Using technology to support the social and emotional well-being of nurses: A scoping review protocol

Aims. (1) To review the published literature on the use of technology to provide social or emotional support to nurses, (2) to evaluate and identify gaps in the research, (3) to assess whether a systematic review would be valuable, (4) to make recommendations for future developments. Design. The protocol for the scoping review has been developed in accordance with recommendations from several methodological frameworks, as no standardised protocol currently exists for this purpose. Methods. Our protocol incorporates information about the aims and objectives of the scoping review, inclusion criteria, search strategy, data extraction, quality appraisal, data synthesis and plans for dissemination. Funding for this project was approved by Burdett Trust for Nursing in December 2016. Discussion. Technology to support patient emotional and social wellbeing has seen a rapid growth in recent years and is offered in a variety of formats. However, similar support for nursing staff remains under-researched with no literature review undertaken on this topic to date. This is despite nurses working in emotionally demanding environments which can be socially isolating. The scoping review will map current evidence on the use of technology to support nursing staff and explore the range, extent and nature of this activity. It will also provide a basis for deciding if a full systematic review would be desirable. Impact: It is important that the psychological well-being of nurses is seriously addressed as more nurses are now leaving than joining the profession. This is an international concern. High staff turnover has an interpersonal cost and is associated with reduced quality of patient care. Financial implications are also important to consider as healthcare providers employ costly agency staff to address the workforce deficit. Online technology may offer a sustainable and accessible means of providing support for nurses who find it difficult to communicate in person due to time pressures at work

Health care Facilities as a Predictor of Breast Cancer Survival Rates

The disparity between survival rates for Black and White women with breast cancer is well documented and has been examined in terms socioeconomics, environment, tumor type, and genetics. However, there is little examination of the role of health care facilities in cancer disparities. Health care facilities are representative of societal norms and beliefs that include location, quality of care, finance, policies, and staffing; therefore, they are a proxy for social justice and social change. The purpose of this study was to examine correlations between health care facility type; social determinants of cancer such as poverty, culture, and social justice; and breast cancer survival rates. Using the social determinants of cancer theoretical framework, the breast cancer survival rate of 4,087 Black and White women in Georgia between the ages of 45 and 69 was studied. The relationship between breast cancer survival and predictors including race, income, health care facility type, grade, and tumor type (4 sub-variables) were examined using the Kaplan-Meier Method, log-rank test, and Cox proportional hazard model. The log-rank test suggested no statistically significant difference in the survival functions among patients in different health care facilities (Ï?2(2) = 0.0150, p = 0.9926). The Cox proportional hazard model suggested no statistically significant relationship between breast cancer survival and health care facility type, after controlling for other predictors (Ï?2(2) = 0.3647, p = 0.8333). This result indicates that healthcare facilities do not influence breast cancer survival rates, however, given the persistent health outcome disparities further research in the area is warranted

The Bitter Truth about Morality: Virtue, Not Vice, Makes a Bland Beverage Taste Nice

To demonstrate that sensory and emotional states play an important role in moral processing, previous research has induced physical disgust in various sensory modalities (visual, tactile, gustatory, and olfactory modalities, among others) and measured its effects on moral judgment. To further assess the strength of the connection between embodied states and morality, we investigated whether the directionality of the effect could be reversed by exposing participants to different types of moral events prior to rating the same neutral tasting beverage. As expected, reading about moral transgressions, moral virtues, or control events resulted in inducing gustatory disgust, delight, or neutral taste experiences, respectively. Results are discussed in terms of the relation between embodied cognition and processing abstract conceptual representations

Housing Voices: Using theatre and film to engage people in later life housing and health conversations

Purpose: Quality, accessible and appropriate housing is key to older people’s ability to live independently. The purpose of this paper is to understand older people’s housing aspirations and whether these are currently being met. Evidence suggests one in five households occupied by older people in England does not meet the standard of a decent home. The Building Research Establishment has calculated that poor housing costs the English National Health Service £1,4bn annually (Roys et al., 2016). Design/methodology/approach: This paper reports on the findings of a participatory theatre approach to engaging with those not often heard from – notably, those ageing without children and older people with primary responsibility for ageing relatives – about planning for housing decisions in later life. The project was led by an older people’s forum, Elders Council, with Skimstone Arts organisation and Northumbria University, in the north east of England. Findings: Findings suggest there is an urgent need to listen to and engage with people about their later life housing aspirations. There is also a need to use this evidence to inform housing, health and social care policy makers, practitioners, service commissioners and providers and product and service designers, to encourage older people to become informed and plan ahead. Research limitations/implications: Use of a participatory theatre approach facilitated people to explore their own decision making and identify the types of information and support they need to make critical decisions about their housing in later life. Such insights can generate evidence for future housing, social care and health needs. Findings endorse the recent Communities and Local Government (2018) Select Committee Inquiry and report on Housing for Older People and the need for a national strategy for older people’s housing. Originality/value: Although this call is evidenced through an English national case study, from within the context of global population ageing, it has international relevance

Iron Catalyzed Double Bond Isomerization:Evidence for an FeI/FeIII Catalytic Cycle

Iron‐catalyzed isomerization of alkenes is reported using an iron(II) β‐diketiminate pre‐catalyst. The reaction proceeds with a catalytic amount of a hydride source, such as pinacol borane (HBpin) or ammonia borane (H3N⋅BH3). Reactivity with both allyl arenes and aliphatic alkenes has been studied. The catalytic mechanism was investigated by a variety of means, including deuteration studies, Density Functional Theory (DFT) and Electron Paramagnetic Resonance (EPR) spectroscopy. The data obtained support a pre‐catalyst activation step that gives access to an η2‐coordinated alkene FeI complex, followed by oxidative addition of the alkene to give an FeIII intermediate, which then undergoes reductive elimination to allow release of the isomerization product

Reshaping attitudes toward violence against women

Vol. 4. Public and personal stories of wife abuse / Donileen R. Loseke. Film, violence, and gender / Karen Boyle. Media frames of intimate partner homicide / Lori A. Post, Patricia K. Smith, and Emily M. Meyer. Domestic violence in American magazines / Kathryn Phillips Thill and Karen E. Dill. Domestic violence and victim empowerment folklore in popular culture / Nancy Berns -- Violent video games, rape myth acceptance, and negative attitudes toward women / Karen E. Dill. Gangsta rap and violence against women / Edward G. Armstrong. Troubling violence through performance / Elaine J. Lawless. Reshaping attitudes toward violence against women / Michael Flood, Bob Pease, Natalie Taylor, and Kim Webste

Scorer and modality agreement for the detection of intervertebral disc calcification in Dachshunds

BackgroundThe Dachshund is a chondrodystrophic breed of dog predisposed to premature degeneration and calcification, and subsequent herniation, of intervertebral discs (IVDs). This condition is heritable in Dachshunds and breeding candidates are screened for radiographically detectable intervertebral disc calcification (RDIDC), a feature of advanced disc degeneration and a prognostic factor for clinical disease. RDIDC scoring has been previously shown to be consistent within scorers; however, strong scorer effect (subjectivity) was also reported. The aim of this study was to estimate the within- and between-scorer agreement (repeatability and reproducibility, respectively) of computed tomography (CT) scanning and magnetic resonance imaging (MRI) for scoring IVD calcification, and to compare these modalities with radiographic scoring.ResultsTwenty-one Dachshund dogs were screened for IVD calcification using the three imaging modalities. Three scorers scored each case twice, independently. Repeatability was highest for radiography (95.4%), and significantly higher than for CT (90.4%) but not MRI (93.8%). Reproducibility was also highest for radiography (92.9%), but not significantly higher than for CT or MRI (89.4% and 86.4%, respectively). Overall, CT scored IVDs differently than radiography and MRI (64.8% and 62.7% agreement, respectively), while radiography and MRI scored more similarly (85.7% agreement).ConclusionsDespite high precision for radiography, previous evidence of scorer subjectivity was confirmed, which was not generally observed with CT and MRI. The increased consistency of radiography may be related to prior scorer experience with the modality and RDIDC scoring. This study does not support replacing radiography with CT or MRI to screen for heritable IVD calcification in breeding Dachshunds; however, evaluation of dog-level precision and the accuracy of each modality is recommended.Peer reviewe

The first simultaneous pancreas, renal transplant in a patient with HIV in Australia

We report the first case of a simultaneous pancreas and renal transplantation, in Australia, in a 45 year old male with long standing human immunodeficiency virus infection, type 1 diabetes mellitus and diabetic nephropathy requiring haemodialysis. This patient experienced previous virological failure and subsequent resistance to most nucleoside and non-nucleoside reverse transcriptase inhibitors. However, using novel combinations of anti-retroviral agents, along with careful monitoring, successful outcomes were achieved during the peri and post transplantation period, with excellent pancreas and renal graft function at one year

The impact of ensemble meteorology on inverse modeling estimates of volcano emissions and ash dispersion forecasts: Grímsvötn 2011

Volcanic ash can interact with the earth system on many temporal and spatial scales and is a significant hazard to aircraft. In the event of a volcanic eruption, fast and robust decisions need to be made by aviation authorities about which routes are safe to operate. Such decisions take into account forecasts of ash location issued by Volcanic Ash Advisory Centers (VAACs) which are informed by simulations from Volcanic Ash Transport and Dispersion (VATD) models. The estimation of the time-evolving vertical distribution of ash emissions for use in VATD simulations in real time is difficult which can lead to large uncertainty in these forecasts. This study presents a method for constraining the ash emission estimates by combining an inversion modeling technique with an ensemble of meteorological forecasts, resulting in an ensemble of ash emission estimates. These estimates of ash emissions can be used to produce a robust ash forecast consistent with observations. This new ensemble approach is applied to the 2011 eruption of the Icelandic volcano Grímsvötn. The resulting emission profiles each have a similar temporal evolution but there are differences in the magnitude of ash emitted at different heights. For this eruption, the impact of precipitation uncertainty (and the associated wet deposition of ash) on the estimate of the total amount of ash emitted is larger than the impact of the uncertainty in the wind fields. Despite the differences that are dominated by wet deposition uncertainty, the ensemble inversion provides confidence that the reduction of the unconstrained emissions (a priori), particularly above 4 km, is robust across all members. In this case, the use of posterior emission profiles greatly reduces the magnitude and extent of the forecast ash cloud. The ensemble of posterior emission profiles gives a range of ash column loadings much closer in agreement with a set of independent satellite retrievals in comparison to the a priori emissions. Furthermore, airspace containing volcanic ash concentrations deemed to be associated with the highest risk (likelihood of exceeding a high concentration threshold) to aviation are reduced by over 85%. Such improvements could have large implications in emergency response situations. Future research will focus on quantifying the impact of uncertainty in precipitation forecasts on wet deposition in other eruptions and developing an inversion system that makes use of the state-of-the-art meteorological ensembles which has the potential to be used in an operational setting