ORCID Profile
0000-0002-5791-9670
Current Organisation
Northumbria University
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Publisher: Wiley
Date: 18-08-2020
DOI: 10.1111/GCB.15261
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 05-2015
Publisher: BMJ
Date: 16-05-2014
DOI: 10.1136/EMERMED-2014-203717
Abstract: Communicating treatment risks and benefits to patients and their carers is central to clinical practice in modern healthcare. We investigated the challenges of risk communication by clinicians offering thrombolytic therapy for hyperacute stroke where treatment must be administered rapidly to maximise benefit. Semistructured interviews with 13 clinicians from three acute stroke units involved in decision making and/or information provision about thrombolysis. We report on clinicians' accounts of communicating risks and benefits to patients and carers. Framework analysis was employed. We identified the major challenges facing clinicians in communicating risk in this context that is, disease complexity, patients' capacity and time constraints, and communicating quality of life after stroke. We found significant variation in the data on risks and benefits that clinicians provide, and ways these were communicated to patients. Clinicians' communication strategies varied and included practices such as: a phased approach to communicating information, being responsive to the patient and family and documenting information they gave to patients. Risk communication about thrombolysis involves complex uncertainties. We elucidate the challenges of effective risk communication in a hyperacute setting and identify the issues regarding variation in risk communication and the use of less effective formats for the communication of numerical risks and benefits. The paper identifies good practice, such as the phased transfer of information over the care pathway, and ways in which clinicians might be supported to overcome challenges. This includes standardised risk and benefit information alongside appropriate personalisation of risk communication. Effective risk communication in emergency settings requires presentation of high-quality data which is amenable to tailoring to in idual patients' circumstances. It necessitates clinical skills development supported by personalised risk communication tools.
Publisher: Elsevier BV
Date: 11-2012
Publisher: Wiley
Date: 12-05-2020
DOI: 10.1111/GCB.15128
Publisher: Elsevier BV
Date: 12-2007
DOI: 10.1016/J.HEALTHPLACE.2007.02.003
Abstract: Flexibility in the design and enactment of spaces of healthcare is important in how providers respond to variations in patient expectations and experience. Health geographers have contributed to a wide body of literature concerning the therapeutic qualities of landscapes and the material, social and symbolic orderings of place and their uniqueness for in iduals. In this paper, we draw upon these findings and a 'culture of place' approach to consider the complexities of maternity care and issues of pain relief. Given that pain is widely held to be a subjective experience and one that, in an era of patient decision making, increasingly demands discretionary approaches to its relief, we consider how medical professionals help to construct flexibility in healthcare and how this affects therapeutic landscapes. Drawing on analysis of four focus groups involving parent educators, midwives, health visitors, anaesthetists and obstetricians in the NE of England, we explore the material and discursive construction of flexible therapeutic landscapes and pain relief. Our findings suggest that flexibility is constrained and fashioned in association with health care professional's sense of place as already constituted. We propose that providing maternity care professionals with an explicit awareness of how places are relationally constructed, may help in expanding the therapeutic qualities of particular settings, and support a (more) flexible approach.
Publisher: Elsevier BV
Date: 02-2023
Publisher: Public Library of Science (PLoS)
Date: 27-06-2012
Publisher: Springer Science and Business Media LLC
Date: 11-01-2008
Publisher: Springer Science and Business Media LLC
Date: 27-11-2008
Publisher: Stichting Nase
Date: 12-2021
DOI: 10.4193/RHIN20.532
Publisher: Elsevier
Date: 2016
Publisher: Springer Science and Business Media LLC
Date: 27-03-2018
Publisher: Emerald
Date: 2021
Abstract: This paper presents a critical discourse analysis of “choice” as it appears in UK policy documents relating to food and public health. A dominant policy approach to improving public health has been health promotion and health education with the intention to change behaviour and encourage healthier eating. Given the emphasis on evidence-based policy making within the UK, the continued abstraction of choice without definition or explanation provoked us to conduct this analysis, which focuses on 1976 to the present. The technique of discourse analysis was used to analyse selected food policy documents and to trace any shifts in the discourses of choice across policy periods and their implications in terms of governance and the in idualisation of responsibility. We identified five dominant repertoires of choice in UK food policy over this period: as personal responsibility, as an instrument of change, as an editing tool, as a problem and freedom of choice. Underpinning these is a continued reliance on the rational actor model, which is consonant with neoliberal governance and its constructions of populations as body of self-governing in iduals. The self-regulating, self-governing in idual is obliged to choose as a condition of citizenship. This analysis highlights the need for a more sophisticated approach to understanding “choice” in the context of public health and food policy in order to improve diet outcomes in the UK and perhaps elsewhere. This is the first comprehensive analysis of the discourse of choice in UK food policy.
Publisher: Springer Science and Business Media LLC
Date: 11-2021
Publisher: Elsevier BV
Date: 04-2008
DOI: 10.1016/J.PEC.2007.11.020
Abstract: To examine the impact of a decision support intervention designed for women choosing mode of delivery after one previous caesarean section. A decision support intervention was developed comprising of an informational DVD/video and a home visit by a midwife. 16 women received standard clinical care and 16 women additionally received the intervention. Pilot questionnaire data was collected at 12, 28 and 37 weeks gestation from all participants. 18 of the 32 participants also participated in semi-structured interviews after they had decided mode of delivery at 37 weeks gestation. Four themes were identified in the qualitative data relating to decision-making: informational support, emotional support, participation and involvement in decision-making, and the way in which decision support was used. The difficulties experienced by women in this decision-making scenario were confirmed. The intervention was welcomed by the participants and both qualitative and quantitative findings suggest the intervention improved decision-making experiences. This intervention offers an accessible method of decision support which effectively targets the needs of women choosing mode of delivery after a previous caesarean delivery. Using easily reproducible informational materials, and the pre-existing skills of midwives, it would be relatively straightforward to introduce this intervention into current clinical practice.
Publisher: Springer Science and Business Media LLC
Date: 12-09-2014
Publisher: Elsevier BV
Date: 03-2020
DOI: 10.1016/J.SCITOTENV.2019.135589
Abstract: Input data aggregation affects crop model estimates at the regional level. Previous studies have focused on the impact of aggregating climate data used to compute crop yields. However, little is known about the combined data aggregation effect of climate (DAE
Publisher: Wiley
Date: 23-03-2023
DOI: 10.1111/GCB.16662
Abstract: France suffered, in 2016, the most extreme wheat yield decline in recent history, with some districts losing 55% yield. To attribute causes, we combined the largest coherent detailed wheat field experimental dataset with statistical and crop model techniques, climate information, and yield physiology. The 2016 yield was composed of up to 40% fewer grains that were up to 30% lighter than expected across eight research stations in France. The flowering stage was affected by prolonged cloud cover and heavy rainfall when 31% of the loss in grain yield was incurred from reduced solar radiation and 19% from floret damage. Grain filling was also affected as 26% of grain yield loss was caused by soil anoxia, 11% by fungal foliar diseases, and 10% by ear blight. Compounding climate effects caused the extreme yield decline. The likelihood of these compound factors recurring under future climate change is estimated to change with a higher frequency of extremely low wheat yields.
Publisher: Research Square Platform LLC
Date: 17-03-2023
DOI: 10.21203/RS.3.RS-2667076/V1
Abstract: Increasing global food demand will require more food production without further exceeding the planetary boundaries, while at the same time adapting to climate change. We used an ensemble of wheat simulation models, with sink-source improved traits from the highest-yielding wheat genotypes to quantify potential yield gains and associated N requirements. This was explored for current and climate change scenarios across representative sites of major world wheat producing regions. The sink-source traits emerged as climate neutral with 16% yield increase with current N fertilizer applications under both current climate and mid-century climate change scenarios. To achieve the full yield potential, a 52% increase in global average yield under a mid-century RCP8.5 climate scenario, fertilizer use would need to increase fourfold over current use, which would unavoidably lead to higher environmental impacts from wheat production. Our results show the need to improve soil N availability and N use efficiency, along with yield potential.
Publisher: SAGE Publications
Date: 07-2011
Publisher: Elsevier BV
Date: 05-2019
DOI: 10.1016/J.HEALTHPLACE.2019.04.004
Abstract: This paper reinforces the value of visceral geographic approaches to health research as a method 'beyond talking'. The paper establishes and sets out an integrative embodied multi-sensory research methodology - food play. Researchers across the social sciences and sciences are exploring the limits of logo and researcher centric research methods and exploring peoples sensory experience of themselves and the wider world using participatory, patient-centred, multi-sensory, visceral and biosocial geographic approaches. With reference to the growing interest in visceral approaches to research in geography, and sensory research in neurology, anthropology and embodied cognition in psychology, we argue that the presence and pungency of food uniquely animates research, and for our research, provided highly in idualised insight into the lived experience of living long term with eating difficulties, allowing visceral difference to emerge and be expressed. We illustrate our approach with reference to a six-year research project, Resources for Living, co-produced with survivors of head and neck cancer and underpinned by a series of food play workshops to address post-treatment and chronic difficulties with food and eating.
Publisher: Cold Spring Harbor Laboratory
Date: 30-11-2020
DOI: 10.1101/2020.11.26.20239152
Abstract: Qualitative olfactory (smell) dysfunctions are a common side effect of post-viral illness and known to impact quality of life and health status. Evidence is emerging that taste and smell loss are common symptoms of Covid-19 that may emerge and persist long after initial infection. The aim of the present study was to document the impact of post Covid-19 alterations to taste and smell. We conducted exploratory thematic analysis of user-generated text from 9000 users of the AbScent Covid-19 Smell and Taste Loss moderated Facebook support group from March 24 to 30th September 2020. Participants reported difficulty explaining and managing an altered sense of taste and smell a lack of interpersonal and professional explanation or support altered eating appetite loss, weight change loss of pleasure in food, eating and social engagement altered intimacy and an altered relationship to self and others. Our findings suggest altered taste and smell with Covid-19 may lead to severe disruption to daily living that impacts on psychological well-being, physical health, relationships and sense of self. More specifically, participants reported impacts that related to reduced desire and ability to eat and prepare food weight gain, weight loss and nutritional insufficiency emotional wellbeing professional practice intimacy and social bonding and the disruption of people’s sense of reality and themselves. Our findings should inform further research and suggest areas for the training, assessment and treatment practices of health care professionals working with long Covid.
Publisher: Oxford University Press (OUP)
Date: 21-06-2022
DOI: 10.1093/JXB/ERAC221
Abstract: Crop multi-model ensembles (MME) have proven to be effective in increasing the accuracy of simulations in modelling experiments. However, the ability of MME to capture crop responses to changes in sowing dates and densities has not yet been investigated. These management interventions are some of the main levers for adapting cropping systems to climate change. Here, we explore the performance of a MME of 29 wheat crop models to predict the effect of changing sowing dates and rates on yield and yield components, on two sites located in a high-yielding environment in New Zealand. The experiment was conducted for 6 years and provided 50 combinations of sowing date, sowing density and growing season. We show that the MME simulates seasonal growth of wheat well under standard sowing conditions, but fails under early sowing and high sowing rates. The comparison between observed and simulated in-season fraction of intercepted photosynthetically active radiation (FIPAR) for early sown wheat shows that the MME does not capture the decrease of crop above ground biomass during winter months due to senescence. Models need to better account for tiller competition for light, nutrients, and water during vegetative growth, and early tiller senescence and tiller mortality, which are exacerbated by early sowing, high sowing densities, and warmer winter temperatures.
Publisher: SAGE Publications
Date: 06-12-2021
Abstract: This article examines the experience of eating and changes to the vital materiality of food through the lens of flavour. A trans-disciplinary approach is used to gain insight from gastronomy and the neurobiology of flavour perception. Technological shifts in processing food and beverages are highlighted which show complex influences on flavour. We demonstrate the value of broadening visceral geographic understanding of the biosocial nature of flavour and the senses to answer questions about the need for new methods in visceral geographic enquiry and the role of AFNs. We propose a ‘source to senses’ approach to the visceral geographies of food.
Publisher: SAGE Publications
Date: 03-2009
Abstract: In this article we explore `regimes of hope' in contemporary bioscience as articulated in spaces of health consumption. We use the case study of probiotic little bottles, highlighting their promissory branding as consumer products, to consider how hope and truth play out across different spaces of health care — the supermarket, media and laboratory. Drawing on work within both sociological and geographic literatures to think about hope, truth and probiotics, this article explores their ambiguous promise through an analysis of their biomedical and popular representation. The seemingly incommensurate promise of probiotics between popular and medical spheres provides the point of departure for an examination of the geographies of hope, truth and selfhood.
Publisher: Springer Science and Business Media LLC
Date: 07-07-2022
Publisher: Public Library of Science (PLoS)
Date: 06-2012
Publisher: Elsevier BV
Date: 05-2021
Publisher: IOP Publishing
Date: 12-2022
Abstract: Wheat is the most widely grown food crop, with 761 Mt produced globally in 2020. To meet the expected grain demand by mid-century, wheat breeding strategies must continue to improve upon yield-advancing physiological traits, regardless of climate change impacts. Here, the best performing doubled haploid (DH) crosses with an increased canopy photosynthesis from wheat field experiments in the literature were extrapolated to the global scale with a multi-model ensemble of process-based wheat crop models to estimate global wheat production. The DH field experiments were also used to determine a quantitative relationship between wheat production and solar radiation to estimate genetic yield potential. The multi-model ensemble projected a global annual wheat production of 1050 ± 145 Mt due to the improved canopy photosynthesis, a 37% increase, without expanding cropping area. Achieving this genetic yield potential would meet the lower estimate of the projected grain demand in 2050, albeit with considerable challenges.
Publisher: Elsevier BV
Date: 07-2021
Publisher: Springer Science and Business Media LLC
Date: 20-07-2016
Publisher: Springer Science and Business Media LLC
Date: 02-2018
Publisher: Informa UK Limited
Date: 06-2008
Publisher: Wiley
Date: 11-11-2009
Publisher: MDPI AG
Date: 28-04-2023
DOI: 10.3390/SU15097386
Abstract: Smallholder farmers in Northern Ghana face challenges due to weather variability and market volatility, hindering their ability to invest in sustainable intensification options. Modeling can help understand the relationships between productivity, environmental, and economical aspects, but few models have explored the effects of weather variability on crop management and resource allocation. This study introduces an integrated modeling approach to optimize resource allocation for smallholder mixed crop and livestock farming systems in Northern Ghana. The model combines a process-based crop model, farm simulation model, and annual optimization model. Crop model simulations are driven by a large ensemble of weather time series for two scenarios: good and bad weather. The model accounts for the effects of climate risks on farm management decisions, which can help in supporting investments in sustainable intensification practices, thereby bringing smallholder farmers out of poverty traps. The model was simulated for three different farm types represented in the region. The results suggest that farmers could increase their income by allocating more than 80% of their land to cash crops such as rice, groundnut, and soybeans. The optimized cropping patterns have an over 50% probability of increasing farm income, particularly under bad weather scenarios, compared with current cropping systems.
Publisher: Springer Netherlands
Publisher: Public Library of Science (PLoS)
Date: 24-09-2021
DOI: 10.1371/JOURNAL.PONE.0256998
Abstract: Qualitative olfactory (smell) dysfunctions are a common side effect of post-viral illness and known to impact quality of life and health status. Evidence is emerging that taste and smell loss are common symptoms of Covid-19 that may emerge and persist long after initial infection. The aim of the present study was to document the impact of post Covid-19 alterations to taste and smell. We conducted exploratory thematic analysis of user-generated text from 9000 users of the AbScent Covid-19 Smell and Taste Loss moderated Facebook support group from March 24 to 30th September 2020. Participants reported difficulty explaining and managing an altered sense of taste and smell a lack of interpersonal and professional explanation or support altered eating appetite loss, weight change loss of pleasure in food, eating and social engagement altered intimacy and an altered relationship to self and others. Our findings suggest altered taste and smell with Covid-19 may lead to severe disruption to daily living that impacts on psychological well-being, physical health, relationships and sense of self. More specifically, participants reported impacts that related to reduced desire and ability to eat and prepare food weight gain, weight loss and nutritional insufficiency emotional wellbeing professional practice intimacy and social bonding and the disruption of people’s sense of reality and themselves. Our findings should inform further research and suggest areas for the training, assessment and treatment practices of health care professionals working with long Covid.
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Duika Burges Watson.