Emergence and Progression of Acadian Ethnic and Political Identities: Alliance and Land-Based Inter-Peoples Relations in Early Acadia to Today

This article provides an ethnohistorical overview of the emergence and progression of Acadian ethnic and political identities over time. Strongly based in their relations with the Mi’kmaq during the colonization of Nova Scotia, the Acadians became a unique political entity who identified themselves as neutral. Through the advances made in the colony, British authorities soon realized that the alliance formed between the Acadians and Mi’kmaq could present a threat. This article provides background for the reemerging Acadian-Mi’kmaq relations occurring today around environmental and land-based concerns and seeks to provide the reader with an overview of the shifting Acadian socio-political ideologies throughout their history

Tackling inequalities in access to clinical pharmacist led healthcare: recognising and overcoming ethical issues of inclusion in research.

This is an overview for a workshop delivered as part of the 45th European symposium on clinical pharmacy (ESCP 2016). Clinical pharmacists are trained to treat people from all walks of life equally. Their work ethos and ethical practice promotes inclusion and respect for diversity. Pharmacy practice is evidence-based so it follows that research must also promote equality and inclusion while respecting diversity. All too often what are considered marginalised or vulnerable groups are excluded from participation in research because gaining the necessary ethical approvals is perceived to be overly challenging and methods of data collection often require adaptation. The paradox is that not researching such groups is in itself unethical

No apparent benefits of allonursing for recipient offspring and mothers in the cooperatively breeding meerkat.

Cooperative behaviours by definition are those that provide some benefit to another individual. Allonursing, the nursing of non-descendent young, is often considered a cooperative behaviour and is assumed to provide benefits to recipient offspring in terms of growth and survival, and to their mothers, by enabling them to share the lactation load. However, these proposed benefits are not well understood, in part because maternal and litter traits and other ecological and social variables are not independent of one another, making patterns hard to discern using standard univariate analyses. Here, we investigate the potential benefits of allonursing in the cooperatively breeding Kalahari meerkat, where socially subordinate females allonurse the young of a dominant pair without having young of their own. We use structural equation modelling to allow us to account for the interdependence of maternal traits, litter traits and environmental factors. We find no evidence that allonursing provides benefits to pups or mothers. Pups that received allonursing were not heavier at emergence and did not have a higher survival rate than pups that did not receive allonursing. Mothers whose litters were allonursed were not in better physical condition, did not reconceive faster and did not reduce their own nursing investment compared to mothers who nursed their litters alone. These patterns were not significantly influenced by whether mothers were in relatively good, or poor, condition. We suggest that allonursing may persist in this species because the costs to allonurses may be low. Alternatively, allonursing may confer other, more cryptic, benefits to pups or allonurses, such as immunological or social benefits.KJM was supported by a research grant from the Cambridge Philosophical Society. KEM was supported by a US National Science Foundation grant to Alison Bell and KEM (NSF IOS 1121980).This is the accepted manuscript. The final version is available at http://onlinelibrary.wiley.com/doi/10.1111/1365-2656.12343/abstract

Mass media and risk factors for cancer: the under-representation of age

BACKGROUND: Increasing age is a risk factor for developing cancer. Yet, older people commonly underestimate this risk, are less likely to be aware of the early symptoms, and are more likely to be diagnosed with advanced stage cancer. Mass media are a key influence on the public's understanding health issues, including cancer risk. This study investigates how news media have represented age and other risk factors in the most common cancers over time. METHODS: Eight hundred articles about the four most common cancers (breast, prostate, lung and colorectal) published within eight UK national newspapers in 2003, 2004, 2013 and 2014 were identified using the Nexis database. Relevant manifest content of articles was coded quantitatively and subjected to descriptive statistical analysis in SPSS to identify patterns across the data. RESULTS: Risk was presented in half of the articles but this was rarely discussed in any depth and around a quarter of all articles introduced more than one risk factor, irrespective of cancer site. Age was mentioned as a risk factor in approximately 12% of all articles and this varied by cancer site. Age was most frequently reported in relation to prostate cancer and least often in articles about lung cancer. Articles featuring personal narratives more frequently focused on younger people and this was more pronounced in non-celebrity stories; only 15% of non-celebrity narratives were about people over 60. Other common risks discussed were family history and genetics, smoking, diet, alcohol, and environmental factors. Family history and genetics together featured as the most common risk factors. Risk factor reporting varied by site and family history was most commonly associated with breast cancer, diet with bowel cancer and smoking with lung cancer. CONCLUSION: Age and older adults were largely obscured in media representation of cancer and cancer experience. Indeed common risk factors in general were rarely discussed in any depth. Our findings will usefully inform the development of future cancer awareness campaigns and media guidelines. It is important that older adults appreciate their heightened risk, particularly in the context of help-seeking decisions

'If I die, I die, I don't care about my health': perspectives on self-care of people experiencing homelessness.

Self-care, which refers to what people do to prevent disease and maintain good health, can alleviate negative health consequences of people experiencing homelessness. The aim of the study was to apply a theoretically informed approach in exploring engagement of people experiencing homelessness in self-care and to identify factors that can be targeted in future health and social care interventions. Qualitative semi-structured interviews were conducted with 28 participants opportunistically recruited from a specialist homelessness healthcare centre of North East Scotland, the United Kingdom (UK). An interview schedule was developed based on the theoretical domains framework (TDF). Interviews were audio-recorded and transcribed verbatim. Six aspects of self-care were explored, including (a) self-awareness of physical and mental health, (b) health literacy, including health seeking behaviour, (c) healthy eating, (d) risk avoidance or mitigation, (v) physical activity and sleep and (e) maintaining personal hygiene. Thematic analysis was conducted by two independent researchers following the Framework Approach. Participants described low engagement in self-care. Most of the barriers to engagement in self-care by participants were related to 'environmental context and resources' domain of TDF. Participants often resorted to stealing or begging for food. Many perceived having low health literacy to interpret health-related information. Visits to churches and charities to get a shower or to obtain free meals were commonplace. Participants expressed pessimism that there was ‘nothing’ they could do to improve their health and described perceived barriers often too big for them to overcome. Alienation, lack of social support and the perception that they had done irreversible damage to their health prevented their involvement in self-care. The theme of ‘social circle’ held examples of both enabler and barriers in participants’ uptake of risky behaviours. Health and social services should work with persons experiencing homelessness in designing and delivering targeted interventions that address contextual barriers, multi-morbidity, health literacy and self-efficacy

Creating multiple connections - Exploring experiences of families with twins, triplets or more

Adjusting to family life and caring for two, three or more new babies, with possible health problems mainly due to prematurity, provides psychosocial and practical challenges for the multiple birth family. Specialist in formation, advice and support from professionals due to the demands of parenting multiples is needed. There is limited research into the lived experiences of multiple birth families during the early years and their perceptions of family life with young children who are multiples. The aim of the study was to explore the parenting journey of parents of multiples from pregnancy to starting school through the medium of family photographs