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"Kate Cave"
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The early adventures
Follows the adventures and misadventures of young Wiglaf, from his first day at the not-quite prestigious school for dragon hunting through the day of his arranged marriage to Princess Belcheena.
Book
Drinking Water Management: Health Risk Perceptions and Choices in First Nations and Non-First Nations Communities in Canada
The relationship between tap water and health has been a topic of public concern and calls for better management in Canada since well-publicized contamination events in two provinces (Ontario and Saskatchewan) in 2000–2001. This study reports the perspectives on health risks from tap water and corresponding use of, and spending on, bottled water in a number of different communities in Canada. In 2009–2010, four First Nations communities (three from Ontario and one from Saskatchewan) and a geographically diverse sample of non-First Nations Canadians were surveyed about their beliefs concerning health risks from tap water and their spending practices for bottled water as a substitute. Responses to five identical questions were examined, revealing that survey respondents from Ontario First Nations communities were more likely than non-First Nations Canadians to believe bottled water is safer than tap water (OR 1.6); more likely to report someone became ill from tap water (OR 3.6); more likely to express water and health concerns related to tap water consumption (OR 2.4); and more likely to spend more on bottled water (OR 4.9). On the other hand, participants from one Saskatchewan First Nations community were less likely than non-First Nations Canadians to believe that someone had become ill from drinking tap water (OR 3.8), less likely to believe bottled water is safer than tap (OR 2.0), and less likely to have health concerns with tap water (OR 1.5). These differences, however, did not translate into differences in the likelihood of high bottled water expenditures or being a 100% bottled water consumer. The paper discusses how the differences observed may be related to water supply and regulation, trust, perceived control, cultural background, location, and past experience.
Journal Article
An observational study of pet feeding practices and how these have changed between 2008 and 2018
BackgroundPet owners have many feeding options, some may be considered unconventional by veterinary practitioners. Provision of appropriate nutrition is a basic requirement, with adverse health outcomes possible when a pet diet is inadequate.ObjectiveTo capture dog and cat feeding practices, with a special focus on countries with large English-speaking populations, and to compare with data published over the previous 10 years.MethodsAn electronic questionnaire was provided for dog and cat owners online. Responses were analysed using descriptive statistics, and comparisons made with data from nine peer-reviewed articles published over the previous 10 years.ResultsResponses from 3673 English-speaking dog and cat owners in Australia, Canada, New Zealand, the UK and the USA were included. In previous publications, conventional (commercial, heat-processed) products were the predominant method of feeding. In recent publications, feeding unconventional (raw, homemade, vegetarian) diets appeared more prevalent. In the present study, most (79 per cent dogs, 90 per cent cats) pets were offered conventional food. However a few (13 per cent dogs, 32 per cent cats) pets were fed conventional foods exclusively. Many pets were offered homemade (64 per cent dogs, 46 per cent cats) and/or raw (66 per cent dogs, 53 per cent cats) foods. Different feeding practices were associated with geographical location.ConclusionAs an increased risk of nutrient insufficiency and associated conditions have been attributed to unconventional feeding practices, veterinarians must be aware of pet feeding trends and educate clients about the nutritional needs of companion animals.
Journal Article
“We need a one-stop-shop”: co-creating the model of care for a multidisciplinary memory clinic with community members, GPs, aged care workers, service providers, and policy-makers
Background
Timely diagnosis of dementia has a wide range of benefits including reduced hospital emergency department presentations, admissions and inpatient length of stay, and improved quality of life for patients and their carers by facilitating access to treatments that reduce symptoms, and allow time to plan for the future. Memory clinics can provide such services, however there is no 'gold standard' model of care. This study involved the co-creation of a model of care for a new multidisciplinary memory clinic with local community members, General Practitioners (GPs), policy-makers, community aged care workers, and service providers.
Methods
Data collection comprised semi-structured interviews (
N
= 98) with 20 GPs, and three 2-h community forums involving 53 seniors and community/local government representatives, and 25 community healthcare workers. Interviews and community forums were audio-recorded, transcribed verbatim, and coded by thematic analysis using Quirkos.
Results
GPs’ attitudes towards their role in assessing people with dementia varied. Many GPs reported that they found it useful for patients to have a diagnosis of dementia, but required support from secondary care to make the diagnosis and assist with subsequent management. Community forum participants felt they had a good knowledge of available dementia resources and services, but noted that these were highly fragmented and needed to be easier to navigate for the patient/carer via a 'one-stop-shop' and the provision of a dementia key worker. Expectations for the services and features of a new memory clinic included diagnostic services, rapid referrals, case management, education, legal services, culturally sensitive and appropriate services, allied health, research participation opportunities, and clear communication with GPs. Participants described several barriers to memory clinic utilisation including transportation access, funding, awareness, and costs.
Conclusion
This study demonstrates the importance of working with stakeholders to co-design models of care for people with dementia that take into account the local communities’ needs. Findings pave the way for the development of a potential new “gold standard” memory clinic model of care and operationalise new national clinical guidelines.
Journal Article
Property gloom hits consumer spending
The rise is a sign that higher interest rates have tipped some households into a debt crisis. Since the Bank of England raised the main rate to 4.75 per cent, there has been a slowdown in consumption as well as the housing market. Repossessions soar, Page 7 Lex, Page 22 Kingfisher downgraded, Page 24
Newspaper Article
FSA fines chief quits in careless talk row
When Mr [Christopher FitzGerald] mentioned his conversation to a member of the FSA on Wednesday, the regulator immediately informed the tribunal, which has meanwhile adjourned hearings until June 28. The FSA said: \"We regard Mr FitzGerald's actions as inappropriate.\" Regulatory experts said the resignation was an embarrassment for the FSA. Andrew Hart, partner at Freshfields, said: \"Mr FitzGerald is an experienced lawyer who had a significant influence on the RDC. For the FSA to find another chairman is going to take a lot of effort.\"
Newspaper Article
Development of the Preferred Components for Co-Design in Research Guideline and Checklist: Protocol for a Scoping Review and a Modified Delphi Process
There is increasing evidence that co-design can lead to more engaging, acceptable, relevant, feasible, and even effective interventions. However, no guidance is provided on the specific designs and associated methods or methodologies involved in the process. We propose the development of the Preferred Components for Co-design in Research (PRECISE) guideline to enhance the consistency, transparency, and quality of reporting co-design studies used to develop complex health interventions.
The aim is to develop the first iteration of the PRECISE guideline. The purpose of the PRECISE guideline is to improve the consistency, transparency, and quality of reporting on studies that use co-design to develop complex health interventions.
The aim will be achieved by addressing the following objectives: to review and synthesize the literature on the models, theories, and frameworks used in the co-design of complex health interventions to identify their common elements (components, values or principles, associated methods and methodologies, and outcomes); and by using the results of the scoping review, prioritize the co-design components, values or principles, associated methods and methodologies, and outcomes to be included in the PRECISE guideline.
The project has been funded by the Canadian Institutes of Health Research.
The collective results of this project will lead to a ready-to-implement PRECISE guideline that outlines a minimum set of items to include when reporting the co-design of complex health interventions. The PRECISE guideline will improve the consistency, transparency, and quality of reports of studies. Additionally, it will include guidance on how to enact or enable the values or principles of co-design for meaningful and collaborative solutions (interventions). PRECISE might also be used by peer reviewers and editors to improve the review of manuscripts involving co-design. Ultimately, the PRECISE guideline will facilitate more efficient use of new results about complex health intervention development and bring better returns on research investments.
PRR1-10.2196/50463.
Journal Article
Manhattan Plane Crash Kills Yankee Pitcher
The plane, owned by Mr. [Cory Lidle], was a Cirrus SR20, a four-seat propeller plane that is popular for its performance and sleek looks. It has a fixed landing gear reminiscent of a stunt plane. With two sets of controls, officials said, either Mr. Lidle or his instructor could have been flying it. For the Yankees, Mr. Lidle's death stirred memories of another player who perished at the controls of his own plane, the catcher Thurman Munson, in 1979. But where Mr. Munson was the team captain, Mr. Lidle was still something of a newcomer. Passers-by watched smoke pour from an East 72nd Street building yesterday afternoon after it was struck by a plane owned by the Yankees pitcher Cory Lidle. Afterward the 42-story building showed extensive signs of fire and smoke. Mr. Lidle and his flight instructor were killed, officials said, and 18 people were injured. (Photos by top, James Estrin/The New York Times; above, Fred R. Conrad/The New York Times); Cory Lidle (pg. A1); Smoke spewed from the windows of the East 72nd Street building after the crash. The plane had been flying north along the East River after circling the Statue of Liberty. (Photo by Ruth Fremson/The New York Times)(pg. B4)
Newspaper Article