Telephone interviews with 380 discharged inpatients were conducted to identify environmental sources of satisfaction with the hospital, to determine the relative contribution of environmental satisfaction to overall satisfaction with the hospital experience, and to explore differences in satisfaction across 4 departments (medical, obstetrics, orthopedics, and surgical) and 6 hospitals. Analyses indicate that interior design, architecture, housekeeping, privacy, and the ambient environment were all perceived as sources of satisfaction. Environmental satisfaction was a significant predictor of overall satisfaction, ranking below perceived quality of nursing and clinical care. There were no significant differences between hospitals or departments in the level or sources of environmental satisfaction. Results suggest potential directions for architects, designers, and health care providers.

This paper sets up a framework for designing a massive multiple-input multiple-output (MIMO) testbed by investigating hardware (HW) and system-level requirements such as processing complexity, duplexing mode and frame structure. Taking these into account, a generic system and processing partitioning is proposed which allows flexible scaling and processing distribution onto a multitude of physically separated devices. Based on the given HW constraints such as maximum number of links and maximum throughput for peer-to-peer interconnections combined with processing capabilities, the framework allows to evaluate modular HW components. To verify our design approach, we present the LuMaMi (Lund University Massive MIMO) testbed which constitutes the first reconfigurable realtime HW platform for prototyping massive MIMO. Utilizing up to 100 base station antennas and more than 50 Field Programmable Gate Arrays, up to 12 user equipments are served on the same time/frequency resource using an LTElike Orthogonal Frequency Division Multiplexing time-division duplex-based transmission scheme. Proof-of-concept tests with this system show that massive MIMO can simultaneously serve a multitude of users in a static indoor and static outdoor environment utilizing the same time/frequency resource.

All participants had been greatly affected by the onset of the psychosis in their brother or sister. Most siblings did not identify themselves as carers, although most played a significant part in their brother's or sister's life. Participants wanted dynamic, robust and accessible services, especially information and peer support to meet their needs.

The growth of early intervention in psychosis services (EIPS) has prompted needed research to provide a robust evidence base to underpin practice. The typical service model embraces key psychosocial interventions, including family interventions. A literature review revealed a number of relevant studies that recognized the role of siblings in families affected by severe mental illness or mental impairment, but little was found about the impact of first-episode psychosis on siblings. To address this apparent oversight, we conducted a study to gain an understanding of sibling experiences. Ten siblings (ages 16 to 30) with a brother or sister diagnosed with first-episode psychosis took part in individual semi-structured interviews. The key findings were grouped in regard to emotional impact, relationships in the family, and siblings' roles and coping patterns. The study also revealed that families are able to identify positive gains out of a fundamentally negative experience.

ABSTRACT. This paper describes the method and results of a survey of aggressive behaviour amongst people with learning difficulties. The study was confined to a single health district in the South Western Region of the UK with a general population of about 370000. At the time of the survey, the Handicap Register for the district recorded 1362 people as having a learning difFiculty. The overall prevalence of aggressive behaviour amongst people with learning difficulties for whom base population data was available was 17.6%. The lowest rate was identified amongst day facilities (9.7 %) and the highest in hospitals within the district (38.2%). The prevalence rate amongst those attending schools for children with severe learning difSculties was 12.6%. Proportionately more males than females were reported to present problems of aggressive behaviour. The gender difference appeared to be largely accounted for by the disproportionate number of men identified within day facilities. There was no significant evidence of an association between the person's gender and the presence aggressive behaviour within schools or hospitals. The results indicated that, although physical and verbal aggression were the most frequently reponed behaviours, many of the sample were also said to engage in other forms of challenging behaviour, particularly self‐injurious, ritualistic, stereotypical and withdrawn behaviour. The risk of a serious or very serious injury to another person was very low; 0.7% or six people with learning difiSculties firom the district were reponed to be currently presenting such a risk. Similarly, only 2% of the base population (n=18) were reponed to be extremely difficult to manage. The implications of the findings are discussed.