Follow-up services for improving long-term outcomes in intensive care unit (ICU) survivors

This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: Our main objective is to assess the effectiveness of follow-up services for ICU survivors that aim to identify and address unmet health needs related to the ICU period. We aim to assess the effectiveness in relation to health-related quality of life, mortality, depression and anxiety, post-traumatic stress disorder, physical function, cognitive function, ability to return to work or education and adverse events. Our secondary objectives are, in general, to examine both the various ways that follow-up services are provided and any major influencing factors. Specifically, we aim to explore: the effectiveness of service organisation (physician versus nurse led, face to face versus remote, timing of follow-up service); possible differences in services related to country (developed versus developing country); and whether participants had delirium within the ICU setting

An Enquiry into Using Supplementary Bioscience Resources in Health

The learning and teaching of bioscience subjects has been recognised to be problematic for well over 20-30 years. Various reasons have been suggested but it is evident that better support for learning at least is required. Various strategies have been tried and effective online support looks promising, especially as an aid to help those students who struggle with science and for whom English is not their first language. This project sought to introduce an online module designed to support student self-efficacy on the basics of science that are fundamental to gaining an understanding of more advanced bioscience processes. The module went ‘live’ in February 2013 as a voluntary adjunct to curriculum teaching. Though designed with students in mind the subsequent access has been disappointing and raises questions about the willingness of some students to voluntarily access extracurricular material. This might be a focus for further exploration

Exercise physiologists: essential players in interdisciplinary teams for noncommunicable chronic disease management

Noncommunicable diseases (NCDs), such as obesity and type 2 diabetes mellitus, are a growing public health challenge in Australia, accounting for a significant and increasing cost to the health care system. Management of these chronic conditions is aided by interprofessional practice, but models of care require updating to incorporate the latest evidence-based practice. Increasing research evidence reports the benefits of physical activity and exercise on health status and the risk of inactivity to chronic disease development, yet physical activity advice is often the least comprehensive component of care. An essential but as yet underutilized player in NCD prevention and management is the “accredited exercise physiologist,” a specialist in the delivery of clinical exercise prescriptions for the prevention or management of chronic and complex conditions. In this article, the existing role of accredited exercise physiologists in interprofessional practice is examined, and an extension of their role proposed in primary health care settings

Increased risk of HIV and other drug-related harms associated with injecting in public places: national bio-behavioural survey of people who inject drugs

Background: Whilst injecting drugs in public places is considered a proxy for high risk behaviour among people who inject drugs (PWID), studies quantifying its relationship with multiple drug-related harms are lacking and none have examined this in the context of an ongoing HIV outbreak (located in Glasgow, Scotland). We aimed to: 1) estimate the prevalence of public injecting in Scotland and associated risk factors; and 2) estimate the association between public injecting and HIV, current HCV, overdose, and skin and soft tissue infections (SSTI). Methods: Cross-sectional, bio-behavioural survey (including dried blood spot testing to determine HIV and HCV infection) of 1469 current PWID (injected in last 6 months) recruited by independent interviewers from 139 harm reduction services across Scotland during 2017–18. Primary outcomes were: injecting in a public place (yes/no); HIV infection; current HCV infection; self-reported overdose in the last year (yes/no) and SSTI the last year (yes/no). Multi-variable logistic regression was used to determine factors associated with public injecting and to estimate the association between public injecting and drug-related harms (HIV, current HCV, overdose and SSTI). Results: Prevalence of public injecting was 16% overall in Scotland and 47% in Glasgow city centre. Factors associated with increased odds of public injecting were: recruitment in Glasgow city centre (aOR=5.45, 95% CI 3.48–8.54, p<0.001), homelessness (aOR=3.68, 95% CI 2.61–5.19, p<0.001), high alcohol consumption (aOR=2.42, 95% CI 1.69–3.44, p<0.001), high injection frequency (≥4 per day) (aOR=3.16, 95% CI 1.93–5.18, p<0.001) and cocaine injecting (aOR=1.46, 95% CI 1.00 to 2.13, p = 0.046). Odds were lower for those receiving opiate substitution therapy (OST) (aOR=0.37, 95% CI 0.24 to 0.56, p<0.001) and older age (per year increase) (aOR=0.97, 95% CI 0.95 to 0.99, p = 0.013). Public injecting was associated with an increased risk of HIV infection (aOR=2.11, 95% CI 1.13–3.92, p = 0.019), current HCV infection (aOR=1.49, 95% CI 1.01–2.19, p = 0.043), overdose (aOR=1.59, 95% CI 1.27–2.01, p<0.001) and SSTI (aOR=1.42, 95% CI 1.17–1.73, p<0.001). Conclusions: These findings highlight the need to address the additional harms observed among people who inject in public places and provide evidence to inform proposals in the UK and elsewhere to introduce facilities that offer safer drug consumption environments

The Canadian Linked Data Summit: Developing Canada\u27s Linked Data Future through Cooperative Alliances

From October 24 to 26, 2016, the Canadian Linked Data Initiative (CLDI) hosted the Canadian Linked Data Summit in Montreal, Quebec with the goal to increase awareness and nurture collaboration for linked data production in Canada. The Summit was inspired by CLDI’s investment in developing and sustaining a cooperative plan for Canadian linked data development for libraries, archives, museums, and other cultural institutions across the country. CLDI, comprising of Canada’s five top research libraries, the University of Toronto, McGill University, Université de Montréal, University of Alberta, and the University of British Columbia, and partners at Library and Archives Canada, Bibliothèque et Archives nationales du Québec, and Canadiana.org, organized the CLDI Summit to allow library staff specializing in cataloguing and technology from institutions across Canada to become better equipped for opening our library metadata to the global Web through the production of linked data. Gathering together linked data experts from North America and Europe, librarians from academic, government and special libraries, as well as graduate students from Canadian Library and Information Science schools, the CLDI Summit provided a forum for recognizing the importance of linked data for libraries, sharing expertise and resources, and working collaboratively between units and institutions across the country. Consisting of presentations and panel discussions, hands-on workshops, and a stakeholders planning meeting, the 3-day CLDI Summit helped to ignite and sustain real strategies for how to move forward with linked data knowledge and production in Canada through leadership, collaboration and communication