Opportunistic premise plumbing pathogens. A potential health risk in water mist systems used as a cooling intervention

Water mist systems (WMS) are used for evaporative cooling in public areas. The health risks associated with their colonization by opportunistic premise plumbing pathogens (OPPPs) is not well understood. To advance the understanding of the potential health risk of OPPPs in WMS, biofilm, water and bioaerosol samples (n = 90) from ten (10) WMS in Australia were collected and analyzed by culture and polymerase chain reaction (PCR) methods to detect the occurrence of five representative OPPPs: Legionella pneumophila, Pseudomonas aeruginosa, Mycobacterium avium, Naegleria fowleri and Acanthamoeba. P. aeruginosa (44%, n = 90) occurred more frequently in samples, followed by L. pneumophila serogroup (Sg) 2–14 (18%, n = 90) and L. pneumophila Sg 1 (6%, n = 90). A negative correlation between OPPP occurrence and residual free chlorine was observed except with Acanthamoeba, rs (30) = 0.067, p \u3e 0.05. All detected OPPPs were positively correlated with total dissolved solids (TDS) except with Acanthamoeba. Biofilms contained higher concentrations of L. pneumophila Sg 2–14 (1000–3000 CFU/mL) than water samples (0–100 CFU/mL). This study suggests that WMS can be colonized by OPPPs and are a potential health risk if OPPP contaminated aerosols get released into ambient atmosphere

Pathogenic potential of respirable spodumene cleavage fragments following application of regulatory counting criteria for asbestiform fibres

Health risks from exposure to lithium-bearing spodumene cleavage fragments are unknown. While asbestiform fibres can lead to fibrosis, mesothelioma and lung cancer, controversy remains whether non-asbestiform cleavage fragments, having equivalent dimensions, elicit similar pathologic responses. The mineralogy of respirable particles from two alpha (α) - spodumene concentrate grades (chemical and technical) were characterised using semi-quantitative X-ray diffraction (XRD). Particles were measured using scanning electron microscopy (SEM) and the dimensions (length [L], diameter [D], aspect ratio [AR]) applied to regulatory counting criteria for asbestiform fibres. Application of the current World Health Organization (WHO) and National Occupational Health and Safety Commission (NOHSC) counting criteria, L ˃ 5 µm, D ˂ 3 µm, AR ˃ 3 : 1, to 10 SEM images of each grade identified 47 countable particles in the chemical and 37 in the technical concentrate test samples. Of these particles, 17 and 16 in the chemical and technical test samples, respectively, satisfied the more rigorous, previously used Mines Safety and Inspection Regulations 1995 (Western Australia [WA]) criteria, L ˃ 5 µm and D ≤ 1 µm. The majority of the countable particles were consistent with α - spodumene cleavage fragments. These results suggest elongated α - spodumene particles may pose a health risk. It is recommended the precautionary principle be applied to respirable α - spodumene particles and the identification and control of dust hazards in spodumene extraction, handling and processing industries be implemented

Disabled Facilities Grant (DFG) and other adaptations – external review

A review of the operation of the Disabled Facilities Grant (DFG) in England. The aim is to keep people living independently for longer and make the case for more joined-up action across housing, health and social care. It is a practical review that examines the evidence for what should change and how it should change. The first part covers the current situation including: funding; who receives the grant; type of work; costs and benefits to authorities; and processing times. The second part considers how the grant should change which includes: strategic oversight; local delivery options; how teams can work better together and more closely with health and social care; allocation of resources; other funding issues; the means test; regulation and the upper limit; procurement; developing a market; helping people outside of the DFG; and finally, tenure, equality and grants for common parts. There are 43 recommendations for government to improve the way the grant operates

Disabled Facilities Grant (DFG) and other adaptations: external review - summary

This is a summary of the findings of a review of the Disabled Facilities Grant (DFG) in England. The aim is to keep people living independently for longer and make the case for more joined-up action across housing, health and social care. It is a practical review that examines the evidence about the current situation and how it should change. The summary covers: how the grant is used now; the main challenges; how delivery of the grant might be joined up both strategically and operationally; the distribution of resources; the various regulations, such as the means test and the upper limit; how the grant can be updated and how outcomes can be measured. It lists some of the main recommendations. Further detail can be found in the main report

Lived Experiences of Gaming and Gambling Related Harm and Implications for Healthcare Services

Children and young people (CYP) are high consumers of loot boxes, raising concerns about the impact of a convergence of gaming and gambling- related harms and their potential negative developmental outcomes in adulthood. Especially, given evidence that practitioners and parents/carers are lacking awareness of the risks of converging gaming-gambling environments. Addressing these risks necessitates understanding the experiences of gaming and gambling- related harm within healthcare systems. This study aimed to gain insights from individuals with previous lived experience of gaming and/or gambling-related harm in the context of CYP and healthcare systems. A qualitative design was adopted using two semi-structured online focus groups, involving five participants with previous lived experience of gaming and/or gambling-related harm. Focus groups explored their experiences of healthcare services and barriers to support in the journey through harm and recovery. Thematic analysis of the data revealed five key themes: i) Escapism; ii) Identity; iii) Preventative Education; iv) Safer Environments; v) Health-based Narratives. Results suggested a convergence of gaming and gambling-related harm in terms of patterns of experiences of escapism and internalising harm with identity, highlighting the need for safer environments and preventative approaches to protect CYP against novel risks of harm through healthcare systems. The results suggest that preventative approaches need to understand the virtual worlds of CYP and the importance of digital resilience. Implications for practitioners, services, policy makers, and regulators seeking to protect CYP from the risks of gaming and gambling-related harm are discussed

Limiting motorboat noise on coral reefs boosts fish reproductive success

Anthropogenic noise impacts are pervasive across taxa, ecosystems and the world. Here, we experimentally test the hypothesis that protecting vulnerable habitats from noise pollution can improve animal reproductive success. Using a season-long field manipulation with an established model system on the Great Barrier Reef, we demonstrate that limiting motorboat activity on reefs leads to the survival of more fish offspring compared to reefs experiencing busy motorboat traffic. A complementary laboratory experiment isolated the importance of noise and, in combination with the field study, showed that the enhanced reproductive success on protected reefs is likely due to improvements in parental care and offspring length. Our results suggest noise mitigation could have benefits that carry through to the population-level by increasing adult reproductive output and offspring growth, thus helping to protect coral reefs from human impacts and presenting a valuable opportunity for enhancing ecosystem resilience

Mindfulness based interventions in multiple sclerosis: a systematic review

<b>Background</b> Multiple sclerosis (MS) is a stressful condition; depression, anxiety, pain and fatigue are all common problems. Mindfulness based interventions (MBIs) mitigate stress and prevent relapse in depression and are increasingly being used in healthcare. However, there are currently no systematic reviews of MBIs in people with MS. This review aims to evaluate the effectiveness of MBIs in people with MS.<p></p> <b>Methods</b> Systematic searches were carried out in seven major databases, using both subject headings and key words. Papers were screened, data extracted, quality appraised, and analysed by two reviewers independently, using predefined criteria. Study quality was assessed using the Cochrane Collaboration risk of bias tool. Perceived stress was the primary outcome. Secondary outcomes include mental health, physical health, quality of life, and health service utilisation. Statistical meta-analysis was not possible. Disagreements were adjudicated by a third party reviewer.<p></p> <b>Results</b> Three studies (n = 183 participants) were included in the final analysis. The studies were undertaken in Wales (n = 16, randomised controlled trial - (RCT)), Switzerland (n = 150, RCT), and the United States (n = 17, controlled trial). 146 (80%) participants were female; mean age (SD) was 48.6 (9.4) years. Relapsing remitting MS was the main diagnostic category (n = 123, 67%); 43 (26%) had secondary progressive disease; and the remainder were unspecified. MBIs lasted 6–8 weeks; attrition rates were variable (5-43%); all employed pre- post- measures; two had longer follow up; one at 3, and one at 6 months. Socio-economic status of participants was not made explicit; health service utilisation and costs were not reported. No study reported on perceived stress. All studies reported quality of life (QOL), mental health (anxiety and depression), physical (fatigue, standing balance, pain), and psychosocial measures. Statistically significant beneficial effects relating to QOL, mental health, and selected physical health measures were sustained at 3- and 6- month follow up.<p></p> <b>Conclusion</b> From the limited data available, MBIs may benefit some MS patients in terms of QOL, mental health, and some physical health measures. Further studies are needed to clarify how MBIs might best serve the MS population.<p></p&gt

Sensory geographies and defamiliarisation: migrant women encounter Brighton Beach

This article’s starting point is a sensory, reflexive walk taken on Brighton seafront and beach, by fourteen migrant women and some of their children. It goes on to open up a wider discussion about the cultural politics and affective resonances, for refugees and migrants, of beaches. By discussing their sensory experiences of the beach, we begin to understand their ‘ostranenie’, or defamiliarisation, of making the familiar strange. We also see how evocative such sense-making can be, as the women compare their past lives to this, perceiving their lifeworld through a filter of migrancy. The article goes onto discuss the broader cultural symbolism of beaches, which are a site of contestation over national values, boundaries, and belonging. As well as discussing sensory methodology in this article, and explaining the locale of Brighton Beach itself, it concludes with some wider thinking of the cultural politics of beach spaces and migrant perceptions

Personalising airway clearance in chronic lung disease

This review describes a framework for providing a personalised approach to selecting the most appropriate airway clearance technique (ACT) for each patient. It is based on a synthesis of the physiological evidence that supports the modulation of ventilation and expiratory airflow as a means of assisting airway clearance. Possession of a strong understanding of the physiological basis for ACTs will enable clinicians to decide which ACT best aligns with the individual patient's pathology in diseases with anatomical bronchiectasis and mucus hypersecretion. The physiological underpinning of postural drainage is that by placing a patient in various positions, gravity enhances mobilisation of secretions. Newer ACTs are based on two other physiological premises: the ability to ventilate behind obstructed regions of the lung and the capacity to achieve the minimum expiratory airflow bias necessary to mobilise secretions. After reviewing each ACT to determine if it utilises both ventilation and expiratory flow, these physiological concepts are assessed against the clinical evidence to provide a mechanism for the effectiveness of each ACT. This article provides the clinical rationale necessary to determine the most appropriate ACT for each patient, thereby improving care

The Vehicle, Fall 1982

Vol. 24, No. 1 Table of Contents Winter SurveillanceB.L. Davidsonpage 3 The InvitationBecky Lawsonpage 4 Check In, Check OutSteve Sandstrompage 4 On The Front Porch StepKeila Tooleypage 5 Old Greek ManDevon Flesorpage 5 Exotic PassionsBecky Lawsonpage 6 PhotographLisa Owenspage 7 Beyond The ThornsBrook Wilsonpage 8 Ritual Of HeatB.L. Davidsonpage 11 The GamerBecky Lawsonpage 12 It\u27s OverKeila Tooleypage 13 DreamJohn Stockmanpage 14 Silver DollarGina J. Grillopage 15 The DancerJessica Lewispage 16 Snapshots Of Rural IllinoisIsabel M. Parrottpage 16 The Last SeasonTheresa Whitesidepage 17 DrawingKaren Haneypage 17 Rotary LuncheonJessica Lewispage 18 Factory TourLinda Fraembspage 18 The ImmigrantsD.L. Lewispage 19 At Shedd AquariumLinda Fraembspage 20 The GuardianBecky Lewispage 20 Digital LifeEverett Tackettpage 21 Full ServiceScott Graypage 22 Dust ShowLinda A. Brownpage 23 At SixMaureen Foertschpage 24 DrawingJean Imherrpage 24 ReflectionMaggie Kennedypage 25 Cat DefiningBecky Lawsonpage 26 Ode To An Unread NewspaperLinda Fraembspage 26 GumSteve Sandstrompage 27 The DancerChrystal Clarkpage 27 PoemD.L. Lewispage 28 For LucyStacey Flanniganpage 29 An AbortionDevon Flesorpage 29 ReveriesKeila Tooleypage 30 Sunday Morning After Tequila With LemonScott Graypage 33 Staging A Living Jewel BoxMichelle Mitchellpage 34 The Other WomanStacey Flanniganpage 35 The Natural LookMichelle Mitchellpage 35 Poem To A Girl Named SandalsJohn Stockmanpage 36 PhotographLisa Owenspage 37 In The Balcony Of The Bijou On A Saturday NightScott Graypage 38 The Canadian Soccer PlayerBecky Lawsonpage 39 The HealingJohn Stockmanpage 39 AppeasedDevon Flesorpage 40 CodaJohn Stockmanpage 40https://thekeep.eiu.edu/vehicle/1040/thumbnail.jp