People in public health. Expert hearings: a summary report

People in Public Health is a national study that is looking at how volunteers and lay workers are involved in improving health in their communities. The study’s main aim is to improve understanding of how to support lay people in their many and varied public health roles. In June 2008, three expert hearings were held so that the research team could listen to the views of people with specialist knowledge or practical experience of working in this way. Fifteen experts were invited from around the country to talk about how and why lay people get involved in public health, why the work they do is important and what the main barriers are. Our experts included lay people active in their communities, university researchers, people working in the health service (NHS), local government and the voluntary sector. While some talked about their experience of specific projects, others made more general points about services and support. All the expert hearings were held in public and there were opportunities for discussion

Temporal and spatial evolution of a waxing then waning catastrophic density current revealed by chemical mapping

We reconstruct the behavior of a catastrophic sustained radial pyroclastic density current as it waxed then waned during its brief lifespan. By subdividing the deposit into 8 time slices using a chemical tracer, we show that the sustained current initially was topographically restricted, but that its leading edge advanced in all directions, encroaching upon and gradually ascending hills. During peak flow the current reached its maximum extent and overtopped all topographic highs. After this, and while the current direction from source was maintained, the leading edge gradually retreated sourceward. High-resolution analysis of the depositional architecture reveals how the flow dynamics evolved and runout distance of the sustained density current rapidly increased then decreased, reflecting the dominant influence of changing mass flux, as demonstrated in numerical models but not previously distinguished in a natural deposit

Comparison and development of hurricane electrical power system damage models

The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file.Title from title screen of research.pdf file (viewed on August 25, 2008)Thesis (M.S.) University of Missouri-Columbia 2008.This document summarizes work done at Los Alamos national lab on Hurricane damage prediction, specifically, to the electrical power grid. An older, heuristic model is compared with a new automated heuristic method and a new method of physically modeling hurricanes is developed in detail. The new CICLOPS modeling system is extensively tested and its use in a real life situation is illustrated.Includes bibliographical reference

Engaging men with penile cancer in qualitative research: reflections from an interview-based study.

To explore the challenges of engaging men with penile cancer in qualitative interview research

The adsorption of fission products on VHTR structural materials

The entire thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file; a non-technical public abstract, appears in the public.pdf file.Title from PDF of title page (University of Missouri--Columbia, viewed on October 25, 2011).Thesis advisor: Dr. Tushar Ghosh.Vita.Ph. D. University of Missouri--Columbia 2010.The Very High Temperature Reactor (VHTR) is being considered as a candidate for the next generation of nuclear reactors. There are several areas that require further study in VHTR reactor designs. One such area is the adsorption of fission products on the reactor's structural materials, such as graphite and stainless steel. It is important to know how much of these fission products have adsorbed on various parts of the reactor both for the purposes of understanding the possible activity of the components during maintenance operations, and also to quantify potential releases of these fission products during accident scenarios. The adsorption of fission products on reactor materials has been studied in the past, but further data are required. This project was undertaken in order to acquire some of these data. Several analysis methods were used during the course of this study, including Gravimetry, Neutron Activation Analysis, Energy Dispersive Spectroscopy, and Inductively Coupled Plasma Mass Spectroscopy. Some isotherm data has been generated and recommendations for future work have been formulated.Includes bibliographical reference

THE IMPACT OF PENILE CANCER TREATMENT ON SEXUAL RELATIONSHIPS: A QUALITATIVE ENQUIRY

Background: Penile cancer is a rare but highly treatable condition. Current guidance recommends the use of a surgical procedure to excise the primary tumour (and a margin of normal penile tissue). Whilst treatment can be effective, treatment often has a significant impact on a patient's sexual and urinary function, and physical and mental wellbeing. The objective of this study was to explore the impact of treatment for penile cancer on sexual function and relationships. Methods: Qualitative data was collected via narrative video interviews. Maximum variation sampling was used to acquire the widest possible range of experiences. All interviews were recorded using either a digital video recorder or digital audio recorder, transcribed. A method of constant comparison analysis was used to illicit themes and outliers. Results: Twenty seven men were interviewed; mean age at diagnosis = 63 (range = 41-82); Mean number of years post-surgery = 3 (range = 0-15 years) 15 men were married, a further two were in a committed relationship, the remaining 10 were single/widowed. All men had received surgical treatment ranging from circumcision to total penectomy. Just two men had attended any form of psychological therapy. The impact of treatment varied considerably. The majority of men talked about still being able to experience arousal and sexual pleasure in some way. However, for many, penetrative sex was awkward and less gratifying than before treatment. One man who had received a total penectomy was surprised to experience a form of orgasm after surgery. For a number of men, the impact of treatment on their ability to satisfy their sexual partners was a key concern. Men who were able to openly talk with their partners about sex and the impact of the treatment on sexual practice found this a great comfort. Conclusion: The significance of sex for a man can differ considerably between individuals; relationship status, age and life stage are all likely to have a bearing on the role that sex plays in a man life. A diagnosis of cancer can also affect how a man (and his partner) views sex and the level of importance which he attaches to it. For men who are sexually active prior to treatment, surgery will undoubtedly result in changes to sexual practice, however, treatment does not have to result in sexual abstinence

Evidence of Erosional Self-Channelization of Pyroclastic Density Currents Revealed by Ground-Penetrating Radar Imaging at Mount St. Helens, Washington (USA)

The causes and effects of erosion are among the least understood aspects of pyroclastic density current (PDC) dynamics. Evidence is especially limited for erosional self-channelization, a process whereby PDCs erode a channel that confines the body of the eroding flow or subsequent flows. We use ground-penetrating radar imaging to trace a large PDC scour and fill from outcrop to its point of inception and discover a second, larger PDC scour and fill. The scours are among the largest PDC erosional features on record, at \u3e200 m wide and at least 500 m long; estimated eroded volumes are on the order of 106 m3. The scours are morphologically similar to incipient channels carved by turbidity currents. Erosion may be promoted by a moderate slope (5–15°), substrate pore pressure retention, and pulses of increased flow energy. These findings are the first direct evidence of erosional self-channelization by PDCs, a phenomenon that may increase flow velocity and runout distance through confinement and substrate erosion

Deposit‐Derived Block‐and‐Ash Flows: The Hazard Posed by Perched Temporary Tephra Accumulations on Volcanoes; 2018 Fuego Disaster, Guatemala

The impact of hazardous pyroclastic density currents (PDCs) increases with runout distance, which is strongly influenced by the mass flux. This article shows that the mass flux of a PDC may derive not only from vent discharge during the eruption, but also from partly hot, temporary stores (accumulations) of aerated pyroclastic material perched high on the volcano. The unforeseen PDC at Fuego volcano (Guatemala) on 3 June 2018 happened c.1.5 hr after the eruption climax. It overran the village of San Miguel Los Lotes causing an estimated 400+ fatalities. Analysis of the facies architecture of the deposit combined with video footage shows that a pulsatory block-and-ash flow flowed down the Las Lajas valley and rapidly waxed, the runout briefly increasing to 12.2 km as it filled and then spilled out of river channels, entered a second valley where it devastated the village and became increasingly erosive, prior to waning. Paleomagnetic analysis shows that the PDC contained only 6% very hot (>590°C) clasts, 39% moderately hot (∼200°C–500°C) clasts, and 51% cool (<200°C) clasts. This reveals that the block-and-ash flow mostly derived from collapse of loose and partly hot pyroclastic deposits, stored high on the volcano, gradually accumulated during the last 2–3 years. Progressive collapse of unstable deposits supplied the block-and-ash flow, causing a bulk-up process, waxing flow, channel overspill and unexpected runout. The study demonstrates that deposit-derived pyroclastic currents from perched temporary tephra stores pose a particular hazard that is easy to overlook and requires a new, different approach to hazard assessment and monitoring