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Accessible Summary: What is known on the subject?: Mental health recovery is acknowledged as a process of transformation and a way of living a meaningful life despite the presence of mental ill‐health.Experiencing hope has been articulated as intrinsic to service users experience of a meaningful life.The social construction of mental illness and stigma are recognised as barriers to experiencing hope.Mental health professionals have responsibility to positively influence the experience of hope. What this article adds to existing knowledge?: Individuals in mental health recovery experience hope as the embodiment of having a sense of possibility in life.Individuals' sense of possibility in life is underpinned by a belief and confidence that they will be ok. This belief is informed by 'feeling safe' and 'feeling connected'.This article generates an increased understanding of the dynamic relational processes that unpin hope generation. What are the implications for mental health nursing practice?: Mental health stakeholders need to be more explicit in exploring 'hope' and uncovering its therapeutic potential.Mental health practitioners need skill in enabling individuals to feel safe and connected while understanding its role in cultivating hope. Introduction: The experience of hope is widely acknowledged and empirically supported as a key catalyst of mental health recovery. Lived experience accounts of hope are critical in accessing data on what has been termed a nebulous concept. This article is the second presentation of data from this study and provides further context to improve understanding of hope and optimise its therapeutic potential. Aim: To explore how individuals describe and make sense of their experience of hope in mental health recovery. Method: A qualitative Interpretative Phenomenological Analysis (IPA) approach was used. Results: This article explores the second of three experiential group themes: Hope as Having a sense of possibility 'I will be ok' which is informed by feeling safe and feeling connected. Discussion: Having a sense of possibility is easier when basic needs are met and people feel connected to self, others and the universe. The use of creativity as a pathway to the imagination is positively experienced. The role of family, friends and healthcare professionals as hope reservoirs is critical. Finally, the framing of medication use emerged as significant. Implications for Practice: It is important that all stakeholders appreciate the interpretation of hope and use the understanding and skill in harnessing its therapeutic potential. [ABSTRACT FROM AUTHOR]

People with intellectual disability have significant difficulties in ensuring their voice is heard. Talking Mats is a low tech communication resource which helps understanding and supports expression. This study examined the effectiveness of the resource for people with intellectual disability. A mixed method quantitative and qualitative study involving 48 people at four levels of comprehension was designed to compare the effectiveness of Talking Mats with the individual's main communication method. Thirty of the 48 participants were identified as using Talking Mats effectively. Effective use of Talking Mats was associated with functional comprehension. The study found that scores on all indicators of communication effectiveness were higher when using Talking Mats compared to main communication methods. This study identified that Talking Mats can be an effective communication resource for many people with intellectual difficulty and can help them express their views by increasing both the quantity and quality of information communicated.

Research in the field of learning disability presents particular ethical challenges when obtaining consent from participants. This is further exacerbated when the nature of the research requires participation at all ability levels and involves people with communication impairments. The process of obtaining consent in a research study with 48 participants at four levels of comprehension ability is discussed in this paper. The specific issues of recruitment, seeking consent, ongoing consent and feedback are detailed as are the adaptations made in this project to research methodology and the accessible methods of communication employed. Implications for researchers and future directions for further studies are presented.

Accessible Summary: What is known on the subject?: The delivery of mental health recovery orientated acre is a requirement of mental health professionals and an acknowledged desired outcome for individuals presenting with mental health issues.Hope has been recognized as one of 5 key processes of mental health recovery, and critically as the key catalyst of recovery.Mental health nurses are required to be competent in cultivating service user hope. What the paper adds to existing knowledge?: Novel exploration of how people described and made sense of the lived experience of hope in mental health recovery.Participants described hope as intrinsic to life in the context of its ability to cultivate desire and provide energy for life and living.Participants with experience of attempts to end life had a very clear concept of hope as missing at these times.Participants described the concept of hope as present but hidden to explain their survival through tortuous circumstances.The themes generated contribute to a greater understanding of the dynamic role and process of hope in mental health recovery. What are the implications for mental health nursing practice?: Mental health practitioners need to be competent in understanding and cultivating hope as part of a person‐centred approach, embedded in a therapeutic relationship.All stakeholders including service users, mental health nurses and educators need a more accessible reified dialogue of "hope" that harnesses its therapeutic potential. Introduction: Mental health services have embraced the philosophy and practice of recovery. Research has confirmed hope as a micro‐process of recovery. The lived experience of hope has received scant attention. This is required to improve understanding and optimize its therapeutic potential. Aim: To explore how individuals describe and make sense of their experience of hope in mental health recovery. Method: A qualitative interpretative phenomenological analysis (IPA) approach was used. The sample was accessed via email networks. Data were generated through semi‐structured interviews and analysed using an IPA framework. Results: Three superordinate themes emerged: "Without it we would wither up and die"—Hope as intrinsic to life; "I will be ok"—Having a sense of possibility and "Making it happen"—Moving forward. Individuals referenced hope by its absence when attempts were made to end life, and as present but hidden in tortuous circumstances. Discussion: Individuals were more familiar with the concept of hopelessness, had a ready‐to‐hand vocabulary of "having no hope" and used this by default to inform what hope meant. Implications for Practice: It is important that all stakeholders appreciate the context specific interpretation of hope and cultivate dialogue and understanding to harness its therapeutic potential. [ABSTRACT FROM AUTHOR]

Simple Summary: Borderline ovarian tumors have a favorable prognosis, and with one third of tumors diagnosed in women under 40 years of age, fertility preserving approaches are necessary. However, recurrence occurs and more frequently in those with fertility preserving treatment, but there is limited evidence regarding recurrence monitoring. The aim of this retrospective chart review was to determine if regular ultrasound follow-up is effective for recurrence monitoring in those with borderline ovarian tumors. We identified 56 patients with borderline ovarian tumors at our institution, all of whom had at least yearly ultrasound follow-up. Recurrence occurred in 6 patients and ultrasound first identified recurrence in 5 patients (83.3%), prior to findings on physical exam or patient-reported symptoms. Thus, our study suggest ultrasound as an accessible, inexpensive, and safe modality of recurrence monitoring that allows early detection of tumor recurrence and thus earlier intervention and prevention of further disease progression. Borderline ovarian tumors (BOTs) are non-invasive tumors frequently diagnosed in young patients. Surgical removal of the uterus, fallopian tubes, ovaries, and omentum is considered definitive management, however fertility-sparing approach is a recognized option. Surveillance is important due to known recurrence, but there is controversy over the effectiveness of follow-up modalities. The objective is to determine the efficacy of ultrasound screening in identifying tumor recurrence. This retrospective chart review evaluated all patients consulted and/or treated surgically at our institution from January 2015 to June 2020 diagnosed with BOT. Patients were excluded if concurrently diagnosed with another gynecologic malignancy, did not have yearly ultrasound follow-up, or were lost to follow-up. This study included 56 patients, 17 of whom underwent fertility preserving surgery. The overall rate of recurrence was 10.7%; with recurrence rates of 23.5% for the fertility preserving surgery population and 5.1% for the definitive surgery population. Ultrasound first identified 5 of the 6 (83.3%) recurrences. Overall time to recurrence was 51.5 months. In conclusion, recurrences were identified on routine ultrasound screening prior to symptom onset or detection via physical exam in 83.3% of cases. While the best modality of follow-up remains controversial, this review provides evidence supporting the use of routine ultrasound follow-up for early detection of BOT recurrence. [ABSTRACT FROM AUTHOR]

A study examined whether Talking Mats, a light-technology augmentative framework, could be used successfully with 12 young adults with a learning and communication disability. Participants were able to indicate likes and dislikes and express views about the choices available to them. Some expressed opinions not previously known to their carers. (Contains 10 references.) (CR)

OBJECTIVE. The objective of this study was to compare the respiratory physiologic features of healthy term infants placed in either a car bed or a car safety seat. METHODS. Within the first 1 week of life, 67 healthy term infants were recruited and assigned randomly to be monitored in either a car bed (33 infants) or a car safety seat (34 infants). Physiologic data, including oxygen saturation and frequency and type of apnea, were obtained and analyzed in a blinded manner. RESULTS. The groups spent similar amounts of time in the devices (car bed: 71.6 minutes; car seat: 74.2 minutes). The mean oxygen saturation values were not different between the groups (car bed: 97.1%; car seat: 97.3%). The percentages of time with oxygen saturation of CONCLUSIONS. The respiratory physiologic features of infants in the 2 car safety devices were observed to be similar. Of note, substantial periods of time with oxygen saturation of Key Words apnea, car seats, car beds Abbreviation AAP--American Academy of Pediatrics, INFANT CAR SEATS play a critical role in the safe transportation of young infants and have reduced the rates of deaths and injuries during motor vehicle accidents. As with all [...]

The incidence of ovarian, fallopian tube and primary peritoneal cancer in women who carry a deleterious mutation in BRCA1 and BRCA2 and the reduction in risk of these cancers associated with a bilateral prophylactic salpingo-oophorectomy are estimated. Results reveal that oophorectomy is associated with reduced risk of ovarian and fallopian tube cancer in high-risk women, although there is a substantial residual risk for peritoneal cancer in BRCA1 and BRCA2 mutation carriers following prophylactic salpingo-oophorectomy.

The Scottish Executive has funded a three-year project to examine the effectiveness of an original, augmented communication resource called Talking Mats™ (Murphy 1998, see Appendix 1). This resource enables people [...]

Research has been conducted on the hepatitis C virus. The enzymatic activity of a C-terminally truncated form of this virus's RNA-dependent RNA polymerase has been investigated using the heteropolymeric RNA templates.