Kiilerich Gravesen (fieldyear84)

Peers fulfil the role of amplifying the status of diverse forms of knowledge, values and related ways of working that have become marginalized in NHS mental health services. It is important that peers are not seen as an isolated solution to the marginalization of these forms of knowledge and values, but that their way of working becomes reflected in other roles whilst evoking change throughout these services. Patient and Public Involvement groups were consulted both in the design and analysis stages of the study. Patient and Public Involvement groups were consulted both in the design and analysis stages of the study.Species are reportedly shifting their distributions poleward and upward in several parts of the world in response to climate change. The extent to which other factors might play a role driving these changes is still unclear. Land-cover change is a major cause of distributional changes, but it cannot be discarded that distributional dynamics might be at times caused by other mechanisms (e.g. dispersal, ecological drift). Using observed changes in the distribution of 82 breeding birds in Great Britain between three time periods 1968-72 (t1 ), 1988-91 (t2 ) and 2007-2011 (t3 ), we examine whether observed bird range shifts between t1 -t2 and t1 -t3 are best explained by climate change or land-cover change, or whether they are not distinguishable from what would be expected by chance. We found that range shifts across the rear edge of northerly distributed species in Great Britain are best explained by climate change, while shifts across the leading edge of southerly distributed species are best explained by changes in land-cover. In contrast, at the northern and southern edges of Great Britain, range dynamics could not be distinguished from that expected by chance. The latter observation could be a consequence of boundary effects limiting the direction and magnitude of range changes, stochastic demographic mechanisms neither associated with climate nor land-cover change or with complex interactions among factors. Our results reinforce the view that comprehensive assessments of climate change effects on species range shifts need to examine alternative drivers of change on equal footing and that null models can help assess whether observed patterns could have arisen by chance alone.To characterize the physicomechanical properties of an alumina-toughened zirconia (ATZ). ATZ synthesis consisted of the addition of alumina particles in an yttria-stabilized tetragonal zirconia polycrystals (3Y-TZP) matrix. Specimens were obtained by uniaxial and isostatic pressing ATZ and 3Y-TZP powders and sintering at 1600°C/1 h and 1550°C/1 h, respectively. Crystalline content and residual stress were evaluated using X-ray diffraction (XRD). Microstructure was characterized by scanning electron microscopy (SEM). Optical properties were determined by reflectance test. Mechanical properties were assessed by biaxial flexural strength test. All analyses were performed before and after aging (134°C, 20 h, 2 bar). XRD and SEM revealed a typical ATZ and 3Y-TZP crystalline content, chiefly tetragonal phase, with a dense polycrystalline matrix, though a smaller grain size for ATZ. Aging triggered a similar monoclinic transformation for both systems; however, ATZ exhibited higher residual compressive stresses than 3Y-TZP. While as-processed 3Y-TZP demonstrated significantly higher characteristic strength relative to ATZ, no significant difference was observed after aging (~215 MPa increase in the ATZ strength). ATZ presented significantly higher opacity relative to 3Y-TZP, although aging significantly increased the translucency of both systems (increase difference significantly higher in the 3Y-TZP compared to ATZ). ATZ physicomechanical properties support its applicability in the dental field, with a lower detrimental effect of aging relative to 3Y-TZP.The diagnosis of psoriasis is mainly made by clinical examination but on some