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Efforts to Improve the Accuracy of Information About Electroconvulsive Therapy Given to Patients and Families
Get PDFObjective: Many thousands of people still receive Electroconvulsive Therapy [ECT] but it remains highly contested. A recent audit of UK patient information-leaflets found multiple inaccuracies and omissions, minimising risks and exaggerating benefits, (e.g. only six leaflets mentioned cardiovascular events). This study reports efforts to improve accuracy for patients and families.Methods: Letters were sent, twice, to managers of all 51 UK NHS Trusts, detailing the audit’s findings and the accuracy of their own Trust’s leaflet, also asking what changes would be undertaken.Results: Only nine Trusts responded. Three committed to improvements. The Royal College of Psychiatrists released a slightly better but still highly misleading information-sheet. Efforts to engage Government and all other relevant UK bodies failed.Conclusions: Information leaflets do not have to present balanced information
Optimising the use of Materials for Construction MSMEs: Building a Comprehensive Framework for Decision-Making and Resource Allocation through an Analytic Hierarchy Process
Get PDFThe efficiency, governance, and compliance with environmental ideals in construction is made possible thanks to a decision support system that ensures Materials, Models, and Methods (3Ms) are adaptable and integrated. Recent advances in Information Technology (IT), for instance, facilitate the visualisation of sequences and production stages in construction. Yet, this falls short in giving compatibility among the 3Ms, their suitability and workability, and their financial and legislative viability. To this end, this manuscript rethinks the concept of productivity, and lays the foundation for a new decision support system that is simple, affordable, and portable enough to attract large enterprises and MSMEs. Ideally, an efficient construction project has good flow of workstreams, is least complex, cost minimised but with added value, timely and in symbiosis with natural health provisions of the ecosystem.A mixed methodology based on gathering data from document reviews, semi-structured interviews, and observations of selected construction MSMEs, will allow to carry out longitudinal research and then code, group, link and analyse the collected raw data through the Analytic Hierarchy Process (AHP) Multi Criteria Decision Making technique. This technique is chosen to develop overall priorities for ranking the alternatives, measure, and monetise the impacting factors to draw out the main impediments to achieve good levels of efficiency. The outputs of the AHP analysis feeds into the novel decision support system, the concepts of which are introduced in this contribution
Postactivation Potentiation for Muay Thai Kicking Performance
Get PDFThe purpose of this study was to investigate the effects of postactivation potentiation (PAP) on Muay Thai kicking performance based on 3 different rest intervals. Aiming to quantify and indicate timing protocols for conditioning coaches when training athletes using PAP. 17 male (25.3 ± 3.6 years old; 179.3 ± 2.3 cm; 78.0 ± 5.2 kg), experienced Muay Thai fighters completed a standardized warm-up, including a 10-minute cycle on the Wattbike at 60 watts and 30 body mass squats for a dynamic stretch. Subjects then completed a baseline test by striking a PowerKube using the roundhouse and Teep kick techniques. PAP exercise consisted of 4 squat repetitions to maximum effort, followed by a rest period of 2, 5, or 8 minutes. Subjects then struck the PowerKube again using the roundhouse and Teep kick techniques. Rest periods were presented in a randomized order on separate days, with 72 hours between conditions. The level of significance was set at α = 0.05. Significant increases in both roundhouse (χ²(3) = 38.51, < 0.05) and Teep kick (χ²(3) = 26.33, < 0.05) striking power were observed when compared with baseline. For the roundhouse kick, significant differences and large effect sizes were present between all conditions except baseline and 2-minute rest. For the Teep kick, significant differences and large effect sizes were present between baseline and 5-minute rest and baseline and 8-minute rest. This indicates that PAP with 5- or 8-minute rest increased roundhouse and Teep kick power. This research reports that a PAP stimulus from a 4RM squat exercise, followed by a 5- or 8-minute rest period, enhances kick power in trained Muay Thai fighters. This technique provides a readily available, time-efficient method to enhance performance that can be built into the warm-up procedure of athletes before training or competition
Online group coaching: the experience of postgraduate students during the COVID-19 pandemic
Get PDFSince the Covid-19 pandemic, there has been an increase in the use of online platforms across different sectors and industries. Coaching has been no different, with clients and coaches swapping face-to-face for online sessions. The existing literature concerning online and group coaching remains scarce and there is no existing research into online group coaching used as a pastoral intervention for students in higher education. As the need for online support arose during the Covid-19 pandemic, this qualitative research was set up to explore the experience of postgraduate students taking part in such a programme. The study was conducted using interpretative phenomenological analysis to further the understanding of how postgraduate students experience, and potentially benefit from, online group coaching. Four group coaching sessions were delivered weekly, with the first session lasting one hour and the remaining three lasting one and a half hours. The analysis identified four main themes: experiencing a safe environment, connection with the group, self-awareness, and considering different perspectives. Coachees reported that the online group coaching was useful as it provided a supportive and safe environment for them to share and work through the challenges they were facing. Participants also noted that the emotional connection with the group allowed them to feel heard and able to express their individual (and sometimes difficult) experiences, which they found beneficial. This study expands the existing body of knowledge on group coaching, specifically adding to the understanding of how online group coaching can be a useful intervention to support postgraduate students
Commentary on ‘‘Information flow and dynamic functional connectivity during electroconvulsive therapy in patients with depression"
Get PDFA national school-based screening program for mental health problems among children aged 6 to 12 years in Iran: scale development and psychometric evaluation
Get PDFSchools are an ideal setting in which to measure and promote mental health difficulties. The aim of present study was to develop the Nemad Electronic Mental-Health Assessment Devices for Children (NEMAD-C) aged 6 to 12 years in Iran. A sample of parents and teachers (N = 10,163) were recruited to complete the parent and teacher reports. Totally, explorative and confirmatory factor analyses showed that the eight-factor model provides a better fit for both parental report and teacher report versions. Results revealed a screening tool consisting of eight dimensions: child abuse risk, self-harm, anxiety, depression, disruptive behavior disorders, attention deficit/hyperactivity disorders, academic achievement deficit, and self-regulation. Findings showed that the internal consistency coefficients of the subscales were high, and convergent validity was evidenced by significant correlations with theoretically related constructs. Therefore, the NEMAD-C has adequate reliability and validity and could be used for multi-dimensional assessment of mental health problems in Iran
Growing up bilingual: language proficiency, social identities and competences of complementary school-attendees and non-attendees in the UK
Get PDFThe UK is linguistically rich but faces a reducing uptake of language learning in schools, as pupils feel more withdrawn and disinterested in learning an additional language to English. A key component in many linguistic minority communities to preserve their language is complementary schooling (CS), which has wide-ranging educational and societal implications. This study compared social developmental outcomes and patterns among bilingual children who attended CS and those who did not in London. A sample of 153 pupils aged 4–9 years was recruited including 73 across five CS settings and 80 across four state primary schools. Measures included strength of ethnic and national identities, cognitive, athletic and social competences, exposure and proficiency for each language, and family affluence (FA). Results showed that CS-attendees reported higher proficiency in HL, particularly in literacy, compared to non-attendees. Ethnic and British identities were positively associated with the respective language’s proficiency and exposure in both groups, while unique patterns were also observed. Regression models confirmed the unique contributions of HL and CS to ethnic identity, but age and FA were also significant predictors of English proficiency and social competencies. Findings indicate the supportive roles of CS and HL and identity development. Further considerations of these and other factors in subsequent research are discussed
Développer les compétences émotionnelles chez les adolescent·es à l’école
Get PDFIl n’y a pas longtemps, dans mon établissement, un élève s’est suicidé. Cet évènement a été traumatique pour bon nombre de ses camarades et de ses enseignant·es. Quand, dans la phase de mon deuil, la colère était l’émotion principale que je ressentais, j’ai décidé de me calmer en allant lire les dernières statistiques suisses en matière de santé mentale. Mauvaise idée