Editorial: The dialogue between forensic scientists, statisticians and lawyers about complex scientific issues for court

This is the Editorial of the Frontiers open-access article collection "The Dialogue Between Forensic Scientists, Statisticians and Lawyers About Complex Scientific Issues for Court". The 11 articles (by 22 authors) can be found here: https://www.frontiersin.org/research-topics/4000

Challenges of safeguarding via remote consulting during the COVID-19 pandemic:a qualitative interview study

BACKGROUND: The COVID-19 pandemic required general practice to rapidly adapt to remote consultations and assessment of patients, creating new, and exacerbating existing, vulnerabilities for many patients. AIM: To explore GP perspectives and concerns about safeguarding practice during the pandemic, focusing on challenges and opportunities created by remote consultation. DESIGN AND SETTING: Qualitative interview study. METHOD: Eighteen GPs from Oxford, London, Southampton, Liverpool, Manchester, and Reading were interviewed between June and November 2020, using a flexible topic guide and fictional vignettes to explore child and adult safeguarding scenarios. Interviews were audio-recorded, thematically coded, and analysed. RESULTS: GPs worried about missing observational information during remote consultations and that conversations might not be private or safe. Loss of continuity and pooled triage lists were seen as further weakening safeguarding opportunities. GPs experienced remote consulting as more ‘transactional’, with reduced opportunities to explore ‘other reasons’ including new safeguarding needs. However, they also recognised that remote consulting created opportunities for some vulnerable patients. While supporting known vulnerable patients was difficult, identifying new or unknown vulnerabilities was harder still. Most reported that remote consulting during COVID-19 was harder, riskier, and emotionally draining, contributing to increased GP anxiety and reduced job satisfaction. CONCLUSION: The GPs interviewed raised important concerns about how to identify and manage safeguarding in the context of remote consultations. Current guidance recommends face-to-face consultation for safeguarding concerns, but pressure to use remote forms of access (within or beyond the pandemic) and the fact that safeguarding needs may be unknown makes this an issue that warrants urgent attention

Higher applications of mathematics - how to teach statistics effectively

In Scotland, numeracy is a key area of the Curriculum for Excellence so learners develop essential analytic, problem-solving and decision-making skills. The SQA Higher Applications of Mathematics was developed for young people to learn these skills, with statistics as one third of the curriculum. The emphasis is on the application of statistics to real-life data, and interpretation of results. Ensuring learners are confident in statistical literacy requires teachers' sound knowledge and understanding of how data can be managed and processed in a meaningful way, as real-world data rarely conform to textbook assumptions for analysis. In collaboration with the Scottish Funding Council, the University of Strathclyde has developed an SCQF level 7 award in statistics. It covers the Higher curriculum and the use of both software packages, so teachers have the statistical skills to teach this new and innovative qualification in Scotland

Protocol paper for the ‘Harnessing resources from the internet to maximise outcomes from GP consultations (HaRI)’ study: a mixed qualitative methods study

Introduction Many patients now turn to the internet as a resource for healthcare information and advice. However, patients’ use of the internet to manage their health has been positioned as a potential source of strain on the doctor–patient relationship in primary care. The current evidence about what happens when internet-derived health information is introduced during consultations has relied on qualitative data derived from interview or questionnaire studies. The ‘Harnessing resources from the internet to maximise outcomes from GP consultations (HaRI)’ study combines questionnaire, interview and video-recorded consultation data to address this issue more fully. Methods and analysis Three data collection methods are employed: preconsultation patient questionnaires, video-recorded consultations between general practitioners (GP) and patients, and semistructured interviews with GPs and patients. We seek to recruit 10 GPs practising in Southeast England. We aim to collect up to 30 patient questionnaires and video-recorded consultations per GP, yielding up to 300. Up to 30 patients (approximately three per participating GP) will be selected for interviews sampled for a wide range of sociodemographic characteristics, and a variety of ways the use of, or information from, the internet was present or absent during their consultation. We will interview all 10 participating GPs about their views of online health information, reflecting on their own usage of online information during consultations and their patients’ references to online health information. Descriptive, conversation and thematic analysis will be used respectively for the patient questionnaires, video-recorded consultations and interviews. Ethics and dissemination Ethical approval has been granted by the London–Camden & Kings Cross Research Ethics Committee. Alongside journal publications, dissemination activities include the creation of a toolkit to be shared with patients and doctors, to guide discussions of material from the internet in consultation

A NEW GENERATION CHEMICAL FLOODING SIMULATOR Semi-annual Report for the Period

ABSTRACT The premise of this research is that a general-purpose reservoir simulator for several improved oil recovery processes can and should be developed so that high-resolution simulations of a variety of very large and difficult problems can be achieved using stateof-the-art algorithms and computers. Such a simulator is not currently available to the industry. The goal of this proposed research is to develop a new-generation chemical flooding simulator that is capable of efficiently and accurately simulating oil reservoirs with at least a million gridblocks in less than one day on massively parallel computers. Task 1 is the formulation and development of solution scheme, Task 2 is the implementation of the chemical module, and Task 3 is validation and application. We have made significant progress on all three tasks and we are on schedule on both technical and budget. In this report, we will detail our progress on Tasks 1 through 3 for the first six months of the second year of the project. i

A NEW GENERATION CHEMICAL FLOODING SIMULATOR Semi-annual Report for the Period

ABSTRACT 4 SUMMARY 4 Task 1: Formulation and development of Solution Scheme

Supervisors’ Experiences of Providing Difficult Feedback in Cross-Ethnic/Racial Supervision

Seventeen clinical supervisors were interviewed regarding their experience of providing difficult feedback in cross-ethnic/racial supervision, and their responses were analyzed using consensual qualitative research (CQR). European American supervisors described supervisees of color who had difficulty in their clinical work with culturally different clients. These supervisors then shared with supervisees their concern that supervisees’ interpersonal skills may negatively affect their clinical and/or supervision work. Supervisors of color described European American supervisees who exhibited insensitivity toward clients of color in session or during supervision. These supervisors shared their concern that supervisees’ lack of cultural sensitivity may negatively affect their clinical work. These contrasting feedback experiences had a profound effect on supervisory relationships and the processes within supervision

Person-centered counseling with Malay clients: spirituality as an indicator of personal growth

A qualitative study was carried out to explore the inner experiences and personal growth of one male and three female Malay university student clients undergoing twelve sessions of person-centered counseling. Data analysis was based on the verbatim accounts of the counseling sessions, Interpersonal Process Recall (IPR) interviews, clients’ journal entries and their non-verbal expressions throughout the sessions. The findings manifest that in the non-directive, egalitarian and person-centered counseling relationship, constructive changes were experienced by the Malay clients in the study, including getting in touch with their religious realization

Prevalence and determinants of the use of self-tests by members of the public: a mixed methods study

Background Self-tests can be used by members of the public to diagnose conditions without involving a doctor, nurse or other health professional. As technologies to design and manufacture diagnostic tests have developed, a range of self-tests have become available to the public to buy over-the-counter and via the Internet. This study aims to describe how many people have used self-tests and identify factors associated with their use. Methods A postal questionnaire will elicit basic information, including sociodemographic characteristics, and whether the person has used or would use specified self-tests. Consent will be sought to recontact people who want to participate further in the study, and interviews and focus groups will be used to develop hypotheses about factors associated with self-test use. These hypotheses will be tested in a case-control study. An in-depth questionnaire will be developed incorporating the identified factors. This will be sent to: people who have used a self-test (cases); people who have not used a self-test but would use one in the future (controls); and people who have not used and would not use a self-test (controls). Logistic regression analysis will be used to establish which factors are associated with self-test use. Discussion Self-tests do have potential benefits, for example privacy and convenience, but also potential harms, for example delay seeking treatment after a true negative result when the symptoms are actually due to another condition. It is anticipated that the outcomes from this study will include recommendations about how to improve the appropriate use of self-tests and existing health services, as well as information to prepare health professionals for patients who have used self-tests

Combining patient talk about internet use during primary care consultations with retrospective accounts. A qualitative analysis of interactional and interview data

Despite widespread acknowledgement of internet use for information about health, patients report not disclosing use of online health information in consultations. This paper compares patients' reported use of the internet with matched video recordings of consultations. The concepts of doctorability and epistemics are employed to consider similarities and differences between patients’ reports in interviews and actions in the consultation. Data are drawn from the Harnessing Resources from the Internet study conducted in the UK. The data set consists of 281 video-recorded general practice consultations, with pre-consultation questionnaires completed by all patients, interviews with all 10 participating doctors and 28 selected patients. We focus on the 28 patient interviews and associated consultation recordings. A conversation analytic (CA) approach is used to systematically inspect both the interview and consultation data. In interviews patients presented use of the internet as associated with appropriate self-management and help-seeking. In consultations patients skilfully translated what they had found on the internet in order to provide grounds for the actions they sought. We conclude that patients translate and utilise what they have found on the internet to assert the doctorability of their presenting problems. Furthermore, patients design their talk in both interviews and consultations to accord with their understanding of the epistemic rights of both doctors and patients. Patients search the internet so they are informed about their medical problem, however they carefully manage disclosure of information to avoid disrupting the smooth running of medical interactions