A prospective longitudinal study of risk factors for abdominal aortic aneurysm

The aim of this study was to identify risk factors for abdominal aortic aneurysm (AAA) from the largest Welsh screening cohort to date. Patients were recruited from 1993 (to 2015) as part of the South East Wales AAA screening programme through general practitioners. Demographic data and risk factors were collected by means of a self-report questionnaire. Statistical tests were performed to determine whether associations could be observed between AAA and potential risk factors. Odds ratios (OR) were also calculated for each of the risk factors identified. A total of 6879 patients were included in the study. Two hundred and seventy-five patients (4.0%) presented with AAA, of which 16% were female and 84% were male. Patients with AAA were older than the (no AAA) control group (p < 0.0001). The following risk factors were identified for AAA: family history of AAA (p < 0.0001); history of vascular surgery (p < 0.0001), cerebrovascular accident (p < 0.0001), coronary heart disease (p < 0.0001), diabetes (p < 0.0001), medication (p = 0.0018), claudication (p < 0.0001), smoking history (p = 0.0001) and chronic obstructive pulmonary disorder (p = 0.0007). AAA is associated with classical vascular risk factors, in addition to other less-well-documented risk factors including previous vascular surgery. These findings have practical implications with the potential to improve future clinical screening of patients in order to reduce AAA mortality

Risky calls: Understanding the challenges and risks of using mobile phone data during homicide investigations

Despite concerns having been voiced internationally about the validity and reliability of mobile phone evidence, there remain large gaps in our understanding of how police acquire and process mobile phone data, and the risks associated with this work. This paper fills some of these gaps by drawing upon qualitative data gathered during an ethnographic study of the role of forensic sciences and technologies in British homicide investigations. Specifically, we draw upon case papers, interviews, and observations to illuminate, from the perspective of police and prosecution actors, some of the opportunities, tensions, and risks encountered in accessing and processing mobile phone data during these inquiries. Our findings reveal several risks associated with current practice alongside broader complexities related to legislation, privatisation, and accreditation. We consider how these intertwined risks and challenges may undermine the reliability of mobile phone evidence and jeopardise criminal justice

Food consumption patterns, seasonal dietary diversity, and factors affecting food intake in rural Eastern Uganda: a mixed-methods cross-sectional study

This mixed-methods cross-sectional study examines food consumption patterns, dietary diversity, and factors affecting food intake and malnutrition in the rural Mbale District in Eastern Uganda, during both wet and dry seasons. Participants (n=100; 66% females) completed a food frequency questionnaire identifying foods and beverages consumed in the preceding 12 months. Individual interviews (n=8) were conducted with key workers. Analysis of seventeen food items revealed seasonal variations in carbohydrate and protein sources. During the dry season, staples like matooke (mashed boiled plantains) and sweet and Irish potatoes were affected, while protein-rich foods such as beans and groundnuts saw increased consumption in the wet season. Fruit and vegetable intake also rose during the wet season. The main causes of malnutrition that emerged from the interviews were the lack of knowledge about food and nutrition, financial struggles, climate impact, and cultural beliefs. The last theme covered strategies to combat malnutrition. Although carbohydrate intake remains consistent throughout seasons due to reliance on posho (maize flour porridge) and cassava, variations in the number of meals and protein sources, particularly beans and groundnuts, were observed. Both of these, being the primary protein sources in rural households' diets, are highly susceptible to climate fluctuations. This may pose significant implications for food security, as heightened climate instability may impede their production. Solutions to combat malnutrition discussed by the interviewees include education, employment, family planning, and healthcare improvements. Professionals emphasise the need for comprehensive approaches to address these complex issues. In addition, data on food consumption during the dry and wet seasons should be collected as a difference in food consumption during the seasons may become more prominent with the need to implement tailored interventions

‘Meta’ analysis: considerations when using Facebook within research and evaluation studies: a research note

The use of social media platforms as a means of data collection for researchers is increasing. With the number of active users of Facebook across the globe exceeding two billion, the platform offers a means to reach and hear from diverse populations and gather information-rich data. Despite an increase of researchers utilising Facebook and publishing their findings, there has been less focus on describing the issues researchers need to think about to undertake their work in line with ethical principles, which is particularly important when engaging people in research. This research note provides a worked example of the practical steps adopted when establishing a Facebook Page and Group to recruit and gather data from individuals receiving care and support. The paper offers guidance for researchers on the issues to consider and provides insights into how using Facebook can be aligned with good research governance practice and ethics approval processes

Enhancing Resilience, Coping and Self-Talk of Employees in Large Organisations; the development and mixed methods piloting of an online mental health and well-being toolkit

Purpose: The mental health and well-being of employees is negatively impacted by stress, anxiety and depression. There is a need to address these issues at an organisational level to enhance workforce welfare and to decrease the number of days lost due to mental health/well-being concerns. This study aimed to evaluate a mental health and well-being toolkit designed to enhance the resilience, coping and self-talk of employees. Design/methodology/approach: The intervention was derived from counselling psychology and composed of an 8-hour programme, which was delivered over four consecutive weeks. A mixed methods approach was adopted, with the quantitative element assessing an intervention group (n = 10) and control group (n = 14) at baseline and at the end of the programme on measures of mental health and well-being. The qualitative aspect of the study involved interviews with the intervention group, which were thematically analysed. Findings: Quantitatively, the experimental group showed statistically significant improvements in elements of resilience and well-being and a reduction in stress and anxiety. Qualitatively, participants experienced a positive effect on their well-being, benefited from the learning process, applied the taught strategies widely and found the session experience positive.Research limitations/implications: This was a small pilot study, nevertheless, the mixed methods nature of this investigation indicates that a counselling derived online training programme can enhance the well-being of employees within large organisations. Originality/value: A remotely delivered mental health and well-being toolkit could be a useful resource to enhance the well-being of employees in all organisations.Originality/value: A remotely delivered mental health and well-being toolkit could be a useful resource to enhance the well-being of employees in all organisations.</p