The role of volunteer support in the community for adults with hearing loss and hearing aids

Objectives: To explore interactions between audiology patients and volunteers, to describe encounters and define the role of volunteers. Methods: Qualitative ethnographic and interview study of volunteer-patient interactions. Ten volunteer participants from two volunteer schemes in South West England were observed and interviewed. Three patient participants were interviewed. Results: Analysis of observational data showed that volunteers provided support relating to local services and hearing aids, but did not engage in discussions about hearing loss. Interviews with volunteers identified gaps in audiology provision, including accessible services and clear information and highlighted a need for more support from audiology services to enable them to fulfil their role. Volunteer interactions with patients mimicked a clinician-patient encounter and volunteers employed strategies and behaviours used by professional audiologists. Conclusions: Audiology volunteers could provide an accessible bridge between health services and the community but their care is limited to focus on hearing aids. Practice implications: Volunteers enable patients to use hearing aids appropriately and are a core element of current care arrangements. However, volunteers express a need for adequate support from audiology services. Volunteers have the potential to increase service capacity and to bridge the gaps between community and audiology healthcare services.

An online study combining the constructs from the theory of planned behaviour and protection motivation theory in predicting intention to test for chlamydia in two testing contexts

Chlamydia is a common sexually transmitted infection that has potentially serious consequences unless detected and treated early. The health service in the UK offers clinic-based testing for chlamydia but uptake is low. Identifying the predictors of testing behaviours may inform interventions to increase uptake. Self-tests for chlamydia may facilitate testing and treatment in people who avoid clinic-based testing. Self-testing and being tested by a health care professional (HCP) involve two contrasting contexts that may influence testing behaviour. However, little is known about how predictors of behaviour differ as a function of context. In this study, theoretical models of behaviour were used to assess factors that may predict intention to test in two different contexts: self-testing and being tested by a HCP. Individuals searching for or reading about chlamydia testing online were recruited using Google Adwords. Participants completed an online questionnaire that addressed previous testing behaviour and measured constructs of the Theory of Planned Behaviour and Protection Motivation Theory, which propose a total of eight possible predictors of intention. The questionnaire was completed by 310 participants. Sufficient data for multiple regression were provided by 102 and 118 respondents for self-testing and testing by a HCP respectively. Intention to self-test was predicted by vulnerability and self-efficacy, with a trend-level effect for response efficacy. Intention to be tested by a HCP was predicted by vulnerability, attitude and subjective norm. Thus, intentions to carry out two testing behaviours with very similar goals can have different predictors depending on test context. We conclude that interventions to increase self-testing should be based on evidence specifically related to test context.

Essentials of Jamaican taxation

This fourth edition of Essentials of Jamaican Taxation as with earlier editions covers the material for an undergraduate course in Jamaican taxation and deals with the theory of taxation and its application through the main provisions of the Income Tax Act, the various Acts governing payroll taxes, the General Consumption Tax Act and the Contractors Levy Act. This edition covers changes which took place after 2007 including the main provisions in the 2012 budget. The text is designed to give mainly students of accounting a working knowledge of taxation as it is administered in Jamaica so they are equipped to perform computations of tax payable by businesses/employers, employees, self-employed, and persons with income from sources other than employment. Most of the text should be understood quite readily by readers other than students who wish to be informed on taxation matters.

'There's a hell of a noise':living with a hearing loss in residential care

Background: hearing loss is common in older age. Research with older people in residential care settings has identified high prevalence of hearing loss and low uptake of hearing aids. Hearing loss in these settings is associated with reduced social engagement. Although hearing aids remain the default treatment for presbyacusic hearing loss, these are not well used. We do not know what other modifiable factors contribute to communication problems for older people with hearing loss living in residential care. Objectives: to explore the factors affecting communicating with a hearing loss in residential care. Methods: an ethnographic study in two residential care homes comprised 19 sessions of observation, and in-depth interviews with 18 residents. Observations explored communication behaviour in everyday interactions, including mealtimes, structured groups and informal group activities. Interviews were informed by the observations and identified reasons for these behaviours and communication preferences. Observational data were recorded in field notes and interviews were audio-recorded and transcribed. Analysis was conducted using constant comparison methods. Results: hearing loss affected whether residents were able to access social opportunities. Two key themes influenced this (i) contextual issues compounded communication difficulties and (ii) environmental noise restricted the residents' communication choices. Problems were observed at every mealtime and during formal and informal group activities. The use of hearing aids and access to hearing services did not improve social engagement. Conclusions: environmental and social factors are key to maximising communication opportunities. Improvements to communication in residential care settings could be based on changes in these with input from residents and staff. Further work is needed to develop effective communication strategies in residential care.

Perceptions of self-testing for chlamydia:understanding and predicting self-test use

Background: Self-testing technology allows people to test themselves for chlamydia without professional support. This may result in reassurance and wider access to chlamydia testing, but anxiety could occur on receipt of positive results. This study aimed to identify factors important in understanding self-testing for chlamydia outside formal screening contexts, to explore the potential impacts of self-testing on individuals, and to identify theoretical constructs to form a Framework for future research and intervention development. Methods: Eighteen university students participated in semi-structured interviews; eleven had self-tested for chlamydia. Data were analysed thematically using a Framework approach. Results: Perceived benefits of self-testing included its being convenient, anonymous and not requiring physical examination. There was concern about test accuracy and some participants lacked confidence in using vulvo-vaginal swabs. While some participants expressed concern about the absence of professional support, all said they would seek help on receiving a positive result. Factors identified in Protection Motivation Theory and the Theory of Planned Behaviour, such as response efficacy and self-efficacy, were found to be highly salient to participants in thinking about self-testing. Conclusions: These exploratory findings suggest that self-testing independently of formal health care systems may no more negatively impact people than being tested by health care professionals. Participants’ perceptions about self-testing behaviour were consistent with psychological theories. Findings suggest that interventions which increase confidence in using self-tests and that provide reassurance of test accuracy may increase self-test intentions.

Temperature, salinity, methane concentration, oxidation rates and methanotrophic cell number at Svalbard seeps in summer 2011 and 2012 (cruises POS419 and MSM21/4)

Large amounts of the greenhouse gas methane are released from the seabed to the water column where it may be consumed by aerobic methanotrophic bacteria. This microbial filter is consequently the last marine sink for methane before its liberation to the atmosphere. The size and activity of methanotrophic communities, which determine the capacity of the water column methane filter, are thought to be mainly controlled by nutrient and redox dynamics, but little is known about the effects of ocean currents. Here, we report measurements of methanotrophic activity and biomass (CARD-FISH) at methane seeps west of Svalbard, and related them to physical water mass properties (CTD) and modelled current dynamics. We show that cold bottom water containing a large number of aerobic methanotrophs was rapidly displaced by warmer water with a considerably smaller methanotrophic community. This water mass exchange, caused by short-term variations of the West Spitsbergen Current, constitutes a rapid oceanographic switch severely reducing methanotrophic activity in the water column. Strong and fluctuating currents are widespread oceanographic features common at many methane seep systems and are thus likely to globally affect methane oxidation in the ocean water column.

Improving magnetic resonance imaging (MRI) examinations : Development and evaluation of an intervention to reduce movement in scanners and facilitate scan completion

© 2015 The British Psychological Society.

Latitudinal shift in thermal niche breadth results from thermal release during a climate-mediated range expansion

Funded by Biodiversity and Ecosystem Services in a Changing Climate Wenner-Gren Foundation Swedish Research Council The Royal Swedish Academy of Sciences Stiftelsen Anna-Greta Holger Crafoords Fund The Crafoord Foundation

Improving magnetic resonance imaging (MRI) examinations : Development and evaluation of an intervention to reduce movement in scanners and facilitate scan completion

© 2015 The British Psychological Society.

Latitudinal shift in thermal niche breadth results from thermal release during a climate-mediated range expansion

Funded by Biodiversity and Ecosystem Services in a Changing Climate Wenner-Gren Foundation Swedish Research Council The Royal Swedish Academy of Sciences Stiftelsen Anna-Greta Holger Crafoords Fund The Crafoord Foundation

Gene expression under thermal stress varies across a geographical range expansion front

Acknowledgements: We would like to thank Hanna Bensch and Hannes Weise for assistance with the collection of samples in the field. This work was supported by the Biodiversity and Ecosystem Services in a Changing Climate (BECC; a joint Lund-Gothenburg University initiative), the Swedish Research Council (EIS, BH), the Crafoord Foundation (EIS, BH), the Swedish Royal Society (EIS), ‘Gyllenstiernska Krapperupstiftelsen (EIS), the Wenner-Gren Foundations (postdoctoral stipend to RYD), EU FP7 (Marie Curie International Incoming Fellowship to RYD), the Kungliga Fysiografiska Sällskapet i Lund (MW) and the Helge Ax:son Johnson Stiftelse (MW). B.H. and E.I.S. conceived of the study. L.L. developed the hypotheses to be tested. L.L. and R.D. collected the field data and samples. All six authors contributed to planning RNA-seq analyses. P.C. and L.L. analysed the data. L.L. wrote the manuscript, which all six authors edited.

Perceptions of practitioners : Managing marine protected areas for climate change resilience

Acknowledgements This research was supported and funded by ClimateXChange. ClimateXChange is a collaborative initiative between Scottish research and higher education institutes and is funded by the Scottish Government. The authors would like to thank all the participants who agreed to be interviewed for this study. Ethics approval number 2013001 from University of Glasgow.

Scotland's Marine Protected Area network : Reviewing progress towards achieving commitments for marine conservation

Acknowledgements This research was supported and funded by Climate XChange (reference no: A10431853). Climate XChange is a collaborative initiative between Scottish research and higher education institutes and is funded by the Scottish Government. The authors would like to thank Marine Scotland, JNCC and SNH for their permission to reproduce their figures of the Scottish MPA process and maps of the Scottish MPA network.

Psychological preparation and postoperative outcomes for adults undergoing surgery under general anaesthesia

Sources of support Internal sources Manchester Centre for Health Psychology, University of Manchester, UK. An award of £2000 was received to support research assistant costs. External sources British Academy, UK. We received a small research grant of £7480 to support research assistant costs.

Latitudinal shift in thermal niche breadth results from thermal release during a climate-mediated range expansion

Funded by Biodiversity and Ecosystem Services in a Changing Climate Wenner-Gren Foundation Swedish Research Council The Royal Swedish Academy of Sciences Stiftelsen Anna-Greta Holger Crafoords Fund The Crafoord Foundation