Following a diagnosis of prostate cancer, men require information and support from healthcare providers which is tailored to their individual needs. Studies reporting on the needs of gay men with prostate cancer, and their experiences of healthcare provision, are lacking. This study highlights the issues affecting this group of men and the implications for healthcare delivery in the United Kingdom. In‐depth interviews were conducted with 12 gay men who had been diagnosed with prostate cancer. A phenomenological approach was used to collect and analyse data. Participants wanted, and expected, candid discussions with healthcare professionals, about how prostate cancer could affect their lives, sexual function, and how to access culturally relevant support before and after treatment. Participants perceived that their healthcare team had little knowledge about their needs, and if, or how, their experience differed due to their sexual orientation. Information provided was perceived as being misplaced or informed by heteronormative assumptions. Consideration should be given to requesting sexual orientation when recording patient information, if patients are willing to disclose. Training should be provided for healthcare professionals to enable them to provide information and support that is culturally relevant at all stages of the consultation.

Undergraduate research forms an integral part of higher education, and the research project in particular represents an important component of the undergraduate degree. This study investigated current practice and student and supervisor perceptions of undergraduate research, using both online surveys and telephone interviews. Important differences between student and supervisor perceptions of undergraduate research were identified. In particular, whilst both students and supervisors viewed the research project as a collaborative process, students reported that the project was more student led than supervisors rated it as being. Students were also more likely than supervisors to view activities as part of the supervisor role or to believe that the supervisor should act as a mentor. Students were less likely than supervisors to report that the research project enhanced skill development or that they were members of the departmental or psychological research community. There were no differences between supervisor estimates and direct student ratings of student satisfaction. Students were more satisfied if they believed that their project was student (as opposed to supervisor) led and that it advanced knowledge in the subject area.

Background The aim of this study was to identify key indicator symptoms and patient factors associated with correct out of hospital cardiac arrest (OHCA) dispatch allocation. In previous studies, from 3% to 62% of OHCAs are not recognised by Emergency Medical Service call handlers, resulting in delayed arrival at scene. Methods Retrospective, mixed methods study including all suspected or confirmed OHCA patients transferred to one acute hospital from its associated regional Emergency Medical Service in England from 1/7/2013 to 30/6/2014. Emergency Medical Service and hospital data, including voice recordings of EMS calls, were analysed to identify predictors of recognition of OHCA by call handlers. Logistic regression was used to explore the role of the most frequently occurring (key) indicator symptoms and characteristics in predicting a correct dispatch for patients with OHCA. Results A total of 39,136 dispatches were made which resulted in transfer to the hospital within the study period, including 184 patients with OHCA. The use of the term ‘Unconscious’ plus one or more of symptoms ‘Not breathing/Ineffective breathing/Noisy breathing’ occurred in 79.8% of all OHCAs, but only 72.8% of OHCAs were correctly dispatched as such. ‘Not breathing’ was associated with recognition of OHCA by call handlers (Odds Ratio (OR) 3.76). The presence of key indicator symptoms ‘Breathing’ (OR 0.29), ‘Reduced or fluctuating level of consciousness’ (OR 0.24), abnormal pulse/heart rate (OR 0.26) and the characteristic ‘Female patient’ (OR 0.40) were associated with lack of recognition of OHCA by call handlers (p-values < 0.05). Conclusions There is a small proportion of calls in which cardiac arrest indicators are described but the call is not dispatched as such. Stricter adherence to dispatch protocols may improve call handlers’ OHCA recognition. The existing dispatch protocol would not be improved by the addition of further terms as this would be at the expense of dispatch specificity.

This is a protocol for a Cochrane Review (Diagnostic test accuracy). The objectives are as follows:To determine the diagnostic accuracy of bedside screening tools for detecting dysphagia, which is a predictor of aspiration, in people with acute stroke.To assess the influence of the following potential sources of heterogeneity.• Patient demographics (e.g. age, gender, percentage of males in study, median age of study by gender).• The time post-stroke that the study was conducted (from admission to 48 hours) to ensure only hyperacute and acute stroke dysphagia screening tools are identified.• Any significant change in the participant's condition between the index and reference tests being performed.• The definition of dysphagia used by the study.• Level of training of nursing staff, both grade and training in the screening tool.• Low-quality studies identified from the methodological quality checklist.• Type of the index test and the threshold of the index test.• Type of the reference test.1 Screening for aspiration risk associated with dysphagia in acute stroke (Protocol)

This case highlights the complexity in the management of HP and that even in the absence of confirmed invasive disease, patients may elect to undergo prophylactic colonic resection.