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Canterbury Christ Church University is an Anglican new university in Canterbury, Kent, England. Founded as a Church of England college for teaching training in 1962, it has grown to full university status and celebrated its 50th anniversary in 2012.The focus of its work is in the education of people going into public service. The university retains its status as a Church of England foundation. It is also known as England's "missionary university".The university has developed rapidly since its inception in 1962 and now has nearly 20,000 students based at campuses across Kent, in Canterbury, Broadstairs, Folkestone, Medway and Tunbridge Wells. As well as being the largest centre of higher education in Kent for the public services – notably teacher training, health and social care and the emergency services – the university also offers academic and professional programmes, including credit-bearing higher education entry certificates, doctorates and research degrees. Policing and law courses have also been delivered both for UK and overseas law enforcement agencies. The university gives academic validation to ordination and post-ordination training courses for Anglican clergy delivered by the Canterbury and Rochester dioceses. Wikipedia.

Background: Self-care is a key principle in the management of chronic heart failure (HF). The common sense model (CSM) of illness cognitions and behaviour provides a theoretical framework within which relationships between beliefs and behaviour can be examined. Aim: The aim of this study was to determine relationships between illness representations, treatment beliefs and the performance of self-care in community HF patients. Methods: A cross-sectional survey was carried out in 169 patients with HF in South East England. Illness representations, treatment beliefs and self-care were measured using an adapted Revised Illness Perception Questionnaire (IPQ-R); the Beliefs about Medicines Questionnaire (BMQ) and the Looking After Yourself with Heart Failure Questionnaire (LAYHFQ), according to the CSM. Relationships between these specific concepts were determined using Pearsonfs correlation co-efficients (r) and stepwise multiple regression. Results: Perceived medication knowledge (r=0.51, p≤0.01), beliefs about the necessity of medication (r=0.45, p≤0.01) and illness coherence (r=0.39, p≤0.01) were moderately correlated with self-care. Multiple regression analysis revealed that 46% of the variance in self-care could be explained by illness representations and treatment beliefs (adjusted R2=0.46, F=9.93, p=0.00). Three factors were significant predictors of self-care . medication knowledge (β=0.319, p=0.003), a belief in the illness having serious consequences (β=0.258, p=0.008) and the impact of medication use on lifestyle (β= .0.231, p=0.03). Conclusion: Illness representations and treatment beliefs should be explored in patients with HF in order to inform the development of targeted interventions designed to correct misconceptions and enhance self-care. This has the potential to improve clinical outcomes in this population. © 2013 The European Society of Cardiology. Source

Iannacci F.,Canterbury Christ Church University
European Journal of Information Systems

Drawing on the notion of information infrastructure as a relational concept, this paper endeavours to highlight the links between data standards and institutional facts. Although social science studies have emphasised the interplay between socio-technical factors, the author suggests that such approaches have overlooked the role that institutional facts play in the development of information infrastructures. An in-depth, qualitative case study of a recent episode of institutional change within the criminal justice system of England and Wales reveals how institutional facts are entangled with data standards through iterative sets of constitutive rules that are mirrored by their associated logical messages in an isomorphic fashion.© 2010 Operational Research Society Ltd. All rights reserved. Source

Nicoll R.,Canterbury Christ Church University | Henein M.Y.,Umea University
International Journal of Cardiology

There is a significant relationship between the presence, extent and progression of coronary artery calcification (CAC) and cardiovascular (CV) events and mortality in both CV and renal patients and CAC scoring can provide improved predictive ability over risk factor scoring alone. There is also a close relationship between CAC presence and atherosclerotic plaque burden, with angiography studies showing very high sensitivity but poor specificity of CAC score for predicting obstructive disease. Nevertheless, there are objections to CAC screening because of uncertainties and lack of studies showing improved outcome. Furthermore, histopathology studies indicate that heavily calcified plaque is unlikely to result in a CV event, while the vulnerable plaque tends to be uncalcified or 'mixed', suggesting that calcification may be protective. This scenario highlights a number of paradoxes, which may indicate that the association between CAC and CV events is spurious, following from the adoption of CAC as a surrogate for high plaque burden, which itself is a surrogate for the presence of vulnerable plaque. Since studies indicate that arterial calcification is a complex, organised and regulated process similar to bone formation, there is no particular reason why it should be a reliable indicator of either the plaque burden or the risk of a future CV event. We suggest that it is time to divorce arterial calcification from atherosclerosis and to view it as a distinct pathology in its own right, albeit one which frequently coexists with atherosclerosis and is related to it for reasons which are not yet fully understood. © 2013 Elsevier Ireland Ltd. All rights reserved. Source

Bazanova O.M.,Russian Academy of Medical Sciences | Vernon D.,Canterbury Christ Church University
Neuroscience and Biobehavioral Reviews

Exploring EEG alpha oscillations has generated considerable interest, in particular with regards to the role they play in cognitive, psychomotor, psycho-emotional and physiological aspects of human life. However, there is no clearly agreed upon definition of what constitutes 'alpha activity' or which of the many indices should be used to characterize it.To address these issues this review attempts to delineate EEG alpha-activity, its physical, molecular and morphological nature, and examine the following indices: (1) the individual alpha peak frequency; (2) activation magnitude, as measured by alpha amplitude suppression across the individual alpha bandwidth in response to eyes opening, and (3) alpha "auto-rhythmicity" indices: which include intra-spindle amplitude variability, spindle length and steepness.Throughout, the article offers a number of suggestions regarding the mechanism(s) of alpha activity related to inter and intra-individual variability. In addition, it provides some insights into the various psychophysiological indices of alpha activity and highlights their role in optimal functioning and behavior. © 2013 Elsevier Ltd. Source

Clatworthy J.,Canterbury Christ Church University
Journal of Affective Disorders

Background: Postnatal depression can have a major impact on the lives of women affected and on those around them. While effective treatments are available, it would be preferable to prevent the condition. The aim of this review was to examine the effectiveness of antenatal interventions designed to prevent postnatal depression in high-risk women. Methods: Randomised controlled trials of interventions to prevent postnatal depression delivered to high-risk women in pregnancy were identified through an electronic database search and a reference list search. Information regarding the selection criteria, content and delivery of the interventions was extracted and synthesised. Results: Eleven studies met the review inclusion criteria. Six described interventions that were significantly more effective in reducing the incidence and/or symptoms of postnatal depression than a control condition. Interventions were most likely to be effective when delivered to women who were depressed during pregnancy and when incorporating evidence-based psychological treatments for depression and addressing interpersonal difficulties. Limitations: It is possible that unpublished trials of antenatal interventions to prevent postnatal depression exist that were not detected. Due to the recognised publication bias, these studies may have been less likely to find a significant effect of antenatal interventions on postnatal depression. Conclusions: There is evidence to suggest that interventions delivered in pregnancy can be effective in preventing postnatal depression. However, these interventions may be better conceptualised as treatment than prevention as they were delivered to women experiencing antenatal depression. There is a need to identify pregnant women experiencing depression and deliver evidence-based psychological interventions. © 2011 Elsevier B.V. All rights reserved. Source

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