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Showing papers by "Helen Roberts published in 2022"


Journal ArticleDOI
TL;DR: The first cases of cat-transmitted sporotrichosis caused by Sporothrix brasiliensis outside South America were reported in the United Kingdom as discussed by the authors , where the authors outline the public health implications and outbreak response and encourage clinicians and veterinarians worldwide to be vigilant for cats and cat owners.
Abstract: An epidemic of cat-transmitted sporotrichosis caused by Sporothrix brasiliensis has emerged as a major public health threat in Brazil in recent decades. We report the first three cases of cat-transmitted sporotrichosis caused by Sporothrix brasiliensis outside South America, and the first ever cases of cat-transmitted sporotrichosis in the United Kingdom. We outline the public health implications and outbreak response and encourage clinicians and veterinarians worldwide to be vigilant for sporotrichosis in cats and cat owners.

6 citations


Journal ArticleDOI
TL;DR: Born in Bradford (BiB) has followed the lives of 13,776 children born in the district between 2007 and 2011, and children in the birth cohort are now entering adolescence, and the next phase of the research - Age of Wonder (AoW) - will be a whole city cohort capturing the experiences of 30,000 adolescents progressing into young adulthood as discussed by the authors .
Abstract: Born in Bradford (BiB) has followed the lives of 13,776 children born in the district between 2007 and 2011. Children in the birth cohort are now entering adolescence, and the next phase of the research - Age of Wonder (AoW) - will be a whole city cohort capturing the experiences of 30,000 adolescents progressing into young adulthood. This protocol focuses on one component of the AoW programme: qualitative longitudinal research (QLR). The study will gather in depth and detailed accounts from a sub-sample of 100 young people across four major research priorities: personal life; social and community life; growing up with difference, and growing up in Bradford. As well as using traditional qualitative methods such as interviews, focus group discussions, and ethnography, we are adopting innovative creative methods including expressions through art, activism, online and digital content, portraits, and critical events. The process of engaging in and co-producing QLR potentially provides a route to empowering young people to shape the narrative of their own lives as well as informing intervention development.

4 citations


Journal ArticleDOI
TL;DR: In this paper , the effect of board gender diversity on private firm risk was investigated using a sample of 27,352 UK private firms from 2005 to 2017, and they found that risk reduction is associated with women owner directors who may have a stronger incentive for better risk management.

1 citations


Journal ArticleDOI
12 Mar 2022
TL;DR: This article examined the impact of political connections on the time it takes to detect corporate misconduct and the size of penalties following securities class actions (SCAs), restatements and accounting and auditing enforcement releases (AAERs).
Abstract: This paper examines the impact of political connections (i.e., lobbying and political contributions) on the time it takes to detect corporate misconduct and the size of penalties following securities class actions (SCAs), restatements and Accounting and Auditing Enforcement Releases (AAERs). We find firms with political connections exhibit longer misconduct periods for SCAs, and such ability to conceal misconduct for longer translates into a larger settlement size. In addition, we find politically connected firms are associated with greater shareholder losses and are less likely to be involved in Securities Exchange Commission enforcement actions on restatements. Finally, while we do not find any relation between political connections and the likelihood of AAERs being settled, we find political connections are associated with lower AAER settlement size.

1 citations



Proceedings ArticleDOI
TL;DR: Hudson et al. as mentioned in this paper presented a Theory of Change (ToC) model to improve the quality of care for children and young people (CYP) presenting with a mental health crisis.
Abstract:

Objectives

Children and young people (CYP) presenting with a mental health (MH) crisis are frequently admitted to general acute paediatric wards as a place of safety. Prior to the pandemic, a survey in England showed that CYP occupied 6% of general paediatric inpatient beds due to MH crisis, and there have been longstanding concerns about the quality of care to support these patients in this setting.1 Since the pandemic, there is evidence that both numbers of paediatric admissions and the severity of MH crisis in CYP have increased, and paediatric teams are experiencing challenges delivering safe care.2 There is a general paucity of published data on CYP with MH crisis admissions to general paediatric wards including total numbers, factors associated with admissions, outcomes for CYP admitted, and the impact of admissions on CYP, parents and healthcare professionals (HCPs). We aim to generate a Theory of Change (ToC) model to improve the quality of care for CYP admitted to acute paediatric services after presenting in a MH crisis. Our objectives are to investigate: 1) national trends in admissions; 2) characteristics of admissions (sociodemographic factors, diagnoses and reasons admitted) 3) factors influencing decisions to admit CYP; 4) views/experiences of CYP, families and HCPs during admissions.

Methods

We will conduct a mixed-methods study to inform a ToC framework, alongside a stakeholder group (consisting of patients, families, health and social care professionals and professional groupings). To achieve this, we will: 1) analyse national service level data (hospital episode statistics) of MH admissions to paediatric wards, 2) undertake a rapid literature review and bring together the research team and stakeholder group, using a modified Delphi process, to develop a data collection instrument on MH admissions at paediatric wards, 3) implement a prospective reporting system of MH crisis admissions from 15 paediatric wards in England and 4) carry out a qualitative study of the experiences of CYP admitted in MH crisis at 5 paediatric wards, as well as their families and staff members caring for them. Findings will be discussed with the stakeholder group so a final ToC can be developed with outputs agreed to achieve impact.

Results

Analysis of the national data and screening of the data for the rapid literature review are in progress. Results will be available at the conference.

Conclusions

Primary outcomes of this study will be the characterisation of admissions for primary MH problems to acute children’s wards, the co-creation of a data collection instrument, and the characterisation of the views/experiences of CYP, families and HCPs. Moreover, by producing a ToC approach, we expect to generate a system map to identify recommendations and transformation plans to share with policymakers, commissioners, service leads, and professionals.

References

Royal College of Paediatrics and Child Health. A snapshot of general paediatric services and workforce in the UK. Report, 2020. Hudson LD, Chapman S, Street KN, et al. Increased admissions to paediatric wards with a primary mental health diagnosis: results of a survey of a network of eating disorder paediatricians in England. Arch Dis Child. 2021.

Journal ArticleDOI
TL;DR: This paper investigated how financial integration affects bank cost efficiency by applying the non-monotonic stochastic frontier model developed by Wang (2002) to a sample of East Asian commercial banks over the period 1997-2014.

Proceedings ArticleDOI
TL;DR: Clisu et al. as discussed by the authors conducted a rapid review of the literature since 1990 on the impact of mental health on paediatric admissions and found that children and young people (CYP) presenting with a mental health crisis are frequently admitted to general acute paediatric wards as a place of safety.
Abstract:

Objectives

Children and young people (CYP) presenting with a mental health (MH) crisis are frequently admitted to general acute paediatric wards as a place of safety. A recent systematic review of interventions to avoid inpatient admissions for CYP presenting in MH crisis1 showed that evidence is poor and limited. Meaning that CYP are likely to continue to need to be admitted in crisis, with paediatric wards a common allocation whilst waiting for assessment given the lack of direct access to specialist mental health wards for most children. Anecdotal reports from within the paediatric community internationally confirm that numbers of such admissions have increased, as has acuity. Teams are increasingly caring for CYP under the Mental Health Act, using restrictive practices sometimes without mental health liaison support. Moreover, no data have been published on the outcomes for CYP, patient experience, or whether such admissions may be avoidable or better managed in other settings. Therefore, we aim to conduct a rapid review of the literature since 1990 on the impact of mental health on paediatric admissions. This rapid systematic review will also inform the Mental Health Admissions to Paediatric Wards Study (MAPS), NIHR-funded mixed methods study, the relevant evidence about the factors that influence decisions to admit CYP to paediatric wards for primary MH problems.

Methods

We will undertake a rapid review of the literature following PRISMA guidelines. We will search across four databases (PubMed, Embase, PsycINFO and Web of Science) and an additional search of Google Scholar to identify unpublished data or additional studies. Search strategies will be tailored for each database but in summary, searches will consist of search terms combining three overall domains: (admissions) AND (paediatric or children’s wards) AND (mental health diagnosis/problem). We will include observational and qualitative studies, randomized and non-randomized controlled trials and reports published by professional bodies that report trends in the number of admissions, risk factors for adverse care for CYP and families during admissions, views/experiences of CYP, families and health professionals during admissions to paediatric wards and interventions that aim to improve the care of CYP and families during admissions. The results of the search will be imported into Covidence, an online software tool for systematic reviews. Duplicate records will be removed using Covidence.

Results

Screening and extraction of the data are still in progress and results will be available at the conference.

Conclusions

This rapid review is essential to synthesise the evidence available not only about the trends of admissions but also about the reasons for admissions, the contributing factors to the admissions, the clinical needs of CYP when admitted, and the views/experiences of CYP, families and health professionals to understand the context of care.

Reference

Clisu D, Layther I, Dover D, Viner RM, Read T, Cheesman D, Hodges S, Hudson LD. Alternatives to mental health admissions for children and adolescents experiencing mental health crises: a systematic review of the literature. 2021. Clin Child Psychol Psychiatry. (in press).