Primary Schools Free Breakfast Initiative (guidance)

"This guidance provides advice for maintained primary schools and Local Authorities in Wales on operating the Primary Schools Free Breakfast Initiative. The guidance gives details of: Why provide breakfast, Employment issues, Regulations, Food items and portion sizes, Health and Safety Risk Assessment, Promoting oral/dental health." - summary

Impairments, activity limitations and participation restrictions 6 and 12 months after breast cancer operation

OBJECTIVE: To describe the impairments of upper body and limbs, activity limitations and participation restrictions 6 and 12 months after operation for breast cancer and to examine the impact of impairments on activity limitations. DESIGN: A prospective survey 6 and 12 months after operation. PATIENTS: Ninety-six breast cancer patients. METHODS: A questionnaire for assessing the impairments, activity limitations and participation restrictions was developed. RESULTS: The most common impairments 6 months after operation were breast and axilla scar tightness, axilla oedema and neck-shoulder pain. At 12-month follow-up the breast scar tightness (p=0.008) and axilla oedema (p=0.023) decreased, and limb ache (p=0.005) increased significantly. The most limiting impairments were axilla oedema and limb numbness 6 months after operation, and at 12-month follow-up axilla oedema. Lifting, carrying and reaching out caused worsening of impairments to more than half of the respondents at 6-month follow-up. Regression analysis showed that many impairments together were determinants of activity limitations and sleep impairment. Participation restrictions were constant. Respondents had not given up participation in activities in the home, but some had abandoned leisure activities and felt that their work ability had decreased. CONCLUSION: Impairments and their impact on activities were frequent and constant. There is an urgent need for developing rehabilitation protocols for breast cancer patients

High impact activities in parks: best management practice and future research

Off-road driving, horseriding, rock climbing and similar activities can be lucrative for tour operators and important for local recreational groups, but contentious for management of national parks and protected areas, both because of safety and liability and because of potentially high environmental impacts. These include spreading weeds and pathogens, starting fires and crushing bird nests on beaches, amongst many others. In Australia as elsewhere, off-road vehicles and horses are allowed only in some places in some parks, and often only under permit. We have very little reliable scientific information to-date on just how serious these impacts may be, and on how well they might be managed through minimal-impact practices such as vehicle washdowns, stockfeed processing and seasonal closures. Such information can only be obtained through site specific ecological studies of the plants, animals and watercourses likely to be affected, differentiating tourism impacts from natural causes and fluctuations. This report examines management strategies for these activities worldwide and in Australia. Suggestions for best management practice and future research agendas are set

Promoting inclusion oral-health:social interventions to reduce oral health inequities

The aim of this collection of papers is to provide the reader with a cogent understanding of the role of evidence in the development of social or community-based interventions to promote inclusion oral-health and reduce oral health, health, and psychosocial inequities. In addition, this material will include various methods used for their implementation and evaluation. At the outset, the reader will be offered a working definition of inclusion oral-health, which will be modelled on the work of Luchenski et al. [1]. The interventions described are theoretically underpinned by a pluralistic definition of evidence-based practice [2] and the radical discourse of health promotion as postulated by Laverack and Labonte [3] and others [4,5]. This Special Issue will consist of eight papers, including an introduction. The first three papers will examine the various sources of evidence used to transform top-down into bottom-up community-based interventions for people experiencing homelessness; people in custody and for families residing in areas of high social deprivation. The final four papers will report on the implementation and evaluation of social or community-based interventions. This collection of research papers will highlight the importance of focusing on prevention and the adoption of a common risk factor agenda to tackle oral health, health and psychosocial inequities felt by those most excluded in our societies

Leaf gas films delay salt entry and enhance underwater photosynthesis and internal aeration of Melilotus siculus submerged in saline water

A combination of flooding and salinity is detrimental to most plants. We studied tolerance of complete submergence in saline water for Melilotus siculus, an annual legume with superhydrophobic leaf surfaces that retain gas films when under water. M.siculus survived complete submergence of 1 week at low salinity (up to 50molm-3 NaCl), but did not recover following de-submergence from 100molm-3 NaCl. The leaf gas films protected against direct salt ingress into the leaves when submerged in saline water, enabling underwater photosynthesis even after 3d of complete submergence. By contrast, leaves with the gas films experimentally removed suffered from substantial Na+ and Cl- intrusion and lost the capacity for underwater photosynthesis. Similarly, plants in saline water and without gas films lost more K+ than those with intact gas films. This study has demonstrated that leaf gas films reduce Na+ and Cl- ingress into leaves when submerged by saline water - the thin gas layer physically separates the floodwater from the leaf surface. This feature aids survival of plants exposed to short-term saline submergence, as well as the previously recognized beneficial effects of gas exchange under water