Background The association between mental health and occupational factors among ambulance personnel has not been thoroughly investigated in the UK. Aims To identify prevalence of psychopathology its relationship to personality exposure critical incidents. Method Data were gathered from by means an anonymous questionnaire standardised measures. Results Approximately a third sample reported high levels general psychopathology, burnout posttraumatic symptoms. Burnout was associated with less...

The long-term psychological effects of surviving a major disaster are poorly understood. We undertook survey survivors the Piper Alpha oil platform (1988).To examine role factors relating to trauma, and survivors' circumstances.Ten years after disaster, 78% (46/59) were located, whom 72% (33/46) agreed be interviewed. A further three individuals completed postal measures.The most stringent diagnostic criteria for post-traumatic stress disorder (PTSD) met by 21% (7/33) over 10 disaster....

The health related behaviour and attitudes of a random sample 125 women aged 45-64 who declined to accept an invitation attend breast screening clinic are described. differed from attenders in their socioeconomic class customary use measures promote health. They were basically unsympathetic towards the idea had caused them considerable anxiety. Policy implications raised.

Objective To identify the trajectories of anxiety and depression in women their partners over 13 months after miscarriage. Design A prospective study with follow up at 6 Setting Three Scottish Early Pregnancy Assessment Units. Sample Of 1443 eligible individuals approached, 686 (48.3%) consented to participate (432 women; 254 men). Complete data were obtained from 273 133 men baseline, 6, months. Methods On completion management index miscarriage, consenting underwent an initial assessment...

Aims and Method This survey is the first UK study of trainee psychiatrists' experiences patient suicide. One hundred three senior specialist registrars in psychiatry working Scotland completed questionnaire, representing an 81% response rate. Results Almost half (47%) had experienced suicide a their care or otherwise known to them (e.g. through on-call experiences). Although only 28% recalled previous training on issues consider following suicide, all these doctors found this be value. Many...

Peripheral nerve and continuous peripheral block (CPNB) have the potential to be valuable techniques in combat anesthesia. We describe first successful application of CPNB pain management surgical a casualty as he was evacuated from Iraqi battlefield United States.

Stigma and discrimination exist in many forms, undermining individual community health. Interventions to combat stigma are essential prevent the spread of human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS). Health departments, others, can benefit by mounting specific interventions against these threats public In New York State, HIV-related integral components comprehensive approach HIV prevention. For maximum impact, multiple employed at both policy program levels....

<h3>Background</h3> Inguinal herniorrhaphy (IH) is a common outpatient procedure, yet postoperative pain and anesthetic side effects remain problem. Paravertebral somatic nerve blocks (PVB) have the potential to offer unilateral abdominal wall anesthesia long-lasting relief with minimal effects. We compared PVB peripheral neural for IH. <h3>Methods</h3> Forty-six patients scheduled IH were entered into this prospective, single-blind study. All underwent standardized general anesthetic....

Researchers determined a need to develop an instrument assess the vending machine environment that was comparably reliable and valid other Nutrition Environment Measures Survey tools would provide consistent comparable data for businesses, schools, communities. Tool development, reliability testing, dissemination of Survey-Vending (NEMS-V) involved collaboration students, professionals, community leaders. Interrater testing showed high levels agreement among trained raters on products...

Using data from the 2011 British Social Attitudes survey (n = 3,311), this article compares public opinion of purposes and successes Iraq Afghanistan missions. Public acceptance military deaths/injuries, accuracy estimates fatalities how these differ according to opinions missions are determined. It is found that doubtful missions' achievements cynical about their purposes. Perceptions campaigns were associated with estimations UK fatalities, acceptability deaths/injuries. Implications for...

Inguinal herniorrhaphy is a common outpatient surgical procedure. However, anesthetic techniques for inguinal are still associated with numerous side effects. Paravertebral somatic nerve block (PSNB) has the potential advantage to offer unilateral abdominal wall anesthesia and long-lasting pain relief minimal We report our initial trial of PSNB herniorrhaphy.Twenty-two patients received at T10 L2 using 5 mL 0.5% bupivacaine epinephrine 1:400,000 each five levels. The onset anesthesia,...

In Brief Objectives To assess the outcomes of efforts to prevent mother-to-child transmission (MTCT) human immunodeficiency virus (HIV) made over last 2 decades in New York State (NYS), through review data from multiple sources. Methods Using available surveillance, laboratory, and program monitoring data, following were examined for NYS: (1) rate prenatal HIV testing, (2) prevalence among childbearing women, (3) maternal delivery care, (4) care HIV-exposed infants, (5) MTCT. Trends time...

ObjectivesTo explore the perceptions of patients, physiotherapists, and potential peer mentors on topic peer-mentoring for self-management chronic low back pain following discharge from physiotherapy.DesignExploratory, qualitative study.ParticipantsTwelve 11 13 physiotherapists recruited physiotherapy departments community locations in one health board area UK.InterventionsSemi-structured interviews focus groups.Main outcome measuresParticipants' usefulness appropriateness physiotherapy....

In Brief the United States, racial/ethnic health disparities persist across all leading indicators. 2005, African Americans accounted for half of HIV/AIDS cases, but only 12 percent US population was American. Since beginning epidemic, New York State Department Health, AIDS Institute recognized importance faith communities' involvement in HIV prevention. A survey assessed community prevention, identified barriers to involvement, and determined willingness partner with prevention programs....