• An investigation into internet use by 45-54 year olds

      Rayner, Linda A.; Richardson, Keith (University of Chester, 2009-09)
      This research set out to determine how frequently, and for what purpose, members of the 45-54 year old generation used the internet, specifically whether they used it to socialise and for domestic purposes more frequently than they did for educational and work related purposes. This area of research is particularly fascinating because members of that generation grew up in a world with no internet, to one in 2009 where there were an estimated 1.56 billion world-wide internet users. A non-experimental research design was chosen using a questionnaire issued by email. Participants had a choice of completing the questionnaire and posting it back or completing it online. To minimise the risk of unsuitable recruits, and given the specific age related nature of the pre-defined research sample, non-probability purposive sampling techniques were used to arrive at the sampling frame of convenience. The main findings were that respondents stated that they used the internet for socialising and domestic purposes more frequently than they did for work and educational purposes. Therefore the null hypothesis was rejected ( that: "45-54 year olds do not use the internet to socialise and for domestic purposes more frequently than they do for educational and work related activities"). A weak relationship was found between gender and internet usage. Males, on average, used the internet more frequently than females for both social & domestic and work & educational purposes. This finding was similar to that of other recent UK based research. No statistically significant differences in internet use were found between the main roles or professions of respondents. However internet use was found to increase as the level of educational qualification increased broadly in line with the findings of other research. Those with higher educational qualifications in this study used the internet significantly more for work and educational purposes. In addition those who lived in rural areas used the internet significantly more for work & educational purposes, but no statistically significant difference in frequency of internet uses was found for domestic & social purposes. Those from Greater Manchester were the most frequent users of the internet for domestic & social purposes and N. Wales were the lowest. Finally, respondents from married households with children were the most active internet users, but no significant differences were detected when exploring that and other household types. Other studies had found significant differences between household types with internet use increasing as the number of household members increased because their internet use was driven by their need to maintain and coordinate multiple relationships.
    • An investigation into predator-prey systems

      Nixon, Issac J. N. (University of Chester, 2015-10)
      This paper looked at how to obtain quantitative information about the behaviour of Predator-Prey models using analytical methods, we look at how to solve the Lotka-Volterra model analytically, analysed the stability and behaviour of the critical points of a bounded Lotka-Volterra model and the Holling-Tanner model and how to look for Hopf bifurcation and limit cycles in the Holling-Tanner model. We have also compared a variety of numerical methods used to solve the predator-prey models. It has also used these results to validate our ndings from our analytical analysis.
    • An investigation into pregnant women's knowledge of prenatal screening: Implications for service provision

      Makowiecka, Krystyna; Lee, Diane L. (University of Liverpool (Chester College of Higher Education), 1997-11)
      Informed consent is one of the legal-ethical cornerstones of our health care system and is central to health care decision making. The ability of clients to make informed choices regarding their care is dependent upon the information imparted to them by health professionals, and also upon the client's subsequent understanding of such information. The issue of informed consent in relation to prenatal screening can be problematised because it requires consideration of complex moral and ethical issues, and the ability of clients to make informed choices is dependent upon the attitudes, knowledge base and communication skills of the health professionals who offer screening. In order to discover how much pregnant women know about prenatal screening tests, a cross-sectional survey using structured interviews was undertaken with a cohort of two hundred pregnant women who were offered prenatal screening. The knowledge possessed by each individual regarding maternal serum screening for Down's syndrome and ultrasound scan for fetal anomaly, was measured and subsequently analysed to ascertain if there was any relationship with their age, social class, parity and whether counselling was received by a hospital or community midwife. The scores obtained resulting from the knowledge possessed by each individual regarding both tests were further subject to statistical analysis to assess if participants were more knowledgeable regarding either the practical aspects or the implications of testing. Data regarding how each test was offered was also collected. Furthermore, participants cited the health professional whom they considered to have given the most useful information, and these data were analysed to assess if this had influenced the clients' knowledge base. The study concludes that pregnant women in this study are significantly more knowledgeable about maternal serum screening, than they are in relation to ultrasound scan. The levels of knowledge regarding both tests are significantly higher in the older age group and the professional group, suggesting that age and social class are strong demographic indicators of knowledge. Furthermore, participants are significantly better informed regarding the practical aspects of screening and demonstrate a lack of understanding regarding the more complex implications of screening. The source cited as having provided the most useful information (midwife, doctor, media or family and friends), is not an indicator of knowledge. It also appears that greater efforts are being made to present information on maternal serum screening to clients, indeed many participants failed to receive any verbal or written information regarding ultrasound scan. In order to facilitate and enable pregnant women to make informed choices regarding prenatal screening, it is proposed that they possess an understanding of both the practical aspects and the potential implications of being tested. Recommendations are made, which include the employment of a health professional whose specialist role would involve the co-ordination and monitoring of screening programmes. Furthermore effective staff training must address the individual and psychological needs of both staff and clients in respect of the complex and sensitive issues that accompany screening. Moreover, in order to guide health professionals in their clinical practice, a sound understanding of the ethical principles which underpin screening procedures is indicated.
    • An Investigation into the Analysis of Epidemiological Models

      Coleman, Gerard J. (University of Chester, 2015)
      This master's dissertation concentrates on how epidemics occur, and how we can predict the likely outcomes. We use mathematical models to analyse how different population groups interact, and how certain parameters can be pivotal in accurately predicting epidemics. Throughout this dissertation we will focus on work done in the book by Murray and the paper by Kermack and McKendrick. We study the Human Immunode ciency Virus (HIV), and discuss a population model which predicts how the virus behaves in a homosexual population. Then we then formulate a model of the biological make up of the disease. This enables us to evaluate the potential effects drug therapy can have in reducing the evolution of HIV into AIDS, and in reducing the spread of HIV within the population. We will evaluate how numerical approximations can provide an insight into how an epidemic may develop when analytic solutions cannot be obtained. Computed approximations will then be compared to explain the likely outcomes when an epidemic occurs.
    • An investigation into the effects of caffeine on golf performance with focus on the drive

      Nicholas, Ceri; Bristow, Ryan (University of Chester, 2016-09)
      The purpose of the study was to examine the effect of caffeine on golf performance, focussing on the drive. Eleven male volunteers (age 29.36 ± 6.50years; height 180.27 ± 5.93cm; weight 85.48 ± 13.31kg; handicap 4.75 ± 3.68) were recruited. Each participant was tested on two occasions in a counterbalanced design involving three-phases; 1- ten-drives on a golfsimulator to assess performance variables (club head speed, ball speed, carry-distance, total-distance, offline and launch angle); 2- playing 18-holes of golf; 3- repeat ten-drives on the golf-simulator. Participants were administered (double-blind) 3mg  kg-1 caffeine or placebo over two-doses, firstly 30- minutes prior to commencing phase 2 and secondly, immediately following hole-9. Golf performance (total score, greens in regulation and total putts) hydration status, physiological (distance walked and mean heart rate) and environmental conditions (temperature and wind speed) were recorded. A 2x2 (condition x time) repeated-measures ANOVA and Paired-samples t-tests were used to compare performance differences between the two conditions. Analysis indicated significant interactions (p<0.05) for ball speed (154.65 ± 9.08 mph - 153.31 ± 9.05 mph, d= 0.16) and total-distance (278.55 ± 18.56 yards - 272.73 ± 15.45 yards, d= 0.36) in the placebo condition with no significant reductions (p>0.05) in the caffeine condition. However, no significant performance differences (p>0.05) were identified on the course over 18-holes. It was concluded 3mg  kg-1 caffeine consumed before and during golf attenuates the effects of fatigue on some performance variables associated with the drive, however did not improve performance on the course.
    • An investigation into the perceptions and use of peer observation of teaching in a HE in FE environment: An exploratory case study

      Gidman, Janice; Dutton, Caroline K. (University of ChesterUniversity of Chester, 2013-04-30)
      Over the last decade peer observation of teaching (POT) has become established practice in HE, and is undertaken with the aim of enhancing teaching quality through reflective practice. Although teaching observations also take place for staff delivering HE provision in FE colleges, there is limited literature evaluating the nature or purpose of this. Anecdotal evidence, and the literature that is available, suggests that FE colleges do not differentiate between the purpose and practice of HE and FE teaching observations. In the few studies reported, teaching observations undertaken for taught HE sessions tend to be for evaluative and judgmental purposes, rather than for the development and enhancement of teaching and learning. The overall aim of the study was to investigate and gain insight into the perceptions and use of POT within an 'HE in FE' context. The research strategy for this work consisted of an exploratory case study of four FE colleges' approach to teaching observations in their HE work which was largely qualitative in nature. Data was collected from the colleges through an initial questionnaire to HE teaching staff and HE managers, whioch was then followed by a second phase of data collection consisting of semi-structured interviews. Initial results from the questionnaires supported existing thinking that observation processes are generally the same for HE as for FE, with many HE teaching obervations being graded using Ofsted criteria. However, data collected from the semi-structured interviews found that the FE colleges in his study are utilising a two-tier approach to teaching observations for both their FE and HE provision. Findings indicate the general acknowledgement that there is the need for a discrete but distinct approach towards HE teaching observations due to the expectation and different approaches rquired for HE teaching and its associated quality assurance processes. Recommendations are made in light of the implications for academic development requirements for staff delivering and managing college based HE.
    • An investigation into the relationship between physical activity and happiness in adults

      Fallows, Stephen; Turner, Anne (University of Chester, 2008-09)
      The main purpose of the study was to investigate if there was a relationship between daily physical activity levels and self reported happiness. The design of the study was cross-sectional. Fifty-one university employees, comprising of twenty-eight males and twenty three females (mean age = 47 years) each completed a three-day physical activity diary and a self administered happiness questionnaire. 67% of the employees were academic and the remainder were administration or technical staff. Correlation analyses were used to assess the relationship between happiness and activity levels in total, occupational and leisure-time activity. The results of the study show the null hypotheses to be correct, as there was no significant relationship between total activity levels and happiness. (p > 0.05). Results also identified that there was no significant relationship between happiness and occupational or leisure-time activity. Happiness scores were associated with gender, and females were found to have a significantly happier than males (p=0.001), although the reason for this was not identified in this study. Participants with low activity levels were found to have a lower mean happiness score than more active participants but his was not statistically significant. Forty-four participants (86%) were found to meet current government guidelines for recommended levels of daily activity. The study concluded that higher levels of activity were not directly associated with increase happiness. It also supports previous research identifying happiness as a multidimensional concept dependant on many social and environmental factors.
    • An investigation into the validity of percentage body fat estimations by a commercially available bioelectrical impedance analyser

      Lamb, Kevin L.; Williams, Alun G. (University of Liverpool (Chester College of Higher Education), 1995-08)
      The present investigation examined the validity of bioelectrical impedance analysis (BIA) and selected skinfolds (Sum 4) when estimating percent body fat (% fat) in young, physically active adults (MEAN ± SEM = 18.3 ± 1.2 % fat) by comparing the estimates with values obtained from densitometry (D). Thirty-five Caucasian volunteers (21 males, 14 females; MEAN ± SEM = 22.9 ± 0.4 yr) served as subjects. The statistical analysis involved calculation of the bias and 95% limits of agreement. The results indicated that the Bodystat 1500 BIA system agreed better with D (bias and 95% limits = 0.7 ± 7.4 % fat) than Sum 4 (bias and 95% limits = 2.2 ± 8.5 % fat). However, the error observed for both predictive methods was too large to recommend use in assessing % fat in a young, physically active population, unless only a general estimation of % fat is required for work such as epidemiological studies.
    • An investigation into the validity of percentage body fat estimations by a new bioelectrical impedance analyser

      Cotterrell, David; Williams, Alun G.; Irving, Catherine M. A. (University of Liverpool (Chester College of Higher Education), 1997-10)
      This study was designed to assess the validity of a new method of estimating per cent body fat (%BF) by bioelectrical impedance (BIA). Both models of the new analyser, Tanita TBF 305 and TBF 511 were used to estimate %BF in a sample of active Caucasian adults: 16 male and 23 female. Males: mean age 45.37+ 9.16 years, mean weight 62.10±8.30 kg. Females: mean age 41.96±8.01 years; mean weight 62.10±8.30kg. The new analysers were validated against estimates of %BF by Densitometry (D), compared with sum of skinfolds (SS), BIA Bodystat 1500 (BS) and calculated %BF from BMI. Paired 't' tests were conducted on all methods and compared to D. Bias and 95% Limits of Agreement were calculated using the method of Bland and Altman. Results showed that all methods overestimated %BF significantly in relation to D, except with BS in men. Statistical analysis using paired 't' test and the Bland & Altman method of calculating bias and 95% Limits of Agreement was TBF305 1.18 ± 7.50 %BF for men and 7.40 ± 12.84 %BF for women; TBF 511, 2.14 ± 7.54 %BF for men and 8.40 ± 11.72 %BF for women. It was concluded that because the bias and 95% Limits of Agreement suggested that the new method will overestimate significantly in comparison to D that it could not be recommended as a valid method of estimating %BF and that its use even as a comparative measure of %BF in large epidemiological studies is limited.
    • Investigation of Orlistat as an intervention for obesity and cardiovascular risk factors: A systematic review

      Fallows, Stephen; Wrigley, Daniel K. (University of Chester, 2010-09)
      Background – Obesity is an ever increasing problem in modern society. Numerous pharmacological interventions have been introduced to combat the detrimental effects of this major health issue, including the lipase inhibitor, orlistat. Objectives – To investigate, and assess, the pharmacological effect of two differing doses of orlistat (xenical® 120mg; and alli™ 60mg), on weight loss parameters and cardiovascular risk factors. Search Strategy – Studies were obtained through computerised searches of MEDLIN, PUBMED, CINAHL, EMBASE, The Cochrane Library, Web of Knowledge, and from manual searches in recognised scientific journals. Selection Criteria – Randomised controlled trials in adult only subjects, of any study duration, comparing orlistat against surgical interventionm alternative medical intervention, and placebo, for weight loss and cardiovascular risk factors. Data Extraction & Synthesis – One reviewer independently assessed relevant studies, risk of bias, and extracted data. Main Results – Nineteen studies deemed relevant were included for final review. No study included cardiovascular mortality as an outcome. All studies reported significant (p<0.05) weight loss in orlistat treated patients from baseline to end of treatment. Most frequent side effects were mainly gastrointestinal in nature. Onset of diabetes progression was reduced in orlistat patients. Other cardiovascular risk factors were shown to decrease in orlistat patients. Conclusion – In patients with body mass index ≥27kg/m², orlistat, sibutramine, and metformin reduce body weight to a similar degree. Orlistat reduces waist circumference to the greatest degree. Orlistat induces greater gastrointestinal side effects and a greater attrition rate. Alli™ needs greater investigation of effects.
    • An investigation of the experience of the role of Critical Incident Debriefer in a ‘Fire and Rescue Service in the North West of England’

      Haynes, Tracy A. (University of Chester, 2015-10)
      AIMS: Psychological debriefing is a crisis intervention for use with people who are exposed to stressful events within their work. Research on crisis interventions is controversial, and further studies in this field are important to establish appropriate interventions for emergency workers. Debriefing has become an area for debate due to evidence of its benefits showing beneficial and negative outcomes, or no outcome at all. This study aims to qualitatively investigate the experience of the role of Critical Incident Debriefer in a Fire and Rescue Service in the North West of England. METHODS OF RESEARCH: A phenomenological approach was used to collect data via Collaborative Inquiry (CI) group meetings with the debriefers. The recorded CI meetings were transcribed into text and the transcripts were analysed using applied thematic analysis. A reflective diary was utilised to keep experiences, thoughts, feelings and opinions visible and an acknowledged part of the research. RESULTS: Review and analysis of the participants’ experiences identified six themes; policy concerns; organisational concerns; CID training; psycho-education; culture and the future of CID. CONCLUSION: These findings identified positive and negative elements of the CID process from the perspective of debriefers. Attitudes towards CID appear to be improving, however, debriefers feel they do not receive appropriate training, which corresponds with the findings of the Cochrane Review (2002) and suicide within the fire service is a serious concern.
    • An investigation of the impact on operational managers' psychological contracts of moving to Trust status

      Corbett, Catherine (University of Chester, 2010-06)
      Contemporary literature on change management suggests that the pace of change is accelerating and that public sector organisations are increasingly introducing change initiatives designed to move their services into the marketplace. As such, organisations must be aware of the likely impact of change on their employees to respond quickly and ensure change initiatives are effective. The impact of change on employees' psychological contracts in general, and specifically in relation to downsizing, is seen to reduce their level of commitment, loyalty and trust which can result in employees withdrawing their services, behaving such that change initiatives are adversely affected or deciding to leave the organisation. In addition, operational managers are seen to hold a unique position within an organisation and, at times of significant organisational change, their level of loyalty, commitment and trust is seen as vital to its effective implementation. Research in this area within the public sector is very limited. More specifically, no published research has looked at the impact of a significant change initiative within the UK Probation Service. This study therefore focuses on Cheshire Probation Area (CPA) and seeks to investigate the impact on operational managers' psychological contracts on moving to Trust status. A conceptual model was developed which drew together the key theoretical elements of both psychological contracts and change management, in which the interpretation of the change was seen as crucial to its effective implementation. A cross sectional design was used to assess the impact using a questionnaire providing both quantitative and qualitative data. Statistical analysis showed the majority of respondents' psychological contracts were unaffected by the move to Trust status. However, for those who were, trust was the main area affected. An interpretive analysis of the data also found that the majority of respondents felt their psychological contract was unaffected, or that it was too soon to appreciate its full impact. However all respondents felt they provided more loyalty to CPA than was reciprocated. It concludes that, in general, operational managers continue to hold a relational psychological contract with CPA that has largely been unaffected by the move to Trust status, and should therefore support the implementation of this change initiative.
    • An investigation of the strategic approach of a retail organisation and study the blue ocean opportunities: A case study of Wilkinson Retails, UK

      Rajkhowa, Gautam; Bukke, Gopinath (University of Chester, 2010-11)
      The current retail industry is characterised by hypercompetition and constant change. The UK market for retail services is continuously growing and allowing new comers to enter the market. Business opportunities as well as challenges in terms of competition and technology are growing because of the frequent changes in industry and rapid advancements in technology. Although Michael Porter’s theories force companies to choose either differentiation or cost-leadership, the recent theory, Blue Ocean Strategy suggests companies can make competition irrelevant. Rather than stealing the market share from the competitors of the “bloody red oceans”, companies can create new uncontested market space the “blue oceans”. The purpose of this dissertation is to understand the current competitive strategies of one of the UK’s leading retailer, Wilkinson, by focusing on whether it tend to pursue traditional competitive strategies or blue ocean strategies. This study is based on the data collected from interviews, questionnaires and of course from the existing strategic literature. Most of the retailers, to some extent, have outspoken differentiation focus and are cost conscious. Competition is also seen as a positive sign which promote the retailers own business. But the fact that majority of retailers are in expansion phase, the cost reductions seem less apparent. However, to pursue Value Innovation and become successful, the retailers should start considering the blue oceans.
    • An investigation of UK passenger attitudes towards the carbon offsetting of both flight and airport emissions

      Ribchester, Chris; Cliffe, Anthony D. (University of Chester, 2014)
      Airlines and airports have to meet strict carbon emission reduction targets by 2050. Technological improvements and operational efficiencies can only go so far, in an industry that relies on hydrocarbons. To help the industry meet its targets, carbon offset schemes are a viable tool. These schemes are voluntary to passengers and so to become successful passengers in large numbers need to engage with them. At present less than 9% of passengers have ever donated to a carbon offset scheme. The industry has failed to promote such schemes with 60% of passengers unaware that they exist. Despite this, 82% would offset in the future, women and under 40’s in particular. Factors such as gender and a passenger’s belief in the existence of climate change play a key role in affecting a passenger’s likelihood of donating to a scheme. The airport offset scheme is a viable one, however there is mixed reaction from passengers.
    • Is chronic pain a small-t trauma? A systematic review of the use of EMDR in the treatment of chronic pain.

      Patel, Kim L. (University of Chester, 2012-10)
      Aim: Chronic pain (CP) hugely impacts negatively on the individual. Similarities between post-traumatic stress disorder (PTSD) and CP include neuro-plasticity, affect and memory, suggesting CP is a small-t trauma with PTSD a big-T Trauma. As such there is a theoretical rationale for the use of eye movement desensitisation and reprocessing (EMDR) in CP treatment. Methodology: A systematic review of the available literature (eight papers) identified two different EMDR protocols. Standard EMDR protocol was used in phantom limb pain (PLP) subjects. Pain protocol EMDR was used in headache, fibromyalgia, and musculoskeletal pain subjects. The papers varied greatly in robustness. Results: PLP subjects had higher pain intensity scores pre-intervention and lower pain intensity scores post intervention compared to other CP subjects. Both EMDR protocols demonstrated significant pain reduction/amelioration, maintained at follow-up. Further research is required; however this systematic review offers that EMDR has the potential to be a useful adjunct in CP management and treatment.
    • Is customer perceived value influenced by national culture in business to business marketing? An empirical investigation

      McKeown, Ian (University of Chester, 2006-06)
      The study forms an empirical investigation that uses a census approach to determine which business factors are most valued by Asian toothpaste producers. A positivist approach, supported by an interpretivist philosophy is used to gain understanding of how culture affects perceived value in business-to-business relationships. This takes the form of deriving and testing a conceptual model, using a questionnaire as the research instrument. Covering 4 countries in the region (China, Indonesia, Japan and Korea) the study finds that while 'low cost in use' is a common desire for all respondents, a number of differences exist concerning the relative value of other business factors and elements forming these. A random sample of recipients was not used, but rather a focused census of toothpaste producers in the Asian region. This limits the scope of study's conclusions. Findings from the study are used to formulate recommendations that INEOS Silicas might follow to leverage competitive advantage in the region, based on cost, service and reliability. A difference in emphasis was found for each of these elements in the different counties surveyed.
    • Is exercise training safe and effective for ALL heart failure patients: A retrospective service evaluation of a hospital based cardiac rehabilitation programme

      Buckley, John P.; Fallows, Stephen; Burgess, Laura A. (University of ChesterUniversity Hospital of South Manchester, 2010-09)
      The main purpose of this study was to investigate whether exercise training is safe and effective for all classifications of heart failure, female and elderly (70 years and above) heart failure patients and also those heart failure patients with significant co-morbidity. Much of the research into exercise training and heart failure has been carried out on middle aged men in NYHA II-III classification of heart failure who have no other significant co-existing conditions. This is not reflective of the population of heart failure patients in general. The cardiac rehabilitation records (n=1000) of heart failure patients who had attended an exercise programme at a hospital based NHS service over a period of ten years were retrospectively evaluated to investigate the safety and efficacy of exercise training. Analysis of baseline statistics and repeated outcome measures were used to investigate the significance of the service and to ascertain where similarities and differences lay with the research. 74% were male, the age range was 17-90 years and 52% of patients had one or more significant co-morbidity. The acute event incidence was recorded at four per 1000 patients. NYHA I patients, female, elderly heart failure patients and those with significant co-morbidity showed significant improvements in functional capacity and quality of life measures with exercise training (p< 0.05). However no conclusion on the effectiveness of exercise could be drawn for NYHA IV heart failure patients due to insufficient recorded data and reduced adherence to exercise sessions for this group. A hospital based exercise programme, therefore may not be the most appropriate setting for the NYHA IV patient. This study supports previous research of the benefit of exercise training in heart failure but broadens it further to show that exercise is safe for all heart failure patients and is also effective for all heart failure patients with the exception of NYHA IV patients where further investigation is needed.
    • Is physical inactivity related to body mass index and waist circumference in a sample of Maltese adult population?

      Fallows, Stephen; Micallef, Maria C. (University of Chester, 2013-09)
      Physical inactivity and excess weight are two major public health problems (World Health Organisation [WHO], 2000, 2006). In 2008, the worldwide prevalence of overweight and obesity was estimated to be more than 1.4 billion adults (over 20 years), of these over 200 million men and almost 300 million women were obese (WHO, 2008). Furthermore, WHO (2013) estimated that in 2008, globally, 31% of adults aged 15 and over were insufficiently active (28% men and 34% women). This unhealthy behaviour was estimated to cause 600,000 deaths annually and lead to a loss of 5.3 million years of healthy life due to premature death and disability (WHO, 2002). If physical inactivity were to be reduced by 10‐25%, more than 1.3 million lives could be saved annually (Lee et al., 2012). In Malta, the situation is similarly grim. It is troubling to note that Maltese men rank top in European obesity chart and Maltese women place third (Eurostat, 2011). Furthermore, Malta is labelled as one of the most sedentary populations on earth (Stagno‐Navarro, 2012), with 71.9% of the population failing to meet recommended levels of PA (Hallal et al., 2012). It was estimated that Malta could gain an increase of 1.2% years in life expectancy if physical inactivity were eliminated (Lee et al., 2012). Lee et al. (2012) revealed that Malta has the highest estimate for coronary heart disease (CHD), type 2 diabetes, breast cancer, colon cancer and all‐cause mortality, compared to other European countries, almost double to the European and Worldwide median in all variables (Table 1).
    • Is talking alone enough in the 21st century? A qualitative exploration into the therapeutic helpfulness of creative and symbolic methods in school-based counselling (Wales)

      Swinton, Valda; Tebble, Gary (University of Chester, 2014-10)
      This qualitative study sought to examine the nature of School-Based Counselling from the subjective understanding of the therapeutic practitioner, where two central objectives were examined: (1) To investigate the assertion that talking alone is enough when engaging a young person in School-Based Counselling. (2) To demonstrate the usefulness of creative and symbolic method and to explore whether these can be helpful when enhancing the therapeutic relationship. Semi-structured interviews were conducted with five School-Based Counselling practitioners who worked exclusively across Wales. The study was then extensively analysed using The Constant Comparative Method. Three master themes emerged from the data: (1) Adopting a 'Young Person-Centred Approach; (2) From the 'Silenced Youth' to the 'Expressive Person'; (3) The usefulness of Creative and Symbolic Methods. School-Based Counselling was identified as predominately Young Person-Centred in its therapeutic practice. The role of School-Based Counselling was also placed into a wider societal context which illustrated the role of a key adult, whilst also suggesting that certain fractions of the adult world still deemed young people as powerless. Talking alone was also identified as 'enough' when promoting therapeutic development for most young people in School-Based Counselling. However the use of Creative and Symbolic Method seemed particularly powerful for those young people who found talking difficult or who belonged to an additional educational needs group. The therapeutic processes of Creative and Symbolic Method were also seen as significant and helped facilitate greater communication. These findings highlight a gap in knowledge in the School-Based Counselling field particularly around young people accessing therapy who also have additional educational needs. The current findings support existing School-Based Counselling literature but offer new clinical insights, advocating opportunities for future research.
    • Is the best recovery drink already in your fridge? The effect of milk post-exercise on subsequent performance among female Gaelic football players aged 16-18 years.

      Nicholas, Ceri; O'Donovan, Caroline (University of Chester, 2016-06)
      Background: The beneficial role of milk and milk-based products in the area of recovery nutrition has been reported in the literature; with milk’s natural nutritional composition addressing the main priorities of recovery suggested as the mechanism for its effectiveness. However, no studies exist to date investigating this potential benefit among female, adolescent athletes. Objective: To investigate the effectiveness of milk post-exercise on subsequent performance among female Gaelic football players aged 16-18 years. Methods: In this randomised, counter-balanced, cross-over study, ten participants (age 16.5 ± 0.6 years; height 166.4 ± 6.9 cm, body weight 58.2 ± 9.2 kg) completed two trials consisting of a typical training session, consumption of a test drink (500 mL of milk [M] or 500 mL of water [CON]) followed by a 2 hour (2-h) recovery, after which performance indicators were measured: countermovement jump height [CJH]; drop jump [DJ]; and 20 metre sprint [20-m]. Results: No significant (p>0.05) difference was observed between M and CON for: CJH (35.7 ± 8.5 cm; 34.9 ± 5.3 cm, respectively; p=0.603); or DJ (36.4 ± 7.9 cm; 36.4 ± 5.1 cm, respectively; p=0.971). A significant (p=0.02) difference for 20-m sprint speed was reported between M (3.85 ± 0.35 s) and CON (4.02 ± 0.32 s). Conclusion: This study demonstrates a role for milk – a natural, accessible, affordable and calcium-rich beverage – post-exercise among female Gaelic football players aged 16-18 years for improving subsequent sprint performance. This is of particular 63 relevance for this cohort who has the highest calcium requirements and, concurrently, the highest calcium insufficiencies of the Irish population. Future studies should include larger sample sizes with expansion to explore potential roles among male adolescents and across a variety of sports and competitive levels.