"If We Want to Get Men in, Then We Need to Ask Men What They Want": Pathways to Effective Health Programing for Men.

In Ireland, men’s health is becoming a priority. In line with global trends, indicators of poor mental health (including rates of depression and suicide) are increasing alongside rates of unemployment and social isolation. Despite the growing awareness of men’s health as a national priority, and development of the first National Men’s Health Policy in the world, there is still a concern about men’s non-engagement with health services. Health and community services often struggle to appropriately accommodate men, and men commonly avoid health spaces. A growing body of literature suggests that a persistent lack of support or resources for service providers contributes to their inability to identify and meet men’s unique health needs. This study aims to provide further insight into the ways in which this gap between men and health services can be closed. Semi-structured, qualitative interviews were conducted with nine project partners (n=9) of a successful men’s health program in Dublin. Interviews captured reflections on what processes or strategies contribute to effective men’s health programs. Findings suggest that gender-specific strategies – especially related to community- engagement and capacity building - are necessary in creating health programs that both promote men’s health and enable men to safely and comfortably participate. Moreover, including men in all aspects of the planning stages helps to ensure that programs are accessible and acceptable for men. It is envisaged that these findings will be operationalized into a user-driven resource to illustrate evidence-informed strategies and guiding principles that could be used by practitioners hoping to engage with me

Participatory action and dual lens research

Purpose: The purpose of this paper is to explore the idea that, in the last few decades, collaborative inquiry methods have evolved along a similar trajectory to dual lens research. Dual lens research, known in various contexts as both ways, two-eyed seeing Old Ways New Ways, and Koodjal Jinnung (looking both ways), is designed to generate new knowledge by exploring a theme through Aboriginal and contemporary western lenses. Participatory action research and a dual lens approach are considered in a number of projects with a particular focus on the issues such work can raise including conceptual challenges posed by fundamental differences between knowledge sets. Design/methodology/approach: The authors hypothesize that a dual lens approach will become a branch of participatory action research, as such, a robust description needs to be developed and its ethical implications are considered. Existing work in this direction, including principles and processes, are collated and discussed. Findings: Dual lens research as a branch of participatory action research is of great significance in countries with Aboriginal populations that are undergoing a cultural renaissance. As dual lens practitioners, the authors are finding their research outputs have a high positive impact on both Aboriginal and non-Aboriginal populations and make a genuine contribution to reconciliation by finding ways of going forward together. Originality/value: This paper joins a growing body of research that supports resonances between Aboriginal and “western” research methods

The Gridded Retarding Ion Drift Sensor for the PetitSat CubeSat Mission

The Gridded Retarding Ion Drift Sensor (GRIDS) is a small sensor that will fly on the 6 U petitSat CubeSat. It is designed to measure the three-dimensional plasma drift velocity vector in the Earth’s ionosphere. The GRIDS also supplies information about the ion temperature, ion density, and the ratio of light to heavy ions present in the ionospheric plasma. It utilizes well-proven techniques that have been successfully validated by similar instruments on larger satellite missions while meeting CubeSat-compatible requirements for low mass, size, and power consumption. GRIDS performs the functions of a Retarding Potential Analyzer (RPA) and an Ion Drift Meter (IDM) by combining the features of both types of instruments in a single package. The sensor alternates RPA and IDM measurements to produce the full set of measurement parameters listed above. On the petitSat mission, GRIDS will help identify and characterize a phenomenon known as plasma blobs (or enhancements)

Incidence of Clostridioides difficile infection (CDI) related to antibiotic prescribing by GP surgeries in Wales

Background Clostridioides difficile infection (CDI) is a healthcare-acquired infection (HAI) causing significant morbidity and mortality. Welsh CDI rates are high in comparison with those in England and Scotland. Objectives This retrospective ecological study used aggregated disease surveillance data to understand the impact of total and high-risk Welsh GP antibiotic prescribing on total and stratified inpatient/non-inpatient CDI incidence. Methods All cases of confirmed CDI, during the financial years 2014–15 to 2017–18, were linked to aggregated rates of antibiotic prescribing in their GP surgery and classified as ‘inpatient’, ‘non-inpatient’ or ‘unknown’ by Public Health Wales. Multivariable negative-binomial regression models, comparing CDI incidence with antibiotic prescribing rates, were adjusted for potential confounders: location; age; social deprivation; comorbidities (estimated from prevalence of key health indicators) and proton pump inhibitor (PPI) prescription rates. Results There were 4613 confirmed CDI cases, with an incidence (95% CI) of 1.44 (1.40–1.48) per 1000 registered patients. Unadjusted analysis showed that an increased risk of total CDI incidence was associated with higher total antibiotic prescribing [relative risk (RR) (95% CI) = 1.338 (1.170–1.529) per 1000 items per 1000 specific therapeutic group age-sex related GP prescribing units (STAR-PU)] and that high-risk antibiotic classes were positively associated with total CDI incidence. Location, age ≥65 years and diabetes were associated with increased risk of CDI. After adjusting for confounders, prescribing of clindamycin showed a positive association with total CDI incidence [RR (95% CI) = 1.079 (1.001–1.162) log items per 1000 registered patients]. Conclusions An increased risk of CDI is demonstrated at a primary care practice population level, reflecting their antibiotic prescribing rates, particularly clindamycin, and population demographics

Modelling of Physical Ageing in starch using the TNM equation

Gelatinised wheat starch, freeze dried and equilibrated at different RH, was aged at different temperatures and for different times. The Tool–Narayanaswamy–Moynihan (TNM) model was used to describe the ageing for all samples under all conditions. Three TNM parameters: x, Dh⁄ and A were determined experimentally using, respectively, the peak shift method (x) and the dependency of T0f (the limiting value of Tf) on the cooling rate (Dh⁄ and A). The non-linearity parameter x and the non exponential parameter b were also estimated by optimising a fit of the experimental normalised specific heat at different ageing times and temperatures to curves generated using the TNM model. The TNM model successfully described the normalised experimental data. It was found that the intermolecular forces were strong and the relaxation times depended more strongly on the glass structure than the glass temperature. The hydration level of the starch had a direct impact of the breadth of the relaxation time distribution. A dependency of the non-linearity parameter x on ageing temperature (peak shift method) was observed. This suggests that physical ageing is more complex than is described by TNM formalism

Distributing Power: A transition to a civic energy future

There is growing interest, from a range of stakeholders, in the potential of distributed low-carbon electricity generation in delivering a low-carbon energy system. Yet there are still significant gaps in understanding, particularly regarding the feasibility of scaling up distributed generation from technological, governance, regulation, policy, and financial perspectives. The aim of this report is to address these gaps within the context of the Thousand Flowers pathway

Distributing power, a transition to a civic energy future: Report of the Realising Transition Pathways Research Consortium ‘Engine Room’

The overarching challenge for UK energy policy is to ensure the delivery of secure, affordable energy in a way that meets the emission reductions targets laid out in the Climate Change Act (2008). The EPSRCfunded Transition Pathways (TP) and, more recently, Realising Transition Pathways (RTP) projects have both argued that multiple logics of governance, ownership, and control of the electricity system can be followed to address the energy trilemma. This work has developed three transition pathways for the UK energy system, each driven by different governance patterns. Each pathway has a specific technological mix, institutional architecture, and societal drivers. These pathways are: Central Co-ordination: Central to this pathway is the role of the nation state in actively delivering the transition. Market Rules: After the creation of a broad policy framework, the state allows competition and private companies to deliver sustainable, affordable energy. Thousand Flowers: This pathway is characterised by a greatly expanded role for civil society in delivering distributed low-carbon generation. The following report focuses on the Thousand Flowers pathway. There is growing interest, from a range of stakeholders, in the potential of distributed low-carbon electricity generation in delivering a low-carbon energy system. Yet there are still significant gaps in understanding, particularly regarding the feasibility of scaling up distributed generation from technological, governance, regulation, policy, and financial perspectives. The aim of this report is to address these gaps within the context of the Thousand Flowers pathway. This research was carried out by the ‘Engine Room’ of the EPSRC-funded Realising Transition Pathways (RTP) consortium. The ‘Engine Room’ was established to facilitate interdisciplinary work across the consortium and consists of research fellows and doctoral researchers from different fields in the nine partner institutions. Engine Room workshops and meetings give researchers the space to present their work and develop and exchange ideas with their peers. This report is an output of a series of interdisciplinary Engine Room workshops held throughout 2013/14 which also drew on contributions from energy industry stakeholders. These workshops brought together the current research and cumulative findings of the Realising Transition Pathways consortium, to examine the consequences of a transition from a centralised energy system to one where distributed generation plays a much greater role (50% of final electricity demand), and is delivered by a civic energy sector. In this report we do not present any panaceas, attempt to preference a civil response to energy transition, or claim technological infallibility. We do, however, explore the potential of a distributed energy future and investigate the technological trajectory it could follow, along with an institutional architecture compatible with its development. We acknowledge throughout that this is a challenging but realistic system transition