Lost Gems: Identifying Rare and Unusual Monographs in a University\u27s Circulating Collection

Identifying and evaluating the oldest published content held by the library using a set of transfer criteria provided a means to systematically evaluate and, if necessary, move rare or unusual content into a more secure location. The process enabled us to correct cataloging errors, identify and address items with condition issues, be familiar with the library\u27s unique holdings and finally, to identify and add content distinctly associated with EMU\u27s history to the University Archives and Special Collections

Mad or bad? : Entry to the mental health system, from the courts

This thesis is concerned with criminal defendants who become psychiatrically hospitalised as the outcome of their court proceedings. There are four routes whereby criminal defendants can become hospitalised in New Zealand. These are to be found not guilty by reason of insanity, to found to be under disability, to be found guilty and mentally disordered and for charges to be dropped and proceedings initiated under the Mental Health (Compulsory Assessment and Treatment) Act, 1992. The background to each of these options is explored, with an emphasis on the insanity defence, and the empirical literature reviewed. There are some theoretical contradictions in whether these legal provisions are therapeutic or punitive. The aim of the current study was to describe criminal defendants who enter the mental health system and become psychiatrically hospitalised via the Court Liaison Service. The Court Liaison Service is a part of the Regional Forensic Psychiatric Service. As part of this service, a nurse screens criminal defendants at court for indications that mental health intervention may be warranted. A sample of defendants, who were seen by the Court Liaison Service at Christchurch, is described. Of these defendants some receive a full psychiatric evaluation and a report is prepared for the courts. The characteristics of those who receive a report are compared with those who do not receive a report. Defendants, who are hospitalised as an outcome of their court proceedings, are compared with those who are not. The findings are consistent with international research, in that most defendants were male, and socially disadvantaged in a number of ways. The mental status screening assessment was a useful discriminator between those who received a report and those who did not, and between defendants who were hospitalised and those that were not. Most defendants who were hospitalised showed clear signs of psychotic processes. Defendants who received a report but who were not hospitalised are particularly vulnerable in terms of their mental health needs. This group showed more evidence of depression, and was rated to be of higher suicide risk. They tended to have psychopathic traits, and were more frequently referred because of concerns about dangerousness. A considerable proportion of all defendants have difficulties with substance abuse. Report and hospitalisation status could be effectively predicted, using information collected at the time of the Court Liaison screening. For example, using diagnosis and mental status data as predictor variables, there was 86% correct classification of cases as hospitalised or not. In conclusion, it is argued that the insanity defence serves little current pragmatic use. Revision is recommended in the current admission criteria to psychiatric hospitals for criminal defendants, with an emphasis on effective treatment programmes. The victim's perspective is not frequently considered in deliberations about mentally disordered offenders, and this is seen as important. Finally, the Court Liaison Service serves an extremely valuable function at the interface between the criminal justice and mental health systems in New Zealand

Protocol paper for the ‘Harnessing resources from the internet to maximise outcomes from GP consultations (HaRI)’ study: a mixed qualitative methods study

Introduction Many patients now turn to the internet as a resource for healthcare information and advice. However, patients’ use of the internet to manage their health has been positioned as a potential source of strain on the doctor–patient relationship in primary care. The current evidence about what happens when internet-derived health information is introduced during consultations has relied on qualitative data derived from interview or questionnaire studies. The ‘Harnessing resources from the internet to maximise outcomes from GP consultations (HaRI)’ study combines questionnaire, interview and video-recorded consultation data to address this issue more fully. Methods and analysis Three data collection methods are employed: preconsultation patient questionnaires, video-recorded consultations between general practitioners (GP) and patients, and semistructured interviews with GPs and patients. We seek to recruit 10 GPs practising in Southeast England. We aim to collect up to 30 patient questionnaires and video-recorded consultations per GP, yielding up to 300. Up to 30 patients (approximately three per participating GP) will be selected for interviews sampled for a wide range of sociodemographic characteristics, and a variety of ways the use of, or information from, the internet was present or absent during their consultation. We will interview all 10 participating GPs about their views of online health information, reflecting on their own usage of online information during consultations and their patients’ references to online health information. Descriptive, conversation and thematic analysis will be used respectively for the patient questionnaires, video-recorded consultations and interviews. Ethics and dissemination Ethical approval has been granted by the London–Camden & Kings Cross Research Ethics Committee. Alongside journal publications, dissemination activities include the creation of a toolkit to be shared with patients and doctors, to guide discussions of material from the internet in consultation

Neurodevelopmental problems in maltreated children referred with indiscriminate friendliness

We aimed to explore the extent of neurodevelopmental difficulties in severely maltreated adopted children. We recruited 34 adopted children, referred with symptoms of indiscriminate friendliness and a history of severe maltreatment in their early childhood and 32 typically developing comparison children without such a history, living in biological families. All 66 children, aged 5–12 years, underwent a detailed neuropsychiatric assessment. The overwhelming majority of the adopted/indiscriminately friendly group had a range of psychiatric diagnoses, including Attention Deficit Hyperactivity Disorder (ADHD), Post-Traumatic Stress Disorder (PTSD) and Reactive Attachment Disorder (RAD) and one third exhibited the disorganised pattern of attachment. The mean IQ was 15 points lower than the comparison group and the majority of the adopted group had suspected language disorder and/or delay. Our findings show that school-aged adopted children with a history of severe maltreatment can have very complex and sometimes disabling neuropsychiatric prob

Recommendations for change in infection prevention programs and practice

Fifty years of evolution in infection prevention and control programs have involved significant accomplishments related to clinical practices, methodologies, and technology. However, regulatory mandates, and resource and research limitations, coupled with emerging infection threats such as the COVID-19 pandemic, present considerable challenges for infection preventionists. This article provides guidance and recommendations in 14 key areas. These interventions should be considered for implementation by United States health care facilities in the near future

Mathematical pathways for students articulating to Business degrees

Australia needs more qualified professionals in the STEM areas. The national focus on widening participation in higher education (HE) includes strengthening pathways from vocational education and training (VET). VET students often lack the mathematics skills necessary to articulate successfully to their chosen degrees. Maths anxiety has been identified as a barrier to success in Business degrees in particular (Joyce, Hassal, Jose, Donose & Jose, 2006), highlighting the need for maths knowledge and support for students transitioning to these degrees. Of particular concern are those students who might be potentially less prepared for the transition, such as VET students. This project is part of a larger Office for Learning and Teaching grant focusing on developing contextualised pathways for four different disciplines (education, engineering, business and health science). The business pathway mapped mathematics topics covered in VET units associated with business qualifications at Certificate 3, 4 and Diploma level foundation level units to the base level maths knowledge required at the University of Tasmania and the University of Notre Dame Australia for completion of first year quantitative methods units. From this mapping, a set of online modules were developed to support students during their VET qualifications with foundation level skills, and fill the mathematics gap between VET and HE. These modules were also designed to provide support to first year business students, and assist them in completion of the quantitative methods units required in first year Bachelor of Business Degrees. The pathway developed has seven modules; two foundation level modules, three transition level modules and two providing resources for support through HE quantitative methods. For the first five modules, a pre-test determined whether a student needed to complete the module and a post-test (self-assessed) was developed to test the students’ knowledge after completing the module lessons, practice tasks and exercises. The project has recently concluded, and the pathway to business has now been active for 4 months during which it has been offered to first year business students at the University of Tasmania to trial. Successful completion of the module post-tests has been endorsed by the University of Notre Dame Australia’s School of Business for entry into the program for students with tertiary maths. This presentation describes the process of the business pathway development and the opportunities for cross sectoral course support and delivery. References: Joyce, J., Hassall, T., Arquero M., José L., Donoso A., & José A., Communication apprehension and maths anxiety as barriers to communication and numeracy skills development in accounting and business education, Education & Training 48.6 (2006): 454-464. Proceedings of the Australian Conference on Science and Mathematics Education, Curtin University, Sept 30th to Oct 1st, 2015, page X, ISBN Number 978-0-9871834-4-6

Combining patient talk about internet use during primary care consultations with retrospective accounts. A qualitative analysis of interactional and interview data

Despite widespread acknowledgement of internet use for information about health, patients report not disclosing use of online health information in consultations. This paper compares patients' reported use of the internet with matched video recordings of consultations. The concepts of doctorability and epistemics are employed to consider similarities and differences between patients’ reports in interviews and actions in the consultation. Data are drawn from the Harnessing Resources from the Internet study conducted in the UK. The data set consists of 281 video-recorded general practice consultations, with pre-consultation questionnaires completed by all patients, interviews with all 10 participating doctors and 28 selected patients. We focus on the 28 patient interviews and associated consultation recordings. A conversation analytic (CA) approach is used to systematically inspect both the interview and consultation data. In interviews patients presented use of the internet as associated with appropriate self-management and help-seeking. In consultations patients skilfully translated what they had found on the internet in order to provide grounds for the actions they sought. We conclude that patients translate and utilise what they have found on the internet to assert the doctorability of their presenting problems. Furthermore, patients design their talk in both interviews and consultations to accord with their understanding of the epistemic rights of both doctors and patients. Patients search the internet so they are informed about their medical problem, however they carefully manage disclosure of information to avoid disrupting the smooth running of medical interactions

Qualitative study: patients' enduring concerns about discussing internet use in general practice consultations.

OBJECTIVES: To examine patients' accounts of their use of the internet before seeing a general practitioner (GP) using thematic analysis of semistructured interviews. DESIGN: Qualitative semistructured interview study with transcripts analysed thematically. SETTING: Primary care patients consulting with 10 GPs working at 7 GP practices of varying sizes and at a range of locations around London and the Southeast of England. PARTICIPANTS: 28 adult patients: 16 women and 12 men ranging in age from 18 to 75 from a range of self-defined ethnic backgrounds. Participants were selected based on instances when the patients reported having used the internet before the consultation, when patients referred to the internet in the consultation or when the physician used the internet or made reference to it during the consultation. RESULTS: Patients report that they can find health information online that they believe is reliable and helpful for both themselves and their GP. However, they report uncertainty about how to share internet-based findings and reluctance to disclose their efforts at researching health issues online for fear of appearing disrespectful or interfering with the flow of the consultation. CONCLUSIONS: Despite the democratisation of access to information about health due via the internet, patients continue to experience their use of the internet for health information as a sensitive and potentially problematic topic. The onus may well be on GPs to raise the likelihood (without judgement) that patients will have looked things up before consulting and invite them to talk about what they found

International multidisciplinary collaboration toward an annotated definition of arthrogryposis multiplex congenita

Arthrogryposis multiplex congenita (AMC) has been described and defined in thousands of articles, but the terminology used has been inconsistent in clinical and research communities. A definition of AMC was recently developed using a modified Delphi consensus method involving 25 experts in the field of AMC from 8 countries. Participants included health care professionals, researchers, and individuals with AMC. An annotation of the definition provides more in‐depth explanations of the different sentences of the AMC definition and is useful to complement the proposed definition. The aim of this study was to provide an annotation of the proposed consensus‐based AMC definition. For the annotation process, 17 experts in AMC representing 10 disciplines across 7 countries participated. A paragraph was developed for each sentence of the definition using an iterative process involving multiple authors with varied and complementary expertise, ensuring all points of view were taken into consideration. The annotated definition provides an overview of the different topics related to AMC and is intended for all stakeholders, including youth and adults with AMC, their families, and clinicians and researchers, with the hopes of unifying the understanding of AMC in the international community