Australian Fathers\u27 Study: What influences paternal engagement with antenatal care?

This mixed-methods study explores factors associated with and levels of engagement of fathers in antenatal care. One hundred expectant fathers were recruited from antenatal clinics and community settings in Western Australia. They completed validated questionnaires. Eighty-three percent of expectant fathers reported a lack of engagement with antenatal care. Factors significantly associated with lack of engagement in multivariate analysis were working more than 40 hours a week and lack of adequate consultation by antenatal care staff. In qualitative analysis, 6 themes emerged in association with a lack of engagement. They were role in decision making, time pressures, the observer effect, lack of knowledge, barriers to attendance, and feeling unprepared or anxious. Care providers should involve fathers in consultations to improve paternal engagement

ACEE composite structures technology

Toppics addressed include: advanced composites on Boeing commercial aircraft; composite wing durability; damage tolerance technology development; heavily loaded wing panel design; and pressure containment and damage tolerance in fuselages

NASA-ACEE/Boeing 737 graphite-epoxy horizontal stabilizer service

The 737 graphite-epoxy horizontal stabilizer was developed by Boeing as part of the NASA-ACEE (Aircraft Energy Efficiency) Advanced Composite Structures Program. NASA-ACEE programs challenged large-transport manufacturers to use graphite material in redesigning existing aircraft components. The goal of the program was to develop the necessary data and technology to achieve production commitments to advanced composites. Boeing designed, fabricated, and certified five shipsets of horizontal stabilizers for the 737-200 airframe. The program was initiated in July 1977 and certification was achieved in August 1982. Schedule highlights are shown. The work performed on this program is reported in NASA technical summaries and final reports. Boeing introduced the stabilizer into commercial operation in 1984, and has maintained surveillance for seven years of in-service evaluation. Outstanding performance was demonstrated with no service incidents attributed to the graphite-epoxy structure. Boeing will continue to monitor and support these aircraft, adding to the database of commercial composite experience

The Western Australian Clinical Senate as a Model for State-Wide Clinical Engagement

International reforms in healthcare have established the principal that embracing clinical engagement can drive healthcare reform and improved safety and quality outcomes. Most attention has focussed on how clinicians might be engaged at a local or hospital level. However, healthcare reforms are usually initiated at a state or national level. Less attention has gone into exploring the key elements of a model to achieve clinical engagement at state or national level. This paper explores the key elements of a successful state-wide clinical engagement model including culture and leadership, membership, decision-making processes and accountability and discusses how the current model of the Western Australian Clinical Senate addresses these elements. This model may be applicable in other jurisdictions and healthcare systems

'Relieved to be seen'-patient and carer experiences of psychosocial assessment in the emergency department following self-harm: qualitative analysis of 102 free-text survey responses.

From Europe PMC via Jisc Publications RouterHistory: ppub 2021-05-01, epub 2021-05-23Publication status: PublishedObjectivesWe sought to explore patient and carer experiences of psychosocial assessments following presentations to hospital after self-harm.DesignThematic analysis of free-text responses to an open-ended online survey.SettingBetween March and November 2019, we recruited 88 patients (82% women) and 14 carers aged ≥18 years from 16 English mental health trusts, community organisations, and via social media.ResultsPsychosocial assessments were experienced as helpful on some occasions but harmful on others. Participants felt better, less suicidal and less likely to repeat self-harm after good-quality compassionate and supportive assessments. However, negative experiences during the assessment pathway were common and, in some cases, contributed to greater distress, less engagement and further self-harm. Participants reported receiving negative and stigmatising comments about their injuries. Others reported that they were refused medical care or an anaesthetic. Stigmatising attitudes among some mental health staff centred on preconceived ideas over self-harm as a 'behavioural issue', inappropriate use of services and psychiatric diagnosis.ConclusionOur findings highlight important patient experiences that can inform service provision and they demonstrate the value of involving patients/carers throughout the research process. Psychosocial assessments can be beneficial when empathetic and collaborative but less helpful when overly standardised, lacking in compassion and waiting times are unduly long. Patient views are essential to inform practice, particularly given the rapidly changing service context during and after the COVID-19 emergency

Adult North Star Network (ANSN): Consensus Guideline For The Standard Of Care Of Adults With Duchenne Muscular Dystrophy

There are growing numbers of adults with Duchenne Muscular Dystrophy living well into their fourth decade. These patients have complex medical needs that to date have not been addressed in the International standards of care. We sought to create a consensus based standard of care through a series of multi-disciplinary workshops with specialists from a wide range of clinical areas: Neurology, Cardiology, Respiratory Medicine, Gastroenterology, Endocrinology, Palliative Care Medicine, Rehabilitation, Renal, Anaesthetics and Clinical Psychology. Detailed reports of evidence reviewed and the consensus building process were produced following each workshop and condensed into this final document which was approved by all members of the Adult North Star Network including service users. The aim of this document is to provide a framework to improve clinical services and multi-disciplinary care for adults living with Duchenne Muscular Dystrophy

Some recent radio talks.

Light land development in the South - By A. S. WILD, Assistant Superintendent of Wheat Farming, Department of Agriculture. It is only since World War II ended that successful large scale development of light land near the south coast of this State has been undertaken, although the many millions of acres of treeless plain country throughout the agricultural areas have, for many years, presented a challenge to the pioneering ability of Western Australians. The use of hormones in viticulture - By L. T. JONES, Senior Plant Research Officer The discovery and proper use of plant hormones, or as they are more accurately termed, growth-regulating: substances, probably represents the greatest contribution which science has made to agriculture in the past few decades. It was the discovery by Kogl in 1934 that indole acetic acid was an active growth substance which led rapidly to the preparation and testing of large numbers of compounds of similar chemical structure and among these were found many substances which were very potent and also comparatively cheap to produce. Recent trends in viticulture in Western Australia - By W. R. JAMIESON, Viticulturist, Department of Agriculture, Perth Today I want to talk very briefly about some of the more recent trends in viticulture in this State. The commercial production of grapevines is centred mainly around the Swan Valley and as most of the suitable vineyard land in this area has been planted, growers are exploring avenues to increase the returns per acre. Methods of irrigation - By G. GAUNTLETT, Assistant Officer-in-Charge, Irrigation The success of an irrigation scheme depends on several factors. Important among these is the choice and design of the method to be adopted. There are two methods of irrigation, viz., surface and spray irrigation. Canker disease of Red-flowered gum - By W. P. CASS SMITH, B.Sc. (Agric), Government Plant Pathologist Of the many beautiful native plants in Western Australia, few are esteemed more than the red-flowered gum known botanically as Eucalyptus flcifolia. This shapely tree commences blossoming about Christmas time—and provides a magnificent display for several weeks—the blossom shades varying from dark red to pink. Why many beans grow crooked - By M. HARDIE, Vegetable Instructor Sometimes in the process of growing a crop, bean growers find a number of pods which, instead of being long and straight and suitable for marketing, are crooked or bent and quite unsuitable for sale unless beans are in very short supply. It is not unusual for a small number of pods to be affected in this way, generally at the tail-end of the crop, but occasionally the percentage may be high. When this happens the grower is often at a loss to account for his failure to grow a marketable crop. To the best of his ability he has followed methods which normally return a crop of first-grade pods and yet for some reason, his crop is an unpayable one and he is anxious to ascertain the cause. Salt land programme for Autumn - By T. C. STONEMAN, Adviser, Soil Conservation Service Now that summer is over and winter approaches, the time has come to decide what you\u27ll do with that salt problem on your farm. What you SHOULD do, will depend on how severely the area is affected. To make quite clear how the recommendations made by the Department of Agriculture can be applied I will deal with each degree of severity in turn. Orchard cover crops - By J. CRIPPS, Horticultural Adviser The sowing of a cover crop is one of those routine operations which the orchardist often undertakes without much thought, but it is an operation worthy of consideration. Lupin seed - By B. J. QUINLIVAN, B.Sc. (Agric), Botanist, Weeds and Seeds Branch The three types of lupins which we grow in this State are the New Zealand, the W.A. blue, and the yellow lupin. The first two types are very common, the New Zealand lupin being grown mainly in the South-West, while the W.A. lupin is grown over extensive areas of the central and northern wheatbelt, particularly on the sandier types of soil. Cereal rye will grow on wind-eroded areas - By G. H. BURVILL, Chief Plant Research Officer. Travelling around the wheatbelt, one often sees areas of sandy soil quite bare, A due to wind erosion. Surface soil blown from these patches has built up against fences, or as mounds in the nearby scrub. Many of the eroded places are quite small— perhaps less than an acre or only a few acres. But some are large, with one to three hundred acres of bare yellow sand. As much as two feet of soil has been blown from big areas. Autumn-winter feeding for the fat lamb flock - By N. DAVENPORT, Senior Adviser, Meat Production The autumn-winter period is the most important part of the year for the fat lamb crop from a feed point of view. It is important not only from the aspect of the wellbeing of the sheep, but also of the pasture. Pasture plants are living things, too, and they also require consideration and care for their development. When a new season pasture is kept hard grazed in those critical first few weeks of growth it cannot carry as many sheep over the season as one which is lightly stocked during that time. Plant diseases in the home garden - By W. P. CASS-SMITH, B.Sc. (Agric), Government Plant Pathologist Recently many home-gardeners have complained that plantings of vegetables or ornamentals are making unthrifty growth, in spite of liberal waterings and fertilisation. These symptoms are commonly caused by root-knot eelworm, a pest which has unfortunately become very widespread in the sandy soils adjacent to Perth, and in many other parts of this State. This eelworm parasite attacks the roots of many kinds of plants causing them to rot and to develop bead-like swellings or galls. As a result, the intake of plant food and water is restricted and stunting of the above-ground parts occurs. Principles of commercial beekeeping - By R. S. COLEMAN, R.D.A., Government Apiculturist We have many queries from small beekeepers, and from people who have never opened a hive, on how to break into full-time beekeeping. So it was thought that you would like to know just what are the principles of successful bee farming. Grasshoppers and locusts - By C. F. H. JENKINS, M.A., Government Entomologist Grasshoppers and locusts are among the most ancient enemies of mankind for they figured prominently in Biblical times, and periodically throughout the ages have devastated crops in all parts of the world. Acetonaemia in dairy cattle - By P. M. A. HARWOOD, M.R.C.V.S., Veterinary Officer Acetonaemia, more correctly known as ketosis is a metabolic disease. Unlike infectious diseases such as tuberculosis or mastitis, which are caused by microbes, metabolic diseases result from an upset in the normal bodily processes. Molybdenum for subterranean clover - By T. C. DUNNE, B.Sc. (Agric), Ph.D. (Calif.), Chief Plant Nutrition and Research Officer Subterranean clover is undoubtedly the most important pasture species in this State. Because it is a legume, it can make excellent growth on soils with a low nitrogen content. The nitrogen it needs is, of course, provided by bacteria which inhabit the nodules found on its roots. These bacteria provide nitrogen by taking it from the air and converting it to a form which can be used by the clover. However, it is now known that the bacteria can use the nitrogen of the air only if enough molybdenum is available to them. Cobalt deficiency in sheep and cattle - By C. R. TOOP, B.V.SC, Chief Veterinary Officer With the establishment of group settlements at Denmark after the first world war, it was observed that young cattle, although running on lush pastures, developed systems of unthriftness and wasting and usually died. Research conducted of Filmer and Underwood later revealed that this condition was caused by a deficiency of cobalt and that it could be cured and prevented by addition of this mineral to the diet. Cobalt deficiency has since been met with other parts of the State and was recently diagnosed in sheep at Mount Manypeaks

Results of an open label feasibility study of sodium valproate in people with McArdle disease

McArdle disease results from a lack of muscle glycogen phosphorylase in skeletal muscle tissue. Regenerating skeletal muscle fibres can express the brain glycogen phosphorylase isoenzyme. Stimulating expression of this enzyme could be a therapeutic strategy. Animal model studies indicate that sodium valproate (VPA) can increase expression of phosphorylase in skeletal muscle affected with McArdle disease. This study was designed to assess whether VPA can modify expression of brain phosphorylase isoenzyme in people with McArdle disease. This phase II, open label, feasibility pilot study to assess efficacy of six months treatment with VPA (20 mg/kg/day) included 16 people with McArdle disease. Primary outcome assessed changes in VO2peak during an incremental cycle test. Secondary outcomes included: phosphorylase enzyme expression in post-treatment muscle biopsy, total distance walked in 12 min, plasma lactate change (forearm exercise test) and quality of life (SF36). Safety parameters. 14 participants completed the trial, VPA treatment was well tolerated; weight gain was the most frequently reported drug-related adverse event. There was no clinically meaningful change in any of the primary or secondary outcome measures including: VO2peak, 12 min walk test and muscle biopsy to look for a change in the number of phosphorylase positive fibres between baseline and 6 months of treatment. Although this was a small open label feasibility study, it suggests that a larger randomised controlled study of VPA, may not be worthwhile

Influence of operating parameters on the biodegradation of steroid estrogens and nonylphenolic compounds during biological wastewater treatment processes

This document is the unedited author's version of a Submitted Work that was subsequently accepted for publication in Environmental Science & Technology, copyright © American Chemical Society after peer review. To access the final edited and published work see http://pubs.acs.org/doi/abs/10.1021/es901612v.This study investigated operational factors influencing the removal of steroid estrogens and nonylphenolic compounds in two sewage treatment works, one a nitrifying/denitrifying activated sludge plant and the other a nitrifying/denitrifying activated sludge plant with phosphorus removal. Removal efficiencies of >90% for steroid estrogens and for longer chain nonylphenol ethoxylates (NP4−12EO) were observed at both works, which had equal sludge ages of 13 days. However, the biological activity in terms of milligrams of estrogen removed per day per tonne of biomass was found to be 50−60% more efficient in the nitrifying/denitrifying activated sludge works compared to the works which additionally incorporated phosphorus removal. A temperature reduction of 6 °C had no impact on the removal of free estrogens, but removal of the conjugated estrone-3-sulfate was reduced by 20%. The apparent biomass sorption (LogKp) values were greater in the nitrifying/denitrifying works than those in the nitrifying/denitrifying works with phosphorus removal for both steroid estrogens and nonylphenolic compounds possibly indicating a different cell surface structure and therefore microbial population. The difference in biological activity (mg tonne−1 d−1) identified in this study, of up to seven times, suggests that there is the potential for enhancing the removal of estrogens and nonylphenols if more detailed knowledge of the factors responsible for these differences can be identified and maximized, thus potentially improving the quality of receiving waters.Public Utilities Board (Singapore), Anglian Water Ltd, Severn Trent Water Ltd, Thames Water Utilities Ltd, United Utilities 393 Plc and Yorkshire Water Services

Disrupted Superior Collicular Activity May Reveal Cervical Dystonia Disease Pathomechanisms

Cervical dystonia is a common neurological movement disorder characterised by muscle contractions causing abnormal movements and postures affecting the head and neck. The neural networks underpinning this condition are incompletely understood. While animal models suggest a role for the superior colliculus in its pathophysiology, this link has yet to be established in humans. The present experiment was designed to test the hypothesis that disrupted superior collicular processing is evident in affected patients and in relatives harbouring a disease-specific endophenotype (abnormal temporal discrimination). The study participants were 16 cervical dystonia patients, 16 unaffected first-degree relatives with abnormal temporal discrimination, 16 unaffected first-degree relatives with normal temporal discrimination and 16 healthy controls. The response of participant’s superior colliculi to looming stimuli was assessed by functional magnetic resonance imaging. Cervical dystonia patients and relatives with abnormal temporal discrimination demonstrated (i) significantly reduced superior collicular activation for whole brain and region of interest analysis; (ii) a statistically significant negative correlation between temporal discrimination threshold and superior collicular peak values. Our results support the hypothesis that disrupted superior collicular processing is involved in the pathogenesis of cervical dystonia. These findings, which align with animal models of cervical dystonia, shed new light on pathomechanisms in humans