Miracle-dz/UniFAR-FTUs huggingface dataset:
Work and beyond: Vocational participation for mental health service users

The opportunity to contribute to the community through vocational participation is important for many people with mental illness and the people who care for them (Waghorn and Lloyd, 2005). Clinical and political discourse to date has focused on paid employment as the sole pathway for productive community participation. As occupational therapists, we understand participation in productive and vocational activities to include paid and unpaid employment, education and training, parent or carer duties, and household management. We present the findings of a survey of service users, which aimed to provide a comprehensive basis for service planning by mapping participation in all of these activities. Approval for this low-risk project was provided by the health service (QA2015060). A total of 304 service users from two area mental health services responded, which represents a sample of approximately 20% of the people currently using these services. Respondents ranged evenly in age from 16 to 66 years, with a small majority aged between 26 and 35 years (27%). Around one-quarter (24%) of respondents were currently involved in paid employment, with smaller numbers engaged in voluntary work (4%), or parenting, caring and home duties (11%). The proportion engaged in paid employment is similar to other Australian studies (Harvey et al., 2013), but overall participation in productive and vocational activities was close to 40%. In our survey, 37% of respondents were not currently seeking employment. However, 45% of unemployed respondents wanted paid employment, and many of this group (35%) had held paid employment in the previous 2 years. Despite this recent employment and desire to return to the workforce, few respondents were engaged with an employment agency (15%) or completing vocational training (17%). A perceived need for this assistance was identified, with 43% of respondents stating they wanted further training to secure employment. Occupational therapists are employed by most mental health services and have expertise in supporting people become more productive across all stages of recovery. Employment services embedded within mental health services have been found to be effective in supporting people re-enter the competitive workforce, particularly if using the individual placement and support model (Waghorn et al., 2014). We believe that conceiving productive and vocational participation as a continuum, rather than single destination, would acknowledge that recovery is an ongoing journey. This approach would also support the integration of clinical and employment services and effective approaches to this challenge.
An action research study of Patient and Public Involvement (PPI) in the NHS : how can PPI influence healthcare planning and decision making?

ABSTRACT Background: Patient and Public Involvement (PPI) has been in health policy for the NHS for the last 30 years and yet there is little evidence of their involvement influencing healthcare planning and decision making. PPI is a legislative duty for NHS bodies and yet there remains what is perceived as a ‘brick wall’ between the outputs of PPI and the outcomes in terms of influencing change (Commission for Health Improvement (CHI), 2004) . Aims: To explore how PPI can influence healthcare planning and decisionmaking in the NHS. The objective was to explore, interpret and obtain a deeper understanding of the views and perceptions of staff within an NHS organisation and identify the attributes and enablers that facilitate PPI to influence planning and decision-making. Method: This is an action research (AR) study, using semi-structured interviews and a critical document review as a pre-step, followed by the formation of an AR team following the cycle of steps. Results: The yardstick of success against which PCTs were measured nationally and against which my colleagues and I measured our own practice, was one that celebrated outputs not outcomes and policy did little to persuade that PPI should influence planning and decision making. Staff and organisational rhetoric placed high importance on PPI, but change as a result was peripheral; however, robust project management through the AR process is a critical enabler. Conclusions: New contributions to knowledge are provided by my proposal for an approach to enabling PPI in healthcare planning and decision-making using an AR project management methodology to ensure that measures of 4 success are set and repeatedly reassessed, and that follow through to change in healthcare service as a result takes place and the use of an AR methodology for this issue. The study has already directly contributed to national policy as findings were continually shared with the Department of Health.
Treat the disease not the symptoms: Successful management of obsessive compulsive disorder in bipolar disorder with aripiprazole augmentation

Principles are important in life, and the recovery principles have become the central and invaluable theme in public mental health service provision (Wand, 2015). This, however, is in the context of psychiatry practice where the professional role of psychiatrists and their social contract with patients are ambiguous, the funding for the services are suboptimal, simplistic checklist approaches to assessment and treatment are common, and the clinical judgement and responsibility have been disconnected. Over 30 years ago, while providing a cautious tone for the reliance on the Diagnostic and Statistical Manual of Mental Disorders, Third Edition (DSM-III), Dr John Ellard argued that although science is an essential part of psychiatry, it is not the essence of psychiatry; there is science, there is metaphor, then there is what he called the music of psychiatry (Ellard, 1985). It was further argued in a corresponding letter that there is much more to language than simply labelling. It can acquire meanings and inferences, both consciously and subconsciously. The choice of a particular word can signal a whole theoretical framework (McGrath, 1985), or one may say, principles. Today, we have the fifth edition of the DSM. The correct terminology for the people we care for have changed from patients, consumers, clients to ‘experts by experience’. It is hard to keep up but one wonders about the unintended consequence of calling people all these different names. Is there an unconscious hidden message there? Are we saying that they are not sick enough to be called patients? What does this imply to our professional role if we are not treating patients? Most of us chose to be doctors because we wanted to help people. But even as a registrar, I occasionally find myself asking, are we doing this for our patients or for ourselves? Are we listening out for the music or are we too busy writing down the lyrics? To re-quote an old proverb, the darkest part of a room is found underneath the lantern’s base (McGrath, 1985). I sometimes wonder whether all the rhetoric, paperwork and benchmark targets may have pushed our patients underneath the lantern.
Trauma characteristics, post-traumatic symptoms, psychiatric disorders and suicidal behaviours: Results from the 2007 Australian National Survey of Mental Health and Wellbeing

Objective: The current study examined whether trauma characteristics such as the type and number of traumatic events were associated with three suicidal behaviours (i.e. ideation, plan and attempt) after adjusting for sociodemographic factors, post-traumatic symptoms and history of psychiatric disorders. Method: Data came from the 2007 Australian National Survey of Mental Health and Wellbeing (N = 8841). Respondents were asked about exposure to 28 traumatic events that occurred during their lifetime. Suicidal behaviours were measured using three statements about whether the person ever seriously thought about or planned or attempted suicide. Results: Sexual violence and exposure to multiple traumatic events were particularly associated with suicidal behaviours. The presence of the emotional numbing symptom cluster and co-occurrence of three psychiatric disorders (major depressive disorder, alcohol use disorder and substance use disorder) also increased the odds of suicidal behaviours. Analysis of age of onset revealed that the mean age of traumatic exposure was earlier than the age at which suicidal behaviours emerged. Conclusions: The current study is the first to demonstrate that sexual violence and exposure to multiple traumatic events are associated with suicidal behaviours in a representative sample of Australian adults. The results underline the potential benefits of thorough assessment of trauma history, post-traumatic symptoms and history of psychiatric disorders and their additive contribution in suicide risk among trauma victims. These findings can be used by clinicians and researchers for early intervention programmes.
Cognitive behaviour therapy and inflammation: A systematic review of its relationship and the potential implications for the treatment of depression

Objective: There is growing evidence confirming increased inflammation in a subset of adults with depression. The impact of this relationship has mostly been considered in biologically based interventions; however, it also has potential implications for psychological therapies. Cognitive behaviour therapy is the most commonly used psychological intervention for the treatment of depression with theories around its efficacy primarily based on psychological mechanisms. However, cognitive behaviour therapy may have an effect on, and its efficacy influenced by, physiological processes associated with depression. Accordingly, the purpose of this systematic review was to examine the relationship between cognitive behaviour therapy and inflammation. Method: Studies examining the anti-inflammatory effects of cognitive behaviour therapy in people with depression and other medical conditions (e.g. cancer, diabetes and heart disease) were examined. In addition, the relationship between change in inflammatory markers and change in depressive symptoms following cognitive behaviour therapy, and the influence of pre-treatment inflammation on cognitive behaviour therapy treatment response were reviewed. Results: A total of 23 studies investigating the anti-inflammatory effects of cognitive behaviour therapy were identified. In 14 of these studies, at least one reduction in an inflammatory marker was reported, increases were identified in three studies and no change was found in six studies. Three studies examined the relationship between change in inflammation and change in depressive symptoms following cognitive behaviour therapy. In two of these studies, change in depressive symptoms was associated with a change in at least one inflammatory marker. Finally, three studies examined the influence of pre-treatment inflammation on treatment outcome from cognitive behaviour therapy, and all indicated a poorer treatment response in people with higher premorbid inflammation. Conclusion: Preliminary evidence suggests inflammation should be considered within the context of cognitive behaviour therapy, although robust studies examining the relationship are sparse, and heterogeneity between studies and populations examined was high. The potential treatment implications of the bi-directional relationship between inflammation and cognitive behaviour therapy are discussed, and recommendations for future research are proposed.
An underwater robot with self-adaption mechanism for cleaning steel pipes with variable diameters

This paper aims to present an underwater climbing robot for wiping off marine life from steel pipes (e.g. jackets of oil platforms). The self-adaption mechanism that consists of a passive roll joint and combined magnet adhesion units provides the robot with better mobility and stability. ,Adhesion requirements are achieved by analyses of falling and slipping. The movement status on pipes is analyzed to design the passive roll joint. The optimized structure parameters of the combined magnet adhesion unit are achieved by simulations. An approximation method is established to simplify the simulations conditions, and the simulations are conducted in two steps to save time effectively. ,The self-adaption mechanism has expected performance that the robot can travel on pipes in different directions with high mobility. Meanwhile, the robot can clean continuous region of underwater pipes’ surface of offshore platforms. ,The proposed underwater robot is needed by offshore oil platforms as their jackets require to be cleaned periodically. Compared with traditional maintenance by divers, it is more efficient, economic and safety. ,Due to the specific self-adaption mechanism, the robot has good mobility and stability in any directions on pipes with different diameters. The good performance of striping attachments from pipes makes the underwater robot be a novel solution to clean steel pipes.
Extending the UTAUT model to understand the customers' acceptance and use of internet banking in Lebanon: A structural equation modeling approach

Purpose A number of studies have shown that internet banking (IB) implementation is not only determined by banks or government support, but also by perceptions and experience of IB users. IB studies have showed encouraging results from academics in developed countries. Yet little is known about the user adoption of IB in Lebanon. The purpose of this paper is to investigate the factors that may hinder or facilitate the acceptance and usage of IB in Lebanon. Design/methodology/approach A conceptual framework was developed through extending the unified theory of acceptance and use of technology (UTAUT) by incorporating two additional factors namely; perceived credibility (PC) and task-technology fit (TTF). A quantitative approach based on cross-sectional survey was used to collect data from 408 IB consumers. Data were analysed using structural equation modelling based on AMOS 20.0. Findings The results of the structural path revealed that performance expectancy (PE), social influence, PC and TTF to be significant predictors in influencing customers’ behavioural intention (BI) to use IB and explained 61 per cent of its variance, with PE was found the strongest antecedent of BI. Contrary to the UTAUT, the effect of effort expectancy on BI was insignificant. In addition, both BI and facilitating conditions were found to affect the actual usage behaviour and explained 64 per cent of its variance Practical implications This study would be helpful for bank managers and policy makers to explain the currently relatively low penetration rate of IB in formulating strategies to encourage the adoption and acceptance of IB by Lebanese customers, where IB is still considered an innovation. Originality/value This study is the first research that extend the UTAUT by incorporating two additional factors namely; PC and TTF to study the IB in the Lebanese context. This study contributes to the research on computer technology usage by looking at IB adoption and incorporation into the lives of customers via the BI to use and actual usage of IB in Lebanon.
Are all signals equal? Investigating the differential effects of online signals on the sales performance of e-marketplace sellers

Purpose – In the competitive e-marketplace today, sellers are using an increasing number of signals to entice customers to make online purchases. However, how differential these signals are in terms of their capacity to improve sales performance has not yet been investigated. The paper aims to discuss this issue. Design/methodology/approach – Drawing on signaling theory and grounded in the context of China’s largest e-marketplace, Taobao, this study investigated the different effects of five commonly used signals on the sales performance of e-marketplace sellers. Findings – The authors find that warranty has the highest effect on sales performance, followed by overall rating, mean detailed seller rating, percent of positives, and web site quality. Originality/value – First, this study builds on signaling theory and contributes to the e-marketplace literature by providing new insights into how specific signals differentially affect sales performance in the e-marketplace (with evidence from a large-scale em.
Pathobiology of Tendon and Ligament Injuries

Tendon and ligament injuries are common in athletic horses and can be difficult to treat successfully. Tendons and ligaments are characterized by sparse fibroblasts embedded in a complex structural hierarchy of collagen-rich extracellular matrix (ECM) organized along lines of tension. This precise organizational scheme imparts the necessary mechanical properties for tendons and ligaments to function under high loads. The etiology of tendon and ligament injuries remains the subject of numerous ongoing research projects; however, acute overloading and accumulated microtrauma are the two predominant theories. Under normal physiologic loading, a balance is maintained between the degeneration of ECM and its repair by the resident fibroblast population. When damage occurs faster than it can be repaired, clinical signs of tendonitis or desmitis develop. The molecular and cellular responses that occur during tendon and ligament healing are important to understand, as they provide key points of control that may be targeted for new therapies.
Measuring occupational balance and its relationship to perceived stress and health

Background. There is an assumption that occupational balance is integrally related to health and well-being. Purpose. This study aimed to investigate test-retest reliability of the English-translated Occupational Balance Questionnaire (OBQ), its relationship to measures of health (Short Form Health Survey–36 Version 2.0 [SF-36v2]) and stress (Perceived Stress Scale–10; PSS-10), and demographic differences in OBQ scores in Canadian adults. Method. Test-retest reliability (2 weeks) was assessed using intraclass correlation (ICC) coefficients. Online surveys from 86 adults were analyzed using descriptive, correlational, and t test statistics. Findings. OBQ test-retest reliability was ICC = 0.74 (95% CI [0.34, 0.90]; p = .003) when excluding an influential case (n = 20). OBQ correlations with PSS-10 were r = –. 72; with SF-36v2 Mental Component Score, r = . 65; and with Physical Component Score, r = . 31; all p < . 001. Age and gender had no impact on OBQ scores. Implications. Findings help elucidate relationships among health, stress, and occupational balance; however, further psychometric testing is warranted before using OBQ for clinical purposes.
Health Care Provision and Patients’ Satisfaction with Tertiary Health Facilities in Benin City, Nigeria

Health care provision in Nigeria is a concern of all levels of government. Good health is cherished by all and has been exacerbated by advancement in education and technology. Tertiary level health care is a last resort for all health problems. This study examined health care provision and patients’ satisfaction with tertiary health provision in Benin City, Nigeria. The population consisted of clients aged 18 to 68 years who benefited from services provided in a public and a private tertiary health facilities; and health care providers therein. A sample of 170 (80 clients and 90 care providers) provided information. Two questionnaires based on quality of health care and satisfaction with services was used. The analysis carried out involved t-test, percentages, ANOVA, mean and standard deviation. A significant difference was noticed with respect to quality of care in favour of the private institution. Clients in private hospitals were not satisfied with cost of care while those in public hospitals were not satisfied with availability of modern equipment, cleanliness of environment, cost of care and overall time spent in hospital. It was recommended that policy makers should examine ways of establishing partnership between the public and private sector to expand access to quality health services.
A classification scheme for content analyses of YouTube video comments

Purpose – The video-sharing website YouTube encourages interaction between its users via the provision of a user comments facility. This was originally envisaged as a way for viewers to provide information about and reactions to videos, but is employed for other communicative purposes including sharing ideas, paying tributes, social networking, and question answering. This study seeks to examine and categorise the types of comments created by YouTube users to highlight the various ways in which this interactive feature has been employed as a means of communication and self-expression. Design/methodology/approach – By conducting a content analysis of 66,637 user comments on YouTube videos the authors created a classification schema which may be used to categorise the types of comments users leave. Findings – The schema reveals ten broad categories, and 58 subcategories which reflect the wide-ranging use of the YouTube comments facility. Research limitations/implications – As YouTube continues to evolve, ne.
The sensory paths in the spinal cord and brain stem of man, Second report: On the traetus sacrc‐bnlbares. Contributions to the study of the central pathways of the visceral sense of the pelvic cavity, inclusive of the genital‐sense *

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Language in the information-seeking context: A study of US scholars using non-English sources

Purpose – The purpose of this paper is to specifically investigate information seeking strategies that are used by scholars in the USA conducting research in languages other than English and the types of shifts that scholars make between strategies in planned, disruptive, and problematic situations. Design/methodology/approach – Interviews and research diaries were employed to gather information from 16 subjects using seven different languages across seven disciplines. Grounded theory and the constant comparative method were used to analyze types of strategies and types of shifts between strategies. Findings – This study identified four formal system strategies, seven informal resource strategies, four interactive human strategies, and one hybrid strategy. Subjects in the study selected informal resource and interactive human strategies more often as initial strategies while informal resource strategies are used as final strategies. Moreover, the findings presented a variety of shifts between strategies i.