Improving Postpartum Depression Literacy: A Quality Improvement Initiative

Background: Postpartum depression (PPD) is associated with increased healthcare costs, decreased levels of productivity, and negative patient outcomes, collectively affecting babies, women, and society. Women are at an increased risk for mortality and morbidity if postpartum depression is left untreated. Postpartum depression literacy improves patient outcomes. Problem: Women may fail to effectively recognize the signs and symptoms of postpartum depression, due to inadequate postpartum education and lower health literacy levels. Methods: A formalized postpartum depression education program was implemented online to mothers attending a postpartum adjustment support group in the spring of 2022 and compared to usual postpartum depression education. A structured or formalized postpartum depression education program consists of the implementation of a premeditated plan, in which the topics of postpartum depression, self-care, and social support are discussed in an effective and timely manner. Intervention: Three PPD education sessions were presented by the project leader and were repeated once, in which participants needed to attend three out of the six sessions. Results: After completion of educational sessions, there was a statistically significant difference in pre-and and post-test postpartum depression literacy scores (Mdn=150 vs. 126, respectively, p= .018). Conclusion: This project resulted in an increase in postpartum depression literacy scores, which reinforces the recommendation for the implementation of a formalized postpartum depression education program

Tenoscopic Debridement or Surgical Repair for Longitudinal Tears of the Equine Deep Digital Flexor Tendon Within the Digital Flexor Tendon Sheath?

PICO questionIn horses with longitudinal tears of the deep digital flexor tendon within the digital flexor tendon sheath, is surgical repair as effective as tenoscopic debridement alone for returning to previous level of performance?Clinical bottom lineCurrent literature on the efficacy of surgical repair or tenoscopic debridement is limited. Criteria to define and evaluate performance outcomes is not uniform and confounded with multiple variables, merely representing low quality evidence that is difficult to draw meaningful conclusions from. However, the literature suggests tenoscopic debridement alone has been associated with improved outcomes. A more definitive conclusion cannot be made until higher quality evidence is made available on this topic.  <img src="https://www.veterinaryevidence.org/rcvskmod/icons/pr-icon.jpg" alt="Peer Reviewed" /

Palaeogeographic reconstruction in the transition zone : the role of geophysical forward modelling in ground investigation surveys

Geophysical survey techniques are commonly used as part of studies to reconstruct past geographies in archaeological and palaeoenvironmental landscape investigations onshore and offshore. However, their use across the intertidal zone for constructing contiguous models is far more challenging. In order to enhance the interpretation of the recovered data forward modelling is used here to demonstrate the effective use of a staged approach to site investigation. Examples of data from electrical and electromagnetic techniques have been modelled and tested with ground truth measurements including trial pits, coring and cone penetrometer testing. This combination of forward modelling and testing has proved to be particularly effective at mapping key geological situations of archaeological interest. The approach is demonstrated by reference to varying sub-surface sediment types exemplified by two field examples from the UK coast where typical palaeolandscape features, namely incised channels and deeply buried topographies are encountered. These palaeogeographic features were chosen as they have high potential for association with the evidence of past human activity.PostprintPeer reviewe

The stratigraphy and chronology of the fluvial sediments at Warsash, UK: implications for the Palaeolithic archaeology of the River Test

This paper reports new fieldwork at Warsash which clarifies the terrace stratigraphic framework of the Palaeolithic archaeology of the region. Sections were recorded in former gravel pits and at coastal locations, supplemented by the use of ground penetrating radar and luminescence dating techniques. The region’s extensive borehole archive was also analysed to produce a revised terrace stratigraphy at Warsash and for the Test valley as a whole. At Warsash, some of the sediments previously identified as the Mottisfont/Lower Warsash Terrace are reassigned to the Hamble, Belbin/Upper Warsash and Ganger Wood/Mallards Moor Terraces. A luminescence dating programme, using test procedures not utilised in earlier dating studies in the region, yielded age estimates for the Hamble and Mottisfont/Lower Warsash Terraces at Warsash and also highlighted the complicated nature of the fluvial sediments of the River Test, suggesting that published luminescence ages for these deposits should be treated with some caution. This study indicates that the data used to construct terrace stratigraphies also requires careful assessment. The use of bedrock height and sediment thickness data produces more coherent long profile correlations than those produced by terrace surface data alone. The revised terrace stratigraphy provides the framework for the Palaeolithic archaeology at Warsash and clarifies correlations within and between archaeologically important sediments of the Test Valley, enabling it to contribute to discussions on the Lower-Middle Pleistocene settlement history of southern Britain

1688 and All That: Property Rights, the Glorious Revolution and the Rise of British Captialism

COPYRIGHT: © Millennium Economics Ltd 2016 This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.In a seminal 1989 article, Douglass North and Barry Weingast argued that by making the monarch more answerable to Parliament, the Glorious Revolution of 1688 helped to secure property rights in England and stimulate the rise of capitalism. Similarly, Daron Acemoglu, Simon Johnson, and James Robinson later wrote that in the English Middle Ages there was a ‘lack of property rights for landowners, merchants and proto-industrialists’ and the ‘strengthening’ of property rights in the late 17th century ‘spurred a process of financial and commercial expansion’. There are several problems with these arguments. Property rights in England were relatively secure from the 13th century. A major developmental problem was not the security of rights but their feudal nature, including widespread ‘entails’ and ‘strict settlements’. 1688 had no obvious direct effect on property rights. Given these criticisms, what changes promoted the rise of capitalism? A more plausible answer is found by addressing the post-1688 Financial and Administrative Revolutions, which were pressured by the enhanced needs of war and Britain's expanding global role. Guided by a more powerful Parliament, this new financial system stimulated reforms to landed property rights, the growth of collateralizable property and saleable debt, and thus enabled the Industrial Revolution.Peer reviewedFinal Published versio

Rapid draft sequencing and real-time nanopore sequencing in a hospital outbreak of Salmonella

Background: Foodborne outbreaks of Salmonella remain a pressing public health concern. We recently detected a large outbreak of Salmonella enterica serovar Enteritidis phage type 14b affecting more than 30 patients in our hospital. This outbreak was linked to community, national and European-wide cases. Hospital patients with Salmonella are at high risk, and require a rapid response. We initially investigated this outbreak by whole-genome sequencing using a novel rapid protocol on the Illumina MiSeq; we then integrated these data with whole-genome data from surveillance sequencing, thereby placing the outbreak in a national context. Additionally, we investigated the potential of a newly released sequencing technology, the MinION from Oxford Nanopore Technologies, in the management of a hospital outbreak of Salmonella. Results: We demonstrate that rapid MiSeq sequencing can reduce the time to answer compared to the standard sequencing protocol with no impact on the results. We show, for the first time, that the MinION can acquire clinically relevant information in real time and within minutes of a DNA library being loaded. MinION sequencing permits confident assignment to species level within 20 min. Using a novel streaming phylogenetic placement method samples can be assigned to a serotype in 40 min and determined to be part of the outbreak in less than 2 h. Conclusions: Both approaches yielded reliable and actionable clinical information on the Salmonella outbreak in less than half a day. The rapid availability of such information may facilitate more informed epidemiological investigations and influence infection control practices

Energy's role in the extraversion (dis)advantage: How energy ties and task conflict help clarify the relationship between extraversion and proactive performance

This is the author accepted manuscript. The final version is available from Wiley via the DOI in this recordWhile academic and practitioner literatures have proposed that extraverts are at an advantage in team‐based work, it remains unclear exactly what that advantage might be, how extraverts attain such an advantage, and under which conditions. Theory highlighting the importance of energy in the coordination of team efforts helps to answer these questions. We propose that extraverted individuals are able to develop more energizing relationships with their teammates and as a result are seen as proactively contributing to their team. However, problems in coordination (i.e., team task conflict) can reverse this extraversion advantage. We studied 27 project‐based teams at their formation, peak performance, and after disbandment. Results suggest that when team task conflict is low, extraverts energize their teammates and are viewed by others as proactively contributing to the team. However, when team task conflict is high, extraverts develop energizing relationships with fewer of their teammates and are not viewed as proactively contributing to the team. Our findings regarding energizing relationships and team task conflict clarify why extraversion is related to proactive performance and in what way, how, and when extraverts may be at a (dis)advantage in team‐based work

Social comparison processes in organizations

We systematically analyze the role of social comparison processes in organizations. Specifically, we describe how social comparison processes have been used to explain six key areas of organizational inquiry: (1) organizational justice, (2) performance appraisal, (3) virtual work environments, (4) affective behavior in the workplace, (5) stress, and (6) leadership. Additionally, we describe how unique contextual factors in organizations offer new insight into two widely studied sub-processes of social comparison, acquiring social information and thinking about that information. Our analyses underscore the merit of integrating organizational phenomena and social comparison processes in future research and theory

Viscoelastic Testing and Coagulopathy of Traumatic Brain Injury

A unique coagulopathy often manifests following traumatic brain injury, leading the clinician down a difficult decision path on appropriate prophylaxis and therapy. Conventional coagulation assays—such as prothrombin time, partial thromboplastin time, and international normalized ratio—have historically been utilized to assess hemostasis and guide treatment following traumatic brain injury. However, these plasma-based assays alone often lack the sensitivity to diagnose and adequately treat coagulopathy associated with traumatic brain injury. Here, we review the whole blood coagulation assays termed viscoelastic tests and their use in traumatic brain injury. Modified viscoelastic tests with platelet function assays have helped elucidate the underlying pathophysiology and guide clinical decisions in a goal-directed fashion. Platelet dysfunction appears to underlie most coagulopathies in this patient population, particularly at the adenosine diphosphate and/or arachidonic acid receptors. Future research will focus not only on the utility of viscoelastic tests in diagnosing coagulopathy in traumatic brain injury, but also on better defining the use of these tests as evidence-based and/or precision-based tools to improve patient outcomes