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We aimed to audit the documentation of decision-making capacity (DMC) assessments by our liaison psychiatry service against the legal criteria set out in the Mental Capacity Act 2005. We audited 3 months split over a 2-year period occurring before, during and after an educational intervention to staff.
There were 21 assessments of DMC in month 1 (6.9% of all referrals), 27 (9.7%) in month 16, and 24 (6.6%) in month 21. Only during the intervention (month 16) did any meet our gold-standard (n = 2). Severity of consequences of the decision (odds ratio (OR) 24.4) and not agreeing to the intervention (OR = 21.8) were highly likely to result in lacking DMC.
Our audit demonstrated that DMC assessments were infrequent and poorly documented, with no effect of our legally focused educational intervention demonstrated. Our findings of factors associated with the outcome of the assessment of DMC confirm the anecdotal beliefs in this area. Clinicians and service leads need to carefully consider how to make the legal model of DMC more meaningful to clinicians when striving to improve documentation of DMC assessments.
From April 6,1935 (date of the last report) up to the present date (Feb. 26,1938) the Bureau has distributed 723 telegrams and published 174 circulars (Nos. 535-708).
The Bureau has again been supported by a great many colleagues and institutions.
As heretofore, the leading principle in our work has been as far as possible to procure provisional data for the continuous observation of new objects. The telegraphic service has been used when necessary to safeguard new discoveries, while in all cases possible the circulars have been depended on. Thus, as before, in dubious cases we have, to begin with, sent a telegram to a few correspondents only, asking for control. In cases of rediscovery of periodic comets and in other cases, when there was no risk of losing the object, we have distributed the announcement through the circulars.
The Bureau suffered a sad loss, through the death on April 5, 1947, of its director Prof. Elis Strömgren who had conducted its work with never failing enthusiasm and with great efficiency since 1922. In June 1947 the supervision of the Bureau was entrusted to the writer. The following report may not be altogether complete owing to my absence, for 6 years, in the U.S.A., when I was out of touch with the activities of the Bureau. The last report by Prof. E. Strömgren was dated February 26, 1938; for the rest of the year very few data have been found, hence my report will cover the period January 1, 1939 to December 1, 1947.
The President outlined the history of the Ross photographic zenith tube, saying that it was originally designed for measurement of the variation of latitude by Dr Ross, and later adapted to the determination of time by Dr Littel. The success of the instrument and its possible application to various problems in positional astronomy made it of interest to all three commissions attending the combined meeting.
Dr Schilt said that the zenith tube could not determine fundamental positions, but that it could determine fundamental proper motions in declination with a high degree of accuracy.
In consequence of the decision made by the Fifth General Assembly of the I.A.U. I have been entrusted, from January 1936, with the direction of the Central Bureau for the International Service of Latitudes.
I am much indebted to Prof. Kimura, who preceded me as Director and to Prof. Kohlschütter, Director of the Geodetic Institute of Potsdam, for information and advice, which has been of great assistance to me; therefore I desire to acknowledge to them my deep gratitude.
A circular letter was sent out to all members of the Commission in December 1937, to which the majority have replied. While work is going on steadily in the Observatories where meridian observations are carried out, comparatively few catalogues have been published since 1935. In view of the very full report made three years ago it is only necessary to draw attention to the progress which has been made in the interval.
When, in May 1922 after the First World War, the I.A.U. and the I.G.G.U. met for the first time it was decided that the systematic study of the motion of the pole should be continued. This study had been commenced over 23 years earlier by the International Geodetical Association and had been continued without interruption during the war, thanks to the keenness of the observers and the work of the Swiss and Dutch geodesists and astronomers, who had undertaken to maintain the necessary contacts between the observing stations and the Potsdam Central Office. The Second World War, which broke out barely two decades later, had more serious consequences for this study. The generous and worthy offer of our Swiss colleagues to be intermediaries between the belligerent countries and to help in the exchange of data between the observing stations and the Central Bureau passed unheeded. The Italian Foreign Minister at the time refused to allow the observing books to be transmitted. We had hoped that, when hostilities were over and communications had been re-established, we should be able to obtain, although late, the complete series of observations.
L’œuvre entreprise il y a cinquante ans par l’ancien Comité Permanent de la Carte du Ciel n’a pas été intégralement accomplie. Si certaines de ses parties peuvent être considérées comme terminées, d’autres ont été perdues de vue ou abandonnées.
La tâche de la Commission de la Carte du Ciel doit être maintenant d’examiner, à la lueur de cinquante années de progrès scientifiques, et en tenant compte du travail déjà fait, quelles sont celles des anciennes recommandations du Comité Permanent dont il y a lieu de poursuivre l’exécution.
In view of the considerable ground covered by the Commission at its Paris meetings and the fairly complete record of the activities of institutes and observatories, etc. published in the Minutes, it has not been deemed profitable by the president to call for further reports in advance of the Stockholm meeting. At the Paris meeting it was agreed that such reports be printed independently before each meeting of the Union and that reprints of or references to the published reports be sent to the president. It is hoped that all such reports if ready will be made available before the Stockholm meeting so that they may be summarized by the representatives in attendance or by the president and recorded in the Minutes. With reference to the pronouncement at the Paris meeting “that it is eminently desirable that more attention be given to the development of accurate general perturbations and mean elements on the basis of accurate osculating elements”, the president has visited the Planeten-Institut at Frankfurt and the Rechen-Institut at Berlin and has been in correspondence with the Leningrad Institute. From these sources particularly valuable material has been received.
La centralisation au Bureau international de l’Heure des résultats d’observations de l’Opération internationale de 1933 a été très lente, puisque les dernières données attendues ont été reçues vers la fin de 1937.
Le nombre des stations ayant coopéré à l’Opération internationale et ayant transmis leurs observations à l’organisme centralisateur s’élève à soixante et onze. Ainsi qu’il a été expliqué à notre Commission mixte, lors du Congrès de l’Union géodésique et géophysique internationale tenu à Édimbourg en 1936, ces stations ont été réparties en trois groupes:
Le Ier comprenant vingt Observatoires, disposant chacun de plusieurs horloges de première classe (soit à poids sous pression et à température constantes, soit à quartz piézoélectrique);
The President first summarized the present position of the work of determining the solar parallax as given in the Report.
In connection with the determination of the positions of the reference stars it was stated that within the next six months or so the reductions of all the series of photographs will be completed and it will then be possible to co-ordinate the results and publish a definitive list of secondary comparison stars. At the same time it has become apparent that there are appreciable errors in the positions based on the meridian observations of some of the primary stars given in Prof. Kopff’s catalogue. By co-ordinating the measures of the several series of path plates it will be possible to derive corrections to the positions of the Kopff stars, which will still keep them on the system adopted by Prof. Kopff, but will improve their homogeneity.
From June 4,1932 (date of the last report) up to the present date the Bureau has distributed 452 telegrams and published 153 circulars (Nos. 382-534).
Again the Bureau has been supported by a great many colleagues and institutions.
As heretofore, the leading principle in our work has been as far as possible to procure provisional data for the continuous observation of new objects. Following this line the telegraphic service has been used when necessary to safeguard new discoveries, while in all cases possible the circulars have been depended on. Thus, as before, in dubious cases we have, to begin with, sent a telegram to a few correspondents only, asking for control. In cases of rediscovery of periodic comets and in other cases, when there was no risk of losing the object, we have distributed the announcement through the circulars.
It is a great privilege for me to declare open the seventh General Assembly of the International Astronomical Union. We are very grateful to our Swiss colleagues for the invitation to meet in Zürich in these delightful surroundings. We recognize that there are special difficulties at the present time in the organization of arrangements for a congress such as this. It has meant a great deal of hard work for the Local Committee, under Dr Waldmeier, and to them we express our thanks. Almost exactly ten years have passed since the last General Assembly of the International Astronomical Union terminated.