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Besides the benefits of plant protection products (PPPs) for agricultural production, there is an increasing acknowledgement of the associated potential environmental risks. Here, we examine the feasibility of summarizing the extent of PPP usage at the country level, using Ireland as a case study, as well as at the European level. We used the area over which PPPs are applied (basic area) as an example variable that is relevant to initially assess the geographic extent of environmental risk. In Irish agricultural systems, which are primarily grass-based, herbicides fluroxypyr and glyphosate are the most widely applied active substances (ASs) in terms of basic area, followed by the fungicides chlorothalonil and prothioconazole that are closely associated with arable crops. Although all EU countries are subject to Regulation (EC) No 1185/2009, which sets the obligation of PPP usage data reporting at the national level, we only found usable data that met our criteria for Estonia, Germany, Finland, and Spain (4 of 30 countries reviewed). Overall, the most widely applied fungicide and herbicide in terms of basic area were prothioconazole (20%, 7% and 5% of national cultivated areas of Germany, Estonia and Ireland) and glyphosate (11%, 8% and 5% of national cultivated areas of Spain, Estonia and Ireland) respectively, although evaluations using application frequency may result in the observation of different trends. Several recommendations are proposed to tackle current data gaps and deficiencies in accessibility and usability of pesticide usage data across the EU in order to better inform environmental risk assessment and promote evidence-based policymaking.

Coordinated Management and Emergency Response Assemblages (CMaERAs) are complex, multi-faceted, institutionalised networks of emergency response agencies, people, processes, technologies, histories, geographies and cultures which shape the strength of inter-agency coordination and emergency response. This thesis explores how a variety of actors, actants and technologies involved in emergency management assemble and organise. The methodology adopted is qualitative and uses two case studies to evaluate how CMaERA oscillate from their organised shape as dictated by policy to a new shape emanating from the needs of a response call. The case studies were: the Irish Emergency Management Assemblages (IEMA) response to the winter storms of 2015/2016 and the United States Emergency Management Assemblages (USEMA) response to the Boston Marathon Bombing in 2013. Fifty-one semi-structured interviews of key stakeholders and emergency response agents were conducted and supported by an interpretive analysis of key policy documents. By adopting assemblage theory and applying it to the empirical findings of the IEMA and USEMA, conceptualised within Foucauldian and Agambien understanding of power and sovereignty, this thesis offers a theoretical and philosophical framework to study emergency services, their interactions and power dynamics while keeping in sight their histories, cultures and current situations. This resulted in recognising that CMaERAs re-shape and oscillate position regularly to ensure that response is adequate and efficient. These movements are influenced both by the situation, inter-agency trust, and previous working relationships, but also from external factors, such as the institutionalisation and siloed manner of agencies, (in)formalisation, their relationship with the government, technological advancements, data analytics but also human nature. These broad factors affect inter-agency coordination and collaboration by creating barriers preventing the development of a true Coordinated Management and Emergency Response Assemblage. Finally, it provides three wider contributions to knowledge: expansion of the term ‘vulnerability’, development of embodied assemblages, and the identification of three urban factors which affect assemblage oscillation.

Secretory leukocyte protease inhibitor (SLPI) is an important cationic protein involved in innate airway immunity and highly expressed in mucosal secretions, shown to target and inhibit neutrophil elastase (NE), cathepsin G and trypsin activity to limit proteolytic activity. In addition to the potent anti-protease activity, SLPI has been demonstrated to exert a direct anti-inflammatory effect, which is mediated via increased inhibition and competitive binding of NF-κB, regulating immune responses through limiting transcription of pro-inflammatory gene targets. In muco-obstructive lung disorders, such as Chronic Obstructive Pulmonary Disease (COPD) and Cystic Fibrosis (CF), there is an observed elevation in airway SLPI protein concentrations as a result of increased lung inflammation and disease progression. However, studies have identified COPD patients presenting with diminished SLPI concentrations. Furthermore, there is a decrease in SLPI concentrations through cleavage and subsequent inactivation by NE degradation in Pseudomonas aeruginosa infected people with CF (pwCF). These observations suggest reduced SLPI protein levels may contribute to the compromising of airway immunity indicating a potential role of decreased SLPI levels in the pathogenesis of muco-obstructive lung disease. The Beta Epithelial Na+ Channel transgenic (ENaC-Tg) mouse model phenotype exhibits characteristics which replicate the pathological features observed in conditions such as COPD and CF, including mucus accumulation, alterations in airway morphology and increased pulmonary inflammation. To evaluate the effect of SLPI in muco-obstructive pulmonary disease, ENaC-Tg mice were crossed with SLPI knock-out (SLPI -/- ) mice, generating a ENaC-Tg/SLPI -/- colony to further investigate the role of SLPI in chronic lung disease and determine the effect of its ablation on disease pathogenesis.

Micro-capillaries, capable of light-regulated binding and qualitative detection of divalent metal ions in continuous flow, have been realised through functionalisation with spiropyran photochromic brush-type coatings. Upon irradiation with UV light, the coating switches from the passive non-binding spiropyran form to the active merocyanine form, which binds different divalent metal ions (Zn2+, Co2+, Cu2+, Ni2+, Cd2+), as they pass through the micro-capillary. Furthermore, the merocyanine visible absorbance spectrum changes upon metal ion binding, enabling the ion uptake to be detected optically. Irradiation with white light causes reversion of the merocyanine to the passive spiropyran form, with simultaneous release of the bound metal ion from the micro-capillary coating.

Background Frailty is a risk factor for presentation to the ED, in-hospital mortality, prolonged hospital stays and functional decline at discharge. Profiling the prevalence and level of frailty within the acute hospital setting is vital to ensure evidence-based practice and service development within the construct of frailty. The aim of this cross-sectional study was to establish the prevalence of frailty and co-morbidities among older adults in an acute hospital setting. Methods Data collection was undertaken by clinical research nurses and advanced nurse practitioners experienced in assessing older adults. All patients aged ≥ 65 years and admitted to a medical or surgical inpatient setting between 08:00 and 20:00 and who attended the ED over a 24-h period were screened using validated frailty and co-morbidity scales. Age and gender demographics, Clinical Frailty Scale (CFS), Charlson Co-morbidity Index (CCI) and admitting specialty (medical/surgical) were collected. Descriptive statistics were used to profile the cohort, and p values were calculated to ascertain the significance of results. Results Within a sample of 413 inpatients, 291 (70%) were ≥ 65 years and therefore were included in the study. 202 of these 291 older adults (70%) were ≥ 75 years. Frailty was investigated using validated clinical cut-offs on the CFS (not frail < 5; frail ≥ 5). Comorbidities were investigated using the Charlson Comorbidity Index (mild 1–2; moderate 3–4; severe ≥ 5). The median CFS was 6 indicating moderate frailty levels, and the median CCI score was 3 denoting moderate co-morbidity. In the inpatient cohort, 245 (84%) screened positive for frailty, while 223 (75%) had moderate-severe co-morbidity (CCI Mod 3–4, severe ≥ 5). No significant differences were observed across genders for CFS and CCI. In the ED, 81 patients who attended the ED were ≥ 65 years. The median CFS was 6 (moderate frailty), and the median CCI was 5 (severe co-morbidity level). Seventy-four percent (60) of participants screened positively for frailty (CFS ≥ 5), and 31% (25) had a CFS of 7 or greater (severely frail). Ninety-six percent (78) of patients had a moderate-severe level of comorbidity. No significant associations were found between the CFS and CCI and ED participants age, gender, and medical/surgical speciality usage. Conclusion There is a high prevalence of frailty and co-morbidity among older adults who present to the ED and require inpatient care. This may contribute to increased waiting times, lengths of stay, and the need for specialist intervention. With an increased focus on the integration of care for older adults across care transitions, there is a clear need for expansion of frailty-based services, staff training in frailty care and multidisciplinary team resources across the hospital and community setting.

The survey of over 200 GP clinics across the country showed that the average price of visiting a doctor is EUR 49 - but this can vary hugely, depending on where you live. [...]Dermott Jewell, of the Consumers' Association of Ireland, feels it's time for doctors in Ireland to start setting more competitive prices.

With temperatures due to hit 23C today, an Irish Daily Mail survey shows that one of the most expensive cones in the country is sold by the Boathouse Cafe in Dublin's Phoenix Park, costing a cool EUR 2.75.

  With temperatures due to hit 23C today, an Irish Daily Mail survey shows that one of the most expensive cones in the country is sold by the Boathouse Cafe in Dublin's Phoenix Park, costing a cool EUR 2.75.

While dentist representatives claimed prices often reflect the quality of the service, the consumer watchdog Dermott Jewell told the Mail that customers are entitled to a certain level of care, no matter how competitive the price. Chief executive of the Irish Dental Association Fintan Hourihan said the cost of dental care varies due to the level of competition in the market.