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In this chapter, we consider how the character of Rob Titchener has been developed in The Archers, moving him from hero of the hour to villain of the piece. We draw on a critical disability studies’ perspective to argue that ability and disability have been crucial in turning the character of Rob from the desirable and attractive man who first arrived in the village into a national hate figure, despised by all. We begin this analysis by introducing critical disability studies and studies of ableism as fields of academic inquiry. We then draw on these resources to offer an analysis of the ways in which ability and disability were used as a narrative device to develop Rob’s character. We question the ways in which ability and disability are used to denote ‘good’ and ‘evil’ in the development of characters in cultural texts like The Archers, and end with a plea to scriptwriters to engage differently with dis/ability and to consider the impact of the stories we tell on the everyday lives of disabled people.

The purpose of this paper is to synthesize the experiences and needs of colorectal cancer patients during postoperative recovery.

This study is an integrative review, conducted by CINAHL, PubMed, ScienceDirect and ThaiJO from 2009 to 2019. Ten research articles published have been selected by PRISMA process.

Results show the experiences of colon cancer patients during postoperative recovery consisted of four themes, namely suffering, decreased activity, ambivalent feeling and need of caring.

The health care personnel should be aware of these experiences and give holistic care in order to let the patients free from unpleasant experiences and receive the responses which really meet their needs.

Knowledge about the experience and needs of colorectal cancer patients after surgery is of great benefit to healthcare providers who are planning the care, so as to achieve complete holistic care in the future research.

Approaches for the systematic evaluation of nursing practice are outlined. Practical methods and steps in auditing care at ward and individual patient level are discussed. Standard‐setting at ward level is systematically described and examples given. Monitoring and measuring outcomes and individual patient unit (IPA) are also described.

This paper aims to describe the development of an internal waste-collection device for patients who have undergone a colostomy or ileostomy. Its design is based on devices that have been produced by 3D printing with acrylonitrile butadiene styrene. The aim is to find an alternative to the external bags that these patients currently use and to evaluate the properties of the device produced by additive manufacturing.

Software for solid modelling has been used, and virtual models allow its visualization and animation, for evaluation, in a simple and fast way. Subsequently, functional prototypes have been developed by a multidisciplinary team, which includes surgeons and engineers, and have been tested to verify their mechanical properties and suitability for function.

The project has developed a functional design that has been patented and is in the clinical trials phase. This study demonstrates how 3D printing technologies are the perfect complement to accelerate the design process and build functional prototypes at low costs. The experimental tests regarding cytotoxicity, printing orientation, dynamic and static loads and temperature resistance have demonstrated the validity of the proposed device.

A device for internal pouch in colostomized patients has been designed, manufactured by fused deposition modelling and validated.

A series of consultations between patients treated surgically for colorectal cancer and their hospital consultants were examined to establish the main focus of the consultation at various stages in the post‐surgical period. The results showed that follow‐up consultations were predominantly doctor driven. Patients interviewed less than 12 months since the time of surgery (short‐term group) were more likely to receive a longer consultation with a significantly higher number of verbal interactions (questions, responses) than patients more than 12 months since surgery at the time of interview (long‐term group). Furthermore, patients in the short‐term group played a greater participatory role within consultations than patients in the long‐term group. The predominant focus throughout all consultations was biomedical, with little attention afforded to patients’ expressions of post‐operative anxiety. At present, it appears that out‐patient consultations play a minimal role in either detecting or addressing psychosocial morbidity amongst colorectal cancer patients in the post‐surgical period.

The purpose of this paper is to identify the factors that contribute to the success or failure of quality assurance programs implemented by Israeli managed care health plans.

An in‐depth study of seven quality assurance programs was conducted, comparing successful with unsuccessful ones using the comparative “case study” method. Employing a semi‐structured questionnaire, 42 program directors and professionals in the field were interviewed.

A number of factors associated with the programs' success emerged. Those external to the program included: ongoing management support, resource allocation, information system support and perceived financial benefit for the organization. Internal factors included: leadership, perceived problem's importance, laying the groundwork in the field, involving field staff in planning and implementation and staff motivation.

The study provides insights into ways to encourage the implementation of successful quality assurance programs in the special organizational context of managed care health plans. As the implementation relies heavily on data, one important precondition is the development of computerized information systems to facilitate ongoing data collection. It is also necessary from the planning stage to take into account organizational factors that affect success.

Ostomy Awareness Month is an attempt to combat the lack of public knowledge about ostomies and provide forums for the discussion of ostomy‐related issues among families, patients, health care professionals, and others.

The purpose of this paper is to understand and develop ways to enhance patients’ experiences of preoperative education received prior to surgery for colorectal cancer.

Based in the UK, three-action research cycles were undertaken to evaluate preoperative education, identify changes seen by patients and staff as likely to improve the service and to re-evaluate such changes following implementation. Data in each cycle were collected from: observations of clinic interactions; patient questionnaires; individual semi-structured interviews with multidisciplinary colorectal unit staff; longitudinal semi-structured interviews with patients and carers pre-surgery, two weeks post-surgery and 12 weeks post-surgery; patient and carer focus groups post-surgery; and existing educational material.

In total, 138 participants shared their experiences of either giving or receiving preoperative education. Findings were themed into why patients want preoperative education, and patients’ views of the educational processes.

Patients emphasised the need for educational provision to be fully understandable, comprehensive and client-centred using a range of communication processes. Patients emphasised the need for educational provision to be more fully understandable, comprehensive and client-centred and that important messages should be reinforced using a range of media. At a time of many uncertainties for patients’ lives, such education needed to encompass the experiences patients could expect, delivered by confident healthcare professionals.

Contextualising understanding and facilitating their own actions, enabled patients to regain control in circumstances particularly disruptive of bodily and other life routines. Establishing a sense of control is confirmed as important for patient's wellbeing in preparing for surgery and postoperative rehabilitation.

In this work we will discuss the suitability of carbon isotope analysis in plants for the assessment of environmental changes and their effects on crops and natural systems. For C₃ species, carbon isotope composition (δ¹³C) of plant tissues constitutes an integrated record of the miscellaneous climatic and physiological factors that affect carbon assimilation and/or stomatal conductance. Here we present a literature review on the relationship between different environmental parameters and δ¹³C in both herbaceous plants and trees, including some examples and case studies. We will also consider the applicability of some of these relationships in palaeoecological studies, as well as for the assessment of climate change dynamics and its implications. Major advantages and limitations of this technique are further discussed.

Water supply is closely linked to forests. In developing countries, especially those in the tropics, large forest areas are cut down for timber, agriculture and industries. The effect of deforestation on water sources could be examined through the study of the correlation between of the size of the forest clearing area and the size of the water in the dam and also the correlation between the size of the forest area and the size of the water area in the dam. Reports the finding of a study on the effect of deforestation of catchment areas and the ability of dams to sustain water during the dry season. Analyses images of the catchment areas obtained for nine consecutive years by satellites. The findings show that there is a negative correlation between the size of the forest clearing and the size of the water area in the dam and a positive correlation between the size of the forest areas and the size of the water areas.