Risk-Actuated Public Interest Disclosure Practices of Nurses Working in Mental Health, Pertaining to Confidential Information of Patients

For nurses working in mental health, the inappropriate handling of confidential information may cause issues for stakeholders. However, there is a paucity of research literature to guide nurses. Therefore, this study aimed to add to the extant literature on risk-actuated public-interest disclosure practices of nurses. The study found participants understood exceptions to confidentiality, but not the concept of public interest. Furthermore, disclosure for risk management in perceived risk laden scenarios, was described by participants as a collaborative endeavour, albeit one where peer advice was not necessarily followed. Finally, participants’ risk-actuated disclosure-related decision-making focussed on protecting a patient or others from harm

THE COORDINATION VARIABILITY OF ‘TRADITIONAL’ AND ‘SPECIFIC’ SPRINT TRAINING EXERCISES COMPARED TO HIGH SPEED RUNNING.

This study aimed to compare specificity of three different resistance training exercises (Back Squat (BS), Bulgarian Split Squat (BSS), and Single-Leg Romanian Deadlift (SL-RDL) compared to high speed running (HSR). Three-dimensional kinematic data were collected from 6 males (age 22.2 ± 1.6 years, height 1.85 ± 0.05 m, mass 77.55 ± 6.50 kg) who completed two sets of six repetitions with two repetitions in reserve for each resistance training exercise and two 10 second treadmill runs at 20 kph (5.56 m/s). Kinematic results from the hip, knee and ankle (max. flexion, max. extension, and range of motion) revealed there was not an exercise that was consistently similar to HSR. Coordination profiling revealed the BS exercise had similarities to HSR across all three joints, however the BSS did show greater specificity at the hip

Mental health professionals’ perspectives regarding how recovery is conceptualized in Singapore : a constructivist grounded theory study

Background: Mental health recovery has shifted from clinical conceptualizations to more personal ones. However, much of the lived experience literature has focused on people living with mental health conditions, and less attention has been placed on various mental health professionals, especially in Asian countries, where the personal recovery literature base is in its nascent stage. Aim: We sought to contribute to a growing body of work by exploring recovery from the lens of different mental health professionals in Singapore. Methods: Mental health professionals in Singapore were invited to participate in an online interview through social media. The recordings were transcribed verbatim and analyzed using a constructive grounded theory approach. Results: Nineteen participants were interviewed. A single core category, “living in society once more”, and three categories, “An ongoing process”, “Regaining ability to function in society”, and “A normality report card” were identified from our data. Conclusions: Recovery within the Singapore mental health professional perspective focuses on helping individuals return to society and function productively while considering existing societal norms such as the highly competitive and pragmatic culture in Singapore. Future research can explore in greater depth the impact of these factors on the recovery process

The UK Cardiac and Vascular Surgery Interventional Anaemia Response (CAVIAR) Study: protocol for an observational cohort study to determine the impact and effect of preoperative anaemia management in cardiac and vascular surgical patients.

INTRODUCTION: Preoperative anaemia is linked to poor postsurgical outcome, longer hospital stays, greater risk of complications and mortality. Currently in the UK, some sites have developed anaemia clinics or pathways that use intravenous iron to correct iron deficiency anaemia prior to surgery as their standard of care. Although intravenous iron has been observed to be effective in a variety of patient settings, there is insufficient evidence in its use in cardiac and vascular patients. The aim of this study is to observe the impact and effect of anaemia and its management in patients undergoing cardiac and vascular surgery. In addition, the UK Cardiac and Vascular Surgery Interventional Anaemia Response (CAVIAR) Study is also a feasibility study with the aim to establish anaemia management pathways in the preoperative setting to inform the design of future randomised controlled trials. METHODS AND ANALYSIS: The UK CAVIAR Study is a multicentre, stepped, observational study, in patients awaiting major cardiac or vascular surgery. We will be examining different haematological variables (especially hepcidin), functional capacity and patient outcome. Patients will be compared based on their anaemia status, whether they received intravenous iron in accordance to their hospital's preoperative pathway, and their disease group. The primary outcomes are the change in haemoglobin levels from baseline (before treatment) to before surgery; and the number of successful patients recruited and consented (feasibility). The secondary outcomes will include changes in biomarkers of iron deficiency, length of stay, quality of life and postoperative recovery. ETHICS AND DISSEMINATION: The study protocol was approved by the London-Westminster Research Ethics Committee (15/LO/1569, 27 November 2015). NHS approval was also obtained with each hospital trust. The findings of the study will be published in peer-reviewed journals. TRIAL REGISTRATION NUMBER: Clinical Trials registry (NCT02637102) and the ISRCTN registry (ISRCTN55032357)

A constructivist grounded theory study on mental health recovery from a lived experience perspective in Singapore

More contemporary personal recovery conceptualisation of mental health recovery emphasize the need to consider the perspectives of people who experience mental ill-health. Most lived experience research has been done in Western cultures with relatively few studies in Asian ones, creating a gap that needs to be addressed due to differences in cultural worldviews. This study explores the notion of recovery from the lens of people experiencing mental health challenges in Singapore. We adopted a constructivist grounded theory perspective to evaluate qualitative data from 21 participants. The core category which best represented what recovery meant was “reconciling and living with experiences of mental ill-health”. Our findings suggest that a variety of societal aspects greatly influence perceptions of mental health recovery in Singapore, as participants often shared their desire to live a meaningful life within society but could only do so if they found a way to manage their symptoms more effectively

Image segmentation for improved consistency in image-interpretation of opium poppy

The image-interpretation of opium poppy crops from very high resolution satellite imagery forms part of the annual Afghanistan opium surveys conducted by the United Nations Office on Drugs and Crime and the United States Government. We tested the effect of generalization of field delineations on the final estimates of poppy cultivation using survey data from Helmand province in 2009 and an area frame sampling approach. The sample data was reinterpreted from pan-sharpened IKONOS scenes using two increasing levels of generalization consistent with observed practice. Samples were also generated from manual labelling of image segmentation and from a digital object classification. Generalization was found to bias the cultivation estimate between 6.6% and 13.9%, which is greater than the sample error for the highest level. Object classification of image-segmented samples increased the cultivation estimate by 30.2% because of systematic labelling error. Manual labelling of image-segmented samples gave a similar estimate to the original interpretation. The research demonstrates that small changes in poppy interpretation can result in systematic differences in final estimates that are not included within confidence intervals. Segmented parcels were similar to manually digitized fields and could provide increased consistency in field delineation at a reduced cost. The results are significant for Afghanistan’s opium monitoring programmes and other surveys where sample data are collected by remote sensing

Obesity is the most common risk factor for chronic liver disease: Results from risk stratification pathway using transient elastography

IntroductionObesity has been associated with liver fibrosis yet guidelines do not emphasise it as an independent risk factor in which to have a high index of suspicion of advanced disease. We aimed to elucidate the effect of a raised body mass index on the risk of liver disease using data from a community risk stratification pathway. MethodsWe prospectively recruited patients from a primary care practice with hazardous alcohol use and/or type 2 diabetes and/or obesity. Subjects were invited for a transient elastography reading. A threshold of ≥8.0kPa defined an elevated reading consistent with clinically significant liver disease. ResultsFive hundred and seventy six patients participated in the pathway of which, 533 patients had a reliable reading and 66 (12.4%) had an elevated reading. Thirty one percent of patients with an elevated reading had obesity as their only risk factor. The proportion of patients with an elevated reading was similar among those with obesity (8.9%) to patients with more recognised solitary risk factors (Type 2 diabetes 10.8%; Hazardous alcohol use 4.8%). Obesity in combination with other risk factors further increased the proportion of patients with an elevated reading. In multivariate logistic regression, increasing BMI and type 2 diabetes were significantly associated with an elevated reading. ConclusionObesity as a single or additive risk factor for chronic liver disease is significant. Future case finding strategies using a risk factor approach should incorporate obesity within proposed algorithms

Approaches to research & development for ‘great pedagogy’ and ‘great CPD’ in teaching school alliances : teaching schools R&D network national themes project 2012-14

This report summarises the findings of research into the implementation of collaborative research and development (R&D) within teaching school alliances (TSAs). The five alliances that are the focus of this study all undertook collaborative R&D projects over a two year period (2012-2014) linked to one of two themes: 'what makes great pedagogy?' (theme 1) or 'what makes great professional development that leads to consistently great pedagogy?’ (theme 2). This work was part of a wider national project involving 66 alliances in total: the alliances received funding as well as support and facilitation from externally commissioned experts. The five alliances in this study were selected to offer a reasonable spread in terms of focus, approach and geography