Exploring the experiences of Indigenous women who participated in a 'follow-through' journey within a Bachelor of Midwifery program

[Extract] Summary: • The women interviewed in our study reported the many benefits of having an Indigenous midwifery student provide them with Continuity of Care • Increasing the number of Aboriginal & Torres Strait Islander midwives is essential to improving health outcomes for Aboriginal & Torres Strait Islander familie

Galaxies Correlating with Ultra-high Energy Cosmic Rays

The Pierre Auger Observatory reports that 20 of the 27 highest energy cosmic rays have arrival directions within 3.2 deg of a nearby galaxy in the Veron-Cetty & Veron Catalog of Quasars and Active Galactic Nuclei (12th Ed.), with ~5 of the correlations expected by chance. In this paper we examine the correlated galaxies to gain insight into the possible UHECR sources. We find that 14 of the 21 correlated VCV galaxies are AGNs and we determine their bolometric luminosities. The remaining 7 are primarily star-forming galaxies. The bolometric luminosities of the correlated AGNs are all greater than 5 x 10^{42} erg/s, which may explain the absence of UHECRs from the Virgo region in spite of the large number of VCV galaxies in Virgo, since most of the VCV galaxies in the Virgo region are low luminosity AGNs. Interestingly, the bolometric luminosities of most of the AGNs are significantly lower than required to satisfy the minimum condition for UHECR acceleration in a continuous jet. If a UHECR-AGN correlation is substantiated with further statistics, our results lend support to the recently proposed ``giant AGN flare" mechanism for UHECR acceleration.Comment: 13 pages, 3 figures, to be submitted to Ap

Homeless people and their dogs: Exploring the nature and impact of the human-companion animal bond

Homelessness is a pervasive social issue worldwide. In the UK, it is currently estimated that one in two hundred people are homeless, approximating 0.5% of the population. Pet ownership among this group is thought to be commonplace and has been linked with a range of human health and social benefits. These include amelioration of loneliness, isolation and depression and reduction in suicidal thoughts, substance misuse and criminal activity. However, pet ownership has also been suggested to perpetuate homelessness by restricting access to support services, especially housing. This study aimed to explore the nature of the Human Companion-Animal Bond (H-CAB) between UK homeless owners and their dogs, and to document the implications of this bond for the health and welfare of both parties. Twenty homeless or vulnerably housed dog owners were recruited to participate in semi-structured interviews consisting of open and closed questions. These were recorded, transcribed and subjected to thematic analysis. Major emergent themes included participants’ descriptions of their pets as kin; the responsibility they felt towards their pet; and anticipatory grief when contemplating a future without their companion animal. Importantly, the analysis also suggests the importance of a mutual rescue narrative, whereby pet owners felt that they had rescued their dogs from a negative situation, and vice-versa. However, participants also described being refused access to services, frequently on account of their desire not to relinquish their pet. Indeed, given their description of their pets as family members, participants expressed frustration that this relationship was not considered as being of worthy of preservation by homelessness services. This study has highlighted some important features of the H-CAB between homeless owners and their dogs, not previously characterized in the UK. It also highlights the importance of empowering support services to accept pets where feasible, and thus preserve and enhance the benefits of pet ownership in this vulnerable population

Assessment of health and welfare in a small sample of dogs owned by people who are homeless

BackgroundPet ownership is common among homeless people, with dogs the most frequently reported pets. However, homeless people receive considerable criticism for keeping pets due to public perception of poor care provision.Materials and methodsA convenience, cross-sectional sample of 19 homeless people, owning a total of 21 dogs were recruited, and their dogs’ health and wellbeing assessed using the PDSA Petwise MOT (P-MOT).ResultsThe dogs compared favourably with conventionally owned pets in most areas, including exercise and companionship. Problems included being overweight/obese (although at lower prevalence than the general population). Some owners had difficulty in accessing veterinary care. Behavioural concerns were reported for 61.9% of the dogs, most commonly separation-related distress.DiscussionBeing unable to safely leave their pets may impair owners’ access to services. Provision of accessible veterinary care, behavioural support and pet-friendly services could improve the health of homeless owners and their pets

Reservoir theory for studying the geochemical evolution of soils

[1] Linking mineral weathering rates measured in the laboratory to those measured at the landscape scale is problematic. In laboratory studies, collections of minerals are exposed to the same weathering environment over a fixed amount of time. In natural soils, minerals enter, are mixed within, and leave the soil via erosion and dissolution/leaching over the course of soil formation. The key to correctly comparing mineral weathering studies from laboratory experiments and field soils is to consistently define time. To do so, we have used reservoir theory. Residence time of a mineral, as defined by reservoir theory, describes the time length between the moment that a mineral enters (via soil production) and leaves (via erosion and dissolution/leaching) the soil. Age of a mineral in a soil describes how long the mineral has been present in the soil. Turnover time describes the time needed to deplete a species of minerals in the soil by sediment efflux from the soil. These measures of time are found to be sensitive to not only sediment flux, which controls the mineral fluxes in and out of a soil, but also internal soil mixing that controls the probability that a mineral survives erosion. When these measures of time are combined with published data suggesting that a mineral’s dissolution reaction rate decreases during the course of weathering, we find that internal soil mixing, by partially controlling the age distribution of minerals within a soil, might significantly alter the soil’s mass loss rate via chemical weathering. Citation: Mudd, S. M., and K. Yoo (2010), Reservoir theory for studying the geochemical evolution of soils, J. Geophys. Res., 115, F03030, doi:10.1029/2009JF001591. 1

Liaison psychiatry—measurement and evaluation of service types, referral patterns and outcomes (LP-MAESTRO): a protocol

Introduction: We describe the protocol for a project that will use linkage of routinely collected NHS data to answer a question about the nature and effectiveness of liaison psychiatry services in acute hospitals in England. Methods and analysis: The project will use three data sources: (1) Hospital Episode Statistics (HES), a database controlled by NHS Digital that contains patient data relating to emergency department (ED), inpatient and outpatient episodes at hospitals in England; (2) ResearchOne, a research database controlled by The Phoenix Partnership (TPP) that contains patient data relating to primary care provided by organisations using the SystmOne clinical information system and (3) clinical databases controlled by mental health trusts that contain patient data relating to care provided by liaison psychiatry services. We will link patient data from these sources to construct care pathways for patients who have been admitted to a particular hospital and determine those patients who have been seen by a liaison psychiatry service during their admission. Patient care pathways will form the basis of a matched cohort design to test the effectiveness of liaison intervention. We will combine healthcare utilisation within care pathways using cost figures from national databases. We will compare the cost of each care pathway and the impact of a broad set of health-related outcomes to obtain preliminary estimates of cost-effectiveness for liaison psychiatry services. We will carry out an exploratory incremental cost-effectiveness analysis from a whole system perspective. Ethics and dissemination: Individual patient consent will not be feasible for this study. Favourable ethical opinion has been obtained from the NHS Research Ethics Committee (North of Scotland) (REF: 16/NS/0025) for Work Stream 2 (phase 1) of the Liaison psychiatry—measurement and evaluation of service types, referral patterns and outcomes study. The Confidentiality Advisory Group at the Health Research Authority determined that Section 251 approval under Regulation 5 of the Health Service (Control of Patient Information) Regulations 2002 was not required for the study ‘on the basis that there is no disclosure of patient identifiable data without consent’ (REF: 16/CAG/0037). Results of the study will be published in academic journals in health services research and mental health. Details of the study methodology will also be published in an academic journal. Discussion papers will be authored for health service commissioners

The nature and activity of liaison mental services in acute hospital settings: a multi-site cross sectional study

Background: To describe the clinical activity patterns and nature of interventions of hospital-based liaison psychiatry services in England. Methods: Multi-site, cross-sectional survey. 18 acute hospitals across England with a liaison psychiatry service. All liaison staff members, at each hospital site, recorded data on each patient they had face to face contact with, over a 7 day period. Data included location of referral, source of referral, main clinical problem, type of liaison intervention employed, staff professional group and grade, referral onto other services, and standard assessment measures. Results: A total of 1475 face to face contacts from 18 hospitals were included in the analysis, of which approximately half were follow-up reviews. There was considerable variation across sites, related to the volume of Emergency Department (ED) attendances, number of hospital admissions, and work hours of the team but not to the size of the hospital (number of beds). The most common clinical problems were co-morbid physical and psychiatric symptoms, self-harm and cognitive impairment. The main types of intervention delivered were diagnosis/formulation, risk management and advice. There were differences in the type of clinical problems seen by the services between EDs and wards, and also differences between the work conducted by doctors and nurses. Almost half of the contacts were for continuing care, rather than assessment. Eight per cent of all referrals were offered follow up with the LP team, and approximately 37% were referred to community or other services. Conclusions: The activity of LP services is related to the flow of patients through an acute hospital. In addition to initial assessments, services provide a wide range of differing interventions, with nurses and doctors carrying out distinctly different roles within the team. The results show the volume and diversity of LP work. While much clinical contact is acute and confined to the inpatient episode, the LP service is not defined solely by an assessment and discharge function; cases are often complex and nearly half were referred for follow up including liaison team follow up

STROGAR – STrengthening the Reporting Of Genetic Association studies in Radiogenomics

AbstractDespite publication of numerous radiogenomics studies to date, positive single nucleotide polymorphism (SNP) associations have rarely been reproduced in independent validation studies. A major reason for these inconsistencies is a high number of false positive findings because no adjustments were made for multiple comparisons. It is also possible that some validation studies were false negatives due to methodological shortcomings or a failure to reproduce relevant details of the original study. Transparent reporting is needed to ensure these flaws do not hamper progress in radiogenomics. In response to the need for improving the quality of research in the area, the Radiogenomics Consortium produced an 18-item checklist for reporting radiogenomics studies. It is recognised that not all studies will have recorded all of the information included in the checklist. However, authors should report on all checklist items and acknowledge any missing information. Use of STROGAR guidelines will advance the field of radiogenomics by increasing the transparency and completeness of reporting

Flash glucose monitoring in young people with type 1 diabetes — a qualitative study of young people, parents and health professionals : ‘It makes life much easier’

Objectives: Flash glucose monitoring for patients with T1 diabetes avoids frequent painful finger-prick testing, thus potentially improving frequency of glucose self-monitoring. Our study aimed to explore experiences of young people using Freestyle Libre sensors and their parents, and to identify benefits and challenges to National Health Service (NHS) staff of its adoption in their care provision. Participants: Young people with T1 diabetes, their parents and healthcare professionals were interviewed between February and December 2021. Participants were recruited via social media and through NHS diabetes clinic staff. Design: Semistructured interviews were conducted online and analysed using thematic methods. Staff themes were mapped onto normalisation process theory (NPT) constructs. Results: Thirty-four participants were interviewed: 10 young people, 14 parents and 10 healthcare professionals. Young people reported that life was much easier since changing to flash glucose monitoring, increasing confidence and independence to manage their condition. Parents’ quality of life improved and they appreciated access to real-time data. Using the NPT concepts to understand how technology was integrated into routine care proved useful; health professionals were very enthusiastic about flash glucose monitoring and coped with the extra data load to facilitate more tailored patient support within and between clinic visits. Conclusion: This technology empowers young people and their parents to understand their diabetes adherence more completely; to feel more confident about adjusting their own care between clinic appointments; and provides an improved interactive experience in clinic. Healthcare teams appear committed to delivering improving technologies, acknowledging the challenge for them to assimilate new information required to provide expert advice