Do GPs want or need formal support following a patient suicide?: a mixed methods study.

BACKGROUND: Patient suicide can be a devastating event for some general practitioners (GPs). Few guidelines exist to aid or support GPs in the aftermath of patient suicide. AIM: To explore GPs views on how they are affected by a patient suicide and the formal support available to them following a patient suicide. DESIGN: Questionnaires and semi-structured interviews. SETTING: General practices in the northwest of England. METHODS: About 198 semi-structured interviews were conducted as part of a retrospective study. Interviews were transcribed verbatim and analysed using descriptive statistics and a framework thematic approach. RESULTS: GPs were aged between 31 and 67 years, 144 (73%) were male and the number of years in practice varied between 8 and 40 years (median = 24 years). GPs were based at 133 (67%) urban and 65 (33%) rural practices, 30 (15%) were single-handed GP practices and 168 (85%) practices had two or more GPs. About 131 (66%) GPs reported being affected by patient suicide through feelings of grief, guilt and self-scrutiny. A greater number of years in practice may have been protective against these effects. About 54 (27%) GPs reported having mostly 'informal' support from peers or colleagues and support was less available to younger and single handed GPs. CONCLUSIONS: Our findings suggest that the majority of GPs are affected by patient suicide and most seek informal support from their peers and colleagues. Although many indicated that informal support systems were adequate and provided a protective environment, procedures should be developed to ensure the availability of guidelines for those who may require formal support

Can Deep Water Exercise Training Improve Arterial Stiffness in Women with Metabolic Syndrome?

Please refer to the pdf version of the abstract located adjacent to the title

Relationships between Peak Oxygen Uptake and Arterial Function: a Preliminary Study

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On the Dynamical Overstability of Radiative Blast Waves: The Atomic Physics of Shock Stability

Atomic physics calculations of radiative cooling are used to calculate criteria for the overstability of radiating shocks. Our calculations explain the measurement of shock overstability by Grun et al. and explain why the overstability was not observed in other experiments. The methodology described here can be especially useful in astrophysical situations where the relevant properties leading to an overstability can be measured spectroscopically, but the effective adiabatic index is harder to determine.Comment: 11 pages including 3 figures, accepted for publication in Physical Review Letter

Applied Sport Science for Male Age-Grade Rugby Union in England

Rugby union (RU) is a skill-collision team sport played at junior and senior levels worldwide. Within England, age-grade rugby governs the participation and talent development of youth players. The RU player development pathway has recently been questioned, regarding player performance and wellbeing, which sport science research can address. The purpose of this review was to summarise and critically appraise the literature in relation to the applied sport science of male age-grade RU players in England focusing upon 1) match-play characteristics, 2) training exposures, 3) physical qualities, 4) fatigue and recovery, 5) nutrition, 6) psychological challenges and development, and 7) injury. Current research evidence suggests that age, playing level and position influence the match-play characteristics of age-grade RU. Training exposures of players are described as ‘organised chaos’ due to the multiple environments and stakeholders involved in coordinating training schedules. Fatigue is apparent up to 72 hours post match-play. Well developed physical qualities are important for player development and injury risk reduction. The nutritional requirements are high due to the energetic costs of collisions. Concerns around the psychological characteristics have also been identified (e.g., perfectionism). Injury risk is an important consideration with prevention strategies available. This review highlights the important multi-disciplinary aspects of sport science for developing age-grade RU players for continued participation and player development. The review describes where some current practices may not be optimal, provides a framework to assist practitioners to effectively prepare age-grade players for the holistic demands of youth RU and considers areas for future research

Resolving the backbone tilt of crystalline poly(3-hexylthiophene) with resonant tender X-ray diffraction

The way in which conjugated polymers pack in the solid state strongly affects the performance of polymer-based optoelectronic devices. However, even for the most crystalline conjugated polymers the precise packing of chains within the unit cell is not well established. Here we show that by performing resonant X-ray diffraction experiments at the sulfur K-edge we are able to resolve the tilting of the planar backbones of crystalline poly(3-hexylthiophene) (P3HT) within the unit cell. This approach exploits the anisotropic nature of the X-ray optical properties of conjugated polymers, enabling us to discern between different proposed crystal structures. By comparing our data with simulations based on different orientations, a tilting of the planar conjugated backbone with respect to the side chain stacking direction of 30 ± 5° is determined

Candidate chiral twin bands in the odd-odd nucleus 132 Cs : Exploring the limits of chirality in the mass A ≈ 130 region

High-spin states in the doubly odd $N=77$ nucleus ${}^{132}\mathrm{Cs}$ have been studied. The known positive-parity structures have been extended. \ensuremath{\gamma}-ray linear-polarization and angular-correlation measurements have been performed to establish the spin and parity assignment of these structures. A new chiral partner of the \ensuremath{\pi}{h}_{11/2}\ensuremath{\bigotimes}\ensuremath{\nu}{h}_{11/2} band has been proposed. Three-dimensional tilted axis cranking model calculations have been performed and compared with the experimental results