A summary of new NICE guidance on sunlight exposure: encouraging behavioural change in photoprotection

Healthcare professionals can play an important role in preventing skin cancer via raising awareness of the effects of sun exposure and supporting people to revise behaviours that place them at increased risk. The recent revision to NICE guidance on Sunlight Exposure provides up-to-date, evidence-based information that practitioners should seek to pass onto the public with regards to sensible sunlight exposure. The first half of the article gives a brief summary of the at-risk groups, the environmental factors that require consideration, and the myths and misconceptions that persist in relation to sunlight exposure which need to be challenged. The evidence suggests that simply providing information on risk is usually not sufficient to change behaviour in those who actively seek to tan; consequently the second half of this article describes some simple behaviour change techniques for use in dermatology practice

Nickel Impregnated Cerium-Doped Strontium Titanate Fuel Electrode: Direct Carbon Dioxide Electrolysis and Co-Electrolysis

Direct electrolysis of carbon dioxide and co-electrolysis of steam and carbon dioxide offers an efficient and effective method to produce CO or syngas and also utilizes CO2 in a carbon-neutral fuel cycle. Here we report the use of composite fuel electrode containing a Sr0.7Ce0.2TiO3±δ (SCT) and Sm0.20Ce0.80O2-δ (SDC) backbone which has been infiltrated with nickel nitrate and decomposed to form nickel surface decoration on the ceramic scaffold. Maximum cell current during electrolysis at 850◦C was 263 mAcm−2 and 192 mAcm−2 at 1.8V for co-electrolysis and CO2, respectively. The infiltrated nickel particles provided a large surface area and enhanced activity during electrolysis. These findings demonstrate that Ce-doped titanate mixed conductors combined with low volume nickel additions are promising next-generation electrode materials for solid oxide electrolysis cells

The applicability of self-regulation theories in sport: Goal adjustment capacities, stress appraisals, coping, and well being among athletes

Objectives We examined a model, informed by self-regulation theories from the health psychology literature, which included goal adjustment capacities, appraisals of challenge and threat, coping, and well-being. Design Prospective. Methods Two-hundred and twelve athletes from the United Kingdom (n = 147) or Australia (n = 65), who played team (n = 135) or individual sports (n = 77), and competed at international (n = 7), national (n = 11), county (n = 67), club (n = 84), or beginner (n = 43) levels participated in this study. Participants completed measures of goal adjustment capacities and stress appraisals two days before competing. Athletes also completed coping and well-being questionnaires within 3 h of their competition ending. Results The way an athlete responded to an unattainable goal was associated with his or her well-being in the period leading up to and including the competition. Goal reengagement positively predicted well-being, whereas goal disengagement negatively predicted well-being. Further, goal reengagement was positively associated with challenge appraisals, which in turn was linked to task-oriented coping, and task-oriented coping positively associated with well-being. Conclusion When highly-valued goals become unattainable, consultants and coaches could encourage athletes to generate alternative approaches to achieve the same goal or help them develop a completely new goal in order to promote well-being among athletes.</p

HIF-mediated innate immune responses: cell signaling and therapeutic implications

Leukocytes recruited to infected, damaged, or inflamed tissues during an immune response must adapt to oxygen levels much lower than those in the circulation. Hypoxia inducible factors (HIFs) are key mediators of cellular responses to hypoxia and, as in other cell types, HIFs are critical for the upregulation of glycolysis, which enables innate immune cells to produce adenosine triphosphate anaerobically. An increasing body of evidence demonstrates that hypoxia also regulates many other innate immunological functions, including cell migration, apoptosis, phagocytosis of pathogens, antigen presentation and production of cytokines, chemokines, and angiogenic and antimicrobial factors. Many of these functions are mediated by HIFs, which are not only stabilized posttranslationally by hypoxia, but also transcriptionally upregulated by inflammatory signals. Here, we review the role of HIFs in the responses of innate immune cells to hypoxia, both in vitro and in vivo, with a particular focus on myeloid cells, on which the majority of studies have so far been carried out

'Everything's fine, so why does it happen?' A qualitative investigation of patients' perceptions of noncardiac chest pain

Aims and objectives. To examine patients’ perceptions and experiences of noncardiac chest pain, within the framework of the common sense model. Background. Patients with noncardiac chest pain have good physical prognosis, but frequently suffer prolonged pain and psychological distress. The common sense model may provide a good framework for examining outcomes in patients with noncardiac chest pain. Design. Qualitative thematic analysis with semi-structured interviews. Methods. In 2010, participants recruited from an emergency department (N = 7) with persistent noncardiac chest pain and distress were interviewed using a semistructured schedule, and data were analysed using thematic analysis. Results. Seven themes were identified; six of which mapped onto core dimensions of the common sense model (identity, cause, timeline, consequences, personal control, treatment control). Contrary to previous research on medically unexplained symptoms, most participants perceived psychological factors to play a causal role in their chest pain. Participants’ perceptions largely mapped onto the common sense model, although there was a lack of coherence across dimensions, particularly with regard to cause. Conclusion. Patients with noncardiac chest pain lack understanding with regard to their condition and may be accepting of psychological causes of their pain. Relevance to clinical practice. Brief psychological interventions aimed at improving understanding of the causes of noncardiac chest pain and providing techniques for managing pain and stress may be useful for patients with noncardiac chest pain

Modelling groundwater/surface-water interaction in a managed riparian chalk valley wetland

Understanding hydrological processes in wetlands may be complicated by management practices and complex groundwater/surface water interactions. This is especially true for wetlands underlain by permeable geology, such as chalk. In this study, the physically based, distributed model MIKE SHE is used to simulate hydrological processes at the Centre for Ecology and Hydrology River Lambourn Observatory, Boxford, Berkshire, UK. This comprises a 10-ha lowland, chalk valley bottom, riparian wetland designated for its conservation value and scientific interest. Channel management and a compound geology exert important, but to date not completely understood, influences upon hydrological conditions. Model calibration and validation were based upon comparisons of observed and simulated groundwater heads and channel stages over an equally split 20-month period. Model results are generally consistent with field observations and include short-term responses to events as well as longer-term seasonal trends. An intrinsic difficulty in representing compressible, anisotropic soils limited otherwise excellent performance in some areas. Hydrological processes in the wetland are dominated by the interaction between groundwater and surface water. Channel stage provides head boundaries for broad water levels across the wetland, whilst areas of groundwater upwelling control discrete head elevations. A relic surface drainage network confines flooding extents and routes seepage to the main channels. In-channel macrophyte growth and its management have an acute effect on water levels and the proportional contribution of groundwater and surface water. The implications of model results for management of conservation species and their associated habitats are discusse

Projecting impacts of climate change on habitat availability in a macrophyte dominated chalk river

Climate change will impact fluvial ecosystems through changes in the flow regime. Physical habitat is an established measure of a river's ecological status when assessing changes to flow. Yet, it requires extensive datasets, is site specific, and does not account for dynamic processes; shortcomings that the use of hydrological and hydraulic models may alleviate. Here, simulated flows along a 600 m reach of the River Lambourn, Boxford, UK, were extracted from the 1D MIKE 11 hydraulic component of an integrated MIKE SHE model of the Centre for Ecology & Hydrology River Lambourn Observatory. In-channel seasonal macrophyte growth and management through cutting alter water levels, represented in the hydraulic model by manipulating channel bed roughness (Manning's n). Assessment of climate change used outputs from the UK Climate Projections 2009 ensemble of global climate models for the 2080s. River discharge outputs were disaggregated to provide velocity and depth profiles across 41 cross sections along the reach. These were integrated with habitat suitability criteria for brown trout (Salmo trutta) to generate a measure of available physical habitat. The influence of macrophyte growth caused the habitat-discharge relationship to be unusable in evaluating the sensitivity of brown trout to flow changes. Instead, projected time series were used to show an overall reduction in habitat availability, more for adult than juvenile trout. Results highlighted the impact of weed cutting, and its potential role in mitigating both flood risk and the ecological impacts of climate change. The use of a hydraulic model to assess physical habitat availability has worldwide applicability

The multifrequency Siberian Radioheliograph

The 10-antenna prototype of the multifrequency Siberian radioheliograph is described. The prototype consists of four parts: antennas with broadband front-ends, analog back-ends, digital receivers and a correlator. The prototype antennas are mounted on the outermost stations of the Siberian Solar Radio Telescope (SSRT) array. A signal from each antenna is transmitted to a workroom by an analog fiber optical link, laid in an underground tunnel. After mixing, all signals are digitized and processed by digital receivers before the data are transmitted to the correlator. The digital receivers and the correlator are accessible by the LAN. The frequency range of the prototype is from 4 to 8 GHz. Currently the frequency switching observing mode is used. The prototype data include both circular polarizations at a number of frequencies given by a list. This prototype is the first stage of the multifrequency Siberian radioheliograph development. It is assumed that the radioheliograph will consist of 96 antennas and will occupy stations of the West-East-South subarray of the SSRT. The radioheliograph will be fully constructed in autumn of 2012. We plan to reach the brightness temperature sensitivity about 100 K for the snapshot image, a spatial resolution up to 13 arcseconds at 8 GHz and polarization measurement accuracy about a few percent. First results with the 10-antenna prototype are presented of observations of solar microwave bursts. The prototype abilities to estimate source size and locations at different frequencies are discussed

Revival of the spin-Peierls transition in Cu_xZn_(1-x)GeO_3 under pressure

Pressure and temperature dependent susceptibility and Raman scattering experiments on single crystalline Cu_xZn_(1-x)GeO_3 have shown an unusually strong increase of the spin-Peierls phase transition temperature upon applying hydrostatic pressure. The large positive pressure coefficient (7.5 K/GPa) - almost twice as large as for the pure compound (4.5 K/GPa) - is interpreted as arising due to an increasing magnetic frustration which decreases the spin-spin correlation length, and thereby weakens the influence of the non-magnetic Zn-substitution.Comment: LaTeX, 15 pages, 5 eps figures, Phys. Rev. B, to appea