Clinical review: Can we predict which patients are at risk of complications following surgery?

There are a vast number of operations carried out every year, with a small proportion of patients being at highest risk of mortality and morbidity. There has been considerable work to try and identify these high-risk patients. In this paper, we look in detail at the commonly used perioperative risk prediction models. Finally, we will be looking at the evolution and evidence for functional assessment and the National Surgical Quality Improvement Program (in the USA), both topical and exciting areas of perioperative prediction

Fear of the dark in children: is stationary night blindness the cause?

No abstract available

The answers are within me. An evaluation of a person centred counselling service for men at HMP Doncaster who have had experience of domestic violence 2005-2007

This report is the second year evaluation of the person centred counselling service for male victims and perpetrators of domestic violence at HMP Doncaster in 2006/7. This report follows on from the previous year's evaluation, Raging Anger Within Me, which evaluated this project in 2005/6. Initiated by the Doncaster Rape and Sexual Abuse Counselling Centre (DRSACC), the second year of counselling service delivery was also funded by Lloyds TSB and the Tudor Trust. The report provides a background to the service offered, details the key factors in the service's success and makes recommendations for the future sustainability of this innovative service. The report also contains a particularly interesting section detailing how the appropriateness of the service is perceived by experienced prison staff

Generational Aspects of U.S. Public Opinion on Renewable Energy and Climate Change

The topics of climate change and renewable energy often are linked in policy discussions and scientific analysis, but public opinion on these topics exhibits both overlap and divergence. Although renewable energy has potentially broader acceptance than anthropogenic climate change, it can also sometimes face differently-based opposition. Analyses of U.S. and regional surveys, including time series of repeated surveys in New Hampshire (2010–2018) and northeast Oregon (2011–2018), explore the social bases of public views on both issues. Political divisions are prominent, although somewhat greater regarding climate change. Such divisions widen with education, an interaction effect documented in other studies as well. We also see robust age and temporal effects. Younger adults more often prioritize renewable energy development, and agree with scientists on the reality of anthropogenic climate change (ACC). Across all age groups and both regional series, support for renewable energy and recognition of ACC have been gradually rising. These trends, together with age-cohort replacement and possible changes in age-group voting participation, suggest that public pressure for action on these issues could grow

Tools for Risk Analysis: Updating the 2006 WHO guidelines

This chapter reviews developments since the WHO Guidelines for the safe use of wastewater in agriculture were published in 2006. The six main developments are: the recognition that the tolerable additional disease burden may be too stringent for many developing countries; the benefits of focusing on single-event infection risks as a measure of outbreak potential when evaluating risk acceptability; a more rigorous method for estimating annual risks; the availability of dose-response data for norovirus; the use of QMRA to estimate Ascaris infection risks; and a detailed evaluation of pathogen reductions achieved by produce-washing and disinfection. Application of the developments results in more realistic estimates of the pathogen reductions required for the safe use of wastewater in agriculture and consequently permits the use of simpler wastewater treatment processes

More maximal arcs in Desarguesian projective planes and their geometric structure

In a previous paper R. Mathon gave a new construction method for maximal arcs in finite Desarguesian projective planes via closed sets of conics, as well as giving many new examples of maximal arcs. In the current paper, new classes of maximal arcs are constructed, and it is shown that every maximal arc so constructed gives rise to an infinite class of maximal arcs. Apart from when they are of Denniston type or dual hyperovals, closed sets of conics are shown to give maximal arcs that are not isomorphic to the known constructions. An easy characterisation of when a closed set of conics is of Denniston type is given. Results on the geometric structure of the maximal arcs and their duals are proved, as well as on elements of their collineation stabilisers

Serving children: the impact of poverty on children's experiences of services

This study arose from the identification of a gap in knowledge and corresponding need for the development of a better contemporary understanding of children's experiences of poverty. Focusing on children aged 10 - 14 years, the study aimed to provide a perspective on the lives of children and young people affected by poverty in Scotland through comparing the experiences of children living in poverty with those more economically advantaged