Digital Commons Network^™

Cold Water Swimming And Pregnancy: A Scoping Review And Consensus Recommendations, J. Shawe, M. Felton, J. C. Harper, C. Mark Harper, R. Stidson, M. Tipton, S. Blowers, K. Fraser, S. Hingley, E. Mcgrath, G. Bainbridge, Massey Heather

School of Nursing and Midwifery

Introduction: Cold water swimming has increased in popularity and women wish to swim throughout pregnancy. There is a lack of evidenced-based guidance to make decisions about the safety of immersion in cold water during pregnancy. Methods: Closed social media groups were asked for specific questions in relation to cold water swimming and pregnancy. This highlighted concerns including water temperature, risks to the mother and fetus, and water quality. To find evidence-based answers, a series of meetings brought together clinicians and researchers with expertise in cold water physiology, exercise physiology, fertility, obstetrics, neonatology, midwifery, water epidemiology, public health and representatives from …

Effects Of Cognitive Rehabilitation And Exercise On Brain Structure In Progressive Multiple Sclerosis: Results From The Cogex Trial, Cogex Research Team, Francesco Romanò, Maria A. Rocca, Elisabetta Pagani, Maria Pia Amato, Giampaolo Brichetto, Jeremy Chataway, Nancy D. Chiaravalloti, Gary Cutter, Ulrik Dalgas, John Deluca, Rachel Farrell, Peter Feys, Jennifer Freeman, Matilde Inglese, Emilio Cipriano, Cecilia Meza, Robert W. Motl, Amber Salter, Brian M. Sandroff, Anthony Feinstein, Massimo Filippi

School of Health Professions

Background: We previously showed increased cortical grey matter (GM) volume in CogEx trial participants who performed cognitive rehabilitation (CR). Here, we explore combined CR and aerobic exercise (EX) effects on regional changes in brain volumes and white matter (WM) integrity. Methods: Seventy-three patients were randomized into four groups receiving a combination of CR and EX or their sham versions: CR + EX, CR + EX-sham, EX + CR-sham, and CR-sham + EX-sham. A diagnosis of progressive multiple sclerosis (PMS) and impaired information processing speed were required for inclusion. Participants attended a 12-week intervention twice/week. Assessments were performed at baseline, week-12 …

The Use Of Tele-Music Interventions In Supportive Cancer Care: A Systematic Review, Lore Mertens, Laura Tack, Tom Boterberg, Jörg Fachner, Leonardo Muller-Rodriguez, Marte Vandeweyer, Sofie Demasure, Marianne Hanssens, Tine Loyson, Laurence Goethals, Isabelle Kindts, Hannelore Denys, Patricia Schofield, Mohammad Najlah, Philip R. Debruyne

School of Nursing and Midwifery

Objectives: This systematic review seeks to provide an in-depth overview of current research on tele-music interventions in supportive cancer care and identifies key areas where further research is warranted. Methods: A comprehensive search was conducted across four electronic databases (Scopus, Embase, Web of Science, and PubMed) without any data restrictions and according to the PRISMA guidelines. The primary outcome measure was the effect of tele-music interventions on psychosocial functioning. Results: Of the 2.043 articles initially identified, nine studies met the inclusion criteria and were selected for qualitative analysis. Among the music interventions, considerable variation was observed regarding delivery format and …

Beyond The Drill: Understanding Empathy Among Undergraduate Dental Students, Muhammad Qasim Javed, Zaina Ahmad, Muhammad Muhammad, Kamran Ali, Arham Riaz, Rebecca Glanville

Peninsula Dental School

Introduction: Compassionate care and empathy are fundamental components of health care which contribute to the social construction of physician–patient relationship to meet the expectations of the patients. The aim of this study was to evaluate clinical empathy among undergraduate dental students at a University in the Middle East. Materials and Methods: It was a cross-sectional study which used purposive sampling to recruit undergraduate dental students from five academic years. The Jefferson Scale of Physician Empathy-Health Profession Students was used, a reliable 20-item tool with a total score ranging from 20 to 140. Data collection was done online using Google Forms. …

The Wind In The Willows Effect: Does Age Affect Human Versus Animal Faux Pas Recognition?, Gray Atherton, Lucy Robinson, Lucie Guy-Smith, Liam Cross

School of Psychology

Children’s literature is rife with anthropomorphic or non-human characters that may be used as a scaffold to teach children about theory of mind (ToM) or the ways in which people think or feel about the social world. In this study, 107 typically developing U.K. school children in Years 1, 3, and 5 (5–10 years of age) completed a human and anthropomorphic ToM test that tested their understanding of faux pas. Specifically, children from these three age groups were given a human version of 20 faux pas stories and an identical animal version of the same stories 1 week apart (with …

‘The Transition Home With A Premature Baby’: How Prepared Are Parents For Discharge From Nicu: A Narrative Review, Beth Taylor, Kevin Hambridge

School of Nursing and Midwifery

Aims: To systematically review qualitative studies, investigating how prepared parents are for discharge home from NICU with their premature baby. Design: A qualitative narrative review and thematic synthesis of selected qualitative research evidence. Data sources: Searches were found between December 2022 and March 2023. Electronic databases (CINAHL, PsycINFO, PUBMED, Science Direct) were used. Additionally, Google Scholar for grey literature. Studies were searched within the ten-year time frame. Review methods: Seven primary studies met the inclusion criteria and were appraised for quality using the Critical Appraisal Skills Program tool. Qualitative data was collected, therefore creating a thematic synthesis. Results: Seven qualitative …

Bridging The Gap: Exploring The Potential Of Virtual Reality For Supporting Autistic Individuals In Interview And Recruitment Processes Through A Realist Review, Katie Edwards, Marius Varga, Michael Loizou

School of Nursing and Midwifery

The aim of this realist review was to systematically analyse the peer-reviewed academic literature, reports and blogs to determine: (1) the mechanisms and contexts by which recruitment and early employment experiences lead to poor outcomes for autistic adults, and (2) how a Virtual Reality (VR) intervention might lead to positive outcomes within the recruitment and early employment experiences for autistic adults. Throughout, we worked with a PPIE group of autistic people who were fully involved in the realist synthesis process. We identified challenges across the employment journey including limited vocational guidance and employment readiness support, exclusionary job descriptions, and traditional …

The Moral Regime Of Midwifery Continuity Of Carer Implementation In England, Aimee Louise Middlemiss, Susan Channon, Julia Sanders, Heather Strange, Rebecca Milton, Sara Kenyon, Tina Prendeville, Susan Barry, Aled Jones

School of Nursing and Midwifery

Since 2016, the National Health Service (NHS) in England has been aiming to implement midwifery continuity of carer (MCoC), a model of maternity care in which the same midwife or small group of midwives provides antenatal, intrapartum and postnatal care for women, other birthing people and their babies. However, the implementation has faced significant difficulties. As part of a wider investigation into barriers to and facilitators of MCoC implementation, we carried out qualitative interviews with senior stakeholders involved in the implementation of MCoC at regional or national level in England. In this paper, we present an analysis of sociocultural values …

Mapping The Process Of Engagement With Digital Health Interventions: A Cross-Case Synthesis, Madison Milne-Ives, Sophie R. Homer, Jackie Andrade, Edward Meinert

School of Nursing and Midwifery

Objective: To map the associations between affective, cognitive, and behavioral components of engagement with digital health interventions to provide a framework to improve intervention design, evaluation, and impact. Patients and Methods: An exploratory multiple case study examined 3 studies evaluating a childhood obesity mobile application (NoObesity, data collection: from September 15, 2020 to June 23, 2021), a mental health conversational agent mobile application (Wysa, data collection: from December 13, 2022 to July 31, 2023), and a telephone-delivered conversational agent postsurgical assessment (Dora R1, data collection: from September 17, 2021 to January 31, 2022). Qualitative data from semi-structured interviews (NoObesity: n=15, …

Empowerment Of Parents In The Intensive Care: A Multicentre Validation Study In Japan, Yujiro Matsuishi, Joseph C. Manning, Haruhiko Hoshino, Yuki Enomoto, Ikkei Munekawa, Ryo Ikebe, Masanori Tani, Naoko Tanaka, Bryan J. Mathis, Nobutake Shimojo, Yoshiaki Inoue, Jos M. Latour

School of Nursing and Midwifery

Background: The importance of assessing family satisfaction in paediatric intensive care units (PICUs) is becoming increasingly recognised. The survey, EMpowerment of Parents in THe Intensive Care “EMPATHIC-30”, was designed to assess family satisfaction and has been translated and implemented in several countries but not yet in Japan. Objectives: The objective of this study was to translate, culturally adapt, and validate the EMPATHIC-30 questionnaire in Japanese and to identify potential factors for family-centred care satisfaction. Methods: We translated and adapted for patient-reported outcome measures via a 10-step process outlined by the Principles of Good Practice. Four paediatric PICUs in Japan participated …

“I'M Pregnant, What Do I Do?”: Exploring How People Having Abortions In Britain Find And Use Online Sources Of Information, The Sacha Study Team, Rosa Mackay, Rachel Scott, Maria Lewandowska, Rebecca Meiksin, Natasha Salaria, Patricia A. Lohr, Sharon Cameron, Melissa Palmer, Rebecca S. French, Kaye Wellings, Annette Aronsson, Paula Baraitser, Caroline Free, Louise Keogh, Clare Murphy, Wendy Norman, Jennifer Reiter, Jill Shawe, Sally Sheldon, Geoffrey Wong

School of Nursing and Midwifery

Background: Accurate, timely, and supportive information is important for high-quality abortion care. Limited research explores how people find and use online sources of information (OSI) during the abortion process, particularly in Britain. Understanding experiences of using OSI is important for the development of person-centered services and resources. Methods: We conducted a thematic analysis of qualitative data from 41 semi-structured interviews carried out in 2021/2022 with people who had recent experience of abortion in Britain. Results: Using OSI was common amongst participants. Our analysis generated four distinct motivations for doing so. People used OSI to find information about accessing abortion services. …

Identifying Outcomes And Outcome Measures In Neonatal Family-Centered Care Trials: A Systematic Review, Cansel Kocakabak, Agnes Van Den Hoogen, Melissa Rothfus, Marsha Campbell-Yeo, Johanna Kostenzer, Anna Axelin, Patricia Schofield, Jos M. Latour

School of Health Professions

Background: A wide range of outcomes for infants and parents has been reported in clinical trials testing FCC interventions. This systematic review aimed to identify outcomes, outcome measures, and time-points reported in experimental studies testing FCC interventions in neonatal care units. Methods: This review included experimental studies investigating FCC interventions in neonatal settings. Database searches were conducted in MEDLINE, EMBASE, CINAHL, Cochrane, PsycINFO, Scopus, JBI, Lilacs, and SciELO, completed in December 2022 and updated in November 2023. Critical appraisal was performed using the JBI checklist for randomized controlled trials, and a narrative synthesis process was used. Outcomes were categorized into …

Which Factors Predict Outcome From Specialist Physiotherapy For Functional Motor Disorder? Prognostic Modelling Of The Physio4fmd Intervention, Glenn Nielsen, Teresa C. Lee, Louise Marston, Alan Carson, Mark J. Edwards, Laura H. Goldstein, Rachael Maree Hunter, Kate Holt, Jon Marsden, Markus Reuber, Jon Stone, Irwin Nazareth

School of Health Professions

Objectives: Physiotherapy is considered part of first line treatment for functional motor disorder (FMD) although not all patients benefit. Predictors of treatment outcome may help to inform triage decisions. We aimed to determine which baseline variables predicted treatment outcome in the pragmatic multicentre Physio4FMD randomised controlled trial of specialist physiotherapy for FMD. Methods: Participants randomised to the specialist physiotherapy arm of the trial were included in the analysis. Treatment outcome was dichotomised into improvement vs no improvement, based on two measures, Short Form 36 Physical Functioning (SF36 PF) and participant-rated Clinical Global Impression Scale of Improvement (CGI-I). Predictors of outcome …

Sexual Communication Patterns Of Heterosexual-Identified Men Who Have Sex With Men, Travis R. Scheadler, Megan W. Rowe, Salem Rao, Oliver W.J. Beer, Tyrone J. Curtis, Sandra Kwan, Shih Ju Claire Lung, Adam Busch, Daniel Vandervoort, Paul A. Shuper, Andrew D. Eaton

School of Health Professions

The sexual communication patterns that comprise how heterosexual men with concordance between identity and behavior navigate their sexual encounters with women are well-established. Some heterosexual men experience discordance between their sexual identities and behaviors and may have unique practices of sexual communication, but this has not been studied. Knowledge of their sexual communication practices is an important step toward understanding and improving their sexual experiences. Therefore, semi-structured interviews were conducted with 11 heterosexual-identified men who have sex with men to learn more about their sexual communication strategies. Three themes were identified through interpretative phenomenological analysis: meeting sex partners, clear communication …

Metaphors And Myths: Using The Board Game Dixit To Understand The Autistic Lived Experience, Gray Atherton, Emily Dawson, Liam Cross

School of Psychology

Autism is a condition that takes on many meanings, particularly to those with lived experience. Exploring these meanings is paramount to being able to improve the way that autistic people are treated in the wider world. To further examine autistic lived experience, a new form of qualitative analysis was developed in line with the growing trend of gamification, or creating a game-like condition for exploring different domains. In this paper, we present Dixit-elicitation, a form of qualitative inquiry that uses the popular board game Dixit to interview autistic people about their experiences living with the condition. Themes and subthemes relating …

A Preliminary Study On The Role Of Personal History Of Infectious And Parasitic Diseases On Self-Reported Health Across Countries, Gerit Pfuhl, Filipe Prazeres, Marta Kowal, Toivo Aavik, Beatriz Abad-Villaverde, Reza Afhami, Leonardo Aguilar, Grace Akello, Laith Al-Shawaf, Jan Antfolk, Chiemezie S. Atama, Derya Atamturk Duyar, Roberto Baiocco, Sercan Balım, Carlota Batres, Yakhlef Belkacem, Théo Besson, Adam Bode, Merve Boğa, Jordane Boudesseul, Mahmoud Boussena, Hamdaoui Brahim, Nana Burduli, Ali R. Can, Hakan Cetinkaya, Antonio Chirumbolo, Dimitri Chubinidze, Clément Cornec, Bojana M. Dinić, Seda Dural

School of Psychology

Objectives: Infectious diseases are often associated with decline in quality of life. The aim of this study is to analyze the relationship between personal history of communicable, i.e., infectious and parasitic diseases and self-rated health. Study design: Secondary analysis of a large dataset multi-country observational study. Methods: We used a four-pronged analysis approach to investigate whether personal history of infectious and parasitic diseases is related to self-reported health, measured with a single item. Results: Three of the four analyses found a small positive effect on self-reported health among those reporting a history of pathogen exposure. The meta-analysis found no support …

Mapping Cognition Across Lab And Daily Life Using Experience-Sampling, Louis Chitiz, Bronte Mckeown, Bridget Mulholland, Raven Star Wallace, Ian Goodall-Halliwell, Nerissa Siu Ping Ho, Delali Konu, Giulia Poerio, Jeffrey D. Wammes, Michael Milham, Arno Klein, Beth Jefferies, Robert Leech, Jonathan Smallwood

School of Psychology

The goal of psychological research is to understand behaviour in daily life. Although lab studies provide the control necessary to identify cognitive mechanisms behind behaviour, how these controlled situations generalise to activities in daily life remains unclear. Experience-sampling provides useful descriptions of cognition in the lab and real world and the current study examined how thought patterns generated by multidimensional experience-sampling (mDES) generalise across both contexts. We combined data from five published studies to generate a common ‘thought-space’ using data from the lab and daily life. This space represented data from both lab and daily life in an unbiased manner …

Measuring Variation In Gaze Following Across Communities, Ages, And Individuals: A Showcase Of Tango-Cc (Task For Assessing Individual Differences In Gaze Understanding-Open-Cross-Cultural), Julia Christin Prein, Florian M. Bednarski, Ardain Dzabatou, Michael C. Frank, Annette M.E. Henderson, Josefine Kalbitz, Patricia Kanngiesser, Dilara Keşşafoğlu, Bahar Köymen, Maira V. Manrique-Hernandez, Shirley Magazi, Lizbeth Mújica-Manrique, Julia Ohlendorf, Damilola Olaoba, Wesley R. Pieters, Sarah Pope-Caldwell, Umay Sen, Katie Slocombe, Robert Z. Sparks, Roman Stengelin, Jahnavi Sunderarajan, Kirsten Sutherland, Florence Tusiime, Wilson Vieira, Zhen Zhang, Yufei Zong, Daniel B.M. Haun, Manuel Bohn

School of Psychology

Cross-cultural studies are crucial for investigating the cultural variability and universality of cognitive developmental processes. However, cross-cultural assessment tools in cognition across languages and communities are limited. In this article, we describe a gaze-following task designed to measure basic social cognition across individuals, ages, and communities (the Task for Assessing iNdividual differences in Gaze understanding-Open-Cross-Cultural; TANGO-CC). The task was developed and psychometrically assessed in one cultural setting and, with input of local collaborators, adapted for cross-cultural data collection. Minimal language demands and the web-app implementation allow fast and easy contextual adaptations to each community. TANGO-CC captures individual- and community-level variation …

Nature Contact And Health Risk Behaviours: Results From An 18 Country Study, Leanne Martin, Mathew P. White, Sabine Pahl, Jon May

School of Psychology

Emerging evidence suggests that residential greenspace is associated with a lower prevalence of health risk behaviours, but it remains unclear whether these effects are generalizable across countries or different types of nature contact. Using representative cross-sectional samples from 18 countries/regions, we examined the associations between two types of nature contact (greenspace, nature visits), current smoking and everyday drinking. After controlling for a range of covariates, greenspace was inversely associated with current smoking and everyday drinking. Visiting natural spaces at least once a week was linked to a lower prevalence of current smoking, but unrelated to everyday drinking. Increasing residential greenspace …

Cross-Cultural Data On Romantic Love And Mate Preferences From 117,293 Participants Across 175 Countries, Marta Kowal, Piotr Sorokowski, Biljana Gjoneska, Katarzyna Pisanski, Gerit Pfuhl, Leonardo Aguilar, Steve M.J. Janssen, Benjamin Gelbart, Patrícia Arriaga, Jan Antfolk, Katarina Zvončáková, Linda H. Lidborg, Jorge Contreras-Garduño, Mikhail V. Kozlov, Taciano L. Milfont, Marco A.C. Varella, Valerija Križanić, Mahmoud Boussena, Tina Kavčič, Diana Ribeiro Da Silva, Brahim Hamdaoui, Fatima Zahra Sahli, Karlijn Massar, Eliane Deschrijver, Tatsunori Ishii, Hakan Cetinkaya, Oksana Senyk, Farida Guemaz, Koen Ponnet, Yahya Don

School of Psychology

Psychological studies on close relationships have often overlooked cultural diversity, dynamic processes, and potentially universal principles that shape intimate partnerships. To address the limited generalizability of previous research and advance our understanding of romantic love experiences, mate preferences, and physical attractiveness, we conducted a large-scale cross-cultural survey study on these topics. A total of 404 researchers collected data in 45 languages from April to August 2021, involving 117,293 participants from 175 countries. Aside from standard demographic questions, the survey included valuable information on variables relevant to romantic relationships: intimate, passionate, and committed love within romantic relationships, physical-attractiveness enhancing behaviors, gender …

Understanding The Role Of Pluralistic Ignorance In Biodiversity Conservation: A Research Agenda, Sandra J. Geiger, Hirotaka Imada, Carya Maharja, Nattavudh Powdthavee, Valeria Vitale, Lei Zhang, Claudio D. Rosa, Zenith N. C. Delabrida, Kristian S. Nielsen, Franz Essl, Mathew P. White

School of Psychology

Most people believe that biodiversity loss is human-caused, yet they may not realize how many others share this belief. Such collective misperceptions—known as pluralistic ignorance—may hinder individual and system changes required to address biodiversity loss. At the same time, reducing pluralistic ignorance may promote positive change. In this Perspective, we provide a brief overview of existing work on pluralistic ignorance about environmental topics and propose an agenda for impactful pluralistic ignorance research in the biodiversity domain. We highlight several research gaps and offer recommendations, including (a) investigating different forms of pluralistic ignorance, (b) improving our understanding of consequences and determinants, …

Clinical Decision Making And Risk Appraisal Using Electronic Risk Assessment Tools For Cancer Diagnosis: A Qualitative Study Of Gp Experiences, Alex Burns, Emily Fletcher, Elizabeth Shephard, Raff Calitri, Mark Tarrant, Adrian Mercer, William Hamilton, Sarah Dean

School of Psychology

Background: Electronic risk assessment tools (eRATs) are intended to improve early primary care cancer diagnosis. eRATs, which interrupt a consultation to suggest a possibility of a cancer diagnosis, could impact clinical appraisal and the experience of the consultation. This study explores this issue using data collected within the context of the Electronic RIsk-assessment for CAncer (ERICA) trial. Aim: To explore views and experiences of GPs who used the ERICA eRATs, how the tools impacted their perception of risk and diagnostic thinking, and how this was communicated to patients. Design & setting: Qualitative interviews with GPs from English general practices undertaking …

“Being Away From Everything”: Exploring The Importance Of Access To Nature For Individuals Living With Chronic Low Back Pain, Alexander Smith, Kayleigh Wyles, Patricia Schofield, Sam Hughes

School of Psychology

Chronic low back pain is a persistent and debilitating condition, and therapeutic outcomes in the long term are generally poor. There is growing evidence to support the ineffectiveness of ‘one-size-fits-all’ pharmacological approaches to pain management. To that end, alternative non-pharmacological therapies such as green social prescribing and time spent in nature are gaining popularity. But it is imperative to understand to what extent these potential interventions are viable by gaining a deeper insight into the lived experiences of the chronic low back pain community. The present qualitative cross-sectional study employed ten semi-structured interviews (9 women, M age = 50.1, M …

Changes In The Spatiotemporal Patterns Of Covid-19 In Japan From 2020 Through 2023, Atsuna Tokumoto, Kazuaki Jindai, Tomoki Nakaya, Mayuko Saito, Clive E Sabel, Hitoshi Oshitani

School of Geography, Earth and Environmental Sciences

BACKGROUND: The spread of coronavirus disease 2019 (COVID-19) varied among countries. The spatiotemporal trends of COVID-19 in Japan remain understudied. Therefore, this study aimed to conduct a detailed investigation of the spatiotemporal evolution of infections/deaths across prefectures in Japan, to analyze the changing patterns of COVID-19 circulation in metropolitan and nonmetropolitan areas.

METHODS: We extracted data from nationally represented open-source data from January 15, 2020, to May 9, 2023, and we calculated the incidence rate of infection and the mortality. Further the ratios were obtained by dividing those rates in prefectural level by those in national level to make them …

Care‐Ful Encounters: A Case For Empathetic Youthful Encounters With Coastal Environments, Mark Holton

School of Geography, Earth and Environmental Sciences

This paper extends discourse of environmental stewardship and coastal management by examining the intersecting and overlapping relationships between notions of care and encounter in generating and maintaining forms of environmental empathy among young people at various socio-spatial scales. Exploring ‘care-ful encounters’ matters in terms of developing new ways of understanding how the choreographies of care and self-care shape, and are shaped by, encounters with human and non-human others, and prompts critical engagement and reflection with care as felt and experienced, that could otherwise be considered as distanced and ‘over there‘. Two key contributions emerge – first, that the combined role …

The State Of Temperate Rainforest In South West England, Thomas Murphy, Katerina Chernyuk, Marcin Roszkowski, Shaun Lewin, Paul Lunt, James Buckley

School of Geography, Earth and Environmental Sciences

Temperate Rainforest is a biome of global significance which is rare and declining, yet supports endemic biodiversity and offers a range of co-benefits including carbon sequestration, natural flood management, climate moderation, and human well-being. The UK hosts a very large proportion of European bioclimatic space suitable for the development of Temperate Rainforest, yet very little of this woodland remains. In SW England, Temperate Rainforest habitat is mostly dominated by oak woodland (NVC communities W11 and W17) and occupies a broad but fragmented distribution across the region. SW temperate rainforest is exposed to a range of current and future threats and …

Patient-Reported Outcomes, Postoperative Pain And Pain Relief After Day Case Surgery (Poppy): Methodology For A Prospective, Multicentre Observational Study*, William M. Hare, Martha Belete, Adam B. Brayne, Harriet Daykin, Matthew Everson, Anna Ratcliffe, Katie Samuel, Lexy Sorrell, Mark Rockett

Peninsula Medical School

Background: In the UK, approximately 70% of surgical procedures are undertaken as day-cases. Little information exists about recovery from day-case surgery, yet international data highlights patients are at risk of developing significant longer-term health problems including chronic post-surgical pain and persistent postoperative opioid use. The Patient-reported Outcomes, Postoperative Pain and pain relief after daY case surgery (POPPY) study was a national prospective multicentre observational study, measuring short- and longer-term patient-reported outcomes, postoperative pain and pain relief after day-case surgery. Methods: This was a collaborative project led by resident anaesthetists under the Research and Audit Federation of Trainees umbrella. Adult day-case …

The Current Clinical Practice And Experiences In Buccal Midazolam Prescribing In Community For Status Epilepticus Termination In The United Kingdom: The Rescue Epilepsy Medication And Training (Remit) Study, Rohit Shankar

Peninsula Medical School

Background: Epilepsy is one of the commonest neurological conditions worldwide and confers a significant mortality risk, partly driven by status epilepticus (SE). Terminating SE is the goal of pharmaceutical rescue therapies. This survey evaluates UK-based healthcare professionals’ clinical practice and experience in community-based rescue therapy prescribing. Methods: A cross-sectional, 21 item questionnaire composed of Likert-style and free-text based questions was administered online. It was distributed through a non-discriminative snow-balling methodology to members of the Epilepsy Specialist Nurses’ Association (ESNA) and the British International League Against Epilepsy (ILAE). Quantitative analysis used Chi-squared, Fishers’ exact and Mann-Whitney tests. Qualitative data were analysed …

Field Learning And Employability In Geography, Earth, And Environmental Sciences, Jacqueline Dohaney, Alison Stokes

School of Geography, Earth and Environmental Sciences

Society needs talented Geography, Earth and Environmental Sciences (GEES) graduates to help address global challenges, but the pathway to professional employment is seldom easy. After graduation, most GEES graduates enter professions requiring broad transferable skills and 'value-added' experiences to thrive in the modern workforce. GEES educators can therefore enhance employability by using field experiences to introduce and develop transferable skills valued by employers. Here, we define employability for our context, explore GEES graduate skills and describe the ways that communication, project management and personal and professional skills can be embedded in field experiences guided by the available literature. We identify …

Arctic Fjord Ecosystem Adaptation To Cryosphere Meltdown Over The Past 14,000 Years, Jochen Knies, Youngkyu Ahn, Berenice Ebner, Lukas Smik, Kwangchul Jang, Seung Il Nam, Simon T. Belt, Carsten J. Schubert

School of Geography, Earth and Environmental Sciences

The Arctic cryosphere is the epicentre of acute global change impact, with abrupt warming and amplification driving rapid sea ice decline and irreversible glacial ice loss. A key challenge is understanding how the cryosphere meltdown will impact Arctic marine carbon cycles and ecosystems. Here, we use organic geochemical biomarkers to trace the contribution of different planktonic groups to organic carbon in Arctic fjord sediments (Kongsfjorden, Svalbard) during past warmer and colder (than present) climate states. We show that phytoplankton community structures changed abruptly with variable sea ice cover and glacial ice loss. Our results imply that future deglaciation of Svalbard …