Design and evaluation of a new pharmaceutical pictogram sequence to convey medicine usage

Pictorials may be used to augment textual instructions in the depiction of safety and warning information on medicines. The objective of this study was to design, develop and evaluate a simple and culturally appropriate pictogram sequence for using nystatin suspension, and to assess its understandability in low-literate Xhosa participants. A new pharmaceutical pictogram sequence was designed through focus group discussions and evaluated in a 2-phase process. The results of Phase 1 (30 participants) identified various problems associated with the new pictogram sequence. It was modified accordingly and re-evaluated in Phase 2 with 20 participants. All participants belonged to the Xhosa group, had between 0 and 7 years of formal schooling and had English as their second language. Acceptance of the new pictogram sequence was based on international standards (ANSI and ISO criterion) for evaluating the comprehensibility of pictograms. In Phase 1, the new pictogram sequence was correctly interpreted by 66.7% of the participants and this complied with the ISO criterion of 67% correct. In Phase 2, 95% of the participants were able to correctly interpret the new pictogram sequence. This result complied with the ANSI criterion of 85% correct, therefore, this new pictogram sequence was considered to be acceptable. This study has illustrated the success of using a consultative approach in the design of new pictograms

Who is Diverted?: Moving Beyond Diagnosed Impairment Towards a Social and Political Analysis of Diversion

Diversion from the criminal justice system pursuant to s 32 of the Mental Health (Forensic Provisions) Act 1990 (NSW) is increasingly being deployed as a key response to the issues facing people diagnosed with cognitive impairment and/or mental illness in the criminal justice system. The ‘medical model’ of disability, which is focused on disability as an internal, individual pathology, contributes to the marginalisation of people with disability, notably by providing a legitimate basis for the legal and social regulation of people with disability through therapeutic interventions. The scholarly field of critical disability studies contests the medical model by making apparent the social and political contingency of disability, including the intersection of disability with other dimensions of politicised identity (such as gender and Indigeneity) and the role of law and institutions (including the criminal justice system) in the disablement, marginalisation and criminalisation of people with disability. Applying critical disability studies to s 32 problematises the characterisation of the legal subject with diagnosed impairment and this provides a new basis for questioning the coercion of people with disability through the criminal justice intervention of diversion. An empirical analysis of the diagnostics, demographics and criminal justice pathways of a sample of individuals who have received s 32 orders provides some material foundations for a more politically and socially directed analysis of s 32 and for a broader reflection on the role of the criminal law in issues facing people diagnosed with cognitive impairments and mental illness in the criminal justice system

The engagement of further and higher education with the London 2012 Olympic and Paralympic Games

Podium commissioned the Centre for Sport, Physical Education & Activity Research (SPEAR) at Canterbury Christ Church University to carry out research to capture the engagement of the further and higher education sectors and related stakeholders with the past, current and future opportunities presented by the London 2012 Olympic and Paralympic Games. The full report was released on 15 March 2011 to mark 500 days to go until the start of London 2012

EbolaTracks: an automated SMS system for monitoring persons potentially exposed to Ebola virus disease

We report development and implementation of a short message service (SMS)-based system to facilitate active monitoring of persons potentially exposed to Ebola virus disease (EVD), whether returning from EVD-affected countries, or contacts of local cases, should they occur. The system solicits information on symptoms and temperature twice daily. We demonstrated proof-of-concept; however this system would likely be even more useful where there are many local contacts to confirmed EVD cases or travellers from EVD-affected countries

Towards reducing the capital cost of manufacturing Laminated Veneer Lumbers: Investigating finger jointing solutions

The capital cost of setting up a Laminated Veneer Lumber (LVL) plant which produces continuous LVL billet products, through a continuous veneer assembly and hot-pressing processes, is significant. However, the utilisation of batch-type presses, similar to those employed in the plywood industry, could significantly reduce this initial cost and may provide new opportunities for small to medium scale operations. This process would produce shorter billet lengths which would need to be joined together to produce lengths viable for structural products. Scarf joints have been used commercially to join some veneer-based engineered wood products but have limitations, while finger joints are a common method for jointing sawn timber products and offer some key advantages but is not a common method to join veneer-based products. Consequently, this paper focusses on investigating the influence of key manufacturing parameters on the performance of finger jointed LVL. The effect of the joint orientation (horizontal or vertical), the finger length, the gluing pressure and the adhesive type on the joint strength and stiffness were investigated. The finger jointed LVL were tested in edge bending, flat bending and tension, and the results were compared to reference unjointed LVL. The bending performance of the finger jointed LVL was also compared to scarfed jointed LVL. In total 304 tests were performed. The results indicated that the average strength values of finger jointed LVL can reach up to 99% of the average strength of unjointed LVL and compares to scarf jointed LVL on flat bending. Horizontal joints, being more practical to produce for deep beams, performed similarly to vertical joints. The 25 mm joints were found to have no mechanical advantages over the 20 mm investigated finger joints. A gluing pressure lower than the Eurocode's recommended level for solid timber achieved sufficient bonding for the products to be utilised. The gluing pressure was also found not to influence the performance of the joint, for the range of pressures investigated. Both polyurethane and resorcinol-formaldehyde adhesives produced high performing products, with the latter displaying superior adhesive bond durability. The paper concludes that finger jointing LVL represents a viable solution to manufacture usable LVL lengths from short LVL billets, but have lower edge bending efficiency than scarf jointed LVL

Simple, illustrated medicines information improves ARV knowledge and patient self-efficacy in limited literacy South African HIV patients:

Few studies have investigated antiretroviral (ARV) knowledge and self-efficacy in limited literacy patients. Using a randomized controlled study design, we investigated the influence of a simple pre-tested patient information leaflet (PIL) containing both text and illustrations on HIV- and ARV-related knowledge and on self-efficacy over six months in a limited literacy African population. The recruited patients were randomly allocated to either control (standard care) or intervention group (standard care plus illustrated PIL). HIV and medicines-related knowledge was evaluated with a 22-question test at baseline, one, three, and six months. Self-efficacy was assessed using a modified version of the HIV Treatment Adherence Self-Efficacy Scale

Cohort Profile:Health and Wellbeing of People with Intellectual Disability in New South Wales, Australia – A data linkage cohort

Purpose People with intellectual disability (ID) experience high rates of physical and mental health problems, while access to appropriate healthcare is often poor. This cohort was established to develop an epidemiological profile related to the health, health service use, disability services, mortality and corrective services records of people with ID. Participants The cohort contains 92 542 people with ID (40% females) with a median age of 23 years (IQR: 12–43 years) and 2 004 475 people with a neuropsychiatric or developmental disorder diagnosis (50% females) with a median age of 51 years (IQR: 29–73 years) from New South Wales, Australia. The whole sample contains records for 2 097 017 individuals with most data sets spanning financial years 1 July 2001 to 30 June 2016. A wide range of data from linked population data sets are included in the areas of disability, health, corrective services and targeted specialist support services in public schools, Public Guardian and Ombudsman services. Findings to date This study includes one of the largest cohorts of people with ID internationally. Our data have shown that the presence of ID is significantly associated with emergency department presentations and psychiatric readmissions after the first psychiatric admission based on a subcohort of people with a psychiatric admission. Adults with ID experience premature mortality and over-representation of potentially avoidable deaths compared with the general population. Future plans Within the health service system, we will examine different components, that is, inpatient, emergency adult services, children and younger people services and costs associated with healthcare as well as mortality, cause and predictors of death. The neuropsychiatric and developmental disorders comparison cohort allows comparisons of the physical health, mental health and service use profiles of people with ID and those with other neuropsychiatric disorders