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An integrated approach to dementia support: Sage House
Get PDFAbstractThe rising prevalence of dementia, economic costs and growing demand on secondary care services has highlighted the need to start evaluating how we support individuals with dementia and their care givers (Wittenberg et al., 2019). In 2016 the World Alzheimer’s report recommended a shift to post‐diagnostic support services being based in primary and community led care (Prince et al., 2016). As outlined in the WHO global action plan these services need to be accessible, integrated and comprehensive, empowering people with dementia to live in the community for longer (World Health Organisation, 2017).A model of support that meets this directive is an Integrated Dementia Support Approach (IDSA), exemplified by a centre called Sage House. Sage House is an integrated hub for dementia support, offering a range of services for individuals with dementia and caregivers that spans across the dementia journey from diagnosis to day care. This provision includes access to assessment, information, cognitive and social enrichment, and care services in one carefully designed setting.In order to gain a better understanding of the potential of IDSA, a series of research projects were co‐designed with Dementia Support as part of their National Ambition Programme. Three research projects were developed to examine the impact of this integrated approach on outcomes such as wellbeing, quality of life and health economics. The first of these studies is a mixed‐method exploratory service evaluation, that combines survey and interview methods to understand the lived experience of attending Sage House for individuals with dementia and caregivers.Overall, the integrated approach was rated highly, with participants highlighting how the approach was practical and helped to reduce stress. This included reducing the load related to locating services and optimising time by being able to access multiple services in the same visit. Moreover, the continuity helped to facilitate the development of friendships and a sense of familiarity and safety. The evaluation also gave insight into how this innovative approach can impact well‐being, quality of life and engagement with health and social care services. Findings are discussed in light of the potential of this impactful integrated approach to Dementia care
Exploring lesbian internalised homophobia and self-harming: A thematic analysis
Get PDFBackground: Internalised homophobia has been associated with maladaptive coping and higher levels of psychological distress. Self-harm within a lesbian population is under researched, specifically in relation to internalised homophobia. The study aimed to explore whether internalised homophobia influences self-harming and coping mechanisms in a lesbian population.
Method: All participants (N = 103) were over 18 (M = 22.87, SD = 6.9) assigned female at birth, and identified as lesbian. The study implemented a qualitative design through an online questionnaire which asked 6 open-ended questions regarding sexuality, coping mechanisms and internalised homophobia. Results: Through thematic analysis three themes were identified: the role of sexuality on self-harm, importance of LGBTQ+ community, and negative societal perceptions which were explored in relation to relevant literature.
Conclusion: Through thematic analysis, internalised homophobia was identified as a sub-theme of self-harming behaviours. The LGTBQ+ community was found to be a protective factor from maladaptive coping behaviours through belonging and shared culture. Participants highlighted there were negative societal perceptions regarding the LGBTQ+ community in general, but also their struggles with self-harm and mental health. The strengths and limitations of the study are addressed alongside suggestions for future research
'Adolescent Girls Attract Ghosts': Iris Murdoch and the supernatural
No full textMiles Leeson explores ‘Adolescent Girls attract ghosts: Iris Murdoch and the Supernatural’ in Chap. 9, contending that although substantial work has been written on Murdoch’s early Gothic fiction, little attention has hitherto been given to her use of the supernatural as a motif throughout her fictional career. Leeson draws not only on her novels, but also on her philosophy and unpublished journals to suggest that this material is not primarily there to give a ‘chill’ or fictional frisson, but to illuminate her underlying motives with regard to deconstructing toxic masculinity, arguing that the adolescent woman has the strongest connection of all with the embedded supernatural. Above the narrative patterning, however, he also posits that Murdoch’s understanding of linguistic philosophy, emanating from the early work of Wittgenstein, allows for no conception of magic (or magical thinking) but that her perception of the social world she inhabits necessitates an engagement with, and use of, supernatural events, powers, and visions. As Murdoch herself says, the ‘world can suddenly show itself as magic. This is a permanent existential quality of the world. Nb social world is magical’ (151) and as careful readers, we should both recognise this tension, and celebrate its fictional appearance
Blood lactate and heart rate responses between active and passive recovery modes over a 15-minute recovery period in female dancers after Kathak dance
Get PDFIntroduction: Dance is physically demanding and results in blood lactate (BL) accumulation and elevated Heart Rate (HR). Researchers recommend using either Active Recovery (AR; eg, low-to-moderate intensity-exercise) or Passive Recovery (PR; eg, complete rest) modes after activity. We compared BL and HR responses between AR or PR over a 15-minute recovery period following a Kathak dance. Methods: Twelve female dancers (31.0 ± 6.0 years; 161.5 ± 4.9 cm; 55.5 ± 5.8 kg) performed 2 dance testing sessions (Day 1 = AR, Day 2 = PR) 48 hours apart. Each session started with a 10-minute warm up followed by dancers performing four 2-minute stages of Kathak dance, with three 1-minute periods between stages where we recorded HR and their Rate of Perceived Exertion (RPE:scale = 6-20) to match the intensity of both sessions. Post-dance, we recorded dancers’ BL and HR at 1, 3, 5, 10, and 15 minutes while they recovered via AR or PR. Separate 2(mode) × (time) Repeated-Measures-ANOVA followed by simple-main-effects testing and adjusted Bonferroni-pairwise-comparisons examined differences in BL and HR responses across modes and time(α = .05). Results: Dancers’ HR and RPE were similar across sessions. No mode × time interaction existed in BL ( F4,8 = 3.6, P = .06). BL levels were similar across modes ( F1,2 = 0.5, P = .5). BL levels reduced over time ( F4,8 = 6.0, P = .02), but Bonferroni-comparisons did not reveal any pairwise differences. In HR a significant mode*time interaction ( F4,36 = 11.0, P = .01, η2 = .55) was observed. Both Active and Passive recovery modes achieved absolute HR levels by 15 minutes, with PR mode stabilizing within 5 minutes. Conclusions: Over a 15-minute recovery period after Kathak dance, dancers’ BL and HR responses were similar across time in both AR and PR, with HR being higher in AR. Dancers’ HR remained similar from 1 to 3 minute post dance recovery and then dropped over time. Thus, dancers can rest up to 3 minutes and still maintain the same elevated HR. Overall, dancers can choose either AR or PR as their recovery mode based on their individual preferences
‘New normal’ or continued ‘social distancing’? Preschool practitioners’ responses to poverty across post-lockdown England and the USA
Get PDFJust as illness can sometimes heal us, some have speculated an unexpected silver lining of COVID-19 may be an invigoration of a prosocial vision as the ‘new normal’ necessitates new ways of thinking and doing things differently across society and in preschool. This article explores this and reports survey research completed with preschool practitioners post-lockdown across several locations in England and the USA. This repeated a previous survey we did in 2014 which found notable levels of ‘social distancing’ – that is restrictions in social connection between preschool practitioners and children and their parents in poverty. Yet, since 2014 with austerity and then COVID-19, the pressure, and need, for prosocial preschool systems to work flexibly and inclusively with children and families in poverty has never been greater. We report findings from our 2021 survey and raise some concerns in the context of COVID-19 recovery policies emerging across both countries post-lockdown
Systematic review of injuries and chronic musculoskeletal pain among high-speed boat operators
Get PDFIntroduction:
High-speed boat operators constitute a population at risk of work-related injuries and disabilities. This review aimed to
summarize the available knowledge on workplace-related injuries and chronic musculoskeletal pain among high-speed
boat operators.
Materials and Methods:
In this systematic review, we searched Medline, Embase, Scopus, and the Cochrane Library Database for studies, published
AQ9 from 1980 to 2022, on occupational health and hazards onboard high-speed boats. Studies and reports were eligible
for inclusion if they evaluated, compared, used, or described harms associated with impact exposure onboard high-speed
boats. Studies on recreational injuries and operators of unplanned boats were excluded. The primary outcome of interest
was the incidence of acute injuries. The secondary outcome measures comprised the presence of chronic musculoskeletal
disorders, pain medication use, and days off work.
Results:
Of the 163 search results, 5 (2 prospective longitudinal and 3 cross-sectional cohort studies) were included in this systematic
review. A total of 804 cases with 3,312 injuries sustained during 3,467 person-years onboard high-speed boats
were included in the synthesis of the results. The pooled incidence rate was 1.0 per person-year. The most common
injuries were related to the lower back (26%), followed by neck (16%) and head (12%) injuries. The pooled prevalence
of chronic pain was 74% (95% CI: 73–75%) and 60% (95% CI: 59–62%) of the cohort consumed analgesics.
Conclusions:
Despite very limited data, this review found evidence that high-speed boat operators have a higher rate of injuries and a
higher prevalence of chronic pain than other naval service operators and the general workforce. Given the low certainty
of these findings, further prospective research is required to verify the injury incidence and chronic pain prevalence
among high-speed boat operators.
Review registration:
PROSPERO: CRD4202235892
Acute Effects of New Zealand Blackcurrant Extract on Cycling Time-Trial Are Performance Dependent in Endurance-Trained Cyclists: A Home-Based Study
Get PDFThe intake of anthocyanin-rich New Zealand blackcurrant (NZBC) extract (300 mg per day) over a week enhanced 16.1 km cycling time trial (TT) performance in endurance-trained cyclists without acute performance effects. In the present study, the acute effects of an intake of 900 mg of NZBC extract 2 h before performing the 16.1 km cycling TT were examined. A total of 34 cyclists (26 males; 8 females) (age: 38 ± 7 years, V˙O2max: 57 ± 5 mL·kg−1·min−1) completed 4 16.1 km TTs (2 familiarization and 2 experimental trials) over 4 mornings on a home turbo-trainer connected with the online training simulator ZWIFT. There was no difference in time to complete the 16.1 km TT between conditions (placebo: 1422 ± 104 s; NZBC extract: 1414 ± 93 s, p = 0.07). However, when participants were split between faster (1400 s; 7 females; 10 males) cyclists based on average familiarization TTs, a difference in TT performance was observed only in the slower group (placebo: 1499 ± 91 s; NZBC extract: 1479 ± 83 s, p = 0.02). At 12 km (quartile analysis), power output (p = 0.04) and speed (p = 0.04) were higher compared to the placebo with no effects on heart rate and cadence. The acute effects of 900 mg of NZBC extract on a 16.1 km cycling time-trial may depend on the performance ability of male endurance-trained cyclists. More work is needed to address whether there is a sex-specific time-trial effect of NZBC extract independent of performance ability
Flowing with the TIDE: A case study of the nature and development of epistemic beliefs of a high-level adventure sports coach
Get PDFCoaches’ beliefs about the nature of knowledge and knowing (their epistemic beliefs) are an integral but under-researched component in the development of a philosophy of coaching. The Theory of Integrated Domains in Epistemology (TIDE)1 offers a framework which may enhance the understanding of the development of coaches’ epistemic beliefs. The present study offers the first application of the TIDE framework to sports coaching. We present a case study of the nature and development of epistemic beliefs of a highly renowned Adventure Sports Coach (ASC), Doug Cooper, through the lens of the TIDE framework. Thematic analysis of a series of semi-structured interviews showed that early childhood experiences, strongly held beliefs about ASC as a domain of knowledge, and educational experiences in the later life were instrumental in shaping Doug's epistemic beliefs. We conclude that the TIDE framework has considerable potential for researchers and coach developers seeking to gain insight into and develop coaches’ belief
Don Cupitt: prophet, public intellectual and pioneer Public intellectual
Get PDFThe 1984 BBC TV series The Sea of Faith offered Don Cupitt an exceptional degree of public recognition and notoriety. His advancement of a non-realist and social constructivist theology had a strong polarizing effect on his audience, engendering disapproval and approbation in equal measure. Opinion was strongly divided between those who resisted any kind of critical approach to Christian teaching and those who felt liberated by Cupitt’s call for a more modern and questioning theology. Through archives of audience reactions to his broadcasts and writings, this article considers whether Cupitt’s influence through The Sea of Faith and other writing and broadcasting was sufficient to rank him as a ‘public intellectual’. It will argue that the controversy Cupitt attracted and his categorization as ‘atheist priest’ and ‘radical theologian’ may ultimately have limited his efforts to promote broad-based, serious theological debate in Church and society