University vaccine campaign increases meningococcal ACWY vaccine coverage

In this study, we report MenACWY vaccine coverage in first year students arriving at the University of Nottingham (UoN) in September 2015. We also report the uptake of MenACWY vaccine offered to unvaccinated students via a campus-based mass vaccination campaign as part of a local initiative by the University of Nottingham Health Service (UNHS), in liaison with UoN, during the registration period. [Taken from introduction

The nature and extent of healthy architecture: the current state of progress

© 2019, Emerald Publishing Limited. Purpose: The design of the built environment is a determinant of health. Accordingly, there is an increasing need for greater harmonization of the architectural profession and public health. However, there is a lack of knowledge on whether designers of the built environment are changing their practices to deliver healthier urban habitats. The paper aims to discuss these issues. Design/methodology/approach: The research uses a multi-method approach to data analysis, including: systematic mapping study, structured review and thematic analysis. Findings: The research finds that there are almost no requirements for the compulsory inclusion of health across institutions and agencies that have the power to execute and mandate the scope of architectural profession, training, education, practice or knowledge. Despite the urgent need for action and the myriad entreatments for greater integration between architecture and health, there is very little evidence progress. Practical implications: The research has implications for the architectural profession and architectural education. Health and well-being is not currently an integral part of the educational or professional training requirements for architects. University educational curriculum and Continuing Professional Development criteria need to better integrate health and well-being into their knowledge-base. Social implications: The design of the built environment is currently undertaken by an architectural profession that lacks specialized knowledge of health and well-being. There is a risk to society of environments that fail to adequately protect and promote the health and well-being of its inhabitants. Originality/value: The research evidences, for the first time, the lack of integration of “health and wellbeing” within the architecture profession training or education systems

Enfoque de Sistemas Completos para combatir la obesidad. Una guía de apoyo a los esfuerzos locales para promover un peso saludable

Esta publicación forma parte del conjunto de actividades que realiza el BHPMx para apoyar los esfuerzos locales en materia de prevención de obesidad, en colaboración con el Gobierno Municipal de Zapopan y el Centro de Innovación Social de Alto Impacto (CISAI) del Instituto Tecnológico y de Estudios Superiores de Occidente (ITESO) y en asociación con Public Health England. El objetivo de estas actividades es generar evidencia en México de cómo utilizar metodologías innovadoras y exitosas que pueden agudizar el enfoque y el impacto del esfuerzo de prevención de la obesidad en el país en el largo plazo. Esta guía busca ayudar a las autoridades locales y sus comunidades a crear su propio WSA para abordar la obesidad y promover. A lo largo de la adaptación de los materiales se homologaron tecnicismos clave y se realizaron reuniones con representantes del Gobierno de Zapopan para facilitar el proceso de comprensión de las herramientas y su adopción al contexto local. un peso saludable. Con el fin de facilitar su comprensión, adaptación e implementación, la guía se encuentra estructurada en seis fases, las cuales describen el proceso que las autoridades pueden seguir para implementar un WSA. Se realizó un análisis y desglose de los pasos necesarios para adoptar un WSA, con base en la adaptabilidad, factibilidad y compatibilidad del enfoque WSA con la misión, visión y valores del Municipio de Zapopan. Como resultado de estas reuniones, se agregó una sección de recomendaciones al final de cada fase

Understanding the role of carbohydrates in optimal nutrition

In recent years, the regulation of carbohydrate intake has become regarded as essential to achieve a balanced diet, with a range of health benefits attributed to low-carbohydrate diets. However, much of the advice on reduced carbohydrate intake does not reflect government-led dietary guidelines. As a result of this conflicting information, patients requiring assistance with weight management or glycaemic control may become confused about the appropriate carbohydrate intake, or be encouraged to experiment with ‘fad’ diets. As front-line healthcare professionals, nurses are in a prime position to advise patients on carbohydrate intake, as well as signposting them to evidence-based dietary resources. This article outlines the constituents of dietary carbohydrate, considers the health benefits of carbohydrates, and explains their importance as part of a healthy and balanced diet

The influence of therapeutic horticulture on social integration

Study Purpose: The purpose of the pilot study was to qualitatively evaluate the impact of therapeutic horticulture on social integration for people who have mental health problems. Method: A qualitative grounded theory approach captured the perceptions about therapeutic horticulture from people with mental health problems. Data were collected using semi-structured focus group and interviews from a purposive sample (n= 7) and were analysed using a constant comparative approach. Findings: Four key themes emerged from the analysis: ‘A Space to Grow’, ‘Seeing the Person’, ‘Learning about Each Other through Nature’ and ‘Connecting to Nature and Others’. The findings suggest that therapeutic horticulture enabled participants to integrate socially, engage with nature and develop confidence. Social Implications: Therapeutic horticulture embodies the principles of empowerment, person centeredness and can support people with mental health problems to integrate socially. Originality: There is limited evidence about the influence that therapeutic horticulture have on mental health and social integration. The use of therapeutic horticulture is an area that is gathering evidence and this small study highlights the perceived potential benefits of this approach

A service evaluation of the “Open Wide and Step Inside” school oral health programme

Abstract Introduction To present a service evaluation of the “Open Wide and Step Inside” oral health programme delivered in Plymouth, UK. Aim To develop an oral health programme supporting Key Stage One of the National Curriculum for delivery to children aged 4–6 years in targeted schools. Methods The programme was designed and developed in partnership with stakeholders from a range of sectors using a community engagement approach. The programme has been delivered in schools in targeted areas of the city since 2014/15. Outcome (participation of schools and children) and process evaluations were carried out using a range of methods to collect feedback from children, teachers and parents. Results School adoption and engagement in the programme has been high exceeding the targets set for implementation. So far over 4000 children have participated in the programme and schools have welcomed support in delivering oral health as part of the national curriculum. Conclusion A community engagement approach can be highly valuable in developing oral health programmes that meet community needs through collaborative design and a participatory approach

Evaluation of the UK Public Health Skills and Knowledge Framework (PHSKF): Implications for international competency frameworks

Background: The value of competency frameworks for developing the public health workforce is widely acknowledged internationally. However, there is a lack of formal evaluations of such frameworks. In the UK, the Public Health Skills and Knowledge Framework (PHSKF) is a key tool for the public health workforce across the UK, and this study presents the evaluation of the PHSKF 2016 version, with the aim of reflecting on implications for international public health competency frameworks.Methods: A sequential explanatory design was employed. An online survey (n = 298) was completed with stakeholders across the four UK nations and different sectors. This was followed by 18 telephone interviews with stakeholders and survey completers. Quantitative results were analysed descriptively; qualitative transcripts were analysed with thematic analysis.Results: Most respondents had used the PHSKF occasionally or rarely, and most users found it useful (87%) and easy to use (82%). Main purposes of use included team/workforce development (e.g. setting of standards) and professional development (e.g. identify professional development opportunities). Some positive experiences emerged of uses of the PHSKF to support organisational redevelopments. However, 23% of respondents had never used the framework. Areas for improvement included greater clarity on purpose and audience, the need for more support from employers and for clear career progression opportunities, and stronger links with other competency frameworks.Conclusions: The development of a digital version of the PHSKF, together with improving buy-in from the workforce and employers could make an important contribution towards UK public health workforce development. Further evaluation and shared learning internationally of the implementation of public health competency frameworks would support global public health workforce development

Implementing an Integrated Acute Response Service: Professional Perceptions of Intermediate Care

Purpose: The purpose of this study is to examine the implementation, care processes and sustainability of an integrated, intermediate Acute Response Team (ART) service. The primary aims of the service are to enhance the level of health and social care integration across a range of organisations, to ensure a timelier and appropriate service for people in the community at risk of admission to hospital. Design/methodology/approach: A qualitative methodology was employed in order to gain a deep understanding of the experiences of staff members within the ART service and external stakeholders. Twenty-one professionals took part in a focus group or one-to-one interviews. Data were analysed thematically. Findings: The key to successful implementation was that the service was co-created from the “ground-up” with support from local provider organisations. The inclusion of general practitioners (GPs) as part of the team was instrumental in setting up and maintaining the service and seems to be unique in intermediate care settings. Referrals into the ART service were dependent on awareness of the service at the interface with mainstream services. Transitions out were sometimes delayed due lack of availability of social care packages. To ensure sustainability of the ART and other integrated intermediate care services, continued resources, especially skilled staff members, are necessary. Originality/value: This study adds to the intermediate care and acute response service literature by offering insights into “what works” from a professional perspective in terms of service implementation, care processes and sustainability, in an integrated care system