Re United Ass\u27n of Journeymen & Apprentices of the Plumbing & Pipefitting Industry of the United States and Canada, Local 221, and Fraser-Brace Engineering Co Ltd

The grievor, an employee in the construction industry, was dis­charged for loafing . Warnings given by the field superintendent and the general foreman had not been passed down to him by the working foreman, and the privilege of taking smoke breaks was flexible . The agreement provided that an employee could be discharged for cause . The majority of the board, A.A. White, dissenting, held, even if the requirements of cause in the construction agreement were considerably lower than the requirements of just cause common in general industrial situations, cause for dismissal was not estab­lished here. In the construction industry, where foremen are members of unions, the company may have to take special steps to ensure that warnings reach the employees. The board ordered that the employee be suspended for two days and that he be compensated for lost wages. A.A. White, dissenting, stated that the requirements of cause were less than those of just cause and that this flowed from the fact that the company had agreed to hire exclusively from the union

Socioeconomic inequalities in attitudes towards cancer: an international cancer benchmarking partnership study.

Socioeconomic status (SES) differences in attitudes towards cancer have been implicated in the differential screening uptake and the timeliness of symptomatic presentation. However, the predominant emphasis of this work has been on cancer fatalism, and many studies focus on specific community subgroups. This study aimed to assess SES differences in positive and negative attitudes towards cancer in UK adults. A population-based sample of UK adults (n=6965, age≥50 years) completed the Awareness and Beliefs about Cancer scale, including six belief items: three positively framed (e.g. 'Cancer can often be cured') and three negatively framed (e.g. 'A cancer diagnosis is a death sentence'). SES was indexed by education. Analyses controlled for sex, ethnicity, marital status, age, self-rated health, and cancer experience. There were few education-level differences for the positive statements, and overall agreement was high (all>90%). In contrast, there were strong differences for negative statements (all Ps<0.001). Among respondents with lower education levels, 57% agreed that 'treatment is worse than cancer', 27% that cancer is 'a death sentence' and 16% 'would not want to know if I have cancer'. Among those with university education, the respective proportions were 34, 17 and 6%. Differences were not explained by cancer experience or health status. In conclusion, positive statements about cancer outcomes attract near-universal agreement. However, this optimistic perspective coexists alongside widespread fears about survival and treatment, especially among less-educated groups. Health education campaigns targeting socioeconomically disadvantaged groups might benefit from a focus on reducing negative attitudes, which is not necessarily achieved by promoting positive attitudes

Preventing and responding to depression, self-harm, and suicide in older people living in long term care settings: a systematic review

Abstract Objective: The well documented demographic shift to an aging population means that more people will in future be in need of long term residential care. Previous research has reported an increased risk of mental health issues and suicidal ideation among older people living in residential care settings. However, there is little information on the actual prevalence of depression, self-harm, and suicidal behavior in this population, how it is measured and how care homes respond to these issues. Method: This systematic review of international literature addressed three research questions relating to; the prevalence of mental health problems in this population; how they are identified and; how care homes try to prevent or respond to mental health issues. Results: Findings showed higher reported rates of depression and suicidal behavior in care home residents compared to matched age groups in the community, variation in the use of standardised measures across studies and, interventions almost exclusively focused on increasing staff knowledge about mental health but with an absence of involvement of older people themselves in these programmes. Conclusion: We discuss the implications of these findings in the context of addressing mental health difficulties experienced by older people in residential care and future research in this area

Pig production feeding and management of the brood sow and litter

Successful pork production depends first upon selection of good breeding stock. The breeding stock selected should have the inherent ability to produce and nurse a large litter that will use feed efficiently. Equally important are proper feeding and management of the brood sow and her litter. It is a good plan to separate the gilts from the fattening hogs at 4 to 5 months of age and feed them a growing ration. Whole oats or a mixture of one-half oats and barley or wheat coarsely ground, self-fed, constitute a good foundation for a ration. Enough corn should be fed, probably a couple of ears daily, to each gilt to keep her gaining. One-half gallon of skimmilk daily or 1/2 pound of protein concentrate will furnish sufficient protein for one gilt in addition to what she obtains from grain and pasture. (The protein concentrate may be hand-fed or mixed with the grain on the basis of 5 pounds to each 100 pounds of grain.

Application of Sentinel-2A data for pasture biomass monitoring using a physically based radiative transfer model

A large proportion of the global land surface is covered by pasture. The advent of the Sentinel satellites program provides free datasets with good spatiotemporal resolution that can be a valuable source of information for monitoring pasture resources. We combined optical remote sensing data (proximal hyperspectral and Sentinel 2A) with a radiative transfer model (PROSAIL) to estimate leaf area index (LAI), and biomass, in a dairy farming context. Three sites in Southern England were used: two pasture farms that differed in pasture type and management, and a set of small agronomy trial plots with different mixtures of grasses, legumes and herbs, as well as pure perennial ryegrass. The proximal and satellite spectral data were used to retrieve LAI via PROSAIL model inversion, which were compared against field observations of LAI. The potential of bands of Sentinel 2A that corresponded with a 10 m resolution was studied by convolving narrow spectral bands (from a handheld hyperspectral sensor) into Sentinel 2A bands (10 m). Retrieved LAI, using these spectrally resampled S2A data, compared well with measured LAI, for all sites, even for those with mixed species cover (although retrieved LAI was somewhat overestimated for pasture mixtures with high LAI). This proved the suitability of 10 m Sentinel 2A spectral bands for capturing LAI dynamics for different types of pastures. We also found that inclusion of 20 m bands in the inversion scheme did not lead to any further improvement in retrieved LAI. Sentinel 2A image based retrieval yielded good agreement with LAI measurements obtained for a typical perennial ryegrass based pasture farm. LAI retrieved in this way was used to create biomass maps (that correspond to indirect biomass measurements by Rising Plate Meter (RPM)), for mixed-species paddocks for a farm for which limited field data were available. These maps compared moderately well with farmer-collected RPM measurements for this farm. We propose that estimates of paddock-averaged and within-paddock variability of biomass are more reliably obtained from a combined Sentinel 2A-PROSAIL approach, rather than by manual RPM measurements. The physically based radiative transfer model inversion approach outperformed the Normalised Difference Vegetation Index based retrieval method, and does not require site specific calibrations of the inversion scheme

Lung cancer symptom appraisal, help-seeking and diagnosis - rapid systematic review of differences between patients with and without a smoking history

BACKGROUND: Lung cancer is the leading cause of cancer death in the world. A significant minority of lung cancer patients have never smoked (14% in the UK, and ranging from 10% to 25% worldwide). Current evidence suggests that never-smokers encounter delays during the diagnostic pathway, yet it is unclear how their experiences and reasons for delayed diagnoses differ from those of current and former smokers. This rapid review assessed literature about patient experiences in relation to symptom awareness and appraisal, help-seeking, and the lung cancer diagnostic pathway, comparing patients with and without a smoking history. METHODS: MEDLINE, PsychINFO and Google Scholar were searched for studies (2010-2020) that investigated experiences of the pathway to diagnosis for patients with and without a smoking history. Findings are presented using a narrative synthesis. RESULTS: Analysis of seven quantitative and three qualitative studies revealed that some delays during symptom appraisal and diagnosis are unique to never-smokers. Due to the strong link between smoking and lung cancer, and low awareness of non-smoking related lung cancer risk factors and symptoms, never-smokers do not perceive themselves to be at risk. Never-smokers are also likely to evaluate their experiences in comparison with other non-smoking related cancers, where prognosis is likely better, potentially leading to lower satisfaction with healthcare. CONCLUSION: Never-smokers appear to have different experiences in relation to symptom appraisal and diagnosis. However, evidence in relation to help-seeking, and what is driving diagnostic delays for never-smoker patients specifically is lacking

'He just gave up': an exploratory study into the perspectives of paid carers on supporting older people living in care homes with depression, self-harm, and suicide ideation and behaviours

This study explored the concept of ‘giving up’ from the perspective of care staff working in care homes, and their everyday communication and hidden knowledge concerning what they think about this taboo topic and the context it reflects. Moving to a care home is a major transition where cumulative losses can pose risks to mental health in later life. If not recognised, this vulnerability can lead to depression which extends to suicide ideation and behaviours in the form of self-harm and self-neglect. Care homes are a significant place of care until death, yet a discourse of silence means that self-harm and suicide is under-reported or not attended to with specialist expertise. The layperson’s concept of an older person ‘giving up’ on life is hardly discussed in the literature. This co-produced qualitative study used an inductive approach to explore this phenomenon through focus groups with 33 care staff across four care homes in South-East England. Findings paint a complex picture, highlighting tensions in providing the right support and creating spaces to respond to such challenging situations. ‘Giving up’ requires skilled detailed assessment to respond to risks alongside improved training and support for paid carers, to achieve a more holistic strategy which capitalises on significant relationships within a wider context