Response to Shayah and Coatesworth

Full assessment of snoring should involve general and local factors which contribute to the patient's complaint, such as any history of apnoea attacks, high body mass index, reflux, smoking, alcohol consumption, uvulasize and laxity of soft palate, collar size and base of tongue. The paper did not clearly identify the potential importance of these factors

From Silence to Voice: A collaborative international partnership to develop a digital resource for use in clinical and education settings about sexual violence from perspectives of students, educators and survivors.

Gender based violence (GBV) – which includes sexual violence - is a significant global public health and societal problem, recognised as a global human rights issue by the World Health Organisation (WHO, 2017). Global estimates indicate that 1 in 3 women experience physical/sexual violence in their lifetime (WHO, 2017). GBV/SV exerts a detrimental impact not only on the lives and health of women, but also those who witness abuse and has been identified as a large scale problem in South Africa with recorded estimates that a woman is raped every seventeen seconds. The impact of GBV/SV on the physical and psychological wellbeing of those who experience abuse is wide ranging. It includes the immediate physical effects for example, physical injury as well as longer term chronic ill health as a result, acute and enduring psychological trauma, mental ill-health, alongside secondary physiological health issues such as gynaecological and sexual health (Feder et al. 2011). It is well evidenced however that healthcare professionals across the spectrum do not respond effectively often due to a lack of knowledge or professional confidence and their own values and assumptions surrounding GBV/SV (McGarry et al. 2015). Education is pivotal, and a proven means to tackle a growing global problem. This includes pre-qualifying healthcare students who are often not exposed to education about GBV/SV within their current curricula. Working with our project partners and key stakeholders in South Africa during 2019, including women who have experienced GBV/SV, the aim of this research was to engage stakeholders in the co-production of a digital e-learning resource to use across multiple healthcare disciplines on GBV/SV. Our aim is to describe the process of an international collaboration, provide the context using survey data and present the digital resource and the evaluations conducted on the application and use within education and clinical settings. References: Feder G, Davies R, Baird K, Dunne D, Eldridge S, Griffiths C, Gregory A, Howell A, Johnson, M., Ramsay J, Garcia-Moreno, C., Armin, A. (2016) The sustainable development goals, violence and women’s and children’s health (WHO) http://www.who.int/bulletin/volumes/94/5/16-172205/en/ (accessed 7.7.18) McGarry J., Baker C., Wilson C., Felton A., Banerjee A, (2015). Preparation for safeguarding in UK pre-registration graduate nurse education. Journal of Adult Protection. 17(6), 371-379 World Health Organisation (2017) Violence against women http://www.who.int/news-room/fact-sheets/detail/violence-against-women (accessed 7.7.18

Identifying signs of intimate partner violence.

Intimate partner violence is a major public health and social problem that affects people in every community, culture and country. Nurses can play a very important role in identifying victims who present to healthcare settings domestic abuse-related health issues. Evidence suggests that the majority of women who present to emergency departments have experienced domestic abuse at some point in their life, however, only 5% are identified by healthcare professionals. To be able to effectively identify and respond to victims, emergency nurses need to understand domestic abuse and its associated complexities. This article provides an overview of the issue, including the different types of abuse, prevalence, causes and effects on health. It also explores emergency nurses’ roles in identifying and managing various situations they may encounter at wor

Time of lambing experiment : Merredin Research Station, 1959-60 (Progress report)

FOLLOWING upon the Time of Lambing Experiments at Esperance Plains Research Station (Journal of Agriculture, May, 1960) it was decided to carry out similar work with Merino sheep under the relatively harsher environment at Merredin Research Station

Evolving impact of Ada on a production software environment

Many aspects of software development with Ada have evolved as our Ada development environment has matured and personnel have become more experienced in the use of Ada. The Software Engineering Laboratory (SEL) has seen differences in the areas of cost, reliability, reuse, size, and use of Ada features. A first Ada project can be expected to cost about 30 percent more than an equivalent FORTRAN project. However, the SEL has observed significant improvements over time as a development environment progresses to second and third uses of Ada. The reliability of Ada projects is initially similar to what is expected in a mature FORTRAN environment. However, with time, one can expect to gain improvements as experience with the language increases. Reuse is one of the most promising aspects of Ada. The proportion of reusable Ada software on our Ada projects exceeds the proportion of reusable FORTRAN software on our FORTRAN projects. This result was noted fairly early in our Ada projects, and experience shows an increasing trend over time