Developing mHealth remote monitoring technology for attention deficit hyperactivity disorder: a qualitative study eliciting user priorities and needs

Background: Guidelines in the United Kingdom recommend that medication titration for attention deficit hyperactivity disorder (ADHD) should be completed within 4-6 weeks and include regular reviews. However, most clinicians think that weekly clinic contact is infeasible, and audits have shown that this timeline is rarely achieved. Thus, a more effective monitoring and review system is needed; remote monitoring technology (RMT) may be one way to improve current practice. However, little is known about whether patients with ADHD, their families, and clinicians would be interested in using RMT. Objective: To explore patients’, parents’, and health care professionals’ views and attitudes toward using digital technology for remote monitoring during titration for ADHD. Methods: This was a qualitative study, and data were collected through 11 focus groups with adults and young people with ADHD, parents of children with ADHD, and health care professionals (N=59). Results: All participant groups were positive about using RMT in the treatment of ADHD, but they were also aware of barriers to its use, especially around access to technology and integrating RMT into clinical care. They identified that RMT had the most potential for use in the ongoing management and support of ADHD, rather than during the distinct titration period. Participants identified features of RMT that could improve the quality of consultations and support greater self-management. Conclusions: RMT has the potential to augment support and care for ADHD, but it needs to go beyond the titration period and offer more to patients and families than monitoring through outcome measures. Developing and evaluating an mHealth app that incorporates the key features identified by end users is required

COVID-19 vaccine perceptions and uptake in a national prospective cohort of essential workers

INTRODUCTION: In a multi-center prospective cohort of essential workers, we assessed knowledge, attitudes, and practices (KAP) by vaccine intention, prior SARS-CoV-2 positivity, and occupation, and their impact on vaccine uptake over time. METHODS: Initiated in July 2020, the HEROES-RECOVER cohort provided socio-demographics and COVID-19 vaccination data. Using two follow-up surveys approximately three months apart, COVID-19 vaccine KAP, intention, and receipt was collected; the first survey categorized participants as reluctant, reachable, or endorser. RESULTS: A total of 4,803 participants were included in the analysis. Most (70%) were vaccine endorsers, 16% were reachable, and 14% were reluctant. By May 2021, 77% had received at least one vaccine dose. KAP responses strongly predicted vaccine uptake, particularly positive attitudes about safety (aOR = 5.46, 95% CI: 1.4-20.8) and effectiveness (aOR = 5.0, 95% CI: 1.3-19.1). Participants' with prior SARS-CoV-2 infection were 22% less likely to believe the COVID-19 vaccine was effective compared with uninfected participants (aOR 0.78, 95% CI: 0.64-0.96). This was even more pronounced in first responders compared with other occupations, with first responders 42% less likely to believe in COVID-19 vaccine effectiveness (aOR = 0.58, 95% CI 0.40-0.84). Between administrations of the two surveys, 25% of reluctant, 56% reachable, and 83% of endorser groups received the COVID-19 vaccine. The reachable group had large increases in positive responses for questions about vaccine safety (10% of vaccinated, 34% of unvaccinated), and vaccine effectiveness (12% of vaccinated, 27% of unvaccinated). DISCUSSION: Our study demonstrates attitudes associated with COVID-19 vaccine uptake and a positive shift in attitudes over time. First responders, despite potential high exposure to SARS-CoV-2, and participants with a history of SARS-CoV-2 infection were more vaccine reluctant. CONCLUSIONS: Perceptions of the COVID-19 vaccine can shift over time. Targeting messages about the vaccine's safety and effectiveness in reducing SARS-CoV-2 virus infection and illness severity may increase vaccine uptake for reluctant and reachable participants

Rapid Identification of Novel Psychoactive and Other Controlled Substances Using Low-Field 1H NMR Spectroscopy

An automated approach to the collection of 1H NMR (nuclear magnetic resonance) spectra using a benchtop NMR spectrometer and the subsequent analysis, processing, and elucidation of components present in seized drug samples are reported. An algorithm is developed to compare spectral data to a reference library of over 300 1H NMR spectra, ranking matches by a correlation-based score. A threshold for identification was set at 0.838, below which identification of the component present was deemed unreliable. Using this system, 432 samples were surveyed and validated against contemporaneously acquired GC–MS (gas chromatography–mass spectrometry) data. Following removal of samples which possessed no peaks in the GC–MS trace or in both the 1H NMR spectrum and GC–MS trace, the remaining 416 samples matched in 93% of cases. Thirteen of these samples were binary mixtures. A partial match (one component not identified) was obtained for 6% of samples surveyed whilst only 1% of samples did not match at all

Additional file 1: Table S1. of Immune resistance and tolerance strategies in malaria vector and non-vector mosquitoes

Oligonucleotide primers used in gene abundance measurements and silencing. (DOCX 16 kb

Dry Creek Ranch Planned Community: Water Resources Design

Dry Creek Ranch is a planned community located northeast of Eagle, Idaho, between Broken Horn Road and Idaho State Highway 55. The community will encompass 1,414 acres and will include 4,300 single-family residences, parks, schools, and commercial and mixed-use areas when completed. Full site development will be in multiple phases, with the first phase encompassing approximately 268 acres and 557 residences. WATER Engineering was tasked with the design of water and wastewater facilities, and piping networks to serve the first phase of development and to accommodate future development of the full site. Designs were completed in collaboration with Instrumental Engineering who focused on structural and geotechnical aspects. WATER Engineering’s designs addressed water distribution facilities to satisfy residential, commercial and fire suppression demands, including the design of water storage reservoirs and pump stations. Wastewater components of the project included the design of a collection system, treatment facility and final disposal of treated wastewater. An irrigation distribution system will supply parks and institutional areas utilizing treated wastewater effluent. WATER Engineering designed piping networks and facilities for the first phase with sufficient capacity to accommodate full site development

Murder Ballads

Violence and murder have a strong cultural currency, the implications of which should be pursued by those with an interest in law and society, crime, and justice. Murder ballads are songs about death and killing with a history stretching back to the nineteenth century. Drawing out the major themes of this genre can help scholars gain a handle on how murder has been treated in popular culture, thereupon providing an enhanced understanding of the human condition. As an example of such examination, 2016 marked the twentieth anniversary of Nick Cave and the Bad Seeds’ Murder Ballads, their most famous and, perhaps, defining album. More than any other Bad Seeds album, Murder Ballads captures the essence of a band at its most comfortable in exploring the dark and the taboo: violence, killing, death. In producing a whole album on murder, the band left a calling card by which the wider public could define them. This article will explore the album by considering its key themes and, in so doing, reflect on the need to understand the use of murder in such popular music. The use of murder and death in popular music has not been properly studied, yet it offers potential social insight for several fields of study such as law, criminology, and psychology. In particular, little considered issues around the treatment of murder in popular culture such as humour are identified, while others that require greater attention such as attitudes to women are also given due consideratio