± 200 m, with maxima around 2000m). Through the years, these animals have become an essential source of temperature and salinity profiles (MEOP-CTD database available at http://www.meop.net), especially for the polar oceans, complementing efficiently the Argo array. One region where the use of instrumented seals has been particularly successful is the Antarctic continental shelf. Recent contributions to the study of the Antarctic Bottom Water production area near Prydz Bay, the rapidly-thinning ice shelves in Amundsen Bay, or the stratification in the marginal ice zone, are demonstrating the rapidly growing value of these data for Polar Research.
    Repository Name: EPIC Alfred Wegener Institut
    Type: Conference , notRev
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