The making of modern motherhoods: Storying an emergent identity

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‘What’s it like to have ME?’ The discursive construction of ME in computer-mediated communication and face-to-face interaction

ME/CFS (chronic fatigue syndrome) is a debilitating illness for which no cause or medical tests have been identified. Debates over its nature have generated interest from qualitative researchers. However, participants are difficult to recruit because of the nature of their condition. Therefore, this study explores the utility of the internet as a means of eliciting accounts. We analyse data from focus groups and the internet in order to ascertain the extent to which previous research findings apply to the internet domain. Interviews were conducted among 49 members of internet (38 chatline, 11 personal) and 7 members of two face-to-face support groups. Discourse analysis of descriptions and accounts of ME/CFS revealed similar devices and interactional concerns in both internet and face-to-face communication. Participants constructed their condition as serious, enigmatic and not psychological. These functioned to deflect problematic assumptions about ME/CFS and to manage their accountability for the illness and its effects

Spotty Liver Disease and Risk Factors

Presentation made at the 2021 Australasian Veterinary Poultry Association (AVPA) Annual Scientific Meeting via Zoom

Effects of antiplatelet therapy on stroke risk by brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases: subgroup analyses of the RESTART randomised, open-label trial

Background Findings from the RESTART trial suggest that starting antiplatelet therapy might reduce the risk of recurrent symptomatic intracerebral haemorrhage compared with avoiding antiplatelet therapy. Brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases (such as cerebral microbleeds) are associated with greater risks of recurrent intracerebral haemorrhage. We did subgroup analyses of the RESTART trial to explore whether these brain imaging features modify the effects of antiplatelet therapy

Sexual Orientation Change Efforts, Conservative Christianity and Resistance to Sexual Justice

In this article, I situate the practice of sexual orientation conversion efforts (SOCE), sometimes known as conversion or reparative therapy, within historical, cultural, religious and political attitudes to non-heterosexuality. Using documentary analysis, I investigate the contemporary resistance of two socially conservative organizations: National Association for Research and Therapy of Homosexuality (NARTH) (US) and Core Issues Trust (UK), to legal and professional regulation of the sexual orientation change efforts (SOCE) which they advocate. A number of themes emerged from the various documentation. The most convincing of these themes is a claim that to provide SOCE is to respect client’s autonomy rights to diminish unwanted sexual attraction, and to live in accordance with the moral principles that they value. I demonstrate that neither NARTH nor Core Issues Trust are consistent in their regard for client autonomy. I suggest that the most plausible reason for these organizations’ emphasis on autonomy and other secular tropes, such as scientific proof and progressive language, is that they provide a smokescreen for conservative Christian values. If we value a world of LGBT (Lesbian, Gay, Bisexual and Trans) rights and recognition, we must counter this backlash against sexual and social justice

Leaving the Minors : The Green Party of Aotearoa New Zealand and the 2011 General Election

The Green Party of Aotearoa New Zealand has emerged as a successful environmentally focused party with a solid base. The 2011 General Election represented a high-point for the party, distancing it from the other minor parties. This article explores examples of factors affecting the success of Green parties, and examines the strategy of the New Zealand Green Party prior to the 2011 election. The findings indicate that the party has developed stable support through the development of a consistent policy base and pragmatic approach to its role in parliament. This has allowed the Greens to establish a position following the 2011 election as the third party in New Zealand politics

Is increased time to diagnosis and treatment in symptomatic cancer associated with poorer outcomes?:Systematic review

background: It is unclear whether more timely cancer diagnosis brings favourable outcomes, with much of the previous evidence, in some cancers, being equivocal. We set out to determine whether there is an association between time to diagnosis, treatment and clinical outcomes, across all cancers for symptomatic presentations. methods: Systematic review of the literature and narrative synthesis. results: We included 177 articles reporting 209 studies. These studies varied in study design, the time intervals assessed and the outcomes reported. Study quality was variable, with a small number of higher-quality studies. Heterogeneity precluded definitive findings. The cancers with more reports of an association between shorter times to diagnosis and more favourable outcomes were breast, colorectal, head and neck, testicular and melanoma. conclusions: This is the first review encompassing many cancer types, and we have demonstrated those cancers in which more evidence of an association between shorter times to diagnosis and more favourable outcomes exists, and where it is lacking. We believe that it is reasonable to assume that efforts to expedite the diagnosis of symptomatic cancer are likely to have benefits for patients in terms of improved survival, earlier-stage diagnosis and improved quality of life, although these benefits vary between cancers

Identifying opportunities for engaging the ‘community’ in local alcohol decision-making: a literature review and synthesis

Introduction: Engaging communities in actions to reduce alcohol harms has been identified as an international priority. While there exist recommendations for community engagement within alcohol licensing legislation, there is limited understanding of how to involve communities in local decision-making to reduce harms from the alcohol environment. Methods: A scoping literature review was conducted on community engagement in local government decisionmaking with relevance to the alcohol environment. Academic and grey literature databases were searched between April and June 2018 to identify examples of community engagement in local government in the UK, published since 2000. Texts were excluded if they did not describe in detail the mechanisms or rationale for community engagement. Information was extracted and synthesised through a narrative approach. Results: 3030 texts were identified through the searches, and 30 texts were included in the final review. Only one text described community engagement in alcohol decision-making (licensing); other local government sectors included planning, regeneration and community safety. Four rationales for community engagement emerged: statutory consultation processes; non-statutory engagement; as part of broader participatory initiatives; and community-led activism. While not all texts reported outcomes, a few described direct community influence on decisions. Broader outcomes included improved relationships between community groups and local government. However, lack of influence over decisions was also common, with multiple barriers to effective engagement identified. Conclusion: The lack of published examples of community engagement in local alcohol decision-making relevant to the UK suggests little priority has been placed on sharing learning about supporting engagement in this area. Taking a place-shaping perspective, useful lessons can be drawn from other areas of local government with relevance for the alcohol environment. Barriers to engagement must be considered carefully, particularly around how communities are defined, and how different interests toward the local alcohol environment are represented, or not

A Ship ‘for which Great Neptune Raves’: The Sovereign of the Seas, la Couronne and Seventeenth-Century International Competition over Warship Design

Charles I’s great warship the Sovereign of the Seas is famed for its design, decoration and importance as a tool that heightened the image of English naval supremacy. By exploring its career, size, name and decoration, this article highlights the Sovereign of the Seas’ significance as a national symbol of political and cultural power. It argues that Charles’s leading warship was developed as a reaction to naval advances and current affairs in Europe. Through a diverse range of evidence including diplomatic correspondence, printed texts and artwork from both English and French institutions, as well as relating this to similar advances in the Netherlands and Sweden, the Sovereign of the Seas’ development is internationally contextualized. By comparing it with other contemporary warships, most importantly la Couronne of France, it is shown that Charles’s flagship was a product of a growing international theatre of maritime activity that was inspired by cultural and political competition, as much as it was by military escalation