1,315 research outputs found

    Mental health and help seeking among trauma-exposed emergency service staff:a qualitative evidence synthesis

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    OBJECTIVES: To identify factors and contexts that may contribute to mental health and recovery from psychological difficulties for emergency service workers (ESWs) exposed to occupational trauma, and barriers and facilitators to help-seeking behaviour among trauma-exposed ESWs. BACKGROUND: ESWs are at greater risk of stressor-related psychopathology than the general population. Exposure to occupational stressors and trauma contribute to the observed rates of post-trauma psychopathology in this occupational group with implications for workforce sustainability. Types of organisational interventions offered to trauma-exposed ESWs are inconsistent across the UK, with uncertainty around how to engage staff. DESIGN: Four databases (OVID MEDLINE, EMBASE, PsycINFO and SCOPUS) were systematically searched from 1 January 1980 to March 2020, with citation tracking and reference chaining. A modified Critical Appraisal Skills Programme tool and quality appraisal prompts were used to identify fatally flawed studies. Qualitative studies of trauma-exposure in front-line ESWs were included, and data were extracted using a customised extraction table. Included studies were analysed using thematic synthesis. RESULTS: A qualitative evidence synthesis was conducted with 24 qualitative studies meeting inclusion criteria, as defined by the PerSPEcTiF framework. Fourteen descriptive themes emerged from this review, categorised into two overarching constructs: (1) factors contributing to mental health (such as the need for downtime, peer support and reassurance) and (2) factors influencing help-seeking behaviour (such as stigma, the content/form/mandatory nature of interventions, and mental health literacy issues including emotional awareness and education). CONCLUSION: ESWs reported disconnect between the organisations’ cultural positioning on trauma-related mental health, the reality of undertaking the role and the perceived applicability and usefulness of trauma interventions. Following traumatic exposure, ESWs identify benefitting from recovery time and informal support from trusted colleagues. A culture which encourages help seeking and open dialogue around mental health may reduce stigma and improve recovery from mental ill health associated with trauma exposure

    Functional Significance of CD57 Expression on Human NK Cells and Relevance to Disease.

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    Historically, human NK cells have been identified as CD3(-)CD56(+)CD16(±) lymphocytes. More recently it has been established that CD57 expression defines functionally discrete sub-populations of NK cells. On T cells, CD57 expression has been regarded as a marker of terminal differentiation and (perhaps wrongly) of anergy and senescence. Similarly, CD57 expression seems to identify the final stages of peripheral NK cell maturation; its expression increases with age and is associated with chronic infections, particularly human cytomegalovirus infection. However, CD57(+) NK cells are highly cytotoxic and their presence seems to be beneficial in a number of non-communicable diseases. The purpose of this article is to review our current understanding of CD57 expression as a marker of NK cell function and disease prognosis, as well as to outline areas for further research

    Analysis of Gas-Phase Clusters Made from Laser-Vaporized Icosahedral Al−Pd−Mn

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    An icosahedral Al−Pd−Mn quasicrystal sample is laser vaporized to form metal clusters by gas aggregation. The clusters are subsequently laser ionized and mass analyzed in a time-of-flight mass spectrometer. The mass spectra show cluster compositions which are qualitatively similar to that of the sample. This is consistent with a kinetically controlled cluster growth process. Cluster thermodynamic stability is probed by multiphoton ionization/fragmentation, which induces primarily Al and Mn loss. The resulting spectra are composed of a series of Pd-rich Al−Pd clusters. The average cluster composition is 60 (±1)% Pd. This composition is close to a known eutectic in the Al−Pd system. When manganese is seen on these clusters, it is always in units of Mn3. These results are discussed in terms of relative binding strengths in the Al−Pd−Mn alloy system
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