The Fight to Eliminate Blight Continues

first_img Governmental Measures Target Expanded Access to Affordable Housing 2 days ago  Print This Post The Fight to Eliminate Blight Continues in Daily Dose, Featured, Foreclosure, News Demand Propels Home Prices Upward 2 days ago Related Articles Demand Propels Home Prices Upward 2 days ago Tagged with: Blight Ohio TARP Troubled Asset Relief Program Vacant and Abandoned Properties Subscribe Data Provider Black Knight to Acquire Top of Mind 2 days ago While a fast track foreclosure bill aimed at eliminating blight awaits a vote in the Ohio State Senate, the U.S. Senate in Ohio has taken action.U.S. Senator Sherrod Brown (D-Ohio) has announced that following his urging, Ohio will receive $97.6 million in federal funding and is eligible to receive another quarter of a billion in order to prevent the spread of blight and help rebuild communities that were devastated by the foreclosure crisis.The new federal funding is part of the additional $2 billion in Troubled Asset Relief Program (TARP) funding announced by the U.S. Department of Treasury on February 19 for the Hardest Hit Fund (HHF). It is also part of a $2 billion investment Brown secured in December in order to bolster the HHF as part of the year-end government funding bill, according to an announcement from Brown.“This new funding will go a long way toward helping Ohio communities and homeowners that are still recovering from the devastation of the foreclosure crisis,” said Brown, ranking member of the U.S. Senate Committee on Banking, Housing, and Urban Affairs. “When one home is foreclosed on or abandoned, it has a ripple effect that hurts the value of other homes in the neighborhood. Getting rid of abandoned properties helps to strengthen neighborhoods and reduce crime. I will continue fighting to ensure that Ohio gets its fair share of resources through the Hardest Hit Fund.”“Getting rid of abandoned properties helps to strengthen neighborhoods and reduce crime.”U.S. Senator Sherrod BrownOhio will be awarded a direct infusion of $97.6 million from the HHF to put toward foreclosure mitigation and blight demolition. In addition, the Ohio Housing Finance Agency (OHFA) is eligible to apply for another $250 billion through the HHF. Since 2010, largely through Brown’s efforts, the HHF has awarded more than $570 million to Ohio, which has helped nearly 25,000 homeowners in the state. OHFA has until March 11, 2016 to apply for the additional funding. Along with the additional TARP funding announced by Treasury last month, Treasury also announced that it is extending the drawdown date for the funding from 2017 to 2020.The subject of eliminating blight by reducing the amount of time that properties stay vacant was called an “issue of national concern” by Five Star Institute President and CEO Ed Delgado due to the potential of vacant properties to attract squatters, vandalism, and violent crime. Last month, Delgado met with HUD Secretary Julián Castro to discuss the issue. In November 2015, Delgado delivered opening remarks and moderated two panels—one on transforming blighted communities—at the National Property Preservation Conference (NPPC) in Washington, D.C. In his opening remarks at the NPPC, Delgado called for national solutions for what the vacant and abandoned properties issue and praised Ohio State Bill H.B. 134, a fast-track foreclosure bill aimed at expediting the foreclosure crisis.The bill passed in the Ohio House by a unanimous vote in November and is currently awaiting a vote in the Ohio State Senate. Delgado called Ohio State Bill H.B. 134 “an important template towards the introduction of a national course of solution for vacant and abandoned properties.” Brian Honea’s writing and editing career spans nearly two decades across many forms of media. He served as sports editor for two suburban newspaper chains in the DFW area and has freelanced for such publications as the Yahoo! Contributor Network, Dallas Home Improvement magazine, and the Dallas Morning News. He has written four non-fiction sports books, the latest of which, The Life of Coach Chuck Curtis, was published by the TCU Press in December 2014. A lifelong Texan, Brian received his master’s degree from Amberton University in Garland. Previous: Freddie Mac Prices Credit Risk Transaction at Nearly a Half Billion Dollars Next: Ohio Supreme Court Closes Door on Mortgage Avoidance Actions March 10, 2016 1,423 Views center_img The Week Ahead: Nearing the Forbearance Exit 2 days ago Governmental Measures Target Expanded Access to Affordable Housing 2 days ago About Author: Brian Honea Blight Ohio TARP Troubled Asset Relief Program Vacant and Abandoned Properties 2016-03-10 Brian Honea Servicers Navigate the Post-Pandemic World 2 days ago The Best Markets For Residential Property Investors 2 days ago Home / Daily Dose / The Fight to Eliminate Blight Continues Share Save Data Provider Black Knight to Acquire Top of Mind 2 days ago The Best Markets For Residential Property Investors 2 days ago Sign up for DS News Daily Servicers Navigate the Post-Pandemic World 2 days agolast_img read more

ED & Medical Assessment Unit at LUH ‘extremely busy’

first_img By News Highland – May 27, 2019 Journey home will be easier – Paul Hegarty Facebook Facebook Twitter Google+ WhatsApp Homepage BannerNews Google+ ED & Medical Assessment Unit at LUH ‘extremely busy’ Twitter Pinterestcenter_img Previous articleReflect on the 2019 Local and European ElectionsNext articleHarps back at the Brandywell for EA Sports Cup quarter-final News Highland WhatsApp Pinterest Arranmore progress and potential flagged as population grows Harps come back to win in Waterford RELATED ARTICLESMORE FROM AUTHOR Letterkenny University Hospital is the second most overcrowded hospital in Ireland today with 40 people awaiting admission there this morning.10 people were trolleys in its Emergency Department.Management at the hospital has stated that both the ED and the Medical Assessment Unit are extremely busy and are advising members of the public to only attend the hospital in the case of real emergencies.The hospital has admitted a significant number of ill patients recently, many of whom remain in the ED and in the Medical Assessment Unit awaiting a bed.A number of beds are closed to admissions in Medical Ward 5 as part of ongoing control measures following cases of CPE on the ward and this is contributing to longer waits for patients who need to be admitted.As a result, members of the public are asked to contact their GP or GP Out-of-Hours service in the first instance.Patients attending ED are prioritised, with urgent cases treated first.Management at the hospital have apologised for the distress or inconvenience caused to patients who are experiencing long wait times. News, Sport and Obituaries on Monday May 24th Important message for people attending LUH’s INR clinic DL Debate – 24/05/21 last_img read more

Dangerous flash flooding hits Washington DC during morning commute

first_imgstefanofiorentino/iStock(WASHINGTON) — A dangerous flash flood emergency hit Washington D.C. during the Monday morning commute.With up to three inches of heavy rain falling in the region, the National Weather Service said the area was already seeing significant flash flooding.“Travel will be EXTRAORDINARILY dangerous,” the National Weather Service warned on Twitter. “Stay out of low areas, if in a low area that may flood, seek higher ground. Stay off the roads if at all possible. This is not the ‘usual’ flooding.” Just peering off the terrace of my ark … er ART Transit bus.— Lauren Boyer (@laurenboyer) July 8, 2019 @capitalweather Four Mile Run is officially raging #Alexandria— A & V Massaro (@MassaroXV) July 8, 2019 Water Rescue – Tuckerman Lane near Post Oak Drive, Potomac, Road CLOSED, several people removed from vehicles— Pete Piringer (@mcfrsPIO) July 8, 2019center_img A school bus full of children drives through a flooded Glen Rd. in Montgomery County, MD. @mcpnews @mcfrsPIO— Sam Sweeney (@SweeneyABC) July 8, 2019 If you are in this FLASH FLOOD EMERGENCY area, travel will be EXTRAORDINARILY dangerous, including washouts, #flooding over roads. Stay out of low areas, if in a low area that may flood, seek higher ground. Stay off the roads if at all possible. This is not the “usual” flooding.— NWS DC/Baltimore (@NWS_BaltWash) July 8, 2019The downpour even appears to have affected the White House basement.The weather has halted Amtrak trains traveling south of D.C.The flooding comes as a new storm system develops in the Rockies, which will move east Monday.The biggest threat with these storms Monday will be damaging winds, large hail and an isolated tornado.On Tuesday, severe storms will move into the western Great Lakes and Upper Midwest, where damaging winds, hail and an isolated tornado are all possible.Severe storms will move into the Midwest and the central Great Lakes on Wednesday, including major cities like Chicago and St. Louis. The major threats with these storms will be damaging winds and large hail, but an isolated tornado cannot be ruled out.Copyright © 2019, ABC Radio. All rights reserved.last_img read more

CPD: Occupational health’s role following a diagnosis of type 2 diabetes

first_img As our workforce ages and becomes more sedentary, type 2 diabetes is increasingly prevalent. As Soroyo Barnes and Anne Harriss outline, this makes it vital that, following a diagnosis, effective and proactive support is available from occupational health.This case study evaluates how occupational health (OH) supported Patrick (a pseudonym), a 55-year-old man employed full time as a carpenter and newly diagnosed with type 2 Diabetes Mellitus (T2DM). It explores the correlative effects of T2DM on Patrick’s work performance; including assessments of the work environment, fitness to work, and the collaborative process using a bio-psycho-social approach to facilitate him to continue in employment.Type 2 Diabetes Mellitus (T2DM) is a long-term condition characterised by the body’s inability to use insulin correctly. People with T2DM produce insulin but the body cannot use it properly – insulin resistance.About the authorsSoroyo Barnes is an occupational health adviser and Anne Harriss is professor in occupational health and course director, Occupational Health Nursing and Workplace Health Management Programmes at London South Bank UniversityInitially, the body produces more insulin to override the resistance until, ultimately, there is a resulting insulin insufficiency. This combination of insulin resistance and insulin insufficiency leads to a T2DM diagnosis (Downis, 2015). T2DM is most common in middle-aged or older people and often linked to lifestyle choices (Fit for Work, 2017). The main risk factor is being overweight (National Institute for Health and Care Excellence, 2013).Patrick, a non-smoker, had been employed as a carpenter for 25 years on a full-time basis and was diagnosed with T2DM six months previously. No further medical history was reported.Given the increasing prevalence of this condition within an ageing workforce (Tobias, 2011) the need for effective health interventions is vital. Since 1996 the number of people with diabetes in the UK has more than doubled from 1.4 million to 3.5 million. By 2025, it is estimated that this will increase to five million (Diabetes UK, 2018).It is associated with the risk of microvascular damage, including retinopathy, nephropathy and neuropathy, increased risk of macrovascular complications (ischaemic heart disease, stroke and peripheral vascular disease), and diminished quality of life (World Health Organization, 2018). Fatigue, resulting from diabetes can be particularly debilitating impacting work performance.Patrick reports sometimes finding it difficult to concentrate at work, often feeling sluggish. Fatigue is frequently a significant issue for people with diabetes; they report it twice as often as non-diabetics (Weijman, 2003).Functional assessmentAn OH functional assessment is performed to determine an employee’s current physical capability to perform physically active work duties, to establish the job task/s they can perform, to know they can conduct their job safely, return to work, or even gain new employment (Healthy Work, 2017).This is further supported by Soer (2008), who proposes these assessments provide an evaluation of capacity of activities and used to make recommendations for work participation, while considering the person’s body functions, structures, environmental factors, personal factors and health status. For employees working with chronic diseases, optimising their health and avoiding unemployment is crucial since they are often associated with social deprivation and worsening health (Black, 2018; Waddell and Burton, 2006).Biopsychosocial model of assessmentEngel’s biopsychosocial model (1977) of health and illness links interactions between biological, psychological, and social factors that determine the cause, manifestation, and outcome of wellness and disease. This and Watson’s (2010) biopsychosocial flag model have proven significance and underpinned the functional assessment, as it takes a multi-faceted view of the individual in relation to health and recovery compared to medical models.Evidence suggests people with diabetes are two to three times more likely to have depression than the general population (Fenton and Stover 2006; Simon et al 2007; Vamos et al 2009), therefore it is important to remain cognisant of this and offer support to empower individuals to remain in work despite living with a long- term condition such as diabetes.The extent of fitness or impairment must be gauged in terms of the demand of their work tasks Murugiah et al. (2002). Their framework for assessing fitness to work, incorporates four main aspects: personal aspects, work characteristics, work environment and legal aspects.This guided the case management of Patrick within the OH context, as it encourages a holistic approach of each individual employee. Everton et al (2014) emphasises that understanding the client’s job role is key to functional assessments.With reference to Watson’s (2010) model, Patrick reported a heavy workload (black flag), his role being demanding with both physical and psychological challenges leading to him feeling stressed (blue, yellow and orange flags) across his eight to 10 hours working day. His job tasks included working with machinery and moving and handling varying loads. It was vital for OH to assess how diabetes may impact on Patrick.As wellbeing is determined by the physical, social and psychological environment that an employee works in, it follows that when this balance is disturbed this will impact on the health and wellbeing of that workforce too (Dodge et al, 2012).Patrick was well experienced in the construction industry having transferrable skills, should he require temporary redeployment to another work area within the company whilst his health needs are managed.He reports that his diet has not been great since his wife passed away. He reports being unable to cook healthy meals due to shift demands and cites commute to and from work as a hindrance to lifestyle adjustments, such as exercising.Patrick reported sleep disruption managing only four to six hours each night. Regularly sleeping less than seven hours a night is associated with impaired immune function, obesity, type 2 diabetes mellitus, hypertension, cardiovascular disease, stroke and depression (Consensus Panel, 2015; Medic, 2017). These are relevant to successful diabetes management and can be detrimental to health outcomes and well-being and relevant to Patrick whose job includes significant physical demands.Patrick’s Body Mass Index was above 30, indicative of obesity, which is often associated with type 2 diabetes. As Patrick is at greater risk of cardiovascular disease and diabetes complications (National Institute for Health and Care Excellence, 2017) he was given lifestyle advice at the consultation, including the importance of losing weight, regular exercising and modifying his eating habits. He was encouraged to enquire about exercise on prescription from his GP and a referral to the Diabetes dietitian for individually tailored support was recommended.Patrick’s psychological wellbeing assessment was achieved using the PHQ9 and GAD7 tools. Addressing the psychological needs of people with diabetes can improve clinical outcomes, quality of life, relationships with healthcare professionals and carers, dietary control and overall prognosis (NHS Diabetes and Diabetes UK 2010; Alum et al 2008). Patrick actively engaged with the assessment and accessed support options available to him aiming to improve his functional capacity.Assessing risk at workSection 2 of the Health and Safety at Work Act (1974) states that employers have a general duty of care to ensure (so far as is reasonably practicable) the health, safety and welfare of all their employees. The starting point is to assess the risks and if the risk assessment is carried out properly it will show where there is a significant residual risk to health even after reasonably practicable control measures have been applied (Health and Safety Executive, 2007).Patrick revealed his employer was unaware of his diagnosis. An important factor in assessing fitness for task is cognizance of the requirements of the Equality Act (2010) that imposes a duty on employers to make reasonable adjustments and provide legal defence against discrimination on the grounds of disability, including disability relating to diabetes. Employers must assess risks posed to their workers and, where necessary, take action to safeguard health and safety achieved by undertaking comprehensive risk assessments (Institution of Occupational Safety and Health 2018).Some workers have reported workplace discrimination due to having diabetes. Diabetes UK (2018) suggest that a third of people living with diabetes have received a lack of support and understanding from colleagues. Patrick was reassured of his protected rights against discrimination due to his diagnosis and given the opportunity to make the informed decision to disclose this to his employers. He consented to this being disclosed in the OH report to his manager with recommendations for current and future management.Patrick reported feeling pressured to meet deadlines, resulting in him missing meals putting him at risk of hypoglycaemia detrimental to his health and job role which entails both working at heights and manually handling heavy loads. Although not disclosing that Patrick was diabetic, OH ensured on-site first aiders could recognise and treat diabetic emergencies should they occur.Working at height remains a major cause of fatalities and major injuries (Health and Safety Executive, 2017). Patrick’s manager was advised to update previous risk assessments he confirmed that Patrick had received recent manual handling training. It was recommended that working at heights should be avoided until his diabetes has been sufficiently stabilised and that Patrick should recognise any physical limitations and prioritise his breaks moving away from his immediate working environment entirely.He lives alone and is largely independent with daily tasks such as shopping and personal care. He has supportive children and a friend close by who support him with tasks at home. His working within a wider team provided the opportunity for Patrick to receive support such as task re-allocation when needed including those requiring working at heights.Patrick’s work tasks involved the risk of injury from handling tools or from loose objects. Mousley (2003) refers to longer wound healing times in people with diabetes making and increased susceptibility to complications. Patrick was therefore advised to wear strong, thick gloves when handling sharp objects to reduce this risk.Patrick has been prescribed metformin to be taken three times a day with meals. Metformin. This biguanide works by increasing muscle cell sensitivity to insulin so that they are more effective in removing sugar from the blood. It also reduces the amount of sugar produced by liver cells and delays the post-prandial absorption of sugar from the intestines into the bloodstream reducing less of a spike in blood sugar levels after meals. It is the first medicine usually recommended to treat type 2 diabetes. This is indicative as he is overweight, and metformin should not cause additional weight gain but may cause mild side effects, including nausea and diarrhoea (NHS Choice, 2009).Patrick reports that he often forgets to take his medication or takes them without food. He was advised on strategies to help him to remember such as setting alarms. The importance of taking metformin with food was discussed and the implications of non-compliance were highlighted. It was suggested to Patrick that he be referred to a diabetes specialist nurse for ongoing support. Recommendation to his employer included giving Patrick time off to attend appointment.As T2D is a progressive condition, Patrick may eventually need to commence on insulin medication, usually in the form of injections. A future risk assessment may need to take this in consideration and require further OH input.Support for employee to stay in workPatrick’s manager was supportive upon being informed of Patrick’s diagnosis, an important factor as manager behaviour influences employee wellbeing (Chartered Institute of Personnel and Development (CIPD) (2009).According to the Centre for Ageing Better (2018), two in five people with a health condition do not receive workplace support. They suggest that early access to support, empathetic management with small adjustments to working patterns and the working environment facilitate people with long-term conditions to remain in employment for longer.As Patrick reported sleep difficulties, he was provided with contact details for his local Improving Access to Psychological Therapies (IAPT) service offering Cognitive Behaviour Therapy (CBT) and self- management courses. Cognitive behavioural therapy for insomnia (CBT-I) is effective for adults with persistent insomnia (Trauer, 2015).CBT-I addresses underlying problems without the risks of medication (Reynolds, 2017), aiming to examine and change the individual’s beliefs and attitudes about insomnia and is combined with a behavioural intervention (National Institute of Clinical Excellence 2015). Patrick’s employer provided proactive support, inviting a sleep specialist on site to discuss sleep management.Diabetes is likely to be considered a disability under the Equality Act (2010), which defines disability as a physical or mental impairment with a substantial long-term negative effect on a person’s ability to perform day-to-day activities. Although whether this Act applies is ultimately a judicial matter and not an OH decision (Kloss and Ballard, 2012), making reasonable adjustments enabled Patrick to continue in his role as far as practicable (Smedley et al, 2013) is good practice.The management of Patrick’s case demanded active collaborative approaches involving the OH adviser, line manager, HR and Patrick’s GP. Recommendations for managing T2DM were focused on patient education, dietary advice, managing cardiovascular risk, managing blood glucose levels, and identifying and managing longterm complications (National Institute of Clinical Excellence, 2017).Patrick did not self-monitor his blood glucose at home and had limited knowledge regarding self- management of diabetes (yellow flag), progression and possible implications to start with. OH supported Patrick by collaborating with his GP, and his employer to facilitate Patrick to attend the Diabetes Education and Self Management for Ongoing and Newly Diagnosed (DESMOND) self-management programme.Fitness to workPatrick was declared fit for his role, provided appropriate adjustments were instituted ameliorating functional barriers identified at the assessment. The government recognises the need to encourage employers to implement reasonable adjustments in the workplace and to enable an ageing workforce to remain economically active (Department for Work and Pensions, 2014).Collaborative working throughout each stage of the process and in compliance with ethical guidelines (Nursing and Midwifery Council (NMC), 2015) is essential. Ensuring no harm, access to diabetes services set out in the National Institute of Clinical Excellence (NICE) guidelines, such eye screening and being given access to a diabetes dietitian was expedited for Patrick at the point of OH contact.Diabetes is an increasingly common life-long condition with significant physical, psychological and behavioural implications. Self-management can be complex and challenging. Collaborative approaches to care between healthcare professionals and patients are essential to promote self-management skills. Evidence suggests that, with effective education and support, these skills can be developed and strengthened, even among those initially less confident, less motivated or with low levels of health literacy (Hibbard and Greene, 2013).OH monitored Patrick regularly over a 12-week period. His GP updated blood tests, and he received support from a diabetes specialist dietitian and specialist nurse, achieving the joint OH/employee goal of ensuring Patrick received the necessary monitoring and education. This illustrates the importance of health promotion with a proactive OH service. It also proves that timely, effective collaboration among experienced professionals can achieve positive health outcomes.OH nurses are well placed to promote easy-to-understand and achievable behavioural change within the workforce (NMC, 2015). OH monitored Patrick at reviews for adherence and safety reasons and he received continued assessment of fitness for work. This improved his knowledge and brought about a noticeable change in HbA1c and blood glucose readings (compared to results at the start), he attended podiatry screening and vision testing which showed no abnormalities.ConclusionDiabetes can have devastating impacts on individuals both within and beyond the workforce. Given its prevalence, it is imperative that OH is actively at the forefront of workforce health promotion and ill health preventative practice. OH practitioners must develop leadership roles to embrace opportunities that influence service change and development to meet business needs on a strategic level particularly with regards to supporting employees with long-term conditions.These are likely to become more prevalent within an ageing workforce and an increasing age at which employees qualify for a state pension.ReferencesAdvisory, Conciliation and Arbitration Service (2011) “The employment relations of an ageing workforce”. Available at: Alum, R, Sturt, J Lall, R and Winkley, K. (2008) ‘An updated meta-analysis to assess the effectiveness of psychological interventions delivered by psychological specialists and generalist clinicians on glycaemic control and on psychological status’. Patient Education and Counselling, vol 75, no 1, pp 25–36Black, DC (2008) Dame Carol Black’s review of the heath of Britain’s working age population – working for a healthier tomorrow. London: Department for Work and Pensions and the Department of HealthCentre for Ageing Better (2018) Health warning for employers: supporting older workers with health conditions. Available at: Institute of Personnel and Development (2009) Absence Management Annual Survey report. July 2009Consensus Conference Panel (2015) “Recommended amount of sleep for a healthy adult: a joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society”. Journal of Clinical Sleep Medicine, vol.11, pp. 591–592Department for Work and Pensions (2014). “Fuller working lives: a framework for action”. London: Department of Work and PensionsDiabetes UK. (2018) “Diabetes Prevalence”. Available at: Dodge, R et al (2012) “The challenge of defining wellbeing”, International Journal of Wellbeing; 2(3), pp.222-235Downis, S. (2015) “Type 2 diabetes: prevention, diagnosis and management”. Nursing Times; 111: 10, 14-15Engel, GL (1977) “The need for a new medical model: a challenge for biomedicine”, Science, 196 (4286), pp. 129-136Equality Act. (2010) c. 15. London: The Stationery OfficeEverton, S, Mogford, S, Romano-Woodward, D, and Thornbory, G. (ed). (2014) “Health assessment, case management and rehabilitation”, in: Thornbory, G. (ed). Contemporary Occupational Health Nursing. Abingdon: Routledge, pp. 98-119.Fenton, W.S. and Stover, E.S. (2006) “Mood disorders: cardiovascular and diabetes comorbidity”. Current Opinion in Psychiatry, vol 19, no 4, pp 421–7Fit for work. (2017) “Diabetes and how it can affect a person at work”. Available at: Grifiths, E. (2010) “Line managers and occupational health”. Personnel Today. Available at: and Safety at Work etc. Act 1974.Health and Safety Executive. (2007) “Occupational Health Standards in the Construction Industry”.Health and Safety Executive. (2017) “Working at Height”. Available at: Healthy Work. (2017) “Functional Capability Evaluation”. Available at: Hibbard, J.H. and Greene, J. (2013). “What the evidence shows about patient activation: better health outcomes and care experiences; fewer data on costs.” Health Affairs (Millwood)Institution of Occupational Safety and Health. (2018) “Diabetes”. Leicestershire: IOSH.Kloss, D and Ballard, J. (2012). “Discrimination law and occupational health practice”. Barnet: The at Work Partnership.Medic, G, Wille, M, and Hemels, ME. (2017). “Short- and long-term health consequences of sleep disruption”. Nature and Science of Sleep, vol. 9, pp. 151-61Mousley, M. (2003) Diabetes and its effect on wound healing and patient care. Nursing Times. 99, (42), Pg. 70Murugiah, S, Thornbury, G, and Harriss, A. (2002) “Asessment of fitness”. Occupational Health, 54 (4), pp. 26-31National Institute of Clinical Excellence (2013) “BMI: preventing ill health and premature death in black, Asian and other minority ethnic groups”. (PH46)National Institute of Clinical Excellence (2015) “Clinical Knowledge Summary: Insomnia”. NICE London. Available at: Institute of Clinical Excellence (2017) “Type 2 diabetes in adults: management”. NICE London. [NG28] NHS Diabetes and Diabetes UK (2010) “Emotional and Psychological Care and Treatment in Diabetes”. London: Diabetes UKNHS Choice. (2009) “Type 2 Diabetes”. Available at: and Midwifery Council (2015). “The code: professional standards of practice and behaviour for nurses and midwives”. London: NMC.Office for National Statistics (2017). “Sickness absence in the labour market 2016: Analysis describing sickness absence rates of workers in the UK labour market”. United Kingdom.Reynolds, SA, and Ebben, MR. (2017). “The Cost of Insomnia and the Benefit of Increased Access to Evidence-Based Treatment”. Sleep Medicine Clinics, vol. 12 pp. 39 – 46.Royal College of Nursing (2011). “Occupational health nursing: career and competency development”.Smedley, J, Finlay, D and Sadhra, S. (2013) Oxford handbook of OH. 2nd ed. Oxford: Oxford University Press.Soer, R, Groothoff, JW, Geertzen, JHB, Van der Schans, CP, Reesink, DD and Reneman, ME (2008). “Pain response of healthy workers following a functional capacity evaluation and implications for clinical interpretation”. Journal of Occupational Rehabilitation, vol.18(3), pp.290-298Simon, GE, Katon, WJ, Lin, EHB, Rutter, C, Manning, WG, Von Kroff, M, Ciechanowski, P, Ludman, EJ, and Young, BA (2007) .”Cost-effectiveness of systematic depression treatment among people with diabetes mellitus”. Archives of General Psychiatry, vol 64, no 1, pp 65-72Tobias, M. (2011). “Global control of diabetes: information for action”. Lancet; 378, pp.3-4Trauer, JM, Qian, MY, Doyle, JS. et al (2015) “Cognitive behavioral therapy for chronic insomnia: a systematic review and meta-analysis”. Annals of Internal Medicine, vol. 163, pp. 191-204Vamos, EP, Mucsi, I, Keszei, A, Kopp, MS, and Novak, M. (2009). “Comorbid depression is associated with increased healthcare utilization and lost productivity in persons with diabetes: a large nationally representative Hungarian population survey”. Psychosomatic Medicine, vol 71, no 5, pp 501-7Waddell, G. and Burton, A.K. (2006) “Is work good for your health and wellbeing?”. London: The Stationary Office.Watson, H. (2010) CPD: Flying the flag. Occupational Health.Weijman, I, Ros, WJG, Rutten, GEHM, Schaufeli, WBM, Schabracq, WB, and Winnubst, JAM. (2003). “Fatigue in employees with diabetes: it’s relation with work characteristics and diabetes related burden”. Occupational Environmental Medicine. 60 (I): pp.93-98.World Health Organization. (2018) “Diabetes”. Available at: (Accessed: 21/4/18). Related posts: Previous Article Next Article CPD: Occupational health’s role following a diagnosis of type 2 diabetesOn 2 Nov 2018 in Cardiac, Continuing professional development, Diabetes, Disability, Return to work and rehabilitation, Occupational Health, Personnel Todaycenter_img No comments yet. Leave a Reply Click here to cancel reply.Comment Name (required) Email (will not be published) (required) Website Talking toolkits: unpicking Covid-19 return-to-work advice for occupational healthWith the UK now gradually reopening for business, organisations across the workplace health spectrum have been developing toolkits and resources…last_img read more

Utah Ranked 15th In First Coaches Poll

first_img Written by Tags: Amway Coaches Poll/Utah State Aggies Football/Utah Utes Football August 2, 2019 /Sports News – Local Utah Ranked 15th In First Coaches Poll FacebookTwitterLinkedInEmail(South Bend, IN) — The Utah Utes are ranked 15th in the first Amway Coaches Poll of the season.The Utes come in with 642 points in the poll and despite being picked to win the Pac-12 they are behind both Washington at No. 12 and Oregon at No. 13 in the Coaches Poll.Reigning champion Clemson is ranked number-one, followed by Alabama, Georgia, Oklahoma and Ohio State.Fall camp is underway for Utah, which visits rival BYU in the season-opener on August 29th. The game can be heard on KSVC 980 AM, 100.5 FM and State was in the others receiving votes category with 32 points, which puts them 35th. The Aggies begin the season on August 30th at Wake Forest. Robert Lovelllast_img read more

Landlord and estate agency change listings following complaints

first_imgMisleading online rental and sales listings posted on both Rightmove and Airbnb have been tackled by national watchdog the Advertising Standards Authority, highlighting the dangers of inaccurate online property details posted by agents and landlords.The first to have their wrists slapped is an Airbnb landlord. The ASA received two complaints about a property listing on the home sharing platform by one of its customers.It claimed to offer ‘Free cancellation for 48 hours after booking” and “Cancel before 5:00pm on Jul 16 and get a full refund”.The complainants challenged whether the listing was misleading, as both cancelled their booking within the specified time period but did not received a full refund, as they were not refunded the service fee.“We contacted the advertiser, who informed us that they would make their refund conditions clearer in the future, and that they had now given both complainants a full refund,” says an ASA spokesperson.“On that basis, we considered the case to be informally resolved without the need for an investigation.”AdvertisingThe other case involved six-branch Cornish firm Marshalls Estate Agents, which has promised to amend a Rightmove listing that described a property as freehold when it was in reality a leasehold home.“We contacted the advertiser, who subsequently amended the post. We therefore considered this case to be informally resolved,” says the ASA.The ASA’s guidance to estate agents about online property details says: “It may seem obvious, but don’t make claims about features of properties unless you can prove theiraccuracy with documentary evidence”.Read more about estate agents Rightmove advertising standards authority airbnb ASA September 2, 2020Nigel LewisWhat’s your opinion? Cancel replyYou must be logged in to post a comment.Please note: This is a site for professional discussion. Comments will carry your full name and company.This site uses Akismet to reduce spam. Learn how your comment data is processed.Related articles Letting agent fined £11,500 over unlicenced rent-to-rent HMO3rd May 2021 BREAKING: Evictions paperwork must now include ‘breathing space’ scheme details30th April 2021 City dwellers most satisfied with where they live30th April 2021 Home » News » Landlord and estate agency change listings following complaints previous nextRegulation & LawLandlord and estate agency change listings following complaintsAdverts appearing on Airbnb and Rightmove listed by a landlord and an agent prompt complaints from the public about their accuracy.Nigel Lewis2nd September 20200502 Viewslast_img read more

USS Mount Whitney Welcomes NAVEUR Commander Aboard

first_img View post tag: welcomes View post tag: Aboard July 28, 2014 View post tag: USS View post tag: Commander Share this article Adm. Mark Ferguson, commander, U.S. Naval Forces Europe-Africa, visited the U.S. 6th Fleet command and control ship USS Mount Whitney (LCC 20) in Gaeta, July 25, for the first since taking command. View post tag: News by topic View post tag: NAVEUR View post tag: Naval View post tag: Whitney USS Mount Whitney Welcomes NAVEUR Commander Aboard View post tag: Navy Back to overview,Home naval-today USS Mount Whitney Welcomes NAVEUR Commander Aboard View post tag: Mount During an all-hands call with Sailors, Ferguson expressed his appreciation and gratitude for the hard work they do on a daily basis. He also said he plans to spend more time with the crew in the near future.“The missions that Mount Whitney conducts are important,” said Ferguson. “I am proud of each and every one of you.”While onboard, Ferguson toured department spaces, had a brief lunch with the ship’s Commanding Officer, Capt. Mark Colombo, and pinned two Sailors with their Enlisted Surface Warfare Specialist pin. “It really made me feel good to have a four star admiral pin my Enlisted Surface Warfare qualification,” said Electronic Technician 3rd Class Rachel Stewart. “I will remember that moment for the rest of my life. It definitely gives me another story to talk with friends and family about.”Ferguson recently relieved Adm. Bruce Clingan as Commander, Allied Joint Force Command, Naples/Commander, U.S. Naval Forces Europe-Africa.Mount Whitney, forward deployed to Gaeta, Italy, operates with a combined crew of U.S. Navy Sailors and Military Sealift Command civil service mariners. The civil service mariners perform navigation, deck, engineering and supply service operations, while military personnel support communications, weapons systems and security. It is one of only two seaborne joint command platforms in the U.S. Navy, both of which are forward deployed.[mappress]Press Release, July 28, 2014; Image: US Navy Authoritieslast_img read more

Letter to Editor: Where Are You Eating Friday?

first_imgThe ‘Sunrise Breakfast’ at Sunrise Cafe at the corner of 12th Street and Asbury Avenue in Ocean City, NJ.A while back, I wrote a letter to OCNJ Daily saying how I was going to increase my support of Ocean City businesses by sitting down and eating a meal at an Ocean City restaurant every other Friday — in addition to my normal level of support of area businesses.We are approaching another “Dine Out Friday,” my friends, which of course begs the question: Where are you eating Friday?So far, I have had penne and chicken at Nonna’s Trattoria, French toast at Sunrise Café, a Philly roast beef sandwich at Varsity Inn, eggs benedict at Ready’s Coffee Shop and Restaurant, chicken saltimbocca at Vittorio’s Italian Restaurant, a roast beef sandwich at Arlene’s on Asbury, and the Sunrise Breakfast at Sunrise Café.People noted that I have been in a crabby mood this week. So this Friday, I decided to prove them right and will be having dinner at Jay’s Crab Shack! I will be posting a picture of my meal on OCNJ Daily’s Facebook page. I hope to see other people posting pictures this Friday, too!Ed SheppardOcean Citylast_img read more

Dopapod Announces 2019 Festival Appearances: Disc Jam, The Peach Music Festival, The Werk Out

first_imgOn Saturday night, after more than a year away, Dopapod returned to the stage at The Capitol Theatre for a celebratory headlining performance. The show marked the band’s first performance together since New Year’s Eve 2017-2018, and fans from all over converged on the historic theater to watch guitarist Rob Compa, keyboardist Eli Winderman, bassist Chuck Jones, and drummer Neal “Fro” Evans link back up after their 2018 sabbatical.Dopapod Returns From Sabbatical With Celebratory Blowout At The Capitol Theatre [Photos]On Wednesday, with no scheduled dates on their touring calendar, the band has added three upcoming festival appearances, including Disc Jam Music Festival, The Peach Music Festival, and The Werk Out Music & Arts Festival.Dopapod Releases New Single “Test Of Time”, Shares Studio Video [Watch]The quartet also recently announced their forthcoming studio effort, Emit Time, due out on Friday, May 24th. Recorded during recent sessions in Philadelphia and Denver, Emit Time marks the follow-up to the band’s 2017 Megagem release. The writing process for Emit Time differed from Dopapod’s past efforts because each member brought songs into the sessions they had individually worked on during the hiatus, creating a more collaborative writing environment. In addition, lyrics were a group effort for the first time.Head to Dopapod’s website for ticketing and more information.last_img read more

Vermont sells $14.4 million in bonds for Champlain Bridge construction

first_imgOne of the financial building blocks for constructing the Lake Champlain Bridge was put in place yesterday. The State Treasurer’s Office successfully sold $14.4 million in Vermont special obligation transportation infrastructure bonds. A portion of the money raised by the bond sale will go toward meeting the state’s obligation for rebuilding the bridge, as well as provide funds for other needed transportation infrastructure repairs and improvements.The bonds are backed by the state’s new Motor Fuels Transportation Infrastructure Assessment (MFTIA) passed by the Vermont Legislature in the 2009 session. The bond sale was not held until this week because the state wanted to first use available federal stimulus monies to fund identified transportation projects.“Typically, in order for states to access federal transportation dollars they must cover 20 percent of the cost of the project,” explained State Treasurer Jeb Spaulding. “This week’s bond sale provided the state with the matching funds needed to support badly needed transportation projects like the Lake Champlain Bridge.”The Governor and State Legislature passed the MFTIA to raise money to fund a back-log of State transportation infrastructure needs. The bonds sold this week are different from the State’s general obligation bonds in that they are repaid exclusively with revenue collected from the special assessment. The MFTIA is adjusted quarterly and is set at 2 percent of the price of gasoline and 3 cents per gallon on diesel fuel.In addition to the Lake Champlain Bridge at Crown Point, bond proceeds will pay for interstate bridge rehabilitation work in Brattleboro and Putney; as well as, State bridge projects in Cambridge, Cornwall, Richmond, and in the Moretown-Middlesex area. Funding also will be used for work on the north lane of the Bennington Bypass.“Over the past two years, the Agency of Transportation has made significant progress in addressing paving and bridge needs,” said Transportation Secretary David Dill. “Adding bonding to our tool box will no doubt assist us in keeping the momentum going in the right direction – reducing our number of structurally deficient bridges and decreasing the number of miles of very poor pavement conditions. I thank Treasurer Spaulding and his staff for a very successful bond sale.”This week’s bond sale could be the first of several over the next five years to support transportation. The sale was conducted via the internet, with nine companies bidding on the bonds. The winning bid was from the Robert W. Baird & Company located in Milwaukee, Wisconsin. The bonds mature in increments of between one and 20 years and pay a total interest cost of 3.2 percent.Source: Vermont Treasurer. 7.21.2010last_img read more