Help-seeking behaviour in women diagnosed with gynaecological cancer : a systematic review

Pauline Williams completed this work while undertaking an NHS Research Scotland career researcher fellowship that supported salary costs.Peer reviewedPublisher PD

Enhanced Temporal but Not Attentional Processing in Expert Tennis Players

In tennis, as in many disciplines of sport, fine spatio-temporal resolution is required to reach optimal performance. While many studies on tennis have focused on anticipatory skills or decision making, fewer have investigated the underlying visual perception abilities. In this study, we used a battery of seven visual tests that allowed us to assess which kind of visual information processing is performed better by tennis players than other athletes (triathletes) and non-athletes. We found that certain time-related skills, such as speed discrimination, are superior in tennis players compared to non-athletes and triathletes. Such tasks might be used to improve tennis performance in the future

Multidisciplinary teams, and parents, negotiating common ground in shared-care of children with long-term conditions: A mixed methods study

Background: Limited negotiation around care decisions is believed to undermine collaborative working between parents of children with long-term conditions and professionals, but there is little evidence of how they actually negotiate their respective roles. Using chronic kidney disease as an exemplar this paper reports on a multi-method study of social interaction between multidisciplinary teams and parents as they shared clinical care. Methods. Phases 1 and 2: a telephone survey mapping multidisciplinary teams' parent-educative activities, and qualitative interviews with 112 professionals (Clinical-psychologists, Dietitians, Doctors, Nurses, Play-specialists, Pharmacists, Therapists and Social-workers) exploring their accounts of parent-teaching in the 12 British children's kidney units. Phase 3: six ethnographic case studies in two units involving observations of professional/parent interactions during shared-care, and individual interviews. We used an analytical framework based on concepts drawn from Communities of Practice and Activity Theory. Results: Professionals spoke of the challenge of explaining to each other how they are aware of parents' understanding of clinical knowledge, and described three patterns of parent-educative activity that were common across MDTs: Engaging parents in shared practice; Knowledge exchange and role negotiation, and Promoting common ground. Over time, professionals had developed a shared repertoire of tools to support their negotiations with parents that helped them accomplish common ground during the practice of shared-care. We observed mutual engagement between professionals and parents where a common understanding of the joint enterprise of clinical caring was negotiated. Conclusions: For professionals, making implicit knowledge explicit is important as it can provide them with a language through which to articulate more clearly to each other what is the basis of their intuition-based hunches about parents' support needs, and may help them to negotiate with parents and accelerate parents' learning about shared caring. Our methodology and results are potentially transferrable to shared management of other conditions. © 2013 Swallow et al.; licensee BioMed Central Ltd

Onset and End of the Rainy Season in South America in Observations and the ECHAM 4.5 Atmospheric General Circulation Model

Rainfall in South America as simulated by a 24-ensemble member of the ECHAM 4.5 atmospheric general circulation model is compared and contrasted with observations (in areas in which data are available) for the period 1976–2001. Emphasis is placed on determining the onset and end of the rainy season, from which its length and rain rate are determined. It is shown that over large parts of the domain the onset and ending dates are well simulated by the model, with biases of less than 10 days. There is a tendency for model onset to occur early and ending to occur late, resulting in a simulated rainy season that is on average too long in many areas. The model wet season rain rate also tends to be larger than observed. To estimate the relative importance of errors in wet season length and rain rate in determining biases in the annual total, adjusted totals are computed by substituting both the observed climatological wet season length and rate for those of the model. Problems in the rain rate generally are more important than problems in the length. The wet season length and rain rate also contribute substantially to interannual variations in the annual total. These quantities are almost independent, and it is argued that they are each associated with different mechanisms. The observed onset dates almost always lie within the range of onset of the ensemble members, even in the areas with a large model onset bias. In some areas, though, the model does not perform well. In southern Brazil the model ensemble average onset always occurs in summer, whereas the observations show that winter is often the wettest period. Individual members, however, do occasionally show a winter rainfall peak. In southern Northeast Brazil the model has a more distinct rainy season than is observed. In the northwest Amazon the model annual cycle is shifted relative to that observed, resulting in a model bias. No interannual relationship between model and observed onset dates is expected unless onset in the model and observations has a mutual relationship with SST anomalies. In part of the near-equatorial Amazon, there does exist an interannual relationship between onset dates. Previous studies have shown that in this area there is a relationship between SST anomalies and variations in seasonal total rainfall

Spatial and Temporal Patterns of Cloud Cover and Fog Inundation in Coastal California: Ecological Implications

The presence of low-lying stratocumulus clouds and fog has been known to modify biophysical and ecological properties in coastal California where forests are frequently shaded by low-lying clouds or immersed in fog during otherwise warm and dry summer months. Summer fog and stratus can ameliorate summer drought stress and enhance soil water budgets and often have different spatial and temporal patterns. Here, this study uses remote sensing datasets to characterize the spatial and temporal patterns of cloud cover over California’s northern Channel Islands. The authors found marine stratus to be persistent from May to September across the years 2001–12. Stratus clouds were both most frequent and had the greatest spatial extent in July. Clouds typically formed in the evening and dissipated by the following early afternoon. This study presents a novel method to downscale satellite imagery using atmospheric observations and discriminate patterns of fog from those of stratus and help explain patterns of fog deposition previously studied on the islands. The outcomes of this study contribute significantly to the ability to quantify the occurrence of coastal fog at biologically meaningful spatial and temporal scales that can improve the understanding of cloud–ecosystem interactions, species distributions, and coastal ecohydrology.Keywords: Fog, Circulation/dynamics, Atmosphere/ocean structure/phenomena, Remote sensing, Cloud cover, Observational techniques and algorithms, Vegetation, Radiosonde observations, Atmosphere–ocean interactio

Respiratory Virus Surveillance Among Children with Acute Respiratory Illnesses - New Vaccine Surveillance Network, United States, 2016-2021

The New Vaccine Surveillance Network (NVSN) is a prospective, active, population-based surveillance platform that enrolls children with acute respiratory illnesses (ARIs) at seven pediatric medical centers. ARIs are caused by respiratory viruses including influenza virus, respiratory syncytial virus (RSV), human metapneumovirus (HMPV), human parainfluenza viruses (HPIVs), and most recently SARS-CoV-2 (the virus that causes COVID-19), which result in morbidity among infants and young children (1-6). NVSN estimates the incidence of pathogen-specific pediatric ARIs and collects clinical data (e.g., underlying medical conditions and vaccination status) to assess risk factors for severe disease and calculate influenza and COVID-19 vaccine effectiveness. Current NVSN inpatient (i.e., hospital) surveillance began in 2015, expanded to emergency departments (EDs) in 2016, and to outpatient clinics in 2018. This report describes demographic characteristics of enrolled children who received care in these settings, and yearly circulation of influenza, RSV, HMPV, HPIV1-3, adenovirus, human rhinovirus and enterovirus (RV/EV),* and SARS-CoV-2 during December 2016-August 2021. Among 90,085 eligible infants, children, and adolescents (children) aged \u3c18 \u3eyear

Pan-Britain, mixed-methods study of multidisciplinary teams teaching parents to manage children's long-term kidney conditions at home: Study protocol

Background Care of children and young people (children) with long-term kidney conditions is usually managed by multidisciplinary teams. Published guidance recommends that whenever possible children with long-term conditions remain at home, meaning parents may be responsible for performing the majority of clinical care-giving. Multidisciplinary team members, therefore, spend considerable time promoting parents' learning about care-delivery and monitoring care-giving. However, this parent-educative aspect of clinicians' role is rarely articulated in the literature so little evidence exists to inform professionals' parent-teaching interventions. Methods This ongoing study addresses this issue using a combination of quantitative and qualitative methods involving the twelve children's kidney units in England, Scotland and Wales. Phase I involves a survey of multidisciplinary team members' parent-teaching interventions using: i) A telephone-administered questionnaire to determine: the numbers of professionals from different disciplines in each team, the information/skills individual professionals relay to parents and the teaching strategies/interventions they use. Data will be managed using SPSS to produce descriptive statistics ii) Digitally-recorded, qualitative group or individual interviews with multidisciplinary team members to explore their accounts of the parent-teaching component of their role. Interviews will be transcribed anonymously and analysed using Framework Technique. Sampling criteria will be derived from analysis to identify one/two unit(s) for subsequent in-depth study Phase II involves six prospective, ethnographic case-studies of professional-parent interactions during parent-teaching encounters. Parents of six children with a long-term kidney condition will be purposively sampled according to their child's age, diagnosis, ethnicity and the clinical care-giving required; snowball sampling will identify the professionals involved in each case-study. Participants will provide signed consent; data gathering will involve a combination of: minimally-obtrusive observations in the clinical setting and families' homes; de-briefing interviews with participants to obtain views on selected interactions; focussed 'verbatim' field-notes, and case-note reviews. Data gathering will focus on communication between parents and professionals as parents learn care-giving skills and knowledge. Interviews will be digitally recorded and transcribed anonymously. Discussion This study involves an iterative-inductive approach and will provide a unique, detailed insight into the social context in which professionals teach and parents learn; it will inform professionals' parent-educative roles, educational curricula, and health care polic

Massively Parallel Haplotyping on Microscopic Beads for the High-Throughput Phase Analysis of Single Molecules

In spite of the many advances in haplotyping methods, it is still very difficult to characterize rare haplotypes in tissues and different environmental samples or to accurately assess the haplotype diversity in large mixtures. This would require a haplotyping method capable of analyzing the phase of single molecules with an unprecedented throughput. Here we describe such a haplotyping method capable of analyzing in parallel hundreds of thousands single molecules in one experiment. In this method, multiple PCR reactions amplify different polymorphic regions of a single DNA molecule on a magnetic bead compartmentalized in an emulsion drop. The allelic states of the amplified polymorphisms are identified with fluorescently labeled probes that are then decoded from images taken of the arrayed beads by a microscope. This method can evaluate the phase of up to 3 polymorphisms separated by up to 5 kilobases in hundreds of thousands single molecules. We tested the sensitivity of the method by measuring the number of mutant haplotypes synthesized by four different commercially available enzymes: Phusion, Platinum Taq, Titanium Taq, and Phire. The digital nature of the method makes it highly sensitive to detecting haplotype ratios of less than 1∶10,000. We also accurately quantified chimera formation during the exponential phase of PCR by different DNA polymerases