2,833 research outputs found
Reconstructed Living Lab: supporting drug users and families through co-operative counselling using mobile phone technology
Background: There is a recognised problem with drug taking in South Africa. In socially deprived areas immediate help for drug users and their families is a problem. As part of their work in a community in tension, Impact Direct Ministries (IDM) and Reconstructed Living Lab (RLabs) in Cape Town provide a drug advisory service using mobile phone technology that can support multiple conversations. It is staffed by trained volunteers and is available to drug users and their families. Methods: This article investigates historical counselling help for drug users. It explains the importance of family involvement in the life-changing process of a drug user and the importance of co-operative counselling. The Drug Advice Support (DAS) service provided by IDM and RLabs is introduced as a case study to explore how mobile phone technology can support the co-operative counselling model in a Living Lab context. Results: The advantages of the DAS technology and what it offers to community-based organisations are discussed. Data on relatives of drug users using the system are included. Conclusion: The use of mobile phone technology has advantages for community-based organisations acting as a first point of contact to drug users and their families. Minimal cost to the person in crisis and the organisation serves as an example. The co-operative counselling model it employs is also of benefit. As the community experiencing tension due to the problem of drug abuse becomes aware of this service, help and support for family members will increase in time.Keywords: community-based organisation; Living Labs; drug users’ families; co-operative counselling; mobile phone
Evidence translation in a youth mental health service: clinician perspectives
An evidence–practice gap is well established in the mental health field, and knowledge translation is identified as a key strategy to bridge the gap. This study outlines a knowledge translation strategy, which aims to support clinicians in using evidence in their practice within a youth mental health service ( headspace). We aim to evaluate the strategy by exploring clinicians’ experiences and preferences. The translation strategy includes the creation and dissemination of evidence translation resources that summarize the best available evidence and practice guidelines relating to the management of young people with mental disorders. Semi-structured interviews were conducted with 14 youth mental health clinicians covering three topics: experiences with evidence translation resources, preferences for evidence presentation, and suggestions regarding future translation efforts. Interviews were recorded, transcribed verbatim, coded, and analyzed using thematic analysis. Themes were both predetermined by interview topic and identified freely from the data. Clinicians described their experiences with the evidence translation resources as informing decision making, providing a knowledge base, and instilling clinical confidence. Clinicians expressed a preference for brief, plain language summaries and for involvement and consultation during the creation and dissemination of resources. Suggestions to improve the dissemination strategy and the development of new areas for evidence resources were identified. The knowledge translation efforts described support clinicians in the provision of mental health services for young people. The preferences and experiences described have valuable implications for services implementing knowledge translation strategies
A Qualitative Analysis of the Descriptions of Cognitive Behavioural Therapy (CBT) Tested in Clinical Trials of Depressed Young People
Development of practice principles for the management of ongoing suicidal ideation in young people diagnosed with major depressive disorder
Objectives:
There is a lack of clear guidance regarding the management of ongoing suicidality in young people experiencing major depressive disorder. This study utilised an expert consensus approach in identifying practice principles to complement relevant clinical guidelines for the treatment of major depressive disorder in young people. The study also sought to outline a broad treatment framework for clinical intervention with young people experiencing ongoing suicidal ideation.
Methods:
In-depth focus groups were undertaken with a specialist multidisciplinary clinical team (the Youth Mood Clinic at Orygen Youth Health Clinical Program, Melbourne) working with young people aged 15–25 years experiencing ongoing suicidal ideation. Each focus group was audio recorded and transcribed verbatim using orthographic conventions. Principles of grounded theory and thematic analysis were used to analyse and code the resultant data.
Results:
The identified codes were subsequently synthesised into eight practice principles reflecting engagement and consistency of care, ongoing risk assessment and documentation, individualised crisis planning, engaging systems of support, engendering hopefulness, development of adaptive coping, management of acute risk, and consultation and supervision.
Conclusions:
The identified practice principles provide a broad management framework, and may assist to improve treatment consistency and clinical management of young people experiencing ongoing suicidal ideation. The practice principles may be of use to health professionals working within a team-based setting involved in the provision of care, even if peripherally, to young people with ongoing suicidal ideation. Findings address the lack of treatment consistency and shared terminology and may provide containment and guidance to multidisciplinary clinicians working with this at-risk group
Comparative morphological trade-offs between pre- and post-copulatory sexual selection in Giant hissing cockroaches (Tribe: Gromphadorhini)
Sperm competition theory predicts that animals face a trade-off between investment in weaponry
and investment in ejaculate composition. Within the Madagascan giant hissing cockroaches (Tribe
Gromphadorhini) differences in morphology exist that may indicate differing strategies of male-male
competition. We compared relative pronotal horn length using high-resolution X-ray CT scanning data,
relative testes mass, and male-male agonistic behaviour between two species of hissing cockroaches,
Gromphadorhina oblongonota and Aeluropoda insignis. The gross morphology and behaviour of these
two species indicated that G. oblongonota is selected for pre-copulatory mate acquisition and that
A. insignis is selected for post-copulatory sperm competition. We found evidence for a trade-off when
investing in testes mass vs. horn length between the species. The large, aggressive G. oblongonota
follows a strategy of greater investment in weapons at the expense of testes mass while the smaller,
less-aggressive A. insignis invests in relatively greater testes mass and less in pronotal weapon length.
We also found evidence of a trade-off within each species, where individuals invest more heavily in
weapon length at the expense of testes mass. These findings support the predictions of pre- and postcopulatory
competitive investment trade-offs for a relatively understudied Tribe of cockroaches
Spatially Explicit Data: Stewardship and Ethical Challenges in Science
Scholarly communication is at an unprecedented turning point created in part by the increasing saliency of data stewardship and data sharing. Formal data management plans represent a new emphasis in research, enabling access to data at higher volumes and more quickly, and the potential for replication and augmentation of existing research. Data sharing has recently transformed the practice, scope, content, and applicability of research in several disciplines, in particular in relation to spatially specific data. This lends exciting potentiality, but the most effective ways in which to implement such changes, particularly for disciplines involving human subjects and other sensitive information, demand consideration. Data management plans, stewardship, and sharing, impart distinctive technical, sociological, and ethical challenges that remain to be adequately identified and remedied. Here, we consider these and propose potential solutions for their amelioration
Microarray data analysis in neoadjuvant biomarker studies in estrogen receptor-positive breast cancer
Microarray data have been widely utilized to discover biomarkers predictive of response to endocrine therapy in estrogen receptor-positive breast cancer. Typically, these data have focused on analyses conducted on the diagnostic specimen. However, dynamic temporal changes in gene expression associated with treatment may deliver significant improvements to the current generation of predictive models. We present and discuss some statistical issues relevant to the paper by Taylor and colleagues, who conducted studies to model the prognostic potential of gene expression changes that occur after endocrine treatment
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