“Focus on the Good” - Participant Perspectives after Engaging in an Online Pain Self-Management Program

The purpose of this study was to evaluate participants’ perspectives after engaging in an 8-week online pain self-management program. Unexplored qualitative data for this analysis were collected via secure online surveys distributed during a previously published randomized controlled trial. Participants for the present study were 55 adults prescribed opioid medicines for chronic pain. A qualitative descriptive approach using content analysis methods was used to analyze data obtained from three open-ended survey questions. Five common themes were identified from participant responses regarding online participation. Three themes described the benefits of the program and included: positive reframing, improved accountability, and feeling supported. Two themes described how participants would like to improve the program experience and included: desire for personalizing and ease of use. Participants’ insights regarding perceived benefits and limitations can assist health care providers in understanding how online programs may assist in chronic disease self-management for a multitude of health problems. \

Gaining Insight and Taking Action: Engaging Adults with Persistent Pain and Opioid Use Disorder in an Online Pain Self-Management Program

The primary purpose of this study was to evaluate participants’ perceptions after engaging in an 8-week online pain self-management program. Participants (N=31) were adults enrolled in a medication-assisted outpatient opioid treatment program who had co-existing opioid substance use disorder and persistent pain. Data were collected via secure online surveys and content analysis methods were used to analyze text from open-ended questions. Two themes were identified describing benefits of the program: gaining insight and taking action. Two themes described how participants would like to improve program experiences: feeling overwhelmed and ease of use. Survey data were also examined for relationships between level of program engagement, pain relief, and substance use to explore potential barriers to program use. Poorly managed pain and illicit drug use were associated with reduced program use (p\u3c0.05). Understanding preferences and barriers can assist adoption of online programs for people with co-morbid pain and substance use disorder

The Medi-Cal Maze: Why Many Eligible Californians Dont Enroll

Millions of Californians have gained health coverage through Medi-Cal, yet many eligible for the program remain uninsured. CHCF commissioned qualitative research to better understand what prevents eligible Californians from enrolling and to identify ways California can make Medi-Cal even more accessible to the population it is designed to serve. Through virtual focus groups and in-depth interviews with 91 Californians, the research team explored the knowledge, attitudes, and enrollment experiences of people who are likely eligible for Medi-Cal yet remain uninsured

Morale among general practitioners:qualitative study exploring relations between partnership arrangements, personal style, and workload

OBJECTIVES: To explore general practitioners' experiences of wellbeing and distress at work, to identify their perceptions of the causes of and solutions to distress, and to draw out implications for improving morale in general practice. DESIGN: Three stage qualitative study consisting of one to one unstructured interviews, one to one guided interviews, and focus groups. SETTING: Fife, Lothian, and the Borders, South East Scotland. PARTICIPANTS: 63 general practitioner principals. RESULTS: Morale of general practitioners was explained by the complex interrelations between factors. Three key factors were identified: workload, personal style, and practice arrangements. Workload was commonly identified as a cause of low morale, but partnership arrangements were also a key mediating variable between increasing workload and external changes in general practice on the one hand and individual responses to these changes on the other. Integrated interventions at personal, partnership, and practice levels were seen to make considerable contributions to improving morale. Effective partnerships helped individuals to manage workload, but increasing workload was also seen to take away time and opportunities for practices to manage change and to build supportive and effective working environments. CONCLUSIONS: Solutions to the problem of low morale need integrated initiatives at individual, partnership, practice, and policy levels. Improving partnership arrangements is a key intervention, and rigorous action research is needed to evaluate different approaches

Stakeholder Perspectives about Developing and Implementing an Online Alternative to Out-of-School Suspension for First Time Substance Use Policy Violators

The purpose of this study was to explore statewide stakeholder perspectives about developing and implementing an online alternative to suspension (ATS) program in the Northwestern United States for youth who have violated school substance use policies. Out-of-school suspension has been linked to negative outcomes and alternatives to keep youth in school are desperately needed. Qualitative description methodology with content analysis was used to analyze data gathered from 201 stakeholders (principals & vice principals). Three themes were identified that described stakeholders’ perspectives about the development and implementation of an online ATS program: 1) the program must be impactful, 2) have a high degree of usability, and 3) additional support may be necessary. Themes identified can guide the development and implementation of an online ATS program. In collaboration with stakeholders, the initiation of an online ATS program could reduce out of school suspensions for middle and high school age youth

Male alternative reproductive tactics and associated evolution of anatomical characteristics in loliginid squid

© The Author(s), 2019. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Marian, J. E. A. R., Apostólico, L. H., Chiao, C. C., Hanlon, R. T., Hirohashi, N., Iwata, Y., Mather, J., Sato, N., & Shaw, P. W. Male alternative reproductive tactics and associated evolution of anatomical characteristics in loliginid squid. Frontiers in Physiology, 10, (2019): 1281, doi: 10.3389/fphys.2019.01281.Loliginid squids provide a unique model system to explore male alternative reproductive tactics (ARTs) and their linkage to size, behavioral decision making, and possibly age. Large individuals fight one another and the winners form temporary consortships with females, while smaller individuals do not engage in male-male agonistic bouts but use various sneaker tactics to obtain matings, each with varying mating and fertilization success. There is substantial behavioral flexibility in most species, as smaller males can facultatively switch to the alternative consort behaviors as the behavioral context changes. These forms of ARTs can involve different: mating posture; site of spermatophore deposition; fertilization success; and sperm traits. Most of the traits of male dimorphism (both anatomical and behavioral) are consistent with traditional sexual selection theory, while others have unique features that may have evolved in response to the fertilization environment faced by each temporary or permanent male morph.JM acknowledges the funding provided by FAPESP (São Paulo Research Foundation – proc. 2013/02653-1, 2014/11008-5, 2015/15447-6, 2017/16182-1, and 2018/19180-2), CNPq (National Council for Scientific and Technological Development – proc. 477233/2013–9), and CAPES (Coordination for the Improvement of Higher Education Personnel – Finance Code 001)

Optimal capture of non-Gaussianity in weak lensing surveys: power spectrum, bispectrum and halo counts

We compare the efficiency of weak lensing-selected galaxy clusters counts and of the weak lensing bispectrum at capturing non-Gaussian features in the dark matter distribution. We use the halo model to compute the weak lensing power spectrum, the bispectrum and the expected number of detected clusters, and derive constraints on cosmological parameters for a large, low systematic weak lensing survey, by focusing on the $\Omega_m$-$\sigma_8$ plane and on the dark energy equation of state. We separate the power spectrum into the resolved and the unresolved parts of the data, the resolved part being defined as detected clusters, and the unresolved part as the rest of the field. We consider four kinds of clusters counts, taking into account different amount of information : signal-to-noise ratio peak counts; counts as a function of clusters' mass; counts as a function of clusters' redshift; and counts as a function of clusters' mass and redshift. We show that when combined with the power spectrum, those four kinds of counts provide similar constraints, thus allowing one to perform the most direct counts, signal-to-noise peaks counts, and get percent level constraints on cosmological parameters. We show that the weak lensing bispectrum gives constraints comparable to those given by the power spectrum and captures non-Gaussian features as well as clusters counts, its combination with the power spectrum giving errors on cosmological parameters that are similar to, if not marginally smaller than, those obtained when combining the power spectrum with cluster counts. We finally note that in order to reach its potential, the weak lensing bispectrum must be computed using all triangle configurations, as equilateral triangles alone do not provide useful information.Comment: Matches ApJ-accepted versio