On Site

Contemporary debates on the transformation of building methods, the structure of the building industry, and the introduction of new technologies (informational, material and structural) in professional literature and in the architectural humanities tend to ignore the realities of work on construction sites. This follows a long history of failure to recognise the importance of workers’ experience and knowledge of building as a process by the key professions in the industry. The absence of the working process in accounts of historical development is exacerbated by abstract reflection on building know-how, categories of expertise, and the structure of the industry, when these are not supported by direct observation and engagement with building work and workers. Key assumptions about the relation between structural and technological changes in the industry and the knowledge, skills, composition, and requirements of the workforce can be challenged by paying attention to day-to-day activities and conditions of site work

Imaging diagnosis-computed tomography of traction bronchiectasis secondary to pulmonary fibrosis in a Patterdale Terrier

An 8-year-old, Patterdale terrier was referred for evaluation of tachypnoea, exercise intolerance, and weight loss. Computed tomographic images showed pneumomediastinum, diffuse pulmonary ground glass opacity, and marked dilatation of peripheral bronchi, but no evidence of thickened bronchial walls. The histopathologic diagnosis was diffuse pulmonary interstitial fibrosis, type II pneumocyte hyperplasia, and bronchiectasis. The lack of evidence of primary bronchitis supported a diagnosis of traction bronchiectasis. Traction bronchiectasis can occur as a sequela to pulmonary fibrosis in dogs. (C) 2016 American College of Veterinary Radiology

Products Liability

The authors discuss recent developments in Florida law in the area of products liability. The distinctions between the three theories of recovery in products liability actions, negligence, implied warranty and strict liability, are clarified through close and detailed analysis. The authors prefer strict liability to the other two causes of action because of its lessened burden of proof on plaintiffs and its less intricate analysis. The examination of case law, however, leads the authors to conclude that the courts are often applying the strict liability doctrine incorrectly

Implementation of the Crisis Resolution Team model in adult mental health settings: a systematic review.

Crisis Resolution Teams (CRTs) aim to offer an alternative to hospital admission during mental health crises, providing rapid assessment, home treatment, and facilitation of early discharge from hospital. CRTs were implemented nationally in England following the NHS Plan of 2000. Single centre studies suggest CRTs can reduce hospital admissions and increase service users' satisfaction: however, there is also evidence that model implementation and outcomes vary considerably. Evidence on crucial characteristics of effective CRTs is needed to allow team functioning to be optimised. This review aims to establish what evidence, if any, is available regarding the characteristics of effective and acceptable CRTs

A five year outbreak of methicillin-susceptible Staphylococcus aureus phage type 53,85 in a regional neonatal unit

We identified a 5-year outbreak of a methicillin-susceptible Staphylococcus aureus (MSSA) strain, affecting 202 babies on a neonatal unit, by routine weekly phage typing all S. aureus isolates. Multiple staged control measures including strict emphasis on hand hygiene, environmental and staff surveillance sampling, and application of topical hexachlorophane powder failed to end the outbreak. S. aureus PT 53,85 (SA5385) was found on opened packs of Stomahesive®, used as a neonatal skin protectant. Only following the implementation of aseptic handling of Stomahesive®, and the use of topical mupirocin for staff nasal carriers of SA5385, and for babies colonized or infected with S. aureus, did the isolation rate of SA5385 decline. DNA fingerprinting indicated that [gt-or-equal, slanted]95% of SA5385 isolates were clonal. In vitro death rates of SA5385 on Stomahesive® with human serum were significantly lower than on Stomahesive® alone (P = 0·04), and on cotton sheet with serum (P = 0·04), highlighting the potential of this material as a survival niche. Phage typing remains a valuable, inexpensive and simple method for monitoring nosocomial MSSA infection

New Mexico Youth Risk & Resiliency 2013 Survey Results Report: Alcohol Use and Related Behaviors

Alcohol is the most commonly used and abused drug among youth in the United States, more so than tobacco or illicit drugs. Youth who start drinking before age 15 are five times more likely to develop alcohol dependence or abuse later in life than those who begin drinking at or afer age 21 years. Binge drinking accounts for about 90% of the alcohol consumed by youth under the age of 21 in the United States. The NM-YRRS includes questions about alcohol use, access, attitudes and behaviors

New Mexico Youth Risk & Resiliency 2015 Survey Results Report: Housing Instability and Health

In 2015, for the first time, the NM-YRRS questionnaire included a question on homelessness, or housing status. The question mirrored the homelessness definition of the McKinney-Vento Act, which is used by the New Mexico Public Education Department to identify homeless students. For the purposes of this report, students identified as homeless will be referred to as students in unstable housing. Students living in unstable housing were at significantly increased risk for facing violence, using alcohol, tobacco, and other drugs, suicidal behaviors and other mental health issues and other serious challenges

New Mexico Youth Risk & Resiliency 2013 Survey Results Report: Tobacco Use and Related Behaviors

Te negative effects of tobacco use are well documented: cigarette smoking has been linked to cancer, heart disease, and chronic obstructive pulmonary disease (COPD). The earlier a person initiates smoking, the greater their risk for long-term health problems and nicotine addiction. The Centers for Disease Control and Prevention (CDC) estimates that 1 in 5 high school students currently uses some form of tobacco. NM-YRRS measures tobacco use, attitudes, and behaviors among New Mexico students in grades 6–12

New Mexico Youth Risk & Resiliency 2013 Survey Results Report: Mental Health and Related Behaviors

Mental health is an integral part of student well-being. It is essential to youth for maintaining healthy relationships, supporting academic achievement, and living full and productive lives. NM youth 10–19 years of age experience a higher rate of death by suicide than those in the US (9.8 vs. 4.8 deaths per 100,000 population). The 2013 Youth Risk & Resiliency Survey (YRRS) questionnaire included three questions in the middle school survey and four questions in the high school survey about suicide ideation and attempts. The high school survey also included a question about feelings of sadness or hopelessness (a risk factor for depression) and a question about non-suicidal self-injury (NSSI)

New Mexico Youth Risk & Resiliency 2015 Survey Results Report: Tobacco Use and Related Behaviors

Tobacco use remains the leading cause of preventable disease in the US. Tobacco use and nicotine addiction typically begin during adolescence and young adulthood, and nicotine exposure during adolescence can lead to addiction, may harm brain development, and could lead to sustained tobacco use among youths. The New Mexico Youth Risk & Resiliency Survey includes questions about tobacco use and other risk behaviors as well as protective (resiliency) factors that can help reduce these risk behaviors