Understanding public attitudes towards organ donation: a media analysis

1. Following public consultations and the passing of the Human Transplantation (Wales) Bill in July 2013, a ‘deemed consent’ system for organ donation will be brought into effect in Wales on 1st December 2015 following a targeted communications campaign by the Welsh Government. This research report was commissioned by the Welsh Government in response to the findings of the Public Attitudes to Organ Donation: Baseline Survey 2012 (PAODBS; Welsh Government, 2012) which identified differences between regions in relation to both knowledge of the proposed changes in legislation and attitudes towards the new legislation, in order to inform targeted communications about the legislative change. These differences were not accounted for by socio-economic or demographic differences between these regions. 2. A retrospective content analysis of Welsh media coverage of organ donation legislation covering the period from October 2011 to April 2013 inclusive was carried out on sources from television, newspapers and social media in Wales. In addition to analysing message valence (positive or negative), source credibility and argument strength, an analysis of key themes identified within the sources was also conducted. 3. Analysis of television coverage in English and Welsh languages broadcasting across Wales on national television showed more positive than negative valence, with the pattern of reporting remaining broadly similar across English only, English and Welsh, and Welsh only sources. This suggests that regional differences in knowledge of, and attitudes towards, organ donation legislation are not due to differences in the way in which television stations in Wales convey information relating to organ donation legislation. 4. Themes relating to political and statistical health issues were the most dominant themes identified in television sources. Whilst both themes featured extensively in positive and negative items, political themes featured in more negative stories whilst statistical health themes were found in more positive stories. The television coverage analysed for this report shows a prevalence of factually objective stories relating to the organ donation legislation rather than religious, moral or emotionally laden themes. 5. Newspaper analysis provided mixed comparisons with the PAODBS. A balance of positive and negative items were identified in the Western Mail (accounting for just under half of items analysed) and in regional newspapers in North Wales. In contrast, a greater proportion of positive reporting was identified in the Swansea Bay and Mid & West Wales regional newspapers, and a greater proportion of negative reporting in the Cardiff & South-East Wales region. Positive themes reflected emotional, statistical and political information whilst negative themes reflected political, moral and religious themes. 6. The higher than average number of published letters from readers in the Western Mail and in newspapers within the Cardiff & South-East Wales region accounted for a high proportion of negative items in these data. Readers’ letters primarily reflect moral themes and, to a lesser extent, political and religious themes. 7. Overall, the coverage of organ donation legislation in Welsh media on television and in newspapers has been broadly balanced, with some regional exceptions. However, these in themselves do not explain the attitudes displayed by respondents to the PAODBS (2012). In conclusion, regional differences in knowledge of, and attitudes towards, organ donation legislation do not appear to reflect differences in the presentation of information relating to organ donation legislation across different types of media in Wales

Invasive crayfish impacts on native fish diet and growth vary with fish life stage

Assessing the impacts of invasive organisms is a major challenge in ecology. Some widespread invasive species such as crayfish are potential competitors and reciprocal predators of ecologically and recreationally important native fish species. Here, we examine the effects of signal crayfish (Pacifastacus leniusculus) on the growth, diet, and trophic position of the chub (Squalius cephalus) in four rivers in Britain. Growth rates of 0+ chub were typically lower in sympatric populations with signal crayfish compared with allopatric populations, and this effect could be traced through to 2+ chub in one river. However, growth rates of older chub (5+ to 6+) were typically higher in the presence of crayfish. Sympatry with crayfish resulted in lower chub length-at-age and mass-at-age in half of the rivers sampled, with no change detected in the other rivers. Stable isotope analyses (δ13C and δ15N) revealed that both chub and crayfish were omnivorous, feeding at multiple trophic levels and occupying similar trophic positions. We found some evidence that chub trophic position was greater at invaded sites on one river, with no difference detected on a second river. Mixing models suggested crayfish were important food items for both small and large chub at invaded sites. This study provides evidence that invasive species can have both positive and negative effects on different life stages of a native species, with the net impact likely to depend on responses at the population level

Revealing the Structure and Oxygen Transport at Interfaces in Complex Oxide Heterostructures via ¹⁷O NMR Spectroscopy

Vertically aligned nanocomposite (VAN) films, comprising nanopillars of one phase embedded in a matrix of another, have shown great promise for a range of applications due to their high interfacial areas oriented perpendicular to the substrate. In particular, oxide VANs show enhanced oxide-ion conductivity in directions that are orthogonal to those found in more conventional thin-film heterostructures; however, the structure of the interfaces and its influence on conductivity remain unclear. In this work, 17O NMR spectroscopy is used to study CeO2–SrTiO3 VAN thin films: selective isotopic enrichment is combined with a lift-off technique to remove the substrate, facilitating detection of the 17O NMR signal from single atomic layer interfaces. By performing the isotopic enrichment at variable temperatures, the superior oxide-ion conductivity of the VAN films compared to the bulk materials is shown to arise from enhanced oxygen mobility at this interface; oxygen motion at the interface is further identified from 17O relaxometry experiments. The structure of this interface is solved by calculating the NMR parameters using density functional theory combined with random structure searching, allowing the chemistry underpinning the enhanced oxide-ion transport to be proposed. Finally, a comparison is made with 1% Gd-doped CeO2–SrTiO3 VAN films, for which greater NMR signal can be obtained due to paramagnetic relaxation enhancement, while the relative oxide-ion conductivities of the phases remain similar. These results highlight the information that can be obtained on interfacial structure and dynamics with solid-state NMR spectroscopy, in this and other nanostructured systems, our methodology being generally applicable to overcome sensitivity limitations in thin-film studies

The systematic development of guidance for parents on talking to children of primary school age about weight

Background: The prevalence of overweight and obesity in children is increasing, alongside increases in rates of children’s anxiety and worry about their weight. In many countries children’s weight is measured, and parents are made aware if a child has been classified as having overweight or obesity. However, many parents are concerned that raising their child’s awareness of their weight, and talking to children about their weight could harm their wellbeing. The aim of this project was to develop guidance for parents on constructive ways to talk to children of primary school age about weight when they need to. // Methods: The project followed a mixed-methods design: Phase 1 involved the collation of evidence including (a) two previously published systematic literature reviews to identify the associations between parent–child weight talk, and broader health discussions, and children’s wellbeing, (b) interviews with children, and (c) development and refinement of narrative messaging (previously published). In Phase 2 we developed a conceptual model and mapped primary findings to techniques and content within a draft guidance document for parents on talking to children about weight. Phase 3 involved a modified Delphi process with 29 stakeholders to refine and agree a final version. // Results: An acceptable draft guidance was agreed following two stages of feedback from Delphi participants. Key areas for debate and adaptation included: encouraging discussion about health and growth with lesser focus on weight; finding ways to reduce stigma and perceptions of blame; emphasising a whole-family approach; inclusive representation of diversity among children and families. // Conclusions: Consensus on the content of guidance for parents on talking to children about weight was achieved through a process of evidence review and stakeholder and expert engagement. The next steps are to measure the impact of the resource on improving the experience of parents and children in communicating about weight

Noninvasive In Situ NMR Study of "Dead Lithium" Formation and Lithium Corrosion in Full-Cell Lithium Metal Batteries.

Capacity retention in lithium metal batteries needs to be improved if they are to be commercially viable, the low cycling stability and Li corrosion during storage of lithium metal batteries being even more problematic when there is no excess lithium in the cell. Herein, we develop in situ NMR metrology to study "anode-free" lithium metal batteries where lithium is plated directly onto a bare copper current collector from a LiFePO4 cathode. The methodology allows inactive or "dead lithium" formation during plating and stripping of lithium in a full-cell lithium metal battery to be tracked: dead lithium and SEI formation can be quantified by NMR and their relative rates of formation are here compared in carbonate and ether-electrolytes. Little-to-no dead Li was observed when FEC is used as an additive. The bulk magnetic susceptibility effects arising from the paramagnetic lithium metal were used to distinguish between different surface coverages of lithium deposits. The amount of lithium metal was monitored during rest periods, and lithium metal dissolution (corrosion) was observed in all electrolytes, even during the periods when the battery is not in use, i.e., when no current is flowing, demonstrating that dissolution of lithium remains a critical issue for lithium metal batteries. The high rate of corrosion is attributed to SEI formation on both lithium metal and copper (and Cu+, Cu2+ reduction). Strategies to mitigate the corrosion are explored, the work demonstrating that both polymer coatings and the modification of the copper surface chemistry help to stabilize the lithium metal surface.A.B.G acknowledges the support from the Royal Society (RP/R1/180147) and EPSRC-EP/M009521/1. C.V.A acknowledges financial support from the TomKat Center Postdoctoral Fellowship in Sustainable Energy at Stanford, and a Visiting Fellowship from Corpus Christi College at the University of Cambridge. S.M thanks the Blavatnik Cambridge Fellowships. C.P.G thanks the EU/ERC for an Advanced Fellowship. A.B.G thanks the NanoDTC Cambridge for travel funding

Survival of near-critical branching Brownian motion

Consider a system of particles performing branching Brownian motion with negative drift $\mu = \sqrt{2 - \epsilon}$ and killed upon hitting zero. Initially there is one particle at $x>0$. Kesten showed that the process survives with positive probability if and only if $\epsilon>0$. Here we are interested in the asymptotics as \eps\to 0 of the survival probability $Q_\mu(x)$. It is proved that if $L= \pi/\sqrt{\epsilon}$ then for all $x \in \R$, $\lim_{\epsilon \to 0} Q_\mu(L+x) = \theta(x) \in (0,1)$ exists and is a travelling wave solution of the Fisher-KPP equation. Furthermore, we obtain sharp asymptotics of the survival probability when $x<L$ and $L-x \to \infty$. The proofs rely on probabilistic methods developed by the authors in a previous work. This completes earlier work by Harris, Harris and Kyprianou and confirms predictions made by Derrida and Simon, which were obtained using nonrigorous PDE methods

The application of mHealth to mental health: opportunities and challenges

Recent advances in smartphones and wearable biosensors enable the gathering of ‘real-time’ psychological, behavioural and physiological data, in increasingly precise and unobtrusive ways. It is therefore now possible to collect moment-to-moment information about an individuals’ moods, cognitions and activities, as well as automated data about their whereabouts, behaviour and physiological states. In this paper, we discuss the potential of these new mobile digital technologies for transforming mental health research and clinical practice. By drawing on a recent research project, we illustrate how traditional boundaries between research and clinical practice are becoming increasingly blurred and how in turn, this is leading to exciting new developments in the assessment and management of common mental disorders. The potential risks and key challenges associated with applying mobile technology to mental health are also discussed

Cold homes, fuel poverty and energy efficiency improvements: A longitudinal focus group approach

Cold homes and fuel poverty have been identified as factors in health and social inequalities that could be alleviated through energy efficiency interventions. Research on fuel poverty and the health impacts of affordable warmth initiatives have to date primarily been conducted using quantitative and statistical methods, limiting the way how fuel poverty is understood. This study took a longitudinal focus group approach that allowed exploration of lived experiences of fuel poverty before and after an energy efficiency intervention. Focus group discussions were held with residents from three low-income communities before (n = 28) and after (n = 22) they received energy efficiency measures funded through a government-led scheme. The results show that improving the energy efficiency of homes at risk of fuel poverty has a profound impact on wellbeing and quality of life, financial stress, thermal comfort, social interactions and indoor space use. However, the process of receiving the intervention was experienced by some as stressful. There is a need for better community engagement and communication to improve the benefits delivered by fuel poverty programmes, as well as further qualitative exploration to better understand the wider impacts of fuel poverty and policy-led intervention schemes

Correspondence on the introduction of salmon from Scotland into the rivers of Tasmania

Correspondence presented to the Royal Society regarding the introduction of salmon from Scotland to Tasmania dated between 13th August 1849 and the 16th May 1850