An exploration of mammographers' attitudes towards the use of social media for providing breast screening information to clients.

INTRODUCTION: Increasingly patients and clients of health services are using social media to locate information about medical procedures and outcomes. There is increasing pressure for health professionals to engage in on-line spaces to provide clear and accurate information to their patient community. Research suggests there are some anxieties on the part of practitioners to do this. This study aimed to explore the attitudes of the NHS breast screening programme workforce towards engaging in online discussions with clients about breast screening. METHOD: 78 practitioners, representing a range of professional roles within the NHS Breast Screening Programme, attended one of 4 workshops. We used a Nominal Group Technique to identify and rank responses to the question: "What are the challenges that practitioners face in using SoME as part of their role?" Responses were categorised into themes. Participants were also asked to identify solutions to these challenges. RESULTS: Challenges: We identified two overarching themes: (1) Working within boundaries: which was further categorised into (a) Professional/legal accountability; (b) Information accuracy and (c)Time as a boundary, and (2) Support: further categorised into (a) Employer and (b) Manager. Solutions: These included: training in technical and interactional aspects of on-line communication and a responsibility to better understand employer and professional body SoMe policies. CONCLUSION: The study participants appeared willing and motivated to engage in SoMe. However, in keeping with the literature from other disciplines, a number of challenges need to be overcome for its use to be adopted more widely by breast screening professionals.

Hexokinase 2 controls cellular stress response through localization of an RNA-binding protein.

Subcellular localization of RNA-binding proteins is a key determinant of their ability to control RNA metabolism and cellular stress response. Using an RNAi-based kinome-wide screen, we identified hexokinase 2 (HK2) as a regulator of the cytoplasmic accumulation of hnRNP A1 in response to hypertonic stress and human rhinovirus infection (HRV). We show that inhibition of HK2 expression or pharmacological inhibition of HK2 activity blocks the cytoplasmic accumulation of heterogeneous nuclear ribonucleoprotein A1 (hnRNP A1), restores expression of B-cell lymphoma-extra large (Bcl-xL), and protects cells against hypertonic stress-induced apoptosis. Reduction of HK2 protein levels by knockdown results in decreased HRV replication, a delay in HRV-induced cell death, and a reduced number of infected cells, all of which can be rescued by forced expression of a cytoplasm-restricted hnRNP A1. Our data elucidate a novel role for HK2 in cellular stress response and viral infection that could be exploited for therapeutic intervention.

An application of continuing medical education to decrease excessive lengths of stay.

The focus of political and public attention on health care costs has created pressures on hospitals to devise effective methods to decrease costs and still maintain excellent medical care. After identifying four medical specialty services in a unit of a tertiary-care hospital where lengths of stay were excessive, even when the average severity of the discharged patients' illnesses in these services was considered, the authors developed two educational interventions to decrease lengths of stay. First, individual meetings were held with each of the attending physicians from three of the four specialty services, and the data on lengths of stay on that particular service were discussed. The fourth service was used as a control. Second, a continuing education meeting was held with attending physicians on all of the specialty services admitting patients to the unit. The data on lengths of stay for all services were discussed. The lengths of stay subsequently decreased significantly in the three targeted specialty services without any measurable change in the quality of care. This improved efficiency persisted for the 16 months after the intervention. Significant changes in length of stay were not observed in the control service or in any of the other specialty services in which the attending physicians experienced only the continuing education meeting.