Analyzing and Addressing Telemedicine Barriers Among Lubbock Medicaid Patients

Background: There has been a widespread demand for virtual medicine ever since the COVID-19 pandemic. Benefits to telemedicine include less expenses for the patient and industry, reduced risk of acquiring communicable diseases, improved chronic disease management, and the elimination of traditional barriers to care (e.g. transportation, time off work, childcare, location/distance etc.). However, there are pertinent limitations, such as access to reliable internet, access to Zoom-capable technology, and technological literacy. These limitations may serve as barriers to utilizing virtual medicine as a source of health care. Methods: Using retrospective chart review, we sent a Qualtrics questionnaire to Medicaid patients seen at Texas Tech Physicians Family Medicine Clinic from 2020-2022 with the aim of determining what, if any, barriers may exist regarding telemedicine access in Lubbock, TX. Results: A total of 50 responses were recorded from the questionnaire. 69% of respondents reported making less than $15,000 annually. More than half (57%) have never participated in a telemedicine health care visit before even though the majority of respondents (76%) are semi-proficient with the use of technology and 94% have heard of telemedicine as a service. 37.5% of respondents cited the COVID-19 pandemic as the reason for why they began utilizing telemedicine. 43% of respondents did not use telemedicine because they were unaware that the service was an option or available for them specifically, although almost 75% are open to using it in the future. Conclusions: Telemedicine appears to be an attractive option for many Lubbock Medicaid patients to get medical care for various aspects of their health needs. The underutilization of virtual medicine can, in large part, be attributed to lack of publicity on the availability of telemedicine as part of our clinical service. By increasing awareness and usage of telemedicine, and diminishing the effects of associated barriers, telehealth has the potential to create greater equity in access to health care

Understanding the outcome of police safeguarding notifications to social services in South Wales

In the UK, demand for the police has changed, with the majority of calls now vulnerability-related. Police safeguarding notifications (N=3,466) over a one-year period for a local authority in Wales were matched to social care records. Over half (57.5%) of notifications were referred to social services and only 4.8% received social service input (e.g. social worker intervention). Over a third of individuals had repeat notifications in the study year. Findings evidence high levels of police-identified vulnerability and an imbalance in vulnerability-related risk thresholds across agencies. Furthermore, some individuals require more appropriate action to mitigate the risk of future safeguarding notifications

Voice hearers’ experiences of the Making Sense of Voices in an NHS setting

The Making Sense of Voices (MsV) approach (Romme & Escher, 2000) has become established within large sections of the voice hearing community, as well as being adopted by some professional mental health workers. However, there has been limited research to assess this intervention. A recent case series using the MsV approach (Steel et al., 2019) reported promising results across a number of standardised outcome measures. The current study reports on the voice hearers’ experience of having received the MsV intervention, through the use of ‘exit interviews’ conducted as part of the case series. Individual participants’ experiences indicated a range of reactions to the intervention. Positive outcomes appeared to relate to a better understanding of voice hearing experiences and a greater sense of control over voices. Not all participants reported a positive experience of communicating with their voices. Outcomes are discussed within the context of potential common and distinct ‘ingredients’ of the MsV approach, compared to other approaches to working with distressing voices

European Survey on Scholarly Practices and Digital Needs in the Arts and Humanities

This report summarizes the statistical analysis of the findings of a web-based survey conducted by the Digital Methods and Practices Observatory (DiMPO), a working group under VCC2 of the DARIAH research infrastructure (Digital Research Infrastructure for the Arts and Humanities). In order to provide an evidence-based, up-to-date, and meaningful account of the emerging information practices, needs and attitudes of arts and humanities researchers in the evolving European digital scholarly environment, the web survey involved a transnational team of researchers from more than a dozen countries, and addressed digitally-enabled research practices, attitudes and needs in all areas of Europe and across different arts and humanities disciplines and contexts

Australia’s COVID-19 pandemic housing policy responses

This research reviewed Australia’s COVID-19 housing policy responses to better understand their intervention approach, underlying logic, short and long term goals, target groups and level of success. It considered literature and policy from Australia and a small number of international comparator policies; conducted online surveys of landlords and of economists; and consulted key stake holders. Given Australia’s federated system of government, considerable differences quickly emerged between intervention approaches across states and territories. This was also driven by the extent to which different jurisdictions were impacted by the spread of the virus, the extent and frequency of lockdowns, and damage to state/local economies. The national and state policy measures implemented to support home ownership achieved the desired goal of providing short-term stimulus to the residential building sector and support to the broader economy. However, a range of anticipated and unforeseen consequences have precipitated as a result of concentrated demand-side subsidies, low interest rates and flexible lending conditions. The establishment of an agile infrastructure to support information sharing will support more effective and innovative housing policy development in the future. The state-to-state infrastructure and approaches that were developed rapidly and which supported jurisdictional responses to COVID-19 provide a template for a shelf-ready policy-sharing practice that warrants supported development across governments. This could usefully include local government as well as state and territory and national tiers of governance

A regional, early spring bloom of Phaeocystis pouchetii on the New England continental shelf

Author Posting. © American Geophysical Union, 2021. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Journal of Geophysical Research: Oceans 126(2), (2021): e2020JC016856, https://doi.org/10.1029/2020JC016856.The genus Phaeocystis is distributed globally and has considerable ecological, biogeochemical, and societal impacts. Understanding its distribution, growth and ecological impacts has been limited by lack of extensive observations on appropriate scales. In 2018, we investigated the biological dynamics of the New England continental shelf and encountered a substantial bloom of Phaeocystis pouchetii. Based on satellite imagery during January through April, the bloom extended over broad expanses of the shelf; furthermore, our observations demonstrated that it reached high biomass levels, with maximum chlorophyll concentrations exceeding 16 µg L−1 and particulate organic carbon levels > 95 µmol L−1. Initially, the bloom was largely confined to waters with temperatures <6°C, which in turn were mostly restricted to shallow areas near the coast. As the bloom progressed, it appeared to sink into the bottom boundary layer; however, enough light and nutrients were available for growth. The bloom was highly productive (net community production integrated through the mixed layer from stations within the bloom averaged 1.16 g C m−2 d−1) and reduced nutrient concentrations considerably. Long‐term coastal observations suggest that Phaeocystis blooms occur sporadically in spring on Nantucket Shoals and presumably expand onto the continental shelf. Based on the distribution of Phaeocystis during our study, we suggest that it can have a significant impact on the overall productivity and ecology of the New England shelf during the winter/spring transition.This project was supported by the US National Science Foundation (Grants 1657855, 1657803, and 1657489). NES‐LTER contributions were supported by grants to HMS from NSF (Grant 1655686) and the Simons Foundation (Grant 561126). VPR operations were supported by the Dalio Explore Fund.2021-07-1

Workflow for the generation of expert-derived training and validation data: a view to global scale habitat mapping

Our ability to completely and repeatedly map natural environments at a global scale have increased significantly over the past decade. These advances are from delivery of a range of on-line global satellite image archives and global-scale processing capabilities, along with improved spatial and temporal resolution satellite imagery. The ability to accurately train and validate these global scale-mapping programs from what we will call “reference data sets” is challenging due to a lack of coordinated financial and personnel resourcing, and standardized methods to collate reference datasets at global spatial extents. Here, we present an expert-driven approach for generating training and validation data on a global scale, with the view to mapping the world’s coral reefs. Global reefs were first stratified into approximate biogeographic regions, then per region reference data sets were compiled that include existing point data or maps at various levels of accuracy. These reference data sets were compiled from new field surveys, literature review of published surveys, and from individually sourced contributions from the coral reef monitoring and management agencies. Reference data were overlaid on high spatial resolution satellite image mosaics (3.7 m × 3.7 m pixels; Planet Dove) for each region. Additionally, thirty to forty satellite image tiles; 20 km × 20 km) were selected for which reference data and/or expert knowledge was available and which covered a representative range of habitats. The satellite image tiles were segmented into interpretable groups of pixels which were manually labeled with a mapping category via expert interpretation. The labeled segments were used to generate points to train the mapping models, and to validate or assess accuracy. The workflow for desktop reference data creation that we present expands and up-scales traditional approaches of expert-driven interpretation for both manual habitat mapping and map training/validation. We apply the reference data creation methods in the context of global coral reef mapping, though our approach is broadly applicable to any environment. Transparent processes for training and validation are critical for usability as big data provide more opportunities for managers and scientists to use global mapping products for science and conservation of vulnerable and rapidly changing ecosystems