“We have friends, for example, and he will <i>not</i> get a vasectomy”: Imagining the self in relation to others when talking about sterilisation

Objective: The relatively recent interest in critical men’s health research has largely focused upon men’s experiences of managing or preventing ill health. There has been limited discussion on the decision making that men engage in with health practices that are not constructed as immediately imperative for their own well-being – such as vasectomy. Much of the research on vasectomy has tended to focus on the individualised decision making men, which can often decontextualize the process. This article seeks to address some of these absences. Design: This article reports on data from semi-structured interviews with twenty eight men who had had vasectomies (16 with children, 12 without). Data were analysed using Wetherell and Edley’s synthetic approach to discourse analysis. Results: Talking about vasectomy provided an opportunity for men to make sense of the self and the decision making processes within a complex and relational understanding of masculinities. Rather than an individualised decision making process, many of the men’s accounts were reliant on stories of other men who the participants could be compared against. Conclusions: Men made sense of an ‘optional’ health decision in relation to other men (both real and imagined), in order to help justify delays, or other ‘trouble’ in the decision making processes. Men’s health initiatives and research may need to take this relational component of health decision-making into account

Reviews

Authoring‐Systems Software for Computer‐Based Training, edited by William D. Wilheim, Educational Technology Publications, Englewood Cliffs, New Jersey, USA, ISBN: 0–87778–274–1, 1994

Low temperature mobility in hafnium-oxide gated germanium p-channel metal-oxide-semiconductor field-effect transistors

Effective mobility measurements have been made at 4.2 K on high performance high-k gated germanium p-type metal-oxide-semiconductor field effect transistors with a range of Ge/gate dielectric interface state densities. The mobility is successfully modelled by assuming surface roughness and interface charge scattering at the SiO2 interlayer/Ge interface. The deduced interface charge density is approximately equal to the values obtained from the threshold voltage and subthreshold slope measurements on each device. A hydrogen anneal reduces both the interface state density and the surface root mean square roughness by 20%

Making tea: a human centred approach to designing a pervasive smart lab notebook

The methodology used to design a useful and workable laboratory electronic notebook is described along with some of the technology needed to implement the smart lab systems

Correction to: A novel preference-informed complementary trial (PICT) design for clinical trial research influenced by strong patient preferences (Trials, (2021), 22, 1, (206), 10.1186/s13063-021-05164-1)

Following the publication of the original article [1], we were notified that the Acknowledgements section needs to accommodate additional collaborators. The original article has been corrected

Fukushima zum Trotz : Lateinamerika hält an seinen Nuklearprogrammen fest

Aim: A common pattern in biogeography is the scale-dependent effect of environmental variables on the spatial distribution of species. We tested the role of climatic and land cover variables in structuring the distribution of genetic variation in the grey long-eared bat, Plecotus austriacus, across spatial scales. Although landscape genetics has been widely used to describe spatial patterns of gene flow in a variety of taxa, volant animals have generally been neglected because of their perceived high dispersal potential.Location: England and Europe.Methods: We used a multiscale integrated approach, combining population genetics with species distribution modelling and geographical information under a causal modelling framework, to identify landscape barriers to gene flow and their effect on population structure and conservation status. Genotyping involved 23 polymorphic microsatellites and 259 samples from across the species' range.Results: We identified distinct population structure shaped by geographical barriers and evidence of population fragmentation at the northern edge of the range. Habitat suitability (as captured by species distribution models, SDMs) was the most important landscape variable affecting genetic connectivity at the broad spatial scale, while at the fine scale, lowland unimproved grasslands, the main foraging habitat of P. austriacus, played a pivotal role in promoting genetic connectivity.Main conclusions: The importance of lowland unimproved grasslands in determining the biogeography and genetic connectivity in P. austriacus highlights the importance of their conservation as part of a wider landscape management for fragmented edge populations. This study illustrates the value of using SDMs in landscape genetics and highlights the need for multiscale approaches when studying genetic connectivity in volant animals or taxa with similar dispersal abilities

Non-steroidal or opioid analgesia use for children with musculoskeletal injuries (the No OUCH study): statistical analysis plan.

BACKGROUND: Pediatric musculoskeletal injuries cause moderate to severe pain, which should ideally be addressed upon arrival to the emergency department (ED). Despite extensive research in ED-based pediatric pain treatment, recent studies confirm that pain management in this setting remains suboptimal. The No OUCH study consist of two complementary, randomized, placebo-controlled trials that will run simultaneously for patients presenting to the ED with an acute limb injury and a self-reported pain score of at least 5/10, measured via a verbal numerical rating scale (vNRS). Caregiver/parent choice will determine whether patients are randomized to the two-arm or three-arm trial. In the two-arm trial, patients will be randomized to receive either ibuprofen alone or ibuprofen in combination with acetaminophen. In the three-arm trial, patients can also be randomized to a third arm where they would receive ibuprofen in combination with hydromorphone. This article details the statistical analysis plan for the No OUCH study and was submitted before the trial outcomes were available for analysis. METHODS/DESIGN: The primary endpoint of the No OUCH study is self-reported pain at 60 min, recorded using a vNRS. The principal safety outcome is the presence of any adverse event related to study drug administration. Secondary effectiveness endpoints include pain measurements using the Faces Pain Scale-Revised and the visual analog scale, time to effective analgesia, requirement of a rescue analgesic, missed fractures, and observed pain reduction using different definitions of successful analgesia. Secondary safety outcomes include sedation measured using the Ramsay Sedation Score and serious adverse events. Finally, the No OUCH study investigates the reasons given by the caregiver for selecting the two-arm (Non-Opioid) or three-arm (Opioid) trial, caregiver satisfaction, physician preferences for analgesics, and caregiver comfort with at-home pain management. DISCUSSION: The No OUCH study will inform the relative effectiveness of acetaminophen and hydromorphone, in combination with ibuprofen, and ibuprofen alone as analgesic agents for patients presenting to the ED with an acute musculoskeletal injury. The data from these trials will be analyzed in accordance with this statistical analysis plan. This will reduce the risk of producing data-driven results and bias in our reported outcomes. TRIAL REGISTRATION: ClinicalTrials.gov NCT03767933 . Registered on December 7, 2018

“Never Say Never?”: Heterosexual, bisexual, and lesbian women’s accounts of being childfree

Feminist scholars have identified a “motherhood imperative” in Western cultures, where heterosexual women are understood to both want, and have, children. However, social shifts have resulted in a decrease in pronatalism as well as an increase in social recognition of the parenting desires of same-sex parents. Despite a resurgence of interest in childfree identities, research to date has predominantly focused on heterosexual women’s explanations for being childfree and their experiences of marginalisation. Our aim in the current study was to explore how childfree heterosexual, lesbian, bisexual, and queer women negotiate their childfree lives and identities in the context of their personal and social relationships within changing cultural contexts. Data from 23 interviews with women in the United Kingdom, who responded to a call for childfree participants, were thematically analysed. We constructed two themes: 1) Never say never? Negotiating being childfree as ever precarious, shows how women constructed being childfree as requiring constant revisiting and renegotiating to maintain; 2) An ordinary life: Constructing being childfree as rational and reasonable, in which we identify the rhetorical efforts of participants to establish their being childfree as an ordinary, reasonable, and rational position. We conclude that for these women, childfreedom was constantly in flux and that maintaining a positive childfree identity required considerable identity work in order to manage intimate personal relationships and wider friendships

Bacterial Community Legacy Effects Following the Agia Zoni II Oil-Spill, Greece

In September 2017 the Agia Zoni II sank in the Saronic Gulf, Greece, releasing approximately 500 tonnes of heavy fuel oil, contaminating the Salamina and Athens coastlines. Effects of the spill, and remediation efforts, on sediment microbial communities were quantified over the following 7 months. Five days post-spill, the concentration of measured hydrocarbons within surface sediments of contaminated beaches was 1,093–3,773 μg g–1 dry sediment (91% alkanes and 9% polycyclic aromatic hydrocarbons), but measured hydrocarbons decreased rapidly after extensive clean-up operations. Bacterial genera known to contain oil-degrading species increased in abundance, including Alcanivorax, Cycloclasticus, Oleibacter, Oleiphilus, and Thalassolituus, and the species Marinobacter hydrocarbonoclasticus from approximately 0.02 to >32% (collectively) of the total bacterial community. Abundance of genera with known hydrocarbon-degraders then decreased 1 month after clean-up. However, a legacy effect was observed within the bacterial community, whereby Alcanivorax and Cycloclasticus persisted for several months after the oil spill in formerly contaminated sites. This study is the first to evaluate the effect of the Agia Zoni II oil-spill on microbial communities in an oligotrophic sea, where in situ oil-spill studies are rare. The results aid the advancement of post-spill monitoring models, which can predict the capability of environments to naturally attenuate oil