59 decompression with small diameter PTFE interposi-tion grafts. The confirmation of Sarfeh's experience of durable patency with the use of small diameter ringed PTFE interposition prosthetic grafts appears to have allayed residual reservations about this procedure. Further experience over more extended periods will be required to establish whether it will truly match the excellent long term pa...

Empathic relational communication is a key competency in spiritual care for establishing trusting pastoral relationship. Ministry with d/Deaf persons requires deeper level of skill, where attentiveness to sign language, non-manual features, visual cues and facial grammar are important meaningful relatedness. It widely recognized that experience higher than average healthcare access barriers ass...