Titel: Vårdpersonalens erfarenheter av att använda vårdplanen Liverpool CarePathway (LCP) i palliativ vård - en litteraturstudieBakgrund: De senaste åren har det rapporterats mycket kring LCP, mestadelsnegativt. I några länder där vårdplanen LCP använts, ändras nu vårdplaner förpalliativ vård, däribland Sverige.Syfte: Denna litteraturstudie syftar till att beskriva vårdpersonalens erfarenheter avatt använda vårdplanen LCP.Metod: Åtta artiklar med kvalitativ ansats användes till litteraturstudien. Artiklarnasresultat lästes, analyserades och kategoriserades.Resultat: I litteraturstudiens resultat framkom två kategorier med sexunderkategorier: Möjligheter i användandet av LCP och Hinder i användandet avLCP.Konklusion: Det råder delade meningar om dokumentationen inom LCP.Vårdplanen upplevs fungera som ett bra stöd i palliativ vård, speciellt förnyutexaminerad vårdpersonal. Den förbättrade kommunikationen inom vårdteametbidrar till stärkt patientsäkerhet, medan bristande utbildning inom LCP kan leda tillatt patientsäkerheten inte kan garanteras.

Economic and demographic decline are significant factors in the generation of brownfield land. Small brownfield sites can create negative images of neighbourhoods, attracting anti-social behaviour and having detrimental effects on communities. This deters investment, creating a downward spiral of neglect and market failure. Despite the policy emphasis placed on reuse and removing the blight associated with brownfield sites, there is a paucity of studies relating to the issue of, a) small sites and b) specifically derelict sites. This leads to a lack of reliable data and problems for the evidence base which informs the development of policy. This study explores the effects of unenumerated small scale land dereliction on cities and communities in social and economic terms. The study takes a mixed methods approach including a three-tier case study focusing on the development of the derelict land issue in Liverpool. Liverpool is considered to be the most deprived local authority in England and has experienced long term demographic decline and depression and as such has a high proportion of derelict and vacant land. Despite being the focus of a plethora of regeneration initiatives, Liverpool still has a large number of derelict sites, the majority of which are smaller than 0.25 hectares.

This thesis interrogates the question ‘how does a local poet achieve connections in a context defined by difference?’ The creative practice section offers a collection of poetry written within given contexts, from specific places and emerging out of collaboration, commission and participative practice. Each project offers the difference anticipated by the research question. Therefore the context from which the poem emerged is made explicit to further support the argument. A local poet achieves connections in a context constituted by difference by using her imaginative capacities to produce virtual and emergent, yet real, material space. In Chapter One I define the creative process as that of ‘Local Poetics’ via a discussion of Heaney’s use of the term local poet and New-Materialist thought. I offer close readings of poems by Norman Nicholson, Adrian Henri and Barry MacSweeney to describe how the poem is a ‘local solution to a local problem’ and I present the history of participatory writing in Liverpool in relation to my own experience to support this idea. Chapter Two offers ‘case studies’ of my creative writing process to argue for ‘local poem as more than words’. The local poem emerges from multiple influences not all of them linguistic. In Chapter Three I extend this idea to consider how a local poet writes with their context not about it making poetry with the agency and affordances of materials. I conclude that connections are achieved by the local poet when multiple material trajectories acting on the sensate body become imaginative thought. In the process those material energies are transformed. Through intimate connection with an audience or reader the material process continues. I describe this activity as the work of the local poet.

Syfte: Att beskriva sjuksköterskors upplevelser av att vårda patienter i livets slutskede enligt en vårdplan utformad som en journal med riktlinjer för vård i livets slutskede, den så kallade Liverpool Care Pathway (LCP). Metod: Studien är utförd som en litteraturöversikt. Artiklarna söktes via databaserna CINAHL, PubMed, MedLine, SAGE Journals och Scopus. Tolv artiklar valdes ut för kvalitétsgranskning enligt en förutbestämd granskningsmall. Elva artiklar godkändes och utgjorde grunden för resultatet. Resultat: En tydlig effekt av införandet av LCP var att sjuksköterskorna upplevde ett ökat självförtroende och en ökad kunskap i vårdandet. Detta bidrog till förbättringar gällande symtomkontroll samt ifrågasättande av fortsatt rutinmässig behandling. LCP anågs vara en bra utgångspunkt för samtal och undervisning i möten med patienter och anhöriga. LCP upplevdes ge ramar och gemensamma utgångspunkter i teamarbetet runt patienten vilket bidrog till en bättre planering och tydligare mål i vårdandet. Trots alla positiva upplevelser kände en del sjuksköterskor att de kunde uppstå svårigheter i vårdandet enligt LCP. Brister i vårdmiljön ansågs av sjuksköterskorna göra att målen med vården inte kunde tillgodoses. Tidsbrist och underbemanning ledde ofta till att patienter i livets slutskede fick en lägre prioritet. Vidare ansågs kriterierna vara för hårda enligt vissa sjuksköterskor gällande införande av LCP.

University, Diss., 2007--Marburg.

Thesis (M.S.)--Auburn University, 2008. / Abstract. Vita. Includes bibliographical references (p. 65-69).

This thesis argues that clubs and associations provided a major arena for masculine social life in the period from 1800 to 1914. Using a range of sources from life writings and administrative records to photographs, drawings and buildings, the thesis presents a detailed picture of club life in the two provincial cities of Manchester and Liverpool. Examining the ways in which middle-class men wrote about associational culture, decorated their club houses and behaved in the company of other club men, the work highlights the complex and varied roles clubs and associations played in shaping masculinities. Club culture offered men the opportunity for homosocial friendship and fellowship, a respite from work but also access to business networks and political contacts. Above all, associational life allowed middle-class men to express their different tastes and identities, highlighting the diversity of masculine cultures in nineteenth-century provincial cities. The thesis explores the ways in which masculinity was constructed as a relationship between men in the context of the club, and reveals how the identity of the club man intertwined with his role at work and in the family. It argues that the function of the club shifted over the course of the male lifecycle, determined by a man's position as the head of a household and business. However masculine behaviour within the all-male association was also governed by its own codes of self-control; club life had no place for those men who drank too much, or failed in business. The buildings of nineteenth-century provincial club houses form an important part of this study. The work shows how the interiors of club buildings were decorated and arranged as a significant setting for male social life, and functioned as places where men could articulate and express their different identities via activities such as dining and smoking. The thesis also reveals how the architectural styles of the club buildings functioned as an outward expression of middle-class identity. By unpacking the different social, political and cultural influences which shaped the appearance of these institutions, it is argued that middle-class masculine culture in Manchester and Liverpool was diverse, fiercely independent and distinctive from the metropolis. Clubs and associations were not simply peripheral spheres for masculine social life, but major arenas in their own right.

TESIS PARA OPTAR AL GRADO DE MAGÍSTER EN FINANZAS / El objetivo de este informe, es presentar una valoración de la compañía de retail mexicana El Puerto de Liverpool SAB de CV. Nuestra valoración se traducirá en la estimación del precio de la acción de la compañía al día 30 de septiembre de 2017, que corresponde a la fecha de los últimos estados financieros disponibles de la compañía. El Puerto de Liverpool cuenta con dos series accionarias: Serie 1 y Serie C-1, siendo esta última la con mayor presencia bursátil y, por lo tanto, la que utilizaremos para realizar nuestra valoración. A la fecha de valoración, el precio de cierre en la Bolsa de Valores de México de la acción de Liverpool serie C-1 fue de $ 146,621. Esta valoración será realizada por el método de Flujos de Caja Descontados. Para este propósito, se ha procedido a analizar detalladamente la información anual y trimestral presentada por la compañía para los últimos 5 años, lo que incluye los estados financieros, además de otros datos e información relevante respecto a la evolución del negocio. Se investigó información relevante de la compañía y el negocio en el que se encuentra, se analizó su estructura de financiamiento y se determinó su estructura de capital objetivo. Luego, se estimó la tasa de costo de capital de la compañía. Posteriormente, fue realizado un detallado análisis financiero de la compañía, con el objetivo de proyectar su estado de resultados para los próximos 5 períodos y determinar su flujo de caja libre, para posteriormente realizar la valoración mediante flujos de caja descontados. Finalmente, y como resultado de nuestra valoración por flujos de caja descontados, se ha obtenido un precio objetivo estimado para la acción de Liverpool al 30 de septiembre de 2017 de $ 135,1, valor que resulta un 7,86% inferior al valor de la acción en el mercado.

Note:

Robert Banks Jenkinson, 2nd Earl of Liverpool KG (1770-1828), was First Lord of the Treasury and Prime Minister for almost fifteen years in the early nineteenth century. He survived in the premiership for longer than all but two of his predecessors and longer than all of his successors, at least so far. Liverpool is, however, one the most overlooked and underestimated of Prime Ministers. Norman Gash's book is the first and so far only modem biography of Liverpool. This study, however, is less than three hundred pages in length, is based on only seven of the hundreds of volumes of the Liverpool Papers in the custody of the British Library and is far from exhaustive in its use of printed sources. There is evidently considerable scope and need for further research on the subject of Liverpool's life and career especially during the period of his premiership and based on a trawl through all the manuscript sources now available. This doctoral dissertation seeks to examine Liverpool during his early premiership between 1812 and 1815, one of the least studied but most significant periods of both Liverpool's life and career, and his administration, from the point Liverpool succeeded to the highest office to the resettlement of Europe after the long war with France. The opening section aims to place Liverpool in his historical context. There is a particular emphasis here on an analysis of the political system that Liverpool was required to master. Liverpool's early life and career before he rose to the premiership is the focus of the next section. The main body of the thesis is divided into two parts. One part examines Liverpool during his early premiership in a mainly chronological style and is concerned almost entirely with the issues of war and peace, and the other part seeks to examine a number of major themes that are most satisfactorily looked at in isolation from the main narrative. For example, one chapter covers the premier's relationship with the monarchy.