News coverage of suicidal behaviour in the United Kingdom and the Republic of Ireland

Background: Media reporting of suicide has been associated with imitative acts. Internationally, this has led to the development of guidelines to promote responsible reporting of suicide. Aims: To examine the nature and quality of news coverage of suicidal behaviour in the United Kingdom (UK) and Republic of Ireland (ROI). Method: UK and ROI press clippings relating to suicide over 12 months (N=8101) were coded for content and assessed for quality against existing guidelines. We examined variability in relation to key characteristics (e.g. type of publication) and compared newspaper portrayal of suicide against official statistics. Results: Reports were biased towards young, female and relatively unusual suicides (including those involving a celebrity, more than one individual and violent methods). Almost a third of reports had inappropriate headlines, but only a minority was of poor overall quality, and editors appear to be responsive to feedback. There was considerable variability in the quality of reports for different suicide methods. Limitations: This work cannot account for the impact of reporting on suicidal behaviour. The speed of change in media trends also limits its conclusions. Conclusion: Our findings underscore the need for sustained efforts to promote responsible reporting of suicide

“Basically... porn is everywhere”: a rapid evidence assessment on the effects that access and exposure to pornography has on children and young people

This Rapid Evidence Assessment (REA) was commissioned by the Office of the Children’s Commissioner (OCC) as part of its Inquiry into Child Sexual Exploitation in Gangs and Groups (CSEGG). It was conducted by a consortium led by Middlesex University, to explore the effects that exposure and access to pornography have on children and young people. The CSEGG Inquiry was launched in October 2011 to better understand the scale, scope, extent and nature of child sexual exploitation in gangs and groups. An emergent issue was whether accessing and viewing pornography can have an impact on children and young people’s expectations and attitudes towards sexual activity and relationships. Despite limited recourse to previous evidence, professionals interviewed over the course of the CSEGG Inquiry raised concerns about the impact of pornography at 43 per cent of site visits and 48 per cent of evidence hearings (Berelowitz et al., 2012). Professionals from many agencies reported particular concerns about the effects of pornography involving high levels of degradation, violence and humiliation, which they believe to be prevalent in material freely available online. Police case files that were reviewed cited instances of boys and young men referring to pornography during sexual assaults (Berelowitz et al., 2012). This REA was therefore commissioned to inform the CSEGG Inquiry Chair, Panel and Project Team, enabling them to add depth to their ultimate recommendations regarding child sexual exploitation in gangs and groups

Dynamic changes of the extracellular matrix after acute tako-tsubo cardiomyopathy

Funding Tenovus Scotland. Grant number G13/10.Peer reviewedPublisher PD

Measurements of total alkalinity and inorganic dissolved carbon in the Atlantic Ocean and adjacent Southern Ocean between 2008 and 2010

Water column dissolved inorganic carbon and total alkalinity were measured during five hydrographic sections in the Atlantic Ocean and Drake Passage. The work was funded through the Strategic Funding Initiative of the UK's Oceans2025 programme, which ran from 2007 to 2012. The aims of this programme were to establish the regional budgets of natural and anthropogenic carbon in the North Atlantic, the South Atlantic, and the Atlantic sector of the Southern Ocean, as well as the rates of change of these budgets. This paper describes in detail the dissolved inorganic carbon and total alkalinity data collected along east–west sections at 47° N to 60° N, 24.5° N, and 24° S in the Atlantic and across two Drake Passage sections. Other hydrographic and biogeochemical parameters were measured during these sections, and relevant standard operating procedures are mentioned here. Over 95% of dissolved inorganic carbon and total alkalinity samples taken during the 24.5° N, 24° S, and the Drake Passage sections were analysed onboard and subjected to a first-level quality control addressing technical and analytical issues. Samples taken along 47° N to 60° N were analysed and subjected to quality control back in the laboratory. Complete post-cruise second-level quality control was performed using cross-over analysis with historical data in the vicinity of measurements, and data were submitted to the CLIVAR and Carbon Hydrographic Data Office (CCHDO), the Carbon Dioxide Information Analysis Center (CDIAC) and and will be included in the Global Ocean Data Analyses Project, version 2 (GLODAP 2), the upcoming update of Key et al. (2004)

The impact of immediate reporting on interpretive discrepancies and patient referral pathways within the emergency department: a randomised controlled trial

YesObjective To determine whether an immediate reporting service for musculoskeletal trauma reduces interpretation errors and positively impacts on patient referral pathways. Methods A pragmatic multicentre randomised controlled trial was undertaken. 1502 patients were recruited and randomly assigned to an immediate or delayed reporting arm and treated according to group assignment. Assessment was made of concordance in image interpretation between emergency department (ED) clinicians and radiology; discharge and referral pathways; and patient journey times. Results 1688 radiographic examinations were performed (1502 patients). 91 discordant interpretations were identified (n=91/1688; 5.4%) with a greater number of discordant interpretations noted in the delayed reporting arm (n=67/849, 7.9%). In the immediate reporting arm, the availability of a report reduced, but did not eliminate, discordance in interpretation (n=24/839, 2.9%). No significant difference in number of patients discharged, referred to hospital clinics or admitted was identified. However, patient ED recalls were significantly reduced (z=2.66; p=0.008) in the immediate reporting arm, as were the number of short-term inpatient bed days (5 days or less) (z=3.636; p<0.001). Patient journey time from ED arrival to discharge or admission was equivalent (z=0.79, p=0.432). Conclusion Immediate reporting significantly reduced ED interpretive errors and prevented errors that would require patient recall. However, immediate reporting did not eliminate ED interpretative errors or change the number of patients discharged, referred to hospital clinics or admitted overall. Advances in knowledge This is the first study to consider the wider impact of immediate reporting on the ED patient pathway as a whole and hospital resource usage

Understanding and applying practitioner and patient views on the implementation of a novel automated Computer-Aided Risk Score (CARS) predicting the risk of death following emergency medical admission to hospital: qualitative study

Objectives: The Computer-Aided Risk Score (CARS) estimates the risk of death following emergency admission to medical wards using routinely collected vital signs and blood test data. Our aim was to elicit the views of healthcare practitioners (staff) and service users and carers (SU/C) on (1) the potential value, unintended consequences and concerns associated with CARS and practitioner views on (2) the issues to consider before embedding CARS into routine practice. Setting: This study was conducted in two National Health Service (NHS) hospital trusts in the North of England. Both had in-house information technology (IT) development teams, mature IT infrastructure with electronic National Early Warning Score (NEWS) and were capable of integrating NEWS with blood test results. The study focused on emergency medical and elderly admissions units. There were 60 and 39 acute medical/elderly admissions beds at the two NHS hospital trusts. Participants: We conducted eight focus groups with 45 healthcare practitioners and two with 11 SU/Cs in two NHS acute hospitals. Results: Staff and SU/Cs recognised the potential of CARS but were clear that the score should not replace or undermine clinical judgments. Staff recognised that CARS could enhance clinical decision-making/judgments and aid communication with patients. They wanted to understand the components of CARS and be reassured about its accuracy but were concerned about the impact on intensive care and blood tests. Conclusion: Risk scores are widely used in healthcare, but their development and implementation do not usually involve input from practitioners and SU/Cs. We contributed to the development of CARS by eliciting views of staff and SU/Cs who provided important, often complex, insights to support the development and implementation of CARS to ensure successful implementation in routine clinical practice

What works in managing young people who offend? A summary of the international evidence

This review was commissioned by the Ministry of Justice and considers international literature concerning the management of young people who have offended. It was produced to inform youth justice policy and practice. The review focuses on the impact and delivery of youth justice supervision, programmes and interventions within the community, secure settings, and during transition into adult justice settings or into mainstream society

Do binaries in clusters form in the same way as in the field?

We examine the dynamical destruction of binary systems in star clusters of different densities. We find that at high densities (10^4 - 10^5 Msun pc^-3) almost all binaries with separations > 10^3 AU are destroyed after a few crossing times. At low densities (order(10^2) Msun pc^-3) many binaries with separations > 10^3 AU are destroyed, and no binaries with separations > 10^4 AU survive after a few crossing times. Therefore the binary separations in clusters can be used as a tracer of the dynamical age and past density of a cluster. We argue that the central region of the Orion Nebula Cluster was around 100 times denser in the past with a half-mass radius of only 0.1 - 0.2 pc as (a) it is expanding, (b) it has very few binaries with separations > 10^3 AU, and (c) it is well-mixed and therefore dynamically old. We also examine the origin of the field binary population. Binaries with separations < 10^2 AU are not significantly modified in any cluster, therefore at these separations the field reflects the sum of all star formation. Binaries with separations in the range 10^2 - 10^4 AU are progressively more and more heavily affected by dynamical disruption in increasingly dense clusters. If most star formation is clustered, these binaries must be over-produced relative to the field. Finally, no binary with a separation > 10^4 AU can survive in any cluster and so must be produced by isolated star formation, but only if all isolated star formation produces extremely wide binaries.Comment: 12 pages, 6 figures, accepted for publication in MNRA

Critical values for Lawshe's content validity ratio: revisiting the original methods of calculation

YesThe content validity ratio originally proposed by Lawshe is widely used to quantify content validity and yet methods used to calculate the original critical values were never reported. Methods for original calculation of critical values are suggested along with tables of exact binomial probabilities

Splenium tract projections of the corpus callosum to the parietal cortex classifies Alzheimer’s disease and mild cognitive impairment

The corpus callosum (CC) is the largest bundle of white matter tracts in the brain connecting the left and right cerebral hemispheres. The posterior region of the CC, known as the splenium, seems to be relatively preserved throughout the lifespan and is regularly examined for indications of various pathologies, including Alzheimer’s disease (AD) and Mild Cognitive Impairment (MCI). However, the splenium has rarely been investigated in terms of its distinct inter-hemispheric tract bundles that project to bilateral occipital, parietal and temporal areas of the cortex. The aim of the present study was to determine if any of these sub-splenium tract bundles are specifically affected by individuals with AD and MCI compared to normal controls. Diffusion Tensor Imaging was used to directly examine the integrity of these distinct tract bundles and their diffusion metrics were compared between groups of MCI, AD, and control individuals. Results revealed that differences between MCI, AD, and controls were particularly evident at parietal tracts of the CC splenium and were consistent with an interpretation of compromised white matter integrity. Combined parietal tract diffusivity and density information strongly discriminated between AD patients and controls with an accuracy (AUC) of 97.19%. Combined parietal tract diffusivity parameters correctly classified MCI subjects against controls with an accuracy of 74.97%. These findings demonstrated the potential of examining the CC splenium in terms of its distinct inter-hemispheric tract bundles for the diagnosis of AD and MCI