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When Craig Murray arrived in Uzbekistan to take up his post in 2002, he was a young ambassador with a brilliant career and a taste for whisky and women. Here, Murray looks at the dark and dirty underside of the War on Terror.

Background/Objective: Research indicates that sport is a useful avenue in rehabilitation for redeveloping identity for people with a limb amputation. However, the available research focusses on Paralympians or elite athletes with disabilities. By contrast, this study aimed to explore the experience of sport participation and identity in lay members of the public who had undergone limb amputation. Methods: Semi-structured interviews took place with nine people who had undergone amputation and participated in sport. The interviews were recorded, transcribed, and analysed using interpretative phenomenological analysis. Results: Four themes were developed from the data: (1) enabling a feeling of normality and equality; (2) becoming a better person; (3) belonging and connection; and (4) experiencing and responding to the gaze of others. The findings highlight the role of sport in facilitating personal growth through a desire to help and inspire others. Conclusions: Rehabilitation professionals involved in care following amputation could offer person-centred therapies to those who may be reluctant to participate in sport in a way that makes use of a person’s values and facilitates personal growth.

Optimal communication is essential in ensuring that the palliative care needs of patients are met. This continues to be an area of concern for healthcare providers. The goal of our present review was to gain a deeper understanding of the communication experiences of patients with palliative care needs that have been identified within the qualitative literature. A systematic search for qualitative research papers was undertaken in February of 2012. Five databases (ASSIA, CINAHL, MEDLINE, PsychArticles, and PsychINFO) were searched using the search terms [\"palliative care\" OR \"terminal care\" OR \"end of life care\"] AND [\"experience\" OR \"perspective\" OR \"qualitative\" OR \"interview\"] AND [\"patients\" OR \"clients\" OR \"service-user\"]. Meta-synthesis was conducted on the data within the found papers. A line-of-argument synthesis of 15 studies yielded four overarching themes: talking-facilitating and inhibiting factors; the importance of humanitarian qualities within communication encounters; perceptions of autonomy within communication experiences; and individual differences in preferences for honesty within interactions. Our findings are discussed in relation to existing literature and offer a deeper insight into the communication experiences of this clinical population. A number of clinical implications are offered for the healthcare professionals who are providing support to patients with palliative care needs.

Increasingly, family or friends are providing care to those with cancer. However, the majority of those assuming the caring role have no prior knowledge related to the provision of care. The present study aimed to explore the experiences of informal carers with respect to their role, thus determining ways that services may support transition to this role. In order to obtain an in-depth view of such experience, a qualitative meta-synthesis was employed to review the findings of 17 studies. Out of this synthesis, three main concepts were developed: (1) identity and adopting the caring role, (2) the perception of care tasks, and (3) relationship dynamic changes as a result of caring. The implications for professional practice are discussed.

Future integration of small unmanned aircraft within an urban airspace requires an a posteriori understanding of the building-induced aerodynamics which could negatively impact on vehicle performance. Moving away from generalised building formations, we model the centre of the city of Glasgow using Star-CCM+, a commercial CFD package. After establishing a critical turbulent kinetic energy for our vehicle, we analyse the CFD results to determine how best to operate a small unmanned aircraft within this environment. As discovered in a previous study, the spatial distribution of turbulence increases with altitude. It was recommended then that UAVs operate at the minimal allowable altitude within a congested area. As the flow characteristics in an environment are similar, regardless of inlet velocity, we can determine areas within a city which will have consistently low or high values of turbulent kinetic energy. As the distribution of turbulence is dependent on prevailing wind directions, some directions are more favourable than others, even if the wind speed is unchanging. Moving forward we should aim to gather more information about integrated aircraft and how they respond to turbulence in a congested area.

This critique of the term ‘carer’ argues that, although developed as a result of well-intentioned and socially-engaged research, it fails the people with whom it is most concerned, that is ‘carers’ and those who are cared for. The paper considers the historical and political development of the term ‘carer’ before examining research in various ‘carer’-related settings in the United Kingdom, namely mental health, physical and intellectual impairment, cancer and palliative care and older adulthood and dementia. The article concludes that the term ‘carer’ is ineffective and that its continued use should be reconsidered. This conclusion is based on the consistent failure of the term ‘carer’ as a recognisable and valid description of the relationship between ‘carers’ and those for whom they care. Furthermore, use of the term may imply burden and therefore devalue the individual who is cared for and in this way polarises two individuals who would otherwise work together. Consequently, this commentary suggests that descriptions of the caring relationship that focus on the relationship from which it arose would be both more acceptable and useful to those it concerns. Furthermore, a more accessible term may increase uptake of support services currently aimed at ‘carers’, therefore inadvertently meeting the original aims of the term, that is, to increase support for ‘carers’.

Control over place of death is deemed important, not only in providing a \"good death,\" but also in offering person-centered palliative care. Despite the wish to die at home being endorsed by many, few achieve it. The present study aimed to explore the reasons why this wish is not fulfilled by examining the stories of ten individuals who lost a loved one to cancer. We adopted a narrative approach, with stories synthesized to create one metastory depicting plot similarities and differences. Stories were divided into four chapters: (1) the cancer diagnosis, (2) the terminal stage and advancement of death, (3) death itself, and (4) reflections on the whole experience. Additionally, several reasons for cessation of home care were uncovered, including the need to consider children's welfare, exhaustion, and admission of the loved one by professionals due to a medical emergency. Some participants described adverse effects as a result of being unable to continue to support their loved one's wish to remain at home. Reflections upon the accounts are provided with a discussion around potential clinical implications.

After the Walkerton tragedy in 2000, where drinking water contamination left seven people dead and many suffering from chronic illness, the Province of Ontario, Canada implemented policies to develop Source Water Protection (SWP) plans. Under the Clean Water Act (2006), thirty-six regional Conservation Authorities were mandated to develop watershed-based SWP plans under 19 Source Protection Regions. Most First Nations in Ontario are outside of these Source Protection Regions and reserve lands are under Federal jurisdiction. This paper explores how First Nations in Ontario are attempting to address SWP to improve drinking water quality in their communities even though these communities are not part of the Ontario SWP framework. The case studies highlight the gap between the regulatory requirements of the Federal and Provincial governments and the challenges for First Nations in Ontario from lack of funding to implement solutions to address the threats identified in SWP planning. This analysis of different approaches taken by Ontario First Nations shows that the Ontario framework for SWP planning is not an option for the majority of First Nations communities, and does not adequately address threats originating on reserve lands. First Nations attempting to address on-reserve threats to drinking water are using a variety of resources and approaches to develop community SWP plans. However, a common theme of all the cases surveyed is a lack of funding to support implementing solutions for the threats identified by the SWP planning process. Federal government initiatives to address the chronic problem of boil water advisories within Indigenous communities do not recognize SWP planning as a cost-effective tool for improving drinking water quality.

The most detailed, sophisticated and theoretically grounded analysis of wartime media coverage written to date. Describes and explains how British news media variously supported, and dissented from, coalition propaganda campaigns during the 2003 invasion of Iraq.