Cerebrovascular compliance within the rigid confines of the skull

© 2018 Zamir, Moir, Klassen, Balestrini and Shoemaker. Pulsatile blood flow is generally mediated by the compliance of blood vessels whereby they distend locally and momentarily to accommodate the passage of the pressure wave. This freedom of the blood vessels to exercise their compliance may be suppressed within the confines of the rigid skull. The effect of this on the mechanics of pulsatile blood flow within the cerebral circulation is not known, and the situation is compounded by experimental access difficulties. We present an approach which we have developed to overcome these difficulties in a study of the mechanics of pulsatile cerebral blood flow. The main finding is that while the innate compliance of cerebral vessels is indeed suppressed within the confines of the skull, this is compensated somewhat by compliance provided by other extravascular elements within the skull. The net result is what we have termed intracranial compliance, which we argue is more pertinent to the mechanics of pulsatile cerebral blood flow than is intracranial pressure

Evaluating the feasibility of prison officers providing guided self-help support to adult male offenders experiencing stress

With substantial mental health needs, United Nations guidelines recommend prisoners should have access to healthcare of the same standard as non-prisoners. CBT-based self-help is recommended for anxiety and depression; one approach is Living Life To The Full (LLTTFTM). This study evaluated the feasibility of Prison Officers providing guided self-help support to adult male offenders experiencing distress in a Scottish prison. Prison Officers attended training in delivering LLTTF books and worksheets. Seven prisoners completed four one-to-one sessions of LLTTF. A large effect size was associated with improving depression self-ratings pre- to post-treatment. Pre-treatment anxiety and social function were associated with non-significant change. Feedback from Prison Officers and prisoners indicated LLTTF materials would benefit from adaptation for prison, which could be revised with Prison Officers and prisoners. Results suggest further research on guided self-help in prison is worth pursuing. Designated guided self-help workers may be better placed to deliver LLTTF in this or an educational setting

War on video: Combat footage, vernacular video analysis and military culture from within

open access articleIn this article we present an ethnomethodological study of a controversial case of ‘friendly fire’ from the Iraq War in which leaked video footage, war on video, acquired particular significance. We examine testimony given during a United States Air Force (USAF) investigation of the incident alongside transcribed excerpts from the video to make visible the methods employed by the investigators to assess the propriety of the actions of the pilots involved. With a focus on the way in which the USAF investigators pursued their own analysis of language-in-use in their discussions with the pilots about what had been captured on the video, we turn attention to the background expectancies that analytical work was grounded in. These ‘vernacular’ forms of video analysis and the expectancies which inform them constitute, we suggest, an inquiry into military culture from within that culture. As such, attending to them provides insights into that culture

High-frequency ultrasonic speckle velocimetry in sheared complex fluids

High-frequency ultrasonic pulses at 36 MHz are used to measure velocity profiles in a complex fluid sheared in the Couette geometry. Our technique is based on time-domain cross-correlation of ultrasonic speckle signals backscattered by the moving medium. Post-processing of acoustic data allows us to record a velocity profile in 0.02--2 s with a spatial resolution of 40 $\mu$m over 1 mm. After a careful calibration using a Newtonian suspension, the technique is applied to a sheared lyotropic lamellar phase seeded with polystyrene spheres of diameter 3--10 $\mu$m. Time-averaged velocity profiles reveal the existence of inhomogeneous flows, with both wall slip and shear bands, in the vicinity of a shear-induced ``layering'' transition. Slow transient regimes and/or temporal fluctuations can also be resolved and exhibit complex spatio-temporal flow behaviors with sometimes more than two shear bands.Comment: 15 pages, 18 figures, submitted to Eur. Phys. J. A

An examination of the nature and application among the nanotechnologies industries of corporate social responsibility in the context of safeguarding the environment and human health

This report was commissioned by the Department of Environment, Food and Rural Affairs and has been undertaken by the ESRC Centre for Business Relationships, Accountability, Sustainability and Society of Cardiff University. It aims to provide a clearer understanding of the role which corporate social responsibility (CSR) currently plays in influencing the activities of companies involved in the nanotechnologies industry in the UK, and how CSR may contribute to protecting society from any health and environmental risks which may emerge from nanotechnology applications in the future

Recording COVID-19 consultations : review of symptoms, risk factors, and proposed SNOMED CT terms

Background There is an urgent need for epidemiological research in primary care to develop risk assessment processes for patients presenting with COVID-19, but lack of a standardised approach to data collection is a significant barrier to implementation. Aim To collate a list of relevant symptoms, assessment items, demographics, and lifestyle and health conditions associated with COVID-19, and match these data items with corresponding SNOMED CT clinical terms to support the development and implementation of consultation templates. Design & setting Published and preprint literature for systematic reviews, meta-analyses, and clinical guidelines describing the symptoms, assessment items, demographics, and/or lifestyle and health conditions associated with COVID-19 and its complications were reviewed. Corresponding clinical concepts from SNOMED CT, a widely used structured clinical vocabulary for electronic primary care health records, were identified. Method Guidelines and published and unpublished reviews (N = 61) were utilised to collate a list of relevant data items for COVID-19 consultations. The NHS Digital SNOMED CT Browser was used to identify concept and descriptive identifiers. Key implementation challenges were conceptualised through a Normalisation Process Theory (NPT) lens. Results In total, 32 symptoms, eight demographic and lifestyle features, 25 health conditions, and 20 assessment items relevant to COVID-19 were identified, with proposed corresponding SNOMED CT concepts. These data items can be adapted into a consultation template for COVID-19. Key implementation challenges include: 1) engaging with key stakeholders to achieve ’buy in’; and 2) ensuring any template is usable within practice settings. Conclusion Consultation templates for COVID-19 are needed to standardise data collection, facilitate research and learning, and potentially improve quality of care for COVID-19.Publisher PDFPeer reviewe

Process evaluation for complex interventions in primary care: understanding trials using the normalization process model

Background: the Normalization Process Model is a conceptual tool intended to assist in understanding the factors that affect implementation processes in clinical trials and other evaluations of complex interventions. It focuses on the ways that the implementation of complex interventions is shaped by problems of workability and integration.Method: in this paper the model is applied to two different complex trials: (i) the delivery of problem solving therapies for psychosocial distress, and (ii) the delivery of nurse-led clinics for heart failure treatment in primary care.Results: application of the model shows how process evaluations need to focus on more than the immediate contexts in which trial outcomes are generated. Problems relating to intervention workability and integration also need to be understood. The model may be used effectively to explain the implementation process in trials of complex interventions.Conclusion: the model invites evaluators to attend equally to considering how a complex intervention interacts with existing patterns of service organization, professional practice, and professional-patient interaction. The justification for this may be found in the abundance of reports of clinical effectiveness for interventions that have little hope of being implemented in real healthcare setting