Monday, September 7, 2009

Knowledge Translation 1.0 (the work of William James)

Ever wonder what you audience is up to? William James writes (in 1892)

We have thus fields of consciousness,—that is the first general fact; and the second general fact is that the concrete fields are always complex. They contain sensations of our bodies and of the objects around us, memories of past experiences and thoughts of distant things, feelings of satisfaction and dissatisfaction, desires and aversions, and other emotional conditions, together with determinations of the will, in every variety of permutation and combination.

In most of our concrete states of consciousness all these different classes of ingredients are found simultaneously present to some degree, though the relative proportion they bear to one another is very shifting. One state will seem to be composed of hardly anything but sensations, another of hardly anything but memories, etc. But around the sensation, if one consider carefully, there will always be some fringe of thought or will, and around the memory some margin or penumbra of emotion or sensation.

In most of our fields of consciousness there is a core of sensation that is very pronounced. You, for example, now, although you are also thinking and feeling, are getting through your eyes sensations of my face and figure, and through your ears sensations of my voice. The sensations are the centre or focus, the thoughts and feelings the margin, of your actually present conscious field.

On the other hand, some object of thought, some distant image, may have become the focus of your mental attention even while I am speaking,—your mind, in short, may have wandered from the lecture; and, in that case, the sensations of my face and voice, although not absolutely vanishing from your conscious field, may have taken up there a very faint and marginal place.

Again, to take another sort of variation, some feeling connected with your own body may have passed from a marginal to a focal place, even while I speak.

LHIN investing in wait time reduction strategies

Three London health care institutions are in line for significant funding to help reduce wait times and to start new programs and carry on with initiatives that have already proved successful.

That was the word from three London MPPs, Deb Matthews, Chris Bentley and Khalil Ramal, as well as representatives from the South West Local Health Integration Network (LHIN), Friday (Sept. 4).

"Our government is investing in community-based services to improve healthcare." said Ramal MPP, London-Fanshawe.

"The 18 initiatives that are receiving funding through the South West LHIN prove that partnerships and innovative initiatives are making a difference in freeing up emergency room beds and allowing seniors and other patients to stay in their homes," he said.

In total, Ontario is providing funding of $2.4 million to the Southwest region as part of its Urgent Priorities and Aging at Home initiatives. The funding includes:

*$310,517 to London Health Sciences Centre for three programs that will improve cancer surgery wait times, improve outcomes for hip and knee care and help long-term ventilation patients get back to their home communities.

*$950,161 to the Southwest Community Care Access Centre (CCAC) for a number of programs including enhanced overnight supports for medically fragile children and improvements to wound care management.

*$857,931 to St. Joseph's Health Care to extend the operation of its Transitional Care Unit Parkwood Hospital until October 2010 when more long term care beds will become operational.

"The transitional care unit is a more appropriate place for patients who no longer need acute care," said Elaine Gibson, vice president complex, specialty aging and rehabilitative care at St. Joseph's Health Care, London.

"It provides restorative care to help patients maximize their potential to be cared for in their own homes with support from the South West Community Care Access Centre, or in long-term care homes or supportive housing," she said.