Are lay people good at recognising the symptoms of schizophrenia?

©2013 Erritty, Wydell. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.This article has been made available through the Brunel Open Access Publishing Fund.Aim: The aim of this study was to explore the general public’s perception of schizophrenia symptoms and the need to seekhelp for symptoms. The recognition (or ‘labelling’) of schizophrenia symptoms, help-seeking behaviours and public awareness of schizophrenia have been suggested as potentially important factors relating to untreated psychosis. Method: Participants were asked to rate to what extent they believe vignettes describing classic symptoms (positive and negative) of schizophrenia indicate mental illness. They were also asked if the individuals depicted in the vignettes required help or treatment and asked to suggest what kind of help or treatment. Results: Only three positive symptoms (i.e., Hallucinatory behaviour, Unusual thought content and Suspiciousness) of schizophrenia were reasonably well perceived (above 70%) as indicating mental illness more than the other positive or negative symptoms. Even when the participants recognised that the symptoms indicated mental illness, not everyone recommended professional help. Conclusion: There may be a need to improve public awareness of schizophrenia and psychosis symptoms, particularly regarding an awareness of the importance of early intervention for psychosis

Delivering reform in English healthcare: an ideational perspective

A variety of perspectives has been put forward to understand reform across healthcare systems. Recently, some have called for these perspectives to give greater recognition to the role of ideational processes. The purpose of this article is to present an ideational approach to understanding the delivery of healthcare reform. It draws on a case of English healthcare reform – the Next Stage Review led by Lord Darzi – to show how the delivery of its reform proposals was associated with four ideational frames. These frames built on the idea of “progress” in responding to existing problems; the idea of “prevailing policy” in forming part of a bricolage of ideas within institutional contexts; the idea of “prescription” as top-down structural change at odds with local contexts; and the idea of “professional disputes” in challenging the notion of clinical engagement across professional groups. The article discusses the implications of these ideas in furthering our understanding of policy change, conflict and continuity across healthcare settings

An evaluation of veteran to civilian reintegration stressors, co-occurrence, and perception of procedure

Though the majority of veterans are able to reintegrate into civilian society without incident, a portion of the population does experience mild to severe stressors such as mental health disorders, suicide risk, incarceration, substance abuse and dependence, interpersonal relationships and readjustment, workplace difficulties, and sleep disturbance (Blow et al., 2013; Bonanno et al., 2012; Haller, Angkaw, Hendricks & Norman, 2016; Sayer et al., 2010; Short et al., 2016). Unfortunately, the current literature focuses on only one or two stressors, and rarely acknowledges all stressors as they coexist among the veteran population. The current study will focus on all prevalent reintegration stressors, and the relationship they may have for veterans. More specifically, the study will identify: (1) which reintegration stressors are more prevalent than others, (2) which co-occur with other stressors, and (3) the perception of the reintegration process. A sample of 31 veterans completed a comprehensive questionnaire that assessed these reintegration stressors; frequencies and Spearman’s r correlations were conducted to evaluate the previously mentioned relationships. Many of the veterans experienced each of the reintegration stressors measured, at varying degrees. More veterans experienced at least one mental health diagnosis, but there were many who experienced more than one. Almost half of the sample had thought about suicide, and almost 20 percent had made a plan. A large portion of the veterans in this sample experienced relationship difficulties as well as interpersonal difficulties. The overall co-occurrence of reintegration stressors are consistent with the previous literature, providing more insight into what has been previously found. In regard to veteran perception of the process, several themes emerged including: difficulty finding a “tribe”, adjusting to the loose structure of civilian life, lack of a marketable trade, and difficulties with mental health issues. These findings demonstrate a deep need to re-evaluate the reintegration process and increase the number of programs and support systems available to veterans after leaving the military

Safety and practices during stress cardiac magnetic resonance in COPD: A 3-year experience from a tertiary referral centre

This is an author-submitted, peer-reviewed version of a manuscript that has been accepted for publication in the European Respiratory Journal, prior to copy-editing, formatting and typesetting. This version of the manuscript may not be duplicated or reproduced without prior permission from the copyright owner, the European Respiratory Society. The publisher is not responsible or liable for any errors or omissions in this version of the manuscript or in any version derived from it by any other parties. The final, copy-edited, published article, which is the version of record, is available without a subscription 18 months after the date of issue publication

Molecular and cellular mechanisms underlying the evolution of form and function in the amniote jaw.

The amniote jaw complex is a remarkable amalgamation of derivatives from distinct embryonic cell lineages. During development, the cells in these lineages experience concerted movements, migrations, and signaling interactions that take them from their initial origins to their final destinations and imbue their derivatives with aspects of form including their axial orientation, anatomical identity, size, and shape. Perturbations along the way can produce defects and disease, but also generate the variation necessary for jaw evolution and adaptation. We focus on molecular and cellular mechanisms that regulate form in the amniote jaw complex, and that enable structural and functional integration. Special emphasis is placed on the role of cranial neural crest mesenchyme (NCM) during the species-specific patterning of bone, cartilage, tendon, muscle, and other jaw tissues. We also address the effects of biomechanical forces during jaw development and discuss ways in which certain molecular and cellular responses add adaptive and evolutionary plasticity to jaw morphology. Overall, we highlight how variation in molecular and cellular programs can promote the phenomenal diversity and functional morphology achieved during amniote jaw evolution or lead to the range of jaw defects and disease that affect the human condition

Circumstellar disks and planets. Science cases for next-generation optical/infrared long-baseline interferometers

We present a review of the interplay between the evolution of circumstellar disks and the formation of planets, both from the perspective of theoretical models and dedicated observations. Based on this, we identify and discuss fundamental questions concerning the formation and evolution of circumstellar disks and planets which can be addressed in the near future with optical and infrared long-baseline interferometers. Furthermore, the importance of complementary observations with long-baseline (sub)millimeter interferometers and high-sensitivity infrared observatories is outlined.Comment: 83 pages; Accepted for publication in "Astronomy and Astrophysics Review"; The final publication is available at http://www.springerlink.co

Chronic Obstructive Pulmonary Disease as a Predictor of Cardiovascular Risk: A Case-Control Study.

This is an Accepted Manuscript of an article published by Taylor & Francis in on 13 December 2019, available online: https://doi.org/10.1080/15412555.2019.1694501Chronic obstructive pulmonary disease (COPD) is a complex multi-morbid disorder with significant cardiac mortality. Current cardiovascular risk prediction models do not include COPD. We investigated whether COPD modifies future cardiovascular risk to determine if it should be considered in risk prediction models.Case-control study using baseline data from two randomized controlled trials performed between 2012 and 2015. Of the 90 eligible subjects, 26 COPD patients with lung hyperinflation were propensity matched for 10-year global cardiovascular risk score (QRISK2) with 26 controls having normal lung function. Patients underwent cardiac magnetic resonance imaging, arterial stiffness and lung function measurements. Differences in pulse wave velocity (PWV), total arterial compliance (TAC) and aortic distensibility were main outcome measures.PWV (mean difference 1.0 m/s, 95% CI 0.02-1.92; p = 0.033) and TAC (mean difference -0.27 mL/m2/mmHg, 95% CI 0.39-0.15; p < 0.001) were adversely affected in COPD compared to the control group. The PWV difference equates to an age, sex and risk-factor adjusted increase in relative risk of cardiovascular events and mortality of 14% and 15%, respectively.There were no differences in aortic distensibility. In the whole cohort (n = 90) QRISK2 (β = 0.045, p = 0.005) was associated with PWV in multivariate analysis. The relationship between QRISK2 and PWV were modified by COPD, where the interaction term reached significance (p = 0.014). FEV1 (β = 0.055 (0.027), p = 0.041) and pulse (B = -0.006 (0.002), p = 0.003) were associated with TAC in multivariate analysis.Markers of cardiovascular outcomes are adversely affected in COPD patients with lung hyperinflation compared to controls matched for global cardiovascular risk. Cardiovascular risk algorithms may benefit from the addition of a COPD variable to improve risk prediction and guide management.HAPPY London ClinicalTrials.gov: NCT01911910 and HZC116601; ClinicalTrials.gov: NCT01691885.The COPD trial was funded by GlaxoSmithKline (GSK), London, United Kingdom (HZC116601); SmithKline Beecham Pharma; The HAPPY London Study was funded by The Barts Charity (437/1412), London, United Kingdom

Exploring cultural competencies of certified therapeutic recreation specialists: Implications for education and training

The purpose of this investigation was to explore the influence of demographic and educational variables on self-reported multicultural competencies of Certified Therapeutic Recreation Specialists(TM) (CTRSs(R)). A sample of 277 therapeutic recreation specialists currently certified with the National Council for Therapeutic Recreation Certification participated in this investigation. Multicultural course work, seminars and workshops, and perception of level of cultural competence among CTRSs(R) were found to be statistically significant with self-reported multicultural competencies, such as multicultural awareness, knowledge and skills. These findings are discussed in terms of pre-service education and continued professional in-service training for CTRSs(R)

Being a Sports Agent: Examining the Profession of Athlete Representation

Anything that remains relevant in society over time faces changes with progression in culture and technology, including goods, services, laws, and especially professions, that may seem strange to imagine life without. The tricky thing about professions is that if they don’t respond well to adaptations, they are usually eliminated if a substitution can be created to yield similar results. This is not any different for athlete representation, which is a profession that has seen many changes but still is a necessary field to prevent professional athletes from being taken advantage of by organizations and vice versa. This is an examination of how modern advancements, controversy, and motivation have collectively shaped the perspective of the field from the opinions of those currently involved in the profession. A survey was sent to several agencies to gather data about the general response to issues such as the impact of social media, aggressive agents, certification regulations, and the future of the profession, among other things. While analyzing the data collected from the survey, this thesis will provide brief background information on the main pillars that sustain this profession. The information offered will provide insight for people who may have a serious interest in this occupation to the casual inquirer who would just like to discover facts about this line of work