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Purpose>In the past decade, there has been growing awareness of well-being and its importance and an increase in the development of activities or programmes aimed at improving well-being. The purpose of this study is to investigate what well-being programmes were being offered to prisoners in England and Wales and what benefits and other outcomes were experienced.Design/methodology/approach>The study used a mixed-methods exploratory design in two phases. Phase 1 was a questionnaire survey of all adult prisons in England and Wales, completed by prison staff. In Phase 2, a sample of survey respondents took part in in-depth interviews.Findings>The programmes identified in Phase 1 included physical activities, creative arts, mindfulness, horticulture, reading and animal-assisted activities. Prison staff reported a range of universally positive outcomes shared by all programmes, including enthusiasm from prisoners, enjoyment of the activities and being able to do something different from the usual prison routine. However, in Phase 2, interviewees rarely mentioned direct health and well-being benefits. The impetus for programmes was varied and there was little reference to national policy on health and well-being; this reflected the ad hoc way in which programmes are developed, with a key role being played by the Well-being Officer, where these were funded.Originality/value>The literature on well-being programmes in prisons is limited and tends to focus on specific types of initiatives, often in a single prison. This study contributes by highlighting the range of activities across prisons and elucidating the perspectives of those involved in running such programmes.

Identifying persons with early rheumatoid arthritis (RA) is a major challenge. The role of the Internet in making decisions about seeking care has not been studied. We developed a method for early diagnosis and referral using the Arthritis Foundation’s website. A person with less than 3 months of joint pain symptom who has not yet sought medical attention was screened. Prescreened persons are linked to a self-scoring questionnaire and get a “likelihood” of RA statement. If “likely,” the person is offered a free evaluation and biomarker testing performed by Quest Diagnostics. The system available only to Massachusetts’s residents yielded a small steady flow of screen-positive individuals. Over 21 months, 43,244 persons took the Arthritis Foundation website prescreening questionnaire; 196 were from Massachusetts and 60 took the self-scoring algorithm. Of the 48 who screened positive, 29 set up an appointment for a free evaluation, but six never came in. Twenty-four subjects were evaluated and diagnosed independently by three rheumatologists. One met the 1987 American College of Rheumatology (ACR) criteria for RA and two met the 2010 ACR/EULAR RA criteria. The 24 examined individuals were contacted at a minimum of 1 year and asked to redo the case-finding questionnaire and asked about their health resource utilization during the interval. Seventeen of the 24 subjects responded, and 10 had seen a health professional. Three of the 17 had a diagnosis of RA; all were on at least methotrexate. Internet case finding was useful in identifying new potential RA cases. The system’s performance characteristics are theoretically limited only by the number of study sites available. However, the major barrier may be that seeing a health professional is not a priority for many individuals with early symptoms.

Statin medications have been suggested for widespread use in patients with systemic lupus erythematosus (SLE). We studied the dose effectiveness and tolerability of pravastatin in SLE. We compared 41 SLE subjects in a two-month open-label dose-titration study of pravastatin to 22 SLE controls. Lipids, ALT, CPK, CRP, adverse effects were assessed. Linear mixed models assessed changes in lipids and CRP, comparing pravastatin subjects to controls. After 1 month of pravastatin 10 mg a day, total cholesterol decreased by 16% (+/-12.1%) and LDL by 24% (+/-17%), compared with 1.8% (+/-7.5%) and 2.6% (+/-8.6%) decreases in controls (P < 0.001). CRP did not decline. Glucocorticoids appeared to decrease pravastatin effectiveness. Serum CPK increased in one subject. Pravastatin reduced LDL and total cholesterol levels approximately the same degree observed in normal individuals, but the effect appeared blunted in those on modest doses of glucocorticoids and those with higher BMI.

\"You have no idea how intense the competition can get in certain neighbourhoods,\" says Steve Ogilvie, a landscaper with 20 years experience. His company, Touch of Green, has clients in Forest Hill, Rosedale and the Bridle Path. Employees use unmarked vehicles to keep the company's identity a secret, and \"maintain their clients' creative edge.\" Even so, people have been known to follow them and take pictures of their work. \"A lot of people who put in a spike plant, a bit of ivy and a geranium cannot imagine why an arrangement could possibly start at $200,\" Mr. Ogilvie says. He notes that his containers are \"full of plant material,\" however, and usually start with a standard (a plant trained to grow on the end of a tall thick stem), which can easily cost Mr. Ogilvie more than $80. Winter arrangements are a challenge in the Canadian climate, so they are often a particular source of pride for their designers. Mr. [Amin Datoo] chooses from 60 different types of branches and berries; Sheridan imports from as far afield as the Netherlands, Italy, Brazil and California, elements that are stuck in the container, not planted. Mr. [Mark Roberts]' winter arrangements feature skewers of fresh fruit, which freeze in cold temperatures, preserving the arrangement.

If a listing said a house was in the Jackman area, Ms. [Green] admits she took it for granted it was. However, she soon discovered that just because a house is advertised as being near a particular school, it does not mean it is actually in that school's official \"catchment area.\" Students living in the catchment are the only ones the school must by law accept. And real estate agents do not always know if a house is actually in a school's official district. \"We paid a huge premium just to be west of Pape [the eastern boundary for Jackman],\" says Ms. Green. She and her husband ended up buying a three-bedroom semi half a block from Jackman School. Color Photo: Glenn Lowson Photo, National Post / The 3Rs meet location, location, location: Being west of Pape Avenue puts this neighbourhood in the catchment area of a sought-after school. ; Color Photo: Glenn Lowson Photo, National Post / Proximity to Riverdale's Jackman Avenue Jr. Public School, which has a French Immersion program, is often mentioned in sales brochures. List: Top Grade: (Online) ;

Minto has two rental projects planned -- one at Bay and Yorkville and the other at Yonge and Eglinton. The latter, consisting of two towers, will have approximately 450 rental apartments. Two other sites, one at Yonge and Lawrence and the other at Avenue and Lawrence, are currently occupied by low-rise apartment buildings, which Tower Hill built in the '50s and '60s. As with the other new rental projects, the developer uses the term \"condo quality\" to describe the new high-rise buildings planned for the area. They will be equipped with a 24-hour concierge and security, state-of-the-art wiring, gyms, courtyards and meeting rooms. The older buildings presently on the site have \"no underground parking, no laundry and no elevators.\" Color Photo: Carlo Allegri, National Post / Jefferson Theatre District's model suite reflects the condo standards builders aim for in their new rental projects. Some features include ensuite laundry and fireplaces. ; Color Photo: Yvonne Berg, National Post / MOVING ON UP: New rental units, such as The Standard Apts above, are going fast. By next week, there may be none left in this building. List: Rentals: (Online) ;

So what made Mr. [Josipovicz] take the job? \"A good budget and an award-winning developer,\" he says. Mr. Josipovicz was also impressed with Tribute's efforts to create a variety of exteriors on the Beach homes. The first of the three models is a 2,555-sq-ft detached home known as Indigo. It is the most traditional looking of the three, and Mr. Josipovicz describes it as \"country chic.\" A sunny palette of paint colours and fabrics offers the slightest hint of Provence. Antique furniture predominates. The model with the most visual impact is the semi-detached Horizon. White walls and bleached hardwood floors are pure California beach house. It is bright and modern without being stark. Contemporary furnishings are mixed with Asian and African antiques to reflect the well-travelled owners Mr. Josipovicz pictured.