Mapping our underlying cognitions and emotions about good environmental behavior:Why we fail to act despite the best of intentions

Despite the widespread recognition of climate change as the single biggest global threat, the willingness of people to change their behaviour to mitigate its effects is limited. Past research, often focussing on specific categories of behaviour, has highlighted a very significant gap between people’s intentions to behave more sustainably and their actual behaviour. This paper presents a new approach to this issue, by using more open-ended questions to map a much broader range of cognitions and emotions about good environmental behaviour. Two key findings emerged. Firstly, participants were aware of the contradiction between their level of concern about the environment and their willingness to act in more sustainable ways. The qualitative analysis further revealed that this discrepancy often hinged on a lack of knowledge about how to act more sustainably; the analysis also revealed a desire for more information about genuinely green behaviour. Secondly, pro-environmental behaviour was often conceptualised by participants in essentially ‘social’ terms; anticipated emotions relating to sustainable/non-sustainable behaviour were as closely tied to the behaviour of one’s peers as to one’s own behaviour. This finding suggests that we must highlight the social dimension in any interventions to increase sustainable behaviours amongst the public

Understanding the use of geographical information systems (GIS) in health informatics research: A review

Background: The purpose of this literature review is to understand geographical information systems (GIS) and how they can be applied to public health informatics, medical informatics, and epidemiology.Method: Relevant papers that reflected the use of geographical information systems (GIS) in health research were identified from four academic databases: Academic Search Complete, BioMed Central, PubMed Central, and Scholars Portal, as well as Google Scholar. The search strategy used was to identify articles with “geographic information systems”, “GIS”, “public health”, “medical informatics”, “epidemiology”, and “health geography” as main subject headings or text words in titles and abstracts. Papers published between 1997 and 2014 were considered and a total of 39 articles were included to inform the authors on the use of GIS technologies in health informatics research.Results: The main applications of GIS in health informatics and epidemiology include disease surveillance, health risk analysis, health access and planning, and community health profiling. GIS technologies can significantly improve quality and efficiency in health research as substantial connections can be made between a population’s health and their geographical location.Conclusions: Gains in health informatics can be made when GIS are applied through research, however, improvements need to occur in the quantity and quality of data input for these systems to ensure better geographical health maps are used so that proper conclusions between public health and environmental factors may be made

"She is more about my illness than me": a qualitative study exploring social support in individuals with experiences of psychosis

Experiences of psychosis may increase isolation and stigma, increasing negative perceptions of oneself. Social networks can be a source of support and strain in dealing with these difficulties. This research explored how individuals with experiences of psychosis make sense of their social relationships. Interpretative Phenomenological Analysis guided the design and conduct of semi-structured interviews with seven Scottish mental health service-users with lived experience of psychosis, exploring positive and negative aspects of relationships and how they influenced personal recovery. Interviews were audio-recorded, transcribed and coded for subordinate and superordinate themes. The superordinate theme “She is more about my illness than me” highlighted normalisation of participants’ illness identity through family and support staff dominating social networks; their primary orientation being towards illness management. Subordinate themes; “without the service I wouldn’t know what to do”, “They wouldn’t talk, they will sort of control me in a way” and “She doesn’t see me as normal either with me getting help” evidenced benefits and tensions associated with these relationships. The composition and nature of social networks can prevent individuals with experiences of psychosis from exploring identities unrelated to illness. Further research must identify ways to empower individuals and promote connectedness independently from illness management

The Relationship between Therapeutic Alliance and Service User Satisfaction in Mental Health Inpatient Wards and Crisis House Alternatives: A Cross-Sectional Study

Background Poor service user experiences are often reported on mental health inpatient wards. Crisis houses are an alternative, but evidence is limited. This paper investigates therapeutic alliances in acute wards and crisis houses, exploring how far stronger therapeutic alliance may underlie greater client satisfaction in crisis houses. Methods and Findings Mixed methods were used. In the quantitative component, 108 crisis house and 247 acute ward service users responded to measures of satisfaction, therapeutic relationships, informal peer support, recovery and negative events experienced during the admission. Linear regressions were conducted to estimate the association between service setting and measures, and to model the factors associated with satisfaction. Qualitative interviews exploring therapeutic alliances were conducted with service users and staff in each setting and analysed thematically. Results We found that therapeutic alliances, service user satisfaction and informal peer support were greater in crisis houses than on acute wards, whilst self-rated recovery and numbers of negative events were lower. Adjusted multivariable analyses suggest that therapeutic relationships, informal peer support and negative experiences related to staff may be important factors in accounting for greater satisfaction in crisis houses. Qualitative results suggest factors that influence therapeutic alliances include service user perceptions of basic human qualities such as kindness and empathy in staff and, at service level, the extent of loss of liberty and autonomy. Conclusions and Implications We found that service users experience better therapeutic relationships and higher satisfaction in crisis houses compared to acute wards, although we cannot exclude the possibility that differences in service user characteristics contribute to this. This finding provides some support for the expansion of crisis house provision. Further research is needed to investigate why acute ward service users experience a lack of compassion and humanity from ward staff and how this could be changed

Quality of life outcomes for people with serious mental illness living in supported accommodation: Systematic review and meta-analysis

Michele Harrison - ORCID 0000-0001-6088-2998 https://orcid.org/0000-0001-6088-2998Replaced AM with VoR 2020-05-25Purpose: To conduct a systematic review and meta-analysis of Quality of Life (QoL) outcomes for people with serious mental illness living in three types of supported accommodation.Method: Studies were identified that described QoL outcomes for people with serious mental illness living in supported accommodation in 6 electronic databases. We applied a random-effects model to derive the meta-analytic results.Results: 13 studies from 7 countries were included, with 3276 participants receiving; high support (457), supported housing (1576) and floating outreach (1243). QoL outcomes related to wellbeing, living conditions and social functioning were compared between different supported accommodation types. Living condition outcomes were better for people living in supported housing ( = -0.31; CI = [-0.47; -0.16]) and floating outreach ( = -0.95; CI = [-1.30; -0.61]) compared to high support accommodation, with a medium effect size for living condition outcomes between supported housing and floating outreach ( = -0.40; CI = [-0.82; 0.03]), indicating that living conditions are better for people living in floating outreach. Social functioning outcomes were significant for people living in supported housing compared to high support ( = -0.37; CI = [-0.65; -0.09]), with wellbeing outcomes not significant between the three types of supported accommodation.Conclusion: There is evidence that satisfaction with living conditions differs across supported accommodation types. The results suggest there is a need to focus on improving social functioning and wellbeing outcomes for people with serious mental illness across supported accommodation types.https://doi.org/10.1007/s00127-020-01885-x55pubpu

Searching for a Stochastic Background of Gravitational Waves with LIGO

The Laser Interferometer Gravitational-wave Observatory (LIGO) has performed the fourth science run, S4, with significantly improved interferometer sensitivities with respect to previous runs. Using data acquired during this science run, we place a limit on the amplitude of a stochastic background of gravitational waves. For a frequency independent spectrum, the new limit is $\Omega_{\rm GW} < 6.5 \times 10^{-5}$. This is currently the most sensitive result in the frequency range 51-150 Hz, with a factor of 13 improvement over the previous LIGO result. We discuss complementarity of the new result with other constraints on a stochastic background of gravitational waves, and we investigate implications of the new result for different models of this background.Comment: 37 pages, 16 figure

The immune checkpoint CD96 defines a distinct lymphocyte phenotype and is highly expressed on tumor-infiltrating T cells

CD96 has recently been shown to be a potent immune checkpoint molecule in mice, but a similar role in humans is not known. In this study, we provide a detailed map of CD96 expression across human lymphocyte lineages, the kinetics of CD96 regulation on T-cell activation and co-expression with other conventional and emerging immune checkpoint molecules. We show that CD96 is predominantly expressed by T cells and has a unique lymphocyte expression profile. CD96 high T cells exhibited distinct effector functions on activation. Of note, CD96 expression was highly correlated with T-cell markers in primary and metastatic human tumors and was elevated on antigen- experienced T cells and tumor-infiltrating lymphocytes. Collectively, these data demonstrate that CD96 may be a promising immune checkpoint to enhance T-cell function against human cancer and infectious diseas

Carbon budget for 1.5 and 2oC targets lowered by natural wetland and permafrost feedbacks

Methane emissions from natural wetlands and carbon release from permafrost thaw have a positive feedback on climate, yet are not represented in most state-of-the-art climate models. Furthermore, a fraction of the thawed permafrost carbon is released as methane, enhancing the combined feedback strength. We present simulations with an intermediate complexity climate model which follow prescribed global warming pathways to stabilisation at 1.5°C or 2.0°C above pre-industrial levels by the year 2100, and that incorporates a state-of-the-art global land surface model with updated descriptions of wetland and permafrost carbon release. We demonstrate that the climate feedbacks from those two processes are substantial. Specifically, permissible anthropogenic fossil fuel CO2 emission budgets are reduced by 17-23% (47-56 GtC) for stabilisation at 1.5°C, and 9-13% (52-57 GtC) for 2.0°C stabilisation. In our simulations these feedback processes respond faster at temperatures below 1.5°C, and the differences between the 1.5°C and 2°C targets are disproportionately small. This key finding is due to our interest in transient emission pathways to the year 2100 and does not consider the longer term implications of these feedback processes. We conclude that natural feedback processes from wetlands and permafrost must be considered in assessments of transient emission pathways to limit global warming