A community-based approach to identifying and prioritising young people’s mental health needs in their local communities by Ediane Santana de Lima, Cristina Preece, Katie Potter, Ellen Goddard, Julian Edbrooke-Childs, Tim Hobbs, Peter Fonagy

“…Results Over seven months, we engaged with young people and professionals in Northern Devon, (a rural area in southwest England), involving over 290 individuals to identify locally relevant priorities for supporting young people’s mental health. …”
Get full text

Can computer simulation support strategic service planning? Modelling a large integrated mental health system on recovery from COVID-19 by Livia Pierotti, Jennifer Cooper, Charlotte James, Kenah Cassels, Emma Gara, Rachel Denholm, Richard Wood

“…Methods We implemented a computer simulation model of patient flow through an integrated mental health service in Southwest England covering General Practice (GP), community-based ‘talking therapies’ (IAPT), acute hospital care, and specialist care settings. …”
Get full text

Observational study of survival outcomes of people referred for ‘fast-track’ end-of-life care funding in a district general hospital: too little too late? by James Richards, Jo Morrison, Charlie Davis, Cherry Choudhary, Ryan Beazley

“…Anecdotal evidence suggested that Fast-Track funding applications were deferred where clinicians thought this inappropriate due to limited life-expectancy.Aim To evaluate overall survival after Fast-Track funding application.Design Prospective evaluation of Fast-Track funding application outcomes and survival.Setting/participants All people in 2021 who had a Fast-Track funding application from a medium-sized district general hospital in Southwest England.Results 439 people were referred for Fast-Track funding with a median age of 80 years (range 31–100 years). 413/439 (94.1%) died during follow-up, with a median survival of 15 days (range 0–436 days). …”
Get full text

Carbon footprint of hospital laundry: a life-cycle assessment by Michael Collins, Joseph John, Tim Briggs, John McGrath, William Gray, Kieran O'Flynn

“…Objectives To assess greenhouse gas (GHG) emissions from a regional hospital laundry unit, and model ways in which these can be reduced.Design A cradle to grave process-based attributional life-cycle assessment.Setting A large hospital laundry unit supplying hospitals in Southwest England.Population All laundry processed through the unit in 2020–21 and 2021–22 financial years.Primary outcome measure The mean carbon footprint of processing one laundry item, expressed as in terms of the global warming potential over 100 years, as carbon dioxide equivalents (CO2e).Results Average annual laundry unit GHG emissions were 2947 t CO2e. …”
Get full text

How do emergency department staff respond to behaviour that challenges displayed by people living with dementia? A mixed-methods study by Rebecca Hoskins, Laura Goodwin, Edward Carlton, Hazel Taylor, Sarah Voss, Jonathan Richard Benger, Richard Cheston, Cathy Liddiard, Sera Manning

“…Qualitative data were analysed thematically.Setting The EDs of three National Health Service (NHS) Hospital Trusts in Southwest England.Participants Multidisciplinary NHS staff working in the ED.Results Fifty-two online survey responses and 13 telephone interviews were analysed. …”
Get full text

Visualization of geological spatial distributing information in regional geochemical exploration data based on t-SNE algorithm: A case study of SW England by Junlin Chen, Yan Yan, Runmin Peng

“…The regional geochemical exploration data of stream sediments in a region of southwest England are taken as an example to evaluate the t-SNE algorithm in visualization of high-dimensional geochemical exploration data. …”
Get full text

Associations between autistic traits and early ear and upper respiratory signs: a prospective observational study of the Avon Longitudinal Study of Parents and Children (ALSPAC) ge... by Amanda Hall, Dheeraj Rai, Jean Golding, Yasmin Iles-Caven, Steven Gregory, Richard Maw

“…Objective To determine whether early ear and upper respiratory signs are associated with the development of high levels of autistic traits or diagnosed autism.Design Longitudinal birth cohort: Avon Longitudinal Study of Parents and Children (ALSPAC).Setting Area centred on the city of Bristol in Southwest England. Eligible pregnant women resident in the area with expected date of delivery between April 1991 and December 1992 inclusive.Participants 10 000+ young children followed throughout their first 4 years. …”
Get full text

Factors influencing conveyance of older adults with minor head injury by paramedics to the emergency department: a multiple methods study by Helen Nicholson, Sarah Voss, Sarah Black, Hazel Taylor, David Williams, Jonathan Benger

“…A retrospective analysis of ambulance service data was also completed to determine the scope and scale of the issue in Southwest England. An in-depth audit of 100 conveyed patient records was used to determine the proportion of patients conveyed to the ED who met National Institute for Health and Care Excellence (NICE) and Joint Royal Colleges Ambulance Liaison Committee (JRCALC) guidelines. …”
Get full text

Adaptation and Implementation of a Shared Decision-Making Tool From One Health Context to Another: Partnership Approach Using Mixed Methods by Sophie Turnbull, Nicola E Walsh, Andrew J Moore

“…We evaluated the experience of a team adapting an SDM tool for knee osteoarthritis and the tool’s implementation potential within a local clinical commissioning group (CCG) area in southwest England. The tool aims to prepare patients and clinicians for SDM by providing evidence-based information about treatment options relevant to disease stage. …”
Get full text

Anisotropic resistivity tomography by Herwanger, J, Pain, C, Binley, A, de Oliveira, C, Worthington, M

“…The acquisition geometry for both experiments uses a cross-well experiment at a hard-rock test site in Cornwall, southwest England. Two wells, spaced at 25.7 m, were equipped with electrodes at a 1 m spacing at depths from 21-108 m and data were gathered in pole-pole geometry. …”

Investigating the factors associated with meaningful improvement on the SF-36-PFS and exploring the appropriateness of this measure for young people with ME/CFS accessing an NHS sp... by Amberly Brigden, Esther Crawley, Daisy Gaunt, Chris Metcalfe, Maria Loades

“…We aimed to describe the number and characteristics of young people reaching the 10-point minimal clinically important difference (MCID) of SF-36-Physical Function Subscale (SF-36-PFS) and to investigate factors associated with reaching the MCID.Design Prospective observational cohort study.Setting A specialist UK National Health Service ME/CFS service, Southwest England; recruitment between March 2014 and August 2015.Participants 193 eligible patients with ME/CFS aged 8–17 years reported baseline data. 124 (65%) and 121 (63%) with outcome data at 6 and 12 months, respectively.Outcome measures SF-36-PFS (primary outcome). …”
Get full text

A multi-perspective qualitative exploration of the reasons for changes in the physical activity among 10–11-year-old children following the easing of the COVID-19 lockdown in the U... by Robert Walker, Danielle House, Lydia Emm-Collison, Ruth Salway, Byron Tibbitts, Kate Sansum, Tom Reid, Katie Breheny, Sarah Churchward, Joanna G. Williams, Frank de Vocht, William Hollingworth, Charlie Foster, Russell Jago

“…Abstract Background Active-6 is exploring how the COVID-19 pandemic has impacted physical activity behaviour among Year 6 children (aged 10–11 years) and their parents in Southwest England. Initial findings from the Active-6 project have shown a 7–8 min decrease in moderate-to-vigorous physical activity and an increase in sedentary behaviour among children following the easing of restrictions in the UK in latter half of 2021. …”
Get full text

Impact of test, vaccinate and remove protocol on home ranges and nightly movements of badgers in a medium density population by Sophie H. A. Redpath, Nikki J. Marks, Fraser D. Menzies, Maria J. H. O’Hagan, Rory P. Wilson, Sinéad Smith, Elizabeth A. Magowan, David W. McClune, Shane F. Collins, Carl M. McCormick, D. Michael Scantlebury

“…This effect has been recorded in high badger density areas, such as in southwest England. However, little is known about how TVR affects the behaviour and movement of badgers within a medium density population, such as those that occur in Northern Ireland (NI), which the current study aimed to examine. …”
Get full text

Co-designing adult weight management services: a qualitative study exploring barriers, facilitators, and considerations for future commissioning by Rebecca Langford, Rowan Brockman, Jonathan Banks, Russell Jago, Fiona Gillison, Karen Coulman, Theresa Moore, James Nobles

“…Methods We selected four case studies of adult weight management services in Southwest England where co-design had been planned, representing a range of populations and settings. …”
Get full text

The effectiveness and cost-effectiveness of a group domestic abuse perpetrator programme: protocol for a randomised controlled trial by Karen Morgan, Mei-See Man, Rachael Bloomer, Madeleine Cochrane, Melissa Cole, Sandi Dheensa, Nathan Eisenstadt, Gene Feder, Daisy M. Gaunt, Rwth Leach, Rebecca Kandiyali, Sian Noble, Tim J. Peters, Beverly A. Shirkey, Helen Cramer

“…Five centres in southwest England and South Wales aim to recruit 316 (reduced from original target of 366) male domestic abuse perpetrators. …”
Get full text

Associations of adverse childhood experiences with educational attainment and adolescent health and the role of family and socioeconomic factors: A prospective cohort study in the... by Lotte C Houtepen, Jon Heron, Matthew J Suderman, Abigail Fraser, Catherine R Chittleborough, Laura D Howe

“…<h4>Methods and findings</h4>Using data from the Avon Longitudinal Study of Parents and Children (ALSPAC), a prospective cohort of children born in southwest England in 1991-1992, we assess associations of ACEs between birth and 16 years (sexual, physical, or emotional abuse; emotional neglect; parental substance abuse; parental mental illness or suicide attempt; violence between parents; parental separation; bullying; and parental criminal conviction, with data collected on multiple occasions between birth and age 16) with educational attainment at 16 years (n = 9,959) and health at age 17 years (depression, obesity, harmful alcohol use, smoking, and illicit drug use; n = 4,917). …”
Get full text

Childhood socioeconomic position and sex-specific trajectories of metabolic traits across early life: prospective cohort studyResearch in context by Kate N. O'Neill, Joshua A. Bell, George Davey Smith, Abigail Fraser, Laura D. Howe, Patricia M. Kearney, Oliver Robinson, Kate Tilling, Peter Willeit, Linda M. O'Keeffe

“…Methods: Data were from the Avon Longitudinal Study of Parents and Children (ALSPAC), a population-based birth cohort in southwest England. Pregnant women with an expected delivery date between 1991 and 1992 were invited to participate. …”
Get full text