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Abstract: The need to increase the recovery rates of recyclables from households, reducing at the same time the collection costs, has favoured the spreading of commingled collection systems. This study presents a thorough analysis of the quality of a secondary source of recovered paper of a Spanish newsprint mill, imported from the United Kingdom, where these systems are widely practiced. The results show that the quality of recovered paper from commingled systems is very far from the quality obtained with selective systems: the unusable material content vary from 1% to 29% (11.9% on average) compared to less than 1%. Larger materials recovery facilities (MRFs), less oversaturated and with advanced sorting techniques, have demonstrated to be able to render better qualities, the unusable material content varying from 0.3% to 16.6% (8.1% on average). However, the quality is still far from contamination levels typically found with selective systems, especially in terms of non-paper components. This fact limits significantly the use of this recovered paper for graphic paper production where the major potential for an extended use of recovered paper in papermaking lies. Furthermore, there is a discussion on the cost efficiency of these systems and how the legislation and private or public initiatives are affecting the spreading of these systems, especially in the United States and the United Kingdom. [Copyright &y& Elsevier]

The Natural Environment White Paper represents the most important conservation policy shift in the United Kingdom (UK) in twenty years. It formalises the ecosystem approach within national policy objectives and emphasises the economic value of ecosystem services. By analysing the use of various evidence sources, the involvement of science entrepreneurs, and the development of policy narratives, our goal was to understand factors that influenced adoption of an ecosystem service framework in the UK. We interviewed 48 policy actors and found that centrally-sponsored synthesis reports with entrepreneurial authors provided the most influential expert-based knowledge in the development of the White Paper . More recently published reports had greater influence, yet the window of opportunity for scientific evidence having policy impact was greater in the problem-setting stages of policy development. The interaction between teams preparing syntheses and expert entrepreneurs helped influence the construction of strategic policy narratives. Those narratives increased the impact of scientific evidence by communicating and framing key policy-salient messages, and brokering between broad ecosystem-based and environmental economics narratives. The combination of ecological and economics evidence was particularly salient in the UK case due to the context of continued biodiversity loss and the acceptability of valuation narratives within central government. Our findings suggest that evidence impact varies at different stages of the policy process, and that this is driven by the interplay of contextual factors like policy timing, personal influence, and the competition between different sets of actors and narratives. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Medical Imaging & Radiation Sciences is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The number of older people dying in long-term care facilities (LTCFs) is increasing globally, but care quality may be variable. A framework was developed drawing on empirical research findings from the Palliative Care for Older People (PACE) study and a scoping review of literature on the implementation of palliative care interventions in LTCFs. The PACE study mapped palliative care in LTCFs in Europe, evaluated quality of end-of-life care and quality of dying in a cross-sectional study of deceased residents of LTCFs in 6 countries, and undertook a cluster-randomized control trial that evaluated the impact of the PACE Steps to Success intervention in 7 countries. Working with the European Association for Palliative Care, a white paper was written that outlined recommendations for the implementation of interventions to improve palliative and end-of-life care for all older adults with serious illness, regardless of diagnosis, living in LTCFs. The goal of the article is to present these key domains and recommendations. Transparent expert consultation. International experts in LTCFs. Eighteen (of 20 invited) international experts from 15 countries participated in a 1-day face-to-face Transparent Expert Consultation (TEC) workshop in Bern, Switzerland, and 21 (of 28 invited) completed a follow-up online survey. The TEC study used (1) a face-to-face workshop to discuss a scoping review and initial recommendations and (2) an online survey. Thirty recommendations about implementing palliative care for older people in LTCFs were refined during the TEC workshop and, of these, 20 were selected following the survey. These 20 recommendations cover domains at micro (within organizations), meso (across organizations), and macro (at national or regional) levels addressed in 3 phases: establishing conditions for action, embedding in everyday practice, and sustaining ongoing change. We developed a framework of 20 recommendations to guide implementation of improvements in palliative care in LTCFs. [ABSTRACT FROM AUTHOR]

Staphylococcus argenteus and Staphylococcus schweitzeri, previously known as divergent Staphylococcus aureus clonal lineages, have been recently established as novel, difficult-to-delimit, coagulase-positive species within the S. aureus complex. Methicillin-resistant strains of S. argenteus are known from Australia and the UK. Knowledge of their epidemiology, medical significance and transmission risk is limited and partly contradictory, hampering definitive recommendations. There is mounting evidence that the pathogenicity of S. argenteus is similar to that of 'classical' S. aureus , while as yet no S. schweitzeri infections have been reported. To provide decision support on whether and how to distinguish and report both species. PubMed, searched for S. argenteus and S. schweitzeri. This position paper reviews the main characteristics of both species and draws conclusions for microbiological diagnostics and surveillance as well as infection prevention and control measures. We propose not distinguishing within the S. aureus complex for routine reporting purposes until there is evidence that pathogenicity or clinical outcome differ markedly between the different species. Primarily for research purposes, suitably equipped laboratories are encouraged to differentiate between S. argenteus and S. schweitzeri. Caution is urged if these novel species are explicitly reported. In such cases, a specific comment should be added (i.e. 'member of the S.aureus complex') to prevent confusion with less- or non-pathogenic staphylococci. Prioritizing aspects of patient safety, methicillin-resistant isolates should be handled as recommended for methicillin-resistant Staphylococcus aureus (MRSA). In these cases, the clinician responsible should be directly contacted and informed by the diagnosing microbiological laboratory, as they would be for MRSA. Research is warranted to clarify the epidemiology, clinical impact and implications for infection control of such isolates. [ABSTRACT FROM AUTHOR]

The article inform the number of enrolled participants and the percentage of those that desired to continue the intervention post-trial (70%) suggest that people with progressive multiple sclerosis are receptive to this intervention. Topic include participants were required to manoeuvre into the standing frame or need assistance from one person, limiting feasibility of this intervention for people with impairment or without an able-bodied caregiver to assist them.

The article focuses on a 12-week pedometer-based intervention, delivered in primary care, produces long-term gains in physical activity. It mentions study illuminate the potential of pragmatic, pedometer-based interventions to impact on activity levels over more extended time frames; and also mentions the natural overlap between rehabilitation and physical activity presents an opportunity for physiotherapists to respond to major public health issue.

The article focuses on a 12-week pedometer-based intervention, delivered in primary care, produces long-term gains in physical activity. It mentions the multi-component intervention included a pedometer, keeping a step-count diary, 12 weeks of goal setting, and a handbook that included behaviour change techniques; and also mentions participants in the control group were provided with a pedometer and instructions with no further support.

Disposable paper cups comprise typical single-use plastic items, as they are lined internally with a thin plastic coating for waterproofing. They are consumed at a staggering rate worldwide, with the UK alone consuming around 7 million cups daily, thus annually producing around 30,000 tonnes of paper cup waste. Contrary to popular belief, less than 1 in 400 paper cups is currently recycled in the UK, which is in stark contrast to the waste hierarchy and the European Commission's ambitious Circular Economy Action Plan. Paper cups typically end up in landfill sites or even improperly disposed of, contributing to (micro)plastic waste and potentially polluting the world's oceans. The implications of the latter are not fully known yet and cannot be quantified by existing life cycle impact assessment methods. By employing the life cycle assessment methodology, UK's annual carbon footprint from paper cup consumption was found to be 75 kt of carbon dioxide equivalents, which is similar to that of manufacturing 11,500 mid-size passenger cars. Globally, their environmental footprint was found to be comparable to that of some 1.5 M average European inhabitants, indicating the nature and extent of the single-use plastics problem, which paper cups are just a typical example of. Paper cup recycling could reduce this environmental footprint by up to 40%, whereas switching to reusable cups appears to be more environmentally sustainable, achieving a threefold reduction in carbon emissions, which at global scale is more than twice Malta's annual carbon footprint. Results indicate that consumerism along with small daily choices, such as using reusable cups or bags instead of their disposable counterparts, could play a huge role in climate change. At policy level, no concrete measures to curb the superfluous consumption of paper cups, as well as of other single-use plastic items that are becoming increasingly ubiquitous, have materialised. Furthermore, it appears that decision- and policy-makers tend to step in to curtail wasteful and polluting practices only when environmental problems have started to generate widespread concern, instead of undertaking preventative policy measures. Image 1 • The environmental sustainability of disposable paper cups was examined. • 75 kt CO 2eq are emitted annually in the UK and 7.5 Mt CO 2eq globally. • Switching to reusable cups axes carbon emissions by threefold. • Robust LCIA methods should be introduced to account for (micro)plastic pollution. • Existing policy on single use plastics appears to be too little too late. [ABSTRACT FROM AUTHOR]

Objectives In line with the aims of this special issue, the purpose of this paper is to forward a position on the concept of sport parenting expertise through the presentation of six key postulates. Design Literature review and position statement. Method By adopting methods associated with an academic position paper, a statement is presented that we believe encapsulates sport parenting expertise. Six key postulates of parenting expertise, formulated from critically reviewing and interpreting relevant literature, are then presented. Results We propose that sport parenting expertise is dependent on the degree to which parents demonstrate a range of competencies; namely that parents, (a) select appropriate sporting opportunities and provide necessary types of support, (b) understand and apply appropriate parenting styles, (c) manage the emotional demands of competitions, (d) foster healthy relationships with significant others, (e) manage organizational and developmental demands associated with sport participation, and, (f) adapt their involvement to different stages of their child's athletic career. Conclusion Expertise in sport parenting requires parents to develop knowledge and utilize a range of intrapersonal, interpersonal, and organizational skills in order to support their child, manage themselves, and operate effectively in the wider youth sport environment. Recommendations for applied researchers to further investigate these postulates and substantiate the components of sport parenting expertise are offered. [ABSTRACT FROM AUTHOR]