Recovery Camp: Recreation and Recovery - an Essential Pairing

Caring for people with a lived experience of mental illness in the greater treatment landscape has been a highly challenging and ethically disconcerting undertaking since early civilisation. Moves toward the deinstitutionalisation and remediation of mental health services around the world have resulted in health systems that seldom respects individual choice, the dignity of personal risk and individual empowerment. However, innovative treatment methods have developed to provide choice, enable risk and empowerment within the Australian national health priority area of ‘mental ill-health’. Literature suggests that for those with a mental illness, disempowerment and learned helplessness are considered somewhat ‘normal’ within their typical lives. Consequently, most individuals with a lived experience of mental illness live at a significant disadvantage compared to the general population. These individuals experience a lack of control over their lives, mental health-related stigma, disempowerment, social isolation and a level of social undesirability due to their illness, as well as, the many other inherent challenges that come with living with a mental illness. For instance, average life expectancy and quality of life are significantly lower when compared to an individual living without mental illness. The support and treatment for people with a lived experience of mental illness are designed to enhance their personal recovery. Personal recovery is a concept focused on an individual being able to live a purposeful and meaningful life while living with the symptoms of mental illness. While there are a variety of concepts that facilitate recovery (e.g. hope, sense of self), this thesis is focused on self-determination and resilience as key elements. Self-determination is viewed as the ability for an individual to have choice and control over their interactions and behaviours, while resilience is the ability to recover when faced with a challenge(s). People with a lived experience of mental illness typically possess low levels of both self-determination and resilience, which hinders their individual recovery journey. Therefore, the central idea within this thesis was to examine ways to facilitate change for these constructs of self-determination and resilience for people with a lived experience. In essence, this study is focused on understanding human behaviour of people with a lived experience of mental illness. To gain insight into understanding the potential influence of an intervention or treatment modality on human behaviour, this study was grounded in Self-Determination Theory (SDT). SDT is a broadly used theory that has been applied to understand and support why people may or may not engage in health enhancing activities or behaviours. SDT posits that each individual and their level of self-determination (e.g. motivation) is influenced by how well their psychological needs are supported

Are energy drinks unique mixers in terms of their effects on alcohol consumption and negative alcohol-related consequences?

© 2018 Johnson et al. Introduction: Previous research has suggested that consuming alcohol mixed with energy drinks (AMED) increases overall alcohol consumption. However, there is limited research examining whether energy drinks are unique in their effects when mixed with alcohol, when compared with alcohol mixed with other caffeinated mixers (AOCM). Therefore, the aim of this survey was to investigate alcohol consumption on AMED occasions, to that on other occasions when the same individuals consumed AOCM or alcohol only (AO). Methods: A UK-wide online student survey collected data on the frequency of alcohol consumption and quantity consumed, as well as the number of negative alcohol-related consequences reported on AO, AMED and AOCM occasions (N=250). Results: Within-subjects analysis revealed that there were no significant differences in the number of alcoholic drinks consumed on a standard and a heavy drinking session between AMED and AOCM drinking occasions. However, the number of standard mixers typically consumed was significantly lower on AMED occasions compared with AOCM occasions. In addition, when consuming AMED, students reported significantly fewer days consuming 5 or more alcohol drinks, fewer days mixing drinks, and fewer days being drunk, compared with when consuming AOCM. There were no significant differences in the number of reported negative alcohol-related consequences on AMED occasions to AOCM occasions. Of importance, alcohol consumption and negative alcohol-related consequences were significantly less on both AMED and AOCM occasions compared with AO occasions. Conclusion: The findings that heavy alcohol consumption occurs significantly less often on AMED occasions compared with AOCM occasions is in opposition to some earlier claims implying that greatest alcohol consumption occurs with AMED. The overall greatest alcohol consumption and associated negative consequences were clearly associated with AO occasions. Negative consequences for AMED and AOCM drinking occasions were similar, suggesting that energy drink was comparable with AOCM in this regard

Computer graphics application in the engineering design integration system

The computer graphics aspect of the Engineering Design Integration (EDIN) system and its application to design problems were discussed. Three basic types of computer graphics may be used with the EDIN system for the evaluation of aerospace vehicles preliminary designs: offline graphics systems using vellum-inking or photographic processes, online graphics systems characterized by direct coupled low cost storage tube terminals with limited interactive capabilities, and a minicomputer based refresh terminal offering highly interactive capabilities. The offline line systems are characterized by high quality (resolution better than 0.254 mm) and slow turnaround (one to four days). The online systems are characterized by low cost, instant visualization of the computer results, slow line speed (300 BAUD), poor hard copy, and the early limitations on vector graphic input capabilities. The recent acquisition of the Adage 330 Graphic Display system has greatly enhanced the potential for interactive computer aided design

Jury deliberation: An observation study.

In this article, the way that the jury works is considered from a group-analytic perspective. Observational fieldwork of simulated jury deliberations is presented. The data was gathered from a joint funded Home Office and Law Commission project at the Socio- Legal Studies Centre, Oxford in 1995. Inferences are drawn from the observations and the unconscious group processes are considered. The efficacy of the jury process is discussed

Accuracy of 3D Reconstructed Orthodontic Models

Objective: To evaluate the accuracy of 3D reconstructed orthodontic models, derived by various digitization methods, as compared to conventional orthodontic plaster models. Materials and Methods: Twenty-five maxillary orthodontic plaster models were randomly selected from the Indiana University School of Dentistry Department of Orthodontics. Each plaster model was scanned with the Cadent iOC scanner and the digital data was used to print 3D reconstructed orthodontic models. The same 25 plaster models were duplicated using alginate and poured in plaster after two days. These duplicated plaster models were also scanned with the iOC scanner and 3D reconstructed. Next, the duplicate plaster models were sent to a lab, scanned with a 3Shape R700 scanner, and the digital data was 3D reconstructed. Digital calipers were used to obtain ten linear dimensional measurements on all plaster and 3D reconstructed models for comparisons. Equivalence testing was performed using 2 one-sided paired t-tests with a significance level of P <0.05. Results: Nine of the 10 linear measurements were statistically equivalent in all groups. Clinically insignificant, but statistically significant, measurement differences in maxillary central incisor height (P <0.05) were found on 3D reconstructed models derived from the 3Shape R700 desktop scanner. Conclusion: 3D reconstructed orthodontic models derived from alginate impressions, iOC scanners, and 3Shape R700 scanners are an accurate and reliable substitute for orthodontic plaster models.Indiana University School of Dentistr

String breaking by dynamical fermions in three-dimensional lattice QCD

The first observation is made of hadronic string breaking due to dynamical fermions in zero temperature lattice QCD. The simulations are done for SU(2) color in three dimensions, with two flavors of staggered fermions. The results have clear implications for the large scale simulations that are being done to search (so far, without success) for string breaking in four-dimensional QCD. In particular, string breaking is readily observed using only Wilson loops to excite a static quark-antiquark pair. Improved actions on coarse lattices are used, providing an extremely efficient means to access the quark separations and propagation times at which string breaking occurs.Comment: Revised version to appear in Physical Review D, has additional discussion of the results, additional references, modified title, larger figure

Varieties of Participation in Public Services: The Who, When, and What of Coproduction

Despite an international resurgence of interest in coproduction, confusion about the concept remains. This article attempts to make sense of the disparate literature and clarify the concept of coproduction in public administration. Based on some definitional distinctions and considerations about who is involved in coproduction, when in the service cycle it occurs, and what is generated in the process, the article offers and develops a typology of coproduction that includes three levels (individual, group, collective) and four phases (commissioning, design, delivery, assessment). The levels, phases, and typology as a whole are illustrated with several examples. The article concludes with a discussion of implications for research and practice

Depression, anxiety, and stress among hangover-sensitive and hangover-resistant drinkers

This study investigated potential differences in baseline (i.e., non-hangover-related) levels of depression, anxiety, and stress between individuals who are sensitive to and those resistant to hangovers after consuming alcohol. Participants included 5111 university students from the Netherlands and the U.K., including 3205 hangover-sensitive and 1906 hangover-resistant drinkers. All participants completed surveys on their demographics, alcohol consumption, and hangover susceptibility (whether they experienced a hangover in the past 12 months), as well as their baseline levels of depression, anxiety, and stress on the DASS-21 scale. The results showed that hangover-sensitive drinkers had significantly higher levels of anxiety and stress, but not depression, compared to hangover-resistant drinkers. However, the observed differences between the two groups were small, with a magnitude of less than 1 out of 42 points on the DASS-21 anxiety and stress subscales, and are thus unlikely to be clinically meaningful

Exploring tertiary health science student willingness or resistance to cultural competency and safety pedagogy

There is an increasing body of literature that considers the relevance and experiences of cultural competency and safety training in health professional students. However, less is written about Australian tertiary learners’ experiences of engaging with cultural competency training. The aim of this study is to explore tertiary students’ willingness or resistance to cultural competency and safety pedagogy. Qualitative student feedback to a teaching unit was collected and triangulated with data from focus groups with tutors. Results were thematically analyzed. Willingness and resistance to cultural competency and safety teaching emerged as two key themes. Willingness to engage with the unit was largely due to student interest in the content, teaching environment and relevance of cultural competency to students’ future practice. Resistance was linked to the students feeling personally attacked, or culturally confronted, with tutors noting the topics around sexuality and white privilege being more resisted. Acknowledging reasons for student resistance and developing strategies to reduce resistance can facilitate more student engagement with cultural competency topics, ultimately leading to their future provision of culturally competent healthcare

Litigating extraterritorial nuisances under English Common Law and UK Statute

© 2016 Cambridge University Press. English common law and United Kingdom legislation provide various - overall liberal - jurisdictional grounds for hearing foreign tort claims. The article examines these grounds with reference to recent and ongoing oil pollution nuisance litigation involving Royal Dutch Shell Plc and its Nigerian subsidiary operating in the Niger Delta. Particular attention is given to the factors taken into account by the court in exercising its discretion to allow service out of the jurisdiction in cases of pollution taking place abroad under the principle of forum non conveniens. Following the widely commented decision of the United States Supreme Court in Kiobel v. Royal Dutch Petroleum Corporation, which ruled against the extraterritorial application of the Alien Tort Statute, it is easy to forget that the rules of jurisdiction vary from country to country and that different legal systems apply similar concepts in often radically different ways. Attention is also given to the future development of English jurisdictional law and practice in the context of environmental nuisance