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This study illustrates how a sample (n = 63) of Scottish drug-using women's patterns of injecting and needle sharing were strongly influenced by the nature and type of their sexual relationships. Our data shows that 12 out of the 13 drug-using couples were sharing needles and 33 out of 41 drug-using women who had ever been in a sexual relationship with a male injector had been predominately injected by their partner whilst in that relationship. For the most part, these women placed significant importance on and investment in their heterosexual relationships. These dynamics clearly impacted on the women's HIV risk taking and risk management and the implications of these findings are discussed. [ABSTRACT FROM AUTHOR]

The Early Mississippian (known as 'Romer's Gap') marks the beginning of a critical point in tetrapod history as they transitioned from dominantly aquatic to more terrestrial ecosystems. This paleoecological expansion set the stage for the radiation of all terrestrial tetrapod crown groups. The exact timing for the transition into freshwater continental environments is poorly understood. However, new discoveries in Scotland, England, and Nova Scotia, represent rare exceptions; offering a glimpse into coastal terrestrial ecologies during 'Romer's Gap'. These sites have evidence for a marine-water connection suggesting a coastal paleogeographic position. In contrast, Early Mississippian sedimentary deposits of the Moncton Subbasin in southern New Brunswick (NB) are interpreted as freshwater intra-continental conditions (lacustrine, wetland, fluvial, alluvial settings). A single stratigraphic horizon in the Albert Formation (Hiram Brook Member), exposed near Norton, NB, has yielded abundant tetrapod footprints. Preliminary assessments suggest at least four trackway ichnogenera: cf. Characichnos, cf.Matthewichnus, cf.Hylopus, and cf.Batrachichnus and a fifth trackway that may represent a new ichnogenus. Footprints range in size from 1 to 3 cm, suggesting that tetrapods were smaller than those documented from near time-equivalent sites in Nova Scotia, but are comparable in size to skeletal fossils described from younger strata in Scotland. These footprints are interpreted to be preserved in interfluvial crevasse splays associated with wetland forests dominated by Lepidodendropsis lycopods and Aneimites ferns preserved in their ecological context. The relatively large sample size of footprints suggests that a community of tetrapods were present and part of a diverse ecosystem, adapted to terrestrial and semi-aquatic continental environments in the earliest Mississippian. Additional trackways from slightly younger redbed playa lake deposits in the Sussex Group suggest tetrapods were also venturing into semi-arid continental environments. The ichnofossil assemblage from NB demonstrates considerable variation in ichnotaxa morphology and paleoenvironmental context from sites of approximately equivalent age. [ABSTRACT FROM AUTHOR]

With increasing numbers of persons living with dementia and their higher rates of hospitalizations, it is necessary to ensure they receive appropriate and effective acute care; yet, acute care environments are often harmful for persons with dementia. There is a lack of dementia education for acute health care providers in Canada. Scotland presently delivers a dementia education program for health care providers, known as the Scottish National Dementia Champions Programme. The objective of this Policy and Practice Note is to present the collaborative work of Scottish experts and Canadian stakeholders to adapt the Dementia Champions Programme for use in Canada. This work to date includes: (a) an environmental scan of Canadian dementia education for acute health care providers; (b) key informant interviews; and, (c) findings from a two-day planning meeting. The results of this collaborative work can and are being used to inform the next steps to develop and pilot a Canadian dementia education program.

Increasing numbers of people with dementia are living longer with a higher likelihood of requiring hospital care for physical conditions including falls, infections and stroke (Boaden, 2016). However, the literature is replete with descriptions of poor care and hospital care experiences that have fallen well below the expectations of people with dementia, their families and friends. Although poor care is unacceptable, it is unsurprising given that dementia education for health and social care professionals is often inadequate and inconsistent. This results in most healthcare staff being ill-equipped and lacking the confidence to work with people living with dementia. The first of Scotland's National Dementia Strategies committed to "improve the response to dementia in general hospital settings including alternatives to admission and better planning for discharge" (Scottish Government, 2010). The educational response was the commissioning of the Dementia Champions programme. Since 2011, the programme has developed over 800 health and social care professionals working in general hospital and related settings to be change agents in dementia care. This article will outline the theoretical underpinning of the programme and present pooled results from four cohorts (2014-2017) (n = 524). A repeated measure design (pre and post programme) was used to measure attitudes towards people with dementia; self-efficacy and knowledge of dementia. The findings suggest that the education had a statistically significant positive effect on all intended outcomes, indicating the potential for practice change. We discuss these findings in relation to the literature, and respond to the calls for high quality evaluation to measure the effectiveness of dementia education, the challenges and potential directions for measuring educational effectiveness and capturing transfer of learning., (Crown Copyright © 2018. Published by Elsevier Ltd. All rights reserved.)