Exploring media-induced secondary trauma during COVID-19: A global perspective

Aims: Given the risk of developing vicarious trauma through news media has increased during the pandemic, we explored risk factors associated with media induced secondary trauma, and its behavioral and psychological implications. Methods: An international study (N = 1066), with a diverse sample, was administered in July 2020. We used standardized and validated questionnaires to measure news consumption, media-related trauma, compliance, and paranoia. Results: Greater frequency of news consumption, accessing news via social media and WHO, and believing in conspiracy theories increased likelihood of developing media-induced secondary trauma. News related trauma was associated with greater compliance with safety measures and increased paranoid ideation. Media-trauma however exhibited a greater association with paranoia than compliance. Conclusion: Findings highlight the need to facilitate a collaborative intervention, with public, media houses, health safety officials, and social scientists to have a deeper understanding of potential psychological costs of news consumption patterns

Using Social Media to Increase Accessibility to Online Teaching Resources.

The key learning points of Surgical Grand Rounds (SGR) are often not accessible at times of exam revision for students. We sought to use Twitter as an online teaching repository. A SGR Twitter profile was created. 23 SGR presentations were made accessible on Twitter over a 3 month period. 93 students were invited to complete a questionnaire assessing usage of the repository. 84 (90%) in total responded, of these, 25 (80.6%) felt that the online provision of SGR through twitter was useful . The majority (71%) felt that the online content was easily accessible. The novel use of social media is a useful adjunctive educational tool in accessing an online repository of SGR presentations

Just wrong? Or just WEIRD? Investigating the prevalence of moral dumbfounding in non-Western samples

Moral dumbfounding is the phenomenon that is observed when people defend a moral judgement even though they cannot provide a reason for this judgement. Dumbfounded responding may include admitting to not having reasons, or the use of unsupported declarations (e.g., “It’s just wrong”) as justification for a judgement. Published evidence for dumbfounding has drawn exclusively on samples of WEIRD backgrounds (Western, educated, industrialised, rich, and democratic), and it remains unclear whether the phenomenon is generalilsable to other populations. In three studies we apply a standardised moral dumbfounding task, and show evidence for moral dumbfounding in a Chinese sample (Study 1), an Indian sample (Study 2), and a mixed sample primarily from North Africa and the Middle East (MENA region, Study 3)

The Prevalence of Weak Handgrip Strength in Ambulatory Oncology Patients and its Relationship with Quality of Life

Muscle strength as a proxy for muscle function has emerged as a predictor of nutritional status in both clinical as well as epidemiological studies. Hand grip strength (HGS) is a reliable non-invasive test of muscle strength. Dynapenia (weak strength) is independently associated with loss of physical functionality, quality of life (QoL) characteristics and reduced survival. The first aim of this study was to investigate the prevalence of dynapenia using handgrip strength (HGS) in ambulatory oncology patients and if this had an impact on quality of life (QoL). This prospective cross-sectional study was conducted in the oncology day ward and outpatient clinic in Sligo University Hospital (SUH). To assess QoL, participants completed the European Organisation for Research and Treatment of Cancer Quality-of-life Questionnaire Core 30 (EORTC QLQ-C30). Isometric handgrip dynamometry was used to determine muscle strength of the dominant forearm. Three measures were performed, and the highest value was analysed. Weak handgrip strength was defined as(n=160) was predominantly female (58.1%), breast cancer was the most prevalent cancer type (29.4%) and the mean age was 63.2 ± 11.3 years. Over half of the cohort was overweight (53.5%) and 70% had not received nutritional advice from a dietician, with 77.5% reporting weight changes since diagnosis. Weak handgrip strength was present in 26.9% of the cohort. Weaker HGS was significantly associated with poorer QoL, physical, role and cognitive functioning (p \u3c 0.05). Additionally, weaker HGS was associated with increased symptom scale scores for fatigue, pain and appetite loss (p \u3c 0.05). Results display how poor muscular strength impacts QoL in an ambulatory oncology setting in the North-West of Ireland. If routine screening of muscle strength was conducted in oncology patients, it could aid timely referral to nutrition support and combat the negative impacts on their future

Reducing the risk of tuberculosis transmission for HCWs in high incidence settings

Globally, tuberculosis (TB) is a leading cause of death from a single infectious agent. Healthcare workers (HCWs) are at increased risk of hospital-acquired TB infection due to persistent exposure to Mycobacterium tuberculosis (Mtb) in healthcare settings. The World Health Organization (WHO) has developed an international system of infection prevention and control (IPC) interventions to interrupt the cycle of nosocomial TB transmission. The guidelines on TB IPC have proposed a comprehensive hierarchy of three core practices, comprising: administrative controls, environmental controls, and personal respiratory protection. However, the implementation of most recommendations goes beyond minimal physical and organisational requirements and thus cannot be appropriately introduced in resource-constrained settings and areas of high TB incidence. In many low- and middle-income countries (LMICs) the lack of knowledge, expertise and practice on TB IPC is a major barrier to the implementation of essential interventions. HCWs often underestimate the risk of airborne Mtb dissemination during tidal breathing. The lack of required expertise and funding to design, install and maintain the environmental control systems can lead to inadequate dilution of infectious particles in the air, and in turn, increase the risk of TB dissemination. Insufficient supply of particulate respirators and lack of direction on the re-use of respiratory protection is associated with unsafe working practices and increased risk of TB transmission between patients and HCWs. Delayed diagnosis and initiation of treatment are commonly influenced by the effectiveness of healthcare systems to identify TB patients, and the availability of rapid molecular diagnostic tools. Failure to recognise resistance to first-line drugs contributes to the emergence of drug-resistant Mtb strains, including multidrug-resistant and extensively drug-resistant Mtb. Future guideline development must consider the social, economic, cultural and climatic conditions to ensure that recommended control measures can be implemented in not only high-income countries, but more importantly low-income, high TB burden settings. Urgent action and more ambitious investments are needed at both regional and national levels to get back on track to reach the global TB targets, especially in the context of the COVID-19 pandemic

Chemotherapy induced peripheral neuropathy: the modified total neuropathy score in clinical practice.

BACKGROUND: Chemotherapy-induced peripheral neuropathy (CIPN) is a common, potentially reversible side effect of some chemotherapeutic agents. CIPN is associated with decreased balance, function and quality of life (QoL). This association has to date been under-investigated. AIMS: To profile patients presenting with CIPN using the modified Total Neuropathy Score (mTNS) in this cross-sectional study and to examine the relationship between CIPN (measured by mTNS) and indices of balance, quality of life (QoL) and function. METHODS: Patients receiving neurotoxic chemotherapy regimens were identified using hospital databases. Those who did not have a pre-existing neuropathy were invited to complete mTNS, Berg Balance Scale (BBS), timed up and go (TUG), and FACT-G QoL questionnaire. mTNS scores were profiled and also correlated with BBS, TUG and FACT-G using Spearmans correlation coefficient. RESULTS: A total of 29 patients undergoing neurotoxic chemotherapy regimens were tested. The patients mTNS scores ranged between 1 and 12 (median = 5), indicating that all patients had clinical evidence of neuropathy on mTNS. No significant correlations were found between mTNS and BERG (r = -0.29), TUG (r = 0.14), or FACT-G (r = 0.05). CONCLUSIONS: This study found a high prevalence of CIPN in patients treated with neurotoxic chemotherapy regimens. The mTNS provided a clinically applicable, sensitive screening tool for CIPN which could prove useful in clinical practice. mTNS did not correlate with BBS, TUG or FACT-G in this sample, possibly due to relatively mild levels of CIPN and consequent subtle impairments which were not adequately captured by gross functional assessments

Correlation between the structure and the anticorrosion barrier properties of hybrid sol–gel coatings: application to the protection of AA2024-T3 alloys

Hybrid sol–gel materials have been extensively studied as viable alternatives to toxic chromate (VI)-based coatings for the corrosion protection of AA2024-T3 in the aerospace industry, due to the wide range of available chemistries they offer and the tremendous development potential of innovative functional coatings. However, so far, little work has been performed in identifying the effect of the employed chemistries on the structure and anticorrosion properties of the coatings. This work proposes to contribute to a better understanding of the relationship existing between the structure, morphology and anticorrosion properties of hybrid sol–gel coatings deposited on AA2024- T3 aluminium surfaces, the most widely used alloy in the aerospace industry. The sol–gels are prepared employing two hybrid precursors; an organosilane, 3-trimethoxysilylpropylmethacrylate, and a zirconium complex prepared from the chelation of zirconium n-propoxide, and methacrylic acid. The structure of the hybrid sol–gel formulation is modified by altering the concentration of the transition metal complex. The structure and morphology of the coatings are characterised by dynamic light scattering, fourier transform infrared spectroscopy, silicon nuclear magnetic resonance spectroscopy, differential scanning calorimetry, scanning electron microscopy, atomic-force microscopy and the anticorrosion barrier properties characterised by electrochemical impedance spectroscopy and neutral salt-spray. It is found that the transition metal concentration affected the morphology and structure, as well as the anticorrosion performances of the hybrid sol–gel coatings. A direct correlation between the morphology of the coatings and their final anticorrosion barrier properties is demonstrated, and the optimum material amongst this series is determined to be comprised of a concentration of between 20 and 30% of transition metal

K+ efflux through postsynaptic NMDA receptors suppresses local astrocytic glutamate uptake

Glutamatergic transmission prompts K+ efflux through postsynaptic NMDA receptors. The ensuing hotspot of extracellular K+ elevation depolarizes presynaptic terminal, boosting glutamate release, but whether this also affects glutamate uptake in local astroglia has remained an intriguing question. Here, we find that the pharmacological blockade, or conditional knockout, of postsynaptic NMDA receptors suppresses use-dependent increase in the amplitude and duration of the astrocytic glutamate transporter current (IGluT), whereas blocking astrocytic K+ channels prevents the duration increase only. Glutamate spot-uncaging reveals that astrocyte depolarization, rather than extracellular K+ rises per se, is required to reduce the amplitude and duration of IGluT. Biophysical simulations confirm that local transient elevations of extracellular K+ can inhibit local glutamate uptake in fine astrocytic processes. Optical glutamate sensor imaging and a two-pathway test relate postsynaptic K+ efflux to enhanced extrasynaptic glutamate signaling. Thus, repetitive glutamatergic transmission triggers a feedback loop in which postsynaptic K+ efflux can transiently facilitate presynaptic release while reducing local glutamate uptake