The immune system as artistic research and geopolitical mapping

During the research week called "Extraordinary Renditions" at BALTIC Centre for Contemporary Art in Gateshead, I and Amanda Newall presented our work Blodlopp (exhibited in Fremantle Arts Centre, May-July 2012). I talked in more detail about overlapping aspects of scientific and artistic approaches to the immune system. The presentation is brief on paper, but was delivered in dialogue with the projected video of Blodlopp

The interdisciplinary, diachronic and prefigurative translations of Blodlopp

The video work Blodlopp cut across three disciplinary demarcations and thus required spectatorial translations of (i) applied performance | moving image (ii) immunology | costume work (iii) artistic research | activism The artwork emerged as artistic research (immunological studies, workshops with actors and non-actors, experimental laboratory work with the artists’ own blood) in a double residency at the bio-artistic institute SymbioticA and Fremantle Arts Centre. The project drew on the hypothesis that the immune system can be viewed and applied as a blueprint for culture-historical changes through encounters with alien cultural agents. The upshot became an artwork in its own right, but given the politicized conditions in metropolitan Perth at the time it also served as a paratactical instantiation to the indigenous crisis in the city. Unlike traditional modes of oppositional art, Blodlopp was more in line with contemporary forms of ‘prefigurative’ actions which are not necessarily contingent on something it protests or refuses to become, but rather establishes a radical and affirmative alternative to it. Given the chiastic structure of the artwork, its exhibitory framework and its timely context, it is through the critical minds of audiences that the translations must emerge between the artistic, scientific and political strands

A systematic review of interventions in primary care to improve health literacy for chronic disease behavioral risk factors

Background: To evaluate the effectiveness of interventions used in primary care to improve health literacy for change in smoking, nutrition, alcohol, physical activity and weight (SNAPW). Methods: A systematic review of intervention studies that included outcomes for health literacy and SNAPW behavioral risk behaviors implemented in primary care settings. We searched the Cochrane Library, Johanna Briggs Institute, Medline, Embase, CINAHL, Psychinfo, Web of Science, Scopus, APAIS, Australasian Medical Index, Google Scholar, Community of Science and four targeted journals (Patient Education and Counseling, Health Education and Behaviour, American Journal of Preventive Medicine and Preventive Medicine). Study inclusion criteria: Adults over 18 years; undertaken in a primary care setting within an Organisation for Economic Co-operation and Development (OECD) country; interventions with at least one measure of health literacy and promoting positive change in smoking, nutrition, alcohol, physical activity and/or weight; measure at least one outcome associated with health literacy and report a SNAPW outcome; and experimental and quasi-experimental studies, cohort, observational and controlled and non-controlled before and after studies. Papers were assessed and screened by two researchers (JT, AW) and uncertain or excluded studies were reviewed by a third researcher (MH). Data were extracted from the included studies by two researchers (JT, AW). Effectiveness studies were quality assessed. A typology of interventions was thematically derived from the studies by grouping the SNAPW interventions into six broad categories: individual motivational interviewing and counseling; group education; multiple interventions (combination of interventions); written materials; telephone coaching or counseling; and computer or web based interventions. Interventions were classified by intensity of contact with the subjects (High ≥ 8 points of contact/hours; Moderate \u3e3 and \u3c8; Low ≤ 3 points of contact hours) and setting (primary health, community or other). Studies were analyzed by intervention category and whether significant positive changes in SNAPW and health literacy outcomes were reported. Results: 52 studies were included. Many different intervention types and settings were associated with change in health literacy (73% of all studies) and change in SNAPW (75% of studies). More low intensity interventions reported significant positive outcomes for SNAPW (43% of studies) compared with high intensity interventions (33% of studies). More interventions in primary health care than the community were effective in supporting smoking cessation whereas the reverse was true for diet and physical activity interventions. Conclusion: Group and individual interventions of varying intensity in primary health care and community settings are useful in supporting sustained change in health literacy for change in behavioral risk factors. Certain aspects of risk behavior may be better handled in clinical settings while others more effectively in the community. Our findings have implications for the design of programs

Visibility of age restriction warnings, harm reduction messages, and terms and conditions::A content analysis of paid-for gambling advertising in the United Kingdom.

Objective: The inclusion and design of age restriction warnings, harm reduction messages, and terms and conditions (T&Cs) in gambling advertising is self-regulated in the United Kingdom. Our study examines the visibility and nature of this information in a sample of paid-for gambling adverts. Study design: Content analysis of a stratified random sample of gambling adverts (n=300) in the United Kingdom from eight paid-for advertising channels (March 2018). Methods: For each advert, we assessed whether any age restriction warnings, harm reduction messages, and T&Cs were present. If so, visibility was scored on a five-point scale ranging from Very poor (25% of advert), which had high inter-rater reliability. Descriptive information on position, design, and tone of language was recorded. Results: One-in-seven adverts (14%) did not feature an age restriction warning or harm reduction message. In adverts that did, 84% of age restriction warnings and 54% of harm reduction messages had very poor visibility. At least one-in-ten adverts did not contain T&Cs. In adverts that did, 73% had very poor visibility. For age restriction warnings, harm reduction messages, and T&Cs, most appeared in small fonts and outside the main advert frame. Most harm reduction messages did not actually reference gambling-related harms. Conclusion: Age restriction warnings, harm reduction messages, and T&Cs do not always appear in paid-for gambling advertising. When they do, visibility is often very poor and the messaging not clear. The findings do not support a self-regulatory approach to managing this information in gambling adverts

Associations between recalled use of legal UK youth gambling products and adult disordered gambling

Background and aims: The UK allows a number of gambling products to be legally used by people under the age of 18. The aim of this study was to explore associations between recalled legal usage of five youth gambling products and adult disordered gambling. Methods: A retrospective cross-sectional study of 1,057 adult UK gamblers, aged 18–40. Recalled legal use of five youth gambling products (category D fruit machines, coin push machines, crane grab machines, the National Lottery, and National Lottery scratchcards) was correlated with adult disordered gambling symptoms as measured by the Problem Gambling Severity Index (PGSI). Results: Recalled rates of legal engagement with each product ranged from 50.9% for Category D fruit machines to 96.6% for coin push machines. For category D fruit machines, the National Lottery, and National Lottery scratchcards, merely having legally engaged with these products as a child was associated with adult disordered gambling. Furthermore, higher levels of recalled legal youth usage with each of the five products was also associated with adult disordered gambling. Discussion and conclusions: These results relate to recent government proposals to increase the National Lottery scratchcard legal age to 18, and add to a wider literature on youth gambling and subsequent gambling-related harm

Revisiting Salvucci’s Semi-analytical Solution for Bare Soil Evaporation with New Consideration of Vapour Diffusion and Film Flow

Bare soil evaporation is controlled by a combination of capillary flow, vapour diffusion and film flow. Relevant analytical solutions mostly assume horizontal flow conditions and ignore gravitational effects. Salvucci (1997) provided a rare example of a semi-analytical solution for vertical bare soil evaporation. However, they did not explicitly represent vapour diffusion and film flow, which are likely to account for a significant proportion of total flow during vertical evaporation from soils. Vapour diffusion and film flow can be incorporated via Salvucci’s desorptivity parameter, which represents the proportionality constant relating Stage 2 cumulative evaporation to the square root of time under horizontal flow conditions. The objective of this article is to implement vapour diffusion and film flow within Salvucci’s semi-analytical solution and test its performance by comparison with isothermal numerical simulation and relevant experimental data. The following important conclusions are drawn. Analytical solutions that assume horizontal flow conditions are inadequate for understanding vertical evaporation problems because they overestimate evaporation rates and mostly predict vapour diffusion and film flow to be of negligible influence. Salvucci’s semi-analytical solution is effective at predicting the order-of-magnitude reduction in evaporation caused by gravitational effects. However, it is unable to identify the correct importance of vapour diffusion and film flow because these processes can only be represented through its desorptivity parameter

Delay-adjusted age- and sex-specific case fatality rates for COVID-19 in South Korea: Evolution in the estimated risk of mortality throughout the epidemic

Objectives: The aim of this study was to estimate delay-adjusted case fatality rates (CFRs) for COVID-19 in South Korea, and evaluate how these estimates have evolved over time throughout the epidemic. Methods: Public data from the Korea Centers for Disease Control and Prevention (KCDC) were used to estimate age- and sex-specific CFRs for COVID-19 in South Korea up to June 12, 2020. We applied statistical methods previously developed to adjust for the delay between diagnosis and death, and presented both delay-adjusted and crude (unadjusted) CFRs throughout the epidemic. Results: The overall estimated delay-adjusted CFR was 2.39% (3.05% for males and 1.92% for females). Within each age strata where deaths were reported, males were found to have significantly higher CFRs than females. The estimated CFRs increased substantially from age 60 years in males and from 70 years in females. Both the delay-adjusted and crude CFRs were found to have evolved substantially, particularly early in the epidemic, converging only from mid-April 2020. Conclusions: The CFRs for South Korea provide an estimate of mortality risk in a setting where case ascertainment is likely to be more complete. The evolution in CFRs throughout the epidemic highlights the need for caution when interpreting CFRs calculated at a given time point

Who uses custom sports betting products?

Background: The expansion of online gambling in the UK has been accompanied by an increase in the number of novel betting products, particularly for soccer. The present research investigates which types of sports bettors are the most likely to use novel gambling products called ‘custom sports bets’ (CSBs), which allow gamblers to create their own unique bets. Method: A large-scale, cross-sectional survey of online sports/horse racing bettors (N = 789, 32.7% female). The survey collected two measures of CSB usage and four validated gambling measures: the Problem Gambling Severity Index, the Gambling Related Cognition Illusion of Control Scale, the Short Gambling Harm Screen, and the Consumption Screen for Problem Gambling. Results: Overall, 62.0% of participants reported having used a CSB, and those who had used a CSB did so on an average of 29.4 days over the last year. Overall, 16.0% of participants who had used a CSB were current problem gamblers, compared to 6.7% among those who had not. CSB users reported an average of 2.3 out of 10 possible gambling harms, compared to 1.5 harms for those who had not used a CSB. The illusion of control scale was significantly positively correlated with whether participants had ever used a CSB before, but not with past year frequency of CSB usage. The usage of CSB products was most strongly associated with the frequency of gambling consumption. Conclusions: Overall, these findings suggest that CSB products raise distinctive concerns around consumer protection for frequent sports bettors which deserve further investigation

Medication communication between nurses and doctors for paediatric acute care: An ethnographic study

AIMS AND OBJECTIVES: To examine how communication between nurses and doctors occurred for managing medications in inpatient paediatric settings. BACKGROUND: Communication between health professionals influences medication incidents' occurrence and safe care. DESIGN: An ethnographic study was undertaken. METHODS: Semi-structured interviews, observations and focus groups were conducted in three clinical areas of an Australian tertiary paediatric hospital. Data were transcribed verbatim and thematically analysed using the Medication Communication Model. RESULTS: The actual communication act revealed professionals' commitment to effective medication management and the influence of professional identities on medication communication. Nurses and doctors were dedicated to providing safe, effective medication therapy for children, within their scope of practice and perceived role responsibilities. Most nurses and junior doctors used tentative language in their communication while senior doctors tended to use direct language. Irrespective of language style, nurses actively engaged with doctors to promote patients' needs. Yet, the medical hierarchical structure, staffing and attendant expectations influenced communication for medication management, causing frustration among nurses and doctors. Doctors' lack of verbal communication of documented changes to medication orders particularly troubled nurses. Nurses persisted in their efforts to acquire appropriate orders for safe medication administration to paediatric patients. CONCLUSIONS: Collaborative practice between nurses and doctors involved complex, symbiotic relationships. Their dedication to providing safe medication therapy to paediatric patients facilitated effective medication management. At times, shortcomings in inter-disciplinary communication impacted on potential and actual medication incidents. RELEVANCE TO CLINICAL PRACTICE: Understanding of the complexities affecting medication communication between nurses and doctors helps to ensure inter-professional respect for each other's roles and inherent demands. Interdisciplinary education delivered in health care organisations would facilitate greater clarity in communication related to medications. Encouraging the use of concise, clear words in communication would help to promote improved understanding between parties, and accuracy and efficacy of medication management. This article is protected by copyright. All rights reserved