Lynx UK Trust consultation brief: Kielder

The University of Cumbria (UoC) has been asked to develop a community engagement programme for the Lynx UK Trust (Trust) as part of the Trust’s site selection process for the trial reintroduction of Eurasian lynx (lynx lynx) to the UK. Public consultation is a key element of any (trial) reintroduction proposal. The International Union for Conservation of Nature (IUCN) Reintroduction Guidelines and Directive 92/43/EEC Conservation of Natural Habitats, Wild Flora and Fauna (the Habitats Directive) Article 22 and The Scottish Code for Conservation Translocations (2014) state that reintroduction should only take place after proper consultation with the public concerned. Community support is fundamentally important to this project and it is essential that the local community is given the necessary information and support to enable them to make an informed decision regarding the desirability of the trial

Community consultation report: Kielder

This report is based on consultation work completed on behalf of the Lynx UK Trust (LUKT) in and around the Kielder area from August 2016 to May 2017, and was requested by the LUKT to fit with their timeline for a licence submission to trial a reintroduction of Eurasian lynx (lynx lynx) to the UK. As the planned consultation activities are incomplete, this is presented as an interim report, and conclusions should be considered as tentative. Nevertheless, initial findings point towards a reasonably divided community, with most residents still undecided or unsure regarding the proposed reintroduction of lynx and a small minority either firmly supporting or opposing the project. This position is similar to the results of an independent national omnibus survey conducted as part of a national public survey in respect of the proposed trial lynx reintroduction (Smith et al., 2015). At this point in the local consultation process there has been insufficient communication with those groups likely to be most affected by the project: primarily from the farming and forestry sector (IUCN, 2013:11). This is one of the IUCN’s key social feasibility guidelines (Social Feasibility 5.3.3) and for key areas of project policy, for example around livestock predation compensation schemes and mitigation measures, we would expect to see genuine co-development of policy and protocols with the farming community. This work has started in Kielder but given the controversial nature of this project it will take considerable time and effort to establish a trusting relationship with some of the human communities in and around the Kielder area. As the IUCN (2013:11) indicates, understanding the ‘extreme and internally contradictory attitudes of such key stakeholders provides the basis for developing public relations…orienting the public in favour of a translocation.’ It is our view that any licence application at this stage would be premature and would threaten the longer-term viability of the project

Євангельські християни святі сіоністи: особливості життя й побуту

У статті Р. Скакуна розглянуто, особливості життя, побуту й релігійного культу євангельських християн святих сіоністів („мурашковців”), громада яких існує в смт. КомінтернівськеОдеської області. Ключові слова: євангельські християни святі сіоністи, мурашковці, юдаїстичний культ, субота, заповіді, релігійна громада.The article discusses a sectarian group of the Evangelical Christians Saint Zionists, also known as Murashkovtsi, which presently exists as a community of 435 people in the town of Kominternivske, Odessa region. The peculiar features of the group, which emerged in early 1930’s from the popular Pentecostalism, include its mystical and ecstatic cult, which gradually declines, and its judaistic system of practical ritualistic prescriptions. The group is also characterized by endogamy, strong solidarity and the persisting model of traditional extended family. Keywords: Evangelical Christians Saint Zionists, Murashkovtsi, judaistic cult, Sabbath, ritualistic prescriptions, religious community

A multicentre study of the evidence for customized margins in photon breast boost radiotherapy

Objective:To determine if subsets of patients may benefit from smaller or larger margins when using laser setup and bony anatomy verification of breast tumour bed (TB) boost radiotherapy (RT).Methods: Verification imaging data acquired using cone-beam CT, megavoltage CT or two-dimensional kilovoltage imaging on 218 patients were used (1574 images). TB setup errors for laser-only setup (dlaser) and for bony anatomy verification (dbone) were determined using clips implanted into the TB as a gold standard for the TB position. Cases were grouped by centre-, patient- and treatment-related factors, including breast volume, TB position, seroma visibility and surgical technique. Systematic (?) and random (?) TB setup errors were compared between groups, and TB planning target volume margins (MTB) were calculated.Results: For the study population, ?laser was between 2.8 and 3.4?mm, and ?bone was between 2.2 and 2.6?mm, respectively. Females with larger breasts (p?=?0.03), easily visible seroma (p???0.02) and open surgical technique (p???0.04) had larger ?laser. ?bone was larger for females with larger breasts (p?=?0.02) and lateral tumours (p?=?0.04). Females with medial tumours (p?<?0.01) had smaller ?bone.Conclusion:If clips are not used, margins should be 8 and 10?mm for bony anatomy verification and laser setup, respectively. Individualization of TB margins may be considered based on breast volume, TB and seroma visibility.Advances in knowledge:Setup accuracy using lasers and bony anatomy is influenced by patient and treatment factors. Some patients may benefit from clip-based image guidance more than others

Clinical Study Combination Antiretroviral Therapy for HIV in Rwandan Adults: Clinical Outcomes and Impact on Reproductive Health up to 24 Months

Adult women ( = 113) and men ( = 100) initiating combination antiretroviral therapy (cART) and women not yet eligible for cART ( = 199) in Kigali, Rwanda, were followed for 6-24 months between 2007 and 2010. In the cART groups, 21% of patients required a drug change due to side effects and 11% of patients had virological failure (defined as >1,000 HIV RNA copies/mL) after 12 months of cART. About a third of the pregnancies since HIV diagnosis were unintended. The proportion of women in the pre-cART group using modern contraception other than condoms (50%) was similar to women in the general population, but this proportion was only 25% in women initiating cART. Of the women who carried at least one pregnancy to term since having been diagnosed HIV-positive, a third reported to have participated in a prevention-of-mother-to-child-transmission (PMTCT, option A) intervention. Many patients were coinfected with herpes simplex virus type 2 (79-92%), human papillomavirus (38-53%), and bacterial sexually transmitted infections (STIs) with no differences between groups. We applaud the Rwandan government for having strengthened family planning and PMTCT services and for having introduced HPV vaccination in recent years, but additional work is needed to strengthen STI and HPV-related cancer screening and management in the HIV-positive population

The rise of consumer health wearables: promises and barriers

Will consumer wearable technology ever be adopted or accepted by the medical community? Patients and practitioners regularly use digital technology (e.g., thermometers and glucose monitors) to identify and discuss symptoms. In addition, a third of general practitioners in the United Kingdom report that patients arrive with suggestions for treatment based on online search results. However, consumer health wearables are predicted to become the next “Dr Google.” One in six (15%) consumers in the United States currently uses wearable technology, including smartwatches or fitness bands. While 19 million fitness devices are likely to be sold this year, that number is predicted to grow to 110 million in 2018. As the line between consumer health wearables and medical devices begins to blur, it is now possible for a single wearable device to monitor a range of medical risk factors. Potentially, these devices could give patients direct access to personal analytics that can contribute to their health, facilitate preventive care, and aid in the management of ongoing illness. However, how this new wearable technology might best serve medicine remains unclea

Deep learning with technology for 14-19 year old learners: final report

This report contains the findings from a small scale-study funded by Becta into deep learning experiences among 14- to 19-year-old learners

'IMC is dead. Long live IMC': Academics' versus practitioners' views

The purpose of this research is to establish whether academics and practitioners are similar in their perceptions of what Integrated Marketing Communications (IMC) is and the role it has to play in today's dynamic landscape. This objective is achieved first by examining the IMC literature to establish the main themes that underpin the construct and to identify the topics that have been most discussed over the past 10 years. These findings are then utilised to perform a content analysis of 10 essays that were published by Campaign magazine in December 2010 by high-profile practitioners under the heading of ‘What's Next in Integration’. The findings indicate that there are differences in the perception of academics and practitioners on IMC, mainly in the area of internal audiences and its strategic role within an organisation. These findings are of interest to academics, clients, and agencies, as these areas of misunderstanding may be acting as a barrier to IMC implementation. This research identifies significant differences in how IMC is perceived by academics and practitioners in the advertising industry. This identification is important because organisations can only benefit from IMC fully if there is a common understanding across clients, agencies, and academics of what it is and how it works. Misunderstandings can create barriers to full implementation, and it is the responsibility of the industry as a whole to address this and enable meaningful dialogue to take place and progress to be mad

Spatial distribution patterns of plague hosts : point pattern analysis of the burrows of great gerbils in Kazakhstan

AIM: The spatial structure of a population can strongly influence the dynamics of infectious diseases, yet rarely is the underlying structure quantified. A case in point is plague, an infectious zoonotic disease caused by the bacterium Yersinia pestis. Plague dynamics within the Central Asian desert plague focus have been extensively modelled in recent years, but always with strong uniformity assumptions about the distribution of its primary reservoir host, the great gerbil (Rhombomys opimus). Yet, while clustering of this species' burrows due to social or ecological processes could have potentially significant effects on model outcomes, there is currently nothing known about the spatial distribution of inhabited burrows. Here, we address this knowledge gap by describing key aspects of the spatial patterns of great gerbil burrows in Kazakhstan. LOCATION: Kazakhstan. METHODS: Burrows were classified as either occupied or empty in 98 squares of four different sizes: 200 m (side length), 250 m, 500 m and 590-1020 m. We used Ripley's K statistic to determine whether and at what scale there was clustering of occupied burrows, and semi-variograms to quantify spatial patterns in occupied burrows at scales of 250 m to 9 km. RESULTS: Significant spatial clustering of occupied burrows occurred in 25% and 75% of squares of 500 m and 590-1020 m, respectively, but not in smaller squares. In clustered squares, the clustering criterion peaked around 250 m. Semi-variograms showed that burrow density was auto-correlated up to a distance of 7 km and occupied density up to 2.5 km. MAIN CONCLUSIONS: These results demonstrate that there is statistically significant spatial clustering of occupied burrows and that the uniformity assumptions of previous plague models should be reconsidered to assess its significance for plague transmission. This field evidence will allow for more realistic approaches to disease ecology models for both this system and for other structured host populations