Caring in Kent: Patterns and Profiles, Evidence from the Kent Health and Lifestyle Survey, 2005

The ‘Caring in Kent’ report draws on the results of a Kent wide ‘Health and Lifestyle Survey’ conducted in 2005; this included a module on caring. This enables a picture of caring to be reported including: a general profile of carers, levels and types of care-giving, carers’ health, and the level and types of support they receive. ‘Carers provide unpaid care by looking after an ill, frail or disabled family member, friend or partner’. The increasingly recognised importance of the role of the ‘informal carer’ is - in good part - due to the rising proportion of older people in the UK population. Not only do people live longer but many experience a number of chronic conditions; these require support from family members if the older person is to remain living in the community

Sport Education in a Higher Education physical activity course

The present research had the purpose to analyze how students perceived a physical activity (PA) course in higher education that used the Sport Education (SE) model. The study addressed: i) Students overall enjoyment; ii) Students’ skill acquisition self-perception; iii) Students’ game rules knowledge self-perception; iv) Students’ instructional preference. Twenty-six students from an American university located in the Southern region attended this course. The Futsal (indoor-soccer) course offered two 75 minutes class per week. Two forms of data collection were used: a five-point Likert-type scale survey and a post-course interview. Students reported to have a very high enjoyment in all six major features of the SE model. In addition, statistical significance was reached when students reported their perceived skill acquisition and game rules knowledge acquisition. Students also reported to prefer SE when comparing to other physical activity courses that used a traditional pedagogy

High-m Kink/Tearing Modes in Cylindrical Geometry

The global ideal kink equation, for cylindrical geometry and zero beta, is simplified in the high poloidal mode number limit and used to determine the tearing stability parameter, $\Delta^\prime$. In the presence of a steep monotonic current gradient, $\Delta^\prime$ becomes a function of a parameter, $\sigma_0$, characterising the ratio of the maximum current gradient to magnetic shear, and $x_s$, characterising the separation of the resonant surface from the maximum of the current gradient. In equilibria containing a current "spike", so that there is a non-monotonic current profile, $\Delta^\prime$ also depends on two parameters: $\kappa$, related to the ratio of the curvature of the current density at its maximum to the magnetic shear, and $x_s$, which now represents the separation of the resonance from the point of maximum current density. The relation of our results to earlier studies of tearing modes and to recent gyro-kinetic calculations of current driven instabilities, is discussed, together with potential implications for the stability of the tokamak pedestal.Comment: To appear in Plasma Physics and Controlled Fusio

Sub-kHz linewidth VECSEL for cold atoms experiments

We report sub-kHz linewidth operation of a frequency-stabilized, AlGaInP-based vertical-external-cavity surface-emitting laser (VECSEL) at 689nm, suitable for Strontium cold atom experiments. 170mW was emitted with linewidth ≤200Hz, determined via an optical beat note measurement

A Bayesian spatio-temporal model of panel design data: airborne particle number concentration in Brisbane, Australia

This paper outlines a methodology for semi-parametric spatio-temporal modelling of data which is dense in time but sparse in space, obtained from a split panel design, the most feasible approach to covering space and time with limited equipment. The data are hourly averaged particle number concentration (PNC) and were collected, as part of the Ultrafine Particles from Transport Emissions and Child Health (UPTECH) project. Two weeks of continuous measurements were taken at each of a number of government primary schools in the Brisbane Metropolitan Area. The monitoring equipment was taken to each school sequentially. The school data are augmented by data from long term monitoring stations at three locations in Brisbane, Australia. Fitting the model helps describe the spatial and temporal variability at a subset of the UPTECH schools and the long-term monitoring sites. The temporal variation is modelled hierarchically with penalised random walk terms, one common to all sites and a term accounting for the remaining temporal trend at each site. Parameter estimates and their uncertainty are computed in a computationally efficient approximate Bayesian inference environment, R-INLA. The temporal part of the model explains daily and weekly cycles in PNC at the schools, which can be used to estimate the exposure of school children to ultrafine particles (UFPs) emitted by vehicles. At each school and long-term monitoring site, peaks in PNC can be attributed to the morning and afternoon rush hour traffic and new particle formation events. The spatial component of the model describes the school to school variation in mean PNC at each school and within each school ground. It is shown how the spatial model can be expanded to identify spatial patterns at the city scale with the inclusion of more spatial locations.Comment: Draft of this paper presented at ISBA 2012 as poster, part of UPTECH projec

Interactions of allergens and irritants in susceptible populations in producing lung dysfunction: implications for future research.

Environmental agents, when applied in combination or sequentially, can induce a wide variety of adverse health effects in humans. To determine the effects of sequential allergen challenge and acid exposure on human bronchial epithelial cell function, we subjected normal, nonallergic control and ragweed-allergic individuals to bronchoscopic segmental ragweed challenge in vivo. We harvested bronchial epithelial cells by brush biopsy both before challenge and 24 hr after challenge and exposed cells to an acid stress in vitro (pH 5 for 3 hr), followed by a 1-hr recovery period at normal pH. In normal, nonallergic subjects, segmental allergen challenge produced no effects on ciliary activity; pH 5 exposure produced reduced ciliary activity (a decrease in the percent of the initially active area), with significant recovery after cells were returned to a normal pH. Ciliary activity from allergic subjects was also inhibited by pH 5 exposure; however, activity was not recovered when cells were placed in medium of normal pH. Ciliary activity in allergics who developed a stress response postantigen challenge, as determined by an induction of the 27 kDa stress (heat shock) protein, displayed no ciliary dysfunction when exposed to a pH 5 stress. In this case, a stress sufficient to provoke a heat shock (stress) protein (HSP) response (but not one that produced more severe lung injury and did not provoke an HSP response) protected cells from a subsequent acid stress. Because of our observations and recent findings reported in the literature, we suggest that in order to define the wide variety of health effects of environmental agents, control as well as at-risk populations should be studied and the ability to define potentially beneficial as well as detrimental effects should be built into the experimental design. Inclusion of different and novel end points also should be considered

Improving estimation efficiency for regression with MNAR covariates

For regression with covariates missing not at random where the missingness depends on the missing covariate values, complete‐case (CC) analysis leads to consistent estimation when the missingness is independent of the response given all covariates, but it may not have the desired level of efficiency. We propose a general empirical likelihood framework to improve estimation efficiency over the CC analysis. We expand on methods in Bartlett et al. (2014, Biostatistics 15, 719–730) and Xie and Zhang (2017, Int J Biostat 13, 1–20) that improve efficiency by modeling the missingness probability conditional on the response and fully observed covariates by allowing the possibility of modeling other data distribution‐related quantities. We also give guidelines on what quantities to model and demonstrate that our proposal has the potential to yield smaller biases than existing methods when the missingness probability model is incorrect. Simulation studies are presented, as well as an application to data collected from the US National Health and Nutrition Examination Survey.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/154274/1/biom13131-sup-0002-web_supp.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/154274/2/biom13131_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/154274/3/biom13131.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/154274/4/biom13131-sup-0003-supmat.pd

Learning to be a midwife: Midwifery students' experiences of an extended placement within a midwifery group practice.

AimTo investigate the experiences, perspectives and plans of students who had a six-month placement with the midwifery group practice.MethodsFocus groups were conducted with fifteen third - year Bachelor of Midwifery students who had undertaken an extended placement at a midwifery group practice in a large tertiary referral hospital in Queensland, Australia.ResultsFour main themes were identified in the data: Expectations of the Placement; Facilitating learning within a midwifery group practice model; Transitioning between models of care and Philosophy and culture of midwifery group practice.Discussion and conclusionThird-year midwifery students valued the experience of working one-on-one for an extended placement with a midwife providing continuity of care within a caseload model. The experience was the highlight of their degree and they learned 'how to be a midwife'. Most students found reintegrating back into the hospital system of care challenging, reporting that their developed skills of supporting women holistically and facilitating normal birth were not fully utilised when returning to the task-orientated birth suite. Students valued thoughtful, kind and supportive midwifery preceptors who supported them to transition back into the hospital.Implications and recommendationsUndertaking an extended placement within a midwifery group practice provides students with a rich and holistic learning experience and helps them develop a sense of professional identity. Student placements situated within models of care which provide continuity of midwifery care should be proactively enabled by health services and universities. Research of the longer-term impacts of an extended midwifery group practice clinical placement on midwifery graduates' capabilities and competencies 3-5 years post registration should be conducted