Levels of Abnormal Prion Protein in Deer and Elk with Chronic Wasting Disease

Infected deer may pose a higher risk than elk for disease transmission

Social inclusion and valued roles : a supportive framework

The aim of this paper is to examine the concepts of social exclusion, social inclusion and their relevance to health, well-being and valued social roles. The article presents a framework, based on Social Role Valorization (SRV), which was developed initially to support and sustain socially valued roles for those who are, or are at risk of, being devalued within our society. The framework incorporates these principles and can be used by health professionals across a range of practice, as a legitimate starting point from which to support the acquisition of socially valued roles which are integral to inclusio

Family support and cardiac rehabilitation: A comparative study of the experiences of South Asian and White-European patients and their carer's living in the United Kingdom

Background: Effective lifestyle modification facilitated by cardiac rehabilitation is known to reduce the occurrence of adverse coronary events and mortality. South Asians have poorer outcomes after a myocardial infarction than the general UK population, but little is known about their experiences of family support, cardiac rehabilitation and lifestyle change. Aims: To explore the nature of family support available to a sample of South Asian and White-European cardiac patients and to highlight similarities and differences between these groups with regard to cardiac rehabilitation and lifestyle modification. Methods: Using a qualitative approach, semi-structured interviews (in 1 of 6 languages) were conducted by researchers with; 45 South Asian patients and 37 carers and 20 White-European patients and 17 carers. Interviews were conducted in a home setting, up to eighteen months after discharge from hospital following myocardial infarction, coronary artery bypass surgery or unstable angina. Results: The main themes that emerged related to the provision of advice and information, family support and burden, dietary change and exercise regimes. Conclusions: Several cultural and ethnic differences were identified between patients and their families alongside similarities, irrespective of ethnicity. These may represent generic characteristics of recovery after a cardiac event. Health professionals should develop a cultural repertoire to engage with diversity and difference. Not every difficulty a person encounters as they try to access appropriate service delivery can be attributed to ethnic background. By improving services generally, support for South Asian populations can be improved. The challenge is to know when ethnicity makes a difference and mediates a person's relationship with service support and when it does not. (C) 2007 European Society of Cardiology. Published by Elsevier B.V. All rights reserved

History: The San and Its Mission

This book is a re-telling of the story of the mission of the Sydney Adventist Hospital - even today still known fondly to many as the San - based on the many stories and vignettes shared by people, and about people, who lived the San\u27s mission, contributing to a hospital that has had an impact on many lives.This is not a chronological and systematic historical narrative, but it uses the motivation and inspiration of individuals and events to illustrate how the mission of the hospital has been fulfilled through its healing and restorative ministry since 1903. It also illustrates how mission inspired individuals, decisions, strategies and the pioneering work that remains the hallmark of the San

Assessment of the applicability of failure frequency models for dense phase carbon dioxide pipelines

In Carbon Capture, Usage and Storage (CCUS) schemes, Carbon Dioxide (CO2) is captured from large scale industrial emitters and transported to geological sites for storage. The most efficient method for the transportation of CO2 is via pipeline in the dense phase. CO2 is a hazardous substance which, in the unlikely event of an accidental release, could cause people harm. To correspond with United Kingdom (UK) safety legislation, the design and construction of proposed CO2 pipelines requires compliance with recognised pipeline codes. The UK code PD-8010-1 defines the separation distance between a hazardous pipeline and a nearby population as the minimum distance to occupied buildings using a substance factor. The value of the substance factor should be supported by the results of a Quantitative Risk Assessment (QRA) approach to ensure the safe design, construction and operation of a dense phase CO2 pipeline. Failure frequency models are a major part of this QRA approach and the focus of this paper is a review of existing oil and gas pipeline third-party external interference failure frequency models to assess whether they could be applied to dense phase CO2 pipelines. It was found that the high design pressure requirement for a dense phase CO2 pipeline typically necessitates the use of high wall thickness linepipe in pipeline construction; and that the wall thickness of typical dense phase CO2 pipelines is beyond the known range of applicability for the pipeline failure equations used within existing failure frequency models. Furthermore, even though third party external interference failure frequency is not sensitive to the product that a pipeline transports, there is however a limitation to the application of existing UK fault databases with to onshore CO2 pipelines as there are currently no dense phase CO2 pipelines operating in the UK. Further work needs to be conducted to confirm the most appropriate approach for calculating failure frequency for dense phase CO2 pipelines, and it is recommended that a new failure frequency model suitable for dense phase CO2 pipelines is developed that can be readily updated to the latest version of the fault database

‘You have the right to remain silent’: current provisions for D/deaf people within regional police forces in England and Wales

Action on Hearing Loss explain that 11 million people within the UK are affected by hearing loss and this is expected to rise to 15.6 million by 2035 (Action on Hearing Loss, 2016). In 2011, a Strategic Command Course publication for Sign Health stated that services for D/deaf people within the criminal justice system needed improving and advised increasing the number of regional Police Link Officer for the Deaf (PLOD) schemes within police forces (Walton, Morgan & Wells, 2011). This paper describes a study that used a questionnaire survey to investigate levels of D/deaf awareness amongst Police Crime Commissioners (PCCs) and Police Officers and their attitudes towards D/deafness, as well as their specific awareness relating to PLOD schemes. The D/deaf community were also surveyed to assess their communication preferences when liaising with the police and their previous experiences of police contact. Eighteen PCCs, seventy five police officers and fifteen members of the D/deaf community were included in the analysis. Results found a lack of awareness amongst all participants regarding PLOD schemes, differences between communication methods being used and those that are preferred, with only 11% of respondents from the D/deaf community reporting their experience with the police as ‘good’. The study also found a significant correlation between police officer participation in a D/deaf awareness courses and improved attitudes towards D/deafness. It is evident that policies exist to enhance the quality and accessibility of services for D/deaf people but what remains to be explored is the availability and awareness of existing provisions

Planetary Protection Issues in the Human Exploration of Mars

This workshop report, long delayed, is the first 21st century contribution to what will likely be a series of reports examining the effects of human exploration on the overall scientific study of Mars. The considerations of human-associated microbial contamination were last studied in a 1990 workshop ("Planetary Protection Issues and Future Mars Missions," NASA CP-10086, 1991), but the timing of that workshop allowed neither a careful examination of the full range of issues, nor an appreciation for the Mars that has been revealed by the Mars Global Surveyor and Mars Pathfinder missions. Future workshops will also have the advantage of Mars Odyssey, the Mars Exploration Rover missions, and ESA's Mars Express, but the Pingree Park workshop reported here had both the NCR's (1992) concern that "Missions carrying humans to Mars will contaminate the planet" and over a decade of careful study of human exploration objectives to guide them and to reconcile. A daunting challenge, and one that is not going to be simple (as the working title of this meeting, "When Ecologies Collide?" might suggest), it is clear that the planetary protection issues will have to be addressed to enable human explorers to safely and competently extend out knowledge about Mars, and its potential as a home for life whether martian or human