SettingsIncludes topics specific to different care settings, such as General Practice, Community Care, Secure Units and Acute Carehttps://oxfordhealth-nhs.archive.knowledgearc.net/handle/123456789/32024-03-29T07:57:22Z2024-03-29T07:57:22ZHealth promotion for vitamin use in children under 5 yearsBoddy, Bethanyhttps://oxfordhealth-nhs.archive.knowledgearc.net/handle/123456789/13372024-01-05T12:42:36Z2023-11-01T00:00:00ZHealth promotion for vitamin use in children under 5 years
Boddy, Bethany
There is an increasing understanding of the importance of vitamins and minerals for the health and development of the population. Bethany Boddy looks at the evidence base for health promotion in children under the age of 5 years
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2023-11-01T00:00:00ZPsychological framework to understand interpersonal violence by forensic patients with psychosisLambe, SineadFazel, SeenaFreeman, Danielhttps://oxfordhealth-nhs.archive.knowledgearc.net/handle/123456789/13252023-12-22T10:40:37Z2023-10-01T00:00:00ZPsychological framework to understand interpersonal violence by forensic patients with psychosis
Lambe, Sinead; Fazel, Seena; Freeman, Daniel
Forensic patients with psychosis often engage in violent behaviour. There has been significant progress in understanding risk factors for violence, but identification of causal mechanisms of violence is limited.
Aims
To develop a testable psychological framework explaining violence in psychosis – grounded in patient experience – to guide targeted treatment development.
Method
We conducted in-depth interviews with 20 patients with psychosis using forensic psychiatric services across three regions in England. Interviews were analysed using reflexive thematic analysis. People with lived experience contributed to the analysis.
Results
Analysis of interviews identified several psychological processes involved in the occurrence of violence. Violence was the dominant response mode to difficulties that was both habitual and underpinned by rules that engaged and justified an attack. Violence was triggered by a trio of sensitivities to other people: sensitivity to physical threat, from which violence protected; sensitivity to social disrespect, by which violence increased status; and sensitivity to unfairness, by which violence delivered revenge. Violence was an attempt to regulate difficult internal states: intense emotions were released through aggression and violence was an attempt to escape being overwhelmed by voices, visions or paranoia. There were different patterns of emphasis across these processes when explaining an individual participant's offending behaviour.
Conclusions
The seven-factor model of violence derived from our analysis of patient accounts highlights multiple modifiable psychological processes that can plausibly lead to violence. The model can guide the research and development of targeted treatments to reduce violence by individuals with psychosis.
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2023-10-01T00:00:00ZInfant mental health and the role of the health visitorBoddy, Bethanyhttps://oxfordhealth-nhs.archive.knowledgearc.net/handle/123456789/13162024-01-05T12:36:00Z2023-09-01T00:00:00ZInfant mental health and the role of the health visitor
Boddy, Bethany
The theme for June's infant mental health week this year was ‘Bonding before birth’, with organisations sharing the importance of support for parents and carers to enable them to understand baby brain development and how this can be nurtured
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2023-09-01T00:00:00ZAcute blood biomarker profiles predict cognitive deficits 6 and 12 months after COVID-19 hospitalizationTaquet, MaximeGeddes, John RHarrison, Paul Jhttps://oxfordhealth-nhs.archive.knowledgearc.net/handle/123456789/13052023-12-14T16:49:34Z2023-08-01T00:00:00ZAcute blood biomarker profiles predict cognitive deficits 6 and 12 months after COVID-19 hospitalization
Taquet, Maxime; Geddes, John R; Harrison, Paul J
Post-COVID cognitive deficits, including 'brain fog', are clinically complex, with both objective and subjective components. They are common and debilitating, and can affect the ability to work, yet their biological underpinnings remain unknown. In this prospective cohort study of 1,837 adults hospitalized with COVID-19, we identified two distinct biomarker profiles measured during the acute admission, which predict cognitive outcomes 6 and 12 months after COVID-19. A first profile links elevated fibrinogen relative to C-reactive protein with both objective and subjective cognitive deficits. A second profile links elevated D-dimer relative to C-reactive protein with subjective cognitive deficits and occupational impact. This second profile was mediated by fatigue and shortness of breath. Neither profile was significantly mediated by depression or anxiety. Results were robust across secondary analyses. They were replicated, and their specificity to COVID-19 tested, in a large-scale electronic health records dataset. These findings provide insights into the heterogeneous biology of post-COVID cognitive deficits.
Freely available online
2023-08-01T00:00:00Z