A national coastal erosion susceptibility model for Scotland

The upland nature of the Scottish landscape means that much of the social and economic activity has a coastal bias. The importance of the coast is further highlighted by the wide range of ecosystem services that coastal habitats provide. It follows that the threat posed by coastal erosion and flooding has the potential to have a substantial effect on the socioeconomic activity of the whole country. Currently, the knowledge base of coastal erosion is poor and this serves to hinder the current and future management of the coast. To address this knowledge gap, two interrelated models have been developed and are presented here: the Underlying Physical Susceptibility Model (UPSM) and the Coastal Erosion Susceptibility Model (CESM). The UPSM is generated within a GIS at a 50 m2 raster of national coverage, using data relating to ground elevation, rockhead elevation, wave exposure and proximity to the open coast. The CESM moderates the outputs of the UPSM to include the effects of sediment supply and coastal defence data. When validated against locations in Scotland that are currently experiencing coastal erosion, the CESM successfully identifies these areas as having high susceptibility. This allows the UPSM and CESM to be used as tools to identify assets inherently exposed to coastal erosion, areas where coastal erosion may exacerbate coastal flooding, and areas are inherently resilient to erosion, thus allow more efficient and effective management of the Scottish coast

An exploration into the client at the heart of therapy : a qualitative perspective

Over 50 years ago Eysenck challenged the existing base of research into psychotherapy. Since that time, a large number of investigations have been conducted to verify the efficacy of therapy. Recently however, an increasing number of studies have cast new doubts on this research base. Instead of therapy being a function of the therapist, it is now becoming ever more apparent that the client plays a prime role in the therapeutic process. The qualitative studies presented in this paper provide some examples of research that demonstrates that clients are actively involved in their therapy, even making counselling work despite their counsellor. These studies suggest that clients may not experience therapy as beneficially as traditional outcome studies indicate. This raises a new challenge to researchers to more fully explore the client's experience of therapy, a challenge to which qualitative methods of inquiry would appear well suited

Restoration of function in the injured

One of the inherent dangers of the teaching of medicine in hospital is the isolation of the patient from his environment. The student, who has seen little of medical practice outside the ward, outpatient clinic or casualty department, tends to forget that in the patient's terms function may be entirely different from that assessed in the artificial context of the hospital."Function" is defined by the Concise Oxford Dictionary as "activity proper to anything; mode of action by which it fulfils its purpose." Any injury interferes with the activity, not merely of the part of the body concerned, bgtt of the whole patient. The objective of treatment must be to restore him as far as possible to his former activity

Spatial memory is impaired by peripubertal GnRH agonist treatment and testosterone replacement in sheep

Chronic gonadotropin-releasing hormone agonist (GnRHa) is used therapeutically to block activity within the reproductive axis through down-regulation of GnRH receptors within the pituitary gland. GnRH receptors are also expressed in non-reproductive tissues, including areas of the brain such as the hippocampus and amygdala. The impact of long-term GnRHa-treatment on hippocampus-dependent cognitive functions, such as spatial orientation, learning and memory, is not well studied, particularly when treatment encompasses a critical window of development such as puberty. The current study used an ovine model to assess spatial maze performance and memory of rams that were untreated (Controls), had both GnRH and testosterone signaling blocked (GnRHa-treated), or specifically had GnRH signaling blocked (GnRHa-treated with testosterone replacement) during the peripubertal period (8, 27 and 41 weeks of age). The results demonstrate that emotional reactivity during spatial tasks was compromised by the blockade of gonadal steroid signaling, as seen by the restorative effects of testosterone replacement, while traverse times remained unchanged during assessment of spatial orientation and learning. The blockade of GnRH signaling alone was associated with impaired retention of long-term spatial memory and this effect was not restored with the replacement of testosterone signaling. These results indicate that GnRH signaling is involved in the retention and recollection of spatial information, potentially via alterations to spatial reference memory, and that therapeutic medical treatments using chronic GnRHa may have effects on this aspect of cognitive function

Associations between dietary added sugar intake and micronutrient intake: a systematic review

Original article can be found at: http://journals.cambridge.org/ Copyright The Authors. DOI: 10.1017/S0007114507617206There is increasing concern that high intakes of added sugars might compromise intakes of micronutrients. The objectives of this systematic review were (1) to determine whether dietary added sugar intake was associated with micronutrient intakes, and if so, whether there was evidence of micronutrient dilution as a result of higher dietary added sugar intake and (2) if micronutrient dilution was present, to determine whether there was sufficiently robust evidence to support a threshold effect above which there was a significant decline in micronutrient intake or status relative to the recommended intakes. A systematic computerised literature search was undertaken, limited to studies written in English published from 1980 onwards and further studies identified through hand searching papers. Fifteen studies that assessed associations between intakes of added sugars or non-milk extrinsic sugars and micronutrients were included. Overall, there are insufficient data and inconsistency between studies in relationships between added sugars and micronutrient intakes, with no clear evidence of micronutrient dilution or a threshold for a quantitative amount of added sugar intake for any of the micronutrients investigated. The current evidence base is considerably constrained by methodological issues. Further research is required to determine which food products high in added sugars might adversely affect micronutrient intakes by displacing other food items from the diet. Analyses should take into account the magnitude of any observed associations to determine their true biological significance.Peer reviewe