Improving older people’s experience in transitional care: co-design of TRANSITION

A care integration tool TRANSITION was developed to support older people and their families living with chronic illness to transition from hospital to home.<br /

Planar lipid bilayers in recombinant ion channel research

There are a number of methods of investigating the function of recombinant proteins such as ion channels. However, after channel purification there are few methods to guarantee that the protein still functions. For ion channels, reconstituting back into planar lipid bilayers and demonstrating preserved function is a convenient and trusted method. It is cell free and even inaccessible, intracellular ion channels can be studied. We have used this method to study the function of recombinant channels of known subunit composition and have found it convenient for investigating the mode of action of ion channel modulators

Low-mass Tertiary Companions to Spectroscopic Binaries. I. Common Proper Motion Survey for Wide Companions Using 2MASS

We report the first results of a multi-epoch search for wide (separations greater than a few tens of AU), low-mass tertiary companions of a volume-limited sample of 118 known spectroscopic binaries within 30 pc of the Sun, using the Two Micron All Sky Survey Point Source Catalog and follow-up observations with the KPNO and CTIO 4 m telescopes. Note that this sample is not volume complete but volume limited, and, thus, there is incompleteness in our reported companion rates. We are sensitive to common proper motion companions with separations from roughly 200 AU to 10,000 AU (~10ˮ → ~ 10'). From 77 sources followed-up to date, we recover 11 previously known tertiaries, 3 previously known candidate tertiaries, of which 2 are spectroscopically confirmed and 1 rejected, and 3 new candidates, of which 2 are confirmed and 1 rejected. This yields an estimated wide tertiary fraction of 19.5^(+5.2)_(–3.7)%. This observed fraction is consistent with predictions set out in star formation simulations where the fraction of wide, low-mass companions to spectroscopic binaries is >10%

Predicting Students’ College Drop Out and Departure Decisions by Analyzing their Campus-Based Social Network Text Messages

Undergraduate student retention is a key concern in the US higher education system. Having a scientific method for predicting undergraduate student departure would enable institutions to deploy targeted interventions with the goal of retaining a particular student who is at risk of dropping out. We explore the use of Latent Dirichlet Allocation (LDA), Systemic Functional Linguistics (SFL), and new techniques for Social Network Analytics addressing student communications within a novel campus-based closed social networking platform. Our research results indicate that students who were ultimately retained sent three times as many messages than those who were not, and analyzing the patterns of use of the closed social network in an academic setting reliably predicts undergraduate student dropouts and leads to a more effective deployment of retention resources over time

Media and Body Image Discrepancy among African American Women

Exposure to thin images in mass media is associated with body image dissatisfaction and eating disorders. However, there is insufficient information on the effect of the media on body image discrepancy among African American women. The purpose of this quantitative correlational study was to investigate the role of media exposure, including Facebook, in body image discrepancy among African American women. Self-discrepancy theory, the self-objectification theory, and the social comparison theory helped to guide this study. Two hundred and twenty-four African American women ages 18-29 years residing in the United States were surveyed through convenience sampling and multiple regression and descriptive statistics were used to analyze the data. Body image discrepancy was measured using the Stunkard Figure Rating Scale. Media exposure was assessed using the Mass Media Subscale of the Sociocultural Attitudes Towards Appearance Questionnaire. Facebook use was measured with the Multidimensional Intensity Scale. Findings showed a statistically significant relationship between the level of exposure to mass media and the level of body image discrepancy among African American female adults but body mass index did not serve as a statistically significant moderator of the relationship between level of social media use and body image discrepancy. Results of this study demonstrate the need of positive social change by health care professionals to be more aware of cultural barriers when addressing the role of the media in body image discrepancy among African American women

Quality care outcomes following transitional care interventions for older people from hospital to home: a systematic review

&nbsp;BackgroundProvision of high quality transitional care is a challenge for health care providers in many western countries. This systematic review was conducted to (1) identify and synthesise research, using randomised control trial designs, on the quality of transitional care interventions compared with standard hospital discharge for older people with chronic illnesses, and (2) make recommendations for research and practice.MethodsEight databases were searched; CINAHL, Psychinfo, Medline, Proquest, Academic Search Complete, Masterfile Premier, SocIndex, Humanities and Social Sciences Collection, in addition to the Cochrane Collaboration, Joanna Briggs Institute and Google Scholar. Results were screened to identify peer reviewed journal articles reporting analysis of quality indicator outcomes in relation to a transitional care intervention involving discharge care in hospital and follow-up support in the home. Studies were limited to those published between January 1990 and May 2013. Study participants included people 60 years of age or older living in their own homes who were undergoing care transitions from hospital to home. Data relating to study characteristics and research findings were extracted from the included articles. Two reviewers independently assessed studies for risk of bias.ResultsTwelve articles met the inclusion criteria. Transitional care interventions reported in most studies reduced re-hospitalizations, with the exception of general practitioner and primary care nurse models. All 12 studies included outcome measures of re-hospitalization and length of stay indicating a quality focus on effectiveness, efficiency, and safety/risk. Patient satisfaction was assessed in six of the 12 studies and was mostly found to be high. Other outcomes reflecting person and family centred care were limited including those pertaining to the patient and carer experience, carer burden and support, and emotional support for older people and their carers. Limited outcome measures were reported reflecting timeliness, equity, efficiencies for community providers, and symptom management.ConclusionsGaps in the evidence base were apparent in the quality domains of timeliness, equity, efficiencies for community providers, effectiveness/symptom management, and domains of person and family centred care. Further research that involves the person and their family/caregiver in transitional care interventions is needed

A perspective on algal biogas

Algae are suggested as a biomass source with significant growth rates, which may be cultivated in the ocean (seaweed) or on marginal land (microalgae). Biogas is suggested as a beneficial route to sustainable energy; however the scientific literature on algal biogas is relatively sparse. This report comprises a review of the literature and provides a state of the art in algal biogas and is aimed at an audience of academics and energy policy makers. It was produced by IEA Bioenergy Task 37 which addresses the challenges related to the economic and environmental sustainability of biogas production and utilisation.JRC.F.8-Sustainable Transpor

First steps: study protocol for a randomized controlled trial of the effectiveness of the Group Family Nurse Partnership (gFNP) program compared to routine care in improving outcomes for high-risk mothers and their children and preventing abuse.

BACKGROUND: Evidence from the USA suggests that the home-based Family Nurse Partnership program (FNP), extending from early pregnancy until infants are 24 months, can reduce the risk of child abuse and neglect throughout childhood. FNP is now widely available in the UK. A new variant, Group Family Nurse Partnership (gFNP) offers similar content but in a group context and for a shorter time, until infants are 12 months old. Each group comprises 8 to 12 women with similar expected delivery dates and their partners. Its implementation has been established but there is no evidence of its effectiveness. METHODS/DESIGN: The study comprises a multi-site randomized controlled trial designed to identify the benefits of gFNP compared to standard care. Participants (not eligible for FNP) must be either aged < 20 years at their last menstrual period (LMP) with one or more previous live births, or aged 20 to 24 at LMP with low educational qualifications and no previous live births. 'Low educational qualifications' is defined as not having both Maths and English Language GCSE at grade C or higher or, if they have both, no more than four in total at grade C or higher. Exclusions are: under 20 years and previously received home-based FNP and, in either age group, severe psychotic mental illness or not able to communicate in English. Consenting women are randomly allocated (minimized by site and maternal age group) when between 10 and 16 weeks pregnant to either to the 44 session gFNP program or to standard care after the collection of baseline information. Researchers are blind to group assignment.The primary outcomes at 12 months are child abuse potential based on the revised Adult-Adolescent Parenting Inventory and parent/infant interaction coded using the CARE Index based on a video-taped interaction. Secondary outcomes are maternal depression, parenting stress, health related quality of life, social support, and use of services. DISCUSSION: This is the first study of the effectiveness of gFNP in the UK. Results should inform decision-making about its delivery alongside universal services, potentially enabling a wider range of families to benefit from the FNP curriculum and approach to supporting parenting. TRIAL REGISTRATION: ISRCTN78814904

Obstetric outcomes for women with severe mental illness : 10 years of experience in a tertiary multidisciplinary antenatal clinic

Purpose This study aims to describe 10 years of antenatal care and outcomes for women with a severe mental illness (SMI). Methods A retrospective cohort study of 420 completed pregnancy records over the last 10 years (2007-2017). Findings were compared to the Western Australian (WA) pregnancy data. Antenatal attendance, demographic, obstetric, neonatal and psychosocial variables were analysed using t tests, chi(2)(,) ANOVA and odds ratio (OR). Results Overall, women with a SMI had high rates of comorbidity (47%), antenatal complications, and preterm birth at 12.6% compared to WA mothers (p <0.001). Those with schizophrenia were at highest risk with increased risk of threatened preterm labour OR 8.25 (95% CI 4.64-14.65), gestational diabetes OR 3.59 (95% CI 2.18-5.91) and reduced likelihood of a spontaneous vaginal birth OR 0.46 (95% CI 0.29-0.71). Late presentation and antenatal attendance for women with SMI were significantly associated with maternal substance use, psychiatric admission during pregnancy, and child welfare involvement. Women with schizophrenia had significantly lower attendance rates at scheduled antenatal care (ANC) appointments than those with bipolar disease (87.1% vs 94%, p = 0.003). Conclusion Obstetric outcomes are poorer for women with SMI compared to the general population. They have higher rates of medical comorbidities, lifestyle and psychosocial risks factors that are known to contribute to poor obstetric outcomes. Effective delivery of regular and appropriate ANC is essential in addressing these multifactorial risks. Targeted strategies addressing comprehensive medical management, preterm birth prevention, lifestyle modifications and increased psychosocial support could improve both short- and long-term outcomes for these women and their children.Peer reviewe