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Article ; Online: Is it Still Ok to be Ok? Mental Health Labels as a Campus Technology.

Armstrong, Neil / Beswick, Laura / Vega, Marta Ortega

2023 Volume 47, Issue 4, Page(s) 982–1004

Abstract: This article uses ethnography and coproduced ethnography to investigate mental health labels amongst university students in the UK. We find that although labels can still be a source of stigma, they are also both necessary and useful. Students use labels ...

Abstract	This article uses ethnography and coproduced ethnography to investigate mental health labels amongst university students in the UK. We find that although labels can still be a source of stigma, they are also both necessary and useful. Students use labels as 'campus technologies' to achieve various ends. This includes interaction with academics and administrators, but labels can do more than make student distress bureaucratically legible. Mental health labels extend across the whole student social world, as a pliable means of negotiating social interaction, as a tool of self-discovery, and through the 'soft-boy' online archetype, they can be a means of promoting sexual capital and of finessing romantic encounters. Labels emerge as flexible, fluid and contextual. We thus follow Eli Clare in attending to the varying degrees of sincerity, authenticity and pragmatism in dealing with labels. Our findings give pause to two sets of enquiry that are sometimes seen as opposed. Quantitative mental health research relies on what appear to be questionable assumptions about labels embedded in questionnaires. But concerns about the dialogical power of labels to medicalise students also appears undermined.
MeSH term(s)	Male ; Humans ; Mental Health ; Mental Disorders/psychology ; Social Stigma ; Students/psychology ; Mental Health Services ; Universities
Language	English
Publishing date	2023-03-24
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	752957-0
ISSN	1573-076X ; 0165-005X
ISSN (online)	1573-076X
ISSN	0165-005X
DOI	10.1007/s11013-023-09819-3
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Article: Teaching power skills to improve physician self-efficacy, reduce burnout, and improve patient outcomes.

Shields, Gregory S / Fisher, Megan / Vega, Marta Ortega

Future healthcare journal

2023 Volume 10, Issue 2, Page(s) 119–123

Abstract: If doctors had a way to improve their patients' healthcare experience, improve service feedback, reduce complaints, increase treatment adherence and reduce non-attendance, while at the same time combatting burnout and compassion fatigue in clinicians and ...

Abstract	If doctors had a way to improve their patients' healthcare experience, improve service feedback, reduce complaints, increase treatment adherence and reduce non-attendance, while at the same time combatting burnout and compassion fatigue in clinicians and enhancing collaborative working between staff and care teams, and all for zero direct cost, could anyone argue against such an intervention? In this paper, we present the views of the educators and clinicians at Maudsley Learning that training in communication and psychological 'power skills' is not only feasible, but crucially important for physicians at all stages of training to improve both patient care and the wellbeing of clinicians themselves. We explore some of the key relevant skills and present examples of high-fidelity simulation training that demonstrate the efficacy of this modality in improving individual skills and confidence as well as inter-team and interdisciplinary working.
Language	English
Publishing date	2023-10-02
Publishing country	England
Document type	Journal Article
ZDB-ID	3016427-8
ISSN	2514-6653 ; 2514-6645
ISSN (online)	2514-6653
ISSN	2514-6645
DOI	10.7861/fhj.2023-0050
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Article: The effects of four decades of climate change on the breeding ecology of an avian sentinel species across a 1,500-km latitudinal gradient are stronger at high latitudes.

Vega, Marta Lomas / Fransson, Thord / Kullberg, Cecilia

Ecology and evolution

2021 Volume 11, Issue 11, Page(s) 6233–6247

Abstract: Global warming affects breeding phenology of birds differentially with latitude, but there is contrasting evidence about how the changing climate influences the breeding of migrating songbirds at their northern breeding range. We investigate the effect ... ...

Abstract	Global warming affects breeding phenology of birds differentially with latitude, but there is contrasting evidence about how the changing climate influences the breeding of migrating songbirds at their northern breeding range. We investigate the effect of climate warming on breeding time and breeding success of European pied flycatchers
Language	English
Publishing date	2021-03-18
Publishing country	England
Document type	Journal Article
ZDB-ID	2635675-2
ISSN	2045-7758
ISSN	2045-7758
DOI	10.1002/ece3.7459
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Article: Urea cycle disorders and indications for liver transplantation.

García Vega, Marta / Andrade, José D / Morais, Ana / Frauca, Esteban / Muñoz Bartolo, Gema / Lledín, María D / Bergua, Ana / Hierro, Loreto

Frontiers in pediatrics

2023 Volume 11, Page(s) 1103757

Abstract: Urea cycle disorders (UCD) are inborn errors of metabolism caused by deficiency of enzymes required to convert nitrogen from ammonia into urea. Current paradigms of treatment focus on dietary manipulations, ammonia scavenger drugs, and liver ... ...

Abstract	Urea cycle disorders (UCD) are inborn errors of metabolism caused by deficiency of enzymes required to convert nitrogen from ammonia into urea. Current paradigms of treatment focus on dietary manipulations, ammonia scavenger drugs, and liver transplantation. The aim of this study was to describe the characteristics and indication of liver transplantation in UCD in a tertiary hospital. We performed a retrospective study of children with UCD seen in the period 2000-2021. Data was collected on clinical onset, hyperammonemia severity, evolution and liver transplantation. There were 33 patients in the study period, whose diagnosis were: ornithine transcarbamylase (OTC,
Language	English
Publishing date	2023-03-03
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2711999-3
ISSN	2296-2360
ISSN	2296-2360
DOI	10.3389/fped.2023.1103757
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Article: Progressive and Punctuated Magnetic Mineral Diagenesis: The Rock Magnetic Record of Multiple Fluid Inputs and Progressive Pyritization in a Volcano‐Bounded Basin, IODP Site U1437, Izu Rear Arc

Musgrave, Robert J. / Kars, Myriam / Vega, Marta E.

Journal of geophysical research. 2019 June, v. 124, no. 6

2019

Abstract: International Ocean Discovery Program (IODP) Site U1437 recovered an 1,800‐m‐long sediment sequence in a volcano‐bounded basin on the Izu rear arc. Pore fluid studies revealed a pattern of repeated fluid inputs, fluid diffusion, and methane and ethane ... ...

Abstract	International Ocean Discovery Program (IODP) Site U1437 recovered an 1,800‐m‐long sediment sequence in a volcano‐bounded basin on the Izu rear arc. Pore fluid studies revealed a pattern of repeated fluid inputs, fluid diffusion, and methane and ethane accumulations, which represent “fluid anomalies” that disturb the fluid profiles. First‐order reversal curve analysis, magnetic hysteresis, saturation isothermal remanent magnetization, and low‐temperature remanence cycling reveal a detrital input dominated by vortex‐state and multidomain magnetite, which passes through an initial stage of partial magnetite dissolution and greigite authigenesis in the upper few tens of meters. Progressive magnetic mineral diagenesis comprises the continued loss of fine‐grained magnetite and gradual pyritization of greigite and produces a background logarithmic decrease in saturation isothermal remanent magnetization normalized by magnetic susceptibility. This process implies a continuing slow supply of S²⁻ to depths >1,500 m. Thermally driven diagenesis, which would cause extensive loss of greigite at these depths, does not appear to be significant here. Multidomain magnetite grains dominate the magnetic mineralogy in the deepest part of the sequence, but some single‐domain magnetite survives as inclusions in silicates. Fluid anomalies representing sulfate influx drive locally renewed greigite authigenesis, as do methane and ethane accumulations. In some cases, where methane is accompanied by H₂S (“sour gas”), fine‐grained greigite is converted to pyrite. We term these multiple episodes of enhanced magnetic mineral alteration “punctuated magnetic mineral diagenesis.” Despite both progressive and punctuated magnetic mineral diagenesis, enough depositional remanence survives to allow recognition of the magnetostratigraphy to 1,320 m below seafloor.
Keywords	basins ; diagenesis ; ethane ; geophysics ; hysteresis ; magnetic susceptibility ; magnetism ; magnetite ; methane ; pyrite ; research ; sediments ; sulfates
Language	English
Dates of publication	2019-06
Size	p. 5357-5378.
Publishing place	John Wiley & Sons, Ltd
Document type	Article
Note	JOURNAL ARTICLE
ISSN	2169-9313
DOI	10.1029/2018JB017277
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Mapping of neuroinflammation-induced hypoxia in the spinal cord using optoacoustic imaging.

Ramos-Vega, Marta / Kjellman, Pontus / Todorov, Mihail Ivilinov / Kylkilahti, Tekla Maria / Bäckström, B Thomas / Ertürk, Ali / Madsen, Chris Denis / Lundgaard, Iben

Acta neuropathologica communications

2022 Volume 10, Issue 1, Page(s) 51

Abstract: Recent studies suggest that metabolic changes and oxygen deficiency in the central nervous system play an important role in the pathophysiology of multiple sclerosis (MS). In our present study, we investigated the changes in oxygenation and analyzed the ... ...

Abstract	Recent studies suggest that metabolic changes and oxygen deficiency in the central nervous system play an important role in the pathophysiology of multiple sclerosis (MS). In our present study, we investigated the changes in oxygenation and analyzed the vascular perfusion of the spinal cord in a rodent model of MS. We performed multispectral optoacoustic tomography of the lumbar spinal cord before and after an oxygen enhancement challenge in mice with experimental autoimmune encephalomyelitis (EAE), a model for MS. In addition, mice were transcardially perfused with lectin to label the vasculature and their spinal columns were optically cleared, followed by light sheet fluorescence microscopy. To analyze the angioarchitecture of the intact spine, we used VesSAP, a novel deep learning-based framework. In EAE mice, the spinal cord had lower oxygen saturation and hemoglobin concentration compared to healthy mice, indicating compromised perfusion of the spinal cord. Oxygen administration reversed hypoxia in the spinal cord of EAE mice, although the ventral region remained hypoxic. Additionally, despite the increased vascular density, we report a reduction in length and complexity of the perfused vascular network in EAE. Taken together, these findings highlight a new aspect of neuroinflammatory pathology, revealing a significant degree of hypoxia in EAE in vivo that is accompanied by changes in spinal vascular perfusion. The study also introduces optoacoustic imaging as a tractable technique with the potential to further decipher the role of hypoxia in EAE and to monitor it in MS patients.
MeSH term(s)	Animals ; Encephalomyelitis, Autoimmune, Experimental ; Humans ; Hypoxia/metabolism ; Mice ; Mice, Inbred C57BL ; Multiple Sclerosis/pathology ; Neuroinflammatory Diseases ; Oxygen/metabolism ; Spinal Cord/metabolism
Chemical Substances	Oxygen (S88TT14065)
Language	English
Publishing date	2022-04-11
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2715589-4
ISSN	2051-5960 ; 2051-5960
ISSN (online)	2051-5960
ISSN	2051-5960
DOI	10.1186/s40478-022-01337-4
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Article: Key questions: research priorities for student mental health.

Sampson, Katie / Priestley, Michael / Dodd, Alyson L / Broglia, Emma / Wykes, Til / Robotham, Dan / Tyrrell, Katie / Ortega Vega, Marta / Byrom, Nicola C

BJPsych open

2022 Volume 8, Issue 3, Page(s) e90

Abstract: Background: The high prevalence of mental distress among university students is gaining academic, policy and public attention. As the volume of research into student mental health increases, it is important to involve students to ensure that the ... ...

Abstract	Background: The high prevalence of mental distress among university students is gaining academic, policy and public attention. As the volume of research into student mental health increases, it is important to involve students to ensure that the evidence produced can translate into meaningful improvements. Aims: For the first time, we consult UK students about their research priorities on student mental health. Method: This priority setting exercise involved current UK university students who were asked to submit three research questions relating to student mental health. Responses were aggregated into themes through content analysis and considered in the context of existing research. Students were involved throughout the project, including inception, design, recruitment, analysis and dissemination. Results: UK university students (N = 385) submitted 991 questions, categorised into seven themes: epidemiology, causes and risk factors, academic factors and work-life balance, sense of belonging, intervention and services, mental health literacy and consequences. Across themes, respondents highlighted the importance of understanding the experience of minority groups. Conclusions: Students are interested in understanding the causes and consequences of poor mental health at university, across academic and social domains. They would like to improve staff and students' knowledge about mental health, and have access to evidence-based support. Future research should take a broad lens to evaluate interventions; considering how services are designed and delivered, and investigating institutional and behavioural barriers to accessibility, including how this varies across different groups within the student population.
Language	English
Publishing date	2022-05-10
Publishing country	England
Document type	Journal Article
ZDB-ID	2829557-2
ISSN	2056-4724
ISSN	2056-4724
DOI	10.1192/bjo.2022.61
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Article ; Online: Simulation training programme to improve the integrated response of teams in mental health crisis care.

Ortega Vega, Marta / Williams, Leonie / Saunders, Aleks / Iannelli, Hannah / Cross, Sean / Attoe, Chris

BMJ simulation & technology enhanced learning

2020 Volume 7, Issue 2, Page(s) 116–118

Abstract: Background: This report presents the findings of a simulation programme to improve the integrated response of teams working in mental health crisis (MHC) care. The programme consisted of the delivery of five interprofessional training courses that aimed ...

Abstract	Background: This report presents the findings of a simulation programme to improve the integrated response of teams working in mental health crisis (MHC) care. The programme consisted of the delivery of five interprofessional training courses that aimed to improve the core skills of teams working in MHC care. Methods: Questionnaires were conducted pre-training and post-training, measuring participants' human factors using the Human Factors SKills for Healthcare Instrument, as well as self-reported learning experience using free text questions. Results: The results found a significant change in human factors scores across all courses. Additionally, thematic analysis of the free text questions showed that participants identified improvements in communication, teamwork and clinical knowledge across all courses, with improvements in other skills in specific courses. Conclusion: Overall, the findings suggest a positive impact of the simulation programme across a range of personal and clinical skills, developing further the case for including simulation training in routine mental healthcare education programmes. Future research should consider the long-term impact of interprofessional simulation training in MHC teams to gain further insight into the efficacy of this training modality.
Language	English
Publishing date	2020-08-21
Publishing country	England
Document type	Journal Article
ZDB-ID	2799014-X
ISSN	2056-6697 ; 2056-6697
ISSN (online)	2056-6697
ISSN	2056-6697
DOI	10.1136/bmjstel-2020-000641
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Article ; Online: Treatment with proton pump inhibitors as a cofactor in adverse reactions of patients undergoing oral food immunotherapy.

Vega, Marta García / Alonso, Sara Bellón / España, Amelia Pérez / Teruel, Sergio José Quevedo / Fernández, Sonia Fernández / Bermejo, Teresa Bracamonte / Zudaire, Luis Echeverría

Allergologia et immunopathologia

2021 Volume 49, Issue 3, Page(s) 169–172

Abstract: Background and objectives: Based on previous studies revealing acid-suppression medication as a risk factor for food allergy tolerance induction, we aimed to establish the importance of those findings in patients undergoing oral immunotherapy (OIT).: ... ...

Abstract	Background and objectives: Based on previous studies revealing acid-suppression medication as a risk factor for food allergy tolerance induction, we aimed to establish the importance of those findings in patients undergoing oral immunotherapy (OIT). Materials and methods, results: We describe a case series of four patients who underwent milk OIT with a concomitant use of proton pump inhibitor (PPI) medication and who developed anaphylaxis after a known, previously tolerated dose of milk. Conclusions: PPIs may act as a cofactor in patients undergoing OIT, triggering adverse reactions, irrespective of the PPI used or the dosage. It would be necessary to separate the administration of drug from food intake.Since OIT is a new form of treatment, long-term adverse events arising from PPI treatment and other possible triggers are still uncertain. Consequently, monitoring of patient must be prolonged over time. Additional investigations on the influence of different drugs in OIT maintenance phase are required.
MeSH term(s)	Anaphylaxis/etiology ; Animals ; Child ; Desensitization, Immunologic/adverse effects ; Desensitization, Immunologic/methods ; Eosinophilic Esophagitis/therapy ; Female ; Food Hypersensitivity/therapy ; Gastritis/therapy ; Humans ; Male ; Milk ; Proton Pump Inhibitors/adverse effects
Chemical Substances	Proton Pump Inhibitors
Language	English
Publishing date	2021-05-01
Publishing country	Singapore
Document type	Journal Article ; Observational Study
ZDB-ID	193144-1
ISSN	1578-1267 ; 0301-0546
ISSN (online)	1578-1267
ISSN	0301-0546
DOI	10.15586/aei.v49i3.58
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Article ; Online: Primary Meningococcal Septic Arthritis Case Report and Literature Review of an Unusual Manifestation of Meningococcal Disease.

Gómez, Borja Occhi / Feito, César Ramírez / Vázquez, Diego García-Germán / Vega, Marta García / García Viejo, Miguel Ángel

Bulletin of the Hospital for Joint Disease (2013)

2019 Volume 77, Issue 2, Page(s) 140–145

Abstract: Introduction: Primary meningococcal septic arthritis (PMSA) is an unusual manifestation of meningococcal disease. It is defined as the presence of acute septic arthritis without association with meningitis or the classic meningococcemia and isolation of ...

Abstract	Introduction: Primary meningococcal septic arthritis (PMSA) is an unusual manifestation of meningococcal disease. It is defined as the presence of acute septic arthritis without association with meningitis or the classic meningococcemia and isolation of Neisseria meningitidis in synovial fluid and blood culture. Diagnosis and early treatment, combining antibiotic and joint drainage, are fundamental. Case presentation: We present the case of a healthy 17-year-old male who presented with history of an acute onset, painful knee accompanied by fever. N. meningitidis was cultured from the synovial fluid. He was treated with arthroscopic lavage and intravenous ceftriaxone for 2 weeks. He was discharged 7 days after admission receiving outpatient intravenous ceftriaxione for 6 days and was ultimately transitioned to oral ciprofloxacin for 2 weeks thereafter. At the final follow-up visit, he had returned to sports activity with a normal knee joint. Literature review: We have done an exhaustive literature review in PubMed. Forty-four articles were included, with a total of 46 patients, to which we added ours. We collected the available demographic data, analytical values, culture tests, treatment, and evolution. Purposes and clinical relevance: This case illustrates an unusual presentation of N. meningitidis infection. Diagnostic suspicion is essential. Joint washing and antibiotics are the mainstays of treatment. Early and proper treatment prevents complications and mortality. Our main objective was to evaluate the diagnostics tools and treatment in PMSA. As a secondary objective, we evaluated the cases with negative cultures in order to evaluate the criteria for the diagnostic suspicion of PMSA.
MeSH term(s)	Administration, Intravenous ; Adolescent ; Anti-Bacterial Agents/administration & dosage ; Arthritis, Infectious/diagnosis ; Arthritis, Infectious/microbiology ; Arthritis, Infectious/physiopathology ; Arthritis, Infectious/therapy ; Arthroscopy/methods ; Ceftriaxone/administration & dosage ; Humans ; Knee Joint/diagnostic imaging ; Knee Joint/microbiology ; Male ; Meningococcal Infections/diagnosis ; Meningococcal Infections/physiopathology ; Meningococcal Infections/therapy ; Neisseria meningitidis/isolation & purification ; Recovery of Function ; Return to Sport ; Synovial Fluid/microbiology ; Therapeutic Irrigation/methods ; Treatment Outcome
Chemical Substances	Anti-Bacterial Agents ; Ceftriaxone (75J73V1629)
Language	English
Publishing date	2019-05-24
Publishing country	United States
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	390411-8
ISSN	2328-5273 ; 1936-9727 ; 1936-9719 ; 0018-5647 ; 0883-9344 ; 2328-4633
ISSN (online)	2328-5273 ; 1936-9727
ISSN	1936-9719 ; 0018-5647 ; 0883-9344 ; 2328-4633
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