Moving Past the Binary: Transgender and Gender Non-Conforming Students’ Experiences of and Perspectives on College Campus Fitness Centers

Transgender and gender non-conforming (TGNC) people face various mental and physical health disparities. Despite this, spaces related to health and wellness are not always inclusive. Similarly, college campuses are often not as inclusive or accommodating as they should be. This study looks at the experiences of TGNC students at campus fitness centers. Through both quantitative and qualitative data gathered through an online survey, it aims to better understand the following: the presence of inclusive facilities; the perceived importance of facility variables; use of campus fitness facilities by TGNC students; what improvements they would like to see; and how any of these factors correlate with demographic and institutional variables. Ten students responded. As such, the data is not conclusive, but it is largely consistent with findings of similar studies. Both the quantitative and qualitative responses consistently suggest that gender-neutral bathrooms and changing rooms would improve TGNC students’ experiences. The qualitative data also suggests that TGNC students are avoiding campus gyms due to feelings of discomfort, sometimes directly related to their gender identities and other times due to other factors. This study serves as a starting point for further research on how campus fitness centers can be more inclusive to TGNC students

Patient Evaluation of Emotional Comfort Experienced (PEECE): Developing and testing a measurement instrument

Objectives: The Patient Evaluation of Emotional Comfort Experienced (PEECE) is a 12-item questionnaire which measures the mental well-being state of emotional comfort in patients. The instrument was developed using previous qualitative work and published literature. Design: Instrument development. Setting: Acute Care Public Hospital, Western Australia. Participants: Sample of 374 patients. Interventions: A multidisciplinary expert panel assessed the face and content validity of the instrument and following a pilot study, the psychometric properties of the instrument were explored. Main outcome measures: Exploratory and confirmatory factor analysis assessed the underlying dimensions of the PEECE instrument; Cronbach’s α was used to determine the reliability; κ was used for test–retest reliability of the ordinal items. Results: 2 factors were identified in the instrument and named ‘positive emotions’ and ‘perceived meaning’. A greater proportion of male patients were found to report positive emotions compared with female patients. The instrument was found to be feasible, reliable and valid for use with inpatients and outpatients. Conclusions: PEECE was found to be a feasible instrument for use with inpatient and outpatients, being easily understood and completed

Poison sedge can kill stock

POISON SEDGE was first suspected of being toxic to livestock in Western Australia nearly 80 years ago. Sudden deaths of sheep grazing areas on which poison sedge grew have been reported from many regions from Geraldton to Scott River. This article reports a case of poisoning in the field, and the experimental reproduction of poison sedge toxicity in pen-fed sheep

Characteristics and quality of life of patients presenting to cancer support centres: Patient rated outcomes and use of complementary therapies

Background: In order to effectively target and provide individualised patient support strategies it is crucial to have a comprehensive picture of those presenting for services. The purpose of this study was to determine the characteristics and patient rated outcomes of individuals presenting to SolarisCare cancer support centres and their choices regarding complementary and integrated therapies (CIT).Methods: A cohort with a current or previous cancer diagnosis aged 18 - 87 years presenting to a SolarisCare centre during a 5-day period completed a questionnaire. Four SolarisCare centres participated in the trial including regional and metropolitan locations. Outcomes included medical and demographic characteristics, CIT variables and patient rated outcomes (PROs) including quality of life (QoL).Results: Of the 95 participants (70.3%) who completed the survey, the mean age was 60.5 years with 62% currently receiving treatment. Eighty percent of the sample had at least one other comorbid condition, with the most popular CIT being relaxation massage. Of the PROs, QoL was significantly lower than norms for the Australian population and other mixed cancer populations. No notable differences were seen between genders, however significantly poorer outcomes were found for the younger age group. Fifty percent of the population did not meet physical activity recommendations, and musculoskeletal symptoms explained between 25-27% of variance in QoL.Conclusions: A greater understanding of the health profiles of patients presenting to supportive care centres and their use of CIT, provides Western Australian health professionals with key information to ensure the safety of supportive care practices, as well as fosters optimal patient outcomes and enhances the integration of supportive care strategies within mainstream medical care

Early Quadriceps Strength Loss After Total Knee Arthroplasty : The Contributions of Muscle Atrophy and Failure of Voluntary Muscle Activation

While total knee arthroplasty reduces pain and provides a functional range of motion of the knee, quadriceps weakness and reduced functional capacity typically are still present one year after surgery. The purpose of the present investigation was to determine the role of failure of voluntary muscle activation and muscle atrophy in theearly loss of quadriceps strength after surgery

Positive patient experiences in an Australian integrative oncology centre

Background: The purpose of this study was to explore the experiences of cancer patients\u27 utilising complementary and integrative therapies (CIT) within integrative oncology centres across Western Australia.Methods: Across four locations 135 patients accessed CIT services whilst undergoing outpatient medical treatment for cancer. Of the 135 patients, 66 (61 ± 12 y; female n = 45; male n = 21) agreed to complete a personal accounts questionnaire consisting of open-ended questions designed to explore patients\u27 perceptions of CIT. All results were transcribed into nVivo (v9) and using thematic analysis, key themes were identified.Results: Of the 66 participants, 100% indicated they would recommend complementary therapies to other patients and 92% stated CIT would play a significant role in their future lifestyle . A mean score of 8 ± 1 indicated an improvement in participants\u27 perception of wellbeing following a CIT session. Three central themes were identified: empowerment, support and relaxation. Fourteen sub-themes were identified, with all themes clustered into a framework of multifaceted views held by cancer patients in relation to wellbeing, role of significant others and control.Conclusions: Exploration of patients\u27 experiences reveals uniformly positive results. One of the key merits of the environment created within the centres is patients are able to work through their cancer journey with an increased sense of empowerment, without placing them in opposition to conventional medical treatment. In order to effectively target integrative support services it is crucial to explore the experiences of patients in their own words and use those forms of expression to drive service delivery

Microbial risk assessment of drinking water based on hydrodynamic modelling of pathogen concentrations in source water

Norovirus contamination of drinking water sources is an important cause of waterborne disease outbreaks. Knowledge on pathogen concentrations in source water is needed to assess the ability of a drinking water treatment plant (DWTP) to provide safe drinking water. However, pathogen enumeration in source water samples is often not sufficient to describe the source water quality. In this study, the norovirus concentrations were characterised at the contamination source, i.e. in sewage discharges. Then, the transport of norovirus within the water source (the river Gota alv in Sweden) under different loading conditions was simulated using a hydrodynamic model. Based on the estimated concentrations in source water, the required reduction of norovirus at the DWTP was calculated using quantitative microbial risk assessment (QMRA). The required reduction was compared with the estimated treatment performance at the DWTP. The average estimated concentration in source water varied between 4.8 x 10(2) and 7.5 x 10(3) genome equivalents L-1; and the average required reduction by treatment was between 7.6 and 8.8 Log(10). The treatment performance at the DWTP was estimated to be adequate to deal with all tested loading conditions, but was heavily dependent on chlorine disinfection, with the risk of poor reduction by conventional treatment and slow sand filtration. To our knowledge, this is the first article to employ discharge-based QMRA, combined with hydrodynamic modelling, in the context of drinking water. (C) 2015 Elsevier B.V. All rights reserved

New homogeneous iron abundances of double-mode Cepheids from high-resolution echelle spectroscopy

Aims: We define the relationship between the double-mode pulsation of Cepheids and metallicity in a more accurate way, determine the empirical metallicities of double-mode Cepheids from homogeneous, high-resolution spectroscopic data, and study of the period-ratio -- metallicity dependence. Methods: The high S/N echelle spectra obtained with the FEROS spectrograph were analyzed using a self-developed IRAF script, and the iron abundances were determined by comparing with synthetic spectra assuming LTE. Results: Accurate [Fe/H] values of 17 galactic beat Cepheids were determined. All these stars have solar or slightly subsolar metallicity. Their period ratio P1/P0 shows strong correlation with their derived [Fe/H] values. The corresponding period ratio -- metallicity relation has been evaluated.Comment: 10 pages, 7 figures, accepted in A&

Warped accretion discs and the long periods in X-ray binaries

Precessing accretion discs have long been suggested as explanations for the long periods observed in a variety of X-ray binaries, most notably Her X-1/HZ Her. We show that an instability of the disc's response to the radiation reaction force from the illumination by the central source can cause the disc to tilt out of the orbital plane and precess in something like the required manner. The rate of precession and disc tilt obtained for realistic values of system parameters compare favourably with the known body of data on X-ray binaries with long periods. We explore other possible types of behaviour than steadily precessing discs that might be observable in systems with somewhat different parameters. At high luminosities, the inner disc tilts through more than 90 degrees, i.e. it rotates counter to the usual direction, which may explain the torque reversals in systems such as 4U 1626-67.Comment: submitted to MNRAS, 17-Dec-97, revised submit 2-Nov-98. 15 pages LaTeX, 11 postscript figures in-tex