The Meaning of ‘Religion’ in Multicultural Societies Law

AA. VV. (Pierluigi Consorti, Giancarlo Anello e Mohamed A. ‘Arafa, Federica Botti, Rossella Bottoni, Cristina Dalla Villa, Maria d'Arienzo, Luigi Mariano Guzzo, Maria Luisa Lo Giacco, Adelaide Madera, Enrica Martinelli, Cristiana Maria Pettinato

An evaluation of the role of the Admiral Nurse : a systematic evidence synthesis to inform service delivery and research

Two thirds of people with dementia live in the community and receive support from family members. There is a great deal of evidence to suggest that caring for a person with dementia impacts on the health and wellbeing of family carers. Despite this the provision of funded support for family carers is often limited or inadequate. Admiral Nurses, developed in the 1990s, were specifically designed by the charity for dementia (now Dementia UK) to support the family carers of people with dementia. Admiral Nurses are mental health nurses specialising in the care of people with dementia. They are mainly employed by local providers of care for people with dementia but dementia UK is involved in setting up new posts and providing ongoing practice development. There are currently around 100 Admiral Nurses employed in England. In addition the charity has a national helpline provided by experienced Admiral Nurses. The evidence synthesis presented here was commissioned by Dementia UK in order to establish what is currently known about the scope, nature and effectiveness of Admiral Nurse

Seismic amelioration of existing reinforced concrete buildings. Strategy to optimize the amount of reinforcement for joints

Most of the existing Reinforced Concrete (RC) buildings in Italy were built according to obsolete regulations that were not enough aware of issues related to seismic design so that they need to be upgraded by pursuing either amelioration or full seismic rehabilitation. In doing that, the first step is to figure out what is, based on the results of the initial analysis of the structure in its ante-operam version, the best overall dissipative mechanism that could be ob-tained by a number of suitable and economically convenient local interventions. The choice of the overall dissipative mechanism strongly affects the amount of reinforcement to be adopted for the beam-column joints. For new buildings, the current adopted capacity design philosophy pursues an overall beam-sway mechanism in which plastic hinges first form in beams and at last at the base of the columns. On the contrary,for existing ones, often very irregular and gravity-load-dominated, pursuing such overall mechanism may result either uneconomic or even extremely difficult to implement due to the amount of reinforcement to be inserted in the joints. In such cases, an overall dissipative mechanism allowing, at some extent, columns flex-ural plasticizationshould be accepted and clearly identified in advance. Anyway,such ap-proach needs to be addressed properly in order to avoid the formation of column-sways at one story only that would result very dangerous due to the excessive demand of plastic rotations on the resulting hinges. This paper presents two simple models that may help the designer in deal-ing with the operations above. The formeris a model that allows to understand if, given the existing RC building case-study, either the beam-sway or a hybrid beam-column-sway mecha-nism should be conveniently pursued during the design of the retrofitting intervention. The lat-ter isa model that allows to design a hybrid beam-column-sway overall mechanism involving a suitable number of stories such as to guarantee a uniform and reasonable demand of plastic rotations in the involved columns

First-line therapy in HER2 positive metastatic breast cancer. Is the mosaic fully completed or are we missing additional pieces?

The discovery of human epidermal growth factor receptor 2 (HER2) and its role in the biology of breast cancer and the subsequent development of HER2-targeted therapies, have dramatically improved clinical outcomes for women with early-stage and advanced HER2-positive breast cancer (BC). HER-2 targeted therapies represent a major step forward in achieving the goal of delivering individualized targeted therapy for BC, and trastuzumab was the first anti-HER-2 strategy to be approved for treatment of HER-2 positive BC. This review discusses the treatment of metastatic HER2-positive BC and describes efficacy and safety of novel anti-HER2 target therapies in first-line metastatic settings and the future challenges include refining such treatments, reducing toxicity and simultaneously developing innovative therapies. Furthermore, combinations of trastuzumab and drugs targeting the downstream pathway are described. In the next future will be possible to use an ample armamentarium of combination therapies directed against HER2 and key signaling components integrated in the HER network. This approach will allow clinicians to tailor the management of the individual patient on the basis of tumor- specific biomarker profiles. There is an urgent need for prospective biomarker-driven trials to identify patients for whom targeting is cost-effective

Supporting experienced hospital nurses to move into community matron roles

Report of a study to examine the key knowledge and support required by nurses, experienced in the management of patients with long term conditions, to work in primary care contexts in undertaking community matron roles. Commissioned by the Department of Health (England) 200

“It depends on the individual”: A psycho-social exploration of designated teachers’ and virtual school advisory teachers’ experiences of supporting looked after children in education.

In 2019, there were 78,150 (DfE, 2019) looked after children (LAC) in the United Kingdom. According to national statistics they are underachieving by at least 28% (DfE, 2017), across all key stages of education in comparison to the general population. LAC pupils are four times more likely to have a special educational need or an education, health and care plan (EHCP). Within education there are two key organisations, schools and the virtual school, whose legal responsibility it is to coordinate and monitor the education of LAC pupils. This study is a psycho-social exploration of VSAT and DT’s experiences of supporting LAC pupils within education, both academically and emotionally. Eight interviews were conducted, four with VSATs and four with their link DTs in primary and secondary schools. Unstructured interviews were conducted applying a Free Associative Narrative Method (FANI) and each participant was interviewed once. An Activity Theory Diagram was included in the interview as an initial task, providing a conceptual map of the participants construction of the systems surrounding LAC children. Interviews were analysed using a reflexive inductive thematic analysis approach, with an additional psycho-analytic lens to explore participants unconscious emotional responses to supporting LAC pupils. Three main themes were identified: the ‘emotional labour’ of supporting LAC pupils, systemic issues within the network and the participants perspectives on LAC pupils achievement. The findings highlight the challenges for educational professionals providing educational and emotional support and implications for Educational Psychologists are discussed

A Sociolinguistic Survey of Araki: A Dying Language of Vanuatu

Araki is one of around a hundred languages of the Republic of Vanuatu. It is a language spoken by the people of Araki, an islet situated near the south western part of Santo, in the north of Vanuatu. Linguistic statistics have shown a gradual decline in the number of speakers. This study presents evidence to show that Araki is a declining language and adopts a diagnostic approach to finding out the underlying causes underpinning this gradual decline in the number of Araki speakers. This paper discusses why so many people of Araki within the younger generation have a passive knowledge of Araki while Tangoa, a closely related language, plays a dominant role in their daily communication. Literature on threatened languages in the world today exposes various reasons underlying these changes and steps that can be taken to revive these languages. The focus of this survey is to expose the reasons underpinning this language change and the Araki-speaking community’s attitude towards this change. Furthermore, with reference to other models of language revival strategies in other countries, this study will propose a model that can be employed to revive this dying language. This study was carried out in 1998, using multiple datacollecting methods which comprised a questionnaire, interviews and observation of language use in various contexts, covering all the five extended families that make up the population of Arak, which stood at 121