Unprepared for the depth of my feelings' - capturing grief in older people through research poetry

Background: Older people are more likely to experience bereavements than any other age group. However, in healthcare and society, their grief experiences and support needs receive limited attention. Through innovative, arts-based research poetry, this study aimed to capture older people's bereavement stories and the effects of grief on their physical and mental health. Method: Semi-structured in-depth interviews with 18 bereaved older adults were analysed using thematic and poetic narrative analysis, following a five-step approach of immersion, creation, critical reflection, ethics and engagement. Results: Research poems were used to illustrate three themes of bereavement experiences among older adults: feeling unprepared, accumulation of losses and ripple effects of grief. While half of participants reported that the death of their family member was expected, many felt unprepared despite having experienced multiple bereavements throughout their life. Instead, the accumulation of losses had a compounding effect on their health and well-being. While these ripple effects of grief focussed on emotional and mental health consequences, many also reported physical health effects like the onset of a new condition or the worsening of an existing one. In its most extreme form, grief was connected with a perceived increased mortality risk. Conclusions: By using poetry to draw attention to the intense and often long-lasting effects of grief on older people's health and well-being, this article offers emotional, engaging and immersive insights into their unique bereavement experiences and thereby challenges the notion that grief has an expiry date. © 2022 The Author(s) 2022. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: [email protected]

Comparison of Methods for Determining Aerobic Exercise Intensity Using Heart Rate in Acute Leukemia Patients Prior to Induction Chemotherapy

Cardiopulmonary exercise testing (CPET), the gold standard of cardiopulmonary evaluation, is used to determine VO2 levels at different aerobic exercise training intensities; however, it may not be feasible to conduct CPET in all clinical settings

Development of Reacted Channel During Flow of CO2 Rich Water Along a Cement Fracture

AbstractLab scale experiments were performed to characterize how coupling between reaction and flow affect time-dependent flux of CO2-rich water along leaky wells. The core flow system applies confining stress to a cement core with a single tensile fracture while CO2-rich water is injected at constant rate and elevated pore pressure. Results show no significant variation in pressure differential, despite the development of a texturally distinct calcium depleted channel along the fracture surfaces which is bounded by thin rims of precipitation. Silicon rich material remains in the channel and prevents wormhole development and large increases in aperture. Implications for time-dependent CO2 leakage are that even with high fluid flux, the leak does not get appreciably worse

The proton Nuclear Magnetic Resonance spin-lattice relaxation rate of some hydrated synthetic and natural sands

The proton nuclear magnetic resonance (NMR) spin-lattice relaxation rate (R1) of hydrated sands is often used to determine porosity characteristics of near-surface aquifers using magnetic resonance sounding. Large variations in R1 have been reported in laboratory measurements on hydrated sands. To understand these variations, the R1 values of several fully hydrated sands were studied as a function of grain diameter (d) and magnetic field strength (BB0). We conclude the variations are a consequence of trace paramagnetic metals in the sand grains. R1 values from magnetic resonance sounding data should not be used to predict void size in aquifers unless the exact chemical composition of the grains is known

Intake of Supplemental Deer Pellets Containing Ground Blueberry Juniper by Wild Pigs

Supplemental feeding of cervid species such as white-tailed deer (Odocoileus virginianus; deer) is now a common management practice in the United States. Supplemental feeding can be costly and more expensive when supplements are consumed by non-target species such as wild pigs (Sus scrofa; pigs). From May 13 to June 17, 2015, we evaluated the effects of using ground blueberry juniper (Juniperus ashei) or cottonseed (Gossypium spp.) hulls as a roughage ingredient in a supplemental deer pellet to deter pig consumption at the Texas A&M AgriLife Research Center in San Angelo, Texas, USA. We analyzed dry matter intake, growth performance, in vitro digestibility and fermentation, and blood serum chemistry of pigs using a 2 × 2 factorial study design that included 3 feeding periods. Pigs were assigned to 1 of 4 supplement diets (n = 5 pigs/supplement) or to a commercially available swine diet (BASAL; n = 4 pigs). Animals assigned to supplement diets were also offered BASAL based on percentage of body weight (BW) during each period. Supplement diets differed by roughage source and percentage of roughage: cottonseed hulls 20%, cottonseed hulls 40%, blueberry juniper 20%, or blueberry juniper 40%. During each period, the amount of supplement and BASAL diet offered to animals assigned to a supplement was fed as a percentage of BW; period 1 (day 0 to 17) = 5% supplement diet and 5% BASAL diet, period 2 (day 18 to 26) = 5% supplement diet and 2% BASAL diet, period 3 (day 27 to 34) = 5% supplement diet and 5% BASAL diet. Animals assigned to only BASAL were offered the same amount of feed as a percent of BW as supplement animals during each period. We observed a roughage × period interaction (P = 0.03) for supplement dry matter intake g/day and a roughage × period interaction (P \u3c 0.09) for total dry matter intake as a percentage of BW. No differences were observed within period. No other variables had percent roughage x period differences. Ground blueberry juniper was indigestible by pigs; the in vitro digestibility of dry matter and gross energy was \u3c 1%. Greater blood serum alanine aminotransferase (P= 0.07) in pigs consuming experimental supplement diets suggested the possibility of liver damage. Our findings suggest that there does not appear to be a benefit of using ground juniper as a roughage source to reduce consumption of supplemental deer feed by pigs

Does coffee affect the validity of an oral abbreviated fat tolerance test in healthy adults?

Objectives: Postprandial triglycerides (TG), or levels of fat in the blood after a meal, are an independent risk factor for cardiovascular disease (CVD) (1). A clinically feasible test to assess postprandial TG has been developed, known as the Abbreviated Fat Tolerance Test (AFTT) (2), however the impact of coffee consumption prior to an AFTT on postprandial TG is largely unknown. Notably, approximately half of Americans consume at least one cup of coffee before or with breakfast (3), therefore understanding whether coffee intake impacts AFTT results is practical. This study aimed to investigate the effect of coffee consumption prior to an AFTT on postprandial TG, in order to determine whether coffee intake prior to an AFTT affects its validity. Methods: Participants completed 2 randomized AFTTs separated by at least 1 week, but not exceeding 2 weeks. For each AFTT, participants arrived into the laboratory following a 10-hour overnight fast and consumed either 1 cup of water or black coffee. Thirty-minutes later, a baseline blood draw was collected. Immediately following, participants consumed a standardized high-fat shake (73% fat; 9 kcal/kg body mass), vacated the laboratory, and returned 4 hours later for a follow-up blood draw. Results: Six healthy individuals (3 Women, 3 Men; age 21.3 ± 3.2; BMI 25.9 ± 1.6) completed the present study. Two-way ANOVA of TG revealed a significant overall time effect (p = 0.008), but not time x trial interaction (p = 0.87) or overall trial effect (p = 0.27). Absolute change in TG was not different between trials (p = 0.61). Conclusion: In our small study sample, coffee intake prior to an AFTT did not affect postprandial TG. Therefore, coffee intake prior to an AFTT may not affect the validity of the AFTT. Further research should investigate the effects of coffee consumption prior to an AFTT on the validity of the AFTT in a larger, more diverse study population.Lew Wentz FoundationNutritional Science

KSU Woodwind Faculty Recital

The esteemed KSU Woodwind faculty present a recital with a large collection of virtuosic works spanning multiple styles and centuries. Accompaniment by Eric Jenkins and Robert Henry, piano. Presented virtually from Morgan Concert Hall of the Bailey Performance Center.https://digitalcommons.kennesaw.edu/musicprograms/2327/thumbnail.jp

Implementation evaluation of multiple complex early years interventions: : an evaluation framework and study protocol

Introduction: Implementation evaluations are integral to understanding whether, how and why interventions work. However, unpicking the mechanisms of complex interventions is often challenging in usual service settings where multiple services are delivered concurrently. Furthermore, many locally developed and/or adapted interventions have not undergone any evaluation, thus limiting the evidence base available. Born in Bradford’s Better Start cohort is evaluating the impact of multiple early life interventions being delivered as part of the Big Lottery Fund’s ‘A Better Start’ programme to improve the health and well-being of children living in one of the most socially and ethnically diverse areas of the UK. In this paper, we outline our evaluation framework and protocol for embedding pragmatic implementation evaluation across multiple early years interventions and services. Methods and analysis: The evaluation framework is based on a modified version of The Conceptual Framework for Implementation Fidelity. Using qualitative and quantitative methods, our evaluation framework incorporates semistructured interviews, focus groups, routinely collected data and questionnaires. We will explore factors related to content, delivery and reach of interventions at both individual and wider community levels. Potential moderating factors impacting intervention success such as participants’ satisfaction, strategies to facilitate implementation, quality of delivery and context will also be examined. Interview and focus guides will be based on the Theoretical Domains Framework to further explore the barriers and facilitators of implementation. Descriptive statistics will be employed to analyse the routinely collected quantitative data and thematic analysis will be used to analyse qualitative data. Ethics and dissemination: The Health Research Authority (HRA) has confirmed our implementation evaluations do not require review by an NHS Research Ethics Committee (HRA decision 60/88/81). Findings will be shared widely to aid commissioning decisions and will also be disseminated through peer-reviewed journals, summary reports, conferences and community newsletters

Resilience of people with chronic medical conditions during the COVID-19 pandemic: a 1-year longitudinal prospective survey

Backgrounds Individuals with chronic medical conditions are considered highly exposed to COVID-19 pandemic stress, but emerging evidence is demonstrating that resilience is common even among them. We aimed at identifying sustained resilient outcomes and their predictors in chronically ill people during the first year of the pandemic. Methods This international 4-wave 1-year longitudinal online survey included items on socio-demographic characteristics, economic and living situation, lifestyle and habits, pandemic-related issues, and history of mental disorders. Adherence to and approval of imposed restrictions, trust in governments and in scientific community during the pandemic were also investigated. The following tools were administered: the Patient Health Questionnaire, the Generalized Anxiety Disorder scale, the PTSD Checklist DSM-5, the Oslo Social Support Scale, the Padua Inventory, and the Portrait Values Questionnaire. Results One thousand fifty-two individuals reporting a chronic condition out of 8011 total participants from 13 countries were included in the study, and 965 had data available for the final model. The estimated probability of being “sustained-resilient” was 34%. Older male individuals, participants employed before and during the pandemic or with perceived social support were more likely to belong to the sustained-resilience group. Loneliness, a previous mental disorder, high hedonism, fear of COVID-19 contamination, concern for the health of loved ones, and non-approving pandemic restrictions were predictors of not-resilient outcomes in our sample. Conclusions We found similarities and differences from established predictors of resilience and identified some new ones specific to pandemics. Further investigation is warranted and could inform the design of resilience-building interventions in people with chronic diseases

START-online: acceptability and feasibility of an online intervention for carers of people living with dementia

BACKGROUND: With increasing numbers of people living with dementia relying on family to care for them at home, there is an urgent need for practical and evidence-based programs to support carers in maintaining their mental health and well-being. The objective of this study was to evaluate the acceptability and feasibility of a modified STrAtegies for RelaTives (START) program delivered online (START-online). METHOD: A mixed-methods non-blinded evaluation of START-online (using Zoom as videoconferencing platform) for acceptability and feasibility (completion rates and qualitative feedback through surveys and focus groups) and quantitative evaluation. This occurred at the National Ageing Research Institute, in metropolitan Victoria, Australia. RESULTS: Twenty-nine eligible carers were referred, 20 (70%) consented to the study. Of these, 16 (80%) completed all 8 sessions, 2 completed only 3 sessions, and 2 withdrew. Carers' qualitative feedback indicated that the therapist interaction was valued, content and online delivery of the program was acceptable. Feedback was mixed on the appropriate stage of caring. CONCLUSION: START-online was feasible and acceptable for carers, including those living outside of metropolitan areas who might otherwise be unable to access face-to-face programs. With the recent COVID-19 pandemic necessitating social distancing to avoid infection, interventions such as this one have increasing relevance in the provision of flexible services