A Q methodology study of stakeholders' views about accountability for promoting healthy food environments in England through the responsibility deal food network

In March 2011, the United Kingdom's (UK's) Government launched five Public Health Responsibility Deal Networks to address public health priorities. The Networks used voluntary partnerships to influence peoples' choice architecture to move them toward healthier behaviors. The purpose of this research was to conduct an exploratory study of diverse stakeholders' perspectives about perceived responsibility and accountability expectations to improve food environments in England through the Food Network partnerships. A purposive sample of policy elites (n=31) from government, academia, food industry and non-government organizations sorted 48 statements related to improving food environments in England. Statements were grounded in three theoretical perspectives (i.e., legitimacy, nudge and public health law). PQMethod 2.33 statistical software program used factor analysis to identify viewpoints based on intra-individual differences for how participants sorted statements. The results revealed three distinct viewpoints, which explained 64% of the variance for 31 participants, and emphasized different expectations about responsibility. The food environment protectors (n=17) underscored government responsibility to address unhealthy food environments if voluntary partnerships are ineffective; the partnership pioneers (n=12) recognized government-industry partnerships as legitimate and necessary to address unhealthy food environments; and the commercial market defenders (n=1) emphasized individual responsibility for food choices and rejected government intervention to improve food environments. Consensus issues included: protecting children's right to health; food industry practices that can and should be changed; government working with industry on product reformulation; and building consumer support for economically viable healthy products. Contentious issues were: inadequacy of accountability structures and government inaction to regulate food marketing practices targeting children. We conclude that understanding different viewpoints is a step toward building mutual trust to strengthen accountability structures that may help stakeholders navigate ideologically contentious issues to promote healthy food environments in England.

Robustness enhancement of quantization based audio watermarking method using adaptive safe-band

This paper presents a novel adaptive safe-band for quantization based audio watermarking methods, aiming to improve robustness. Considerable number of audio watermarking methods have been developed using quantization based techniques. These techniques are generally vulnerable to signal processing attacks. For these conventional quantization based techniques, robustness can be marginally improved by choosing larger step sizes at the cost of significant perceptual quality degradation. We first introduce fixed size safe-band between two quantization steps to improve robustness. This safe-band will act as a buffer to withstand certain types of attacks. Then we further improve the robustness by adaptively changing the size of the safe-band based on the audio signal feature used for watermarking. Compared with conventional quantization based method and the fixed size safe-band based method, the proposed adaptive safe-band based quantization method is more robust to attacks. The effectiveness of the proposed technique is demonstrated by simulation results. © 2014 IEEE.

Creating spaces in intensive care for safe communication : a video-reflexive ethnographic study

The built environment in acute care settings is a new focus in patient safety research, with few studies focusing primarily on the design of ward environments and the location and choice of material objects such as light fittings and hand-washing basins.

Perioperative Mortality Rate (POMR): a global indicator of access to safe surgery and anaesthesia

The unmet global burden of surgical disease is substantial. Currently, two billion people do not have access to emergency and essential surgical care. This results in unnecessary deaths from injury, infection, complications of pregnancy, and abdominal emergencies. Inadequately treated surgical disease results in disability, and many children suffer deformity without corrective surgery.

Q-fever and Australian farmers: is the health system paying enough attention? A literature review

Introduction: Q-fever is caused by Coxiella burnetii, a Gram-negative bacterium and Rickettsia-like organism. Transmitted from wild and domestic animals to humans, the most common route is inhalation of contaminated dust; however the oral route can be considered as a second pathway. Aim: to understand the reasons behind not including farming workforce and their families in the national vaccinations program. Discussion: In 1977 Q-fever became a notifiable disease nationally. Australia is the only country to have a registered Q-fever vaccine. As a result of the cost of the vaccine, Department of Health and Ageing (DoHA) supply and subsidised program arrangements are based on the active cases count per year (by occupation), rather than for occupations that expose workers to high level of possible "risk". Conclusion: Australian farmers, farm managers, farm workers and their families need to be well educated about Q-fever and included in the national vaccination program.

An examination of social support from an attachment theory perspective : the role of safe-haven and secure-base support in the giving and receiving of care

 This thesis examined attachment style differences in the provision and receipt of safe-haven and secure-base support in times of stress, and the functional outcomes of these types of support. Different patterns of social support provision and receipt were observed among anxious vs. avoidantly attached individuals.

Strategies for Using the Safe Schools Hub: A ‘One-stop Resource Shop’ for Developing Safe and Supportive School Cultures

The Safe Schools Hub is an online portal created by the Australian Government to support the National Safe Schools Framework. It includes extensive resources for leaders, teachers, specialist staff, parents and students. This presentation will highlight a variety of practical strategies based on these resources that schools can use as they continue to develop safe and supportive school cultures. In particular there will be a focus on resource-based approaches that can assist leaders with data collection and change processes, specific resources that can be incorporated into professional development seminars for staff and resources to direct and support strategies for parent education sessions.

PROSPER: A Positive Education Approach to Safe Schools and Student Wellbeing

presentation overviews PROSPER, an approach to implementing Positive Education that focuses on evidence-informed strategies designed to develop student wellbeing, student engagement and success in learning. This approach also includes strategies for positive relationships and the development of student self-respect, a positive and resilient mindset and strengths-based self-knowledge.

Using the Safe Schools Hub as a Tool for School Improvement

The Safe Schools Hub is an online portal created by the Australian Government to support the National Safe Schools Framework. The Hub contains an extensive collection of resources for leaders, teachers, specialist staff, parents and students. This interactive workshop will explore a variety of ways in which school leaders and teachers can use selected resources from the Hub to facilitate positive school change in areas such as student wellbeing, teacher wellbeing, student safety and parent engagement. These resources include practical activities that can be used in staff meetings, the use of Appreciative Inquiry, a whole-school audit tool and parent surveys.

Characterizing problematic hypoglycaemia: iterative design and preliminary psychometric validation of the Hypoglycaemia Awareness Questionnaire (HypoA-Q)

AIMS: To design and conduct preliminary validation of a measure of hypoglycaemia awareness and problematic hypoglycaemia, the Hypoglycaemia Awareness Questionnaire.

METHODS: Exploratory and cognitive debriefing interviews were conducted with 17 adults (nine of whom were women) with Type 1 diabetes (mean ± sd age 48±10 years). Questionnaire items were modified in consultation with diabetologists/psychologists. Psychometric validation was undertaken using data from 120 adults (53 women) with Type 1 diabetes (mean ± sd age 44±16 years; 50% with clinically diagnosed impaired awareness of hypoglycaemia), who completed the following questionnaires: the Hypoglycaemia Awareness Questionnaire, the Gold score, the Clarke questionnaire and the Problem Areas in Diabetes questionnaire.

RESULTS: Iterative design resulted in 33 items eliciting answers on awareness of hypoglycaemia when awake/asleep and hypoglycaemia frequency, severity and impact (healthcare utilization). Psychometric analysis identified three subscales reflecting 'impaired awareness', 'symptom level' and 'symptom frequency'. Convergent validity was indicated by strong correlations between the impaired awareness subscale and existing measures of awareness: (Gold: rs =0.75, P<0.01; Clarke: rs =0.76, P<0.01). Divergent validity was indicated by weaker correlations with diabetes-related distress (Problem Areas in Diabetes: rs =0.25, P<0.01) and HbA1c (rs =-0.05, non-significant). The impaired awareness subscale and other items discriminated between those with impaired and intact awareness (Gold score). The impaired awareness subscale and other items contributed significantly to models explaining the occurrence of severe hypoglycaemia and hypoglycaemia when asleep.

CONCLUSIONS: This preliminary validation shows the Hypoglycaemia Awareness Questionnaire has robust face and content validity; satisfactory structure; internal reliability; convergent, divergent and known groups validity. The impaired awareness subscale and other items contribute significantly to models explaining recall of severe and nocturnal hypoglycaemia. Prospective validation, including determination of a threshold to identify impaired awareness, is now warranted.