This paper describes a hypothetical case of a HIV positive pilot. It explores legal and ethical aspects of medical confidentiality and discusses who, inside and outside military and medical circles, can be told of his condition in the light of the particular circumstances. Disclosure without the patient's consent is a serious step that should not be undertaken without advice from Service medico...

BACKGROUND Photodamage is partially mitigated by darker skin pigmentation, but immune suppression, photoaging and cataracts occur among individuals with all skin types. METHODS To assess practices and acceptability to Black African mothers of sun protection equipment for their children living in a rural area, participants were recruited at the time of their child's 18-month vaccinations. Moth...

BACKGROUND There is limited evidence for the clinical and cost effectiveness of occupational therapy (OT) approaches in the management of hand osteoarthritis (OA). Joint protection and hand exercises have been proposed by European guidelines, however the clinical and cost effectiveness of each intervention is unknown.This multicentre two-by-two factorial randomised controlled trial aims to addr...

As the title says, this report comprises four case studies of different integrated care projects all over the world and displays “integration in action”. The report gives a broad view of how integrated care can work and aims to find a superior structure of advices on what is necessary to help integration to be successful. It defines “key ingredients for progress with integration” on the example...

Twilight phenomena of Venus are peculiar aspects visible in proximity of the inferior conjunctions of the planet. They include the refraction image of the Sun that has been observed during the planet transits, and the cusp extensions observable at greater elongations. Those two phenomena have deeply different origins, the first being ascribed to refraction, the second to scattering by a thin la...

Michigan-Dearborn. Prof. Su dedicated much of his precious time in giving guidance and provide leadership for this work. He always kept a good track of the progress by arranging weekly and monthly group meetings. His helpful advices, corrections and guidance helped steered me in the right the direction and finished this work successfully. I would also like to thank my fellow lab colleagues. The...

This study examines the findings from 174 case studies of innovative pedagogical practices using technology from 28 participating countries. The study looks at how classrooms worldwide are using technology to change the practices of teachers and students. Within many of these classrooms, the use of technological tools and resources supports students as they search for information, design produc...

Acknowledgements I would like to express my sincere appreciation to my advisor, Prof.Y.Totsuka, for introducing me this experiment and encouraging me throughout this work. I gratefully acknowledge the helpful advice of Prof. They are experts in the atmospheric neutrino analysis. Their suggestions and advices were very useful for me. I owe thanks to my fellow graduate students Y. They gave me us...

As a consequence, individuals‟ retirement planning requirements have become significantly more complex. In an ideal world, members of DC schemes would have access to individual investment advice to allow them to construct a plan to help manage these risks. In practice it has not yet been possible to supply full, individually tailored advice to all DC members on an affordable basis. Instead what...

It may be difficult for hearing-impaired people to communicate with people who hear. In the health care area, there is often little awareness of the communication barriers faced by the deaf and, in dentistry, the attitude adopted towards the deaf is not always correct. A review is given of the basic rules and advice given for communicating with the hearing-impaired. The latter are classified in...