Interprofessional collaboration (IPC) has been shown to improve patient safety and quality of care. Particularly, IPC assists health care providers to manage complex and chronic diseases. To this end, primary care centers around the world have begun practicing IPC; however, little is known about the patient’s experience of IPC in primary care (IPC-pc). The goals of this scoping review were to identify the studies exploring patients’ perspectives on IPC-pc and to reveal gaps in the literature for future research in order to inform policy and practice. A key word search strategy was conducted using PubMed to identify studies published from 1997 to 2017 on IPC-pc that included data collected from patients or their caregivers about patient experience or satisfaction. Seven studies met the inclusion criteria for the scoping review, and these studies were evaluated by interprofessional intervention, collaboration, and outcomes.
Serious soil erosion occurred in the South Downs National Park, southern England in the years 1982-2006 and details of around 400 sites are contained in a database. In 2010 we revisited 85 of the most serious sites where erosion of >10m 3 ha -1 y -1 had been recorded in order to assess land use change and any conservation measures undertaken. At 79% of the sites land use change had resulted in a reduction in the risk of erosion, most notably at 28 sites with a shift to permanent grass from winter cereals. At only 21% of sites was the risk of erosion unchanged. Twenty two farmers responsible for 66 of the sites were interviewed. Land management practices had changed on all of the fields of interest to this study since the time of the serious erosion events, to those which have the potential to lower soil erosion risk. Sixteen interviewees claimed that erosion was a motivating reason for changing their practices, due to either experiencing on or on-and off-farm impacts firsthand (12), having knowledge or suspicion of serious erosion having occurred on their land prior to their management (three), or having no knowledge of any serious erosion on their land but just wanting to reduce overall erosion risk (one). Amongst the main changes reported are changes of land use from winter cereals to grass or to overwinter stubble which have undoubtedly reduced the risk of erosion. However, some changed practices claimed by farmers, such as along-the-contour-working, earlier sowing and the use of rollers may be of little value. Furthermore, deeper analysis of farmers' motivations regarding changes in land management practices suggests a complex picture in which a range of socio-economic influences come into play over time including financial incentives offered by agrienvironmental schemes which were found to be an important driver of change. Future changes in farming economics may therefore undermine the reduction in erosion risk in the longer term.
Mungbean [Vigna radiata (L.) Wilczek] is a short-duration and relatively drought-tolerant crop grown predominantly in the tropics. This grain legume can improve soil fertility through biological nitrogen (N) fixation. To assess the effects of Bradyrhizobium (group I) inoculation on yield and yield attributes of mungbean, a greenhouse study was conducted during Fall 2016 with two mungbean cultivars (‘Berken’ and ‘OK2000’), two inoculum treatments (inoculated and uninoculated), and two soil textures (loamy sand and silt loam). Pots were laid out in a completely randomized design and treatment combinations were replicated seven times. The main effects of cultivar and soil texture significantly (P ≤ 0.05) affected mungbean seed weight and plant residue mass. Seed yield (13%), plant residue (22%), and protein content (6%) of OK2000 were significantly higher than Berken cultivar. A 31% seed yield and 40% plant residue increase were recorded on silt loam soil compared to loamy sand soil. Significant increase in plant height (18%) and number of pods per plant (21%) were also recorded when mungbean plants were grown on silt loam compared to loamy sand soil. Bradyrhizobium inoculation significantly increased the number of pods per plant, the number of seeds per plant, and seed yield. [Cultivar × inoculation] and [cultivar × soil texture] interactions had significant (P ≤ 0.05) effects on number of seeds per pods and plant height, respectively. Understanding the agronomic practices and soil physical properties that may limit mungbean production could help in optimizing its establishment and growth in non-traditional growing areas.
There is currently much interest in overcoming the seasonality of sheep meat supplies in the UK and improving carcass quality. Towards that end, much research effort has been devoted to the development of techniques to induce early or out-of-season breeding in the ewe, but little attention has been paid to the male. Rams of most breeds show marked seasonal fluctuations In reproductive performance, with a depression in testis size, libido and semen quantity and quality during the spring and summer months and a period of high fertility in the autumn/winter, coinciding with the breeding season of ewes of the same breed. Problems of subfertllity which are frequently encountered following the use of various techniques to induce out-of-season breeding in the ewe may therefore be attributable, at least in part, to the ram. The choice of terminal sire for early lambing flocks is further compromised because some breeds of ram show later testicular recrudescence than others.
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