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Focuses on a period of major organizational change in a school of nursing from 1989 until the present. Describes internal and external pressures for change and explores the reasons for a need to shift from a collegial to a more mechanistic and bureaucratic culture. Outlines the method chosen to analyse the change process, which was focused interviewing with a stratified sample of teaching staff, to enable a retrospective evaluation of the change process and to learn whether the changes were successful or not. Pays particular attention to the relationship between leadership style, structure and culture, describes tensions arising from the policy changes and debates lessons for the future.

The diagnosis and management of cancer in people with intellectual disabilities (PWIDs) are fraught with difficulties. The purpose of this paper is to present a case study to highlight these difficulties.

The present case analysis describes the presentation of a 56-year-old man with a profound intellectual disability, who developed recurrent chest infections and died as a result of obstructive pneumonitis.

Despite a presentation over several years and numerous chest X-rays demonstrating a consistent lung abnormality, it was only on postmortem examination that a right-sided lung carcinoma was detected.

The papers have provided an update on the topic in light of recent legislations and management strategies which need to be applied to clinical practice if any improvement is to happen in the care of PWID.

Reports on the deliberations of a World Health Organization working group which met in Eilat, Israel, in 1993 to discuss “risk assessment values”, and a unified approach to the control of human exposure to radon, which is known to cause lung cancer in human beings. Summarizes the working group′s conclusions and recommendations.

What is the problem? Asbestos exposure may well be the number one occupational and environmental health problem in the United Kingdom today. Actions for compensation regarding consequences of asbestos exposure have affected thousands of individuals and major companies and have shaken the insurance industry. For many years, how‐ever, there has also been increasing concern over the potential for asbestos exposure in public buildings, including schools and office buildings.

This chapter is structured for teaching young learners with other health impairments in special education. Under the Individuals with Disabilities Education Improvement Act (IDEA, 2004), other health impairments represent chronic or acute health problems such as asthma, attention deficit disorder or attention deficit hyperactivity disorder (ADHD), diabetes, epilepsy, a heart condition, hemophilia, lead poisoning, leukemia, nephritis, rheumatic fever, and sickle cell anemia and adversely affect a child’s educational performance. The chapter is organized around definitions, prevalence, etiologies, intervention strategies, and teaching considerations for selected disabling conditions in this disability category.

An odd‐sounding expression recently introduced into the language, derived from the passage of events, Privatization, introduced as a rescue operation for sections of public and nationalised industry to hand them over to private enterprise to avoid their destruction and smothering by the unholy wedlock of trade unionism and weak, inefficient management. It frequently met with the opposition of unions and sections of staff. Efforts have been made to sabotage the take‐over and operation of the services by private firms, occasionally making them impossible to operate. This elementary operation was expected to achieve even greater success in the sections taken over and reduced the room for destructive manoeuvring by ajitator, much of which was caused independent of the unions. In the public services some of the antics between rival factions bordered on the ludicrous.

Provides a summary of the main European regional and world global issues in relation to air pollution. Makes reference to the classical problems of SO⊂x, SPM and NO⊂x pollution by heavy metals, and to the issue which was at the forefront in the 1980s – acidic deposition; winter‐and summer‐smog episodes which caught the attention of politicians a few years ago; and of course, the widely spoken of issue on global climate change and the ozone layer depletion. Gives special attention to the not so well‐recognized and understood indoor air quality. Closes with the proposal of possible solutions for confronting the various issues.

February 27, 1973 Factory — Statutory duty — Fume — Inhalation of low concentrations of oxides of nitrogen over prolonged period — Chronic lung illness — Employers' constructive knowledge of health hazard — Medical and other publications — Whether sufficiently indicating health hazard from 1965 onwards — Factories Act, 1961 (9 & 10 Eliz. II, c. 34), s. 63 (1).

Tobacco has exercised the interest of the nation since Elizabethan times, and the inhalation of its smoke for pleasure has become very widespread. It was not until the mid‐twentieth century, however, that its effects upon health were suspected. It is now widely accepted that tobacco smoke is implicated in a range of dangerous diseases, although the tobacco industry sometimes argues that the link is not proven. The arguments about the conflicting needs of a large, world‐wide industry and the health and prosperity of individuals and society are complex, and often influenced by conflicting vested interests. Government's involvement in the issues is further complicated by its reliance upon large tobacco revenues. The link between advertising and increased smoking, either by existing or new smokers, is not proved by research, although there are strong indications that it exists. The behaviour of most parties involved, including the tobacco companies, indicates that they share the belief of a link. Voluntary controls upon tobacco advertising have had some effect, in that, for example, advertising in the U.K. is no longer overtly directed at children, but various anti‐smoking lobbies believe voluntary control to be ineffective. The present British government has toyed wth the possibility of statutory control, but faces stiff opposition from back‐benchers and within the cabinet; it is also probably philosophically opposed to such measures. More research is needed into the link between advertising and smoking behaviour.