Client self-assessment in community aged care: A comparative study involving older Australians and their case managers

Self-assessment of support needs is a relatively new and under-researched phenomenon in domiciliary aged care. This article outlines the results of a comparative study focusing on whether a self-assessment approach assists clients to identify support needs and the degree to which self-assessed needs differ from an assessment conducted by community care professionals. A total of 48 older people and their case managers completed a needs assessment tool. Twenty-two semi-structured interviews were used to ascertain older people’s views and preferences regarding the self-assessment process. The study suggests that while a co-assessment approach as outlined in this article has the potential to assist older people to gain a better understanding of their care needs as well as the assessment process and its ramifications, client self-assessment should be seen as part of a co-assessment process involving care professionals. Such a co-assessment process allows older people to gain a better understanding of their support needs and the wider community aged care context. The article suggests that a co-assessment process involving both clients and care professionals contains features that have the capacity to enhance domiciliary aged care

Solitary-wave description of condensate micro-motion in a time-averaged orbiting potential trap

We present a detailed theoretical analysis of micro-motion in a time-averaged orbiting potential trap. Our treatment is based on the Gross-Pitaevskii equation, with the full time dependent behaviour of the trap systematically approximated to reduce the trapping potential to its dominant terms. We show that within some well specified approximations, the dynamic trap has solitary-wave solutions, and we identify a moving frame of reference which provides the most natural description of the system. In that frame eigenstates of the time-averaged orbiting potential trap can be found, all of which must be solitary-wave solutions with identical, circular centre of mass motion in the lab frame. The validity regime for our treatment is carefully defined, and is shown to be satisfied by existing experimental systems.Comment: 12 pages, 2 figure

Self-consistent pedestal prediction for JET-ILW in preparation of the DT campaign

The self-consistent core-pedestal prediction model of a combination of EPED1 type pedestal prediction and a simple stiff core transport model is able to predict Type I ELMy (edge localized mode) pedestals of a large JET-ILW (ITER-like wall) database at the similar accuracy as is obtained when the experimental global plasma beta is used as input. The neutral penetration model [R. J. Groebner et al., Phys. Plasmas 9, 2134 (2002)] with corrections that take into account variations due to gas fueling and plasma triangularity is able to predict the pedestal density with an average error of 15%. The prediction of the pedestal pressure in hydrogen plasma that has higher core heat diffusivity compared to a deuterium plasma with similar heating and fueling agrees with the experiment when the isotope effect on the stability, the increased diffusivity, and outward radial shift of the pedestal are included in the prediction. However, the neutral penetration model that successfully predicts the deuterium pedestal densities fails to predict the isotope effect on the pedestal density in hydrogen plasmas

Time Dilation from Spectral Feature Age Measurements of Type Ia Supernovae

We have developed a quantitative, empirical method for estimating the age of Type Ia supernovae (SNe Ia) from a single spectral epoch. The technique examines the goodness of fit of spectral features as a function of the temporal evolution of a large database of SNe Ia spectral features. When a SN Ia spectrum with good signal-to-noise ratio over the rest frame range 3800 to 6800 A is available, the precision of a spectral feature age (SFA) is (1-sigma) ~ 1.4 days. SFA estimates are made for two spectral epochs of SN 1996bj (z=0.574) to measure the rate of aging at high redshift. In the 10.05 days which elapsed between spectral observations, SN 1996bj aged 3.35 $\pm$ 3.2 days, consistent with the 6.38 days of aging expected in an expanding Universe and inconsistent with no time dilation at the 96.4 % confidence level. The precision to which individual features constrain the supernova age has implications for the source of inhomogeneities among SNe Ia.Comment: 14 pages (LaTex), 7 postscript figures to Appear in the Astronomical Journa

Spectral Identification of an Ancient Supernova using Light Echoes in the LMC

We report the successful identification of the type of the supernova responsible for the supernova remnant SNR 0509-675 in the Large Magellanic Cloud (LMC) using Gemini spectra of surrounding light echoes. The ability to classify outbursts associated with centuries-old remnants provides a new window into several aspects of supernova research and is likely to be successful in providing new constraints on additional LMC supernovae as well as their historical counterparts in the Milky Way Galaxy (MWG). The combined spectrum of echo light from SNR 0509-675 shows broad emission and absorption lines consistent with a supernova (SN) spectrum. We create a spectral library consisting of 26 SNe Ia and 6 SN Ib/c that are time-integrated, dust-scattered by LMC dust, and reddened by the LMC and MWG. We fit these SN templates to the observed light echo spectrum using $\chi^2$ minimization as well as correlation techniques, and we find that overluminous 91T-like SNe Ia with \dm15<0.9 match the observed spectrum best.Comment: 12 pages, 18 Figures, to be published in Ap

People with dementia and carer preferences for home support services in early-stage dementia

OBJECTIVES: To examine people with dementia and carer preferences for home support attributes in early-stage dementia, building on the paucity of evidence in this area. METHOD: Preferences from 44 people with dementia and 103 carers, recruited through memory clinics and an online questionnaire, were assessed with a Discrete Choice Experiment survey, with attributes informed by an evidence synthesis and lay consultation. A conditional logit model was used to estimate preference weights for the attributes within a home support ‘package’. RESULTS: The most preferred attributes were support with personal feelings and concerns, provided by a trained counsellor at home (coefficient 0.67, p = <0.001) and information on coping with dementia, provided by an experienced worker at home (coefficient 0.59, p = <0.001). However, for people with dementia, opportunities for social and recreational activities were considered the most important (coefficient 0.48, p = <0.001). CONCLUSIONS: These preferences concur with emerging evidence on psychosocial interventions in dementia. Support with personal feelings, information and social engagement are important components. Additionally, knowledge of preferences of people with dementia and their carers can identify other attributes that may be important to effectiveness in ‘living well’ but for which there remains limited evidence